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HomeMy WebLinkAbout04-0585 PETITION FOR PROBATE and GRANT OF LETTERS also known as To: Register of Wills for the Deceased. County of ~_~t_~.~l'~J~:7/'in the Social Security No. ~ ~ ~ ' ~) ~' ]_ ,-~ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age~r_o)d_ re _a~n t_he~exe~c~.t~'~g/~ 19_~ in the last will of the above decedent, dated ~ v- , and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in C/~za~ ~2~'/~'11~ County, Pennsylvania, with last family or principal residence at ~']']~'5~_ t_~_If? t],/]~t t~ ~o (list street, number and muncipality) Decendta.~~at, then . ~1~_ Years of age, died ~ ~'/ ~ ~ , at ~//~ '_L~_~ ~./_~a~ _O_ _~o v 'd not have child born or adopte~ Excel~t as follows, decedent did fl~ot marry, was not di orce and did a after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: ~_~$-/~ WHEREFORE, petitioner(s) respectfully request(s) the probate of the presented herewith and the grant of letters theron. last will and codicil(s) (testamentary; administration c.t.~; administ ~.on d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ]. COUNTY OF ~Lt. fylt.3V_~R~d5 _ ss 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 e§tate a~cordin~ to law. Sworn to or affirmed and subscribed ~- t//~~t~/A O/~/~/~t~/9 ) ~ before me this 2-2.. day of. | t/I ~ Estate Of l_}lrattnt~k. }OiOOco~ , Deceased ~ DECREE OF PROBATE AND GRANT OF LETTERS AND NOW the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated i Z. described therein be admitted, to probate and filed of record as the last will of and Letters 'TE.-~oT~ ~ are hereby granted to ~6~/~ ~, ~f~.~--~ 19 , in consideration of the petition on FEES Probate, Letters, Etc .......... $ Short Certificates(2~ .~._'. ...... $. '1 5,0.C) · ~,~.,~.~5:..~..~.: .... s t~.O0 ~ s lO, O0 TOTAL $ Filed ................................... ADDRESS PHONE his, is to certify that the information here given is correctly copied from an original cerlificat~ o: dealt duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permam:nt filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 10327815 No. Local Registrar MAY I a ZOO4 Date ~ ne,. 2/a7 LTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH '. Virginia L. Ames ].. Female 3. 382 m 30-- lQ 4. May 11, 2004 I I la. 17. I~ I ~. Cumberland k.Upper Allen ~. H. Messiah Village ,~.~b.~c. ' ,, White ~C~'8 ~S~~ ~ ~ffio ~ ~S~E~RY ~ ~EVES~ ~ ~CEDE~'S E~ '*i ~ ST~US. ~ .~ Dietician ~.~. Food Manufacturin~z '- ~,, {*,a 12 ] "a~s*~ 5+ ,, Single ~,[ * Mechantcsburg, PA 17055 (~ ~ CumberlanO ~' ,~.~ ~~ =~'---~ ,,. Frederick H. Ames~ Sr. ,,. Ulah (unknown maiden name) ~. Deborah A. Hughes ~. P.O. Box 961, Harrisburg~ p~ 17108 ~ ~ ~S~T~ D~E ~ DIS~T~ ~ ~ c,~ ffi ~,~ ~. ~ ~. ~. ~} ~.~ ~ m~mCremation. ~ ~ ~,,~. May 14, 2004 ,,. Pennsylvania Crematory ~,~. Harrisburg, PA 17109 l~s~ ~u~ ~UE ~ ~ ~ Cremation Society of PA -~.4100 Jonestown Road. Harrisburm. PA 17109 F~' I~. DUE E~E ~: ~ ~, ~ m ~m ~ ~ ~ (~A C~OUE~E ~: I~m ~ CAUSE I ~ I~'~' ~Y' '~) I I I I~ ~ I ~" ~ ~ 0 1 I I ~(c~ ~ ' ' ~AME ~Q ~ ~ PERS~ ~0 C~p~D C~ ~ ~H I ' ast tltill arti e tantertt OF V~R~N~ L. ~%MES I, VIRGINIA L. AMES, of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my last Will hereby re~°king all prior Wills and Codicils. ITEM I: I direct the payment of my just debts not barred by a statute of limitations and funeral expenses, the expenses of my last illness and the expenses of administering my estate, as soon as practicable after my death. All federal, state and other death taxes payable on the property forming my gross estate for that purpose, whether or not it passes under this Will, shall be paid out of the principal of my probate estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. This provision shall not apply to any property over which I have a general power of appointment for federal estate tax purposes or any transfer subject to generation-skipping transfer tax. ITEM II: No provision of this Will shall exercise any power of appointment I may have. ITEM III: I direct that my property, real, personal and mixed, be sold at auction and from the proceeds, I give and bequeath the following specific bequests: A. To my niece, LESLIE E. AMES MURPHY, the sum of Five Thousand and no/100 ($5,000.00) Dollars, if she should survive me by thirty (30) days. Should she not so survive me, I give, devise and bequeath my said niece's share to her daughter, MICHILE FINK, and her son, PATRICK T. MURPHY, in equal shares or to the survivor of them. B. To my nephew, FREDERICK HARVE AMES, III, the sum of Five Thousand and no/100 ($5,000.00) Dollars, if he should survive me by thirty (30) days. Should he not so survive me, I give, devise and bequeath my said nephew's share to his daughter, KATHLEEN BRENNAN AMES, and his son, JONATHAN AMES, in equal shares, or to the survivor of them. ITEM IV: I give, devise and bequeath all of the rest, residue and remainder of my estate as follows: A. I