Loading...
HomeMy WebLinkAbout04-0253 PETITION FOR PROBATE and Estate of' ~ ~. ~ ~ ~_' [,x v-t..~ ?..t, [ k.* ~' No. also known as To: , Deceased. Social Security No. GRANT OF LETTERS Register of Wills for the County of Commonwealth of Pennsylvani~ The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut ~* in the last will of the above decedent, dated and in the codicil(s) dated named (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in C,.x w. ~. ~, [. ~d County, Pennsylvania, with h. ~ ~ last family or principal residence at ~ ~ ~ .~..-_. k~ ~ ~ k o.~- _o (list street, number and muncipality) Decendent, they. --} ~ years of age, died '~ ~.c..L~ ok ,'~ ~Oo~[, at '.~. ~.- ¢ c.~ %, ~ ~- ~,..~ ~. F; 4~ '~ Except as follows, decedent did not marry, Was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters theron. $ ~C $ $ $ Q c' 0 request(s) the probate of the~last will :and codiCil(s) (testamentary; administration c.t.~i.; administr~t4on d.b.n.c.ba.) ';/'""'"".-, ~ OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well.g~nd truly administer the estate according to law. Sworn to or affirmed ~nd subscribed ,- ~¥7~t., before me this /~ dav of I ' ~~ /&~ R e~ster [ Estate Of L. ,, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW /~/~g'" the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated '/"~?-~ff~./'~/oR/e_- /,.~... /q ~'/ described therein b_.e ,9~l~itted to probate and filed of record as the last will of and Letters .~--'~ are hereby granted to ~in consideration of the petitionon Probate, Letters, Etc .......... S~'~ ~t~cates( )...' ....... $  ation ................ $ $ TOTAL . Filed ./d,?~/~'Z.../~V,..~,,~0~'. ....... ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE 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.4 Fee for this certificate, $2.00 No. H10§ 143 Rev 2/87 SLACK h~'ar¥ T, c,,,-, Deputy Fica; ..... '~ C? '' Date~'-',=. c.,~ COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH ~IK':N'r NAME,. Paul [.OF mcEoEUrEhrenzeller(Fn,. U,d~. L,,,) I SEX J S~IAL SECURITY NUMBER zMale,:. 180 -- 26 -5205 I UNDER 1 ~6Y ~ dATE OF ~RTH [ BIRTHP~CE (Ci~ ~d ~. eb. 14,1931 ~e ~'~ ..... ~ ~ ' Dauphin Harrisburg ] Harrisburg Hospital I~ DEC~NT'~ US~L ~CUPA/ION [KIND O~ 8US~NESS t:NOUS*RY ~ OECeOEm ~R m [ OECamNrS ~O~anON ~ }' I ~T*L S~ATUS ~ I I ~O. ~,,,um~ q~,~ _ Accountant ~ ~_~pt of~ ~- ]' ~,,~ ~ I~--~,,~1 .c,,~ ] OECE~NT~ ~1[1~ AO~ESS (S~. ~n. State. Zip C~} DfiCE~NrS t7a - ~ ~, . I I ~' I ~ m . 325 Wesley Drive ~[[%~mt ..... ~onn~y~van~a ~,, ,*~ffi ,,.mecnanzcsDurg, va. I~O,~} ,m.~ Cl,mh~rland t~nm,,* 17d.~ ,.. Roy Ehrenzeller ,,. Jennie Naylor ~.dean crum :m. 15~f ~esta ~rlve, ~rrisburg, Pa 17112 =~,. on~{s~ . .~l=~rch 12, 2004 =~lue Ridge Hemorial Garde~ Harrisburg, Pa. ::~ [~- ~ ~/- ~ ~ 1,:~. FD-O10628-L ~.C~i~le F.H. ~..21~ [~l~t~ ~. ~. ~. 17110 2~ M 2 2~. Yes LAST WILL A2~D TESTA2~ENT OF PAUL L. EHRENZELLER I, PAUL L. EHRENZELLER, of Middle Paxton Township, Dauphin 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 my Executor out of the property passing under this Will which is not specifically bequeathed or devised, as an expense and cost of administration of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor, even though on proceeds of insurance or other property not passing under this Will. In the absolute discretion of my Executor, my Executor may pay such taxes immediately or may post- pone the payment of taxes on future or remainder interests until the time possession thereof accrues to the beneficiaries. ITEM II: I give, devise and bequeath to my wife, ESTHER EHRENZELLER, absolutely and in fee simple, all of my household furniture and furnishings, books, pictures, automobiles, jewelry, china, silverware, linens, wearing apparel and all other like articles of household or personal use or adornment, if she survives me, or if she does not, in equal shares to such of my children as survive me, to be divided between them as they shall agree, my Executor to represent any minors in such division. Should there be no agreement, such property shall be divided between them by my Executor in as nearly equal portions as my Executor, in my Executor's sole discretion, deems practical, having due regard to the personal preference of such children. Any of such property to which a minor becomes entitled may be delivered to the person with whom the minor resides or who has the care or control of the minor, without bond, and the receipt of such person shall be a complete release of my Executor. Page 1 of 4 pages. ITEM III: I give, devise and bequeath all of my property, real, personal and mixed, not expressly devised or be- queathed elsewhere in this Will, to my wife, ESTHER EHRENZELLER. ITEM IV: If my wife, ESTHER EHRENZELLER does not survive me, I give, devise and bequeath all of my property, real, personal and mixed, not expressly devised or bequeathed else- where in this Will to my issue, per stirpes. ITEM V: In the settlement of my Estate, my Executor shall possess, among others, the following powers, to be exercised for the best interests of the beneficiaries: (a) To retain any investments I may have at my death so long as my Executor may deem it advisable to my Estate so to do. (b) To vary investments, when deemed desirable by my Executor, and to invest in such bonds, stocks, notes, real estate mortgages, or other securities or in such other property, real or personal, as my Executor shall deem wise, without being bound by any statutes or rules of law regulating investments' by executors. (c) In order to effect a division of the principal of my Estate or for any other purpose, including any final dis- tribution, the Executor is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind. If such divisions or distributions are made in kind, said assets are required to be divided or distributed at their respective values on the date or dates of their division or distribution. (id) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to