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HomeMy WebLinkAbout04-0596REV-I$00 EX (6.00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 ~HARRISBURG, PA 17128-0601 REV-1 500 INHERITANCE TAX RETURN RESIDENT DECEDENT i DECEDENTS NAME (LAST, FIRST, AND MIDDLE N TIAL) SOCIAL SECURITY NUMBER ~ 174- 18 - 2991' Z Houp, Warren E. UJ DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE LU 03/03/04 09/17/1917 REGISTER OF WILLS 0 LU (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER O Houp, Helen B. uJ < I-- z z 0 uJ 0 ~']1. Original Return [--]4. Limited Estate [~6. Decedent Died Testate (A~ch copy of Wi,) [~9. Litigation Proceeds Received NAME Jerry A. Weigle, Esquire FIRM NAME Of Applicable) Weigle & Associates, P.C. 'ELEPHONE NUMBER ~]2. Supplemental Return ~] 3. Remainder Return (date of death pdor to 12-13-82) 4a. Future interest Compromise (date of death a~ter 12-12-82) r~ 5. Federal Estate Tax Return Required r--~ 7. Decedent Maintained a Living Trust (Attach copy of Trust} -- 8. Total Number of Safe Deposit Boxes 10. Spousal Poverty Credit (date of death bet'.veen 12-3!-9! and 1-1-§5) [] 11. Election to tax under Sec. 9113(A) (A~ach Sch O) COMPLETE MAILING ADDRESS 717-532-7388 126 East King Street Shippensburg, PA 17257 IAI 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3, Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) E~ Separata Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens {Schedule I) (I0) 11. Total Deductions (total Lines 9 & I0) 12. Net Value of Estate (Line 8 minus Line 11) 4,533.40 (8) 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) (11) (12) (13) (14) OFFICIAL USE ONLY 4,533.40 (4,533.40) UOUE - [USOnWUZ X SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 __ (15) 16. Amount of Line 14 taxable at lineal rate x .0 __ {16) 17. Amount of Line 14 taxable at ~ibling rate x .I2 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) Decedent's Complete Address: 'I STREE~ADDRESS 50 Foreman Mill Road C~Y STATE ZiP Shippensburg PA 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits ( A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] o. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE~F PERSON RESPONSIBLE FOR FILING RETURN . DATE ADBRESS 470~ Carol -- Of &Associates, WA 98908 DAlE~ 2Z~ Jerry A. Weigle, Esquire __" 126 East King Street, Shippensburg, PA 17257 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. {}9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. {}9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. {}9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 RS. {}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 RS. {}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. RE¥-1508 EX+ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or Type ESTATE OF Warren E. Houp FILE NUMBER (All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F} iTEM NUMBER DESCRIPTION ALL ASSETS JOINTLY OWNED WITH SPOUSE TOTAL (Also enter on line 5, Recapitulation) , S VALUE AT DATE OF DEATH (Attach additional 8¥2" x 11" sheets if more space is needed.) REV-1511 EX+ (7-881 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Please Print or Type ESTATE OF FILE NUMBER Warren E. Houp ITEM NUMBER DESCRIPTION AMOUNT ko Bo C. 1. 2. 3. 4. 5. 6. 7. 8. Funeral Expenses: Fogelsanger-Bricker Funeral Home Administrative Costs: Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid Attorney Fees Weigle & Associates, P.C. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City .State __ Zip Code Probate Fees Miscellaneous Expenses: Register of Wills, Cumberland County - filing ~nsolvent PA Inheritance Tax Return 4,373.40 150.00 10.00 TOTAL (Also enter on line 9, Recapitulation) S 4,533.40 (If more space is needed, insert additional sheets of same size.) REV-1513 EX+ (2-87) .,~ COMMONWEALTH OF PI~NNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Warren E. Houp ITEM AMOUNT OR NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP SHARE OF ESTATE A. Taxable Bequests: 1. Not relevant as estate is insolvent. ITEM AMOUNT OR NUMBER NAME AND ADDRESS OF BENEFICIARY SHARE OF ESTATE B. Charitable and Governmental Bequests: TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S (If more space is needed, insert additional sheets of same size) BUREAU OF TNDTVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRTSBURG, PA 17128-0601 COMHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLO#ANCE OR DXSALLO#ANCE OF DEDUCTXONS AND ASSESSHENT OF TAX JERRY A WEIGLE ESQ WEIGLE & ASSOCS 126, E KIN~ST ,:?