give, devise and bequeath One-eighth (1/8) share to OLD STURBRIDGE VILLAGE, Massachusetts. B. I give, share to OLD ST. Pennsylvania. devise and bequeath Three-eighths (3/8) ~EOR~E METHODIST CHURCH, Philadelphia, C. I give, devise and bequeath One-sixteenth (1/16) share to SH~KERTOWN AT PLEASANT HILL, Kentucky. D. I give, devise and bequeath One-thirty-second (1/32) share to AMERICANASSOCIATION OF UNIVERSITY WOMEN, SCHOLARSHIP FUND, Washington, D.C., for a female recipient to honor the HarrisburgAmerican Association of Univerisity Women Chapter. E. I give, devise and bequeath One-eighth (1/8) share to the FIRST UNITED METHODIST CHURCH, Birch and Green Streets, Palmyra, Pennsylvania. -2- F. I give, devise and bequeath One-eighth (1/8) share to the UNIVERSITY OF CHICAGO SCHOOL OF BUSINESS, Chicago, Illinois. G. I give, devise and bequeath One-eighth (1/8) share to AMELI& EARHART SCHOLARSHIP ZONTA INTERNATIONAL, with all funds entrusted to the Zonta Club of Harrisburg-Hershey. H. I give, devise and bequeath One-thirty second (1/32) share to my friend, KAREN ZEIGLER. ITE~ V: Any such property to which a minor would otherwise become entitled but which the executor thinks unsuitable for such minor shall be sold and the proceeds thereof shall be distributed to the guardian(s) of the estate of such minor hereinafter named, without bond, and the receipt of such guardian(s) shall be a complete release of the executor. Any such property to which a minor thus becomes entitled may be delivered to the person with whom such minor resides or who has the custody of such minor, without bond, and the receipt of such person shall be a complete release of the executor. ITEM VI: Management Provisions: No fiduciary under shall be required to give bond or other security for the faithful performance of the fiduciary's duties. Any such fiduciary shall have the following powers, in addition to those given by law: A. Retain/Invest: To retain and to invest in all forms of real and personal property, including common trust funds, mutual funds and money market deposit accounts, including stock of a corporate fiduciary or its holding company, -3- regardless of any limitations imposed by law on investments executors or trustees, or any principle of law. concerning investment diversification; B. Compromise: To engage in litigation and to compromise claims and to abandon any property which, in my executor's opinion, is of little or no value; C. Borrow: To borrow from anyone, even if the lender an executor hereunder, and to pledge property as security for repayment of the funds borrowed; D. Sell/Lease: To sell at public or private sale, to exchange or to lease for any period of time, any real or personal property, and to give options for sales or leases; E. Loan/Purchase: To make loans to, and to buy property from, my executors, administrators or trustees; and to pay off any loans I may have taken against any life insurance policies owned by me that remain unpaid at the time of my death; F. Capital Changes: To join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto; G. Allocate: To allocate any property received or charge incurred to principal or income or partly to each, without regard to any law defining principal and income; H. Divide: To divide any trust into two or more separate trusts for tax, accounting or other reasOns; -4- I. Distribute: To distribute in kind and to allocate specific assets among the beneficiaries (including any trust hereunder) in such proportions as my executor may think best, so long as the total market value of any beneficiary's share is not affected by such allocation; J. Reserves: To maintain reasonable reserves for depreciation, depletion, amortization and obsolescence; K. Tax Options: Death Taxes - To exercise any options available in determining and paying death taxes in my estate, and to allocate my generation-skipping tax exemption; These authorities shall extend to all property at any time held by my executor or my trustee and shall continue in full force until the actual distribution of all such property, except as specifically stated. All powers, authorities, and discretion granted by this Will shall be in addition to those granted by law and shall be exercisable without court authorization. IT~VII: Protective Provision: The interest of beneficiaries in principal or income shall not in any way during their respective lifetimes be subject to the claims of their creditors and others nor to legal process, and may not be voluntarily or involuntarily alienated or encumbered, except that nothing in this article shall preclude the assignment of all or any part of a beneficiary's interest to his or her descendants. -5- ITEM VIII: Any person who shall have died at the same time as the Testatrix or in a common disaster with her, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased her. ITEM IX: I hereby nominate, constitute and appoint DEBORAH &. HUGHES, Attorney-at-Law, to be my