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Home My WebLink About03-0211PETITION FOR GRANT OF LETTERS Estate of Dorothy'l~, Baker No. also known as , Deceased Dorothy M. Acri 21-03-211 Social Security No. 195-07-1678 Petitioner(s), who is/are 18 years of age or older, apply)ies) for: (COMPLETE "A" OF{ "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix Decedent, dated ~,~, ~ /?~ and codicil(s) dated / named in the Last Will of the State relevant circumstances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland .,,~ County, Pennsylvania, with his/her la_st.family or principal residence at -O3,17' D:,C',;iF, 7~C.,", .~.'.'C., /~_ c~m? H!!!, .~.A. 1701 i'~. ~j~,~' ~'~i~1~ ~t~ ~/.~ ~'"'"~¢~ (list street, number and municipality) ~ / · · Decedent, then 93 years of age, died February 23 ,2003 , at Messiah Village (Location) Decedent 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 ........................................................................................ $ Total ..................................................................................................................... $ Real Estate situated as follows: 250,000.00 50,000.00 300,000.00 Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: I Typed or printed name and residence Signature Dorothy M. Acri 3017 Dickinson Ave., Camp Hill, PA 17011 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the esta e according to law. Sworn to and affirmed and subscribed before me this 6th day of _ MARCH DECREE OF REGISTER Estate of Dorothy'l~ Baker also known as Deceased No. 2 ]-:203-211 Social Security No: 195-07-1678 Date of Death: 2/23/2003 AND NOW, ML&RCH 7 , 2003 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters (~ Testamentary I-I of Administration ((c.t.a., d.b.n.c.t; pendente lite; durante absentia; durante minoriate) are hereby granted to Dorothy M. Acri in the above estate and that the instrument(s), if any, dated ~/¢K ~,~/~¢ ~ described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Letters .................................... $ Short Certificates(s) ............... $ 21.00 Renunciation .......................... $ Extra Pages ( ) ............... $ ~. O0 I.T.R ....................................... $ JCP Fee ................................. $ Inventory ................................$ Other ...................................... $ TOTAL ............................. $ 270.00 307.00 Signature Attorney: R. Mark Thomas I.D. No: 41301 Address: 101 S. Market Street Mechanicsburg Telephone: 717-796-2100 PA 17055 DATE FILED: 21-03-211 LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, DOROTHY E. Pennsylvania, being BAKER, a resident of Cumberland County, of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married, my beloved husband, ELDEN BAKER having predeceased me, and that I have two (2) children, namely, DOROTHY M. ACRI, born June 18, 1926 and RICHARD L. BAKER, born October 18, 1930. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV I give, devise and bequeath unto each of my grandchildren, ELDEN R. ACRI, VIKI E. ACRI, SUSAN BAKER GARCED, YVONNE BAKER AYALA, MICHAEL BAKER, PAMALABAKERMUMMERT and JODI BAKER BUDZINSKI the sum of FIVE HUNDRED ($500.00) DOLLARS each provided that they survive me for a period of thirty (30) days. In the event that any of my grandchildren should predecease me or fail to survive me by thirty (30) days then their residuary estate. bequest will become part of the V I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my children, DOROTHY M. ACRI and RICHARD L. BAKER, in equal shares provided that they survive me by thirty (30) days. In the event that my son, RICHARD L. BAKER, shall predecease me or fail to survive me by thirty (30) days then his share of my estate shall pass on to his issue in equal shares. In the event that my daughter, DOROTHY M. ACRI, shall predecease me or fail to survive me by thirty (30) days then her share of my estate will pass on to her husband, OSCAR R. ACRI and her issue provided they survive her by thirty (30) days in equal shares, per capita. VI I .nominate, constitute and appoint my daughter, DOROTHY M. ACRI, as Executrix of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, DOROTHY E. BAKER, have set my hand to this LAST WILL this ~ ~ day of ~1~~'- , 1996. ~ OTHY E~BA~ER Signed, sealed, published and declared by the above-named DOROTHY E. BAKER, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : COUNTY OF CUMBERLAND : ss. I, DOROTHY E. BAKER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. DOROTHY E. B~KER Sworn or affirmed to and acknowledged before me by DOROTHY E. BAKER, Testatrix, this ~'%~i~3 day of /,i(~!J~-~"~_ , 1996. N6t~ry Publ i~ Lu Notadal Seal anne M. Heikes, Notary Public M.e. ch_anicsburg Boro, Cumberland County My L;ommission Expires Dec. 6, 1999 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND : We, ~ ~'~"~ '~t~J~~ and ~,7,'~ I~;, C~lll~q'~l , the witnesses whose names are~signed to the attached-or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her LAST WILL; that DOROTHY E. BAKER signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 years of age or more, of sound mind and under no constraint or undue influence. Sworn or affirmed to and acknowledged before me this ,_~ 1~.~,~'~ day of /\~.~ C~ ~.~--%~ ~ ~ ~ ~ I'--7 , 1996. N~tarY Publ i~- .... -~ Notarial Seal Luanne M. Heikes, Notary Public Mechanicsburg Boro, Cumberland County My Commission Expires Dec. 6, 1999 DOROTHY E. BAKER CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Dorothy E. Baker Date of Death: 2/23/2003 Estate No. 2003-211 SSN: 195-07-1678 File No. 21-03-211 Date Letters Granted: 3/7/2003 Will or Administration No. To the Register: I certify that Notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 3/19/2003 Name Elden R. Acri Viki Ellen Acri-Lutz Susan Garced Yvonne Ayala Michael Baker Pam Mummert Address 114 S. Chestnut St. Mechanicsburg 400 S. Market St. Mechanicsburg 2339 N. 4th Street Harrisburg 628 Wisconisco Street Harrisburg PO Box 609 Meadowview 9627 Carlisle Road Di!!sburg PA 17055 PA 17055 PA 17110 PA 17110 AZ 86444 PA 17019 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: 3/19/2003 ~ ~,~4'¢¢¢~~ SignatUre Capacity: R. Mark Thomas, Esq. Personal Representative Name (Please type or print) X Counsel for Personal Address Representative 101 S. Market Street Mechanicsburg PA 17055 Telephone No. 717-796-2100 i3orothy E. Baker Continuation of Certification of Notice Under Rule 5.6(a) Page 1 2/23/2OO3 Names and addresses Name Jodi Budzinski Richard L. Baker Dorothy M. Acri Address 35 Woburn Abbey Ave. Camp Hill 122 S. 27th Street Camp Hill 3017 Dickinson Avenue Camp Hill PA 17011 PA 17011 PA 17011 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 002590 THOMAS R MARK ESQUIRE 101 SOUTH MARKET STREET MECHANICSBURG, PA 17055 ........ fold ESTATE INFORMATION: SSN: 195-07-1678 FILE NUMBER: 2103-021 1 DECEDENT NAME: BAKER DOROTHY E DATE OF PAYMENT: 05/20/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/23/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 911,998.37 TOTAL AMOUNT PAID: 911,998.37 REMARKS: DOROTHYMACRI C/O R MARK THOMAS ESQUIRE SEAL CHECK# 1013 INITIALS: JA RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 002896 THOMAS R MARK 101 SOUTH MARKET STREET MECHANICSBURG, PA 17055 ........ fold ESTATE INFORMATION: SSN: 195-07-1678 FILE NUMBER: 2103-021 1 DECEDENT NAME: BAKER DOROTHY E DATE OF PAYMENT: 08/13/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/23/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 936.25 TOTAL AMOUNT PAID: 936.25 REMARKS: R MARK THOMAS SEAL CHECK# 1966 INITIALS: VZ RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS u,I z ~J C] z Q. LU rr Z 0 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0601 DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAl. Baker, Doroth~ E. REV-15OO INHERITANCE TAX RETURN RESIDENT DECEDENT DATE OF DEATH (MM-DD-Year) 02/23/2003 DATE OF BIRTH (MM-DD-Year) 10/23/1909 OFFICIAL USE ONLY FILE NUMBER ¢_ -_O_:3-D__2... l COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 1 9 5-0 7-1 6 7 8 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER r~l. Original Return r'"~ 4. Limited Estate r-"] 6. Decedent Died Testate (Attach copy of Will) r'-~ 9. Litigation Proceeds Received [-"~ 2. Supplemental Return E~] 4a. Future Interest Compromise (date of death after 12-12-82) F']7. Decedent Maintained a Living Trust (Attach copy of Trust) [~ 10. Spousal Poverty Credit ldate of death between 12-31-91 and 1-1-95) [~3. Remainder Return (date of death prior to 12-13-82) [--~ 5. Federal Estate Tax Return Required __ 8. Total Number of Safe Deposit Boxes [--'111. Election to tax under Sec. 9113(A) (A~ch Sch O) NAME R. Mark Thomas, Esq. FIRM NAME (If Applicable) TELEPHONE NUMBER 717-796-2100 COMPLETE MAILING ADDRESS 101 S. Market Street Mechanicsburg PA 17055 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ~] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11 ) 13. 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) 50,000.00 206;543.56 41,355.52 oFFICIAL USE oNLy (8) 14,374.07 2,055.82 (11) 297,899.O8 16,429.89 281,469.19 (12) (13) (14) 281,469.19 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) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. X ~ (15) 281,469.19 X .045 (16) X .12 (17) X .15 (18) (19) 12,666.11 12,666.11 Decedent's Complete Address: STREET ADDRESS 3017 Dickinson Ave. CITY Camp Hill STATE PA ziP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 11,998.37 631.49 Interest/Penalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) Total Interest/Penalty ( D + E ) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (2) (3) (4) (5) (5A) (5B) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ........................................ [] [] c. retain a reversionary interest; or ...................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ............................................................. [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate considerat on? ...................................... [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... [] [] 12,666.11 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. 12,629.86 0.00 36.25 36.25 PA 17011 ADDRESS SIGNATU2~%LE~G,'RETURN ADDRESS '" 3017 DCkinson ~,ve. Camp Hill SIGNATUR~~I~~TIVE / / DATE 1-01 S. Market St. Mechanicsburg PA 17055 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to 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 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 decedenrs siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502EX * (1.97} COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEO[-'NT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Baker. Dorothy E All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the pdce at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 2011 Market St., Camp Hill, PA 17011 Decendent owned the property as Tenants in Common with Dorothy M. Acri. The appraised value of the property is $100,000.00. Therefore, we have assigned one-half of the appraised value to the estate. TOTAL (Also enter on line 1, Recapitulation), VALUE AT DATE OF DEATH 50,000.00 50,000.00 REV-1508 EX * (1-97) ' ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Baker. Dorothy E FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1979 El Camino Certificate of Deposit #33259 Belco FCU, PO Box 82, Harrisburg, PA 17108 Certificate of Deposit #33260 Belco FCU, PO Box 82, Harrisburg, PA 17108 Certificate of Deposit #33261 Belco FCU, PO Box 82, Harrisburg, PA 17108 Savings Account #836371 Belco FCU, PO Box 82, Harrisburg, PA 17108 Savings Account #5000127274 PNC Bank, Carlisle Pike, Camp Hill, PA 17011 Capital Blue Cross Refunds 189.14 and 11.86 PA Tax Refund Federal Income Tax Refund TOTAL (Also enter on line 5, Recapitulation) VALUE AT DATE OF DEATH 500.00 50,669.05 50,720.17 5O,792.68 5.00 53,365.66 201,00 30.00 260.00 2O6,543.56 (If more space is needed, insert additional sheets of the same size) REV-1509 EX *(1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Baker. Dorothy E If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Dorothy Acri Daughter B Richard L. Baker 3017 Dickinson Ave. 'Camp Hill, PA 17011 122 S. 27th St. Camp Hill, PA 17011 Son JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach BATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST BECEDENT'S INTERES 1. A. 6/01 CD #31300212587 15,055.42 50. 7,527.71 PNC Bank 2. A. 11/97 Checking Acct. #514016391 4,837.48 50. 