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HomeMy WebLinkAbout03-0003 LAW OFFICES OF Robert L.Knupp KNUPP, KODAK & IMBLUM, P.e. Robert D. Kodak Gary J. Imblum CAMERON MANSION Rober~ E. Knupp 407 NORTH FRONT STREET (1909-1976) Of Counsel POST OFFICE BOX 11848 Robert H. Maurer Mark A. Mateya HARRISBURG, PA 17108-1848 (1923-1998) Phone: 717/238-7151 Fax: 717/238-5258 December 3ii; 2002 MARY C LEWIS REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE PA 17013 ATTN ANN RE: Estate of Robert S. Lewis Dear Ann: Enclosed herewith please find the Petition for Grant of Letters, Estate Information Sheet, Certified Death Certificate, and an original and one copy of the Last Will and Testament of the above- named decedent along with the appropriate filing fee. Please accept the enclosed for filing and forward seven (7) Short Certificates to the undersigned at your earliest convenience. Thank you for your continued excellent service. If you have any questions or are in need of additional information, please call. Sincerely, Ann Aumiller Estate Paralegal Enclosure cc: STEPHEN R LEWIS EXECUTOR 73 ELEVEN O'CLOCK ROAD WESTON CT 06883 www. kki-law.com STATUS REPORT UNDER RULE 6.12 Name of Decedent' ROBERT S. LEWIS Date of Death' 12/12/2002 Will No. 2003-00003 Admin. No. 21-03-00003 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate' 1.State whether administration of the estate is complete' Yes No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete ' 06/20/95 3. If the answer to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court ? Yes b. The separate Orphans' Court No. (if any) for the personal representative's account is' c. Did the personal representative state an account informally to the parties in interest ? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date · 12/10/2004 ROBERT L. KNUPP Name (Please type or print ) POST OFFICE BOX 11848 HARRISBURG PA 17108-1848 ,~ Address (717) -238-715 Tel. No. ., Capacity' Personal Representative X Counsel for personal ~---: representative PETITION FOR GRANT OF LETTERS Estate of ROBERT S. LEWIS No. c,.~/-~ o ~ also known as ROBERT S. LEWIS , Deceased Social Security No. !55-16-048! STEPHEN R. LEWIS Petitioner(s), who is/are 18 years of age or older, apply)les) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut OR named in the Last Will of the 1~ Decedent, dated 5/31/01 and codicil(s) dated State relevant circumstances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not hav~ 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 last family or principal residence at 325 WESLEY DRIVE, MECHANICSBURG, PA, LOWER ALLEN TOWNSHIP (list street, number and municipality) Decedent, then 86 years of age, died DECEMBER 12 , 2002 , at MECHANICSBURG, PA (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PA All personal property ......................................... $ 400,000.00 (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 ..................................................................................................................... $ 400,000.00 Real Estate situated as follows: 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 Signature Typed or printed name and residence I '~[ ~z/'~'/-,'~',,-~,, /,~, //P/x ~,'-'1 STEPHEN R. LEWIS I I\' - 7~"'"'~ "' ' --"'- 73 ELEVEN O' CLOCK ~:::3,~-~) WESTON, CT 06883 Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and afffirm(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 estate///a,~cor~_~_g to)a'~w.,) / Sworn to and affirmed and subscribed ? '%~~/ bef, p.r~e me this //~ "/-/'/~.- day of DECREE OF REGISTER Estate of ROBERT S. LEWIS Deceased No. ~,~/- c5,~; - ~ also known as Social Security No: .._[65-].6-048]. Date of Death: ].2/12/02 AND NOW, ~'"~"~/~-',~ ,~)J~:23.,~z_ , in consideration of the Petition on the reverse side hereon, satisfac~'ory proof h~aving been presented before me, IT IS DECREED that Letters I~ Testamentary I~1 of Administration ((c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate) are hereby granted to STEPHEN R. LEWIS in the above estate and [hat the instrument(s), if any, dated 5/31/01 described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Short Certificates(s) ............... :-.$ ~'/' O Renunciation .......................... $ Extra Pages ( ) ............... $ /'~' I.T.R ....................................... $ JCP Fee ................................. $ /~z~) Attorney: ROBERT L. KNUPP Inventory ................................ $ '- I.D. No: 07083 Other ...................................... $ ~'~-~,? O Address: 407 NORTH FRONT STREET, P.O. BOX 11848 (~~ iz.-l~-o2- ('(~',oO -'J~cL_ HARRISBURG PA 17108 TOTAL ............................. $ -a2~.~/ 9. 4~2CJ Telephone: (717) 238-7151 DATE FILED: This is to certi~ that the information here given is correctly copied fi'om an original Cel'tificatc of death duly filed with me as Local Registrar. The original certificate will be fb~arded to thc State Vital Records Office tbr permanent WARNING: It is illegal to duplicate this copy by photostat or photograph. HI05 144 ~¥ 1/91 COMMONWEALTH O~ ~ENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH YPE/PRINT ,N (Coroner) Robert S Lewis ,. ~le ,. 165-16-~81 ,. December 12, 2002 Cumberland Lower Allen 325 Wesley Drive dir~tor of ~"~' 12 325 Wesley ~ive '~"~'" ~nics~rg, PA 17055 ,m.~ C,~rlm~ '~ ~'~'~ Willard P. ~wis ,,. ~rriett Stil~n R. ~is I~ 73 Eleven O'Cl~k Road, ~eston, ~ 06883 I Decm~r 16, 2~2 ,~ B~ Cre~to~ Grant, lie, PA 17028 011370-L ~ ~' ~me~ Ira., 3125 Walnut 10:00 ' ~. M. December 12, 2002 ,~~ . Oeelu8ive Coromary Art~ Disease : Remote C~G ~~,~~,~mm ..................................................... ~ ~. i .~~mv~(~=~c~o~.~ ~ 3~c. I~,,. December 13. 2002 ~ (.~27~T~.,,., Michael L. Norris. Coroner '~~~ ~ 6375 Basehore Road. Suite ' ~"~ .................................................................................................. ~ 3~. Mechanicsburg, Pa. 17050 · ORIGINAL LAST WILL AND TESTAMENT OF ROBERT S. LEWIS I, ROBERT S. LEWIS, of 1908 Daybreak Circle, Harrisburg, Dauphin County, Pennsylvania, being of sound and disposing mind, hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all prior Wills and other testamentary writings at any time heretofore made by me. I. I direct my Executor or alternate Executor, hereinafter named, to pay all of my just debts, funeral and testamentary expenses as soon as conveniently can be done after my demise. II. I give, devise and bequeath my entire estate of whatsoever kind and wheresoever situate, unto my beloved son, STEPHEN R. LEWIS, of Weston, Connecticut. III. Should my said son, STEPHEN R. LEWIS, predecease me, or should he survive me by a period of less than four (4) months or should he die simultaneously with me, or in a common disaster, it being my direction and intent that in the event of such simultaneous death or common disaster no Uniform Act regarding such event shall apply and only the above stated provision of this Will shall apply, then and only then, I give, devise and bequeath my entire estate, of whatsoever kind and wheresoever situate to be held at MELLON BANK, NA, in trust nevertheless for the benefit of my grandchild, ALEXANDRA LEWIS and any afterborn or afteradopted grandchildren. Said Trustee shall have the following powers: 1. To manage all assets of the Trust for the beneficiaries named above and to pay such income and principal as the Trustee in its sole and unfettered discretion deems to be necessary for the proper maintenance, upkeep, and education of any and all of the beneficiaries as they were maintained before my demise. 