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02-0150
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 003935 DANIELS WILLIAM S 1 W HIGH STREET CARLISLE, PA 17013 fold ESTATE INFORMATION: SSN: 204-01-5614 FILE NUMBER: 2102-01 50 DECEDENT NAME: GRIFFIE WILLIAM G SR DATE OF PAYMENT: 05/13/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/29/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $1,608.23 TOTAL AMOUNT PAID: $1,608.23 REMARKS- SEAL CHECK# 1492 INITIALS: JA RECEIVED BY' GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS PETITION FOR PROBATE and GRANT OF LETTERS Estate of ~,* Y~,~'~ ~. ClOt/~-t'g.~=-/~. No. also known as To: · Deceased. Social Security No. '.~g:~ ~r_ Ut' -- ~ /4/ The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older a/~ the execut, o~¢' in the last wilt of the above decedent, dated and co.dicil(s) dated Register of Wills ~or the County of ~~'~'/~.__-z'__etS-~r~ ti:x; Commonwealth ~' ~ennsyh,at.~: i'Larne([ ~ ~ 9_.~'~_. (state relevant circumstances, e.g. renunciation, death of executor, Decendent was domiciled at death in ~;t,,,~,,/a~,/~-~' ~ County, Pjmns~ l~ania, with h ~$ last family o[ principal residence at ~ / ~~ .... ~.~~.~~ (list street, number and muncipality) Oecendent, t hen ~~[:Yf ~t~:'~g~ Z~*: Except as follows, decedent did not marry, was not divorced and did not haw~ a child bm'~ ~'>r adovte~l after execution of the will offered for probate; was not the victim of a killing anti was nevex adjudic~tted incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate' in Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters theron. request(s) the probate of th~:.: last will .7'~s' ,"~' -~ ~-',-,'~,q -r-~ ............................. (testamentary; administration c. :.~.; admit isl~ a[i.:m d.b.n.c .t.a ) Sworn to or affirmed and subscribed before me this 7th __ __ day of F_E_B_RUARY ~ MARY C LEWIS / -Registe~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~'~'/~'"~&=,'~--~,',/Of ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the forego:~tz~: [: true and correct t~ the beat of the knowledge and belief of petitioner(s) and t :~:~.t as p¢ ?,: ~ qz~]. re:In :::ser- tative(s) of the above decedent petitioner(s) will well and truly administer the estate a¢::c d~3:~g ~c. la,. No. ~.[- OZ"/rio Estate of ~--~/~/~/,~'y,~ ~' ~/~'~y~2/ '~...,.__, DECREE OF PROBATE AND GRANT OF put AND NOW FEBRUARY |1 2 0 0 2~IRx , in consicleration of th.~ ]::,e~il:mn on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated ~"F~, ! ~?--/ ~_?_~ 2>_'~__ ...................... described therein be admitted to probate and filed of record as the last will of ~'~', ?__/~e.__.¢~_~ ...... and Letters .~'-,,~-,3' ,~,~'J ~ ~',6",,~,,~,'&e7 are hereby granted to ~'/e','~,,-e_,z-~__~ ' C~. ~'."~ ~ ,~:t'=/~7--- ,~',n,' d' in FEES Probate, Letters, Etc .......... $ ' ] 8.0 0 Short Certificates(] ) .......... $ 2. ~ ~ xI~RvA~t~!x · ex~ra, pag.e sS 3. O 0 JCP $ 5.00 TOTAL__ $ 2q. O0 Filed . .F.E..B.R..U.A..R.Y...7. t..2. .0.9 .2 ........... aat~r, neys box a2-11-02 ATTORNEY (!;Itl). Ct. I.I) F E O NE ,? C,3 :,4, his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 7913984 No. Local Registrar a~-~--~-~(~ JAN B 1 2002 Date mos. Te3 ;e~. ~Ja? COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS ..? CERTIFICATE OF DEATH '~ ,. WILLIAM O. GRIFFIE. SR ~. · ; Cumberland Ilk ~CED~NT'$ USU/d. OCCu~ ,,,~ Le~bor~r Gardner,, PA 17324 2/28/1914 Adams Co. PA ' · '. ,~. wido~d ,,. 29. 2002 '"-~' PennsV~vemlet ~ ,,~.~.,,~.,,~. Sou(h Middteton ~IR4 P~o R~hnn~ gd_ ~d.o~x_ PA 17~94 2/I/2002 la~t. Tabor CemeterF l,,,.Gardners, PA 17324 I TIME OF INJURY 21-02-150 REGISTER OF WILLS OF ~'~ ~ff~,d COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that ~ ~..~,.~.r present and saw the testat ~,,'Z..~, sign the same and that .,(~"~,e. signed as a witness at the request of testatO,~-- in h/~' presence and (in the presence of each other)/(~e presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before ~'~~ me this ~B~.'- day of MARY C LEWIS Register (Name) (Address) R~GIS,.~ OF WILLS OF ~ 6~,-//~// COUNTY .o 0~TH OF NON-SUBSCRIBING WITNESS (each).a subscriber hereto, (each) being duly qualified according to law, depose(s) and~say(s) that_ f~/~ ~ familiar with the signature of ~/~//~ ~ ~- ~~(~ ~. codicil [h~ -- -: ....... : ......~) the ~ presented herewith and testatO~ of. (one of ~bsc ...... ~ that D~ believe the signature on thews in the handwriting of testat O~ believes the signature of the~presented herewith and that codicil · believes the signature on the will is in the handwriting of to the best of ~ ~ knowledge and belief. Sworn to or affirmed and subscribed before me this 7th __ day of FEBRUARY 2002 MARY C LEWIS Register I, WILLIAM G. GRIFFIE, SR.. of South Middleton Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. I. I devise and bequeath alt of my estate of every nature and wherever situate to my wife, VERA E. GRIFFIE, providing she shall survive me by thirty days. II. Should my wife, Vera E. Griffie, predecease me or die on or before the thirtieth day following my death, I devise and bequeath ail of my estate of every nature and wherever situate in equal shares to such of my children, MARIAN G. WIRE, CHARLES O. GRIFFIE, RONALD L. GRIFFIE, DONALD E. GRIFFIE and WILLIAM G. GRIFFIE, JR., as survive me by thirty days. III. Should any of my said adult children predecease me or die on or before the thirtieth day following my death, devise and bequeath the share of such child to his or her issue per stirpes living on the thirty-first day following my death; and should any of my children leave no such issue living on the thirty-first day following my death, i devise and bequeath the share of such child to my other children, share and share alike, or to their issue per stirpes living on the thirty-first day following my death. IV. I direct that ali taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expense of the administration of my estate. V. I appoint my wife, VERA E. GRIFFIE, executrix of this my last will. Should my wife, Vera E. Griffie, fail to qualify or cease to act as executrix, I appoint my sons, CHARLES O. GRIFFIE and WILLIAM G. GRIFFIE, JR., as alternate executors. VI. I direct that my executrix or her successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this WILLIAM G. GRIFFiE, SR. The preceding instrument, consisting of this and one other typewritten page identified by the signature of the testator, WILLIAM G. GRIFFIE, SR., was on the day and date thereof signed, published and declared by WILLIAM G. GRIFFIE, SR., the testator therein named, as and for his last will, in the presence of us, who, at his request~ in his presence, and in the presence of each other have subsc~b~d our names as witnesses hereto. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedem: Date of Death: Will No. William G. G-riffle, Sr. January 29, 2002 Adm. No. 21-02-0150 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 February 20, 2002. Name Address ,--, ,-". Charles O. Griffie 8 Joseph Dr. r~ ' Boiling Springs, PA 17007 184 Pine School Rd. Gardners, PA 17324 1000 Latimore Valley Rd. York Springs, PA 17372 William G. Griffie, Jr. Donald Griffie Ronald Eugene Griffie Marion L. Wire Notice has now been given to Date: February 20, 2001 17 Victory Church Rd. Gardners, PA 17324 7800 Osceola-Polk Line Rd. Lot 41 Davenport, FL 33896-5303 all persons entitled thereto under R/ute-~6(a) except: None William S. Daniels, Esquire One West High Street, Suite 205 Carlisle, PA 17013 717-243-3831 Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU QF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 001103 DANIELS WILLIAM S 1 W HIGH STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 204-01-5614 FILE NUMBER: 2102-01 50 DECEDENT NAME: GRIFFIE WILLIAM G SR DATE OF PAYMENT: 04/23/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUM BERLAN D DATE OF DEATH: 01/29/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $3,940.00 REMARKS: TOTAL AMOUNT PAID: WILLIAM DANIELS ESQUIRE $3,940.00 SEAL CHECK//1 2 INITIALS' AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS 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. CD REV-1162 EX(11-96) 003128 DANIELS WILLIAM S 1 W HIGH STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 204-01-5614 FILE NUMBER: 2102-01 50 DECEDENT NAME: GRIFFIE WILLIAM G SR DATE OF PAYMENT: 1 0/16/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/29/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $1,500.00 REMARKS: TOTAL AMOUNT PAID: WILLIAM S DANIELS ESQUIRE $1,500.00 SEAL CHECK# 1465 INITIALS: JA RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS STATUS REPORT UNDER RULE 6.12 Date of Death: /'"'-~ Will No.: Xdmin. 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 [--] No [~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ,/-/---- ~-- --z~Z/v 3. If the answer to No. 1 is Yes, state the following: 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: c. Did the personal representative state an account informally to the parties in interest? Yes [-'] No [~] Date: c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be fried with the Clerk of the. Orphans' Court and may be attached to this report. ~___ Signature Nalile Telephone No. Capacity: [] Personal Representative 'Counsel for personal representative COMMONWEALTH 'OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 - HARR_ISB_U.R~LPA JREV-1500 t INHERITANCE TAX RETURN F,,.E,u,,,B~-'~----- -- -' i.- RESIDENT DECEDENTco~,,~/-:~'2'"coot ~ ~,~/ "~ DECED~IT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MM-DD-YEAR) SOCIAL SECURITY NUMBER I,M h- Z UJ o ,,,, o 2. 3. 4. 5, Z O ~ TH,s Rm_,, MUST 8~.~ m ~UP~T; W~ ~ / / REGISTER OF WILLS APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER J~l. Odginal Return 4. Limited Estate C~6. Decedent Died Testate ['~ 2. Supplemental Return F-] 4a. Future Interest Compromise (d~m d~ ~m. 12.12-92) [---1 7. Decedent Maintained a Living Trust (~acfl cepy ~'Tr~t) "--]10. Spousal. Poverty Credit (eat, ~ ~ b~h~,~n 12-31-91 and 1-1.95) i'--] 3. Remainder Return (d~m o~ paler to ~2-~3-~ [~35. Federal Estate Tax Relum Required 8. Total Number of Safe Deposit ~xes [~]11. Election to tax under Sec. 9113(A) (.~am sm o) COMPLETE MAILING ADDRESS ':,'. ' ' FIRM N.AM.E 0f &o~cme) /,.~,< ,.~ TELEPHONE NUMBER Real Estate (Schedule A) ' : ' ' '" Stocks and Bonds (Schedule B) Closely Held Corporation, Partnership or Sole*Proprietorship .(1) (2) (--3) Mortgages & Notes Receivable (Schedule D) (4) Cash, Bank Deposits & Miscellaneous Personal Property (5) ' ". "tL~ ~'~, ~ (Schedule E) ........ JoinW Owned Property (Schedule F) (6) ~1 l~l~O0 ' 6. ~ Separate Billing Requested - 7. Inter-Vivos Transfers & Miscellaneous Non-Probata Property (7) ,~ ~.~! ~ ~ , /d (9) (Schedule G or L) Total Gross Assets (total Unes 1-7) Funeral Expenses & Administrative Costs (Schedule H) OFFICIAL, USE ONLY ~ 8. LIJ 9. 10. 11. 12. 13. ~4. Debts of Decedent, Mortgage Uabilities,-'& Uens (Schedule I). (10)' "*' ~ Total*DedUctions (total Un~ 9-& '~0)' Ne{ 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) (8) (11) (12) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 (15) 18. Amount of Line 14 taxable at lineal rate d~ ~ ,~j~¢~ ~', '~8 x.0 ~16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) Oecedent's Complete Address: Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Pdof Payments _"~ . C. Discd[Jnt w / InterestJPenalty if applicable D. Interest E. Penalty (1) Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E )(3) If Line 2 is greater than Line 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page I Line 20 to request a refund (4) 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 total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BI,OCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] .,[j~ : 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 cam? ........................................................ : ............. [] . [] 2. If death occurred at'mr December 12, ;1982, did decedent transfer property within one year of death . without receiving adequate consideration? ....... 3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? .............. [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary 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 penallJe~ of perjury, I dec~are Ihat I have examined lhie r~um, indndlr~ accempan~/tng schadute~ and statements, and to ~ hast of my kno~dedge and belief, it is tree, co~ect and complete. Dedaratioe of preparer other ~an ~ personal representative i$ based ~e all infomtstion of which pref~rer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR F'dI. ING~'TURN . ,*. ~ .. ~ ~" .~ ~,, DATE ADDRESS ..' · ~ ~ SI~E~, OF ~REP~ ~~ OTHER ~ ~AN REPRESENTATIVE ~/'~~~~ ~/, / ~ ~ ~TE / 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 J. anuary 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) (iQ]. The statute does not exemot 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 h' 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 RS. §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 RS. §9116(1.2) [72 RS. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedenrs siblings is 12% [72 FS. §9116(a)(1,3)]. A sibJing' is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption, 21-02-150 I, WILLI~ G. GRIFFIE, SR., of South'Middleton TownShip, Cumberland County, Pennsylvania, declare this to be my last will and revoke any wiI1 previously made by me. --I. .I de~se,an~:,.begueath all of my estate Of' every nature and wherever situate to my wife, VERA E. GRIFFIE, providing she shall survive me by thirty days. II. Should my wife, Vera E. Grif~ie, predecease me qr die on or before the thirtieth day ~ollowing my death, I devise and bequeath all of mY estate of every nature and~wherever situate in equal shares, to Such of my children, MARIAN G. WIRE, CHARLES O. GRIFFIE, RoNALD L. GRIFFIE, DONALD E. GRIFFIE and WILLIAM G. GRIFFIE, JR., as survige me by thirty days. III. Should any of my said adult children predecease me or die on or before the thirt.%~th 'day following my de~th~, I devise and bequeath'the s~are of such child to his or-her~'is~ue thirty-first day following my death, I devise and bequeath the share of such child to my other children, share and share alike, or to their issue per stirpes living on the. thirty~first'day following my death. IV. 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 my residuary estate as a Part of the expense of the administration of my estate. V. I .appoint my wife, VERA E. GRIFFIE, executrix of this my last will~ Should my wife, Vera E. Griffie, fail to qualify or cease to act as executrix, I appoint my sons, CHARLES O. GRIFFIE and WILLIAM G. GRIFFIE, JR., as alternate executors. VI. I direct that my executr'ix or her successors shall not be required to,. give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this · 1995. WILLIAM G. GRIFFIE, SR. The preceding., instrument, consisting of this and one other typewritten page identified by the signature of the testator, WILLIAM G. GRIFFIE, SR., was.oD the day and date thereof signed, published and declared b~ WILLIAM G. GRIFFIE, SR., the testator ~herein named, as and for his last will, in the presence of us, who, at his reques~ in his presence, and in the presence of each other have subsc~b~d our names as witnesses hereto. REV. 1.S02 EX+ (12.85) ~, ~-~ SCHEDULE A '¢O,~O.WE^LT. O,,ENNSYLV^.I^ REAL ESTATE I"HERIT^NCE TAX "ETURN RESIDENT DECEDENT (,ro~ jointly-owned with Right ~f Suwivo.hi. mu. be disclosed On Schedule F) ~ real estate ~houl~ be repoded ~ ~ir manet value which is defined as the price at which pmpe~ would be exchanged ~een a willing buyer and a willing seller, nei~er hlng com~ll~ to buy or sell, ~th having ma~nable knowledge of the migrant fads. ITEM NUMBER DESCRIPTION TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of same size.) VALUE AT DATE OF DEATH s M ~/~,mc~, c~ A. U.$. DEPARTMENT OF HOUSING a~d URBAN OEVELOPMENT SETTLEMENT STATEMENT cORNERSTONE LAND TRANSFER, INC. B. TYPE OF LOAN 4705 East ,Trindle Road ~. [ ] FHA 2. [ ] FMHA 3~ [ I CONV. UNINS. Mechanicsburg, PA 17050 4. ~ VA 5, [ ] CO~.'. ~. 6. FILE NUMBER: I ?' LOAN NUI~R: Phone: (717) 730-9664 Fax: (717) 730-9665 203'78~ 0001348].54 8. MORT, INS. C,a,,,SE NO.: C. NOTE: This form is furnished to give you a statement ot actual settlement costs. Amounts paid to and by the '$ettlemanl agent are shown. Items marked '(p.o.c.)' were paid oul$ide the closing; they ar(, shown here, for informational purposes and are not inc!ud_ad in the D. NAME .AND ADORESS OF BORROWER: E. NAME AND ADORE,~ OF SELLER: ' F. NAME AND ADORE,SS OF LENDER: Carl E. Smith William Griffie, Jr. & National City Mortgage Co Carolyn L. Smith Charles O. Griffie.., . . EXECUTORS OF THE WILLIAM G. GRIFFIn., SR. ESTATE G. PROPEHIY LOCATION; H. $ETI'LEMENT AGENT: I. SE'T-rLEMENT DATE: Gardners 591 Oxford Road Cornerstone Land Transfer, Inc. 07/i2/02 South Middleton TOWNSHIP m~c~o~s~r~NT: Cumberland County Humer & Daniels 1 W. High St., Carlisle J. ~UMMARY OF BORROWER'S TRANSACTION: K. ~J _u¥_~y OF ~J~l ~ ~1~ TRAH~'~__~_ ON: t~o. GRO~ AMOUNT DUE FROM BORROWER 4OO. GROB~ AMOUNT DUE TO tol. Contract sales price 110000.00 4ol.Contract salel prtc$ 110000.00 Io2. Pe~,,.d-,al property 40zPersonaJ property .. ~03. Settlement char(:jes to borrower (line 1400) 6 6 ~ ~ , ~) 3 403. ~04. 404. 105. 40~. Adiustmenls for items paid by seller in advance Adjustments for it'ems paid b~, setl&r in advance ..... 1M. Clt~/'rown tax ' ' · 4o~.CRy/'rown ~ax tO ,o7. coun%, mx 07/12/02,12/31/02 95.03 "o7.co~n5' ~ 07/12/02~0 12/31/02 95.03 ,o~. sc~oo~ 07/12/02,06/30/03 931.15 ~. ,__~o__,~ 07/12/02,06/30/03 931.15 HO. to 410. to ,20. OROSSAMOUNTDUEFRoueoRROWER · 117695.41 420. GROS~AMOUNTDUEl'O~t.L~R - 111026.18 20o. AMOUNT8 PAID BY OR IN BEHALF OF BORROWER SO0. REDUCTIONS iN _a_Um_ L _ ..~1. DUE TO tort ~ ~q , . 20~, Deposit or earnest money 5 0 0 0.0 0 sot. Exces; depolit Ilee inltmctlonl) 202. Principal amount of new Ioan(s1 1 1 2 2 0 0.0 0 sozSettlemant chargel to Itllar (line 14001 * 2 4 3 8.54 203. Existin~l loan(s) taken subject to sos. Existing loan{I} taken subject to *.-'- z ......... 204. 6o4.P&yo~, of Flrlt Mortgage Loan : .... Lender Disc P~ Credi~ 1% 1122.00 20s. so6. Payoff of Second Mortgage Loan .,. Adiustments for items unpaid b7 seller Adlustmant$ for items unpaid b), sailm' ' 210. Ci~//Town tax to 610. CIt~/'[own tax to 220. TOTALPAIDBWFORBORROWE~ · 118322 . 00 S20'TOTALREDUC11ONAMOUNTOUE~m [~q 2438.54 300 CASH AT ~:~ ILEMENT FROM OR TO BORROWER S4X),CASH AT SE'I'rL_=MENT TO OR FROM ~ ~ 3o~ Gross anlount due from borrower (line 120~ 117695.41 Sol.Gross amount due to Sailer (line 420) 111026.18 302 Less amount paid by/for borrower (line 2201 1 1 8 3 2 2.0 0 aozLe$1 reduction amount due seller (line 520} 2 4 3 8.5 4 3o3. C.~H ([_ ] FI~OM)~,F ~z,I[ ]3[p)e(/y, ~ROWER 626.59 6o3.CASH ([ '~'TO) ([ ]FROM)SELLER 108587 . 64 HUI~. 1 Rev. U S [DEPARTMENT OF HOUStNG AND URBAN DEVELOPMENT OMB No 2502-0265 SETTLEMENT STATEMENT Page 2 L SETTLEMENT CHARGES 2 0 3 7 8 700 TOTAL SALE~/BROKER'$ COMMISSION ba~ed on price $ 110000.00 Division of Commission (line 700) as follows: Total: $0.00 701 $ lo 702 $ to 703. Commission paid at Settlement 704 800 ITEMS PAYABLE IN CONNECTION WITH LOAN 801 Loan Oric~ination Fee 1. 0 00 % 802. Loan Discount % National City MortMaqe C¢ 803. Appraisal Fee to 8o4 Credit Report ~o 805. Lenders Inspection Fee National City MorCqaMe Cc CBC Credit Services 806. MorK, la~e Insurance Application Fee to 807 Assumption Fee 808 Fld Crt 800 Overniqht National City MortMaMe Co National City Mortgage Co 81o Tax Serv National City Mortgage Co 811Underwriti National City Mortqage Co 900 ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 1122.00! 