2,418.74 PNC Bank 3. ID. 6/01 CD #31100212497 15,055.42 50. 7,527.71 PNC Bank 4. A. 6/84 Checking Acct. #3106104546 5,812.68 50. 2,906.34 Waypoint Bank 5. B. 6/84 Checking Acct. #3103104553 6,099.40 50. 3,049.7C Waypoint Bank 6. B. 7/00 CD #710000090 18,075.95 50. 9,037.98 Waypoint Bank 7. A. 7/00 CD #7100000902 17,774.68 50. 8,887.34 Waypoint Bank TOTAL (Also enter on line 6, Recapitulation) $ 41,355.52 (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Baker. Dorothy E Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT 1. 2. 3. 4. 5. 8. 9. 10. FUNERAL EXPENSES: Musselman Funeral Home, Inc. Rolling Green Cemetery Funeral Dinner (Viki Acri) Rothermal Flowers Quality Cleaners ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Attorney Fees R. Mark Thomas, Esq. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Zip Street Address city Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees Cumberland Law Journal Patriot News PNC Bank - Estate checks Clauser Real Estate Appraisals State Zip TOTAL (Also enter on line 9, Recapitulation) $ 5,743.20 67O.O0 370.26 321.72 9.50 6,000.00 307.00 75.00 99.79 27.60 750.00 14,374.07 (If more space is needed, insert additional sheets of the same size) REV-1512 EX*(1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES,& LIENS ESTATE OF FILE NUMBER Baker. Dorothy E. Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. Messiah Village 1,881.00 Country Meadows - Alert Pharmacy Burick & Azizkhan Quantum Imaging EKG Associates 74.82 23.43 67.85 8,72 TOTAL (Also enter on line 10, Recapitulation) $ 2,055.8? (If more space is needed, insed additional sheets of the same size) REV-1513 EX + (~-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Baker. D, ~roth.v E NUMBER ]. 1. 2. 3. 4. 5. 6. 7. FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a)(1.2)] Dorothy M. Acri 3017 Dickinson Ave. Camp Hill, PA 17011 Richard L. Baker 122 S. 27th St. Camp Hill, PA 17011 Elden R. Acri 114 S. Chestnut St. Mechanicsburg, PA 17055 Viki Acri-Lutz 400 S. Market St. Mechanicsburg, PA 17055 Susan Garced 2339 N. 4th Street Harrisburg, PA 17110 Yvonne Ayala 628 Wisconisco St. Harrisburg, PA 17110 Michael Baker PO Box 609 Meadview, AZ 86444 Daughter Son Grandson Granddaughter Granddaughter Granddaughter Grandson /2 Remainder /2 Remainder i00.00 500.00 500.00 500.00 500.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 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) Baker, Dorothy E. Continuation of REV-1500 Inheritance Tax Return Resident Decedent Paqe 1 Schedule J - Beneficiaries - 1 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PEI~SON/S) RECEIVING PROPERTY DO Not List Trustee(s) OF ESTATE ! TAXABLE DISTRIBUTIONS (include outright spousal distributions) 8. Pam Mummert Granddaughter 500.00 9627 Carlisle Rd. Dillsburg, PA 17019 9. Jodi Budzinski Granddaughter 500.00 35 Woburn Abbey Ave. Camp Hill, PA 17011 L~ST WILL AND TESTAMENT BE IT REMEMBERED THAT I, DOROTHY E. Pennsylvania, being BAKER, a resident of Cumberland County, of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am not married, my beloved husband, ELDEN BAKER having predeceased me, and that I have two (2) children, namely, DOROTHY M. ACRI, born June 18, 1926 and RICHARD L. BAKER, born October 18, 1930. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV I give, devise and bequeath unto each of my grandchildren, ELDEN R. ACRI, VIKI E. ACRI, SUSAN BAKER GARCED, YVONNE BAKER AYALA, MICHAEL BAKER, PAMALABAKERMUMMERT and JODI BAKER BUDZINSKI the sum of FIVE HUNDRED ($500.00) DOLLARS each provided that they survive me for a period of thirty (30) days. In the. event that any of my grandchildren should predecease me or fail to survive'me by thirty (30) days then their residuary estate. bequest will become part of the V I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my children, DOROTHY M. ACRI and RICHARD L. BAKER, in equal shares provided that they survive me by thirty (30) days. In the event that my son, RICHARD L. BAKER, shall predecease me or fail to survive me by thirty (30) days then his share of my estate shall pass on to his issue in equal shares. In the event that my daughter, DOROTHY M. ACRI, shall predecease me or fail to survive me by thirty (30) days then her share of my estate will pass on to her husband, OSCAR R. ACRI and her issue provided they survive her by thirty (30) days in equal shares, per capita. VI I nominate, constitute and appoint my daughter, DOROTHY M. ACRI, as Executrix of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, DOROTHY E. BAKER, have set my hand to this LAST WILL this ~ -~ day of ~-~~'- , 1996. Signed, sealed, published and declared by the above-named DOROTHY E. BAKER, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : COUNTY OF CUMBERLAND : ss. I, DOROTHY E. BAKER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. DOROTHY E. B~KER Sworn or affirmed to and acknowledged before me by DOROTHY E. BAKER, Testatrix, this C~ day of 1\.'~~7~ , 1996. ....... ,, Public Notadal Seal ' -- ~ Luanne M. Hetkes, Notary Publl(: I Uechanicsburg Boro, Cumberland County J My Commission Expires Dec. 6, 1999 I AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND : the witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were preSent and saw Testatrix sign and execute the instrument as her LAST WILL; that DOROTHY E. BAKER signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 years of age or more, of sound mind and under no constraint or undue influence. Sworn or affirmed to and acknowledged before me this ,~:~{~u%~ day of '' "' 1996 '~-.N~tary Publ i~ Notarial Seal Luanne M. Heikes, Notary Public Mechanicsburg Boro, Cumberland County My Commission Expires Dec. 6, 1999 May 19, 2003 CLAUSER REAL ESTATE APPRAISALS CLA USER REAL ESTATE APPRAISALS PO BOX 777 Camp Hill, PA 17001-0777 Telephone: 717-737-7300 FAX: 717-730-0922 e-mail: CL.4USER(~P,4ONLINE. COM R. Mark Thomas, Attorney-at-Law 101 S. Market Street Mechanicsburg, PA 17055 Estate of Dorothy E. Baker Commercial Retail Building 2011 Market Street Camp Hill PA 17011 Dear Mark: In compliance with your request, I have completed my inspection and subsequent market studies on the above referenced property for the purpose of estimating its market value as of February 23, 2003, the date of Dorothy E. Baker's death. The property being valued is located on the south side of Market Street, just east of its intersection with 21 st Street in Camp Hill Borough and is known and numbered 2011 Market Street, Camp Hill, Cumberland County, PA. Total land area is 5,099.193+ square feet or .117061 acres. Improvements consist of a one-story residence commercial building occupied as Fitches Trading Post. The gross building area of the first floor is 755 square feet. For the purpose of this appraisal, the highest and best use of the property is estimated to be its continued use as a retail store with detached garage. 