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Home My WebLink About02-0256Emate of Frances known -, N/A Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS C. Juliano No. 21-02-256 , Dece~ed Soc~ Secu~y No. 181-18-8044 who L,.'a~e ~8 yea;, of ~ ~ o~. ~%f~) ~ ~~ 'A' ~ ~' B~OW:) ~ Pro're and Gr~nt of te~e~ Tastamen~ ~ ~r ~t Pe~e~=) ~ ~e ~ r ixn~ ~ ~ ~ ~1 ~ ~e~.~ July 26, 1983 ~~.)~ N/A Except as fol3ows. Decedent c~d nc~ marry, was not c~vorced, and ~d not have · c~ld bom or adopted aJ'tsr execu~on of the documenm offered for probate; was not the v{ct~n of · killing and was ne,,et mdjuc~cated inc=3mpel~nt: [] B. Grant of Letters of Administration Pel~oner(;) after a prope~ ~ea~.h haUhave a~:eflaJned l~at Decedent left no Will and was itz~ved b~ ~he follow~ng spouse ('d any) and (CO~PI.k'-TE IN ALL CASES:) Am~3~a~k~on~L~e~m~n~. Decedent was domiciled ~ death in Cumber land ~p~m,k~o.·t 57 Lori Circle, Mechanicsburg; PA (~.~ ,~ ~nt~n 96 ye~ofage, a~ February 11 ~ 20Q~ ~ent at ~a~ ~ pm~ ~ e~ma~ ~ues ~ ~: (11 ~ (I; not ~ (~ not ~3~ V~ of ~. P~n~lv~ni~ ~th hi~ Et fami~ 17050 (Hampden Twp.) Camp Hill, Pennsylvania $ 2,000.00 $ $ $ Wherefore, Petitioner(s) respecffu,y request(s) lhe probate of tho [-st Will and Cod~c~(s) presented wh~ this PetY6on and the grant of ~etl~r~ in the a~opropd, ate form ~ the undersigned: I S~natur~ Ty~d..~,~n~ n~e ~d msl~n~ Frances,2'~ BarriCk 59 Lori Circle Mechanicsburg~ PA 17050 Fo~m aRW-1 Pa, ge 1 ~ 2 P,epa/ed b~ ~he Pennsylva. n~ B,w A~,6~ 1~91 Oath of Personal Representative Commonwealth of PennSyIvanLa County o! Cumberland The Petitioner(s) above-named swear(s) or affirm(s) fha1 the statements In the foregoing Petition are true and con'ect to the best of the knowledge and belief ol Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) ¥411 well and truly ad~r~ster the estale according to law. S'wom to or affirmed and subscribed ~- '-~d'~.~c~'~----~ ~ Frances .~-Barrick before me this 12th day o! March ~_20___02 the Eeol.'-;ter _, / AND NOW. No. 21-02-256 Estate of Frances C. Juliano $odal Secur~y No: 181-18-8044 Date of Death: MARCH 13, 2002 Deceased February 11: 2002 ,X~[ 2__~ In consideration of the Petition on the reverse side hereon, satisfactory pmo! having been presented before me, IT IS DECREED that Letters [X"l Testamentary I~ Of Administration ' are hereby granled to Frances C. Barrick in the above estate and that the lnstrument(s) dated July 26~ 1983 described in the Petition be admitted to probate arid filed of record as the last Will of Decedent. FEEs LeMers ..................... $ 25.00 Short Certificate(s} .... $ 12.00 Renunciation ............ Affidavits ( ) ...........$ Extra Pages ( ) ......... $__._ 3.00 . Codicil ...................... JCP Fee ................... $ 5.00 Inventory .................. Other ....................... TOTAL ............ $ 45.00 Atlorney: Linda A. Clotfelter iD. No: 72963 3464 Trindle Camp Hi%l; PA 17011 \ Telephone: (717)V~.6.~7~3.~J~';] 7_0. 105.805 REV 9/86 This is to certify that the information here given is correctly copied from an original certificate of death d~ly filed with me as Loca! Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent'filing. WARNING: It is illo§al to duplicate this copy by photostat or photo§raph. Fee for this certificate, $2.00 P 8066367 No. 21-02-256 Local Registrar Date mos ;4a Rev wa7 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH _ Cumberland [ East Pennsboro J . t ....... J ~c ~~,,, I~-~.~.~.~. Angelo R. Vitalo ances C. Pantuliano ~ Frances C. Barrick 17050 _~ Feb 13, 2002 Conolite Cremato~ Schaefferstown Pa. 17088 ~662-L Mye~ Funeral Home, Inc. 37 East Main St;est Mechanicsburg Pa 17055 o700 ~,.El ,,.ID [O ,,200,,(_, LAST WILL AND TESTAMENT OF FRANCES C. JULIANO 21-02-256 I, FRANCES C. JULIANO, of Mechanicsburg, Cumberland County, Pennsylvania, do hereby make my Last Will and Testament, revoking all testamentary dispositions heretofore made by me. 1. I direct that all my just debts and funeral expenses be paid as soon as conveniently can be done after my death. 2. I direct my Executor to divide equally among my grand- children who survive me the sum of $1,000. If at the time of my death any of the said beneficiaries is not of the age of eighteen (18) years, I direct that the gift to the said child be placed in a bank account bearing interest to be withdrawn before the said child attains the age of eighteen (18) years, only with the consent of the Court of Common Pleas, Orphans Court Division, Dauphin County, Pennsylvania. 