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HomeMy WebLinkAbout04-0025PETITION FOR PROBATE and GRANT OF LETTERS Estate of 'MARGARET M. SEIFRIED No. also known as To: · Deceased. Social Security No. 159-09-9304 Register of Wills for the County of Cumberland Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executa c in the last will of the above decedent, dated May 28 and codicil(s) dated in the ,19.n8~1~ed See Renunciation of Melanie A. Sei~ried ~iled herewith. (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County,_Pennsylvania, with h er last family or principal residence a~ethany Village Retirement tJent.er Lower Allen Township~ (325 Wesley Drive, Mechanicsburg, PA 17055). (list street, number and muncipality) Decendent, then 87 years of age, died January 5 , lX)x 200,4 at Bethany X/illmgm RetSrmmmnt Center_- Lower Allen Township, Cumberland Coun.ty, Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: None. 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: Unestimated PA. WHEREFORE, petitioner(s) respectfullymrequest(s), the probate of the last will and codicil(s) presented herewith and the grant of letters. ~escamencary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. · M~a~-L. Sef{r~ed 300 West M~in Street ~hirommn~wn~ PA 17011 OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~[ COUNTY OF CUMBERLAND _ Ms The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer tt~e .estate according to law. ./) l l , i Sworn to or affirmed and subscribed ~- "f~/~ ~'~'~/~e~/bf-~-Y~ ~ before me this 8th _dav of [/.~i_,:~_~l L Sci~[''~ ' ~' ff~/ ----7 JanuarM._ ~_ 2004 J. ,', ~' ~* = ? ..... ~ · GlenOa Faz-ner Strasbmu~h ~e~i~ter [ -~fq~.~. ~ Estate Of No. 21-2004-0025 MARGARET M. SEIFRIED , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW January 9th :~ 2004, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated May 28, 1987 described therein be admitted to probate and filed of record as the last will of Margaret M. Seifried ; and Letters Testamentary are hereby granted to Miah~ol T,..Ro-~ fried FEES Probate, Letters, Etc .......... $ 80.00 Short Certificates(4 ) .......... $ 12.00 Renunciation .(.1} ............ $ 5.00- x-Pages (3) 9.00 JCP $ lO.00 TOTAL __ ~:U~:;FJ:~;X Filed 3..a0.u..ar3.9..rah..,.. 20.0.4. ..... .S. 1.1.6...0.0... MAILED LETTERS TO ATTORNEY ON 1-9-2004 ay. Mechan±csburg, PA 17055-0318 ADDRESS (717) 697-8528 PHONE RENUNCIATION 21-2004-25 In Re Estate of ¥~RGARET M. SEIFRIED deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Melanie A. Seifried, dauKhter of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters Testamentary be issued to Michael L. Seif~.%ed WITNESS my hand this 8th day of January , l~t 2004. 529 Lakefield Lane Orangepark, FL 32073 (Address) (Signature) (Address) (Signature) (Address) 105.805 REX,' 9196 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local R,egistrar. 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. $2.00 P 9825418 No. octal-Registrar ~105.143 Rev 2,'87 BLACK INK NAME OF DECEDENT {F,ra M m~,e, tam) COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH Cumberland SEX Female Margaret M. Seifried I*' Apr 29, 1916 ~olu~ia, ~a. Lower Allen Twp. ~ Bethany Village 325 Weslo~ ~rive Apt. 2~$ ~,u~[ .,. ~. · Mechanicsburg, Pa. 17055 {s.~ Cumberland ~' ~ ~ Norman B. Meisky ~ ' " ' Catherine Carney I ,v,,ci, aei L. Selr,-ied I ~~,n~,lemanstown Pa 1,011 ~., ~ ..... m ............ m ~,.~Tw~;TM ~"~'"- "~'"'~'-~ i,~,o.-~.....~ ~..,-.Q a.,~.[ ~l Jan 7. 2004 I Rolling Green Memorial Park Cam Hill Pa 1 I I~. ,,. ,~,',;~ ............... ~' ~ ~m ~--~ ................................. .b. ~/~ / '~ -/~ ~ .................................................... ,., ........................................ n,~oo4~o~6t I .... ............................................................................................................... n ~ ~ ,~ ~ ~/ , ~. ~ LAW OFFICES SN ELBAI<ER, ELICKER & SILVER 2!-200~-25 LAST WILL AND TESTAMENT OF MARGARET M. SEIFRIED I, MARGARET M. SEIFRIED, of the Borough of New Cumberland, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking and declaring null and void any and all former wills and/or codicils by me at any time heretofore made. FIRST I direct my hereinafter named Co-Executors to pay all of my just debts, funeral expenses, inheritance taxes and costs of administration of my estate out of the corpus of my estate as soon after my decease as it is practical to do so. SECOND I hereby give, bequeath and devise my entire estate including all of my property, real, personal and/or mixed, of whatsoever kind and nature and wheresoever situate, unto my children, MICHAEL L. SEIFRIED and MELANIE A. SEIFRIED, in equal shares, share and share alike, or in the event of the predecease of either of my named children, to their issue, per stirpes by representation, and not per capita. In the event of the predecease of either of my named children leaving as his or her issue one of minority, that beneficiary's share in my estate is to be held in trust until he or she attains the age of majority, at which time the appropriate representative share of my estate shall be paid over Page 1 of 5 Pages LAW OFFICES SNELBAKER, ELICKER & SILVER to such surviving issue. THIRD Any and all payments of any sum or sums, whether for principal or income, payable to my beneficiaries as named herein, shall be made upon the sole receipt of the respective individual to whom the payment is made, and such payment shall be free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. FOURTH I hereby name, constitute and appoint my children, MICHAEL L. SEIFRIED and MELANIE A. SEIFRIED, as Co-Executors of this, my Last Will and Testament. In the event that either of the named Co-Executors should not survive my decease or should not live to complete the settlement of my estate, or otherwise be unable to serve in the capacity of Co-Executor, then and in that event whichever of my named Co-Executors survives is hereby named and appointed to serve in the capacity as Executor or Executrix. I further direct that no Co-Executor, or sole Executor shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of Court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. My Co-Executors or alternate Executor or Executrix is authorized and empowered to sell any real estate which I may own at the time of my decease at either public or private sale or sales, whichever in their opinion shall be in the best interests of my estate, and otherwise provide good and sufficient deed Page 2 of 5 Pages therefor. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this %~ ~ day of ~l~ , 1987. ~-~i>~''~--~- ~ /~~~_~ ' (SEAL) Mar~/~et M. Se~fri~d, ~e~tatrix LAW OFFICES SNELBAKE}~, ELICKER & SILVER Page 3 of 5 Pages LAW OFFICES SN ELBA~:ER, ELIC~:ER & SILVER ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA) : COUNTY OF CUMBERLAND) SS. I, MARGARET M. SEIFRIED, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by MARGARET M. SEIFRIED, the Testatrix, this L~ ~ day of ~¥ , 1987. Marga~t M. Seif~ied, Testatrix Sworn and subscribed to before me this ~ ~' day of C--~z~ Notary Public , 1987. My commission expires: CATHARINE E. BOUSUM, NOTARY PUBLIC I~ECHANIC$~UT~G BORO, CUI~BEitLAI~D COUNTY MY COMMISSION EXPIRES FEB, 27, ]990 II~,mber, Pennsylvania A~$ociatlon of Not~ries Page 4 of 5 Pages LAW OFFICES SNELBAKER, ELICKER & SILVER AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA) : COUNTY OF CUMBERLAND) SS. We, MARGARET M. SEIFRIED, MARK S. SILVER, JANET M. FORRY, and SUSAN A. McCOY, the Testatrix and the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by MARGARET M. SEIFRIED, MARK S. SILVER, JANET M. FORRY, and SUSAN A. McCOY, the Testatrix and witnesses, this ~--- day of ~ , 1987. Sworn to and subscribed to before me, a Notary Public, this 72>~ day of Notary Public CATHARINE E. BOUSUM. NOTARY PUeLIC MECHAflICSBI~RG $ORO. CUMBERLAND COUNTY MY COMMISSION EXPIRES FEB. 27. J990 INember, PtflflsyNania ~ssoci~tion of Net,.riel Page 5 of 5 Pages ~ Testa~ix ~ I~t:6L ~ -~'~i t ne ss Witness WitnesS- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: No. 2004-00025 MARGARET M. SEIFRIED, Deceased January5,2004 PA No. 2104-0025 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on or about January 15, 2004 Name Michael L. Seifried Address 300 West Main Street Shiremanstown, PA 17011 Melanie A. Seifried 529 Lakefield Lane Orangepark, FL 32073 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NONE. Date: January 15, 2004 Richard C. Snelbaker, Esquire 44 West Main Street Mechanicsburg, PA 17055-0318 (717) 697-8528 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 003722 SNELBAKER RICHARD C 44 W MAIN STREET MECHANICSBURG, PA 17055 ........ fold ESTATE INFORMATION: SSN: 1 59-09-9304 · FILE NUMBER: 2104-0025 DECEDENT NAME: SEIFRIED MARGARET M DATE OF PAYMENT: 03/26/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/05/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $6,000.00 R;EMARI~S: CHECK# 104 SEAL TOTAL AMOUNT PAID' $6,000.00 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS REV- 1500 EX (6~) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280801 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFRClAL USE ONLY 04 0025 ~S~ME(LAST, FIRST,~DMIDDLEINITIAL) Seifried Margaret 1/5/2004 4/29/1916 M SOCIAL SECURITY NUMBER 159-09-9304 REGISTER OF WILLS IF APC:tlCABLE) SLRVIVIN<~ SPOUSES NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~ [~ I Ohginal Return [] 2. Supplemental Return F'-] 3 Remainder Retum (date of death pdor to 12-13~2) ~ 4 Limrted Estate I I 4a Future Interest Compromise (date of death after 12-12~2) I ~ 5 Federal Estate Tax Return Required ~..~o~o E~ 6 Decedent DiedTeetate (AtlechcopyofWlU) [] 7 Decedent Maintained akit,lngTrust (Attachccpyofmm~t) L 8. Total NumberofSafe Deposit Boxes L-J 9 UtigationProceedsRese~ved ] ] 10 Spousal Poverty Credit (dateofdeathbetween1~35.91andl.l_~) ~ 11 EiectiontotaxunderSec 9113(A)¢zt.chSc~O) Richard C. Snelbaker 44 West Main Street FIRM NAME (if ApplicabM) Snelbaker, Brenneman & Spare, P.C. 717-697-8528 Mechanicsburg, PA 17055 2 3 4 5 6 7 8 9 Real Estate (Schedule A) (1) Stocks and Bonds (Seqedule B) (2) Closely Held Corporation, PartnershipocSole-Propdetomhip (3) Mortgages & Notes Recevable (Schedule D) (4) Cash, Bank Deposits & Misc~laneous Personal Property (S3hedule E) (5) Jointly Owned Propedy (Schedule F) (6) Separate Billing Requested Inter-Vivos Transtem & Miscellaneous Non-Probate PropeAy (7) (Schedule G or L) Total Gross Assets (total Lines 1~7) Funeral Expenses & Administrative Costs (Schedule H) (9) Debts of Decedent, Mortgage Liabilities, & Liens (SChedule I) (10) Total 0educflons (total Lines 9 & 10) Net Value of Estate (Line 8 minus Line 11) Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tsx has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) (8) 0.00 168~149.33 4r993.98 948.51 (11) (t2) (13) (14) 5~942.49 162~206.84 0.00 162,206.84 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE BATES 15 Amount of Line 14 t~ab~e at the spousal tax rate, or transfers under Sec 9116 (a){12) 0.00 16 Amount of Line 14 ta~al~e at lineal rate 162 · 206. 84 17 Amount of Line 14 ta~able et s~bling rate 0.00 18 Amount of Line 14 taxable at cetlateral rate 0.00 x15 19 Tax Due x.O 0 (15) xO 45 (16) x 12 (17) (18) i19) 0.00 7,299.31 0.00 0.00 7,299.31 COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Margaret M Seifried 2~-0 4- 0025 All property jointly-owned with right of survivorship must be disclosed on Schedule F. 13EM VALUE AT DATE 2 3 5 6 7 MetLife Inc., 39 shares of co~non stock valued at $34.03 per share Series HH Savings Bond, face value $5,000.00 issued 9/1996 Series HH Savings Bond, face value $1,000.00, issued 9/1996 Series HH Savings Bond, face value $1,000.00, issued 9/1996 Series HH Savings Bond, face value $1,000.00, issued 9/1996 Series HH Savings Bond, Face value $10,000.00 issued 9/1996 Waehovia Corp, 1,114 shares of =o~non stock valued at $46.29 per share 1,327.17 5,000.00 1,000.00 1,000.00 1,000.00 10,000.00 51,567.06 TOTAL (Also enter on line 2, Recapitulation) $ 70,8 94.2 ~ 3w4696 1 000 (If more space is needed, insert additional sheets of the same size) COMrv~DNV~-ALTH OF PENNSYLVANIA It',I-~ITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Margaret M Seifried 21-04-- 0025 Include the proceeds of litigation and the date the proceeds were receded by the estate All property jointly-~wned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 3 4 5 6 7 8 9 10 11 12 13 14 DESCRIPTION Household goods, appraised value refund due on 2003 Individual M&T Bank, Certificate of Deposit # 031003914383086 M&T Bank, Certificate of Deposit # 031003914383284 M&T Bank, Certificate of Deposit # 031003914504210 M&T Bank, Certificate of Deposit # 031003914528682 M&T Bank, Certificate of Deposit # 031003914376502 M&T Bank, Certificate of Deposit # 031003914376528 M&T Bank, Certificate of Deposit # 031003914383078 M&T Bank, Certificate of Deposit # 031003914470130 M&T Bank, Certificate of Deposit # 031003914383268 M&T Bank, #76603636 PNC Bank, Deposit # checking account N.A., Certificate of 31600020094 PNC Bank, N.A., Certificate of Deposit # 31200235681 Total from continuation pages VALUE AT DATE Of DEATH 660.00 22.00 5,000.88 1,001.57 10,011.81 10,002.56 1,000.96 3,004.56 3,001.24 10,001.14 4,013.86 13,843.08 2,782.00 5,070.06 27,839.38 TOTAL (Aisc enter on line 5, Re,-%n~[!!