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HomeMy WebLinkAbout04-0545PETITION FOR PROBATE and GRANT OF LETTERS Estate of~ George G. Boney also known as George G. Boney~ Jr. Social Security No. To: Register of Wills for the Deceased. County of Cumberland in the 247-70-11 '~8 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut rix named in the last will of the above decedent, dated ,19__ and codicil(s) dated A Renunciation was sianed and dated bv H~ward Hanev and Elizabeth Haney on Ma~ 21, 2004 askin~ t~at Susan ~orne perform as Executrix. Jacqu_ eline Penn and Susan Home renounced on 5/9.6/04. (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence a! 1 9 North East Street: Carlisle, Pennsylvania 1 701 3. (list street, number and muncipality) Decendent, then 61 years of age, died May 16_t. 2004 ,19__., at ..... Holy Spirit. Hospital Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in PeRn~ylva0i.'a/,~/%/, ~'&l~L ,~, (,6~ I ~$ ~- t",' ~f.. ~'t~-* $' situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters administration c. t. a. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. Sworn to or affirmed and subscribed before, me this __ IO~ _ day of OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA '] COUNTY OF ~_.~,.,.,-,~e..o_lo.x,~ f ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the bes~ of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedem petitioner(s) will well and truly administer the estate according to law. ~:. No. ,.qt - Estate Of~'~%~ -~ "J~.] b,~l~ ~.~oma, ~ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~ | O -~Oo~ ,l~ , in consideration of the petition on the reverse side h{t~eof, satisfactory proof having bee. n presented befqre me, IT IS DECREED that the instrument(s) dated q "~ - Z~ dese~bed [herein be admitted to pr~ate and filed of record as the last will of ~dLetters ~ ~~~ -- ~ ~ ' ~eherebygrant~ to ~~ ~ ~~~ . .~.~-k,~x_ ~--~c~.~ FEES Probate, Lett;~<~i Etc .......... Sho~ Ce~ificates( ) .......... Renunciation ................ TOTAL Filed ...~. 7. 3~.7.~9~ Re~ister of ~ , ' ~ ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE RENUNCIATION ~..I- o*.t- 5'".,5 In Re Estate of George G. Boney deceased. Cumberland To the Register of Wills of County, Pennsylvania. The undersigned Howard Haney and Elizabeth Haney of the above decedent, hereby renounce(s) the fight to administer the estate and respectfully ask(s) that Letters of Administration Susan Home be issued to hand this . c~ I day of ~. 20 0 ~ . (Address) (Signature)(.] (Address) (Signature) (Address) RENUNCIATION In Re Estate of George G. BQney, Jr. deceased, To the Register of Wills of CumberlanO County, Pennsylvania. Theundersi~ed Jacqueline Penn and Susan Horne of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters oZ be issued to Michael A. Scherer, Esquire WITNESS · ~ , hand this ~ __ day of --~! .21}.~ . :_]. % (Signature) (Address) (Address) ~ CJ / ~,~. Sworn to and subscribed before me on this 26th day of May, 2004. (Signature) (Address) COMMONWEALTH OF PENNSYLVANIA I Notarial Seal { Amanda L. Fisher, Notary Public Carlisle Boro, Cumberland County My Commission Expires Apr. 17, 2006 Member, Pennsylvania Association of Notaries LAST WILL AND TESTAMENT OF GEORGE G. BONEY I, George G. Boney, of Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST I direct the payment of my debts and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. SECOND 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 administration of my estate. THIRD My sister, Jacqueline Penn, of Rome, Georgia, shall be permitted to select such items of my personal property as she may desire to claim from my estate and keep same as her own property. Such items of my personal property that my sister does not select shall be sold by my executors at auction conducted by Kenny's Auction of Chambersburg, Pennsylvania. FOURTH I give, devise and bequeath the rest, residue and remainder of my estate to my niece, Susan Horne, of Acworth, Georgia, if she shall survive me by thirty (30) days. In the event that my niece, Susan, predeceases me or fails to survive me by thirty (30) days, I give, devise and bequeath the rest, residue and remainder of my estate to Douglas Horne, my niece's husband, per stirpes. FIFTH I confer upon my executor the right to sell or otherwise convert any real or personal property at public or private sale, at such time or time, in such manner, and for such price or prices, and on such terms and conditions as my executor shall determine, and to execute and deliver good and sufficient conveyances, assignments and transfers of the property, without liability of any purchaser for the application of any consideration; to borrow money and to secure its payment by mortgage of real or personal property, pledge of investments, or otherwise, without liability on the part of the lenders to see to the application thereof; to retain any investments at discretion; to invest and reinvest at discretion, without