'The site is in Zone C of HUD identified flood hazard with flood insurance not required. The indicated value is based on the property being free of hazardous materials and in compliance with Camp Hill Borough Codes. Based on my studies and subject to the limiting conditions found in and attached to this report, the property, in my opinion, has an indicated market value as of February 23, 2003 off ONE HUNDRED THOUSAND ($100,000) DOLLARS COMMERCIAL' INDUSTRIAL' APARTMENT COMPLEXES' SUBDIVISION ANALYSIS' RESIDENTIAL 2011 Market Street, Camp Hill 3-0325 C-2 Page 2 CLAUSER REAL ESTATE APPRAISALS Details of my methods of valuation, as well as a description of the improvements are contained in the ensuing Complete Appraisal in Summary Report Format believed to be in compliance with requirement guidelines of the Appraisal Standards Board of the Appraisal Foundation. Employment in and compensation for making this appraisal are in no manner contingent upon the value reported, and I certify that I have no financial interest in the property appraised, present or contemplated, and that the appraisal assignment was not based on a requested minimum valuation, a specified valuation, or the approval of a loan. The appraiser has personally inspected the property. The Appraisal Institute conducts a voluntary program of continuing education for its designated members. SRAs who meet the minimum standards of this program are awarded periodic educational certification. I am currently certified under the SRA program. Very truly yours, George C."Clauser, SRA PA Certified General Real Estate Appraiser Certification Number GA-000233-L CLAUSER REAL ESTATE APPRAISALS GCC/if Enclosures As Stated 201 I Market Street, Camp Hill 3-0325 C-2 CLAUSER REAL ESTATE APPRAISALS P O Box 777 Camp Itill, PA 17001-0777 Telephone: 717-737-7300 FAX: 717-730-0922 e-mall: CLAUSER~PAONLINE.COM INVOICE From: George C. Clauser, SRA Clauser Real Estate Appraisals P O Box 777 Camp Hill, PA 17001-0777 Date: Invoice Number: Federal Tax ID: May 30, 2003 3-0325 C-2 25-1707598 Telephone Number: 717-737-7300 FAX Number: 717-730-0922 TO: R. Mark Thomas, Attorney-at-Law 101 S. Market Street Mechanicsburg, PA 17055 Property Address: 2011 Market Street, Camp Hill, P/A (Estate of Dorothy Baker - Fitches Trading Post) FEES FOR: Market Value Estimate AMOUNT $75O.O0 TOTAL AMOUNT DUE AND PAYABLE .UPON RECEIPT $750.00 A 1.5 % SERVICE CHARGE WILL BE APPLIED TO Al,lJ BALANCES OVER 30 DAYS PLEASE MAKE CHECKS PAYABLE TO AND MAIL TO: CLAUSER REAL ESTATE APPRAISALS P O BOX 777 CAMP HILL PA 17001-0777 THANK YOU, YOUR BUSINESS IS APPRECIATED Lawrence Great People. Great Service. Great Deals. Lawrence Chevrolet has determined a retail value for 1979 Chevrolet El Camino yin # 1W80H9K594654 has an approximate retail value based on current auction sheets of' $500 - $700. Steve R Hattie 6445 Carlisle Pike · Mechanicsburg, PA 17050 · 717-766-0284 · 800-427-4505 · FAX 717-766-8398 MESSIAH VILLAGE 100 Mt. Allen Drive P.O. Box 2015 Mechanicsburg, PA 170552015 (717) 697-4666 Resident: I DOROTHY E BAKER DOROTHY ACRI 3017DICKINSONAVE CAMP HILL, PA 17011 STATEMENT Resident Number Date 0000103017 02/28/2003 Page Amount Due 1 1,710.00 Discharge Date 02/23/2003 Date I Description Char.qes } Credits [ Total 02/01/2003 02/24/2003 Beginning Balance ROOM & BOARD - SEMI-PVT 10 DAYS AT 171.00 PER DAY PAYMENT RECEIVED - THANK YOU! 1,710.00 -171.00 171.00 1,881.00 1,710.00 Current Past 31-60 Days 1,710.00 Due 0.00 1% FINANCE CHARGE AFTER MARCH 31, 2003 61-90 Days 91-120 Days Over 120 0.00 0.00 Statement End Date: TotalDue [ 1,710.00 IDOROTHYE BAKER 02/28/2003 Established 1895 Brian C. Musselman, ED. Supervisor William G. Pegan, ED. P.O. Box 137 324 Hummel Avenue Lemoyne, PA 17043-0137 (717) 763-7440 To Funeral Expenses of DOROTHY Dorothy M. Acri 3017 Dickinson Ave. Camp Hill, PA 17011 2003 February 24 E. BAKER PROF. SERVICES, FACILITIES & Poplar casket Cash Advance Items; Copies of death certificate Newspaper death notice Minis_~ter's gratuity TOTAL AUTOS Apr. $3,495.00 1,975.00 40.00 133.20 100.00 4, 2003 $5,470.00 $273.20 $5,743.20 FOR APPOINTMENT PHONE 717-763-7440 BUREAU OF TNDTVTDUAL TAXES /NHERTTANCE TAX DTVTSZON DEPT. 280601 HARRISBURG, PA 17128-0601 R HARK THOHAS ESQ 101S NARKET ST HECHANICSBURG COHHONNEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLONANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-ISq? EX ~FP C01-03) PA~ 17055 DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN I 09-29-2005 BAKER 02-25-200:5 21 0:5-0211 CUHBERLAND 101 Amount Raeittad DOROTHY E HAKE CHECK PAYABLE AND REH:ZT PAYHENT TO: REGTSTER OF NTLLS CUHBERLAND CO COURT HOUSE CARLTSLE, PA 1701:5 CUT ALONG THIS LINE ~ RETAIN LONER PORTTON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOT:ICE OF ZNHER:ZTANCE TAX APPRAZSEHENT, ALLO#ANCE OR D:ZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF BAKER DOROTHY E FILE NO. 21 03-0211 ACN 101 DATE 09-29-2005 TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE /NTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGIHAL RETURN 1. Raal Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (~) 3. Closely Held Stock/Partnership Intarast (Schedule C) ($) 4. Hortgagas/Notas Receivable (Schadula D) (4) 5. Cash/Bank Daposits/Hisc. Personal Property (Schedule E) (5) 6. Jointly O~nad Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTZONS AND EXENPTZONS: 9. Funeral Expanses/Ach.. Costs/H/sc. Expanses (Schedule H) (9) 10. Dabts/Nortgage Liabilities/Liens (Schedule Z) (10) 11. Total Deduct/ors 12. Nat Value of Tax Raturn 50~000.00 O0 O0 O0 206/543.56 41z355 52 O0 (8) 14,$74.07 2,o55.82 (11) (12) 15. 