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HomeMy WebLinkAbout02-0159Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Emily J. Group No. 21-02-159 also known as Social Security No. 208-24-1805 Petitioner(s), who is/are 18 years of age or older, apply(las) for:. (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the executors the Decedent, dated January 25, 1995 and codicil(s) dated named in the Last Will of State relevant circumstances, e.g., reflunciation, deeth of e~ecutor, etc. Excep{ as follows, Decedent did no~ marry, was nct divorced, and did nct ha~e a child bom or adop{ed after e~ecution of the documents offered for pr(~)ate; was net the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (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: Name Relationship Residence (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 1815A Heishman Gardens, Carlisle, PennSylvania 17013 (list street, number and municipality) Decedent, then 68 __ years of age, died January 16, ,20 02, at 1815A Heishman Gardens, Carlisle, PA (Location) Decedent at death owned property with esflrneted values as follows: (If domiciled in PA) All personal properbj ................................ $ 35,500.00 (If not domiciled in PA) Personal property in Pennsylvania ............ $ (If not domiciled in PA) Personal property in County ................. $ Value of real estate in Pennsylvania ..................................... $ 45,780.00 Total ...................................................... $ 81,280.00 Real Estate situated as follows: 1815A Heishman Gardens, North Middleton Township, Cumberland County, pennsylvania VVherefore, 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 undersigned: Typed or pdnted name and residence Form RW-1 Page 1 of 2 (Da~hln Cour~f) - Rev, 9/92 /~' Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and 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 e~rding to~/..) _/~~ Swom to and affirmed and subscribed . before me this 8th day of FEBRUARY 20 02 DECREE OF REGISTER Estate of Emily J. Group, also known as Deceased No. 21-02-159 Social Secudty No: 208-24-1805 Date of Death: January 16, 2002 AND NOW, FEBRUARY 11 ,20 02 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [] Testamentary [] of Administration d.b.n.c.t.; pendente gte; durante al~enlla; dm'ante minodtate are hereby granted to Ronald A. Group and Randall M. Group in the above estate and that the instrument(s) dated January 25, 1995 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........................... $. 200.00 Short Certificate(s)..(4) ........$ 12.00 Renunciation .................. $ 5. oo Affidavit ( ) ................. $ Extra Pages ( ) ............ $ 3.oo Codicil ..........................$ JCP Fee ........................ $ .5. oo Inventory ....................... $ Other ............................$ $ 225.00 TOTAL ................ Form RW-1 Page 2 o12 (Dauphin County) - Rev. 9/92 Attorney: Shaun E. O'Toole I.D. No: 44797 Address: 2813 North Second Street Harrisburg, Pennsylvania 17110 Telephone: (717) 213-6653 DATE FILED: his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. ff~ Local Registrar (J P 8028125 JAN ! 8Z002 No. '~ Date 21-02-159 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH · F'.;fy ~,o nno,,, I'. p. 208 --24 -- 1805 1,. January 16, 2002 Cumb~land I~North Mlddleton 1815A He~hman G~de~ m~ ~"~.. ~ - , ~ ~.~ ~- I White 18 ] 5A Heishman Gardens Carlisle, PA 17013 ,.. Raqmond Maat~n I,t Ruby Muaray ~ Mrs. Yvonne Kuhn l~ RR 2 Box 1014, Landisbw~9, PA 17040 i~ ~ ~..~.c,~ IL~-~. ~e.~ I~ Caem~o. Soeie~ o{I I~. 