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HomeMy WebLinkAbout02-0762PETITION FOR PROBATE and GRANT OF LETTERS ~e.~P Estate of ~ d ~r also known as Deceased. Social Security No. 1 B ~- /~~ - l~~ ~ ~- To: Register of Wills for the County of Ctunberland in the 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 executpy named in the last will of the above decedent, dated ~ ne ~~„ ~2GDl , ~ ~v a l and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ' yn hNr/ahc~/ Countx , Penn~Ylvania, with h last family or principal residence at /D ~ ~°e..f s ~ ~~ ~ Kc~ - Cyr /. 's /z ~.¢ /1/vy-t1i ~~ dd t c fe ~ Tw p (list street, number and muncipality) then s •/ 7 years of age, died >~~~ Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: ,~c~ Decendent at death owned property with estimated values as fallows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: U ~ ~ ~ H ~.. N ~ ~" C ~ O C ~ '.~ ..-. u ~0. a~ w ~ O it G 00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~~ ~-~~ $ C! h K~o (~ `t OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CLanb~rland The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well an~uly administer estate according to law. Sworn to or affirmed and subscribed ~ b re me~this s 21st da 002 ~ ~ 9u ~~2 _ --tom ~ ~~ ~ ~ Donna M.Otto, lst De~ut~Register~ l NO. 21-2002-762 Estate of Jean F. Ryder, aka Deceased Jean F. Ryder, Jr. DECREE OF PROBATE AND GRANT OF LETTERS AND NOW Au~,tst 22rx3 l~r ~~~zin consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated June 22nd, ?_001 described therein be admitted to probate and filed of record as the last will of s Jean F. Ryder, aka Jean F. Ryder, Jr. and Letters TP m n arm _ _ are hereby granted to _ Dennis 1 lamer - r Donna M.Otto 1stDeputy ~egisrer of Wills FEES Probate, Letters, Etc. ......... ~ 18.00 Short Certificates(5) ......... ~ 15.00 ATTORNEY (Sup. Ct. LD. No.) Renunciation ................ $ x-Pages (4) $ 12.00 ADDRESS JCP TOTAL ~ 5.00 Filed $ 50.00 •August•2.2nd;2002••••••••••••••• PHONE Letters will be picked up by Executor on 08/22/02 ; ~~„~ I I .us is ro ~errife~ that the intorma~iun here given is correctly copied from an original cciritieat< of .{~~t4 dole t,lec wit; Ins as i.ucal Regi~~u-a;. ~l he original cerriFtctre will he foltivarded ro the Stare Virai i:ecords (_~ffice fol ,1e'rrl~.~n::-1t i~l(n~r. NIARNING: It is illegal to duplicate this copy by photostat or photaclraph. Fey tier this terrihcat~, `s~..0i1 P 86®7698 __~ (,. t~e• ~e~•>--c~ - ------, L11ca1 Is.e:~ i ~,t ~ a r -------/iU~_. _l L} 2002 __ __._ l ~at~ Hlos.,.3R« ?/S7 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH NT NT rK NAME OF DECEDENT IFUV. Mgdls. Lavl r SE% SOCIAL SECURITY NVMBER DATE OF DEATH ,MM«. Dey.'~wl • R f 2, ]. Male ]. 187- 16 - 6202 e- yQE,Q / ,. ~ £,q^/ F AGE Qaw B+IMavl UNDER t YF1J1 UNDER t DA' ORE OF &RTN BIRTHPLACE (C.ry and PLACE OF DEATH ICnecw mly «r -- iee rrwruCl~Ona M amN noel Momma ( Dap Hours • MNUtM !MOmn. Oav.'bwl S as Fa C YI HO$PIUL: OTHER: Cum~er~an~ Co § h 23 C """"9 °nwr y ~ , . G DOA (~ Marc 7 7 Yra. ~ npal4m EWOMWUam Honr ^ RarMrr/ ^ iSMtaYI ^ ,. ,. 7. M. COVNTY OF DFJITN CITY. BORO. TWP OF DEATH FACRT'NAME(Ilna muiuran.9na Rrew arW rwrrrloerl en er ~SD~CEDENT OF HISPANIC ORIGIN7 RACE-AmarcullnOiM,Black. WnYe. NC. tSpecryl apecNy CuWn No rM^Nyas , . • Cumberland Carlisle Carlisle Regional Medical M.