_=t!on) $ 97,255. In REV-1511 EX + (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Margaret M 9eifried 21-04- 0025 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. 5. 7. 2 FUNERAL EXPENSES: Michael L. Seifried funeral luncheon Total from continuation pages ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State --. Zip Year(s) Commission Paid: Attorney Fees Snelbaker, Brenneman & Spare, P.C. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent Probate Fees Accountanfs Fees Tax Return Preparer's Fees ~m~erland Law Journal Advertising Executor's notice Patriot-News Advertising Executor's notice Total from continuation pages 246.28 343.00 3,500.00 116.00 70.00 75,00 113.70 530.00 TOTAL (Also enter on line 9. I~-~.n"[!!~t!on) $ 4,993.98 3W46AG I 000 (If more space is needed, insert additional sheets of the same size) REV- 1500 EX (6-~0) COMMONWEALTH OF PENNSYLVANIA DEPAR33VlENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT 21 -- 04 0025 Z O Z O O DECEDENTS NAME (LAST, FIRBT, AND MIDDLE INITIAL) Seifried Margaret DAT~ OF [~AIH (M M-D[~Y~AR) DATE OF BIRTH (MM4D~-YEAR) [/5/2004 4/29/1916 IF AR°LICAEI_E) SURVIVING SPOUSES NAME (LAST, FIRST, AND MIDDLE INITIAL) M SOCIAL SECURRY NUMBER 159-09-9304 REGISTER OF WILLS SOCIAL SECURITY NUMBER [~ 1 onginalRetum r~ 2 SupplementalRetum [] 3 RernainbarRetum(dateofdeathp~rto12-13-82) r~]4 Limited Estate ~ 4a Future Interest Compromise (date of death a~er 12-12-82) [] 5 Federal Estate Ta0( Return Required ~ 6 Decedent D~ed Testate (et~ach copy of Will) r---] 7 Decedent Maintaineq a Li~4ng Trust (Attach cc~py of Trust) L 8. Total Number of Safe Deposit Boxes E~ 9 Litigabon Proceeds Received [] 10. Spousal Poverty Credit (date of death be~een 12-31-91 axl 1-1.ff3) r~] 11 Election to tax under Sec 9113(A) (Attach Sch O) NAME OOMFt~3E MAILING ADORESS Richard C. Snelbaker 44 West Main Street FIRM NAME (If App~cabJe) Snelbaker, Brenneman & Spare, P.C. Mechanicsburg, PA 17055 TELEPHONE NUMBER 717-697-8528 1 Real Estete (Schedule A) (1) 0.00 2 ~ocks and Bonds (Schedule B) (2) 70 t 894 .~ 3 Closely Held Corporation, Partnemhip~-Sots-Propnetorship (3) 0 .~0 4 Mortgages & Notes Recevable (Schedule D) (4) 0. ~0 5. Cash, Bank Cepc~fts & Miscellar~ous Persor~l Preper[y ~ (Schedule E) (5) 97 ~ 255. 6 Jointly Owned Property (Schedule F) (6) 0. ~ ['~ Separete Billing Requested 7 Inter-Vivos Trans~em & Miscellaneous Non-Probate Property (7) . (~ ~; (Schedule G or L) 8 Total Gross Assets (total Lines 1-7) (8) 9 Funeral Expenses & Administrative Costs (Schedule N) (9) '~ ~- 9 83. 98 10 Debtsof Decedent, Mortgage Liabilities, & Liens (SCt~dulel) (10) 948.51 11 Totsl Deductions (tota~ Lines 9 & 10) (11) 12 Net Value of Estats (Line 8 minus Line 11) (12) 1 3 Chantabst and Governmental Bequests/Sec 9113 Trusts for which an election to tax has r~t been made (Schedule J) (13) 14 Net Value Subject to Tax (Line 12 minus Une 13) (14) 168~149.33 5~942.49 162~206.84 0.00 162,206.84 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15 Amount of Line 14 taxable at the spousal rate, or transfers under Sec 9116 (a)(1 2) 16 Amount of Line 14 ta~ed~e at lineal rate 17 Amount of Line 14 ta0(al~e at si~ing rate 18 Amount of Line 14 taxabts et collateral fete_ 19 Tax Due 0.00 x 0 0 (15) 162,206.84 xO 45 (16) 0 · 00 x 12 (17) 0.00 x15 (19) (19) 0.00 7,299.31 0.00 0.00 7,299.31 3W4645 1~30 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Margaret M Seifried 21-04- 0025 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE 2 3 4 5 6 7 ~etLife Inc., 39 shares of common stock valued at $34.03 per share Series HH Savings Bond, face value $5,000.00 issued 9/1996 Series HH Savings Bond, face value $1,000.00, issued 9/1996 Series HH Savings Bond, face value $1,000.00, issued 9/1996 Series HH Savings Bond, face value $1,000.00, issued 9/1996 Series HH Savings Bond, Face value $10,000.00 issued 9/1996 Wachovia Corp, 1,114 shares of co~non stock valued at $46.29 TOTAL (Also enter on line 2, Recapitulation) $ 1,327.17 5,000.00 1,000.00 1,000.00 1,000.00 10,000.00 51,567.06 70,894.23 3W46961000 (Ifmorespa~isneeded, inse~a~ionalshe~softhesames~e) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Margaret M Seifried 21-04- 0025 ~nclude the prcceeds of litigation and the date the proceeds were received by the estate. Ag proflerty jointly-owned with the right of survivorship must he disclosed on ~chedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 2 3 5 6 7 8 9 10 11 12 13 14 Household goods, appraised value refund due on 2003 Individual M&T Bank, Deposit # M&T Bank, Deposit # M&T Bank, Deposit # M&T Bank, Deposit # M&T Bank, Deposit # M&T Bank, Deposit # M&T Bank, Deposit # M&T Bank, Deposit # M&T Bank, Deposit # M&T Bank, #76603636 PNC Bank, Deposit # PNC Bank, Deposit # Certificate of 031003914383086 Certificate of 031003914383284 Certificate of 031003914504210 Certificate of 031003914528682 Certificate of 031003914376502 Certificate of 031003914376528 Certificate of 031003914383078 Certificate of 031003914470130 Certificate of 031003914383268 checking account N.A., Certificate of 31600020094 N.A., Certificate of 31200235681 Total from continuation pages 660.00 22.00 5,000.88 1,001.57 10,011.81 10,002.56 1,000.96 3,004.56 3,001.24 10,001.14 4,013.86 13,843.08 2,782.00 5,070.06 27,839.38 TOTAL (Also enter on line 5, Recapitulation) $ 97,2 55. ~L0 3W46AD 1000 (Jr more space is needed, insert additional sheets of the same size) Schedule E (Page 2) Estate of: Margaret M Seifried Item No. Description Value at Date of Death 15 PNC Bank, N.A., Savings Account # 5030128032 16 PNC Bank, N.A., Certificate of Deposit # 21001016309 17 Verizon refund on phone service 18 Wa~point Bank, Certificate of Deposit # 731147919 19 Wa~point Bank, Certificate of Deposit # 716130794 20 Waypoint Bank, Certificate of Deposit # 716120139 21 Wa~point Bank, Certificate of Deposit # 1855265245 22 Wa~point Bank, Certificate of Deposit # 1855265263 23 Waypoint Bank, Certificate of Deposit # 716114168 24 Waypoint Bank, Certificate of Deposit #716114253 25 Wa~point Bank, Certificate of Deposit # 716114276 26 Waypoint Bank, Certificate of Deposit # 716124383 27 Walrpoint Bank, Certificate of Deposit # 716124491 1,294.30 8,076.24 1.23 500.07 929.12 1,012.47 500.03 10,501.31 1,037.38 1,029.35 1,022.79 977.47 957.62 REV- 1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RE]IJRN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Margaret M Seifried 21-0 4- 0025 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT 6, 7. 