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HomeMy WebLinkAbout02-0135Estate of also known as Maria Lucas Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS PATRICIA T. BROWN No. o3..I-C)A-13 5 , Deceased Social Security No. 156 - 54- 0768 and Andrew Brown Petitioner(s), who is/are 18 years of age or older, apply(les) for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut__ the Decedent, dated and codicil(s) dated named in the last Will of State relevant circumstances, e,g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (c.t.a,; d.b,n.c.t.a; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence Winifred Brown IDaughter 11800 Silverpine Circle, Mech., PA Andrew~'Brown,25. IS°n 11800 Silverpine Circle, Mech., PA lan Brown I Son - Minor 1800 Silverpine Circle, Mech., PA Hannah Brown IDau~hter - Minor 1800 Silverpine Circle, Mech., PA (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family or principal residence at 820 Appletree Lane, East Pennsboro Township, Mechanicsbur~, PA 17050 (list street, number, and municipality) Decedent, then 41 years of age, died 01/21/2002 at Holy Spirit Hospital, PA Decedent 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: 820 Appletree Lane, Mechanicsbur~, PA (Location) $ 1,000.00 $ 150,000.00 TOTAL 151,000.00 Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersicjned: Signature Typedorprintednameandresidence Maria Lucas 356 Keswick Avenue, Glenside, PA 19038 Andrew~Brown~Tc. 1800 Silverpine Circle, Mechanicsbur~, PA 17050 Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. / 7 -'~ '~-/~~- 0 Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumb er 1 and The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed /~ ~ Mar~i a Lucas / before me this, 6t]~ay of ../~,,~.,~/__~..~.~ .,~ February 2002 - (Andr~/~Br owr~ O~ /,~ For the Register ~' ¥. MAL'-y, Lewis No. Estate of PATRICIA T. BROWN Social Security No: 156- 54- 0768 AND NOW, Feb~mry 7th 21-2002-135 Deceased Date of Death: 01/21/2002 2002 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ Testamentary E~] Of Administration (c.ta.; d.b.n.c.ta.; pendente lite; durante absentia; durante minoritate) are hereby granted to Maria Lucas and Andrew. Brownj-3r.a in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........... $ 235.00 Short Certificate(s), ,10.. $ 30.00 Renunciation ........ $ Affidavits ( ) .... $ Extra Pages ( ) .... $ .:2~ ~ Codicil ........... $ JCP Fee .......... $ Inventory .......... $ Other ........... $ TOTAL ......... $ Prepared by the Pennsylvania Bar Association /' ' ReCster of Will' .~a~--7 C. Lew~s J Attorney: Gregory S. Chelap, Esquire I.D. No: 78443 Skarlatos & Zonarich LLP Address: 204 State Street Harrisburs, PA 17101 5.00 Telephone: 717/233-1000 MAILED LETTERS 275.00 Copyright (c) 1996 form software only CPSystem$. Inc. Form RW-1 (1991) 81;':~'d g- B]J ZO. Register of Wills of County, Pennsylvania Estate of PATRICIA T. BROWN also known as RENUNCIATION Deceased No. 21-2002-135 The undersigned, Dau~ht er (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to of WITNESS my hand this 24th dayof January 2002 (Signature) ' Wi~li{red B--rown- 1800 Silverpine Circle, Mechanicsburq, (Address) PA I 7050 (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this ~/~/ day /Notary Public ¢ My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) Notarial Seal Sharon K. Shaffer, Notary Public Harrisburg, Dauphin County My Commission Expires Sept. 6, 2004 Mem~r, Pennsylvania Association ot Notaries executed outside the Office of Register of Wills required to be notarized. Prepared by the Pennsylvania Bar Association Copyri§ht lc) 1996 form software only CPSystems, inc. Form #RW-4 (1991) 617: £-d 9- ~]j ~0. his is to certify that the information here given is correctly copied from an original certificate of death d~ply 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 8010 B2 No. · Local Registrar w87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAl. RECORDS CERTIFICATE OF DEATH ..... ECEDENT (F. ........ , [SEX .e~lAk ~CURITY NUMBER ,OAT~ OF ------ I ,.._ I. , ,, . I.~Cn.,~--. I,--,, . 21-2002-135 ~8~':£d 9- 833 ZO. JOHN R. ZONARICH* ANNA MARIE SOSSONG JOHN B. ZONARICH GREGORY S. CHELAP SCOTT W. POHLMAN** SHELLY J. KuNKEL TODD F. TRUNTZ DAVID H, JUDY ANGELO S KARLATOS * BOARDCERTIFIED IN CIVIL TRIAL ADVOCACY ** ALSOADMITTED iN NEW YORK ~ ALSO ADMI~ED IN NEW JERSEY SKABIATOS & ZONAP ICEI mp ATTORNEYS AT LAW 204 STATE STREET HARRISBURG, pENNSYLVANIA 17~O1 (717) 233-1OO0 TELEFAX (7 I-/) 233-6-/40 WWW.S KAR LATOSZONAR ICH .COM June 10, 2002 STEELTON OFFICE MECHANICS SAVINGS BUILDING, STE. 201 51 SOUTH FRONT STREE'I' STEELTON pENNSYLVANIA 17113 (717) 939-9358 MIDDLETOWN OFFICE ("/17) 944-5109 WRITER'S EMAIL: sjk@skadatoszonadch.com Office of Register of Wills Cumberland County Court House 1 Courthouse Square Carlisle, PA 17013 Estate of Patricia T. Brown No. 21-02-0135 Dear Sir or Madam: Enclosed please find a check in the amount of $5,000.00 which represents an inheritance tax payment for the above-referenced estate. Sincerely, Sharon K. Shaffer Estate Administrator Enclosure 0~00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-11 62 EX(11-96) CD 001 283 CHELAP GREGORY S 204 STATE STREET HARRISBURG, PA 17101 ........ fold ESTATE INFORMATION: SSN: 156-54-0768 FILE NUMBER: 2102-01 35 DECEDENT NAME: BROWN PATRICIA T DATE OF PAYMENT: 06/11/2002 POSTMARK DATE: 06/1 0/2002 COUNTY: CUMBERLAND DATE OF DEATH: 01/21/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $5,000.00 TOTAL AMOUNT PAID: $5,000.00 REMARKS' GREGORYSCHELAPESQUIRE SEAL CHECK# M 4482 INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS OOMMO.WEAL~"OFPE"NS~LVA"'A INHERITANCE TAX RETURN DEPARTMENT OF REVENUE DE~ .o~o, RESIDENT DECEDENT 2 ] 2002 0]_, S ~RRISBURG, PA 17128-0601 coum~ CODE YEAR NUMBER DECEDENTSNAME BROWN, PATRICIA T. 156-54-0768 THIS RETURN MUST BE FILED IN DUPLICATE ~ITH THE 01/2 I/2002 04/05/1960 REGISTER OF WILLS OF APPLICABL~ SURVIVfNG SPOUSES NAME ( LA~ FIRST ANBM~E IN.AL3 .... SOCIA[ SECURITY NUM~ E~2.-~p-plemental Return [] 3. Remainder Re[urn (date of deam prior [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) [] 5. Federal Estate Tax Return Required [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 8. Total Number of Safe Deposit Boxes of Will) copy of Trust) [] 9. Litigation Proceeds Received [] 10. Spousal Povedy Credit (date of death between [] 11.Election to tax under Sec. 9113(A) (Atlach Sch { 12-31-91 and 1-1-95) : ,";hclh' J. Kunkcl : FIRM NAME ('If appqic~61~) ........ [ 204 State Street ,'qkarlatos & Zonarich ].l,P YELEPHONE NUMBER 717/~.~3-1000 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] Separate 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) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) ............. Hanisburg, PA 17101 140,467.23 None None None~: 581.18 112.79 11,936.20 25.021.56 74,611.71 (9) (10) (8) t >~ .0 :)7.40 (11) cc 9 9, o_~ _~. 2 7 12. 13. ~ 14. Net Value of Estate (Line 8 minus Line 11) (12) 53,464 1 3 Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) (14) 5 3,464. I 3 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18 Amount of Line 14 taxable at collateral rate 19. Tax Due 53,486.98 x .045 (16) 2,406.9 x .12 (17) .15 (18) (19) 2,406.91 Copyright 2000 form software only The Lackner Group, Inc. Form REV-I$00 EX (Rev. $-00) Deqedent's Complete Address: IS'l'R~;'l' .~X)DR~SS 820 Appletree Lane CiTY Mechanicsburg Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B, Enter the total of Line 5 + 5A. This is the BALANCE DUE, (1) 2,405.89 (2) 5,120.29 (3) 0.00 (4) :,7i 4:4ii (5) (5A) (5B) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT [...5:~¢~:~:~:i:...:i:i¢i:!:!?~::.:i:~a?i:i:~:i:i:ii:i:i:i:~:~:[:~:~:~:.:.1:i:i:i::.~:i:~M:~.. .~.~-~i.. ,-.,..............~.~ ~.~z..~..x..¥...,....,....~..., ,.....".~.;~.~ ............ ....:....,:~.~.~...~. ,F¢ ~. ............ -...:,.z ,x ,:.:.:.:.:¥ ~..u:.:....:.:-:.:-:.~....:.:."~ ~z.:.:.:.:.:.× .~...x ..-.:...-: .:-:.: .:,:.......:...;.*.~..:.:-:.:::7577775777.::~:::.-..:: :::::: ::::::....>. :2 :::::: :-:-:. :.:. ~..:.:. :.:-:.:::::::::-:. :-:-:.:-:.:.~:-:. :-:-:. :. :-:. :. :. :. :. :. :.:. :. :. :.:. :.:::. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retaintheuseorincomeofthepropertytransferred; ..................................................................................... b. retain the right to designate who shall use the property transferred or its income; ......................................... 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 cons derat on? .......................................................................................................................... [] [] 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 des gnat on? ........................................................................................................................ ffi [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Un~r~lbes of perjury, I declare that I have examined this return, incTuding accompanying schedules and statements, and to the best of my knowledge and belief, it is tr~e corT~ct and Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge ~i~NA'rtfl~ ~Sff~ERS~)'~ ~ESPOIqSTBLE~-ClI_ING I~JRg - - ' ADDRES~ DATE Glenside, PA 19038 // 5iGNATU P ,E'~E"'S P~,Oiq SIBt. iiqG RETURN - ~~~--~~ Harrisburg,Mechanicstsurg'1800 Si lye rpine Circle PA PA 17101 ...... EPRESENTaTiVE ....... ADDRESS 17050 204 State Street[l, ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ....... ~. .......... ~.,...........:.....,..:.:.:..:......: ......... ~. ............. , ........................................... ~.. ............................................... _ ...................................... :::::::::::::::::::::::::: For dates of death on or after 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% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving 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)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (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. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE FILE NUMBER ESTATE OF BROWN, PATRICIA T. 21 - 2002 - 0135 All real property owned solely or as a tenant in comm, on must, be reported at fair m,arket value. Fair market value is defined as the price at which property would be exchanged between a willing buyer ano a willing seller, neither being compelled to buy or sell both having reasonable knowledge of the relevant facts. Real property which is jo nt y-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION 820 Appletree Lane, Mechanicsburg (per settlement sheet attached hereto as Schedule A) TOTAL (Also enter on Line 1, Recapitulation) VALUE AT DATE OF DEATH 140.467,,.~ 140,467.23 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER BROWN, PA'['R]C[A T. ?.I - 200? - 0135 Include the proceeds of litigation and the date theproceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION Citizens Bank Checking Account No. 100-012-2570 (DOD value per verification letter attached hereto as Schedule E) Department of Revenue - Anticipated 1999 PA 40 Refund Department of Revenue - Anticipated 2000 PA 40 Refund l)epartment or' Revenue - Anticipated 2001 t)A 40 Refund .... i:OTAI_ iAIs~ ~,nt-er on Li-n-e $, Recapitulation) ~ALUF_ AT DATE OF DEATH 124.1~ 75.()(') 362 0( 20.() ) 581.18 .~ SCHEDULE F COMMONWEALTH OF PENNS¥'V^N,A JOINTLY'OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 - 2002- 0135 ESTATE OF BROWN, PATRICIA T. If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A hm Brown 1800 Silverpine Circle Son Mechanicsburg, PA 17050 JOINTLY OWNED PROPERTY: i~=~ LETTER DATE ~,',k~&~= IFOR JOINTI MADE .......... I TENANT JOINT DI-SrJNIP I ION OI- I°NOI°bN 1Y Include name of financial institution and bank account number or s m ar dent fy ng number. Attach deed for jo nt y-he d real estate. 07/31/1996! Waypoint Bank Savings Account No, 3002135395 (DO[) value per verification letter attached hereto as Schedule }:) i % OF DATE OF DEATH DATE OF DEATH DECD'S I VALUE OF VALUE OF ASSET NTEREST! DECEDENT'S INTEREST 2z5.57~- ":' ~- ~ 5~1 - >0% 12.79 TOTAL (Also enter on line 6, Recapitulation) 112.79 ',.~ SCHEDULE G INTER-VIVOS TRANSFERS & COMMONWEALTH OF PENNSYLVANIA ,NHER,TANeE TA× RETURN MISC. NON'PROBATE PROPERTY ESTATE OF BROWN, PATRICIA T. FILE NUMBER 21-2002-0135 '-- ' I DESCRIPTION OF PROPERTY ITEM Include the name of the transferee, their relationship to decedent and the date of transfer NUMBER Attach a copy of the deed for real estate. State Employees' Retirement System (Death Benefit ~ transferred at I)OD to decedent's mother, Winifi'ed Bratton per verification letter attached hereto as Schedule G) 2 Masland & Ban'ick - IRA Account No. 5W8-132594 (u'ansferred at DOD to decedent's children, per verification i letter attached hereto as Schedule G) 3 Citizens Bank Savings Account No. 00355-071733 (transferred on DOD to Jose Hen-era, per verification letter attached hereto as Schedule G) This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. DATE OF DEATH VALUE OF ASSET 1,234.43 % OF DECD'S INTEREST 13,534.30 167.47 EXCLUSION (IF APPLICABLE) TOTAL (Also enter on line 7, Recapitulation) 3,000.00 TAXABLE VALUE 1,234.4.* 10,534.30 167.47 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF BROWN, PATRICIA T. Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION NUMBER A. FUNERAL EXPENSES: I Neill Funeral Home ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Skarlatos A Zonarich LLP -- Shelly J. Kunkel Family Exemption: (If decedenrs address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Register of Wills State Zip Accountant's Fees Keller Financial - Prepaaration of 1997-98-99-2000-01 Federal/State/Local Tax Return Preparer's Fees H & R Block Premium - Preparation of Finat Personal and Fiducim7 Other Administrative Costs Cumberland La~v Journal - Advertise Letters of Administration The Sentinel - Advertise Letters of Administration Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) FILE NUMBER 21 - 2002- 0135 AMOUNT 2,667.58 8,382O2 275.00 905.0O 900.00 75OO 11,680.84 24,998.71 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Schedule H ESTATE OF BROWN, PATRICIA T. 3 Allstate - Homeowners Insurance, 820 Appletree Lane, Mechanicsburg FILE NUMBER 21 - 2002 - 0135 '4 PIN, - Electric bill, 820 Appletree l,ane, Mechanicsburg 5 Masland & Bamck Advisorx. Inc. - Copies of 1997. 1998, 1999 and 2000 Statements Settlement charges - 820 Appletree Lane, Mechanicsburg (per settlement sheet attached hereto as Schedule A) Skarlatos & Zonarich LLP - Misc. telephone charges, postage, copies, etc. 56.60 94.05 50.00 11,459.34 20.85 Page 2 of Schedul~H COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF BROWN, PATRICIA T. Include unreimbursed medical expenses. - iTEM NUMBER 1 2 3 4 5 6 10 12 13 14 15 17 lg DESCRIPTION Barbara E. Hake - Reimbursement of loan to Decedent Verizon - Overdue phone bills Capital One - Balance due on Mastercard Account #5291 - 1519-3517-2518 NCO Financial Systems, Inc. - Balance due to Progressive Insurance Penn Credit Corporation - Balance due to Ci~' of Pittsburgh for parking ticket Amerigas - Overdue gas bills Providian - Balance due on Visa Account #4559-5010-0063-2343 Donald C. Donagher, Jr., Inc. - Balance due to Cumberland County for 2000/01 Per Capita Good Hope Physicians - Medical bill 1997 Federal Income Tax Liabili~' w/penalties and interest 1998 Federal Income Tax l,iability w/penalties and interest 1999 Federal Income Tax Liability w/penalties and interest 2000 Federal Income Tax I,iability w/penalties and interest 2001 Federal Income Tax Liability.' w/penalties and interest i FILE NUMBER 21 - 2002 - 01.~" :)- Reimbursement to ?mdrew J. Brown, Sr., decedent's ex-husband, for loan to estate for pay of mortgage against 820 Appletree Lane Reimbursement to Andrew J. Brown, Sr. tbr payment of PPL arrearages to avert shutt off`while real estate was listed for sale Andre,,',' J. Brown, Si'. - truck rental for clean out of house priot to sale Andrew J. Brown, ,Ir. - reimbursement for lock change during house vacancy TOTAL (Also enter on Line 10, Recapitulation) AMOUNT 1,478.00 242.51 3.44627 595.46 53.24 8453(; 9_~7 77 57.00 229.OO 19.881.08 11,612.')4 20,225.3o 5,019.62 >,.~76.7, 3,97o.33 494.7() 74..~(~ 72.0(} 74,611.71 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BR()WN. PA'¥R[CIA T. NUMBER SCHEDULE J BENEFICIARIES NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS ~i-ncl~ud~outright spousal distri~ii-on~---- Winiti'ed Brown 1800 Silverpine Circle Mechanicsburg, PA 17050 FILE NUMBER 21 - 2002- 0135 RELATIONSHIP TO AMOUNT OR SHARE DECEDENT OF ESTATE Do Not List Trustee(s) Daughter Andrew J. Brown, Jr. 1800 Silverpine Circle Mechanicsburg, PA 17050 lan Brown 1800 Silverpine Circle Mechanicsburg, PA 17050 I hmnah Brown 1800 %ilverpine Circle Mcchanicsburg, t~A 17050 Soil Son Daughter Onc-Iburth estate residue One-tburth estate residue One-tburth estate residue One-fourth estatc residue II. Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover sheet NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE !B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI ESTATE OF PATRICIA T. BROWN FILE NO. 21 - 2002 - 0135 INHERITANCE TAX RETURN - SCHEDULE A OMB NO. 2502-0265 ~ lb1. ~l:~Ht 2~'lr~: U. I YP'I-UI-LUAN: A. FmHA 3.[~CONV. UNINS. 4.DVA 5. F-~CONV. INS. U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT ' UMt~ ] [. LUAN INUMBI:I~: I' ' SETTLEMENT STATEMENT u. FMAuT~2~6Au~ ,.u u^~ .uMu~.: C. NOTE: This form is furnished to give yqu. a s. tat. ement .of actual settleme, nt cos, ts. A. mou.nts pa, id to. and by the settlement agent are shown. Items marked "[POC]" were pai(~ ou[side the c~osing; they are snown here mr inmrmationaI purposes and are not included in the totals. 1.0 3/98 (DOUGHERTY GERRY AND JOAN.PFDIFAT 2-46/13} D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: ESTATE OF PATRIClA T. BROWN WASHINGTON SAVINGS BANK GERRY W. DOUGHERTYand JOAN E. DOUGHERTY 820APPLETREELANE MECHANICSBURG, PA17055 G. PROPERTY LOCATION: 820 APPLETREE LANE MECHANICSBURG, PA 17055 CUMBERLAND County, Pennsylvania IOU. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. j. ~UMM~I'(¥ UI- I~U~UWI-I'('~ I ~ Contract Sales Price Personal Property Settlement Charges to Borrower (Line 1400) /~ojus[men[s r-or ~[ems Palo By Seller In aovance City/Town Taxes to County Taxes 06/04/02 to 01/01/03 School 06104102 to 07101102 SEWER/TRASH 06104102 to 07101102 120. (~KO~,~ AMOUNT DU~: P~(JM I~(JI~I~OWI-K ZUU..~MUUI~ I ~ P~IU I~T UI~ IN UEI'IALI' VI' UUKI~UWEI~ 201. Deposit or earnest money 202. Principal Amount of New Loan(s) H. SEiiLEMENT AGENT: CHESAPEAKE ABSTRACT COMPANY PLACE OF SETTLEMENT 204 STATE STREET HARRISBURG, PA 17101 1~sA~ I 140,000.00 7,985.29 305.56 135.63 26.04 401. 402, 403. 404. 405. I. S~- I I LEMENT DATE: June 3, 2002 it. 5UMMAF, Y ur- ~)¢LL~_F,'~ I t~ .N~)^U I IUN ~,iKU~ AMUI.INI UUI: IU Contract Sales Pdce Personal Property /~ojus[men[s For hems ~a~d By be,er in advance 406. City/Town Taxes to 407. County Taxes 06/04/02 to 01/01/03 408. School 06/04/02 to 07101102 409. SEWER/TRASH 06/04/02 to 07/01/02 410. 411. 412. 148,45Z.52 420, 1,000,00 501. 140,000.00, 502. 203. ExisUngloan(s)taken su~ectto 503. 204. 504. 205. 206. 207. ,~Ub. 506. 507. 508. 509. (~KO~ AM(JUN I DU~: If,.) ~LL~K I~I::UU~J I IUN~ IN/~MUUN I I.lUi- I U ~I=LLI-I~: Excess Deposit (See Instructions) Settlement Charges to Seller (Line 1400) Existing loan(s) taken subject to Payoff of first Mucilage P'ayott o1' secona Mortgage 208. 