the Estate, any or all real or personal estate or interests therein owned by the Estate severally or in conjunction with other persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other Page 2 of 4 pages. instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability to 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 my Executor in this paragraph or elsewhere in my ~ill. (e) To mortgage real estate, and to make leases of real estate. (f) To borrow money from any party, to pay indebtedness of mine or of my Estate, expenses of administration or inher- intance, legacy, estate or other taxes. (g) To pay all costs, taxes, expenses and charges in connection with administration of my Estate. My Executor shall pay expenses of my last illness and funeral. (h) To vote any shares of stock which form a part of the Estate, and to otherwise exercise all the powers incident to the ownership of such stock. (i) In the discretion of my Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the Estate. ITEM VI: Any person who shall have died at the same time as Testator, or in a common disaster with him, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased him. ITEM VII: I nominate, constitute and appoint my wife, ESTHER EHRENZELLER, to be my "Executor." In the event of the death or resignation of ESTHER EHRENZELLER, as Executor, or her refusal or inability to act as such, my daughter, JEAN EHRENZELLER CRUM shall be substituted therefor. In the event of the death or Page 3 of 4 pages. resignation of JEAN EHRENZELLER CRUM, as Executor, or her refusal or inability to act as such, my son THOMAS P. EHRENZELLER shall be substituted therefor. My Executor is specifically relieved fromth~duty or obligation of filing any bond or bonds. IN WITNESS WHEREOF, I have set my hand and seal to this my Last Will and Testament, consisting of this and the preceding three (3) pages, this [~-x day of b~'~t~;/) 1981 Page 4 of 4 pages. · '~ : "/" EAL) (SEAL > ~' "I~ahl~L. EHren~eller -' WITNESSES Residing at Residing at (SEAL) Residing at ACKNOWLEDGEMENT COMlVIONWEALTH OF PENNSYLVANIA : : COUNTY OF : SS: I, PAUL L. EHRENZELLER, Testator whose name is signed to the foregoing instrument, having been duly qualified according to law, hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to Testator, this (SEAL) and, ag~nowledged before me,. ~y Paul L. Ehrenzeller /~. day of ,;(J~¢'~ , 1981. ' --/ Notary Public' "'~UBERT D. MY[RS, NOTARY PUBLIt; My COIT, miSSic,q Expires October 12, 1985 Upper Alien Twp.,. Cumberland County, AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA the wlunesses whos% nan.s are SS: : signed to the fore~0ing instrument, being duly qualified according to law, depose and say that we were present and saw Testator sign and execute the instrument as his Last Will and Testament; that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Last Will and Testament as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. S wgrn~.to and subscr i~ed before me by ~~~ ~~~, this /~-d~ day of ~_~P_J~_/y;¢~, , 188I. /' (SEAL) ,, , --%fot%ry Public' Lq:6V gL ~V~I ~0. 217 REV-t 500 EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 I REV-1500 INHERITANCE TAX RETURN 21-04-0253 RESIDENT DECEDENT ,COUN, COOE I.- Z Z O G. uJ O Z Z DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER EHRENZELLER, PAUL L 180-26-5205 DATE OF DEATH (MM-OD-YEAR) 3/9/2004 DATE OF BIRTH (MM-OD-YEAR) 2/14/1931 IF AIA~!.JCABLE) &URVI.VING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ~dCIAL SECURITY NUMBER r~l. Onginal R~tum E~4. Limited Estate ~']6. Decedent Died Testate (Attach copy of'Will) E~9. Litigation Proceeds Received ----]2. Supplemental Return ~]4a. Future Interest Compromise (date of dealh after 12~12-82) E~7. Decedent Maintained a Living Trust (Attach copy of Trust) ~'-]1 0. Spousal Po'~y Credit {date of death between 12-31-91 and 1-1-95) ~--~ 3. Remaindef Retum(dateofdeathpnorto 12-13-82) []5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [--~1 1. Election to tax under Sec, 9113(A) (Attach Sch O) NAME JEAN R CRUM FIRM NAME (If Applicable) TELEPHONE NUMBER 717-540-9860 COMPLETE MAILING ADDRESS 1541 VESTA DRIVE HARRISBURG, PA 17112 1 Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes ReceivaDle (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6 Jointly Owned Property (Schedule F) ~aSepar:~te Billing Requested 7. Inter-Vivos Transfer & Miscellaneous Non-Probate Property (Schedule G or L) 8, TOTAL GROSS ASSETS (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (1) NONE (2) (3) (4) NONE (5) 29,872 (6) NONE (7) NONE OFFICIAL USE ONLY (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) 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) (8) 207,749 4,544 6,650 (11) 11,194 (12) 196,555 (13) (14) 196,555 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 X .0 (15) 0 196,555 X .0 45 (16) 8,845 X .12 (17) 0 X .15 (18) 0 (19) 8,845 EHRENZELLER, PAUL L 180-26-5205 217 Decedent's Complete Address: STREET ADDRESS ICITY IMECHANICSBURG STATE ZIP PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) cre~i~/Payment~- -~ 2. A. Spousal Poverty Credit B, Prior Payments C. Discount 442 Total Credits ( A + B + C ) (2) 8,845 442 3. Interest/Pen¢lty if applicable D. interest E. Penalty Total InterestJPenalty ( D + E ) (3) 0 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT Check box on Page 1 Line 20 to request a refund (4) 0 5. if line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) 8,403 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SB) 8,403 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; ........................ U b_J right to designate who shall use the property transferred or its income; ............ b. retain the 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 ~'eceiving adequate consideration? ............................ E~ E~] 3. Did decedent own an "in trust for'' or payable upon death bank account or security at his or her death? .... U b__J 4~ Did decedent own an Individual Retirement Account, annuity or other non-probate property which contains a beneficiary designation? ............................. [----] E~ 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 that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, and complete. De.claration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE~,~ P.ERSON R.~_~BL_E FOR FILING RETURN DATE ADDRE,~/~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIV'I~' DATE ADDRESS For dates of death on or after July 1, 1994 and before January 1, 19951 the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. Section 9116 (a)(l.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. Section 9116 (a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and tt~e statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty.one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0%[72 P.S. Section 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. Section 9116(1.2) [72 P.S. Section 9116(a)(1 The tax rate imposed on the net value of transfers to or for the use of tt~e decedent's siblings is 12% [72 P.S. Section 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. 217 REV-1503 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF EHRENTELLER, PAUL L FILE NUMBER 21-04-0253 ITEM NUMBER 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. - -- All property jointly-owned with right of survivorship must be disclosed on Schedule F. DESCRIPTION 1399.207 SH JUNIATA VALLEY FINANCIAL @ $36.00 PER SHARE (JUVF) 200 SH AMGEN @ $62.76 PER SHARE (AMGN) 400 SH LUCENT @$3.90 PER SHARE (LU) 20'0 SH SPRINT CORP @ $18.73 PER SHARE (FON) 800 SH TEXAS INSTRUMENTS @ $30.26 PER SHARE (TXN) 200 SH VERIZON @ $39.20 PER SHARE (VZ) 38.567 SH COLUMBIA FDS TR III MID CAP VALUE FD CL A @ $25.81 PER SHARE (COLGX) 153.199 SH EURO PAC GROWTH FD CLASS F @ $31.99 PER SHARE (AEGFX) 13.619 SH FIDELITY ADV VII VALUE STRATIEGIES FD CL T @ $33.68 PER SHARE (FASPX) 22.77 SH FIDELITY ADVISOR SER SMALL CAP FUND CL T @ $21.27 PER SHARE (FSCTX) 317.63 SH GROWTH FUND AMER INC CL F @ $25.50 PER SHARE (GFAFX) 31.917 SH HARTFORD MUT FDS INC CAP APPREC FD CL A @ $30.30 PER SHARE (ITHAX) 1713.387 SH INTERMEDIATE BOND FD AMER CL F @ $13.19 PER SHARE (IBFFX) 276.214 SH WASHINGTON MUTUAL INVS FD CL F @ $29.71 PER SHARE (WSHFX) SAVINGS BONDS TOTAL (Also enter on line 2, Recapitulation) (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 50,371 12,552 1,560 3,746 24,2O8 7,840 995 4,901 459 484 8,100 967 22,600 8,206 30,888 177,877 AT REV-1508 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Include the proceeds of litigation and the date t;~e proceeds were ~'eceived by tile estate, ALL PROPERTY JOINTLY-OWNED WtTH THE RIGHT OF SURVIVORSHIP MUST BE DISCLOSED ON SCHEDULE F ITEM ~-- NUMBER 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. DESCRIPTION PNC. INVESTMENT ACCOUNT PNC CHECKING AND MONEY MARKET ACCOUNTS DIVIDEND CHECK FROM JUNIATA VALLEY DATED 2/28/2004 REFUND FROM ALLSTATE FOR RENTERS INSURANCE 2003 IRS REFUND 1996 BUICK REGAL COMPUTER CD/DVD PLAYER PERSONAL ITEMS CLOTHING FURNITURE TENTATIVE 2004 IRS REFUND CREDIT CARD REFUND FOR MAGAZINE SUBSCRIPTIONS TOTAL (Also enter on line 5, Recapitulation)~ (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 94 22,564 1,399 62 1,481 2,600 50O 100 5O 40O 150 2OO 235 37 29,872 217 REV-1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCETAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF EHRENZELLER, PAUL L FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. DESCRIPTION FUNERAL EXPENSES: GEIGLE FUNERAL HOME P,~STOR LUNCHEON FLOWERS ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Zip Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees State Zip ~UBLIC NOTIFICATION IN DAUPHIN COUNTY REPORTER PUBLIC NOTIFICATION IN PATRIOT NEWS, HARRISBURG, PA PNC STOCK CERTIFICATE FEE TOTAL (Also enter on line 9, Recapitulation} $ (If more space is needed, insert additional sheets of the same size) AMOUNT 3,112 3O0 100 381 275 65 151 160 4,544 REV-1512 EX+ (12-03) 217 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF EHRENZELLER, PAUL L FILE NUMBER 21-04-0253 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER 2. 3. 4. 5. BETHANY VILLAGE PHARMACY DOCTOR AMBULANCE VERIZON (PHONE BILL) DESCRIPTION VALUE AT DATE OF DEATH 6,293 188 100 58 11 TOTAL (Also enter on line 10, Recapitulation) $ 6,650 (If more space is needed, insert additional sheets of the same size) 217 REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT SCHEDULEJ BENEFICIARIES ESTATE OF EHRENZEL~ER, PAUL L FILE NUMBER NUMBER I. II. 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABEE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] CAROL ANN MILLER 204 M,~IN STREET P O BOX 221 YORK SPRINGS, PA 17372 SHERRY LEE DETWEILER 1113 WESTMINSTER ROAD HARRISBURG, PA 17109 THOMAS PAUL EHRENZELLER 10857 CAMPAIGN COURT MANASSASS, VA 22110 JEAN RENEE CRUM 1541 VESTA DRIVE HARRISBURG, PA 17112 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) DAUGHTER DAUGHTER SON DAUGHTER AMOUNT OR SHARE OF ESTATE 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 CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 25% 25% 25% 25% (If more space is needed, insert additional sheets of the same size) THE THE PATRIOT NEWS SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Joseph A. Dennison, being duly sworn according to law, deposes and says: That he is-the Asst· Controller of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-News and The Sundav Patri0t;New~ newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared on the 27th day(s) of April and the 4th and 11th day(s) of May 2004. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION C O P Y S orn to and subscribed ~ore/Fe~tt'~s~-////~ 12th/_ day o~'~la~E.0~:/A~.///~ ~"" D. · lem/L. Russel ,Notarv P~h~ Ci~OfHamsbu Da ' .