~ SHiP.~NSBU~ ~A 17257 CUT ALONGT~ZS LZNE :~ ~ DATE 08-16-200q ESTATE OF HOUP DATE OF DEATH 03-03-200~ FILE NUHBER 21 0~-0596 COUNTY CUMBERLAND ACN 101 I Amoun~ Remi~ed REV-16~I7 EX &FP COl-OS) WARREN E HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 RETAIN LOWER PORTION FOR YOUR RECORDS ~ TZCE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR *'-~]~Z~SALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOUP WARREN E FILE NO. 21 0~-0596 ACH 101 DATE 08-16-200~ TAX RETURN WAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERS~ APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~a (Schadulo A) (1) 2. S~ocks end Bonds (Schedule B) (2) 3. Closely HaZd S~ock/Par~nership Zn~eres~ (Schedule C) (3) ~. Hot,gages/No,es Receivable (Schedule D) 5. Cash/Bank Daposi~s/Hisc. Personal Propar~y (Schedule E) (5) 6. Jointly Owned Propar~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To~el Asso~s APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expenses/Adm. Cos~s/Hisc. Expanses (Schedule H) (9) 10. Dob~s/Nor~gago Liabili~ios/Lions (Schedule Z) (10) 11. To,al Deductions 12. Ne* Value of Tax Re~urn 15. 1~. Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) Ne~ Value of Es~a~a Subjec~ ~o Tax O0 NOTE: To insure proper O0 credi~ ~o your account, O0 submi~ ~ho upper portion of ~his fore wi~h your ~ax payment. O0 O0 O0 O0 (8) ~,533.~0 .O0 NOTE: .0O (11) l .;~3.4D (la) ~,533.~0- (15) . O0 (1~) ~, 533. ~0- zf an assess;ant Nas issued previously, 1/nos 1~, 15 and/or 16, 17, 18 and 19 Nill reflect flgures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amoun~ of L/ne lQ a{ Spousal ra{e (15) 16. Amoun{ of Line lq {axable a{ Lineal/Class A ra~a (16) 17. Aeoun{ of Line lq a{ Sibling ra{e (17) 18. A.oun{ of Line 1~ {axabla a~ Colla{aral/Class B ra~e (18) · O0 x O0 = . O0 · 00 x 0~5= .00 · 00 x 12 = .00 · O§ x 15 = . O0 (19)= . O0 AHOUNT PAID DISCOUNT INTEREST/PEN PAID (-) 19. Principal Tax Duo TAX CREDITS: PAYHeNT RECFTPT DATE NUHBER ZF PAID AFTER DATE ZNDZCATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT BALANCE OF TAX DUEJ INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 ( TF TOTAL DUE ZS LESS THAN $1~ NO PAYHENT ZS RE~UZRED. TF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR)~ YOU HAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FDRH FOR TNSTRUCTTONS.) RESERVATION: Estates of decedents dying on or before December 1Z, 198Z -- if any futura interest in fha estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decadent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance Taxes at the laaful Class B (collateral) rate on any such futura interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR}: OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill fha requirements of Section Zl~O of tha Inheritance and Estate Tax Act, Act Z$ of lDO0. (72 P.S. Section 91qO). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Hake check or money order payable to: REGISTER OF HILLS, AGENT A rafund of a tax cradit, which wes not requested on tha Tax Return, may be requested by completing an 'Application for RaFund of Pannsylvania Inheritance and Estate Tax" (REV-1515}. Applications ara availebla at the Offica of the Ragistar of Hills, any of the 25 Revenue District Offices, or by calling tha special lq-hour anseering servica for Fores ordering: 1-800-562-Z050; services For taxpayers with special hearing and / or spaaking needs: 1-BOO-qqT-3OZO (TT only}. Any party in interest not satisfied with tha 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. ZBIOZ1, Harrisburg, PA 17128-1021, OR --election to have the aattar detareinad at audit of the account of the parsonal rapresentativa, OR --appeal to tha Orphans' Court. Factual errors discoverad on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Texas, ATTN: Post Assessment Reviaw Unit, Dept. 280601, Harrisburg, PA 171Z8-0601 Phone (717} 787-6505. Sea page S of the booklat "Instructions for Inharitanca Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (5) calendar months after tha decadent's death, a five percent (SI) discount of the tax paid is allowed. Tha 15Z tax amnesty non-participation penalty