restriction to so-called "legal investments;" to ~ake distribution in cash or in kind; to allocate and distribute different kinds or disproportionate shares of property or undivided interests in property among beneficiaries, in case or in kind, or partly in each; and to do all other acts and things necessary or appropriate in the management, administration and distribution of my estate. SIXTH I direct that no trustee, executrix, guardian or other fiduciary named, nominated, or appointed by this my Last Will and Testament shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of the court of the Commonwealth of Pennsylvania or any other jurisdiction to the contrary notwithstanding. I direct that the law of the Commonwealth of Pennsylvania shall apply to any interpretation or application of the validity of this instrument. SEVENTH Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable to an heir, or any of them, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. EIGHTH I appoint my friends, Howard Haney and Elizabeth Haney, of Harpers Ferry, West Virginia, Co-Executors of this my Last Will and Testament. Should either of my said Co-Executors fail to survive me or for any reason fail to qualify as Executor, then I appoint the other Co-Executor to serve as my sole Executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of four (4) typewritten pages, the first three (3) of which bear my signature in the margin for the purpose of identification, this 30th day of April, 2004. ~ -- (SEAL) Signed, sealed, published and declared by the above named testator, George G. Boney, as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and p~sence, and in the sight and presence of each other, have ~ ~r-~to s.ubscrib~Our/Ynames as witnesses. (/n _z, ,~, J ,/.._ /x/ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, George G. Boney, SS. the testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument of his Last Will and Testament, and that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as witnesses, and that to the best of their knowledge, the testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me this 30th day of April, 2004. _COMMONWEALTH OF pF/NN$¥_L.¥ANIA [ Notarial Seal~-'~ I Amanda L. Fisher, Notary Public [ Carlisle Boro, Cumberla. n-d County [ My Commission Expires Apr. 1~7, ,2096 Member, Pennsylvania AssocJ~ttor~ of Notariee hi~ is [o certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. Fee for this certificate, $2.00 WARNING: It is illegal to duplicate this copy by photostat or photograph.:-'.! -- ' -Lo~eg~'~strar No. HmS ~43 Rev Z'87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH NK ,.GEORGE GORDON BONEY, JR. z. MALEI=. 247 -70 - 1178 4. ~.61 ~" ~Jan.25'43 ~. Kinston~ NC ~.,~t/~o.,~-.,I-1 ,,. [] ...... [] =-- [] FACIUTY NAME (If nol ~4bt u~on. give ~ll'eel and ncwnl~.) NO [~ Yes [] If yes. SI~:I ty Cuban. ($pecdy) ,.. Cumberland Camp Uill ,- Iqc, l,, oc ;rit- Hr,qo/Pa 7 I'; ..... ~ECEDEm"S USUAL OCCUPATION - I KIND OF BUSINESS /IN.TRY [WAS DE~EOENT E~E. IN I DECEOe~T'S ECUCATION I ~RITAL STATUS- u~m~. I ,,. Retail Clerk ,,~. Retail / ~.,[] ~o~ j ~T-__~,,%?~ ,f~, I~z b3.12' -' I 2 ...... I,~. b]n~ bl ACTU~. -enns~van.a 19 orth ~st Street aEs~m~,~.t~" ~' ~ ~,. ~rlisle. PA 17013 ,m.c~ c,,-~-I nd ""'"~* ,~.~ -,~ ~,~ ~rlisle ,,. George Gordon ~ney -. ~rgaret Shoup ~. Jacqueline Penn ,~. 1 ~hota Circle, R~e, GA 30165 . . ~s~), . O z~. guse F.H. & Cr~tory ~,~ Grantville~ PA 17028 ~a' ~~~ ~. 014404-L n~.~entral Penn. Cr~.Sty. 3125~nrri ch,,~,Walnut pAStreet17109  ~ ~, ~ ~,~, ~ ~ ~ ~m ~o (m~, ~ Tree) CO~T,~.SE .~ ~ ~ BLACK INK I Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 09/01/2004 SCHERER MICHAEL A 19 WEST SOUTH STREET CARLISLE, PA 17013 RE: Estate of BONEY GEORGE G File Number: 2004-00545 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 09/20/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Personal Representative(s) Judge Sincerely, LENDA FARNER STRASBA~J~GH Clerk of the Orphans, Court Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 09/01/2004 SCHERER MICHAEL A 19 WEST SOUTH STREET CARLISLE, PA 17013 RE: Estate of BONEY GEORGE G File Number: 2004-00545 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 09/20/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge GLENDA FARNER S~ Clerk of the Orphans' Court CERT~'ICAT[ON OF N@TXCE UNDER RULE Name of Decedent: Georqe G. Boney Date of Death: May 16, 2004 Will No. 21-04-545 Admin. No. To the Register: I certify that notice of (Senefid~ intercom) estate adminls~'afion required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries Pf the above-captioned estate on June I 6 r 2004 : Name Address Jacqueline PeBn 1Echota Circle, Rome, Georgia 30165 Susan HorBe 6011 Forrest Lake Court, Acworth, Georgia 30101 Bouglas Borne 6011 Forrest Lake~Court, _~ort~ 30101 Notice has now been given to all Demons entitled thereto under Rule 5.6(a) except None: Date: September 10, 2004 Signature ~ ~,,--- Name Michael