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HomeMy WebLinkAbout96-00369 PETITION FOH PHonATE lInd (;J~ANT OF LETTERS a 1- ,qq lP ....31~,cL__ J:\/fltl' ,~, a/\o k,Wll''' el\ JEAN S. 0'1''1' NlL 10; . 1)1'(('II\l'r/. .\'''<'/11/ .\'....,,'i'... X", , 167 - 3B - no 20 Ih'pi'le, of \\,ill, 10' Ih,' ('Ollllly 01 CUMBERI.ANP-- ill Ihe ('olll/Ilo,meahh of J>ellll'ylvalli<l nil" p..'lilitHI \II I Ill' Uluk"iJ.!lIl'd rl"pl"':lllIlI~ Il'l\ll'\l'lIl\ Ihal: Yom pl.'liliolll'rt\l. \\110 j... all' IS \l'a'''' 01 al!l' or tlldl'l arwihl' C\l.....1I1 or. ~____._..._ named illlhe 1,1\1 \\illof Ih,' aho,,' lkn',klll, dOlled November 19. ..1.973_____. . 1~1J_ llDU()OXbl:d~X);jlOXQ; peti tions to be appoin ted. ExecutoL,of_the.....EsJ:.ate. of Jean S. Ott. who died testate Apr il.22. .1996. --ancLnamecLpctitioner in, her lvill as .Executor. The original and .a..copy_oL-tha-wilLand a death certificate.. arc attached hereto. 1\1;11,' rdn.1Il1 dh'IIIIl\l.llh,". "I' ~rIlHlld,lIillll. de.111I III ,'\,',Uhll. ,'h'.1 Ik,elldelll ,\;" domieikd <II ,k<llh ill Cumber land .n__. ('Ollllly. J>el1ll\ylvalli<l. wilh her,.. 1;"1 f"mill 0' plilll'ipalll',idellce <II Church, of ,God Home"'u!ill2-1L-HallilYer St.r:lo'r?l;L ~i)r Ii's te,. PA. , 1 7() 13. NClrt 1 ~.1:a(1I~~~r11Wp. Iii-I '11,','1, Illllul'n .111,1 1l1l1ll\q'.IIJl\1 IkcClldelll, 1:,"".83 y""" 01 ape, died ,Apri 1,22,_. _.u ____,___, 1996 :11 Room.106,Church.of God Nursing Home..Catlisle.._..E1I 1701 ~ ['\"l'I'I:I' follO\h, Ul''''l'dl'lIt did IIt1lmatry, "," 11tll di\'tlrl'cd allll did not have a ..:hilLl burn or adO(llcd ahl'f l'\l'(lllion of 1 hI.' \\ill Uffl'll'd for prohah.'; \\.t, 11(11 till' \"il'lilllllf a killing allll \\a\ ne\'er adjudicmcd illclllIIl'el"III: _ .NONE _ __um __ ____ _ . 'U . ,___ _______. 1>...'l.:l'11liL'1l1 at dt~:llh O\\lh..'d pfopl'lIy \\ilh l'\lilll:lll'd \'altll.... a... 1'0110\\\; lIf do",;ci,",1 ill Pol,) All pe""llal prol'ell~ (If Illll dlll11kllcd ill l'iI.) P",'p'Ion<l1 plOfu.:ny ill Pl'nl1"'~"'al1iil (II 1101 dtHllil'ill'd ill POI,) PCI\onal pro!1l.'r1Y ill COUIII~ \'ahu.' 111' n,..'al .....'tah.' ill Pl'I1II'.~hal1ia ,irua1l.:d ,1\ 111Ihm..: S _55JL,OOO , 00 S S S ---None- --'-' .., \\ III:I{LJ.()I{I:. l'eliliolle'l'l re'l'e"r"lIy ,eqlle,I(\) Ih,' I',obale or Ihe 1:1\1 will <llId codicil(,) l',e"'lIled ''''Ielli,h :11I.1 Ihe pralll or k"e,' ~Testamentary ______ P."l.II11~'IIl.II\: .I.lll1l11blr,lIl1llJ ..1,;1.; ,Idlllllll\lr;llion ll.h.I1.~'.I.a.) thl'h1l1. 1: x~ ~~ ~ /.-Lt.!'A oft- Nurray fl'l.Ott , 1723 N. Union Street Niddletown, PA 17057 -. "- ~ " , .._.____~u_._._ __ ---. -~-._- OATil OF J>EI~SONAL I~EJ>IU:SENTATIVE (,O:\l:\IO'i\\ E,\ I m OF I'E:\:\S\'I.\'A;\IA I ., J" "" (,Ol'T\' OF -Ct'WH:RLANP_____,.___" I hl' I'l'flliIHII'I(',J ahll\l'-nalllt'd "',l'arl\) nl alliTllH') Iha1111l,' \lall.'l1Il.'lI" il11hl' f(lre~!\1il1g pelitiun arc 1I11l.' .!IHI .."llll'l'(l 10 rhl' 111,,'..1 t1llhl' ~.ihl\\kd~l' and bl'lit:f of !ll'liliolll'lh) and th;II.... pl'p.onal rcprl',cn. lall\l'..... itl 1111.,' ;.ho\l.' d,,'I..'I.'\I:.'1I1 pl."lil.olll'II'1 \\ill \\l.'II.lIId lIlIly .uJl1lini'll" IIIl' '-'\Iall' ,H:l.'uruing In la\\'. S\\t'ltl II' 01 alfilllll'd alld 'uh'\,.',ihl'd ~ <<IAi?6_~_.___~ _ ~ hl'fPll' 1111,,' Ihi.. _2nd. _. d;l~ 01 I " __ _____.___.__. ~. '--ml~,IJ.t~J'~~),~~M:~J'UJl~ _' .., --- n--:_== ~ /5-IC0 _ / 1~ ~ 1ia;",'>i-1pLlf ..'.,..,___ 2 No. dJ - I q q LD - 3l11q Estllte ot' . Decellsed .J ElIN-S- 0'1''1' nEcnEE lW pnOnATE AND GRANT OF LETTEnS AND NOW ,__Mil}' 7_________ [lJ.9Ji,_. in con,idcralion of Ihe pClition on the reverse side lu~rcof. salbfactnry proof hil\'ing heen prcwntcd hchnc me, IT IS DECREED Ihat Ihc in,lrllrncnt(s) dalcd,__Novcmbcr-,19 ,._19.7..3 dc,cribcd Ibcrcin bc (ldrnillcd hI probatc (lnd filcd of rcwrd (I' Ih,' la,1 willuf -J.can-S-.-O t t (lnd Lcllcrs -X.e.s.tamcntar.}' (lrc hcreby gr:rntcd 1Il Mu rra_y..Ji,....Q.tj;u,_I;:_:-;Q_c:.\.!j;.Q.r_~UR~!'- y :~ 1 :'1.1. ~~ OT'!' .------ ...-.---...-'- --'-.- ------ --.---.--.----- "--()~., I ('\~ \ \-: f1(~fll . 'U' _ ~ '_ -I' \.-I.LL-fU t'. '\J"1..i.L MARY C. EW ~ ",~i,,,..1 Will, ,I cr FEES ....s..JerllILSU,i,U,_I!i-LU5.L AfTOI{SL" tSul'. n. ~.Il. ~ll.) Probalc. LCllcr,. Elc. ........ $ 375.00 Short Ccrtific(ltes115 . . . . . . . . .. $.__.45.D 0 Renllnci(llion ................ S JCP 5.00 --- $-425:'00 TOTAL_ S MAY 7. 1996 107 N. 24th Street AIlIJRESS Camp Hill. PA 17011-3602 1'1I0NI' 717-737-6789 Filed ................................... (5 ~~ '. N ':'! o E: 1:<( ..,0.. ',' , .. , .... ,. N t ~ :J .,1 U (}I "'IX. 0: .1.J ,c <l>:J Uu ~ MA1LED LETTERS AND ORDER TO ITTORNEY. .21 -I CICIlJ. - 3LcPr N ~~ '0 ':"t :J~ !:2 Cl .) aL~ E: l", 0 I) .~ '.l .:- .,.;. " .~... N ;> I ..... .,". ~ "..\ C' " C .11 0- ,_0 ,.,1.) l. '-" -cE uC> ~ Qla: C)=' a: 00 ',' . "'. ::.:', ~' , t . .,~ ..' '.; !-< !:: . U. III o z m ., ,.. ..,... ~- &l)6611~ ~f/l(j U.J71.:J 0: W ~ .J J ~ \I. :l Z ell . ~ . II. lQ · III ffi. ~ Z )0 ~ > ~H . · .J lQ 0: W > ~ ..': - - - llLCt5t 3J~Iill altb Wl',!ihu1U'ut OF JIiAN S. orr I, JEAN S. orr, of CarlisI!', Cumberland County, Pennsylvania, make, publish and declare this to be my Last IHll and T,.stament, hereby revoking any and all Wills by m" at any timl! hl'retofore madl'. I. I dirl'ct the payml'nt of my just debts and funeral expenses as soon after my death as will be> conveni"nt to my Executor hereinafter named. 