is computed on the total of tha tax and intarast assessed, and not paid before January 16, 1996, tha first day altar the and of the tax amnesty period. This non-participation panalty is appealabla in the same manner and in the the same time period as you would appeal fha tax and intarast that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nina (9) months and Dna (1} day from the date of death, to the date of payment. Taxes which became dalinquant bafora January 1, 198Z bear intarast at the rate of six (6X} percent per annum calculated at a daily rate of .00016q. All taxes which became dalinquent on and after January 1, 1982 ail1 bear interest at a rate which will vary from calendar year to calendar year eith that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOOq ara: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ 2OZ .0005q8 ~'8-1991 11Z .000501 ~ 92 .0002q7 1985 Z6Z .O00q~B 1992 9Z .O00Z~7 ZOOZ 6Z .00016q 198~ 11Z .000301 199~-199q 72 .00019Z 2003 5Z .0001~7 1985 13Z .000356 1995-1998 92 .0002q7 200q qZ .O00110 1986 IOZ .O00ZTq 1999 7Z .00019Z 1987 lox .O0027~ ZOO0 7Z .00019Z --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes dalJnquant will reflect an interest calculation to fifteen (153 days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. WEIGLE & ASSOCIATES, P.C. Attorneys-at-Law 126 EAST KING STREET SHlPPENSBURG, PENNSYLVANIA 17257-1397 JERRY A. WEIGLE Associa tes JOSEPH P. RUANE RICHARD L. WEBBER, JR. Of Counsel THOMAS L. BRIGHT TELEPHONE (717) 532-7388 or (717) 776-4295 FAX (717) 532-5289 weil!leassociates(ii2earthlink.net Register of Wills, Cumberland County Attention: Glenda Farner Strasbaugh Courthouse Carlisle, PA 17013 July 12,2007 Dear Mrs. Strasbaugh: In Re: Estate of Warren E. Houp File No. 21-04-0596 Enclosed herewith are, I believe, all the documents required to grant letters of administration c.t.a. in the estate of Warren E. Houp who passed away on March 3,2004. An Insolvent PA Inheritance Tax Return was filed for Mr. Houp's estate and approval was granted by the Department of Revenue on August 16, 2004. At that time, file number 21- 04-0596 was assigned to the estate. A probate asset has recently been discovered, and it is now necessary to probate the will. While Mr. Houp died a resident of Pennsylvania, his daughter (and executrix of his estate) is a resident of Washington state. Enclosed herewith please find the following documents: Petition for Probate Original Last Will and Testament Certified Death Certificate Estate Information Sheet Please issue a commission to authorize Gloria A. Hilsinger to take her personal representative's oath in Washington, and then forward the documents to the following address: Kim M. Eaton, Clerk of Court Yakima County 128 North Second Street Room 323 Yakima, W A 98908 The individual who will be taking the oath in Yakima County, W A, will be Kim M. Eaton, whose title is "Clerk of Court." Thank you for all your help in this matter. Very truly yours, JA W:lk Enclosures WEIGLE & ASSOCIATES, P.C. n, a Iu"j 'JIr; ~eigfe ~!V o PETITION FOR PROBATE and GRANT OF LETTERS Estate of Warren E. Houp also known as No. To: 21-04-0596 Register of Wills for the , Deceased. County of in the . Social Security No. 174-18,...2991 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 in the last will of the above decedent, dated June 30 and codicil(s) dated none Helen G. Houp, spouse, named in Will as Executrix. passed away on November 13, 2005 named , 19~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 50 Foreman Mill Road, Shippensburg. South Newton Township (list street, number and muncipality) Decendent, then 86 years of age, died March 3. 2004 , a at 50 Foreman Mill Road. Shippensburg, PA 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: none h 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: 10,000.00.,.-" $ $ $ $ (~ c.~O , 3:J 1 _..,-, "'0 ~''':_:I- -'(",-r1 ---tJ t.:.....J c:.:.::J ....J '.~-'1 \:. ~: , 1') N WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters .. )::-::I-::i request(s) the probate of the last wilt, and co{Gcil(s} of administration c.t.a. _~ (testamentary; administration c.t.a.; adnllffistration d.b~.t.a.) -:J theron. "" V> ~ '" u c: '" ~3 '" .... c.:'" c: -00 C.O cU'':: ",,'" ~o.. "''- 50 ~ c: bO (;j 4702 Carol Avenue Yakima, WA 98908 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF J The petitio~(s) 'abo~99.