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HomeMy WebLinkAbout02-0145 Estate of also known as Social Security No. PETITION FOR PROBATE and GRANT OF LETTERS SHIRLEY N. WOOD No ~t-4)0- 2 I. _D ?_..IL~,~ To: Register of Wills for the County of Cumberland in the 251-60-0246 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s),who is/are 18 years of age or older and the ex in the last will of the above decedent, dated July 23, 1996 and codicil(s) dated N/A ecutor named (state relevenat circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland with her last family or principal residence at Chapel Pointe, 770 South Hanover St., Borough of Carlisle, Carlisle PA (list street, number and municipality) Decedent, then 90 years of age, died Dec. 9, 2001 at Borough of Carlisle, Cumberland County, Carlisle PA Except as follows, decedent 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: No Exceptions County, Pennsylvania, 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: Total: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary therc~q . (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) lard A. Leltmann 770 S. Hanover St. Carlisle PA 17013 OATH Oil PERSONAL REFRSENTATIVE COMMONWEATLH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer, the, a estate according to law. Sworn to or affirmed and subscribed before me this 6 ~_h day of /1~~ _~_e,b~ruary, 2~2 _ M~ry C~. Le~,i?--- . - - Register No. 2-1~0- Estate of SHIRLEY N. WOOD , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~ --Feb-02 the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated__ July 23, 1996 described therein be admitted to probate and filed of record as the last will of SHIRLEY N. WOOD and Letters Testamentary are hereby granted to Richard A. Lehmann FEES Probate, Letters, Etc. $ 1 8.0 0 Short Certificatesklx) 2 $ 6.0 0 Renunciation $ 1 0.00 JCP $ 5.00 EXTRA ~IS $ 24.00 ___ oo attorney on 2-8-02 ~ ~i~'¥ C?~E.~ister ~f'wii~-s .... ~ Stephen D. Tiley 32318 ATTORNEY (Sup. Ct. I.D. No.) 5 South Hanover Street Carlisle, Pennsylvania 17013 ADDRESS (717) 243-5838 ca 11 ed PHONE RENUNCIATION 21-02--145 In Re Estate of SHIRLEY N. WOOD deceased. To the Register of Wills of C UMB ERL AND County, Pennsylvania. The undersigned C ARO L E STRUSS of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters TESTAMENTARY be issued to RICH~ARD A_ I, EHMANN WITNESS her hand this day of Carole Struss (Signature) 91 Watchung Ave., Upper Montclair, NJ 07043 (Address) (Signature) (Address) (Signature) (Address) RENUNCIATION In Re Estate of SHIRLEY N. WOOD deceased. To the Register of Wills of CUMBERLAND County, Pennsylvania. The undersigned DREW STRUSS of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters TESTAMENTARY be issued to WITNESS his RICHARD A. LEHMANN hand this 1~'fl'~ day of l~rew ~truss (Signature) 91 Watchung Ave.,Upper Montclair, NJ 07043 (Address) (Signature) (Address) (Signature) (Address) 105.805 REV 9/86 This 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 Local Registrar P 7 714 7 2 No. '~ Date ,~os :,~ ~e,, 2.m7 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS ., CERTIFICATE OF DEATH - ~o. ~', ~E~L.. ~,~,) I ~.O~,, v~ I u~., ~ 1' o.~ ~ ~. ~ ~ ~.~.~ ~.,~--. 60 ~ 0246 ,. , . ,, ,.. _ ' I~' ' ' ' b~. ,,~ Librarian ~,,~ Collie ~ ~.~ ~ I ~~ ~ ,,~.~, ' ' ,~ever Marri~ ,,. 770 ~uth H~over St [~ ~ '~..~-- ~ · ~rllsle, PA 17013 [~,~ ~ '~"Q ~'~ ,, Schuler E W~ I~"~"'s~"''~'"~ ~%~.~ --- ,,. ~are~ Neff ~Rlchard Le~, Cha~l Pointe at ~a~]~]~ ~~ -- - ~2~. I~ .~u ~uth H~over St., ~rlisle, Pa 17013 ~.~ ~0 c,~.~ ~.-.,.,.o I~-~.~,.~, I~,.~-.--~ ..... c .......I~.~.~...~.~ ~ ~'~, ~ Of ~c 11 .... I Yorkto~e ~skets I ~~.v~,~..~/~,. .... ' .... h,~Inc~re~txon ~rvice [,,. York, PA 21-02-145 '02 FEB -6 ?1:-52 21-02-14~ OF SHIRLEY Il. MOOD I, Shirley N. ¥ood, presently residing in Carlisle, Pennsylvania, being of a sound and disposing mind, over the age of eighteen {18} years, and under no legal disability, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me at any other time. ABTICI~ I: I direct that my Executor, hereinafter named, pay all my Just debts and funeral expenses as soon after my death as practicable, including all property, state and federal death taxes assessed against me, my estate, or my beneficiaries, without proration among my beneficiaries. However, all property bequeathed or devised hereunder, either outright or in trust, is bequeathed or devised subject to existing mortgages, liens or encumbrances thereon. A~TICI~ II: I give and grant unto my Executor appointed herein and his successors all the powers given under the common and statutory law of Pennsylvania at the time of my death, to be exercised in his absolute discretion, unless otherwise restricted herein, in any capacity to which such powers may be applicable. Shirley N. Wood Dou§la~ H. 6ent ~torney i~t LaN 1157 £ichelberger Street Han0ve~', P~ 17331 S~IRLE7 M. MOOD I, Shirley M. Mood, presently residing Carlisle, Pennsylvania, being of a sound and disposing mind, over the age of eighteen (18) years, and under no legal disability, and mindful of the brevity of this life, having placed my faith and confidence in Jesus Christ, my Saviour and Lord, Who redeemed my soul through His shed blood and death upon Calvary's Cross for my sins and Who thus assures me