2. r give, devise and be~ueath all my property, whether real, personal and mixed, and wheresoever situate at the time of my death, unto my two sons, David Edward Ott, Jr., and Murray William Ott, in e~ual shares. My sons shall have the right to take any of my property, real and/or personal, in kind should they so elect. 3. I nominate, constitute and appoint my son, Murray William Ott, to be the Executor of this, my Last I~ill and Testament. If my son, Murray William Ott, does not survive me then I appoint Dauphin Deposit Trust Company, of CarliSle, Pennsylvania, to be the lixecutor. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 19th day of November, A.D. 1973. I ./ I 0/1-,- (SEAL) " Signed, sealed, published and declared by the above named Testatrix as and for her Last Will and Testament, in the presence of us, who, in her presence, at her re~uest and in the presence of each other have hereunto subscribed our names as witnesses. (: , ,I', -, ( JJliL(t..~',L , \, !'Ii,"\'" ) -t i\ t\, I. .' 1) , '( I (-I..I"v n-I-t.. .,-,:.~Il.-'~ I I J i ., .. C).: CJi': .,1, M.: {;R:' ',,' I .-,,'j' . I" .. , " 'i 'I:' I ,. I~I~ ~' :;',; ." .l~: .,.: " '<:t \~ ;, ~ . rl.. - 0 ~ N -. -, 0 " 0 ..1 p; CJt:: a: y (', o '" 6 I- '" fJ) tJJ~ UJ;,..UJ- . ;; c!. 0 :I:..JI-l.:: I-.l.Vl~ :;::co::x ,.. :\-, I- "- trJg...,..J uJ ""'" t'1 ~ Z 0 --z::;: " - -.... UJ~r-,,- ~ 0::::. Vl ~ U .' " , r - .- m :i en en as - o 1;) .-<......- -:;c~_ :J ._ '-'.:U- , e :j) ., '- ~ .!E::> UU .lI C :r , , , .l' I . " , " " , , , , t f' .\ ',' \~ ~. .1 ., L r .,. " . r . . . i " - - ; J " ~ . " ...-- - --. r:--'." IT" .... IU l" N :r (l. co ~(f ('<) .. Q !!1 C\ l j '~~5 d: _J .~ ~ , l""\ .. - I ;'L ~ ,-'. - . ... ,1) ~.; .;..1 U .... :. E '" ~ OJ (.lCl roo: Gu 0: ,')./ ,./(/l({r' 3//1 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS T. ]:'ImoC" D lO"loyo'" " .St' codicil (each) a subscTibing witness to the will presented herewith, (each) being duly qualified according to law. depose(s) and say(s) that hf> wa s present and saw Jean S. Ott, the testal .. ; y . sign the same and that J a me s D. F I owe r , Sr. signed as a witness at the request of testalr-U- in ~".. pTesence and (in the presence of each otheT) (in the presence of the otheT subscTibing witne'5(es)). ! . ) r.' ~'l .' (_-1-1, ; / I' " J) ~, ~,'I .\.}.,.-l" Sworn to or affirmed and subscribed before h' 2nd d f (N ) - me I IS ay 0 Ja es D. ame Flower, Sr.., 19~ 11 East High Street 1 ( (J0 , IAddress) RetlSter }~p:'lrarl i sl e. PA 17013 (Name) '-n.If>. \.l '-~R (A ddress) .' / REGISTER OF WILLS OF CIlMBERLAND CQUNTY OATH OF NON-SUBSCRIBING WIT~SS I, She' (each) a subscriber hereto, she is Hockenberr ~h) being duly qualified acse ding to law. deposc(s) and say(s) that amiliaT with the si ture of Jean S. Ott , codicil the SUbSCTibl ~itn ses to) the will presented heTewith and codicil eliey he signature on the will is in the handwriting of testal r i x of (one of that s ~ Shelby (Nam~ ockenberry 902 West Street (Address) Carlisle, PA 17013 Jean S. Ott to the best of hf>r Sworn to OT affirmed and s me this scribed befDre day of 19.9.6- Register ~ " " (Name) (Address) 00 ~ :0 cs :T.Jm '1 - ct.' rl e.. :C' ~ ,. $ t.;,. (l , "< f.', I ,- : ..' N .' ( ~~'~: !- ~ ,. - lil (, Vl~ .. - - ):-~ \0 CERTIFICATION OF NOTICE IINDER RilLE 5.6181 Name of Decedent: Jean S all Date of Death: April 22 1996 Will No. 1996-00369 Admin No. 2196-0369 To the Register: I certify that notice ofbeneticial interest required by Rule 5.6 (a) of the Orphans' Court Rules was served on or mailed to the following beneticiaTies of the above-captioned estate on May 30. 1996 Name Address Murray William 011 1723 N. Union Street Middletown, PA 17057 14181 N. Gaylord Street Brighton, CO 80601 David E. 011 Notice has now been given to all persons entitled there under Rule 5.6 (a) except NONE Signature: A (j "'--- ~ .,'1.......:71 Date: May 30 1996 Name: S Berne Smith Address: 107 North 24th StTeet Camp Hill. PA 170111-3602 Telephone: 717- 737-6789 r""l Capacity: t:< 'll... 1:. _':1 ;q _ Personal Representative ~ ~ <::. r""l I -X.. Counsel for Personal Representative :z => J u ...., Q(;.: a: ~ () g uu II I II \.~ ; , \ \ , i. . N o -0 ~ - - _0 ..t- ..- ..c .. .~ rn ...( e g., CI)'5..: ~.,= EN: ";c. .. r. e CCr- .01:': CIl-U ,.. ~. ,-, '~ .'. ~-'- ~~.- : 1- r- oo " '''I ... '''I ~ rA :::l ."'_ 0"- CIll'2 ::: CJ - t..~lJ')~ o II) :3 'G. ~:3.,go.. B~.t: eJ .!!! 1:: :s-;;; :0:30:'= ~ 0 t.;) .... ~(.J,..;.L; ~, -' ::.:J ..., '0 ~ " ..) . t50 ?"\ \.../ rt:. I (1)~/'lU J : : : -~.;Jld. ___ T .:;, .' ~< ~ .' -~ ~_r r=- IlfV.UOO fh 17Q,,) w ... )ll:~cn ..,,,,>< w~.., :caa ..,,,,~ ~... ~ '" 1l~:J~:9(\ -.}'ffj~ COMMONWfAllH 0' PltmsnVAWA O[PAIllMW10f 5!(....(NU( O(PT :180001 _1~A~R~~~UIlC.. PA 111:18 ~_~l I;. _ /(1'-/,1 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE fiLED IN DUPLICATE WITH REGISTER OF WILLS) (\ht'J' .~~ E - fOR DATES OF DIAIH A"IR 12/31191 CHICK HIRI If A SPOUSAL , POVIRTY CRIDIT IS CLAIMID I I fill NUMBIR 1 ')')(, YEAR o 3(j 'J "UMBER ~j cour<fY CODE O((I(j(ftT!I rlAMI IIA~llll1~l AI<U MIOOll lI<IIIA\1 III (101141 '> ({)o,l~ll" A(!lJ~t :". Church of God lIome U02 N. lIanover Street (,51.<1 r lis Ie, ,P^ 17?,J_3_LCumbc.r.land) Al,IOIJtjlllfCII'o'11J 1~lf 11.~fll\JC110'.!I) I I _.N^ ____.__,_____ ... z w a w .., w a OTT, J r:;,\N S. ~OCtAI ~ICUllli'-PlUMeiR - II)AI! 0'-01 Ahl T(JAlI 01 f\illHl 167-38-8020 I '1-22-% ! l-1U-13 ",~,~'~~':~'~=i;~;-"'~;~'~~'_"~'''' '." 