HomeMy WebLinkAbout04-0048PETITION FOR PROBATE and GRANT OF LETTERS
Estate of Albert Crockett
also known as
To.'
Register of Wills for the
Deceased. County of Cumberland in the
Social Security No. 004-22-3626' Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/i~r 18 years of age or older an the execut named
in the last will of the above decedent, dated December 8, ., 19 77
and codicil(s) dated wife, Irene Crockett, named Executrix renunces in favo'r of
David H. Stone as Administrator c.t.a. Daughter, Marilyn Crowley, named
contingent Executrix renunces in favor of David H. Stone as Administrator
c.t.a. Daughter, Beverly J. Crockett, & son, Donald E. Crocketts renunce in
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
favor of David H. Stone. Daughter Barbara A. Crockett died February 14, 1996.
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
k is last family or principal residence at 153 15th Street, New Cumberland,Borough,
Cumberland County, Pennsylvania
(list street, number and muncipality)
Decendent, then 80 years of age, died April 18, 2003 ,:qla9. -,
at
Except as follows, deceden'~ did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: ·.
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ 350~000.00
$
WHEREFORE, petitioner(s) respectfully ,rec. tue. st(s) th.e probate of the last will and codicil(s)
presented herewith and the grant of letters, actm~.n~_scrat±on c.t.a.
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
theron.
.g.
414 Bridg~ Street
~'= New Cumberland, PA 17070
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
COUNTY OF Ctaq3ERLAND
The petitioner(s) abo'~e-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and b,f, lie~f peti~iionqr(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will w~d~nister the estate according to law.
Sworn to or affirmed and subscribed ~- ~ ~z/' \\~ o~
~e me this /~ 7'/-/ da of / __Dav~id g. b~.~ ~'
No. ~/-tOV" '~
Estate Of Albert Crockett , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~ ~2~_~9~'~'/'~5:/ .',~0~/:) ~9/~in consideration of the petition on
the reverse side hereof, satisfacto~ proof having been presented before me,
IT IS DECREED that the instrument(s) dated December 8, 1977
described therein be admitted to probate and filed of record as the last will of Albert Crockett
and Letters Administration c.t.a.
are hereby granted to David H. Stone
FEES
Probate, Letters, Etc .......... ~
Short Certificates( ) ..........
~auon $. ./t~. ~
TOTAL __
David H. Stone, Esq. #39785
ATTORNEY (Sup. Ct. I.D. No.)
414 Bridge St., New Cumberland, PA 17070
ADDRESS
(717) 774-7435
PHONE
RENUNCIATION
In Re Estate of
Albert Crockett
deceased.
To the Register of Wills of
Irene
The undersigned
Cumberland County, Pennsylvania.
Crockett by her attorney-in-fact, Beverly J. Crockett, wife
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
Administration, c.t.a. ~
be issued to David H. Stone
WITNESS hand this day of
Irene Crockett
(Signature)
Beverly J. Crockett, Attorney in Fact
by Power of Attorney dated April 24, 2003
4007 Bobbin Lane, Addison, TX 75001
(Address)
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of
Albert Crockett
deceased.
To the Register of Wills of Cumberland
MarSlyn Crowley, daughter
The undersigned
County, Pennsylvania.
of
the above decedent, hereby renounce(s) th~ right to administer the estate and respectfully ask(s) that Letters
Administration, c.t.a. ~
be issued to David H. Stone
hand this ~[ ~'~ day of ['~-4,u~d ,
MARiLYN C~WLEY (Signatur4(~
3113 Attleboro Place
Greensburg, PA 15601-3803
(Address)
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
In Re Estate of.
Albert Crockett
deceased.
To the Register of Wills of Cumberland
County, Pennsylvania.
The undersigned Beverly J. Crockett, daughter of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
Administration, c.t.a.
be issued to David H. Stone
WITNESS hand this day of
BEVERLY J. CROCKt~'~nature)
4007 Bobbin Lane
Addison. TX 75001
(Addr~s)
(Signature)
(Address)
(Signature)
(Address)
REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that present and saw
the testat. ,
si the same and that signed as a witness at the
in h ..... presence and (in the presence of each other) (in the presence of the
request of testat.__
other subscribing witness(es)).
Sworn to or affirmed and subscribed before
me this day of
19.__
Register
(Name)
(Address)
(Name)
(Address)
REGISTER OF WILLS OF 0.~xrn~.~\~c~ COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
~---~)'~ famili~~gnature of (~-)~L ,/~{~/'3~.. ~'(~'~.'~
· " ~ codicil
testat of % of the subscribing witnesses to)~the ~ presented herewith and
~ ~ codicil
that _%---"1'~7..'- believes the signature on the will is in the handwriting of
to the best of ,~-~ knowledge and belief.
Sworn to or affirmed and subscribed before ~,.~:.~,,-c'-" ~
me this ~/~x-~'L--x% day of .~::~,:/'"'- ..... /Name) ~-""'"'--- .
· o- - --'"'<:'" '
%.k~Oo...~ ~coL~l~ffter~' ~ /×
~- ~// (Name)
~ (Address)
REGISTER OF WILLS OF' CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
Charles H. Stone
(~l~i) a subscribing witness to the will presented herewith, ~) being duly qualified according to
law, depose(s) and say(s) that he was present and saw
A~b~rt Crockett
Sworn to or ,af,~fi ~rrn~d and subscribed before
me this _ / 7~ day of
Register
the testat or , sign the same and that. he
signed as a witness at the
request of testat..or in h is presence and (i~f:Of~i~i$1r:J~iL~r~'~ (in the presence of the
other subsc~bing witness(es)).