350.00i 16.ool 17.00 15.00 77.00 150.00 9Ol Interesttrom 07/12/02 to07/31/02 O$ 902 Mort~a~le Insurance Premium for mo. to 903. Hazard Insurance Premium for lyrs. to $240 POC 9o4 VAFF ),rs. to National 9o5 Doc Rev National City Mortqaqe Co City Mortgage Co 430.40 2200.00 150.00 ICX~ RESERVES DEPO~'rED WITH LENDER FOR I00~ Hazardlnsurance 2 mD. OS 20.00 /mo. 40.0( ~lnsurance mo. O S /mo. ~n tax mo. 0 $ /mo. ~ 6 mD. OS 16.81 /mo. 100.86 ~oo5. Assessments mo. O $ /mo. ,0o6. Schoot Tax 2 mo. OS 80.23 /mo. 160.46 ,007 mo. O $ /mo. ~ mo. OS /mo. -67.24 100. TITLE CHARGE~' tol. Settlement or closin~l fee to lO2. Abstract or title search to lO3. Title examinalion to lo4. Title insurance binder Io 105. Document preparation lo6. Notan/fees Io 107 Attorney's fees to Humer & Daniels (inciudes above items No.:) 1101 1103 108. Title insurance to Cornerstone Land Transfe3 (incJudes above items No.:) 1102 1104 100 300 8.1 435.50 Io9. Lender's coverage S 112L200 t 110. Owner's cove~e S llOLO00 ,,11. CSL Fidelity National Title 1112. 1113 1200. GOVERNMENT RECORDING AND TRANSFER CHARGF.~ ~2ol Recordin~lfees: Deeds --28.50 Mort~la~leS 62 . 50 Misc.$ 12o2. Cit¥/countlttaa/st~nps: Deeds 1100, 1203. State tax/stamps: Deeds 1100.00Mort~lm;e S 35.00 1205. 91.00 1100.00 1100.00 1300. ADDITIONAL SETTLEMENT CHARGES ~30~. Survey to ;302. Pest Inspection lo Enviro-Tech $47.70 POC-S 303. Septic Pecks $175.00 POC-S 304 Tax Cert Judy Campbell %305. 02 Sch Tax Judy Campbell 1400 TOTAL SETTLEMENT CHARGES (enter on lines 103 and 502. Sec~Jonl J and K) 3.00 943.54 6669.23 2438.54 HUD CF-riTIFICATION OF BUYENS AND ~.LLERS I have carelully reviewed [he HUD- 1 SeHlemenl Stale~nenl aD~d ID [he best of my know~dge and belief, it il a ~'ue and acc,..,~lte liatement o1 all recetpIs and disbu;sements mad .... y ...... I by me in this [ransac[Ion. I fu~/~erlce~'llly/tha; I have received a copy of the HUD-1 SeitJemerlt Stat .... t. .., ..... .. s~.,~ ~ ~,.. ~.,,~ '//1 ,:/ -.--.-: .. Co~*rH OF I~qI~k~'LVANIA INHERffANC~ TAX RETURN RESIDENT DEDEDENT SCHEDULE E j CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY , Include the proceeds of I~igatton and the date b~e proceeds were received by the estate. AU property jointly.<mmed ~ the right of suwtvomhip must be disclosed on Schedule F. NUMBER DESCRIPTION TOTAL (Also e~t~ on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 15- ESTATE OF ~ REY-I,S09 EX+ ('3*86) CC~MON~.ALTH OF PENNSYLVANIA INHERrrANcE TAX RETURN RESIOENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE ~F Joint tenant(s): FILE NUMBER NAME ADDRESS RELATIONSHIP TO DECEDENT Jointly-owned property: LETTER ,ITEM DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBEII JOINT MADE DESCRIPTION OF PROPERTY TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST TOTAL (A~,o enter on line 6, Recapitulation). $__ ~/ ~ w ~ (If more space is needed insert additional sheets of same size) I~l~l-AT--Warrant~ Deed, ~ F~rm. Act oe 190e---Ar~n~ed for Photo-Recon:lin~ 0! our Lord one thousand ,bne aund~e~ eighty (1980) . BETF,'F~EN WILLIAM ~. GRIFFIE, SR., and VERA E. GRIFFIE, his wife; and ' CHARLES O. GRIFFIE, all of R. D. 2, Gardners, Cumberland County, Pennsylvania, hereinafter called and WILLIAM G. GRIFFIE, SR., and VERA E. GRIFFIE, his wife; and CHARLES O. GRIFFIE, all of R. D. 2, Gardners, Cumberland County, Pennsylvania, hereinafter called WITNESSETH, tha~ ia consideration o/ One and 00/100 ($1.00) - Doll~s, m h~nd ;n~Z, the receipt whereof,i~ ~e~ ac~l~ged, the s~ ~ntors ~ h~e~ a~ c~v~ to tk~ sa~ g~ntee a their heirs and assigns as. hereinafter designated: ALL that certain lot of land situate in Latimore Township, Adams County, Pennsylvania, being more particularly described as Lot No. 1072-A on a Plan of Lots of Lake Meade Subdivision, duly entered and appearing of record in the Office of the Recorder of Deeds of Adams County in Miscellaneous Deed Book 1, Page 21, and subject to' all legal highways, easements, rights-of-way and restrictions of record. BEING the same property which was conveyed to William G. ·Griffie, Sr., and Vera E. Griffie, his wife; and Charles O. Griffie, by Lake Meade, Inc., by deed dated July 17, 1968, and recorded in the Office aforesaid in Deed Book Vol. 292, Page 1055. IT IS TH~ intention of this deed to vest an undivided one-half interest in William G. Griffie, Sr., and Vera E. Griffie, his wife, as tenants-by the entireties; and an undivided one-half interest in Charles O. Griffie; said undivided one-half interests to be held respectively as joint tenants with the right of survivorship and not as tenants in common. AND eke sa/d grantor s horeby covenant a~d a~rse that they ~nt specially ~ho pro~er~y ~srsb~ conve~ed~ IN WITNESS WHEREOF, said ~ke day 'a~ut year first above w~'itten. ~e kersunto set their ~s and eea~ ........... William G. Griffie, Sr. ~ "~e~'"'~'~'"~'i'~'[/'""~ ..................... i .......... ~ -Charles O. ~rif~ Stats of PENNSYLVANIA Cou~y gl CUMBERLAND 88. On tk~s, the tho undersigned o~ce?', personally appeared William G. Griffie, Sr., and Vera E. Griffie, his wife; and Charles O. Griffie, single man, known to me (or so. tisfactorily p~oven) to be the person s whose name s are subs~ribe, d ~o~tke u~itkin i~strument, and acknowledged that they exe~ute~ same/or the purposes ~k~rein contained. - IN' WITNESS WHEREOF, I hereunto set my hand and ol~cial real.. __ JANICE E. H'ERTZLER, NOTARY PUBLIC .................................. : ................ ~i;'/'~";'f'-6'.~'~'~;: ........ Cumberland County Carlisle, PA My Commission Expires January 27, 1983 I do hereby certify that the precise residence and complete poet .o~ce address of the within named grantees /z R. D. 2, Gardners, PA. 17324. ~,~floO~, ~uly I~ ~ ~o. - ................... ................ ......-.....~... 4~.~ for ............. ~ ........ [..~..f.~.~ .......... COMMONWF. ALTH OF PENNSYLVANIA INHERITANCE TAX RETUEN RESIOENT DECEDENT E~E o~ ~/c. , r~m ~ / ~,2/,'~.'~ SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER 5. 6. 7. //, /3, DESCRIPTION FUNERAL EXPENSES: ADMINISTRATIVE COSTS: Personal Representa~e's Commissions Name of Personal Repmsanta~e (s) Social Secud~ Nu_mbe~(s) / EIN Numl;~er of Personal Re. presentative(s) Year(s) Commission Paid: Family Exemption: (If decedent's address is not l~e same as claimant's, attach explanalJon) Claimant Street Address City State ~. Zip Relationship of Claimant to oecedent Accountant's Fees Tax Return Prepamr's Fees TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) 'AMOUNT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or Type FILE NUMBER / ITEM NUMBER DESCRIPTION AMOUNT TOTAL (Also enter on llne 10, Recapitulation) (If mom space is needed, insert additional sheets of same size) U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SE]-rLEMENT STATEMENT L. SETTLEMENT CHARGES 2 0 3 7 8 | 700 TOTAL SALE~/I~ROKER°S COMMImON ba~ed on pries $ 1 1 0 0 0 0 . 