A. Scherer~ Esquire Address 19 West South Street Carlisle, Pennsylvania 17013 Telephone (717) 249-6873 Capacity: X Personal Representative Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.2BD601 HARRISBURG, PA 1712B-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SCHERER MICHAEL A 19 WEST SOUTH STREET CARLISLE, PA 17013 ____n__ fold ESTATE INFORMATION: SSN: 247-70-1178 FILE NUMBER: 2104-0545 DECEDENT NAME: BONEY GEORGE G DATE OF PAYMENT: 03/09/2005 POSTMARK DATE: 03/09/2005 COUNTY: CUMBERLAND DATE OF DEATH: 05/16/2004 NO. CD 005037 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $668.4 7 I I I I I I I I TOTAL AMOUNT PAID: $668.47 REMARKS: CHECK#104 SEAL INITIALS: CCP RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS REV-1S<lOEX l6-00j '* COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE . DEPT. 280601 HARRISBURG, PA 17128..()601 .... Z W C W o W C DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL) Boney, George G. DATE OF DEATH (MM-DD-YEAR) 05/16/2004 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT ~~ FILE NUMBER 21 04 0545 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 247-70-1178 DATE OF BIRTH (MM-DD-YEAR) 01/25/1943 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS I SOCIAL SECURITY NUMBER o 3. Remainder Retum (date 01 dea1h prior to 12-13-82) o 5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (AIlach Sch 0) (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) W I- ll::~Ul ull:ll:: wll.U :cOO ull:..J II. III II. < ~ 1. Original Retum o 4. Limited Estate o 6. Decedent Died Testate (Attach copy 01 W1H) o 9. Litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (date 01 dealh after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach oopyolTrust) o 10. Spousal Poverty Credit (date 01 dealh between 12-31-91 8IId 1.1-95) I- Z W C Z o II. fJ) W II: II: o U 'THIS;]iECTtONlMUO\SE".JCOJllPI$TED~~>>I!'JN'a'lb ~",lt~,..mD~~ " INFQ~'QG>>l,SIiOU(tb\Jl'Ei!:ltRe'cm;D !ff)~ NAME COMPLETE MAILING ADDRESS Michael A. Scherer, Esquire 19 West South Street FIRM NAME (n Applicable) .. O'Brien, Baric & Scherer Carlisle, Pennsylvania 1'7013 TELEPHONE NUMBER (717) 249-6873 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) z o ~ ..J ::> !:: Il. <( o w a:: 14. Net Value Subject to Tax (Line 12 minus Line 13) (1) (2) (3) (4) (5) 1,380.95 .") 14,151.22 (6) (7) (9) (10) (8) 7,205.00 3,308.85 (11) (12) (13) 15,532.17 10,513.85 5,156.79 (14) 5,156.79 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) z o ~ ~ ::> Il. :i: o o ~ 16. Amount of Line 14 taxable at lineal rate x .0_ (15) x .0_ (16) 17. Amount of Line 14 taxable at sibling rate 3,565.00 x .12 (17) 427.80 18. Amount of Line 14 taxable at collateral rate 1,591.79 x .15 (18) 238.77 19. Tax Due (19) 666.56 20.0 Q' CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS 19 North East Street CITY Carlisle I STATEpA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credtts/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount 666.56 Total Credits (A + 8 + C ) (2) 666.56 3. InterestlPenalty if applicable D. Interest E. Penalty 1.91 0.00 TotallnterestlPenalty ( 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) A. Enter the interest on the tax due. (5) (5A) 666.56 1.91 668.47 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 8. Enter the total of Line 5 + 5A. 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;.......................................................................................... D ~ b. retain the right to designate who shall use the property transferred or its income; ............................................ D ~ c. retain a reversionary interest; or.......................................................................................................................... D [1d d. receive the promise for life of either payments, benefits or care? ...................................................................... D [1d 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. D ~ 3. Did decedent own an "in tnust for" or payable upon death bank account or security at his or her death? .............. D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ D ~ 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 !hat I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, tt is hue, correct and complete. Declaration of preparer other than the personal representative is based on an information of which preparer has any knowledge. SIGNATU PERSON R PONSI8LE FOR FILING RETURN DATE 7 ___ ~'1. D~ ADDRESS 19 West South Street, Carlisle, PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 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 disdosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only benefidary. 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 decedent's lineal benefidaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)). ~ .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 rndMdual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (6-9. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER George G. Boney, alkla George G. Boney, Jr. 21-04-0545 All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which II Jolntly-owned with right of survivorship mUlt be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NUMBER 1. DESCRIPTION 19 North East Street, Carlisle, PA 17013 ***See Attached HUD-1*** VALUE AT DATE OF DEATH proceeds 1,380.95 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1,380.95 REV-1508 EX+ (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Estate of George G. Boney. alkla George G. Boney, Jr. Include the proceeds of Inigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21-04-0545 ITEM NUMBER 1. M&T Bank DESCRIPTION VALUE AT DATE OF DEATH 2. American Home Bank - Mortgage Escrow Refund 2,170.16 45.43 3. Capital Area Tax Collection Bureau 18.86 4. Kenny's Auction - proceeds of sale of personal property 5. 1997 Chevrolet Cavalier - auction proceeds 4,427.15 1,800.00 127.00 6. Insurance Company of the State of Pennsylvania 7. Capital Area Tax Collection Bureau - Real Estate Tax Refund 821.81 8. U.S. Currency 15.00 9. Miscellaneous items of personal property 3,565.00 10. TIAA CREF (direct deposits) 11. TIAA CREF (death benefit) 612.70 686.58 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert addnional sheets of the same size) 14,289.69 REV-1511 EX+ (12-99. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF George G. Boney. alkJa George G. Boney, Jr. Debts of decedent must be reported on Schedule I. FILE NUMBER 21-04-0545 ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Cremation Society 1,105.00 B. ADMINISTRATIVE COSTS: 1. 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: 2. Attorney Fees 5,500.00 3. 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 4. Probate Fees 250.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 350.00 7. TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 7,205.00 REV-1512 EX+ (12-()3) '*' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABIUTlES, & UENS ESTATE OF FILE NUMBER Estate of George G. Boney, a/kla George G. Boney, Jr. Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, Including un reimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Comcast 24.75 2. Sprint 15.73 3. AT&T 84.18 4. PP&L 105.93 5. UGI 211.87 6. Carlisle Regional Medical Center 504.39 7. Carlisle Regional Medical Center 17 5.54 8. Holy Spirit Hospital 1,106.03 9. Susquehanna Surgeons 77.00 10. Walnut Bottom Radiology 95.40 11. Quest Diagnostics 83.06 12. Central Penn Medical Group 179.20 13. Andrews & Patel 98.40 14. BMC Medicine 12.40 15. Carlisle Regional Medical Center 57.47 16. West Shore Pathology 25.50 17. BMC Internal Medicine 102.00 18. William C. Perry 250.00 19. Fred Killinger 100.00 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 3,308.85 REV.1513 EX+ (9-00) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDU'LE J BENEFICIARIES ESTATE OF George G. Boney, alk/a George G. Boney, Jr. FILE NUMBER 21-04-0545 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 pnclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Susan Horne - 6011 Forrest Lake Court, Acworth, Georgia 30101 Niece Residue Sister Personal 2. Jacqueline Penn - 1 Echota Circle, Rome, Georgia 30165 Property . ENTER DOLlAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET " NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) "". Settlement Statement U.S. Department of HouslllQ and Urban Development ~ ,r OMS No. 2502'()265 B. Type of Loan 1. 0 FHA 4. OVA 2. 0 FmHA 5.0 Conv.lns. 3. 181 Conv. Unins File Number 04-0036 Loan Number 10447654 Mortgage Insurance Case Number C. NOTE:Thls form is fumished to give you a statement of actual setUement costs. Amounts paid to and by the setUement agent are shown. Items marked .p.o.c. were paid outside of closing; they are shown here for informational purposes and are not Included In the totals. D. NAME AND ADDRESS OF BORROWER: Dana A. Quatfrooe:' ..' .. ~'\(:~.:-iL~~nt\t;,l"i~iitr:~~~i . . '.' :.";', .... '. 6O'N.,Ea$t\s"..t,..Carlls/e,'PA17013~.:;'1;:"0{'!fkil~4\'t~h.' Esm" of George G. Boney 19 N. East STreet, Carlisle, PA 17013 . F.. NAM.E AND ADDRESS C)FLENDER:.......,....M~T~~~Qa9~po~~O~.\..::\,1~"i.,: .'. . 'd.','>' ",............,'...! ....;..PA.:.'. ,.......;..,..~,.'\i">~.../l.I.;r,r'.;~..,~.. .' , " : . ;:.': ",,, '~' ,",' ".-: :::. ': ~ ">:."..,{ /.:'-..<t'~" .1', ~...~~ ~~;:.~:~L:,.p::::..,',';,.~t'l.l::j~~.~~1.. .\~.:ri,~~~~}~,',j~. ~~;"tt~~~~;;i\~~~_ .~ G. PROPERTY 19 N. East STreet LOCATION: Carlisle, PA 17013 E. NAME AND ADDRESS OF SELLER: H. SETTLEMENT AGENT: PLACE OFSE1TLEME.~: TIN: I. SETTLEMENT DATE: .,CRSS, Inc. ". " . . '. .;:L.:'~;"~:,\!,.:.,:,.'\ '. :;\ :,,\;{ ,,,\i.~\i;:;'~..i~iy.iM~~~.;~ ~';: " ' , =:'t9h '~'fy~f~~~f.:,fA;,17~!3..?'~~~:;.:;.:::.1;;~:,<f...:;.?\:,;rt;;;~.;~1{'~r;~~p;:~~~~~t?~..I::..' 0B/11/2(}(u I RESCISSION DATE: J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION '100. GROSS AMOUNT DUE FROM BORROWER: '. :400.,GROSS'AM.oUN11:DUe--rr.0'SEltER: 101. Contract Salea Price '. '. ',. ,;.