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HomeMy WebLinkAbout02-0828 No. To: Register of Wills for the Deceased. County of Cumberland in [he SocIa! Secumy No. 186-30-6991 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut rix in the last will of the above decedent, dated AprJ.l I ~ and codicil(s) dated Elizabeth D. Guyer, name Executrix died May 12. 1986; peUtioner is named continqent Executrix Eslate of E. Ralston Guyer also known as Ernest R. Guyer PETITION FOR PROBATE aDd GRANT OF LEullitS d..J-~ - g~ f named ,19~ (stare relevant circnmStanCl:5. e.g. renunciation, death of exeauor. de.) Decendent was domiciled at death in Cumberland h is last family or principal residence at 22 E Mrlrh1e st. , Cumber land County, Pennsy 1 yania (lis, "'<<t, number and mUllCipalilYl County, Pennsylvania, with Borouqh of Mechanicsburg, Decendent, [hen _ q l years of age, died July 9, 2002 , 19 at 22 E. M3.rble st., Mechanicsburq, Cumber land County, PA . Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of [he wiJI offered for probate; was not the victim of a killing and was never adjudicated Incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If nOl domiciled in Pa.) Personal property in Pennsylvania (If nOl domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 22 E. M3.rble st.. Me"hrlni ""hllra Rnrouqh, Cumber land County. PJ\ S 245,000.00 S S S 87,000.00 WHEREFORE, peritioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of lellers testamentary theron. (tcstamcnuuy; ad.ministration c.t.a..; adminis[f&uion d.b.n.c.t.a.) ~ l~ ~!!~~VL- "'~ ';! S 838 Acri Road ~2 Mechanicsburq. PA 17055 ;'0. ;; = " Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } sa COUNTY OF CUMBERLAND The petitioner(s) above-named sWf'ar(s) or affinn(s) that the statements in the foregoing petition are [rue and correct [0 the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of [he above decedent petitioner(s) will well and truly administer the estate according to law. ~. ~~!!-d-rJt~ Sw.orn to or affir~ i<11d subscribed bet ore me [his dall_nL tember 1~ 2OV2 : OJ-t'b-,?J6 /'7-if-:? Donna M. Otto,lst D '" €" ~ ... " :;- ~ No. 21-2002-828 Estate of E. Ralston Guyer, a/k/a Ernest R. Guyer . Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW September 13th i9 JOn/. in consideration of the petition on the reverse side hereof. satisfactory proof having been presented before me, IT IS DECREED [hat the instrument(s) dated April 15, 1970 described therein be admitted to probate and filed of record as the last will of E. Ralston Guyer, a/k/a Ernest R. Guyer and Letters Test"lllPntarv are hereby granted [0 Julie A. Kramer - ~1J1'&/b-/~~/JW Donna M. otto~rrJS~~ ~, FEES Probate. Letters. Etc. ......... S 305.00 Shorr Cerrificates\ '15.). . . . . . . .. S 15.00 Renunciation ...::.'.......... s ~ x-Pages (1) S ~: 0 JCP TOTAL _ S n!l.OO Fiied September 13th,2002 .................................. David H. Stone #39785 AITORNEY (Sup. Ct. J.D. No.) 414 RrinaF> st.. New Cumberland, PA 17070 ADDRESS (717) 774-7435 PHONE CALLED ATTORNEY ON 9/13/2002 ~ REGISTER OF WILLS OF Cumberland COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a sUbscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat in /1 presence and (in the presence of each other) (in the presence of the other subScribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19 (Name) (Address) Register (Name) (Address) 21-2002-828 ~GISTER OF WILLS OF CUMBERLAND _ COUNTY .- 'ffATH OF NON-SUBSCRIBING WITNESS Julie A. Kramer and John F. Kramer (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of E. Ralston Guyer ~ will testat or of presented herewith and XI1Iiicik believes the signature on the will is in the handwriting of ) [he that they E. Ralston Guyer to the best of their knowledge and belief. Sworn to or affirmed and subscribed before ~ .JJ . ~ ~ me this 13th day of (j (Name) Julie A. Kramer s-:ember ~ ff.. 2002 838 A=i Rd., Mechanicsburg, PA 17055 &1t_':!'.4 71t.r._~/p~ . ,(Address) Donna M. Otto, 1st Depu egi er ~ (......IA...,~:t {~ fJ (Name) John F. Kramer 838 Acri Rd., Mechanicsburg, PA 17055 (Addl'f!SS) LAST WILL AND TESTAMENT OF E. RALSTON GUYER I, E. Ralston Guyer, of the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, being of sound and dispos- ing mind, memory and understanding, do make, publish and declare this to be my last will and testament, hereby revoking and making void all former wills by me at any time heretofore made. l. I direct the payment of all my just debts and funeral expenses as soon as conveniently may be after my decease. 2. All the rest, residue and remainder of my estate, real, per- sonal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to my beloved wife, Elizabeth D. Guyer, to her own use and benefit absolutely. 