The URL can be used to link to this page

Home My WebLink About02-0560PETITION FOR PROBATE and GRANT OF LETTERS Estate of ~l1lll ~Q U. ~T7-G-RC~n/~/ No. ~doZ SLd also known as n/ ~~ To: Deceased. Socia( Security No. L .~ 'Z - > Z - ~?t Register of Wills for the County of Ctmtberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: ~6 - Your petitioner(s), who is/are 18 years of age or older an the execut o R S' named in the last will of the above decedent, dated ~-O N t9 L , 19__~_ and codicil(s) dated ~-} 3 i vYl ay Q ~ (state relevant circumstances, e.g. renunciation, death of execu[oq etc.) Decendent was domiciled at death in ~'. V tM ~~ L c.4 n~ 1~ County, Pennsylvania, with h t= /2 last family or principal residence at a ~ rnu t-(1 ~ c •-~ i D ~ I d n t ~ (list street, number then ~ ~, years of age, died at -t~~4 a ,Z 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: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ St e ma °.St (If not domiciled in PaJ Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ r~Q o d situated as follows: L. n u F v V4 [ [ E rU `t' D to (~ ytn ~F[?~t,l d n N r. n~2 ,~ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters TES T f} NL ~ [ ~ ~ /.t [i (testamentary; administration c.t.a.; administration d.b.n.c. t.a.) [heron. 9 ^. l ,J/. av ~ c a o 'u A'« c ~ ...v7~-~~ N 4. 1 ~° A m ~~. V ~ - ~~ ~t )~C }~r-~ ) -7 g j-S 33 c13 G ~C C ~~S1i~L~( ~-~~/62~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF Ctanberl and The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct [o the best of the knowledge and b 'ef of petitioner(s) and that as ersonal represen- tative(s) of the above decedent petitioner(s) will ell nd truly rinjster the wording to law. ,oc/ ~ Sworn to or affirmed and subscribed ~-`~-b~ w i y before me this 13th day of ~ w" MAI2Y~l. LEWIS ~7-109-/0? Q C l R No. zl-zooz-s6o Estate of Doris v. Patterson ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW June 13th, ~r 2002in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, PT IS DECREED that the instrument(s) dated Will 11-20-1980 Codicil 5-31-1994 described therein be admitted to probate and filed of record as the last will of Doris V. Patterson , and Letters Testamentary - are hereby granted to Charles Richard Patterson and Robert K. Patterson FEES Probate, Letters, Etc.......... S 200.00 Short Certificates(4) .......... S 12.00 Renunciation ................ 5 Codicil S 10.50 x-Pages 4 JCP TOTAL _ S ' Filed QUO?..7.~~..~9Q2.........$.239:5U Register of Wills MARY C. LEWIS .47TORNEY (Sap. Ct. LD. No.) ~ 1 ~ ~ ADDRESS PHONE 7 (7- 7 ~~7-v`f~~~ MAIL LETTERS `TO ATTORNEY HEIR?RY COYI~tE mapn, kpv vpr. I lis is to certi+tir that the nTformarion here given is correctly copad Ilom an original cerrificire of death duly filed with me as I oval Rcgisrral~ The olhinal cerriticare will be forwarded ro the Starr Vital Records Office for permanent tiling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Pcc fbr this ccrri!icate $2AU P 8A391668 V D. nrvpwxT IN PEPMANENT BL1Ck INk 1 ~~ IX r<~ O F ~~ ~ Local R ~gistrar 1 ~~ Dare COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH X1DS.IppM. yF) NAMEOF DECEpENTIFUU MID%Y, WI YWF.IrEHUWEp 9E% BLCML SECVRIrv HVYOER pNE OFDEdXiI.bM. Dey,KVI L~O/2rS / PR7IERSGN ' !. F/A4~ a~/~ a--.Z~-~/Yf Jc// AGE L A L ev J - I Vtlgayl VNDEflIYFM IINDEflI Dp DAECFBIflFN BVfI11P1..1(:E KiN•M Cf OERNIf,ISFU1yme-rwmnrclunmwrpfwl MMN • 0[y Ibv I YYw I arum. CnY. M1VI SNI[o foragnCwrmry ppygpL.. : ~~ OTIER P: •I, ? oc/J; /920 ;Y IpMwr^ FR.ON.IMA^ DpA^ ~^ DCE`y~''N La' ~ r > Rwwrru Ctlr,1 M^ COUprv DFDEp11 cm OGlp.iVq DF DERN MLXm XAMElnmlrrgylnn. yw[vrMand mmYwr VNBCELELEMOFNHMHICg1IGlxl RKE.AwrunlMan OluY bTM •r[ , , . . <'crmBF/~/aaD C4mP ~/i// XnfYw^«w..w.NCw.n. Iwxnl Yun q p ~RDY Nr / / d / w Mn. uM a o I .a. C/ri w. bFn,eY C!/h/%..1 OFLFDEM'9 VSVALCCCUPISpN RWDOFBIISINEBSIHOVSTRY YP9CECEOEMEVEP IN DECECEM'9EpK.QICN IE. IGive YVnltl'wrrYUyr•puuq U. B. ARMEDFURCESt YFIYWL 4LYUB~MUrW SVpVIMIG Sppyy tl drerYrrgyN:mmmrelrN .1 /' [ N•r•r Y•rrW. Wbw~N, Frr°EwLS OQ /GQ%a` ~CF4Gf{ //114r MEC w^ M~ EY'nw•MB•uMVY CN•Y LMmryV•cNl P.n.Wmawn.rrr•I lo-la s + m a D Ile. IS. ta. /~' 11 LU/D JIfJ£~ OELELENT'S . IF. W.IIYq ILppE 8015u•v.CNlbur. Aa42bCWe1 DELEDEM'9 ~t KTUIl I)a.SW ~!t fly ~.p(1 %/ NV/IG'IJ C/.ell Cb Ih.r.cA•.6tNnylMp I • ! - /// PESICENCE M Im.com m Fi~/and y1"" na ^wM "' ~ . l.n r,.l Nrl Ytl __ FATNEp~BNAME6ea. MiVNS lnal -cNfin ' MOTXER SNAIF IFiv, Mi[w•, MaMrSVrynq ~ ~N urcT • . WFORYANL'9NAYE (IyFWrvey 1l. NV(!hY q/I/7 O/('/1 ('Y ' WF011NANT S YNLNq BBISbw CYYlbvrr.SW.Z4Crc1.1 Try C~[: A'/f~ air EYCI'O// , ry/6$'2 B/4 JQY LYeYYU., DuVJ 2, ~_ /' LIE'INODOFp5PO01TICN /73 } OREOF0191p01TICN pIK.E DF GBWSRd~ MwtlamYm a«nYMY LxAiloN.cl Gwnum^ R•rrwYFgn51w^ IYmN.OYY.'Mrl aOWV pxw N/Iwn SUM. SIp LC6 awuon^ rIER%'N /AF/nor~u! ^al. O[' /y oL. a[ r~'o /hn[ (-ri.Yi CI( ~T ./c ~}./n ~'// • ~ . m. , - /7prr SIfZN PE OFFV SE ENSEE q1 pFp0DX KPIq A55VCN LILENBE HVMBEp E4IOAOOPE440FFA(AUrv N£i// ~on [.uG nT c.Yb- nM..-.~ L . , _ ic. %/ Yr•rr•n un yYwnl•EV•,bMU[vrNUlMllm•. yl•vgyc•aln MY [Ma I•W Ulrwolyr b IBprr•lu[Winkl LICENSE HVMBER ~ r D.VE 5pNE0 u IMmND+v.Warl wro^['TBrr"MIE•mmFw•JM TIME OFDERN pRE PPOIgUXCEDDEADIMmM, 0.y Wart VMBl:I3E PEFERREDRIMEpC.LLE%AMIHEPrCORdIERf .n,,,,r,orrrrwawNr. .aa TI. 6 - a M. w. 06 r o z- w ^ an[J- 3). MAIL Enl•rwti••aua ryvwa[nmpX.arbMMINCVnNIMUUM1NMVrI[rlMnbyol w. Nm,Mm a•wMCwMWMOry arrM.•KKYp MNM4w. rAlpp.ulW[ MME, p rgoMywyuua•m wlrEM. M VEXMmrWpremY wup~ueN. y% l ry w /' i ~~ raUrFlrynw UY•rrPrq ryT1/I. 11 ~uEWA CI~~IIFreI yAA1/ff~~I ~ ~ rurrlUpna•anl-• • VE-` r[ l/ FC /~I FAQ ! Ay1 LE/ i 1 <4/ DUE IpIOq/3ACgV$EWFNLE CFI: • - - ~uN.4NYpbwrpb•b OUElO1LMA5ACgSEOUFNCE dI: ~ a Ewr IMDFIILYINO C AV lf O•H ao WY l w w ry N r•a'Mynu•mIIAFT all lOlDphSACDVSEOVENCE OFI. _ __ AUR]pSY WFPEwU1p8YFWDlFpe HER DF pEAFN PALE oIWURY iIMEOFINJVPY IWVRYRNCYIN) OFSCp10E I1GNINIUPY000VRPEO PERFORMEDt M111LFgE PWM RI Mµ ~ . IMmN, av.RUl coMRLeroNOFCAUlE / ~ OFCEALXT Nur.Y Nnncyy ^ AtlwM ^ P.Nr,Mlm..rlwllm ^ w ^ M^ w ^ WLl w ^ Fb ^ 4uvYa ^ CaW mIMpeUmwN ^ p1ALECf IWUPY.AI NmA hmr un•l la[Kry dh• M LOCRWN S . . . 1b1. CrMkwr. y¢I.1 I TM. TM. MNry,U[ISpc.IYl bl. CERIIFIEgIC1icY Wv u•I ~~ 'CFRTIFYWO%IYFIDIINIFIrvacuncnlNupcauyq yunxlrvranoNw RnY1'cran M$mmPIIY:N Jeelnaw cnaWOlw Ilan 2ll SIGHAIU ) FCEPTIFIEp '1~ , Ln w Mu nlmY YMV WF• bNrx[wN pwb w O , uuulalpM mmn•rw •IUN f/ ~ ........ _, r ~ ~ . yy LICENSE DALE 9gNED Mwm, pav Wen 'pRONOVXC HD Aryp DEpi1FYY1p PXYl; ANIFnYV_an U'NYwwrcnL mr ~ mwE l S F ' ..le mrYMNlNwrry•W w.ww.lwwM an. P•c•,.N w[.n { •^^ wN.N n.,...raN_.. .. ^ mc. (h - OO OO - L aa. (y- 11 -100 2 _ NAPE AWOAppREssoF GEp00NwriocoMplEreocApsEwpEAix ---'"- 'YEOKAL E%AYINENCOpONER IIIem Gll Ty quPrlM ~((E(YO 5' WILLIS 0 IMOW I r l F~ - D ! mN ~Im Mlbn M IvIlpalbnl YPoI on,0[allr EblMllm•G EPlac[, inUEU•IOIN•wuwl•I anJ ~ZJ TC T,.. ._._ .... ........._. - .... ............ ^ GlupDlP95 Pkwy ~h 3od . ........ ........ ......., I iT. PEGS P'BBIGHALUPEANp NUYOER ~ pRE FI OlMmn pay.RVl Q J 21-?_002 -560 LAST WILL OF DORIS V. PATTERSON I, DORIS V. PATTERSON, of the Township of Lower Allen, Cumberland County, declare this to be my Last Will and revoke any will previously made by me. ITEM 1; I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, in the following fashion. (A) Fifty (50%) percent to my son, ROBERT K. PATTERSON, providing he is living on the thirtieth day following my death. In the event that ROBERT K. PATTERSON predeceases me or is not living on the thirtieth (30th) day following my death, I devise and bequeath :his share to his two (2) daughters, BOBBI ANN PATTERSON and PATTI KATHLEEN PATTERSO.N, share and share alike. (B) Fifty (50%) percent to my son, CHARLES RICHARD z O a ~, W E 'J a ~, ~ ~ m H \ o Q PATTERSON, providing he is surviving me on the thirtieth (30th) day following my death. In the event that my son, CHARLES RICHARD PATTERSON, predeceases me or is not living on the thirtieth (30th) day following my death, I devise and bequeath his share unto my niece, MRS. CAROL A. RIMS of Telford, Pennsylvania. ITEEn 2: Should any person entitled to a share of my estate not have attained the age of twenty-five (25) years at the time of distribution to him or her, I devise and bequeath the share of such person to the Dauphin Deposit Trust Company, Harrisburg, Dauphin County, Pennsylvania, in separate trusts, to hold, manage, invest and reinvest the share so received, and accumulation of income thereon, and to use and apply the ~~ ~~ income and principal, or so much thereof, as, in trustee's i discretion, may be necessary or appropriate for such person's j medical care, support and education (including college education, ?; both graduate and undergraduate) without regard to his or her parent's ability to provide for such medical care, support or education, or to make payment for these purposes, without further responsibility, to such person or to such person's par- ents or to any individual taking care of such person. Any principal and income not so applied shall be distributed to such person absolutely when he or she attains the age of twenty- five (25) years. If he or she dies before attaining age twenty- five (25), the trust shall terminate and such share shall be distributed to his or her personal representative. ITEM 3: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from the residuary estate as a part of the expense of the administration of my estate. ITEM 4: I appoint the Dauphin Deposit Trust Company, executor of this my Last Will. ITEM 5: I direct that my trustee and personal represen- tative shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITME 6: Upon my death, I direct that my body be buried in my burial lot in Section 83-B, Block "B", Rolling Green Memorial Park, Township of Lower Allen, Cumberland County, Pennsylvania. IN WITNESS WHEREOF, I have hereunto set my hand and seal this r~ day of ~ ~;.v 1880. r n ~~DORIS V. PATTERSON ;COMMONWEALTH OF PENNSYhVANIA) ss: i~jCOUNTY OF CUMBERLAND ) We , DORI S V . PATTERSON , f- (Z, /~ N (C S , ~? ~ p p J-- jq and E (J ~E AID I<EL L~ the Testatrix and the witnesses I i respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. DORIS V. PATTERSON ~~--~- ~ S (f~i a.->4 ~z~~- ~~/~D . i ~'~ Subscribed, sworn to and acknowledged before me, =dl ' ~ 1=- C~ Ill L= by DORI S V . PATTERSON, the Testatrix, and subscribed and sworn to before me by F12 +~ n1 iC S . (~~ I`1 D f) C I t r9- and C (~ UG N ~ (~ L LL t/ , witnesses, this 2c~ 'day of ~)UV~~ Ei~ pp 1980. (SEAL) p5y Cemmlrfon :gyp;.: . - %.^-:~ ac,w~ Camp Hlil, Pe. Cumb-nand Cou nLY The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, DORIS V. PATTERSON, was on the day and date i thereof signed, published and declared by DORIS V. PATTERSON, the Testatrix therein named, as and for her Last Will, in the i presence of us, who, at her re uest, in her 4 presence, and in the presence of each other have subscribed our names as witnesses hereto. '~ ~~ 3 ~--`--'.~~ ti`s '~~/, ~.'--'~e-~ ~ ~ ~.Lw~(!Z~`'°`- residing at ~"~' LPL X71-, ~G~i Co'~N~/.~A.7 /h~. I _ ~ /~ // f residing at C. .OMO /7/~~~g- I ,~ COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) sa: // We, DORIS V. PATITERSON, Al eyi ~~t/ ~~. ~O ~1~/ E- and l., ~'ICti~/~ `~), ~ ~~41 P i ~,eyc ~~, the Testatrix therein and the witnesaea respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the Sole Codicil as her Last Will, dated November 20, 1990, and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Sole Codicil as witnesaea and that to the beat of his or her knowledge, the Testatrix was at the time at least eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Subscri/~bed, sworn and acknowledged before me /~i°'~~J //. oc~n~'/= by DORIS V. PATTERSON, the[T/estatrli~x, and subscribed and swo/rn to [before me by ~P.p, rN l C..hil n/e- ~~/ and ~~f~-7~~~ /( ~/7 t~~fy{ E'4~~ai ri~~, the witnesaea, this ~L'~day of /C ~ 1/994. Notary Public (SEAL) ~'C'~f hA' * r~ _____ ~ rr ., 15 5 ~ ~ r~ l:Q, ,,. l;' rttti ~yL ~ ,,~.