~e)
~ Bridge St., New Cumberland, PA ~7070
(Address)
(Name)
(Address)
testat
REGISTER OF WILLS OF
OATH OF NON-SUBSCRIBING WITNESS
to the best of..
COUNTY
(each) a subscriber hereto, (each) being duly qualified according to law, depos~) and ~,ay(s) that
/~t:' o,/-e familiar with the signature of ~"r-~f-Cd' ~--. ~L~f~___f~ ,
codicil
of (one of the subscribing witnesses to) the will presented herewith and
~- codicil
that /,v/~__ believel~ the signature on the will is in the handwriting of
7
~ ~'~ t"" knowledge and belief.
Sworn to or affirmed and subscribed before
me this I C~'% day of
(Name)
ra adress) / 2070
RENUNCIATION
In Re Estate of Albert Crockett
deceased.
To the Register of Wills of Cumberland
County, Pennsylvania.
The undersigned
Donald E. Crockett, son
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
Administration, c.t.a.
be issued to David H. Stone
WITNESS ~ and this ~ ~ day of hJ)]~C~Pl~ ~ ~ 00~
DONALD E. CROCKE~ignature)
AL VA~,k'~O
624 ~
Berk&ey, CA 94705
(Address)
(Signature)
(Address)
(Signature)
(Address)
his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 9095322
No.
Local Registrar
Date
COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
v,,. : [ Januar 20 ' '
. Cumberland LE. Pennsboro ~P.I ~-,1., O~,,- ¢ 1l.~./ , I=~.~"----.--., I'--' ....
,,~ Accountant I,,,~tate Government I,, '-~ ~ I ~,~) /. (,Tgi. I .. '~'". I
~'*~,~m,~.c~.~z~c~ ~ce~., ~ · I,*. ~" I,*. married I,~rene G. Jenkins
l ~tu~ ,t.. ~,. Pennsylvania ~ ,~.~ ~.~
153 Fifteenth Street
,t New Cumberland, PA 17070
~er'*m~¢~.~.u~ ,m.~ Cumberland ~ ,~.~ ~.~ New Cumberland
,.. Albert Day Crockett, Sr.
..~.. Irene J. Crockett
OATE PRONOUNCEO DEAD (~on~. Day, Year)
DI.~ 10 {O~ A~ A CON~OUENCE ~:
DUE ~D (OR A~ A CON.~EOUENC£ C~'):
I~ IO(OA A-S A CO~OUE NCE Olr):
,,. Alice M. Parker
IINFORMANT'S MAlUN~ ADO~E .~ I~M. C~. ~. Z~
~. 153 Fifteanth Street. New Cumberland. PA 17070
)ril 20, 2003 ~,~grkto~e Cremation Servicel~M. York, PA 17404
L~EN~NUMKR IN~e~o~,~ Parthemore FH
4~. FS 012 849 L ~==. P.O. Box 431~ New Cumberland~ PA 17070-0431
I~S C~ AEFER~D TO ~ E~MI~R? I -
ep\p:,a \ C?OCN~TT!rene
POWER OF ATTORNEY
(A Durable Power of Attorney)
NOTICE
THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU
DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH
MAY INCLUDE POWERS TO SELL OR OTHERWISE DISPOSE OF ANY REAL OR PER-
SONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU.
THIS POWER OF ATTORNEY DOES NOT IMPOSE A DUTY ON YOUR AGENT TO
EXERCISE GRANTED POWERS, BUT N~IEN POWERS ARE EXERCISED, YOUR AGENT
MUST USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS
POWER OF ATTORNEY.
YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT YOUR
LIFETIME, EVEN AFTER YOU BECOME INCAPACITATED, UNLESS YOU EXPRESSLY
LIMIT THE DURATION OF THESE POWERS OR YOU REVOKE THESE POWERS OR A
COURT ACTING ON YOUR BEHALF TERMINATES YOUR AGENT'S AUTHORITY.
YOUR AGENT MUST KEEP YOUR FUNDS SEPARATE FROM YOUR AGENT'S FUNDS.
A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS YOUR
AGENT IS NOT ACTING PROPERLY.
THE POWERS AND DUTIES OF AN AGENT UNDER A POWER OF ATTORNEY ARE
EXPLAINED MORE FULLY IN 20 PA. C.S. CH. 56.
IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND,
YOU SHOULD ASK A LAWYER OF YOUR OWN CHOOSING TO EXPLAIN IT TO YOU.
I HAVE READ OR HAD EXPLAINED TO ME THIS NOTICE AND I UNDERSTAND
ITS CONTENTS.
IRENE CROCKETT
2Ya t e ) '
I, IRENE CROCKETT, of the Borough of New Cumberland, County of
Cumberland, Commonwealth of Pennsylvania, hereby appoint my daughter,
BEVERLY J. CROCKETT, as my true and lawful agent to act in, manage,
and conduct all my estate and all my affairs, and for that purpose for
me and in my name, place, and stead, and for my use and benefit, and
as my act and deed, to do and execute, or to concur with persons
jointly interested with myself therein in the doing or executing of
all or any of the following acts, deeds, and things to the fullest
extent possible as provided in Chapter 56 of the Pennsylvania Probate,
Estates and Fiduciaries Code as presently in effect and as hereinafter
· amended or in any statutory provisions which may hereafter be substi-
tuted therefore:
(1) To engage in real property transactions. My agent shall
have the power to sell and convey all of my real property, and any
interest or right therein, including but not limited to the property
known as 153 15th Street, Borough of New Cumberland, Cumberland
County, Pennsylvania, upon such terms as my attorney shall think
proper.