0 0 Division of Commission (line 700) as fotlows: Tot al: ._._.__.~. 0 0 701 $ ID 702 $ to 703 Commission paid at Seltlement PAiD FROM BORROWER'S FUND8 AT OMB No. 2502-0265 Page 2 PAID FROM SEt, LER°$ FUNDS AT 704 800 ITF-MS PAYARLE IN CONNECTION WITH LOAN 801 Loan Origination Fee 802. Loan Discount 803. Apprai,ai Fee to National City Mort.qaqe Cd 350. 804 Credit Report ID ' CBC Credit Services ] 16.00 805 Lenders Inspection Fee t 806. Mortc, lac~e Insurance Applicalion Fee to ! 807 Assumption Fee ' I ~8 Fld Crt National City Mortqa.qe C~ 17.00 sog Overniqht National City Mort.qaqe Cd ; 15.00 810 Tax Serv National City Mort.c{aqe cC~ i 77.00 81, Underwriti National City Mort.qaqe i 150.00 900 ITF. M~ REQUIRED BY LENDER TO BE PAID IN ADVANCE 90~ ,nterestfrom 07/12/02 to07/31/02 eS /de}, I 430.401 903 Hazard nsurence Premium for 1 ~o~. VAFF yrs. to National City Mort.qaqe 2200.00 ~o5 Doc Rev National City Mort.qaqe 150.00 I000. RESERVES DEPOm¥~,, WITH LENOER FOR 1001. Hazardlnsurance 2 mo.O$ 20.00 /mo. 40.00 ~lnsurance mo. 0 S /mo. ' ~n tax mo. 0 $ /mo. ~ 6 mD. OS 16.81 /mo. 100.86 tO05. Assessments mo. 0 $ /mo. ~0o~.School Tax 2 mo. OS 80.23 /mo. '=' 160.~ I007 mo. O $ /mo. ~ mo. OS /mo. -67.24 100. TITLE OHARGE9 lOl, Settlement or closin~l fee lo 102. Abstract or title sea~ch to 1103 Title examination to 1104. Title insurance binder to 1105. Document preparation to 1106. Notary feee to ~sfees to Humer & Daniels (incJudeseboveitemsNo.:) 1101 1103 11o8. Title Insurance ID Cornerstone Land Transfer (includee above items No.:) 1102 1104 100 300 8.1 ~tog. Lender's coverages 1 12,200 I1 lo. Owner's c~ 110,000 11. CSL 435.50 638.25 Fidelity National Title 12. 13. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGE8 i201. Recordint~fees: DeedS --28.50 Mort~le~le$ 62 .50 Misc.$ 202. City/countTtaxJetamps: Deeds 1100.00Morlgage$ 203. State tax/stamps: Deeds 1100.00Mort~la~le $ 1100. 1100.00 204. 1300. ADDITIONAL ~1:: I 1LEMENT CHARGES 1301 Survey [o I 1302. Pesl Inspection to Enviro-Tech $47.70 POC-S i , 1303 Septic Pecks $175.00 POC-S t~4 Tax Cert Judy Campbell 13o5. 02 Sch Tax Judy Campbell 943.54 j 1400 TOTAL SETTLEMENT CHARGES (enter on lines 103 and 502. Seclion, J and K) HUD CERTIFICATION OF BUYERS AND Ul I ER$ I have cat elully reviewed the HUD. I SeItlemenl '~Iale~nent ~ to the bell o1 my knowledge and belle,. It Il · ~ue and accu~mti i[alamanl of all receipti and disbursement, mad .... y ...... t by me in [his, ...... Lion. I fu~lf~ericerUly/thal, h .... eceived, copy of the HUD-1 SetU.m.nt Sla[em.nt. - ¥ 'V - '-' ' . ..... ,~..,..s~..,~. -~'..-' ~ ,..~.,~,,.,.,. --//, - - y- ... /'// ....... F.~TATE OF SCHEDULE G INTER-VIVO~ TRANSFERS & MISC. NON-PROB~.'rE PROPER'I~ T~ ~dule mu~ be comp~t~d and fl~ed ~f ~te ~er t~ ~my of que~n~ 1 ~hrough 4 on b~e rever=e ~1® d ~ REVo1500 COVER ~HEET I~ y~. DESCRIPTIOFJ OF PROPERTY % OF ITEM ,,~_, _-~_~v~ ~u~.~m~.~,~m.~mmm, mr~,ce~m~ o,~ ~. nwm~t DATE OF DEATH D~CO~ EXCLUSION TAY~AB~ VALUE NyM~R VALUE OF ASGET IFITERE6T ~'-'~" "} (If mo~e space Is needed, inse~ additional sheets o1' the same size) COMMONWEALTH O~ P~NNSYLVANIA INN~,ITA/~ TAX I~TU~N SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER ITEM AMOUNT OR NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP .SHARE OF ESTATE ~,. Taxable Bequests: 3. ,z_~...,.~l,,Z ~-~,.~,,,,,~ C~.,,~-P~'. ~o.,d )/"S~ ITEM AMOUNT OR NUMBER NAME AND ADDRESS OF BENEFICIARY SHARE 'OF ESTATE B. Charitable and Governmental Bequests:. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S (If more space is needed, insert additional sheets of same size) BUREAU OF ZNDZVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. ZB0601 HARRISBURG, PA 17128-0601 W S DANIELS ESQ HUHEN R DANIELS I W HIGH ST STE 205 CARLISLE COHNONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHER/TANCE TAX APPRAISEMENT, ALLO#ANCE OR DISALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-],6mI7 EX &FP PA 117013 DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN 07-05-2004 GRIFFIE 01-29-2002 Z1 02-0150 CUHBERLAND 101 Amoun~ Reei~sd WILLIAM G HAKE CHECK PAYADLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~m~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF GRIFFIE NILLIAH GFZLE NO. 21 02-0150 ACN 101 DATE 07-05-2004 TAX RETURN gAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S/(ocks and Bonds (Schedule B) (2) $. Closely Held Stock/Partnership Interest (Schedule C) 4. Hor~gages/No~es Receivable (Schedule D) 5. Cash/Bank Deposi4:s/Hisc. Personal Propar~y (Schedule E) ($) 6. Jointly Owned Proper~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Asse~s APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expenses/Ads. Cos~cs/Nisc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabiliti.s/Lians (Schedule I) (10) 11. Total Deductions 12. Ns'l: Value of Tax Re~urn 110~000.0O .00 .00 .00 17~768.80 6~000.00 37~505.10 (s) 25,129.99 5,785.45 (11} (12) 15. 14. NOTE Char/~able/Govsrneen~al Bequests; Non-elected 9115 Trusts (Schedule J) (1:5) Ne~ Value of Es~ai:e Subjec~ ~o Tax (14) If an assessment was issued previously, lines 14, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. DISCOUNT (+) INTEREST/PEN PAID (-) NOTE: To insure proper crsdi~ ~o your account, submi~ ~he upper portion of ~his form wi~h your ~ax payment. 171,271.90 ASSESSMENT OF TAX: 1S. Aeoun~ of Line 14 a~ Spousal ra~ 16. Aeoun~ of Line 14 ~exable a~ Lineal/Class A ra~e 17. Aeoun~ of Line 14 a~ Sibling ra~s 18. Amoun~ of Line 14 ~axablo e~ Collateral/Class B ra~e 19. Principal Tax Due TAX CREDITS: PAYMENT RECE/PT DATE NUHBER 04-23-2002 CD001103 10-16-2003 CD003128 05-13-200~ CD0039~5 207.37 .00 125.09- ~0.q15.62 140,356.48 .oo 14o,356.48 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL /NTEREST. 18 and 19 w111 (is) .00 x O0 = .00 (161 140,356.48 x 045= 6,316.04 (17) .00 x 12 = .00 (~8) .00 x 15 = .00 (19)= 6,316.04 AHOUNT PAID 3,940.00 1,500.00 1,608.23 TOTAL TAX CREDITI BALANCE OF TAX =uiI INTEREST AND PEN.:I TOTAL DUE 7,130.51 811.47CR .00 814.47CR ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU NAY BE DUE~ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR /NSTRUCTIONS.)~ RESERVATION: PURPOSE OF NOT[CE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December IZ, 1981 -- 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 Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the laaful Class D (collateral) rate an any such future interest. To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (72 P.S. Section 91qO). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Make check or money order payable to: REGISTER OF HILLS, AGENT A refund of a tax credit, which Has not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Lnheritance and Estate Tax" (REV-1313). Applications ara available at the Office of the Register of Hills, any of the Z3 Revenue District Offices, or by calling the special gq-hour ansHering service far forms ordering: 1-800-36Z-Z050; services for taxpayers Hith special hearing and / or speaking needs: L-80O-4q7-3010 (TT only). Any party in interest not satisfied Hith the appraisement, alLoaanca, or disalLoHanca of deductions, or assessment of tax (including discount or interest) as shoHn on this Hotica must object Hithin sixty (60) days of receipt of this Notice by: --mritten protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17118-1011, OR --election to have the matter determined at audit of the account of the personal representative, OR --appea! to the Orphans' Court. Factual errors discovered on this assessment should be addressed in ariting to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Revise Unit, Dept. 180601, Harrisburg, PA 17118-0601 Phone (717) 787-6S05. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three (5) calendar months after the dacadant's death, a five percent (51) discount of the tax paid is alloaed. 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 time 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 data of death, to the date of payment. Taxes Hhich became delinquent before January 1, 1981 bear interest at the rate of six (6X) percent per annum caIculatad at a daily rate of .000164. All taxes ahich became delinquent on and after January 1, 1981 will bear interest at a rate Hhich Hill vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 19az through Z004 are: Interest Daily Interest Daily Year Rate Factor Year Rate Factor 1981 ZOZ .00054B ~'~- 1991 111 .000301 1965 161 .000438 1991 91 .000247 1964 111 .000301 1995-1994 71 .000192 1985 131 .000356 1995-1998 9Z .000147 1986 101 .000274 1999 77. .000192 1987 107. .0002?4 ZOOO 7Z .000192 --Interest is calculated as folXows: INTEREST = BALANCE OF TAX UNPAID Interest Daily Year Rate Factor LrtrG'T 9x .oooz~7 ZOO2 6Z .000164 Z003 5Z .000157 2004 42 .go0110 X NUNBER OF DAYS DELINQUENT X DAZLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent Hill reflect an interest calculation to fifteen (1S) days beyond the date of the assessment. If payment is sade after tho interest computation date shown on the Notice, additional interest must be calculated. ~EV-1470 EX (6-88) INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 FILE NUMBER DECEDENT'S NAME WILLIAM G. GRIFFIE, SR. 2102-0150 ACN REVIEWED BY CHARLES WRIGHT 101 ITEM EXPLANATION OF CHANGES SCHEDULE NO. Annuities are fully taxable with no exclusion. The value of the estate has been adjusted as the result of the correction of an error in arithmetic. ROW Page 1 . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name ofDecedent: a ~ / /"//'6-; w!!l G" \'~ Date of Death: Estate No.: ...2/ CJ A -0/.<;-0 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 acIr:!!Pistration of the estate is complete: . Yes 0 Noill 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: '2 - ~r -0' ~ 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 0 No 0 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 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the hans' Court and may be attached to this report. Date:;2-5-0> ~. ~ Signature k .J~ J}~ /c-./-f~ Na~ ./. ...../<:;i g~ "'16 ~ , .:.L v<./, /,/7, (.... Y d> y~ ~ . ~.L/ >"~.1 ~-fL /?e'/ '3 / Address 9'/7 ~ 2-<t 3~ 39-:3/ Telephone No. C'r, "u t:apacity: o Personal Representative l5a Counsel for personal representative cJl< Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/01/2005 DANIELS WILLIAM S 1 W HIGH STREET CARLISLE, PA 17013 RE: Estate of GRIFFIE WILLIAM G SR File Number: 2002-00150 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 1/29/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~A~~L REGISTER OF WILLS cc: File Personal Representative(s) Judge ~ Cumberland County - Register Of Wills One Courthouse pquare Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/16/2005 DANIELS WILLIAM S ONE W HIGH STREET STE 205 CARLISLE, PA 17013 RE: Estate of GRIFFIE WILLIAM G SR File Number: 2002-00150 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 1/29/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ,# L# .il /J III '. ~h" ,J wi/-;, .,,~-<"~ ~1~. t;::.,"'!i,€Bi!-'z..' Jj:l.4&/~ !,..I f ,J;{Pr. f GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge \tL ~...IJ'lf".. ""'rl~'X."':\ ~~~~~ ~ ~_~_.'1...__...,~ _,-,~""::"{',T"~]il_ ~.e~_____"iL__...,i1___...3 .-f'l_...,...,-,..!:-- JJ::,.e:::;J1:3!(.(:;;lr U!i. 'If" JU!.l!.~ U!!. I0(UU1Uil..J!<Cli.'.Il.d.ilJlU vlUlUliliiLy Date of Death: STATUS REPORT tH,iDER RULE 6,12 ~ /2/ ?/~/C-' I c:. ,~d~ G' /' ~ Ci '-J '/.:?.. Name of Decedent: Estate No.: A /0' Z_ --- C'/z::-r::~ . 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 0 No Ba 2. lithe answer is No, state when the personal representative reasonably believes that the administration will be complete: .P- -/>-Ct. 3. lithe answer to No.1 is Yes, state the following: a. Did the personal representative file a final accou.~t with -the Court? Yes 0 No 0 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 t.1.e parties in interest? Yes 0 No 0 Date: c. Copies of receipts, re1eases,joinders and approval of formal or infonnal accounts may be filed with the Clerk of the Orphans' Court and may be I ~ 7 _<,,:!!ached to this report. ~ p 0-.n ~(t Signature , & I -5: ~{/?J~/'-"?(;- ~:" Name .-L 6, /~ Z J7..F~ .. 2L:~ S-- Address C/?rz... L~-})1 //7 //~:/S J. 7 -7 (--' '7 ) / / r '-.2---'13 -:'70-]/ Telepho11e l'To. Capacity: LJ Persoilal P,-epresentati"t{e W COclnsel for personal representative \\t Cumberland County - Register Of Wills One Courthouse Square Carlisle{ PA 17013 Phone: (717) 240-6345 Date: 1/16/2007 GRIFFIE WILLIAM G JR 184 PINE SCHOOL RD GARDNERS{ PA 17324 RE: Estate of GRIFFIE WILLIAM G SR File Number: 2002-00150 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES { NO. 103 SUPREME COURT RULES DOCKET NO. 1{ for decedents dying on or after July 1{ 1992{ the personal representative or his counsel { within two (2) years of the decedent's death{ shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 1/29/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report { please disregard this notice. Sincerely{ /h V li-J Q tfI~ .j~J'.uJ tPAM./;x''6 Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/16/2007 GRIFFIE CHARLES 0 8 JOSEPH DR BOILING SPRINGS, PA 17007 RE: Estate of GRIFFIE WILLIAM G SR File Number: 2002-00150 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 