%ICwI.PwrlpRlcan.«~ White DECEDENT'S USUAL OCCUPRKNI KING OF SUSINESSNNOVSTRY wAS DECEDENT EVERIN DECEDENT'S EDl1CATION MARITAL STRUS•Mamad SURVIVNKi SPOUSE S. ARMED fORCES7 c Nav«Martrd, MRdoard. IM Wa. 9rte maamrrmal U . ((,.rv. w+rddwonaw OU mm awe,a. ,~: ~,,,~;~, Roadway Idl ENrrwmarylSawrMa7 CaNP DN«cW lspaclly) No^ M ` ' s „- p,n 10 (Ia«5'1 ,a. Widower ,,, - { 0,111 /t0. Express ,:. Driv2~' YJong } ~~w DECEDEM'3MARINOADDi1ESS(Srew.Cryrw.a•,Sala.ZgCoael DECEDENT'S Penns lvania North Middleton y ° "` °~°'"""°~ ~° " ' ' 10 Greystone Road "~"'"` "''S"'° RESIDENCE Oacedam Carlisle Penna. 17013 ~°^°^qM'° """' + a,an«vdel Cumberland 7 "°•°°"°""""'° t7w^ wYnin.aNw amN.a eYrltere . ,,, eTt.cam FRNER'S NAME (Frw. Mgdle, utll MOTHER'S NAME iFrw. M~ddb. MwdM SansmM Sr. Ryder Jean F' , . 1w ,,. INFORMANT'S NAME (TypalPrern der R i INFORMANT'S MARINO ADDRESS ISbes4 ClryR .SNN. Zq CaOe 220 2 4 " ' y s Denn ,Y,, 10 Orhne „R METHOD of asPOS1T DATE aF asPGSITK>N lw Crerrratien^ Rerroval nem Slwe^ IM«Nn. O.T. M«1 R ypCagy~~ ~I1 ~ow~. PUCE DF DlsposlraN • Nam. a c.rnwery, crem.lay lV O i' G~'l 1SQ a 1 e LOri T W p . «anw PMCe West~11r1 Ste r ra D«rri«,^ olnw ^ August 16, 2002 Memor•lal Gardens Cumberland County, Penna. . ~,.. ],.. :,e. :.. ' SKiNRURE OF NERAL SERVICE LIC SEE PERSON ACTING AS SVCM SE NUM 8219_L N ME AaD ADOR OFfA~ ITY ~ Q O ;wing ~ro-G~lers, rli°s'~e,Pennsygsa e • m eeema anly worn grtNyirq b dmyw 1 Wen wwad. LICENSE NVMRER DRE SIGNED lasrl ~i~ ~ Dav ~' awaibt+e w lint al a•am to ~^ w wwa and irsl Q ~ /• -t f~ /~ X / Z . . a ann. naruti . ~ QQb J U L :]eN V O zx. Nwrr 3a-7l mow f»corrrplNed lry e m M TIME OF DERN 3s DRE PRONOUNCED EAD onm. Day, star) WAS CASE REFERRED TO M~EO E%AMMER/CORONER7 ~ I pw~rt. pmnowK. .. . ,~ A M - z ]w t7. IART l: Emer IM daeasea, inl«isa a [OmpliCatierr . ta. wnlcn caused Ins deem. Oo not emw IM ti. mode o1 dyirq, eucn a caraat a respiratory arrest. 9nxk «Mwl feilwe. i ApproairMla PART 11: OIMr aignillCanl caWlaorr CarYrlpNlrq In EawR tIN RVTT I i i L'ul oM/ orr Cause M eaU wrr. ~ imarvw Irrwaen . n ml rrnWlwq n tlr «raw/ytlq rarw 9 ••n I arw and a.m YiROUTECAUSE (F+rl err«condnrl q t.fr ~ F(7 ~ C,~r~r,~Pv~o.~~,ay ~ ,/j I a rwAl.Ipnwaml-- TOIOR AS ALONSEOUE ~ £ AG ~vic v/1 C r s.arrma.y 0.1 renalliar e. OUE 70108 ASACONSEOUENCE OFI: I Ya^%Wdlrpbmmarlrale crra. Em« UIDEIILYNiO ~ c CMRE(D~res«r7ury a•r ssaaW wwlw DUE 70 K7R AS A CONSEQUENCE OFI: l rawlrq n dwnl LAST a. wa3 AN AUTOPSY MERE AUTOPSY FINDINGS MANNER OF DEATH DATE OFINJURY TIME OF INJURY INJURVRWORKT DESCRIBE MOWINJURY OCCURRED. PFJ60RMED7 AVAILABLE PRIOR TO (Manor. Day. Marl COMPLETK7N OF CAUSE OF OFJITMi Nar«al Homicide ^ ^ AttwfaM ^ Pending wwsargargn ^ M. Mt ,pe .M ^ rye yy ^ Np ^ Suw:iW ^ CAUId nor [r dersrmiMd ^ PUCE OF INJURY - Al Mme. term, wrM. laerory, oNlf~ L R We) DuNCInp, ere. ISpKavl 711a tae. M. ]pe. ]«. tIR71F1ERICnecw Dory anal SIGNRURE ANOT C T 0 , 'DEATMrY'N10 PNYSK}AN lPnyscrn cerWyrg tan's d seam wren andner pnvsc~an nas «aramcrW deem ano camaern Ildri 131 ^ TON•e trN OlmyknowNdge, deetl•oocurte0 dw to N•. cauagal and mannernwated ..................................................... ]ta. - NUM R t DATES NED Day. Yawl ICENSE ~ •-IIOIgU11Clelti AND CERTIFYING NIYSK:IAM IPnyscrn Dan;trotrouncuq eealn arM CMdyyq to causeatleamt r r d m