(2) To engage in tangible personal property transactions.
(3) To engage in stock, bond and other securities transactions.
(4) To engage in banking and financial transactions.
(5) To enter safe deposit boxes.
(6) To engage in insurance transactions.
(7) To engage in retirement plan transactions.
(8) To handle interests in estates and trusts, including the
power to claim the family exemption to the same extent as I personally
could do under the provisions of Sections 3121-3126 of the Probate,
Estates and Fiduciaries Code, or any similar provisions then in
effect.
(9) To pursue claims and litLgation.
(10) To receive government benefits.
(11) To pursue tax matters.
(12) To borrow money.
(13) Te create a trust for my benefit.
(14 To make additions to an existing trust for my benefit.
(15
spouse.
To claim an elective share of the estate of my deceased
(16 To disclaim any interest in property.
(17) Te renounce fiduciary positions.
(18) To withdraw and receive the income or corpus efa trust.
{19} To authorize my admission to a medical, nursing, residential
er similar facility and te enter into agreements for my care.
(20) To authorize medical and surgical procedures.
(21) To carry en any business interest owned by me for whatever
period of time deemed proper, including the power te do any and all
things deemed necessary er appropriate, including the power to incor-
porate any unincorporated business; to veto any and all shares of
stock owned by me in any such business; te borrow and te pledge assets
owned by me as security for such borrowing; te assent to, join in, or
vote in favor ef or against any merger, reorganization, voting trust
plan, er similar action, and te delegate discretionary duties with
respect thereto; to delegate all er any part ef the supervision,
management and operation of the business to such person er persons as
may be selected; and to close out, liquidate, er sell the business at
such time and upon such terms as shall seem best. Hy agent shall net
be held to personal liability for shrinkage of income or less of
capital value that may be incurred in the course of the operation of
the business, except less that may result from willful misconduct.
(22) To engage and dismiss agents, counsel, and employees.
(23) To enter into, perform, modify, extend, cancel, compromise,
enforce, or otherwise act with respect to any contract of any sort
whatsoever.
GIVING AND GRANTING unto my said agent full power and authority
to do and perform all and every act, deed, matter, and thing whatso-
ever in and about my estate, property, and affairs as fully and
effectually to all intents and purposes as I might or could do in my
own proper person if personally present, the above specially enumer-
3
ated powers being in aid and exemplification of the full, complete,
and general power herein granted and net in limitation er definition
thereof; and hereby ratifying all that my said agent shall lawfully do
or cause te be done by virtue of these presents.
AND I hereby declare that any act er thing lawfully done here-
under by my said agent shall be binding en myself, and my heirs, legal
and personal representatives, and assigns.
This Power of Attorney shall continue in force and may be
accepted and relied upon by anyone to whom it is presented despite my
purported revocation ef it er my death, until actual written notice of
such event is received by such person. In the event ef my incom-
petency or incapacity, from whatever cause, this Power ef Attorney
shall net thereby be revoked but shall thereupon become irrevocable
during the period ef my incompetency er incapacity, and may be
accepted and relied upon by anyone te whom it is presented despite
such incompetency or incapacity, subject only to it becoming void and
ef no further effect only upon receipt by such person either ef (1)
written evidence of the appointment of a guardian (er similar
fiduciary) ef my estate following adjudication ef incompetency er
incapacity, or (2) written notice of my death. This Power of Attorney
shall not be affected by my subsequent disability or incapacity.
In the event any court declares that I have become incompetent or
incapacitated, I hereby state I prefer that no guardian of my estate
or person be appointed so that my affairs may be conducted under this
general durable power of attorney, but if the court proceeds to
appoint a guardian of my estate or person then under the authority
granted to me in Section 5604(c) (2) of the Probate, Estates and
Fiduciaries Code I hereby nominate as such guardian of the estate or
of my person the person or persons who is or are then serving under
this general durable power of attorney.
My agent hereby shall be entitled to reasonable compensation for
services performed hereunder as well as to reimbursement for all
reasonable costs and expenses actually incurred in carrying out any
agent's duties and responsibilities hereunder. The agent acting under
this power of attorney shall not be liable for any acts of commission
or omission performed in good faith and shall be liable only for
deliberate and intentional defalcation.
In the event of the death or inability of my daughter, BEVERLY J.
CROCKETT, to function as my agent under this Power of Attorney, then I
appoint my daughter, MARILYN L. CROWLEY, as my true and lawful agent
4
with all of the powers heretofore granted to BEVERLY J. CROCKETT and I
authorize and empower HARILYN L. CROWLEY te certify to the death er
inability of BEVERLY J. CROCKETT te function hereunder and I hold
harmless anyone who relies on such certification.
In the event of the death or inability of my daughter, MARILYN L.
CROWLEY, to function as my agent under this Power of Attorney, then I
appoint my son, DONALD CROCKETT, as my true and lawful agent with all
of the powers heretofore granted to MARILYN L. CROWLEY and I authorize
and empower DONALD CROCKETT to certify to the death or inability of
MARILYN L. CROWLEY to function hereunder and I hold harmless anyone
who relies on such certification.
of
IN WITNESS WHEREOF, I have hereunto set my hand this
~-'1'~-"~.~-~"' , 2003.