3. Ail the rest, residue and remainder of my Estate both real and personal and wheresoever situated I give in equal shares to such of my children, who survive me. 4. I nominate, constitute and appoint my daughter, FRANCES BARRICK to be my Executrix. If she is unable or unwilling to so act, I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY to be my Executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this 1983. day of>~ : Signed, sealed, published and declared by the above-named FRANCES C. JULIANO, 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 subscribed our names as witnesses this ~ day of ~ , 1983. Frances C. Jul WILLIAM J. MADDEN, JR., ESQUIRE 240 North Third Street Post Office Box 877 Harrisburg, Pennsylvania 17108 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) 21-2002-256 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS JOSEPH CAIRO Offc~) a subscriber hereto, ~t~ being duly qualified according to law, depose(s) and say(s) that I am familiar with the signature of Frances C. 3ul±ano testat~ of (~ffetXi56XXffiKX4fiK~{l~i~is~i~XyoX[ the will presented herewith and that I believes the signature on the will is in the handwriting of Frances C. Juliano to the best of his knowledge and belief. At Sworn to or affirmed and subscribed before me this 19th day of March _ ~557 . ~2002 , MANY.~L~IIS R~~ P.O. Box (Name) (Address) 565, Boilinz (Name) Springs~ PA 17007 (Address) 21-02-256 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS MARION N. ALBERT x~oilx (~ae~) a subscribing witness to the will presented herewith, :(oar~ being duly qualified according to law, depose(s) and say(s) that X was present and saw Frances C. Juliano the testat r i x , sign the same and that X signed as a witness at the request of testat r ix in h er 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 /~a~ F-¢~ ~(~ 2002 Notary Public /~ NOTARIAL SEAL Stephanie M. Rider, Notary Publi~ Camp Hill, Cumberland County · Comm'ss'°n Exp,re, (Name) 53 Lori Circle, Mechanicsburg, (Address) (Name) (Address) PA 17050 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS MARY ANN BLEFKO subscriber hereto, testat r i x of that ~el~ot~ being duly qualified according to law, depose(s) and say(s) that familiar with the signature of Frances C. Juliano , xwflixi:i: (~ff, eX~l~Xttt~xc~i~slf~gf~OlOi~s~lx~) the will presented herewith and T believes the signature on the will is in the handwriting of Frances C. Juliano to the best of Sworn to or affirmed and subscribed before me this .. //qo},~ day of P'V1 (j FU/~ ~2002 ' FNot~ry Public ~r her knowledge and belief. (Name) f 415 Sunset Road, W. Reading, PA (Address) NOTARIAL SEAL Stephanie M. Rider, Notary Publi~ Camp Hill, Cumberland County My Commission Expires Oct. 31,200~ (Name) (Address) 19611 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Frances C. Juliano Date of Death: February 11, 2002 Will No. 21-02-00256 Admin. No. To the Register: I certify that notice of 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 April 5, 2002 : Name Address Frances C. Barrick Charles A. Juliano Peter L. Cairo, Jr. Joseph Cairo Mary Ann Blefko Helen Marie FIynn Pam Myers Kathryn Ann Gibbons Nancy Louise Poetker Carole Susan Pearson 59 Lori Circle, Mechanicsburg, PA 17050 16711 Landmark Avenue, Yorba Linda, CA 92886 37 Woodmere Building, Middletown, PA 17057 P.O. Box 565, Boiling Springs, PA 17007 415 Sunset Road, West Reading, PA 19611 469 Pleasant View Circle, Manheim, PA 17545 4151 Olive Hill Road, Fall Brook, CA 92028 1735 Walnut, Yorba Linda, CA 92886 16711 Landmark Avenue, Yorba Linda, CA 92886 7577 Peach Street, Hesperia, CA 92345 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N/A Date: April 5, 2002 Address 3464 Trindle Road Camp Hill, PA 17011-4436 Telephone (717) 763-7613 I Capacity: X Personal Representative Counsel for Personal Representative 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) 001166 BARRICK FRANCES C 59 LORI CIRCLE MECHANICSBURG, PA 17050 ........ fold ESTATE INFORMATION: SSN: 181-18-8044 FILE NUMBER: 2102-0256 DECEDENT NAME: JULIANO FRANCES C DATE OF PAYMENT: 05/1 0/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/11/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $415.00 TOTAL AMOUNT PAID: $415.00 REMARKS' FRANCES C BARRICK SEAL CHECK#157 INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS ILl Z Z D~ o COMMONWEN.TH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-I$O0 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) JULIANO, FRANCES C. DATE OF BIRTH (UM-DD-YEAR) 05/28/05 FILE NUMBER 21 02 0256 COUNTY CODE YEAR NUUBB~ SOCIAL SECURITY NUMBER 181 - 18-8044 DATE OF DEATH (MM-DO-YEAR) 02/11/02 