2. To retain any property or investments herein transferred and devised In Trust, as long as the Trustee may deem it advisable to do so and to distribute the remainder of the corpus to the then beneficiaries if, in the Trustee's discretion, the size of the account has become too small to be practical or uneconomical to continue. 3. To vary investments when deemed desirable by the Trustee, and to invest in such bonds, stocks, notes, real estate, mortgages or other securities, including stock in the corporate trustee itself, or in such other property, real or personal, as said Trustee may deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. 2 4. To make any division of the principal of the Trust assets or any distribution of the assets partly or wholly in kind. If such division or distribution is made in kind, said assets are required to be divided and distributed at their respective values on the date or dates of their division or distribution. 5. To sell at public or private sale, and upon such terms and conditions as the Trustee may deem advantageous, any or all real or personal estate or interest therein owned by the Trust, severally or in connection with other persons, and to consummate such sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all Trusts and without obligation or liability of the purchaser or purchasers to see the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, exercise, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable, in carrying out any of the powers conferred upon the Trustee in this paragraph or elsewhere in this instrument. 6. Until any distribution is actually made or paid over to any beneficiary, all principal and income passing in accordance with the terms of this Trust shall be free of any debts, contracts, alienation, assignments, encumbrances or anticipations of any beneficiary and the same shall not be subject or liable to any levy, attachment, execution or sequestration while in the possession of the Trustee. 7. To pay all costs, taxes, expenses, compensation and charges in connection with the administration and termination of the Trust. 8. To do all other acts in the Trustee's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the Trust assets. 9. Compensation for MELLON BANK, NA Trustee for services performed hereunder shall be in accordance with the fee schedule in effect for MELLON BANK, NA when the services are rendered. 10. This Trust shall be governed by the laws of the Commonwealth of Pennsylvania and its situs shall be Dauphin County, Pennsylvania. 11. As and when the beneficiary attains the age of twenty-one (21) years, she shall have the right to withdraw one-third (1/3) of the balance in her Trust. 12. As and when the beneficiary attains the age of twenty-five (25) years, she shall have the right to withdraw one-half (1/2) of the remaining balance in her Trust. 4 13. As and when the beneficiary attains the age of thirty (30) years, she shall have all the then remaining principal and interest in her Trust, and the Trust shall terminate. IV. Should there be any property of whatsoever kind and wheresoever situate of which I have the right to dispose at the time of my death, including but not limited to any special or general power of appointment or both, I hereby appoint the same to my legatees set forth in Paragraph TWO and THREE hereof. V. I nominate, constitute and appoint STEPHEN R. LEWIS as Executor of this, my Last Will and Testament and further direct that he shall serve without bond. VI. If the said STEPHEN R. LEWIS is for any reason unable or unwilling to serve as Executor of this, my Last Will and Testament, then I nominate, constitute and appoint MELLON BANK, NA, as successor Executor. It too, shall serve without bond. VII. Said Executor or alternate Executor shall have the power to discharge all the debts, liens and encumbrances upon my estate, as well as any taxes thereon, to pay for the cost of the final disposition of my remains and final illness, if any, to receive any and all commissions and other compensation for services rendered by me during my lifetime and to perform any and all fiduciary duties authorized by statute. Further, I direct my Executor or Alternate Executor to preserve my estate and any instructions pertaining to the distribution of the same from any attachment or anticipation while in the hands of my said personal representative, it being my express intent that all legacies shall be free from any attachment or anticipation while in the hands of the accountant for my estate. IN WITNESS WHEREOF, I have to this, my Last Will and Testament, typewritten on six (6) pages of paper, set my hand and seal at the end thereof this~J/~'/'day of % ! ~ea~.. ,2001. ROBERT S. LEWIS SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, ROBERT S. LEWIS, as and for his Last Will and Testament in the presence of us who, at his request, in his presence and in the presence of each other, all be2B~ present at the same time, have hereunto set our hands as witnesses. (SEAl .) ~// (SEAl,) 6 COMMONWEALTH OF PENNSYLVANIA · :SS: COUNTY OF DAUPHIN · I, ROBERT S. LEWIS, Testator 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 and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ROBERT S. LEWIS Sworn to and subscribed before me this,~l~t~day---- of C/~ tl~ , 2001. ~ ~ ' ~~-~,,~ (SEAL) Notary Public Notarial Seal Frances A. Aumiller, Notary Public My Commission Expires: Harrisburg, Dauphin County My Commission Expires Mar. 16, 2002 COMMONWEALTH OF PENNSYL'~I~fl,en~s''~v~? ~somtion et Notaries :SS: COUNTY OF DAUPHIN · WE, ~Ob't' '/'2.J-/~" /(0~],~ and 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 ROBERT S. LEWIS, Testator, sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witness, and th~XmY'jthe best of our knowledge, the Testator was at that time 18 or more years of age, of sound undue influence. Sworn to and subscribed ~- before me this,.