~ ..... Lrg, uph,nCour~/ J NOT,~:IY PUBLIC ~v~./~,c, mrn~ssicn t:xl~res June fi~2t~~. .. mm~ss~on ex ~res June 6, 2006 JEAN R. EHRENZELLER CRUM, EXEC. 1541 VESTA DRIVE HARRISBURG, PA. 17112 LETTERS OF ADN~INISTRATION IN THE ESTATE OF PAUL L. EHRENZELLER, late of Lower Allen Town- ship, Cumberland County, Pennsylvania, having been granted to the undersigned, all ~er~ons Indebted to the Estate are requested to make Immediate Payment te, and those having claims against will oresent them without delay to: Jeall Ehrullzeller Crum, Executrix 1541 Vesta Drive Harrisburg, PA 17112 Statement of Advertising Costs To THE PATRIOT-NEWS CO., Dr. For publishing the notice or publication attached hereto on the above stated dates Total $ 150·91 Publisher's Receipt for Advertising Cost The Patriot News Co., publisher of The Patriot-News and The Sunday Patriot-News, newspapers of general circulation, hereby acknowledge receipt of the aforesaid notice and publication costs and certifies that the same have been duly paid. Proof of Notice of Publication in Dauphin County Reporter 213 North Front Street, Harrisburg, PA 17101 UnderActs approved May 16, 1929, P. L. 1784 and April 24, 1931, P. L. 67, 45 P. S. 1 et seq. State of Pennsylvania ~ County of Dauphin / ss: ~. Donald_Morgan, agent of the Publisher of the Dauphin County Reporter, of the County and State aforesaid, being duly sworn, deposes and says that the Dauphin County Reporter, a legal periodical published in the City of Harrisburg, County and State aforesaid, was established January 1, 1898, and designated the Legal Periodical for Dauphin County, on February 5, 1919, since which date the Dauphin County Reporter has been regularly issued in said County, and that the printed notice of publication attached hereto is exactly the same as was printed and published in the regular editions and issues of the Dauphin County Reporter on the following dates, viz: APRIL 30, 2004 and MAY 7 & 14, 2004 Affiant further deposes that he is the Agent of the Publisher of the Dauphin County Reporter, a legal Periodical of general circulation, to verify the foregoing statement under oath, and that neither the affiant nor the Dauphin County Reporter is interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing s"gt'5~ lents as to time, place and character of publication are true. Sworn to and sub~ day of ./~,A AV Nota~ ~ ,,ly qommi~on E~tro~ ~. 5, .Statement of Advertising Costs: Estate of Paul L. Ehrenzeller Copy of Notice of Publication DECEDENTS ESTATES NOTICE IS HEREBY GIVEN that let- ters testamentary or of administration have been granted in the following estates. All persons indebted to the said estate are required to make payment, and those having claims or demands to present the same without delay to the administrators below. ESTATE OF PAUL L. EHRENZELLER, late of Lower Allen Township, Cumberland County, Pennsylvania. Executrix: Jean Ehrenzellet Crum, 1541 Vesta Drive, Harrisburg, PA 17112. a30-m 14 To DAUPHIN COUNTY REPORTER, Dr. For publishing the notice or publication attached hereto on the above stated dates ............. $ Probating same ................. $ Total .................... $ 64.00 1.00 65.00 Publisher's Receipt for Advertising Costs The Dauphin County Roporter, a legal periodical, hereby acknowledges receipt of the aforesaid notice and publication costs and certifies that the same have been duly paid. DA~iPI-I_IN COUNTY~2~ PORTER, By (..~~ ----,--- DATE OF DEATH (03/09/2004) VALUATION FOR EHRENZELLER PAUL L EHRENZELLER PAUL L [2979-7492] ~.~i~ .... : , SYMBOL 03/09/2004 PRICE 03/09/2004VALUE 200 AMGEN AMGN $62.76 $12,552.00 400 LUCENT LU $3.90 $1,560.00 200 SPRINT CORP FON $18.73 $3,746.00 800 TEXAS INSTRUMENTS TXN $30.26 $24,208.00 200 VERIZON VZ $39.20 $7,840.00 CASH $94.0O $5O,OOO.0O EHRENZELLER PAUL L [2979-7494] 38.567 COLUMBIA FDS TR III "* MID CAP VALUE FD CL A COLGX $25.81 $995.41 153.199 EURO PAC GROWTH FD ',* CLASS F AEGFX $31.99 $4,900.84 13.619 FIDELITY ADV VII --,* VALUE STRATEGIES FD CL T FASPX $33.68 $458.691 22.77 FIDELITY ADVISOR SER '~* I SMALL CAP FUND CL T FSCTX $21.27 $484.32 317.63 GROWTH FUND AMER INC "* CL F GFAFX $25.50 $8,099.57 31.917 HARTFORD MUT FDS INC -,* CAP APPREC FD CL A ITHAX $30.30 $967.09 1713.387 INTERMEDIATE BOND FD "* AMER CL F IBFFX $13.19' $22,599.57 276.214 WASHINGTON MUT INVS FD"* CL F WSHFX $29.71: $8,206.32 $46,711.81 NOT WITH PNC INVESTMENTS I 1399'2071JUNIATAVALLEY FINANCIAL I JUVF I $36'°°1 $5°'371'451 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003993 CRUM JEAN EHRENZELLER 1541 VESTA DRIVE HARRISBURG, PA 17112 ........ fold ESTATE INFORMATION: SSN: 180-26-5205 FILE NUMBER: 2104-0253 DECEDENT NAME: EHRENZELLER PAUL L DATE OF PAYMENT: 06/02/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 03/09/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $8,403.00 REMARKS: CHECK# 514 SEAL TOTAL AMOUNT PAID: $8,403.00 INITIALS: AC RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF TNDZVZDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 171Z8-0601 COHNONWEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE NOTICE OF ZNHERTTANCE TAX APPRAZSENENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX JEAN R CRUH 1541 VESTA DR HBG PA 17112 DATE ESTATE OF DATE OF DEATH FILE NUH~ER COUNTY ACN 07-19-2004 EHRENZELLER PAUL L 05-09-2004 21 04-0255 CUHBERLAND 101 Aaoun~ Remitted I HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THZS LINE ~ RETA]:N LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF EHRENZELLER PAUL L FILE NO. 21 04-0255 ACN 101 DATE 07-19-200~ TAX RETURN NAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATION CONCERN]:NG FUTURE ]:NTEREST - SEE REVERSF APPRAZSE~ VALUE OF RETURN ~ASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A} (1) 2. S~ocks and Bonds (Schedule B) {2) 3. Closely Held S~ock/Par~narship Tn~eras~ {Schedule C) (3) fi. Nor~gagas/Notas Receivable (Schedule D) S. Cash/Bank Daposi~s/Hisc. Personal Propar~y (Schedule E) ($) 6. Jointly O.nad Propar~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTZONS AND EXEHPTZONS: 9. Funeral Expenses/Ada. Costs/H/sc. Expenses (Schedule H) (9) 10, Dabts/Nor~gaga L/abil/~/as/L/ans (Schedule T) (10) 11. Total Daduc~/ons 12. Ne~ Value of Tax Return .00 177~877.00 .00 NOTE: To /nsura proper crad/t to your account, suba/~ the upper por~/on Zg~87Z.00 .00 .00 of this fora v/th your tax payment. .00 207,749.00 13. 