of eternal life, and knowing that the life which I now live in this world is by faith in the Son of God Who gave Himself for me, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me at any other time. AR?ICL£ I: I direct that my Executor, hereinafter named, pay all my just debts and funeral expenses as soon after my death as practicable, including all property, state and federal death taxes assessed against me, my estate, or my beneficiaries, without proration among my beneficiaries. However, all property bequeathed or devised hereunder, either outright or in trust, is bequeathed or devised subject to existing mortgages, liens or encumbrances thereon. ARTICLE II: I give and grant unto my Executor appointed herein and his successors all the powers given under the common and statutory law of Pennsylvania at the time of my death, to be exercised in his absolute discretion, unless otherwise restricted herein, in any capacity to which such powers may be applicable. Douglas H. Gent A~torney At Law 1157 £iehelberger Street Hanover, PA 17331 In addition to such powers, he shall have the following powers: A. To accept in kind and retain any property which I may own at my death, without regard to any principal of diversification, and to invest and reinvest in any form of property without restriction to legal investments for fiduciaries. B. To purchase investments at a premium and, at his discretion, to charge such premium and the premium on any investments owned by me at my death either to principal or income. C. To give proxies and to Join in any merger, reorganization, voting trust plan, or other concerted action of security holders affecting investments, delegating powers with respect thereto. D. To sell at public or private sale, exchange or lease for any period of time any real or personal property, and to give options for sales or leases. E. To borrow money and to mortgage or pledge any real or personal property. F. To register property in the name of a nominee or to hold property unregistered. G. To compromise claims. H. To allocate any property received or charge incurred to principal or income or partly to each, without being obliged to apply the usual rules of trust accounting. Shirley N. Wood / 2 I. In investing, reinvesting, purchasing, acquiring, exchanging, and selling property for the benefit of my estate or any trust created hereunder, they shall exercise the Judgment and care, under the circumstances then prevailing, that men of prudence, discretion, and intelligence exercise in the management of their ovn affairs, not ia regard to speculation, but in regard to the permanent disposition of their funds, considering the probable income as yell as the probable safety of their capital. ARTICLE III~ I do hereby bequeath my entire body, or any needed organs or parts thereof, upon my death and to the extent medically acceptable, to such institution as may be designated by the doctor treating me in sy last illness, for the purposes of transplantation, therapy, medical research, education or anatosical study, vithout limitation, and do direct that, after these purposes have been accomplished, the institution vhich receives my body cremate vhatever remains thereof vith no saving of the residue. In the event that the doctor treating se in my last illness fails to designate such institution, then I direct my Executor or Executrix who may be appointed pursuant to this, my Last Will and Testament, to so designate such institution for the purposes discussed above in this paragraph. ARTICLE I¥~ I hereby nominate and appoint my friend, Dree Struss, as Co-Executor with the Director of Financial Services of the Alliance Home of Carlisle or such other administrator as may be designated by the Board of Shirley N. Wood / 3 Directors of the Alliance Home of Carlisle, as Co-Executors of this my Last Will and Testament. In the event Drew S%russ should predeceases me or is unable to serve as Executor, then I nominate Carole Struss, as Co-Executor of this my Last Will and Testament. My individual Co-Executors shall not be required to furnish bond or surety. AJ~rlCLE ¥~ I direct my Executor to sell all of my real and personal property, at public or private sale and to distribute the net proceeds therefrom as follows: A. Ten percent ¢10%) to the Alliance Home located in Carlisle, Pennsylvania, to be used at the sole discretion of the governing board of the home for general purposes; B. Thirty percent (30%) to Col~mbia University located in Columbia, South Carolina to be used at the sole discretion of the governing board of the university for general purposes; C. Thirty percent {30%) to Gospe! Hecordi~gs, located in Los Angeles, California to be used at the sole discretion of the governing board of the organization for general purposes; and D. Thirty percent {30%) to Yycliffe Bible ?ra~sla%ors located in Huntington Beach, California, to be used at the sole discretion of the governing board of the organization for general purposes. During my lifetime, and after the execution of this Will, I may have acquired certain gift annuities or other similar investments from one or more Shirley H. Wood ./ 4 Directors of the Alliance Home of Carlisle, as Co-Executors of this my Last Will and Testament. In the event Drew Stru~ should predeceases me