1")c'~'~If"",h"U.'" ex I. Original Return 2 Supplemental Return o 4. limited Estale j 40 Future Inteunt Campromiso liar datos 01 deaTh aher 12.12.821 [2g 6. Detedenl Died Testale : 7 Detedent Maintained a liying Trusl (Allath tOpy of Will) (Alloth copy 01 Trus') ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. [ ] 3 Remainder Return (for dales of death prior 1012.13.82) f] 5. Federal Estale Tall Relurn Required L 8 T alaI Number of Sale Deposit BOll8s .... "'z Ww ",,, "'z Sf COMPI(l{ "'AIIIP.G AOOII!~~ NAM[ S. BERNE SMITH, ESQ. 107 N. 2'1th Street Camp lIill, PA 17011-3602 c,==-c_'c",~'C=_-_'~', c='c~_.~cc'c..,,,,~.f;2- p" '0' (I) 0.00 " ' _J 121 384,310.10 13 I, 0.00 {41 0.00 151 150,980.23 5,750.00 1HEPHONE NUMB(A 737-6789 :lJ :u l~l ~__u_~._ . ___u. - ---------.-- Z a ;:: :5 = ... a: '" .., w '" 1. Real Estate (Schedule AI 2. Slacks and Bonds (Sthedule B) 3. Closely Held Slack/Partnership InlereS! {Schedule q 4. Mortgages and Notes Receivable (Schedule OJ 5. Cosh, Bonk Deposits & Miscellaneous Personal Property 15ch.dul. E) 6. Jointly Owned Property (Schedule F) 7. I,an"... 15ch.dul. GI15ch.dul. LI B. Total Gran Anels (tala I lines 1.7) 9. Funeral Expenses, Administralive Cas", Miscellaneous E.penses (Schedule HI 10. Deb,s, Mortgage liabililies, liens (Schedule I) 11. T 0101 Deductions (Iatallines 9 & 10) (II) (121 (13) (141 . .5 32,.,5.1 ~.._.L6 G - N 'U ." ( 61 17 I C') , :.ti';'. ~.~ f.J w __~~,-, 0'10.33 0.00 I q I ? ' 3_5_0 . 7Q_ 16) 1,L75.47_ (10) _~_., __.It, 526.17 532,514.16 --~o--'-Ob Z a ;:: '" ... = ~ '" a u )( '" ... 12. Nel Value of Estate (line 8 minus line 111 13. Charitable and Governmental Bequests (Schedule J) 14. Nel Value Subjecl to Tall (line 12 minus line 13) 15. Spousal Transfers (for dotes of death after 6.30.94) See Instruclions for Applicable Percentage on Royene (151 Side. (In dude values ham Schedule K or Schedule MI 16. Amount of line 14 lalloble at 6% rate (Indude values from Schedule K or Sthedule M-l 17. Amount of line 14 taxable ot 15% rote (Indude values from Schedule K or Schedulo M.l 18. Prindpoltall due (Add lOll from linos 15, 16 and 17.) 19. Credits Spoulal Poverty Credit Prior Payments Discount InlNesl __0..00____. + _30..000,_0Ot-__.__I_,-578.-95__",O_._0_0. (lql 12DI ____31.578..95_____ 0.00 - _._--------~------~~ ~-- 371. 90 '0-:0-0--- - -, 371-:-90 ,,_0.0_0...0_= ,_,_______O_.JlO__ (161 532,514-.,16' ,D6 =.----31,950__8-5 (171 0.00..15= __,_,,____0___0_0__ 31,950.85 (161 20. If line 19 is grealer Ihan line 18, enter the differenco on line 20. This is the OVERPAYMENT. aD Chock horo if you or. requosling a refund of your overpayment. 1211 121AI 1216) 21. If lino 18 is greater than line 19, entor the differenco on line 21. This is the TAX DUE. A. Enter the inleresl on the balance due on lino 21A. B. Enter the tolal of line 21 and 21A on line 218. This is Ihe BALANCE DUE. Make Chuk Payable to: Reglsler of Wills, Agent >- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~ Under pennlti.s of perjury. I dedare that I have examined Ihis return, including accompanying sthedules and statements, and to tho best of my Io.nowledge and belief, it is true. corred and complete. I dedare thai all real estale has been reported 01 Irue markel value. Declaration of preparer olher than the personal representatiye is based on all information 0' which preparer has any ~~~ledge~JIURRAY___J'LI__O.T.T~,__EXECUTOR...-_- _.._ _ !ltg~-W1l( Of 'ER~ON Ill!lPON!lIS\E '2:tIUNG A,f1UIlN tOO"" N U ., OAT( /~ vJ U.lv( ::o.<",~_:,:c.~~"_J" nl_o~_~_t_:..'_~~~~dle_~~_~_~I~_li_~_5~ 1-17-'li S1G'::p" Of "'..." OlH" lHAN '''""NTA'''' ADD'''' DAII , t5 ,,- ~~----107-N,'2'1th- SL",_Camp_lIill._I'A____L7011_3602 ---1-1-7-97 Act #48 of 1994 provldol faT tho roductlon of tho tax rotos Impolod on tho not valuo of transfors to or for tho Ule of the IpOUIO. Tho ratOl 01 prolcrlbod by tho Itatuto will bo: . 3% (.03) will bo appllcablo for Oltatol of docodonts dying on or of tor 7/1/94 and boloru 1/1/96 . 2% (.02) will bo appllcablo for oltatol of docodonts dying on or aftor 1/1/96 and boloro 1/1/97 . 1% (.01) will bo appllcablo for ostatol of docodonts dying on aT aftor 1/1/97 and boloro 1/1/98 . Spousal tranlforl occurring on aT aftor 1/1/98 will bo oxompt !rom Inhorltanco tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (vol IN THE APPROPRIATE BLOCKS. -"~.i- NO x 1. Did docodont make 0 tran$fer and: a. retain the U$e aT income of the property traO$ferTed, ....................................................... b. retain the right to de$ignate who $hall use the property tran$ferred or it$ income, ............... c. retain a revenianary intere$t: or ................................................................................... d. receive the prami$e far life of either payment$, benefit$ or care? ....................................... 2. II death accurred an or before December 12, 1982, did decedent within two year$ pTeceding death tran$fer property without receiving adequate con$ideratian? If death occurred alter December 12, 1982, did detedent tran$\eT property within one year 01 death without Teceiving adequate con$ideratian9............................................................ ....................................... 3. Did decedent own an 'in trU$t far' bank account at hh or heT death?..................