Executrix. My Executrix specifically is relieved from the duty or obligation of filing any bond or other security. I, VIRGINIA L. AMES, the Testatrix, sign my.name to this instrument this ~ day of ~~-~-~~ , 1992, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument as my last Will, consisting of this and the preceding five (5) pages, and that I sign it willingly, that I execute it as my free and voluntary act for the purposes therein expressed, and that I am eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. vfRGIN~ L. AMES and gOk ~-,/~*'%k~tlO"]~,l Y , the witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the undersigned authority that the Testatrix signs and executes this instrument as the Testatrix's last Will and that the Testatrix signs it willingly, and that each of us, in the presence and hearing of the Testatrix, hereby signs this Will as witnesses to the Testatrix's signing, and that to the best of our knowledge the -6- Testatrix is eighteen (18) years of age or older, of sound mind and under no constraint ..or u~ue / WitneSs ~/ , influence. COMMONWEALTH OF PENNSYLVANIA : : SS COL%ITY OF : Subscribed, sworn to and acknowledged before me by VIRGINIA /L~-the //ffTesta~tri~'~-~/~i', J'a~,d, subscribed and sworn to before me by _- ~.~_' Q~..a , 1992. , ~+a(3j3~ ~ ~O(~i~ , and , witnesses, this ,~ day of Notary -7- Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 10/05/2004 HUGHES DEBORAH A P 0 BOX 961 HARRISBURG, PA 17108 RE: Estate of AMES VIRGINIA L File Number: 2004-00585 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 10/02/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Personal Representative(s) Judge GLENDA FARNER ~~ Clerk of the Orphans' Court Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717}240-6345 Date: 10/05/2004 HUGHES DEBORAH A PO BOX 961 HARRISBURG, PA 17108 RE: Estate of AMES VIRGINIA L File Number: 2004-00585 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 10/02/2004 Your prompt attention to this matter will be appreciated. Thank You. CC: File Counsel Judge GLENDA PARNER STRASBAUGH Clerk of the Orphans' Court JRD/June 30, 1992/17858 In Re: Estate of Virginia L. Ames Late of Upper Allen Township Estate No.: 21-04-585 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-2004-0585 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: Deborah A. Hughes Counsel for Personal Representative: Deborah A. Hughes, Esq. Date of Grant of Original Letters: 06-22-2004 Date of Delinquency Notice: 10-02-2004 The undersigned, Glenda Farner-Strasbaugh, Clerk of the Orphans' Court, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on October ~ 2004, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the ~ndersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 11-08-2004 Distribution: Glenda Famer Strasb,augh ~ Clerk of the Orphans Court Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for at in Courtroom No. 3. I~he Certification of Notice is filed prior to the hearing date, the hearing will automatical_ly b.~_~ Georg~ E~vloffe~, P~J. ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Virginia L. Ames Date of Death: May 11, 2004 PA No.: TO THE REGISTER: I certify that notice ofbuneficiai interest required by Rule 5.6(a) of the Orphans' Court Rules was servea on or mailed to the following beneficiaries of the above-captioned estate on June 29, 2004. Leslie~E. Ames Murphy 210 ueerwood Circle Warner Robins, GA 31088 Frededc~ Harve Ames, III 4416 Blrrcingham Way Raleigh, NC 27604 Old Sturbrid~. Village 1 Old Sturbndge Village Road Sturbridge, Massachusetts 01566 Old St. George Methodist Church 235 North Fourth Street PhiJadelphla, PA 19106 Shake,town at Pleasant Hi[l Kentucky, Inc. d/b/a Shaker Village of Pleasant Hill 3501 Lexington Road Harrodsburg, KY 40330 American Association of University Women Scholarship Fund 1111 16th Street NW Washington, D.C. -20036 First United Methodist Church 520 East Birch Street Palmyra, PA 17078 Graduate School of Business University of Chicago School of Business t 101 East 58th Street Chicago, Illinois 60637 REV-1S00EX(5-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 OFFICIAL U$E ONLY 04 YEAR 0585 NUMBER COUNTY CODE I- Z W o W U w o DECEDENl'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Ames Virginia DATE OF DEATH (MM-DQ- YEAR) DATE OF BIRTH (MM-DD- YEAR) S/n/2004 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FiRST, AND MIDDLE INITIAL) L SOC~LSECURITYNUMBER 382-30-1220 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 3W46451.000 REGISTER OF WILLS SOC~L SECURITY NUMBER w .... ~~CI) 0.'" w"o ,,00 0"''''' ..Ill .. .. 