or is unable to serve as Executor, then I nominate Carols Stru~, as Co-Executor of this my Last Will and Testament. Hy individual Co-Executors shall not be required to furnish bond or surety. A~TIC~ ¥~ I direct my Executor to sell all of my real and personal property, at public or private sale and to distribute the net proceeds therefrom as follows~ A. Ten percent ¢10%) to the Alliance Some located in Carlisle, Pennsylvania, to be used at the sole discretion of the governing board of the home for general purposes; B. Thirty percent {30%) to Columbia Oniversity International located in Columbia, South Carolina to be used at the sole discretion of the governing board of the university for general purposes; C. Thirty percent (30%) to Bospel Recordings, located in Los Angeles, California to be used at the sole discretion of the governing board of the organization for general purposes; and D. Thirty percent {30%) to Wycliffe Bible Translators located in Charlotte, Horth Carolina, to be Used at the sole discretion of the governing board of the organization for general purposes. During my lifetime, and after the execution of this Will, I may have acquired certain gift annuities or other similar investments from one or more Shirley N. Wood / 4 of the above charitable organizations. In the event I have acquired any such items during my lifetime, the amount of such gift annuity or similar item shall be credited as a part of that organization's share of my estate for purposes of distribution. In the event the amount given by me to any of the above organizations for a gift annuity or similar item exceeds the stated percentage of my estate set forth above, said organization shall not be required to repay any funds to my estate. To further clarify, it is my intent that any monies given by me to any of the above organizations during my lifetime, after the execution of this Will, for a gift annuity or similar item shall be considered as an asset of my estate for purposes of determining the above distribution. ARTICLE ¥I~ While I have only the greatest love and affection for my brother and sister, I have made no provision for them in this, My Last Will and Testament, as they are otherwise adequately provided for. AE~ICI~ ¥II: I do hereby direct that, upon my death, my Co-Executors arrange for a memorial service to be conducted in my memory at the Alliance Home of Carlisle located in Carlisle, Pennsylvania. Shirley N. Wood IN #IT~ NI~F, I have hereunto set my hand and seal this c~'~ay Shirley N. Wood Signed, sealed, published and declared by the foregoing Testatrix as and for her Last Will and Testament, consisting of 6 pages, in the presence of us, who at her request, and in her presence, and in the presence of each other, have hereunto set our hands as witnesses thereto. . ~. 7 ,o .... ..? ~' ~ CONNONtfgALTH OF PKlilf~/LVA[IA I, Shirley l. Wood, Testatrix, whose name is signed to the attached or foregoing instrument, being duly qualified according to lay, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknovledged before me by Shirley !i. Ifood, the Testatrix, this ,~ day of ~-)-~L~/ , 1996. Notary Public My Commission F~p2~;; Notada~Sea{ ', ~ Be~ Lou Zap, Nota~ Public ' ~. Holly ~prings Boro, Cumbe~nd Coun~ ~~ O~ P~V~A ~ ~My Commission Expires Sept. 21, 1998 ~ OF ~ / ~ / M~, Pen~~ of ~ the ~tnesees ~ naa~ are aig~ed ~o the attache~-~ ~or~go[ng inatru~nt, being dul~ qual~[ied according to la~, do depose and aa~ that ee ~ere preeent and ea~ Testatrix eign and execute the ~natruaent aa her free and voluntary act for the purpoeee therein expreaeed~ that each of ua in the hearing and a~ght of the Teetatrix ese at the t~ae ~8 or sore years of age, of eound a~nd and under no constraint or undue ~nfluence, __~~~~~' and', ~/('~/~;.~/,'~, witnesses, lotary Publ~ (~ ~ · My Commission Expires: Not~rial Seal ': ~. ~ ~ Be~ Lou Zap, Nota~ PubllO '~"a ~ Mt. Holly Springs Boro, Cum~rland Coun~ ~ ~ My Commission [xpires Sept. 21, lg98 ~ ~%: Lcl 9- 83_4 ~0. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: SHIRLEY N. WOOD Date of Death: December 9, 2001 Will No. Admin. No. 21-02-0145 To the Register: I certify that notice of (beneficial Interest) estate administration 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: May 20, 2002 Name Address The Alliance Home of Carlisle 770 S. Hanover St., Carlisle PA 17013 Columbia International University 7435 Monticello Rd, Post Office Box 3122 Columbia SC 29230-3122 Gospel Recordings,Inc., 122 Glendale Blvd, Los Angeles CA 90026 Wycliffe Bible Translators P.O. Box 628200, Orlando FL 32862-8200 Notice has now been given to all persons entitled thereto under Rule 5.6)a) except NO EXCEPTIONS Date: May 20, 2002 Name: Address: Capacity:__ Stephen D. Tiley 5 South Hanover Street Carlisle, Pennsylvania 17013 Personal Representative X Counsel for Personal Representative 217 REV-1500 EX (6-00) CO'M MONWF_,~LTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 I-- Z 14.1 U.I 14.1 I-- Z U.I Z LU 0 Z Z O X REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DEOEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Wood, Shirley N. DATE OF DEATH (MM-DD-YEAR) IDATE OF BIRTH (MM-DD-YEAR) OFFICIAL USE ONLY FILE NUMBER 21-02-0145 COUNTY COLE- YEAR NIjU_~_~R SOCIAL SECURITY NUMBER 251-60-0246 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 12/9/2001 12/10/1910 REGISTER OF WILLS F APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~J 1. Odginal Return [~ 2. Supplemental Return [~ 3. Remainder Relum (date of death pdor to 12.13.82) [] 4. Umited 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) [--'J 9. IJtJgation Proceeds Received J'-"~ 10. Spousal Poverty Credit (date of d,lh I~tween 12-31-gl and 1.1-95) NAME Stephen D. Tiley FIRM NAME (If Applicable) Fre¥ & Tiley TELEPHONE NUMBER (717)243-5838 [~§. Federal Estate Tax Return Required ~ 8. Total Number of Safe Deposit Boxes ['"~11. Election to tax under Sec. 9113(A) (Attach Sch O) COMPLETE MAILING ADDRESS 5 South Hanover Street Carlisle, Pennsylvania 17013 9. 