2 FUNERAL EXPENSES: Michael L. Seifried funeral luncheon Total from continuation pages ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State __ Zip Year(s) Commission Paid: Attorney Fees Snelbaker, Brenneman & Spare, P.C. Family Exemption: (If decedent's address is not the same as claimant's, attach e~planation) Claimant Street Address City State __ Zip Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees Cumberland Law Journal Advertising Executor's notice Patriot-News Advertising Executor's notice Total from continuation pages 246.28 343.00 3,500.00 116.00 70.00 75.00 113.70 530.00 TOTAL (Also enter on line 9, Recapitulation) $ 4,993.98 3W46AG 1000 (If more space is needed, insert additional sheets of the same size) Estate of: Margaret M Seifried Item No. Description Schedule H part i (Page 2) Amount 2 Myers Funeral Home, Inc. Funeral services 343.00 REV-1513 EX+ (9~0) SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Margaret M Seifried 21-04- 0025 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF P~RSON (S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Melanie A. Seifried 529 Lakefield Lane Orangepark, FL 32073 50% Residue: 81,103.42 Michael L. Seifried 300 West Main Street Shiremanstown, PA 17011 50% Residue: 81,103.42 Daughter Son 81,103.42 81,103.42 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 3W46A1100o (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF MARGARET M. SEIFRIED Ir MARGARET M. SEIFRIED, Cumberland County, Pennsylvania, and memory, do hereby make, of the Borough of New Cumberland, being of sound and disposing publish and declare this to be my Last Will and Testament, hereby revoking and declaring null and void any and all former wills and/or codicils by me at any time heretofore made. FIRST I direct my hereinafter named Co-Executors to pay all of my just debts, funeral expenses, inheritance taxes and costs of administration of my estate out of the corpus of my estate as soon after my decease as it is practical to do so. I hereby give, bequeath including all of my property, SECOND and devise my entire estate real, personal and/or mixed, of whatsoever kind and nature and wheresoever situate, unto my children, MICHAEL L. SEIFRIED and MELANIE A. SEIFRIED, in equal shares, share and share alike, or in the event of the predecease of either of my named children, to their issue, per stirpes by representation, and not per capita. In the event of the predecease of either of my named children leaving as his or her issue one of minority, that to such surviving issue. THIRD Any and all payments of any sum or sums, whether for principal or income, payable to my beneficiaries as named herein, shall be made upon the sole receipt of the respective individual to whom the payment is made, and such payment shall be free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. FOURTH I hereby name, constitute and appoint my children, MICHAEL ~1 .,L. SEIFRIED and MELANIE A. SEIFRIED, as Co-Executors of this, my ~l/Last Will and Testament. In the event that either of the named ~l~lCo-Executors should not survive my decease or should not live to complete the settlement of my estate~ or otherwise be unable to serve in the capacity of Co-Executor, then and in that event whichever of my named Co-Executors survives is hereby named and appointed to serve in the capacity as Executor or Executrix. I further direct that no Co-Executor, or sole Executor shall be required to post any bond or give any security of any type for any purpose whats6ever, any law or rule of Court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. My Co-Executors or alternate Executor or Executrix is authorized and empowered to sell any real estate which I may own at the time of my decease at either Dubllc or DriV~ ~a]~ nr therefor. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this %~ day of ~;~ , 1987. Market M. Sei/fri~d, Testatrix SNELBAK£R, CKER & SILVER ACKNOWLEDGMENT iOMMONWEALTH OF PENNSYLVANIA) : COUNTY OF CUMBERLAND) SS. I, MARGARET M. SEIFRIED, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by MARGARET M. SEIFRIED, the Testatrix, this L~ ~ day of ~la¥ , 1987. MargOt M. Seif~ied~, Testatrix Sworn and subscribed to before me this ~ ~ day of Notary Public , 1987. My commission expires: CATIIARIN,E E. BOUSUM, NOTARY PUBLIC IK£CHANICBBUI~6 BORO, CUUBE#L~ND COUNTY MY COMMISSION EXPIRES FEB. 27, L990 ii, tuber, Pennsylvania ABsociatie~ of Notaries AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA) : COUNTY OF CUMBERLAND) SS. We, MARGARET M. SEIFRIED, MARK S. SILVER, JANET M. FORRY, and SUSAN A. McCOY, the Testatrix and the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as . her Last Will and Testament, that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; of our knowledge the Testatrix was at that more years of age, of sound mind, and under undue influence. Sworn or affirmed to and subscribed MARGARET M. SEIFRIED~ MARK S. SILVER, A. McCOY, the Testatrix and witnesses, of ~ , 1987. and that to the best time eighteen (18) or no constraint or to before me by JANET M. FORRY, and SUSAN this ~8~-- day ~ ' Testa~ix -- l/Jl-~/~i tness COMMONWEALTH OF PENNSYLVANIA DEPARTMENTOFREVENUE BUREAU OFINDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-O601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 004190 SNELBAKER RICHARD C 44 W MAIN STREET MECHANICSBURG, PA 17055 ...... fold ESTATE INFORMATION: SSN: 159-09-9304 FILE NUMBER: 2104-0025 DECEDENT NAME: SEIFRIED MARGARET M DATE OF PAYMENT: 07/22/2004 POSTMARK DATE: 07/22/2004 COUNTY: CUMBERLAND DATE OF DEATH: 01/05/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $999.31 REMARKS: TOTAL AMOUNT PAID: 9999.31 SEAL CHECK# 108 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF ZNDTVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG:, PA 17128-060! RICHARD C SNELBAKER SNELBAKER ETAL 4q W HAIN ST HECHANICSBURG COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACM 09-20-Z004 SEIFRIED 01-05-2004 21 04-0025 CUMBERLAND 101 REV-lS4? EX AFP COl-OS) MARGARET M Amount Remitted PA 17055 MAKE CHECK PAYADLE AND REMZT PAYMENT TO: REGISTER OF NILLS CUMBERLAND CL~J)URT HOUSE CARLISLE, eg~Ol$~~ ~: ~ RETAIN LOWER PORTION FOR YOUR RECO~* ~ NOTICE OF INHERITANCE TAX APPRAISEMENT, '~~-~--?