41oo Jonestown ~, ~~, ~A 17109 ilo imm~dme ~.ll. Eml, CAUI~ (O~lml o(, ,nlury c. PA "~ ~'~'*~'~ Co~lisle ,~.c~ Cumberland '~? ,,,O "-,,, -' OU~ 10 ~FI AS A CONSEQUENCE (~'): DUEII1D ~R AS A CO~tSEOUE NCE O~1: [] Register of Wills of Dauphin County, Pennsylvania RENUNCIATION Estate of Emily J. Group No. 21-02-159 also known as The undersigned, son and dau.qhter (Relationship) (Capacity) the above Decedent, hereby renounce the dght to administer the estate and respectfully request that Letters Testamentary sons of the above Decedent. Witness hand this be issued to Ronald A. Group and Randall M. Group, both day of /~U~-~(/ , 200~ / ~erald M. Group ~'~-(~ignature) RR 1, Box 70 ne D. Kuhn RD I Box 1014 Elliottsbur.q, PA 17024 (Address) (SignatUre) Landisbur.q, PA 17040 (Address) (Signature) Swom to or affirmed andQ~.,ubscdbed before me this c~~/ day of Notary Public My Commission Expires: ~ (Signature and seal of N(~ery or o~her ofrmial qualir~d to administer oal~s. Show date of expiration of Nolary's commission.) F(xm RW-4 (Dauphin County - Rev. 9/92) (Address) NOTE: Renunciations e~ecuted outside the Office of Register of Wills are required in some counties to be notarized. Register of Wills of Cumberland County, Pennsylvania OATH OF SUBSCRIBING WITNESS Estate of Emily J. GrouP also known as , Deceased No. 21-02-159 Allan W. Holman, Jr. and Carol V. Pontius (each) a subscribing witness to the [] codicil(s) []will(s) presented herewith, (each) being duly qualified according to law depose(s) and say(s) th'at she/he/they was/were present and saw the above Testator(rix) sign the same and that she/he/they signed as a witness at the request of Testator(rix) in his/her/their presence and [] in the presence of each other [] in the presence of the other subscribing witness(es). / (Signature) · / (Ad~ess) Sworn to or affirmed and subscribed /~_~ dayof ~'~ ~x--~ ~ , ~o ~ ,. Comm, , n be take~ by officer authorized to administer oaths. Please have present the odginal c~ copy of Instrument(e) at firrm o~ no[adzation. 21-02-159 EMILY J. GROUP I, EMILY J. GROUP, of North Middleton Township, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any will previously made by me. ITEM I: I direct that my funeral expenses, grave marker and the costs of the administration of my estate be paid out of the residue of my estate as soon as may be convenient after my death. ITEM I1: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from the residue of my estate as a part of the administration thereof, to the end that no beneficiary hereunder, or any other person, shall be charged with or required to pay any part of such taxes. ITEM II1: I direct that my hereinafter named co-executors convert any property that I may own at my death, whether real, personal or mixed, at either private or public sale, whichever in their opinion is deemed best, hereby vesting in said co-executors full power and authority to make, execute, acknowledge and deliver good and sufficient deeds or assurances of title therefor, and the fund thus created, ! bequeath to my chi!dren, Ronald A. Group, Gerald M. Group, Randall M. Group and Yvonne D. Kuhn, in equal shares, per stirpes. ITEM IV: I appoint my children, Ronald A. Group, Gerald M. Group, Randall M. Group and Yvonne D. Kuhn, or the survivors thereof, co-executors of this my Last Will. ITEM V: I direct that my co-executors shall not be required to give bond for the faithful performance of their duties in this or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this 25th day of January, 1995. The preceding instrument, consisting of this and one other typewritten page, each identified by the signature of the testatrix, was on the day and date thereof signed, published and declared by EMILY J. GROUP, the testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto. 