~l~day of~/)~.t.~ , 2001. Notary Public My Commission Expires: Notarial Seal [ Frances A. Aumiller, Notanj Public Harrisburg, Dauphin County My Commission Expires Mar. 16, 2002 Member. Penns¥tYani~ Association et Notaries ~0 ~0 qYNIDI~O ORIGINAL CERTIFICATION OF NOTICE UNDER RULE 5.6'(a) Name of Decedent: ROBERT S. LEWIS Date of Death: 12/12/02 Estate No. SSN: 165-16-0481 File No. 21-03-0003 Date Letters Granted: 1(3/03 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 1/20/03 . Name Address STEPHEN R. LEWIS 73 ELEVEN O'CLOCK ROAD WESTON CT 06883 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N/A Signature ~ Capacity: t~-¢7 ROBERT L. KNUPP Personal Representative /v, Name (PieaS~typ~O~ print) · 407 NORTH FRONT STREET X Counsel for PersOnal Address Representative PO BOX 11848 HARRISBURG PA 17108 · Telephone No. (717) 238-7151 McNees Wallace & Nurick LLC attorneys at law LINDA M. ESHELMAN ESTATE PARALEGAL DIRECT DIAL: (717) 237-5210 E-MAIL ADDRESS: LESHELMAN~MWN.COM Januaw 31,2003 VIA CERTIFIED MAIL Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 RE: Estate of Herbert S. Bowman Cumberland County File No.: 2003-00005 PA Department of Revenue No.: 21-03-2005 Our File No.: 21457-0001 Ladies and Gentlemen: Enclosed is a check for the above-referenced estate's three (3) month inheritance tax payment. Thank you. Yo~S truly, t Li, t~a M. Eshelman ,,__.~state Paralegal Enclosure . c: Dorothy J. Bowman (w/ enclosure) PO Box 1166 · 100 PINE STREET · HARRISBURG, PA 17108-1166 · TEL: 717.232.8000 · FAX: 717.237.5300 · WWW. MWN.COM COLUMBUS, OH ° HAZLETON, PA · WASHINGTON, DC McNees Wallace & Nurick tic attorneys at law PO Box 1166 · 100 PINE STREET · HARRISBURG, PA 17108-1166 716[] 3981 9844 1910 9572 ,o RETURN RECEIPT REQUESTED Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EX(11-96) BUREAU OF iNDIVIDUAL TAXES DE. PT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002119 DUPLICATE STEVENSON RICHARD W ESQ 100 PINE STREET P O BOX 1166 HARRISBURG, PA 17108-1166 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold 101 $7,500.00 ESTATE INFORMATION: SSN: 192-14-5181 FILE NUMBER: 2103-0005 DECEDENT NAME: BOWMAN HERBERT S DATE OF PAYMENT: 02/03/2003 POSTMARK DATE: 01/31/2003 COUNTY: CUMBERLAND DATE OF DEATH: 11/01/2002 TOTAL AMOUNT PAID: $7,500.00 REMARKS' RICHARD W STEVENSON ESQ CHECK# 5546 INITIALS: JA SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES D~T. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002119 STEVENSON RICHARD W ESQ 100 PINE STREET P O BOX 1166 HARRISBURG, PA 17108-1166 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold 101 $7,500.00 ESTATE INFORMATION: SSN: 192-14-5181 FILE NUMBER: 2103- 2005 DECEDENT NAME: BOWMAN HERBERT S DATE OF PAYMENT: 02/03/2003 POSTMARK DATE: 01/31/2003 COUNTY: CUMBERLAND DATE OF DEATH: 11/01/2002 TOTAL AMOUNT PAID: $7,500.00 REMARKS: RICHARD W STEVENSON ESQ CHECK//5546 INITIALS: JA SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMNONNEALTH OF PENNSYLVANIA BUREAU OF IND[V[DUAL TAXES DEPARTMENT OF REVENUE [NHER[TANCE TAX DIV[S[ON DEPT. 280601 ~RR[SBURG, PA 17128-0601 NOTZC~OF INHERITANCE TAX APPRAXSBMBNT, ALLO#ANCB OR DXSALLONANCE OF DEDUCTXONS, AND ASSESSMENT OF TAX ON JOXNTLY HELD OAT RUST ASSETS ~,_~'~ i DATE 06-25-2005 ~!:i E~TATE OF GOTHIER DEBORAH L DATE OF DEATH 12-06-2002 FXLE NUMBER 21 05-0007 · CUMBERLAND 197-~0-5725 DENNIS d SCHM[DT ACN 0511195~ 2905 ORCHARD LN MIDDLETONN PA 17057-51~Ii:- Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF N[LLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~" RETAIN LONER PORTION FOR YOUR RECORDS "~ REV-15~8 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DISALLONANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-25-2005 ESTATE OF GOTH[ER DEBORAH L DATE OF DEATH 12-06-2002 COUNTY CUMBERLAND FILE NO. 21 05-0007 S.S/D.C. NO. 197-~0-5725 ACN 0511195~ TAX RETURN NAS: CX) ACCEPTED AS FILED C > CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ALLFIRST FINANCIAL SERVICE ACCOUNT NO. 0076008675 TYPE OF ACCOUNT: C ) SAVINGS C~ CHECKING C ) TRUST C ) TIME CERTIFICATE DATE ESTABLISHED 08-28-196~ Account Balance 1,617.52 NOTE: TO INSURE PROPER CREDIT TO Percent Taxable ~( 0.166 YOUR ACCOUNT, SUBMIT THE Amount Sub~ect to Tax 269.56 UPPER PORT[ON OF THIS NOT[CE Debts and Deduct/ons - .00 NITH YOUR TAX PAYMENT TO THE Taxable Amount 269.56 REGISTER OF D/ILLS AT THE Tax Rate X .15 ABOVE ADDRESS. MAKE CHECK Tax Due ~0.~5 OR MONEY ORDER PAYABLE TO: "REGISTER OF N[LLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+} DATE NUMBER INTEREST/PEN PAID C-} AMOUNT PAID 04-21-2005 CD002~,78 .00 40.45 TOTAL TAX CREDZT BALANCE OF TAX DUEl .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN ~1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR}, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. PURPOSE OF NOTICE: To fulfill the reouirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S. Section 9140)o PAYHENT: Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. -- Hake check or money order payable to: REGISTER OF NILLS, AGENT. REFUND OCR): A refund of a tax credit, which was not requested on the tax return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1515). Applications are available at the Office of the Register of t~ills, any of the 25 Revenue District Offices or by call/rig the special 24-hour answering service for forms ordering: 1-800-562-2050; services for taxpayers with special hearing and or speaking needs= 1-800-447-5020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment of tax (including discount or interest) as sho~n on this Notice may object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Ravenue~ Board of Appeals~ Dept. 261021, Harrisburg~ PA 17128-1021, OR --electing to have the matter determined at the audit of the account of the personal representative, OR --appeal to the Orphans' Court ADHIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN= Post Assessment Review Unit, DEPT. 280601, Harrisburg, PA 17128-0601 Phone (7171 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. DISCOUNT= If any tax due is paid within three ($) calendar months after the decedent's death, a f/va percent (SY,) discount of the tax paid is allowed. PENALTY: The 15~ tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before Januar~ 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 the same time period as you would appeal the tax and interest that has been assessed es indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9I months and one (11 day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6~) percent per annum calculated at a daily rate of o0001&4o All taxes which became delinquent on or after Januar~ 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2005 are; Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20Y. .000548 1987 9Y, .000247 1999 7Y, .000192 1985 16Y, .000458 1988-1991 11Y, .000501 2000 8Y, .000219 1984 11Y, .000501 1992 9Y, .000247 2001 9Y, .000247 1985 15Y, .000556 1995-1994 7Y, .000192 2002 AY. .000164 1986 IOY, .000274 1995-1998 9Y, .000247 2005 BY. .000157 --Interest is calculated as follows: TNTEREST = BALANCE OF TAX UNPATD X NUNBER OF DAYS DELTNI~UF.,NT X DATLY TNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (151 days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. /'"'~-//o~-__// COHMONWEALTH OF PENNSYLVANIA BUREAU OF ZHDZVZDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAXSEHENT. ALLOHANCE OR DXSALLO#ANCE OF DEDUCTXONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS Recc~:-~ DkTE 07-07-2005 ) .... E~TATE OF GOTHIER DEBORAH L DATE OF DEATH 12-06-2002 FILE NUHBER Z1 05-0007 COUNTY CUHBERLAND '03 JUL -7 P~t,~c 19.7-~0-5725 BETTY L SCHHIDT ACN 05111955 Z885 ORCHARD LN Am°un~ Romi~od MIDDLETOWN PA 17057-5X~ HAKE CHECK PAYABLE AND REHZT PAYMENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ""~ REV-1548 EX AFP (01-03) NOTICE OF ZNHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 07-07-2005 ESTATE OF GOTHIER DEBORAH L DATE OF DEATH 12-06-2002 COUNTY CUHBERLAND FILE NO. 21 05-0007 S.S/D.C. NO. 197-40-5725 ACN 0Sl1195:5 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORHATZON FINANCIAL INSTITUTION: ALLFIRST FINANCIAL SERVICE ACCOUNT NO. 007600867:5 TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TIHE CERTIFICATE DATE ESTABLISHED 08-28-1964 Accoun'c Balance 1,617.:52 NOTE: TO INSURE PROPER CREDIT TO Percen'c Taxable X 0.166 YOUR ACCOUNT, SUBHIT THE Amoun'c Sub.~ec'c 'co Tax 269.56 UPPER PORTION OF THIS NOTICE Deb'cs and Deduc'c/ons - .00 WXTH YOUR TAX PAYHENT TO THE Taxable Amoun'c Z69.56 REGISTER OF WILLS AT THE Tax Ra'ce X .15 ABOVE ADDRESS. HAKE CHECK Tax Due 40.4:5 OR HONEY ORDER PAYABLE TO: *'REGISTER OF WILLS, AGENT." TAX CREDITS: PAYHENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 04-25-200:5 CD00250:5 .00 40.4:5 TOTAL TAX CREDZT BALANCE OF TAX DUEI .00 INTEREST AND PEN. .00 TOTAL DUE .00 ZF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT'(CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. PURPOSE OF NOTICE: To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act Z$ of ZOO0. (TZ P.S. Section 91qO). PAYHENT: Detach the top portion of this Notice and submit with your payment to the Register of #ills printed on the reverse side. -- Hake check or money order payable to: REGISTER OF HILLS, AGENT. REFUND (CR): A refund of a tax credit, which was not requested an the tax return, amy be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1513). Applications are available at the Office of the Register of Hills, any of the Z3 Revenue District Offices or by calling the special 2~-hour answering service for fores ordering: 1-800-56Z-Z050; services for taxpayers with special hearing and or speaking needs: 1-800-~qT-30Zo [TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment of tax (including discount or interest) as shown on this Notice may object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZalOZ1, Harrisburg, PA 171Za-IOZI, OR --electing to have the matter determined at the audit of the account of the personal representative, OR --appeal to the Orphans' Court ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, DEPT. Z80601, Harrisburg, PA 171Z8-0601 Phone (7173 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent discount of the tax paid is allowed. PENALTY: The 157. tax amnesty non-participation penalty is computed on the total cf the tax and interest assessed, and nat 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 the same time period as you would appeal the tax and interest that has been assessed as indicated an this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (67.) percent per annum calculated at a daily rate of .00016~. All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2005 ara: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 207. .0005q8 1987 9Z . O00Z~7 1999 7Z .00019Z 1983 16Z .000~58 1988-1991 11Z .000301 ZOO0 8X .000Z19 198~ 117. .000501 199Z 9Z . O00Zq7 ZOO1 97. . O00Zq7 1985 15Z .000356 1993-199q 72 .000192 2002 67. .00016~ 1986 IOZ .OOOZ7~ 1995-1998 9Z .O00Zq7 ZOO5 5Z .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DALLY ZNTEREST FACTOR --Any Notice issued after the tax becowes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 003006 KNUPP ROBERT L ESQUIRE PO BOX 11848 HARRISBURG, PA 17108 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold .................. 101 $11,412.39 ESTATE INFORMATION: SSN: 165-16-0481 FILE NUMBER: 2103-0003 DECEDENT NAME: LEWIS ROBERT S DATE OF PAYMENT: 09/12/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 12/12/2002 TOTAL AMOUNT PAID: $11,412.39 REMARKS: ROBERTLKNUPPESQUIRE CHECK# 58838 INITIALS: JA SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS  HOF -1500 o,:~,o,^,us~oN,_Y PENNSYLVANIA ~)'EPART~ENT OF REVENUEINHERITANCE TAX RETURN FILENUMBER DEPT. 280601 HARRISBURG, PA17128-0601 RESIDENT DECEDENT 2 1-0._.~_ 3 0 0 0 ~0 3 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL SOCIAL SECURITY NUMBER Z LEWIS~ROBERTS. 1 6 5 - 1 6 - 0 4 8 1 ~ DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) THIS RETURN MUST BE FILEB IN BUPLICATE WITH THE U.I REGISTER OF WILLS (.1 12/12/2002 08/11/2016 LU (iF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER N/A - - ~_"' [] 1. Original Return [] 2. Supplemental Return [] 3. Remainder Retum (dateofdeath prior to 12-13-82) "' ~: ~ [] 4. Limited Estate [] 4a. Future Interest Compromise (date ofdeath after 12-12-82) [] 5. Federal Estate Tax Return Required LuO ~ ~ 6. Decedent Died Testate (Attach copy of Will) I I 7. Decedent Maintained a Living Trust (Attach copy of Trust) -- 8. Total Number of Safe Deposit Boxes < [] 9. Litigation Proceeds Received [] 10. SpousaIPover[yCredit(dateofdeathbet,,veen12-31-Oland1-1-95) [~ 11. Election to tax under Sec. g113(A)l^ttachSchO) ~_ THIS SECTION MUST BE cOMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: z NAME COMPLETE MAILING ADDRESS ILl z ROBERT L. KNUPP 407 NORTH FRONT STREET ~. FIRM NAME (If Applicable) ,,-"'KNUPP~ KODAK & IMBLUM, P.C. P.O. BOX 11848 o TELEPHONE NUMBER (717) 238-7151 HARRISBURG PA 17108 OFFICIAL USE ONLY 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) 270,848.60: ..._.';~ (Schedule E) __O 6. Jointly Owned Property (Schedule F) (6) ~ [] Separate Billing Requested :::3 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 1,765.38 · ~ (Schedule G or L) ,~ 8. Total Gross Assets (total Lines 1-7) (8) 272,613.98 LM 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 17,792.28 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 