~" .......... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT QF TAX MARGARET MFZLE NO. 21 04-0025 ACM 101 ~ DATE 09-20-2004 CUT ALONG THIS LINE REV-1547 EX AFP (01-03) ESTATE OF SEIFRIED TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (ScheduZe A) 2. Stocks and Bonds (Schedule B) 3. CZosaly Held Stock~Partnership Tntmrest (Schedule C) q. Nortgagms/Notas Rmcm/vabla (Schedule D) E. Cash/Bank Dmpos/ts/M/sc. Personal Property (Schmdulm E) &. Jo/ntly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCT:tONS AND EXEMPTZONS: 9. Funeral Expensms/Adm. Costs/M/sc. Expenses (Schedule H) 10. Debts/Mortgage L/abilit/ms/L/ens (Schedule T) 11. Total Deductions 12. Net VaZua of Tax Return 15. lq. (1) . O0 NOTE: To insure proper (2) 70~894.25 crmd/t to your account, ($) . O0 subm/t the upper port/on (q) . O0 of this form with your (s) 971255. ~ 0 tax payment. (6) .00 (7) . O0 (8) 168,149.$3 4,995.98 (9) (10) 948.5I (11) (12) Charitable/Governmental Bmquasts; Non-aZmctmd 9115 Trusts (Schedule J) (1:5) Nat Value of Estate Sub.~ect to Tax 5.942.49 ~62,206.84 .00 162,206.8~ NOTE: Zf an assessment was lssued previously, lines 14, 15 and/or 16, 17, 18 and 19 will CD005722 CD004190 REFUND ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 07-22-200q 09-13-Z00q 05-26-2004 DZSCOUNT ZNTEREST/PEN PAZD (-) 315.79 .00 .00 19. Pr/nc/pal Tax Due TAX CREDTTS: PAYMENT RECETpT DATE NUMBER ASSESSMENT OF TAX: 1.6. Amount of L/ne lq at Spousal rata (1.6) 16. Amount of L/nm lq taxabZm at L/naal/Class A rata (16) 17. Amount of L/ne Zq at S/bl/ng rata (17) 18. Amount of L/ne Zq taxable at Collateral~Class B rate · O0 x O0 = . O0 162,206.84 x 045= 7,299.31 . O0 x 12 = . O0 .00 x 15 = .00 (19)= 7,299. :31 AMOUNT PAID 6,000.00 999.$! 15.79- TOTAL TAX CREDIT 7,299.$1 BALANCE OF TAX DUE J .00 INTEREST AND PEN. I .00 TOTAL DUE J .00 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. /-// ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE~)/~ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) -~ % reflect flgures that include the total of ALL returns assessed to date. RESERVATION: Estates of decedents dying on or before December 1Z, 198Z -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decadent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the tawfuI Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND OBJECT[OHS: ADH[N- [STRAT[VE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act ZS of ZOO0. (TZ P.S. Section 91qO). Detach the top portion of this Not[ce and submit with your payment to the Register of #ills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS, AGENT A refund of a tax credit, ehich ams not requested on the Tax Return, amy be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISiS). Applications are available at the Office of the Register of Nills, any of the g$ Revenue District Offices, or by callmg the special Z4-hour answering service for forms ordering: 1-800-362-Z050; services for taxpayers with special hearing and / er speaking needs: 1-800-447-30Z0 (TT only). Any party in interest not satisfied eith the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object aithin sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBIOZI, Harrisburg, PA 171Z8-10Z1, OR --election to have the matter determined at audit of the account of the personal representatiye, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of [ndividual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171ZB-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Res[dent Decedent" (REV-IS01) for an explanation of administrativety correctable errors. If any tax due is paid within three (S) calendar months after the decedent's death, a five percent (5Z) discount of the tax paid is allowed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning aith first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes ahich became delinquent before January 1, lgBZ bear interest at the rate of six (6g) percent per annum calculated at a daily rate of .000164. A11 taxes which became delinquent on and after January 1, 198Z will bear interest at a rate which mill vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 19aZ through 2004 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z ZOX .00054B ~'8-1991 llZ .O0050X ~ 9X .000Z47 1983 X6Z .0004S8 199Z 9Z .000Z47 ZOOZ 6X .000164 1984 X1Z .O00SO1 1992-1994 7Z .O0019Z ZOOS 5Z .000137 1985 13Z .000356 1995-1998 9Z .000247 ZOO4 4Z .000110 1966 10Z .000274 1999 7Z .O0019Z 1987 lOX .000Z74 ZOO0 7Z .O0019Z --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINI~UENT 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 the assessment. [f payment is made after the interest computation date shown on the Notice, additional interest must be calculated. COMMONWEALTH OF PENNSYLVANIA 'l. ss: COUNTY OF CUMBERLAND j Michael L. Seifried being duly .... ~- according to law, deposes and says that he is the Executor of the Estate of Margaret M. Seifried late of Lg_w_e_r A~t~ To_wB_s__h. ip , Cumberland County, Pa., deceased end that the w~thln is an inventory made by Michael L, $~ifried ., the said Executor of the enHre estate of said decedent, cons~stin9 of all the personal property and real estate except real es,fate outside the Commonwealth of Pennsylvanle, and that the figures opposite each item of the Inventory represent ~t s felt value as of the date of decedent's death. Sworn and subscribed before me, COMMONWEALTH OF PENNSYLVAh Sandra K. Showers, Notay Public Mednanicsbung Bom, Cumbedand Co~nl My Commission Expires Nov, 22, 2007 Execute/- Admin;sfrafor Michael L. Seifried, Executor 300 West Main Street Shiremanstown, PA 17011 Addre$~ ber Pennsylvania Association Of Notarl s Date of Death ~1{~ ~anuary 2004 2. 3. 