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 001070 O'TOOLE SHAUN E 218 PINE ST P O BOX 886 HARRISBURG, PA 17108 ........ fold ESTATE INFORMATION: SSN: 208-24-1805 FILE NUMBER: 2102-01 59 DECEDENT NAME: GROUP EMILY J DATE OF PAYMENT: 04/15/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 16/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,900.00 TOTAL AMOUNT PAID: $2,900.00 REMARKS: RONALD A & RANDALL M GROUP C/O SHAUN E O'TOOLE, ESQUIRE SEAL CHECK# 1023 INITIALS: VZ RECEIVED BY' MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS Law Office of SHAUN E. O'TOOLE 2813 North Second Street Harrisburg, Pennsylvania 17110 (717) 213-6653 Fax (717) 213-0272 June 6, 2002 Cumberland County Register of Wills Cumberland County Courthouse Hanover & High Streets Carlisle, Pennsylvania 17103 Re: Estate of Emily J. Group 21-02-00159 Dear Sir/Madam: Enclosed are the following for the above-referenced estate: (A) Pa. Rev.-1500 Inheritance Tax Return (original and one); (B) Invemory; (c) Estate check (#1030) in the amount of $141.61, made payable to "Register of Wills, Agent," representing payment of the Inheritance Tax Liability; and (D) Estate check (#1031) in the amount of $25.00 to cover the filing fees of (A) and (B). Kindly time stamp the enclosed copies of (A) and (B) and return them to me in the enclosed envelope. Thank you for your assistance. Very truly yo~ Shaun E. O'Toole c ~L=v. mo ~x ir, m COMMOflREN.TH OF PENNSYLVANIA OEPA~ OF REVENUE DEPT. 280601 HARRISBURG. PA t7128.0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FtLE HUMBER 21_02 00159 I- :Z UJ W UJ Group, Emily J. 01/16/02 I 05/31/33 0F ;~"Pt.C~BU~ SURVlVIN~ ~ N~E ~J~ST, FIRST, ;~O UIDE~E IHrT~L) N/A 208 - 24 - 1805 REGISTER OF WILLS ~13. ~ R~Wm (cam M~pK, or m 12-13-82) r-'l 5. Federd Estate Tax Return Required r"~ 11. Elect~ to tax under Sec. 9113(A) {~a~ s~ o) ~ Shaun E. O'Toole FIRM NAME ~~213-6653 1. RealE~Jde(~chedu~eA) (1) $ 2. ~todm end Bond8 (6d,,edule B) (2) a. ~y~~, ~~p (3) 4. ~&~~(~o) (4) (~ ~ 8. ~ ~(~ (6) 7. ~-~T~&~~~ ~ , 8. T~b~~ 1-~ 9. F~~&~n~(~H) (9) $ ~o. ~M~~~&~(~q 0o) $ 11. T~~~O&10) 12. ~V~~8~ tl) COMPLETE mG N)ORESS 2813 North Second Street Harrisburg, Pennsylvania 17110 42~000.00 ~ 13. Chadlable and Govemmental Baquads/Sec 9113 Tm~ for which an decl~on Io tax has n(X beafl mlda (Schadde J) 14. Nat Valw Iklbj~t lo Tm((Line 12 rtiu. Line 13) -0- : -0- 40,579.19 -0- 9,920.80 1,675.23 (11) (12) 03) (14) $ 82,579.19 $ 11,596,03 $ 70,983.16 -0- $ 70,983.16 SEE I~ ON REVERSE SIDE FOR APPI.JCA~LE RATES 1.5. Amount ofUne 14 laxableathe qx~mltax $ 70,983.16 45 rm, or tmnde~ under Sec Off6 (8Xt.2) x .o (15) 16. Amounlc~Line 141axable atrmeal role x .0 06) 17. Amoum ofUne 14 tax4d~le at silY~ng rate x .12 (t7) 18. Amount of Une 14 tremble a~ cdlateral rote x .15 (18) 19. Tn Due (10) $ 3,194.24 $ 3,194.24 arno,, ~r~,~ 1851A Heishman Gardens em, Carlisle i S~TE PA I ~ 17013 Tax P~J~ents and Credits: 1. T~ Due (Page 1~ 1~ z ~ C. Dbco~ O) $ 3,194.24 2;900.00 : 152.63 Tolal Credils (^+ B + C) (2) 3,052.63 Told~(D+E} (3) If Une 2 b _gre~r__ Utm Une 1 + Line 3, enlerthe difknmce. 'INs b I~ OVERPAYMBIT. CI.~ I~ ~ I~ 1 Li~ 1~ I~..1~ a .~..d (4) ItLkte 1 + Une 3 is g.~lsr I~n Une 2, en~r I~ dlll~sn~ TNs is Ihe TAX DUF_ (5) ~. Enler the inlemet on ~e tax due. (~) 6. finer ~ ~4~1 of Lir~ $ * r~ This b 1he ~JtlCE OUE. (58) -0- $ 141.61 -0- $ 141.61 Make Check Payable to: REGISTER OF I~ILL$, AGENT . .. ,.~ . :, : , . PLEASE ANSWER THE FOLLOIMNG GUES1K)NS BY PLACNJG AN 'X" IN THE APPROPRIATE BLOCKS 1. 