14. NOTE: (8) 4,544.00 6~650.00 (11) 11.194.§§ (12) 196,555.00 Char/~abla/Govarnmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) .00 Nat Value of Estate Subjac~ to Tax (14) 196,555.00 ASSESSNENT OF TAX: 1.;. Amount of L/ne 14 at Spousal ra~e 16. Aaoun~ of L/ne 14 ~axabla a~ L/naal/Class A ra~a 17. Aaount of L/ne 14 at S/bl/ng ra~:a 18. Amount of L/ne 14 taxable a~ Colla:karal/C1ass B ra~ce 19. Pr/nc/pal Tax Due TAX CREDZTS: PAYNENT RECETpT DTSCOUNT (+J DATE NUNBER TNTEREST/PEN PATD (-) 06-02-2004 CD005995 442.25 Xf an assessment Nas issued previously, lines 14, 15 and/er 16, 17, 18 and 19 reflect figures that include the total of ALL returns assessed to date. w111 TF PATD AFTER DATE TNDTCATED, SEE REVERSE FOR CALCULATTON OF ADDZTTONAL TNTEREST. (15) (16) (17) (18) ]~ALANCE OF TAXDUEI .25CR ]:NTEREST AND PEN. I .00 TOTAL DUE I . Z5CR ( IF TOTAL DUE TS LESS THAN $1, NO PAYNENT TS REI;)UTRED. ZF TOTAL DUE TS REFLECTED AS A 'CREDTT' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORN FOR TNSTRUCTTONS. ) RESERVAT[ON: Estates of decedents dying on or before December 1Z, 19BI -- if any future interest in the estate is transferred in possession or enjoyment to Class B icollateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lamfuI Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z5 of ZOO0. (TZ P.S. Section 9140). PAYNENT: Detach the top portion of this Notice and submit mith your payment to the Register of Nills printed on the reverse side. --Hake check or money order payable to: REGISTER OF #ILLS, AGENT REFUND (CR): A refund of a tax credit, which ams not requested on the Tax Return, say be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-lB13). Applications are available at the Office of the Register of Hills, any of the Z3 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-36Z-lOS0; services for taxpayers with special hearing and / or speaking needs: 1-800-447-30Z0 (TT onlY). OBJECTIONS: Any party in interest not satisfied with the appraisement, alloeance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue~ Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADNIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. ZBO601, Harrisburg; PA 17liB-0601 Phone i717) 787-6S05. Sea page S of the booklet -Instructions for Inheritanca Tax Return for a Resident Decedent" IREV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three IS) calendar months after the decedent's death, a five percent iSZ) discount of the tax paid is allowed. PENALTY: The 1SX tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the sase manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one il) day from the date of death, to the data of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six lGZ) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 198Z mill hear interest at a rate which will vary from calendar year to calendar year with that rata announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOO4 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor. ~ ZOZ .00054~ ~'~'8-1991 llX =000301 ~ 9X .000Z47 1983 16Z .000438 1992 92 .000Z47 ZOOZ 6Z .000164 1984 llZ .000301 1995-1994 72 .00019Z 2003 5Z .000137 1985 13Z .000356 1995-1998 9Z .OOOZ47 2004 4Z .OOOllO 1986 IOZ .000274 1999 7Z .O0019Z 1987 IOZ .O0027~ ZOO0 7Z .00019Z --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUllBER OF DAYS DELZN~UENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fifteen (1S) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF PAUL L EHRENZELLER Late of Lower Allen Township Cumberland County, Pennsylvania Estate No. 21-04-0253 ....,".. RECEIPT, RELEASE, AND REIMBURSEMENT AGREEMENT of Jean R Crurn, Executrix BENEFICIARIES: JEAN R CRUM THOMAS P EHRENZELLER SHERRY L DETWEILER CAROL A MILLER Date of Death: March 9,2004 Letters Granted: March 15, 2004 First Complete Advertisement of Grant of Letters: May 4, 2004 Account Stated to April 23, 2005 ~ ESTATE OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA PAUL L EHRENZELLER ORPHANS COURT DIVISION ESTATE NO. 21-04-0253 RECEIPT, RELEASE, AND REIMBURSEMENT AGREEMENT WHEREAS, PAUL L EHRENZELLER, late of Cumberland County, Pennsylvania died testate on March 9, 2004, having first made his Last Will and Testament, duly executed on the 15th day of March, 2004, which is recorded in the Office of the Register of Wills of Cumberland County, Pennsylvania; WHEREAS, by his aforesaid Last Will and Testament, the said Paul L Ehrenzeller named JEAN R CRUM as Executrix of his Last Will and Testament; WHEREAS, Letters Testamentary on the Estate of the said Paul L Ehrenzeller were duly issued by the Register of Wills of Cumberland County, Pennsylvania, unto JEAN R CRUM on March 15,2004; WHEREAS, JEAN R CRUM as Executrix of the Estate of PAUL L EHRENZELLER has gathered the assets of the Estate, which consists of personal property as disclosed to the parties; WHEREAS, the debts and deductions, including payment of the Federal Fiduciary Taxes, have been paid as disclosed to the parties; WHEREAS, it is the desire of the undersigned that distribution be made without the formality of an accounting, and the said JEAN R CRUM is willing to make such distribution upon the receipt of a proper release and indemnification, which it is the purpose of this Agreement to provide. NOW, THEREFORE, KNOW YE that we JEAN R CRUM, THOMAS P EHRENZELLER, SHERRY L DETWEILER, and CAROL A MllLER, Beneficiaries of the Last Will and Testament of PAUL L EHRENZELLER, do hereby acknowledge that we have this day had and received from the aforesaid Executrix in full and final satisfaction and payment of all sum or sums of money, legacies, bequests, and devises as are given, devised