Loading...
HomeMy WebLinkAbout03-0398PETITION FOR PROBATE and GRANT OF LETTERS Estate of' "t~°~-~_fl ¢~ r~'~"/~'/iL No. ~I'-~.~".~IIH~ also known as l [ ~ -' - 7:.-- ~e./? --~-~ ,~, To: - Register of Wills for the ~ , Deceased. County of in the Social Security No. ~.- -~4' _. ~- %- 79(5 l` ~ ~ _ -( ~ / 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 execut c>~ _ named in the last wilt of the above decedent, dated and codicil(s) dated , 19.~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in <' c..,... $~./e~ ,oo/ County, Pennsylvania, with h last family or principal residence at. '7 x ~_ ,~-r',- ~ L ~ ~o~, .~ ,_. ~ (list street, number and muncipality) Decendent, then 7z _ years of age, died g -25- r-1'97~, oo / 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 $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters_ theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA q COUNTY OF c ~ .... /..,, ,( f 8s 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 the estate according to law. Sworn to or affirmed and subscribed before me this ~0-~r~ day of Estate Of MARY G RUNKLE ., Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MAY q the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated 9-12-1983 described therein be admitted to probate and filed of record as the last will of and Letters~ ~)t9~---, in consideration of the petitionon are hereby granted to NN M RUNKLE FEES Probate, Letters, Etc .......... $ 2 5,00 Short CertifiCates( ) .......... $__fi_,_0_0~ ~i~i~i~i61i .ey.t.r..a.p.a. qe..s... $ 3.00 jcp $ 10900 TOTAL .$ 44.00 5-9-03 ~ Filed ........................ called exec 5-9-03 ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE REGISTER OF WILLS OF C~BEm~A~ COUNTY OATH OF SUBSCI~mING WITNESS , - o.3-3q Jon F. LaFaver (xm~r0 a subscribing witness to the will presented herewith. (e~a~0 being duly qualified according to law, depose(s) and say(s) that he was Mary G. Runkle -- present and saw the testat rix . sign the same and that he .' _ signed as a witness at the request of testatrix in h er pre:ence and (~l~~~--4~.l~%.iiftfi~ (in the presence of the other subscribing wimess(es)). Sworn to or affirmed and subscribed before cv~ ~ o day of 4~'Jon F .-"LaFave~ 120 Carol St., New Cumberland, PA 17070 (Address) (Name9 {4ddre.=/ REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber (each} being duly/qualified according to depose(s) ~ - ~ -- familiar 7,/{h the signature of. '2'. ~ and say(s) that ' cdi~ tes:at~ o/ of the subscdbi/~ witness, to)the / wi, ~ here,v/th and that __.._.Z/ / beiie~ ~ ~ / believes on the will~s of _ __.~_ / handwriting t° h~tne ~t °f ---------- -- k/~ledge and betieL . / t~stO or affirmed and sg~scribed before ~ 19 day of (flame/ [A~.~/ /Register/ ~ b (Name) (A~dn:ss) REGISTER OF WILLS OF ~, COUNTY (ch) a subscribing witness to the C~ted herewith, ~ng duly qual~i according t2 law, depo~s) and say(s) that ~ xX_ pres~xlt and saw the testat , si~ he same and that "~ sign~as a witness a~-t.the request of testat~ ~ ~ presence and (in the presen~ each other) (in t~resence of ~ubscribingwit. ness~es))_. ~ ~ ~ Sworn ~r affirmed and subscribed bef~ ~ ~ me this ~ day-o~~ (Nam~ ~ ~ ~ (Address) ~ Register ~ ~ ~amO (Address) I~GI~_R OF WILLS OF O.v.r'n~e.~ COUNTY · ~TH OF NON-SUBSCRIBING WITNESS 021 - o,s (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ~ ~-~ familiar with the signature of ~'~ ~ ~Cxk~ · codicil 0 ' testat_~, of (one of the subscribing witnesses to) the ~ presented herewith and codicil that ,~'x~ c'~-~z~ believes the signature on the will is in the handwriting of to the best of ~ ~,,_~ knowledge and belief. Sworn to or affirmed and subscribed before me this C~<~ day of ' ~'~' (] ~egister (Name) (Address) (Name) (Address) 105.905M REV. 4/96 This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. 1005590 No. Charles Hardester State Registrar N -2 8. 