1 ~212.99 11. Total Deductions (total Lines 9 & 10) (11) 19~005.27 12. Net Value of Estate (Line 8 minus Line 11 ) (12) 253,608.71 13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 253,608.71 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X ~ (15) 253,608.71 x .045 (16) 11,412.39 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate X .12 (17) 18. Amount of Line 14 taxable at collateral rate X .15 (18) 19. Tax Due (19) 1 1,412.39 20. LJ ..... el ,- - ~,1 3 , ' I,~1 s ,~ s~ --,'T ,q > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < STREET ADDRESS 325 WESLEY DRIVE CITY MECHANICSBURG I STATE PA I ziP Tax Payments and Credits: 1. Tax Due (Page l Line19) (1) 11,412.39 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits ( A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 11,412.39 A, Enter the interest on the tax due. (5A) B, Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 11 ~412.39 Make Check Payab/e (o: 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 consideration? ............................................................................................... [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of rr,.~ knowledge and belief, it is true. corr~t and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSO~ R~ESPO I~..J.~FOR,,F:~G R~TURN -. J~ATE ADDRESS 7~ Ei~EV-~N Q'CLOCK'"'RO~[~- WESTON CT 06883 Si G NAT U R ~pA E,Fj~'OI~E R~£ ,h, TATiV~--~,,. ~ D E ADDRESS 407 NORTH FRONT STREET, P.O. BO~. 11~8 HARRISBURG PA 17108 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% [Z2 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) (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 decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. LAST WILL AND TESTAMENT OF ROBERT S. LEWIS I, ROBERT S. LEWIS, of 1908 Daybreak Circle, Harrisburg, Dauphin County, Pennsylvania, being of sound and disposing mind, hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all prior Wills and other testamentary writings at any time heretofore made by me. I. I direct my Executor or alternate Executor, hereinafter named, to pay all of my just debts, funeral and testamentary expenses as soon as conveniently can be done after my demise. II. I give, devise and bequeath my entire estate of whatsoever kind and wheresoever situate, unto my beloved son, STEPHEN R. LEWIS, of Weston, Connecticut. III. Should my said son, STEPHEN R. LEWIS, predecease me, or should he survive me by a period of less than four (4) months or should he die simultaneously with me, or in a common disaster, it being my direction and intent that in the event of such simultaneous death or common disaster no Uniform Act regarding such event shall apply and only the above stated provision of this Will shall apply, then and only then, I give, devise and bequeath my entire estate, of whatsoever kind and wheresoever situate to be held at MELLON BANK, NA, in trust nevertheless for the benefit of my grandchild, ALEXANDRA LEWIS and any afterborn or afteradopted grandchildren. Said Trustee shall have the following powers: 1. To manage all assets of the Trust for the beneficiaries named above and to pay such income and principal as the Trustee in its sole and unfettered discretion deems to be necessary for the proper maintenance, upkeep, and education of any and all of the beneficiaries as they were maintained before my demise. 2. To retain any property or investments herein transferred and devised In Trust, as long as the Trustee may deem it advisable to do so and to distribute the remainder of the corpus to the then beneficiaries if, in the Trustee's discretion, the size of the account has become too small to be practical or uneconomical to continue. 3. To vary investments when deemed desirable by the Trustee, and to invest · in such bonds, stocks, notes, real estate, mortgages or other securities, including stock in the corporate trustee itself, or in such other property, real or personal, as said Trustee may deem wise, without being restricted to so-called "legal investments", and without being limited by any statute or rule of law regarding investments by fiduciaries. 2 4. To make any division of the principal of the Trust assets or any distribution of the assets partly or wholly in kind. If such division or distribution is made in kind, said assets are required to be divided and distributed at their respective values on the date or dates of their division or distribution. 5. To sell at public or private sale, and upon such terms and conditions as the Trustee may deem advantageous, any or all real or personal estate or interest therein owned by the Trust, severally or in connection with other persons, and to consummate such sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all Trusts and without obligation or liability of the purchaser or purchasers to see the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, exercise, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable, in carrying out any of the powers conferred upon the Trustee in this paragraph or elsewhere in this instrument. 6. Until any distribution is actually made or paid over to any beneficiary, all principal and income passing in accordance with the terms of this Trust shall be free of any debts, contracts, alienation, assignments, encumbrances or anticipations of any beneficiary and the same shall not be subject or liable to any levy, attachment, execution or sequestration while in the possession of the Trustee. 3 7. To pay all costs, taxes, expenses, compensation and charges in connection with the administration and termination of the Trust. 8. To do all other acts in the Trustee's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the Trust assets. 9. Compensation for MELLON BANK, NA Trustee for services performed hereunder shall be in accordance with the fee schedule in effect for MELLON BANK, NA when the services are rendered. 10. This Trust shall be governed by the laws of the Commonwealth of Pennsylvania and its situs shall be Dauphin County, Pennsylvania. 11. As and when the beneficiary attains the age of twenty-one (21) years, she shall have the right to withdraw one-third (1/3) of the balance in her Trust. 12. As and when the beneficiary attains the age of twenty-five (25) years, she shall have the right to withdraw one-half (1/2) of the remaining balance in her Trust. 