14. NOTE: CharAtabla/Govornaantal Baquasts; Non-alactad 911:5 Trusts (Schedule J) (15) Net Value of Estate Sub.~ect to Tax (14) ]:f an assessment was /ssued prev/ously, lines 14, 15 and/or 16, 17, reflect flgures that /nclude the total of ALL returns assessed to date. (1;) .00 x O0 = (16) 281,469.19 x 045: (17) . O0 x 12 = (18) .00 x 15 = (19)= AHOUNT PAID 11,998.37 36.25 ASSESSNENT OF TAX: 1.6. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rata 17. Amount of L/ne 14 at Sibling rata 18. Amount of Line 14 taxabla at Collateral/Class B rata 19. Principal Tax Dua TAX CREDITS: PAYHENT RFCEIPT D/SCOUNT DATE NUNBER INTEREST/PEN PAID (-) 05-20-200:5 CD002590 6:51.49 08-1:5-200:5 CD002896 . O0 NOTE: To /nsure proper crad/t to your account, subm/t the upper port/on of th/s form ~ith your tax payaent. TOTAL TAX CREDIT BALANCE OF TAX DUEI INTEREST AND PEN. TOTAL DUE 297,899.08 281,469.19 [F PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 281,469.19 18 and 19 will IF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) ( IF TOTAL DUE IS LESS THAN $1, NO PAYNENT 1S REgUIRED. 12,666.11.00.00.00 .00 12,666.11 .00 .00 12,666.11 RESERVATION: Estates of decadents dying on or be~ora December 11, 19BT -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for 1ifa or for years, the Commonmealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lamful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section 21qO of the Inheritance and Estate Tax Act, Act 25 of ZOOD. (72 P.S. Section 91q0). Detach the top portion of this Notice and submit with your payment to thm Register of #ills printed on the reverse side. --Make check or money order payable to: REG/STER OF N/ELS, AGENT A refund of a tax credit, which was not requested on the Tax Return, may ba requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" [REV-1315). Applications are available at the Office of the Register of Hills, any of the 25 Revenue District Offices, or by calling the special Eq-hour answering service for forms ordering: 1-800-362-1050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as sheen on this Notice must object within sixty (60) days of race]pt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 181021, Harrisburg, PA 17118-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should ba addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedant's death, a five percent (5X) discount of the tax paid is allowed. The ZSZ tax a~nest~ non-participation penalty is computed on the total of tho tax and interest assessed, end not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the tho same time period as you would appeal the tax and interest that has bean assessed as indicated on this notice. Interest is charged beginning aith first day of daZinqusncy, or nine (9) months end one (1) day from the date cf death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (61) percent per annum calculated at a daily rata of .000164. All taxes ahich became delinquent on end after January 1, 1982 ail1 bear interest et a rate which ail1 vary free calendar year to calendar year aith that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOZ .000548 1987 91 .000147 1999 72 .000191 1983 162 .000438 1988-1991 Ill .000301 ZOO0 81 .000219 1984 lIT .000301 1991 91 .000247 TOOl 91 .000247 1985 Z3X .D00356 1993-1994 71 .000191 ZOOT 61 .000164 1986 lOT .000174 1995-1998 9Z .000247 2003 51 .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DATL¥ INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond tho date of the assessment. If payment is made after the interest computation date shcan on the Notice, additional interest must ba calculated. IN RE: Estate of Dorothy E. Baker : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : : NO. 2003-00211 PETITION FOR EXECUTRIX TO PURCHASE REAL PROPERTY FROM ESTATE AND NOW, comes the Petitioner, DOROTHY M. ACRI, Executrix, and files this Petition to Purchase Real Property from the Estate, and in support thereof respectfully represents: 1. On March 7, 2003, Petitioner was granted Letters Testamentary to act as the sole Executrix in the above captioned estate. 2. The estate is the owner of one-half (1/2) undivided interest in certain real property located at 2011 Market Street, Camp Hill, Cumberland County, Pennsylvania which it holds as a tenant in common with Petitioner who owns the other one-half (1/2) undivided interest. 3. Petitioner, who is also a daughter of the deceased and a named beneficiary in the decedent's Last Will and Testament, desires, as a portion of her inheritance, to receive the estate's one-half (1/2) undivided interest in the above real estate. 4. Pursuant to 20 Pa.C.S.A. § 3356 Petitioner is required to obtain court approval to have a deed executed which in effect would transfer title of real property from the Estate to the Personal Representative. 5. Petitioner, by deed dated May 29, 1961 holds title to the real estate in question with the Estate as tenants in common. 6. Attached hereto as Exhibit "A" is the deed which Petitioner seeks to have signed by the Register of Wills pursuant to 20 Pa.C.S.A. {} 3356. WHEREFORE, Petitioner prays this Honorable Court will sign the attached Order authorizing the Register of Wills, or her designee, to execute the deed. Respectfully submitted, R. Mark Thomas, Esquire ID# 41301 101 S. Market Street Mechanicsburg, PA 17055 (717) 796-2100 VERIFICATION I verify that the stateinents made h~ the foregoing document are true and correct. I understand lhat false statements he~'ein are made subject to lhe penalties of 18 Pa. C.S. {}4904, relating to unswom falsification to authorities. Date: /~///.~/~ ~O IN RE: Estate of Dorothy E. Baker : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : : ORPHANS COURT DIVISION : : NO. 2003-00211 AFFIDAVIT I, RICHARD L. BAKER, being duly sworn according to law, depose and say that the following facts which are within my personal knowledge are true, and as to facts based upon the information of others, I believes them to be true: 1. That I am the son of Dorothy E. Baker, deceased. 2. That my sister, Dorothy M. Acri, and I are the sole heirs of my deceased mother's interest in certain real property known as 2011 Market Street, Camp Hill, Cumberland County, Pennsylvania. 