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HomeMy WebLinkAbout04-0539 Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: ';tA~ ~;;)II t 6( io"1o'\"t..V\- Date of Death: ~"Go ..3. Sl c(...") i.( . U'J 1:' Is. (} FJ, Estate No.: ~I-OL( -,..$ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the follo'Wing with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes III No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes J2g No 0 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 0 No ~ 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. Date: 6/3/ ()~J ~~ Signature a.. 1>~r~ 1M'"... to'U':' L vi , Name Ll '-'i~ C$~'I.u r I 3 <;' i-) B .,{Jl# Ii I l' (2 d , Address 5i]tj1~hIV> ;)/1/(1 /7(.) fl) , " . 1/1 - 'J Y 2. -?f I () (1 Telephone No. Capacity: ~ Personal Representative 00 Counsel for personal representative PETITION FOR PROBATE and GRANT OF LETTERS Estate of ,_,;.~..~ ~. No. also known as 0 U To: Deceased. Social Security No. f' ~7 ¥' ~'~D ~ q Ztr g The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executO ~ in the last wilt of the above decedent, dated itt ~,n? 0 ? i'~/~ ~.~ b~ and codicil(s) dated Register of Wills for the County of C-a.~,,~.~_ _(_~a~/2~in the Commonwealth of Pennsylvania named ,19 q;~ (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ht.~ last family or principal residence .-.-/7'. County, Pennsylvania, with,, at (list street, number and muncipality) Decendent, then '~ '7 years of age, died 7',~,,~ '3 , la~ 2.~ o ~, Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the v, igti_m of a killing and was never adjudicated incompetent: tv/r, Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ J ~ ~ 00~ (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 request(s) the probate of the last will and codicil(s) and the grant of letters presented herewith !:~ .: (testamentary; administration cAC. a.; administration d.b.n.c.t.a.) theron. 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 petitioner(s) will well and truly administer the estate according to law. Sworn to or affir?~ and subscribed before,4ne this M'-' ' , day of ' ~t~or' Qf-O,J~. Regi~er DECREE OF PROBATE AND GRANT OF LETTERS , Deceased AND NOW the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of and Letter? "~o~,~-~-o'x~r~x~. - ,O are hereby granted to ~j't (Sk-to,.~Cq~ ~ X,fCXlf?~ ~C~ 1~ , in consideration of the petition on ~~ FEES Probate, ~tc .......... $~ 4~"~ Short Certificates( ) .......... Renunciation ................ $ TOTAL ~ $ ~.C~,.~ Filed .~. ?.~. 7 ~..O. ~J-} .................... Register of W~IIIs ~v'~ ~.-(~~ ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE RENUNCIATION In Re Estate of deceased. To the Register of Wills of ~)gCt. _ _~_~%ff~ County, Pennsylvania. · ~un~i~ne~ ~~ !~~~ o~ the above decedent, hereby renounce(s) the.right to administer the estate and resp<tfully ask(s) that Letters hand this ~ day of ~, 20 ~ ~. WITNESS -(signature) ' ~....~ (Address) (Signature) (Address) (Signature) (Address) his is to certify that the information here given is correctly copied from an original certificate of death duly filed xvitl- mc as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. mos 143 ~e~ ~87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH '" I ~A~EO~OECE~"~<~"~'M"<"""Eugone fi. Vogelsonfl SEX SOCIA RITY BER ' ~' DATE OF DEATH (Mo~th Day Year) Cumberland I East Pennsboro I / / . C .... I / r '/ . I~O Y.~lfyl., ~.n I s~ ,.,.. 111. EDE~,NT'S M,.,~ LING ADDRESS (Stm~, Ci~/Town. State, Zip Co~) ~ DECEDENT'S 5 ~ull bourt I^CmAL - - RESIDENCE Mechan~csburg, Pennsylvama 17055 I(s.e~nm..=~,., 1,. bamuel Jacob Vogelsong 17.. st.t. Pennsylvania (~tant 1T¢. ~ Y.,,~,~,~n~li,oo,, Hampden I wp. ~,~ l?b, CounIy Cumberland townahlp?l?d.[~ No.l:lece~enllived I MOTHER'S NAME Flrlt, Middle, Maideo ~um Annie Mary Wr ghtstone iNFORMANT'S NAME crype*Pfll31) INFORMANT'S MAILING ADDRESS Streel, C4ty/lown, Stale, Zip Co¢1° ~o.. Michael A. Vogelsong [~,,, 205 Gull Court Mechanicsbur~], Pa, 17055 ~ / -L -~' ~ 2~. FD-014318-L 2~c. Mvers Funeral Hom~ Inn 37 Fa~t Main glmet Mechanic~hlirg. Pa 17~R ~. ....... 2~ ~--.rx;.. To me .st. my ~.,--... ~ed ............... .d ...... , LICENSE NUMBER ,DATE SIG.ED I OF mATH? Yes D _l I...... 0 .... . ....... g .... ~..D .o~I ~.,O .~D I~"' 0 ~ ............... I' *~ER~ING ~HY~ICIAN (~vsi~an ~l~c~le of ~alh w~n ano~ ~hys~an has pr~mc~ death and c~e,ed flem 23) LAST WILL AND TESTAMENT I, EUGENE E. VOGELSONG, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married, my beloved wife, KATHRYN V. VOGELSONG, having predeceased me, and that I have two children, BONNIE K. SHULTZ, and MICHAEL A. VOGELSONG. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my children, BONNIE and MICHAEL, in equal shares, per capita. V I nominate, constitute and appoint my daughter, BONNIE, as Executrix of this LAST WILL, to serve without bond. If, BONNIE, is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my son, MICHAEL, as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, EUGENE E. VOGELSONG, have set my hand to this LAST WILL this /~ day of /9,1/.,~(L.~1~ , 1993. EUGENE E. VOG~LSO~~ Signed, sealed, published and declared by the above-named EUGENE E. VOGELSONG, as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence, and in/~e presence of each other, have hereunto subscribed our nam~ as witnesses. ~~/ ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : COUNTY OF CUMBERLAND : ss. I, EUGENE E. VOGELSONG, Testator, whose name is signed to the attached or 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 as my free and voluntary act for the purposes therein expressed. - / Sworn or affirmed to and acknowledged before me by EUGENE E. VOGELSONG, Testator, this //g¢~ day of f?9~,:~/,~c/~ , 1993. Notary Public AFFIDAVIT Notsrial Seal Diane M. Smith, Notary Public M~halllcat~Jr~ Bore, Curnberta,.,r~ County C:¢,,rn,mls~,en Expi~s June 22,1996 COMMO~EALTH OF PENNSYLVANIA : ss. COUNTY OF C~BERLAND : We, ,~£~£L ~. ~LT~ ~ and ~/ ~0~ ~d~O&~ , the witnesses whose names are signed to the attached or foregoing instr~ent being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his LAST WILL; that EUGENE E. VOGE~ONG, 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~e best of our knowledge, the Testator was a~ the time~ years o~age or more, of sound mind and under no c~~ence. Sworn or affirmed to and acknowledged before me this ?/ ~ day of ,/~"')~'C t~ , 1993. Notary Public I Notarial Seal I .Dtane M. S~11~th, Notary Public I M~n~nic'sb~rg P~ro, Curnbe ~rtand County ! My (t~.!'n?~li.,~lon Expires June 22, 1996 Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 09/01/2004 VOGELSONG MICHAEL A 350 BURN HILL ROAD SHERMANSDALE, PA 17090 RE: Estate of VOGELSONG EUGENE ELMER File Number: 2004-00539 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 09/19/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge GLENDA FARNER STRASBAUGH Clerk of the Orphans' Court CERTIFiCATiON OF NOTICE UNDER RULE 5.6(~) Name of Decedent: Date of Death: Will No. o~OOgtt To the Regismr: - oo 53q Admin. No. ~1 --Or'/- I certify that notice of (bene~dal interest) estate admlnlstrafion required by Rule 5,6(a) f ' o the Orphans Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on .~B'~t~ _ ~:~O~-t : Name Address ! Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Signature Address t Telephone (717) _~"gZ- t~'/O ~ Capacity: / __ Personal Representative Counsel for personal representative REV-15['~/-"~ (6 00)  COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~I~.LSEI~, Eugene E. DATE OF DEATH (MM-DO-YEAR) DATE OF BIRTH (MM-DO-YEAR 06/03/2004 09/27/1926 OFFICIAL USE ONLY FILE NUMBER 21-04 0 539 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 174 - 20 - 2743 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS L,LI (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER N/A - - -,o~o, I.- Z Z o LIJ 0 E~l. Original Return [~4. Limited Estate [~6. Decedent Died Testate (Atlach copy of Will) [~9. Litigation Proceeds Received NAME [~IVI. D. SCHRACK III [~2. Supplemental Return ~--~ 4a. Future Interest Compromise (date of death after 12-12-82) [~7. Decedent Maintained a Living Trust (Attach copy of Trust) [~]10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ~[~b~INSEI~E~ACI-I LAW OFFICES TELEPHONE NUMBER 717-432-9733 r---] 3. Remainder Return (date of death prior to 12-13-82) [--~ 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes []11. Election to tax under Sec. 9113(A) (Attach Sch O) COMPLETE MAILING ADDRESS Post Office Box 310 Dillsburg, PA 17019-0310 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) 6. Jointly Owned Property (Schedule F) (6) [~ 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. 14. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) 2,550. O0 10,686.00 (s) 8,783.00 4,714.00 (11) (12) (13) (14) 7~ OFFJ~C~USEONLY 13,236.00 13,497.00 - 261.00 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 __ (15) 16. Amount of Line 14 taxable at lineal rate x .0 __ (16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) Decedent's Complete Address: STREET ADDRESS 205 Gull Court CITY Mechanicsburg STATE PA ziP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) ¢ Total Credits ( A + B + C ) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (2) ¢ (3) ¢ (4) ¢ (5) (5A) (5B) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or 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? ........................................................................................................................ [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS MI (]-[A~L A. 350 Burn Hill Road, Shermansdale, SA I:::~_ .? ¥~ESENTATIVE PA 17090 DATE DATE Post Office Box 310, Dillsburg, PA 17019 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not 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. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedenrs lineal beneficiaries is 4.5%, except as noted in 72 P.S. {}9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1503 E;', + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER I~E~L~, Eugene E. 21-04-0539 All prope~'y jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. AARP Investment Program - Acct #00305799505-5 - 168.771 shares (~IVIAFund ~15.11 per share 2,550.00 TOTAL (Also enter on line 2, Recapitulation) $ 2,5 5 0.0 0 (If more space is needed, insert additional sheets of the same size) '. ;" i~S~'r-5:'L' ' ::" ':':'~'- ~ '-~i:'~:' S:'.. -. ;. ' ' -:' :..Y'..L<.>:::".'L_-?;Z-.: ?:-..'~: u,,- NEW HOURS OF OPERATION: Effective June 1, the new hours of operation for Shareholder Services are Monday through Friday, 8 a.m. to 5 p.m. CST. FUND~NA, M~; (Symbol) TRADE DOLLAR i? SH.MRE NUMBER OF'. TOTAL SHARES ACCOUNT TRANSACTION TYPE DATE AMOUNT pRIcE SHARES OWNED VALUE ---.- .~iZ~,i.e,.}.; ; , :~, :: ?,' .... ....... ¥~;J~'~"-~':'; ...... - AARp?: (AITXX) . -: ,,- ::: ':'u' .......... -.,.:: .... . ..... .: .' . Cash~lnvest:~Trust-Class .. : ' ~ ~" ''~ :q' :'-:.: . : :~'~:'.' ~ ~:: , * ': ....... :~: Shares Redeemed 07/1912004 $2,550.13 ' $15: 11 ' 168.771 0.000 . $0.00 -' chan~ bfAddreis 5' ' .- ' '-::: :" ' 0':': ..... ;~ .......... ~,::.-.-.._, ....:..,._,.~:...,.o7/] 0/~o04 .... ..... : $o. o~'~-~ ~6:0 '-- o: o00 o. ooo :' $o. oo 7.--.": - ~ ::~::':?.',:'?-:~;:~-~<}~-" 1:~. 4:, }.' '. ..- "-;,?':7~ .~-.:w ~":: .- :--. ,~,-.- .-. ....... -: ..... . '~:-":;"'..¢f:': ,----..--...:,.:_-,:.- .... ':iL< ~ .... -Cash~lnvest Trust-Cla~.~ AARP GNMA:~ Fund-Class. AARP '"X + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER ~a:3C'Jg, LSCt,,TG, Eugene E. 21-04-0539 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 DESCRIPTION Waypoint Bank checking account #1800032029 Proceeds of sale of 1994 Ford Explorer Proceeds of sale of 1972 AstroMobile Home (12 x 70) TOTAL (Also enter on line 5, Recapitulation) VALUE AT DATE OF DEATH 3,586.00 2,600.00 4,500.00 10,686.00 (If more space is needed, insert additional sheets of the same size) P.O. Box 1711. Harrisburg. P~nnsglvania 17105-1711 Member FDIC; STATEMENT DATE 6-10-04 EUGENE E VOGELSONG 205 GULL CT MECHANICSBURG PA 17050-2057 0!2-459 RELATIONSHIP CHECKING OFFERS CD BONUS RATES, LOAN DISCOUNT RATES AND MANY MORE BENEFITS. STOP BY YOUR LOCAL BRANCH TODAY. OR CALL US AT 1-866-WAYPOINT (1-866-929-7646). ACCOUNT TYPE OF ACCOUNT 1800032029 FOCUS FIFTY AVERAGE BALANCE 2,824.43 PREVIOUS BALANCE 3,265.25 DEPOSITS --- . ........ 3,2.18..71 WITHDRAWALS ,.:-..... ' -~'7~ . ~'~":1~'960.77 CHARGES ~' ....... " .... ' INTEREST '~:;~i~C~]~-,,.;~. ~ ...... :],.,-'~":~-'-s' ;-. ~;.~'L~t~l 25 ENDING BALANCE --_.. . : .-' :., .,~.'.' 4~'522.30 INTEREST EARNED FROH~ 5/10/04 TO 6/10/04 DAYS IN PERIOD '31 INTEREST EARNED :36 ANNUAL PERCENTAGE Y'[E'LD EARNED INTEREST PAID THIS YEAR 2.73 INTEREST ~ITHHELD THIS YEAR ' .00 .............. TRANSACTION SUNHARY .... '--' ......... TRANSACTION DEPOSITS/ DATE DESCRIPTION CREDITS 5/12 CHECK 881 5/12 CHECK 887 5/19 DDA PUR 000000793424 5140 SIMPSON FERRY MECHANICSBUR PA 5/19 POS DEBIT FEE 5/19 CHECK 889 5/20 CHECK 888 5/21 DDA PUR 000000080004 MCCAFFERTY FORD OF MECHANICSBURG PA 5/21 CHECK 880 5/24 DEPOSIT 8.94 5/24 OVER COUNTER DEBIT 5/28 CHECK 884 6/01 US TREASURY 303 RR RE 1140.73 6/01 ELECTRONIC TRANSACTION 370.00 CNTRL PEN PENSION-CK 6 01 DDA PUR 000000054074 CVSPHARMACY #1626 MECHANICSBURG PA 6 03 CHECK 890 CONTINUED ON NEXT PAGE CHECKS/ .... DEBITS BALANCE 193:74 3071.51 48.10 3023 41 29~-15 2994.26 .25 2994.01 18.12 2975.89 50.18 2925.71 578.19 2347.52 25.00 100.00 25.00 105.78 25.00 2322.52 2331.46 2231.46 2206.46 3347.19 3717.19 3611.41 CustomEr Servic~ Toll-FrEE 1-866-WAYPOINT (I-866-9~9-7646) · In York Ar~a .717/815-4500 RE V-,1511 EX+ (12-99)~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER ~::T~,T,~, Eugene E. 21-04-0539 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT FUNERAL EXPENSES: Myers Funeral Home Rolling GreenCemetery (interment expense) ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State __ Zip Year(s) Commission Paid: Attorney Fees: ¥~TI. D. Schrack I I I, Esquire Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State __ Zip Relationship of Claimant to Decedent Probate Fees: Register of Wi 1 Is Accountant's Fees Tax Return Preparer's Fees West Shore Family Practice RVG Mobile Home Park - lot rent of Cumberland County TOTAL (Also enter on line 9, Recapitulation) $ 7,124.00 870.00 450.00 86.00 30.00 323.00 8,783.00 (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES,& LIENS ESTATE OF FILE NUMBER I~X~.T,~, Eugene E. 21-04-0539 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. 3. 4. 5. Waypoint Bank - account #1851003526 home) AARP Visa- account #4408 0465 1074 Lowe ' s (ba 1 anc e due) PP&L (final electric bill) Verizon (final telephone bill) (balance due on mobile 1971 (balance due) 2,202.00 2,358.00 53.00 39.00 47.00 TOTAL (Also enter on line lO, Recapitulation) $ 4,714.00 (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER ~l~.T,~, Eugene E. 21-04-0539 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBEP, NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS (include outdght spousal distributions) e II. Michael A. Vogelsong 350 Burn Hill Road Shermansdale, PA 17090 Bonnie K. Shultz 1598 Newville Road Carlisle, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINE~ Son Daughter 50% 50% 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF 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) L~ST WILL AMD TESTAMENT I, EUGENE E. VOGELSONG, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married, my beloved wife, KATHRYN V. VOGELSONG, having predeceased me, and that I have two children, BONNIE K. SHULTZ, and MICHAEL A. VOGELSONG. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my children, BONNIE and MICHAEL, in equal shares, per capita. V I nominate, constitute and appoint my daughter, BONNIE, as Executrix of this LAST WILL, to serve without bond. If, BONNIE, is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my son, MICHAEL, as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, EUGENE E. VOGELSONG, have set my hand to this LAST WILL this /! day of j.~J?~i;~.~ , 1993. Signed, sealed, published and declared by the above-named EUGENE E. VOGELSONG, as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence, and in/~he presence of each other, have hereunto subscribed our naTs as witnesses. ~// ~ ~ ~.' ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND : I, EUGENE E. VOGELSONG, Testator, whose name is signed to the attached or 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 as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by EUGENE E. VOGELSONG, Testator, this //g~ day of /9-~:'~/'c~ , 1993. Notary Public AFFIDAVIT Mo¢~han~,bu~} ~'~ro, Cumb~ar~d Oour~Y ~ COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND : We, ,O?&~££.£k R. aJ~krE~J ~ and /)?~.~/ the witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his LAST WILL; that EUGENE E. VOGELSONG, 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. he best of our knowledge, the Testator was at/the time 1~ years enc or more, of sound mind and under no cons aint or u ~ e i ence. Sworn or affirmed to and acknowledged before me this // ~/u day of /) )/.L~.C/~ , 1993. Notary Public DIBrlo M. S~nllh, Notary Public My Colm'ids3~on E~plms June 22,1 BUREAU OF /ND/VIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG, PA 17118-0601 COHMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP NM D SCHRACK III SCHRACK 8 LINSENBACH PO BOX $10 DILLSBURG CUT ALONG THIS LZNE ~ PA 17019 DATE 11-22-200q ESTATE OF VOGELSONG DATE OF DEATH 06-05-200q FILE NUMBER 21 0q-0559 COUNTY CUMBERLAND ACN 101 Aeoun~]P~e/~ed EUGENE E HAKE CHECK PAYABLE AND REHZT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURTHOUSE CARLISLE, PA 17015 RETAIN LONER PORTION FOR YOUR RECORDS DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAXc~' ESTATE OF VOGELSONG EUGENE E FILE NO. 21 0q-0559 ACN 101 DATE 11-22-200q TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) 3. Closely Held S~ock/Par~nership Zn~eras~ (Schedule C) (3) q. Mortgages/No,es Rece/vable (Schedule D) (q) S. Cash/Bank Dapos/~s/M/sc. Personal Propar~y (Schedule E) (5) 6. Jointly Owned Proper~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Assa~s APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expenses/Ada. Cos~s/N/sc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabili~/es/Liens (Schedule Z) (10) 11. To,al Deduc~/ons 12. Ne~ Value of Tax Return 21550.00 .00 10~686.00 .00 .00 NOTE: To /nsure proper cred/~ ~o your account, subei~ ~he upper portion .00 of ~h/s form w/~h your ~ax payment. .00 (8) 8,783.00 13. lq. NOTE: ASSESSMENT OF TAX: 15. Aeoun~ of L/ne lq a~: Spouse1 ra~e 16. Aeoun~ of L/ne lq ~axable a~ Lineal~Class A ra~e 17. Aeoun~ of Line lq a~ S/bl/ng ra~e 18. Aeoun~ of Line lq ~axable a~ Collateral/Class B ra~e 19. Pr/nc/pal Tax Due TAX CREDITS: PAYMENT RECEIPT DISCOUNT DATE NUHBER INTEREST/PEN PAZD (-) q171q. O0 (11) (12) Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) Ne~ Value of Es~e~e Sub~ec~ ~o Tax (lq) Zf an assessment ~as issued previously, lines 14, 15 and/er 16, 17, reflect figures that include the total of ALL returns assessed to date. 13,236.00 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 13.497.00 261.00- .00 261.00- 18 and 19 ~111 (15) .00 x O0 = .00 (16) .00 x Oq5= .00 (17) .00 x 12 = .00 (18) .00 x 15 = .00 (19)= . O0 AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUEI .00 1NTEREST AND PEN. .00 TOTAL DUE .00 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR ZNSTRUCTZONS.)