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. x x x x x U''''''''PI-HI '*' COMMOHWU.l1'H 0' 'INN SYlVANIA IHHlllrAHCI fAX IIYUIN IUIDIHT DfCfDINI ESTATE OF JEAN S. 01'1' Jalnl lananll')' NAME A. JEAN S. 01'1' B. DAVID E. 01'1', JR. C. Jalntly-ownad p.....rty. SCHEDULE F JOINTLY-OWNED PROPERTY ADDRESS Deceased 14181 N. Gaylord Street Brighton, CO 80601 FILE NUMBER 21 - t996 - 0369 RELATIONSHIP TO DICIDINT Decedent Son ITIM LETTER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBE. JOINT MADE DESCRIPTION OF PROPERTY OF ASSET 'KlINT. DECEDENT'S INTEREST TENANT JOINT 1. B 5-14-92 400 COHHON STOCK: shares of common stock of Dauphin Deposit Bank and Trust Company; DOD value $28.75 per share = 11,500.00 50% 5,750.00 (See Decedent Confirmatio~ Report from Dauphin Depos it Bank dated 8-22-96, page 2, re DOD valuation) TOTAL (Aho .n.or on lin. 6. R.capilulollon) S 5,750.00 (If mOrl space il n..d.d ins.rt acJditional sh..ts 01 some sjze) 1''''\11111, 1'''1 ESTATE OF ~:!. ~ 1!.~;'jI~'("f\ ....t."... SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWIAtlll 01 fWNS.,.~.ANI. INtHIIIlAN(f tu IlflUIH~ _ _._R(~IP_UI!. ~~ C~~.I.~~.! I Ploalo P,lnt 0' Typo FilE NUM-SER 21 - 1996 - 0369 _____,_._L__..._..____,___'. _____... ; AMOUNT I JEAN S. 01'1' ITEM NUMBER ----- .---.---.--- DESCRIPTION -~------_._-_.- .---------.--------.---.--------------------- ----~ - ..~--,------+-----+---_.._----. A. Fune,al Expen.." I. Hoffman Roth Funeral Home, Inc. CarliSle, PA (See attached bill. Check I 4.) 1,513.00 2. Eby Granite Works, Newville, PA (Headstone) (See attached bill. Check I 3) 489.00 i B. Adminlllratlve COlh' 4. C. 1. 2. 3. 4. 5. 6. 7. 8. I. Personal Ropresentativo Commissions Social Socu,ity Numbor 01 Personal Representative, ___ 2. I I I ! Allo,ney Foes , , Family Exemplion Cloimant Rolalionship Yeor Commissions paid S. Berne Smith, Esq. Camp Hill, PA 4,800.00 3. Address of Cloimont ot decodont's doath Strool Addroll Cily _ Stote Zip Codo Probato Foos Register of IHlls, Cumberland County, PA (See attached bill. Check # 1) Mlscollaneoul Expense" 425.00 Cumberland Law Journal (Estate Notice) (Check 2) The Sentinel, Carlisle, PA (Estate Notice) (Check 9) 60.00 63.70 TOTAL (Also entor on lino 9, Recopilulotion) (II more space Is needed. lnlerl additional sheets 01 lame size.) S 7,350.70 , " 11.1\- It.. II "j ~:.~.~" ..!'lis..: <O-"'-"'OJ.j..,..t'HOf 'ftt"'tt'l<UI." II\II"I'""N[I I... UIUIN . _ __!I!ID"~! D!.<!OINI SCHEDULE J BENEFICIARIES ESTATE OF JEAN S. O'J"(' FILE NUMBER 2 1 - 1 996 - 0369 ITEM NUMBER ---_._.__._.~._---- ------.------- NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taltoble Bequelts: I. DAVID E. OTT, JR. 14181 N. Gaylord Street Brighton, CO 80601 Son 50% 2. NURRAY W. OTT 1723 N. Union Street Niddletown, PA 17057 50% Son ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitoble and Governmental Bequests: I. NONE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.a enle, on line 13, Recapitulation) S 0.00 (II more .pace I. needed, In.ert additional .hut. 01 lame .In) \ 3linst lIill nub mesbun.enl OF JBAN s. on I, JEAN S. OTT, at Carlisle, Cumberland County, Pennsylvania, ..xe, publish and declare this to be my Last will and Testament, hereby revoking any and all wills by me at any time heretofore ..de. 1. I direct the payment of my just debts and funeral expenses as soon after my death as will be convenient to my Executor hereinafter named. 2. I give, devise and bequeath all my property, whether real, personal and mixed, and wheresoever situate at the time of my death, unto my two sons, David Edward Ott, Jr., and Murray William Ott, in equal shares. My son. .hall have the right to take any of my property, real and/or personal, in kind should they so elect. 3. I nominate, constitute and appoint my son, Murray William Ott, to be the Executor of this, my Last Will and Testament. If my son, Murray William Ott, does not survive me then I appoint Dauphin Deposit Trust Company, of Carlisle, Pennsylvania, to be the Executor, IN WITNESS WHERBOF, I have hereunto set my hand and seal this 19th day of November, A.D. 1973. ," l,.........J ,dJ Oit...-- " ~, (SIlAL) Signed, sealed, published and declared by the above named Testatrix a. and tor her Last Will and Testament, in the presence at us, who, in her presence, at her request and in the presence of each other have hereunto subscribed our names as witnesses. \ , \. J. .~~ RECEIVED FROM: S. BERNE ESQ SM ITH 107 N 24TH ST L PA CAMP HIL , IDH'" ESTATE INfORMATION, 9 B filE NUMBER 21-1996-036 E1 NAME Of ~~E;EN;EA~~ II DATE Of PAYMENT Iii 07/ 5/9 II POSTMARK DATE COUNTY CUMBERLAND DATE Of DEATH REMARKS 17011-3602 SSN Ib7-30-BO~0 IMij (fIR II I AM OTT MURRAY WIL~ SMITH 1:50 C/O S BERN CHECK" 10 SEAL U__ I I AX,,^ VI " ACN m AMOUNT & ASSESSMENT CONTROL NUMBER 1~1 Iso.ceo.co lOCDH'" .. .30,000.00 ml01Al AMOUNT PAID VZ .."'"". ~ ');J,/l<<J J9tiIu. LEWIS S ,'-, I MAR V C~R OF WILL IlEGIST.. Register of Wills of CUMBERLAND county, Pennsylvania certificate of Grant of Letters Testamentary No. 1996-00369 PA No. 2196-0369 ESTATE OF OTT JEAN S (LA:)'l' , r1K:)'l', M1UULt;) Late of NORTH MIDDLETON TOWNSHIP l;UM!jt;KLANU l;UUN'l'X, WHEREAS, on dated November was admitted to the 7th 19th 1973 probate as the last will of OTT JEAN S ( LJ\::i'l' , r 1 K::i'l', M 1 UULt; ) Deceased Social Security No. 167-38-8020 day of May 1996 an instrument late of NORTH MIDDLETON TOWNSHIP CUMBERLAND county, who died on the 22nd day of April 1996 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to MURRAY WILLIAM OTT who ~ duly qualified as Executor(rixl and ~ agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 7th day of May 1996. ~'"tC~~)l1~ gl e 0 11 **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) 'SEP 09''36 04:33PM SMITH BARNEY 5l-E:~50N/CHAMB SMITHBARNF;i AMtnborolnow."a",Up. Date: O;w~~ TQ: ~~ ~:~PA} From: phone Numper: 717-264-5901 Fax Number: 717-264-6483 . \So I There ~ pa9~a in thil including th~S page. pleas. not receive all pages. transmillion, call if you do CO\1llllentl: ~ ~ ~~ pY7)lfl~ ~ ~ t\u In.