1/29/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ilL I Y ,1.h- / If N/Ufr74/J!. v~:uJ iiJ6f!',iPt!'7,",I'-" 1\ :..J Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/16/2007 DANIELS WILLIAM S ONE W HIGH STREET STE 205 CARLISLE, PA 17013 RE: Estate of GRIFFIE WILLIAM G SR File Number: 2002-00150 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 1/29/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, If/~ v~&.r.U /'1 v Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) In Re: Estate of GRIFFIE WILLIAM G SR ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2002-00150 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: GRIFFIE CHARLES 0 Counsel for Personal Representative: DANIELS WILLIAM S Date of Decedent's Death: 1/2912002 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is bereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance wi<h Rule 6.12 <he Court win be notified of such delinquency and <he undersigned will requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. kbAl~~ Date: 1/25/2007 Distribution: Glenda Farner Strasbaugh Clerkof1 _. . - ~ . .. . = ~:~~:ifo;P;:;:~~~:Vresentative ~:'. .. ',. . .~~~:::~ Estate File I"- CJ .::t' postage $ I"- \ Certified Fee nJ CJ Return Receipt Fee postmark CJ (Endorsement Required) Here CJ Restricted Delivery Fee CJ (Endorsement Required) .JJ I"- Total Post- '" nJ .JJ Sent 0 DANIELS WILLIAM S CJ ..........__ ONE W HIGH STREET STE CJ Street, Apt. 2 0 5 I"- ~:_~~-~~:..- CARL ISLE PAl 7 0 13 . City, State, J L'"'i._....._........c-~ ~.~ .-- u . . :1' J. 'I- In Re: Estate of GRIFFIE WILLIAM G SR ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2002-00150 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: GRIFFIE WILLIAM G JR Counsel for Personal Representative: DANIELS WILLIAM S Date of Decedent's Death: 1/29/2002 The Orphans' Comi record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Comi Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. . If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 1/25/2007 ~~~~ Glenda Famer Strasbaugh Clerk of~"L - A - U.S. Postal ServiceTM CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Distribution: Personal Representative Counsel for Personal Representative Estate File CJ I"- ru U1 I"- CJ .:r- I"- Postage $ Certified Fee Postmark Here ru CJ Return Receipt Fee CJ (Endorsement Required) CJ Restricted Delivery Fee CJ (Endorsement Required) ..D I"- Total Pc ru <l' ~ ..D Sent To CJ CJ Sf;eeCA; I"- or PO Be CitY;'Sta GRIFFIE WILLIAM G JR 184 PINE SCHOOL RD GARDNERS PA 17324 lr_ul: ;.. .. II. In Re: Estate of GRIFFIE WILLIAM G SR ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2002-00150 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: GRIFFIE CHARLES 0 Counsel for Personal Representative: DANIELS WILLIAM S Date of Decedent's Death: 1/2912002 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. .~~~ Date: 1/25/2007 Glenda Farner Strasbaugh Clerk of U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Distribution: Personal Representative Counsel for Personal Representative Estate File rn ..n ru U1 I"'- CJ .::r- I"'- Postage $ ru CJ Return Receipt Fee CJ (Endorsement Required) CJ Restricted Delivery Fee CJ (Endorsement Required) ..n r"- Total postAnA R. I=.oOL' ~ ru Postmark Here ] Certified Fee a! ..n SentTo GRIFFIE CHARLES 0 g St;eei,Ap 8 JOSEPH DR I"'- orPOBo) BOILING SPRINGS PA 17007 City'siaie " . ~. . - - . . SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: GR.IFF1E CHARLES 0 8 L~ :~PH DR B01 LNG SPRINGS FA 2. Article Number (fransfer from service labeQ PS Form 3811. February 2004 :1..700"/ COMPLETE THIS SECT/ON ON DELIVERY A. Signature x '-;>1 ,)J .. B. Received by ( Printed N _41'1 v; <:'"1 C> If; -e. D. Is deliv~ address diffe~ from item 1? If YES{~e!:1~delivery a~ belo,w: ': ::7J ...., '." rrl . C::J I Ol 3. ice TYpe-'j ~ o ~~r:1I g ~":R=ipt~'Merchandlse o Insu~Mall 0 CkalD. 4. Restricted Delivery? (Extra Fee) 7006 2760 0002 7407 5263 Domestic Return Receipt 102595-02.M.1540 \.... SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 'j ;0'---' ~ I ' C!RIFFIE hIlLD'tM (; U1-i ?IlJE SC'H:~;)L HD Gl\EDNE::!.s PA 1. '73 2 4 .. 'f- J t. -0 3';k:ZMail 0 ~7ess Mail o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes Domestic Return Receipt d- 102595-Q2-M-1540 2. Article Number (Transfer from service label) PS Form 3811, February 2004 7006 2760 0002 7407 5270 UNITED STATES POSTAL SERVICE 1/1111 First-Class Mall Postage & Fees Paid USPS Permit No. G.10 · Sender: Please print your name, address, and ZIP+4 In this box · 6d--O)~'D ~ Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court County of Cumberland One Courthouse Square Carlisle, P A 17013 11I111i11l1ll'1l"1 il"llllllilllllllll,lllllll,ll,lllll ill!ll " Pa. O.C.Rule 6.12 STATUS REPORT REGISTER OF WILLS OF Ct -.~,./ ."J'-. COUNTY, PENNSYLVANIA Name of Decedent: ~,~~~ c. ~~~~e S>~. ./ FileNumber:~QZ- t?/~ 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: . . . . . . . . . . . . . . . . . . .. 0 Yes )If No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: / /??#/ZC#' ~"7- 3. If the answer to No.1 is YES, state the following: a. Did the personal representa~~~e..file a final account with the Court? . . . . . .. 0 Yes 0 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? ............................... 0 Yes 0 No d. Copies of receipts, releases, joinders and approvals of forrilal or informal accounts may be filed with the Clerk of the Orphans' Court and ~aYbe attln this report. 2-3 -?-:f- w~~'--~ Signature of Person Filing this Form Date Capacity: 0 person~.",resent"'ve ,\::reo""se] ~, ~ ~#J/Y/eL5- Name of Person Filing this Form . ;;2.t::?S- .-L ~ ffi;< S7.,SY; . - ./ Address C'/)/2c.j>~ ;P A- /?cl ~ ./ ?/1- - 2-~~ -.3c93 } "l S : \ \.! d S - Telephone Form RW-10 rev. 10.13:06 ~- Pa. D.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF C^~~ /?J.i~r/o.d / COUNTY, PENNSYLVANIA Name of Decedent: iu , Ii; c,O," r;, //o<~/ ;lcJoCJ.. 0. ~T/'; , S"'r Date of Death: File Number: .;}ao,;,7 '" DC / ..s-C 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: . . . . . . . . . . . . . . . . . . .. 0 Yes ~o 2. If the answeris No, state when the personal representative reasonably believes that the administration will be complete: I.u;/ltq,n /)t:j 11 i ~!~ - 1./11 f-h a tP 11 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . .. DYes DNo b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account infoffi1ally to the parties in interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes D 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. Dale ~/'l07 / ~ Capacity: [2(personal Representative D Counsel Chq ".It' 5 6. c:; r ; r-r::. <:: Name of Person Filing this Form JJ ;., i~ , "i : 6- J' J~.