or bequeathed by the said Last Will and Testament of PAUL L EHRENZELLER, the amount of distribution which is set forth next to my name on the attached Exhibit "A", which is a statement of the distributions of the Estate of PAUL L EHRENZELLER; In consideration of the delivery to us of the distribuiton as aforesaid, for ourselves, our heirs, executors, adminstrators, and assigns, we do remise, release, quitclaim, and forever discharge JEAN R CRUM, individua1ly and as Executrix of the Estate of PAUL L EHRENZELLER, Deceased, of and from any and all actions, suits, payments, accounts, claims, and demands whatsoever or by reason of her administration of the Estate of PAUL L EHRENZELLER, Deceased, hereby agreeing that the Orphans' Court Division of the Court of Common Pleas, Cumberland County may, by its decree, confirm the said account and discharge JEAN R CRUM. We further agree to indemnifY and hold harmless JEAN R CRUM from any and all claims, loss, liability, and damage which she may suffer or to which she may be subjected by reason of the settlement of this account and distribution of the assets of the said PAUL L EHRENZELLER without court approval. We do further declare it is our intention to be legally bound by the execution of this instrument and do hereby convenant and agree with the said Executrix and with each other, that should any liability come known against the Estate of PAUL L EHRENZELLER after the signing of the Agreement, we will contribute pro rata with the other residual beneficiaries of the estate to satisfY any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the Estate of PAUL L EHRENZELLER, Deceased, or the aforesaid Executrix in her capacity as such after the signing, sealing, and delivery of the Receipt, Release, and Reimbursement Agreement. IN WllNESS WHEREOF, we have hereunto set our hands and seals the ~"2:, day of A~ ,2005. WITNESS: - ,,'-'f ( 2'Cf? ~cc-= , , A-' -~::-...- ,-,-,:,;,~.. .-,:-;,,'-~ /?J ~:. p':;" c;..": .-'-- ..... ~"",. , /U~~. /;2-~- /Z) /'A.: ~::" - .- ~~ /,Y. (.~ " '! /{ >-f-U~ J .~. 'L / / ./' ' V "'---- J~ R CRUM, Executrix of the Estate of PA~iEHRENZE~~ER /:Z:;U-L./lA.../L L~ JlLiW R CRUM, Bjmeficiary - / {;( 1 r{t THOMAS P EHRENZ s~.~~ SHERRY ETWEILER, BenefiCiary ~-I/ ?l4:/L; CAROL A MILLER, Beneficiary EXHIBIT "A" ESTATE OF PAUL L EHRENZELLER ASSETS: JUNIATA V ALLEY BANK STOCK 1399.207 sh value $50371 STOCKS & BONDS WITH PNC FINANCIAL value $96618 US SAVINGS BONDS $30888 CASH $25637 PERSONAL ASSETS - CAR, FURNITURE, CLOTHING $ 4000 LIABILITIES: FUNERAL EXPENSES ADMINISTRATIVE COSTS DEBTS OF DECEDENT P A INHERITANCE TAX IRS 2004 INCOME TAX DUE PA DEPT OF REVENUE 2004 TAX DUE NET LOSS FROM INVESTMENTS DISTRIBUTIONS CAROL A MILLER - 349 SH JUVF VALUED 1ST DISTRIBUTION 5/7/2004 FINAL DISTRIBUTION 2/20/2005 SHERRY L DETWEILER - 349 SH JUVF VALUED 1ST DISTRIBUTION 5/7/2004 FINAL DISTRIBUTION 2/20/2005 THOMAS P EHRENZELLER - 349 SH JUVF VALUED 1ST DISTRIBUTION 5/7/2004 FINAL DISTRIBUTION 2/20/2005 JEAN R CRUM - 349 SH JUVF VALUED 1ST DISTRIBUTION 5/7/2004 FINAL DISTTIBUTION 2/20/2005 $207514 $ 3893 $ 526 $ 6650 $ 8403 $ 3094 $ 1402 $ 3470 $ 27438 $180076 $12564 $28100 $ 4355 $45019 $12564 $28100 $ 4355 $45019 $12564 $28100 $ 4355 $45019 $12564 $28100 $ 4355 $45019 We do further declare it is our intention to be legally bound by the execution of this instrument and do hereby convenant and agree with the said Executrix and with each other, that should any liability come known against the Estate of PAUL L EHRENZELLER after the signing of the Agreement, we will contribute pro rata with the other residual beneficiaries of the estate to satisfY any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the Estate of PAUL L EHRENZELLER, Deceased, or the aforesaid Executrix in her capacity as such after the signing, sealing, and delivery of the Receipt, Release, and Reimbursement Agreement. IN WITNESS WHEREOF, we have hereunto set our hands and seals the )9 day of 4.1ul , ,2005. ,V~K~ ~t~~ SHERRY DETWEILER, Beneficiary 000 c c: ...J\o.t ~/ 0tJ!t. CAROL A MILLER, Beneficiary COMMONWEALTH OF FENNSYL VANIA) SS: COUNTY OF ----p MflI4tW' ) fJ~1t A~' /' On this, the<"-) day of GL- \... ,2005, before me, a Notary Public, personally appeared JEAN R CRUM known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. /~~~~~ --. . "./ --/~/ ~ ~------- / __"'~ .___ c:... ,J.. ..- /~~ -- ~.~ / - Notary Republic (Seal) My Commission Expires: NOTARIAL SEAL CHARLES FRANK CLASS, III, NOlary Public City of Harrisburg, Dauphin County M Cllmmission Expires April 30, 2007 COMMONWEALTH OF PENNSYLVANl1\:) : ss: COUNTY OFuauLJhiYI ) I On this, the ,~q ~daY of It ~ r, I , 2005, before me, a Notary Public, personally appeared SHERRY L DETWEILER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained, IN WITNESS WHEREOF, I hereunto set my hand and official seal. /v ;t N Public al) .i ..y 0-5 My Commission Expires: Npv, ,J,f> NOTARIAL SEAL . JULIA R. ERB. Notary Public Su uehanna Twp.. Oauphln Cour.ty My domml&s;on Expires Nov. 5. 2005 COMMONWEALTH OF PENNSYL VANIA) SS: Hbffrfl S, ) COUNTY OF On this, the daD day of fYlo..A_i-- ,2005, before me, a Notary Public, a personally appeared CAROL A MILLER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. C~OYlP1A~ Notary P lie (Seal) My Commission Expires: {I- ad. .{)r 't-:" :'''\ :.l~.',,-:_,:.;,.:_;c..~: ".;;.;..."-',;. ..........-..<". Notarial St)RlI IIIIaIY A. Ilewmsn, Natali: Publ1c Oibd 1\op. Adams County _0. " - ~ Nov. 22, 1lXTl COMMONWEALTH OF VIRGINIA) COUNTY OF -PI': I'{'-l' II j; \ \ i QI'Y\ SS: ) On this, the I D day On}'Jflj ,2005, before me, a Notary Public, personally appeared THOMAS P EHRENZELLER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ----- --t~t~\1).t Notary b IC (Seal) My Commission Expires: II} CD/ b? Cuwberland Count:{ -,. Register Of One Courthouse Square Carlisle! ?A i7013 Phone: (717) 240-6345 T,'T ~ , , _ VV ..l..l..l ~ Date: 2/02/2006 CRUM JEAN EHRENZELLER 1541 VESTA DRIVE HARRISBURG, PA 17112 RE: Estate of EHRENZELLER PAUL L File Number: 2004-00253 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 3/09/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel T. _.