00, D4 00 6. D9. D 2. Supplemental Return D 3. Remainder Retum (dale of death prior to 12.13-82) D 4a. Future Interest Compromise (date of death after 12.12.82) D 5. Federal Estate Tax Retum Required D 7. Decedent Maintained a Living Trust (Attach copy of Trust) L 8. Total Number of Safe Deposit Boxes D 10. Spousal Poverty Credit (data of duth batw..n 12-31.91 and 1-1-&5) D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) Deborah A. Hughes, Esq. FIRM NAME (If Applicable) P.O. BOX 961 THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS o OFFIClAL..USF:~lY c::::) c...n -q P"l en I Original Retum Limited Estate Decedent Died Testate (Attach copy of Will) Litigation Proceeds Received ... z w " z " a. U) w 0: 0: " o Harrisburg, PA 17110 TELEPHONE NUMBER 717 -651-1772 C0 N N C) "T"l 1. Real Estate (Schedule A) (1) (2) 730,899 o o 205,961 o 1,036,748 49,545 987,203 946,665 40,538 o o o 6,081 6,081 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5 Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) Z 6. Jointly Ov.t1ed Property (Schedule F) (6) 0 D Separate Billing Requested f= ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) ::> (Schedule G or L) I- 0: 6. Total Gross Assets (total Lines 1-7) <( U W 6. Funeral Expenses & Administrative Costs (Schedule H) (9) ~ 10. Debts of Decedent, Mortgage Liabilities, & Liens (Sd1edule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Une 8 minus Une 11) 99,888 (') 41,457 8,088 (11) (12) (13) (14) v 13. Charitable and Governmental Bequests/See 9113 Trusts for wtIich an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Une 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax 0 Z rate, or transfers under Sec. 9116 (a)(1.2) 0 ;:: 16. Amount of Une 14 taxable at lineal rate 0 < .... => 0 .. 17. Amount of Line 14 taxable at sibling rate ,. 0 40,538 0 1.. Amount of Line 14 taxable at collateral rate X .. Tax Due .... 19. x.O ~(15) x .0 45 (16) x .12 (17) x.15 (18) (19) Estate of Name Address Tax ID 382-30-1220 Executors (Page 1) Deborah A. Hughes P.O. Box 961 Harrisburg, PA 17108- 199-44-7985 Decedent's Comnlete Address: STREET ADDRESS 978 Walnut Way Cumberland CI1Y I STATE I ZIP Mechanicsburg PA 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) 6,081 o o o Total Credits (A + B + C) (2) o 3. Interest/Penalty if applicable D. Interest E. Penalty o o Total Interest/Penalty (D + E) (3) o 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) o 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 6,081 A. Enter the interest on the tax due. (5A) o B. Enter the total of Line 5 + 5A. (5B) 6,081 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Yes D D D D without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. D 3. Did decedent own an "in trust 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. [R] 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 thai I haw examined this return, including accompanying schedules and statements, and 10 the best of my knowiedge and belief, it is true, correct and complete. Declaration of preparer other than the personal representatiw is based on all information of which preparer has any knowledge SIGN.A.TU F PER N RE P NSIBLE FOR FIll G R RN Deborah A. Hughes, Esq. ADDRESS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . 2. If death occurred after December 12, 1962, did decedent transfer property within one year of death No ~ ~ ~ og ~ [l!I OAT ;). \II '0.5 P.O. Box 961 SIGN.A.TURE OF PREPARER OTHER lHAN REPRESENTATIVE Harrisburg, PA ~7110 DATE ADDRESS :j!ijj!!li!~~ 1mMl~,!]~~11lli1M~n!nfi!jjj~!OO!!0!!@irnUl1imOOl~~l1Illilt!Ji!RjM!jjijiilili 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.~ 9916 (0) (1.1)(i)). For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to OffO(the use of the sUMving 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 fOl" 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 OI'for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~ 9116{1.2) (72 P.S. ~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. 3W46461.000 REV-1503EX+ (6-98l COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS FILE NUMBER Virqinia L. Ames 21 04 0585 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1.100 Shares Acterna Corp (Morgan Stanley Account) DESCRlPllON VALUE AT DATE OF DEA 1H 2 2 1,974 Shares Allied Capital Corp (Morgan Stanley Account) 46,843 3 163.927 Shares Alpine International Real Estate Equity Fund 3,318 4 3,741.972 Shares American Century Growth Fund 65,971 5 344 Shares Bell Industries Inc (Morgan Stanley Account) 1,049 6 43.9322 Shares Bob Evans Farms 1,336 7 560 Shares Bob Evans Farms Inc. (Morgan Stanley Account) 8 1,781 Shares Campbell Soup (Morgan Stanley Account) 9 363 Shares CKE Restaurants Inc (Morgan Stanley Account) 10 467 Shares Conocophi11ips (Morgan Stanley Account) U 2,997 Shares Corning Inc (Morgan Stanley Account) 16,850 48,265 3,692 33,862 34,076 Total from continuation pages 475,635 3W46961.000 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 730,899 Schedule B (Page 2) Estate of: Virginia L. Ames Item No. Description Value at Date of Death 12 268 Shares Covance loc (Morgan Stanley Account) 9,297 13 2,886.924 Shares Evergreen Investment Account #224-222827001 35,682 14 998 Shares Fab Industries (Morgan Stanley Account) 3,493 15 GNMA Pool (Mogan Stanley Account) 71 16 600 Shares