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HomeMy WebLinkAbout02-0254Register of Wills of Dauphin County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of MARION W. CRUTTENDEN also known as Social Security No. 171-38-0640 , Deceased Patitior~s), who is/are 18 yeas of age or older, apply(les) for: (COMPLETE "A" OR "B" BELOW:) [] A. Probate and Grant of Letters and aver that Petitioner(s) are the executors named in the Last Will of the Decedent, dated Apd120, 1988 and codicil(s) dated N/A State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: E~ B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: bendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLP_ ! E IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland at Messiah Villa,qe, Mt. Allen Road, Mechanicsbur.q, Cumberland County, Pennsylvania (list street, number and municipality) Decedent, then 90 years of age, died 12/15/01 , at Messiah Villaqe (Location) Decedent 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 ........................................................... $ Total ........................................................................... $ Real Estate situated as follows: 3-~ ~i~ ,,~/1//~ ~7/- d~/'~O /~7-/~, ~/¢~ /' 170 / ! Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: County, Pennsylvania, with his/her last family or principal residence Signature Typed or pdnted name and residence Joy C. Cruttenden, 830 Wynnewood Road, Camp Hill, PA 17011 Form RW-1 Page 1 o¢ 2 (Dauphin Cour~ty - Rev. 9/92) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioners above-named swear and affirm that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioners and that, as personal representatives of the Decedent, Petitioners will well and truly administer the estate according to law. Sworn to and affirmed and subscribed before me this 6th day of HARCH , 2002. DECREE OF REGISTER Estate of MARION W. CRUTTENDEN also known as Deceased Social Security No: 187-38-2231 Date of Death: December 15, 2001 AND NOW, this HARCH~ 12, ,2002, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [] Testamentary [] of Administration (c.t.a.; d.b.n.c.t.; pendente I~[e; durante absentia; durante minorilate) are hereby granted to Joy C. Cruttenden in the above estate and that the instrument(s), if any, dated ~ described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........................... $ Short Certificate(s).. L(.~. $ Renunciation .................. $. Affidavit ( ) ................. $ Extra Pages ( ) ............ $. Codicil ..........................$ JCP Fee ........................ $ Inventory & Tax Forms... $ Other ............................$ 235.00 6.00 18.00 TOTAL ................ $ 264.00 m~iled to attorney on Attorney: I.D. No: Address: Telephone: Howell C. Mette, Esquire 07217 3401 North Front Street Harrisburg, PA 17110-0950 717-232-5000 DATE FILED: MARCH 6, 2002 Form RW-1 Page 2 of 2 (Dauphin County - Rev. 9/92) :284326 1 his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. ,. Fee for this certificate, $2.00 ~ Local Registrar C~ P 7 8 8 6 2 6 2 No. ~ Date COMMONWEALTH OF PENNSYLVANIA t DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH I ~"~' i o,~, I ,o~, i Mi,Mn I ~o~,,.~..~.) I S~.F~.~Co~,~i },OS~ -- J ' ~' '"~ ~'~ ]~IL~ N~E (~ ~ '~' ~ ~ a~ ~ [~S ~t~ ~ ~S~N~ ~IGIN? '~ 331 ~h 24yh Street ~ ,.. ~ Hill, Pa 17011 ~'~ ,~.~ ~erl~d ~ ~.~ ~..~.',.~ ~...~, =.~ .t~ ~,~ Hill ,,. Jo~ Wit ter L el ara ~m~*~ ,o~ ..... [~' ~30 ~ne~ ~d ~,p H~]!, Pa 17011 _ . ~ ~0 c ...... ~ ~"--~,*O [~"~.~.~ . ]~ ..... ~' ...... It~*c~-..~ ~ ~~~_ ~-~ n,, ~ ..... -- .... 1903 ~=_~= =~,=- I=~- ~. ,o~..o~.~ ~,_ ... ~. I?: I'C emit EmM UNOERI.yINQ { b.,, DUE TO (0~ AS A CONSEQUENCE OF): DUE TO DUE TO {,~tt.~t ill ~rt~ ~e~t~ctnettt OF MARION W. CRUTTENDEN I, MARION W. CRUTTENDEN, of Camp Hill, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEM IV of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM III: I give and bequeath all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon to my daughter, JOY C. CRUTTENDEN, if she survives me. If she does not survive me, I make said bequest to my grandson, RYAN NATHAN. Any of such property to which a minor would thus become entitled which the Executor thinks Page 1 ~- unsuitable for such minor's use shall be sold and the proceeds thereof added to the share of my residuary estate held for the benefit of such minor. Any of such property to which a minor becomes entitled and which is not sold may be delivered to the person with whom the minor resides, or who has care or control of him without bond, and the receipt