3. In the event, however, that my said wife should predecease me, or as the result of a disaster common to both of us should die at about the same time as I do, I give, devise and bequeath my es- tate to my daughter, Julie A. Kramer. 4. Lastly, I nominate, constitute and appoint my said wife, Elizabeth D. Guyer, to be the executrix of this my last will and tes- tament. If she should predecease me, or for any other reason fail to qualify as such executrix, then I nominate, constitute and appoint my daughter, Julie A. Kramer, to be the executrix in her place and stead. IN WITNESS WHEREOF, I have hereunto set my hand and seal this .rh J) day of April A.D. 1970. I /'/ /' / 7._.. - !~kt~ (" /<X"74 (SEAL) Signed, sealed, published and declared by the above-named E. Ralston Guyer as and for his last will and testament, in the presence of us who have hereunto subscribed our names at his re- and of each other. quest as witnesses thereto, in the presence of the said testator {ji v/:-~~(S ~11 . 'n1A jl J}, ., -!,/ _ 7v. 'I Ii /)t~,,~ )V AfrAT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDJV1DUAL TAXES DfPT,280601 HARRISBURG, PA 17128.0601 REV-1162 EX(11-96) ECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DAVID H STONE ESQUIRE 414 BRIDGE STREET NEW CUMBERLAND, PA 17070 ____.n~ ford ESTATE INFORMATION: SSN: 186-30-6991 FILE NUMBER: 2102-0828 DECEDENT NAME: GUYER E RALSTON DATE OF PAYMENT: 10/09/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/09/2002 NO. CD 001711 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $13,000.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JULIE A KRAMER C/O DAVID H STONE ESQUIRE CHECK#1886 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS $13,000.00 MARY C. lEWIS REGISTER OF WillS CERTIFICATION OF NOTICE UNDER RULE 5.6Cal Name of Decedent: E. Ralston Guyer, a/k/a Ernest R. Guyer Date of Death: July 9, 2002 Will No. 21-02-0828 To the Register: I certify that notice of beneficial interest 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 October 10, 2002: Julie A. Kramer 838 Acri Road Mechanicsburg, PA 17055 Notice has now been given to all persons entitled hereto under Rule 5.6(a). Date: \() -( 0- 0'1 , DAVID Esquire 414 Brl ge Street New Cumberland, PA 17070 717-774-7435 Capacity: Personal Representative x Counsel for Personal Representative COMMONWEALTH Of PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX{11-96} IECEIVED FROM: PENNSYLVANIA INHERITANCE AND EST ATE TAX OFFICIAL RECEIPT STONE DAVID HEAN ESQUIRE 414 BRIDGE STREET NEW CUMBERLAND, PA 17070 ~___~u_ lold ESTATE INFORMATION: SSN: 186-30-6991 FILE NUMBER: 2102-0828 DECEDENT NAME: GUYER E RALSTON DATE OF PAYMENT: 04/15/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/09/2002 NO. CD 002449 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,320.62 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: DAVID H STONE ESQUIRE CHECK#18050 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $1,320.62 DONNA M. OTTO DEPUTY REGISTER OF WILLS COMMONWEALTH Of ?ENNSYLVANIA COUNTY OF C:.JMBE!l.UNO 55: Julie A. Kramer being duiy __SvUirn _____ according to law, deposes and says thats he is the Exec']trix~__ E. Ralston a/k/a Ernest R. Guyer ~__,~~____n ___~_____~_ of the Estate of late of ,__ l'1s>chanicsburg BQrollgh '__ __, Cumber;and County. P.., deceased and that the wiThin is an invenTQry made by ___Julie A... KrAmpr .__ _.__ _______, the said Rxer.nt:rjx of the enfire estate 0f :said decedent, consisting of all the per~onal prop~rty and real estate, except real estate ouhide t-he Commonwe~!th QT' Pennsylvania, and that the figures opposite each item cf the Inventory represent it's fair value as of fhe date of deC8d'2r.t's dea+h. 19 I f) ! ~ !~ ' . i '/ I ____~Ii:/!"u ,6" '. t tPi rUe Julie It_J Execl.lf-e.r - ~.;.,tTlI"+~ Kramer (flJ1LlI~ri Rd. I I i I '- - and subscribed before me, Mechanic sburg~~A 17055 Addr!!lu Date of Death _._ __ 09 07 2002 D,y Year Month INSTRUCTIONS An inven+o.'1 1:1~St be riled within three manths after appointment of personal representative. ! A, .;;wppieme~~ ':--,ventary must be filed within thirty days of discovery of qdditional assets. Additional -,hcsh ,nay be attached as to pers.onalty or realty ..:. See Article IV, ;:iduciari~s. ft.d of 1949. ~ (lJ >, ;:j ii <.9 ..c:i p::. g- O ..,. ~ en 0 I CO >- (lJ "'1 -0 '" C . f-- u.J ~ I CO '" f-- ~ Ql .. 0 UJ -< [il ~ ~ I .~ n.. J- ::l u " 0 en Q I '" UJ u.J <<J ~ a '" "" '" ~ ~ 0 :r: '" n.. c I I ....J u.. ..><: u .. ~ rl ....J -< 0 '" ..-1 n.. 0 '.l. :l:: '" ~ " u.J <<J <:i .;.. I .~ Z '" <<J <{ I '" I' 0 a C ~ 3 il '" 0 U 0 0 ,./ .., <1l () :z: cu -< en :E: - II ..... -" <<J " II p:: 0 ~ II " " -0 -" [il C '.