d C // ~Z ]ta ~/ OD6 ~/ (~~j ],a .......................... `. e eause(al an manner q e e a To Nre [rat d my wrowrd9n, dealn xe«red al W tlme, dare, arM Wece, and dw to NAME ANO ADDRESS SON COMPLETED OF GERM (Hem 271 Typs«Prinl~£, ~, ~L ~jyFQ• r • •YEDICAL EXAMINER/CORONER On Ins Eaah of saaminatlon alwT« Inveallgatbn, in my opinion, deNh occurred at Ins time, date, and place, and due to Me uuse(q and .. . ............. ^ 'enrrr as atatee CRT ~~KFn S T ~~ ................................................................................. . ]7A~ ]]. ,QL/ C A ~ ~ _ REGISTRAR'S SIGNATURE AN U R ~ DATE FILED IMOnRr. Day Mal4 f ~(M •~ • LAST WILL AND TESTAMENT OF JEAN F. RYDER I, JEAN F. RYDER, now domiciled in Cumberland County, Pennsylvania, declare this to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath in accordance with any memorandum which I have either handwritten or signed, located with my will or with my valuable papers and found within 30 days of the probate of my will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to my son, DENNIS E. RYDER, of Fairfax County, Virginia. In the event that DENNIS E. RYDER predeceases me or does not survive me by thirty (30) days, I give, devise, and bequeath the remainder of my estate, of whatsoever nature and wheresoever situate according to the following schedule: A. ONE-THIRD (1/3) of my estate to my daughter-in-law MICHELE L. RYDER, of Fairfax County, Virginia; and B. TWO-THIRDS (2/3) of my estate IN EQUAL SHARES to the issue of DENNIS E. RYDER. However, if a beneficiary does not survive me by thirty (30) days, but leaves descendants who survive me by thirty (30) days, those descendants shall receive, per stirpes, the share the beneficiary would have received had he or she survived me by thirty (30) days. Article V I nominate, constitute, and appoint DENNIS E. RYDER, as Executor of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of -2- my Executor, I nominate, constitute and appoint MICHELE L. RYDER as successor Executrix of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of MICHELE L. RYDER, I nominate, constitute and appoint PATRICK C. RYDER and CHRISTIAN C. RYDER, of Fairfax County, Virginia, as successor Co-Executors of my Last Will and Testament. I direct that my Executor or successor Executors be permitted to serve without bond and in addition to those powers granted by law, I grant them power to distribute in cash or in kind in like or in unlike shares and to file any qualified disclaimer I could have filed if living. My Executor and successor Executors shall receive reasonable compensation for services rendered to my estate. Article VI In addition to the powers conferred by law, I authorize my Executor and successor Executors, in his/her absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file any federal income tax return for any year for which I have not filed such return -3- prior to my death, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, and (j) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF, I, JEAN F. RYDER, hereby set my hand to this my Last Will and Testament, on ~~ h!E 2 Z , 2001, at Harrisburg, Pennsylvania. c JEAN F. RYD In our presence, the above-named JEAN F. RYDER signed this and declared this to be his Last Will and Testament and now at his request, in his presence, and in