of such person shall be a complete release of the Executor. ITEM IV: I give, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portions of this Will, to my daughter, JOY C. CRUTTENDEN, if she survives me. If my said daughter does not survive me, I make said bequest to my grandson. RYAN NATHAN; provided, however, that said RYAN NATHAN has not attained the age of twenty-five (25) years at the time of my death, his share shall be held in trust by DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, as Trustee (hereinafter referred to as "Trustee"), IN TRUST NEVERTHELESS. until RYAN NATHAN has attained the age of twenty-five (25) years, at which time the Trustee shall distribute to him my residuary estate. During the term of said Trust, the Trustee shall quarterly pay to or for the benefit of my grandson, RYAN NATHAN, all of the net income and so much of the principal of said Trust as, in the discretion of the Trustee, may be necessary to maintain him in the proper station in life, including proper support, main-~ tenance, medical care and college or higher education. If at any time before final dis- tribution of the assets of the Trust established for my grandson, RYAN NATHAN, there is no living beneficiary of said Trust, the Trust shall terminate, and its assets shall be paid to the then living issue of my grandson, RYAN NATHAN, per stirpes. Page 2 ITEM V: In the settlement of my estate and during the continuance of the foregoing Trust, the Executor and the Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor or Trustee herein, so long as the Execu- for or Trustee may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other property, real or per- sonal. as they shall deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. (c) In order to effect a division of the princi- pal of a Trust or for any other purpose, including any final distribution of a Trust, the Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among benefici- aries and Trusts created hereunder so long as the total market value of any share is not affected by such division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor or Trustee is authorized to make, join in and consummate partitions of lands, volun- tarily or involuntarily, including giving of mutual _~:~~ Page 3 deeds, recognizances or other obligations, with as wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions as the Executor or Trustee may deem advantageous to the estate or Trust, any or all real or personal estate or interest therein owned by the estate or Trust severally or in conjunc- tion with other persons or acquired after my death by the Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obliga- tion or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor or Trustee in this paragraph or elsewhere in my Will. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, including the Executor or Trustee, to pay indebtedness of mine or of my estate, expenses of administration or inheri- tance, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a Trust. ~~ Page 4 (h) To vote any shares of stock which form a part of the estate or Trust, and otherwise to exercise all the powers incident to the ownership of such stock. (i) In the discretion of the Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorgani- zation of any corporation or company whose securities form a part of the estate. (j) To disclaim any interest in property which would devolve to me including but not 1 beneficiary under a exercise of a power entitled to take by vivos transfer, and or my estate by whatever means, invited to the following means: as will, as an appointee under the of appointment, as a person intestacy, as a donee of an inter as a donee under a third-party beneficiary contract. ITEM VI: Should my daughter, JOY C. CRUTTENDEN, by Last Will and Testament or Agreement of Trust, establish a Trust similar to the Trust herein established for the benefit of my grandson, RYAN NATHAN, and his issue, the Trustee of each of said Trusts created in this Will shall have the right of merging it with the similar Trust for the same beneficiary created by my said Will, and operating each of said merged Trusts as a single Trust. ITEM VII: Whenever and as often as any bene- ficiary hereunder, to whom payments of income or principal are herein directed to be made, shall be under legal disability, or, in the sole judgment of the Trustee, shall otherwise be unable to apply such payments to his own or her own best Page 5 ~~ interests and advantages, the Trustee may make all or any portion of such payments in any one or more of