~ed.:,s.wear(s) or affirm(s~ that the .s~atements in the foregoing petition are true and COrrect to the besto.~t...~. knowledge and belief of petItlOner(s) and that as personal represen- tative(s) Of:7~~O~~:~.i:e~~nt'~titioner(s) will well ~2d truly_administer the :t~e .according to law. Sworn to.v):>r '"::~ffirme'd and.. subscribed { /~~ (). _. before me t 's. .,-' da of Glorla A. Hllsln er ~ ~ ~ :::: i\i ~ No. 21-04-0596 Estate of Warren E. Houp , Deceased DECREE. OF PROBATE AND GRANT OF LETTERS AND NOW l:J(91)uy\ Or f \ ~.Q2, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated June 30, 1999 described therein be admitted to probate and filed of record as the last will of Warren E. Roup and Letters of Administration c.t.a. are hereby granted to Gloria A. Hilsinger FEES 00 Probate, Letters, Etc. ......... $ -4-"t). Short Certificates(/ ) . . . . . . . . " $ too :Jc"Pi~~l16Y' :-a TOTAL_$~ Filed .Com.ml~~'(Ofu~~~DD $ qq. 00 .J)JJldQ~ {'J(jfr111J1j~. . Re.gister of jills .r'D . ~~~. Q {AP ~{ . Weigle, ~s uire #01624 A TTORNEY (Sup. Cl. 1.0. No.) WEIGLE & ASSOCIATES, P.C. 126 East King Street ADDRESS Shippensburg, PA 17257 717-532-7388 PHONE - LAST WILL AND TESTAMENT I, WARREN E. HOUP, of 50 Foreman Mill Road, Shippensburg, South Newton Township, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. I order and direct the payment of all my legally enforceable debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate, to my beloved wife, HELEN G. HOUP. THIRD. In the event my said wife, HELEN G. HOUP, should predecease me or is not living on the sixtieth (60th) day following my death, I then give, devise and bequeath my said estate to my daughter, GLORIA ANN HILSINGER, of 7402 Carol Avenue, Yakima, Washington 98908. FOURTH. I nominate, constitute and appoint my wife, HELEN G. HOUP, to be the Executrix of this my Last Will and Testament; if she be unable to fulfill the duties of Executrix, I then nominate, constitute and appoint my daughter, GLORIA ANN HILSINGER, to be the Executrix of this my Last Will and Testament. FIFTH. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, WARREN E. HOUP, have hereunto set my hand and sealto this my Last Will and Testament this j 0 day of . J ~ , 1999. !jJa;~ 8. ~ (SEAL) MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET _ SHIPPENSBURG, PA 17257-1397 This instrument was by the Testator, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. c~_"-_ ~ ~~ Lfl/y;~(L rf2~ COMMONWEAL TH OF PENNSYL VANIA . COUNTY OF CUMBERLAND SS. I, WARREN E. HOUP, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Wa~;;, 1:-17 Sworn or affirmed to and acknowledged before me by WARRjj~ E. ~OUP, the Testator, _ this '~fI!fdayof ~ ,1999. ,~ ' ~, NOTARIAL SEAL Jerry A Weigle, Notary PubflC Shij)Jlensburg, PA Cumberland ColI1ty M mmission Ex ires October 07 2 MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET _ SHIPPENSBURG, PA 17257-1397 ~ COMMONWEAL TH OF PENNSYL VANIA SS. CO~~=:~d l0 :J the witnesses whose names are signed to the foregoing instrument, being d qualified according to law, do depose and say that we were present and saw WARREN E. HOUP, the Testator, sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator, signed the will as witnesses; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ,1999. NOTARIAL SEAL Jerry A. Weigle, Notary Pub!" Shippensburg, PA Cumberland County ommission Ex ires October 07 2002 MARK, WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KING STREET _ SHIPPENSBURG, PA 17257-1397 MIU'.~U' K..EV 9/86 J I1IS is to 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. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. Fee for this certificate, $2.00 p 9913598 Jlto/) /1 }~~~ Date 116u -// ~ $,~/c1/?eq./: 01?PP/j? t5?6'O (p~rY H105.143 Rev. 2117 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH TYPEIPAINT IN PERIIANENT IIt.ACK INK NAME OF DECEDENT (f"SI. Midde, L..) .. Warren E. Houp AGE (Las! 8tf1hdey) UNDER 1 YEAR - Doyo sex STATE FILE NUMBER SOCIAL SECURITY NUMBER DATE OF OEJrrH,Monltl.Oa.,. '., MrrHPLACE (C..,.~ StMiorFcr..."CouncrVl .. Male .. 174 -18 -2991 PlACE OF oeRH4CI><<:k Cll"Iy/lt'e -- ... .nslruChOf1$ on 0Itlet SlOt) HOSPIlAL ,_0 .. March 3 2004 . 86 COUNTY OF OERH v... ~o .... Cumberland DECEDENT'S USUAl OCCUPlQ'JON (~;=of~~:::'3.:T MARfTAL STRUS - Mwried ---. -- ... Married .7c.cJ....