0id ~ make a tlmmkrand: Yea No b. rmi. ~ ~ ~ ~.,~o md u. ~ ~ m~med.ri~ ~ .......................... [] ~ F'fliE NIS&~ TO NIY OF THE ABOVE ~ IS YES, YOU IIUST ~ ~ 6 AND RLE iT AS PART OF THE RETUIlN. - ~'-~-~-:-:-~ 2813 Norih Second Street Harrisburg, PA 17110 F~ dm~ ddmh m or d~rJW 1, 2000: or e IIq~ ol'lhe ddld b m ['/2 p.8. ~lltflG~iXl j~ 'titular m~B ~ Off 1he fid value dlrimbr8 k) cr ~ he use d Ihe Gb~Ga~stmd i b 4~ ~ M ~ h 72 R& ~1~1~ ~ R~ ~11~aXl~ k~ t~O~kl~O/te' ~- - ' kllm~ b er kx' be use ' gte ~ aifo&'tgs is 121(, ['/2 P.S. ~6116(a)(t3~ A ~ ~ ~ ~ ~ 91=.. INHERITANCE TAX RET~ E~rATE OF ESTATE OF EMILY J. GROUP SCHEDULEA REAL ESTATE FILE NUMBER 21-2002-0159 AH read ~6~,~f oi~md amiely or as a tenant in common must be reporled at fair manet value. Fair mad~t value is defined as the price at which property would be exchanged between a wiling buyer and a wiling seler, neilher beln9 compeled to buy or sell, both having reasonable ~ of the ~ ~, Real propmly which is joinUy-owned with right of e dlldaeed m ~edule F. mldelmm I rrEM NUMBER Personal Residence 185 lA Heishman Gardens Carlisle, Pennsylvania 17013 TOTAL (Nso enter on line 1, Recapitulalion $ (If ~(.-e space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH $ 42,000.00 42,000.00 A. U.S. DEPARTMENT OF HOUSING and URBAN DEVELOPMENT SETTLEMENT STATEMENT Phone: SECURED LAND TRANSFERS, INC. 5006 East Trindle Road Suite 203 Mechanicsburg, PA 17055 (717) 591-8500 FAX: (717) 591-8506 OMB No. 2502-0265 TITLEPRO B. TYPE OF LOAN 1 I ~ FHA 2. [ J FMHA 3. ! J OONV. UNINS. 4~[ IVA 5.[ ]CONV. INS. S. FILE NUI~iF.R: I 7. LOAN NLII~BER; 503758 8. MORT INS. CASE NO... C. NOTE: This lorm is tumished to give you a statement ot actual settlemenl costs. Amounts paid to and by the settlement agenl are shown. Items marked D. NAME AND .aDDRESS OF BORROWER: '(p.o.c.)' were paid outside the closing; they are shown here for intormalionai purposes and are not included in the totals. Dianne E. Hayes G. PROPERTY LOCATION: 1815A Heishman Gardens D: N. Middleton TOWNSHIP CUMBERLAND County E. NAME AND ADDRESS OF SELLER: Estate of Emily J. Group K NAME AND ADDRESS OF LENDER: CASH H. SETTLEMENT AGENT: Secured Land Transfers, Inc. PLACE OF SETTLEMENT: 1068 Harrisburs.Pike' Carlisle, PA 17013 I. SETTLEMENT DATE: 06/06/02 J. SUMMARY OF BORROWER'S TRANSACTION: tee. GRO~',S AMOUNT DUE FROM BORROWER lol. Contract sales price lO2. Pers(mai property 10a. Settlement charges to borrower (line 1400) Adj,_,~tmenls for items paid by seller in advance sos. City/Town mx to 107. County tax 06/06/02~o 12/31/02i lO8. Assessments to ,~. Schoo~ 06/06/02~ 06/30/02i 110. Ill. 112. 12o. GROSS AMOUNT DUE FROM BORROWER ,200. AMOUNT8 PAID BY OR IN BEHALF OF BORROWER ~Ol. Deposit or earnest money 202. Principal amounl of new loan(s) 203. Existing Io~(s) tekan subject to 205. Adjustments for items unpaid by seller 210. City/Town tax 211. Counly tax ~12. Assessments 214, 215. 216. 217. 218. 42000.00 1054.50 220. TOTAL PAID BY/FOR BORROWER 81.65 30.85 43167.00 2000.00 K. SUMMARY OF SELLER'S TRANSACTION: 4ee. GROSS AMOUNT DUE TO SELLER 4ol.Conlract sales price 4o2. Parsonai proper~y 403. 404. 405. Adjustments for items p~d by seller in acivance 406. City/Town lax 10 i 407. Countytax 06/06/02~o 12/31/02 40~. Assessments to : 4ee. s~b<~ 06/06/02~306/30/02t 410. to 411. 412. 4~. GROSS AMOUNT DUE TO SELLER see. REDUCTIONS IN AMOUNT DUE TO ss::t ~ FR .Excess deposit (see instmclions) 81.65 30.85 42112.50 ~o2.S,,!!_..,~-,e~t charges to eerier(line 1400) 4009.76 [ ~e'~.Exis~ing k)an(e) taken subject to so4.Payoff ot First Mortgage Loan NONE ~05.Payoff of Second Mortgage Loan 507. 508. 509. Adjustments for items unpaid i- , seller 510. Clty/Town tax to 511.County tax lo 512. A ,,,e,_ !~eflls to 513. School 518. 519. 4009. 