the following ways: (a) Directly to such beneficiary; (b) To the Legal Guardian or Conservator of such beneficiary; (c) To a relative of such beneficiary, to be expended by such relative for the benefit of such beneficiary; or (d) By itself expending same for the benefit of said beneficiary. ITEM VIII: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under such circumstances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM IX: I hereby nominate, constitute and appoint my daughter, JOY C. CRUTTENDEN to be the Executrix, herein referred to as "Executor". In the event of her death or her inability or refusal to serve, I nominate, constitute and appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, to be the Executor. The Executor and Trustee are specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding five (5) pages. at the end of each page of which I Page 6 '"~/~~/-~ have also set my initials for greater security and better identification this ~ (~ day of ~f~ ~~~~~`~1 1988. ~ (SEAL ) RION W. CURT DEN We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. ,~ ~: ~,~~ ~~y,~,~ ~ ' ~ ~,l ~~~ d (SEAL ) N t~=~. l' ° ', ,1.%~ L.t-~-t;CC( C.-~ ~---E-SEAL ) .' ~ ` ~' _ , ~ ,. _ i t ~_.. X 1 (SEAL ) ii ,. Residing at ~' .> ~ -- ~ '-'' f -> Residing at ~~..~(, C':~t/rt.Ct:c ;Cr~~ f~:c / C{ I" l'~i ~7 t~ft ~ i ~ "i Residing at .~t ,f~cc.-~=~C~r ~, r-~~~~~ t~~-~. r t REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat~ in h presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19__ Register (Name) (Address) (Name) (Address) REGISTER OF WILLS OF CUMBE~ COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ~:¥'v~ .~5 familiar with the signature of"~, ~'l'-iCa"~ ~,.~, testat c~,-' of that ~e~ (one of the codicil subscribing witnesses to) the ~ presented herewith and codicil believes the signature on the will is in the handwriting of to the best of ~.o_ _c--- knowledge and belief. Sworn to or affirmed and subscribed before me this 6~dq day of MARCH 2002 Register (Address) (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Howell C. Mette ~[1~[[0 a subscribing witness to the will presented herewith, ][0~) being duly qualified according to law, depose(s) and say(s) that he was present and saw Marion W. Cruttenden the testat, rix ., sign the same and that he signed as a witness at the request of testat rix in her presence and (f~tl~eX~YtRYoYa~l{Yo~ (in the presence of the other subscribing witness(es)). Sworn to or ac~fi.r~ed and subscribed before me this ' I%~-~ day of March Notarial $~1 egister RoxAndra M. Rosario, Notary Public _ Su~uehanna Twp., Dauphin County My Commission Expires Feb. 24, 2003 (Name) 205 lq. 26th Street, Camp H±11, PA 17011 (Address) (Name) (Address) REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of codicil testat.__ of (one of the subscribing witnesses to) the will presented herewith and codicil that believes the mgnature on the will is in the handwriting of to the best of knowledge and belief. Sworn to or affirmed and subscribed before me this day of 19 Register (Name) (Address) (Name) (Address) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF iNDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 00O954 METTE HOWELL C P O BOX 595O 3401 N FRONT ST HARRISBURG, PA 17110-0950 ........ fold ESTATE INFORMATION: SSN: 171-38-0640 FILE NUMBER: 2102-0254 DECEDENT NAME: CRUTTENDEN MARION W DATE OF PAYMENT: 03/1 4/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 12/15/2001 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $8,691.00 TOTAL AMOUNT PAID: ~8,691.00 REMARKS: HOWELLC METTE ESQUIRE SEAL CHECK# 142 INITIALS: JA RECEIVED BY' MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS Name of Decedent: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Marion W. Cruttenden Date of Death: 12/15/01 Will No. 2002-00254 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 January 15, 2002 : Name Address Joyce W. Cruttenden, 830 Wynnewood Road, Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: June 24, 2002 Name Howell C. Mette 3401 N. Front Street Address P.O. Box 5950 Harrisburg, PA 17110-0950 Telephone (717) 232-5000 Capacity: Personal Representative X Counsel for personal representative REV. 150Q ~ X (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 2 i 0 2 O 2 5 4 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Z CRUTTENDEN, MARION W. 171 - 38 - 0640 LLI DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MM-DO-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE LU 12/15/O1 2/11/11 REGISTER OF WILLS LLJ (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER C3 [-~1. Odginal Return D4. Limited Estate ~']6. Decedent Died Testate (Attach c~py of Will) '--']9. Litigation Proceeds Received ---]2. Supplemental Return [~] 4a. Future Interest Compromise (dala ol dealh after 12-12-82) ~-]7, Decedent Maintained a Living Trust (Attach copy of Tru$1) -"]10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95) ~]3. Remainder Return (date oldeath prior to 12-13-82) [--]5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [~11. Election to tax under Sec, 9113(A) (^Hach Sch O) NAME Howell C. Mette FIRM NAME (If^ppticable) Mette, Evans & Woodside TELEPHONE NUMBER (717) 232-5000 COMPLETE MAILING ADDRESS P.O. Box 5950 Harrisburg, PA 17110 1. Real Estate (Schedule A) (1) 2. Stacks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6, Jointly Owned Properly (Schedule F) (6) r-]Separate Billing Requested 7, tnter-V'¢os Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9, Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)(10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) $ 150,000.00 0.00 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) 0 .OO 0.00 4,O39.68 66,061.38 0.00 (8) 9,613.50 7,349.02 (11) (12) (13) (14) 2~20,101.06 16,962.52 203,138.54 0.00 203,138.54 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 203,138.54 x .o_ (15) x .o 4.5 (16) X .12 (17) X m 15 (18) (19) $ 9,141.23 9,141.23 Decedent's Complete Address: STREET ADDRESS Cl'¥ STATE I ZIP I Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 8,691. O0 C. Discount 457,06 9,141.23 Interest/Penalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E ) (3) 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 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. ,(5) 9,148.06 6.83 0.00 0.00 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DuE. (5B) 0. O0 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; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] c, retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the premise 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? .............................................................................................................. [] [] 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 properly 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 penallies of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best o[ my knowledge and belier, it is true, correct and complete. Declaration of preparer olher than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE'"~'~ PER~GN RE'$PONSJBI.F=.FOP~FILING RETURN / /'DATE ADDRESS ' '- SIGNATURE OF BREPARERq~THER TI;~A~REPR_ESEI',J,T~NTI~(E~ .,L.~_. DATE~ / / //! ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after 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. {}9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are stitl 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. §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 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 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. REV.tS02EX * (1-97) (I} ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MARION W. CRUTTENDEN SCHEDULE A EEALESTATE FILE NUMBER 21-02-0254 All 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 exchanged between a willing buyer and a willing 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Residence, 331 North 23rd Street, Camp Hill, Pennsylvania Valued per appraisal attached $ 150,000.00 TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 150,000. O0 RF./,d~~ Realty Associates, Inc. 3425 Market Street Camp Hill, Pennsylvania 17011 Office: (717) 761-6300 Fax: (717) 761-1455 Each RE/MAX' OJlice Indapenden[ly Owned and Operated February 25, 2002 ESTIMATE OF VALUE FOR THE PROPERTY LOCATED: 331 North 24th Street Camp Hill, PA 17011 This two story brick home is in the Borough of Camp Hill. There is a two car detached masonry garage and is located adjacent to a five acre school field. The residential lot is 60 by 143.5 or .19 acre. This estimate of value has been derived from the evaluation of other properties sold and settled in the last 12 months. The estimate of value as of this date is believed to be: $150,000.00 CAMP 717 761-6300 Tcrist@remax.net This arta£~dsis has not 6ee.n yerformed in accordance witg the 'uniform StanaCarcf~ of ~rRfessiona~ ~Rpraisa~ ~actice ~vhich ~q~i~.'e ~a.i~ers to act as un.bi,ed; disi~terested third ya~es ~vith imyartiaEity, o~j~cti~it~ andi~xdefie~de~ce a~dwit~out ~cco.mmodarion q~perso.