10. 11. 12. 13. 14. 1. Real Estate (Schedule A) (1) NONE 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) NONE 4. Mortgages & Notes Receivable (Schedule D) (4) NONE 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. Jointly Owned Properly (Schedule F) (6) ~JSeparate Billing Requested 7. Inter-Vivos Transfer & Miscellaneous Non-Probate Property (Schedule G or L) (7) NONE TOTAL GROSS ASSETS (total Lines 1-7) Funeral Expenses & Administrative Costs (Schedule H) (9) 14,327 832 OFFICIAL USE ONLY (8) 15~159 3,269 1,412 Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 10) TOTAL DEDUCTIONS (total Lines 9 & 10) NET VALUE OF ESTATE (Line 8 minus Line 11) Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) (11) 4,681 (12) 10,478 (13) 9,646 (14) 832 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate ,or transfers under Sec.9116 (aX1.2) x .0 (15) 16. Amount of Line 14 taxable at lineal rate x .0 (16) 17. Amount of Line 14 taxable at sibling rate 832 x .12 (17) 1 O0 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 1 00 :: _--.-_~-~_.-~:..~ ====================================================== ........... ~:: ::::----: ....... ";;;'h ..................... 20. Wood, Shirley N. 251-60-0246 217 Decedent's Complete Address: f;STREET ADDRESS 770 South Hanover Street .~arlisle ISTATE PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2, Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 100 :3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E ) (3) 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 tax due. (5A) B. Enter the tote of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 100 3 103 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the properly transferred; ...................... E~] ~'~ b. retain the right to designate who shall use the properly transferred or its income; ........... E~ ~-~ c. retain a reversionary interest; or .............................. E~ ~] d. receive the promise for life of either payments, beneflls or care? .................. E~ [~ 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ............................ E~ ~-~ 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 designation? ............................... [~] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury,,~clare that I have examined this return, includ ng accompanying schedules and statements and to the best of my knowled e and beltef ~t is t and coml~lete. DeclaratL~of~reparer other than the personal representative is based on all h~ro,mation Of which prepa¢~,r has any knowled,qe g ' , ' rue, 770 South Hanover Street, Carlisle, Pennsylvania 17013 SIGNATU_R.,E _OF D~?~-~,P,-~R ,~THER THAN REPRESENTATIVE ADDRESS ~' 5 South Hanover Street, Carlisle, Pennsylvania 17013 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. Section 9116 (a)(l.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. Section 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 -';tepparent of the child is 0%['72 P.S. Section 9116(a)( 1.2)]. The t~:~x 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. Section 9116(1.2) [72 P.S. Section 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. Section 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. AT REV..1508 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS,& MISC.I PERSONALPROPERTY ESTATE OF FILE NUMBER Shirley N. Wood 21-02-0145 Include the proceeds of litigation and the date the proceeds were received by the estate. ALL PROPERTY JOINTLY-OWNED WITH THE RIGHT OF SURVIVORSHIP MUST BE DISCLOSED ON SCHEDULE ITEM NUMBER VALUE AT DATE DESCRIPTION M&T Bank, Savings Account #15004200046933 Accrued interest to date of death TOTAL (Also enter on line 5~ Recapitulation)j (If more space is needed, insert additional sheets of the same size) OF DEATH 14,321 6 14,327 M&T May 7, 2002 RE: Estate SearCh The Estate of: SHIRLEY N WOOD Date of Death (D.O.D.) 12/9/2001 To Whom It May Concern: Identified below is the account information requested. 