-J~.__ uUU::1C ~ I'.:-/\~""""').... f"~' =~ ~,\ ~ ~'~J ~ ~ _ -..! _.n___~ _.-'~"':' f\ T.2. iliJ _ _ J!: r.l...,____ 1i_ __ii _ "",,_.2 (;'""'l__~_I""'!_'I~- !!"~\e:::;ll:S;I(.t:::Jl' l\Jlll 'If';} JLJ!.lLai \UilL I0Ii..li.JlJdlIU)\CJi.' Ji.i::lLJI.l!.U ~..AUIiUl.UiLY Name of Decedent: STATUS REPORT Ul\l"DER Rill.,E 6.12 ~(^-'^-\ L ["'V"~V\.L~\\-ev- . Date of Death: :3 \ 4. I 2. '" C> LI Estate No.: ~ \- Olt- O?. 5.~ . 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 ~ 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 followmg: a. Did the personal representative file a final accoUrit with the CoUrt? Yes~' No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: Date: c. Did the personal representative state an accountjnformally to the pa,.'ties in interest? Yes 0 No ~ 5" e.JL C'- ~~....t,-,,-;? c'~:.. \-"<J.... ~c--..C\ S(~-"-->c- \--, 0LD pC'.,~' ~ ') c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. //- ) :J/3/(J~ "-~~~ I ( Si~e ~~. ~~ ~~ \<. C'll'~~ Name \ S-L( \ V~ s ~ V'y.'u<- Address \:~..\;, s~ '-^(::) of ~ \ t \ \<- _r;-y 0 - 9 k &, 0 Telephone No. , Capa.citi: 1><f Personal i<,.epreserl:a:ivt~ o C.ollIlsel for personal represer.!.tative ~L' cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: l717) 240-6345 4 Date: 2/02/2006 CRUM JEAN EHRENZELLER 1541 VESTA DRIVE HARRISBURG, PA 17112 RE: Estate of EHRENZELLER PAUL L File Number: 2004-00253 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 3/09/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF PAUL L EHRENZELLER Late of Lower Allen Township Cumberland County, Pennsylvania Estate No. 21-04-0253 RECEIPT, RELEASE, AND REIMBURSEMENT AGREEMENT of Jean R Crum, Executrix BENEFICIARIES: JEAN R CRUM THOMAS P EHREN ZELLER SHERRY L DETWEILER CAROL A MILLER Date of Death: March 9, 2004 Letters Granted: March IS. 2004 First Complete Advertisement of Grant of Letters: May 4, 2004 Account Stated to April 23, 2005 ESTATE OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA PAUL L EHRENZELLER ORPHANS COURT DIVISION ESTATE NO. 21-04-0253 RECEIPT, RELEASE, AND REIMBURSEMENT AGREEMENT WHEREAS, PAUL L EHRENZELLER, late of Cumberland County, Pennsylvania died testate on March 9, 2004, having .first made his Last Will and Testament, duly executed on the 15th day of March, 2004, which is recorded in the Office of the Register of Wills of Cumberland County, Pennsylvania; WHEREAS, by his aforesaid Last Will and Testament, the said Paul L Ehrenzeller named JEAN R CRUM as Executrix of his Last Will and Testament; WHEREAS, Letters Testamentary on the Estate of the said Paul L Ehrenzeller were duly issued by the Register of Wills of Cumberland County, Pennsylvania, unto JEAN R CRUM on March 15, 2004; WHEREAS, JEAN R CRUM as Executrix of the Estate of PAUL L EHRENZELLER has gathered the assets of the Estate. which consists of personal property as disclosed to the parties; WHEREAS, the debts and deductions, including payment of the Federal Fiduciary Taxes, have been paid as disclosed to the parties; WHEREAS, it is the desire of the undersigned that distribution be made without the formality of an accounting, and the said JEAN R CRUM is willing to make such distribution upon the receipt of a proper release and indemnification, which it is the purpose of this Agreement to provide. NOW, THEREFORE, Ki'JOW YE that we JEA1'J R CRUM, THOMAS P EHRENZELLER, SHERRY L DETWEILER, and CAROL A NllLLER, Beneficiaries of the Last Will and Testament of PAUL L EHRENZELLER, do hereby acknowledge that we have this day had and received from the aforesaid Executrix in full and final satisfaction and payment of all sum or sums of money, legacies, bequests, and devises as are given, devised or bequeathed by the said Last Will and Testament of PAUL L EHRENZELLER, the amount of distribution which is set forth next to my namt;; on the attached Exhibit "A", whieh is a statement of the distributions of the Estate of PAUL L EHRENZELLER; In consideration of the delivery to us of the distribuiton as aforesaid, for ourselves, our heirs, executors, adminstrators, and assigns, we do remise, release, quitclaim. and forever discharge JEAN R CRUNI, individually and as Executti-.;: of the Estate of PAUL L EI-mENZELLER, Deceased, of and from any and all actions, suits, payments, accounts, claims, and demands whatsoever or by rcason of her administration of the Estate of PAUL L EHRENZELLER, Deceased, hereby agreeing that the Orphans' Court Division of the Court of Common Pleas, Cumberland County may, by its decree, confirm the said account and discharge JEAN R CRU1vf. We further agree to indemnif}' and hold harmless JEAN R CRlJ1'vf from any and all claims, loss, liability, and damage which she may suffer or to which she may be subjected by reason of the settlement of this account and distribution of the assets of the said PAUL L EHRENZELLER without court approval. We do further declare it is our intention to be legally bound by the execution of this instrument and do hereby convenant and agree with the said Executrix and with each other, that should any liability come known against the Estate of PAUL L EHRENZELLER after the signing of the Agreement, we will contribute pro rata with the other residual beneficiaries of the estate to satisfY any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the Estate of PAUL L EHREN ZELLER, Deceased, or the aforesaid Executrix in her capacity as such after the signing, sealing, and delivery of the Receipt, Release. and Reimbursement Agreement. IN WITNESS WHEREOF, we have hereunto set our hands and seals the 9- .~ day of A~ ' 2005. WITNESS: ~\ ( ./ c;r;:/ .0..---? ." /.,.",,_'_ c.. ~ .L!; . . . ~ . ....- . . .' ',~"Cc'L. 1.-, tC.( ~. JEAN R CRUM. Executrix of the Estate of ---' P A~L-L EHRENZELLER ". ' ) /:r -~ t'L---L..