-:1 0 !I " 0 ~.c '" Inventory of the real and personal estate of E. Ralston a/k/a Ernest R. Guyer deceased --rI II I II I: " I !' Ii " Ii S<'v68 2{;)O~S punJ~~-dOUE~nSUI ar~a spunJdCf! ,,:t,,"!;} "TTqowsPTO 0661 i ^4x~doAd l~uos~ad .;)sr~r d aTnpaq0S 90L W1 d l~r~u~u~a Te~4UapnJd s~;:)o~s UOWWOJ a aTnpaq0S 90L W~ d , I II Ii ./ :1 I: ,I :1 ----------- ----------- SE'SSS'8S 00'199 00 '19' .sur ..1'8'::> liO 00'005 Ul?PdS OO'OOO'LS "5 aTq:tEW 'S LL "E pa"E0oT ^":tado:td : sd:.:)Uav~ St3?:f ~ aTnp"q0S 90L w~ d TE"OJ, anTE1\. awo;:lUI p<;)nx.::>;)'i U01:=\.d1.::t:JS'dQ ..:raAnn EDDL/SL/EO OJ, LOOL/60/LO li "sau:tS E/~/E uO"ST"li S Axo=l,uaAuI UlO.::td ;10 a"E"ss :1 /?- fl?-...!3 REV-1500EX(6-00) OFFlCIA.L USE ONLY ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 20ig ---982lL __ YEAA NUMBER COUNTY CODE I- Z W o w frl o DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAl) Ernest R Guyer, E Ralston a/k/a DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 07/09/2002 8/23/1910 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY' NUMBER 186-30-6991 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURIlY NUMBER Decedent Died Testate (Attach copy of Will) D 2. Supplemental Return [] 3. Remainder Return (dale of death prior to 12-13-82) [] 4a. Future Interest Compromise (date 01 death after 12-12-82) D 5. Federal Estate Tax Return Required D 7. Decedent Maintained a Living Trust (Attach copy of Trusl) _ 8. Total Number of Safe Deposit Boxes D 10. Spousal Poverty Credit (dale oldnth between 12-31.91 and 1.1_95) D 11. Election to tax under Sec. 9113(A)IAllachSch0) w .... ~~U) 0"''' wo.o ,,00 0"'-' o.lIl 0. .. 00, D4 [X] 6. D9. QriginalRetum Limited Estate Litigation Proceeds Received .... z w c z o a. "' w a: a: o o THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS David H. Stone, Esquire FIRM NAME (If Applicable) Stone LaFaver & Shekletski TELEPHONE NUMBER 414 Bridge Street Cumberland, PA 17070 New 717-774-7435 1. Real Estate (Schedule A) (1) 2. S10cks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Noles Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) Z 6. Jointly Owned Property (Schedule F) (6) 0 o Separate Billing Requested f= ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) :::> (Schedule G or L) l- ii: 8. Total Gross Assets (total Lines 1-7) c( U W 9. Funeral Expenses & Administrative Costs (Schedule H) (9) a: 10. Debts of Decedent, Mortgage Liabilities, & Liens (Sdledule I) (10) ". Total Deductions (total Lines 9 & 10) 87,000.00 894.35 0.00 0.00 661.00 263,487.99 OFFK;LAL USE ONLY 0.00 352,043.34 (8) 18,584.37 18.30 (13) 18,602.67 333,440.67 0.00 (11) 12. Net Value of Estate (Line B minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (12) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax 0.00 z rate, or transfers under Sec. 9116 (a)(1.2) 0 ;:: 16. Amount of Line 14 taxable at lineal rate 333,440.67 .. .... ::> 0.00 0. 17. Amount of Line 14 taxable at sibling rate .. 0 0.00 0 18. Amount of Line 14 taxable at collateral rate >< .. Tax Due .... 19. (14) 333,440.67 x.OO_(15) 0.00 x .12 (17) 15,004.83 0.00 x ,045.......- (16) (19) 0.00 15,004.83 x .15 (18) 200 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 2W46451,OOO Decedent's omplete ress: STREET ADDRESS 22 E. Marble St. CITY I STATE I ZlP Mechanicsbura PA 17055 C Add Tax Payments and Credits: 1. Tax Due (Page 1 Line 1 g) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 15,004.83 0.00 13,000.00 684.21 Total Credits (A + B + C) (2) 13,684.21 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 Total Interest/Penalty (0 + E) (3) 0.00 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) 1,320.62 A. Enter the interest on the tax due. (SA) 0.00 B. Enter the total of Line 5 + SA. (5B) 1,320.62 AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS No 00 00 00 00 IZJ IZJ contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D [z] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEOULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare thet I have examined this return, including accompanying schedules and statements. and to the best of my knowledge and belief, it is true, correct and complete Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge SIGNATURE OF PE N RESPONSIBLE ~077;~~ Jl_&L- - eri Rd. . niesb r PA 17055 PREPA OlliE N EPRESENTATIVE 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or ............ . . . . . . . . . . . . d. receive the promise for life of either payments. benefits or care? . . . . . . . . . 2. If death occurred after December 12. 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 Yes D D D D D D DATE '1/'1/03 SIGNA DATE -0;1 New 17070 For dates of death on or after July 1. 1994 and before January 1. 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S.~ 9916 (a) (1.1)(i)]. For dates of death on or after January 1. 