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HomeMy WebLinkAbout04-0520PETITION FOR PROBATE and GRANT OF LETTERS Estate of Ellis C. Cramer also known as Social Security No. Deceased. 183-12-488~ zt-04- To: Register of Wills for the County of Cumberland Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut ors in the last wilt of the above decedent, dated August 15, 2003 and codicil(s) dated none in the named ,3IlgX (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h is last'family or principal residence at Outlook Pointe, 129 Walnut Bottom Road, Shippensburg, Shippensburg Township (list street, number and muncipality) Decendent, then 85 years of age, died May 21, 2004 ,I!1t. ., at Shippensb~urg Health Care Center, Shippensburg, PA Except as follo~vs, 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: none 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: none 100.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. W~lliam. A. Freeman ~o~M. }~r e eman ~Jerr~ ~.-Cramer 5 Willow Run~ ShipCensburg, PA 17257 5 Willow Run, frh~ppen~urg, ~A 17257 18 Richard Avenue, Ap~ 2, Shippensburg, PA ~-: 17257 I Sworn to or affirmed and subscribed beforo me this ,.~"Izd) day of OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAlqD The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. No. 0</- 5 40 Estate Of Ellis C. Cramer , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW the reverse side hereof, satisfactory proof having been preSented before me, IT IS DECREED that the instrument(s) dated.. August 15, 2003 described therein be admitted to probate and filed of record as the last will of Ellis C. Cramer and Letters Testamentary fl~5® ~/ , in consideration of the petition on are hereby granted to William A. Freeman~ Joan M. Freeman, and Jerry A. Cramer FEES Probate, Letters, Etc .......... Short Certificates( ) ...' ....... TOTAL Filed ................................... Jerry A. Weigle, Esquire #01624 ATTORNEY(Sup. Ct.I~D. No.) WEIGLE & ASSOCIATES, P.C. 126 East King Street ADDRESS Shippensburg, PA 17257 717-532-7388 his is to certify that the information here given is correctly copied from an original certific rte of dcath dui'/ filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office 'or perm~:nent filing. WARNING: It is illegal to duplicate this copy by photostat or phol:ograph. H105.143 Rev. 2/87 ' ~ COMMONWEALTH OF PENNSYLV~- d ,RT~ENT OF HEALTH · VITAL RECORDS -> CERTIFICA fE OF DEATH TYPE~RINT . NAM~ OF DECEDENT (Fimt, Middle. Last) ~ ISEX ~ ...... ~ ENT ] SOCIAL SECURITY NUMBER DATE OF DEATH (Month, Day, Year) NE I Ellis C. ~amer '""_ 2'Male- 12 _ ,,. COU~ OF D~TH C~Y, ~RO, ~ OF ~A~H FACILI~ ~ME (If ~ instl~i~, g~ s~t and ~m~) WAS DECEDENT OF HISPANIC ORIGIN9 RACE - Am~Mn I~ian. ~a~, ~e, eh. e~. -}-% I~, I~o- DECE~ USUAL OCCUPATION KIND OF ~SINESS ' 'N=~RY .AS ~CE.~ E~, N ~='m'S E~='I=' ' MARITAL STATUS - Mare., , SUR~ViNG SPOUSE la.. Self Employed 11b farmer D ~ ~* (~'~ 12 (1~.~) ]Il.Widowed I 121 Walnut Bottom Road IR~S~DSNCE ~'. Sram Pennsylvania ~ ~7c ~ Y~.d~m~i~ Shippensburg ~,8h~pcensbur~ ~ 17257 ~.~ C~berlan~ ~* w~.~ ,o.~i~ ~,. W. hrthur Cramer ~,, ~anda Ra~rsnider ~, 3erry h. trainer ~, ~u R[cnaro ~ve., ~pt. $2,ah~ppensbur~,P~ 17257 2~. ~ o,~r(S~ - ~ ~ ~2~ 5/26/04 2~0 Spring Hill Cemetery I C~e~l~'Count- PA  _~ ~ __. ,c~y.~ ~[~g To me ~sl ~ ~ ~1~ ~h ~ m ~ t~, da e a~ ~ s~ , LICENSE NUMBER JDATE SIGNED I OF DEAIH9 A~ ~ Pen.i~ ,n~.~n ~ '01. Yes ~ No ~ ' ~R~:p~,~ A~B ~R~m~G.~HYSiCiAN (~ysiaan ~h .o~ ~.h ~ ~ I .... ~ ~} ~ LICENSE NUMBER DhT[ SIGNED (M~h. ~y. ....... ... ............................................................................................................................................................ 0 ~ ~% ~ ~ ~ A PERMANENT BLACK INK LAST WILL AND TESTAMENT I, Ellis C. Cramer, presently residing at Outlook Pointe, 129 Walnut Bottom Road, Room 132, Shippensburg, Shippensburg Township, Cumberland County, Pennsylvania 17257, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. I order and direct the payment of all my legally enforceable debts and funeral expenses as soon as may be convenient after my decease. SECOND. I direct that my beloved son, JERRY A. CRAMER, shall have a life estate interest in the following items of personal property which I still own: my antique marble-top dark wood stand presently located in the entrance area of the Outlook Pointe Building; and Bo my antique square table and small writing desk presently located in Jerry A. Cramer's apartment located at 18 Richard Avenue, Apartment 2, Shippensburg, Pennsylvania 