-~ /c L-~ JEAN R CRUM, Beneficiary ----. ~TlH/~O? MA' . 's P("E{HREeC1N' Z driL- LER, Beneficiary /;JJ~g~.p-~" -- /lJ~ ~t..-. ~~::..~-.-.. /U~~~~,~ s~ J.~-ul~ SHERRY Lj)ETWEILER. Beneficiary /~~ ~? ." d J/ ;?; '1/:L/ .'- - ~. ( CAROL A MILLER, Beneficiary We do further declare it is our intention to be legally bound by the execution of this instrument and do hereby convenant and agree with the said Executrix and with each other, that should any liability come known against the Estate of PAUL L EHRENZELLER after the signing of the Agreement, we will contribute pro rata with the other residual beneficiaries of the estate to satisfY any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the Estate of PAUL L EHRENZELLER, Deceased, or the aforesaid Executrix in her capacity as such after the signing, sealing, and delivery of the Receipt, Release, and Reimbursement Agreement. IN WITNESS WHEREOF. we have hereunto set our hands and seals the )y day of A r: N~f I ,2005. WITNESS: \~J ~ ~Ia ;;~~/L\ ~ _ JEAMR--CRUM, Executrix of the Estate of . ," h(U~L E~RENZELLER Ct/7 /2~ '. I~ / _ at . ,1'(J~k::k.J // '~ ~t-1:~ ./ o JE~tROM. Beneficiary--- 'fuQ \L~ I . Zlt \t~U) K Smd .t~~.'.~ DETWEILER, Beneficiary 00 C. ~~Q.~ ~/ %:(/4 CAROL A MILLER, Beneficiary COMMONWEALTH OF FENNSYL VANIA) SS: COUNTY OF -r M1l!4/~.j ) On this, the;L~1j~ay of A ~c C , 2005, before me, a Notary Public, personally appeared JEAN R CRUM known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. . . ~ <~~~- .... .---,. ------~---- ...--------.-/' - _--- L."- ~ Notary Republic (Seal) My Commission Expires: ~IOT ARIAL SEAL . - ----I CHARLES FRANK CL<\SS, III, NOl31Y PubliC I' Cily of Hamsburg. Dauphin County _ I Nly Commission Expires Apri130. 2001 I COMMONWEALTH OF PENNSYL VANIA) ss: COUNTYOF 'UaUOhnl I On this, the Aq ~ay of It ~ r, ) , 2005, before me, a Notary Public, personally appeared SHERRY L DETWEILER known to me (or satisfactorih' proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained, IN WITNESS WHEREOF, I hereunto set my hand and official seal. [~/J N .S aI) ( t! 17"" ;;>.:5 My Commission Expires: }v t.) "~::;I, /' NOTARIAL SEAL , JULIA R. em. Notnrj Pubhc , h nnn Twp Daup;-;in County Susque il " , i' 5 "005 My commission E:r.plres t 0 I. ," COMMONWEALTH OF PENNSYLVANIA) SS: Hb4t1l S ) COUNTY OF On this, the daD day of fYlClA_i- ,2005, before me, a Notary Public, G personally appeared CAROL A MILLER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 1 n(1J~Ol1p!'l,>L()~ Notary P lic (Seal) My Commission Expires: (1- ad. -0'7 ~ ~~!:~ :J."~:":-::"<:-. . . ...' , '.~4i..l ~~. _ )J'Glf:;Ff'~-f ".j v.i.:'j;!"!; r..l'l~lj{; ~ '1~~"".l.iJ:ir"~.: -~c~;.'~'~'.,1 ~lo..~~~,~~ *",".~l, ~lCOj ''':''_:'':_~:~:':.... 7;;';.;:.:o.:r"'.......-..",.... ,"--~"o~:'_"'..-'- _';C_-'---'-'_~__"__' COMMONWEALTH OF VIRGINIA) COUNTY OF t:....; rf"-.f II j: \ \ i Q .'Y\ SS: ) On this, the ) D day of)Y\ o..j ,2005, before me, a Notary Public, personally appeared THOMAS P EHRENZELLER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~L- Notary( bhc (Seal) My Commission Expires: II J?p1 b ~ EXHIBIT "A" ESTATE OF PAUL L EHRENZELLER ASSETS: JUNIATA VALLEY BANK STOCK 1399.207 sh value $50371 STOCKS & BONDS WITH PNC FINANCIAL value $96618 US SAVINGS BONDS $30888 CASH $25600 '-::.. ~- G 3 7 PERSONAL ASSETS - CAR, FURNITURE, CLOTHING $ 4000 LIABILITIES: FUNERAL EXPENSES ADMINISTRATIVE COSTS DEBTS OF DECEDENT P A INHERITANCE TAX IRS 2004 INCOME TAX DUE P A DEPT OF REVENUE 2004 TAX DUE NET LOSS FROM INVESTMENTS DISTRIBUTIONS CAROL A MILLER - 349 SH JUVF VALUED 1ST DISTRIBUTION 517/2004 FINAL DISTRIBUTION 2/20/2005 SHERRY L DETWEILER - 349 SH JUVF 1ST DISTRIBUTION 51712004 FINAL DISTRIBUTION 2/20/2005 $207477 ? Q7 S-ILj $ 3893 $ 526 $ 6650 $ 8403 $ 3094 $ 1402 $ 34B- ?,~7() $ R4(}tc.. -, l.../ "5 <;-'" $180076 $12564 $28100 $ 4355 $45019 VALUED $12564 $28100 $ 4355 $45019 THOMAS P EHRENZELLER - 349 SH JUVF VALUED $12564 1ST DISTRIBUTION 517/2004 $28100 FINAL DISTRIBUTION 212012005 $ 4355 Jt.i\..:."l R CRUM - 349 SH JUVF VALUED 1ST DISTRIBUTION 517/2004 FINAL DISTTIBUTION 212012005 $45019 $12564 $28100 $ 4355 $45019 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT CRUM JEAN EHRENZELLER 1541 VESTA DRIVE HARRISBURG, PA 17112 _.u._n fold ESTATE INFORMATION: SSN: 180-26-5205 FILE NUMBER: 2104-0253 DECEDENT NAME: EHRENZELLER PAUL L DATE OF PAYMENT: 06/02/2004 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 03/09/2004 NO. CD 003993 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $8,403.00 I I I I I I I I TOTAL AMOUNT PAID: $8,403.00 REMARKS: CHECK# 514 SEAL INITIALS: AC RECEIVED BY: TAXPAYER GLENDA FARNER STRASBAUGH REGISTER OF WILLS STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND SHORT CERTIFICATE I, GLENDA FARNER STRASBAUGH estate of EHRENZELLER PAUL L Register for the Probate of Wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on the 15th day of March, Two Thousand and Four, Letters TESTAMENTARY in common form were granted by the Register of said County, on the , la te of LOWER ALLEN TOWNSHIP (Last, First, Middlel in said county, deceased, to CRUM JEAN EHRENZELLER (Last, First, Middlel and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 19th day of April Two Thousand and Four. File No. 2004-00253 PA File No. 21-04-0253 Da te of Dea th 3/09/2004 S. S. # 180-26-5205 }~/1;y/" /_ ~2:;;;?e//~~<~c~ / ~ j_ < " Register I/. , _/ ruJ AL-/ /C rucy NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL Name of Decedent: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Date of Death: Will No. ._~,. O0/-/ - 6 6 '~ ~'~ ~ Admin. No. ~ \ - 0 ~ - 0 ~L ~q~ ~ To the Register: I certify that notice of (benefid~! interest) estate udmlni.~truti0n required by Rule $.6(a) of .the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 3 II 2. I o~ : Name Address V,q- o Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: Telephone (-/,9) 5'1-/0" 9 g(o 0 Capacity: L/' Personal Representative Counsel for personal representative