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~ 9116 (a) (1.1) (ii)] The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to orforthe 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 orforthe use of the decedent's lineal benefidaries 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. f3 9116{a)(1.3)]. A sibling is defined, under Section 9102, as an mdividual who has at least one parent in common with the decedent, whether by blood or adoption. 2W46461,OOO REV-1502EX+(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF Ernest R Guyer, E Ralston a/k/a FILE NUMBER 21-2002-0828 All real property owned ~ely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knCMrtedge of the relevant facts. Real property which Is Jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION NUMBER 1. Property located at 22 E. Marble St., Mechanicsburg, Cumberland County, PA at appraised value by Robert R. Jones Appraisers VALUE AT DATE OF DEATH 87,000.00 , 2W46952.000 TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 87 000.00 REV-1503EX+(1-97} COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Ernest R Guyer, E Ralston a/k/a FILE NUMBER 21-2002-0828 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CESCRIPllON VALUE AT DATE OF DEATH 1. Prudential Financial stock-31 shs. 894.35 2W46963.000 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 894.35 REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Ernest R Guyer, E Ralston a/k/a FILE NUMBER 21-2002-0828 Include the proceeds of litigation and the date the proceeds were received by the estate. AU property Jolntly-owned with the right of survivorship must be disclosed on Schedule F, ITEM NUMBER DESCRIPTlDN 1. 1990 Oldsmobile Ciera Sedan-sold to Kenneth Smeltz VALUE AT DATE OF DEATH 500.00 2 Erie Insurance-refund on car ins. 161.00 2W46AD2.000 TOTAL (Also enter on line 5 RecaDitulationl $ (If more space is needed, insert additional sheets of the same size) 661. 00 REV-1509 EX + (1-97) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY ..oWNED PROPERTY IfIoHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ernest R Guyer, E Ralston a/k/a FILE NUMBER 21-2002-0828 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME A. Kramer, Julie A ADDRESS RELATIONSHIP TO DECEDENT daughter 838 Acri Rd. Mechanicsburg, PA 17055 B. c. JOINTLY -OWNED PROPERTY: <EmR DATE CESCRlPllON OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial inslitution and bank. account number or DATE OF DEATH [ECO'S VALUE OF NUMBER ""'"' JOINT . similar identifying number.Attacl1 deedfofjointly-held real estate. VALUE OF ASSET INTEREST CECEDENrS INTEREST 1. A 09/17/1997 Members 1st Federal Credit 202.38 50.00 101.19 Union-Savings Acct. #83686-00 joint w/Ju1ie A. Kramer, prine. $202.30, Int. $.08 2 A 09/17/1997 Members 1st Federal Credit 20,014.03 50.00 10,007.01 Union-Cert. of Deposit #83686-40, joint w/Julie A. Kramer princ. $20,000, Int. $14.03 3 A 09/17/1997 Members 1st Federal Credit 10,005.30 50.00 5,002.65 Union Cert. of Deposit #83686-43 joint w/Julie A. Kramer, prine. $10,000, Int. $5.30 4 A 09/17/1997 Members 1st Federal Credit 10,009.88 50.00 5,004.94 Union Cert. of Deposit #83686-44 joint w/Ju1ie A. Kramer, prine. $10,000, Int. $9.88 5 A 09/17/1997 Members 1st Federal Credit 10,007. 01 50.00 5,003.51 Union Cert. of Deposit #83686-45 joint w/Ju1ie A. 2W46AE2.000 Total from continuation pages.... TOTAL (Also enter on line 6 Recanitulation\ $ (If more space is needed, insert additional sheets of same size) 238,368.70 263,487.99 Estate of: Ernest R Guyer. E Ralston a/k/a Schedule F -- Jointly-Owned Property Date Made Joint Item No. Lett. 10 11 12 13 14 5 6 7 8 9 Description Kramer, prine. $10,000, Int. $7.01 A 09/17/1997 Members First Federal Credit Union Cart. of Deposit #83686-46 joint w/Julie A. Kramer, prine. $10.000. Int. $9.36 A 09/28/2000 Members 1st Federal Credit Union Cert. of Deposit #83686-47 joint w/Julie A. Kramer, prine. $94,814.60, Int. $146.92 A 10/23/1997 PNC Bank Checking Acct. #5070115017 joint w/Ju1ie A. Kramer, prine. $20.828.95. Int. $.92 A 06/30/1992 PNC Bank-Cert of Deposit #2100101011158 joint w/Julie A. Kramer, prine. $46.566.94. Int. $36.86 A 12/31/1992 PNC Bank-Cert. of Deposit #21001012773 joint w/Julie A. Kramer, prine. $15.452.34. Int. $13.24 A 09/13/1988 PNC Bank-Cert. of Deposit #31900214426 joint w/Julie A. Kramer, prine. $10,000, Int. $431.17 A 04/12/1996 Vanguard Group-Prime MM Fund 102.087.390 shs @ $1. 