~/ Witnee '~ c CODICIL TO LAST WILL 21-2002-560 OF DORIS V. PATTERSON I, DORIS V. PATTERSON, of the Township of Lower Allen, Cumberland County, Pennaylvania, declare this to be the sole Codicil to my Last Will dated November 20, 1980. Item 1: I hereby revoke Item I (B) of my Last Will and in lieu thereof provide as follows: Fifty percent (50%) to my son, CHARLES RICHARD PATTERSON, of 1642 Bluejay Drive, Dover, Pennaylvania 17315, providing he is surviving me on the thirtieth (30th) day following my death. In the event that my son, CHARLES RICHARD PATTERSON, predeceases me or is not living on the thirtieth (30th) day following my death, I devise and bequeath his share onto his natural born daughter, AMANDA PATTERSON. Item 2: 2 hereby revoke Item 4 of my Last Will and in lieu thereof provide as follows: I appoint my two sons, ROBERT K. PATTERSON and CHARLES RICHARD PATTERSON, or the survivor of them, Co-Executors of this my Last Will. Item 3: In all other respects, I hereby ratify, confirm and republish my Last Will, dated November 20, 1980, together with this Sole Codicil, as and for my Last Will. IN WITNESS WHEREOF, I have hereunto set my hand this ~~ day of ~{ ~;Df/ 19~~: /// ~J/r y RIS V. PA T RSON Signed, published and declared on the date thereof by the above named DORIS V. PATTERSON as and for the sole Codicil to her Last Will, dated November 20, 1980, in the presence of us, who, at her request, in her presence, in the presence of eaoh other, ve subscribed our names ae witnesses hereto. ~ f 34Cr ~= -~l-~Lq,q residing at_~~{ ~(~ 0 /,l-4:y ~,i:cti~~C /t {~6_~~~~a~( ~i~~.wreaiding at ~.ei-~c ~~~ P`!I l7~' l ~> ( ~r /T /~ ~a_. CERTIFICATION OF NOTICE UNDER RULE 5.6 a Name of Decedent: DORIS V. PATTERSON Date of Death: June 11, 2002 Will No.: 21-02-0560 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 October 17, 2000: Name: Mr. Robert K. Patterson Mr. Charles Richazd Patterson Mrs. Bobbi Ann Patterson Wood (a%k/a Bobbianne Patterson Wood) Mrs. Patti Kathleen Patterson Marsh Ms. Amanda Patterson Address: 5303 Grand Lake Cresent, Virginia Beach, VA 23462 1642 Bluejay Drive, Dover, PA 17315 668 Ocean Lakes Drive, Virginia Beach, VA 23454 1777 River Rock Arch, Virginia Beach, VA 23454 1642 Bluejay Drive, Dover, PA 17315 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None COYNE & COYNE, P.C. Date: ~n I'ZSS ~02 BY Li Marie Coyne, Esgy~ire 3 O1 Market Street // Camp Hill, PA 1 70 1 1-4227 (717)737-0464 Pa. Supreme Ct. No. 537id8. Counsel for Personal Rep'resentatiue COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDI VIDUAI TAXES DEPT. 280601 HARRISBURG, PA t J128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 002265 COYNE LISE M ESQUIRE 3901 MARKET STREET CAMP HILL, PA 17011 role ESTATE INFORMATION: ssN: 1sz-z2-&145 FILE NUMBER: 2102-0560 DECEDENT NAME: PATTERSON DORIS V DATE OF PAYMENT: 03/10/2003 POSTMARK DATE: 03/07/2003 COUNTY: CUMBERLAND DATE OF DEATH: 06/11/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $2,261.00 REV-1162 EX(11-961 TOTAL AMOUNT PAID: REMARKS: LISA M COYNE ESQUIRE CHECK#119 INITIALS: AC SEAL RECEIVED BY: 52,261 .00 DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS \ I COM6~op;.~i~hHT ~/REENV~SNYC-~ANlA i DEPT.2S0601 I _ __ HARRISBU!<~,.Pil:_~7JJ.~~i.____ -----1 ____.___n_____ __________ --- -rOECEDENTS NMiE (lAST-,FIRST, ANDMI-ODLE"INriiAW --".. ---------- - ----- - ---- I PATTERSON, DORIS V. .E".lM~ EX'I"""~I w ~ ::.:;::5(1] u"'~ W~U ~oo u"'~ ~m ~ INHERI~A~~~~~~~ETURN [NU"2BEj" RESIDENT DECEDENT f" 2002 0560 _ _--=_=-=~ _ ~~JJt!T~C...9~~_--'iS6FL_ ___ _NUMBI:;B_ I SOCIAL SECURITY NUMBER- --~---- 182-22-8145 ---- -\ -THIS RETURN MUST BE FILED iN DUPl.ICATE WITH THE- -tSOCIALSEc~;~I~u~;~ OF.wILLS_._.._ ------------..-. [-.-.-------.---.-- ---------D~-. Supplement~IRet~~n 0 3. Remainder Return (date of death prior to 12-13-82) o 4a. Future Interest Compromise (date of death (lller 12-12-82) Decedent Died Testate {Attach copy 0 7. Decedent Maintained a Living Trust (Attach afWiIl) capyofTrust) o 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (date ofdealh between 0 11.Election to tax under Sec. 9113(A) (Attach Sch 0) : ,____ _c-c--:-:--~---._~,.~_c_-.--.----J,2-31.91and1-~-_,-_--,_.,,-______ __ '-';.._.,',,;;;--_ . ITHIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE,AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME \COMPlETE MAILING ADDRESS I Lisa M. Coyne, Esquire FIRMNAME(ifappl~~-bie-)--~ I 3901 Market Street i Coyne & Coyne, P.C:_.____.__ ._[1 Camp Hill, PA 17011-4227 jTElEPHONE NUMBER 717/737-0464 l?-b9- /.;)/ . .- -, !;'. ~ z W Q W ~ Q --DATE"OF bEATH(i\1t..r:O-O-YEAR) TDATE OF BIRTH'(MM~D5-YEAR) 06/l~.f2D()2___. _d n.J.06/o..~220__ ,(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FtRST AND MIDDLE INITIAL) C~~;:-!(:;:',L U",r,: ,,:,,~;,_.' ~ -j /' - r~--1~OrigiMi Return \ 0 4. Limited Estate i ~ 6 .~ "'z Ww ~o ~z 00 u~ o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 1. Real Estate (Schedule A) z o 5 ~ ~ ~ < o w ~ 2. Stocks and Bands (Schedule B) 3. Closely Held Corporation, Partnersllip or Sole.Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. InterN/vas Transfers & Miscellaneous Non-Probate Property (Schedu[e G or L) 8. Total Gross Assets (total Lines 1.7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (1) 88,000..00 ;'c. _'S;:; C\LY (2) None (3) None (4) None (5) 6,285.91 (6) None (7) None (8) 94,285.91 (9) 25,871.11 (10) 18,173.52 (11) 44,044.63 50,241.28 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/See 9113 Trusts for wllich an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) 50,241.28 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 2,261.00 2,261.00 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) z 50,241.28 x .045 (16) !2 16.Amount of Line 14 taxable at lineal rate ~ $ ~ 17. Amount of Line 14 taxable at sibling rate x .12 (17) " 0 u ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) ~ 19. Tax Due (19) >>ElESURE TO ANSVltER'At.CaUEstioNsON RE~RSE:SIDE AND RECHECK'~Tf:I,<:ic Copyright 2000 form software only The Lackner Group, Inc. Form REV.1S00 EX (Rev. 6.00) Decedent's Complete Address: STREET ADDRESS 2004 Highland Cirlcle "'- CITY Camp Hill ---ISTA TE i~ , -~------ ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments c. Discount 2,261.00 Total Credits (A + 8 + C) (2) 0.00 3. InteresUPenalty jf applicable D. Interest E. Penalty A. Enter the interest on the tax dUe. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (3) 0.00 (4) (51 2,261.00 (5A) (58) 2,261.00 TotallnteresVPenalty (0 + E) 4. If Line 2 is greater than Line 1 + line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. reta~n the ~se or inco~e of the property transferred;..........."....................:..........................,....................8 ~ b. retam the nght to designate who shaH use the property transferred or ItS Income;................................... c. retain a reversionary interest: or.............. ...................................................................................... ...........8 d. receive the promise for life of either payments, benefits or care?.............,............................................... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?. ........ ........ ..... ................................................................................ ............. D ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D t8:I 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...,.. ......... ....... ................................................................. ..... ........ ...............0 t8:I IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Make Check Payable 10: REGISTER OF WILLS, AGENT 1642 Bluejay Drive Dover, PA 17315 DATE ~1.~ ADDRESS 5303 Grand Lake Cresent Virainia Beach, VA 23462 AT ADDRESS 3901 Market Street Camp Hill, PA 17011-4227 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value af transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (ill. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.8. 99116 (a) (1.1) (ii)]. The statute does not exemoB transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty.one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (a) (1.2)]. The tax fate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P .S. 99116 1.2) [72 P.S. ~9116 (a) (1)). The tax rate imposed on the net value of transfers to or for the use of the decedent's sjb!ings is 12% l72 P.S. ~9116 (a) (1.3)). A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. *' I 1 1 L_ SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSVLV~NlA INHERITANCE TAX RETURN RESIOENTDECEDENT ESTATE OF- PATTERSON~ORIS;;- - - - -- .~ --- - -I FILE NUMBER --- - -- __ __ __ _ _ _ _ _ _ _ __ __ _ __L_2~2002_=_.Q560 ____ Ail real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be excnanged between a willing buyer and a wining seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is Jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH -.-.--.- 88,000.00 2004 Highland Circle, Camp Hill, Cumberland County, Pennsylvania (See Attached Settlement Sheet) TOTAL (Also enter on line 1, Recapitulation) 88,000.00 p... Settlement Statement 9120102 Summit Abstract Services, Inc. 3904 Trindle Road Camp Hill, PA 17011 B. e of Loan 1. FHA 2. 4. VA 5. o 08: FmHa 3. XX Cony. Unins. . File Number . Loan Number . Mortgage Insurance Case Number Conv.lns G-1191 50099916 NIA arm s urms e 9 ve you a men ae a S8 emen cas . moun pa an e s erne age are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown here for Informational purposes and are not Included In the totals D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of lender Ahmet Prasovic ~aypoint Bank Robert K. Patterson, Co-Ex. Vasvija Prasovic P.O. Box 1711 Charles Richard Patterson, Co~Ex. 1100 Yverdon Drive, Apt. C-1 Harrisburg, PA 17101 CIO Lisa M. Coyne, Esq. Camp Hill, PA 17011 3901 Market Street Camp Hill, PA 17011 G. Property Location . Settlement Agent 2004 Highland Circle ummit Abstract Services, Inc. Camp Hill, PA 17011 Place of Settlement I. Settlement Date 904 Trindle Road Camp Hill, PA 17011 9/23102 J. Summary of Borrower's Transaction 100 Gross Amount Due From Borrower K. Summary of Seller's Transaction 400 Gross Amount Due to Seller 101. Contrad sales orlce 88,000.00 01. Contract sales nrlce 88,000.00 t02.Personalnropertv 02. Personal nrorlertv 103. Settlement ct\aroes to borrower (line- 1400) 3,390.47 03. 104. 04. 105. 5. AdJusbnents for Items paid by seller In advance AdJustmenta for Items paid by seller In advance 106. Citvltown taxes to 06.~/towntaxes. \0 107. Countv laxes 9/23/02 to 12/31102 92.70 07. Countv taxes 9/23/0210 12/31/02 92.70 108. Schoollaxes 9/23/02 to 6130103 701.50 08. School taxes 9/23/02 to 6130/03 701.50 109. Assessments 10 09. Assessments to 110. Sewer 9/23/02 to 9/30/02 1.85 10. Sewer 9/23/02 to 9130102 1.85 111. T\"8sh 9/2310Z to 9/30102 3.35 11. Trash 9123102 to 9130102 3.35 112. 12. 1Z0. Gross Amount Due From Borrower 92,189.87 ~20. Gross Amount Due to Seller 88,799.40 200. Amounts Paid Bv Or In Behalf of Borrower 500. Reductions In Amount 0Ue io S.II.r 201. Deoosit or earnest money 2,000.00 01. Excess deposit (see instructions) 202. PrinciDal amount of new loan(s) 88,000.00 Q2. Settlement charnel to selle:r /line 14(}0\ 8,094.45 203. Existlno loan(s) taken sublect to 503. Exlsti;;-Ioa~"en subfect to 204. 504. P~off 1I15t mo~/';e Allfirst 16,861.25 205. 505. Pavoff second m;;-rta~;; 206. 506. 207. 07. 208. OS. 209. 509. Ad1uabnents for Items unpaid bY seller Ad uatments for ftems unnald hv seller 210. CMowntaxes to 510. Clt\/ltown taxea 10 211.Countvtaxes to 11. Covntvtaxes to 212. Schooltaxes \0 512. School taxes 10 213. Assessments to 13. Assessments to 214. Sewer to 14. Sewer \0 215. Trash to 15. Trash to 216. 516. 217. 17. 218. 18. 219. 18. 220. Total Paid BylFor Borrower 90,000.00 20. Total Reduction Amount Due Seller 24,955.70 300 Cash A1 Settlement FromlTo Borrower 800 Cash At Settlement ToIFrom Seller 301. Gr099 amount due from borrower (IIne120) 92,189.87 01. Gross amount due to seller Ime 42m 88,799.40 302. Less amounts paid bv/for borrower (line 220) 90,000.00 02. Le,s reductions in amI. due seller (line 520) 24,955.70 303. Cash From Borrower 2,189.87 !ao3. Cash To Seller 63,843.70 HUD-l (3~a6) RESPA, HB 4305.2 l Settlement Charges 700, Total SaleslBroker's Commission based on nrice $ 88000,00,", 7.00%=8160.00 Paid From Paid from Division of Commission (line 70m as follows: Bol't'OWer's. Sel1eo'. ;'01, I 3105,00 to Centruv 21 At The Helm Funds at Funds at 702, I 3055.00 to Prudential Thompson Wood Settlement Settlemer.t 703. Commission paid at Settlement 6,160,00 704, Transaction mananement fee to Prudential //I Cent~21 At The Helm 125,00 125.00 800. Items Pavable in Connectfon With Loan 801. Loan Orinination Fee to 802. loan Discount to 803. ;;:;;Pralsal Fee to 804. Credit Report to B05. lender's Inspection Fee to B06, Mo;;a;;; lnsurance Applicatlon Fee to 807. Assum"tion fee to 808. Tax SeNlce Fee 10 W;;;;int 91.00 809. CourlerlOvemloht Matt to W-;:-"'olnl 16.00 810. Document Preparation to Wavpomt 290,00 811. Flood Certification to w;Wpoint 14.00 812, Underwriti~-;;-fee toWav~int 100.00 813. Application fee to WaVtloinl 325.00 POc 814. 900, items Required Bv Lender To Be Paid In Advance 901. Interest From 9123102 10 10/1/02 "" 15.28 /dav 122.24 902. Mort..age Insurance Premium for month/s)to 903. Hazard Insurance Premium for 1ve~lo 191.00 POC 904. 