the presence of each other, we sign as witnesses. Name Address . ~ ~, -4- I, JEAN F. RYDER, Testator, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by JEAN F. RYDER, the Testator, on Lo 2 , 2001. I~ot Public EAN F. YD ~~ L BRpyy1~ ~ MY Gomm ~~ Twp•, Dau~phl ~~ ~~ ~~ We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testator sign and execute this instrument as his Will; that he signed and executed it willingly as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing signed the Will as witnesses, and that to the best of our knowledge, that he was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by ~'~~ ~ cr. ~~ . 1Qt ~d and ~ ~~~__ ,~~..~,.-~ , witnesses, on ~,. / ;2 ~ , 2001. ~- ~;~~~-~~ N ublic ~~ - ..~ l1 ~, t Oti ~ - ~Q~ Witness ~. i ~~, ` ~~ ` - -Witness NQTAt~AI SEAT, Low~p~~~~' Notary PubNc MY Gommtsslon ~'' Qau~tin Co ~~~~~ -5- . ,` !~ CERTIFICATION OF NOTICE UNDER RULE 5.6(al Name of Decedent: , ~ qr~ ~ ~i ~~,e,R_ [- Date of Death: ~ I l Will No. ~ oZ. " ~ laol- Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was ser~~ed on or mailed to the following beneficiaries of the above-captioned estate on Name Address ~J E Id A~ lS E K d E R '~O lC~ d{Z{~ tl~.V~R l R~la of UH Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: 0 ' ~C~ - C~ Signature r~ ~ / ~ Name ' ~-~ ~, Address / ,) ,~j ~~ nC ~'G2iY~~ 3 vim. 2~O~.Z Telephone (rB,~ ~~; ~~ Z~Q Capacity: Personal Representative Counsel for personal representative ~` JRD/June 30, 1992/17858 In Re: Estate of JEAN F RYDER Late of NORTH MIDDLETON TOWNSHIP Estate No.: 21-02-762 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-02-762 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: DENNIS F RYDER Counsel for Personal Representative: Date of Grant of Original Letters: 08-22-2002 Date of Delinquency Notice: 12-02-2002 The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Register of Wills on DECEMBER 2, 2002, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 01-02-2003 , ~s, Register of its ~,~ Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for ~ -/~/-o~. at .~.3a.~, ;In Courtroom No. 3. If the Certification of Notice is filed prior to the hearing date, the heari will automatically be cancelled. .11 /~ ~P George .Hof er, P.J. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDI VtDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: RYDER DENNIS E 4910 ORKNEY COURT FAIRFAX, VA 22032 told PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 002547 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssrv: ia~-16-6202 FILE NUMBER: 2102-0762 DECEDENT NAME: RYDER JEAN F DATE OF PAYMENT: 05/09/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/ 1 1 /2002 REMARKS: CHECK# 2242743417 SEAL 101 ~ 57,322.89 TOTAL AMOUNT PAID: INITIALS: VZ RECEIVED BY: DONNA M, OTTO 57,322.89 DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: RYDER DENNIS E 4910 ORKNEY COURT FAIRFAX, VA 22032 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 002548 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: sSrv: 787-is-s2o2 FILE NUMBER: 2102-0762 DECEDENT NAME: RYDER JEAN F DATE OF PAYMENT: 05/09/2003 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 08/ 1 1 /2002 REMARKS: CHECK#5767865 SEAL 101 ~ $1,429.42 TOTAL AMOUNT PAID: INITIALS: VZ RECEIVED BY: DONNA M. OTTO $1,429.42 DEPUTY REGISTER OF WILLS REGISTER OF WILLS i~.