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSES NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER r~l. Original Retum "-I 4. Limited Estate E~6. Decedent Died Testate (ArCh cmy dwa) E~9. Lrdgation Proceeds Received r-'l 2. Supplemental Ratum [-'1 4a. Future Interest Compromise (~a~ of~ efta' 12-12-82} r--~ 7. Decedent Maintained a Living Trust (Ata~ =my dTrua) [~10. Spousal Poverty Credit (~ d a~h baw~n 12-~1-m ~11-1~) --]3. Remainder Return (da~ of~ p~r to 1243~2) [~5. Federal Estate Tax Retum Required 0 8. Total Nuruber of Safe Depose Boxes -"]11. Election to tax under Sec. 9113(A) {Ata=h Sch O) THISSECTION MUST BE :COMPLETED: ALL,CORRESPONDENCE AND:CONFIDENTIAL'TAX INFORMATION SHOULD 'BE,DIRECTED TO:; NAME ~ COMPLETE MAILING ADDRESS LINDA A. CLOTFELTER, ESQUIRE 1 3464 TRINDLE ROAD FIRM NAME (ff~i~) CAMP HILL, PA 17011 LAW OFFICES OF CRAIG A. DIEHL TELEPHONE NUMBER (717) 763-7613 1. Real Es~e (Schedule A) (1) 0.00 2. Stocks and Bonds [Schedule B) (2) 1,175.02 3. Closely Held Corporation, Pa~ershlp or Sole-Pmprlatorshlp (3) 0.00 4. Mortgages & Notes Reosivable (Schedule D) (4) 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 500.00 (Schedule E) 6. Jointly Owned Property (Schedule F) (6) 15,629.04 [~ Separate Billing Requested 7. Inter-V'n/os Transfers & Miscellaneous Non-Probate Prope~ (7). 0.00 (Schedule G or L) 8. T~al Greta A~ets (total Lines 1-7) (8) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 6,584.09 10. Debts of Decedent, Mortgage Liabilities, & LeeDs (Schedule I) (10) 1,218.55 11. Tntal Deductions (t~al Lines 9 & 10) (11) 12. Net Value of E~tate (Line 8 ruinus Line 11) (12) 13. Charitable and Governmental Boquests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Su~ent to Tax (Line 12 reinus Line 13) (14) 17,304.16 7,802.64 9,501.52 0.00 9,501.52 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 0.00 x .0_ (lo-) 9,501.52 x .o 45 (16) 0.00 x .12 (17) 0.00 x .15 (18) 19. Tax Due (19) 0.00 427.57 0.00 0.00 427.57 Decedent's Complete Address: STREET ADDRESS 57 LORI CIRCLE ClTYMECHANiCSBURG Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior payments c. Discount 0.00 415.00 22.50 0.00 0.00 Interest/Penally if applicable D. Interest E. Penalty J STATEpA (1) Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + 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 7050 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 427.57 437.50 0.00 9.93 0.00 0.00 0.00 (3) (4) (5) (SA) (5B) 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 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? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or secudty 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 perjury, I declare Ihat I have examined this return, including accompanying schedules and statements, and te Ihe best of my knowledge and belief, It is tree, correct and complete. Bedaration of preparer other lhan the personal represent, alive is based on all information of which preparer has any knowledge. SIGNA/!;URE OF PERSON RESPON,~BLE FOR FILING RETURN ADDRESS 59 LORI CIRCLE, MECHANICSBURG, PA 17050 DATE 11/08/02 SIGNATURE OE PREP~A~.. OTHEI~-~rlAN REPEESF, NTATIVE ~D~RESS ~-~ '3464 TRINDLE ROAD, CAMP HIEL, Pa 17011 DATE 11/08/02 For dates of death on or after July 1, 1994 and before January I, 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 dales of death on or after January 1, 1995, the tax rale imposed on the nel 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 no! exemD! 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 ra!e imposed on the ne! 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 slepparenl of !he 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 Ihe decedenrs lineal beneficiaries is 4.5%, excepl as noted in 72 P.S. §9116(1.2) [72 RS. §9116(a)(1)]. The tax rate imposed on !he net value of !ransfere to or for the use of the decedenrs siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has al least one parent in common with the decedent, whether by blood or adoption. REV-1503 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FRANCES C. JULIANO SCHEDULE B STOCKS & BONDS FILE NUMBER 21-02-0256 All property jointly.owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 37 SHARES OF PRUDENTIAL FINANCIAL, INC. STOCK. DATE OF DEATH VALUE $31.76 PER SHARE TOTAL (Also enter on line 2, Recapitulation) VALUE AT DATE OF DEATH $1175.12 1,175.12 (If more space is needed, insert additional sheets of the same size) REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER FRANCES C. JULIANO 21-02-0256 Include the proceeds of litigation and the date the proceeds were received by the estate ..... All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH I . PERSONAL HOUSHOLD GOODS $ 500.00 1969 MARLETTE MOBILE HOME - NO VALUE. COSTS TO DISPOSE EXCEEDED ANY VALUE TOTAL (Also enter on line 5, Recapitulation) $ $ 0.00 500.00 (If mom space is needed, insert additional sheets of the same size) REV-1509 EX+ (6-98~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FRANCES C. JULIANO SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-02-0256 ............ If an asset was made joint within one year of the decedent,s date of death, it must be reported on Schedule O. SURVIVING JOINT TENANT(S) NAME A. FRANCES C. BARRICK B. CHARLES A. JULIANO ADDRESS 59 LORI CIRCLE MECHANICSBURG, PA 17050 16711 LANDMARK AVENUE YORBA LINDA, CA 92886 RELATIONSHIP TO DECEDENT DAUGHTER SON JOINTLY-OWNED PROPERTY LE'I'rER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINTMADE INCLUDE NAME OF FINANCIAL INSTrFUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENAN' JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY~HELD REAL ESTATE, VALUE OF ASSET INTEREST DECEDENTS INTEREST ~. A. L2/06/9(. WAYPOINT BANK CHECKING ACCOUNT $1,809.96 33.3?, $ 603.3; B. NO. 1800034009 2. A. [0/18/0£ WAYPOINT BANK CERTFICATE ACCOUNT $10,016.99 33.3; $3,339.0 B. NO. 7100003559 3. A. [0/18/0( WAYPOINT BANK CERTIFICATE ACCOUNT $10,016.99 33.3% $3,339.0 B. NO. 7100003560 4. A. [0/18/0( WAYPOINT BANK CERTIFICATE ACCOUNT $25,043.15 33.3% $8,347.7 B. NO. 7100003561 TOTAL (Also enter on line 6, Recapitulation) $ 15,629.0' (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FRANCES C. JULIANO SCHEDULE H FUNERAL EXPENSES & ADMINISTRA11VE COSTS FILE NUMBER 21-02-0256 ITEM NUMBER 1. 5. 6. 7. 8. 9. Debts of decedent must be reported on Schedule DESCRIPTION FUNERAL EXPENSES: MYERS FUNERAL HOME - FUNERAL EXPENSE LAST ROSARY FOR FUNERAL MBX - PHOTOGRAPHS FOR FUNERAL SERVICE JOSEPH CAIRO - CATERING FOR FUNERAL ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) - 0 - Social Security Number(s)/EIN Number of Personal Representative(s) Street Addrass City State __ 7ip Year(s) Commission Paid: NtorneyFees LAW OFFICES OF CRAIG A. DIEHL Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State __. Zip Relationship of Claimant to Decedent ProbateFeas REGISTER OF WILLS, CUMBERLAND COUNTY Accountant's Fees Tax Rotum Preparer's Fees ]UMBERLAND LAW JOURNAL - ESTATE ADVERTISEMENT THE SENTINEL - ESTATE ADVERTISEMENT JENNIFER CAIRO - BILL TO CLEAN RUGS JOSEPH CAIRO - BILL FOR CLEANING OF RESIDENCE AND DISPOSAL OF REFUSE VERIZON - TELEPHONE BILL ( CONT. ) TOTAL (Also enter on line 9, Recapitulation) AMOUNT $3,434.00 29.00 73.14 200.00 $2,250'.00 $45.00 $75.00 $1o3.55 $1oo.oo $150.00 $58.40 (If more space is needed, insert additional sheets of the same size) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS (PAGE 2 OF 2) ESTATE OF FRANCES C. JULIANO FILE NO. 21-02-0256 ITEM NO. DESCRIPTION AMOUNT 12. CAMP HILL POST OFFICE - POSTAGE EXPENSE $ 34.00 FOR ESTATE 13. REGISTER OF WILLS, CUMBERLAND COUNTY $ 17.00 - FILING FEE FOR FAMILY SETTLEMENT AGREEMENT 14. ORPHAN'S COURT, CUMBERLAND COUNTY - $ 15.00 FILING FEE FOR PENNSYLVANIA INHERITANCE TAX RETURN TOTAL FOR SCHEDUI,E H [ $ 6,584.09 REV-1512 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FRANCES C. JU]*.IANO SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-02-0256 Include unreimbursed medical expenses. fl'EM NUMBER DESCRIPTION PP&L - ELECTRIC BILLS FOR RESIDENCE STONEMILL PROPERTY MANAGEMENT - LOT RENT FOR RESIDENCE CHARLES A. JULIANO - PAYMENT OF PERSONAL LOAN KATHRYN FETROW - REAL ESTATE TAXES STONEMILL PROPERTY MANAGEMENT - FINAL WATER BILL TOTAL (Also enter on line 10, Recapitulation) $ VALUE AT DATE OF DEATH $70.98 $309.74 $800.00 $3.48 $34.35 1,218.55 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (0-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FRANCES C. JULIANO SCHEDULE J BENEFICIARIES FILE NUMBER 21 -O2-O256 NUMBER e RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS ~ncl~e ou~gM sp~sal di~aons, and ~ns~m under Sec. 9116(a)(l.~ FRANCES C. BARRICK 59LORI CIRCLE, MECHANICSBURG, PA CHARLES A. JULIANO 16711 LANDMARK AVE., YORBA LINDA, CA PETER L. CAIRO, JR. 37 WOODMERE BLDG., MIDDLETOWN, PA JOSEPH CAIRO P.O. BOX 565, BOILING SPRINGS, PA MARY ANN BLEFKO 415 SUNSET RD., WEST READING, PA HELEN MARIE FLYNN 469 PLEASANT VIEW CIRCLE, MANHEIM,~ PAM MYERS 4151 OLIVE HILL RD., FALL BROOK, CA KATHRYN ANN GIBBONS 1735 WALNUT, YORBA LINDA. CA DAUGHTER SON GRANDSON GRANDSON GRANDDAUGHTER GRANDDAUGHTER GRANDDAUGHTER GRANDDAUGHTER 50% OF RESIDUE 50% OF RESIDUE 0.00 0.00 0.00 0.00 0.00 0.