00 per share A 04/12/1996 Vanguard Group-Prime MM dividend A 03/31/1997 Vanguard Group-Long-Term Treasury Adm-14.940.896 Date of death Value of asset 10.009.36 94.961.52 20.829.87 46.603.80 15.465.58 10.431.17 102.087.39 40.48 164.349.86 % of Decedentls Interest 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Page 2 21-2002-0828 Value at Date of Death 5.004.68 47.480.76 10.414.93 23.301.90 7.732.79 5.215.59 51.043.69 20.24 82.174.93 Estate of: Ernest R Guyer, E Ralston a/k/a Schedule F -- Jointly-Owned Property Item No. Lett. Date Made Joint Description Value at Date of Death shs. @ $11.00 per share 15 16 A 03/31/1997 Vanguard Group-Long Term Treasury Adm dividend Date of death Value of asset 440.56 11,517.80 TOTAL. (Carry forward to main schedule) . . . . . . A 09/17/1997 PNC Financial-380 shs. @ $30.31 per sh. % of Decedent's Interest 50.00 50.00 Page 3 21-2002-0828 220.28 5,758.90 238,368.69 REV;1511 EX+(1-97) COMMONINEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ernest R Guyer, E Ralston a/k/a SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2002-0828 Debts of decedent must be reDorted on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAl. EXPENSES: 1. Myers Funeral Home-funeral expenses 7,663.80 2 James Gingrich Memorials-stone 95.00 3 Trinity Lutheran Church-meal after service 200.00 8. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 0.00 Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees Name: David H. Stone 7,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 328.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7. Checks written by decedent but not cleared by bank 1,172.28 until after death 8 Cumberland Law Journal-advertising grant of letters 75.00 9 The Patriot News Co. -advertising grant of letters 108.43 10 UGI-gas service at property 95.00 11 PPL Uti1ity-e1ectric service at property 24.95 Tota.L from cont~nuat1on pages.... 1,321.91 TOTAL (Also enter on line 9. Recapitulation) $ 18,584.37 2W46AG2,OOO (If more space is needed, insert additional sheets of same size) Estate of: Ernest R Guyer, E Ralston a/k/a Schedule H, Part B -- Administrative Costs Item No. Description 12 Verizon-telephone service at property 13 Comcast-cable service at property 14 AT&T-telephone service at property 15 United Water Co.-water service at property 16 Comcast-cable service at property 17 United Water Co.-water service at property J.8 Verizon-telephone service at property 19 UGI-gas service agreement 20 United Water Co.-water service at property 21 Comcast-cable service at property 22 A&B Automotive-auto inspection fee 23 Borough of Mechanicsburg-sewer & trash at property 24 Verizon-telephone service at property 25 United Water Co.-water service at property 26 Camcast-cable service at property 27 Robert Jones & Assoc.-appraisal fee 28 AT&T-telephone service at property 29 Comcast-cable service at property 30 Verizon-telephone service at property 31 United Water Co.-water service at property TOTAL. (Carry forward to main schedule) Page 2 21-2002-0828 Amount 16 .04 36.93 18.15 15.30 36.93 6.7l 15.41 79.00 6.7l 36.94 19.03 66.80 15.50 36.93 36.93 200.00 18.J.5 36.93 15.48 6.7l 720.58 Estate of. Ernest R Guyer, E Ralston a/k/a Schedule H, Part B -- Administrative Costs Item No. Description 32 Verizon-telephone service at property 33 United Water Co.-water service at property 34 Comcast-cable service at property 35 UGI-gas service at property 36 PPL Utility-electric service at property 37 PPL Utility-electric service at property 38 UGI-gas service at property 39 United Water Co.-water service at property 40 AT&T-telephone service at property 41 Register of Wills-filing Inheritance Tax and Inventory 42 Reserve for closing expenses TOTAL. (Carry forward to main schedule) . . . . . . Page 3 21-2002-0828 Amount 31.18 6.71 36.93 105.00 29.97 29.97 105.00 13.42 18.15 25.00 200.00 601.33 REV-1512EX+(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ernest R Guyer, E Ralston a/k/a SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2002-0828 Include unreimbursed medical eXDenses. ITEM NUMBER 1. Merck Medco-medication DESCRIPTlON AMOUNT 18.30 2W46AH2_000 TOTAL (Also enter on line 10, Recapitulation) $ <If more space is needed, insert additional sheets of the same size) 18.30 REV:1513 EX+ (9-00) CQMMONVvEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ernest R Guuer E Ralston a/k/a SCHEDULE J BENEFICIARIES NUMBER I. NAME ANO ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (aJ (1.2)] Kramer, Julie A 83B Acri Rd. Mechanicsburg, PA 17055 1. FILE NUMBER 21-2002 0828 RELATIONSHIP TO DECEDENT Do Not list Trustee{s) daughter AMOUNT OR SHARE OF ESTATE 333,440.67 ENTER DOLlAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18. AS APPROPRIATE, ON REV-1500 COVER SHEET II, NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. 2W46A11.000 TOTAL OF PART". ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space IS needed, insert additional sheets of the same size) $ 0,00 .. ~ 21-2002-828 LAST WILL AND TEST~lliNT OF E. RALSTON GUYER I, E. Ralston Guyer, of the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, being of sound and dispos- ing mind, memory and understanding, do make, publish and declare this to be my last will and testament, hereby revoking and making void all former wills by me at any time heretofore made. l. I direct the payment of all my just debts and funeral expenses as soon as convenien tly may be after my decease. 