__1n S. RACE .AmeftcanInclMl.86Ick, WhIte. etc. -, to. White SUlMVING SPOuse III..... gMllTlMMn rwnet Brannan 50 Foreman Mill Road '1. Shippensburg, PA 17257 FR'NER'S NMllE (fWit. MIOdle. L_I II. Jesse F. Houp -'SNAMEn_ Helen B. Houp METHOD OF DISPOSITION _K1 c_....o --...._0 0lIw-,. ..... ,.... Cumberland 17..0 :...":".::::'" MOTHER'S NAME (fltll. Malt. MMSlnSurnerne) '1. Lorena Belle Burnham ..FOAMANrs_ADOAESS__.......z-..~ 4702 Carol Avenue Yakima, WA 98908 I'L\CEOF 1lOSPOSITIOH-_..~ c...-v LOCArIOH. ~ _.ZIp<:.- ..OU....... Cumberland Valley Cumberland County, .... Memorial Gardens .... W. Pennsboro . I NAME ANOADIlAESSOF FACIUTY -BricKer FH UCENSE NUMBER _. o ! ~ ::; < PA PA 17257 cJ ... I Appf'oxlf'l\at. ~:r PART n: 0IMr Iignifk:anc COfIl:IIioN CGnIIIM.Idng IOdealh. bell noc.....ing in the~.... Qiven in PART I. DATE OF INJURY -.Iloy.-I T1WE OF INJURY INJURY lifY<<>RK? DESCRme HOW INJURY OCCURRED. -- 0 ........__Ion 0 Could.................. 0 ... 0 ...0 .III.DICAl. EXAIIINERICORONER On the ba.. 0' ...mlnlltlon and/or Inv..tigation.ln my opinion, d..,h occurred "1he lime, date, and plue, and due to lhe cauae(a) and .............at..ad... ....... .............. .......... ..... ....... ....... ......... . .... .. .............. ......... _.. 31a. REGISTRAR'S SJGNAfURE AND NUMBER '0, ZIb. zw. CERTIFIER IChecM onIf one) I.' -CERTIFYING PHYSICIAN (Phf8lC*l cenIyIng cane 01 dHlh ~ anoIher pftysc.." Ills plonotreed deaIh ana completed hem 23) To..........ftIlylmDwtedve..elhOlClf:Vn'M due.... cau-c.).nd run.............. .................................................... .... Z W o W o W o ... o w '" < Z "PftONOUNCING AND CERTIfYING PHYSICIAN 'Phys.cla" boCh P1OflOunclf'lQ death and cer1Il'yong 10 cause 01 deafll TO....bHto'...yknowtedgtt. duthOCCurrN..h........ d....andplee...ndduelolheeaUM(.).ndm.nn...Meted......................... 121(121/~ ... j~, 1M4J~ - Register of Wills of Cunlberland County State of Pennsylvania SS: County of Cumberland BE IT REMEMBERED, that I, Glenda Farner Strasbaugh, Register of Wills of Cumberland County, Pennsylvania, do hereby commission you, Kim M. Eaton, Clerk of Court, or one of your deputies, to administer the Oath of Personal Representative in the Estate of Warren E. Houp, late of South Newton Township, Cumberland County, Pennsylvania pursuant to Section 3154 of the Probate Estates and Fiduciaries Code, 20 Pa.C.S.A.3154. IN TESTIMONY WHEREOF, I have here unto set my hand and affixed my seal the 17th day of July, 2007. /d- , ' L ~~nM ~f:,(f" " ~ / Glenda Farner Strasbaugh " Register of Wills Cumberland County One Courthouse Square Carlisle, PA 17013 Marjorie A. Wevodau First Deputy Glenda Farner Strasbaugh Register of Wills & Clerk of the Orphans' Court Kirk S. Sohonage, Esquire Solicitor Wanda S. Zeigler Second Deputy OFFICES OF (717) 240-6345 FAX (717) 240-7797 1-888-697-0371 x 6345 l\egister of Wills anb <!Clerk of tbe <!&rpbans' <!Court QCountp of QCumberIl1nb July 17,2007 Attn: Kim M. Eaton - Clerk of Court Yakima County 128 North Second Street Room 323 Yakima, W A 98908 IN RE: Estate of Warren E. Houp, deceased Estate No. 21-04-0596 Your Honor: Enclosed please find a Commission to Take Oath, Petition for Probate p.nd Grant of Letters and Oath of Personal Representative. If you would please advise Gloria A. Hilsinger, when she may appear before the Probate Court to execute the oath, it would be appreciated. Gloria Hilsinger's telephone number is 509-965-3451. Enclosed you will find an envelope for the retum of the Petition and Oath. If you have any questions or concems, please feel free to call. Respectfully, hr~ -X4'.u/~ia~'- Glenda Famer Strasbaugh Register of Wills and Clerk of the Orphans' / urt Enclosures CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Warren E. Houp Date of Death: File Number: 21-04-0596 03/03/2004 Date Letters Granted: 11/01/2007 To the Register: I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 11/08/2007 Name Helen G. Houp Estate Address c/o Gloria Ann Hilsinger, Yakima, WA 98908 o So >,~ ::D "! I:J -'--!;:;r:o -; ~gj .~'-'-'^ :7'")0 'J ~d 'f] '..J'- , ::0 ':0-1 ):> Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except: None Date 11/08/2007 Jerry A. Weigle Esquire I"-.) <:::::> = ......, :z: <:) -< T'~l I;::"; ::c~ C;") (.::J (-C'~ eg -' .