4. Day Month Year INSTRUCTIONS An inventory must be filed within three months efter appointment of personal rep~ntafive. A supplement inventory must be filed within thidy days of d~scovery of addltlonal~s~ts. Additional sheets may be attached as to personalty or realty See Article IV, Fiduoiar~es Act of 1949. g ? Inventory of the real and personal estate of MARGARET M. SEIFRIED, Deceased PERSONALTY: 2. 3. 4. 5. 6. 7. 8. 9. 11. 12. 13. 16. 17. 18. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 32. MetLife Inc., 39 shares of common stock valued at $34.03 per share Series HH Savings Bond, face value $5,000.00 issued 9/1996 Three Series HH Savings Bond, face value $1,000.00 each, issued 9/1996 Series HH Savings Bond, face value $10,000.00 issued 9/1996 Wachovia Corp., 1,114 shares of common stock valued at $46.29 per share Household Goods, appraised value IRS, refund due on 2003 Individual Income Taxes M&T Bank Certificate of Deposit #031003914383086 M&T Bank M&T Bank M&T Bank M&T Bank M&T Bank M&T Bank M&T Bank M&T Bank M&T Bank PNC Bank PNC Bank PNC Bank PNC Verizon, refund Waypoint Bank Waypoint Bank Waypoint Bank Waypoint Bank Waypoint Bank Waypoint Bank Waypoint Bank Waypoint Bank Waypoint Bank Waypoint Bank Certificate of Deposit #031003914383284 Certificate of Deposit #031003914504210 Certificate of Deposit #031003914528682 Certificate of Deposit #031003914376502 Certificate of Deposit #031003914376528 Certificate of Deposit #031003914383078 Certificate of Deposit #031003914470130 Certificate of Deposit #03100391483268 Checking account #76603636 N.A., Certificate of Deposit #31600020094 N.A., Certificate of Deposit #31200235681 N.A., Savings account #5030128032 Bank N.A., Certificate of Deposit #21001016309 on phone service Certificate of Deposit #731147919 Certific'ate of Deposit #716130794 Certificate of Deposit #716120139 Certificate of Deposit #1855265245 Certificate of Deposit #1855265263 Certificate of Deposit #716114168 Certificate of Deposit #716114253 Certificate of Deposit #716114276 Certificate of Deposit #716124383 Certificate of Deposit #716124491 TOTAL PERSONALTY: REAL ESTATE: 1. Decedent owned no Real Estate at the time of her death TOTAL PERSONALTY AND REAL ESTATE: Page I $ $ $ 1,327.17 5,000.00 3,000.00 10,000.00 51,567.06 660.00 22.00 5,000.88 1,001.57 10,011.81 10,002.56 1,000.96 3,004.56 3,001.24 10,001.14 4,013.86 13,843.08 2,782.00 5,070.06 1,294.30 8,076.24 1.23 500.07 929.12 1,012.47 500.03 10,501.31 1,037.38 1,029.35 1,022.79 977.47 957.62 168,149.33 0.00 168,149.33 SNeLBAKER. BRENNEMAN & SPARE RECEIPT AND RELEASE WHEREAS, Margaret M. Seifried, late of Lower Allen Township, County of Cumberland and Commonwealth of Pennsylvania, died on January 5, 2004, having first made her Last Will and Testament in writing probated before the Register of Wills of said Cumberland County on January 9, 2004, and Letters Testamentary were issued on the same date to Michael the and Last Will and Testament WHEREAS, L. Seifried, the Executor named in of said Decedent; said Executor has entered upon and completed his administration of said Decedent's Estate as set forth in his First and Final Account attached hereto, and intends to distribute the net balance of the assets of ~;~d Estate to the persons named in the Statement of Proposed D}strib~tion also attached hereto, both of said documents being incorporated herein ,TO by reference thereto; and ~..~ NOW KNOW ALL MEN BY THESE PRESENTS, that we, ~.~q-5-chael L. Seifried and Melanie A. Seifried, being the principal legatees and distributees named in the Will of said Decedent and the persons entitled to share in the residuary distribution of the Estate of said Decedent, do hereby declare and say that we, and each of us, have examined the attached Account and Statement of Proposed Distribution, and find the same to be true and correct, LAW OFFICES SNELBAKER. BREnNEMaN & SPARE and in strict accordance with the terms and provisions of said Will, and we do hereby acknowledge that we, and each of us, this day have, had and received of and from Michael L. Seifried, Executor of the Estate of Margaret M. Seifried, the cash, personalty and/or real estate set opposite our names in the above Statement of Proposed Distribution, in full satisfaction, payment and discharge of all such sum or sums of money, legacies and bequests, share or shares, purports and dividends which were due, owing and payable and belonging to us, and each of us, by any means whatsoever, for or on account of our full share, part or dividend of the Estate of Margaret M. Seifried, Deceased. NOW, THEREFORE, we, and each of us, the said Michael L. Seifried and Melanie A. Seifried, do by these presents, remise, release, quit-claim and forever discharge the said Michael L. Seifried, his heirs, executors and administrators, of and from our said shares or dividends of the Estate aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or of any act, matter, cause or thing whatsoever, from the beginning of the world to the day and date of these presents. A_ND, desiring to avoid the delay and expense of the settlement of said Estate by filing the foregoing Account of said administration in the Office of the Register of Wills of said Cumberland County and by having the balance in the hands of the Executor, as shown by said Account, distributed by the Court of LAW OFFICES SNELBAKER. BRENnEMan & SPARE Common Pleas of Cumberland County - Orphans' Court Division, we, and each of us, do hereby agree that the foregoing Account and Statement concerning the matter of settlement may be recorded with the same effect upon us, and each of us, as if the same had been reported upon by said Court, in a decree of distribution made on such proposed Statement of Distribution by the said Court of Common Pleas - Orphans' Court Division. AND in consideration of the aforesaid settlement being made without the aid of such Court of Co~on Pleas - Orphans' Court Division, that we, and each of us, the said Michael L. Seifried and Melanie A. Seifried, do hereby agree that if any debts or demands other than those included in the above referenced First and Final Account, as hereinbefore set forth, shall be hereafter recovered against the Estate of said Decedent and be legally payable out of the same, that we, and each of us, will return to the said Executor such amounts thereof as may be necessary to pay such debts or demands. IN WITNESS WHEREOF, this day of WITNESSED BY: we have hereunto set our hands and 2004. seals ~:]_~ t. b~,~f~.~ (SEAL) ~(idhael L.