2003 Date H105.143 Rev. 2J87 71 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH ......... 0 6:2 9 6 6 [ ....[~o~Y~r ~ -- 3~ -- [DAT~EOFDEATHiMC~h'DaY"te~r) LAW OFFICES . 317 THIRD STREET 0 NEW CUMBERLAND, PENNSYLVANIA 17070 ¢ JOl~l F'. I..AF'AYE~F~ 317 THIRD STREET t- 03 -398 I, NARY O. RUNKI~, of tipper Alien To~mhip, Oumberlm0xt ~ounty, Pennsylvania, being of somd ~d, m~ ~d ~ersmd~g, ~ ~eby ~, ~lish ~ ~el~e ins ~ ~d for ~ Mst ~ill md Testmt hereby r~o~g ~ ~ ~id ~y ~d all ot~r ~lls by ~ at ~y t~ heretofore ~e. I. I ~t ~t ~ ~e~tor here~t~ ~ s~ll pay ~1 ~ j~t ~bts ~d ~ral ~ses ~ so~ as c~~tly my be ~e ~t~ ~ d~se II. ~1 ~e rest, resid~ ~d r~der of ~ estate, ~er r~, p~s~l or ~, ~d~eso~ si~te, I hereby give, d~se ~d b~th ~to ~ ~b~d, ~ M. R~, ~ he s~ves ~ by a p~iod of t~ ~ys. If ~ said ~b~ ~es ~t s~ve ~ by a p~i~ of t~ty ~ys, th~ t~s ift to ~ s~l be di~sted ~d I th~ give, de~se ~ be~ ~ ~t~e es~te ~to ~ s~, ~ R. P~~. III. I h~eby ~te, c~ti~te ~d a~t ~ hmb~d, ~~ ~ as ~t~ of ~is, ~ ~t Will ~d Tes~t. If ~e said GI~ M. ~le s~d ~c~se m, fail to ~li~ ~ c~se to act as ~h, th~ I n~te, c~titute ~d a~t ~ sm, W~ R. PA~~, as ~ecutor. No fi~i~ act~g m~ ~s Will s~ll be re~r~ to ~st brad ~ ~s j~is~ctim ~ ~ ~y j~is~cti~ ~ ~ch he my act. Page one of two Pages IN WITNESS WHEREOF, I, MARY G. RI~, the Testatrix, have unto thi ~my Last Will and Testament, set my hand and seal this \~ day of September, A. D., 1983. JON F. LAFAVER SI~IqED, SF_.~TF.'r3, P~BLISHED and DECLARED by MARY G. RUNKLE, the ?,above-rm~d Testatrix, as and for her Last Will and Testamertt, in r. he presenc~ ?~of us who have hereunto subscribed our rmmes as witnesses at her request, in iithe presence of the said Testatrix and of each other. Page two of t~o Pages '0.t li/I¥-6 /t11:15 C,t~.mb¢~;a;~d Co,, PA MARY G. RLINKI~ LAW OFFICES 317 THIRD STREET NEW CUMBERLAND, PENNSYLVANIA 17070 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Will No. ,,7./~ o $~ o.3 Y'_3: Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on : Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: Signature Address /~ ~'./o4_ ~ o Telephone (~/7) 6P 7 ~o Capacity: / Personal Representative Counsel for personal representative STATUS REPORT UNDER RULE 6.12 NameofDecedent: Mary G. Runkle (File Number 2003-00~q8) Date of Death: June 27, 2001 Will No.: Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: Did the personal representative file a final account with the Court? Yes _ No 1'] b. The separate Orphans' Court No. (if any) for the personal represemative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes ['-] No ['-] Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the. Orphans' Court and may be attached to this report. Date: Signature Capacity: Address ~: ,, 2. o$,~ Telephone No. l~Personal Representative Counsel for personal representative Cumberland County - Register of Wills Hanover and High Street Carlisle, PA 17013 EV-1500 EX (GOO) COMMONWEALTH OF PENNSYLVAN,A REV-1500 DEPARTMENT OF REVENUE DEPT. 280601 INHERITANCE TAX RETURN HARRSBURG PA 17128 0601 RESIDENT DECEDENT DECEDENTS NAME (LAST, FIRST, AND MJDDLE INITIAL) OFFICIAL USE ONLy 21 -- _o3~ COUNFW CODE YEAR NUMBER Runkle Mary G DATE OF DEATH (MM DD-YEAR) DATE OF BIRTH (MM DD YEAR) 6/25/2001 5/27/1930 (IF APPLICABLE)SURVIVING SROUSE'S NAME (LAST FIRST AND MIDDLE rNrT~AL) Runkle, Glenn M. URN MUST BE FILED iN DUPLICATE WiTH THE ~F WILLS ] 10nginal Return ~ 2 Suppremental Return ~ 3 Remainder Return (date of death pr,or to 12 13 82) ~4 LimSedEstate E~ 48 FuturelnterestCompromfse(dateofdeathafter12.1282) [~ 5 Federal Estate Tax Return Required ]8 Decedent Died Testate Alt h ~ 7 Decedent Maintained a Living Trust (Attach copy of Trust) -- 8 Total Number of Safe Deposit Boxes ac copy of Wi [~ 9 Litigation Proceeds Received E~ 10 Spousal Povedy Credit (date of dea[h between 1231.91 a~d I 195) ~ 11 Election to tax undo Sec 9113(A)(A[,a¢h