~ -~ _.."~-.l 1'-"-"J t-ri ::'~, CJ C-'e> . Ion :!J C.:! r,l ,--) ..:...r:l \0 -0 :::J: ~ o <7' 126 East King Street Name of Person Filing this Form Address Shippensburg, PA 17257 City, State, Zip 717/532-7388 Form RW-08 Rev, 10-13-2006 Telephone Copyright (c) 2006 form software only The Lackner Group, Inc, v- , . .. \J/Y . ..J 150SbOlf111f7 REV-1- EX (06-05) PA Department of Revenue Bureau of Indlvldual Taxes ~. PO BOX.280601 ~ HarrisbUrg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONL V Coldy Code v_ INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 4 FIle Number 0596 Date of Birth 174182991 03032004 09191917 HOUP WARREN MI E Decedenfs Last Name Suffix Decedenfs First Name (If ApplIcable) Enter Surviving Spo..... Infonnatlon Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW o 1. 0rlgin8I Retum o 4. Umlted Estate 8. DeclIdenI DIed T..... (AIt1Il:h Copy a/ M) 9. LItIgatIon ProceecIa ReceIYed O 48. Fulln I..... ComprllmIU (dlIte a/ cIelIlh IIft8r 12-12-82) o o o o 3. Remainder Return (date of death prior to 12-13-82) 5. Federa'-Estate Tax Retum Requlnld [!l 2. Supplemental Retum [!] o 7 0eclICMnl MIIInlIINd . LIvInG TIUIt . (Attach Copy a/ TIUIt) 8. Total Number of Safe Deposit Boxes 10. == =f::~~ldelllh o 11. EIecIIon to tax under See. 9113(A) (Attach Sell. 0) Second line of add..... ~ ~ REGISTER~LLS UsJE9NLV;-:r t)J -0 l""1 (':.J ~ ;S;; p ("") tee:: '. ) r;: z rn ( r:,:1 ; i~ ::'".: Ct? ~ -.I ::7:.1 l :J ;:)00 nOIl ~ ()C -- ,/ : ::0 -I ce I -- .:;g (./), ) ~ FILED U1 ... f, ~. THIS C110N _TBE COIIPLETED. ALL CORRESPONDENCE JERRY A. WEIGLE ESQUIRE CONFIDENTIAL TAX INF noN SHOULD BE DIRE Daytime Telephone Number 7175327388 Finn Name (If Applicable) WEIGLE & ASSOCIATES. P.C. First line of add..... 126 EAST KING STREET City or Post 0I'IIc:e SHIPPENSBURG state PA ZIP Code 17257 Correspondent'. e-mail address: Under ~ of p;erjury. I decIenI that I have ell8Il1Ined this return, IncIudInll accom~ ICheduIeI and ttaternenIB. and to the belt of my ~ and bel . it Is lruit. correct IriS CixrijIIete. DeclaratIon of pnlIllII'8I' other than the pel'lIOn8l repeeel d8tIve Is baled on all information of which preparer hai tIFf knOiIedge. PERSON F FILING N DATE " Gloria Ann HIlsinger //-/9' - () Jerry A. Weigle esquire Side 1 L :L5D5bOIf1:L1f7 1505bOlf111f7 , ." ..-J 1505b042J.46 REV-1500 EX Decedenfs Social Security Number 174182991 Decedent'aNMl8: Warren E. Houp RECAPITULATION 1. Real Estate (Schedule A).......................................................................................... 1. 2. Stocks and Bonds (Schedule B)............................................................................... 2. 2.455.96 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3. 4. Mortgages & Notes Receivable (Schedule D).......................................................... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)................ 5. 6. Jointly OWned Property (Schedule F) 0 Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested............. 7. 9. Funeral Expenses & Administrative Costs (Schedule H)......................................... 9. 2.455.96 614.00 8. Total Gross AatIeIs (total Lines 1-7)....................................................................... 8. 10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I)................................ 10. 11. Total Deductions (total Lines 9 & 10).................................................. .................... 11. 12. Net Value of Estate (Line 8 minus Line 11)............................................................. 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J)................................................. 13. 614.00 1.841.96 14. Net Value Subject to Tax (Line 12 minus Line 13)................................................. 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPUCABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, of transfers under See. 9116 (a)(1.2) X ~ 1 . 8 4 1 . 9 6 16. Amount of Line 14 taxable at lineal rate X .045 0 . 0 0 17. Amount of Line f4"i8X8ble atsibllngrateX.12 0 . 00 18. Amount of Line 14 taxable at collateral rate X .15 0 . 0 0 1.841.96 19. Tax Due................................................................................................. .................... 15. 0.00 16. 0.00 17. 0.00 18. 0.00 19. 0.