-~¥ day
IRENE CROCKETT
COMMONWEALTH OF PENNSYLVANIA:
: SS.
COUNTY OF CUMBERLAND :
On the ~5/~- day of t~,,~,~
2003, before me, the
subscriber, a Notary Public, personally appeared the above named IRENE
CROCKETT, and in due form of law acknowledged the foregoing Power of
Attorney to be her act and deed and desired the same to be recorded as
such.
Witness my hand and Notarial Seal the day and year aforesaid.
{)Notary Public
5
NOTARIAL SEAL
i , ~YE R. LUCIa'"Y, ~ Public
~ iew CL~mberland Bom, Cumberland Co.
COMMONWEALTH OF PENNSYLVANIA:
: SS.
COUNTY OF CUMBERLAND -
I, BEVERLY J. CROCKETT, have read the attached power of attorney
and am ~he person identified as the agent for the principal. I hereby
acknowledge that in the absence of a specific provision to the con-
trary in the power of attorney or in 20 Pa. C.S. when I act as agent:
I shall exercise the powers for the benefit of the principal.
I shall keep the assets of the principal separate from my assets.
I shall exercise reasonable caution and prudence.
I shall keep a full and accurate record of all actions, receipts
and disbursements on behalf of the principal.
BEVERLY J. CROCKETT
(Agent)
,~(Date)
COMMONWEALTH OF PENNSYLVANIA:
: SS:
COUNTY OF CUMBERLAND :
On this, the ~'P~-day of ~{/~_~.;~j. . , 2003, before me
the undersigned officer, a Notary Public, personally appeared BEVERLY
J. CROCKETT, known te me (or satisfactorily proven) te be the person
whose name is subscribed te the within instrument, and acknowledged
that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal
the day and year first above written.
Notary Publid
NOTARIAL SEAL
KAYE R. LUCKEY, Notap/Public
New Cumberland Bom. Cumbmla~ Co.
My_~2~sj_o_n_Expir~s Mai:il 27~,.2005
7
COMMONWEALTH OF PENNSYLVANIA:
: SS.
COUNTY OF CUMBERLAND ·
I, MARtLYN L. CROWLEY, have read the attached power of attorney
and am the person identified as the agent for the principal. I hereby
acknowledge that in the absence of a specific provision to the con-
trary in the power of attorney or in 20 Pa. C.S. when I act as agent:
I shall exercise the powers for the benefit of the principal.
I shall keep the assets of the principal separate from my assets.
I shall exercise reasonable caution and prudence.
I shall keep a full and accurate record of all actions, receipts
and disbursements on behalf of the principal.
MARILYN L. CROWLEY
(Agent) (Date)
8
COMMONWEALTH OF PENNSYLVANIA:
: SS:
COUNTY OF CUMBERLAND :
On this, the day of , 2003, before me
the undersigned officer, a Notary Public, personally appeared HARILYN
L. CROWLEY, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the within instrument, and acknowledged
that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal
the day and year first above written.
Notary Public
9
COHHONWEALTH OF PENNSYLVANIA:
: SS.
COUNTY OF CUMBERLAND :
I, DONALD CROCKETT, have read the attached power of attorney and
am the person identified as the agent fer the principal. I hereby
acknowledge that in the absence of a specific provision to the cen-
trary in the power ef attorney er in 20 Pa. C.S. when I act as agent:
I shall exercise the pewers fer the bene{it of the principal.
I shall keep the assets ef the principal separate frem my assets.
I shall exercise reasonable cautien and prudence.
I shall keep a full and accurate recerd of all actions, receipts
and disbursements on behalf ef the principal.
DONALD CROCKETT
(Agent) (Date)
10
COHHONWEALTH OF PENNSYLVANIA:
: SS'
COUNTY OF CUMBERLAND :
On this, the day of , 2003, before me
the undersigned officer, a Notary Public, personally appeared DONALD
CROCKETT, known to me (er satisfactorily proven} to be the person
whose name is subscribed to the within instrument, and acknowledged
that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal
the day and year first above written.
Notary Public
11
DAVID H. STONE
GERALD J. SHEKLETSKI
ELIZABETH B. STONE
STONE LAFAVER & SI-IEKLETSKI
ATTORNEYS AT LAW
,414 BRIDGE STREET
POST OFFICE BOX E
NEw CUMBERLAND. PA 17070
www. stonelaw, net
OF COUNSEL
CHARLES H. STONE
JON F. LAFAVER
TELEPHONE (7 ! 7) 774-7435
FACSIMILE (717) 774-3869
January 28, 2004
Cumberland County Register of Wills
ATTN: Ann
Cumberland County Courthouse
Carlisle, PA 17013
RE: Estate of Albert Crockett
No. 2004-00048
Dear Ann:
Per your request, enclosed is a copy of the Power of Attor-
ney from Irene Crockett to Beverly J. Crockett dated April 24,
2003.