Herley Ind Inc (Morgan Stanley Account) 11,688 17 900 Shares Hershey Foods Corp (Morgan Stanley Account) 80,028 18 1,000 Shares ING Prime Rate Trust (Morgan Stanley Account) 8,230 19 400 Shares Intervoice Brite loc (Morgan Stanley Account) 4,828 20 1,170.146 Shares Janus Fund 26.527 21 536.777 Shares Janus Twenty Fund 20,220 22 1,583.7346 Shares Liberty All Star Growth Fund, Inc. 10,833 23 800 Shares Liz Claiborne (Morgan Stanley Account) 26,808 24 829 Shares Manulife Financial Corp (Morgan Stanley Account) 29,786 Total (Carry forward to main schedule) 267,492 Schedule B (Page 3) Estate of: Virginia L. Ames Item No. Description Value at Date of Death 25 Multi State Muni Trust (Morgan Stanley Account) 128,839 26 1,332.709 Shares Nicholas II, Inc. 29,120 27 268 Shares Quest Diagnostics loc (Morgan Stanley Account) 22,265 28 400 Shares Russell Corporation (Morgan Stanley Account) 6,496 29 22 Shares Sands ton Corp (Morgan Stanley Account) 7 30 87 Shares Tumbleweed Communication Corp (Morgan Stanley Account) 269 31 600 Shares Washington Real Estate Investment Trust (Morgan Stanley Account) 15,684 32 147 Shares Wendys International (Morgan Stanley Account) 5,464 Total (Carry forward to main schedule) 208,144 REV-150aEX+(6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Virginia L. Ames FILE NUMBER 21 04 0585 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jolntly..owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER OESCRIPTION VALUE AT OATE OF DEATH 1 Active Assets Money Trust (Morgan Stanley Account) 84,932 2 GE Capital Long Term Care Division 500 (Refund) 3 Hershey's Retiree Medical Account 35 (Refund) 4 Holy Spirit Hospital 171 (Refund) 5 Liquid Asset Fund (Morgan Stanley #410 042065 006) 4,544 6 Personal Property 100 (The decedent was a resident of a nursing home at the time of her death. The cost of an appraisal was not warranted. See attached statement of donated goods.) 7 Wachovia Bank Money Market Account #1010071424879 107,519 8 Wachovia Bank Checking Account #1000521750469 8,160 3W46AD1,OOO TOTAL (Also enter on line 5 Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 205,961 THE SALVATION ARMY RECEIPT FOR DONATED GOODS To: [d-<Xtl 1 ~f'-- il- Date: ~- /7-0 c; This will acknowledge. WITH THANKS. the donation of the listed anicles or goods to The Salvation Anny to assist in th. furtherance of its rehabilitation program for men and women. Description of Anicles: Condition: HARRISBURG', PA Address of Center Valuation of gifts in kind are the privilege and responsibility of the donor. A Salvation A market value will be supplied on request. Contributions are deductible for income tax p . }':OTE: Du~ to th~ record keeping a.nd reporting requirements imposed by the Internal Re\'enue Scr...ice"the Salvation Anny requests all donors \\hl' will require the Salv3tion A.rmy to execute a Form 8283. "Non-cash Charitable Contribution." for contribution o\'er SS.OOO 10 present such forms flJr exccudoc in the time of the donation. the Salvation Army will not be able: to execute :iuch forms at any time thereafter if the donated pro~n~ cannol t'l~ traced. The Saharion Army is required [0 report to the Internal Re\cnuc Ser.ice the sales proac:ds of any single ih:m for \\hich the donl\r daimcd:1 dcduI.:li0n of more lhan S500 J.nd or "hen th~ don0r has conlribut~d more than 55.000. REV.1510 EX+ (&-96) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONINEAL TH OF PENNSYLVANIA INl-lERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Virginia L. Ames FILE NUMBER 04 21 05B5 This schedule must be completed and filed if the answerto any of questions 1 through 4 on the reverse side ofthe REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPER1Y ITEM II'CI..L(.E TrE W;ME OF 1l€ TRANSFEREE, THEIR RELATIONSHIP TO oeCEOENT flU) DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBE 1l€ DATE Of TR./lt.5FER. ATIACHACOP'f OF Tl-E oeEO FOR REAL ESTATE VALUE OF ASSET INTEREST IF .APPUCABLEl VALUE 1. Allstate Annuity #AC0037507A 63,910 100.000 0 63,910 2 Allstate Annuity #AC0037508A 30,709 100.000 0 30,709 3 Nationwide Life Insurance Company (Annuity) 4,762 100.000 0 4,762 (Final Lump Sum Payment) 4 Northwestern Mutual (Annuity) 506 100.000 0 506 (Final Lump Sum Payment) TOTAL (Also enter on line 7, Recapitulation) $ 99,888 (If more space is needed, insert additional sheets of the same size) 3W46AF 1.000 REV-1511 EX+(12-99) COMMONINEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESlOENT DECEDENT ESTATE OF Virqinia L. Ames SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. FILE NUMBER 21 04 0585 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Carol Staz, West Shore County Club (Memorial Dinner) 1,122 Total from continuation pages 542 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) - - Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 34,676 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 865 5. Accountant's Fees 4,000 6. Tax Return Preparer's Fees 7. 