1000, Reserves Deposited With Lender 1001. Hazard InsUl1l.nce 3 monthsiB> 15,92 oef month 47.76 1002, Mo.....ane Insurance monthsd'll "'ermonth 1003. Clk, pro....rtv texes monthsdfl "ermonth 1004. Cou~r~ta)(es 8 month;;b 29,03 per month 232,24 1005. Annual assessments mooth~ - ner month 1006. School taxes 4 month;-ofil 76.20 oer month 304.80 1007. Flood insurance monthstBl oel'moI'Ith 1008. monthsdll "ermonth 1009~te <ildiustment 221.'32 1100, Title Chal'Cl8S 1101, Settlement or closion fee to 1102. Abstract or title search to 1103. Title examination to 11M, Title Insurance binder to 1105. Document "'reparation to 1106. Nota'" fees 10 DIane Jenl<ins 4.00 1107. Attorn-;Vs fees to Coyne & C~e POC (includjn~- above items numbers: ) 1108. Tille insurance to Summit Abstract Services, Inc. 936.75 'includlnn above items numbers; 1101,1102,1103,1104 ) 1109, Lender's cove~ $ 1110, Owner's covera('l; $ 1111, Insured Closino Service letter Fee to The Security Tille Guarantee Cornoratlon of Bait! 35.00 1112. 1113. Ovemlt.ht mall to Airborne 20.00 15,00 1200, Government Recordln... and Transfer Char..es 1201.Rec:ord~fees: Oeed $28.50 M~e$ 54,50 ReUAssia~. $ 83,00 1202, Cik'/coun'" tax/stamps: Deed $880.00 Mortoaa-e $ 880.00 12.03. State tax/st-: Dee<! $ 880.00 Mortoaoe $ 880,00 1204. 1205. 1300. Additional Settlement Chames 1301.Survev 10 1302. Pest inspection to Penn Pest 35.00 1303. Radon test to 1304. Home Inspection to Olson, Black & Assoc. 275.00 1305.2002-03 school real estate tax to Bonnie K. Miller TC 914.45 1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) 3.390.47 8,094.45 lief, it Is a true and accurate statement at I have received a Co, I shall cause the funds 10 be disbursed Settl81 ent gent Warning: It Is a Crime fa knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can Include a fine and imprisonment, Forde/ails see: Title 18 U.S, Code Section 1001 end Section 1010. 9120/02 *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF PATTERSON, DORIS-; -- - -- -----lFILE NUMBER- - --- ____ _ _____ __ _ _ ___ ____ L ~ ~~ 0560 ____ Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorshIp must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH - ___ __._ 0-- 4,965.00 Alltirst Bank Checking Account No. 0067492495 2 M&T Bank Christmas Club Account No. 2500490161871 321.00 3 Misc. Furnishings and Personal Property 1,000.00 TOTAL (Also enter on Line 5, Recapitulation) 6,286.00 , IJ allflrst Coyne & Coyne Attorneys At Law 3901 Market Street Camp Hill, PA 17011-4227 D [g~ ~::[g ~ M~ ,1. Re: Estate of Doris V. Patterson Social Security: 182-22-8145 Date of Death: June 11. 2002 Dear Sir or Madam; Allfirst Financial Center N .A. 1'0. Box 900 Millsboro, DE 19966 Phone (302) 934-2909 Fax (302) 934-2955 July 3, 2002 Per your inquiry dated June 28, 2002, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: I. TYpe of Account Golden Age Checking Account Number 0067492495 Ownership (Names of) Doris V. Patterson, Owner Charles R. Patterson, POA Opening Date 10/28/69 Balance on Date of Death $4,965.39 Accrued Interest $ 0.00 Total $4,965.39 2. Type of Account Home Equity Line Account Number 168713050002 Ownership (Names of) Doris V. Patterson, Pri-Borrow Opening Date 07/30/98 Balance on Date of Death $/7,352.89 Per Diem 2.2497314 . This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of Uniform Transfers, Representative Payee, or Trustee under a Written Agreement. For further account information, closures and/or reimbursement of funds refer to be/ow branch: HIGHLAND PARK OFFICE 344 SOUTH 10TH STREET LEMOYNE, PA 17043 717-737-3322 ue Kimble Assistant I Cis Services, (302) 934-2909 ~M&rBank July 9, 2002 RE: Estate Search The Estate of: Date of Death (D.O.D.) DORIS V PATTERSON 6/11/2002 ~f@~O'YI~m~i I' I~\ \ '152002 i@' I \ l I U,", '". ~' To Whom It May Concern; ....... .---- Identified below is the account information reqnested, L M&T Bank accounts in which the decedent's name appears; ACCOWlt Type Account Number Account Title Gpening Branch D.G,D. Accrued Interest Balances (Includes Accr. Int.) $320,52 $.26 X-MAS CLUB 25004920161871 GPENED 11198 DGRlS V PATTERSGN 4342 2, Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Gwed Account Description NO. Safe Deposit Box titled in the Decedent's name existed at our office, If you have any questions about the information provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 2440 outside of the Buffalo, NY calling area, Thank you, Sincerely, M&T BANK CGRPGRATIGN BY ~~~ ~ Authorize SIgnature DATE; , ~7 ~O'7-- Manufacturers and Traders Trust Company. 1100 Wehrle Drive, Po. Box 7OT, Buffalo, NY 14240,0767 SCHEDUlE H I RJNERAL EXPENSES & COM~~~~I~~~~E OJ,,~~~~~~~ANIA ADl\mNISTRATIVE COSTS _ _~SIDENTDE~EDENT___ ___l_ ______ ______ _______ - __n_______.__ ___._...__ ______.___ __..__ __.___ ESTATE OF PATTERSON, DORIS V. *' lFILENUMBER-- -- - ~ _ E-- 2002--=-25~_ __ Debts of decedent must be reported on Schedule I. -ITEM-r- - -- ---DESCRIPTION NUMBER, -A. -l FUNERAL EXPENSES: - - - - - - 1. Nedl Funeral Home, Camp HIll, PA 2. I Reception 3. I Burial Lot, Headstone Engraving AMOUNT ~ I I I I I I 6,446.32 100.00 1,241.05 City Relationship of Claimant to Decedent State Zip I I I I I I I I I I \ I I I I -[- 4,715.00 1. I ADMINISTRATIVE COSTS: I Personal Representative's Commissions B. Social Security Number(s) I EJN Number of Personal Representative(s): Street Address City Year(s) Commission paid Attorney's Fees COYNE & COYNE, P.e. State Zip 2. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 4. Probate Fees Cumberland County Register of Wills 239.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. I Other Administrative Costs Patriot News-- Legal Advertisement 97.00 2 Cnmberland Law Journal-- Legal Advertisement 75.00 1_- Total of Continuation Schedule(s) 12,957.00 TOTAL (Also enter on line 9, Recapitulation) 25,871.11 *' SchecUe H Funeral Expenses & Adnil i..t.dIi1l& Cosls continued I COMMONWEALTH OF PENNSYLVANIA __ ~~~~~~~~ED~~XE~~~~R~~ .~ ---._-.----.-- -_..-....._....._---~._-_..