17257. Upon the death of my beloved son Jerry A. Cramer, I then give and bequeath these items to the SItIPPENSBURG HISTORICAL SOCIETY, presently located at 52 West King Street, Shippensburg, Pennsylvania, absolutely. THIRD. I give and bequeath my antique old fashioned secretary desk along with the books contained therein which I have stored in a building facility on Britton Road here in Shippensburg, and the high school diplomas and year books belonging to myself and to my beloved wife, Gladys A. Cramer, now deceased, to the SHIPPENSBURG HISTORICAL SOCIETY, absolutely. FOURTH. I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, to my son, JERRY A. CRAMER. FIFTH. In the event that my son, Jerry A. Cramer, should predecease me of is not living on the 60th day following my death, I then give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, to my dear friends WILLIAM A; FREEMAN and JOAN M. FREEMAN, or to the survivor of the said William A. Freeman and Joan M Freeman. WEIGLE & ASSOCIATES, P.C. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 SIXTH. I nominate, constitute and appoint WILLIAM A. FREEMAN, JOAN M. FREEMAN, and JERRY A. CRAMER, or the survivors thereof, to be the Co-Executors of this my Last Will and Testament; if all of the above-named individuals should be unable to fulfill the duties of Executor, I then nominate, constitute and appoint JAMES W. FREEMAN and SANDRA W. FREEMAN, or the survivor thereof, to be the Executor of this my Last Will and Testament. SEVENTH. I direct that my personal representative(s) shall not be required to give bond for the faithful performance of their duties in any jurisdiction. EIGHTH. I hereby direct that all federal, state and other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such taxes, shall be considered a part of the expense of administration of my estate and that such be paid out of the rest and residue of my estate. NINTH. I direct my Executor to retain the services of JERRY A. WEIGLE, ESQUIRE, with offices located at 126 East King Street, Shippensburg, Pennsylvania 17257, with respect to the settlement of my estate due to his familiarity with my affairs. IN WITNESS WHEREOF, I, Ellis C. Cramer, have hereunto set my hand and seal to this my Last Will and Testamellt, written,on two (2) pages, the first page signed for identification only, this / .~"~ day of. ~///~/-r~_~' .O44' ,2003. WEIGLE & ASSOCIATES, RC, -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 This instrument was by the Testator, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA · COUNTY OF CUMBERLAND · SS I, Ellis C. Cramer, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by EL~LIS_~,. CRAMER, the this ! ~ day of (~ D l~tor, 2003. ~ OTARIAL SEAL Jerry A. Weigle, Notary Public Shippensburg, PA Cumberland County My Commission Expires October 7, 2006 WEIGLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Ellis C. Cramer, the Testator, sign and execute the instrument as his Last Will; that he signed 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 will as witnesses; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed before me witnesses, this ~day ofq , 003. dor~ Nota~ Public Ship~nsb~ PA Cum~rland ~unW My ~mmi~ion ~pires O~o~r 7, 2006 WEIGLE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 WEIGLE & ASSOCIATES, P.C. · ATTORNEYS AT LAW 126 EAST KING STREET, SHIPPENSBURG, PA 17257-1397 · TELEPHONE: (717) 532-7388 FAX: (717) 532-6552 IN RE: ESTATE OF ELLIS C. CRAMER, late of the Township of Shippensburg, Cumberland County, Pennsylvania, deceased : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY : PENNSYLVANIA : ORPHANS' COURT DIVISION : ESTATE NUMBER 21-04-0520 CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Ellis C. Cramer Date of Death: May 21, 2004 Will No. 21-04-0520 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on June 8, 2004: Jerry A. Cramer 18 Richard Avenue, Apt. 2 Shippensburg, PA 17257 Shippensburg Historical Society c/o Mr. Jacob G. Crider 4301 McClays Mill Road Shippensburg, PA 17257 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE. June 8, 2004 Signat(~i~~~-~ , ' .