¢~,~ RESERVATION: Estates of decedents dying on or before December 1Z, 1982 -- if any futura interest in the estate is transferred in possession or enjoyment to Class 8 (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance Taxes at the lawful Class 8 (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section Zl~O of the Inheritance and Estate Tax Act, Act Z$ of ZOO0. (7Z P.S. Section 91fi0). Detach the top portion of this Notice and submit with your payment to the Register of gills printed on the reverse side. --Make check or money order payable to: REGXSTER OF NXLLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS13). Applications are available online at www.revenue.state.pa.us, any Register of Nills or Revenue District Office, or from the Department's Zq-hour answering service for fores orders: 1-800-36Z-ZOSO; services for taxpayers with special hearing and/or speaking needs: 1-SO0-qqT-3OZO (TT only). Any party in interest not satisfied with the appraisment, allowance or disallowance of deductions or assessment of tax (including discount or interest) as shown on this Notice amy object within 60 days of the date of receipt of this notice by filing Dna of the following: A) Protest to the PA Department of Revenue, Board of Appeals. You amy object by filing a protest online at www.boardofappaals.stata.pa.us on or before the expiration of the sixty-day appeal period. In order for an electronic protest to be valid, you must receive a confirmation number and processed date free the Board of Appeals wabsite. You may also send a written protest to PA Department of Revenue, Board of Appeals P.O. Box ZSIOZ1, Harrisburg, PA 171ZS-10Z1. Petitions may not be foxed. B) Election to have the matter determined at the audit of the account of the personal representative. C) Appeal to the Orphans' Court. Factual errors discovered on this assessment should ba addressed in writing to: PA Dapart3aant of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, P.O. Box Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decadent's death, a five percent (SI) discount of the tax paid is allowed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of tho tax amnesty period. This non-participation penalty is appealable tn the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and Dna (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .00016q. All taxes which became delinquent on and after January l, 198Z will bear interest at a rate which wii! vary from calendar year to calendar year with that rate announced by tho PA Department of Revenue. The applicable interest rates for 1982 through gooq are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ 20X .OOOSq8 ~'~'~-1991 11X .000501 ~ 9Z .O00gq7 1985 162 .000~8 1992 9Z .O00Z~7 ZOOZ 6Z .00016~ 198~ llZ .000301 199S-199~ 72 .00019Z 2003 5Z .000137 1985 l~Z .000~56 1995-1998 9Z .O00Zq7 ZOOq ~Z .000110 1986 lOZ .O0027~ 1999 7Z .OOOlgZ 1987 XOZ .00027q ZOO0 7Z .00019Z --Interest is celculatad as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (153 days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/25/2006 VOGELSONG MICHAEL A 350 BURN HILL ROAD SHERMANSDALE, PA 17090 RE: Estate of VOGELSONG EUGENE ELMER File Number: 2004-00539 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: 6/03/2006 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