~. ~ ~IlJ. 1.\ \ "l.'Z.\" 10 \-\\eo\h 'tl J..-ow c..U2,se QNc.. .- 3D.ti~ ;;t'l. ~d.~ Olq.1~ I-\i~~ b(4~ Dtf~ - C)'lO lo'^' (I j ns.e - ~'1,00 B.8,S' P..l~~t ~ ~ ~ ~ ~ , n\Jl- 1 f r rv-J a.dJ-l ti OY\oJ I t\. -Pz, , THMJK..0 ! SMIT~ BARNEY "..C. 446 Sloyfllr Avel'lul. P.O. 9011. el91. ~.mDtllt~r;. PA 1720' 117olfl4.!ilJl .800",2-7Q1& ,..C 1\l."..UATV'oN t;G'T mJllTM WAS OITAfIIf.O '~Ot.t SOi..'PCIS WH01 WE BEllM Pllu.aa~! aUT M. DO NQ':' ~\J.AANl1U ns ACCUMC"I'. N(mC~ . .-..."..-. ~.....-_..................-_.. 1'1\ I OAUI""" 1111'''''' IIA'" A"I> I.' :..",..",.11'..""""" 1',........>1,'...... PAC' No 2 of 2 III S. Berne smi th Name: Jean S. Ott SSN: 167-38-8020 000: 04/22/96 0065528891 5306624049 00600964 Special Qomments: Dauphin Deposit Corporation Common Stock registered in the names of: Jean S ott & David E. ott. Jt. Ten. 400 shares @ $28.75 per share as of 04/22/96. Account closed 06/30/96 Account No. ------------------------ ------------------------ ------------------------ safe Deposi t BoX ------------------------ ------------------------ ------------------------ Type Checking Savings 06/06/79 Date Opened or Issued 02/07/84 ------------------------ ------------------------ ------------------------ 04/11/72 05/16/96 (Closed) Date Closed or Matured OS/22/96 (Closed) ------------------------ ------------------------ ------------------------ OS/22/96 (Closed) Date of oeath Balance $16,256.83 $8.095.02 Not APplicable ------------------------ ------------------------ ------------------------ Location: PLUS Carlisle Office ------------------------ ------------------------ ------------------------ Date of oeath Accrued Int. $2.23 $6.95 None ------------------------ ------------------------ ------------------------ Joi nt Ot<<'\ers (if any) None None oate of Joint OMlership ------------------------ ------------------------ ------------------------ ------------- ------------------------ ------------------------ ------------------------ ------------- Dauphin Deposit Corporation Common stock registered in the name of: Jean S. ott (onlY). 8,968 share: @ $28.75 per share as of 04/22/96. Account Closed 06/30/96. Additional infar~atian auailable at $20.00 per hour. One hour minimum, Date prepared: August 22, 1996 prepared by: Carolyn A. Berkebile customer Management Information Dept. (CMI) Telephone No. (717) 255-2054 00 0 00000 0 0 00 0 00000 0 0 . . , 01/'1 1/'1 I/'IOOMO <J) M 1/'10> " cnOMLnO'J to ... ...0> ,.., ... M 1/'1 .... ... .. In VI VI In In .:- \ ~ :r t~ " .s: '>.4 1/'1 ., ~ 0 ltl ." OJ , .,... :c -c ~ \J r~ !l (J) '\ ..: ! III ! -g...... 5 .,Cll. OJ ...]~ ;il to ., 0 '... 0> ., 0'... - a. Cl.~ 0> ., c: c: 0 ... 0 .::;) ~ u ~ 3: 0 .., -c M (J) >.Z OJ OJ ... ltl .... 0).... c: I.<M-C c:..... >. ltl I.<N-c Q,)''''''r1 ltl OJ j"'" '.-1 >1.<., 2: .., 2:"'2: C:li ltl OJ I.< 9 ,~.Il. J ,....... OJ t!l..... U ! t;! 0 0) c: III 'a 1 ~1 C:>'OJ,.. .rot en QJ Q) S ~ l; j ~ J c:,...,~., ~ QJQJl.&-4oc .. 0 ~ ~ " 'g D.r""'i .,... r-t Q) 6 z ~ "'" O~LLU.f- u OJ I.< '... 0 ---... ~ - i .3 !tJl ] ll.a ~ l!l' ~Jj 'i3 ... ~ " "ft .~ U .5 - ~- !l ~ li "';!!5 0 ..: ...~ ." 'G -gic :g ~!i!l, III u 8 ..: ~ ~ ~ 11 ~ :$ e 11 ,., r=. a Ili~ ~ j c ~ ' nil -' ". .f' . l: , . Eby Granite Works P.O. Box /87, Newville, Pa. /724/-0/87 Phone: (717) 776-5118 at ..,eok of ~ug. Set DatEtl&' 7,1996 . Zip 17057 Name Murray on ~-- Addressl723 .N. unto!.L!?~......Middlfb'to..,n, pa \. -....- , --I . -----....--...-. --- Phone home__944_7:U'O""_vc~~234-4.1.66 Corner Post cr' Monument Flower \(ases 0 Slant .,. ...' . . ..I , I. ... ." .' . '.' " Base Kind of Granite Bure Bevel _ Cemetery Camp Hill Grass Marker 1_loxO_lnyn_4 PFT,,-BRP Name on back FOUNDATION Qesign AORe' ~n ....teR othHs ~~ WARRANTY Is not concerned about lettering ml'ltl:'hlng, hut VII dld-qet.-siee end granite. Color may vary some because of h ~. .. .... I. . . g. BRL JE~N DEWAR OTT 1913-19"13-1996 ORD, P,O. # POS GRA VAS POSTS GARS COM B&J , , take full responsibility for the accuracy IlL...... ............. of the above spellings and dates, Laller this way. opposite o Check How 10 Leller . Unit Price $ 464 Flower Vase $ Corner Post $ Misc. $ Total $ 464 i"" . ....,Deposit $ Balance $ - $ Y<f' "g I agree that said memoriaQhith tiUe thereto and righl 01 possession thereol, shall remain your personal property unlilt have paid lor it in lull. In defaull 01 any payment hereunder. I license you to repossess and remoue the said memorial, without guill or trespass or other wrong, end authorize and empower you, In my name and on my behall, to apply to Ihe ",anagement ot said cometery or olher premises lor a permit for Its removal and to teke eny other steps you may deem necessary or expedient and lurthsr agree to save you harmless Irom any entry, repossession and removat; you may retain said memorial or dispose 01 it at your own discretion without being answerable to me lor It or any proceeds therefrom. Orders subject to cancell~tion. All contracts contingqnt ~pon stri~es, accidC:f1ts, and ottylr causes ~qyond our ~ontrol. I understand'that30days altcrplacemfint olthe memorlal1i FINANCE CHARGE will becntt!iedon the fiilling date.lt Is computed by a periodic rale 011 V. % per month which is an annual percentage rate 011 B % applied to the preuious balance before deducling credils. paymenlS or adding "",.h..A. .""".rinn nn Ihie .'D'nment. To auoid FINANCE CHARGE pav Ihe 'Now balance' bel ore the billing date next month. RECEIPT FOR PAYMENT =================== 5/07/1996 08:48:22 1007872 cumberland county - Reqister Of Wills Hanover and High stree~ Carlisle, PA 17013 Receipt Date Receipt Time Receipt No. OTT JEAN S File Number Remarks 1996-00369 MURRAY W OTT ------------------------ Distribution Of Receipt ------------------------ payment Amount payee Name 375.00 CUMBERLAND COUNTY GENERAL FUN 45.00 CUMBERLAND COUNTY GENERAL FUN 5.00 BUREAU OF RECEIPTS & CNTR M.D Transaction Description PETITION FOR PROBA SHORT CERTIFICATE JCP FEE $425.00 $425.00 Checklt 5049 Total Received......... Dff r/7 ... ~ ~" tI 0/ ~{,<Y I ,;1 /<,/ 'f .I'~ IJ -//1'-- /7 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~...~. ';1 f ~ ;~~ ~ .t. ;.r; (-' BUREAU OF INDIVIDUAL 'A~ES IHtlUUUHCI. lA1l DiViSION DlPI. ZIObOI llARll(SIUAG, 111 I1Ue-Dbal NOIICE OF INIIERITANCE IA~ APPRAISEHENI. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TA~ tl1.lhl II." III.". S BERNE SMITH 107 N 24TH ST CAMP HIll ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-28-97 on 04-22-96 21 96-0369 CUMBERLAND 101 JEAN Anou"t Ranlthd PA 17011 HAKE CHECK PAYABLE AND REMIT PAYHENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PDRTION FOR YDUR RECORDS ~ rfiv:l5'4"j-EiCAFP-iili-:97Y"Neir-icnij:--iNHER'iTANcE-TAx-iipiiiiiiisEHENT-,--m.-OWANCE-o!im-------------- DISALLDWANCE DF DEDUCTIDNS AND ASSESSMENT DF TAX ESTATE DF on JEAN S FILE ND. 21 96-0369 ACN 101 DATE 04-28-97 TA~ RETURN WAS: I X I ACCEPTED AS FILED RESERVATION CDNCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE DF RETURN BASED DN: ORIGINAL RETURN 1. R..I Elt.t. (Schedule Al (1) 2. stocks and Bondi (Schedule 81 (2) 3. Clas.ly Hald stock/Partnership Int.r..t (Schedule Cl (31 4. Hortg.gas/Hot.. Receivabla (Schedula DJ (4) 5. Ca.h/Bank Deposit./Hi.c. Parsonal Property (Schedula E) (51 6. Jointly Ownad Property (Schedule F) (6) 7. Transfars (Schedule G) (7) 8. Tot.l Anat. I CIIANGED HOTE: To insure proper credit to your account, sublllt the upper portion of this forn with your ta)( p.ynant. .00 384,310,10 .00 ,00 150,980.23 5,750,00 ,00 ISl 541,040.33 APPROVED DEDUCTIONS AND EXEHPTIONS: 9. Funaral Expanses/Adn. Costs/Hisc. Expanses ISchadule H) (9) 10, Debts/Hartgege Llebllltles/Llens CSchedule II 1101 11. Total Deductions 12. Nat Value of Ta)( Raturn 13. Charitable/GoVarnnantal Bequests ISchedule J) 14. Net Valua of Estete Subject to Tax 7,350.70 1,175,47 llll 1121 1131 1141 R.~?6 17 532,514,16 ,00 532,514.16 If an assessment was issued previouslY, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of ~ returns assessed to date. ASSESSHENT OF TAX: 15. Anount of Line 14 at Spousal rat. (15) 16. Anount of Lin. 14 taxable at Linaal/Class A rata (16) 17, Anount of Lina 14 taxable at Collateral/Class Brat. (17) 18. Principal Tax Due NOTE: ,00 ~ .00= 532.514.16 X .06= ,00 ~ ,15= 1181 .00 31, 950,85 .00 31, 950.85 TAX CREDITS: PAYHENT DATE D7-13-96 01-17-97 DISCOUNT It I INTEREST/PEN PAID C-) 1,578.95 .00 AHOUNT PAID 30,000.00 371 ,90 RECEIPT NUHBER AA146520 AA185098 TDTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TDTAL DUE 31,950.85 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION DF ADDITIDNAL INTEREST. I IF TOTAL DUE IS LESS TIIAN .1, ND PAYHENT IS REQUIRED, IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICRl, YOU HAY 8E DUE A REFUND, SEE REVERSE SIDE OF THIS FDRH FDR INSTRUCTIONS. I S (;C"J '." , , RESERYATIONI Estal.. of dec.dents dying on or before Oec..b.r Il, 1981 -- I' any future Int.re.t In the ..tat. Is tran.f.rr.d In Po.....lon or enjoy..nt ta Cia,. a leallateralJ beneflelarie, of the decedent after the .xplratlon 0' any e.tate for life or for y.ar., the Co..onwealth hereby e.pr...ly r..erv.. the right to appral.e and a.'e.. tran.fer Inh.rltanee Taxe. at the lawful Cia.. B (eollaterall rate on any .uch future Inter..t. PURPOSE or HOTICE: To fulfill the requlre..nt. of Section ll40 of the Inheritanc. and [.tate TaM Act, Act 21 of 1995. (7l P.S. Section 91U). PAVHENT: Detach the top portion of thl. Hotlee and .uOelt with your pay.ent to the Regl.ter of Will. printed on the r.ver.. .Id.. ~-Hak. check or .oney order paYl!!lble tal REGISTER or HILLS, AGENT REFUND (CR)I A refund of a tax credit, which wa. not requ..ted on the Tax Return, .ay be reque.ted bV co.pl.tlng an "Application for R.fund of Penn.vlvanla Inherltanc. and E.tate Tax" (REY-1313J. Applications are a~allable at the Office of the A.glster of Will., any of the 23 Re~enu. District OffIce., or by calling the special 24-hour an.w.rlng .ervlce nuebers for for.. ordering: In P.nn.ylvanla 1-800-362-2050, out.lde Penn.yl~anla and wIthin local Harrl.burg area (717) 787-8094, TOOl (117) 112-2l5l (Hearing Iapalr.d Only). OBJECTIONS: Any party In Intere.t not .atl.fl.d with the appral'eeent, allowance or disallowance of deductions, or a.s.ss.ent of taM (Including dl.eount or Int.r.st) a. shown on thl. Notlc. au.t Object within .Ixty (60) day. of r.celpt of this NoUce by: --wrltt.n prot.st to the PA O.parte.nt of Revenue, Board of App.al., Dept. 281021, HarriSburg, PA 17128-10ll, OR "election to have the .aU.r detereln.d at audit of the account of the per.onal repr...ntatlve, OR "appeal to the Orphan.' Court. ADHIN ISTRATlVE CORRECTIONS I Factu.. .rror. dl.cover.d on thl. as..ss.ent .hould be .ddr....d In writing tal PA O.part.ent of A.v.nue, Bureau