Very truly yours,
STONE LaFAVER & SHEKLETSKI
DHS/krl
Enclosure
LAW OFFICES OF
STONE LAFAVER & SHEKLETSKI
414 BRIDGE STREET
POST OFFICE BOX E
NEW CUMBERLAND, PA. 17070
Cumberland County Register of
ATTN: Ann
Cumberland County Courthouse
Carlisle, PA 17013
Wills
170i~+3301 02
STONE:
LAST WILL AND TESTAMENT
OF
ALBERT CROCKETT
I, ALBERT CROCKETT, of the Borough of New Cumberland, County of Cumberland
and Commonwealth of Pennsylvania, declare this to be my last will and revoke ant
will previously made by me.
ITEM I: I devise and bequeath all of my estate, of every nature and
wherever situate, to my wife, IRENE CROCKETT, if she survives me by thirty days
ITEM II: Should my wife, IRENE CROCKETT, fail to survive me by thirty day~
I make the following disposition of my estate:
A. I bequeath my household and personal effects and other tan-
gible personalty of like nature (not including cash or securities) together
with any existing insurance thereon; to such of my children as are living on
the thirty-first day following my death to be divided among them in as nearly
equal shares as practical as they shall agree.
B. I devise and bequeath the residue of my estate, of every
nature and wherever situate, in equal shares, to such of my children, BARBARA A.
CROCKETT, DONALD E. CROCKETT, MARILYN CROWLEY and BEVERLY J. CROCKETT, as sur-
~i~eo~eo~Ybi~i~iyt~Yi~irSt~dd~yf~fll~i~io~ ~,c~ildi~ep~ie~i~a~~ or
the share of such child to his or her issue, per stirpes, living on the thirty-
first day following my death; and should any such child of mine leave no such
issue living on the thirty-first day following my death, I devise and bequeath
the share of such child to my issue, per stirpes, living on the thirty-first
day following my death.
Page 1 of 3 pages
STONI~ &
ITEM III: Should my wife, IRENE CROCKETT, fail to survive me by
thirty days, I direct that any of my children shall have the option to purchase
my homestead real estate owned by me in the Borough of New Cumberland, Cumber-
land County, Pennsylvania, being known and numbered as 153 15th Street. The
purchase price shall be equal to the value of the said real estate as of the
date of my death. The value shall be determined by an independent real estate
appraiser who shall be a Member of the Appraisal Institute. My Executrix shall
select the said appraiser. In case two or more of my children desire to pur-
chase the aforesaid real estate, the real estate shall be sold to the highest
bidder, provided that no bids that are lower than the appraised value of the
real estate shall be accepted. Any child of mine desiring to purchase the said
real estate, shall give my Executrix written notice of his intention within
two months of the date of my death.
ITEM IV: I direct that all taxes that may be assessed in consequen.
of my death, of whatever nature and by whatever jurisdiction imposed, shall be
paid from my residuary estate as a part of the expense of the administration
of my estate.
ITEM V: I appoint my wife, IRENE CROCKETT, Executrix of this my
last will. Should my wife, IRENE CROCKETT, fail to qualify or cease to act as
Executrix, I appoint my daughter, MARILYN CROWLEY, Executrix of this my last
will. My daughter, MARILYN CROWLEY, shall not receive compensation for her
services as Executrix.
ITEM VI: I direct that my Executrix and her successor, shall not
be required to give bond for the faithful performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF, I, ALBERT CROCKETT, have hereunto set my hand
Page 2 of 3 pages
STONE & SAJE;R
and seal this ~'~P' day of ~t,7~-g~__,,
1977.
(SEAL)
SIGNED, SEALED, PUBLISHED and DECLARED, by ALBERT CROCKETT, the
Testator above named, as and for his Last Will and Testament, and in the presenc(
of us, who, at his requesg in his presence and in the presence of each other,
have subscribed our names as witnesses.
Witness
Page 3 of 3 pages
'04 ifiA¥-3 71:52
CERTIFICATION OF NOTICE U~DER RULE 5.6 (a)
Name of Decedent: Albert Crocket
Date of Death: April 18, 2003
Will No. 21-04-0048
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court rules was served on or mailed
to the following beneficiaries of the above captioned estate on
April 29, 2004.
Irene Crockett
c/o Beverly J. Crockett
4007 Bobin Lane
Addison, TX 75001
Notice has now been given to all
Rule 5.6(a) .