2 . All the rest, residue and remainder of my estate, real, per- sonal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to my beloved wife, Elizabeth D. Guyer, to her own use and benefit absOlutely. 3. In the event, however, that my said wife should predecease me, or as the result of a disaster cornmon to both of us should die at about the same time as I do, I give, devise and bequeath my es- tate to my daughter, Julie A. Kramer. 4. Lastly, I nominate, constitute and appoint my said wife, Elizabeth D. Guyer, to be the executrix of this my last will and tes- tament. If she should predecease me, or for any other reason fail to qualify as such executrix, then I nominate, constitute and appoint my daughter, Julie A. Kramer, to be the executrix in her place and stead. IN WITNESS WHEREOF, I have hereunto set my hand and seal P age I. this , ' ) II / ') day of April A.D. 1970. -, ( (~ ./) 'l-{;l)=t~-( . / ( " (/';;/"/ ('EAL( Signed, sealed, published and declared by the above-named E. Ralston Guyer as and for his last will and testament, in the presence of us who have hereunto subscribed our names at his re- quest as witnesses thereto, in the presence of the said testator and of each other. / ;. c/ ( ({' i III \, , I) }it" jJ ,j"j-j7V: I ' i / , ., i '/ "I'I,t'l. , 1'/ Ii',' "'-'1 ,.-, Page 2. ~ -..---.,...-,..--..:. Robert R Jones Appraisers APPRAISAL OF A SINGLE F AMIL Y RESIDENCE LO CAT ION :22 East Marble Street Mechanicsburg PA 17055 CLIENT : Jack Kramer 838 Acri Road Mechanicsburg, PA 17050 AS OF DATE : July 9,2002 A P P R A I S E R : Christopher M. Jones, SRA Robert R. Jones Appraisers 02080149 I 11 I I I I I \1 I I Robert R. Jones Appraisers Jack Kramer 838 Acri Road Mechanicsburg, PA 17050 In accordance with your request, I have personally inspected and appraised the property located at: 22 East Marble Street Mechanicsburg PA 17055 The purpose of the appraisal was to estimate the market value of the property, as improved, in unencumbered fee simple title of ownership. The subject property consists of: 5 Rooms 2 Bedrooms iL~athill= The Ranch style residence contains Gross Living Area. It is my opinion that the estimated market value of the property as of July 9,2002 is $ 87,000 1,202 square feet of The above information has been automatically extracted from the appraisal and inserted in this cover page. Respectfully submitted, Robert R. Jones Appraisers MemberslST FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 1-800-283-2328 or (717) 697-1161 REGULAR SAVINGS ACCOUNT: Account NumberlSuffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principai and Accrued Interest Name of Joint Owner Date Joint Ownership Created 83686-00 06/26/1987 $202.30 $.08 $202.38 Julie A. Kramer 09/17/1997 CERTIFICATE OF DEPOSIT: Account NumberlSuffix Date Certificate Purchased Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Date Joint Ownership Created 83686-40 18 MO 12/22/1994 $20,000.00 $14.03 $20,014.03 Julie A. Kramer 09/17/1997 CERTIFICATE OF DEPOSIT: Account NumberlSuffix Date Certificate Purchased Principai Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Date Joint Ownership Created 83686 -44 30 MO 12/23/1993 $10,000.00 $9.88 $10,009.88 Julie A. Kramer 09/17/1997 CERTIFICATE OF DEPOSIT: Account NumberlSuffix Date Certificate Purchased Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued interest Name of Joint Owner Date Joint Ownership Created 83686 -46 18 MO 06/2311995 $10,000.00 $9.36 $10,009.36 Juiie A. Kramer 09/17/1997 83686 -43 18 MO 06/23/1994 $10,000.00 $5.30 $10,005.30 Julie A. Kramer 09/17/1997 83686 -45 18 MO 12/22/1994 $10,000.00 $7.01 $10,007.01 Julie A. Kramer 09/17/1997 83686 -47 5 YR 09/28/2000 $94,814.60 $146.92 $94,961.52 JUlie A. Kramer 09/28/2000 ( , , ./ 1EMSERS 1 S~~F~~.~R/CREDIT UNION j' , ,.', ~"".--->/ : i \1,/i .'!;~( C - \ /- Denise A. Anders' Insurance Products Supervisor November 7, 2002 Estate of: ERNEST R. GUYER Date of Death: 07/0912002 Social Security Number: 186-30-6991 MSN Money - PRU Chart: Investor Page 1 of2 Quote, Chart, News Name or Symbol: \PRU Snapshot Quotes Charts Historical Real-Time Intraday Key Developments Recent News MSN Home I My MSN JJJ:fJJtI ft,,<.:,,'\ 'y" . '\ '. ,.,,,,., ". , Research Company Report SEe Filinfjs Advisor FYI Stock Rating Eamings Estirnates Analyst Hatip~Js Financial Results Insider Trading Ownerstlip Community Guided Research Research Wizard Find Stocks Stock Screener PO\<l.Jc:r S;~arch(s Top Rated Stocks ~-~-11_- "H Related Links E-:.IThlil_&__A!elt::; lPO~_entf;;.r StQS~,o~ _(~J]lp_~itiill\ Mf:2$i1g~ 8~0rd5 I Hotmail I Search I Shopping I Money I people & Chat \ I , C"'j'WatHhous* AMrRlTRAOE 'A; Iol:oI Doen an Account Soecial Offer When Tr~de FREE for OI1~ You goen An Account Month j:,;;$ign'In:~~~-: Search the' BANK~ONE. I As low as 3.99% APR on lines of credit Powered by M _.... 