1. M&T Bank accounts in which the decedent's name appears: Account Account Number Account Title Opening Branch D.O.D. Accrued Interest Type Balances (Includes Accr. int.) SAV 15004200046933 SHIRLEY N WOOD 4334 $14,326.89 $6.07 OPENED 5/90 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description No Safe Deposit Box titled in the Decedent's name existed at our office. If you have any questions about the information provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 24413 outside of the Buffalo, NY calling area. Thank you. Sincerely, M&T BANK CORPORATION Authorized Signature DATE: 5- '~ Manufacturers and Traders Trust Company ,, 1100 Wehrle Drive, RO. Box 767, Buffalo, NY 14240-0767 217 REV-1509 EX+ (6-98) CC)MMONWF_.ALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER Shirley N. Wood 21-02-0145 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. Sarah W. Whitcomb Sister cio Law Office of Margaret Z. Reed 203 Delaware Avenue Delmar, New York 12054-1241 JOINTLY-OWNED PROPERTY: LEI rER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. Morgan Stanley, Account #594 113669 034 1,663 50.00% 832 TOTAL (Also enter on line 6, Recapitulation) $ 832 (If more space ~s needed, insert additional sheets of the same size) o:~g '"Il , I 17 REV-1511 EX + (12-99) COMMONWEALTH OFPENNSYLVANIA INHERITANCETAXRETURN RESlDENT DECEDENT ESTATE OF SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Shidey N. Wood FILE NUMBER 21-02-0145 ITEM Debts of decedent must be reported on Schedule I. NUMBER DESCRIPTION FUNERAL EXPENSES: Hoffrnan Roth Funeral Home AMOUNT 1,175 Bo 5. 6. 7. 8. 9. 10. IVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Richard A. Lehmann Social Security Number(s) / EIN Number of Personal Representative(s) Street Address 770 South Hanover Street 184-36-6281 City Carlisle State PA Year(s) Commission Paid: 2003 Attorney Fees Family Exemption: (if decedent's address ts not the same as claimant's, attach explanation) Claimant N/A __Zip 17013 Street Address City Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees Cumberland Law Journal, Advertising The Sentinel, Advertising Filing Fee State __ Zip Filing Fee, Final Account 733 1,020 63 75 84 15 104 TOTAL (Also enter on line (If more space is needed, insert additional sheets of the same size) $ 3,269 REV-1512 EX+ (6-98) AT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF Shirley N. Wood FILE NUMBER 21-02-0145 Include unreimbursed medical expenses. ITEM NUMBER 2. 3. 4. DESCRIPTION Omnicare Pharmacies, Medical Chapel Pointe at Carlisle Sprint, Telephone Vital Records, Copy of Death Certificate TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 92 1,304 10 6 1,412 217 REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT SCHEDULEJ BENEFICIARIES ESTATE OF FILE NUMBER Shirley N. Wood 21-02-0145 NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18~ 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 SEE ATTACHED SHEET SHOWING DISTRIBUTIONS TOTAL OF PART Il - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, inser[ additional sheets of the same size) ESTATE OF SH'rRLE"Y N. WOOD ESTATE NO. 21-02-0145 SCHEDULE"3" The Alliance Home of Carlisle, PA [nc. 770 South Hanover 5treat Carlisle, Pennsylvania 17013 10% of residue of estate 964.60 o Columbia ]:nternational University 7435 Monticello Road Post Office Box 3122 Columbia, South Carolina 29230-3122 30% of residue of estate $2,893.80 o Gospel Recordings, ThC. 122 Glendale Boulevard Los Angeles, California 90026 30% of residue of estate $2,893.80 o Wycliffe Bible Translators Planned Giving Department Post Office Box 628200 Orlando, Florida 32862-8200 30% of residue of estate $2,893.80 OF SHIRLEY N. #OOD I, Shirley #. Wood, presently residing in Carlisle, Pennsylvania, being of a sound and disposing mind, over the age of eighteen (18) years, and under no legal disability, do hereby make, publish and declare this to be my Last Will and Testament~ hereby revoking all other Wills and Codicils heretofore made by me at any other time. A~TICLE It I direct that my Executor, hereinafter named, pay all my Just debts and funeral expenses as soon after my death as practicable~ including all property, state and federal death taxes assessed against me, my estate, or my beneficiaries, without proration among my beneficiaries. However, all property bequeathed or devised hereunder, either outright or 'in trust, is bequeathed or devised subject to existing mortgages, liens or encumbrances thereon. ARTICLE lit I give and grant unto my Executor appointed herein and his successors all the powers given under the common and statutory law of Pennsylvania at the time of my death, to be exercised in his absolute discretion, unless otherwise restricted herein, in any capacity to which such powers may be applicable. Shirley N. Wood Douglas X. Gent P~to~ney At LaN S157£ichelbergerStreet Hanove% P~ 17331 In addition to such powers, he shall have the following powers: A. To accept in kind and retain any property which I may own at my death, without regard to any principal of diversification, and to invest and reinvest in any form of property without restriction to legal investments for fiduciaries. B. To purchase investments at a premium and, at his discretion, to charge such premium and the premium on any investments owned by me at my death either to principal or income. C. To give proxies and to Join in any merger, reorganization, voting trust plan, or other concerted action of security holders affecting investments, delegating powers with respect thereto. D. To sell at public or private sale, exchange or lease for any period of time any real or personal property, and to give options for sales or leases. £. To borrow money and to mortgage or pledge any real or personal property. F. To register property in the name of a nominee or to hold property unregistered. G. To compromise claims. H. To allocate any property received or