3. That the appraised value of my deceased mother's interest in the above mentioned real property, as of her date of death, is $50,000.00. 4. That in lieu of receiving one-half (1/2) of my deceased mother's interest in the real property I accept $25,000.00, receipt of which is hereby acknowledged. 5. That no other persons have an interest in this real property. 6. That I concur in the granting of the Petition for Executrix to Purchase Real Property from the Estate as previously filed. Richard L. Baker On this, the //~' day of'~-)g~~~, 2003, before me, a Notary Public, the undersigned officer, personally appeared RICHARD L. BAKER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. NOTtARY PUBLIC ?: ~ ()~,,, ::~. ~ ~%'ry Public . ' · '", ,:..::;'.,,i:g Boro, Cumberland County .' ':,;~?i,3n Exp:.res Expires lvlar. 11, Made the ~ i$ ~ ~---~-') day o/ M~.y , in the year Nineteen hundred o.~d sixty-one tt ttn PAUl, B. I]OOPY and I'.OPE A. t.~OOPk'~ hi~; v.,if'e~ of toy,er AT!q eh TownshiF~ timber- land Comity, and SLate of Ii ~l~itllL~£tll, lhat i,. co,side,'ation o/ Twelve T}musand and. Wo,/] 00- OTi{Y 'F~' BAK a:~d !)OF. cq';~if k;. ACK[E, as tmtauLs ih coi~,,:mn, of Lite Borough of Camp ~lJ.ll, Cm~,berland Count.y, and State o[' Fe~m.~sf/[!va:~ia., parties of Ll,e secortd [,az'L, Grantee s in ba~,d paid, the ~'eceipt wh, ereo~ is hereby acknowledged, the said Gra,,to~ l~ereiy grant a,d co,cay to llte said Gray,tee s tl~eir ( :~12,000. OODolla..'s, do heirs a,.d (~ssigns, ALL that certain lot or piece of la. nd situate in the Borough of Camp 1!51]., Cumber- land County, and State of ?e~msylvat~ia, bounded and descr.4bed as follows; to wit: BEGINNING at a point on the South side of Iqa. rket Street aL corner of land of Ray Snf/~ter, said point being one h~dred fifty and five-tmiths (150.5) feet measured eas't'w~rdly along southerly ]_ina of lqarket Street from the easLer].y line of Twenty- first q~reet; tt;ence along Market Street SouLt~ 81 degrees 20 urinutes East, a distance of twenty-eight and LicitLy-five hundredths feet to [?.nd of l.~ry Bigler; thence along said Bigler land South 5 degrees O minutes West, a dj. stance of one hundred ninety-one and four h~dredths (191.O2) feet to an 5.ton pin at an alley; thence along said alley Nort}~ 81 degrees 20 minutes ?fast, a distance of twenty-five (25) feet to an iron pin, aL land of R~,y S~yder; thenc¢~ alo~g said Snyder iand North & degrees O minutes East, a distance of one hundred ninety-one and twenty- eight hundredths (191.28) feet to the Place of BEGINNING. BEING the sm~e as surveyed by D. P. ~?.a.ffensperger, R.S., on k~ay 5, 1961. }~AVING TI[EREON E~CTED a one story brick and b].ock off:ice building kno~ as No. 2Oll .,~r..et',~,~ ~ obreet,~ Ca~q:~ Ili]..l~ Pennsylvania,. and a fra~e building on the rear thereof. SUBdECT NEVFRFt.ELESS, to 'the re. tr.~c~zon that no buildin~ shall hereafter be erected on said lot North of the North building line of the buildings ncn~~ erected on the lots adjoining property hereby conveyed. BEING. the same premises which Richard S. Boyer, et; al, by their Deed dated July 19~2, granted and conveyed unto Alexander R. Polson and Paul B. Hoopy, ;~ich Deed is recorded in the Office of the Recorder of Deeds in and for Cumberland co~mty in Deed Book "B", Vol. 15, page 26]., and BEING the same premises which Alexander R. Polson, single man, by- his Deed dated November 29, ]-952, granted and conveyed unto Paul B. l{oopy, Grantor herein, which Deed is recorded in the Office of the Recorder of Deeds in and for C~nber]_and County in Deed Book "E"~ Vol. 15~ page 160., .. , School DI~,. Cuh,b. Co. Pa. tun, b. :l~f~~ ~~"~l~lll IN RE: Estate of Dorothy E. Baker : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS COURT DIVISION : : NO. 2003-00211 5~ ORD E~~.....,~ AND NOW, this __ day of . ~ ,2003, having reviewed the attached Petition, and pursuant to 20 Pa.C.S.A. § 3356, the court hereby authorizes the Register of Wills, or her designee, to execute a deed transferring the Estate's undivided one-half (1/2) interest in the real property located at 2011 Market Street, Camp Hill, Cumberland County, Pennsylvania to Petitioner. BY THE COURT, Tax Parcel No. THIS DEED, MADE THIS I~ day of II~r'u~::~/' four (2004) , in the year of our Lord two thousand and BETWEEN GLENDA FARNER STRASBAUGH, Register of Wills and Clerk of the Orphans Court, by virtue of Order of Court dated December 5, 2003, Grantor, and DOROTHY M. ACRI, married woman, Grantee: WHEREAS, DOROTHY E. BAKER died seised of her undivided one-half interest on February 23, 2003; and WHEREAS, the court, by Order dated December 5, 2003 authorized the transfer of the Estate of Dorothy E. Baker's interest in this real property to Dorothy M. Acri by deed pursuant to 20 Pa.C.S.A. § 3356; and WHEREAS, Dorothy M. Acri is the daughter of the decedent, WITNESSETH, that in consideration of ONE ($1.00) DOLLAR, in hand paid, the receipt whereof is hereby acknowledged, the said grantor does hereby grant and convey to the said grantee, her heirs or assigns, ALL of the Estate's interest in that certain lot or piece of land situate in the Borough of Camp Hill, Cumberland County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a point on the South side of Market Street at corner of land of Ray Snyder, said point being one hundred fifty and five-tenths (150.5) feet measured eastwardly along southerly line of Market Street from the easterly line of Twenty- first Street; thence along Market Street South 81 degrees 20 minutes East, a distance of twenty-eight and thirty-five hundredths feet to land of Mary Bigler; zz / thence along said Bigler land South 5 degrees 0 minutes West, a distance of one hundred, ninety-one and four hundredths (191.04) feet to an iron pin at an alley; thence along said alley North 81 degrees 20 minutes West, a distance of twenty-five (25) feet to an iron pin, at land of Ray Snyder; thence along said Snyder land North 4 degrees 0 minutes East, a distance of one hundred ninety-one and twenty-eight hundredths (191.28) feet to the Place of BEGINNING. BEING the same as surveyed by D. P. Raffensperger, R.S., on May 5, 1961. HAVING THEREON ERECTED a one story brick and block office building known as No. 2011 Market Street, Camp Hill, Pennsylvania, and a frame building on the rear thereof. SUBJECT