Date: ?'o~'-OM
persons entitled thereto under
~ ,~(~/~'Squire
414 Bridge Street
New Cumberland, PA 17070
717-774-7435
Capacity:
Personal Representative
X
Counsel for Personal
Representative
Albert Crockett
Inheritance received frem the Baker/Creckett Trust,
Christine Heyere, Trustee EIN 304-6525517
396,600,
David H. Stone,
sworn ~c:c~i~a :o !a~ ! :~:~: an~i ~a'/~ ~a? ,~,~ is the Administrator CTA
:{ ~e ~f~:' :: ~lbes~ Crockett
-:-,-. -a: ~., David H. Stone fro ~a[i Administrator CTA
414 Bridge Street
New CumberlandL PA
17070
18 04 2003
S
EV 1500 EX (6-00/
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENTOF REVENUb
DEPT 280601
OFFICIAL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21
COUNTY CODE
-- 04 0048
HARRiSBURG, PA17128-0601
yEAR NUMBER
DECEDEN~SNAME(LAST, FIRST, ANDMIDDLEINITIAL) SOCIALSECURI~ NUMBER
Crockett Albert 004-22-3626
DATEOFDEATH(MM-DD-YEAR)4/18/2003 DA~ OFBIRTH(MMDD-YEAR)i/20/1923 SOCIALSECURI~NUMBER 166-18--7656 THISRETURNMUSTBEFILEDINDUPLICATEWITHTHE REGISTER OF WILLS
(iFAPPLiCABLE)SURViVINGSPOUSE'SNAME(LAST. FIRSTANDMIDDLEINITIAL)
Irene J. Crockett
[~ t Original Return ~ 2 Supplemental Return
~4 Limited Estate ~] 4a Future Interest Compromise (date of death after 12 12-82)
[~ 6 Decedent Died Testate (Attach copy of Will) [~ 7 Decedent Maintained a Living Trust (Attach copy of Trust)
[~ 9 Litigation Proceeds Received
[~ 9 RemainderReturn(dateofdeathpnorto~2-1382)
E~] 5 Federal Estate Tax Return Required
8 Total Number of Safe Deposit Boxes
E~ 10 Spousal Poverty Credit (da'eofde~thbetween123191and1 95) ~] tl ElectiontotaxunderSec gl13(A)(AItachSchO)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
David H, Stone, Escfuire
FIRM NAME (If Applicable)
Stone LaFaver A Shekletski
TELEPHONE NUMBER
717-774-7435
414 Bridge Street
New Cumberland, PA 17070 ~
Z
Z
Real Estate (Schedule A) (1)
2 Stocks and Bonds (Schedule B) (2)
3 Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4 MoBgages & Notes Receivable (Schedule D) (4)
5 Cash, Bank Deposits & Miscellaneous Personal Properi~
(Schedule E) (5)
6 Jointly Owned Rroperb¢ (Schedule F) (6)
[~ Seqarate Billing Requested
7 Inter-Vivos Transfers & Miscellaneous Non Probate Property (7)
(Schedule G or L)
8 Total Gross Assets (total Lines 1 7)
9 Funeral Expenses & Administrative Costs (Schedule H) (9)
1 0 Debts of Decedent, Modgage Liabilities, & Liens (Schedule I) (10)
1 1 Total Deductions (total Lines 9 & 10)
1 2 Net Value of Estate (Line 8 minus Line 11)
13 Charitable and Governmental Bequests/Sec 9113 Trusts for Which an electi°n t° tax has n°t been
made (Schedule J)
14 Net Vatae Subject to Tax (Line t 2 minus Line 13)
0
0
0
0
396,600
0
0
(8)
5,142
0
-~ OFFICIAL USE ONLY
396,600
(12)
5,142
(13)
391,458
(t4)
391,458
0
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15 AmountofLine14taxableatthespousaltax 0 x 0 0 (15)
rate or transfers under Sec 9115(a)(1 2)
0 x o 45 (16)
16 Amount of Line 14 taxable at lineal rate
0 x 12 (17)
1 7 Amount of Line 14 taxable at sibling rate
0 x 15 (18)
1 8 Amount of Line 14 taxable at collateral rate
t9 Tax Due (19)
20
L~
-- > · BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
3W4645 I 000
Decedent's Complete Address:
S~EET ADDRESS
153 Fifteenth Street
[ Cuml~rland County
New cumberland
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2 Credits/Payments
A Spousal Pover[y Credit 0
0
B Prior Payments
0
C Discount
3. Interest/Penalty if applicable
D. Interest 0
E. Penalty 0
TotaICredits (A + B + C) (2)
Total Interest/Penalty (D + E) (3)
0
0
0
0
0
4 If Line 2 is greater than Line 1 + Line 3, enter the difference This is the OVERPAYMENT.
Check box on Page I Line 20 to request a refund (4)
5 If Line 1 + Line 3 is greater than Line 2, enter the difference This is the TAX DUE. (5)
A. Enter the interest on the taxdue. (5Al
B Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0
0
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Yes No
Did decedent make a transfer and:
a retain the use or income of the property transferred; .......................
b retain the right to designate who shall use the property transferred or its tncome; .........
c retain a reversionary interest; or ................................
d receive the promise for life of either payments, benefits or care? .................
2 If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ............................
3 Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? [] [~
4 Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designatiQn? ................................ [~ [~
F THE ANSWER TO ANY OF THE ABC E QU STIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Unde penalties of per u y declare that I have examined thi retur including accompanying schedules and statements an~ TM the best of my knowledge and belief 't is true correct and complete
Declaration ~ c; cth-- an the pefsona~ r ntati is ed on all information of which prepare¢ I~as any knowledge
SIGNATURE OF PREPARER OTHER THAN REPRESENTA 0VE DATE
ADDRESS
For dates of death on or artec July 1 1994 and before January 1 1995 the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72PS §9916(a)(1 1)(i)]
For dates of death on or after ,)anuary 1, 1995 the tax rate imposed on the net value of transfers to or for the use of the su~iving spouse is 0% [72 P S §9116 (al(1 ~)(ii)]
The statute does tlot e×em pt a transfer to a survivmg spouse from tax and the statutory requirements for disclosure Of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary
For dates of death on or after July 1, 2000
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P S § 9116(a)(1 2)1
The tax rate imposed on the net value of transfers to or for the use of thedecedent'slinealbeneficiariesis45%,exceptasn°tedm72PS §9~16(1 2) [72 PS §9116(a)(1)]
The tax rate im posed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P S § 9116(al( 1 3)] A sibling is defined under Section 9102, as an
individual who has at least one parent in common with the decedent whether by blood or adoption
3W4646 I 000
REV 1508 EX * (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEAt. TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT FILE NUMBER
ESTATE OF 0048
Albert Crockett
Include the proceeds of litigation and the date the proceeds were received by the estate
ITEM
NUMBER
property jointly-owned with the right of survivorship must be disclosed on Schedule F.