>c- A A Address I t3~ / /, /11 ~~ 1-, r . 7/7 - ;,1C;?- 3cf'';;;..s~ ;:. /7ClO ? Telephone FormRW.10 rev. 10.13.06 J Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF C i.1 M t,~,.. j.'l. Not COUNTY, PENNSYLVANIA Name of Decedent Wi~/..I'j:J/YJ G G~,rp./}:-' SR. Date of Death: I ),9..9 /~O()..... File Number: ).00 p-.- ()() J ~-o , I 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: . . . . . . . . . . . . . . . . . . .. DYes JB:No 2. If the answeris No, state when the personal representative reasonably believes that the administration will be complete: OOIY) T I{JflO W 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . .. DYes DNo b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account infom1ally to the parties in interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DYes DNo 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 ~/7/67 I / r " Capacity: t&Personal Representative o Counsel i17:JHdS_ L ~'" I:.f ,/ I..; -~: V W, 'J...l t/.n G r;{<.t'f2Fjj; Name of Person Filing this Form 1 ~I-J PI jy /3. $" C./lOd J.. Address _G,4R..L)NE~~ fJ /73~'f 7/7-- /Yf'/P- ~ 3/"3l) Telephone -;J4:L ~O Form R W-J 0 rev. J O. J 3.06-" ~ SENDER: COMPLETE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Dl\.NIEIJS WILLI1-\M S ONE W HIGH S~REET STE 205 CARLISLE FA 17013 2. Article Number (Transfer from service label) PS Form 3811, February 2004 -0 ~, - w ( -) - I ice Type ~ Certified Mail 0 Express Mall o Registered 0 Return Receipt for Merchandise o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 7006 2760 0002 7407 5287 Domestic Return Receipt 102595-Q2.M.1540 UNnEOSTATES~~~~~RG PA 1HIII ~ :3'7F-'~, 7 07 pr,,~ 2 L .~ ,j . Sender: Please print your name, address, and ZIP+ 6d-D\SD <r Glenda Farner Strasbaugh Register of WirL and Clerk of Orphans' Court County of Cun~f)erland One Courthouse Square Carlisle, P A 17013 ~..-N',... IlI1'tl,I>'~~" ::2:;: 1III1I111IflIIIIIIIIlII BIIIIIIII J 111,111'111,1,1111,) ,,1,1111 , ' ...... '.' '.', " , . , . , . , ". . ~'Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6,12 Nameof,Decedent: G~//~S.l Zvtzl G, Date of Death: " . / - .;z.;r - 02- S?~, ',,- "t."..:", " -Estate No.: 'PrC72 -0/5<::) , ,. . . ~- , Pursuant to Rule 6.12 otithe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: I " , l. ' Sta~ whether administration of the estate is complete: 'Yes 01 No K1 ' , 2. ' !f.,the answer is No, state when the personal representative reasonl!W,y believes that ..' the administration ~1l be complete: "3 / ~ oe:s- 3'. ,lfthe answer to No.1 is Yes, state the following: a. ,: Did the personal representative'file a final account with the Court? Yes 0 NoD , b.The separate Orphans' Court No, (if any) for the pers~:mal representative's acco~t is: , I . c.: Did the personal representative state 'an account informally to the parties in , 'mterest?Yes D No D " 'c. ,Copies of receipts, releases, joinders and approval'~fformal or informal accouilts may be filed with the Clerk of the Orphans' 0 and may be attached to this report. ./ ri~~: /-1-',08 ?z/ / ~ Signature r HYMER & DANiElS Name 1 WEST HIGH ST. STE. 205 CARLISLE, PA 17013 ACldress 7/7 -v-t3r-3?3) Telephone No. Capacity: 0 Personal Representative ~Counsel for personal representative I 0 :~ ~d' L - iWf BOOZ 1 .. ,.. ;.~.. .. ... .. ., ..:. ~ i:: .~., µ. Pa..O.C. Rule 6.12 STATUS REP®RT REGISTER OF WILLS OF~I~/~ J1~ ~'~/3~~ ~ COUNTY, PENNSYLVANIA 7 R Name of Decedent: Date of Death: File Number: ~'~ _:-~~ ~S Pursuant to Pa. O.C. Rule 6.12, I report the following ~~~ith respect to completion of the administration of the above-captioned estate: ~.. t~ r~ , es N 1. State whether adnunistraho` n of the estate is complete•~/_~ ~........ ~Y o 2. If the an'sweris 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 iepresentative's account is: =a 3 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 maybe filed with the Clerlc of the Orphans' Court and maybe attached to ort. • _ Signature ojPerson Filing this Form Capacity: QPersonal Representative 'Counsel ~} ~',' • t :I f.,! Name ojPerson Filing this Form '~wi ~ _:: _ . ~~~0 HU~OER & DANIELS _ __' ~:.~ Address ;- CARLISLE, PA 11013 ~~ ~ ~ ~ ~~~ ~ ~~ 3/ - - Telephone `•~ . Form R H'-! 0 rev. 10.13.06 ~x> 1•Register of Wills`o~Cuaiberland County '~ 3TA JC FP~RT TT.mR7t RU- a c ~ ~ .~ Date of Death:_ ~ ~~ ---~~ ~ . Estate No.: _ __ ~ Z ~~j . S-~ . 1'Pursuant to Rule 6:12 ofithc Su reme Court ~ ~ ' ` ' P Orphans Court Rules, I%port tlia following with respect to completion of the adrriinistradon of the aboi+e=captioned estate: . ;; • ~ 1•..aStste whether administration of the estate 'is complete: • `Yes, ~ No'~ . •, . .. ~ ' ' ~2•' _ ]Ithe answer is No,~state when'the personal repr entsfive reasonably believes'that ' '.. .. •. ~~'thc.adriiinjstration yvil~ be,complete: _ ~~l~-~ .~`Q 1 f . • ~'3'. ? ]:t'the'answbr to No 1 is.Yes;~state the follQwirig: ' ° " a: ~ Did'.the personal represcntative'file efinal account with the Court? • ''Yes~~Q ~ No~ [] ' `r ` ~ . ' b.`'The's crate . •... 'soco ~ is: Orphans' Court No: (if any) for the personal representative's • ~ --~ ~ ' ' ,~c. ~ Did the personal representative state ari account informally to the parties in '':intereat7 Yes n No . Q • . •_ , ~. ~ .~'~c. • '.Copies ~of receipts, releases, joinders and approval'of formal or informs] ':. ~iccounts'may'~bc filed'with the Clerkof the... , Dort and'may be x . ~'attachcd•fo'-this'report. Date: '.,, ~ ~ . Signature ' " ~. S, -. '' Name HUMER ~ DAHIELS . , '4 .. - 1 WEST HIGH ST. STE 205 • • _ ~ 1dtlQ~ S,N'bHddO ~ r , • O + : Telephone No. ~ • . £ Kd e- rrnr ail itipacity: ^ Personal Representative ;; „~ ` ;: * ~ ~ ~, ,-~ r~ ^ Counsel fo'r personal representative ~~ ~ ~.. ,:..c .. ., • ., PLEASE FILE THIS .REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 Name of Decedent: Wt•ffl ~41z/ V • ~rt ~~f I' e ~~ Date of Death: /- o~ ~} - ~Gvol Estate No.: ~1- O~ - OO 1.5C~ 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 ~,_ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ca.~> 3. If the answer to No. 1 is yes, state the following: A. Did the perscmal representative file a final account with the court? Yes No B. C. D. Dater 4 - 23 - ~ o CD `V u_~ .. ~ ~., o oc ~ ~~ d ~C7p ~~ ~ ~ ~ ;~ ° 0 ~.+ The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) Did the personal representative state an account informally to tl~ties in interest? Yes _ _ No 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. Signature Name (Pkax type or print) I t'NG !'C Address D N E R.S r q 1? 3~ ~~ 7 - ~~G •.3/30 Telephone No. Capacity: Personal Representative Counsel for Personal Representative ew. - se