soho) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME David H. Stone, Esquire Stone LaFaver & Shekletski 717-774-7435 COMPLETE MAILrNG ADDRESS Rear Estate (Schedule A) (1) Stocks and 8Grids (Schedule B) (2) Closely Held Corporation Padnersbip or Sole-Proprietorship (3) Mortgages & Notes Receivable (Schedule D) (4) Cash, Bank Deposits & Miscellaneous Personar Property (Schedule E) (5) 414 Bridge Street New Cumberland, PA 17070 Z (8) 6 JoinHy Owned Properly {Schedule F) E~ Separate Billing Requested (6) 7 inter-Vivos Transfers & Miscellaneous Non Probate Properly {7) (Schedule G or L) 8 Total Gross Assets (total Lines 1-7) g Funeral Expenses & Administrative Costs (Schedule H) (9) I 8 Debts of Decedent, Mot[gage L abilities, & Liens (Schedule I) (10) -- 11 Total Deductions (total Lines 9 & 10) 12 Net Value of Estate (Line 8 minus Line 11) 13 Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 0 4,47~ 0 0 0 0 0 z Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Amount of Line 14 taxable at the spousal tax rate, ar transfers under Sec 9118 (a)(1 2) Amount of Line 14 taxable at lineal rate 0 0 (11) (12) (13) ¢4) x o O~ (15) x 8 45 (16) 7,6q7 0 4,475 Q- 17 Amount of Line 14 taxable at sibling rate ~ 0 O J x12 (17) 0 i 18 Amount of Line 14 taxable at collateral rate 0 X ' X 15 (18) · > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 7,697 (3,222) 0 (3,222) 0 0 0 0 0 3W4645 1 000 Decedent's Complete Address: 712 Bamilton Ave Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2 Credits/Payments A Spousa~ Poverty Credit B. Prior Payments C Discount 3 Interest/Penalty if applicable D Interest E Penalty Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) (1) 0 0 0 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 (4) 5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the taxdue. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT (5B) 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: ....................... [~ ~ b retain the right to designate who shall use the property transferred or its rncome: ......... ~] [~ c. retain a reverslonaW interest: or ................................ ~ ~ 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'~ ............................ E~ [] 3 Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? [] [~ 4 Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................ [] [~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of periury I decrare that I have e×~mined this return including accompanying schedules and statements and t~) the best of my knowledge and belief it is true correct and complete Declaration of preparer other than the personal representative is based on all in formatioll of which preparer has any knowledge S~G NA~J RE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS 14 Blue Mt. Vista, 414~2~g~ Street Mechanicsburg, PA 17055 DATE New Cumberland, PA 17055 For dates of death on or after July 1, 1994 and before January1 1995'thetaxrateimpOsedonthenetvalueoftransferstoorfOrtheuseOfthesurvivingspouseis3% [79 PS §9916 (a)(1 1)(i)] For dates of death on or after January I 1995,thetaxrateimposedonthenetva~ueoftransfersto~~fortheuseofthesur~~vingspouseis0%[72PS §9116 (a) (1.1) (ii)] The statute does not exem pt 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 im posed 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 orastepparentofthechildis0%[72PS §9116(a)(1 2)] The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P S § 9116( 1 2 ) [72 PS § 9116{a)(1 )] Thetaxrateimp~sed~nthenetva~ue~ftransferst~rf~rtheuse~fthedecedent'ssib~ingsis12%(72PS §9116(a)( 3)] Asbingisdefined, underSectJon9102, asan individual who has at least one parent in common with the decedent, whether by blood or adoption 3W464~ 1000 Estate of Mary G. Runkle 170_24_3019 Executors (Page 1) Surviving Spouse The said Surviving spouse has since moved and his current address is 14 Blue Mt. Vista, Mechanicsburg, PA 17055. He did reside with his wife at 712 Hamilton Ave., Mechanicsburg, PA 17055. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FiLE NUMBER Mary G. Runkle 0398 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Series E Savings Bonds in decedent's name alone ranging from 1990 thru 1996 TOTAL (Aisc enter on line 2, Recapitulation) 4,475 4,475 3W4696 I 000 (If more space is neededr insert additional sheets of the same size) REV 1511 EX+ (12 99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Mary G. Runkle 0398 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A 4 5 7 FUNERAL EXPENSES: Neill Funeral Home-funeral expenses ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personar Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Glenn M. Runkle Street Address 14 Blue Mt. Vista City Mechanicsburg State PA Relationship of Claimant to Decedent SURVIVING SPOUSE Probate Fees Accountant's Fees Zip 17055 Reserve for closing expenses 3,847 250 3,500 100 TOTAL (Also enter on tine 9. Recapitulation) $ 7,69 7 3W46AG 1 000 (If more space is needed, insert additional sheets of the same size) REV 1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Mary G. Runkle FILE NUMBER 0398 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec 9116(a)(12)] Glenn M. Runkle 14 Blue Mountain Vista Mechanicsburg, PA 17055 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Surviving Spouse AMOUNT OR SHARE OFEBTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II 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 REV1500 COVER SHEET 0 3W46Ai 1 000 (If more space is needed, insert additional sheets of the same size) NEW CUMBEP. XAND, PENI'gSYLVA~NrL~ 17070 LaS"I' W'M,I, AND TES~ OF MARY G. RUNKLE I, MaRY g. RUNKLE, of Upper Allen Township, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, ~blish and declare this as and for my Last Will and Testar~nt hereby revoking and making void any and all other wills by ma at any tima heretofore made. I. I direct that my Executor hereinafter namad shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. II. All the rest, residue and remainder of my estate, whether real, ~ersonal or mixed, and wheresoever situate, I hereby give, devise and bequeath unto my husband, C~,ENN M. RUNKLE, if he survives ma by ~a period of thirty days. If my said t~usband does not survive ma by a period of thirty days, then this ift to him shall be divested and I than give, devise and bequeath my entire estate unto my son, WARREN R. PATTERSON. III. I hereby nominate, constitute and appoint my husband, GLENNFL R .U~IE, as F~xecutor of this, my Last Will and Testament. If the said Glenn M. R~nkle shooftd predecease me, fail to qualify or cease to act as such, than I nominate, constitute and appoint my son, WARREN R. PAZ'IERSON, as Executor. IV. No fiduciary acting under this Will shall be required to post bond ~] in this jurisdiction or in any jurisdiction in which he may act. Page one of two Pages IN W£11NESS W~F~MOF, I, MARY G. 1~, the Testatrix, have unno this my Last Will and Testament, set my h~nd and seal this \%~ day of September, A. D., 1983. SIGNED, SEALED, PUBLISHED and DECLARED by MARY G. ~, the above-~r~d Testatrix, as and for her Last Will and Testanmnt, in the presence Df us who have hereunto subscribed our names as witnesses at her request, in the presence of the said Testatrix and of each other. Page two of t~o Pages Inventory of the real and personal estate of Mary G. Runkle deceased Series "E" Savings Bonds in from 1990 thru 1996 the decedent's name along ranging TOTAL $4,4751 $4,475 ~OMMONWEAL~H ~,,' SS: Glenn M. Runkle ~ ~ Mary G. Runkle [ale o~ g~per Allen Twp. , ~umDer~an~ Counfy, Pa., ~eceasea ~n~ f~a+ f~e 0¢ +he esr,re estate of said decedent, cons[sf~ng of a~ +he persona{ property and real estate, except real estate oufside " ' ' ' fa(r value fha ~ommonwe~hn of Pennsylvan(a, an8 ~haf +he f~gures