~~~-~ ~E~aooEx~e~, ~ _ COMMONWEALTH OF PENNSYLVANIA `~ ~ REV 15 0 0 ~~ - DEPARTMENT OF REVENUE DEPT 280601 INHERITANCE TAX RETURN FILE NUMBER ~ ~ ~ ~) HARRISBURG, PA 17128-0601 R E I D N S E T D E C E D E N T ` ~ ~ ~ ~ ~ COUNTY CODE Y EAR NUMBER ~ DECEDENT'S NAME (LAST. FIRSIDDLE INITIAL) SOCIAL SECURITY NU MBER Z ~ / ~p ~t~ L (/ W OFbEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE V ~ ~ REGISTER OF WILLS WQ (IF AP L ABLE) SU IVI G SPOUSE'S NAME (LAST, FIRS ,AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER - - ~ ^ 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return Idace or seam Prior to ~z-~3-azl a ^ 4. Limited Estate ^ 4a. Future Interest Compromise (dale o(deam seer iar2-azI ^ 5. Federal Estate Tax Return Required ~ a m ^ 6. Decedent Died Testate (Anacn copy or wiu) ^ 7. Decedent Maintained a Living Trust IACCacn copy or trust) 8. Total Number of Safe Deposit Boxes a a ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit Idace of Beam between tz-at-st and t-t-ssl ^ 11. Election to tax under Sec. 9113(A) (Attach scn of z T1•ItS S£CTtOtM MUST 8E COMPLETED. ALL CORRESPQNDENCE AND GONFIDEN7IAL T.4X INFORMATION SNC±UID BE DtRE:CTEq Tq: w z N~ C.'r COMPLETE MAILING ADDR SS ~ FIRM NAME (IfApp~irab~e) 0 TELEPHONE NUMBER O~ - ~~~ /5 ~~ (,tjr(~Gt-~j ~~Z ' ~ ~~ds~ Z O Q J F_ a U W Z H a V H v, 1. Real Estate (Schedule A) (1) ~~~ Q~~ 2. Stocks and Bonds (Schedule B) (2) ti"; ;'" 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) u 4. Mortgages & Notes Receivable (Schedule D) (4) ~- s 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) ~~ ~~ I (Schedule E) ~ +~ 6. Jointly Owned Property (Schedule F) (6) ^ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) ~~, ~~~~ (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) ~a ,. .W `.1 ~, 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) / -' S 4 9. Funeral Expenses & Administrative Costs (Schedule H} (9) ~ ~/,j, 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) (12) f ~~~~~ti5 ~ ~,- (13) (14) ~~/ ~ ~~~ ~~ 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) ~ ' i ~ x .0 ~ (15) (~ ~5 16. Amount of Line 14 taxable at lineal rate ~~ ~l ~ x .0 _,c,~ (16) 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate x .12 (17) x .15 19. Tax Due (18) (19) ~~ / ,7 L ~/ > > t3E SURE TO ANSWER ALL QU£STt()AIS C1N REYERSf SIDE AND RECHECK MATH < < Decedent's Complete Address: Tota! Credits (A + B + C) (2) 3. Interest/Penalty if applicable -- D. Interest E. Penalty Total InterestlPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) ~~~ ~, '~~ A. Enter the interest on the tax due. (5A) _ B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 5B ( ) ~ ~~~ ~~ Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APP ROPRIATE 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 consitleration? ................................................................................................. .......... ... ^ 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 tlesignation? ......................................................................... .................................. .......... ~f ... ^ 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 t s 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 person epresent ive is based on all information of which preparer has any knowledge- SIGNATU P RSO SIBL OR FILING RETURN DATE RESS /1 7 SIGNATURE OF PREPARER OTHER TFfA~V PRESENTATIVE DATE ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii) The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even 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 paren 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 a individual who has at least one parent in common with the decedent, whether by blood or adoption. Tax Payments and Credits: 1. Tax Due (Page 1 Line 19} (1) .