209. /4djustmen[s r-or ~mms Unpala lJy ~elmr 210. City/Town Taxes to 211. County Taxes to 212. School 213. 214. 215. 216. 217. 218. 219. 220. 512. 513. 514. 515. 516. 517. 518. 519. 141,000.00 ,SZ0. 600. 601. to 140,000.00 TOTAL PAll.) BY~I-OK BOKKOWJ:K (Deposit disb. as proceeds) 30o. CASH A] Sb i i LEMENT FROM/~U BORRUWER: 301. Gross Amount Due From Borrower (Line 120) 148,452.52 302. Less amount Paid By/For Borrower (Line 220) ( 141,000.00~ 303. rJA~H ( X I-KOM ) ( ~) ) I~ORK(JWI=H ~1 ~ ] 7'452'52I The undersigned I~ereby ~k'nowledg~l~ce~pt ot a~ompl~_~ed copy ot pages Borrower .~..J~ ~0-~l.~ ~ d-~C.-~RY W. DOOGHE~j~ ~ ~ f DOUGHE ,~djus[menEs For teems unpalo ~y Se#er 510. City/Town Taxes to 511. County Taxes to School to 305.56 135.63 26.04 140,467.Z3 11,459.34 11,459.34 TOTAL f~_DU(.;TIO/V AMOUNT DUE ,~t::LLt::I'~ CASH AT ~b I I LEMENT TO/FROM ~ELLER: Gross Amount Due To Seller (Line 420) (, 140,467.23 602. Less Reductions Due Seller (Line 520) 11,459.34 603, GASH( X TO) ( I'-KOM) ~LL~,K 129,UU7-U91 : 01 miS statement & any attachments reJ~erre0 to herein, E-S,~E ~) F 7TRICIA yROWN 700. TOTAL COMMISSION Based on Price $ @ % 8,400.00 PAID FROM PAID FROM Division of Commission (line 700) as Follows: BORROWER'S SELLER'S fO1. $ ~,4UU.UU tO I"I'(UUt::IN I I,~,L I PIDMI-',.'.'SUI~I WUUU FUNDSAT FUNDS AT [UZ. $ (0 SETTLEMENT SETTLEMENT /03. ~;ommlsslon I~alo at ~ettlement ~.4uu.uu [04.. I hLAN,'SAL; IIUN I"bb tO I-'KUUEN I IAL I HUMP~5ON W(JUI.) 1Zb.0U 800. IIEM,~ PAYABLE IN (;(3~4~'~-~CTION WITH LOAN uul. Loan ung~nauon r-ee 1 .uuuu % to W^~MIN~ i UN ~XVJN~S~ U~NrS ] ,4uu.uu 802. Loan Discount % to uu3. Appraisal ~-ee to uu4. (Jre(3Jt h[eport to ~Ub, UNUE~[WI'~I I IN~ I-'I::E tO WA~I-IIINL51 UN SAVINg5 BANK ~u~. FLOOD GERT to GEOTRACT 22.50 ~U/. U(J[.;UMI-N I I-'t~]-I'~ tO WA~SHINI,51 UN ~SAVIN~5 I:]ANI~, Z~b. UU ~U~. APPLIL;AIIUN PEE tO WASHINL~IUN SAVINGS5 BANK 3bU.ULJ ~U~. I-EU I:~ tO WASHInLS I UN ~AVINL~ BANK 3U.UU ~'IU. 011. [JOg. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 06/03/02 to 07/01/02 @ $ 29.730000/day ( 28 days %) 832.44 ~ug. Mortgage Insurance ~'rem~umtor months to 903. Hazard Insurance Premium for 1.0 years to 2§7.00 POC 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 2.000 months @ $ 22.25 per month 44.50 1002. Mo~uage Insurance months @ $ per month 1003. City/Town Taxes months @ $ per month 1004. County Taxes 6.000 months @ $ 44.05 per month 264.30 1005. School 13.000 months @ $ 152.79 per month 1,986.27 lUMP. monms (~ $ per monm 1007. months @ $ per month 1008. AGGREGATE ADJUSTMENT months @ $ per month -242.47 1100. lilLE C;HAR(~ES 1101. Settlement or Closing Fee to 1102. Abstract or Title Search to 1103. CLOSING PROTECTION LE ~ I ER to First American Title Insurance Company 35.00 1104. FED EX PACKAGE to CHESAPEAKE ABSTRACT COMPANY 15.00 1105. WIRE FEE to CHESAPEAKE ABSTRACT COMPANY 10.00 1106. Notary Fees to CHESAPEAKE ABSTRACT COMPANY 12.00 6.00 1107. DEED PREP to SKARLATQS & ZQNARICH LLP 100.00 (inclucles above item numbers: ) '1108. Title Insurance to Cheasapeake Abstract Company 1,058.75 (includes above item numbers: q 1U~. LenDers L;overage $ ~ 4u,uuu.uu ~ 1 ~ u. owners u;overage $ ~ 4u,uuu.uu ~ q ~ q. Enc~orsements quu, ~uu, ~.~ to L;HI:~At-'P_AI~E AB5 1 i,~IAL; I L;UMI-'AINY I~U.UU 111Z. 1113. 1200. GOVERNMENT REC;ORDING AND TRANSFER CHAR~JES 1201. Recording Fees: Deed $ 25.50; Mortgage $ 51.50; Releases $ 77.00 17uz. L;Ity/~ounty I ax/stamps:ueeo q ,4uu.uu; Mortgage ~ ,4Mu.Mo 1203. State Tax/Stamps: Revenue Stamps 1,400.00; Mortgage 1,400.00 1204. 1205. COPY TAX BILL to ALICIA STINE 1.00 1300. ADDITIONAL Sl:I 1LEMENT CHARGES 1301. Survey to 1302. Pest Inspection to HOMESPEC 45.00 1303. SEWER THROUGH 6/30 to EAST PENNSBQRO TOWNSHIP 898.77 1304. 2002 COUNTY/TWP TAX to ALICIA STINE 528.57 1305. 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J ancl 502, Section K) 7,96§.2~ 11,459.34 s~gmng page Certified to be a true copy. Ige receipt of a complete~,c~y.of~ page 2 of this two page statement. CHESAPEAKE A.B~vTRACT COMPANY Settlement Agent -- ( FAT 2-46 / FAT 2-46 / 13 ) ESTATE OF PATRICIA T. BROWN FILE NO. 21 - 2002 - 0135 INHERITANCE TAX RETURN - SCHEDULE E CITIZENS BANK Account Number Account Title Wednesday, February 27, 2002 00355-071733 Patricia T Brown Or Jose Herrem Date Opened: 09/28/2001 Principal Bal Int from Last as of DOD Posting to DOD $167.43 $0.04 Account Type: SA Account Bal YTD Iht to as of DOD DOD $1 67.47 $0.04 100-012-2570 Patdcia T Brown Date Opened: 02/23/1999 Principal Bal Iht from Last as of DOD Posting to DOD $124.18 $0.00 Account Type: DD Account Bal YTD Iht to as of DOD DOD $124.18 $0.00 Page 2 of 2 ESTATE OF PATRICIA T. BROWN FILE NO. 21 - 2002 - 0135 INHERITANCE TAX RETURN - SCHEDULE F LOOK FOR US;. WE'LL GET YOU THERE. 02/15/2002 SKARLATOS & ZONARICH 204 STATE ST HARRISBURG PA 17101 The information which you requested on the account(s) of PATRICIA BROWN DECEASED (Social Security Number 156-54-0768) is/are as follows: Account Number 3002135395 Class of Account SAVINGS Date Opened 07/31/96 Principal Balance 225.42 Accrued Interest .15 Balance at Date of 225.57 Death Account Ownership TRU/BEN Name of Joint IAN BROWN- Owner, if any BENE Date Ownership 07/31/96 Was Established Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint Owner, if any Date Ownership Was Established Additional Information Requested PLEASE COMPLETE W-9 S!~qe~r, ely,. SENIOR SERVICES REP. RO. Box 1711. HARRIS;BURG. P(~NNS;YLVANIA 17105-1711 Toll Free I-~36(~-WAYPOINT (I-866-9E~9-7646) · m.wagpointbank.com ESTATE OF PATRICIA T. BROWN FILE NO. 21 - 2002 - 0135 INHERITANCE TAX RETURN - SCHEDULE G June 01,2002 COMMONWEALTH OF PENNSYLVANIA STATE EMPLOYEES' RETIREMENT SYSTEM 30 NORTH THIRD STREET - P.O. BOX 1147 HARRISBURG, PENNSYLVANIA 17108-1147 TOLLFREE: 1-800-633-5461 www. sers.state.pa.us MARIA LUCAS & ANDREW BROWN JR EXECS PATRICIA T BROWN ESTATE SKARLATOS ZONARICH ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PA 17101 RE: PATRICIA T BROWN S.S. #156-54-0768 We are in receipt of the short certificate you submitted to this office for the Estate of Patricia T. Brown, the named beneficiary in the above referenced account, thank you. In order that we can voucher a check in the final settlement of this account, the enclosed Release and Indemnification Affidavit must be completed, notarized, and returned to this System at the address shown above as soon as possible. The following information is being provided: Death benefit payable to you: Taxable Portion: Non Taxable Portion: $1,234.43 $1,234.43 $o.oo If you have any questions or need assistance, please contact the field office nearest you at 1-800- 633-5461. Sincerely, Linda M. Miller, Director Disability & Death Benefits Section Benefits Determination Division Enclosures BEN63A I IIIIII IIIII IIIII IIIII IIIII IIIII IIiil IIIII IIIII IIIII IIIII IIIII IIII IIII MASLAND & BARRICK -- ADVISORY. INC.-- [NI)EPENDENT FINANCIAL ADVISORS February 13, 2002 Ms. Shelly J. Kunkel, Esq. Skarlatos & Zonarich, LLP 294 State Street Harrisburg, PA 17101 RE: Estate of Patricia T. Brown, date-of-death 1/21/2002 Dear Ms. Kunkel, Per your letter dated February 12, 2002, please find the following information: Account number: Owner: Date opened: Automatic deposits: DOD Account Value: Int. Paid to DOD for 2002 Accrued int. for 2002 to DOD 5W8-132594 Patricia T. Brown IRA 9/23/1997 No $13,534.30 $0 $ 5.26 I have also enclosed a photocopy of Pat's IRA Adoption Agreement showing beneficiary designations. Please call me if you require any additional information. S~rely, · Robin E. Rowe Account Representative 3461 Market Street, Suite 102, Camp Hill, PA 17011 Tel. 71%761-6606 Fax 717-761-7524 Securities offered through Nathan & Lewis Securities, Inc. Member BSE, NASD, SIPC Nathan & Lewis Securities, Inc. and Masland & Barrick Advisory, Inc. are not affiliated entities. Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of BROW"N, PATRICIA T. also known as , Deceased No. 21 - 2002-0135 Date of Death 1/21/2002 Social Security No. 156-54-0768 Maria 1,ucas Andrew J. Brown, Jr. The Personal Representative(s) of the above Estate, deceased, verify that th~terns appearin'~in fhe following inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. INVe verify that the statements made in this Inventory are true and correct. I/VVe understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: I.D. No.: Address: Shelly .1. Kunkel 64485 204 State Street ! lamsburg, PA 17101 Personal Representative ~ Signature: ~ Address: 356 Keswick Avenue Glenside, PA 19038 Telephone: (717) ~_~.~- 1000 Personal Property Telephone: Dated: Citizens Bank Checking Account No. 100-012-2570 (DOD value per verification letter attached hereto as Schedulc E) Department of Revenue - Anticipated 1999 PA 40 Refund Department of Revenue - Anticipated 2000 PA 40 Refund Department of Revenue - Anticipated 2001 PA 40 Refund 124.18 75.00 362.00 20.00 Total Personal Property $581.18 (Attach additional sheets if necessary) Total Personal Property and Real Estate $141,048.41 Estate of also known as Register of Wills of Cumberland County, Pennsylvania INVENTORY continued BROWN, PATRICIA T. , Deceased No. 21-2002-0135 Date of Death 1/21/2002 Social Security No. 156-54-076g Real Estate 820 Appletree Lane, Mechanicsburg (per settlement sheet attached hereto as Schedule A) 140,467.23 Total Real Estate $140,467.23 2 JOHN R. ZONARICH* ANNA MARIE SOSSONG JOHN B. ZONARICH GREGORY S. CHeLAP SCOTT W. POHLMAN** SHELLY J. KUNKEL TODD F. TRUnTZ DAVID H. JUDY ANGELO SKARLATOS (1966- 1981) * BOARD CERTIFIED IN CIVIL TRIAL ADVOCACY ** ALSO ADM~ED IN NEW YORK 1' ALSO ADMIq~r-ED IN NEW JERSEY ATTORNEYS AT LAW 204 STATE STREET HARRISBURG, PENNSYLVANIA 17101 (717) 233- 1000 TeleFaX (717) 233-6740 WWW.S KAR LATOSZON AR ICH .COM October 28, 2002 STEELTON OFFICE MECHANICS SAVINGS BUilDing, STE. 201 51 SOUTH FRONt StreET STEELTON PENNSYlVAnia 17113 (717) 939-9358 MIDDLETOWN OFFICE (717) 944-5109 WRITER'S EMAIL: sjk@skadatoszonarich.com Office of Register of Wills Cumberland County Court House 1 Courthouse Square Carlisle, PA 17013 Estate of Patricia T. Brown No. 21-2002-0135 D.O.D. 1/21/2002 Dear Ladies and Gentlemen: Enclosed for filing is the original and one copy of the Inheritance Tax Return and Inventory for the above-referenced decedent. Please "time-stamp" the extra copies and return to me in the enclosed, self-addressed and stamped envelope. Also enclosed is a check in the amount of $25.00 in payment of the filing fee. If anything further is required, please contact me. ~.