~ Name:~ Jerry A. Weigle, Esquire ~/ Address: Weigle & Associates, P.C. 126 East King Street Shippensburg, PA 17257 Telephone: (717) 532-7388 Capacity: Personal Representative X Counsel for Personal Representative WEIGLE & ASSOCIATES, RC. -- ATTORNEYS *'~,T LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257- 1397 :EV-1500EX I(ioOOI w ,.., :.:::~cn ,,"'>: W"" ,,00 ,,"'-' ..", .. " v- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT ~2-l~_ NUMBER I- Z W Cl W U W Cl DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Cramer, Ellis C. DATE OF DEATH (MM-DD-YEAR) 05-21-2004 REV-1500 " FILE NUMBER 21-04 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 183 - 12 - 4881 DATE OF BIRTH (MM-DD-YEAR) 05-11-1919 THIS RETURN MUST BE FILED IN DUPliCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER (IF APPliCABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) D 2. Supplemental Return D 3. Remainder Return (date of death prior to 12.13-82) D 4a. Future Interest Compromise (date of death alleI12-12-82) 0 5. Federal Estate Tax Return Required D 7. Decedent Maintained a Living Trust (Attach copy ofTrust) 2 8. Tolal Number of Safe Deposit Boxes o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 11 Election to tax under Sec. 9113(A) (Attach Sch 0) , t.!El'{el'l,AI'{Il CO!!Fjll,.N'I'Il%li~Jijfl:! ,:tt(ltt{:IfttJjtR&e~D'rQ: COMPLETE MAiliNG ADDRESS [] 1. Original Return D 4. Limited Estate [!] 6. Decedent Died Testate (Attach copy of Will) o 9. litigation Proceeds Received Jerry A. Weigle, Esquire ,.., z w o z o .. '" w '" '" o " THIS SECTION MUST $ NAME FIRM NAME (If Applicable) 126 East King Shippensburg, Street PA 17257 TELEPHONE NUMBER 717-532-7388 WEIGLE & ASSOCIATES, P.C. 12. Net Value of Estate (line 8 minus Line 11) 13_ Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 1. Rea! Estate (Schedule A) 2. Stocks and Bonds (Schedule B) z o ~ ..J ::J I- 0:: <( u w 0:: 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Noles Receivable (Schedule 0) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1) 11. Total Deductions (total Lines 9 & 10) (1) (2) (3) (4) (5) 3,527.14 (6) (7) (8) (9) 6,083.50 (10) 27,497.96 i , C.2 I '.-,CDr ,,,-:.:") .:.,.,', ~: f' 1- _,j"7 (Jf~I(IAL v') '1"- t'",") t__,OJ ~. (,,-:: ,~ L._ _ 1'-' CO 3,527.14 (11) (12) (13) 33,581.46 (30,054.32) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPliCABLE RATES (14) (30,054.32) z o !;;: I-' ::J 0- :i o u ~ 15. Amount of line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a}(t.2) 16. Amount of Line 14 taxable at lineal rale 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT x.O_ (15) x,O_ (16) x .12 (17) x .15 (18) (19) NONE ~ INSOLVENT > > I'll SIJQTO I\I\I$WII" 4L QOeS'tlOtlll ON ReVeRSE SIDe ANll RECHECK MATH < < , . . Decedent's Complete Address: STREET ADDRESS Outlook Pointe CITY 129 Walnut Bottom Road Shippensburg I STATE PA I ZIP 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + 8 + C) (2) 3. InteresUPenally if applicable D. Interest E. Penalty TotallnteresUPenalty ( D + E ) (3) 4. If Une 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the lax due. 8. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (5A) (58) NONE - INSOLVENT Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS .........0 o ..............0 ll'J IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, 1. Did decedent make a transfer and: 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 security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . ....... ................ Yes .......0 uO Uu 0 uO No [lg [lg IXJ IXJ IXJ liD Under penalties of pe~ury, I declare that I have examined this return, including accompanying schedules and statements, arid to the best of my knowledge and belief. it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. William A. ;-l..(,-C')DATE Freeman, Co Executor FILING RETURN PA 17257 DATE / ' Jerry A. Weigle, Esquire For dates of death on or after July 1, 1994 and before January 1, 1995, e tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers 10 or for the use of the survivin9 spouse is 0% [72 P.S. 99116 (a} (1.1) (ii} The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicabie even 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 paren or a stepparent of the child is 0% [72 P.S. 99116(a)(I.2)). The tax rale imposed on Ihe net value of transfers 10 or for the use of Ihe decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as a, individual who has at least one parent in common with the decedent, whether by blood or adoption. REV,1508 EX+ (2_87) *' SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or Type FILE NUMBER 21-04-0520 CQMMONWEAL1H OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ellis C. Cramer (All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. M & T Checking Account #97178063 (non-interest bearing) 2,569.89 2. American Financial Group - proceeds of sale of 2 shares of former Penn Central Railroad stock 60.00 3. Coins in lock box ~ appraised value 597.25 300.00 4. Antique marble-top dark wood stand TOTAL (Also enter on line 5, Recapitulation) S 3,527.14 jAttach add1tlonol BY:z" x 11" sheets if more space is needed.