2000.00 $2o. TOTAL REDUCTION AMOUNT DUE SELLER COUUONWEN.TH OF PENNSYI.VANIA INHERITANCE TAX RETURN E,~'rA~ OF ESTATE OF EMILY J. GROUP SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY RLE NUMBER 21-2002-0159 NUMBER e DESCRIPTION M&T Bank -- Savings Account #623695 Statement attached M&T Bank -- Checking Account #15004200125638 Statement attached M&T Bank -- Certificate of Deposit #31003910617679 Statement attached M&T Bank -- Certificate of Deposit #31003910617702 Statement attached M&T Bank -- Certificate of Deposit #35004200217542 Statement attached M&T Bank -- Certificate of Deposit #31003910717560 Statement attached Automobile -- 1993 Ford Tempo Erie Insurance -- Refund of automobile insurance TOTAL (Also enter on line 5, (If more space is needed, ir, se6 addiiiunal sheets of the same size) VALUE AT DATE OF DEATH $ 7,583.44 5,093.48 5,163.26 5,675.16 9,245.77 5,250.08 2,500.00 68.00 $ 40,579.19 M kTBank March 26, 2002 Estate Search The Estate of: Date of Death (D.O.D.) To Whom It May Concern: EMILY J GROUP 1/16/2002 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. Type Balances (Includes Accr. Int.) CHK 623695 EMILY J GROUP 4335 $7583.44 $.00 OPENED 8/83 SAV 15004200125638 EMILY J GROUP 4335 $5089.86 $3.62 OPENED 12/83 CD 31003910617679 EMILY J GROUP 4335 $5081.63 $81.63 OPENED 1/00 CD 31003910617702 EMILY J GROUP 4335 $5661.83 $13.33 OPENED 1/00 CD 35004200217542 EMILY J GROUP 4335 $9233.74 $12.03 OPENED 3/99 CD 31003910717560 EMILY J GROUP 4335 $5125.04 $125.04 OPENED 3/00 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description Accrued Interest NO Safe Deposit Box rifled 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- 2440 outside of the Buffalo, NY calling area. Thank you. Sincerely, M&T BANK CORPORATION Authorize~dt'SCignature DATE: COMMONWF. A~TH OF PENN~I.VANIA INHI3RITANCE TAX RETU~I ~-~ATE OF ESTATE OF EMILY J. GROUP SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Deb~ of _~__d~bnt mum be re~xted on $=hedule I. I FILE NUMBER ITEM NUMBER Ao e FUNERAL EXPENSES: Rice Memorials -- Headstone engraving DESCRIPTION ADMINISTRATIVE COSTS: Persmal RelXeSmta~ s Commissions Name of Pemmml Represental~ve (s) Social Secu~ Numbers) / EIN Number of Pemmal Represmtalive(s) Zip sta~ Year(s) Commission Paid: Attorney Fees Family F.~emplion: (If dec~dmt s a~&-ess is no~ ihe same as daknant s, al~Yn expbnalJon) Claknanl TOTAL (Nso enter on line 9, Re~__.pitulalion) $ Rebbx~ship of Clalrr~t to Decedent Probate Fees Accountant s Fees Tax Return Preparer s Fees The Sentinel -- Advertisement, sale of house The Sentinel -- Advertisement of grant of letters Cumberland County Legal Journal -- Advertisement of grant of letters (If,~(~-e space is nec-.G~l, insat additional sheets of lhe same size) 90.00 4,850.00 240.00 86.50 93.83 75.00 10. 11. 12. 13. 14. 15. PPL -- Electric for residence Robin K. Sollenberger -- Real property taxes Carlisle Suburban Authority -- Water & sewer Erie Insurance Group -- Homeowners Policy Jack Gaughn -- Realty Commission Real estate closing costs TOTAL 194.44 140.42 140.85 43.00 3,000.00 1,009.76 $ 9,920.80 i~'Y-1512 EX * (1-97) (I) ~ INHIg~E TAX ~ ~A~ ~ ESTA~ OF E~LY J. GRO~ SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILENUIABER if EM NUMBER DESCRIPTION AMOUNT 1. $ 82.17 e e e Sprint -- Final telephone bill Yellow Breaches EMS, Inc. -- Ambulance Service Nursefinder -- Nursing care PPL -- Electric Carlisle Region Medical Center -- Uninsured medical expenses MBNA America -- Credit card 114.09 845.16 101.01 46.85 485.95 TOTAL (Also enter on line 10, RecapitulaUo~) $ 1,675.23 (if mom space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT E~¥ATE OF ESTATE OF EMILY J. GROUP BENEFICIARIES r FILE NUMBER 21-2002-0159 RELATIONSHIP TO DECEDENT AM(XJNT OR SHARE NUMBER NAME AND ADORESS OF PERSON(S) RECENING PROPERTY Do Not List Tr,__,s',_~_(s) OF ESTATE i 1. 