4 13. As and when the beneficiary attains the age of thirty (30) years, she shall have all the then remaining principal and interest in her Trust, and the Trust shall terminate. IV. Should there be any property of whatsoever kind and wheresoever situate of which I have the right to dispose at the time of my death, including but not limited to any special or general power of appointment or both, I 'hereby appoint the same to my legatees set forth in Paragraph TWO and THREE hereof. V. I nominate, constitute and appoint STEPHEN R. LEWIS as Executor of this, my Last Will and Testament and further direct that he shall serve without bond. VI. If the said STEPHEN R. LEWIS is for any reason unable or unwilling to serve as Executor of this, my Last Will and Testament, then I nominate, constitute and appoint MELLON BANK, NA, as successor Executor. It too, shall serve without bond. VII. Said Executor or alternate Executor shall have the power to discharge all the debts, liens and encumbrances upon my estate, as welt as any taxes thereon, to pay for the cost of the final disposition of my remains and final illness, if any, to receive any and all commissions and other compensation for services rendered by me during my lifetime and to perform any and all fiduciary duties authorized by statute. Further, I direct my Executor or Alternate Executor to preserve my estate and any instructions pertaining to the distribution of the same from any attachment or anticipation while in the hands of my said personal representative, it being my .express intent that all legacies shall be free from any attachment or anticipation while in the hands of the accountant for my estate. IN WITNESS WHEREOF, I have to this, my Last Will and Testament, typewritten on six (6) pages of paper, set my hand and seal at the end thereof this',,'g]O~day of ROBERT S. LEWIS SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, ROBERT S. LEWIS, as and for his Last Will and Testament in the presence of us who, at his request, in his presence and in the presence of each other, all being present at the same time, have hereunto set our hands as witnesses. COMMONWEALTH OF PENNSYLVANIA : :SS: COUNTY OF DAUPHIN : I, ROBERT S. LEWIS, Testator 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 and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. h? ,I. Sworn to an_qt subscribed before me thi~.,-~J__,5~tay of.,/,)?/~.5/ , 2001. My Co~ission Expires: COMMONWEALTH OF PENNSYLVANIA : :SS: COUNTY OF DAUPHIN : 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 ROBERT S. LEWIS, Testator, sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witness, and that to the best of our knowledge, the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to and subscribed . before me this~.~i'-'~:~y of4/~ ~L]' , 2001. Notary Public My Commission Expires: .~ ~//~ --c~t~c~ REV-1508 EX + (6-98) SCHEDULE E BANK COMMONWEALTH OF PENNSYLVANIA ~,.~J[~l! UbHU~I/~, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER LEWIS. ROBERT S. 21 03 00003 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. THE VANGUARD GROUP 168,516.85 PRIME MONEY MKT FUND CUSIP #922906-20-1 TICKER VMMXX 2. TH E VANGUARD GROUP 9,292.16 GNMA FUND INVESTOR SHARES CUSIP #922031-30-7 TICKER VFIX 3. THE VANGUARD GROUP 26,029.86 WINDSOR FUND INVESTOR CUSIP #922018-10-6 TICKER VWNDX 4. AMERICAN EXPRESS MONEY MARKET FUND 4,718.86 AXP CASH MGMT FUND CLASS "A" ACCT NO. 0011326487391002 SYMBOL IDSXX 5. AMERICAN EXPRESS MUTUAL FUNDS 35,608.32 AXP NEW DIMENSIONS FUND CLASS "A" ACCT NO. 0010626487390002 SYMBOL INNDX 6. AMERICAN EXPRESS MUTUAL FUNDS 13,574.04 AXP UTILITIES FUND CLASS "A" ACCT NO. 0012326487399002 SYMBOL INUTX 7. AMERICAN EXPRESS MUTUAL FUNDS 6,308.15 AXP EXTRA INCOME FUND CLASSS "A" ACCT NO. 0012526487397002 SYMBOL INEAX 8. FIRST UNION NATIONAL BANK 1,500.00 CHECKING ACCOUNT ACCOUNT NO. 614395605 9. ZIEGLER AUCTION CO., LTD 1,650.69 NET PROCEEDS FROM AUCTION OF PERSONAL ITEMS 10. 1995 TOYOTA CAMRY AUTOMOBILE 3,200.00 11. AMERICAN EXPRESS FUNDS 61.44 AXP NEW DIMENSIONS FUND, INC., ACCT NO. 0106-2648-739-0 DIVIDEND CHECK 12. AMERICAN EXPRESS FUNDS 43.79 AXP EXTRA INCOME FUND, INC., ACCT NO. 0125-2648-739-7 DIVIDEND CHECK 13. AMERICAN EXPRESS FUNDS 81.15 AXP UTILITIES FUND, INC. ACCT. NO. 0123-2648-739-9 DIVIDEND CHECK 14. THE VANGUARD GROUP 57.80 VANGUARD GNMA FUND INVESTOR SHARES DIVIDEND CHECK 15. THE VANGUARD GROUP 195.22 VANGUARD WINDSOR FUND INVESTOR SHARES DIVIDEND CHECK 16. UGI UTILITIES 10.27 DIVIDEND CHECK TOTAL (Also enter on line 5, Recapitulation) $ 270,848.60 (If more space is needed, insed additional sheets of the same size) REV-1510 EX + (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER LEWIS, ROBERT S. 21 03 00003 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TD DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER, ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. FIRST UNION NATIONAL BANK IRA ACCOUNT 1,765.38 100. 1,765.3~ ACCOUNT NO. 257410098908567 TOTAL (Also enter on line 7 Recapitulation) $ 1,765.38 (If more space is needed, insed additional sheets of the same size) REV-1511 EX + (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER LEWIS. ROBERT S. 21 03 00003 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. HETRICK FUNERAL HOME 3,081.10 2 PAT MINSKER - MEMORIAL LUNCHEON 357.27 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees KNUPP, KODAK & IMBLUM, P.C. 12,900.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 354.00 5. Accountant's Fees 6. Tax Return Preparer's Fees H&R BLOCK 300.00 7, ZIEGLER AUCTION CO. LTD - COMMISSION AND PACKING FEES 607.31 8. DAUPHIN COUNTY REGISTER OF WILLS - PROBATE FEE 15.00 9. CUMBERLAND COUNTY LAW JOURNAL - ADVERTISEMENT 75.00 10. THE SENTINEL - LEGAL ADVERTISEMENT 102.60 TOTAL (Also enter on line 9, Recapitulation) $ 17,792.28 (If more space is needed, insert additional sheets of the same size) - · ORIGINAL INVENTORY Estate of ROBERT S. LEWIS No. 21 03 00003 also known as Date of Death 12/12/2002 ROBERT S. LEWIS , Deceased Social Security No 165-16-0481 STEPHEN R. LEWIS Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: ROBERT L. KNUPP . I.D. No.: 07083 ! Address: 407 NORTH FRONT STREET, P.O. BOX 11848 Dated ~:~//~ /~'% f--'/,-/ HARRISBURG PA 17108 Telephone: (717) 238-7151 Description Value THE VANGUARD GROUP 168,516.85 PRIME MONEY MARKET FUND CUSIP #922906-20-1 THE VANGUARD GROUP 9,292.16 GNMA FUND INVESTOR SHARES CUSIP #922031-30-7 THE VANGUARD GROUP 26,029.86 WINDSOR FUND INVESTOR CUSIP #922018-10-6 AMERICAN EXPRESS MONEY MARKET FUND 4,718.86 AXP CASH MGMT FUND CLASS "A" ACCT. NO. 0011326487391002 AMERICAN EXPRESS MUTUAL FUNDS 35,608.32 AXP NEW DIMENSIONS FUND CLASS "A" ACCT. NO. 0010626487390002 AMERICAN EXPRESS MUTUAL FUNDS 13,574.04 AXP UTILITIES FUND CLASS "A" ACCT NO. 0012326487399002 ' .: . ,ili "~i'.?: r~' Total (Attach Additional Sheets if necessary) 272,613.98 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 ~A!