~.&.'ncerely, Shelly J. Kunkel SJK:sks Enclosures BUREAU OF TNDZV/DUAL TAXES INHERITANCE TAX DIVISION DEPTo 280601 HARRISBURG, PA 17118-0601 SHELLY J KUNKEL 10~ STATE STREET HBG CONHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOT/CE OF INHERITANCE TAX APPRAZSENENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSNENT OF TAX REV-1647 EX AFP (01-ge) PA 17101 DATE 12-02-2002 ESTATE OF BROWN DATE OF DEATH 01-21-2002 FILE NUNBER 21 02-0135 ;~COUNTY CUHBERLAND ACN 101 Amoun~c Reei "c'l:od PATRICIA T HAKE CHECK PAYABLE AND RENTT PAYHENT TO: REGTSTER OF WTLLS CUHBERLAND CO COURT HOUSE CARLTSLE, PA 17015 CUT ALONG THIS LINE ~.~ RETAIN LOWER PORTZON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-02) NOTICE OF ZNHERZTANCE TAX APPRAZSENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX ESTATE OF BROWN PATR/CTA T FILE NO. 21 02-0155 ACN 101 DATE 12-02-2002 TAX RETURN HAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE ZNTEREST- SEE REVERSE APPRA/SED VALUE OF RETURN BASED ON: ORIGINAL RETURN I Real Es~a~e (Schedule A) 2 S*ocks and Bands (Schedule B) $ Closely Hold S~ock/Par~norship In~ores~ (Schedule C) Hot,gages/No,es Receivable (Schedule D) 5 Cash/Bank Deposi*s/Nisc. Personal Proper*y (Schedule E) 6 Join*ly Owned Propor~y (Schedule F) 7 Transfers (Schedule G) 8. To,al Asse~s APPROVED DEDUCTIONS AND EXEHPTIONS: 9. Funeral Expenses/Adm. Cos~s/Hisc. Expenses (Schedule H) 10. Deb~s/Hor~gage Liabilities/Liens (Schedule 1) 11. To,al D®duc*ions 12. Ne~ Value of Tax Re~urn (1) 1~0/~67.25 (2) .00 ($) .00 .00 581.18 (6) 112.79 NOTE: To insure proper credi~ ~o your account, submi~ ~he upper por~ion of ~his for. wi~h your ~ax payment. (7) lq;956.20 (8) 156,097.~0 2~,998.71 (9) 7~611.71 (11) 99.61n.~2 (12) 56,~86.98 15. lq. NOTE (10) Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (15) No~ Value of Es~e~e Sub~ec~ ~o Tax (lq) Zf an assessment ~as lssued previously, 11nos 1~, 15 and/er 16, 17, reflect flgures that include the total of ALL returns assessed to date. .00 56,~86.98 ASSESSNENT OF TAX: 15. Amoun~ of Line lq a~ Spousal 16. Amoun~ of Line lq ~axable a~ Lineal/Class A ra~s 17. Amoun~ of Line lq a~ Sibling ra~e 18. A.oun~ of Line lq ~axable a* Collateral/Class B ra~e 19. Principal Tax Due TAX CREDTTS: PAYHENT RECEIPT DTSCOUNT DATE NUNDER TNTEREST/PEN PATD (- 06-10-2002 CD001Z8$ .00 18 and 19 will ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (~S) .00 X O0 = .00 (16) 56,~86.98 X 0~5 = 2,5~1.91 (17) .00 x 12 = .00 (18) .00 x 15 = .00 (19)= 2,5~1.91 AHOUNT PAID 5,000.00 TOTAL TAX CREDZT I 5,000.00 BALANCE OF TAX DUEI 2,~58.09CR INTEREST AND PEN. .00 TOTAL DUE Z,q58.09CR ( ~F TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED. ~F TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE S~DE OF THIS FORH FOR ZNSTRUCT[ONS.) RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND (CR): OBJECTIONS: ADH/N- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying an or before December 11, 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 life or for years, the Commoneealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section ZlfiO of the Inheritance and Estate Tax Act, Act 13 of 2000. [72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of.N/lis printed on the reverse side. --Make check or money order payable to: REGISTER OF MILLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications ara available at the Office of the Register of Hills, any of the 23 Revenue District Offices, or by calling the special Z4-hour anseering service for forms ordering: 1-800-362-2050; services for taxpayers eith special hearing and / or speaking needs: 1-800-447-3010 (TT only). Any party in interest nat satisfied with the appraisement, allowance, or disallowance of 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: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281011, Harrisburg, PA 17128-1021, --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. OR 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. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See 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 pald within three (3) calendar months after the decedent's death, a five percent (51) discount of the tax paid is allowed. The 151 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 end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tiaa period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (61) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year ~ith that rate announced by the PA Department of Revenue. The applicable interest rates far 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 ZOZ .000S48 1992 97. .000247 1983 161 .000438 1993-1994 77. .000192 1984 111 .000301 1995-1998 91 . O00147 1985 137. .000356 1999 77. .000191 1986 IOZ .000274 ZOO0 87. .000119 1987 9Z .000147 2001 9Z . OOOZ~7 1988-1991 111 .000301 2001 6Z .000164 --Interest is calculated as follows: TNTEREST = BALANCE OF TAX UNPAZD X NUNBER OF DAYS DELXNQUBNT X DAXLy XNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) 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. ~EV-1470 EX (6-88)  INHERITANCE TAX EXPLANATION COMMONW.~ALTH'OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURGi PA 17128-0601 :3ECEDEN~S NAME FILE NUMBER PATRIClA T BROWN 2102-0135 REVIEWED BY ACN John Kealy 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The exclusion cannot be claimed against IRAs because the decedent did not make the G 2 transfer within a year of death. ROW Page 1 BUREAU OF ZNDZV'rDUAL TAXES XNHERZTANCE TAX DXYTSTON DEPT. Z80601 HARRTSBURG,, PA 171Z8-0601 COMMONNEALTH OF PENNSYLVAN'rA DEPARTMENT OF REVENUE INHERITANCE TAX STATEHENT OF ACCOUNT REV-i&D? EX &FP SHELLY J KUNKEL Z0q STATE STREET HBG PA 17101 DATE 12-$0-2002 ESTATE OF BRONN DATE OF DEATH 01-21-2002 FILE NUMBER 21 02-0155 i COUNTY CUMBERLAND ACN 101 Aeoun'l: PATRICIA T MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~ ~o your account, subei~ ~hm upper portion of ~his form w~h your ~ex payment. CUT ALONG TH'rS L'rNE ~- RETA'rN LONER PORT'rON FOR YOUR RECORDS ~ REV-1607 EX AFP (01-03) ~ TNHER'rTANCE TAX STATEMENT OF ACCOUNT ESTATE OF BRONN PATRTCIA T FILE NO. 21 02-0155 ACN 101 DATE 12-$0-2002 THIS STATENENT ZS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NANED ESTATE. SHO#N BELON ZSA SUNNARY OF THE PRZNCTPAL TAX DUE, APPLICATION OF ALL PAYNENTS, THE CURRENT BALANCE,. AND, ZF APPLICABLE, A PROJECTED ZNTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-Z5-2002 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS CTAX CREDITS): 2,5ql.91 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID 06-10-2002 12-15-2002 CD001285 REFUND .00 .00 ZF PAID AFTER THIS DATE, SEE REVERSE SZDE FOR CALCULAT/ON OF ADD/T/ONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYNENT 1S REQUIRED. XF TOTAL DUE IS REFLECTED AS A 'CREDIT' 5,000.00 2,q58.09- TOTAL TAX CREDZT Z,Sq1.91 BALANCE OF TAX DUE .00 XNTEREST AND PEN. .00 TOTAL DUE .00 YOU HAY BE DUE A REFUND. SEE REVERSE STDE OF THIS FORN FOR INSTRUCTIONS. } PAYNENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF NTLLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COHHON~/EALTH OF PENNSYLVANTA. REFUND (CR): A refund of a tax credit, ehich aaa not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS15). Applications are available at the Office of the Register of Hills, any of the 25 Revenue District Offices or from the Department's Z4-hour ansmering service for forms ordering: 1-800-562-Z050; services for taxpayers eith special hearing and / or speaking needs: 1-800-447-5020 (TT only). REPLY TO: Ouestions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Reviem Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid ~ithin three (3) calendar months after the decadent's death, a five percent (52) discount of the tax paid is allo~ed. PENALTY: The 152 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 tho end of the tax amnesty period. INTEREST: Interest is charged beginning aith first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes ahich became delinquent before January l, 1982 bear interest at the rate of six (62) percent per annum calculated at a daily rate of .00016~. All taxes ahich became delinquent on and after January 1, 1982 mill bear interest at a rate ehich Nil1 vary fram calendar year to calendar year ~ith that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through 2005 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 202 .O005~B 1987 92 .0002~7 1999 72 .000192 1985 162 .000458 1988-1991 112 .000501 2000 82 .000219 1984 112 .000501 1992 92 .0002~7 2001 92 .000247 1985 152 .000556 1995-1994 72 .000192 ZOOZ 62 .00016~ 1986 102 .00027~ 1995-1998 92 .000247 2005 52 .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAXD X NUMBER OF DAYS DELINQUENT X DALLY XNTEREST FACTOR --Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fifteen (15) days beyond the date of the assessment. Zf payment is made after the interest computation date sheen on the Notice, additional interest must be calculated. ESTATE OF PATRICIA T. BROWN, Deceased IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. 