25 5 5 TAXABLE DISTRIBUTIONS [include ouirlgi~ spousal dis~butlons, and transfers under Sec. 9116 (a) (1.2)] Ronald A. Group RR1, Box 117-2 Loysville, Pennsylvania 17047 Gerald M. Group RR1, Box 70 Elliottsburg, Pennsylvania 17024 Raadall A. Group RR2, Box 15A Green Park, Pennsylvania 17024 Yvonne D. Kuhn RD 1, Box 1014 Landisburg, Pennsylvania 17040. Son Son Son Daughter 1/4 1/4 1/4 1/4 ENTER DOU.AR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON UNES 15 THROUGH 18, AS AF~oROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTFeBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS (If ;7.~-e space is needed, insert additional sheets of the same size) TOTAL OF PART !1 - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET EMILY J. GROUP I, EMILY J. GROUP, of North Middleton Township, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any will previously made by me. ITEM i: i direct that my funeral expenses, grove marker and the costs of the administration of my estate be paid out of the residue of my estate as soon as may be convenient after my death. ITEM I1: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from the residue of my estate as a part of the administration thereof, to the end that no beneficiary hereunder, or any other person, shall be charged with or required to pay any part of such taxes. ITEM II1: I direct that my hereinafter named co-executors convert any property that I may own at my death, whether real, personal or mixed, at either private or public sale, whichever in their opinion is deemed best, hereby vesting in said co-executors full power and authority to make, execute, acknowledge and deliver good and sufficient deeds or assurances of title therefor, and the fund thus c,"eated, I bequeath to my children; RonaJd A. Group, Gerald. M. GrOup, Randall M. Group and Yvonne D. Kuhn, in equal shares, per stirpes. ITEM IV: I appoint my children, Ronald A. Group, Gerald M. Group, Randall M. Group and Yvonne D. Kuhn, or the survivors thereof, co-executors of this my Last Will. ITEM V: i direct that my co-executors shall not be required to give bond for the faithful performance of their duties in this or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this 25th day of January, 1995. The preceding instrument, consisting of this and one other typewriffen page, each identified by the signature of the testatrix, was on the day and date thereof signed, published and declared by EMILY J. GROUP, the testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto. Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of Emily J. Group also known as DeceasedSocial Security No. 208-24-1805 No. 00159 of 2002 Date of Death Januaw 16, 2002 Personal Representatfl/e(s) of the above Estate, deceased, vedfy that Ihs items appearing in Ihs following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that Ihs valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedenrs death, and that Decedent owned no real estate outside of the Comrtmm~ealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this Inventor, are tree and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 re~ating to unswom falsification to authorities. Name of ~ Personal Reoresentative: ^ttomev: Shaun E. Oq'oole .~,~,n ~.D. No.: 44797 Ronald A. Group & Randall M. Group ^~dr~: 2813 North Second Street Dated Tal,~=ne: (717) 213-6653 (1) Personal Residence 1851A Heishman Gardens Carlisle, Pennsylvania 17013 (2) Automobile -- 1993 Ford Tempo (3) Erie Insurance -- Refund of auto insurance M&T Bank Accounts (4) Savings Account #623695 (5) Checking Account #15004200125638 (6) Certificate of Deposit #31003910617679 (7) Certificate of Deposit #31003910617702 (8) Certificate of Deposit #35004200217542 (9) Certificate of Deposit #31003910717560 (Attach Additional Sheets if necessary) Value $ 42,000.00 2,500.00 68.00 7,583.44 5,093.48 5,163.26 5,675.16 9,245.77 5,250.08 Total: $ 82,579.19 NOTE: The ~ ofreal estate outside the ~th of Pennsyiva~ia may, at the electioo ofthe persooal representative, include fire value ofcach item, but such figures should not be ex'ten&~ into the to~ ofthe Inventory. Form RW-7 (Dauph~ County - Rev, 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 001276 O'TOOLE SHAUN E 218 PINE ST P O BOX 886 HARRISBURG, PA 17108 ........ fold ESTATE INFORMATION: SSN: 208-24-1805 FILE NUMBER: 2102-01 59 DECEDENT NAME: GROUP EMILY J DATE OF PAYMENT: 06/10/2002 POSTMARK DATE: 06/07/2002 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 16/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $141.61 TOTAL AMOUNT PAID: $141.61 REMARKS: C/O RANDALL A GROUP SEAL CHECK# 1030 INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS BUREAU OF ZNDZVZDUAL TAXES 'rNHERZTANCE TAX DZVTSTON DEPT. ?80601 HARRTSBURG, PA 17128-0601 COHNONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTZCE OF ZNHERZTANCE TAX APPRAZSEHENT, ALLO#ANCE OR DZSALLOHANCE OF DEDUCTZONS AND ASSESSHENT OF TAX REV-15¢i7 EX AFP SHAUN E OTOOLE 2815 N 2ND ST H~G ~' PA 17110 DATE 07-22-2002 ESTATE OF GROUP DATE OF DEATH 01-16-Z002 FZLE NUHBER 21 02-0159 COUNTY CUHBERLAND ACN 101 I Amoun~ Ram/**ad EHZLY J HAKE CHECK PAYABLE AND RENZT PAYHENT TO: REGZSTER OF WILLS CUMBERLAND CO COURT HOUSE CARLZSLE, PA 17015 CUT ALONG THZS LZNE ~-- RETAZN LOWER PORTZON FOR YOUR RECORDS -4 REV-1547 EX AFP (01-02) NOTZCE OF ZNHERZTANCE TAX APPRAZSENENT, ALLOWANCE OR DZSALLOWANCE OF DEDUCTZONS AND ASSESSHENT OF TAX ESTATE OF GROUP EHZLY J FZLE NO. 21 02-0159 ACN 101 DATE 07-22-2002 TAX RETURN NAS: (X) ACCEPTED AS FZLED ( ) CHANGED RESERVATZON CONCERNZNG FUTURE ZNTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORTGTNAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S~ocks and Bonds (Schedule $. Closely Held S~:ock/Par~narship Zn~eres~ (Schedule C) ($) ~. Not,gages/No,es Receivable (Schedule D) ((~) $. Cash/Bank DeposL~s/HLsc. Personal Proper~y (Schedule E) 6. Jo/n~:ly Owned Propar~y (Schedule F) (6] 7. Transfers (Schedule G) (7) 8. To~al Asse~s APPROVED DEDUCTXONS AND EXENPTXONS: 9. Funeral Expenses~Ada. Costs/Misc. Expanses (Schedule H) (9) 10. Deb~s/Mor~¢gage Liabil~:ies/Liens (Schedule Z) (10) 11. To*al Deduc*/ons 12. Ne'k Value of Tax Re'lcurn 42~000 40~579 .19 O0 00 NOTE: To insure proper O0 credi~ ~o your account, O0 submi~ ~he upper portion O0 of ~his form wi~h your ~ax payment. O0 (8) 9,920.80 15. 1~. NOTE: 82,579.19 RECE/PT NUMBER CD001070 CD001276 DZ$COUNT (+) ZNTEREST/PEN PAZD (-) 152.65 .00 TAX CREDXTS: PAYMENT DATE 04-15-2002 06-07-2002 AHOUNT PAZD 2,900.00 141.61 TOTAL TAX CREDZT BALANCE OF TAX DUE ZNTEREST AND PEN. TOTAL DUE Charitable/Governmental Bequests; Non-elected 911:5 Trusts (Schedule J) (15) Na~: Value of Es~:a~a Subject: ~:o Tax (lq) 70,985.16 Z~ an assessment was issued prevLously, lines 14, 15 and/or 16, 17, 18 and 19 will .00 .00 5,194.24 .00 .00 5,194.24 ZF PA/D AFTER DATE ZNDZCATED, SEE REVERSE FOR CALCULATZON OF ADD/TZONAL ZNTEREST. .00 .00 .00 ( XF TOTAL DUE XS LESS THAN $1, NO PAYMENT ZS RE~UZRED. IF TOTAL DUE XS REFLECTED AS A 'CREDIT' (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SXDE OF THIS FORM FOR INSTRUCTIONS.) reflect figures that lnclude the total of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amoun~ of Line lq a~ Spousal ra~e (15) .00 X O0 = 16. Amoun~ of Line 1~ ~axable a~ Lineal/Class A ra~e (16) 70,985.16 X 045 = 17. Amoun~ of Line 1~ a~ Sibling ra~e (17) .00 X ~2 = 18. Amoun~ of Line 1~ ~axable a~ Collateral/Class B ra~e (18) .00 X ~5 = 19. Principal Tax Due (19)= 1~675.25 (11) 