charge incurred to principal or income or partly to each, without being obliged to apply the usual rules of trust accounting. Shirley N. Wood / 2 I. In investing, reinvesting, purchasing, acquiring, exchanging, and selling property for the benefit of my estate or any trust created hereunder, they shall exercise the judgment and care, under the circumstances then prevailing, that men of prudence, discretion, and intelligence exercise in the management of their own affairs, not in regard to speculation, but in regard to the permanent disposition of their funds, considering the probable income as well as the probable safety of their capital. A~I~I~ III: I do hereby bequeath my entire body, or any needed organs or parts thereof, upon my death and to the extent medically acceptable, to such institution as may be designated by the doctor treating me in my last illness, for the purposes of transplantation, therapy, medical research, education or anatomical study, without limitation, and do direct that, after these purposes have been accomplished, the institution which receives my body cremate whatever remains thereof with no saving of the residue. In the event that the doctor treating me in my last illness fails to designate such institution, then I direct my Executor or Executrix who may be appointed pursuant to this, my Last Will and Testament, to so designate such institution for the purposes discussed above in this paragraph. A~TI6~_~ I¥: I hereby nominate and appoint my friend, Brew Stress, as Co-Executor with the Birector of Fina~cial Bervices of the Alliance'Home of Carlisle or such other administrator as may be designated by the Board of Shirley N. Wood ~ 3 Directors of the Alliance Home of Carlisle, as Co-Executors of this my Last Will and Testament. In the event Drew Struss should predeceases me or is unable to serve as Executor, then I nominate Carole Struss, as Co-Executor of this my Last Will and Testament. My individual Co-Executors shall not be required to furnish bond or surety. ARTIC1J; V~ I direct my Executor to sell all of my real and personal property, at public or private sale and to distribute the net proceeds therefrom as follows: A. Ten percent (IOZ) to the Alliance Home located in Carlisle, Pennsylvania, to be used at the sole discretion of the governing board of the home for general purposes; B. Thirty percent (30%) to Columbia University International located in Columbia, South Carolina to be used at the sole discretion of the governing board of the university for general purposes; C. Thirty percent (30%) to Gospel Recordings, located in Los Angeles, California to be used at the sole discretion of the governing board of the organization for general purposes; and Do Thirty percent {30X} to Wycl~fe Bible Translators located in Huntington Beach, California, to be used at the sole discretion of the governing board of the organization for general purposes. During my lifetime, and after the execution of this Will, I may have acquired certain gift annuities or other similar investments from one or more Shirley N. Wood.? 4 of the above charitable organizations. In the event I have acquired any such items during my lifetime, the amount of such gift annuity or similar item shall be credited as a part of that organization's share of my estate for purposes of distribution. In the event the amount given by me to any of the above organizations for a gift annuity or similar item exceeds the stated percentage of my estate set forth above, said organization shall not be required to repay any funds to my estate. To further clarify, it is my intent that any monies given by me to any of the above organizations during my lifetime, after the execution o~ this Will, for a gift annuity or similar item shall be considered as an asset of my estate for purposes of determining the above distribution. A~TIC~ ¥I: While I have only the greatest love and affection for my brother and sister, I have made no provision for them in this, My Last Will and Testament, as they are otherwise adequately provided for. A~TIC~ ¥II~ I do hereby direct that, upon my death, my Co-Executors arrange for a memorial service to be conducted in my memory at the Alliance Home of Carlisle located in Carlisle, Pennsylvania. 5 IN ¥IT~F~ ~EREOF, I have hereunto set my hand and seal this ~3 ~-day of ~-~ 1,~ , 1996. Signed, sealed, published and declared by the foregoing Testatrix as and for her Last Will and Testament, consisting of 6 pages, in the presence of us, who at her request, and in her presence, and in the presence of each other, have hereunto set our hands as witnesses thereto. I COIlllOMMEALTH OF PEliliSYLVAll]'A I, ~irley N. Wood, Testatrix, whose name is signed to the attached or foregoing instrument, being duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by 5~nirley Mood, the Testatrix, this ,~ day of ~-~-~L~ , 1996. Shirley N. Wood/ Hotary Public My Commission p~plz~; NotadalSeal i ! Betty Lou Zary Notary Public · /Mt, Holly Spdngs Boro, Cumberland County CO~]~OM~__,JI~,11~ OF P~I~IJ'~V~TA : /My Commission Expires Sept. 21, 1998 the witnesses vh~ name~ are Sig~ed ~o the g g , being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix vas at the time 18 or more years of age, of sound mind and under no constraint or undue influence. and /' wit.esse., ~is ,2~ ! day of ~UL~ , 1996~ ~ "-- ~ ' (' ' My Commission Expires: Notarial Seal ~. ' . Betty Lo0 Zary, Notary Public "';'... Mt. Holly Springs Boro, Cumberland County My Commission Expires Sept. 21, 1998 Member, Pennsylvania~ of Notaries 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-1162 EX(11-96) CD O02403 TILEY STEPHEN D ESQ 5 S HANOVER ST CARLISLE, PA 17013 ........ fold! ESTATE INFORMATION: SSN: 251-60-0246 FILE NUMBER: 2102-01 45 DECEDENT NAME: WOOD SHIRLEY N DATF OF PAYMENT: 04/08/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 12/09/2001 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $103.00 REMARKS: TOTAL AMOUNT PAID: STEPHEN D TILEY ESQUIRE $103.00 SEAL CHECK//4204 INITIALS: AC RECEIVED BY: REGISTER OF WILLS DONNA M. OTTO DEPUTY REGISTER OF WILLS BUREAU OF ZNDZVZDUAL TAXES TNH£RTTANCE TAX DZVTSTGN DEPT. HARRZSBURG, PA 17118-0601 COMHONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTZCE OF ZNHERZTANCE TAX APPRAZSENENT, ALLONANCE OR DZSALLONANCE OF DEDUCTZONS AND ASSESSMENT OF TAX REV-154? EX &FP (D1-05} Recorci~.~;: ~:~i':~ c.~fDATE 05-19-2005 e~?~ ~ ., R~t~,_.,~, - ??iis ESTATE OF WOODS DATE OF DEATH 1:;'-09-2001 FZLE NUNBER 21 02-01~5 '03 HAY 23 At0:27 COUNTY CUMBERLAND STEPHEN D TZLEY ACN 101 FREY ~ TILEY .,~ m Aeoun* 5 S HANOVER ST ~[~' --~-~ ~ CARLXSLE PA 1~1~6~~ ~::'~-~ FA I SHZRLEY F HAKE CHECK PAYABLE AND REMZT PAYNENT TO: REGZSTER OF WlLLS CUMBERLAND CO COURT HOUSE CARLZSLE, PA 1701;5 CUT ALONG THZS LZNE ~ RETAZN LOWER PORTZON FOR YOUR RECORDS ~ REV-15~7 EX AFP (01-03) NOTZCE OF ZNHERZTANCE TAX APPRAZSEMENT, ALLOWANCE OR DZSALLOWANCE OF DEDUCTZONS AND ASSESSMENT OF TAX ESTATE OF WOODS SHZRLEY F FZLE NO. 21 02-01~5 ACN 101 DATE 05-19-200;5 TAX RETURN NAS: (X) ACCEPTED AS FZLED ( ) CHANOED RESERVATZON CONCERNZNG FUTURE ZNTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: 0RZGZNAL RETURN 1. Real Es~a~e (Schedule A) (1). 2. S~ocks and Bonds (Schedule B) (2) 3. Closely Held S~ock/Par~nership Zn~eres~ (Schedule C) ($). q. Nor~geges/No~as Receivable (Schedule D) (fi). 5. Cash/Bank Deposi~s/Nisc. Personal Propar~y (Schedule E) (5) 6. Jointly O~ned Propar~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To~al Asse~s APPROVED DEDUCTZONS AND EXEMPTZONS: 9. Funeral Expansas/Adm. Cos~s/Nisc. Expenses (Schedule H) (9) 10. Deb~s/Nor~gage Liabili~ies/Lians (Schedule Z) (10) 11. To~al Deductions 12. Na~ Value of Tax Re~urn .O0 .O0 .O0 .O0 1R~;SZ7.00 8;52.00 .00 (8) ;5,269.00 1,~12.00 (11) (12) 15. lq. NOTE: Charitable/Governmental Bequests; Non-elec*ed 9115 Trusts (Schedule J) (15) Ne~ Value of Es~a~e Sub~ec~: ~o Tax (1~) If an assess.ent ~as lssued previously, lines 1~, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. NOTE: To insure proper credi~ ~o your account, submit ~he upper portion of ~his form ~i~h your ~ax peyaen~. DISCOUNT (+) ZNTEREST/PEN PAID (-) ~.00- 15,159.00 10,478.00 ASSESSHENT OF TAX: 1.;. Aeoun~ of Line 1~ a~ Spousal ra~e 16. Amoun~ of Line 1~. ~axable a~ Linee//CZass A ra~e 17. A.oun~ of Line lq a~ Sibling ra~e 18. Amoun~ of Line lq taxable a~ Collateral/Class B ra~e 19. Principal Tax Due TAX CREDZTS: PAYHENT I RECETpT DATE NUHBER 04-08-200;5 CDOOZR05 ZF PAZD AFTER DATE INDICATED, SEE REVERSE FOR CALCULATZON DF ADDZTZONAL ZNTEREST. 9,6~6.00 8;52.00 18 and 19 Nill (15), .00 x O0 = .00 (16). .00 x 0c~5= .00 (17). 8;52.00 x 12 = 100.00 (18) .00 x 15 = .00 (19)= 100. O0 AMOUNT PAID 10;5.00 TOTAL TAX CREDZT BALANCE OF TAX DUE ZNTEREST AND PEN. TOTAL DUE 100.00 .00 .20 .20 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REgUZRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDZT' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SZDE OF THZS FORM FOR ZNSTRUCTZONS.) RESERVATION: PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decadents dying on or before December lg, 1982 -- 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 lamful Class B (collateral) rata on any such futura interest. To ~ulfill the requirements of Section Zl¢O of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S. Section 91¢0), Detach the top portion of this Notice and submit aJth your payment to the Register of Mills printed on the reverse side. --Make check or money order payable to: REGXSTER OF NXLLS, AGENT A refund of a tax credit, ehich mas not requested on the Tax Return, may ba requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Hills, any of the 23 Revenue District Offices, or by calling the special Z4-hour ansaering service for forms ordering: 1-800-362-Z050; services for taxpayers eith special hearing and / or speaking needs: 1-800-&47-3020 (TT only}. Any party in interest not 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. 