~za~ i'~terest. It is not to ~e co, trued as an ayflraisaf andma~ not be usedas sucR for '[his ts floweret, an estimate qf ~a~ue.for the flurpose the homeowner ar~e at a fair ma'r~et value. ' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marion W. Cruttenden SCHEDULE B STOCKS & BONDS FILE NUMBER 21-02-0254 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. None TOTAL (Also enter on line 2, 'Recapitulation) (If more space is needed, insert additional sheets of the same size) REV-15~4 EX + (1-97) (I) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marion W. Cruttenden SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP or SOLE-PROPRIETORSHIP FILE NUMBER 21-02-0254 Schedule C-1 n C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See inslmctions for the suppor~ng information to be submitted for sole-proprietorships, ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. None TOTAL (Also enter on line 3, Recapitulation)' (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marion W. Cruttenden SCHEDULE D MORTGAGES & NOTES RECEIVABLE FILE NUMBER 21-02-0254 All property jointly.owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1. None TOTAL (Also enter on line 4, Recapitulation) (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH REV-15OS EX * (1-97) (I) ~ · COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marion W. Cruttenden SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-02-0254 Include the proceeds of litig; tJen 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Checking Account #00248-6060-3 Allfirst Bank $ 4,039.68 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 4,039.68 ' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT - ESTATE OF Marion W. Cruttenden SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-02-0254 If an asset was made joint within one year of the decedent s date of death, it must ~ re~ed on Schedule G, SU~IVINGJOINTTENANT(S)NAME ADDRESS RE~TIONSHIPTODECEOENT A. Joy C. Cruttenden 830 Wynnewood Road, Camp Hill, PA 17011 Daughter JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account numbat or slmtla' identifying number. . DATE OF DEATH BECD S VALUE OF NUMBER TENANT JOINT Attach deed for Jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT S INTERES' 1. A. 1995 Securities, Solomon Smith Barney, Inc. listed on Exhibit F-1 $ 123,511.91 50% $ 61,755.9t 2. A. 1995 Smith Barney Money Funds Class A 8,610.86 50% 4,305.4] TOTAL (Also enter on line 6, Recapitulation) $ 66,061.3 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (1-97) {I) ~ · COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marion W. Cruttenden SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-02-0254 This schedule must be ( mpleted and filed if the answer t( any o questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is' 'es. DESCRIPTION OF PROPERTY % OF DECD S ITEM INCLUDETHENAMEOI:THETRANSFEREE. THEIRRELATIONSHIPTO DECEDENTANOTHE DATEOFTRANSFER. DATE OF DEATH INTEREST EXCLUSION TAXABLE VALUE ATrACH A COPY OF THE DEED FOR REAL ESTATE , NUMBER VALUE OF ASSET f~FAp~I~^~U ) 1. None TOTAL (Also enter on line 7, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) I~'V-1511EX * (1-97) (I) ~ ' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marion W. Cruttenden SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-02-0254 Debts of decedent must be reported m Schedule I. ITEM NUMBER DESCRIPTION AMOUNT 5. 6. 7. 8. FUNERAL EXPENSES: Myers Funeral Home Marge Myers, Christian Science funeral ADMINISTRATIVE COSTS: Personal RepresentaUve s Commissions Name of Personal Representative (s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: A~orneyFees Mette, Evans & Woodside Family E eruption: (If decedent s address is not the same as claimant s, attach explanation) Claimant Zip Street Address City State __ Zip Relationship of Claimant to Decedent Probate Fees Accountant s Fees Tax Retum Preparer s Fees Recorder of Deeds, executor's deed Short certificate TOTAL (Aisc enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 2,215.00 100.00 7,000.00 264.00 29.50 5.00 $ 9,613.50 ' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marion W. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS Cruttenden FILE NUMBER 21-02-0254 Include unreimbursed me( cai expenses. ITEM NUMBER DESCRIPTION 2. 3. 4. Camp Hill Borough, sewer Messiah Village, final statement UGI, final statement PAWC, final statement TOTAL (Also enter on line 10, Recapitulation (If more space is needed, insert additional sheets of the same size) AMOUNT 60.00 7,154.45 117.16 17.41 $ 7,349.02 SCHEDULE J BENEFICIARIES I FILE NUMBER COMMONW~LTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marion W. Cruttenden 21-02-0254 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE II. 1. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Joy C. Cruttenden Daughter 100% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PAR'I II ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) HEARER. M E'r'rE, EVANS & WOOD$1DE HARRIS=BURG. PENNSYLVANIA 17108-0729 o_E~ MARION W. CRUTTENDEN I, MARION W. CRUTTENDEN, of Camp Hill, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament. hereby revoking all Wills and Codicils by me at any time made. ITEM I: I'direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEM IV of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM III: I give and bequeath all of my household furniture and furnishings, books, pictures. ~ewelry. silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon to my daughter, JOY C. CRUTTENDEN, if she survives me. If she does not survive me, I make said bequest to my grandson, RYAN NATHAN. Any of such property to which a minor would thus become entitled which the Executor thinks Page unsuitable for such minor's use shall be sold and the proceeds thereof added to the share of my residuary estate held for the benefit of such minor. Any of such property to which a minor becomes entitled and which is not sold may he delivered to the person with whom the minor resides, or who has care or control of him without bond, and the receipt of such person shall he a complete release of the Executor. ITEM IV: I give, devise and bequeath all the rest, residue and remainder of my estate, not disposed of in the preceding portions of this Will, to my daughter, JOY C. CRUTTENDEN, if she survives me. If my said daughter does not survive me, I make said bequest to my grandson, RYAN NATHAN; provided, however, that said RYAN NATHAN has not attained the age of twenty-five (25) years at the time of my death, his share shall be held in trust by DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, as Trustee (hereinafter referred to as "Trustee"), IN TRUST NEVERTHELESS, until RYAN NATHAN has attained the age of twenty-five (25) years, at which time the Trustee shall distribute to him my residuary estate. During the term of said Trust, the Trustee shall quarterly pay to or for the benefit of my grandson, RYAN NATHAN, all of the net income and so much of the principal of said Trust as, in the discretion of the Trustee, may be necessary to maintain him in the proper station in life, including proper support, main- tenance, medical care and college or higher education. If at any time before final dis- tribution of the assets of the Trust established for my grandson, RYAN NATHAN, there is no living beneficiary of said Trust, the Trust shall terminate, and its assets shall be paid to the then living issue of my grandson, RYAN NATHAN, per stirpes. ITEM V: In the settlement of my estate and during the continuance of the foregoing Trust, the Executor and the Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, including specifically those consisting of stock of any bank even if I have named such bank as the Executor or Trustee herein, so long as the Execu- tor or Trustee may deem it advisable to my estate so to do. (b) To vary investments, when deemed desirable by the Executor or Trustee, a~d to invest in suc~ bonds, stocks, notes, real estate mortgages or other securities or in such other property, real or per- sonal, as they shall deem wise, without being restricted to so-called "legal investments", and without being limited by any. statute or rule of law regarding investments by fiduciaries. (c) In order to effect a division of the princi- pal of a Trust or for any other purpose, including any final distribution of a Trust, the Executor or Trustee is authorized to make said divisions or distributions of the personalty and realty, partly or wholly in kind, and to allocate specific assets among benefici- aries and Trusts created hereunder so long as the total market value of any share is not affected by such division, distribution or allocation in kind. Should it appear desirable to partition any real estate, the Executor or Trustee'is authorized to make, join in and consummate partitions of lands, volun- tarily or involuntarily, including giving of mutual deeds,'recognizances or other obligations, with as · wide powers as an individual owner in fee simple. (d) To sell either at public or private sale and upon such terms and conditions as the Executor or Trustee may deem advantageous to the estate or Trust, any or all real or personal estate or interest therein owned by the estate or Trust severally or in conjunc- tion with other persons or acquired after my death by the Executor or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obliga- tion or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon the Executor or Trustee in this paragraph or elsewhere in my Will. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, including the Executor or Trustee, to pay indebtedness of mine or of my estate, expenses of administration or inheri- tance, legacy, estate and other taxes, and to assign and pledge assets of my estate therefor. (g) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a Trust. (h) To vote any shares of stock which form a part of the estate or Trust, and otherwise to exercise all the powers incident to the ownership of such stock. (i) In the discretion of the Executor or Trustee, to unite with other owners of similar property in carrying out any plans for the reorgani- zation of any corporation or company whose securities form a part of the estate. (j) To disclaim any interest in property which would devolve to me or my estate by whatever means, including but not limited to the following means: as beneficiary under a will, as an appointee under the exercise of a power of appointment, as a person entitled to take by intestacy, as a donee of an inter vivos transfer, and as a donee under a third-party beneficiary contract. ITEM VI: Should my daughter, JOY C. CRUTTENDEN, by Last Will and Testament or Agreement of Trust, establish a Trust similar to the Trust herein established for the benefit of my grandson, RYAN NATHAN, and his issue, the Trustee of each of said Trusts created in this Will shall have the right of merging it with the similar Trust for the same beneficiary created by my said Will, and operating each of said merged Trusts as a single Trust. ITEM VII: Whenever and as often as any bene- ficiary hereunder, to whom payments of income or principal are herein directed to be made, shall be under legal disability, or, in the sole judgment of the Trustee, shall otherwise be unable to apply such payments to his own or her own best (a) Directly to such beneficiary; (b) To the Legal Guardian or Conservator of such beneficiary; (c) To a relative of such beneficiary, to be expended by such relative for the benefit of such beneficiary; or (d) By itself expending same for the benefit of said beneficiary. ITEM VIII: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under such circumstances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM IX: I hereby nominate, constitute and appoint my daughter, JOY C. CRUTTENDEN to be the Executrix, herein referred to as "Executor". In the event of her death or her inability or refusal to serve, I nominate, constitute and appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, to be the Executor. The Executor and Trustee are specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament. consisting of this and the preceding five (5) pages, at the end of each page of which I Page 6 ~'~ We. the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament. in the presence of us, who. at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. Residing at '7~_ U ~-- ~}. ,~_~ -(~/ Residing at Residing at interests and advantages, the Trustee may make all or any portion of such payments in any one or more of the following ways: (a) Directly to such beneficiary; (b) To the Legal Guardian or Conservator of such beneficiary; (c) To a relative of such beneficiary, to be expended by such relative for the benefit of such beneficiary; or (d) By itself expending same for the benefit of said beneficiary. ITEM VIII: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under such circumstances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM IX: I hereby nominate, constitute and appoint my daughter, JOY C. CRUTTENDEN to be the Executrix, herein referred to as "Executor". In the event of her death or her inability or refusal to serve, I nominate, constitute and appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, to be the Executor. The Executor and Trustee are specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding five (5) pages, at the end of each page of which I Page 6 have also set my initials for greater security and better identification this 2~d day of ~ , 1988. I~.R I ON ~. We. the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament, in the presence of us, who. at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. / BUREAU OF ZNDZVZDUAL TAXES /NHER/TANCE TAX DIYTSION DEPT. 280601 HARRZSBURG, PA 17118-06n! CONHONNEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE NOTZCE OF INHERZTANCE TAX APPRAISEHENT, ALLO#ANCE