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HomeMy WebLinkAbout04-0574Estate of also known as Register of Wills of PETITION FOR GRANT OF Cumberland County, Pennsylvania LETTERS , Deceased No, Social~SeCurity i~. /5¢-2~ ~7]/J (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letter,seed aver that Petitioner(s) is/are the executo~ Decedent, dated /VoV~-~,¢.. /~,~ I~ / and codicil(s) dated named in the Last Wdl of the Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration Petitioner(s) after a proper search has/have ascertained that Decedent left rio Will and was surwved by the following spouse (if any) and heirs: Name Relationship Residence J (COMPLETE IN ALL CASES:) Attach additional heetsif necessary, Decedent was..)do...mi..ciled/at death in _C~/'P/GFY~ C~.~ ~-~ County. Pennsylvan,a. ~'lh h's/her last ,am,ly or pr,pc,p&l Decedent at death owned property w~th estimated values as follows: {If domiciled in PA) All personal property ........................... s ~o0. (If not domiciled i~ P~) P~rsonal ~rop~rty m P~n~sylvania .................... (If not domiciled in P~) P~rso~al property in County .......................... Valu~ of r~l ~st~t~ i~ P~nsylvani~ .............................................. ~eal Esl~le ~lt~(~d ~s follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented w~th this Petition and [he grant of letters ~n the appropriate form to the undersigned: Signature Typed or printed name and residence Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estat~ according to lav~. _ ~ ~/ / '/ / .~ , /111~ Sworn to and affirmed and subscribed ~.J~/~~~ ----~ .~ /F/TH v DECREE OF REGISTER Social Security AND NOW, ~..~"[J~.k,/ Deceased No. Date of Death: ,,'~ff/P/(... ~% Z.~/-~ 20 in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters,~ Testamentary [] of Administration are hereby granted to in the above estate and that the instrument(s), if any, dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........................... $ Short Certificate(s).....~..... $ Renunciation .................. $ Affidavit ( ) ................. $ Extra Pages ( ) ............ $ Codicil .......................... $ JCP Fee ........................ $ Inventory & Tax Forms... $ Other ............................ $ TOTAL ................ $ (6. ~ Attorney: ~d),~'/J' J, /~;7/>7Z~/,-Aj.j' I.D. No: ~'~/q ~ Address: .~ Telephone: DATE FILED: REGISTER OF WILLS OF CUMBER~,A~D COUNTY OATH OF SUBSCRIBING WITNESS SUSAN H. GOODRiDGE (e~ a subscribing witness to the will presented herewith, (o~xl~) being duly qualified according to law, depose(s) and say(s) that I was present and saw Esther June Wotring the testat rix request of testat other subscribing witness(es)). Sworn to or affirm, gd, a~sd subscribed before me this'F'r,~ day of ,.J~ _ _~ ~ 2004 Marlin R. ~, ~ P~ [ ~ C~mi~ ~ ~. 14, ~ ~ , sign the same and that I signed as a witness at the rix in her ' presence and (ir~~xffmm~lt~) (in the presence of the an,~, Goodridge ~J~ .1.39. Easte.rly ~rive mecnanlcsDurgr PA 17050 (Address) (Name) Member, Pennsylvania Association Of Notaries (Address) '"REGISTER OF WILLS OF .4 4~,c~h COUNTY ~- OATH OF NON-SUBSCRIBING WITNESS -_~ (eac~ su~criber hereto, (each) being duly qualified according to law, depose(s) and. say(s) that familiar with the signature of ~'t/',~-~,~ testato~ of ne~ tee subscribing, :;'"tnzzzes to) the ~ will~/ presented herewith and ---~odicil that believes the signature on the will is in the handwriting of testat believes the signature of the will presented herewith and that believes the sign~,ture co,,q~fl . on th~.,As in the handwriting of ~'~_~.~4,t- 4/., ;f..,~k to the best of ri )~1' nfnowledge and belief. Sworn to or affirmed and subscribed before 'Nj[.;~) me this I~ day of ,,~ (Name~ (Name) (Address) i~is is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Ix)cai R,egistrar. The original certificate will be forwarded to the State Vital Records Office for permanent ~iling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 10040G27 No, Date 143 Rev ~'87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH ° VITAL RECORDS CERTIFICATE OF DEA NENT NAME OF DECEDENT {FirtI. Middle, LaM) Esther d. Wotring IsEx Female~^LSS~NU~ 9730 Cumberland East Vennsboro I-. 