281021, Harrisburg, PA 17128-1021, 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 [ndividual Taxes, ATTN: Post Assessment Reviem Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717} 787-6505. See page S 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 (5Z) 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 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 eith first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes ehich became delinquent before January l, 1982 bear interest at the rate of six (62} percent par annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 19az will bear interest at a rate which will vary from calendar year to calendar year eith that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through Z003 ara: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 2OZ .000548 1987 9Z .000247 1999 71 .000191 1983 162 .000438 1988-1991 111 .000301 2000 8X .000119 1984 111 .000301 1991 91 .000247 Z001 91 .000147 1985 131 .000356 1993-1994 7g .000191 2002 61 .000164 1986 101 .000274 1995-1998 91 .000247 2003 SZ .000137 --Interest is calculated as foIloes: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DATL¥ INTEREST 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 shoen on the Notice, additional interest must be calculetad. FIRST AND FINAL ACCOUNT OF RICHARD A LEHMANN. EXECUTOR OF THE LAST WILL AND TESTAMENT OF SHIRLEY N WOOD LATE OF TOWNSHIP, CUMBERLANn ,-.,-~, ,,, .......... ' NORTH MIDDLETOWN ,-, ,.,uu~ m ~', ~t=NNSYLVANIA, DECEASED. DATE OF DEATH: LETI'ERS TESTAMENTARY ADVERTISED: ESTATE FILE NO.: December 9, 2001 The Sentinel:May 6th, 13th, & 20th,2002 CLJ: May 10th, 17th & 24th, 2002 21-02-0145 _PRINCIPAL RECEIVED ACCOUNTANT IS CHARGED WITH THE AMOUNTS OF PRINCIPAL AND INTEREST RECEIVED AND CLAIMS CREDIT FOR THE DISBURSEMENTS MADE AS STATED BELOW: M & T, Savings Account #15004200046933 Accrued interest to December 9, 2001 TOTAL PRINCIPAL RECEIVED $14,320.82 $14,326.89 2002 Dec, 9 2002 April 30 April 30 April 30 April 30 INCOME RECEIVED Interest, M & T, Savings Acct.#15004200046933 Dividend, Morgan Stanley, Acct #594 113669 0 December 2001 Dividend, Morgan Stanley, Acct #591 113669 0 January 2002 Dividend, Morgan Stanley, Acct #591 113669 0 February, 2002 TOTAL INCOME $2.87 $78.49 $93.15 $240.33 2002 Feb. 6 DISBURSEMENTR Register of Wills, Probate Will Page I $63.00 May 1 May 1 May 1 May 1 May 1 June 20 2003 Jan. 10 March 31 March 31 Omnicare Pharmacies, Medical Hoffman-Roth Funeral Home Chapel Pointe at Carlisle Sprint, Telephone CLJ, Advertising The Sentinel, Advertising Vital Records, Copy of Death Certificate PA Department of Revenue, 2002 Fiduciary Taxes Register of Wills, Filing Fee Register of Wills, File Final Account Richard A. Lehmann, Executor's Fee Stephen D. Tiley, Reserve to Prepare and File 2002 Taxes Stephen D. Tiley, Attorney Fee TOTAL DISBURSEMENTS $91.97 $1,175.00 $1,303.52 $10.03 $75.00 $84.11 $6.00 $5.00 $15.00 $104.00 $733.00 $25.00 $4,710.63 TOTAL PR/NC/PAL TO TAL INCOME RECEIVED TOTAL RECEIPTS LESS TOTAL DISBURSEMENTS BALANCE FOR DISTRIBUTIONS RECAPITULA TIOI~ Page 2 $14,326.89 $14,567.22 PROPOSED SCHEDULE OF DISTRIBUTION BALANCE FOR DISTRIBUTION TO: The Alliance Home of Carlisle, PA Inc 770 South Hanover Street Carlisle PA 17013 10% of residue of estate TO: Columbia International University 7435 Monticello Road Post Office Box 3122 Columbia, South Carolina 29230-3122 30% of residue of estate TO: Gospel Recording, Inc. 122 Glendale Boulevard Los Angeles, California 90026 30% of residue of estate TO: Wycliffe Bible Translators Planned Giving Department Post Office Box 6282000 Orlando, Florida 32862-8200 30% of residue of estate TO TAL DIS TRIBUTION $9,856.59 Page 3 COMMONWEALTH OF PENNSYLVANIA ) ):SS.: COUNTY OF CUMBERLAND ) Before me, the undersigned officer, personally appeared Richard A. Lehman, Executor of the Last Will and Testament of Shirley N. Wood, deceased, who, being duly sworn according to law, deposes and says that the foregoing First and Final Account is true and correct to the best of his knowledge, information and belief. Sworn to and subscribed before me this --~'~Crda of ' , y -d2?e~-'/ 2003. Page 4 STATUS REPORT UNDER RULE 6.19 Name of Decedent: SHIRLEY N. WOOD Date of Death: December 9, 2001 Will No. Admin. No. 21-02-0145 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: 1. State whether administration of the estate if complete: 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. I is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes (X) No ( ). (b) The separate Orphans' Court no. (if any) for the personal representative's account is: (c) Did the personal representative state an account informally to the parties in interest? Yes ( ) 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: November 13, 2003 Signature Ste_Dhen D. Tiley Name (Please type or print) 5 South Hanover Street Address (71 7) 243-5838 Telephone No. Capacity: ( ) Personal Representative ( X ) Counsel for personal representative Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND Name of Decedent: SHIRLEY M. WOOD COUNTY, PENNSYLVANIA March 1, 2011 File Number:21-02-0145 Date of Death: Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete:... ................. ~ Yes ~ 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 b. The separate Orphans' Court No. (if any) for the personal representative's account is: Did the personal representative state an account c . informally to the parties in interest? ............................... ~ Yes 0 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. February 28, 2013 Date Signature of Person Filing this Form Capacity: Personal Representa ' e QCounsel Robert G. Frey Q T ~ ` Name of Person Filing this Form ~ n ~ ~ c S South Hanover Street ~ ~ r--~ ~,~,,, ~ tJ Address " ~ ~= Carlisle, PA 17013 - ,~ ~-- in ~ ~ ~ r-+ w a ~ C7 !°" ~ CJ 2 ~ Telephone O ~ ~ O ~ v w ~.r, v w oc a ca~ _. Form RW-l0 rev. 10.13.06