OR DISALLOHANCE OF DEDUCTZONS AND ASSESSNENT OF TAX REV-I$¢7 EX AFP (01-02) HONELL C HETTE HETTE ETAL : PO BOX 5950 HaG PA 17110 DATE 10-22-2002 ESTATE OF CRUTTENDEN DATE OF DEATH 12-15-2001 FZLE NUHBER 21 02-0254 CI~NTY CUHGERLAND ACN 101 Amount Remitted HARZON N HAKE CHECK PAYABLE AND REHZT PAYNENT TO: REGZSTER OF NZLLS CUHBERLAND CO COURT HOUSE CARLZSLE, PA 1701~ CUT ALONG THZS LZNE ~ RETAZN LONER PORTZON FOR YOUR RECORDS ~ DZSALLONANCE OF DEDUCTZONS AND ASSESSHENT OF TAX ESTATE OF CRUTTENDEN NARZON NFZLE NO. 11 02-0154 ACN 101 DATE 10-22-2001 TAX RETURN #AS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATZON CONCERNZNG FUTURE ZNTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORZG~NAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) $. Closely Held Stock/Partnarsh/p Zntarast (Schedule C) ($) ~. Nortgagas/Notas Raca/vabla (SchaduZa D) (~) S. Cash/Bank Dapos/ts/N/sc. 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 Expansas/Adm. Costs/Nisc. Expanses (Schedule H) (9) 10. D~bts/Nortgaga L/abil/tias/L/ans (Schedule [) (10) 11. Total Deductions 12. Net Value of Tax Return 150z000.00 .00 .0O .0O 4~0:59.68 66~061.:58 .00 (8) 9,61:5.50 NOTE: To insure proper cradLt to your account, subm/t the upper portion of this form w/th your tax payment. 15. 1~. NOTE: 220,101.06 72:549.02 (11) 1&.962.;~ (12} 205,138:54 Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) Nat Value of Estate Subject to Tax (lq) Tf an assessment ~as issued previously, lines 1~, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. .00 20:5,1:58.54 ASSESSNENT OF TAX: 15. Amount of L~ne 1~ at Spousal rate 16. Amount of L/nm 1~ taxabZa at L/naal/Class A rata 17. Amount of L/ne lq mt S/bling rata 18. Amount of L/nm 1R taxable at Collateral/Class B rata 19. Princ/pal Tax Due TAX CREDZTS: PAYHENT RECI~ZPT DZSCOUNT (+) DATE NUNBER INTEREST/PEN PAZD (-) 0:5-14-2001 CD000954 457.06 10-15-1001 REFUND .00 18 and 19 will ZF PAZD AFTER DATE ZNDZCATED, SEE REVERSE FOR CALCULATZON OF ADDZTZONAL ZNTEREST. 9,141 .00 .00 .00 ZF TOTAL DUE XS LESS THAN $1, NO PAYNENT XS REQUXRED. IF TOTAL DUE ZS REFLECTED AS A 'CREDZT** (CR), YOU NAY BE DUE REFUND. SEE REVERSE SZDE OF THZS FORN FOR ZNSTRUCTZONS.) TOTAL TAX CREDZT BALANCE OF TAX DUEI ZNTEREST AND PEN. TOTAL DUE 8,691.00 6.8:5- ANOUNT PAZD (15) .00 X O0 = .00 (16). 20:5,1:58.54 X 045= 9,141 (17), .00 x 12 = .00 (18) .00 x 15 = .00 (19)= 9,141 STATUS REPORT UNDER RULE 6.12 Marion W. Cruttenden Name of Decedent: Date of Death: December 15, 2001 Will No.: 2002-00254 Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 2. lithe 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 ~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes [] No Date: November Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the. Orphans' Court to_ this repo. 2003 ign Howell C. Mette Name Mette, Evans & Woodside 3401 North Front Street Harrisburg, PA 17110 Address :? Capacity: (717-232-5000 Telephone No. Personal Representative Counsel for personal representative BUREAU OF /ND/VZDUAL TAXES INHER/TANCE TAX nTVTS/ON DEPTo 180601 HARRTSBURG, PA 17118-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE ZNHERZTANCE TAX STATEMENT OF ACCOUNT RE¥-1607 EX AFP (01-02) HOWELL C METTE METTE ETAL PO BOX 5950 HBG PA 17110 DATE 10-28-2002 ESTATE OF CRUTTENDEN DATE OF DEATH 12-15-2001 FILE NUMBER 21 01-025q '-:COUNTY CUMBER LAND ACN 101 I Amoun'l: Remi'~'~ed MAR[ON W MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGTSTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credi~ ~o your account, submi~c ~he upper por~ion of ~his form wj~ch your ~:ax payment. CUT ALONG THIS LINE ~ RETA'rN LOWER PORT[ON FOR YOUR RECORDS *~ ESTATE OF CRUTTENDEN MARION W F'rLE NO. 21 02-025q ACN 101 DATE IO-Z8-ZOOZ THTS STATEMENT TS PROVIDED TO ADVTSE OF THE CURRENT STATUS OF THE STATED ACN TN THE NAMED ESTATE. SHOWN BELOW TS A SUMMARY OF THE pR'rNCZPAL TAX DUE, APpLTCAT/ON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, TF APPLICABLE, A PROJECTED 'rNTEREST FTGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-15-2002 PRZNCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CRED[TS): 9,1ql.25 PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) q57.06 03-Zq-ZOOZ 10-15-2001 COOOO95q REFUND .O0 8,691.00 6.85- ZF PA/D AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADD/TZONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT 1S REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), TOTAL TAX CREDZT 9,1q1.23 BALANCE OF TAX DUE .00 ZNTEREST AND PEN. .00 TOTAL DUE .00 YOU MAY BE DUE A REFUND. SEE REVERSE S/DE OF THIS FORM FOR TNSTRUCTZONS. )