} REV-1511E):+17-SSI ESTATE OF ITEM NUMBER A. 1. B. 1. Please Print or Type FILE NUMBER 21-04-0520 . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWEA.LTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Ellis C. Cramer DESCRIPTION Funeral Expenses: Fogelsanger-Bricker Funeral Hdme Administrative Costs: Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid 2. Attorney Fees 3. Family Exemption Claimant Address of Claimant at decedent's death 4. C. 1. 2. 3. 4. 5. 6. 7. 8. Relationship Street Address City State Zip Code Probate Fees Register of Wills, Cumberland County - Letters Testamentary and Short Certificates Miscellaneous Expenses: Register of Wills, Cumberland County - filing Insolvent PA Inheritance Tax Return Cumberland Law Journal - advertising Letters Testamentary News Chronicle - advertising Letters Testamentary TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of same size.) AMOUNT 5,857.50 (,0.00 10.00 101.00 75.00 S 6,083.50 ...".";; '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or Type FILE NUMBER 21-04-0520 REV_1512!X+ (1_93) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ellis C. Cramer ITEM NUMBER DESCRIPTION AMOUNT 1. M & T Checking Account #97178063 - check #3643 cleared after date of death 45.00 2. Barry L. Negley, Tax Collector - 03/01/04 personal taxex 5.50 3. Department of Public Welfare - claim against estate 27,447.46 TOTAL (Also enter on line 10, Recapitulationl $ 27,497.96 (If more space is needed, insert additional sheets of same size.) REV.1513EX+(2-87) . COMMONWEALTH OF P~NNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Ellis C. Cramer 21-04-0520 ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR NUMBER SHARE OF ESTATE A. Taxable Bequests: 1. Not relevant as estate is insolvent. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequests: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recopitulotionj S (If more space is needed, insert additional sheets of same size) LAST WILL AND TESTAMENT I, Ellis C. Cramer, presently residing at Outlook Pointe, 129 Walnut Bottom Road, Room 132, Shippensburg, Shippensburg Township, Cumberland County, Pennsylvania 17257, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. I order and direct the payment of all my legally enforceable debts and funeral expenses as soon as may be convenient after my decease. SECOND. I direct that my beloved son, JERRY A. CRAMER, shall have a life estate interest in the following items of personal property which I still own: A. my antique marble-top dark wood stand presently located in the entrance area of the Outlook Pointe Building; and B. my antique square table and small writing desk presently located in Jerry A. Cramer's apartment located at 18 Richard Avenue, Apartment 2, Shippensburg, Pennsylvania 17257. Upon the death of my beloved son Jerry A. Cramer, I then give and bequeath these items to the SHIPPENSBURG HISTORICAL SOCIETY, presently located at 52 West King Street, Shippensburg, Pennsylvania, absolutely. THIRD. I give and bequeath my antique old fashioned secretary desk along with the books contained therein which I have stored in a building facility on Britton Road here in Shippensburg, and the high school diplomas and year books belonging to myself and to my beloved wife, Gladys A. Cramer, now deceased, to the SHIPPENSBURG HISTORICAL SOCIETY, absolutely. FOURTH. I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, to my son, JERRY A. CRAMER. FIFTH. In the event that my son, Jerry A. Cramer, should predecease me of is not living on the 60th day following my death, I then give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, to my dear friends WILLIAM A. FREEMAN and JOAN M. FREEMAN, or to the survivor of the said William A. Freeman and Joan M Freeman. ~v'\t~) eeL t:l?t1 ell( / (SEAL) WEIGLE & ASSOCIATES, P.c. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 SIXTH. I nominate, constitute and appoint WILLIAM A. FREEMAN, JOAN M. FREEMAN, and JERRY A. CRAMER, or the survivors thereof, to be the Co-Executors of this my Last Will and Testament; if all of the above-named individuals should be unable to fulfill the duties of Executor, I then nominate, constitute and appoint JAMES W. FREEMAN and SANDRA W. FREEMAN, or the survivor thereof, to be the Executor of this my Last Will and Testament. SEVEN1B. I direct that my personal representative(s) shall not be required to give bond for the faithful performance oftheir duties in any jurisdiction. EIGHTH. I hereby direct that all federal, state and other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether or not passing under this Will, including any interest or penalty imposed in connection with such taxes, shall be considered a part of the expense of administration of my estate and that such be paid out of the rest and residue of my estate. NINTH. I direct my Executor to retain the services of JERRY A. WEIGLE, ESQUIRE, with offices located at 126 East King Street, Shippensburg, Pennsylvania 17257, with respect to the settlement of my estate due to his familiarity with my affairs. IN WITNESS WHEREOF, I, Ellis C. Cramer, have hereunto set my hand and seal to this my Last Will and Testam)2lt, wri~eIfon two (2) pages, the first page signed for identification only, this /1) day of ~ ,2003. C 11{i e, 0W--11t{/z/ (SEAL) WEIGLE & ASSOCIATES, P.c. ATTORNEYS A - T LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 This instrument was by the Testator, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. ~!lt\' to - /2..:l:Jjru.. ~{Ji:,A.t;~ /:.-701'q g COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, Ellis C. Cramer, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. (f!3J t, e'-'f111~/V OT ARIAL SEAL Jerry . Weigle, Notary Public Shippensburg. PA Cumberland County My Commission Expires October 7, 2006 WEIGLE & ASSOCIATES, P.c. --0: ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We,~S,.co..,{' A 0.. t e0-m'f{' , and y ,q+R.~C;t'l L. -rorM , the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Ellis C. Cramer, the Testator, sign and execute the instrument as his Last Will; that he signed 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 will as witnesses; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ~L6A~K~)1ru J1fx-;r',r, t !o/t1(1 Sworn or affirmed to and subscribed before me N T ARIAL SEAL Jerry . eigle, Notary Public Shippensb rg, PA Cumberland County My Commission Expires October 7, 2006 WEIGLE & ASSOCIATES. RC. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 ...---9,fV-465 EX+ (9-00) '* SAFE DEPOSIT BOX INVENTORY COMMONWEAlTH Of PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 Please Print or Type MUST BE COMPLETED BY REPRESENTATIVE OF FINANCIAL INSTITUTION WHERE SAfE DEPOSIT BOX IS LOCATED AND RETURNED TO ABOVE ADDRESS COUNTY CODE FILE NUMBER SOCIAL SECURITY OR DEATH CERTIFICATE NUMBER ~1-04-9520 183-12-4881 OECEOENT'S NAME <'-PST, FIRST, MIDDLE) Cramer Ellis C. AOORESS OF DECEDENT (STREET) (CITY) 121 Walnut Bottom Rd. Shippensburg NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX. (NAME) Weigle & Ass. (STREET NAME) 126 East King St 2004 (STATE) \ZIP CODE) 17257 PA (Linda Klein) (CITY) Shippensburg (STATE) PA (ZIP CODE) 17257 NAME. ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON{J)) PRESENT AT THE BOX OPENING a. (NAME) (RELATIONSHIP) William A. Freeman Friend (STREET NAME) (CITY) (STAlE) 5 Willow Run Shippensburg PA b. (NAME) (RELATIONSHIP) Joan M. Freeman Friend (ZIP CODE) 17257 (STREET NAME) (CITY) 5 Willow Run Shippensburq c. (NAME) (RElATIONSHIP) Jerry A. Cramer Son (STREEHIAME) (CITY) (STATE) IS-Richard Ave. Apt#2 Shippensburg NA.ME AND AODRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED (NAME) M & T Bank (STATE) PA (ZIP CODE) 17257 PA (ZIP CODE) 17257 (STREET NAMEL 35-39 East King Street I NAME OF PERSON MAKING LAST ENTRY Jerry William and Joan Freeman and Cramer DATE OF CONTRACT TO RENT BOX NUMBER OF BOX 31/12/1987 0010178 NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX a. (NAME) Ellis C. Cramer (STREET JlQPrES_SJ Rd IG Walnut Bottom (CITY) . !STATE) 11l1e CQDE) Shl.ppensburg l'A IL.~I (erry) (STATE) (ZIP CODE) Shippensburg PA 17257 DATE AND TIME OF LAST ENTRY U6/24/2004 @ 11:09 TITLE UNDER WHICH BOX IS REQUESTED Ellis C. Cramer b. (NAME) (STREET ADDRESS) (CITY) (STATE) (ZfP CODE) NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY Vickie L. Ocker, Branch Sales Associate WAS A WtlllN THE BOX? 0 YES ~o If yes, a. Date of will: b. Name and address of personal repre!lenlatlve. If named In the will (NAME) I' (STREET NAME) (CfTY) (STATE) (ZIP CODE) c. Nam. and addr... of attorney, If any (NAME) (STREET NAME) (CITY) (STATE) (ZIP CODE) SAFE DEPOSIT BOX INVENTORY INSTRUCTIONS 1 Page__of 1 (1) Cash: Report total only. (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Slocks are to be designated by name of company, certificate number, date of certificate, name in which stock ;s registered. and number of shares and class of stock. (3) Obligations of U.S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e., jointly