- -------- ---- - - -- - - - - -- I FILE NUMBER- - -- __ _ ___ _ ___~_ 21~200~560 ___ ESTATE OF PATTERSON, DORIS V. 3 74.00 Postage 4 Century 21 At the Helm-- Realtor's Commission 6,285.00 5 Closing Costs-- Sale of Rea! Estate 1,809.00 6 Toll Charges 49.00 7 Mileage for Executors @ $.32/mile 480.00 8 Greyhound Transportation for Executor 59.00 9 375.00 D-Haul-- Moving Expense 10 79.00 Gas Expense-- Transportation 11 Estate Checks 7.00 12 Filing Fee-- Inheritance Tax Return 15.00 13 Trash Removal for sale of house 60.00 14 Dash Investigative Services-~ Personal Injury Case 523.00 15 Court Reporter Services-- Personal Injury Case 62.00 16 1,000.00 Reserves 17 Toll Calls for Executors 60.00 18 50.00 Lawn Care 19 Cleaning ofHouse-- Beverly Dubbs @ $7.001hr. 572.00 20 Missed days of work taken by Executor (Charles Patterson) 640.00 21 I Cleaning of House-- Patricia Patterson@ $7.001hr. I I Carey Associates-- Tax Return Preparation 2002 I I I 1_____ _ L__ 658.00 22 100.00 Page 2 of Schedule H I SCHEDULE I \ DEBTS OF DECEDENT, MORTGAGE COMMONWEAUHO"ENNmV<NlA LIABILITIES, & LIENS \ ____IN~~~0AE~~E~T:gE~~~~~_ __..1__ _ ______ ______________L___ __ _" _.___,______ ESTATE" OF' -"-- -" - -- - ---.---------- -i"FILE"NUMBER--- --.--- PATTERSON, DORIS V. I 21 _ 2002 _ 0560 '* Include unreimbursed medical expenses. ITEM NUMBER -"-- I DESCRIPTION AMOUNT Allfirst Home Equity Loau 17,353.00 2 Pa.we 74.00 3 PP&L 112.00 4 UGl 274.00 5 Verizon 65.00 6 Holy Spirit Hospital 12.00 7 Lower Allen Township (Sewer/Trash) 68.00 8 Tamdot Healthcare of Hershey 13.00 9 Discover Card 204.00 TOTAL (Also enter on Line 10, Recapitulation) 18,175.00 . REV-15U EX+ (9-00) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ----- --- ------- --- ---- -------- - -- -- --- -- - ----------- -- -- -- -- ----- ESTATE OF - - -- -- -- - -- ---- - - - -- - TFILE NUMBER---- -- PAITERSON, DORIS V. I 21 - 2002 - 0560 - --,- - -- -- ---- - - - -- - - - -1- RELATIONSHIPTO T AMOUNT OR SHARE- NUMBER L __NAME AND ADDRESS OF PERSON(S) RECEIVIN~ROPERTY-l_ ~~~~)_ _ _ OF ESTAT~ _ _ I I I Son 150% of Residual I. 2 I TAXABLE DISTRIBUTIONS (include outright spousal distributions) Charles R. Patterson 11642 Bluejay Drive ,Dover, PA 17315 I 1 Robert K. Patterson 5303 Grand Lake Cresen! I Virginia Beach, VA 23462 I Son bo% of Residual I I I I I I 1 1 I I Enter dollar amounts for dlstnbutlons shown above on hnes 15 through 18, as appropnate, on Rev 1500 cover sheet I II. NON-TAXABLE DISTRIBUTIONS: IA SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE I I I I lB. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS I I I I I I I TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET] Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters No. 2002-00560 PA No. 21-02-0560 ESTATE OF PATTERSON DORIS V (LAbl, ~lKbl, M1UUL~j Late of LOWER ALLEN TOWNSHIP CUM~~KLANU CUUN1Y, Deceased Social Security No. 182-22-8145 WHEREAS, on the 13th day of June 2002 instruments dated November 20th 1980 & May 31st 1994 were admitted to probate as the last will and codicil of PATTERSON DORIS V {LAbl, ~~Kblf M1UULb) late of LOWER ALLEN TOWNSHIP CUMBERLAND County, who died on the 11th day of June 2002 and, WHEREAS, a true copy of the will & codicil as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to PATTERSON CHARLES RICHARD and PATTERSON ROBERT K who have duly qualified as Executor (rix) and have agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 13th day of June 2002. ~~'~~ * *NOTE* * ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) CODICIL 21-2002-560 TO LAST WILL OF DORIS V. PATTERSON I, DORIS V. PATTERSON, of the Township of Lower Allen, Cumberland County, Pennsylvania, declare this to be the sole Codicil to my Last Will dated November 20, 1980. Ite.,l: I hereby revoke Item I (B) of my Last Will and in lieu trereof provide as follows: Fifty percent (50%,) to my 80n, CHARLES RICHARD PATTERSON, of 1642 Bluejay Drive, Dover, Pennsylvania 17315, providing he is surviving me on the thirtieth (30th) day following my death. In the event that my son, CHARLES RICHARD PATTERSON, predeceases me or is not living on the thirtieth (30th) day following my death, I devise and bequeath his share onto his natural born daughter, AMANDA PATTERSON. Ite.'2: I hereby revoke Item 4 of my Last Will and in . lieu thereof provide as follows; I appoint my two sons, ROBERT K. PATTERSON and CHARLES RICHARD PATTERSON, or the survivor of them, Co-Executors of this my Last Will. Item 3: In all other respects, I hereby ratify, confirm and republish my Last Will, dated November 20, 1980, together with this Sole Codicil, as and for my Last Will. IN WITNESS WHEREOF, I have hereunto set my hand this -31- day of nj ,19E iI~/~ ~ItA-<Vl</ RIS V. PA T RSON Signed, published and declared on the date thereof by the above named DORIS V. PATTERSON as and for the sole Codicil to her Last Will, dated November 20, 1980, in the presence of her request, in her presence, in the presence of subsoribed our names as wit~neBs s hereto. . '. 3.9"0' . >f; , residing at ~I" ~'/1-4z.1 81 $fr'~j G~ e.17/TES . esiding at fOarL,,.[e. I~ /70,3 ~i ~~ Ji 21-2002-560 LAST WILL OF DORIS V. PATTERSON I, DORIS V. PATTERSON, of the Township of Lower Allen, Cumberland County, declare this to be my Last Will and revoke any will previously made by me. ITEM 1: I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, in the following fashion. (A) Fifty (50%) percent to my son, ROBERT K. PATTERSON, providing he is living on the thirtieth day following my death. In the event that ROBERT K. PATTERSON predeceases me or is not living on the thirtieth (30th) . day following my death, I devise and bequeath his share to his two (2) daughters, BOBBl ANN PATTERSON and PATTI KATHLEEN PATTERSON, share and share alike. (B) Fifty (50%) percent to my son, CHARLES RICHARD PATTERSON, providing he is surviving me on the thirtieth (30th) day fallowing my death. In the event that my son, CHARLES RICHARD PATTERSON, predeceases me or is not living on the thirtieth (30th) day following my death, I devise and bequeath his share unto my niece, MRSa CAROL A. RIMS of Telford, Pennsylvania. ITER 2: Should any person entitled to a share of my estate not have attained the age of twenty-five (25) years at the time of distribution to him or her, I devise and bequeath the share of such person to the Dauphin Deposit Trust Company, Harrisburg, Dauphin County, Pennsylvania, in separate trusts, 'I II to hold, manage, invest and reinvest the share so received, and accumulation of income thereon, and to use and apply the income and principal, or so much thereof, as, in trustee's discretion, may be necessary or appropriate for such person's medical care, support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such medical care, support or education, or to make payment for these purposes, without