0/g ,5P,:7, / ~oz'y, 2~ / I~.~'""~"~'" ' = ..... ~ Health Care ~..~ m~x ~.~-,~ ~""~ ~ ' ' ' =~e~ Howard A. Wotring, ,!~.- I-~. ~. ~.-,~ 1 IH- DEC~ENT'S~NLt~ESS(St~,O~n. Sam ZipS) ~CE~NPS ~a. 06 Linde Drive [~CT~t ~Z~ Sm*.,, Mechanicsburg Pa. 17055 [(~ ~.~ "" ~ ~"' ~"~ m ~*' ' [~ ~m.~, Cumberland ~.~ ~..~ ~,~ Mechanicsburg -. Peter Rushow MOT~S ~ME (R~ ~, M~ S~imi c~y~O ~.~O.~.VS.~.E (~y~.m) ~ Mydle Brain ,.P'- Howard A. Wotring, Jr. ~.~o.~.vs ~5~ ~slm~.9~.~. s~.. ~ ~)  ~ErHO00~ mS~T~ ~. ZUO LlnOa Unve Mechanic[burg, Pa. 17055 SIONe~ ....... ~ - · 12~a. ~way 4 z0~ 2~c. no, .,'u -~,.e,, M~mo, al P~rk ~.. Camp Hd, Pa. 17011  eu~E E I I~C ~ ~R ACTI~ AS S~H LICENSE NUMBER ~. Myers Funeral Home, Inc. 37 East Main Street ~chanicsburfl, Pa. 170 ,.R.'30 P .I-. ( Im,?,[ .3o~ ,~ov,:( ,..D ,o~. ............. ' ............ ""' Yes ~ No ~ Yes D No ~ S .... D C .............. ~ ~ ..... ~,) TlON (S,.t. City.own. State} ~ ' _/ / ~ ~ I , ~TE FILED (M~y. Y~) . - LAW OFFICE-~ MARLIN R. McCALEB LAST Wll.l. AND TESTAMENT I, ESTHER JUNE WOTRING, of the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor or Executrix, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give and bequeath my jewelry, my crystal, and my_;personai' belongings unto my daughter, SUZANNE ELLEN SPRANDEL, absol~elY, if she survives me. --. THIRD. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, unto my husband, HOWARD ARTHUR WOTRING, JR., absolutely and in fee simple, if he survives me for a period of thirty (30) days. FOURTH. If, however, my husband, HOWARD ARTHUR WOTRING, JR., shall predecease me or fail to survive me for a period of thirty (30) days, then and in that event I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, in equal shares unto my children, namely: SUZANNE ELLEN SPRANDEL, MICHAEL LAW OFFIC E~ MARLIN R. ~N/IcCALEB ARTHUR WOTRING and PETER ANDREW WOTRING, share and share alike, absolutely and in fee simple. Should any of my children predecease me leaving lawful issue to survive me, then I order and direct that the share which such deceased child would have received had he or she survived me shall be distributed unto his or her said lawful issue per stirpes, said issue to take the ancestor's share by representation and not per capita. FIFTH. I nominate, constitute and appoint my daughter-in-law, WENDY L. WOTRING, Guardian of any property which passes either under this Will or otherwise to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so. Such Guardian shall serve without bond and shall have the power to use principal as well as income from time to time for the minor's education, support and welfare without regard to the ability of said minor's parents to provide for such education, support or welfare; or to make payments for these purposes without further responsibility to the minor, the minor's parents, or to any person taking care of the minor; or, in the event the funds held by the Guardian for any minor become, in the opinion of the Guardian, too small for proper and efficient administration, to deposit such funds in an interest-bearing account on behalf of the minor. If for any reason WENDY L. WOTRING shall fail to qualify as such Guardian or cease so to serve, then [ nominate, constitute and appoint my son-in-law, HENRY A. SPRANDEL, to serve in -2- [_AW OFFICE_~; MARLIN R. M¢CALEB her place and stead, each to serve without bond in this or any other jurisdiction. LASTLY. I nominate, constitute and appoint my husband, HOWARD ARTHUR WOTRING, JR., Executor of this, my Last Will and Testament, but if for any reason he shall fail to qualify as such Executor or cease so to serve, then I nominate, constitute and appoint my daughter, SUZANNE ELLEN SPRANDEL, to serve in his place and stead, each to serve without bond in this or any