held, payable on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last dale appearing in book, name of bank and branch, and balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe as fully as possible. (8) All other contents. ITEM NO. ITEM DESCRIPTION I 2 :3 4 5 6 7 Cash. . None Stocks. . None Obligations of U.S. Government..None Bonds. . None Bank and Savings and Loan Passbooks..None Jewelry,Coins, etc..None Browns Mill Cemetary deed for Robert I. Oliver, dated July 21,19 i old assortment of obituararies for Friends and tamily. Cedar Hill Cemetary deed for John S.Smith dated Jan.21,1901 Norland Land Co. for Minnie G.Stouffer dated May 18,1915 . Article ot Agreement for/between Howard A. Martin & Lucille Mart And Robert I.Oliver & Anna A.Oliver dated March 25 1948 Deed tor ~Iinnie G.Stouffer & Howard A.Martin &.-.A.Lucille Martin jated Oct.20,1944 John Witmer Estate Funeral Bill & release dated 1945 For Robert Oliver-varies of Insurance Policies uaL"U .L""I anu .L,,44 mi"l". m1 M&l'Bank I CERTIFY UNOER.PE"ALTY.OF PERJU"! !~.!.~E ABOVE RE~!?!,O IS CORRECT AND COMIIHI"JJ;; TO THE BEST Of'" NY K. OWLEDGE AnD BELIEF. SIGNATUR'! L'. P:.. ~ ~A- PRINTNAM~ /,. // 0'. ~ // U ///7/1>;:; A _ (J4. :,n ~~ 7J;~/Jld5h,/2U. 2:?~6" Vickie Ocker Branch Sales Associate King Street Branch 35-39 East King Street Shippensburg, PA 17257 7175324132 ",7175329422 vocker@mandtbank.com U Estata Represenlallve 0 Joint owner 01 safe deposit bo. I NOTE: Attach additional 8'"'' x 11" sheet(s) If necessary or use duplicates of this page of form. ~REV.485 EX+ (~Ol . SAFE DEPOSIT BOX INVENTORY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 Please Print or Type MUST BE COMPLETED BY REPRESENTATIVE OF FINANCIAL INSTITUTION WHERE SAFE DEPOSIT BOX 1$ LOCATED AND RETURNED TO ABOVE ADDRESS COUNTY CODe FILE NUMBER SOCIAL SECURITY OR DEATH CERTIFICATE NUMBER 21-04-952U 183-12-4881 DECEDENT'S NAME (LAST, FIRST, MIDDLE) Cramer Ellis C. DATE OF DEATH OS/21/2004 ADDRESS OF DECEDENT (STREET) 121 Walnut Bottom Rd. (CITY) Shippensburg (STATE) (ZIP CODE) PA 17257 NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX (NAME) Weigle & Ass. (Linda Klein) (STREET NAME) (CITY) (STATE) 12b East King St. Shippensburg PA NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(SI PRESENT AT THE BOX OPENING a. (NAME) (RELATIONSHIP) William A. Freeman Friend (liP CODE) 17257 (CITY) Shippensburg (RELATIONSHIP) Friend (CITY) Shippensburg c. (NAME) (RELATIONSHIP) Jerry A. Cramer Son (STREET NAME) (CITY) 18 Richard Ave. Apt#2 Shippensburg NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED (NAME1_ M & T Bank (STREET NAME) 5 Willow Run b. (NAME) Joan M. Freeman (STREET NAME) 5 Willow Run (STATE) PA (liP CODE) 17257 (STATE) PA (ZIP CODE) 1/257 (STATE) PA (ZIP CODE) 11'2.57 (STREET NAMEL J5-3~ East King Street I NAMEOFPERSONMAKINGLASTENTRY Jerry William and Joan Freeman and Cramer DATE OF CONTRACT TO RENT BOX NUMBER OF BOX 02/01/1950 0000800 NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX a. (NAME) (CITY) Shippensburg (STATE) PA 1 7~P5'fDE) DATE AND TIME OF LAST ENTRY 00/24/2004 @ 11:09 TITLE UNDER WHICH BOX IS REQUESTED llis C. Cramer and Gladys A. Cr er Ellis C. Cramer (STREET ADDRESS) 121 Walnut Bottom b. (NAME) Gladys A. Cramer(deceased) (STREET ADDRESS) (CITY) Shippensburg flWATE) 1 7~'5Cj>OE) (CITY) (STATE) (liP CODE) NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY Vickie L. Ocker, Branch Sales Associate WAS A WILL IN THE BOX? 0 YES ge)tlO If yes, a. Date of will: b. Name and address of persona' representative, If named In the will (NAME) (STREET NAME) (CITY) (STATE) (ZIP CODE) c. Name and addre.s of attorney, If any (NAME) (STREET NAME) (CITY) (STATE) (ZIP CODE) INSTRUCTIONS (1) Cash: Report total only. (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) Obligations of U,S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e., jointly held, payable on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch. and balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible, (7) Deeds, Mortgages, Current Insurance Policies or other evidences of Indebtedness: List and describe as fully. as possible. (8) All other contents. ITEM ITEM DESCRIPTION NO. 1 cash. . none 2 stocks. . none 3 obligations of U.S. Government. . none 4 bonds. . none 5 bank and savings and loan passbooks..none 6 jewelry, coins, stamps etc. 6-silver dollars: 2-1~,U 1-1921 l-lAqn 1-1922 & l-]g;1A l-~ dollar dated 1895 Gold coins dated 1912 and 1908 $5 Dollar coins gold coins-2~ dollar coin dated 1925 coin set dated 1981-Susan B Anthony, half dollar, quarte dime; nickel and penny 1 .Lape.L pJ.n wJ.tn the letter"O" initial 1 Susan B. Anthony Dollar dat.ed 1979 1 United States Mint half dollar dated 1982 '7 mtg. deed for James C. Cramer dated Mar.31,1938 Last willand testament for J.C. Cramer dated Sept. 25,1935 Power ot attorney for Ellis C.Cramer dated 4/4/72 Last Will and Testament for W.Arthur Cramer dated Jan.4,1965 Duplicate Marriage Certificate for Robert 1. Oliver and Anna A. Smith dated Jan.ll,1917 - -. :1:::-' ~...