21 - 2002 - 0135 RECEIPT~ RELEASE AND INDEMIqIFICATION AGREEMENT For Full Distribution This Receipt, Release and Indemnification Agreement (hereinafter referred to as "Agreement") is given this ~0~ day of ~Jtt~Jl~ , 2003, by IAN BROWN, of 1800 Silverpine Circle, Mechanicsburg, Pennsylvania, 17050, (hereinafter referred to as "Beneficiary"). WITNESSETH: WHEREAS, Patricia T. Brown, (hereinafter referred to as "Decedent"), late of East Pennsboro Township, Cumberland County, Pennsylvania, died intestate on January 21,2002. WHEREAS, Letters of Administration on the Estate of the said Decedent were duly issued on February 7, 2002, by the Register of Wills of Cumberland County, Pennsylvania, unto Maria Lucas and Andrew J. Brown, Jr., who were appointed as Co-Administrators of the Estate (hereinafter referred to as "Co-Administrators"); WHEREAS, the Co-Administrators have paid all the debts, taxes and expenses of the Estate known to them as detailed in the Pennsylvania Inheritance Tax Return and Tax Assessment Notice, and they have no knowledge of any unpaid claim which may be asserted against the Estate, nor do they have any reason to believe that there are any such claims; WHEREAS, the Beneficiary is beneficially interested in the above referenced estate; and WHEREAS, it is the desire of the Beneficiary that distribution be made without the formality of an accounting, and the Co-Administrators are willing to make such distribution upon the receipt of a proper release and indemnification, which it is the purpose of this Agreement to provide. NOW, THEREFORE, intending to be legally bound hereby, the Beneficiary represents, warrants, covenants and agrees as follows: 1. Waiver of Accounting. The Beneficiary hereby waives the necessity for an accounting and directs the Co-Administrators to dispense with a formal audit of the same. 2. Receipt. The Beneficiary requests the Co-Administrators to make distribution of the following property (adjusted for subsequent income and expenses) and effective upon delivery to the undersigned of the property shown as distributable, acknowledges receipt of such property: Cash - $9,008.68 The Beneficiary does further acknowledge that the aforesaid distribution, in addition to any partial S:\I Skarlatos & Zonarich LLP ()PEN FILES\Estates\BROWN PATRICIA NEW - 020124\Release - Full Distribution - lan Brown doc Page 1 of 3 distribution made prior to the date of this Agreement, represents the Beneficiary's entire interest in the above-referenced estate, as detailed in the Informal Accounting attached hereto as Exhibit A. 3. Release. Upon having received the above described property distribution, the Beneficiary does by these presents remise, release, quit-claim and forever discharge from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, (a) the Co-Administrators for or by reason of the Co- Administrators' administration of the above-referenced Estate, or any other act, matter, cause or thing whatsoever; and (b) Skarlatos & Zonarich LLP, its employees, successors and assigns, for or by reason of their representation of the Co-Administrators, or any other act, matter, cause or thing whatsoever. 4. Indemnification. In exchange for the Co-Administrators' willingness to make the distribution hereunder without first securing the benefit of a formal court audit, the Beneficiary agrees to indemnify Co-Administrators and Skarlatos & Zonarich LLP, its employees, successors and assigns, and hold them harmless, to the extent of any funds or assets received by the Beneficiary hereunder, from and against the Beneficiary's then pro rata share of any and all liabilities, losses, damages, costs, verdicts, judgments, awards and expenses (including attorney's fees and other costs or expenses of defense) to which (i) the Co-Administrators may be subjected by reason of the Co-Administrators' administration of the above referenced Estate, as well as the settlement thereof by means of an informal distribution; and (ii) Skarlatos & Zonarich LLP, its employees, successors and assigns may be subjected by reason of their representation of the Co-Administrators. The Beneficiary further agrees to: a. Refund or return, promptly upon the Co-Administrators' written demand, any funds or assets distributed by the Co-Administrators to the Beneficiary, if the distribution thereof is determined at any time to have been an erroneous or negligent distribution to the Beneficiary, whether such error or negligence was or was claimed to have been premised upon a mistake of law or of fact. b. Modify and displace any otherwise applicable period limiting the time within which the Co-Administrators' action to collect an erroneous or negligent distribution must be commenced, so as to provide that the Co-Administrators need not commence an action to collect an erroneous or negligent distribution to the Beneficiary until two (2) years after such time as the Co- Administrators shall have obtained actual knowledge of such error or negligence. 5. Miscellaneous a. The provisions of this Agreement shall be deemed severable in the event that one or more thereof shall be deemed invalid or unenforceable, with the effect that the remaining provisions shall persist as if such invalid or unenforceable provision had never been a part hereof. In addition, the construction, effect, validity and performance of this Agreement shall be governed in all respects by the laws of the Commonwealth of Pennsylvania, without regard to its conflict of laws provision. b. This Agreement shall bind the Beneficiary, the Beneficiary's heirs, representatives, successors, and assigns together with any person with respect to whom the Beneficiary is a natural or appointed guardian. c. The Beneficiary hereby acknowledges that this Agreement may be filed at any time, at the discretion of the Co-Administrators with any court of competent jurisdiction, and the Beneficiary consents to any such filing. S:\I Skarlatos & Zonarich LLP ()PEN FILES~Estates~BROWN PATRICIA NEW - 020124\Release - Full Distribution - lan Brown.doc Page 2 of 3 IN WITNESS WHEREOF, the Beneficiary has executed and sealed this Agreement on the date first above inscribed. lAN BROWN Social Security Number: 177-70-4680 COMMONWEALTH OFPENNSYLVANIA · COUNTY OFDAUPH~ · SS: On this, the ~ ~-day of ~ , 2003, before me, the undersigned authority, personally appeared lAN BROWN, kn~ to me (or satisfactorily proven) to be the person whose name is subscribed to the within Release and acknowledged that the Beneficiary executed the same for the purpose therein contained. Witness my hand and official seal the day and date aforesaid. My Commission Expires: [ Notarial Seal [ Sharon K. Shaffer, Norm') Public ] City_of Harriaburg, Dauphin County ~ My Commission Expires Sept. 6, 2004 ] Member, Pennsylvania AssoOatlon ol Notaries S:\I Skarlatos & Zonarich LLP {)PEN FILESkEstates~BROWN PATKICIA NEW - 020124\Release - Full Distribution - lan Brown doc Page 3 of 3 SKARLATOS AND ZONARICH LLP ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PENNSYLVANIA 17101 (717)233-1000 FAX (717)233-6740 Accounting Of: Estate of Patricia T. Brown As Of: May 27, 2003 Description Deposits Cumberland Law Journal - Adv. Ltrs. Of Administration Masland & Barrick Advisory, Inc. - 1997-2000 Stmts. AIIIstate - 820 Appletree Lane Policy Neill Funeral Home Mellon Bank - Close Checking Acct. 1000122570 Chesapeake Abstract Co. - Real Estate Proceeds Register of Wills - Inheritance Tax Verizon NCO Financial Systems Capital One Penn Credit Corporation Barbara E. Hake - Reimburse for PP&L Payment Amerigas Providian Donald C. Donagher Jr. - 2000-01 Per Capita Good Hope Family Physicians, P.C. PP&L The Sentinel - Estate Notice Wachovia Securities ~ Interest Mechanics Savings Bank - Interest Skarlatos & Zonarich LLP - Reimb. Probate Costs Andrew J. Brown, Sr. - Reimburse Misc. Expenses US Treasury - 1997 1040 Tax US Treasury - 1998 US Treasury - 1999 US Treasury - 2000 1040 Tax 1040 Tax 1040 Tax US Treasury - 2001 1040 Tax Keller Financial Group - Prep. Of Returns 97-01 Register of Wills - Filing Fee PA Dept. of Revenue - Tax Refund PA SCDU - Back Pay PA Dept. Revenue - Inheritance Tax Refund US Treasury - Tax Refund H & R Block - Prep. of 2002 Tax Returns H & R Block - Fiduciary Tax Return PA Department of Revenue - PSERS Death Benefit Skarlatos & Zonarich LLP - Fee Skarlatos & Zonarich LLP - Reimburse Costs Cumberland Co. Reg. Of Wills - File Releases Andrew J. Brown, Jr. - Partial Distribution lan Brown - Partial Distribution Winifred Brown - Partial Distribution Andrew J. Brown, Sr. (Cust. Of Hannah Brown) ~ Partial Distr. 124.18 129,007.89 310.80 167.23 457.00 2,300.00 2,458.09 966.34 1,234.43 Disbursements 75.00 50.00 56.60 2,667.58 5,000.00 242.51 595.46 3,446.27 53.24 1,478.06 845.36 937.77 57.00 229.00 94.05 113.27 275.00 4,611.33 19,881.08 11,612.94 20,225.30 5,019.62 5,376.77 905.00 25.00 180.00 450.00 8,382.02 81.03 25.00 2,000.00 2,000.00 2,000.00 2,000.00 Exhibit A Report Date: 6/19/03 SKARLATOS AND ZONARICH LLP ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PENNSYLVANIA 17101 (717)233-1000 FAX (717)233-6740 Accounting Of: Estate of Patricia T. Brown As Of: May 27, 2003 Description Deposits Disbursements Balance of Estate for Distribution 36,034.70 Final Distribution Andrew J. Brown lan Brown Winifred Brown Andrew J. Brown, Sr. (Cust. Of Hannah Brown) 9,008.68 9,008.68 9,008.68 9,008.66 36,034.70 Exhibit A Report Date: 6/19/03 ESTATE OF PATRICIA T. BROWN, Deceased IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. 