NEVERTHELESS, to the restriction that no building shall hereafter be erected on said lot North of the North building line of the buildings now erected on the lots adjoining property hereby conveyed. BEING the same premises which Paul B. Hoopy and Hope A. Hoopy, his wife, by their Deed dated May 29, 1961 granted and conveyed unto Dorothy E. Baker and Dorothy M. Acri, which Deed is recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania in Deed Book "E", Volume 20, Page 1132. TOGETHER with all and singular, the buildings, improvements, woods, ways, rights, liberties privileges, hereditaments and appurtenances, to the same belon.ging, or in anywise appertaining and reversion and reversions, remainder and remmnders, rents, issues and profits thereof, and of every part and parcel thereof; And also, all the estate, right, title, Interest, property, possession, claim and demand whatsoever, both in law and equity, of the said parties of the first part, of, in, to or out of the said premises, and every part and parcel thereof, with the appurtenances: TO HAVE AND TO HOLD, the said premises, with and singular the appurtenances, unto the said party of the second part, her heirs and assigns, to and for the only proper use, benefit and behoof of the said party of the second part her heirs and assigns forever. THIS TRANSACTION IS WHOLLY EXEMPT FROM PENNSYLVANIA REALTY TRANSFER TAX SINCE THIS IS A CORRECTION TO THE DEED DATED DECEMBER 8, 2003 HAVING IDENTIFIED THE GRANTEE AS DOROTHY M. ACRI IN HER CAPACITY AS EXECUTRIX OF THE ESTATE OF DOROTHY E. BAKER WHEN IN FACT DOROTHY M. ACRI IN HER INDIVIDUAL CAPACITY WAS TO BE THE GRANTEE. And the said grantor does hereby covenant and agree that she will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, said grantor has hereunto set her hand and seal the day and year first above written. Signed, Sealed and Delivered in the Presence of ) ) ) Commonwealth of Pennsylvania ) County of Cumberland ss. ) On this, the/~)b da- '~[ , officer , ~- -ou,a~y appeared GLENDA FAR~ER' 2004, before me, the undersigned STRASBAUGH, known to me (or .satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that She executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. NOTARIAL SEAL JODY S. SMITH, NOTARY PUBLIC Car/isle Boro, Cumb MYComrnis~i,~r~: . er/and County ........ vires April 4, 20~5 Title I do hereby certify that the precise residence and complete post office address of the within named grantee is 3017 Dickinson Ave., Camp Hill, PA 17011 ,2004 Attorney for COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) RECORDED on this day of , A.D. 20 , in the Recorder's Office of the said County, Deed Book , Vol. __., Page Given under my hand and the seal of the said office, the date above written. Recorder. REV-183 EX 16-96) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. '280603 HARRISBURG, PA 17128-0603 REALTY TRANSFER TAX STATEMENT OF VALUE See Reverse for Instructions RECORDER'S USE ONLY State Tax Paid Book Number Page Number Date Recorded Complete each section and file in duplicate with Recorder of Deeds when (1) the full value/consideration is not set forth in the deed, (2) when the deed is without consideration, or by gift, or (3) a tax exemption is claimed. A Statement of Value is not required if the transfer is Wholly exempt from tax based on: (1) family relationship or (2) public utility easement. If more space is needed, attach additional sheet(s). A CORRESPONDENT - All inquiries may be directed to the following person: Name Telephone Number: Area Code ( ) Street Address City State Zip Code B TRANSFER DATA Grantor(s)/Lessor(s) Street Address Date of Acceptance of Document Grantee(s)/Lessee(s) Street Address City State Zip Code City State Zip Code C PROPERTY LOCATION Street Address City, Township, Borough County Schoo~ District D VALUATION DATA 1. Actual Cash Consideration 4. County Assessed Value 2~Other Consideration 5~Common Level Ratio Factor Tax Parcel Number Total Consideration 6?Fair Market ~/alue E EXEMPTION DATA la. Amount of Exemption Claimed lb. Percentage of Interest Conveyed 2. Check Appropriate Box Below for Exemption Claimed [] Will or intestate succession (Name of Decedent) (Estate File Number) [] Transfer to Industrial Development Agency. [] Transfer to a trust. (Attach complete copy of trust agreement identifying all beneficiaries.) [] Transfer between principal and agent. (Attach complete copy of agency/straw party agreement.) [] Transfers to the Commonwealth, the United States and Instrumentalities by gift, dedication, condemnation or in lieu of condemnation. (If condemnation or in lieu of condemnation, attach copy of resolution.) [] Transfer from mortgagor to a holder of a mortgage in default. Mortgage Book Number , Page Number [] Corrective or confirmatory deed. (Attach complete copy of the prior deed being corrected or confirmed.) [] Statutory corporate consolidation, merger or division. (Attach copy of articles.) [] Other (Please explain exemption claimed, if other than listed above.) Under penalties of law, I declare that I have examined this Statement, including accompanying information, and to the best of my knowledge and belief, it is true, correct and complete. Signature of C,~,~e~,on.%~; or Responsible Party Date I I FAILURE TO COMPLETE THIS FORM PROPERLY OR ATI'ACH APPLICABLE DOCUMENTATION MAY RESULT IN THE RECORDER'S REFUSAL TO RECORD THE DEED. Tax Parcel No. THIS DEED, MADE THIS four (2004) day of , in the year of our Lord two thousand and BETWEEN GLENDA FARNER, Register of Wills and Clerk of the Orphans Court, by virtue of Order of Court dated December 5, 2003, Grantor, and DOROTHY M. ACRI, married woman, Grantee: WHEREAS, DOROTHY E. BAKER died seised of her undivided one-half interest on February 23, 2003; and WHEREAS, the court, by Order dated December 5, 2003 authorized the transfer of the Estate of Dorothy E. Baker's interest in this real property to Dorothy M. Acri by deed pursuant to 20 Pa.C.S.A. § 3356; and WHEREAS, Dorothy M. Acri is the daughter of the decedent, WITNESSETH, that in consideration of ONE ($1.00) DOLLAR, in hand paid, the receipt whereof is hereby acknowledged, the said grantor does hereby grant and convey to the said grantee, her heirs or assigns, ALL of the Estate's