further responsibility, to such person or to such person1s par- ents or to any individual taking care of such person. Any principal and income not so applied shall be distributed to such person absolutely when he or she attains the age of twenty- five (25) years. If he or she dies before attaining age twenty- five (25), the trust shall terminate and such share shall be .ITllM3:. his or her personal representative. . . Id~rect that all taxes that may be assessed distributed to in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from the residuary estate as a part of the expense of the administration of my estate. ITEM. 4: 1 appoint the Dauphin Deposit Trust company, executor of this my Last will. ITEM 5: I direct that my trustee and personal represen- tative shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITME 6: Upon my death, I direct that my body be buried in my burial lot in Section 83-B, Block "BlI I Rolling Green Memorial Park, Township of Lower Allen, Cumberland County, Pennsylvania. IN WITNESS WHEREOF I I have hereunto set my hand and seal this 'I~ day of 1J (l~ ,1980. /yJ~~r{(k~w / DORIS V. Pl'i TERSON The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, DORIS V. PATTERSON, was on the day and date thereof signed, published and declared by DORIS V. PATTERSON, the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence, and in hereto. the presence of each other have subscribed our names as witnesses 1-~<; (l? fft._Jqt.~ residing at ?-" /~;?~ residing at II ~r-a3 ~ #, 00,,/;:> 1/4:L(" (? 1/-, /,{// (.'/yNdIA/t /?d. L .4M1' HUL) ?4- . I' \1 COMMONWEALTH OF PENNSYLVANIA) ) 55: COUNTY OF CUMBERLAND ) We, DORIS V. PATTERSON, FItPtIVIL S, RADO(,H;q and EUGENE" KeLLY the Testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. lJ!~rl~ , DORIS V. PATTERSON 1~f- 1; ~..a s, rR dt-ocL- /i~ Subscribed, sworn to and acknowledged before me, tfEilJ,;e.'i i= COt AI r;; I , by DORIS V. PATTERSON, the Testatrix, and subscribed and sworn to before me by FI\' J'"IIC S. R flOo Clef A- witnesses I this '2-tJ ~day of and E U C;-ElIJE j\JOV,",M p,,"'W I{GLJ_Y 1980. (SEAL) Notary u lie r~,)T;\?" !:'u~t1c.....Jqt'f _ ,I,'~ M~Y 1Q.___ ~y Commlslll0n ...>< c;:;'mMrl8nd county Camp M\\\, Fa. COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne Austin F. Grogan Sharon F. Clark 3901 Market Street Camp Hill, Pennsylvania 17011-4227 May 17, 2004 717-737-0464 Fax: 717-737-5161 Register of Wills Cumberland County Courthouse Carlisle, PA 17013 Re: Estate of Doris V. Patterson, Deceased Dear Sir/Madam: We represent the Estate of the Late Doris V. Patterson. Pursuant to Orphans' Court role No. 6.12 of the Pennsylvania Supreme Court Orphans' Court, enclosed is an original Status Report regarding this Estate. Please docket the original and return a "clocked-in" copy to this office with the enclosed envelope. Thank you for your assistance. If you have any questions, please contact me. Very truly yours, COYNE & CO~. Henry F. Coyne t / HFC/amd Enclosure Cc: Mr. Robert K. Patterson, Co-Executor Mr. Charles Richard Patterson, Co-Executor Name of Decedent: STATUS REPORT UNDER RULE 6.12 Date of Death: Will No.: 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 thc above-captioned estate: State whether administration of thc estate is complete: Yes [-] No ~ If the answer is No, state when the personal kepresentative reasonably believes that the administration will be complete: _~.~ra ~.o.. ,~ l, ~x~O+ 3. If the answer to No. 1 is Yes, state the following: ao 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 [--] c. 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 repp,o~. / - ' - F. y,,, n_,,,, m&dress {qgt ) q~q- a T~lepho~e No. Capacity: ~-] Personal Representative ~1 Counsel for personal representative Cumberland County - Register of Wills One Courthouse Square Carlisle, PAl 7013 Phone: (717) 240-6345 Date: 05/03/2005 PATTERSON ROBERT K 5303 GRAND LAKE CRESCENT VIRGlNIA BEACH V A 23462 RE: Estate of PATTERSON DORIS V File Number: 21-02-0560 Dear SirIMadam: 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 is due by: 06/11/2005 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, ~<V~~ GLENDA FARNER STRA6lAUGH REGISTER OF WILLS cc: File Judge uJ Register of Wills of Cumberland County STAruS REPORT UNDER RULE 6.12 Name of Decedent: j)o~ I S v 'Ht..-fh-.- see" N Date of Death: Estate No.: ~ )-tJ 2 -d.n 0 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rilles, 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)Z{ 2. If the answer is No, state when the personal r~resentative reasonably believes that the administration will be complete: 0 cr '3 ~ 7.<.1 cr- 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 Orphans' Court and may be attached to this report. Date:~ ~'" "L-f'Y ~ Efe '" Lf<:.A- ~(E CoyNE Name SQdl ~t- \1., , Address ~ Y.II!J 7/ 7- 7 3 7 -c)t.{t., '-f Telephone No. Capacity: 0 Personal Representative ,?ounsel for personal representative uf' REV .1500 EX + (6.{J0) w ... x::~cn UO::>C Wc..U :rOO UO::-' c..<Il c.. <( Or-FiCi/"L USE ONLY REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 2002 0560 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) PATTERSON, DORIS V. DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) 06/11/2002 I 06/01/1920 I(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) I 0 '1. Original Return ~ 2. Supplemental Return . 0 4. Limited Estate 0 4a. Future Interest Compromise (date of death aller I 12-12-82) ~ 6. Decedent Died Testate (Attach copy 0 7. Decedent Maintained a Living Trust (Attach of Will) copy ofTrust) ~ B. Litigation Proceeds Received 0 10. Spousal Poverty Credit (date of death between COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 ... z W c W U W C AME ,;, !z Lisa Marie Coyne ~ ~ JRM NAME (If applicable) O::z 8 ~ Coyne & Coyne, P.C. ELEPHONE NUMBER 717/737-0464 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship z o ;:: ::) ::> ... 0: <( U W 0:: 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 182-22-8145 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE . REGISTER OF WILLS 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) I o 3. Remainder Return (date of death prior to 12-13-82) o SOCIAL SECURITY NUMBER 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) COMPLETE MAILING ADDRESS 3901 Market Street Camp Hill, PA 17011-4227 (1 ) None (2) None (3) None (4) None (5) 2,500.00 (6) None (7) None (8) (9) 2,513.33 (10) OFFICIAL U~NL Y .;:--~-:-, G' ....