opposlfe each item cf the inventory represent ~fs as o~ ~he date ~f ' : z' death. and ~.ubscribed before me, 19 Runkle 14 Blue Mt. Vista Mechanicsburg, PA 17055 25 Day 06 2001 Mon+h Y~ar INST~UCT!O~t5 f, An [nvenfor'.' taus± be H'~ed wifh{n three months after appainfmen'~ of personaJ represen+afive. ,,¢ ..... r~ must be f;ied w~fh;n fh[rfy days of d scoverv of addff~=nal assets. ]. Aadmona -¢, cs m4,! be 4,Tecned as ~o oersona]fy or reaJiy z 2ce Arf~c[e r /, ~;d~cTaries ~,c~ of 1949. o o STATUS REPORT UNDER RULE 6.12 Name of Decedent: Mary G. Runkle Date of Death: June 25, 2001 Will No. 21-03-0398 To the Register: 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: t. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Date: 3. If the answer to No. 1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes No X (b) The separate Orphans' Court No. (if any) for the personal representative's account is: N/A (c) Did the personal representative state an account informally to the parties in interest? Yes X No (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' this report. 414 Bridge Street New Cumberland, PA 17070 717-774-7435 Capacity:. Personal Representative X Counsel for Personal Representative IN RE: ESTATE OF MARY G. RUNKLE : : LATE OF THE TOWNSHIP OF : UPPER ALLEN, CUMBERLAND : COUNTY, PENNSYLVANIA : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-0398 RECEIPT, RET.RASE AND WAIVER OF ACCOUNTING KNOW ALL MEN BY THESE PRESENTS, that I, GLENN M. RUNKLE, being one of the beneficiaries under the will of MARY G. RUNKLE, do hereby acknowledge that I have received all sums of money and property due me by virtue of the death of MARY G. RUNKLE, in full satisfaction and settlement of all of my rights and claims under her estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Common Pleas having jurisdiction over the same, and I acknowledge that I have had an opportunity to examine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Distribution had been filed in a Court of Common Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. AND THEREFORE, I, GLENN M. RUNKLE, do by these presents, remise, release, quitclaim and forever discharge the Executor, his heirs, successors and assigns, from the acts of the Executor as aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoever, and I do hereby consent to the discharge of the said Executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal the day of ~L~..~/ ~~ , 2004. Witness v ' ~--- GLENN M. RUNKLE COMMONWEALTH OF PENNSYLVANIA: : COUNTY OF CUMBERLAND : SS: On this, the ~ day ef ~%~(u~_ , 2004, before me a Netary Public, the undersigned officer, persenally appeared GLENN M. RUNKLE, knewn to me (er satisfacterily proven) te be the persen whese name is subscribed to the within instrument and acknowledged that he executed the same fer the purposes therein centained. IN WITNESS WHEREOF, I have hereunte set my hand and seal the day and year first above written. N~ary Public -2- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF /NHER/TANCE TAX APPRAISEMENT, ALLO#ANCE OR DISALLONANCE OF DEDUCTIONS AND ASSESSNENT OF TAX REV-15~i? EX 4FP (01-03) DAVID H ST~E ESQ STONE LAFAVE~ ETAL : ~i~.BRiDGE~-~i- :~ NEWCUHBERLAND P~ 17070 CUT ALONG THIS LINE DATE 09-27-200q ESTATE OF RUNKLE DATE OF DEATH 06-25-2001 FILE NUHBER 21 05-0398 COUNTY CUHBERLAND ACN 101 I Amount Remitted HARY HAKE CHECK PAYABLE AND REHZT PAYNENT TO: REGISTER OF WILLS CUNBERLAND CO COURT HOUSE CARLISLE, PA 17013 RETAIN LOWER PORTION FOR YOUR RECORDS ~ DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX ESTATE OF RUNKLE HARV GFZLE NO. 21 03-0398 ACN 101 DATE 09-27-200q TAX RETURN MAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) $. Closely Held Stock/Partnarsh/p Interest (Schedule C) ($) q. Mortgages/Notes Raca/vabla (Schedule D) $. Cash/Dank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jo/ntly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTZONS AND EXENPTZONS: 9. Funeral Expanses/Adm. Costs/M/sc. Expanses (Schedule H) (9) 10. Debts/Mortgage L/ab/litias/L/ens (Schedule I} (10) 11. Total Deduct/ohs 12. Nat Value of Tax Return q~q75 O0 NOTE: To insure proper O0 cred/t to your account, O0 submit the upper port/on of th/s fora w/th your tax payment. O0 O0 O0 O0 (8) 7,697.00 .0O 15. lq. NOTE: ASSESSNENT OF TAX: 15. Aaount of L/ne Xq at Spousal rata 16. Amount of L/nm lq taxabXe at L/naal/CXass A rata 17. Amount of L/nm lq at S1bX/ng rate 18. Amount of L/ne lq taxabXa at CoXlateraX/Class B rata 19. Pr/nc/pal Tax Due TAX CREDITS: PAYMENT RECEIPT ; DISCOUNT DATE NUNBER INTEREST/PEN PAID (-) q,q. 75.00 (11) 7. 697. O0 (12) 3,222.00- .00 3,222.00- Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) Nat Value of Estate Subject to Tax (lq) If an assessment was lssued previously, lines lq, 15 and/or 16, 17, reflect flgures that lnclude the total of ALL returns assessed to date. 18 and 19 will IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (15) .00 x O0 : .00 (16) .00 x Oq5: .00 (17). .00 x 12 : .00 (18) .00 x 15 = .00 (19)= . O0 AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS RE~UIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF TM/S FORH FOR INSTRUCTIONS.) RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND (CR): OBJECTIOHS: ADHIN- ISTRATIVE CORRECT[OHS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 12, 19BZ -- 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 Coaaon#ealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate an any such future interest. To fulfill tho requirements of Section 21~0 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S. Section 91~0). Detach the top port[on of this Not[ce and submit with your payment to the Register of Nills printed on the reverse side. --Hake check or money order payable to: REGISTER OF HILLS, AGENT A refund of a tax credit, ahich Nas 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 ovailablo at the Office of the Register of Hills, any of the 25 Revenue District Offices, or by calling the special Z~-hour answering service for forms ordering: 1-800-562-Z050; services for taxpayers with special hearing and / or speaking needs: 1-BO0-~7-50ZO (TT only). Any party in interest not satisfied with the appraisement, allowance, or disaZZaaance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBIOZ1, Harrisburg, PA 17lIS-lOll, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 1712B-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions far Inheritance Tax Return for a Resident Decedent" (REV-IS01) far an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after tho decedent's death, a five percent (5X) discount of the tax paid is allowed. The 1SZ tax amnesty non-participation penalty is computed on the total of tho tax and interest assessed, and not paid before January lB, 1996, tho first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same canner and in the the same ties period as you oould appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day free tho date of death, to the date of payment. Taxes which became delinquent before January l, 1982 bear interest at the rate of six (62) percent per annum calculated at a daily rate of .00016~. AIl taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZO0~ are: Interest Dally Interest DaiIy Interest Year Rate Factor Year Rate Factor ~ ZOZ .0005q8 1988-1991 llZ .OOOSOl 1985 16X .000~38 1992 91 .0001~7 198~ llX .000301 1993-199~ 72 .000191 1985 151 .000356 1995-1998 92 .O00Z~? 1986 IOZ .00027~ 1999 72 .000192 1987 101 .00027~ ZOO0 7Z .000192 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID Daily Year Rote Factor ZOO1 9Z o000Z97 ZOOZ 6Z .00016~ 2003 52 .000137 200~ ~Z .000110 X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of tho assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated.