HomeMy WebLinkAbout04-0536PETITION FOR PROBATE and GRANT OF LETTERS
Estate of ~ ~;,~\ ~ ~ t,~
also known as To:
Deceased.
Social Security No. i ~ ff ~Z~G~ ~'-7 ff & ~-
Register of Wills for the
County of
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age
in the last will of the above decedent, dated
and codicil(s) dated
in the
named
,198{
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in (-N ~ , ,_~~ . County, Pennsylvaniia, with
h ~ last_~fa,rnily or principal residence at"- ~-~
(list street, number and muncipality)
Decendent, then .~.? years of age, died ~ ~'-~- &~'O~l-", ~ .,
Excel~t as follows, decedent did not marry, was ng0 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
request(,~' the probate of the last will ~and codicil(s)
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
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 peationer(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed ~ <~/L4,t ~c,~-- ~
befOThme this ~ d~y of [ (~ - -'~" ,/ ~ ~ ~_ .t ~.. ~'
No.
Estateof [c~s~_. ,~ ~c~e~C~ ,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW
the reverse side hereof, satisfactory proof havin~en presented
IT IS DECREED that the instrument(s) dated '~,/e~a~-/~,,z/,, /
described therein be admitted to probate and fildof record a~the
and Letters
,~~, in consideration of the petition on
before me,
last will of
are hereby granted to
FEES
Probate, Letters, Etc .......... $
Short Certificates~/t0~_ .,~. ........ $
Renunciation .. !~ ....... $
TOTAL __ $
G,"
Filed .... ~ .~..~ ~. ......................
t/' Register of W~Is -- /
Jo~uj
kJ AT'fOP. NEY (Sup. Ct.~CTD. No.)
4 N.Hanover St, Carlisle~PA 17013
ADDRESS
717-243-4574
PHONE
his is to certify that the information here given is correctly copied from an original certificate of dealh duly
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent Filing
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P ~ 04~ 4032
No.
Local Registrar
~A¥ 2 4 200,~
Datc
RINT
dENT
INK
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
,,. H~e~ I ~.~ u~_
~ ~ R~ ~ ACTUAl.
~rlisle, PA 17013 (~
Hen~ ~t~n Jeffers, Sr.
Je~ ~etzi~
Cremation
01343 L 219 N.
York, PA 17404
fman-Roth Funeral Home
-.Et
O. oo,,t
WILL
I, LOUISE J. HAGENBUCH, of R. D. #6, Carlisle, Cumberland County, Pennsylvania, declare
this to be my last will. I revoke any other wills and codicils that I may previously
have made.
ITEM ONE. My just debts and expenses of my last illness, funeral, and administration
of my estate shall be paid by my executor from the principal of my residuary estate as
soon as practicable after my death.
ITEM TWO. Ail inheritance, estate, and succession taxes (including interest and
penalties thereof but not including any generation skipping tax) payable by reason
of my death shall be paid out of and be charged generally against the principal of
my residuary estate without reimbursement from any person. This provision is not a
waiver of any right which my executor has to claim reimbursement for any such taxes
which becomes payable on account of any property over which I have a power of
appointment.
ITEM THREE. I give, devise and bequeath my entire estate, being all property, where-
ever situate, in which I may have an interest at the time of my death, not otherwise
effectively disposed of, but not including any property over which I may have a power
of appointment, to Trustees under Trust Agreement executed on January , 1981,
between me and FARMERS TRUST COMPANY, JEAN KRETZING and HAROLD E. KRETZING, Trustees.
Such property shall be added to the corpus of such trust and held, administered, and
distributed by the Trustees in accordance with all the terms and conditions of such
Trust Agreement. The receipt by the Trustees shall be a full discharge tO my executor
for the distribution of such property. Upon such distribution to the Trustees, the
administration of my estate shall cease with respect to the assets then passing to
the Trustees.
ITEM FOUR. In addition to the rights and powers given to fiduciaries by law and else-
where in this will, I give to my Executor during the full time necessary for the
administration of my estate the following rights and powers to be exercised in his
sole discretion.
A. To retain any real or personal property which may at any time form a part of my
estate so long as he or she deems it advisable.
B. To invest in any real or personal property without restriction to legal invest-
ments.
C. To repair, alter, improve or lease for any period of time any real or personal
property and to give options for leases.
D. To sell at public or private sale for cash or credit with or without security,
to exchange or to partition real or personal property and to give options for leases.
E. To make distribution in kind.
F. To compromise claims.
ITEM FIVE. I appoint JEAN KRETZING and HAP, OLD E. KRETZING as Co-Executors of this my
last will or the survivor as Executor.
ITEM SIX. I direct that my Executor shall not be required to mive bond for the faith-
IN WITNESS WHEREOF, I have hereunto set my hand this /~ ~ dya of January, 1981.
The preceding instrument, consisting of this and two other typewritten pages, each
identified by the signature of the Testatrix, LOUISE J. ~GENBUCH, was on the day
and date thereof signed, published and declared by LOUISE J. ~GENBUGH, the Testatrix
therein named as and for her last will, in the presence of us, who at her request, in
her presence and in the presence of each other have subscribed our names.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
: SS
:
signed to the attached or foregoing instrument being duly qualified according to law,
do depose and say that we were present and saw the Testatrix sign and execute the
instrument as her last will; the LOUISE J. ~GENBUCH signed willingly and that LOUISE
J. ~GENBUCH executed it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix ~signed the will as witnesses;
and that to the best of our knowledge the Testatrix was at that time 18 or more years
of age, of sound mind and under no constraint or und~ influence.
Sworn to and subscribed
before me this /~day
of January, 1981.
_. 4. North HanowT Street
Car/isle, Cumberland County
My Commission Expires October 8, 19 ~/
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
: SS
:
I, LOUISE J. HAGENBUCH, Testatrix, whose name is signed to the attached 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 and affirmed to and acknowledged before me, by LOUISE J. HAGENBUCH, Testatrix
this /~ day of January, 1981.
LOUISE J. ~G~NBUCH
'~VANDAN~.aI~NP~u~,i~OTARy PUBLIC
4 North Hanov~ Street
Carlisle, Cumberland County
My Commission Expires October 8,
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
REV 1162 EX(11 96)
NO. CD 004288
KRETZING HAROLD E
80 E RIDGE STREET
CARLISLE, PA 17013
NKA
ESTATE INFORMATION: SSN: 15526-7565
FILE NUMBER: 2104-0536
DECEDENT NAME: HAGENBUCH LOUISE J
DATE OF PAYMENT: 08/18/2004
POSTMARK DATE: 08/18/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 05/22/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $18,000.00
REMARKS: J KRETZING
TOTAL AMOUNT PAID:
8,000.00
SEAL
CHECK# 96
INITIALS: VZ
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
CERTIFICATION OF NOTICE UNDER RULE 5.6 {a)
Name of Decedent: Louise J. Hagenbuch
Date of Death:
May 22, 2004
Will No.:
Admin. No.: 21-04-0536
To the Register:
I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphan's Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
'7, :
Name Address
Jean H. Kretzing
Paul Hagenbuch
80 East Ridge Street, Carlisle, PA 17013
1461 Pine Road, Carlisle, PA 17013
Deborah A. Myers
Alan J. Hagenbuch
John R. Hagenbuch
9871 Liberty St. Court, Boca Raton, FL 33434
P.O. Box 611580, Rosemary Beach, FL 32461
100 Cannon Circle, Winchester, VA 22602
Donna Lynn'Frankel
Bill Hagenbuch
Robert Hagenbuch
82 Randlett Paxk, Newton, MA 02165
HC 31, Box 5, Kingsley, PA 18826
129 Pennock Landing Circle, Jupiter, FL 33458
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none
Date: 7~ 29, 0 y,, Signatures:
Names:
Address:
va pu ?o av3_
gr~oO s,-'~,.:~--,-,. · ',~' · Phone:
Capacity:
Harold G. Kretzing
Jean H. Kretzing
80 E. Ridge Street
Carlisle, PA 17013
717-243-4010
Personal Representatives
Glenda Farner Strasbaugh
Register of Wills
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:
Estate of:
Estate No:
224
2/16/2005
LOUISE HAGENBUCH
21-2004-0536
JOHN BROUJOS
4 NORTII HANOVER S1REET
vz
CARLISLE, PA 17011
Qty
1
Fee Description
Additional Probate
Fee Total
300.00 $300.00
Total:
$300.00
Checks should be made payable to the Register of Wills. Tenns: Net 30.
Please return one copy of this invoice with your payment. Thank you.
. REV-1500 Ex + (6-00)
~
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
No AD()L .fI\OBATE Du..E
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
HAGENBUCH LOUISE J.
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 4 0 0 5 36
COijN'TY"CoiiE -YEA~ - - NUMBER- -
SOCIAL SECURITY NUMBER
1 5 5 - 2 6 - 7 565
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
D 3. Remainder Return (date of death prior to 12-13-82)
D 5. Federal Estate Tax Return Required
Q.. 8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
JOHN H. BROUJOS ESQUIRE 4 NORTH HANOVER STREET
FIRM NAME (If Applicable)
BROUJOS & GILROY P.C.
TELEPHONE NUMBER
717-243-4574 CARLISLE PA 17013
OFFICI~L]JSE ONLY ':1
Cj"" .
OS/22/2004 09/24/1906
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
IX] 1. Original Return
D 4. Limited Estate
IX] 6. Decedent Died Testate (Attach copy 01 Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future I nterest Compromise (date of death after 12-12-82)
D 7. Decedent Maintained a Living Trust (Attach copy of Trust)
D 10. Spousal Poverty Credit (date 01 death between 12-31-91 and 1-1-95)
2,584.62
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1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash. Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
(. .-)
"f".'
C'\
434,799.74
6. Jointly Owned Property (Schedule F) (6)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
ina~e (ScheduleJ)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax
rate. or transfers under Sec. 9116 (a)(1.2)
X _(15)
422,927.46 X .045 (16)
X .12 (17)
X .15 (18)
(19)
(8)
437,384.36
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
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
7,092.98
21.14
(11)
(12)
(13)
7,114.12
430,270.24
(14)
430,270.24
19,031.74
19,031.74
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Add
ece ents ompl ete ress:
STREET ADDRESS 80 East Ridae Street
CITY I STATE 1 ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
19,031.74
18.000.00
Total Credits (A + 8 + C)
(2)
18,000.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total-Interest/Penalty ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
8. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58)
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; ........................................................................... 0 00
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00
c. retain a reversionary interest; or ..................................................................:...................................0 00
d. receive the promise for life of either payments, benefits or care? .........................,........~.......................... 0 . 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?.......................................................... .................. ................... 0 00
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... !Xl 0
1,031.74
1,031.74
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
ADDRESS
PA 17013
DATE
'Z..
ADDRESS
PA 17013
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. 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 to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)].
The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate 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. 99116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. 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 an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
~,~~.,,~, '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RUDENT _E_EDENT
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
21 04
00536
ESTATE OF
HAGENBUCH. LOUISE J.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
Exxon. ExDiv. Distributed and reportable as taxable prior to death
7500 130231G102
2.
Fleet Bank Trust. Inc Distr Semi-annual (Set up by Father) At death distributable.
VALUE AT DATE
OF DEATH
2,025.00
559.62
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
2 584.62
.~.,~".,;" '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
HAGENBUCH LOUISE J.
FILE NUMBER
21 04
00536
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
6,501.75
M& T Bank checking acct # 583995
2.
Waypoint Bank checking acct # 4100003947
3,501.96
3.
M& T Trust acct # 413376609
423,173.99
4.
Forest Park Health Center - refund of payment for nursing care
1,622.04
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
434799.74
~""".,'~, .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
HAGENBUCH. LOUISE J.
FILE NUMBER
21
04
00536
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hoffman-Roth Funeral Home 1,885.98
2. German Protestant Cemetery, Mahanoy City, PA 17948 - burial of cremains 175.00
3. E. T. Everett & Sons, 138 E. South Street, Mahonoy City, PA 17948 - 1,920.00
cost and placement of monument; engraving grave marker
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) 0.00
Social Security Number(s} I EIN Number of Personal Representative(s}
Street Address
City State Zip
Year(s) Commission Paid:
2. AttomeyFees Broujos & Gilroy, P.C.; EIN 23-2267691 2,700.00
3. Family Exemption: (If decedent's address is not the same as claimanfs, attach explanation)
Claimant
Street Add ress
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees - Register of Wills 370.00
5. Accountanfs Fees
6. Tax Retum Prepare(s Fees
7. Register of Wills - Inheritance Tax Return filing fee 15.00
8. Register of Wills - Inventory filing fee 10.00
9. Register of Wills - Family Settlement Agreement filing fee 17.00
TOTAL (Also enter on line 9, Recapitulation) $ 7092.98
(If more space is needed, insert additional sheets of the same size)
. ~""".,,'" '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
HAGENBUCH. LOUISE J.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
FILE NUMBER
21
04
00536
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
Forest Park Health Center - medicines
21.14
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
21.14
,;'.".."", '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
H If'U I 01 JI~I= .1 21 04 00536
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1. Payable to Hagenbuch Trust as Beneficiary - Provision of
Estate Assets To Trust- M & T Trust Account # 413376609
Item 3 of the Will of Louise J, Hagenbuch, January 10, 1981
provides entire estate is given, devised and bequeathed to
Trustees under Agreement executed January, 1981as follows:
As amended by Trust January 29, 1982 Article II and;
As amended by Trust January 17, 1984 - Article II as follows:
A. Upon the death of Grantor, Trustees shall pay and distribute
outright the remaining principal and accumlated and undistri-
buted income to each of the children of Grantor and John B.
Hagenbuch-Jean H. Kretzing, William S. Hagenbuch, Paul N.
Hagenbuch, and Alan J. Hagenbuch, equally, share and share
alike, per stirpes, with the share of any child not then living at
the time of the death of Grantor passing to his or
her children to be administered in accorcdance with the pro-
visions of this Trust. In the event that any interesst hereunder
passes to a beneficiary under the age of 21 years, Trustee
shall hold to and for the benefit of such beneficiary said share
to which beneficiary shall be entitled and shall apply and pay
over so much of income and so much of principal of the Trust
share to said beneficiary or to his or her guardian for his or her
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, Insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
HAGENBUCH, LOUISE J.
21
04
00536
Paqe 1
Schedule J - Beneficiaries - 1
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s} OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
support, maintenance, comfort, welfare, and education,
including undergraduate college and any professional school,
specialized school, or graduate school, as Trustees in
Trustees' sole discretion shall determine. As each said bene-
ficiary shall reach the age of 21 years, Trustees shall pay the
remainder of principal and accumulated income of each share
to said beneficiary. In the event that any beneficiary dies prior
to attaining the age of 21 years, his or her interest shall pass to
any children of said deceased beneficiary equally, share and
share alike, in trust to be administered in accordance with the
provisions of the Trust Agreement for beneficiaries, until the
youngest benefiCiary surviving reaches the age of 21, at which
time the entire Trust shall terminate and the remainder in trust
shared distributed to the beneficiary thereof. In the event that
any benenficiary dies prior to the age of 21 years with no
children surviving them his or her share shall be divided equally
among the remaining beneficiaries and the shares deposited in
the separate trusts administered hereunder in accordance with
the terms hereof.
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W ILL
tOfY
I, LOUISE J. HAGENBUCH, of R. D. #6, Carlisle, Cumberland County, Pennsylvania, declare
this to be my last will. I revoke any other wills and codicils that I may previously
have made.
ITEM ONE. My just debts and expenses of my last illness, funeral, and administration
of my estate shall be paid by my executor from the principal of my residuary estate as
soon as practicable after my death.
ITEM TWO. All inheritance, e~tate, and succession taxes (including interest and
penalties thereof but not including any generation skipping tax) payable by reason
of my death shall be paid out of and be charged generally against the principal of
my residuary estate without reimbursement from any person. This provision is not a
waiver of any right which my executor has to claim reimbursement for any such taxes
which becomes payable on account of any property over which I have a power of
appointment.
ITEM THREE. I give, devise and bequeath my entire estate, being all property, where-
ever situate, in which I may have an interest at the time of my death, not otherwise
effectively disposed of, but not including any property over which I may have a power
of appointment, to Trustees under Trust Agreement executed on January , 1981,
between me and FARMERS TRUST COMPANY, JEAN KRETZING and HAROLD E. KRETZING, Trustees.
Such property shall be added to the corpus of such trust and held, administered, and
distributed by the Trustees in accordance with all the terms and conditions of such
Trust Agreement. The receipt by the Trustees shall be a full discharge to my executor
for the distribution of such property. Upon such distribution to the Trustees, the
administration of my estate shall cease with respect to the assets then passing to
the Trustees.
ITEM FOUR. In addition to the rights and powers given to fiduciaries by law and else-
where in this will, I give to my Executor during the full time necessary for the
administration of my estate the following rights and powers to be exercised in his
sole discretion.
A. To retain any real or personal property which may at any time form a part of my
estate so long as he or she deems it advisable.
B. To invest in any real or personal property without restriction to legal invest-
ments.
C. To repair, alter, improve or lease for any period of time any real or personal
property and to give options for leases.
D. To sell at public or private sale for cash or credit with or without security,
to exchange or to partition real or personal property and to give options for leases.
E. To make distribution in kind.
F. To compromise claims.
ITEM FIVE. I appoint JEAN KRETZING and HAP,OLD E. KRETZING as Co-Executors of this my
last will or the survivor as Executor.
ITEM SIX. I direct that my Executor shall not be required to give bond for the faith-
ful performance of their duties.
Page one of three pages
~ .
;!c".;f7::;;", ~,~;-'...~~;;:~;4~i~:"",;oli,..,.K:""l'Y~~"'-nr;~"""i4t;:.;.~~ ....-.. -,,.,.,.:~-,, ....>: J.." "._.....".,...-
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tit
IN WITNESS WHEREOF, I have hereunto set my hand this /~--
dya of January, 1981.
SIGNED
rX~~~
The preceding instrument, consisting of this and two other typewritten pages, each
identified by the signature of the Testatrix, LOUISE J. HAGENBUCH, was on the day
and date thereof
therein named as
her presence and
signed, published and declared by LOUISE J. HAGENBUGH, the Testatrix
and for her last will, in the presence of us, who at her request, in
in the presence nf each other ~~
'Yf!erhm. Q 'i1.a~<J
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLA1~D
We, /7_L_ #~ and~~the witnesses whose names are
Signe~ attache~r foregoing instrument being duly qualified according to law,
do depose and say that we were present and saw the Testatrix sign and execute the
instrument as her last will; the LOUISE J. HAGENBUCH signed willingly and that LOUISE
J. HAGENBUCH executed it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed the will as witnesses;
and that to the best of our knowledge the Testatrix was at that time 18 or more years
of age, of sound mind and under no constr~n~
'-c/)! V b ,"~ ~?t6 ~'?~'_
Sworn to and subscribed
before me this /e?...Pt day
of January, 1981.
~~~.~
W AND,N'lt.. i
. .~ ROTARY PUBLIC
1 North Hanover Street
Carlisle. L'I,.......b 1
1'.1 .. I."'....... er and County
y Commission Expires October 8 19 1'/
. I
Page two of three pages
:1
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
l
I, LOUISE J. HAGENBUCH, Testatrix, whose name is signed to the attached 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 and affirmed to and acknowledged before me, by LOUISE J. HAGENBUCH, Testatrix
this /t?~ day of January, 1981.
<-~ '~~.I'
. -c~(..-<-d. . .LlAA-....
LOUISE J. HAG NBUCH
~~;t/~~
WANDR,~,~~~NOTARY PUBLIC
4N:orth Hanover Street
Cllr~le, C~berland County
My C~mmission Expires October 8, 194"/
'.:.;'::'iii:0t~I~~tr..;~f
,.
tOIPY
T R U S T
AGREEMENT
~~day of ~ ,198', in
the Borough of Carlisle, Cumberland County, Pennsylvania, between LOUISE J. HAGENBUCH,
This Trust Agreement is made this
Grantor, and FARMERS TRUST COMPANY of CAr1isle, JEAN KRETZING, of 80 East Ridge Street,
Carlisle, and HAROLD ~ KRETZING, of 80 East Ridge Street, Carlisle, Cumberland County,
Pennsylvania, or the survivors thereof, as Co-Trustees. Grantor hereby transfers to
Trustees the property described in the attached Schedule A. That property and any
other property that may be transferred and_s-onveyed to Trustees by Grantor or by any
other party for the purposes of this Trust shall be held and disposed of upon the
following Trusts:
ARTICLE I
D\iTing the life of Grantor, Trllstpes shall h..:;ld, reCl,'rlge, invest and reinvest
the trust income and shall pay to Grantor during her lifetime all the net income of
the Trust Estate and such portions of principal as Trustees may
deem advisable to
provide for the support, maintenance, comfort, and welfare of Grantor in her accustomed
manner of living. Grantor may refuse at anytime all or any portion of net income and/
or principal by directing Trustees in writing not to make payment; in which event income
not so used shall be accumulated and added to principal.
.;;
ARTICLE II
Upon the dAath of r.lrtntor, frustr es shall divide the r.::maining principal i1~'d
accumulated and undistributed inco~e into nineteen (19) equal and separate shares, to
be administered as follows:
/l 1/
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A. Trustees shall pay to John B. Hagenbuch, husband of Grantor, so much of income
and so much of principal of one trust estate share for and during his natural life
for support, maintenance, comfort and welfare, in his accustomed manner of living.
Any income not so used shall be accumulated and added to principal. Upon his death,
Trustees shall terminate the Trust for this share and distribute the remaining prin-
cipal and accumulated and undistributed income thereof to the children and grandchildren
of Grantor and John B. Hagenbuch living at the time of the death of John B. Hagenbuch,
equally, share and share alike. In the event that John B. Hagenbuch predeceases
Grantor, then his share shall be divided equally among the remaining beneficiaries
set forth herein and be administered in accordance with the provisions of this Trust.
B. Trustee shall pay and distribute outright to each of the children of Grantor and
John B. Hagenbuch
Jean H. Kretzing, William S. Hagenbuch, Paul N. Hagenbuch, and
Alan J. Hagenbuch
one full share each, per stirpes, with the share of any child
not then living at the ~ime of the death of Grantor passing to his or her children.
C. Trustee shall hold to and for the benefit of each of the fourteen (l4) grandchildren
,t,
of Grantor and John B.! Hagenbuch living at the time of Grantor's decease, one full share
and shall apply and pay over so much of income and so much of principal of the Trust
Estate share to each said grandchild to and for his or her support, maintenance, com-
fort, welfare, and education, including undergraduate college and any professional
.:-.
school, specialized school, or graduate school, as Trustees in Trustees' sole discre-
tion shall determine. As each of said grandchildren shall reach the age of 21 years,
Trustees shall pay the remainder of principal and accumulated income of each share to
said grandchild. Beneficiaries under this Trust shall be only those children and
() U
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grandchildren born as of the date of execution of this Trust. In the event that any
grandchild is not then living at the time of Grantor's death, his or her share shall
be divided equally among the other grandchildren and administered in like manner.
In the event that any grandchild taking a share under this Trust Agreement dies prior
to attaining the age of 21 years, his or her interest shall pass to any children of
said deceased grandchild, equally, share and share alike, in trust to be administered
in accordance with the provisions of the Trust Agreement for grandchildren, until
the youngest grandchild surviving the beneficiary reaches the age of 21, at which
time the entire Trust shall terminate and the remainder in any trust share distributed
to the beneficiary thereof or to the natural parent of Grantor's bloodline or guardian
thereof. In the event that any grandchild dies prior to attaining the age of 21 years
with no children surviving, then his or her share shall be divided equally among the
remaining grandchildren and the shares deposited in the separate trusts administered
hereunder in accordance with the terms hereof.
D. In determining the amount to be distributed by Trustees for support, comfort,
welfare, and education of beneficiaries hereunder, Trustees may but are not obligated
to consider all sources of income.
"r_ .:i
ARTICLE In
1. Notwithstanding anything herein to the contrary, the trusts under this
instrument shall terminate on the date preceding the 21st anniversary of the death
of the last survivor of Grantors and descendants living on the date of Grantor's
f7J.;
I. ~ J.I.
death. At that time, the Trustees shall distribute each remaining portion of the
trust property to the then current be~eficiary or beneficiaries of the income thereof
and, if there is more than one beneficiary, in the proportions in which they are
beneficiaries.
.~
2. No interest under this instrument shall be transferable or assignable by
any beneficiary, or be subject during his life to the claims of his creditors.
3. Trustees either may expend directly any income or principal which it is
authorized in this instrument to use for the benefit of any person, or may pay it
over to him or for his use to his parent or guardian, or to any person with whom he
is residing. The receipt of any such person shall be a complete discharge to the
Trustees who shall not be responsible for the application of such payment.
4. Trustees shall not be required to obtain authority or approval of any court
in the exercise of any power permitted under this instrument. The Trustees shall not
be required to file accountings with any court.
5. No person dealing with the Trustees shall be obligated to inquire into the
Trustees' power or authority or into the validity of any act of the Trustees, or be
liable for the application of any money paid to the Trustees in the management of the
trust fund.
6. Any trust created hereunder which has the aggregate principal value of
$10,000 or less may, but need not be, terminated in the discretion of the Trustees.
In such event, the Trustees shall distribute the assets thereof in his possession to
the then current beneficiary or beneficiaries of the income and, if more than one
beneficiary is so entitled, in the proportions in which they are beneficiaries.
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J..O LI
7. The validity and effect of this instrument and the dispositions pursuant to
. the instrument shall be determined under the law of the Commonwealth of Pennsylvania.
ARTICLE IV
- ~
Grantor states a preference that Trustees retain common stock conveyed to
Trustees as part of the trust res, unless in the judgment of the Trustees said reten-
tion shall result in significant reduction in the value of the trust res.
Otherwise, in addition to any powers given by law or otherwise, and not by way
of limitation of any such powers. the Trustees are authorized and empowered, at any
time and from time to time, in their absolute discretion:
l. To hold and retain all or any property received from Grantor's estate or
any o.her source, without regard to any. law or rule of court concerning diversifica-
tion, risk, or non-productivity.
2. To invest and reinvest (or lease temporarily unjnvested) any funds in any
property, real or person, of any kind or nature, including, without limitation,
stocks (whether common, preferred, or otherwise), bonds (secured or unsecured),
obligations, mortgages, other securities, and interests in any of the foregoing with-
out regard to any law or rule of court prescribing or restricting investments for
fiduciaries.
3. To make any loans, either secured or unsecured, in such amounts, upon such
terms, at such rates of interest, and to such persons, firms, or corporations, as deemec
advisable.
4. To sell, exchange, partition, or otherwise dispose of any property, real or
personal, at public or private sale, for such purposes and upon such terms, including
nv
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.;.
options and sales on credit, with or without security.
5. To mortgage any real property in such amount and on such terms as deemed
advisable; to lease any such property for such term or terms, upon such conditions
and rentals, and in such manner as deemed advisable, irrespective of whether the
terms of any lease shall exceed the period permitted by law or the probable period
of any trust created hereby, and to renew or modify any such leases and to make
repairs, replacements, and improvements, structural or otherwise, of any such pro-
perty, and to charge the expense thereof in an equitable manner to principal or
income, as deemed proper.
6. To borrow money for any purpose in connection with the administration of
any trust created hereby; to execute promissory notes or other obligations for
amounts so borrowed; and to secure the payment of any amounts so borrowed by
mortgage or pledge or any real or personal property.
7. To renew or extend the time of payment of any obligation, secured or unsecured,
payable to or by any trust created hereby, for as long a period or periods of time and
on such terms as deemed advisable; and to adjust, settle, compromise, and arbitrate
claims or demands upon such terms as deemed advisable.
8. In ~espect of any stock or other securities forming part of any trust created
hereby, to vbte upon any proposition or election at any meeting, and to grant proxies,
discretionary or otherwise, to vote at any such meeting; to join in or become a party
to any reorganization, readjustment, merger, voting trust, consolidation, or exchange,
and to deposit any such securities with any committee, depository, trustee, or other-
wise, and to payout any fees, expenses, and assessments incurred in connection there-
with, and to charge the same to principal or income as deemed proper; to exercise con-
n.v
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version, subscription, or other rights, or to sell or abandon such rights, and to
receive and hold any new securities issued as a result of any such reorganization,
readjustment, merger, voting trust, consolidation, exchange, or exercise of conver-
sion, subscription, or other rights; and, generally, to take all action in respect to
any such securities as could be done by an absolute owner.
9. Whenever required or permitted, to divide or distribute any property, and to
make such division or distribution in kind or in money, or in part kind and in part
money and without regard to the income tax basis of any such property.
IO. To apportion extraordinary stock and liquidating dividends between income
and principal in such manner as shall fairly take into account the relative interests
of the beneficiaries; and to determine what constitutes such dividends.
11. In connection with making investments, to determine whether to amortize
.:"
premiums' in whole or in part.
12. To hold and administer the trusts created hereby in one or more consolidated
funds, in whole or in part, in which the separate trusts shall have undivided interests.
13. To engage attorneys, accountants, agents, custodians, clerks, investment
counsel, and such other persons as deemed advisable, to make such payments therefor
as deemed reasonable, and to charge the expense thereof to income or principal as
equitably determined, and to delegate to such persons any discretion deemed proper.
14. To exercise all power and authority, including any discretion, conferred
in this instrument with respect to all accumulations of income under this instrument
and with respect to all property held under a power in trust.
15. To exercise all power and authority, including any discretion, conferred in
this instrument after the termination of any trust created herein and until the same
f7 I.
L 0 J.t.
i--
is fully distributed.
ARTICLE V
.;0
1. Trustees shall not be required to give any bond for the performance of
their duties.
2. Any trustee may resign at any time by giving written notice, specifying
the effective date of the resignation, to the beneficiaries of the current income,
at the time of giving notice. If a sole surviving trustee at any time resigns or
is unable or refuses to act, a corporation authorized under the laws of the United
States or of any state to administer trusts may be appointed as trustee by an instru-
ment delivered to it and signed by the beneficiaries of at least two-thirds of the
current income, at the time of appointment. Any successor trustee, with the written
approval of the person or persons appointing such successor trustee, shall accept
without examination or review the accounts rendered and the property delivered by
or for a predecessor trustee, without incurring any liability or responsibility for
so doing.
3. All successor trustees shall have the same title, powers, duties, and
discretion of the trustees succeeded, without the necessity of any conveyance or,
transfer.
4. No trustees shall be required to obtain the order or approval of any court
in the exercise of any power or discretion hereunder.
5. Any trustee shall be entitled to reasonable compensation for services in
administering and distributing the trust property, and to reimbursement for expenses.
(J~
kg IJ.
6. Grantor desires that there shall always be two individual trustees to serve
with the corporate trustee. Grantor therefore directs that in the event of the
death, disability, or resignation of either of the individual trustees, the surviving
trustee shall have the power to name and appoint a substitute individual trustee.
In the event of the death, disability, or resignation of both individual trustees,
without appointment by either of a substitute, then the majority of my then living
children shall name substitute individual trustees.
7. At any time during the term of this Trust,.my individual trustees may,
either with or without cause, cause the removal of Farmers Trust Company or any
succeeding corporate trustee, and to this end shall have the right and power to
transfer Trust assets. to another corporate trustee selected and appointed by both
of my individual trustees, without the necessity of a petition to the court.
8. Trustees may agree among themselves on the manner and method of administra-
tion of the estate, including signing of checks, accounting, and other matters.
Said agreement shall be in writing.
ARTICLE VI
Upon the death of Grantor, Trustees may, in their discretion, pay to the estate
of Grantor such amounts as may be needed to pay all or part of the Grantor's debts,
funeral expenses, and administration expenses of his estate. The Trustees may also pay
to Grantor's estate or the appropriate tax authorities all estate and inheritance taxes
;0 that may become payable by reason of the Grantor's death in respect of all property
comprising the Grantor's gross estate for death tax purposes, whether or not such pro-
perty passes under this Agreement, under the Grantor's will, or otherwise.
ARTICLE VII
Grantor may by a written instrument signed, acknowledged, and delivered to Trustee
during Grantor's life revoke or amend this Trust Agreement in whole or in part.
o.~
.~~
This instrument is executed on the date first above written.
~~ '\..-.~}
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HAROLD ~ KRET G Trustee
John B. Hagenbuch, husband of Grantor, joins in this Agreement, to convey all
of his right, title and interest in any property which is transferred at the time of
execution of this Agreement or any property which is in the sole or joint possession
of Grantor and John B. Hagenbuch at the time of execution of this Agreement and which
may be transferred to the Trust at any time in the future, relinquishing thereby all
interest therein as marital property.
JOHN~tlL~~~cL
i--. ;Ii
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1. 91 /.J.
COMMONWEALTH OF PENNSYVLANIA
SS
COUNTY OF CUMBERLAND
I, Wanda K. Hunter, a Notary Public in and for the County and State aforesaid,
do hereby certify that LOUISE J. HAGENBUCH, JEAN KRETZING, HAROLD E. KRETZING, and
JOHN B. HAGENBUCH, personally known to me to be the same persons whose names are
subscribed to the foregoing instrument, appeared before me this day in person and
acknowledged that they signed, sealed, and delivered the same instrument as their
free and voluntary acts for the uses and purposes therein set forth.
GIVEN under my hand and official seal this ~ s:d day of (j~
1981.
COMMONHEALTH OF PENNSYVLANIA
- ~~~ -;1!~
Notar5W~cK. HUNTEll, NOTARY PUB:LIC
4 North Hanover Street
Carlisle, Cumberland County
My Commission Expires October 8, 198" I
SS
COUNTY OF CUMBERLAND
On this J9
day of --:J'.M/V,41l r
, 1981, before me, the subscriber, a
Notary Public in and for said Commonwealth and County, personally appeared DENNIS C.
CAVERLY who acknowledged himself to be the Senior Vice President and Trust Officer
of Farmers Trust Company, a corporation, and that he as such Senior Vice President
and Trust Officer, being authorized to do so, executed the foregoing instrument for
,
'f'.... :J
the purposes therein contained by signing the name of the Corporation by himslef as
Senior Vice President and Trust Officer.
WITNESS my hand and official seal the day and year aforesaid.
CLlb1fM Q. ~
' Notary Public
DORC,\'; A. Alm::!?HT, Il:JIMlY PU~UG
cr~1 f~:::: =5~-'1~. :..::~~r~f;:..~~~~J cat:Nff
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(7j/
MY C:'}ii..',:.:~, ;:; l:'.,',::[:' ;,:;r" IS, lS82
Member, Pennsylv:mi.'l AS$OC:;,:Oil or Nutzri~
L 0 H-
SCHEDULE A
1. COMMON STOCKS
COMPANY SHARE CERTIFICATE NO. TYPE NO. OF SHARES
Exxon (Standard Oil Company) F833198 Common 60
Exxon (Standard Oil Company) 2HI08065 Common 100
Exxon (Standard Oil Company) H191064 Common 100
Exxon (Standard Oil Company) Hl91063 Common 100
Exxon Standard Oil Company ) 2Hl08064 Common 100
Exxon Standard Oil Company) 2HI08063 Common 100
Exxon S27052 Common 791
Socony Mobil Oil Company, Inc. 510416 Common 62
Mo b il Corporation D93169 Common 124
Hobil Oil Corporation X-071967 Common 62
E. I. DuPont DeNemours & Company 0502-386 Common 73
E. I. DuPont DeNemours & Company WS245385 Common 146
United Jersey Banks HU 3163 Common 2,607
The Borden Company NYF 109131 Common 3
The Borden C omp. any NYF 1~4092 Common 16
The Borden Company 0326759 Common 60
" TWe Borden Company 0387796 Common 1
The Borden Comp any 0250520 Common 10
General Motors Corporation NA432-697 Common 1
General Motors Corporation NA782-639 Common 1
General Motors Corporation K890-413 Common 1
s.ClH
'_ .-1
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CaMP ANY SHARE CERTIFICATE NO. TYPE NO. OF SHARES
(..
General Motors Corporation K637-133 Common 33
General Motors Corporation NA62-460 Common 26
General Motors Corporation NA531-903 Common 36
2. BOND AND MORTGAGE OBLIGATIONS
Obligation of Mortgagors evidenced by a bond and mortgage of premises located at 155 West
Stirrup High Drive, Prescott County Club, Prescott, Arizona 86301.
$
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;
,., J./
L a J.I.
~O~y
MODIFICATION OF TRUST AGREEMENT
THIS AGREEMENI is made this .R9..P day of ~
, 1982, between
LOUISE J. HAGENBUCH, Grantor, and FARMERS TRUST COMPANY of Carlisle, JEAN KRETZING
and HAROLD G. KRETZING of Carlisle, as Co-Trustees.
WHEREAS, the parties hereto executed a Trust Agreement dated January 20, 1981; and
WHEREAS, Article VII of said Trust Agreement authorized the Grantor to revoke or
amend the original Trust Agreement in whole or in part.
Grantor, with the permission of the Co-Trustees, hereby amends Article II of the
Trust Agreement dated January 20, 1981 to read as follows:
ARTICLE II
Upon the death of Grantor, Trustees shall divide the remaining
principal and accumulated and undistributed income into equal and
separate shares, the number of which to be calculated in accordance
with the sub-paragraphs included within this Article, to be administered
as follows:
,-- .;..
A. Trustee shall pay and distribute outright to each of the children
of Grantor and John B. Hagenbuch - Jean H. Kretzing, William S. Hagenbuch,
Paul N. Hagenbuch, and Alan J. Hagenbuch - one full share each, per stirpes,
with the share of any chlld not then living at the time of the death of
Grantor passing to his or her children to be administered in accordance
with the provisions of this Trust.
B. Trustee shall hold to and for the benefit of all grandchildren
of Grantor and John B. Hagenbuch living at the time of Grantor's
decease, one full share each, and shall apply and pay over so much
of income and so much of principal of the Trust Estate share to each
said grandchild to and for his or her support, maintenance, com-
fort, welfare, and education, including undergraduate college and
any professional school, specialized school, or graduate school, as
Trustees in Trustees. sole discretion shall determine. As each of
said grandchildren shall reach the age of 21 years, Trustees shall
J
I
pay the remainder of principal and accumulated income of each share
to said grandchild. In the event that any grandchild taking a share
under this: Trust Agreement dies prior to attaining the age of 21 years,
his or her interest shall pass to any children of said deceased grand-
child, equally, share and share alike, in trust to be administered in
accordance with the provisions of the Trust Agreement for grandchildren,
until the youngest grandchild surviving the beneficiary reaches the
age of 21, at which time the entire Trust shall terminate and the
remainder in any trust share distributed to the beneficiary' thereof
or to the natural parent of Grantor's bloodline Or guardian thereOf.
In the event that any grandchild dies prior to attaining the age of
;.
21 years with no children surviving, then his or her share shall
be divided equally among the remaining grandchildren and the shares
deposited in the separate trusts administered hereunder in accordance
with the terms hereof.
C. In determining the amount to be distributed by Trustees for
support, comfort, welfare, and education of beneficiaries hereunder,
Trustees may but are not obligated to consider all sources of
income.
This instrument is executed on the date first above written.
.~~~
BY:
~.'~" ...,,~ ....... ....
. .. ..' ,. ... . . . .
. j
OLD G. KRET I , rustee
t:_ .:'
COl1MONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, Wanda K. Hunter, a Notary Public in and for the County and State aforesaid,
do hereby certify that LOUISE J. HAGENBUCH, JEM~ KRETZING, HAROLD G. KRETZING,
personally known to me to be the same persons whose names are
subscribed to the foregoing instrument, appeared before me this day in person and
acknowledged that they signed, sealed, and delivered the same instrument as their
free and voluntary acts for the uses and purposes therein set fO~.
GIVEN under my hand and official seal this O?~ day of y~
1982. ~
WANDAK.HUNTER,NOTARYPUBUC ~. __J // ~
4 North Hanover Street .~ . .~. ~L:f;1I'/~~
Carlisle. Cumberland County otary Public .
. My COmmissiQIl Expires October 8, 198~ .
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
304-\'" day of C4-.........'-r
On this
, 1982; before me, the subscriber, a
Notary Public in and for said Commonwealth and County, personally appeared DENNIS C.
CAVERLY who acknowledged bims:elf to be the Senior Vice President and said Trust Officer
of Farmers Trust Company, a corporation, and that he as such Senior Vic~ Pres~dent
and Trust Officer, being duly authorized to do so, executed the foregoing instrument fOJ
the purposes therein contained by signing the name of the Corporation by himself as
.:'
Senior Vice President and Trust Officer.
WITNESS my hand and official seal the day and year aforesaid.
~'J~ Pra~iii:~
TWILA R. HOFFMAN, Notary Public
Carlisle, Cumberland O"Ji.,.Pa:
My Commission Expires May 23, 1983
r_ .;.
~
COHMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, Wanda K. Hunter, a Notary Public in and for the County and State aforesaid,
do hereby certify that LOUISE J. HAGENBUCH, JEM~ KRETZING, HAROLD G. KRETZING,
personally known to me to be the same persons whose names are
subscribed to the foregoing instrument, appeared before me this day in person and
acknowledged that they signed, sealed, and delivered the same instrument as their
free and voluntary acts for the uses and purposes therein set fO~.
GIVEN under my hand and official seal this O?~ day of y~
1982. ~
WANDA~~~~PUBLIe,~~~~
Carlisle. Cumberland County otary Public '
. My CommissiQIl Expires October 8, 198~ '
COMMONWEALTH OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
304-\'" day of C4-.........'-r
On this
, 1982; before me, the subscriber, a
Notary Public in and for said Commonwealth and County, personally appeared DEltNIS C.
CAVERLY who acknowledged himself to be the Senior Vice President and said Trust Officer
of Farmers Trust Company, a corporation, and that he as such Senior Vic~ Presi-dent
and Trust Officer, be~g duly authorized to do so, executed the foregoing instrument fOl
the purposes therein contained by signing the name of the Corporation by himself as
Senior Vice President and Trust Officer.
WITNESS my hand and official seal the day and year aforesaid.
~,J~ 51a~iii:~
TWILA R. HOFFMAN, Notary Public
Carlisle, Cumberland O"Ji.,'Pa:
My Commission Expires May 23, 1'983
tO~Y
MODIFICATION OF TRUST AGREEMENT
THIS AGREEMENT is made this ~~ay of August 1984, between LOUISE J. HAGENBUCH,
Grantor, and FARMERS TRUST COMPANY of Carlisle, JEAN KRETZING and HAROLD G.
KRETZING of Carlisle, as Co-Trustees.
WHEREAS, a modification of the Trust Agreement was executed and dated July 29,
1982; and
WHEREAS, Article VII of said Trust Agreement authorizes the Grantor to revoke
or amend the original Trust Agreement in whole or in part.
WHEREAS, Grantor desires to revoke the modification dated July 29, 1982, and
to further amend and modify the Trust Agreement;
Grantor with the permission of the Co-Trustees, revokes the Modification of
Trust Agreement dated July 29, 1982, and amends Article II of ~he Trust Agreement
dated January 20, 1981 and to the extent required by law, modifies said modifi-
cation, so that Article II reads as follows:
ARTICLE II
~
A. Upon the death of Grantor, Trustees shall pay and distribute outright
the remaining principal and accumulated and undistributed income
to each of the children of Grantor and John B. Hagenbuch - Jean H.
Kretzing, William S. Hagenbuch, Paul N. Hagenbuch, and Alan J.
Hagenbuch, equally, share and share alike, per stirpes, with the
share of any child not then living at the time of the death of Grantor
,:_~ ~,
passing to his or her children to be administered in accordance with
the provisions of this Trust. In the event that any interest hereunder
passes to a beneficiary under the age of 21 years, Trustee shall hold
to and for the benefit of such beneficiary said share to which
beneficiary shall be entitled and shall apply and pay over so much
of income and so much of principal of the Trust share to said
beneficiary or to his or her guardian for his or her support, mainten-
ance, comfort, welfare, and education, including undergraduate college
and any professional school, specialized school, or graduate school,
as Trustees in Trustees' sole discretion shall determine. As each
said beneficiary shall reach the age of 21 years, Trustees shall pay
the remainder of principal and accumulated income of each share to
said beneficiary. In the event that any beneficiary dies prior to
attaining the age of 21 years, his or her interest shall pass to any
children of said deceased beneficiary equally, share and share alike,
in trust to be administered in accordance with the provisions of the
Trust Agreement for beneficiaries, until the youngest beneficiary
surviving reaches the age of 21, at which time the entire Trust
shall terminate and the remainder in trust shared distribu~ed to the
beneficiary thereof. In ~he event that any beneficiary dies prior to
the age of 21 years with no children surviving then his or her share
shall be divided equally among the remaining beneficiaries and the
shares deposited ln the separate trusts administered hereunder in
accordance with the terms hereof.
)
. '
B. In determining the amount to be distributed by Trustees for support,
comfort, welfare, and education of beneficiaries hereunder,
Trustees may but are not obligated to consider all sources of income.
This instrument is executed on the date first above written.
~~~_>. '> "
~ .
\j 7
JE
~~,~
HAROLD G. KRETZI, stee
"
COMMONWEALTH OF PENNSYl VANIA
Dl;PARTM!;NI' O~ ~:U;:V(;:NU!;
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KRETZING HAROLD E NKA
80 E RIDGE STREET
CARLISLE, PA 17013
___._h_ fold
ESTATE INFORMATION: SSN: 155-26-7565
FILE NUMBER: . 2104-0536
DECEDENT NAME: HAGENBUCH LOUISE J
DATE OF PAYMENT: 02/16/2005
POSTMARK DATE: 02/16/2005
COUNTY: CUMBERLAND
DATE OF DEATH: OS/22/2004
NO. CD 004954
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,031.74
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: J H KRETZING
CHECK# 519
SEAL
INITIALS: VZ
RECEIVED BY:
REGISTER OF WILLS
$1,031.74
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
06-20-2005
HAGENBUCH
05-22-2004
21 04-0536
CUMBERLAND
101
APPEAL DATE: 08-19-2005
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND RENIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE _ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REY:is47-EX-AFP-C03:0si-NOTicE-OF-iNHERiTANCE-TAX-APPRAiSEMENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
LOUISE J FILE NO. 21 04-0536 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
-<~~TICE OF INHERITANCE TAX
AF'PRlUSEIIENT, ALLOWANCE OR DISALLOHANCE
OF'DEDUCTIONS AND ASSESSHENT OF TAX
, -,
i, i
! .-,
;JO
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
I;,
JOHN H BROUJOS E~JF'
BROUJOS & GILROY
4 N HANOVER ST
CARLISLE
PA 17013
ESTATE OF
HAGENBUCH
TAX RETURN liAS:
J ACCEPTED AS FILED
I X J CHANGED
SEE
If an asses-.ent was issued previOUSly, lines 14, 15 and/or 16, 17, 18 and 19 will
rei'lect figures that include the total of !y:. returns assessed to date.
ASSESSMENT OF TAX:
15. ~ount of Line 14 at Spousal rat. (15)
16. A.aunt of Line 14 taxable at Lineal/Class A rat. (16)
17. Anount of Line 14 .t Sibling rat. 117J
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TA C :
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Est.t. (Schedule AJ
2. Stocks and Bonds ISchedule BJ
3. Closely Held Stock/Partnership Interest (Schedule CJ
4. "ortgB98s/Notes Receivable (Schedule DJ
S~ Cash/Bank Deposits/"isc. P.rsOMI Property (Schedule El
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total ASSIIts
llJ
12J
13J
14J
ISJ
16J
(7J
.00
2.584.62
.00
.00
434.799.74
.00
.00
IBJ
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Adw.. CostslHisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule Il
11. Total Deductions
12. Net Value of Tax Return
13. Charitabl./Gover~ant.1 Bequestsi Non-elected 9113 Trusts (Schedule J)
l~. Net Value of Est.te Subject to Tax
I'))
IlOJ
7,092.98
21 14
IllJ
112J
113J
114J
NOTE:
*'
RE'I-lS41 EX Afp (06-DS)
LOUISE
J
DATE 06-20-2005
ATTACHED NOTICE
NOTE: To insure proper
credit to your account I
s~it the upper portion
of this for. with your
tax pay.ant.