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500.COVER SHEET $ (CONT· ~ (If more space is needed, insert additional sheets of the same size) SCHEDULE J BENEFICIARIES (PAGE 2 OF 2) ESTATE OF FRANCES C. JULIANO FILE NO. 21-02-0256 ITEM NO. NAME AND ADDRESS OF RELATIONSHIP AMOUNT OR PERSON(S) RECEIVING PROPERTY TO DECEDENT SHARE OF ESTATE 9. NANCY LOUISE POETKER GRAND- $ 0.00 16711 LANDMARK AVENUE, DAUGHTER YORBA LINDA, CA 10. CAROLE SUSAN PEARSON GRAND- $ 0.00 7 5 7 7 P E A C H S T R E E T, DAUGHTER HESPERIA, CA LAST WILL AND TESTAMENT OF FRANCES C. JULIANO I, FRANCES C. JULIANO, of Mechanicsburg, Cu:nberland County, Pennsylvania, do hereby maize my Last Will and Testament, revoking all testamentary dispositiol~s heretofore made by 1. I direct that all my just debts and funeral expenses ]De paid as soon as conveniently can be done after my death. 2. I direct my Executor to divide equally among my grand- children who survive me the sum of $1,000. If at the time of my death any of the said beneficiaries is not of the age of eighteen (18) years, I direct that the gift to the said child be placed in a bank account bearing interest to be withdrawn before the said child attains the age of eighteen (18) years, only with the consent of the Court of Common Pleas, Orphans Court Division, Dauphin County, Pennsylvania. 3. Ail the rest, residue and remainder of my Estate both real and personal and wheresoever situated I give in equal shares to such of my children, who survive me. 4. I nominate, constitute and appoint my daughter, FRANCES BARRICK to be my Executrix. If she is unable or unwilling to so act, I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY to be my Executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal Page 1 of 2 pages to this my Last Will and Testament this .~' [~; day of,.~z~-~ 1983. Signed, sealed, published and declared by the above-named FRANCES C. JULIANO, 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 subscribed our names as witnesses this ~ day of ~.~ , 1983. Frances C. Julia~Or WILLIAM J. MADDEN, JR., ESQUIRE 240 North Third Street Post Office Box 877 Harrisburg, Pennsylvania 17108 Page 2 of 2 pages BUREAU OF INDIVIDUAL TAXES ZNHERZTAHCE TAX D/VISION DEPT. 280601 HARRISBURG, PA 17128-0601 L]NDA A CLOTFELTER ESQ CRAIG A DIEHL LAW OFCS $46R TRINDLE RD CAMP HTLL PA iioll COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 12-23-2002 ESTATE OF JULIANO DATE OF DEATH 02-11-2002 FILE NUMBER 21 02-0256 COUNTY CUMBERLAND ACN 101 Amount Romitted REV-1547 EX AFP C01-02) FRANCES C MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE I1~ RETAIN LOWER PORT]:ON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-0:~) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF JULIANO FRANCES CFZLE NO. 21 02-0256 ACN 101 DATE 1Z-Z3-ZOOZ TAX RETURN WAS: { X) ACCEPTED AS FILED ( } CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rom1 Estate (Schedule A) (1) .00 2. Stocks and Bonds (Schedule B) (2) 3. Closely Hold Stock/Partnership Interest (Schedule C) (3) ~. Nortgagos/Notos ReceivabZe (Schedule D) (~} .00 $. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (S) 500.00 6. Jointly Owned Property (Schedule F) (6) 15;629.0~ 7. Transfers (Schedule G) (7). .00 8. Total Assets (8) APPROVED DEBUCTZONS AND EXEMPTIONS: 6,584.09 9. Funeral Expansas/Adm. Costs/M/sc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Lions (Schedule I) (10) 1.218.55 11. Total Deductions (11) 12. Nat VaZuo of Tax Return (12) lz175.02 .00 NOTE: To /nsure proper cred/t to your account, subm/t the upper portion of th/s fore w/th your tax payment. 17,30~. 16 7.802.64 9,501.52 13. 14. NOTE: Char/tablo/Govorneental Bequests; Non-elected 9115 Trusts (Schedule J) (13) Not Value of Estate Sub.~ect to Tax (14) ]:f an assessment was issued previously, lines 14, 15 and/er 16, 17, reflect figures that include the total 0f ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of L/ne 14 at Spousal rate (15) . O0 X O0 = 16. Amount of L/no 14 taxable at Lineal/Class A rate (16) 9,501.52 X 0~5 = 17. Amount of L/ne 14 mt S/bl/ng rate (17) . O0 X 12 = 18. Amount of L/ne 14 taxable at Collateral/Class B rate (18) . O0 X 15 = >al Tax Duo (19)= RECEIPT NUMBER 19. Pr/nc/ TAX CREDITS PAYMENT DATE DISCOUNT (+) INTEREST/PEN PAID (-) 21.38 .00 CD001166 REFUND 05-10-2002 12-16-2002 AMOUNT PAID 415.00 8.81- TOTAL TAX CREDIT I I BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 9,501.52 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 18 and 19 will .00 427.57 .00 .00 ~27.57 427.57 .00 .00 .00 ( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAL TAXES /NHERTTANCE