~. .~. ~~~~.r ~ ....".....,,11.., Correc J.ons on Birth Cert for Gladvs Oliver dated Mar.7 1944 I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: ..,...TURE / h // - ~/a~ SIGNATURE PR'NTNAMe; ~." ~ /-~&~ PRINT NAME AND CHECK APPROPRIATE BOX BELOW: h'/c. /i" PRINT mE DATE CHECK APPROPRIATE BOX: ~,tr:1/lt"i S ~ /lAU. ~fttJ~3 O~ecutor(trix) o Adminislrator(trlx) , o Estlle RepreHr1lallv8 o Joint owner of safe daposil box 1 SAFE DEPOSIT BOX INVENTORY Page of 2 NOTE: Attach additional 8"'" x 11" sheet(s) if necessary or use duplicates of this page of folTO. SAFE DEPOSIT BOX INVENTORY Page 2 2 of INSTRUCTIONS (1) Cash: Report total only. (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certiticate, name in which stock is registered, and number of shares and class of stock. (3) Obligations of U.S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, I.e., jointly held, payable on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: Slate name of depositor, number of book, last date appearing in book, name of bank and branch, and balance. (6) Jewelry~ Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe as fully. as possible. (8) All other contents. ITEM ITEM DESCRIPTION NO. Last Will and testament for WM. A.Cramer dated Mar.18,i936 Sale Agreement for Eleanor and Libert McClelland with W.Arthur Cramer and Amanda M.Cramer dated Oct.3,1942 Spring Hill Cemetary documents for J.C. Cramer dated May 10,1935 Norland Cemetary for William D.Raifsnider dated June 11, 1921 Sprinq Hill Cemetarv for Mr & Mrs Geo W. Cramer dated Mav 10 1935 . I CERTIFY UNDER P:p~. Of PERJURY THA.T THE ABOVE RECORD IS PERSON RECEIVING COpy OF CORRECT AND COM TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: SIGNATURE! /" ~ ~ - / /(J,& SIGNATURE PR'NT NAM~2 -A'::- 7&~~ PRINT NAME AND CHECK APPROPRIATE BOX: BE.LOW: /'0 ,,/' PRINT ilTLE OA~p~ CHEO< APPROPRI.o.TE BOX: bt:1//r,.l ~;;~ /J~. o E~eculor(tri~1 o AdminisltaIOr(lrlx) , D Estale Representative o Joint owner of safe deposit bol{ NOTE: Attach additional 8'!." x 11" sheet(s) If necessary or use duplicates of this page of form. Jun OS 04 11:53a ~- p.2 ~M&rBank 499 Mitchell Road, MiIIsboro, DE 19966 Mail Code DE-MB-12 Weigle & Associates, P.C. Attorneys At Law 126 East King Street Shippensburg, Pennsylvania 17257-1397 Phone (888) 502-4349 Fax (302) 934.2955 Juoe 9,2004 Re: Estate of: Ellis C. Cramer Social Securitv: 183- J 2-4881 Date of Death: Mav 21, 2004 Dear Sir or Madam: Per your inquiry dated June 08, 2004, please be advised that at the time of death, tbe above-named decedent bad on deposit with this bank !be folJowing: 1. Type of Account Checking Account Account Number 97178063 Ownership (Names oj) Ellis C Cramer Opening Date 01/28/80 $2,569,89 $ 0,00 ..$2:569719---.--.----------....".....---------- Balal'/Ce on Date of Death Accrued Interest Toto! 2. Type of Account Safe Deposit Box Box Number/Location 0010178/ King Slreet(717)532-4132 OWnership (Names oj) Ellis C Cramer Opening Date 01/13/87 3. Type of Account Safe Deposit Box Box Number/Location 0000800/ KingStreet(717)532-4132 Ownership (Names oj) Ellis C Cramer Opening Date 02/01/50 For further account information, closures and/or reimbursement of funds, please call tbe Walnut Bottom Office # 717-532-2414. Sincerely, ~~ Nancy Clagett Records Management Estate of Ellis C. C er c/o Jerry A. Weigle Weigle & Associates, P.C. 126 East King Street Shippensburg, PA 17257-1397 July 9, 2004 fl""=""'.",~ I have been informed that you would like to dispose of certain American Financial Group securities as listed below. If you wish to sell them for the amount shown please cash the enclosed check, sign and return the Lost Certificate Affidavit along with a copy of this letter properly completed and signed. (I have enclosed an extra copy for your files). If not, return the check to me. Sincerely, Fred J. Runk, Agen Description of Securities Common Stock Principal Amount or Number of Shares 2 shares Recent Market"Prices $29.83 - 30.67 TOTAL CONSIDERATION TO BE PAID FOR YOUR SECURITIES $60.00 (These terms are effective for ten (10) days from the date on the top of this letter.) I (We) am(are) the rightful owner(s) of the above listed securities and agree to sell them to Fred J. Runk, Agent, for the total consideration shown above. Date: Q-S-(i4 ihL'f~a~~ v'~7Jr.J~ ./'.. - j ,;pen 17f1.