1'IolIVisa~ ,.....' . 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Find Symbol Priot ReDor[ [hJ1Nnload FJle Sho\ ,I Chat t PRUDENTIAL FINCL INC Date High low Close Volume 7/31/2002 33,000 32,010 32,990 3,605,100 7/30/2002 32,630 30,700 32.150 4,284,500 7/29/2002 32A50 30,500 32.200 3,578,700 7/26/2002 30.510 28 AOO 30.250 5,133,700 7/25/2002 30.740 28A 70 29,000 5,167,300 7/24/2002 30,390 28,000 30.210 7,633,100 7/23/2002 31,840 28.700 29,600 7,929,900 7/22/2002 31,800 31.010 31,650 11,903,000 7/19/2002 32,450 30,160 32,450 57,058,900 7/18/2002 32,100 31,060 31,390 7,631,500 7/17/2002 32.250 30.890 31.420 5,128,100 7/16/2002 32,080 31,310 31,550 3,762,300 7/15/2002 31,800 30,200 31,800 3,524,900 7/12/2002 32,050 30.850 31.800 3,460,100 7/11/2002 31.210 30.250 30,950 5,815,100 7/10/2002 32.160 30 ADO 30,590 13,463,300 7/9/2002 31.080 30,060 30,310 2,711,000 7/8/2002 31.720 30A20 30,900 3,993,500 7/5/2002 31,800 30,800 31.340 2,874,700 7/3/2002 31. 730 30 ADO 30AOO 3,876,500 7/2/2002 32,680 31,310 31.830 3,221,000 http://moneycentral,msn.com/investor/charts/chartdl,asp ?Symbol=PRU&DateRangeF orm=". 3/28/2003 MSN Money - PRU Chart: Investor Page 2 of2 7/1/2002 32.950 31.800 32.700 3,568,100 (51 Data Source: CSI htt": ..www.csidata.com -.~-_.,---- MSN - More Useful Everyday MSN Home I My MSN I Hotmail I Search I Shopping I Money I People & Chat @2003 Mkrosofl Corporation_ All rights reserved. JJlBDs of US€? Adv€?,rtise I.8USTe-6l:lli!:QYI;;,:d Privacy Stiltement ~etNetVvj;:;J2 http://moneycentral.msn.com/investor/charts/chartdl.asp?Symbol=PRU &DateRangeF orm=... 3/28/2003 -0:-84-2002 09:42 PNCBANK CIF DEPARTMENT 412 705 0057 P.01/02 o PNCBAN< December 4, 2002 David H. Stone 414 Bridge Street P.O. Box E New Cumberlatld, PA 17070 RE: Estate of E. Ralston Guyer, deceased SSN: 186-30-6991 DOD: 7/9/2002 Dear Mr. Stolle; In response to your request for Date of Dear balances for the customer noted above, our records show the following: I , ! Certificates of Deposit Account # 21001011158 , ERNESt J GUYER JULIE A KlRAMER DOD balance: $46,566.94 + $36.86 accmi interest Account #21001012773 Established 06/30/1992 I ERNEST R GUYER JULIE A KRAMER DOD balance: $15,452.34 + $13.24 accrued interest Established 12/30/1992 Account #31900214426 Established 09/13/1988 ERNEST R GUYER JULIE A KRAMER DOD balance: $10,000.00 + $431.17 accrued interest Checking Account Account #50701 J 50 1 7 Established 10/23/1997 ERNEST R GUYER JULIE A KRAMER DOD balance: $20,828.95 + $.92 accrued interest Page 1 of2. [=C-04-2002 09:42 PNCBANK CIF DEPARTMENT 412 705 0057 P.02/02 Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not proc:ess any financial transactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, ~&i L.2JJLli~ Rachelle Wells 1-800-762-1775 P7-PFSC-04.F 500 first Ave. Pittsburgh PA 15219 Page 2 of2 Member FDIC TOTAL P.02 Ii/) I: i- . _<.:_I:,--~ - "'---,.'...."1/ THEVangu~ROUR JULIE G KRAMER 838 ACRI RD MECHANICSBURG, PA 17050-2232 October 18,2002 Prime Money Mkt Fund Long-Term Treasury Adm 09899942024 Dear Ms. Kramer: We are responding to a letter from David M. Stone requesting the values of the above referenced accounts. Unfortunately we are unable to comply with the request because we need additional documentation. We are providing the information to you to use at your discretion. Please accept our sincere condolences for the loss of Mr. Guyer. As of July 9, 2002, the number of shares, the price per share, and the value of each account were as follows: Ernest R Guyer & Julie G. Kramer IT TEN WROS Fund Name Shares Price Value Prime Money Mkt Fund Accrued Dividends $40.48 Established 04/12/1996 Long-Term Treasury Adm Accrued Dividends $220.28 Established 03/31/1997 102,087.390 $1.00 $102,087.39 14,940.896 $11.00 $164,349.86 Vanguard Voyager Servicc@ :\;3l- Oil-l'_:l' Box )1:<0, V;lHcy F(xp;c, Pcnns3"h':lni" H}48~HI.20 (~;()O! -,t:4~71ij.S " \\r\V\v.\'<'lngu,lrc\.cOll1 If you have any questions, please contact your Voyager Service Team at 1-800-284-7245. Voyager's business hours are Monday through Friday from 8 a.m. to 10 p.m. and Saturday from 9 a.m. to 4 p.m., Eastern Time. One of our dedicated Voyager Associates will be pleased to assist you. Sincerely, ~'UJL Gu~~~ Diana Guzzardi Voyager Service Communication Associate 40041032 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z8D60l HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ~ APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX \1 DATE 06-03-2003 ESTATE OF GUYER DATE OF DEATH 07-09-2002 FILE NUMBER 21 02-0828 '03 U'.l 23 1\1' "l'7 COUNTY CUMBERLAND J " Ii, I '. ACN 101 Re.;r DAVID H STONE ESQ STONE ETAL 414 BRIDGE ST NEW CUMBERLAND *' REV-l!i~1 EX AFP lDl-DSl E R Allount R..1i tted e'e>: PAl 7~7,Pi,,>" 'if I ,0 ~ MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ... . -,.