1 CUmberland Law Journal 75 2 John Kern (Reimbursement of Mailing Fees) 52 Total from continuation pages 125 TOTAL (Also enter on line 9. Recapitulation) $ 41,457 3W46AG1.000 (If more space is needed, insert additional sheets of the same size) Attorney Fees Attorney Fees were based on the guidelines of the Attorney General's Office in Johnson Estate, 4 Fid. Rep. 2d 6 (Chester Co., 1983) as follows: Total Gross Assets: $1,036,748 Per Schedule: 200,000.01 to $1,000,000.00 36,748 @ 2% Non-Probate Assets 19,050@ 1% = $33,750 735 = = 191 $34,676 The attorney also acted as Executor ofthe Estate. -.... ..l- lOO!"!unw 8!""" UA\O.L 1I!1IIAnq:>s U!"'ll\J~ 'E >:) UOjdWllqlJON l:> S5'lU!""q "!""" ";J""~ "Z J:ld '''lI!"xlU:lO~ lUO:>:>!) qlllO$ 8[t plS~ oqA\ 'S(mp!" 'JO(.) "Jf 'u"PJof ! s.lJ!lU1"Id .[ [[ 'doJqlA\"D XOuy :M .tJ.laj. JDW "3 SDWoru. YH 0/1 <><10 'm"!> 'e3I:MI~ ~UOW!S pue '..huno,:) J:.ll~tO 'd':) .<q ~~p 511 ..^:)U~'I' Al~ e'~l'e~ ^(~rdW! :}'\njNolqUn ~n ~i810f^ , Su!wnsn 'p/iJH unO:! nr~UOWWO.J ~1 JO x>p U!W:D JO .lO~nO:l I Al!f\b:a u~ l!ns .~ :>011<>;) t"JN'OfUn "'II JO e JO SUO!tn.oMll 't I 1~1!10d e ,(q ~sse ~ q:ms SW!el:) :.l11JA!.sd M\ se .. 'SW!'IJ.. '( , 'uu..se UO~'P~IO:l e ,(q ^~W;U HAP ON 'Z . 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'llO 1; ~l:' a.~ =.= a ~ ~o ; ~ -0 5i~ "'''''~(;,o't''''''''ff't ~Wt-.l- ~~~~88 ~~~~~"g8 bbbbbbo ------- ....------ 0000000 il"'~4iI4"""""\o"I~ V1~\"JN- ~"g~~~88 ~~~"g~~~ 8888888 ('l ~ a: .. tIl f!.J o Z tIl l$:-i$:wt".J,~"-" -"0.-,,0.-,,0.-,,0.-,,0.-,,0.,,, d' ~ n ~ __NN VlOV'aO.l:o.,&::rr.t.n bb888~~ 8800000 8888888 Oo......O\lJ1W d' N....."("oJW\OV,""I 8g80-S2><S2;l 0008000- . . . . . . . DJ 0008808- ceo 0 SLlIOdlll A.1l!iIJlO:> lIllSlH:J 99t Schedule H part 1 (Page 2) Estate of: Virginia L. Ames Item No. 2 Description Amount cremation Society of Pennsylvania Total (Carry forward to main schedule) 542 542 Schedule H part 2 (Page 3) Estate of: Virginia L. Ames Item No. 3 4 Description .Amount The Sentinel vital Records (Death Certificates) Total (Carry forward to main schedule) 95 30 125 REV-1512 EX + (12-03} COMMONINEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Virqinia L. Ames SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 04 21 0585 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Messiah Village VALUE AT DATE OF DEATH 8,000 2 Pharmerica 88 3W46AH2.000 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 8,088 Schedule J part 2 B (Page 2) Estate of: Virginia L. Ames Item No. 2 3 4 5 6 7 Description Amount Old St. George Methodist Church 235 North Fourth Street Philadelphia, PA 19106 (3/8 Share or .3750) 366,452 Shakertown At Pleasant Hill Kentucky, Inc. 3501 Lexington Road Harrodsburg, KY 40330 (1/16 or .0625) 61,075 American Association of University Women, Scholarship Fund 1111 16th Street, NW Washington, DC 20036 (1/32 or .03125) 30,538 First United Methodist Church 520 East Birch Street Palmyra, PA 17078 (1/8 or .1250) 122,150 Graduate School of Business University of Chicago School of Buisness 1101 East 58th Steet Chicago, IL 80637 (1/8 or .1250) 122,150 Amelia Earhart Scholarship Zonta International Foundation 537 Randolph Street Chicago, IL 60661 (1/8 or .1250) 122,150 Total (Carry forward to main schedule) 824,515 REV-1513 EX+ (9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF V~ra~n~a L. Ames FILE NUMBER 21 04 0585 NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 1 Leslie E. Ames Murphy 210 Deerwood Circle Warner Robins, GA 31088 General Bequests: 5,000 Niece 5,000 2 Frederick Harve Ames, III 4416 Birmingham Way Raleigh, NC 27605 General Bequests; 5,000 Nephew 5,000 3 Karen Zeigler 307 Carla Avenue Rehoboth Beach, DE 19971 (1/32 or .03125) None 30,538 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAl DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Old Sturbridge Village 1 Old Sturbridge Road Sturbridge, MA 01566 (1/8 Share or .1250) 122,150 Total from continuation pages 824,515 3W46All,OOO 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) $ 946,665 JEerst lUiU erttu illtstermtttt ":\? OF VIRGINIA L. AMES I, VIRGINIA L. AXES, of Mechanicsburg, Cumberland County, Pennsylvania, declare this to be my last Will hereby revoking all prior wills and Codicils. ITEM I: I direct the payment of my just debts not barred by a statute of limitations and funeral expenses, the expenses of my last illness and the expenses of administering my estate, as soon as practicable after my death. All federal, state and other death taxes payable on the property forming my gross estate for that purpose, whether or not it passes under this will, shall be paid out of the principal of my probate estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. This provision shall not apply to any property over which I have a gener~l power of appointment for federal estate tax purposes or any transfer subject to generation-skipping transfer tax. ITEM II: No provision of this Will shall exercise any power of appointment I