#. .Jt. OlP/)/fJ () ~/ Ii (All registered Owners listed on the Certificates should sign.) \ . FRED J RUNt( 3541 D')...oo~ 13~3,1/420 D,,, ----- HANK LUNDE 3615 Fox Hill Drive Chambersburg, PA 17201 Re: Estate of Ellis C. Cramer Estimated value of the following coins is as follows: Silver Dollars - 1921 9.00 1922 9.00 1923 9.00 1923 9.00 1923 9.00 1896 15.00 1895 Half dollar (worn) 5.00 Susan B. Anthony Dollar 1979 - 1.25 . $5.00 Gold Pieces 1908 190.00 1912 190.00 1925 $2 Y, Gold Piece - 145.00 Half Dollar George Washington 1982 Mint- 6.00 Total 597.25 ~ Hank Lunde Jf} ~~/ MOY Date GOODHART's ANTIQUES \~'('-~'j TELEPHONE: (7 I 7) 532-2286 EMAIL: ESGOOD~.NET / PA 10 0/01 ~'-\'3lo - ~,1& ( I1l5 c.'fa.-VV-l<?- Inc. EDWARD S. GOODHART & Associates, I I 0 EAST KING STREET SHIPPENSBURG. PA 17257 DATE: To: ct.-- ,I)-- S<;Q::!.. I eJ<-1 'e~ DESCRIPTION AMOUNT w lrt \L e.- McP-"<' 6(g W Cl- \ V) LA.-,", Jb.,~ I MC)..,,6~ -TDp I ~'\ 000 Wi' 2. q '14 'I ~/o-~ 30'1 ~Dp "" 0 \ c\a.-d <:'0 '<''hl2-~ <!:?V\ LD f I Q f f 1I:e d !fa- ~ S '170 1Ln.P-L") ~l<>-~d. ~c\~ \0&.> 'ltfp\V~,~Te vo-l ~.- 1P?:oO W-Idsz.. . / H-el ~ /At , CERTIFY THAT ALL PROPERTY PURCHASED ABOVE IS EXEMPT FROM SALES TAX BECAUSE IT WILL 6E RESOLD IN THE ORDINARY COURSE OF PURCHASER'S BUSINESS UNDER: SALES TAX NUMBER: SIGNED By: --' *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERA liONS DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 6466 HARRISBURG, PA 17105-8486 July 1, 2004 WEIGLE & ASSOCIATES JERRY A WEIGLE ESQUIRE 126 EAST KING STREET SHIPPENSBURG PA 17257 Re, ELLIS CRAMER CIS #, 810151753 SSN' 183-12-4881 Date of Death, OS/21/2004 Dear Attorney Weigle: Please be advised that the Department of Public Welfare maintains a claim in the amount of $27,447.46 against the above-mentioned estate. This claim is for restitution of medical assistance granted on behalf of the decedent for which the Probate Estate is now responsible to reimburse the Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as amended by Act 20-95, effective June 30, 1995. Enclosed is the Department1s itemized statement of claim. A portion of this medical expense, namely $23,531.37, was incurred during the last six months of the decedent's life; therefore, it is a Class 3 claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $3,916.09, is to be entered as a priority Class 6 claim against the estate. Please acknowledge receipt of this letter and advise whether the Commonwealth's claim is admitted and when payment may be expected. If the estate accounting is complete, please provide a copy. if the estate contains real estate, please provide copies of the deed, the latest tax assessment, and a current appraisal, if available. 'I'l;: ~ Sandi L. Sral TPL Program Investigator 717-772-6238 717-772-6553 FAX Enclosure '* COMMONwEALTH Of PENNSYLVANIA DEPARTMENT qF' PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS TPL SECTION - CASUALTY UNIT PO BOX 8486 HARRISBURG PA 17105-8486 July 1, 2004 STATEMENT OF CLAIM SUMMARY Estate 01 CRAMER, ELLIS 810151 753 INPATIENT OUTPATIENT LONG TERM CARE DRUG .00 .00 .00 .00 .00 .00 20,797.56 3,656.90 24,454.46 2,733.81 259.19 2,993.00 23,531.37 3,916.09 27,447.46 Glenda Farner Strasbaugh Register of Wiils and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: E state of: Estate No: 195 2/2/2005 ELLIS C CRAMER 21-04-0520 JERRY A WEIGLE, ESQ 126 EAST KING STREET JA SHIPPENSBURG, PA 17257 Qty 1 Fee Description Additional Probate Fee Total 7.00 $7.00 Total: $7.00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. REGISTER OF WILLS, CUMBERLAND COUNTY STATUS REPORT UNDER RULE 6.12 Name of Decedent: Ellis C. Cramer Date of Death: 05-21-2004 Will No. 21-04-0520 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 X No Insolvent PA Inheritance Tax Return was filed and approved. 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 X b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No X d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with he Cerkof the Orphans' Court and may be attached to this ~ rt. \ II q Sl~gnat e , . i erry A. Weigle, Esquire b~ Name (Please type or print) WEIGLE & ASSOCI~TES,_P.C. 126 East King Street Address Shippensburg, PA 17257 ( 717 l 532-7388 Te 1. No. '-1- ZCo-o.s Date: ('''') t. .- Capacity: Personal Representative Counsel for personal ~.~ representative ~ X (MAH: rmf/ AM3)