TAX DTVTSZON DEPT. 280601 HARRZSmURG, PA 17128-0601 CONNONtJEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE ZNHER'rTANCE TAX STATEMENT OF: ACCOUNT REV-160? EX AFP LINDA A CLOTFELTER ESQ 'Ii: CRAIG A DIEHL LAN OFCS $464 TRINDLE RD CAMP HILL PA 17~:~1 DATE 12-$0-2002 ESTATE OF JULIANO DATE OF DEATH 02-11-2002 FILE NUHBER 21 02-0256 COUNTY CUMBERLAND ACN 101 Amoun't Remi*t*ted FRANCES C HAKE CHECK PAYABLE AND REHZT PAYMENT TO: REGISTER OF HILLS CUM]tERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure propmr credit ~o your account, submi~ ~he upper portion of ~his form wi~h your ~ax payment. CUT ALONG THZS LINE ~ RETA'rN LO~/ER PORTION FOR YOUR RECORDS ~ ESTATE OF JULTANO FRANCES C FILE NO. 21 02-0256 ACN 101 DATE 12-30-2002 THIS STATEMENT TS PROV'rDED TO ADV/SE OF THE CURRENT STATUS OF THE STATED ACH TN THE NAHED ESTATE. SHOWN DELOW 'rs A SUHNARY OF THE PR'rNC/PAL TAX DUE, APPL'rCATZON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, TF APPL'rCABLE, A PROdECTED 'rNTEREST F/GURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-16-2002 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 427.57 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 05-10-2002 12-16-2002 CD001166 REFUND'-**~ 21.38 .00 415.00 8.81- ZF PA'rD AFTER THZS DATE, SEE REVERSE SIDE FOR CALCULAT'rON OF ADD'rT'rONAL 'rNTEREST. ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT 'rS REQUIRED. ZF TOTAL DUE 'rS REFLECTED AS A 'CRED/T" (CR), TOTAL TAX CREDIT 427.57 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU NAY BE DUE A REFUND. SEE REVERSE Si'DE OF TH/S FORH FOR 'rNSTRUCT.rONS. ) FAMILY SETTLEMENT AND FINAL RELEASE IN THE ESTATE OF FRANCES C. JULIANO KNOW ALL MEN BY THESE PRESENTS, THAT WHEREAS, Frances C. Juliano, late of Hampden Township, Cumberland County, Pennsylvania, deceased, died on February 11, 2002, testate. WHEREAS, Letters Testamentary were granted to Frances C. Barrick on March 13, 2002, with same having been filed in Cumberland County, Pennsylvania, to Estate No. 21-02-0256; WHEREAS, the said personal representative has gathered the assets of the estate of the said decedent and the assets consist of personal property to a total value of $17,565.35, as set forth in Exhibit "A", which is a statement of account of the said personal representatives, and which is attached hereto and made a part hereof, and marked Exhibit "A"; WHEREAS, the debts and deductions, including the payment of inheritance tax in the said estate, amount to $8,217.64, leaving a balance for distribution of $0.00, also as set forth in the statement of the said personal representatives, which is attached hereto and made a part hereof, and marked Exhibit "B"; NOW THEREFORE, KNOW YE, that we, Frances C. Barrick, Charles A. Juliano, Peter L. Cairo, Jr., Joseph Cairo, Mary Ann Blefko, Helen Marie Flynn, Pam Myers, Kathryn A. Gibbons, Nancy L. Poetker, and Carole S. Pearson, being the heirs of the said decedent, and being the individuals entitled to inherit under the Last Will and Testament, do hereby acknowledge that we have this day had and received from the aforesaid personal representative, in'full satisfaction and payment of all sum or sums of money, legacies, bequests, and devises as are given, devised and bequeathed to us by the said Last Will and Testament, which amount we have received this day, and which is the amount set opposite our names in the table and schedule of distribution in said statement attached hereto and marked Exhibit "C"; AND, we do hereby stipulate that in order to avoid the expense and time involved in the filing of a formal account and schedule of distribution, we agree that no account is necessary and we hereby agree and consent to distribution being made without the filing of an account and schedule of distribution, the same to be with the same force and effect as if it had been filed and confirmed by the Orphan's Court Division of the Court of Common Pleas of Cumberland County. FIRST AND FINAL ACCOUNT OF THE ESTATE OF FRANCES C. JULIANO, LATE OF HAMPDEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA DATE OF DEATH: FEBRUARY 11, 2002 PRINCIPAL ACCOUNT DEBITS: Your Accountants charge themselves with the following: Personal Property Checking Account - Waypoint Bank Account No. 1800034009 (1/3 interest in account with date of death value of $1,809.96) Certificate of Deposit - Waypoint Bank Account No. 7100003560 (1/3 interest in account with date of death value of $10,016.99) Certificate of Deposit - Waypoint Bank Account 7100003559 (1/3 interest in account with date of death value of $10,016.99) Certificate of Deposit - Waypoint Bank Account 7100003561 (1/3 interest in account with date of death value of $25,043.15) Common Stock - 37 shares of Prudential Financial, Inc. Personal household goods 1969 Marlette Mobile Home (no value due to age and park restrictions - costs to dispose exceeded any value) Refunds: Verizon - Telephone bill refund Comcast - Cable bill refund Capital Blue Cross - Medical insurance refund Erie Insurance - Insurance bill refund TOTAL PRINCIPAL DEBITS: $ 603.32 $ 3,339.00 $ 3,339.00 $ 8,34?.72 $ 1,175.12 $ 500.00 $ 0.00 $ 5.03 $ 11.26 $ 224.90 $ 20.00 $ 17,565.35 EXHIBIT A CREDITS Your Accountants ask credit for payments made from Principal Account as follows: Description Law Offices of Craig A. Diehl - Retainer for Attorney's fees Myers Funeral Home - Funeral expense $ 3,434.00 Last Rosary for funeral $ 29.00 MBX - Photographs for funeral service $ 73.14 Joseph Cairo - Catering bill for funeral $ 200.00 PP&L - Electric bills for primary residence for January, $ 70.98 February and March Register of Wills, Cumberland County - Probate Fees $ 45.00 Cumberland Law Journal - Estate Advertisement $ 75.00 The Sentinel - Estate Advertisement $ 103.55 Stonemill Property Management - Lot rent for primary $ 309.74 residence Charles A. Juliano - Payment on personal loan $ 800.00 Jennifer Cairo - Bill for cleaning rugs $ 100.00 Kathryn Fetrow - Real estate taxes $ 3.48 Joseph Cairo - Bill for cleaning of mobile home and $ 150.00 disposal of refuse Stonemill Property Management - Final water bill $ 34.35 Verizon - Long distance telephone bill $ 58.40 Camp Hill Post Office - Postage expense for estate $ 34.00 Register of Wills, Cumberland County - Pennsylvania $ 415.00 Inheritance Tax estimated payment Law Offices of Craig A. Diehl - Attorneys Fees $ 1,000.00 Register of Wills, Cumberland County - Filing Fee for $ 17.00 Family Settlement Agreement Orphan's Court, Cumberland County - Filing Fee for $ 15.00 Pennsylvania Inheritance Tax Return TOTAL PRINCIPAL CREDITS: Amount $ 1,250.00 $ 8,217.64 EXHIBIT B RECAPITULATION Principal Debits Minus: (A) (B) (C) (D) Remaining Balance Checking Account - Waypoint Bank Account No. 1800034009 Joint Tenants with Rights of Survivorship (By operation of law, the proceeds automatically go to Frances C. Barrick and Charles A. Juliano) Certificate of Deposit - Waypoint Bank Account No. 7100003560 Joint Tenants with Rights of Survivorship (By operation of law, the proceeds automatically go to Frances C. Barrick and Charles A. Juliano) Certificate of Deposit - Waypoint Bank Account No. 7100003559 Joint Tenants with Rights of Survivorship (By operation of law, the proceeds automatically go to Frances C. Barrick and Charles A. Juliano) Certificate of Deposit - Waypoint Bank Account No. 7100003561 Joint Tenants with Rights of Survivorship (By operation of law, the proceeds automatically go to Frances C. Barrick and Charles A. Juliano) SUBTOTAL: $ 17,565.35 $ 603.32 $ 3,339.00 $ 3,339.00 $ 8,347.72 $ 15,629.04 $ 1,936.31 Minus: (A) (B) Administrative Expenses Last Debts of Decedent $ 6,999.09 $ 1.218,55 SUBTOTAL: TOTAL BALANCE FOR DISTRIBUTION $ 8,217.64 ($6,281.33) EXHIBIT B PROPOSED DISTRIBUTION The Personal Representative proposes distribution of the Total Balance for Distribution to the following heirs as described: ***Funds are insufficient to make distributions per the Last Will and Testament*** Name Beauest per Will Actual Distribution Frances C. Barrick 50% of Rest, residue and Remainder $ 0.00 Charles A. Barrick 50% of Rest, residue and Remainder $ 0.00 Peter L. Cairo, Jr. Specific bequest of $125.00 $ 0.00 Joseph Cairo Specific bequest of $ 0.00 $125.00 Mary Ann Blefko Specific bequest of $125.00 0 O0 Helen M. Flynn Specific bequest of $125.00 0 O0 Pam Myers Specific bequest of $ $125.00 0 O0 Kathryn A. Gibbons Specific bequest of $125.00 0 O0 Nancy L. Poetker Specific bequest of $125.00 0 00 Carole S. Pearson Specific bequest of $125.00 0 O0 TOTAL DISTRIBUTED $ 0.00 EXHIBIT C PROPOSED DISTRIBUTION The Personal Representative proposes distribution of the Total Balance for Distribution to the following heirs as described: ***Funds are insufficient to make distributions per the Last Will and Testament*** Name Bequest per Will Actual Distribution Frances C. Barrick 50% of Rest, residue and Remainder $ 0.00 Charles A. Juliano 50% of Rest, residue and Remainder $ 0.00 Peter L. Cairo, Jr. Specific bequest of $125.00 $ 0.00 Joseph Cairo Specific bequest of $ 0.00 $125.00 Mary Ann Blefko Specific bequest of $ 0.00 $125.00 Helen M. Flynn Specific bequest of $ 0.00 $125.00 Pam Myers Specific bequest of $ 0.00 $125.00 Kathryn A. Gibbons Specific bequest of $125.00 $ 0.00 Nancy L. Poetker Specific bequest of $125.00 $ 0.00 Carole S. Pearson Specific bequest of $125.00 $ 0.00 TOTAL DISTRIBUTED $ 0.00 EXHIBIT C THEREFOP.