DESCRIPT]ON
nheritance received from the
Baker/Crockett Trust,
hristine Meyerle, Trustee EIN
04-6525517
VALUE AT DATE
OF DEATH
396,600
396,600
TOTAL (Also enter on line 5 Recap u ation)
(if more space is needed insert additional sheets of the same size)
3W46AD 1 000
REV-~511 b× + (12 99)
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMOfANEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT FILE NUMBER
ESTATE OF 0048
Albert Crockett
Debts of decedent must be reported on Schedule I,
iTEM
NUMBER
4
5
7
1
DESCRIPTION
FUNERAL EXPENSES:
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City State Zip _
Year(s) Commission Paid:
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
State _ Zip
Cumberland Law Journal-adv.
grant of letters
Total from continuation pages
TOTAL (Also enter on line 9, Recapitulation)
AMOUNT
4,500
342
75
225
$ 5,142
(If more space is needed, insert additional sheets of the same size)
3W,~6AG 1 000
Schedule H part 2 (Page 2)
Estate of: Albert Crockett
Item
No. Description
Amount
3
4
Register of Wills-Filing
Inheritance Tax Return and
Inventory
Reserve for closing expenses
The Patriot News
Co.-advertising grant of
letters
10
100
115
Total {Carry forward to main schedule% 225
REV-1513 EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
iNHERITANCE TAX RETURN
RESIDENT DECEDENT FILE NUMBER
ESTATE OF 0048
Albert rockett RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee{s) OF ESTATE
NUMBER
I
II
1
T~XABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
under Sec 9116(a)(12)]
ENTER DOLLAR AMOUNTS FOR DISTRiBUTiONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE,
N REV-1500 COVER SHEET
NON TAXABLE DiSTRIBUTiONS:
ASPOUSALDiSTRIBUTIONSUNDERSECTION9113FOR WHICHANELECTIONTOTAXISNOTEEING MADE
Item I on Schedule E
($396,600) less expenses
$5,142)
B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
391,458
391,458
TOTAL OF PART II - ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LiNE 13 OF REV-1500 COVER SHEET
(If more space is needed, insert additional sheets of the same size)
3W46AI 1 000
BUREAU OF /NDZVIDUAL TAXES
TN~ERTTANCE TAX DTVTSTON
DEPT. 180601
HARRTSSURG, PA 17118-n601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLO#ANCE OR DISALLO#ANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
RE¥-1~47 EX AFP (gl-os)
ES~
DAVID H STONE
STONE ETAL
414 BRIDGE ST
NEW CUHBERLAND !~A'lTQTO
DATE 11-08-2004
ESTATE OF CROCKETT
DATE OF DEATH 04-18-2005
FILE NUHBER 21 04-0048
COUNTY CUHBERLAND
ACN 101
Amount Rem/tted
ALBERT
NAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUNBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF ZNHERZTANCE TAX APPRAZSENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CROCKETT ALBERT FILE NO. 21 04-0048 ACN 101 DATE 11-08-2004
TAX RETURN NAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE
RESERVAT'rON CONCERNTNG FUTURE TNTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks end Bonds (Schedule B) (2)
$. CloseZy Held Stock/Partnership Interest (Schedule C) ($)
~. Mortgages/No~as Receivable (Schedule D)
E. Cash/Bank Deposi~s/Misc. Personal Proper~y (Schedule E) (E)
6. Jo/ntly O~ned Property (Schedule F) (6)
7. Transfers (ScheduZa G) (7)
8. To,al Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expansas/Adm. Costs/Misc. Expanses (Schedule H) (9)
10. Debts/Mortgage Liabil/ties/Lians (Schedule I) (10).
11. Total Deductions
12. Net Value of Tax Return
15.
1~.
Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J)
Net Value of Estate Sub~ect to Tax
O0
$96~600.00
O0
O0
O0 NOTE: To /nsure proper
O0 credi~ to your account,
O0 subm/t the upper portion
of th/s form ~ith your
~ax payment.
(8)
5,142.00
.00
NOTE:
:596,600.00
(11) 5. 112. O0
(12) 591,458. O0
(is) .00
(1~) 591,458.00
Zf an assessment was issued previously, lines 14, 15 and/or 16, 17,
reflect figures that include the tote! of ALL returns assessed to date.
18 and 19 will
ASSESSMENT OF TAX:
15. Aaount of L/ne lr* at Spousal rata
16. Amoun~ of Line lq taxable at Lineal/Class A rata
17. Amount: of Line lq at S/bl/ng rata
18. A.oun~ of L/ne lq taxable et Collateral/Class B ra~ce
19. Pr/nc/pal Tax Due
TAX CREDITS:
PAYHENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID (-)
IF PAID AFTER DATE INDICATED~ SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
(15) $91,458.00 x O0 = .00
(16) .00 x 045= .00
(17) .00 x 1Z = .00
(18) .00 x 15 : .00
(19)= . O0
AMOUNT PAID
TOTAL TAX CREDIT I .00
BALANCE OF TAX DUEl .00
ZNTEREST AND PEN. .00
TOTAL DUE . O0
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
ZF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR ZNSTRUCTZONS.