-~e~fried ~elanie A. S~ifried (SEAL) LAW OFFICES SNEIBAkER. BRENNEMAN & SPAre CO~ONWEALTH OF PENNSYLVA~qIA) · SS COUNTY OF CUMBERL]a_ND) On this the ~ day of ~0~ 2004, before me, a Notary Public in and for said State and County, the undersigned officer, personally appeared Michael L. Seifried, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained· IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public COMMONWEALTH OF PENNSYLVANIA San~lra K. Showem, Notary Public My Commission Expires Nov, 22, 2007 Member, Pennsylvania Association Of Notaries 1AW OfFiCeS SnEIBAKER. BRENNEMAN & SPARE STATE OF FLORIDA ) COUNTY OF ) On this the ~/ day of 2004, before me, a Notary Public in and for said State and County, the undersigned officer, personally appeared Melanie A. Seifried, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, seal. I hereunto set my hand and official Notary Public LAW OFFICES SNELBAKER, BRENNEMAN & SPARE ESTATE NO. 21-04-0025 FIRST AND FINAL ACCOUNT AND STATEMENT OF PROPOSED DISTRIBUTION OF AND BY MICHAEL L SEIFRIED, EXECUTOR OF THE ESTATE AND UNDER THE LAST WILL AND TESTAMENT OF MARGARET M. SEIFRIED, DECEASED, LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA Michael L. Seifried, Executor as aforesaid and Accountant herein, avers as follows: DATE OF DECEDENT'S DEATH: DATE LETTERS TESTAMENTARY ISSUED: DATES EXECUTOR NOTICE ADVERTISED: Cumberland Law Journal Patriot-News FIRST AND FINAL ACCOUNT January 5,2004 January 9,2004 January 23, 30, february 6, 2004 January 27, February 3, 10, 2004 PERSONALTY. PRINCIPAL ACCOUNT DEBITS The Accountant charges himself with the receipt of the following items of Decedent's Personalty valued as of the date of Decedent's death: 1. MetLife Inc., 39 shares of common stock valued at $34.03 per share 2. Series HH Savings Bond, face value $5,000.00 issued 9/1996 3. Three Series HH Savings Bond, face value $1,000.00 each, issued 9/1996 4. Series HH Savings Bond, face value $10,000.00 issued 9/1996 5. Wachovia Corp., 1,114 shares of common stock valued at $4629 per share 6. Household Goods, appraised value 7. IRS, refund due on 2003 Individual Income Taxes 8. M&T Bank, Certificate of Deposit #031003914383086 9. M&T Bank, Certificate of Deposit #031003914383284 10. M&T Bank, Certificate of Deposit #031003914504210 11. M&T Bank, Certificate of Deposit #031003914528682 12. M&T Bank, Certificate of Deposit #031003914376502 13. M&T Bank, Certificate of Deposit #031003914376528 14. M&T Bank, Certificate of Deposit #031003914383078 15. M&T Bank, Certificate of Deposit #031003914470130 16. M&T Bank, Certificate of Deposit #03100391483268 I7. M&T Bank, Checking account #76603636 18. PNC Sank, N.A, Certificate of Deposit #31600020094 19. PNC Bank, N.A, Certificate of Deposit #31200235681 20. PNC Bank, N.A., Savings account #5030128032 21. PNC Bank, NA., Certificate of Deposit #21001016309 22. Verizon, refund on phone service 23. Waypoint Bank, Certificate of Deposit #731147919 24. Waypoint Bank, Certificate of Deposit #716130794 25. Waypoint Bank, Certificate of Deposit #716120139 26. Waypoint Bank, Certificate of Deposit #1855265245 27. Waypoint Bank, Certificate of Deposit #1855265263 28. Waypoint Bank, Certificate of Deposit #716114168 29. Waypoint Bank, Certificate of Deposit #716114253 30. Waypoint Bank, Certificate of Deposit #716114276 31. Waypoint Bank, Certificate of Deposit #716124383 Page 1 1,32717 5,000.00 3,000.00 10,000.00 51,567.06 660.00 22.00 5,000.88 1,001.57 10,011.81 10,00256 1.00096 3,004,56 3,001.24 10,001.14 4,013.86 13,843.08 2,78200 5,070.06 1,294.30 8,076.24 7.01 500.07 929.12 1,012.47 500.03 10,501.31 1,03738 1,029.35 1,022.79 977.47 LAW OFFICES SNELBAKER, BRENnEMan & SPARE 32. Waypoint Bank, Certificate of Deposit #716124491 33, Commonwealth of Pennsylvania, refund on Inheritance Tax TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS: PERSONALTY. PRINCIPAL ACCOUNT CREDITS rhe Accountant claims credit for the payment of the following items from Decedent's Personalty Account: 1. Michael L Seifried, reimbursement for funeral luncheon 2. Myers Funeral Home, Inc., funeral service 3. Patriot-News, subscription fee 4. West Shore EMS, ambulance service 5. Bethany Assisted Living, resident care 6. Register of Wills, Agent, payment on account of Inheritance Tax 7. Register of Wills, filing fee for Inheritance Tax Return 8, Register of Wills, Agent, balance due on Inheritance Tax 9. Household goods donated to Bethany Village and Goodwill 10. M&T Bank, checks written by Decedent prior to death from account #76603636 11. Snelbaker, Brenneman & Spare, RC., attorney fees for services rendered 12, Snelbaker, Brenneman & Spare, P.C. costs advanced: a. Register of Wills, probate fees b Patriot. News, advertising Executor Notice c. Cumberland Law Journal, advertising Executor Notice d. Register of Wills, Short Certificates 13. Reserve for filing fees, accounting costs and other costs associated with the administration of the Decedent's estate TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS: PERSONALTY - INCOME ACCOUNT DEBITS 'he Accountant charges himself with the receipt of the following income from the investment of Personalty Principal: 1, Orrstown Bank, estate checking account, interest 2. Waypoint Bank, Certificate of Deposits, interest 3. Wachovia Corp,, dividend 4. MetLife, dividend 5. M&T Bank, Certificate of Deposits, interest 6. Series HH Bonds, interest 7. PNC Bank, N.A., Certificate of Deposits, interest 8. M&T Bank, Checking account #76603636, interest TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS: PERSONALTY. INCOME ACCOUNT CREDITS 'he Accountant claims credit for the payment of the following items from the Personalty Principal Account: 1. Gary L. Billet, preparation of 2003 Final Individual Income Tax Returns TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS: Page 2 957.62 15.79 $ 168,170.90 $ 246.28 343.00 2,50 167.10 778,91 6,000,00 15.00 999.31 610.00 258.56 3,500.00 321.45 116.00 115.45 75.00 15.00 50000 $ 13,742,11 $ 98.85 40.35 445.60 8.97 47.68 360.00 2.97 1.27 $ 1,005.69 $ 70.00 $ 70.00 LAW OFFICES SNeLBAKER. B~ENNEMAN & SPARE REAL ESTATE. PRINCIPAL ACCOUNT DEBITS The Accountant charges himself with the receipt of Decedent's Real Estate as follows: TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, DEBITS: REAL ESTATE. PRINCIPAL ACCOUNT CREDITS The Accountant claims credit for the payment of the following