~ '~.. ,; ,';. V ,."';'('S72:000;00 401;.ContractSaI..;pric:8M.lWM>.';~~~':1~,j~!\\i" $72.000.00 102. Personal Property 402.Personalpn)perty 103. Settlements charges to borrower: .' i. ~03. ,~: '::'. ';." ., ~~' ~ ....> . $3,028.80 '.~' . ., . :.'.,.': ;,' ,'. , (from line 1400) . . 104. 404. 105. " ; ,i"';,;'~ . ...... <:~\, .)~~l:(':";~:!;'" ;,,:: . , . '.. .. 405... ,. ,."', . ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: - ~406~Cltyllown Taxel .i '. '.:.0:, ""'; ';:'.to'" 1 06. City/lown taxes to 107. County Taxes 08/11/2004 to 01/01/2005 $137.28 407. County Taxes 08/11/2004 to 01/01/2005 $131.28 108. Assesaments. 08/11/2004'. to' '."07/01/2005 ,. ""$729..00 r408.; ASseuments;,'1~.,:;~:08'11J.12004kl4,"':I;"07/01/2005 $729.00 109. 409. 110. " '. .......,'... ,.(,'.'. '410;;"'.,~>; ,(~ I~.Z;~~. ,:~r7t~~~'l,~.'::I.:::':' f :~:j'~r\~_~:;: "')c.., ~:'ti:.J, ',. 111. 411. 112. "; 412.": :.~.,:.'>" . <'!"';:.,". ' . , . 120. GROSS AMOUNT DUE FROM BORROWER: $75,895.08 420. GROSS AMOUNT DUE TO SELLER: $72,866.28 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: '. '. 500.' REDUCTIONS' IN;AMOUNTJDUI;' TO:SELLER: 201, Deposit or earnest money $3,000.00 501. Excess deposit (see instructions) 202. Principal amount of new Io8n(l) $69,840.00 502~ Settlement Charliel lo'seller'(I1n81400l $6,517.93 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to 204. '. ,. ..... : ~ < :~...,::{ u,;.~,';:t, i. !r_, . '. ,.,' ",. ",'r~ 504:PavOtfOff\rst' , .', 'ioan,:';"Amer1.ean .HClIII8'Ban $59,901.68 205. 505. Payoff of second mortgaae loan AIIIer.ican Home B $4,825.72 206, Electricl Credit: " $240.00 506. :;'Electr1.cl::~Credi.t:;', ,,-1-' $240.00 207. 507. 208. I;' 508. ";'.' 209, 509. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: 210. Clty/lown taxes to 510. Citv/town taxes to 211. County taxes to : .. :.'511. eoUntytaxes ,":'. ' -:- ",to.o' 212. Assessments to 512. Assessments to 213. , ',~:'''. , " .', ..j,-, ;~~:''t513':'' .~:."~',\\':;,,~:;\~'.li,"fl)l4';t:,:'~~'~I';~'~''1!'~~t' ~,:.r.:> ~~" \~ , '" '. 214. 514. 215. " -;:- ,'.' '.8.:,. .',~. :,1,..,', :;~'/;{~~. tiH 515~' .,:\~:;7(:., :':~>:,~ti:' ~"~~:!~?r.;l?';{~' (: ::~~'~ \r~~~:l~C';'l_,'-:~}'~'" '). .. '.' 216. 516. 217. " '. ,. , . . \~ .. h';~:' , <';J~;. ~:';'517:" ~',:_"" '~~ ,,:',~:','~,:-:: i~i:'!~I'~"C~.~~~;>~":':~~; ;.i:'t-~l{\\~~" ~l,''-t" ,,' '".\ 218. 518. 219... , . . . .' .. ~. j,;::~,.,,;,~,<~ :.. 'i;,::'.'l,'<~~ US~51'9: ,,~\.;):~'f:J".~ ~.i, ,,~"\~~H~~:f"'~~~ \~r{~_:"f.<~I~t,,~,,;';~4'...?"~::~~"<" ,'. ... '. 900.1 to 0 $10.52/d8y $84.19 mos. to yra. to yrs.to WI HL N R: 2. 00 monlha 0 $26. 08 per month $52. 16 monlhs C per month months 0 per month 6. 00 monlhs C $29.40 permonlh $176.~0 2.00 mon1ha C!l $68.48 per month $136.96 monlhsC per monlh 1007. mon1ha 0 per month 1008. monlhs C per month 1009. Escrow Adjustment ($117.66) 1100. 1101. Se~1 Ol c:loIing lee 10 1102. AbInc:l Ol tille IMId1to 1103. Tille examlnalion to 1104. TIlle lnelnnCe binder to 110S. Doc:umenI preperation 10 ass $50.00 110l1. Nol"Y 1_ 10 Ca.b $16.00 1107. AlIomey's r_ to Donna L. GodLrey/O'Brien, Baric ,; Scbrer $165.00 $175.00 (InCludes ebove lIems Numbers: 1108. TlUe in"nnce 10 CRSS (IncludeS ebove II..... Number.: 1109. LendeI'. c:overege $69,840.00 ) 1110. Owner'. caver 1111. .Endor.~tlJ 100, 300 ,; 8.1 $150.00 1112. Overni :ht :f~ral' expre.. $15.00 $15.00 1113. incOllling "iring :fee $15.00 1200. 1201. RecoIdlng 1_: $70.50 : Reles... $109.00 1202. Cllylcounly IaxIslamps: Deed $720.00 1203. S_ tu/slempe: 0Md $720.00 1204. Vapor Jet $379.06 A"I'tr "ft. HUl>1 (Rev. 3/11) L. 700. TOTAL SALESIBROKER'S COMMISSION BASED ON PRICE SETTLEMENT.CHARGES" $72,000.00 0 6 %_ $4,320.00 PAID FROM BORROWER'S FUNDS AT SETTLEMENT DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: to . L. J:,bener ,; ~.ociate. to Geo L. J:beI1er , Associate. 701. 702. 703. 704. 705. CommlHlon 1*l81 Mlllemenl 706. 10 10 801. Loen orlginelIon ,.. 802. LOlIft d~ 803. Appr...., ,.. to: $275. 00 P.O.C.) $55.00 $82.00 $12.00 $385.00 $195.00 OMB No. 2S02-G26S PAID FROM SELLER'S FUNDS AT SETTLEMENT $4,320.00 I hllve caierully nMewed the HUD.1 SelUemenl Stalemenl and 10 the besl or my knowledge and beller. II is a true and accurate statement or all receipls and disbursements made on my eccounl or by me a ltansacllon. rther ce that I have received a copy or the HUD-1 SelUemenl Statement. o.~ ~=<< tIrit fK~ Estate 0 George G. Boney Borr'ower: Date: 1.'11'~1 Borrower: Dale: Seller or Agenl: Dale: Bonower: Dale: Seller or Agent Date: Borrower: Date: Seller or Agenl: Date: The HUD.1 Settlemenl Statemenl which I have prepared Is a true and accurale account or thla Itansaclion. I have caused or will cause the funds 10 be disbursed in accordance with thla stalement. Dale: SelUemenlAgenl: ~/~ Dale: ?'III/Or Co on wealth Ity Settleme WARNING: Ilia a crime 10 knowingly make raise statements 10 the United States on this or any olher similar rorm. Penalties upon convlclion can include a fine and Imprison- ment. For details see: Tille 18 U.S. Code Section 1001 and Section 1010. Sep 15 04 03:3310 10.2 m M&I'Bank 499 Mitchell Road, MilIsboro, DE 19966 Mail Code DE-MB.12 Phone (888) 502-4349 Fax (302) 934-2955 September 15, 2004 Law Offices O'Brien, Baric & Scherer 19 West South Street Carlisle, Pennsylvania 17013 Re: Estate of: Geor![e G. Bonev Social Securitv: 247-70-1178 Date of Death: Mav 16. 2004 Dear Sir or Madam: Per your inquiry received September] 0,2004, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Nwnber 95/012357 Ownership (iVames of) George G Boney Opening Date 6/10/02 closed 9/10/04 Ba/ance on Date of Death $2,093.08 $ 0.00 Accrued 1nterest Total $2,093.08 2. Type of Account Savings Account Account Number 015004208226264 Ownership (Names oj) George G Boney Opening Dale 6/18/02 closed 9/10/04 Balance on Date of Death S 77. 08 Accrued l111erest $0.00 Total $77.08 Please be advised, there was no safe deposit box found for the above decedent. For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call the High Street Carlisle Office # 717- 240-4536. Sincerely, ~~! Cio-t4t Nancy Clagett Records Management N W o W m w ~ 00 A. II a co-purchaser other lI1an your 8pOUse Is listed and you want the title to be listed as . Joint Tenants WIth Right 01 Survivorship. (On deall1 01 one owner, title goes 10 survMng owner.) CHECK HERE O. Otherwise. lI1e tiUe will be Issued as "Tenants In Common. (On death 01 one owner, Interest 01 deceased owner goes to hislher heirs or estate). 1ST LIEN DATE: + IF NO LIEN, CHECK 0 SlQHATURE OF PEASON ADMNSTERlNG OAni 1 ST LIENHOlDER STREET CITY STATE ZIP FINANQAL INSTmmoN NUMBER 2ND LIEN DATE: + IF NO LIEN, CHECK 0 ~ ...., ... eppIcIIon IDr c---. 01 rile 10 .. Y'IflIde dncI'tlecI torJ,./J~~~~-;, ~,-- i.pclMnl""'" n.t.. 2ND LIENHOlDER. STREET CITY STATE ZIP C\l (") C\l ...r ~ . ..' \1 ~ ~~" ~ g\ , . g \ ~ ~ \~ ~ i'( 0 .' 0 ~+Ft ~ I "' N ) \) ~ o . o ~ en ctw <t~~C\l 00-0C\l C)r-<"l Oa:'-C';I U1 ::> 4: ~ COO-C\l (/) CJl . ~ :;) a ~ ';: a:CJlt- U14:~ ' _~a:~ '-' g 4: 0- ct.- (.) 0'- o ~ 4. 1 ~\ (a\~ ~t\ ~\\ ~. '5 we:: '>"~~ teo :t." 'I]lf'l''i.Cl 0; \ .. - U'\ U'\ tr ru o r1'I ... r1'I o .. - ~ ru r1'I ru J ... o . ::: a: o u. \ lbt , lilt , M <8 t- ea If) (/) co (/) a: a: ex> :5 t- ~ , (\J ...J C\J (\J 8 C\J I 0 0 .., .0 g ... ~ V'I . . r-- . . . ~ N . ~ N' . . 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U) u (/) '" c .. ~ 8 g- ~ 0 a: ~ ::l ~ w~~~ 0 ~ wf~~ ::t co c - ~ g 0 z a!....~t:- ~ - 0 Z a!....~t:. co V'I .... co Z ~ w c~ J: 8 "t:l ~ ~ ~~5if 8 ~ U 00- 0 1 .. 0 i .. 8 1'i 0 g 1'i 0 , ~ 0 5 w w t: :::1:1&. b :::I:L1. ~o ~o oa: 5 0 oa: ~ 0 ~w ~ :E ~w :E ~~ :>-0 \ w <a: w Q.O :E Q.O :E ~H 9~'~~.OOg..1. at!.,If 'O~ll.i:L.".; 00:;;:- . ~=:; ~ ~. o ~ Ol9.,:n.oos' L ~z~.. ':;r, ...'i'l.;,J~ .')X,c:. Mic ~ i ..... _'...an.. HI 1 I 1 J 11J "l'V H IHI'eIll~~1'W 'I" ~n 1~' 'i'W",W,..,e:tllb1 T I'll 11.1 .-:,.. ~. ~ ~flJtIw ~( -HtiLM.1 KENNY'S AUCTION CARL E. OCKER - OWNER 4401 PHILADELPHIA, AVENUE CHAMBERSBURG, PA 17201 PH. (717) 264-6578 MANUFACTURERS. TRADERS TR CO ALLENTO~.PA18103 60-831313 22334 9/Jle~ ~~ra-e- ,y.,,~ hll~O~ Es till t (. I $ 1:J~t:J" Q~ ~o/_ ~ .. ~ ~I,J (?) 5 UIO 2 2:1 :I 1.11' -:0:1 ~ :1008 :I"': ~4%2~ :I :158 q ~ "8'" III' rMfTU) 1 ILl~Ll ILl ILl I" M& U ria In Ill, fll 11 ~ fllt IlUJu>~~rIU r '1 ILl ..a~u a& lIar~ III QuantitY Description Value Total 1 Bose Wave Radio $ 150.00 $ 150.00 10 Wooden side chairs $ 50.00 $ 500.00 1 Slant top desk $ 300.00 $ 300.00 1 Round dinning room table $ 175.00 $ 175.00 1 Round end table $ 75.00 $ 75.00 2 Rectangular end table $ 65.00 $ 130.00 1 Bedroom dresser $ 150.00 $ 150.00 1 Rocking chair $ 100.00 $ 100.00 1 Childs rocking chair $ 125.00 $ 125.00 1 Twin bed headboard $ 80.00 $ 80.00 3 Metal tray $ 25.00 $ 75.00 1 Snow sled $ 30.00 $ 30.00 1 Small book case $ 25.00 $ 25.00 1 Coffee table $ 95.00 $ 95.00 2 Small mirror $ 15.00 $ 30.00 6 Framed painting $ 50.00 $ 300.00 8 Framed photograph $ 25.00 $ 200.00 2 8 Place setting - dishes $ 85.00 $ 170.00 9 Glass & china figurine $ 15.00 $ 135.00 1 Rose medialion punch bowl $ 500.00 $ 500.00 1 Silver plate tray $ 50.00 $ SO.OO 1 Stainless steel flatware $ 50.00 $ SO.OO 8 CrvstaI Qlassware $ 15.00 $ 120.00 Total- estimated value $ 3,565.00 Miscellaneous personal; photos and papers no value BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BDX 280601 HARRISBURG PA 17128-0601 :Vf'" , ':l....\~.., ' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ;',": Iy,:,niJlQ1\ICE OF INHERITANCE TAX J:"A~~""ilT, ALLOIlANCE OR DISALLDIIAIICE OF DED~TIONS AND ASSESSNENT OF TAX 7flrr; <(tV ';0 PI"l!?: ll3 ",'",-,u rldl t... ..... DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN elm< OF OR....;Ji\I\_\'~ r'rf p" (rh''.l'! v I-J'__'"_-" II MICHAEL A SCHERER C04' OBRIEN ETAL 19 W SOUTH ST CARLISLE PA 17013 05-23-2005 BONEY 05-16-2004 21 04-0545 CUMBERLAND 101 haunt R...i tted '* REY-lS~7 EX AFP (03-05) GEORGE G MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ UV-"t!