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L J.505b042146 15056042146 REV-1500 EX Page 3 Decedent's complete Add.....: DECEDENT'S NAME Warren E. Houp STREET ADDRESS 50 Foreman Mill Road FlleNumber 21-04-0596 STATE ZIP Shlppensburg PA 17257 CllY Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CredltslPayments A. Spousal Poverty Credit B. Prior Payments C. DIscoUnt (1) 0.0 Total Credits (A + B + C) (2) 3. InterestJPenalty if applicable D. Interest E. Penalty TotallnterestJPenalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3. enter the difference. This is the OVERPAYMENT. Check box on p.. 2 Line 20 to request. refund 5. If Line 1 + line 3 is greater than Line 2, enter the difference. this Is the TAX DUE. A. Enter the Interest on the tax due. B. Enter the total of line 5 + 5A. This Is the BALANCE DUE. (3) (4) (5) (SA) (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: a. retain the use or income of the propertytransterred;.................................................................................. b. retain the right to designate who shall use the property transferred or its income;.................................... c. retain a reversionary interest; or............................. .......... .... ............................... ........................................ d. receive the promise for life of either payments, benefits or care?............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.............................................. ............................. ........................................... 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........ 0 4. Did decedent own an Individual Retirement Account. annuity, or other non-probate property which contains a beneficiary designation?...................................................................................................................... 0 [!] IF THE ANSWER TO ANY OF THE ABOVE QUESnONS IS YES, VOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE R Ves No ~ ~ [!] [!] RN. 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 three (3) percent [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 zero (0) percent [72 P.S. ~9116 (a) (1.1) (Ii)]. The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only benefICiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent. or a stepparent of the child is zero (0) percent [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 beneficiaries is four and one-half (4.5) percent, 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 twelve (12) percent [72 P.S. ~9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in cornmon with the decedent, whether by blood or adoption. Rev.1503~+ '....1 '* SCHEDULE. B STOCKS & BONDS ~THOF~V- NEM'NlCE TAXIlET\JRN ~llECI!DENT ESTATE OF Houp, Warren E. FILE NUMBER 21..04-0596 AM pnlIMfty joInt1y..-ned wlth right of MWV\vOr8IlIp must be clKIoUd on 8clMcIu1e F. ITEM NUMBER CUSIP NUMBER DESCRIPTION 52 shares of Prudential Stock UNIT VALUE 47.23 VALUE AT DATE OF DEATH 2.455. 1 TOTAL (Also enter on Line 2, Recapitulation) 2.4& .96 (If more space is needed. addl1lonal pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev 6-98) ,'J"', "~.,,, ,^,!,....,~'''''. ,,- ,~. . . REV-11'", EX+ (12-81) *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RET\JRN RESIDENT DECEDENT Houp, Warren E. Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FILE NU_ER 21-04-0596 ESTATE OF DESCRIPTION AMOUNT FUNERAL EXPENSES: 1. ADMINISTRATIVE COSTS: ~~~~R~~'s~m_~M B. SocI~ Security Number(s) I EIN Number of Personal Representatlve(s): Street Address City Year(s) Commission paid State Zip 2. Attomey's Fees Weigle & As8oClates, P .C. 500. 3. Family Exemption: (If decedent's address is not the same as c1aimanfs, attach expian*n) Claimant Street Address City Rela~nshlp of Claimant to Decedent State Zip 4. Probate Fees Register of Wills, Cumberland County 9900 5. Accountant's Fees 6. Tax Retum Preparer's Fees 1 .00 7. Other Administrative Costs See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 61 .00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev 6-98) ",~~".. "-"," ,;" ',.,',, ,."~""...",, ~ RiIv-11Ol! EX+ (....) '. *' SCHEDULE H.87 OTHER ADMINISTRATIVE COSTS continued c<MIOfMI!ALTH Of' PlHWlLV_ ..