other jurisdiction. IN WITNESS WHEREOF, I, ESTHER JUNE WOTRING, have hereunto set my hand and seal to this, my Last Will and Testament which consists of three (3) typewritten pages to each of which I have affixed my signature this /J~' day of ,~d~~t," , A.D., One Thousand Nine Hundred Ninety-One (1991). The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by ESTHER JUNE WOTRING, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. -3- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Admin No: To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphans" Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on ("~ - 2 ~ ,'- C> ~ · SalTle Address Notice has now been given to all persons entitles thereto under Rule 5.6(a) exCePt: (Signature) Address: Telephone Capacity: Personal Representative Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 004140 AHRENS THOMAS J ESQUIRE 5521 CARLISLE PIKE MECHANICSBURG, PA 17050 ........ fold ESTATE INFORMATION: SSN: 159-28-9730 FILE NUMBER: 2104-0574 DECEDENT NAME: WOTRING ESTHER JUNE DATE OF PAYMENT: 07/08/2004 POSTMARK DATE: 07/08/2004 COUNTY: CUMBERLAND DATE OF DEATH: 04/30/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $321.61 REMARKS: TOTAL AMOUNT PAID: $321.61 SEAL CHECK# 1042 INITIALS: JA RECEIVED BY: GLENDA FARNER STIRASBAUGH REGISTER OF WILLS REGISTER OF WILLS OMMONWEALI~I OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY iFILE NUMBER 21 COUNTY CODE 04 0574 YEAR NUMBER 0 DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) Worting, Esther June DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) SOCIAL SECURITY 159-28-973 THIS RETURN MUSl 04/30/2004 i 04/13/1932 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) REGI SOCIAL SECURITY Wetting, Jr., Howard A 200-22-5 [] 1. Odginal Return -~21-' SupPlemental Return ....... ~ 3. Remainder ,etun [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) [] 5. Federal Estate [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 8. Total Number ( of Will) copy of Trust) -- [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between [] 11. Election to tax 12.31-91 and 1-1-95) _~_.-~- I)~ - ~- ::~ ::,, ~-~-~-,~ ~ ..... . NAME COMPLETE MAILING ADDRESS Thomas J. ^hrcns FIRM NAME (If applicable) 5521 Carlisle Pike Ahrens Law Offices, P.C. Mechanicsburg, PA 17055 tELEPHONE NUMBER 717/697-1800 1. Real Estate (Schedule A) (1) Non~/ 2. Stocks and Bonds (Schedule B) (2) No ne 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None 4. Mortgages & Notes Receivable (Schedule D) (4) No n e 5. Cash, Bank Deposits & Miscellaneous Personal Properly (Schedume E) (5) 3 2,9 7 3.4 5 6. Jointly Owned Property (Schedule F) (6) None [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 24,764.73 (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 4,65 2.0 0 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) ~IUMBER BE FILED IN DUPUCATE WITH THE STER OF WILLS qUMBER 12 (date of death prior to 12-13-82) Tax Return Required f Safe Deposit Boxes Jnder Sec. 9113(A) (Attach Sch O) (8) OFF!CIAL USE ONLY (11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 57,738.18 4,652.00 53,086.18 53,086.18 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, 45,5 63 1 6 or transfers under Sec. 9116(a)(1.2) ........ ~' _ x .00 x .045 x .12 x .15 16.Amount of Line 14 taxable at lineal rate 7,523.02 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due (13) (14) (15) (16) (17) (18) (19) 20. [] Copyright 2000 form software only The Lackner Group, Inc. Form 0.00 338.54 338.54 ~EV-1500 EX (Rev. 64)0) 'Decedent's Complete Address: tSTRI~T ADDRESS ZIP i17055 206 Linda Drive Mechanicsburg I STATE PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty 16.93 (1) Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 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) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 338.54 16.93 0.00 321.61 321.61 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; ........................................................................... ~ ~] b. retain the right to designate who shall use the property transferred or its income; ............................ c. retain a reversionary interest; or ........................................................................................................... d. receive the promise for I fo of either payments, benef ts or care? .............. 2. If death occurred after December 12 1982, did decedent transfer property within one year of death without receiving adequate cons derat on'~ ~--] 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 desienation'~ ' IF THE ANSWER TO ANY OF THE AB;VE QUESTIONS'IS'YES"YOU'MUST'COMPLETE'SCHEDULEG'AND'F;~;'i~-*"'""'"*'""- '"*""'""'" **'"'""' '"'"'"'"'""'" '*"'"'""'"'"" "' "'"'" "-'"'* A~PPART ~JF THE RETURN. Under penalties of perjury, I declare that I have e~n~i.ed this return, including accompanyingpreparer hasSChedulesany knowledge.and statements, and to the best of my knowledge and belief, it i/*-,~true, correct and complete. Declaration of preparer other than the personal representative is based on all information of whiCh '~ / SIGNATUJ~E OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE ~IG'eNATURE OF PER~ON RESPON-SIBL~ ~)R--F~ --A~DRES~ ~IGNATURE OF PREPA~fi~R~HAfi R~E~NfATIVE A~bD~SS Thomas J. Ahrens 5521 Carlisle Pike DATE Mechanicsburg, PA 17055 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 ~ ' 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 surv lng 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 requiren ,ents 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 fo~ 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 no 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 decedenrs 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 adoplion.l DATE 7-/ the use of a natural :ed in 72 P.S. §9116 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Worting, Esther June SCHEDULE E CASH, BANK DEPOSITS,& MISC. PERSONALPROPERTY FILE NUM! 21- Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-or survivorsh,p must be disclosed on schedule F. tER 4 - 0574 rned with the right of ITEM NUMBER DESCRIPTION Wachovia CAP Account # 9620345777 Wachovia Investment Account # 87770112 Jewelry, crystal & misc. personal belongings TOTAL (Also enter on Line 5, Recapitulation) VALUE AT DATE OF DEATH 2,206.68 30,016.77 750.00 32,973.45 COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Worting, Esther June FILE NUM'ER 21 'i 04 - 0574 ITEM NUMBER This schedule must be completed and filed if the answer to a~ny of questions 1 throu DESCRIPTION OF PROPERTY Include the name of the transferee, their relationship to decedent and the date of transfer. DATE OF DEATH Attach a copy of the deed for real estate. VALUE OF ASSE' Annuity at Wachovia Securities, beneficiary is 3 grandchildren, equally IRA at Wachovia Securities, beneficiary is spouse, Howard A. Worting, Jr. 6,773.02 17,991.71 % OF DECD'$ INTEREST 100% 100% TOTAL (Also enter on line 7, Recapitulatior TAXABLE VALUE 6,773.02 17,991.71 24,764.73 COMMONWEN.~-I OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Worting, Esther June FILE NUMBER 21 -~)4 - 0574 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION Bo ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Ahrcns Law Offices, P.C. Family Exemption: (If decedenrs address is not the same as claimant's, attach explanation) Claimant Howard A Wotring, Jr. Street Address 206 Linda Drive City Mechanicsburg Relationship of Claimant to Decedent Probate Fees Register of Wills State PA Zip 17055 Spouse Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs PA Inheritance Tax filing fee AMOUNT 1,500.00 3,000.00 137.00 15.00 TOTAL (Also enter on line 9, Recapitulation) 4,652.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Worting, Esther June FILE NUM*ER 21 -!04 - 0574 NUMBER II. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) Howard A. Worting, Jr. 206 Linda Drive, Mechanicsburg, PA 17055 Suzanne Ellen Sprandel 1182 Wintertide Drive, Harrisburg, PA Christina M. Sprandel 1182 Wintertide Drive, Harrisburg, PA Rebecca S. Sprandel 1182 Wintertide Drive, Harrisburg, PA Nicholas P. Worting 10 Pleasant Acres Drive, Fairmont, MD RELATIONSHIP TO DECEDENT Dn N~t UIt Spouse Daughter Granddaughter Granddaughter Grandson / Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover s~eet NON-TAXABLE DI,~ ~IBUTIONS: 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 - EN'~ ~-~ TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE T AMOUNTORSHARE OF ESTATE Residue & remainder of Estate + IRA 750.00 2,257.67 2,257.67 2,257.68 First 4101/2004 thru 4130/2004 ACCOUNT STATEMENT 000409 2 3DG 2 ***AUTO**3-DIGIT 170 I,,,lll,.lll,.,I,I,,I,h,,ll,.,ll,,I,II,,hlh.,.Ih,,,I,II ESTHER J NOTRING 206 LINDA :DR MECHANICSBURG PA 17055-3128 For Investment guidance or service Call your Financial Advisor, MARK STRUBE, at (888) 243-1422 CAP Account number: Investment Account number: 9620345777 87770112 I PA R P For Client Services call (888) 213.1353 Or write to: CAP Dgpartment One W~chovia Center Charlotte NC 28288-1164 Account Overview Asset & Earnings Summary Type of Asset FDIC Insured Evergreen Treasury Investment Portfolio: Cash Money Market Mutual Funds Stocks and Options Bonds Mutual Funds ,~ Previous Market market value value 4130 2,256.34 2,206.68 0.00 0.00 Percent learnings of assets ~is month 3.9% / 0.34 31,154.55 30,016.77 52.7% 2.109 1 9620345777 Investment Portfolio Subtotal 31,154.55 30,016.77 "7 Annuities (last reported value) 6,750.66 ' 6,773.02 ' .( Retirement J~ ~ ~-'h ,---- 18,650.44 17,991.71 / Total $ 58,811.99 $ 56,988.18 ' Contract Value. Surrender charges for early wflhdrawal may reduce cash value. 11.8% 31.6% 100.0% I Not Insured by FDIC or Any I May Lose Value Federal Government Agency I Not a Deposit of or Guaranteed I by the BanL- or Any B_anlt Affiliate I Earnings this year 1.63 0.06 3.75 41.26 3.75 41.26 Brok, era~,, ~,~,r~.ices _al_e off. ere~. through Wachovia Securities, LLC, a registered broker-dealer, member of the NASD, and separate non oan~ nmhate o£ Waehov~a Corporation. Brokerage accounts are carried by Fu'st Clearing, LLC, member[NYSE and SIPC. r~ed.~.a~nmti~ are offerR~.t~.ugh~,.,m~ur, anc.e ~a?h~tes o£ Wachowa Corporation. Var/able annuities are offered through Wachovia oecurtues ana msurance n.ttttmtes o~ wacnovla L;orporation. I 000409 1221g0434003 NYYN NNNNNNNN 000001 page 1 of 6 Ahrens Law Offices, P.C. Carlisle Pike ~,W ~- -t~chanicsburg, PA lift50 ~.: 2002 20CLC... 1701%- Sg67 REGISTER OF WILLS OF CUMBERLAND COUNTY COMMONWEALTH OF PENNSYLVANIA IN RE: ESTATE OF Esther J. Wotring * NO. 2004-0574 Name of Decedent: Date of Death: Will No.: 2004-0574 STATUS REPORT UNDER RUI,E 6.12 Esther J. Wotring April 30, 2004 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 X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: o If the answer to No. 1 is Yes, state the following: a. bo Did the personal representative file a final account wi~ the Cou~ Yes No X c~ m The separate Orphans' Court No. (if any) for the personal represe~0tative,s account is: v,~ i~; . .~ Did the personal representative state an account infomally to the pa~ies in interest? Yes X No Date: d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Signature Thomas J. Ahrens, J.D. Name (Please type or print) 5521 Carlisle Pike Mechanicsburg, PA 17050 Address {717)69%1800 Telephone No. Capacity: X Personal Representative Counsel for Personal Representative BUREAU OF INDTVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1647 EX AFP '04 SEP 15 ,~8:25 THOHAS J AHRENS 5521 CARLISLE P~K~: MECHANTCSaURG ~PA: 17050 DATE 09-1q-ZOOq ESTATE OF WOTRING DATE OF DEATH 0q-$0-200~ FILE NUMBER 21 0~-057~ COUNTY CUMBERLAND ACN 101 I Amount Remitted ESTHER J MAKE CHECK PAYABLE AND REMIT PAYMENT TO.' REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 1701:5 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-15q? EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WOTRING ESTHER J FILE NO. 21 Ofi-O57q ACN 101 DATE 09-1q-ZOOfi TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. S~ocks and Bonds {Schedule B) $. Closely Held Stock/Partnership Interest (Schedule C) ($) q. Mortgages/Notes Receivable (Schedule D) (q) $. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expansos/Adm. Costs/H/sc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 15. lq. Charitable/governmental Bequos*s; Non-elected 9115 Trusts (Schedule J) Nat Value of Estate Subjac~ to Tax :52 ~97:5.q5 .00 .00 NOTE: To insure proper .00 credit to your account, .00 subeit ~he upper portion .00 of this form with your ~ax payment. Zq~76q.7:5 (B) q,652.00 .O0 NOTE: 57,7:58.18 (11) (~ .&;2. oo (12) 5:5,086.18 (ts) . O0 (1~) 55,086.18 If an assessment was issued previously, 1/nes lq, 15 and/or 16, 17, reflect flgures that lnclude the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line lq at Spousal rata 16. Amount of Line lq taxable at Lineal/Class A ra~a 17. Amount of Line lq at Sibling rata 18. Amount of Line lq taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: PAYMENT RECE/PT DISCOUNT DATE NUMBER INTEREST/PEN PA/D (- 07- 08-200~ CDOO~lqO 16 . 9:5 18 and 19 will ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULAT/ON OF ADDITIONAL INTEREST. (15) q5,56:5.16 x O0 = .00 (16) 7,52:5.02 x Oq5 = $58.5q (17) . O0 x 12 = . O0 (18) .00 x 15 = .00 (19)= 338.5q AMOUNT PAID :521.61 TOTAL TAX CREDIT $$8.5q BALANCE OF TAX DUEI .00 INTEREST AND PEN. .00 TOTAL DUE .00 TOTAL DUE ZS LESS THAN $1, NO PAYMENT IS REQUIRED. TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~ L~ ' RESERVATION: Estates of decedents dying on or before December 12, 19DZ -- if any future interest in the estate is transferred in possession or enjoyment to Class D (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Comaoneealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the 1aclu1 Class D (collateral) rate on any such futura interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act 23 af ZOO0. (72 P.S. Section 91q0). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Make check or money order payable to: REGISTER OF NZLLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, amy be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications ere available at the Office of the Register of Nills, any of the 23 Revenue District Dfficas, or by calling the special Zq-hour answering service for fores ordering: 1-B00-362-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-q47-30ZO (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax [including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. gDlOZ1, Harrisburg, PA 171ZD-1Ogl, OR --election to have the matter determined at audit of the account of the personal representative, OR --appea! to the Orphans' Court. Factual errors discovered on this assessment should be addressed in ariting to: PA Department of Revenue, Bureau of Individua! Taxes, ATTN: Post Assessment Review Unit, Dept. lBO601, Harrisburg, PA 17IZB-0601 Phone (717) 787-6SOS. See page S 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 (S2) discount of the tax paid is allowed. The 152 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 16, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tiaa 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 one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate ehich ail1 vary from calendar year to calendar year with that rata announced by the PA Department of Revenue. The applicable interest rates for 198Z through Z004 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ 20Z .000548 T~-1991 11z .000301 2001 9Z .000247 1983 162 .000q38 1992 92 .0002q7 Z002 62 .00016~ 1984 112 .000301 1993-1994 72 .000192 Z003 52 .000137 1985 132 .000356 1995-1998 92 .0002q7 ZOOq 4X .OOOllO 1986 IOZ .000Z74 1999 72 .000192 1987 102 .000274 ZOO0 72 .000192 --Interest is calculatmd as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELZNilUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation data shown on the Notice, additional interest must be calculatmd.