RESERVATION:
Estates of decedents dying on or before December 1Z) 198Z -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
1ifa or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the laaful Class B (collateral) rate on any such futura interest.
PURPOSE OF
NOTICE:
PAYHENT:
REFUND (CR):
OBJECTIONS:
ADHIN-
ZSTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (TI P.S.
Section 9140).
Detach the tap portion of this Notice and submit with your payment to the Register of gills printed an the reverse side.
--Hake check or money order payable to: REGISTER OF N~LLS, AGENT
A refund of a tax credit, which was not requested on the Tax Return, may ba requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISIS). Applications are available at the Office
of the Register of Hills) any of the 25 Revenue District Offices, or by calling the special Z4-hour
answering service for forms ordering: 1-800-56Z-ZO50; services for taxpayers with special hearing and / or
speaking needs: 1-800-~47-50Z0 (TT only).
Any party in interest not satisfied with the appraisement) allowance, or disallowance af deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of
this Notice by:
--Hrittan protest to the PA Department of Revenue, Board of Appeals, Dapt. ZBIOZ1) Harrisburg) PA 171ZB-lOZ1, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit) Dept. ZB0601) Harrisburg) PA 171Z8-0601
Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (SI) discount of
the tax paid is allowed.
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed) and not
paid before January 18) 1996) the first day after the and of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you Hould appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning ~ith first day of delinquency, or nine (9) months and one (1) day from the data of
death) to the date of payment. Taxes which became delinquent before January 1, 19BI bear interest at the rate of
six (BX) percent per annum calculated at a daily rate of .000164. A11 taxes which became delinquent on and after
January l, 198Z will bear interest at a rate Nhich will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 19BI through ZOO4 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1'~ ZOZ .000545 ~T~'~-1991 11Z .000501 Z00X 9Z .000247
1983 162 .000458 199Z 92 .0002q7 2002 6Z .000X64
1984 11Z .OOOBO1 1995-1994 72 .00019Z 2003 52 .000157
1985 132 .000556 1995-1998 9Z .000Z47 2004 42 .000110
1986 lOX .000274 1999 7Z .O0019Z
1987 102 .000Z74 ZOO0 7Z .00019Z
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPATD X NUHBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (lB) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
REV-1470 E~ (6-88)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box. 280601
HARRISBURG, PA 17128-0601
INHERITANCE TAX
EXPLANATION
OF CHANGES
DECEDENTS NAME
Albert Crockett
Bill Lyons
IFILENUMBER
ACN
2104-0048
101
REVIEWED BY
SCHEDULE ITEM
NO.
EXPLANATION OF CHANGES
The estate passes outright to the surviving spouse.
ROW Page 1
II
!I
,
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Albert Crockett
Date of Death: April 18, 2003
Will No. 21-04-0048
To the Register:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court
Rules, I report the following with respect to completion of the
administration of the above-captioned estate:
l.
Yes ~
State whether administration of the estate is complete:
No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will
be complete:
3. If the answer to No. 1 is Yes, state the following:
(a) Did the personal representative file a final
account with the Court? Yes No X
(b) The separate Orphans' Court No. (if any) for the
personal representative's account is: N/A
(c) Did the personal representative state an account
informally to the parties in interest? Yes~ No
Date:
(d) Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with
;~~o;~~rk of the Orphans' co~urt and may be:iat;taChed to this
/a<f{jJn
Da . ton, Esquire
414 Bridge Street
New Cumberland, PA 17070
717-774-7435
If)
(..J
Capacity:
Personal Representative
{.;
X
Counsel for Personal
Representative
I.,.'
,
"
uJ
est\rel\CROCKETT
IN RE: ESTATE OF ALBERT CROCKETT
LATE OF THE BOROUGH OF NEW
CUMBERLAND, CUMBERLAND
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-04-0048
RECEIPT. RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, BEVERLY CROCKETT,
EXECUTRIX OF THE ESTATE OF IRENE CROCKETT, being the sole beneficiary
under the will of ALBERT CROCKETT, do hereby acknowledge that I have
received all sums of money and property due me by virtue of the death
of ALBERT CROCKETT, in full satisfaction and settlement of all of my
rights and claims under his estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, BEVERLY CROCKETT, EXECUTRIX OF THE ESTATE OF
IRENE CROCKETT, do by these presents, remise, release, quitclaim and
forever discharge the Administrator CTA, his heirs, successors and
,
assigns, from the acts of the Administrator CTA as aforesaid, and of
and from all actions, suits, payments, accounts, reckonings, claims,
and demands whatsoever, for or by reason thereof, or any other act,
matter, cause or thing whatsoever, and I do hereby consent to the
discharge of the said Administrator CTA.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the
dY
.' day of
"") ~C.LCd
, 2005.
31--C9J2JL----
Witness
.~ CJtfL~
BEVERLY CROCKETT, EXECUTRIX FOR
THE ESTATE OF IRENE CROCKETT
STATE OF TEXAS
SS:
COUNTY OF
''1. '1 .0D .,-
On this, the ,TiT - day of --.J RNt-'-J'+1C- 'r'
, 2005, before
me a Notary Public, the undersigned officer, personally appeared
BEVERLY CROCKETT, EXECUTRIX OF THE ESTATE OF IRENE CROCKETT, known to
me (or satisfactorily proven) to be the person whose name is sub-
scribed to the within instrument and acknowledged that she executed
the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day
and year first above written.
tLt ",- ~. (urA A /
Notary Public ,
{
-2-