~"'rf.~.M~'1I!'.1ftI't\'l!J!.!II!'.!MftIt'n'~FlW.m.l'tl\fltlTftMM1':.TCtW~FlW.llTr.............. ... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX GEORGE G FILE NO. 21 04-0545 ACN 101 ESTATE OF BONEY TAX RETURN liAS: ( I ACCEPTED AS FILED ( X I CHANGED SEE DATE 05-23-2005 ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Est.t. (Schadul. A) 2. stocks and Bonds (Schedule BJ 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets III (2) (3) (tjl (5) (61 (7) APPROVED DEDUCTIONS AND EXEMPTIONS: 9~ Funeral Expenses/A~. Costs/Misc. ExPenses (Schedule H) 10. Debts/Mortgage Llabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Govern-.ntal Bequestsj Non-elected 9113 Trusts (Schedule JJ 14. Net Value of Est.t. Subject to Tax (9) (10) 1.380.95 .00 .00 .00 14,289.69 .00 .00 (81 7,205.00 I~ an asseSsMent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ~ returns assessed to date. ASSESSMENT OF TAX: IS. A~t of Line 14 at Spouse1 rate (IS) 16. ~ount of Line 14 taxable at Lineal/Class A rate (16) 17. Aoount of Line Itj .t Sibling rat. (17) 18. Amount of Line 14 taxable at Collateral/Class Brat. (18) 19. Principal Tax Due NOTE: 3.308.85 1111 1121 (13) Iltjl .00 .00 3,565.00 1,591.79 X 00 = X 045 = X 12 = X 15 = T"X "D"DTT": ..." (.) AKOUNT PAm DATE _BER INTEREST/PEN PAID (-I 03-09-2005 CD005037 1.91- 668.47 TOTAL TAX CREDIT 666.56 BALANCE OF TAX DUE .00 INTEREST AND PEN. .01 TOTAL DUE .01 ~ . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAVIIENT IS REl/UIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU KAY BE OUE A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS.) NOTE: To insure proper credit to your account, sub.i t the upper portion pf this for. with your tax paYllant. 15,670.64 10.513 81; 5,156.79 .00 5,156.79 (19)= .00 .00 427.80 238 . 77 666.56 REV-1470 EX (6-88), '* INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER Boney, George G. 2104-0545 REVIEWED BY ACN Daniel Heck 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES E Total on Schedule E was not correctly carried forward to recapitulation page. ROW Page 1 . FAMILY SETTLEMENT AND FINAL RELEASE IN THE ESTATE OF GEORGE G. BONEY ~-, C:l c;:-;-:J <..:1"1 ESTATE NUMBER 21-04-0545 o KNOW ALL MEN BY THESE PRESENTS, that: :r:, ,,0 WHEREAS, George G. Boney, late of Cumberland County, Pennsylvania, di~ testate on May 16, 2004, having first made his last Will and Testament which was duly executed on April 30, 2004: and, WHEREAS, the said last Will and Testament named Howard Haney and Elizabeth Haney Executors of his last Will and Testament; and, WHEREAS, the said Executors renounced their right to serve as Executors in favor of having Michael A. Scherer, Esquire, serve as Executor; and, WHEREAS, Letters Testamentary were duly issued by the Register of Wills of Cumberland County, Pennsylvania to Michael A. Scherer, Esq, on June 10th, 2004; and, WHEREAS, the Executor haas gathered the assets of the estate of the said decedent and the assets consisted of real estate, an automobile, a bank account and various other items of tangible and intangible items of personal property, to a total value of $14,409.31, as set forth in the Statement of Account of Executor which has been attached hereto as "Exhibit A"; and, WHEREAS, the debts and deductions of principal, including the payment of Pennsylvania Inheritance Tax in the said estate, have been made leaving a balance for distribution of $2,653.96 as set forth in "Exhibit A" attached hereto; and, WHEREAS, the balance for distribution has been reduced to cash and is available for distribution in accordance with the terms of the last will and testament of the said decedent. 7J f"n (J ~:.::) .. '~ __' (33 ';:~~ ----n , ~:~~ RI. , . NOW, THEREFORE, KNOW YE, that we, being all of the beneficiaries of George G. Boney, do hereby each of us, acknowledge that we have this day agreed to receive from the aforesaid personal representative, in full satisfaction and payment of all sum or sums of money, legacies, bequests, and devises as are given, devised and bequeathed to each of us respectively by George G. Boney, due to us under his said Last Will and Testament, the sum of $2,653.96, which amount I will receive when each heir has executed this document. AND, each of us does hereby stipulate that in order to avoid the expense and time involved in the filing of a formal account and schedule of distribution, we each agree that no account is necessary and we do hereby agree that we do consent to distribution being made without the filing of an account and schedule of distribution, the same to be with the same force and effect as if they had been filed and confirmed by the Orphans' Court Division of the Court of Common Pleas of Cumberland County; THEREFORE, we and each of us, do hereby remise, release, quitclaim and forever discharge the said personal representative, heirs, executors, and administrators and assigns