11.596.0~ (~a) 70,985.16 RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND [CR): OBJECTIONS: ADNZN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 12, 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 lifo or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class 8 (coIIataral) rata on any such future interest. To ~ulfi11 the requirements of Saction ZI~O of the Inheritance and Estate Tax Act, Act 25 of 2000. (TI P.So Section 91~0). Detach tha top portion of this Notice and submit with your payment to the Register of Hills printed on tho reverse side. --Hake check or money order payable to: REGISTER OF NILES, AGENT A rafund of a tax credit, which was not requested on tho Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritanca and Estate Tax" [REV-1515). Applications era available at the Offica of the Register of Hills, any of the Z5 Revenue District Officas, or by calling tho special 2q-hour ansaaring service for forms ordaring: 1-800-56Z-ZO50~ services for taxpayers .ith specie1 hearing and / or speaking needs: 1-800-q~7-50ZO iTT only). Any party in interest not satisfied with the appraisement, allowanca, or disalloeance of deductions, or assessmant of tax (including discount or interest) as shown on this Notice must object within sixty [60) days of receipt of this Notice by: --erittan protest to the PA Dapart.ent of Revenue, Board of Appeals, Dept. Z810Z1, Harrisburg, PA 17128-lOZ1, OR --election to have tha .attar determined at audit af the accsunt of the personal raprasantativo, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Revise Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1SO1) for an explanation of administratively correctable errors. If any tax due is paid within three [5) calendar months after the dacedant's death, a five percent [JZ) discount of tho tax paid is allowed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interast assessed, and not paid before January 18, 1996, tho first day after tho end of the tax amnesty period. This non-participation penalty is appealable in fha same manner and in fha the same tiao period as you would appeal the tax and interest that has been assessed as indicatad on this notice. Interest is charged beginning with first day of delinquency, or nina (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 (SI) percent per annum calculated at a daily rate of .00016~. All taxes which became delinquent on and attar January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year eith that rate announced by tha PA Department of Revenue. The applicable interest rates for 198Z through ZOO2 are: Year Interest Rats Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 ZOZ . O005~8 1992 9Z . O00Zq7 1983 16Z . O00q38 1995-199q 77. . O0019Z 198~ IIZ .000301 1995-1998 9Z . OOOZ~7 1985 15Z .000356 1999 72 .00019Z 1986 107. . O0027~ ZOO0 8Z .000Z19 1987 97. .000Z¢7 2001 9Z .O00Zq7 1988-1991 llZ .OOO30l goo2 6Z .00016~ --Interest is calculated as folloes: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of tha assessment. If payment is sade after tha interest computation date shown on tha Notice, additional interest must be calculated. STATUS REPORT UNDER RULE 6.12 Name of Decedent:Emily J. Group Date of Death: January 16, 2002 Will No. 00159 of 2002 Admin. No. 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 is 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. 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 state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: ,6~lgnature / (MAH:rmf/AM3) Shaun E. O'Toole Name (Please type or print) 2813 North Second Street Harrisburg, PA 17110 Address (717) 213-6653 Tel. No. Capacity: X __Personal Representative __Counsel for personal representative