items from Real Estate Principal Account: TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS: REAL ESTATE- INCOME ACCOUNT DEBITS The Accountant charges himself with the receipt of the income from the investment of Real Estate Principal Account: TOTAL, REAL ESTATE, INCOME ACCOUNT, DEBITS: REAL ESTATE. INCOME ACCOUNT CREDITS Fhe Accountant claims credit for the payment of the following items from the Real Estate Income Account: TOTAL, REAL ESTATE, INCOME ACCOUNT, CREDITS: Page 3 NONE NONE $ NONE $ NONE $ NONE $ NONE $ NONE $ NONE LAW OFFICES SNELBAKER, BrENNEMAN & SPAre PERSONALTY: PRINCIPAL ACCOUNT: Debits Credits Balance INCOME ACCOUNT: Debits Credits Balance TOTAL PERSONALTY PRI NCI PAL ACCOUNT: Debits Credits Balance INCOME ACCOUNT: Debits Credits Balance TOTAL REAL ESTATE: 'OTAL FOR DISTRIBUTION: RECAPITULATION Page 4 $ 168,170.90 $ 13,742.11 $ 1,005.69 $ 70.00 $ NONE $ NONE $ NONE $ NONE $ 154,428.79 $ 935.69 $ NONE $ NONE $ 155,364.48 $ NONE $ 155,364.48 LAW OFFICES SNELBAkER, BReNNEMAN & SPARE STATEMENT OF PROPOSED DISTRIBUTION Michael L. Seifried, Executor and Accountant herein, proposes to distribute the balance of the Estate of Margaret M Seifried, Deceased, to wit: $155,364.48 in accordance with the Last Will and Testament of said Decedent as follows: Michael L. Seifried Series HH Bonds, received in kind Wachovia Corp., 557 shares in kind MetLife Inc., :19:1/2 shares in kind Household Goods, retained in kind Advance Distribution May 4, 2004 Cash Melanie A. Seifried Series HH Bonds, received in kind Wachovia Corp., 557 shares in kind MetLife Inc.. 19:1/2 shares in kind Cash TOTAL FOR DISTRIBUTION: Page 5 $ 9,000.00 25,783.53 663.59 50.00 10,000.00 32,185.12 9,000.00 25,783.53 663.58 42,235.13 $ 155,364.48 SNELBAKER, BReNNEMAN & Spare COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Michael L Seifried, being duly sworn according to law deposes and says: that he is the Executor of the Estate and under the Last Will and Testament of Margaret M Seifried, Deceased, and the Accountant herein; that there are no unpaid creditors or claimants of said Estate; that there are no persons interested in the distribution of said Estate other than as stated in the foregoing Statement of Proposed Distribution; and that the facts set forth in the foreqoing First and Final Account and Statement of Proposed Distribution are true and correct to the best of his knowledge, information and belief. Sworn to and subscribed before me ..... Notary-Pub'itc 2OO4 COMMONWEALTH OF PENNSYLVANIA Page 6 STATUS REPORT UNDER RULE 6.12 NameofDecedent: Margaret M. Seifried Date of Death: January 5, 2004 Will No.: 21-04-0025 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: l. State whether administration of the estate is complete: Yes l~] No ]'--] 2. If thc 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: bo Did the personal representative file a final account with the Court? Yes No ['~ 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.9 Yes [k--'] No I--] Date: . Co 12/8/04 Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this~ · W Signature Capacity: Richard C. Snelbaker Nall~elbaker & Brenneman, P.C. 44 West Main Street Mechanicsburg, PA 17055 Address (717) 697-8528 Telephone No. [-] Personal Representative [k-3 Counsel for personal representative BUREAU OF INDIVIDUAL TAXES /NHERTTANCE TAX DTVTSTON DEPT. Z80601 HARRISBURG,, PA 17128-0601 COMMONWEALTH OF PENNSYLVANTA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF AGCOUNT REV-160? EX AFP RICHARD C SNELBAKER '04 ~T 25 SNELBAKER ETAL qq W MAIN ST ~i : MECHANICSBURG PA ~QS~S DATE 09-27-200q ESTATE OF SEIFRIED DATE OF DEATH 01-05-200fi FILE NUHBER 21 0q-0025 COUNTY CUMBERLAND ACN 101 Amoun'~c Rem J.'l:'l:ed MARGARET M MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~ ~o your account, subm/~ ~he upper por~cion of ~his form wi~h your ~ax paymen~c. CUT ALONG THIS LTNE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP (01-03) ~ ZNHER'rTANCE TAX STATEMENT OF ACCOUNT ~ ESTATE OF SEIFRIED MARGARET M FILE NO. 21 0q-0025 ACN 101 DATE 09-27-200q THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACM IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE., AND, IF APPLICABLE.. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-15-200q PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 7,299.$1 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 03-Z6-ZOOq 07-22-200q 09-13-200q CD003722 CDOOq190 REFUND 315.79 .00 .00 6,000.00 999.31 15.79- ZF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" TOTAL TAX CREDIT 7,299.31 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. PAYMENT: Oetach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF NILLS, AGENT. -- If NON-RESIOENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND (CA): A refund afa tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS15). Applications are available at the Office of the Register of #ills, any of the 25 Revenue District Offices or from the Department's Z¢-hour answering service for forms ordering: 1-B00-362-ZOS0; services for taxpayers eith specie! hearing and / or speaking needs: 1-BOO-4q7-5020 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unitj Dept. 280601, Harrisburg, PA 17128-0601, phone (717) 787-650S. DISCOUNT: [f any tax due is paid within three (5) calendar months after the decedant's death, a five percent (52) discount of the tax paid is allowed. PENALTY: The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (93 months and Dna (1) day free the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (62) percent per annum calcuIated at a daily rate of .000166. AIl taxes which became delinquent on and after January I, 1982 wiI! bear interest at a rate which will vary from calendar year to calendar year mith that rata announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2004 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOZ .000568 1988-1991 112 .000301 2001 92 .000267 1983 162 .000658 1992 92 .000267 2002 62 .000164 1984 112 .000301 1995-1996 72 .000192 2005 52 .000137 1985 132 .000556 1995-1998 92 .000247 2004 62 .000110 1986 lOZ .000276 1999 72 .000192 1987 92 .000267 ZOO0 82 .000219 --Interest is calculated as follows: 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 (1S) days beyond the date of the assessment. If payment is made after the interest computation data shown on the Notice, additional interest must be calculated.