/!lO!,flO ' · Continuation of Inventory ROBERT S. LEWIS 21 03 00003 Pa,cte 1 Description of Inventory Description Value AMERICAN EXPRESS MUTUAL FUNDS 6,308.15 AXP EXTRA INCOME FUND CLASS "A" ACCT NO. 0012526487397002 FIRST UNION NATIONAL BANK 1,500.00 CHECKING ACCOUNT ACCOUNT NO. 614395605 ZIEGLER AUCTION CO., LTD 1,650.69 NET PROCEEDS FROM AUCTION OF PERSONAL ITEMS 1995 TOYOTA CAMRY AUTOMOBILE 3,200.00 AMERICAN EXPRESS FUNDS 61.44 AXP NEW DIMENSIONS FUND ACCT. NO. 0106-2648-739-0 DIVIDEND CHECK AMERICAN EXPRESS FUNDS 43.79 AXP EXTRA INCOME FUND ACCT. NO. 0125-2648-739-7 DIVIDEND CHECK AMERICAN EXPRESS FUNDS 81.15 AXP UTILITES FUND ACCT. NO. 0123-2648-739-9 DIVIDEND CHECK THE VANGUARD GNMA FUND INVESTOR SHARES 57.80 DIVIDEND CHECK THE VANGUARD WINDSOR FUND INVESTOR SHARES 195.22 DIVIDEND CHECK UGI UTILITIES 10.27 DIVIDEND CHECK FIRST UNION NATIONAL BANKK 1,765.38 IRA ACCOUNT ACCOUNT NO. 257410098908567 Subtotal $ 14,873.89 Grand Total $ 272,613.98 COHHONNEALTH OF PENNSYLVANIA ~ BUREAU OF INDIVIDUAL TAXES DEPARTNENT OF REVENUE ZNHER/TANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISENENT, ALLO#ANCE OR DISALLOHANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-~47 EX DATE 10-27-2005 ESTATE OF LENZS ROBERT S DATE OF DEATH 12-12-2002 '~.~ --" ~r' *~ FILE NUNBER ZZ 05--0005 ROBERT L KNUPP COUNTY CUNBERLAND KNUPP ETAL ACN 101 ' I Amoun~ Remi~ed PO BOX ZZ848 HBG PA 17108 HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF H~LLS CUHBERLAND CO COURT HOUSE CARLISLE, PA CUT ALONG THIS LINE ~ RETAIN LO#ER PORTION FOR YOUR RECORDS REV-15&7 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLOHANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF LE~IS ROBERT S FILE NO. 21 05-0005 ACN 10! DATE 10-27-2005 TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION COHCERNZNG FUTURE INTEREST - SEE REVERS~ APPRAISED VALUE OF RETURN ~ASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) .00 NOTE: To insure proper 2. S~ocks and Bonds (Schedule B) (2) .00 credi~ ~o your account, 5. Closely Held S~ock/Par~nershlp In~eres~ (Schedule C) ($) .00 submi~ ~he upper por~ion ~. Nor~gages/No~es Receivable (Schedule D) (~). .00 of ~his form ~i~h your $. Cash/Bank Deposi~s/Nisc. Personal Proper~y (Schedule E) (S) 270z848.60 ~ax payment. 6. Jointly O~ned Proper~y (Schedule F) (6) .00 7. Transfers (Schedule G) (7) 1;765.58 8. To,al Asse~s (e) 272,615.98 APPROVED DEDUCTZONS AND EXEHPTZONS: 9. Funeral Expenses/Adm. Cos~s/Nisc. Expenses (Schedule H) (9) 17,79Z.Z8 10. Deb~s/Nor~gage Liabilities/Liens (Schedule Z) (10) 1,21Z.99 11. To,al Deductions (11) 12. Ne~ Value of Tax Re~urn (12) 255,608.7! 15. Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule d) (15) 1~. Ne~ Value of Es~a~e Sub~ec~ ~o Tax (1~) Z55,608.7! NOTE: Zf an assessment ~as issued pre¥iously, ~ines 1~, 15 and/er 16, 17, 18 and 19 reflect figures that include the total of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amoun~ of Line 1~ e~ Spousal ra~e (15) .00 X O0 = 16. Amoun~ of Line 1~ ~axable a~ Lineal/Class A ra~e (16). 255,608.71 x 045 = ~1,412.59 17. Amoun~ of Line lq a~ Sibling ra~e (17). .00 X 12 = .00 18. Aeoun~ of Line 1~ ~axable a~ Collateral/Class B re~e (18) .00 X 15 = .00 19. Principal Tax Due TAX CREDITS: (19)= 11,412.59 PAYHENT / RECeiPi DZ$COUNT (+j DATE NUNBER ~NTEREST/PEN PA~D (-) AHOUNT PAID 09-~Z-Z005 CD00500~ .00 TOTAL TAX CREDXT I · ALANC£ OF TAX DUEI .00 ZNTEREST AND PEN. I .00 TOTAL DUE / .00 ~ IF PA~D A~TER DATE INDICATED~ SEE REVERSE ( ~ TOTAL DUE ~S LESS THAN $~ NO PAYNENT ~S REQUIRED. EOR CALCULATION OE ADDITIONAL INTEREST. IE TOTAL DUE IS RE~LECTED AS A "CREDIT" (CR)/ YOU NAY BE DUE A REEUND. SEE REVERSE SIDE O~ THIS EORN ~OR ~NSTRUCTIONS.) RESERVATION: Estates of decadents dying on or before December 1Z, 198Z -- if any futura interest in the estate is transferred in possession or enjoyment to Class D (collaterat) beneficiaries of the decedent after the expiration of any estate for iifa or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class D (collateral) rate on any such futura interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act Z$ of ZOO0. (72 P.S. Section 9140). PAYHENT: Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Make check or money order payable to: REGISTER OF NZLLEj AGENT REFUND (CR): A refund of a tax credit, ahich was not requested on the Tax Return, may ba requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS15). Applications ara available at the Office of the Register of Rills, any of the 25 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-&OO-56Z-ZOSO~ services for taxpayers with special hearing and ! or speaking needs: 1-800-447-$020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object aithin sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBIOZ1, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of tho account of the personal representative, OR --appeal to the Orphans' Court. ADMiN- iSTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. ZB060I, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page S of the booklet "Instructions for Inheritance Tax Return for a Resident Decadent" (REV-la01) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (SX) discount of the tax paid is allowed. PENALTY: The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tiaa period as you would appeal the tax end interest that has bean assessed as indicated on this notice. iNTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day free the date of death, to the date of payment. Taxes which became delinquent before January 1, 19BZ bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January l, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2005 ara: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOX .000548 1987 9Z .000247 1999 7Z .000192 1985 16Z .000458 1988-1991 llX .O00SO1 2000 8Z .000219 1984 llZ .000301 lggZ 9Z .000Z47 ZOO1 9Z .000247 1985 Z3X .000356 1993-1994 7X .O00XgZ 2002 6Z .000164 1986 IOZ .000274 1995-1998 9Z .000247 2003 5Z .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBBR OF DAYS DELINQUENT X DALLY INTERBST FACTOR --Any Notice issued after the tax bacoaes delinquent eill reflect an interest calculation to fifteen (1S) days beyond the date of the assessment. If payaant is aada after the interest computation date shown on the Notice, additional interest aust be calculated. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/10/2004 KNUPP ROBERT L P 0 BOX 11848 HARRISBURG, PA 17108 RE: Estate of LEWIS ROBERT S File Number: 2003-00003 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 12/12/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/01/2005 KNUPP ROBERT L POBOX 11848 HARRISBURG, PA 17108 RE: Estate of LEWIS ROBERT S File Number: 2003-00003 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/12/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~ y 1,/4:-~ . r /; j .I' /'/.."&-;'v'~. ; fI'......l j' /./,~"" .. 4'",,-. c~r (...<, '-'" -.....;..",__ ,/'..