of Indlvldu.1 Taxe., ATTNI Post A.......nt R.vl.w Unit, Oept. 280601, HarriSburg, PA 17128-0601 Phone (717) 787-6505, Se. page 5 of the bookl.t "In.tructlons for Inherltanc. Tax Aeturn for a R..ld.nt D.c.d.nt" (REV-1501' for an ..planatlon of .delnl.tratlv.lv correctable .rror.. DISCOUNT: If any taM due I. p.ld within thr.. (3) c.l.ndar .onth. .fter the decedent'. de.th, . flv. percent (5%) dl.count of the talC paid Is allowed. PENAl TV: Th. 15:< talC a."uty non-participation penalty Is coeputed on the total of the tax and Inter..t a....sed, and not p.ld before January 18, 1996, the first day after the end of the taM a.n..ty period. Thl. non-participation p.nalty I. app.alable In the .a.e .anner and In the the .a.. tl.. period a. yoU would app.al the tax and Int.r..t that ha. baen a.s....d a. indlcat.d on thl. notice. IHTERt:STI Int.r..t I. charg.d boglnnlng with flr.t day of d.llnquency, or nln. (9) aonths and on. (1) day fro. the date of death, to the date of ply.ent. Ta.e. which b.c... dallnquent b.for. January 1, 1982 b.ar Intere.t at the rat. of .Ix (6%) p.rc.nt p.r annul calculated at . dally rat. of .000I6~. All ta... which beca.. d.llnqu.nt on .nd after January 1, 1982 will b.ar Int.r..t at a r.t. which will vary fro. cal.ndar year to calendar year with that rat. announced by t~ PA D.partaent of A.v.nu.. Th. appllcabl. Int.rl.t rat., for 1982 through 1997 ar.; '!!!! [ntar..t Rat. Dally Internt Factor !!!r Inter..t Rate Dally Intor..t Factor 1982 20% .000548 1981 .~ .000247 1981 16:C .000438 1988'1991 11:< .000301 1984 IU .000301 ..", .~ .0002"7 1985 U:C .000356 19lJ3'199,. 7~ .000191 1986 1O~ .000274 1995-1997 .~ .000247 --Intar..t Is calculat.d .. followlI INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notice Is.ued after the t.x b.ca... d.llnquent will r.fl.ct an Int.r..t calculation to flft'en (IS) days beyond the data of the ........nt. If pay.ent I. ead. a't.r tha Int.r..t coeputation date .hown on the Notice, additional Int.r..t au.t b. cllculatect. '" IN TilE COURT OF COMMON PLEAS OF Cu~mERLt\ND COUNTY. I'ENNSYLVANIA IN RE: ESTATE OF JEAN S. OTT. DECEASED ORPHANS' COURT DIVISION No. 1996 - 00369 INFORMAL ACCOUNTING filed 011 behalf of MURRAY WILLIAM OTT. EXECUTOR , ,. .J' . Counsel of Record for this Party: S. Berne Smith. Esquire PA I.D. #07254 107 N. 24th Street Camp Hill. PA 17011.3602 (717)737-6789 ~,.<.,j,J 1"1 I;'t/ EOH:\I,\ 1.,\(,(,Oll~TI:'I(; Estatc assCls. rcccipts and disburscmcms ofthc ESlatc ofJcan SOli, Deceased, as of Scptcmbcr 15, 19(17, are lislcd hcrcinallcr ESTATE ASSETS Thc assCls of the ESlalc havc bccnlillly dcscribcd on thc Pcnnsylvania Inhcritance Tax filing, Schedulcs B, E and F, copics of which arc allachcd hcrelo and made a pan hercof RECEIPTS OF ESTATE The rcceipts of Ihe ESlale arc as follo\\'s DATE ITE.\ I A~IOUNT 5-9-96 Federal Income Tax Rellmd - 1995 $ 433.27 5-21-96 Blue Cross! Blue Shield Rellmd 235.10 5-21-96 Transfer trom Checking Account 16,819.95 5-21-96 Transler Irom Savings Account 8.147.75 5-28-96 CD Imerest 344.26 5-29-96 CD Interest 201.39 6-1-96 Refund tj"OI11 Church of God Home 888. 10 6-4-96 fnteresl 12.58 6-11-96 Redemption of CD 10,03907 6-11-96 Blue Cross Refund 71.90 6-12-96 CD Imerest 1.21 6-28-96 CD Interest 355.74 7-1-96 AT&T Dividend 25488 7-1-96 CD Interesl 208.11 7-2-96 Interest 34.66 " 7.10-% R~d~lI1ptil1n orCD $ XO,IJ770 7-29.9{, CD Int~r~sl 201 J9 8-2.<)6 Int~r~st 7825 8-29-% CD Int~r~st 208.11 8-29-96 AT&T Dividcnd (July) 24408 9-4-96 Int~rcst 1684 9-17-96 t\T&T Dividcnd (:-'lay and Junc) 509.76 9-30-96 CD Intcrcst 208.10 10-2-96 IIll~rcst 14.98 10-29-% CD Illlcrcst 201.40 11-4-96 Intcrcst 18.29 11-25-96 Rcdcmption of CD 35,181.25 12-3-96 Illlcrcst 25.40 1-3-97 Intcrcst 33.59 2.4-97 Intcrcst 30.89 3-4-97 Intcrcst 2492 4-2-97 Intcrcst 25.83 5-2-97 Intcrcst 26.47 6-3-97 Fcdcrallncolllc Tax Rctlll1d - 19% 475.00 6-3.97 Intcrcst 2804 7-2-97 Illlcrcst 13.94 9-8.97 Intcrcst (Account c1oscd) 1715 TOTAL I~ECEIPTS FOI~ ESTATE $ 155.769.35 J)\SlIlll{SI,::m:~TS OF ESTATE I>ATE ITE:\I ('II ECK /I A:\IOlJ~T 5.21-% \Iurray W 011. Rcimhurscmcnl of I $ 42500 prohatc fccs 5.2\-<)6 Cumhcdand Law Journal - Estatc , 6000 - NOlicc 5.21.% Eby Granitc WllIks - Ilcad Slonc .1 48<).00 5.21-% Ilomllan-Roth funcralllomc - 4 I.S \300 Funcral Arrangcmcnts 5-21-% Shelby Hockcnbcrry - Nursing Carc 5 800.00 5-21-% Dcc Wciglc - Nursing Carc 6 20000 5-21-% S Bcrnc Smith. AHorncy (on account 7 1.00000 ortcl.(al fccs) 6-1-96 Pcasc Pharmacy. Mcdications 8 175.47 7-2-96 Thc Scntincl - Lcgal Estatc Noticc <) 63.70 7-11-96 Rcgistcr of Wills, Agcnt - Prcpaymcnt \0 .10.000.00 of Pcnnsylvania Inhcritancc Tax 7.19-96 David E 011 - Partial Distribution \I 35.00000 7.19.96 \Iurray W. 011 - Partial Distribution 12 35.000.00 11-25-96 Murray W. 011 - Partial Distribution 13 12,000.00 11-25.96 David E. 011 - Partial Distribution 14 12.000.00 1-13-97 S Bcrnc Smith. AHorncy (on account 15 2.000.00 ortcgal fccs) 1-17.97 Rcgistcr of Wills. Agcnt - Final 16 37190 paymcnt of Pcnnsylvania Inhcritancc Tax 4-9-97 I' A Dcpartmcnt of Rcvcnuc - Estatc 17 <)<)00 PA 41. 19% Incomc Tax 4-9-97 Intcrnal Rcvcnuc Scrvicc - Fcdcral 18 32900 Fiduciary Incomc Tax 1041 - 1<)% Void Void 1<) Void .- ~. . 4.9.97 I'A Dcpartmcnt of Rcvcnuc .19% 20 $ 10800 Incomc Tax 6.9.97 David E Ott . 1'11I1ial Distribution 21 8,000.00 6.9.97 Murray W. Ott . Partial Distribution 22 8.00000 9.15.97 (l A Dcpartmcnt of Revcnuc . 