21 - 2002 - 0135 RECEIPT~ RELEASE AND INDEMNIFICATION AGREEMENT For Full Distribution This Receipt, Release and Indemnification Agreement (hereinafter referred to as "Agreement") is given this ,,~--/a /s, day of ~ _.~ ,2003, by ANDREW J. BROWN, JR., of 1800 Silverpine Circle, Mechanicsburg, Penns~ivan(a, 17050, (hereinafter referred to as "Beneficiary"). WITNESSETH: WHEREAS, Patricia T. Brown, (hereinafter referred to as "Decedent"), late of East Pennsboro Township, Cumberland County, Pennsylvania, died intestate on January 21, 2002. WHEREAS, Letters of Administration on the Estate of the said Decedent were duly issued on February 7, 2002, by the Register of Wills of Cumberland County, Pennsylvania, unto Maria Lucas and Andrew J. Brown, Jr., who were appointed as Co-Administrators of the Estate (hereinafter referred to as "Co-Administrators"); WHEREAS, the Co-Administrators have paid all the debts, taxes and expenses of the Estate known to them as detailed in the Pennsylvania Inheritance Tax Return and Tax Assessment Notice, and they have no knowledge of any unpaid claim which may be asserted against the Estate, nor do they have any reason to believe that there are any such claims; WHEREAS, the Beneficiary is beneficially interested in the above referenced estate; and WHEREAS, it is the desire of the Beneficiary that distribution be made without the formality of an accounting, and the Co-Administrators are willing to make such distribution upon the receipt of a proper release and indemnification, which it is the purpose of this Agreement to provide. NOW, THEREFORE, intending to be legally bound hereby, the Beneficiary represents, warrants, covenants and agrees as follows: I. Waiver of Accounting. The Beneficiary hereby waives the necessity for an accounting and directs the Co-Administrators to dispense with a formal audit of the same. 2. Receipt. The Beneficiary requests the Co-Administrators to make distribution of the following property (adjusted for subsequent income and expenses) and effective upon delivery to the undersigned of the property shown as distributable, acknowledges receipt of such property: Cash - $9,008.68 The Beneficiary does further acknowledge that the aforesaid distribution, in addition to any partial S\I Skarlatos & Zonarich LLP OPEN FtLES\Estates~BROWN PATRICIA NEW - 020124\Release - Full Distribution - Andrew Brown doc Page 1 of 3 distribution made prior to the date of this Agreement, represents the Beneficiary's entire interest in the above-referenced estate, as detailed in the Informal Accounting attached hereto as Exhibit A. 3. Release. Upon having received the above described property distribution, the Beneficiary does by these presents remise, release, quit-claim and forever discharge from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, (a) the Co-Administrators for or by reason of the Co- Administrators' administration of the above-referenced Estate, or any other act, matter, cause or thing whatsoever; and (b) Skarlatos & Zonarich LLP, its employees, successors and assigns, for or by reason of their representation of the Co-Administrators, or any other act, matter, cause or thing whatsoever. 4. Indemnification. In exchange for the Co-Administrators' willingness to make the distribution hereunder without first securing the benefit of a formal court audit, the Beneficiary agrees to indemnify Co-Administrators and Skarlatos & Zonarich LLP, its employees, successors and assigns, and hold them harmless, to the extent of any funds or assets received by the Beneficiary hereunder, from and against the Beneficiary's then pro rata share of any and all liabilities, losses, damages, costs, verdicts, judgments, awards and expenses (including attorney's fees and other costs or expenses of defense) to which (i) the Co-Administrators may be subjected by reason of the Co-Administrators' administration of the above referenced Estate, as well as the settlement thereof by means of an informal distribution; and (ii) Skarlatos & Zonarich LLP, its employees, successors and assigns may be subjected by reason of their representation of the Co-Administrators. The Beneficiary further agrees to: a. Refund or return, promptly upon the Co-Administrators' written demand, any funds or assets distributed by the Co-Administrators to the Beneficiary, if the distribution thereof is determined at any time to have been an erroneous or negligent distribution to the Beneficiary, whether such error or negligence was or was claimed to have been premised upon a mistake of law or of fact. b. Modify and displace any otherwise applicable period limiting the time within which the Co-Administrators' action to collect an erroneous or negligent distribution must be commenced, so as to provide that the Co-Administrators need not commence an action to collect an erroneous or negligent distribution to the Beneficiary until two (2) years after such time as the Co- Administrators shall have obtained actual knowledge of such error or negligence. 5. Miscellaneous a. The provisions of this Agreement shall be deemed severable in the event that one or more thereof shall be deemed invalid or unenforceable, with the effect that the remaining provisions shall persist as if such invalid or unenforceable provision had never been a part hereof. In addition, the construction, effect, validity and performance of this Agreement shall be governed in all respects by the laws of the Commonwealth of Pennsylvania, without regard to its conflict of laws provision. b. This Agreement shall bind the Beneficiary, the Beneficiary's heirs, representatives, successors, and assigns together with any person with respect to whom the Beneficiary is a natural or appointed guardian. c. The Beneficiary hereby acknowledges that this Agreement may be filed at any time, at the discretion of the Co-Administrators with any court of competent jurisdiction, and the Beneficiary consents to any such filing. S:\I Skarlatos & Zonarlch LLP OldEN FILES~states~BROWN PATRIC1A NEW - 020124\Release - Full Distribution - Andrew Brown doc Page 2 of 3 IN WITNESS WHEREOF, the Beneficiary has executed and sealed this Agreement on the date first above inscribed. WITNESS COMMONWEALTH OFPENNSYLVANIA · COUNTY OFDAUPHIN · SS: On this, the ocO~_~50~) day oft~.~,Z~9/__/,.~. , 2003, before me, the undersigned authority, personally appeared ANDREW J. B~K~ArN, JR., known to me (or satisfactorily proven) to be the person whose name is subscribed to the within(Release and acknowledged that the Beneficiary executed the same for the purpose therein contained. Witness my hand and official seal the day and date aforesaid. NOTARY PUBLIC ( My Commission Expires: Sharon K. Shaffer, Notary Public City of Harrisburg, Dauphin County My Commission Expires Sept. 6, 2004 I~-~-i~r, ~%n,-myNan ~ Assoclat~m ot Notanes S:\I Skarlatos & Zonarich LLP OPEN FILES%Estates~BROWN PATRICIA NEW - 020124XRelease - Full Distribution - Andrew Brown doc Page 3 of 3 SKARLATOS AND ZONARICH LLP ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PENNSYLVANIA 17101 (717)233-1000 FAX (717)233-6740 Accounting Of: Estate of Patricia T. Brown As Of: May 27, 2003 Description Deposits Cumberland Law Journal - Adv. Ltrs. Of Administration Masland & Barrick Advisory, Inc. - 1997-2000 Stmts. AIIIstate - 820 Appletree Lane Policy Neill Funeral Home Mellon Bank - Close Checking Acct. 1000122570 Chesapeake Abstract Co. - Real Estate Proceeds Register of Wills - Inheritance Tax Verizon NCO Financial Systems Capital One Penn Credit Corporation Barbara E. Hake - Reimburse for PP&L Payment Amerigas Providian Donald C. Donagher Jr. - 2000-01 Per Capita Good Hope Family Physicians, P.C. PP&L The Sentinel - Estate Notice Wachovia Securities - Interest Mechanics Savings Bank - Interest Skarlatos & Zonarich LLP - Reimb. Probate Costs Andrew J. Brown, Sr. - Reimburse Misc. Expenses US Treasury - 1997 1040 Tax US Treasury - 1998 1040 Tax US Treasury - 1999 1040 Tax US Treasury - 2000 1040 Tax US Treasury - 2001 1040 Tax Keller Financial Group - Prep. Of Returns 97-01 Register of Wills - Filing Fee PA Dept. of Revenue - Tax Refund PA SCDU - Back Pay PA Dept. Revenue - Inheritance Tax Refund US Treasury - Tax Refund H & R Block - Prep. of 2002 Tax Returns H & R Block - Fiduciary Tax Return PA Department of Revenue - PSERS Death Benefit Skarlatos & Zonarich LLP - Fee Skarlatos & Zonarich LLP - Reimburse Costs Cumberland Co. Reg. Of Wills - File Releases Andrew J. Brown, Jr. - Partial Distribution lan Brown - Partial Distribution Winifred Brown - Partial Distribution Andrew J. Brown, Sr. (Cust. Of Hannah Brown) - Partial Distr. 124.18 129,007.89 310.80 167.23 457.00 2,300.00 2,458.09 966.34 1,234.43 Disbursements 75.00 50.00 56.60 2,667.58 5,000.00 242.51 595.46 3,446.27 53.24 1,478.06 845.36 937.77 57.00 229.00 94.05 113.27 275.00 4,611.33 19,881.08 11,612.94 20,225.30 5,019.62 5,376.77 905.00 25.00 180.00 450.00 8,382.02 81.03 25.00 2,000.00 2,000.00 2,000.00 2,000.00 Exhibit A Report Date: 6/19/03 SKARLATOS AND ZONARICH LLP ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PENNSYLVANIA 17101 (717)233-1000 FAX (717)233-6740 Accounting Of: Estate of Patricia T. Brown As Of: May 27, 2003 Description Deposits Disbursements Balance of Estate for Distribution Final Distribution Andrew J. Brown lan Brown Winifred Brown Andrew J. Brown, Sr. (Cust. Of Hannah Brown) 36,034.70 9,008.68 9,008.68 9,008.68 9,008.66 36,034.70 Exhibit A Report Date: 6/19/03 ESTATE OF PATRIC1A T. BROWN, Deceased IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. 21 - 2002 - 0135 RECEIPT~ RELEASE AND INDEMNIFICATION AGREEMENT For Full Distribution This R.eceipt, Release and Indemnification Agreement (hereinafter referred to as "Agreement") is given this Ilf~' day of O.