~, we do hereby remise, release, quitclaim and forever discharge the said personal representative, her heirs, executors, administrators and assigns, of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, touching upon the estate of said decedent, and we do further hereby covenant and agree that we will contribute our share of the estate to satisfy any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the said estate or the aforesaid personal representative after the signing, sealing and delivery of this family settlement agreement and final release. IN WITNESS WHEREOF, we have hereunto set our hands and seals this day of , WITNESS: ~ETER L. CAIRO, JR. ~ WITNESS: WITNESS: WITNESS: MkRY ANN ~LEFKO ' g HELEN M. FLYNN % WITNESS: PAM MYERS WITNESS: KA~H~R~N' A. ~IBBONS WITNESS: CAROLE S. PEARSON WITNESS: WITNESS: FRANCES C. BARRICK COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~ ~/~,r, SS On this ~'-' day of ~~__, 200~ , before me, the undersigned officer, personally appeared PETER L. CAIRO, JR., known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: NOTARIAL SEAL DON~,!^ 9. SMITH, Notary Public Dem~' ,~.,,,t~ip Dauphin County My ~c~i~'r~ xs~o~ Ex~ r,?~s ~ri129, 2003 Notary Public ( SEAL ) COMMONWEALTH OF PENNSYLVANIA SS On this ~3 day of~JOV , 20~, before me, the undersigned officer, personally appeared JOSEPH CAIRO, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: NOTARIAL SEAL _-----'~.., commissian .Expires Nov. 28, 20OF, ! Notary Public (SEAL) COMMONWEALTH OF PENNSYLVANIA SS On this /?~Y'~ day of ~~ , 200~, before me, the undersigned officer, personally appeared MARX ANN B~.m. FKO, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: - NOTARIAL ANE K. HAVNAER, Notary Public Camp Hill Bom, Cumberland County My Commission Expires June 24, 2oosJ No~t-~ry Public (SEAL) COMMONWEALTH OF PENNSYLVANIA COUNTY OF/~~ SS undersigned officer, personally appeared HELEN M. FLYNN, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: Notary Pub~mc (SEAL) STATE OF COUNTY OF SS On this ]~ day of ~A~A~, 200 3, before me, the undersigned officer, personally appeared PAM MXERS, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: ~A~. ;~ O~OC%q f Notary Pu~lc (SEAL) STATE OF C!~qL.I ~--'~NI~ Co~T, O~ OQ~W~L- SS On this ~1~ day of ~C. , 200 ~ before me, the undersigned officer, personally appeared ~ATHRXN A. GIBBONS, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: Notary Public (SEAL) STATE OF C/"'~ 'L--I ~'/~ ~ //~ : : COUNTY OF O i~k30-~- : SS On this~d/~T day of ~. , 200 ~ before me, the undersigned officer, personally appeared NANCX L. POETKER, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereUnto set my hand and official seal. My Commission Expires: STATE OF ~ ~' : : Notary Public Comm. # 1346207 NOTARY PURUC-CALIFORNIA 0,.,~. Co~n,~ My Corem Expires March 10 2006 SS SEAL) On this '~ day of ~'q~.~ , 200~, before me, the undersigned officer, personally appeared CAROLE S. PEARSON, k~gw~%--~m~- (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: ( SEAL ) : SS COUNTY OF : On this ~'~ day of ~, 2~L before me, the undersigned officer, personally appeared CHARLES A. JULIANO, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SEAL ) : SS : On this ~ day of ~{~~, 200~, before me, the undersigned officer, personally appeared FRANCES C. BARRICK, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: (SEAL) NOTARIAL SEAL 8tephanie M, Rider, Notary Public Camp Hill, Cumberland County My Commission Expires Oct. 31,200Si STATUS REPORT UNDER RULE 6.12 " i, VV l'll( Name of Decedent: Frances C. Juliano DmeofDemh: February 11, 2002 Will No.: 21-02-0256 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 0 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 :final account with the Court? Yes No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: Date: )....1 v I v ~ c. Did the personal representative state an account informally to the parties in interest? Yes B No 0 FA.t'\"ld'1 SeHLL"",,-nt ^tvum.Lnt: Athckcl c. Copies of receipts, releases, joinders and approval offorma1 or informal accounts may be filed with the Clerk of the. Orphans' Court and may be attached to ~'S r. ort. ~ (d C1~r- S ature U . Linda A. Clotfelter, Esquire Name Law Offices of Craig A. Diehl 3464 Trindle Road Camp Hill, PA 17011-4436 Address (717) 763-7613 Telephone No. Capacity: 0 Personal Representative o Counsel for personal representative