may have. ITEM III: I direct that my property, real, mixed, be sold at auction and from the proceeds, bequeath the following specific bequests: A. To my niece, LESLIE E. AXES MURPHY, the sum of Five Thousand and nO/lOO ($5,000.00) Dollars, if she should survive me by thirty (30) days. Should she not so survive me, I give, personal I give and and devise and bequeath my said niece's share to her daughter, MICHILE FINK, and her son, PATRICK T. MURPHY, in equal shares or to the survivor of them. B. To my nephew, FREDERICK HARVE AMES, III, the sum of Five Thousand and nO/100 ($5,000.00) Dollars, if he should survive me by thirty (30) days. Should he not so survive me, r give, devise and bequeath my said nephew I s share to his daughter, KATHLEEN BRENNAN AMES, and his son, JONATHAN AMES, in equal shares, or to the survivor of them. ITEM IV: I give, devise and bequeath all of the rest, residue and remainder of my estate as follows: A. r give, devise and bequeath One-eighth (1/8) share to OLD STURBRIDGE VILLAGE, Massachusetts. B. I give, devise and bequeath Three-eighths (3/8) share to OLD ST. GEORGE METHODIST CHURCH, Philadelphia, Pennsylvania. C. I give, devise and bequeath One-sixteenth (1/16) share to SHAKERTOWN AT PLEASANT HILL, Kentucky. D. I give, devise and bequeath One-thirty-second (1/32) share to AMERICAN ASSOCIATION OF UNIVERSITY WOMEN, SCHOLARSHIP FUND, Washington, D.C., for a female recipient to honor the Harrisburg American Association of Univerisity Women Chapter. E. I give, devise and bequeath One-eighth (1/8) share to the FIRST UNITED METHODIST CHURCH, Birch and Green streets, Palmyra, Pennsylvania. -2- F. I give, devise and bequeath One-eighth (1/8) share to the UNIVERSITY OP CHICAGO SCHOOL OP BUSINESS, Chicago, Illinois. G. I give, devise and bequeath One-eighth (1/8) share to AMELIA EARHART SCHOLARSHIP ZONTA INTERNATIONAL, with all funds entrusted to the Zonta Club of Harrisburg-Hershey. H. I give, devise and bequeath One-thirty second (1/32) share to my friend, KAREN ZEIGLER. ITEM V; Any such property to which a minor would otherwise become entitled but which the executor thinks unsuitable for such minor shall be sold and the proceeds thereof shall be distributed to the guardian(s) of the estate of such minor hereinafter named, without bond, and the receipt of such guardian(s) shall be a complete release of the executor. Any such property to which a minor thus becomes entitled may be delivered to the person with whom such minor resides or who has the custody of such minor, without bond, and the receipt of such person shall be a complete release of the executor. ITEM VI; Manaaement provisions: No fiduciary under shall be required to give bond or other security for the faithful performance of the fiduciary's duties. Any such fiduciary shall have the following powers, in addition to those given by law: A. Retain/Invest: To retain and to invest in all forms of real and personal property, including common trust funds, mutual funds and money market deposit accounts, including stock of a corporate fiduciary or its holding company, -3- regardless of any limitations imposed by law on investments executors or trustees, or any principle of law. concerning investment diversification; B. compromise executor's Comoromise: To engage in litigation and claims and to abandon any property which, in opinion, is of little or no value; to my C. Borrow: To borrow from anyone, even if the lender an executor hereunder, and to pledge property as security for repayment of the funds borrowed; D. Sell/Lease: To sell at public or private sale, to or to lease for any period of time, any real or property, and to give options for sales or leases; exchange personal E. Loan/Purchase: To make loans to, and to buy property from, my executors, administrators or trustees; and to payoff any loans I may have taken against any life insurance policies owned by me that remain unpaid at the time of my death; F. Capital Chanqes: To join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto; G. Allocate: To allocate any property received or charge incurred to principal or income or partly to each, without regard to any law defining principal and income; H. Divide: separate trusts for To divide any trust into two or tax, accounting or other reasons; more -4- I. Distribute: To distribute in kind and to allocate specific assets among the beneficiaries (including any trust hereunder) in such proportions as my executor may think best, so long as the total market value of any beneficiary's share is not affected by such allocation; J. Reserves: To maintain reasonable reserves for depreciation, depletion, amortization and obsolescence; K. Tax options: 1- Death Taxes To exercise any options available in determining and paying death taxes in my estate, and to allocate my generation-skipping tax exemption; These authorities shall extend to all property at any time held by my executor or my trustee and shall continue in full force