of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever, touching upon the estate of the said decedent, and each of us do further hereby covenant and agree that should any liability come due to the estate of the said decedent after the signing of this agreement, we and each of us do hereby covenant and agree with each other and the aforesaid personal representative, that we will contribute pro-rata, our share of the estate to satisfy any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the said estate or the aforesaid personal representative after the signing, sealing and delivery of this family settlement agreement and final release. IN WITNESS WHEREOF, we have hereunto set our hands and seals the day and year below written opposite our respective names. (} -<'Jj /1 g .t...~~ ~-r--'- /// Uacqueline Penn (SEAL) du/~~ ~u Susan Horne (SEAL) STATE OF GEORGIA COUNTY OF 1-~odL On this, the -3 day of ~ ' 2005, before me, a Notary Public, the undersigned officer, personall appeared Susan Horne (known to me or satisfactory proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. SS. IN WITNESS WHEREOF, I hereunto set my hand and official seal. cf!;~ ~. Clfy-e cl~ ... ,~. STATE OF GEORGIA SS. COUNTY OF On this, the .3 day of 1) ~ , 2005, before me, a Notary Public, the undersigned officer, personally appeared Jacqueline Penn (known to me or satisfactory proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. " !r--j/ ~ ,9. ~ 01-<--0 '--1 )~@l~i!sry ~~tJ~~c. :,~~.",g1ili ~11 C~lIii.t.liiillliWill ElXpir~.:iiliit1 :U.lM STATEMENT OF ACCOUNT OF EXECUTOR, MICHAEL A. SCHERER IN THE ESTATE OF GEORGE G. BONEY SUMMARY Principal Receipts Principal Disbursements Disbursements to Beneficiaries 14,409.31 11,755.35 0.00 Total Principal 2,653.96 Income Receipts 0.00 BALANCE AVAILABLE FOR DISTRIBUTION Proposed Distribution Susan Horne 2,653.96 "EXHIBIT A" PRINCIPAL RECEIPTS 1. Automobile sale proceeds 2. Personal property auction proceeds (Ocker) 3. Proceeds from real estate sale 4. CATCS: real estate tax refund 5. Mortgage escrow refund: American Home Sank 6. Personal property auction proceeds (Ocker) 7. Cash 8. Tax refund: CATCS: 2003 local tax 9. M & T Sank proceeds 10. Auto insurance refund 11. TIM Cref: retirement 12. TIM Cref: retirement 13. Carlisle Hospital refund 14. 2004 Federal Income Tax refund 15. 2004 Local Income Tax refund 16. Erie Insurance refund: real estate 17. Mercer Trust: Kohl's retirement 1,800.00 2,927.15 1,380.95 821.84 45.43 1,500.00 15.00 18.86 3,330.97 127.00 234.51 452.07 504.39 793.00 5.91 217.00 235.26 TOTAL: 14,409.31 PRINCIPAL DISBURSEMENTS Debts Of Decedent 1 . Com cast Cable 2. Sprint: local phone 3. AT & T: long distance 4. P P & L: electric 5. UGI: gas 6. Carlisle Regional Medical Center 7. Carlisle Regional Medical Center 8. Holy Spirit Hospital 9. Susquehanna Surgeons 10. RPC Associates Radiology 11. Quest Diagnostics 12. Central Penn Medical Group 13. O'Brien, Baric & Scherer: medical bills 14. BMC Medical Administrative Expenses: 1. Cremation: Douglas Horne 2. William C. Perry: loan repayment 3. Pennsylvania Inheritance Tax 4. Filing fee: Register Of Wills 5. Stott & Stott: income tax preparation 6. O'Brien, Baric & Scherer: attorney fees 7. Register of Wills: estate opening fees 8. The Sentinel: advertising 9. Cumberland Law Journal: advertising 10. Overnight mail: renunciation form 11. Register of Wills: short certificate/ family settlement agreement TOTAL: TOTAL: 24.75 15.73 84.18 105.93 211.98 504.39 175.54 1,106.03 77.00 95.40 83.06 179.20 193.77 102.00 2,958.85 1,105.00 250.00 668.47 17.00 400.00 6,000.00 91.00 156.83 75.00 9.20 24.00 8,796.00 TOTAL EXPENSES: 11,755.35 PROPOSED DISTRIBUTION Jacqueline Penn Susan Horne personal property $2,653.96 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/29/2006 SCHERER MICHAEL A 19 WEST SOUTH STREET CARLISLE, PA 17013 RE: Estate of BONEY GEORGE G File Number: 2004-00545 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: 5/16/2006 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, G~~~ 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 SCHERER MICHAEL A 19 WEST SOUTH STREET CARLISLE, PA 17013 RE: Estate of BONEY GEORGE G File Number: 2004-00545 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: 5/16/2006 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) .<<1 ..~ :: e , Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 N f 0 d t George G. Boney ame 0 ece en : Date of Death: May 16, 2004 Estate No.: 21 040545 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: I . State whether administration of the estate is complete: Yes 0 No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 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 0 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. ~ft- Signature Date: April 1 0, 2006 Michael A. Scherer, Esquire Name 19 West South Street Carlisle, Pennsylvania 17013 Address (717) 249-6873 Telephone No. 8S 01 Capacity: 0 Personal Representative o Counsel for personal representative GP