~ 2. CreditslPayments ~ ~ S~' A. Spousal Poverty Credit B. Prior Payments C. Discount RPM 7502EX • 11 97) t COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF FILE NUMBER -- .. .-,, All real property owned solely or s 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 knowledge of the relevant facts. Reat property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1. , l0 rey sto,~~ ~~(. (art ~ ~ tz , P~ 11 I U U t,,t; h i C~1 ~ ~.'1't ~ ~ ~7'l ~ e.P~ ~t .SJ Jan 13ocK -#~3 ~~~ ~c~4-s i~fn:~. ~'- ~;,~;~[;r~ 7a~~:~35.. ~eet e_c~:~t ~~-~ ~he_ (~n~ c ~, i ~ c~,; n e a 5fie~ I./ d r, r e. c ~'~ i o s~~ Ct ~ n n~ ~th ~ S~ c.c: t~ e~-,./i, 5 ; CI ~/sue 5 ~ x'~- ~!n b~ ~~ ~~,r ~o ti ~ ~, , rte (7 ~ t~j i'ey S'>~c~n e Koh ~ y n f ~ e C ~ ~ -}-r? ~ o -F L-e~ f. /Vo . 3 q ~ ~)~ e.n c.t~ , ,~ o~- r J c> c.;-k-~..~- ~ ~, Cl ~ ,r ~ c~-~-, uv~, ~ ct r a 1 I-e. f to C~.~r-d. ~a 5~ J"e~ ~a ~ t ~~ -~~' z-A e_ ~ I' n ~ cJ + ~ ~ d ~ n ~.~'-1-~ ~~ s, 3K Q ~~- 3 R ~l(oD~ ~e~ ~ ~ ~,;n~ ih ~~e_ rear 1~"ne cti~{~'~~"' c~ f i c7~ {'' 'cam r ~ / n ~. / f'7 ~- J~o ; 3 ~ ~ ~~ e,r~ c ~ ~ CE,,7 j.~~`t ~ot~ ~,,~~(~~ -~ez~f Past D ~' ~"~i~ l~ h~ ~~~~r._~1;.~ . ~-o~-~ Na5.37 a.~ c~ 3 $ J ~~ er~i~~ / ~ Y Q ~c~~ ~ l ~ rle; - rQiJe./ LLO .5a' .~c/ c~~'~~ c%~~~ ~~y~ /~D)~ ~ fa ~ .J ~~. Ct. bv~~e~ Lo`~ 0~ ~ Iro~.c,nol b.~„t~n ~~ rt~,~. ~c~ s ~h ~/ '~i ~. 1+11 z ste-r n ®~ ,? -ha l~ o ~ ~s 'f M~. 3 9 uYt ~ J2Q r~ ~• I'~ y Cj t/Y ~ a ~ ~ r ~1 c~ ~ .~ ~ rQ, n :i J'~-r Tr r+ rn GL hUShja..nc! U.nc~ iv t, ~- ~~ 11c~'Sba-nc~, VALUE AT DATE OF DEATH TOTAL (Also enter on line 1, Recapitulation) ~ $ more space is needed, insert additional sheets of the same size) SCHEDULE A REAL ESTATE O~ REJ-1508 E%~ (1-9,) SCHEDULE E ^^ COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MSC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointty•owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~~ oa /~}-~ l -~~ r ~ ~ ~~~ aa,~g°~,a-~ 3 ~ ~~ 33 r TOTAL (Also enter on line 5, Recapitulation) I S ~~ ~ /~ ,~ (tf more space is needed, insert additional sheets of the same size) RGV_1510 cX. i1-aT y COMMONWEALTH OF PENNSYLVANIA INHERITANCE °AX RETURN ESTATE OF _~~-` SCHEDULE ~ INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY FILE NUMBER This schedule must be compieted and fil~the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIRRELATIDNSHIPTODECEDENTANDTHEDATEOFTRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE . DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION IF APPLICABLE TAXABLE VALUE 1. ~,~xu~~ /r ~~! l ~' TOTAL (Also enter on line 7, Recapitulation) I $ j ~ ~~ (If more space is needed, insert additional sheets of the same size) REV-1511EX -.1-97) Y COMMONWEALTH OF PENNSYLVANIA 1NHERfTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF__~o SCHEDULE H FUNERAL EXPENSES 8 ADMINISTRATIVE COSTS FILE NUMBER Debts of decedent must be rep don Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES - AMOUNT 1. 