437,384.36
7.114 1:?
430,270.24
.00
430,270.24
.00
430,270.24
.00
.00
X 00 = .00
X 045 = 19,362.16
X 12 = .00
X 15 = .00
11')J= 19,362.16
DATE
08-18-2004
02-16-2005
IIJHBER
CD004288
CD004954
INTEREST/PEN PAID I-J
947.37
.00
AtIOUNT PAID
18,000.00
1,031. 74
~
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
19,979.11
616.95CR
.00
616.95CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR :rN~TIJIr:TT~ 1
RE '-1470EX{8-8ll)
'*'
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
Louise J. Hagenbuch
FILE NUMBER
REVIEWED BY
ANITA MCCULLY
ACN
2104-0536
101
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
Total on line 14 was not correctly carried forward to line 16 of the recapitulation page.
The value of the estate has been adjusted as the result of the correction of an error in
arithmetic.
ROW
Page 1
::',~,::r:n,DtX) o:;?r;~ ~:~
Family Settlement Statement
File No. 21-04-0536
..' f'\t-. 9 r,l' l ~. \ S
2nuJ (,:..i'.J - t",i ~ , j .
,_.j C '"'/ ("~:
THIS is a fin~1 statement ofthe co-Executors Harold G. Kretzing ~~:f<f~5C~~?:ing of the
Estate of LOUIse J. Hagenbuch. "l'.. "
l,
WHEREAS:
A. Louise J. Hagenbuch of Forest Park Health Center, 700 Walnut Bottom Road died on
May 22, 2004, testate.
B. On June 8, 2004, Letters Testamentary were granted to at Cumberland County File No.
21-04-0536 in the Register of Wills Office for Cumberland County, Pennsylvania.
C. Co-Executors have administered the estate up until the present time and have paid all debts
of the estate.
D. The Estate has transferred all assets to M &T Trust Co. in accordance with the Hagenbuch
Trust, except for the amount $16, 697.84, minus the final expenses following:
Balance ofattomey's fee
Filing of Statement
Payable to Broujos & Gilroy, PC.
Payable to Register of Wills
$ 1,700.00
$ 17.00
Current Balance in Estate Account
(Including $616.95 overpayment ofInheritance Tax)
$ 1,717.00
$ 3,904.31
Net balance for transfer to Trust Estate
$ 2187.31
E. The net balance has been transferred to the Hagenbuch Trust Estate for distribution by the
Trust Estate.
F. Co-Executors and Beneficiaries desire to forego a formal accounting and schedule of
distribution and desires to conclude the estate by virtue of the filing of this document.
NOW, THEREFORE, Co-Executors, intending to be legally bound, state as follows:
I. The Co-Executors state that the Co-Executors of the Estate of Louise J. Hagenbuch will
not file a formal accounting or schedule of distribution.
2. Co-Executors state that all costs of the Estate are paid.
3. The Co-Executors certify that the account stated herein is true and correct for filing with
the Clerk of Orphans' Court in final settlement of the Estate of Louise J. Hagenbuch, subject to
the provisions hereof.
IN WITNESS WHEREOF, Co-Executors, intending to be legally bound, hereby set their hands
and seals the day and year first above written.
WI
J.k~cd~
Harold G. Kretzi g, . . tor
Ii
~
,
H. Kretzing, Co-Execu and Beneficiary
I
"'~~
n~r'^qrv-n r,[[I^r (\r
BUREAU OF INDIVIDUAL TtlXE&); .U:=u' '.J':",:Gt "~':
INHERITANCE TAX DIVISION "r_;',
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
',;,,"1
REV-1607 EX AFP (03-05>
2005 AUG 12 PH I: 10
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-25-2005
HAGENBUCH
05-22-2004
21 04-0536
CUMBERLAND
101
AlIOUnt R_itt.d
LOUISE
J
CLE~~:,i( C.:
0"" --"COT
-",. .j'---,:
JOHN H BRO~DS'ESQ
BROUJOS & GILROY
4 N HANOVER ST
CARLISLE PA 17013
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax paynant.
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
-
---------------------------------------------------------------------------
REV-1607 EX AFP (03-05)
~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ~.~
ESTATE OF HAGENBUCH LOUISE J FILE NO. 21 04-0536 ACN 101 DATE 07-25-2005
THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-13-2005
PRINCIPAL TAX DUE: 19,362.16
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-18-2004 CD004288 947.37 18,000.00
02-16-2005 "- CD004954 .00 1,031.74
07-07-2005 ........ REFUND .00 616.95-
TOTAL TAX CREDIT 19,362.16
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
.
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN $1,
NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. J
'-J...S'1....
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/29/2006
BROUJOS JOHN
4 NORTH HANOVER STREET
CARLISLE, PA 17013
RE: Estate of HAGENBUCH LOUISE J
File Number: 2004-00536
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
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:
5/22/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/29/2006
KRETZING HAROLD E
NKA
80 E RIDGE STREET
CARLISLE, PA 17013
RE: Estate of HAGENBUCH LOUISE J
File Number: 2004-00536
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after
July I, 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:
5/22/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
/
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/29/2006
KRETZING HAROLD G
RE: Estate of HAGENBUCH LOUISE J
File Number: 2004-00536
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after
July I, 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:
5/22/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/29/2006
KRETZING JEAN
80 E RIDGE STREET
CARLISLE, PA 17013
RE: Estate of HAGENBUCH LOUISE J
File Number: 2004-00536
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
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:
5/22/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: I-L){.J{<< ~ tE' "- T 1-/ fJ-G'!:N ~ u~. r-f-
Date of Death: S /2-2-/ 0 i
Estate No.: :J 6D if - 66 5 3~
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 w~er administration of the estate is complete:
Yes g No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did ~ ~rsonal representative file a final account with the Court?
Yes M No 0
b. The separate Owhans' Court No. (if any) for the personal representative's
account is: N f ~
c. Did the person~epresentative state an account informally to the parties in
interest? Yes tj No 0
Date:
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.
'1/ S- /()~
~ cJj, ~
Si,ature
Je~ n H r f< reI :J /1'7' '(
Name
flU
Address
t!J1,1,:) I eSt- ,
1
7/7 -9-Y3 -lft2fD
Telephone No.
Capacity: ~ Personal Representative
o Counsel for personal representative
8 11 : IJ
~/Ur-It ;;/e/ Pff
1701-3
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