~-_. --'."','-'--~'~---~'-----------_.'-_. --- -'-"-~,'-- ..".. --'=:':;-,,-;;::i"i..-.;'...:;'---.i'''j-~,:i...i,;'i;-"-.;'----------------- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT STONE DAVID HEAN ESQUIRE 414 BRIDGE STREET NEW CUMBERLAND, PA 17070 ___nn_ fold ESTATE INFORMATION: SSN: 186-30-6991 FILE NUMBER: 2102-0828 DECEDENT NAME: GUYER E RALSTON DATE OF PAYMENT: 06/23/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/09/2002 NO. CD 002722 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1.09 I I I I I I I I TOTAL AMOUNT PAID: $1.09 REMARKS: DAVID H STONE ESQUIRE CHECK# 39115 SEAL INITIALS: JA. RECEIVED BY: REGISTER OF WILLS DONNA M. OTTO DEPUTY REGISTER OF WILLS /?-zcf......E \, BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG~ PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-ln1 EX AFP (I1~OJ) '03 DATE 'ESTATE OF DATE OF DEATH FII,E NUMBER !\ 8 ciIOllNTY ACN 07-14-2003 GUYER 07-09-2002 21 02-0828 CUMBERLAND 101 A.ount Re..itted E R Rf: JUL 21 DAVID H STONE ESQ STONE ETAL 414 BRIDGE ST NEW CUMBERLAND l..:. .~.l PA 17070 C\:mL r" MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax paYllent. CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ RW=i6ifj-EX-AFP--loFii3Y------...-iiiH-ERiYA"NCE-Yi\X-S'i'ATEMENY-CfF-i\ccoui.ff--.-..--------------------- ESTATE OF GUYER E R FILE NO.21 02-0828 ACN 101 DATE 07-14-2003 THIS STATEMENT IS PRDVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELDW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PRO~ECTEO INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-03-2003 PRINCIPAL TAX DUE:" 15,004.83 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-09-2002 CDOO1711 684.21 13,000.00 04-15-2003 CD002449 .00 1,320.62 06-23-2003 CD002722 1. 09- 1. 09 TOTAL TAX CREDIT 15,004.83 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J / /) - <, (' .~ / <.;'" -...) BUREAU OF INDIVIOUAL TAXES \.. INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG~ PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX Reco'c'nr![,r '--'<'-,. ".-.;j R€:;:~E:~:'r- _-_G cf DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-03-2003 GUYER 07-09-2002 21 02-0828 CUMBERLAND 101 AJJount ReMitted '.-.l '03 J31-6 q'" . Q DAVID H STONE ESQ STONE ETAL 414 BRIDGE ST NEW CUMBERLAND , - PA 1 i'll70 *' REV~lSU EX IF' tG1-05) E R MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ... REV:is4'-Eif-"FP-foFo3"n:joT"icE--OF-YN'HEifiTANCin'AX-APPRAisEiiENT-;-"L:rOWANCi-oii----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GUYER E R FILE NO. 21 02-0828 ACN 101 DATE 06-03-2003 TAX RETURN WAS: I X I ACCEPTEO AS FILED I CHANGED If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal ~ate (1S> 16. Amount of line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rat. (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due C TS: RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule BJ 3. Closely Held stock/Partnership Interest (Schedule CJ 4. Mortgages/Notes Receivable (Schedule DJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule GJ 8. Total Assets III (21 131 (41 151 (61 (71 87.000.00 894.35 .00 .00 661.00 263.487.99 .00 (81 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governnental Bequests; Non-elected 9113 Trusts (Schedule JJ 14. Net Value of Est.t. Subject to Tax (91 1101 18,584.37 18.30 (111 1121 1131 1141 NOTE: .00 333,440.67 .00 .00 X 00 = X 045 = X 12 = X 15 = + AHOUNT PAID 13,000.00 1, 320.62 DATE 10-09-2002 04-15-2003 NUMBER CD00l111 CD002449 INTEREST/PEN PAID (-) 684.21 .OD BALANCE OF UNPAID INTEREST/PENALTY AS OF 04-16-2003 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTER DATE INDICATEO, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 1191= NOTE: To insure proper credit to your account, submit the upper POrtion of this for~ with your tax payment. 352,043.34 ]8.60;> 67 333,440.67 .00 333.440.67 .00 15,004.83 .00 .00 15,004.83 15,004.83 .00 1.09 1. 09 ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY BE DUE A REFUND. SEE REVERSE SlOE OF THIS FORH FOR INSTRUCTIONS.) STATUS REPORT UNDER RULE 6.12 Name of Decedent: E. Ralston Guyer a/k/a Ernest R. Guyer Date of Death: July 9, 2002 Will No. 21-02-0828 To the Register: 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: Yes 1. State whether administration of the estate is complete: X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes No X (b) The separate Orphans' Court No. (if any) for personal representative's account is: N/A the (c) Did the personal representative state an account informally to the parties in interest? Yes X No (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' report. ed Court a~h~y be at~i; to D~v~t~ H' ~on~, E~quire 4 1~ Street Date: ~'~ this ~Capacity: New Cumberland, PA 17070 717-774-7435 Personal Representative X Counsel for Personal Representative