'I YOr,CXI~ /Y~ f~~ ~521~~~yt[.. ,~j/~ r4i~ ~/ ~~ wrx ~i-v~r~ ~arr e rt. ~~-~(/c~+ ~' ~30.f ~ nvve rrrJ ~ ~ Gy / ~ ~,,l,Jl~, Pte. ~~, d~ Pr i71,f' Y' ~ ~TnG Gl, 7LJ q1~1 ~// /(//Pa!/f~/I<~ /Icrl. !~O/~ r~ ~jd CJ ~~ 1 f/OGVt~3'3 ~V C:.P~t.YL~SC-G 7 K ~ ~! ~ ~:/ B. ADMINISTRATIVE COSTS: tf ~ b'd~ ~~~,,y~,OZ ' ~''~~ 1. Personal Representative's Commissions ~ ~ ~/2 , , ,% ~~ ;~ . ~~ `~ y.r /n ~ / fff Name of Personal Representative (s) "~, /z~ ~ ~ Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State -Zip Year(s) Commission Paid: 2. 3. Attorney Fees 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 q. Probate Fees 5, Accountant's Fees g Tax Return Preparer's Fees 7. TOTAL (Also enter an line 9, Recapitulation) I $ ~7; ~~~ 5~~ (If more space is needed, insert additional sheets of the same size) REV-1513 EX - (1 S7J • SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN ESTATE OF FILE NUMBER Jeu,n ~ . ` 1C~1 CI -~~( ~r . RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions) JUn~ 1 ~. ~yci~Y ~ ~ ~ 5ar~ ~ . ~ ~n ~--} ~ l C~ Qr k ~~~ Cit. ~ .r7" . ~ ~ G ~ ~-- ~L~t ~ ~' ~~- ~ r ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINE S 15 THROUGH 17, AS APPROPRIAT E, 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. 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV '1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA REV-7162 EX(11-961 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002895 MICHELE C RYDER 4910 ORKNEY COURT FAIRFAX, VA 22032 foltl ESTATE INFORMATION: ssrv: i a~-~ s-s2o2 FILE NUMBER: 2102-0762 DECEDENT NAME: RYDER JEAN F DATE OF PAYMENT: 08/ 1 3/2003 POSTMARK DATE: 0$/06/2003 couNTY: CUMBERLAND DATE OF DEATH: 08/ 1 1 /2002 REMARKS: MICHELE C RYDER CHECK# 8246 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $400.53 TOTAL AMOUNT PAID: INITIALS: DO 5400.53 SEAL RECEIVED BY: DONNA M, OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS ~,(JQn~~~ ~ yec,C~ ,~A,~q e~ z i ~ ~ ~s ~a~~ o~ Jean ~" ~yd~.~ ~~ease See ~~e ~l/ow~~.~ rev>~~cl Cow uta.~~c~s .' P I via i Gross ~ a3~, a1~.~~ G~QI ~e~Iur~~'o~s ~~, ~o~ 96 ~Il e ~ VQ.~ue. ~~~ ~Q i C~ ~dd ' / ~~ a o3, ~ 9~. ~~ q, i~a. 8y boo. 5.3 ~ e,s ~~ /~'~~z l ~s ~a. ~ e. ~Q /cc ~ Q~1 d, ~~ ~ar7 Q ~ ~ ~ eX p~nses Cdnd ~ec~ i~~ ~~ LZ:nou.~ ~ o~ ~~d,s~ Qre e~c.1o ~ ed . ~an ~ ~v~ ~tor your E~i~~ens• o n . ~~~~ ~ ~s ~ Vie. ~ U S ~C n o c.c~ / ~~ you ~5 e e C2r~ fl Leh, isq CcJ~ ~llc J . V/1~C~re y ~/O ~~ G ~' ~~ -_,._ July 3, 2003 Mr. Dennis Ryder 4910 Orkney Court Fairfax, VA 22032 Deaz Denny: Buyers Business Brokerage Land Development Site Locations R Commercial Sales Residential Sales I'm in receipt of your request regazding your parent's home at 10 Greystone Road in Carlisle. In the event you would elect to market your property today, it would certainly command a price in the neighborhood of $125,000.00. Obviously, our Organization would welcome the opportunity to be of service to you. We look fo d to your 'response regarding this issue. Sincerel ~" Ronald L. ns, CRB BROKER RLS/glg 325 S. Hanover Street Carlisle, PA 17013 (717) 249-5555 Fax (717) 249-8032 vvww.thetristate.com/rlsimons rlsimons@pa.net ~,, ~:, a ~ N ~- 1~ G C' rs '~ _ ~`, -,. -. ,. -~ ~'' ao - fi ~ ~ ~ ~.. o' ~ ~. ~ ~ ~~~ ~ ~ ~~~ ~~ ~~ ~ w cn ~ -~ ~ L~ ~ ~ ~ ~ ~ `~ ~ v ,~ ~ ~ ~ ~ ~~ ~ ~ ~' ~~:~~ ~~ ~~~ ,~ ~ ~ ~ ~ ~ ; ' "' ~ ~~ 0 S? ~; i ,n V~ ~ ~, ~. , ,.