-) CD -0 en 2,500.00 (11 ) 2,513.33 (12) -13.33 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) Copyright 2000 form software only The' Lackner Group, Inc. (13) (14) -13.33 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec, 9116(a)(1.2) z 0.00 .045 (16) 0 16. Amount of Line 14 taxable at lineal rate x ;:: ~ ::> c.. 17, Amount of Line 14 taxable at sibling rate x .12 (17) :;; 0 U x 18. Amount of Line 14 taxable at collateral rate ~ x .15 (18) 19. Tax Due (19) Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 2004 Highland Cirlc1e CITY Camp Hill I STATE PA I ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. A. Enter the interest on the lax due. B. Enter the total of Line 5 + 5A. This is theBALANCE DUE. (3) 0.00 (4) (5) 0.00 (5A) (58) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;............................................................................. 0 ~ b. retain the right to designate who shall use the property transferred or its income;................................ 0 ~ c. retain a reversionary interest; or.............................._.........................................................__................ 0 I:8l d. receive the promise for life of either payments, benefits or care?........................................................... 0 I:8l 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................ .............................. ....... ............................................... 0 181 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 181 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?..............................._............................_.............................--.................... 0 181 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. I have examined this return, including accompanying schedules and statements, and to the best of my knowiedge and belief, it is true, correct and complete. Dee/aration tative is based on all information of which preparer has any knowledge. ADDRESS 1642 Bluejay Drive ~ezb DA E ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE Lisa Marie Coyne ADDRESS DATE 3901 Market Street CampHill,PA 17011-4227 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. S9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. S9116 (a) (1.1) (il)]. The statutedoes not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P .S. S9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P .S. S9116 1.2) [72 P .S. S9116 (a) (1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's sibiings is 12% [72 P.S. S9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 10-18-2005 PATTERSON 06-11-2002 21 02-0560 CUMBERLAND 101 APPEAL DATE: 12-17-2005 ( See reverse side under Objections) Amount Remittedl 1 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 P~!_~~9~~_!~!~-~!~~------~---~~r~!~_~9~~~_~9~r!9~_E9~_!9~~_~~P9~~~__~____________________ REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DORIS V FILE NO. 21 02-0560 ACN 101 I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: ,~ .-. ..-. .~. . l+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (_) 03-07-2003 "' CD002265 .00 2,261.00 TOTAL TAX CREDIT 2,261. 00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 rl ~~ ,n, ('I ......, -~\ r ~ r', BUREAU OF INDIVIDUAL-TAXES' , INHERITANCE TAX DIVISION _ PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX L"'. .., I ., ,..! DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN USA MARIE' COYNE COYNE & COYNE 3901 MARKET ST CAMP HIll PA 17011 ESTATE OF PATTERSON TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate [Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Mortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 .00 .00 .00 .00 2.500.00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) UO) 2,513.33 .00 UI) (12) (3) (4) NOTE: .00 50,227.95 .00 .00 X 00 = X 045 = X 12 = X 15 = (9)= · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. - REV-1547 EX AFP (06-05) DORIS V DATE 10-18-2005 NOTE: To insure proper credit to your account, submit the Upper portion of this form with your tax payment. 2,500.00 2.5]3 33 13.33- .00 50,227.95 .00 2,261.00 .00 .00 2,261.00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ^t IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE\q'- A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/25/2006 COYNE HENRY F 3901 MARKET STREET CAMP HILL, PA 17011-4227 RE: Estate of PATTERSON DORIS V File Number: 2002-00560 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: 6/11/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report I please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 4/25/2006 PATTERSON CHARLES RICHARD 1642 BLUE JAY DRIVE DOVER, PA 17315 RE: Estate of PATTERSON DORIS V File Number: 2002-00560 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: 6/11/2006 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, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans I Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/25/2006 PATTERSON ROBERT K 5303 GRAND LAKE CRESCENT VIRGINIA BEACH, VA 23462 RE: Estate of PATTERSON DORIS V File Number: 2002-00560 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 decedent1s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 6/11/2006 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, Gl~~~:;rt Clerk of the Orphans' Court ::c: File Counsel Register ofV.JiUs of Cumberland Counry Name of Decedent: STATUS REPORT LJNDER RULE 6.12 /.J 0 re / j V. ;:'(' .~ J-{.?t Date of Death: Estate No.: ;2l't;t -- Of! S' 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 administration of the estate is complete: Yesr~ No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a fmal account with the Court? Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: Date: c. Did the perso~epresentative state an account informally to the parties in interest? Y es ~ No 0 . c. Copies of receipts, releases, joinders and approval of fonnal or informal accounts may be filed with the Clerk of the Orphans' Court and may be . attached to this report~ '. '\fy" bh1/0J,. ~_~ -- I I . Si ature . Li!';. A J1A ft-f2 16 C~.v yAJe'r E S ~^ Name "2 {l () .::> ' ~-f . ;9.4 I fO f I Address /l.i.-~L'u.f c ~ 1-/1}/ 7 I 7 ~ 7 ? '7 ~ (.) q t. I..f Telephone No. Capacity: 0 Personal Representative ~ounsel for personal representative I ' r..