--."7._....,... . GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge fi7' Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/15/2005 STEPHEN R LEWIS 73 ELEVEN O'CLOCK ROAD WESTON, CT 06883 RE: Estate of LEWIS ROBERT S File Number: 2003-00003 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/12/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge STATUS REPORT UNDER RULE 6.12 Name of Decedent: ROBERT S. LEWIS Date of Death: 12/12/2002 Will No. 2003-00003 Admin. No. 21-03-00003 Pursuant to Rule 6. 12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1 . State whether administration of the estate is complete: Yes No X 2 . If the answer is No, state when the personal representative reasonably believes that the administration will be complete: DECEMBER 30. 2006 3 . If the answer to No. 1 is Yes, state the following: a. account with the Court? Did the personal representative file a final Yes No b. The separate Orphans' Court No. (if any) for the personal representative I s account is: c . Did the personal representative state an account informally to the parties in interest? Yes No d . Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans I Court and may be attached to this report. Date: 11/21/2005 ~S.~ Ignature ~.. ROBERT L. KNUPP Name (Please type or print) POST OFFICE BOX 11848 HARRISBURG PA 17108-1848 Address (:) ( 717 ) - 238- 715 Tel. No. Capacity : Personal Representative x Counsel for personal representative V l~:~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/30/2006 KN"UPP ROBERT L POBOX 11848 HARRISBURG, PA 17108 RE: Estate of LEWIS ROBERT S File Number: 2003-00003 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing lS due by: 12/12/2006 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~,~/J~~ . ~J Glenda Farner Strasbaugh Clerk of the Orphans I Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/30/2006 STEPHEN R LEWIS 73 ELEVEN O'CLOCK ROAD WESTON, CT 06883 RE: Estate of LEWIS ROBERT S File Number: 2003-00003 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/12/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, }~, ~MJ' D-.I ;} .~ Glenda Farner StrasbaU~h Clerk of the Orphans' Court cc: File Counsel STATUS REPORT UNDER RULE 6.12 Name of Decedent: Robert S. Lewis Date of Death: 12/12/2002 Will No. 2003-00003 Admin. No. 21-03-03 Pursuant to Rule 6. 12 of the Supreme Court Orphans I Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1 . State whether administration of the estate is complete: Yes No X 2 . If the answer is No, state when the personal representative reasonably believes that the administration will be complete: See below 3 . If the answer to No. 1 is Yes, state the following: a. account with the Court? Did the personal representative file a final Yes No X b . The separate Orphans 1 Court No. (if any) for the personal representative I s account is: c . Did the personal representative state an account informally to the parties in interest? Yes No d . Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans 1 Court and may be attached to this report. Date: 12/6/2006 ~ (~~~-: 19nature . Evecything is done except the pcepacation of an infocmal account. The Executoc is also the sole heic of the estate. Robert L. Knupp. Esquire Name (Please type or print) 407 North Front Street Harrisburg. PA 17101 Address (717 ) 238-7151 Tel. No. Capacity : Personal Representative Wi IUJ :),;\'vi"idtJU .10 \;1 l:jll\ ;Jv 710-, oJ X Counsel for personal representative , 0 : I fJd 8- ::nQ grrZ ff E-mail: robert.knupp@verizon.net KNUPP LAW OFFICES, LLC ROBERT L. KNUPP, ESQUIRE POST OFFICE BOX 630 407 NORTH FRONT STREET HARRISBURG, PA 171 08-0630 Robert E. Knupp (1909-1976) Telephone 717/238-7151 Facsimile 717/238-5258 December 6, 2006 Glenda Farner Strasbaugh Clerk of the Orphans' Court One Courthouse Square Carlisle, PA 17013 Re: Status Report Under Rule 6.12 Dear Ms. Strasbaugh: Pursuant to your correspondence dated November 30, 2006, enclosed please find a Status Report for the Estate of Robert S. Lewis. I am enclosing a stamped, self-addressed envelope for your convenience in returning a time-stamped copy for our files. Thank you for your assistance in this regard. Very truly yours, ~~ ~~.~G Robert L. Knupp RLKlpm Enclosure Va "'f"\ 11 'r" ,n " ,; '."d'~OII iJ o j(v,vf '11;",; u' :iO >!i:H18 t.... . '" ..~ c-11 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/14/2007 e :s::g ~:Ep c~m Zci53!? o 8', 8~ 'C : :0 ::0..... ;)it KNUPP ROBERT L POBOX 11848 HARRISBURG, PA 17108 RE: Estate of LEWIS ROBERT S File Number: 2003-00003 Dear Sir/Madam: f'-.;) = = -"" z (:) ..c:: __ '~.i i";-l ::') r-) :O;h i:=::j ,n <:.':-J ':::..') ::;., ~:~ ~:..") ,--) ~-~~'1 U1 ". :x t.f?' o .N This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/12/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, .((1~t:'~.. t~6>t't)~~ /l Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/14/2007 E s:g ~~~ ;e ~'::O .,:::..(/)^ 000 00...., p~ ::o-t ::>n STEPHEN R LEWIS 73 ELEVEN O'CLOCK ROAD WESTON, CT 06883 RE: Estate of LEWIS ROBERT S File Number: 2003-00003 Dear Sir/Madam: ,..., = = --' :z: o -< :-0 ~;:r'~ :;~' :.:5 ~.:? ~.) (,..").~ i~;~~ ::L} C:::J (':JC) ~:,:~::'rJ :,~~ c) ~.:~: t"'"M r:.."") (.....) t ~ U1 :ba ::r: 'FI o N This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/12/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, .4? V.L ~ ;J 1,4""oi6<. 'l~.IiAJkta;2&.k'~'f.j ,t.". / Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL V AN1A Name of Decedent: ROBERT S. LEWIS Date of Death: 12/12/2002 File Number: 2003-00003 Pursuant to Pa. O.C Rule 6.12, I report the following with respect to completion ofthe administration of the above-captioned estate 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . . . ~ Yes 0 No 2. Ifthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3 If the answer to No.1 is YES, state the following: a. Did the personal representative fde a final account with the Court? . . . . . .. 0 y cs ~ No b The se;::arate Orphans' Court No (if any) for the personal representative's account is c. Did the personal representative state an account infonnally to the parties in interest? ....................... ....... xj@Yes 0 No d. Copies of receipts, releases, joinders and approvals of fom1al or infoD11al accounts may be filed with the Clerk of the Orphans' Couri and may be attached to this report. Dale 11/16/2007 ~/..J j...,.. nJ VCj i, ! ,,"J.-;., ,-"I .,.J -'. ,0",_.., 11 I r... .' ....... "-'~-, '..J, ~J J.c,: iOJ <; ('1':/1 I,~WO ..-/; ~,.ri~l.,.j .::10 >ICJ::ri:J (ure of Persoll Fil1l1g this Form Capacity: DPersonal Representative XfO CQunsel ~o :2 Wd 61 AON iDOl ROBERT L. KNUPP, ESQUIRE Name of Pel'SOIl Filing this Form 407 NORTH FRONT STREET Address HARISBURG, PA 17101 238-7151 Telephol1e ~