until the actual distribution of all such property, except as specifically stated. All powers, authorities, and discretion granted by this Will shall be in addition to those granted by law and shall be exercisable without court authorization. ITEM VII: Protective provision: The interest of beneficiaries in principal or income shall not in any way during their respective lifetimes be subject to the claims of their creditors and others nor to legal process, and may not be voluntarily or involuntarily alienated or encumbered, except that nothing in this article shall preclude the assignment of all or any part of a beneficiary's interest to his or her descendants. -5- ITEM VIII: Any person who shall have died at the same time as the Testatrix or in a common disaster with her, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased her. ITEM IX: I hereby nominate, constitute and appoint DEBORAH A. HUGHES, Attorney-at-Law, to be my Executrix. My Executrix specifically is relieved from the duty or obligation of filing any bond or other security. I, VIRGINIA L. AKES, the Testatrix, sign my_ name to this instrument this '- ~ day of ~~ , 1992, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument as my last Will, consisting of this and the preceding five (5) pages, and that I sign it willingly, that I execute it as my free and voluntary act for the purposes therein expressed, and that I am eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. vZ;~~ ~d~-4 ),'le, L'Amh..1.2 d~~/;OU5/ , 5;-\-ONl ( /4 h^".l\,./ , and CbrvL L Afll.iJ1OHlrl . , the witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the undersigned authority that the Testatrix signs and executes this instrument as the Testatrix's last will and that the Testatrix signs it willingly, and that each of us, in the presence and hearing of the Testatrix, hereby signs this Will as witnesses to the Testatrix's signing, and that to the best of our knowledge the -6- Testatrix is eighteen (18) years of age or older, under no constraint or u~e influence. of sound mind and G,'Kft 011...<.. , ( COMMONWEALTH OF PENNSYLVANIA . . : SS COUNTY, OF Subscribed, sworn to and acknowledged before me by VIRGINIA L. AMES, the Testatri , and subscribed and sworn to before me by I ~ci2... //c ~()[" I , -S+(1(J U1 If. F=D::Jle.> , and ~ OJ () I.... L" 11 cf!.1 On- ' , witnesses, this ,~..:> day of ,();,[lrrv!'ifl\. , 1992. "OJ)ilACdl) [J UtM lu... Notary Public ,J NQ1ARIALSElll , DEBORAH A. HUGl1ES, NoialY P\iJIi't 1WriIbufg. Dauphin ~ Ioly CQmlrisIiClII ~ JaIl. 2, 1993 -7- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HUGHES DEBORAH A POBOX 961 HARRISBURG, PA 17108 -------- fold ESTATE INFORMATION: SSN: 382-30-1220 FILE NUMBER: 2104-0585 DECEDENT NAME: AMES VIRGINIA l DATE OF PAYMENT: 02/01/2005 POSTMARK DATE: 02/01/2005 COUNTY: CUMBERLAND DATE OF DEATH: 05/11/2004 NO. CD 004909 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $6,081.00 I I I I I I I I TOTAL AMOUNT PAID: $6,081.00 REMARKS: CHECK# 1011 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WillS Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy KirkS.Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 190 2/3/2005 VIRGINIA L AMES 21-04-0585 DEBORAH A HUGHES, ESQ. P.O. BOX 961 " HARRISBURG, PA 17110 455.00 Total $455.00 Qty 1 Fee Description Additional Probate Fee Total: $455.00 Olecks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. DEBORAH A. HUGHES .w'u..-...y dk. lOBO L1NGLESTOWN ROAD SUITE 106 POST OffiCE BOX 96 I HARRISBURG. PENNSYLVANIA 17108 Augnst 24, 20ctiI7) 651-1772 fAX (717) 651-1778 E.MAIL dhughes@ssbc.law.com BANKRUPTCY SYECIAUST \; Register ofWiils Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Virginia L. Ames No. 2004-00585 Dear Register: Enclosed for filing please find the original and one eopy of the Final Status Report with regard to the above captioned matter. Please time and date stamp the extra copy and return it to me in the enclosed self-addressed stamped envelope. Thank you, in advance, for your assistance in this matter. Very tnlly yours, DAI-I/c1ac Enclosurcs '.:--, c (Vj l C. (r_ e f-i> i- c. \.-:, C'J ( r , . L . "-:.- ("---e c www.lawyeTSocomldebotahahughes STATUS REPORT UNDER RULE 6.12 Name of Decedent: VIRGINIA L. AMES Date of Death: 5-11-2004 Will No. 2004-00585 Admin. No. Pursuant to Rule 6.12 ofthe 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....;L No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes_ NO-2L- 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..K No_ 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. Dated: ?)<f-()rs- ~l a f L /J ~ Signature =":r DEBORAH A. HUGHES. ESO. l.( C~. LLl c) LI-_ .:: tf C) . C' lL_ c.... 0__ C) co 11.1 CC' l'") C'") P.O. Box 961 Harrisburg. PA 17108 Address (717) 651-1778 Telephone Number {',,; ,. C,,_ >.-' \..0 N ('. LI '- C') c. [ n- C'J' c) Capacity: --'S.... Personal Representati ve --'S.... Counsel for Personal Representative Representative I.L < ~::.,; Vi-:-