~qat~O~::; ,2003, by WINIFRED BROWN, of 1800 Silverpine Circle, Mechanicsburg, Pennsylvania, 170~(3, (hereinafter referred to as "Beneficiary"). WITNESSETH: WHEREAS, Patricia T. Brown, (hereinafter referred to as "Decedent"), late of East Pennsboro Township, Cumberland County, Pennsylvania, died intestate on January 21,2002. WHEREAS, Letters of Administration on the Estate of the said Decedent were duly issued on February 7, 2002, by the Register of Wills of Cumberland County, Pennsylvania, unto Maria Lucas and Andrew J. Brown, Jr., who were appointed as Co-Administrators of the Estate (hereinafter referred to as "Co-Administrators"); WHEREAS, the Co-Administrators have paid all the debts, taxes and expenses of the Estate known to them as detailed in the Pennsylvania Inheritance Tax Return and Tax Assessment Notice, and they have no knowledge of any unpaid claim which may be asserted against the Estate, nor do they have any reason to believe that there are any such claims; WHEREAS, the Beneficiary is beneficially interested in the above referenced estate; and WHEREAS, it is the desire of the Beneficiary that distribution be made without the formality of an accounting, and the Co-Administrators are willing to make such distribution upon the receipt of a proper release and indemnification, which it is the purpose of this Agreement to provide. NOW, THEREFORE, intending to be legally bound hereby, the Beneficiary represents, warrants, covenants and agrees as follows: 1. Waiver of Accounting. The Beneficiary hereby waives the necessity for an accounting and directs the Co-Administrators to dispense with a formal audit of the same. 2. Receipt. The Beneficiary requests the Co-Administrators to make distribution of the following property (adjusted for subsequent income and expenses) and effective upon delivery to the undersigned of the property shown as distributable, acknowledges receipt of such property: Cash - $9,008.68 The Beneficiary does further acknowledge that the aforesaid distribution, in addition to any partial S\I Skarlatos & Zonarich LLP OPEN FILES~Estates\BROWN PATRICIA NEW - 020124\Release - Full Distribution - Winifred Brown doc Page 1 of 3 distribution made prior to the date of this Agreement, represents the Beneficiary's entire interest in the above-referenced estate, as detailed in the Informal Accounting attached hereto as Exhibit A. 3. Release. Upon having received the above described property distribution, the Beneficiary does by these presents remise, release, quit-claim and forever discharge from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, (a) the Co-Administrators for or by reason of the Co- Administrators' administration of the above-referenced Estate, or any other act, matter, cause or thing whatsoever; and (b) Skarlatos & Zonarich LLP, its employees, successors and assigns, for or by reason of their representation of the Co-Administrators, or any other act, matter, cause or thing whatsoever. 4. Indemnification. In exchange for the Co-Administrators' willingness to make the distribution hereunder without first securing the benefit of a formal court audit, the Beneficiary agrees to indemnify Co-Administrators and Skarlatos & Zonarich LLP, its employees, successors and assigns, and hold them harmless, to the extent of any funds or assets received by the Beneficiary hereunder, from and against the Beneficiary's then pro rata share of any and all liabilities, losses, damages, costs, verdicts, judgments, awards and expenses (including attorney's fees and other costs or expenses of defense) to which (i) the Co-Administrators may be subjected by reason of the Co-Administrators' administration of the above referenced Estate, as well as the settlement thereof by means of an informal distribution; and (ii) Skarlatos & Zonarich LLP, its employees, successors and assigns may be subjected by reason of their representation of the Co-Administrators. The Beneficiary further agrees to: a. Refund or return, promptly upon the Co-Administrators' written demand, any funds or assets distributed by the Co-Administrators to the Beneficiary, if the distribution thereof is determined at any time to have been an erroneous or negligent distribution to the Beneficiary, whether such error or negligence was or was claimed to have been premised upon a mistake of law or of fact. b. Modify and displace any otherwise applicable period limiting the time within which the Co-Administrators' action to collect an erroneous or negligent distribution must be commenced, so as to provide that the Co-Administrators need not commence an action to collect an erroneous or negligent distribution to the Beneficiary until two (2) years after such time as the Co- Administrators shall have obtained actual knowledge of such error or negligence. 5. Miscellaneous a. The provisions of this Agreement shall be deemed severable in the event that one or more thereof shall be deemed invalid or unenforceable, with the effect that the remaining provisions shall persist as if such invalid or unenforceable provision had never been a part hereof. In addition, the construction, effect, validity and performance of this Agreement shall be governed in all respects by the laws of the Commonwealth of Pennsylvania, without regard to its conflict of laws provision. b. This Agreement shall bind the Beneficiary, the Beneficiary's heirs, representatives, successors, and assigns together with any person with respect to whom the Beneficiary is a natural or appointed guardian. c. The Beneficiary hereby acknowledges that this Agreement may be filed at any time, at the discretion of the Co-Administrators with any court of competent jurisdiction, and the Beneficiary consents to any such filing. S:\l Skarlatos & Zonarich LLP OPEN FILES~EsIateskBROWN PATRICIA NEW - 020124\Release - Full Distribution - Winifred Brown doc Page 2 of 3 IN WITNESS WHEREOF, the Beneficiary has executed and sealed this Agreement on the date first above inscribed. WINI~IS~D ~I~OWN Social Security Number: 178-70-2370 COMMONWEALTH OF PENNSYLVANIA · COUNTY OF DAUPHIN · SS: On this, the //$t~ day of BR~O~ ,2003, before me, the undersigned authority, personally appeared WINIFRED to me (or satisfactorily proven) to be the person whose name is subscribed to the within Release and acknowledged that the Beneficiary executed the same for the purpose therein contained. Witness my hand and official seal the day and date aforesaid. /?NOTA~'~ My Commission Expires: Notarial Seal Sharon K. Shaffer, Notre? Public City of Harflsbur$, Dauphin County Iv~ ?mmt~lon l~plr~ Sept. 6, 2004 S:\I Skarlatos & Zonarich LLP OPEN FILES\EstaIesXBROWN PATRICIA NEW - 020124~.elease - Full Distribution - Winifred Brown.doc Page 3 of 3 SKARLATOS AND ZONARICH LLP ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PENNSYLVANIA 17101 (717)233-1000 FAX (717)233-6740 Accounting Of: Estate of Patricia T. Brown As Of: May 27, 2003 Description Deposits Cumberland Law Journal - Adv. Ltrs. Of Administration Masland & Barrick Advisory, Inc. - 1997-2000 Stmts. AIIIstate - 820 Appletree Lane Policy Neill Funeral Home Mellon Bank - Close Checking Acct. 1000122570 Chesapeake Abstract Co. - Real Estate Proceeds Register of Wills - Inheritance Tax Verizon NCO Financial Systems Capital One Penn Credit Corporation Barbara E. Hake - Reimburse for PP&L Payment Amerigas Providian Donald C. Donagher Jr. - 2000-01 Per Capita Good Hope Family Physicians, P.C. PP&L The Sentinel - Estate Notice Wachovia Securities - Interest Mechanics Savings Bank - Interest Skarlatos & Zonarich LLP - Reimb. Probate Costs Andrew J. Brown, Sr. - Reimburse Misc. Expenses US Treasury - 1997 1040 Tax US Treasury - 1998 1040 Tax US Treasury - 1999 1040 Tax US Treasury - 2000 1040 Tax US Treasury - 2001 1040 Tax Keller Financial Group - Prep. Of Returns 97-01 Register of Wills - Filing Fee PA Dept. of Revenue - Tax Refund PA SCDU - Back Pay PA Dept. Revenue - Inheritance Tax Refund US Treasury - Tax Refund H & R Block - Prep. of 2002 Tax Returns H & R Block ~ Fiduciary Tax Return PA Department of Revenue - PSERS Death Benefit Skarlatos & Zonarich LLP - Fee Skarlatos & Zonarich LLP - Reimburse Costs Cumberland Co. Reg. Of Wills - File Releases Andrew J. Brown, Jr. - Partial Distribution lan Brown - Partial Distribution Winifred Brown - Partial Distribution Andrew J. Brown, Sr. (Cust. Of Hannah Brown) - Partial Distr. 124.18 129,007.89 310.80 167.23 457.00 2,300.00 2,458.09 966.34 1,234.43 Disbursements 75.00 50.00 56.60 2,667.58 5,000.00 242.51 595.46 3,446.27 53.24 1,478.06 845.36 937.77 57.O0 229.00 94.05 113.27 275.00 4,611.33 19,881.08 11,612.94 20,225.30 5,019.62 5,376.77 905.00 25.00 180.00 450.00 8,382.02 81.03 25.00 2,000.00 2,000.00 2,000.00 2,000.00 Exhibit A Report Date: 6/19/03 SKARLATOS AND ZONARICH LLP ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PENNSYLVANIA 17101 (717)233-1000 FAX (717)233-6740 Accounting Of: Estate of Patricia T. Brown As Of: May 27, 2003 Description Deposits Disbursements Balance of Estate for Distribution Final Distribution Andrew J. Brown lan Brown Winifred Brown Andrew J. Brown, Sr. (Cust. Of Hannah Brown) 36,034.70 9,008.68 9,008.68 9,008.68 9,008.66 36,034.70 Exhibit A Report Date: 6/19/03 ESTATE OF PATR1CIA T. BROWN, Deceased IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. 