1997 Check from 5.62 Final I ncomc Tax :-'lurray Oil 9.15.97 S. Bcrnc Smith, Attorncy . Final Check from 2,793.91 Statcment of Lcgal Fecs :-'1urray Oil 9.15.97 David E. Ott, Final distribution Chcck from 2.667.88 Murray Oil 9.15.97 Murray W. Ott, Final distribution 2.667.87 TOTAL DISBURSEMENTS FOR $ 155,769.35 THE ESTATE Dated as of September 15. 1997. at Camp Hill, PA. Respectfully submitted, /l>J),~~ ~ ~ Murray W. Otto Executor ~A- _~7 S. Berne Smith, Allorney for Executor of the Estate of Jean S. Ott, Deceased lNUOIU'IJ-I11 '* SCHEDULE E L CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY _ Ploa.. Print or Typo filE NUMBER 21 - 1996 - 0369 CQMMONWIALfH O. PlNHlYLVAHI" INH8ffAHCI fA)[ IIT\JIN ......HT DOCI_ JEAN S. OTT IAII...-"" 1aIn~.,-..d wltlo .... .1to~1 04 s...~lp MUll 1M dl""Md .n S.hadul. fl ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. DESCRIPTION VAWE AT DATE OF DEATH 32.00 CASH: - Found at Church of God Home REFUND: portion of Capital Blue Cross Insurance Premium REFUND: portion of prepaid maintance fee from th Church of God Home in carlisle 235.10 888.10 CLOTHING: All clothing of decedent was donated to the Church of God Home in Carlisle 0.00 CERTIFICATE OF DEPOSIT: Dauphin Deposit Bank Account # 8000089351. Date issued: 6-12-84: Closed date: 6-12-96: DOD balance $10,002.58: DOD Accrued Interest $12.19: Interest rate 4.45%. DOD total value = 10,002.58 + 12.19 = 10,014.77 CERTIFICATE OF DEPOSIT: Dauphin Deposit Bank Account # 8100283095. Date Issued: 4-28-94: Closed Date: 7-10-96: DOD balance $80,000.00: DOD accrued interest $287.67: Interest rate 5.25%. DOD total value = 80,000.00 + 287.67 = 80,287.67 CERTIFICATE OF DEPOSIT: Dauphin Deposit Bank Account # 8100704902. Date Issued: 3-29-95: Maturity Date: 10-29-97: DOD balance $35,000.00: DOD Accrued Interest $161.56: Interest rate 7.02%: DOD total value = 35,000.00 + 161.56 = 35,161.56 8. CHECKING ACCOUNT: Dauphin Deposit Bank Account # 0065528891: opened 4-11-72: closed 5-22-96: DOD Balance: $16,256.83: DOD Accrued interest $2.23. Total DOD value = 16,256.83 + 2.23 = 16,259.06 9. SAVINGS ACCOUNT: Dauphin Deposit Bank Account # 5306624049: opened 2-7-84: Closed 5-22-96: DOD balance $8,095.02: DOD Accrued interest $6.95. Total DOD value = 8,095.02 + 6.95 = (See Decedent confirmation Report from Dauphin Deposit Bank dated 8-22-96 re DOD valuations for ItemS 5 through 9, above.) 8,101.97 $ 150,980.23 (Anoc.h addilianal 8\\- )( 11- ,he," il mort 'pan I, needed l .._n.~ * _1Am4 OJ "...In_1A __ Wt_ 11_- P SCHEDULE F JOINTLY.OWNED PROPERTY JEAN S. OTT PlUHUMIII 21 - 1996 - 0369 ...... ,-",\1\' HAMI A. JEAN S. OTT ADOUU IRA HIP TO DlCIIIINT Deceased Decedent .. DAVID E. OTT, JR. 14181 N. Gaylord Street Brighton, CO 80601 Son c. !TIM LmII DA,. ~VAw.'IIoo"'" I'Oa DUCIImON Of 'IOPIITY TOTAL VALUI DICD'I ~ = OpAJllf "INT. D 'II 1. B 5-14-92 COMMON STOCK: 400 shares of common stock of Dauphin Deposit Bank and Trust Company; DOD value $2B.75 per share = 11,500.00 50% 5,750.00 (See Decedent Confirmatio n Report from Dauphin Depos it Bank dated 8-22-96, page 2, re DOD valuation) TOTAL (AIIO "",or on line 6, R-..Jtulatlon\ S 5.750 . 00 . J I ~ ..... ...1'1 1.1 (II...... "'_ it noede<IlM.n additional"'"" 01 - ';11) I'IWPOSEI> I>ISTIU 11IITI()~ SC '11 E1H I 1.1': The IlIIIO\ving is the schednle or dislrihlllions ahl'ady made 10 David E 011 and \llIrray W all, and Ihe Iinal proposed dislrihuliunlu he made tOl'ach ur IhclIl \\ ilh rl'specllu the Estale of Jean SOli. Deccased I>istrihulillns I'n'\'iously :\Ialll': DATE RECIPIE:'IT ITDI ell ECh: # A:\IOllNT 7-19-96 David E all. Son cash II $35.000.00 7-19-96 \Iurray W. Oil. Son cash 12 $35.000.00 11-25-96 Murray W Oil, Son cash 13 $12,000.00 11-25-96 David E. Oll. Son cash 14 $12,00000 6-9-97 David E. Oll. Son cash 21 $ 8.00000 6.9-97 Murray W Oil, Son cash ~~ $ 8.000.00 June David E all, Son 590 shares IINC In kind $ 17.62625 1996 Financial Corp. IE $29875 per sharc June Murray W. Oil, Son 590 shares PNC In kind $ 17,626.25 1996 Financial Corp. @; $29.875 per share July 1996 David E all, Son 540 shares Equily In kind $ 45.613.80 Incomc Fund. 151 E~chanlte Scries. AT&T Shares Iji) $84 47 pcr unit July 1996 \1urray \V Oll. Son 540 sharcs Equily In kind $ 45.613.80 Incomc Fund. 1 sl E~change Scrics. AT&T Shares It! $84 47 pcr unit f . :\lay/June David E Oil, Son 19% May/June :\lurray \\' Oil, Sun 1996 4.22.96 David E all, Son ,I,IX,I sharI's Dauphin In kind Ikposil Ilank and Trust Company (/I $2X 75 per shme $128,9 IS 00 44X.j shares Dauphin In kind Deposil Ilank and Trusl Company (I!' $2X 75 per share $128,91500 .j()() shares Dauphin In kind Deposil Bank and Trust Company @, $28 75 per share This stock was held jointly with Decedenl and passed by right of survivorship Prollosed Final Distribution: DATE RECIPIENT ITEM CHECK # AMOUNT 9.15.97 David E. Oil, Son cash. Final distribution Check Ii-om $ 2,667.88 Murray Oil 9.)5.97 Murray W. Oil. Son cash. Final distribulion 2,667.87 Dated at Camp Hill, PA. as of the 15th day of September. 1997. Respectfully submilted, i!t.0-"~ l..J (:;~Lf Murray W. Olt, Executor "J ~ // . !/J-- __ /~ ! S. Berne Smilh, Attorney for Execlltor of the Estate of Jean S. Olt. Deceased '. IN THE COURT OF Cm.I~ION PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA IN RE: ESTATE OF JEAN S. OTT. DECEASED ORPHANS' COURT DIVISION No. 1996 - 00369 FAMILY AGREEMENT tiled on behalf of MURRA Y WILLIAM OTT, EXECUTOR Counsel of Record for this Party: '.)~. ' S. Berne Smith, Esquire PA I.D. H07254 107 N. 24th Street Camp Hill, P A 17011-3602 (717) 737-6789 Q..