-TAHCETAX RE1'URH AEIIlEHl'DI!CEDENT Houp, Warren E. FILE NU_ER 21-04-0196 ESTATE OF ITEM NUMBER 1 DESCRIPTION Register of Willa, Cumberland County - filing PA Supplemental Inheritance Tax Retum AMOUNT 15. Subtotal 1 00 Copyright (c) 2002 fonn software only The Lackner Group, Inc. Fonn PA-1500 Schedule H-B7 (Rev. 98) - .~... ...... ",. 7" <. l")..~"'" 111".'';''4;~." . ; RIiY.111\ EX+ (9-00) '. ' *' SCHEDULE .. . 1 BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT 1 Houp, Warren E. NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY TAXABLE DISTRIBUTIONS [!ncIude outright spousal C1istributions and transfers under Sec. 9116(a)(1.2)) Helen G. Houp Estate c/o Gloria Ann Hilsinger 4702 Carol Avenue Yakima, WA 98908 RELATIONSHIP TO DECEDENT Do Not LJat T . FILE NUMBER 21-04-0596 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) ESTATE OF NUMBER I. Spouse 100% 1,841.96 Enter dollar amounts for distributions shown above on lines 5 tit Total 1,841.96 ropnate. on Rev 1500 cover sheet ll. 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-15OO COVER SHEET Copyright (c) 2002 form software only The Lackner Group,lnc. Form PA.1500 Schedule J (R Cumberland County - Register Of Wills One Courthouse SquaLe Carlisle, PA 17013 Phone: (71 7 ) 240 - 6345 Date: 2/11/2008 v-lEIGLE JERRY A WEIGLE & ASSOCIATES PC 126 E KING STREET SHIPPENSBURG, PA 17257 RE: Estate of HOUP WARREN E File Number: 2004-00596 Lear 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 18 due by: 3/03/2008 Please feel free to contact this office with any qu~stions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans! Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/11/2008 HILSINGER GLORIA A 4702 CAROL AVENUE YAK I fvlA, WA 98908 RE: Estate of HOUP WARREN E File Number: 2004-00596 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. PeS 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 ]s due by: 3/03/2002, Please feel free to contact this office with any questions you may ~ave. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Warren E. Houp Date of Death: 03/03/2004 File Number: 21-04-0596 Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: 00 Yes 0 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? DYes 00 No 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? 00 Yes 0 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report. Date 02/22/2008 ( Crr Capacity: 0 Personal Representative Jerry A. Weigle Esquire Name of Person Filing this Form 126 East King Street Oh :; I) I LZ Ql J .../ i l .'; Cl U~..l..; Address Shippensburg, PA 17257 Cffy, State, Zip 717/532~7388 Form RW-10 Rev. 10-13-2006 Telephone Copyright (c) 2006 form software only The LacKner Group, Inc. ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE T HOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIO~S AN~ :~SESSMENT OF TAX REV-1547 EX AFP (06-05) DATE 02-11-2008 ESTATE OF HOUP WARREN E DATE OF DEATH 03-03-2004 FILE NUMBER 21 04-0596 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 04-11-2008 ( See reverse side under Objections) Amount Remittedl ~ 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 +-- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOUP WARREN E FILE NO. 21 04-0596 ACN 101 DATE 02-11-2008 ~ .', "~ r ,...:,,\ 2 2 l:~;.;,.; \- ~0 U\ \ \:.~~ JERRY A WEIGLE ESQ WEIGLE & ASSOCS 126 EKING ST SHIPPENSBURG Cr,,'" I >-< ~.. , .. Ij;, . PA 17257 TAX RETURN WAS: ( ) ACCEPTED AS FILED x} CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (I) 2. Stocks and Jonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Mortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 .00 2,455.96 .00 .00 .00 .00 .00 (8) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 2,455.96 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 614.00 .00 CIU CI2} (13) CI4} 614 DO 1,841.96 .00 2,691.44- 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: PAYMENT DATE CIS} CI6} CI7} CI8} .00 X .00 X .00 X .00 X 00 045 = 12 15 CI9}= .00 .00 .00 .00 .00 RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ' b IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE ~ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.} REV-1470 EX (6-86) ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME REVIEWED BY ITEM SCHEDULE NO. Houp, Warren E. Justin R. Gilmore Applied excess debts. INHERITANCE TAX EXPLANA nON OF CHANGES EXPLANATION OF CHANGES ROW FILE NUMBER ACN 2104-0596 101 Page 1