21 - 2002 - 0135 RECEIPT~ RELEASE AND INDEMNIFICATION AGREEMENT For Full Distribution This Receipt, Release and Indemnification Agreement (hereinafter referred to as "Agreement") is given this ~ day of ~rl?T- ,2003, by ANDREW J. BROWN, SR., Custodian of HANNAH BROWN, of 1800 Silverpine Circle, Mechanicsburg, PA, 17050, (hereinafter referred to as "Beneficiary"). WITNESSETH: WHEREAS, Patricia T. Brown, (hereinafter referred to as "Decedent"), late of East Pennsboro Township, Cumberland County, Pennsylvania, died intestate on January 21, 2002. WHEREAS, Letters of Administration on the Estate of the said Decedent were duly issued on February 7, 2002, by the Register of Wills of Cumberland County, Pennsylvania, unto Maria Lucas and Andrew J. Brown, Jr., who were appointed as Co-Administrators of the Estate (hereinafter referred to as "Co-Administrators"); WHEREAS, the Co-Administrators have paid all the debts, taxes and expenses of the Estate known to them as detailed in the Pennsylvania Inheritance Tax Return and Tax Assessment Notice, and they have no knowledge of any unpaid claim which may be asserted against the Estate, nor do they have any reason to believe that there are any such claims; WHEREAS, the Beneficiary is beneficially interested in the above referenced estate; and WHEREAS, it is the desire of the Beneficiary that distribution be made without the formality of an accounting, and the Co-Administrators are willing to make such distribution upon the receipt of a proper release and indemnification, which it is the purpose of this Agreement to provide. NOW, THEREFORE, intending to be legally bound hereby, the Beneficiary represents, warrants, covenants and agrees as follows: 1. Waiver of Accounting. The Beneficiary hereby waives the necessity for an accounting and directs the Co-Administrators to dispense with a formal audit of the same. 2. Receipt. The Beneficiary requests the Co-Administrators to make distribution of the following property (adjusted for subsequent income and expenses) and effective upon delivery to the undersigned of the property shown as distributable, acknowledges receipt of such property: Cash - $9,008.66 The Beneficiary does further acknowledge that the aforesaid distribution, in addition to any partial S:xl Skaflatos & Zonarich LLI' OPF. N FILES\Estates~BROWN PATRIC1A NEW - 020124\Release - Full Distribution - Hannah Brown doc Page 1 of 3 distribution made prior to the date of this Agreement, represents the Beneficiary's entire interest in the above-referenced estate, as detailed in the Informal Accounting attached hereto as Exhibit A. 3. Release. Upon having received the above described property distribution, the Beneficiary does by these presents remise, release, quit-claim and forever discharge from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, (a) the Co-Administrators for or by reason of the Co- Administrators' administration of the above-referenced Estate, or any other act, matter, cause or thing whatsoever; and (b) Skarlatos & Zonarich LLP, its employees, successors and assigns, for or by reason of their representation of the Co-Administrators, or any other act, matter, cause or thing whatsoever. 4. Indemnification. In exchange for the Co-Administrators' willingness to make the distribution hereunder without first securing the benefit of a formal court audit, the Beneficiary agrees to indemnify Co-Administrators and Skarlatos & Zonarich LLP, its employees, successors and assigns, and hold them harmless, to the extent of any funds or assets received by the Beneficiary hereunder, from and against the Beneficiary's then pro rata share of any and all liabilities, losses, damages, costs, verdicts, judgments, awards and expenses (including attorney's fees and other costs or expenses of defense) to which (i) the Co-Administrators may be subjectecl by reason of the Co-Administrators' administration of the above referenced Estate, as well as the settlement thereof by means of an informal distribution; and (ii) Skarlatos & Zonarich LLP, its employees, successors and assigns may be subjected by reason of their representation of the Co-Administrators. The Beneficiary further agrees to: a. Refund or return, promptly upon the Co-Administrators' written demand, any funds or assets distributed by the Co-Administrators to the Beneficiary, if the distribution thereof is determined at any time to have been an erroneous or negligent distribution to the Beneficiary, whether such error or negligence was or was claimed to have been premised upon a mistake of law or of fact. b. Modify and displace any otherwise applicable period limiting the time within which the Co-Administrators' action to collect an erroneous or negligent distribution must be commenced, so as to provide that the Co-Administrators need not commence an action to collect an erroneous or negligent distribution to the Beneficiary until two (2) years after such time as the Co- Administrators shall have obtained actual knowledge of such error or negligence. 5. Miscellaneous a. The provisions of this Agreement shall be deemed severable in the event that one or more thereof shall be deemed invalid or unenforceable, with the effect that the remaining provisions shall persist as if such invalid or unenforceable provision had never been a part hereofi In addition, the construction, effect, validity and performance of this Agreement shall be governed in all respects by the laws of the Commonwealth of Pennsylvania, without regard to its conflict of laws provision. b. This Agreement shall bind the Beneficiary, the Beneficiary's heirs, representatives, successors, and assigns together with any person with respect to whom the Beneficiary is a natural or appointed guardian. c. The Beneficiary hereby acknowledges that this Agreement may be filed at any time, at the discretion of the Co-Administrators with any court of competent jurisdiction, and the Beneficiary consents to any such filing. S \1 Skarlatos & Zonarich LLP OldEN FILESLEstales\BROWN PATRICIA NEW - 020124\Release - Full Distribution - Hannah Brown doc Page 2 of 3 IN WITNESS WHEREOF, the Beneficiary has executed and sealed this Agreement on the date first above inscribed. ANDI~. 13r~6VvrN, SR., CUSTODIAN OF HANN,~t/BROWN Social Security Number: 161-74-7285 COMMONWEALTH OF PENNSYLVANIA COUNTY SS: On this, the {-~ day of ~ , 2003, before me, the undersigned authority, personally appeared ANDREW ~. I~ROWN, SR., Custodian of HANNAH BROWN, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Release and acknowledged that the Beneficiary executed the same for the purpose therein contained. Witness my hand and official seal the day and date aforesaid. --/ My Commission Expires: ! JANE K. HAVNAER, Notary Public ! Camp Hill Boro, Cumberland County ~My Commission Expires June 24, 2006 S \1 Skarlatos & Zonarich LLP OPEN FILES\Estates~BROWN PATPdC1A NEW - 020124\Release - Full Distribution - Hannah Brown doc Page 3 of 3 SKARLATOS AND ZONARICH LLP ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PENNSYLVANIA 17101 (717)233-1000 FAX (717)233-6740 Accounting Of: Estate of Patricia T. Brown As Of: May 27, 2003 Description Cumberland Law Journal - Adv. Ltrs. Of Administration Masland & Barrick Advisory, Inc. - 1997-2000 Stmts. AIIIstate - 820 Appletree Lane Policy Neill Funeral Home Mellon Bank - Close Checking Acct. 1000122570 Chesapeake Abstract Co. - Real Estate Proceeds Register of Wills - Inheritance Tax Verizon NCO Financial Systems Capital One Penn Credit Corporation Barbara E. Hake - Reimburse for PP&L Payment Amerigas Providian Donald C. Donagher Jr. - 2000-01 Per Capita Good Hope Family Physicians, P.C. PP&L The Sentinel - Estate Notice Wachovia Securities - Interest Mechanics Savings Bank- Interest Skarlatos & Zonarich LLP - Reimb. Probate Costs Andrew J. Brown, Sr. - Reimburse Misc. Expenses US Treasury - 1997 1040 Tax US Treasury - 1998 1040 Tax US Treasury - 1999 1040 Tax US Treasury - 2000 1040 Tax US Treasury - 2001 1040 Tax Keller Financial Group - Prep. Of Returns 97-01 Register of Wills - Filing Fee PA Dept. of Revenue - Tax Refund PA SCDU - Back Pay PA Dept. Revenue - Inheritance Tax Refund US Treasury - Tax Refund H & R Block - Prep. of 2002 Tax Returns H & R Block - Fiduciary Tax Return PA Department of Revenue - PSERS Death Benefit Skarlatos & Zonarich LLP - Fee Skarlatos & Zonarich LLP - Reimburse Costs Cumberland Co. Reg. Of Wills - File Releases Andrew J. Brown, Jr. - Partial Distribution lan Brown - Partial Distribution Winifred Brown - Partial Distribution Andrew J. Brown, Sr. (Cust. Of Hannah Brown) - Partial Distr. Deposits 124.18 129,007.89 310.80 167.23 457.00 2,300.00 2,458.09 966.34 1,234.43 Disbursements 75.00 50.00 56.60 2,667.58 5,000.00 242.51 595.46 3,446.27 53.24 1,478.06 845.36 937.77 57.00 229.00 94.05 113.27 275.00 4,611.33 19,881.08 11,612.94 20,225.30 5,019.62 5,376.77 905.00 25.00 180.00 450.00 8,382.02 81.03 25.00 2,OO0.OO 2,000.00 2,000.00 2,000.00 Exhibit A Report Date: 6/19/03 SKARLATOS AND ZONARICH LLP ATTORNEYS AT LAW 204 STATE STREET HARRISBURG PENNSYLVANIA 17101 (717)233-1000 FAX (717)233-6740 Accounting Of: Estate of Patricia T. Brown As Of: May 27, 2003 Description Deposits Disbursements Balance of Estate for Distribution 36,034.70 Final Distribution Andrew J. Brown lan Brown Winifred Brown Andrew J. Brown, Sr. (Cust. Of Hannah Brown) 9,008.68 9,008.68 9,008.68 9,008.66 36,034.70 Exhibit A Report Date: 6/19/03 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: PATRICIA T. BROWN JANUARY 21, 2002 Will No.: 21-02-0135 Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report that following with respect to completion of the administration of the above-captioned estate: complete: State whether administration of the estate is Yes X 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: c. Did the personal representative account informally to the parties in interest? Yes X state an No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: Nov. 24, 2003 Shelly J. Kunkel Name (Please type or print) Skarlatos & Zonarich LLP 204 State Street Harrisburq, PA 17101 Address (717)233-1000 Tel. No. Capacity: Counsel for Personal Representative