interest in that certain lot or piece of land situate in the Borough of Camp Hill, Cumberland County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a point on the South side of Market Street at corner of land of Ray Snyder, said point being one hundred fifty and five-tenths (150.5) feet measured eastwardly along southerly line of Market Street from the easterly line of Twenty- first Street; thence along Market Street South 81 degrees 20 minutes East, a distance of twenty-eight and thirty-five hundredths feet to land of Mary Bigler; thence along said Bigler land South 5 degrees 0 minutes West, a distance of one hundred ninety-one and four hundredths (191.04) feet to an iron pin at an alley; thence along said alley North 81 degrees 20 minutes West, a distance of twenty-five (25) feet to an iron pin, at land of Ray Snyder; thence along said Snyder land North 4 degrees 0 minutes East, a distance of one hundred ninety-one and twenty-eight hundredths (191.28) feet to the Place of BEGINNING. BEING the same as surveyed by D. P. Raffensperger, R.S., on May 5, 1961. HAVING THEREON ERECTED a one story brick and block office building known as No. 2011 Market Street, Camp Hill, Pennsylvania, and a frame building on the rear thereof. SUBJECT NEVERTHELESS, to the restriction that no building shall hereafter be erected on said lot North of the North building line of the buildings now erected on the lots adjoining property hereby conveyed. BEING the same premises which Paul B. Hoopy and Hope A. Hoopy, his wife, by their Deed dated May 29, 1961 granted and conveyed unto Dorothy E. Baker and Dorothy M. Acri, which Deed is recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania in Deed Book "E", Volume 20, Page 1132. TOGETHER with all and singular, the buildings, improvements, woods, ways, rights, liberties privileges, hereditaments and appurtenances, to the same belonging, or in anywise appertaining and reversion and reversions, remainder and remainders, rents, issues and profits thereof, and of every part and parcel thereof; And also, all the estate, right, title, Interest, property, possession, claim and demand whatsoever, both in law and equity, of the said parties of the first part, of, in, to or out of the said premises, and every part and parcel thereof, with the appurtenances: TO HAVE AND TO HOLD, the said premises, with and singular the appurtenances, unto the said party of the second part, her heirs and assigns, to and for the only proper use, benefit and behoof of the said party of the second part her heirs and assigns forever. THIS TRANSACTION IS WHOLLY EXEMPT FROM PENNSYLVANIA REALTY TRANSFER TAX SINCE THIS IS A CORRECTION TO THE DEED DATED DECEMBER 8, 2003 HAVING IDENTIFIED THE GRANTEE AS DOROTHY M. ACRI IN HER CAPACITY AS EXECUTRIX OF THE ESTATE OF DOROTHY E. BAKER WHEN IN FACT DOROTHY M. ACRI IN HER INDIVIDUAL CAPACITY WAS TO BE THE GRANTEE. And the said grantor does hereby covenant and agree that she will warrant specially the property hereby conveyed. IN VVITNESS WHEREOF, said grantor has hereunto set her hand and seal the day and year first above written. Signed, Sealed and Delivered in the Presence of Commonwealth of Pennsylvania ) County of Cumberland ) SS. On this, the day of , 2004, before me, the undersigned officer, personally appeared GLENDA FARNER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that She executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Title of Officer I do hereby certify that the precise residence and complete post office address of the within named grantee is 3017 Dickinson Ave., Camp Hill, PA 17011 ,2004 Attorney for COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) RECORDED on this day of the Recorder's Office of the said County, Deed Book ., A.D. 20 , in , Vol. , Page Given under my hand and the seal of the said office, the date above written. ., Recorder. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA IN RE: Estate of Dorothy E. Baker : ORPHANS COURT DIVISION : : NO. 2003~00211 AFFIDAVIT I, RICHARD L. BAKER, being duly sworn according to law, depose and say that the following facts which are within my personal knowledge are true, and as to facts based upon the information of others, 1 believes them to be true: 1. That I am the son of Dorothy E. Baker, deceased. 2. That my sister, Dorothy M. Acri, and I are the sole heirs of my deceased mother's interest in certain real property known as 2011 Market Street, Camp Hill, Cumberland County, Pennsylvania. 3. That the appraised value of my deceased mother's interest in the above mentioned real property, as of her date of death, is $50,000.00. 4. That in lieu of receiving one-half (1/2) of my deceased mother's interest in the real property I accept $25,000.00, receipt of which is hereby acknowledged. 5. That no other persons have an interest in this real property. 6. That I concur in the granting of the Petition for Executrix to Purchase Real Property from the Estate as previously filed. Richard L. Baker On this, the / ~'~ day of ~f~)tS~d-2)//Z C/'/-c¢/''-'2, 2003, before me, a Notary Public, the undersigned officer, personally appeared RICHARD L. BAKER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand and ofl]cial seal. N611~RY P-U-B LI ~ Z ~}/;'~'/ STATUS REPORT UNDER RULE 6.12 BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND , PENNSYLVANIA Name of Decedent: Date of Death: File No. DOROTHY E. BAKER 2/23/2003 2003-0211 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to the completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: YES X NO 2. If the answer is "No", state when the personal representative reasonably believes that the administration will be complete: If the answer to No. 1 is "Yes", state the following: a. Did the personal representative file a final account with the Court? YES b. The separate Orphan's Court No. (if any) for the personal representative's account is: NO X Date: 6/23/2004 Did the personal representative state an account informally to the parties in interest? YES X NO Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Signature R. MARK THOMAS, ESQ. Name (Please type or print) 101 S. MARKET ST. Address MECHANICSBURG PA 17055 717-796-2100 Tel. No. Capacity: Personal Representative X Counsel for personal representative