~, t ~ J i ~ ""? ~ rn ro m .may ~ `` ~ \~'v{ a ~ ~ ~ ~ ~ \\~ v \ _. .~ .~ ~ o ~, h ~ ~ ~ ~ ~ `Y} ~_\ a . ~ -~ .c3 ~ .~ ~ ~ ~ ~~ ,~ ~~~ ~,~ ~~Q~ ~~~~~~ `% ~~~ `~ '? ~ T , ~ ~' ?Yl r ~: ~~ ~ ~ <s 6 ~? . : r~ . ~\ M Cd' ~ ~~ ~ ~ ~ ~'J ~'~ 7 ~~~ ~y ~ ~ a~~ a ~ ^~~J \ ~ S 4 ~~~~ } .~- i i ,~~} ~"" -'- .r `' v` \\ ~.... .r ~ ~~ Q' x _~ .` \..~ ~ > ~ ~~ ~`-~ V V ~ ~ ~~ • ~ 'V '-J GJ "" ~~.,, . w ~ w --~,- ~~ -~: -:, y "' ~ ~. 1 ~„ ~~ a F Q 0 0 z 0 4 m P X 0 a z j W ZW W W o. oC 0 S ~ z J W ~~ 4 "~ ~~ d o L 0 C ~ • O m V c > a. m v- ~ a 1.ji. N C m ~ t v O G.. v m C m t ~ ~ S1 u ~ ~ ~ c . v m ~ o m s 3 h a m v ~ p L '~ 3 ~ ~ ~v a 0 a- > c -- m v c m ~ ~ c v O O O ~ Q v) p Y -a ~C m $ ac Q a ~ N C V d. ~ ~ 4. -' a. o •3 m . ~ ~ Q ' ~ Q y !! V ~ ~ T O Q ~ OC N ~ Z v V ~ N _ ~V ~ V Q1 ~ D W Fes- OC O E-- c O ~N ~ •1 S u xo .t ~ ~Q >. a c oho ~ O h, m ~ ._ v ~ m~ o ch ~ O p ,N ~y y N N ~ d5 W U- .' m N T Z. Z ' ~ ! Off ~ ~p '•i^ N N 'U6 'y6 i>N ~,4~ ~~N 6y \\I d o m 0 `O `^~ G E ~ a ~ c o ~;V 1,N ~ ~~ ~ N d W ~.4 O~~Z ~DOO ~ 2q8 a s 0 0 s s 0 U ~ ~ ~i 1 ~ r d m N 9 N 7 U N N .~ D~ o M U N O w tiQ ~ a ~~ - ~~- ~ 4 COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERPTANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 171zs-oboe NOTICE OF INMERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 Ex AFP CU1-DS) DATE 08-18-2003 ESTATE OF RYDER JEAN F DATE OF DEATH 08-11-2002 FILE NUMBER 21 02-0762 "; ~ ,:i000NTY CUMBERLAND DENNIS E RYDER ~ ACN 101 4910 ORKNEY CT Amount Remitted FAIRFAX VA 220.32 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HDUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS 1 ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RYDER JEAN F FILE NO. 21 02-0762 ACN 101 DATE 08-18-2003 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Neld Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule Gl 8. Total Assets (1) 125, D00. 00 (2) .00 (3) .00 (4) .00 (5) b2,211.35 (6) .00 (7) 44,000.00 (8) NOTE: To insure proper credit to your account, submit the upper portion of this fora with your tax payment. 231,211.35 APPROVED DEDUCTIONS AND EXEMPTIONS: 27,814.00 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00 11. Total Deductions (11) 27.814.00 12. Net Value of Tax Return (12) 203,346.45 13. Cheri#able/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14 Net Value of Estate Subject to Tax (14) 203,396.45 . NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15 . Amount of line 14 at Spousal rate (15 ) . 0 0 X 0 0 = . 0 0 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 203,396.45 X 045 = 9,152.84 17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00 19. Principal Tax Due (19)= 9,152.84 TAY f`DCf1TTC• DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 05-09-2003 CD002547 .00 7,322.89 05-09-2003 CD002548 .00 1,429.42 INTEREST IS CHARGED THROUGH 09-02-2003 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT 8,752.31 8ALANCE OF TAX DUE 400.53 INTEREST AND PEN. 6.26 TOTAL DUE 406.79 * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) REV-1470 EX (6-V3; ~~ F` ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 REVIEWED BY Ryder, Jean F. Daniel Heck FILE NUMBER 2102-0762 101 ITEM SCHEDULE Np. EXPLANATION OF CHANGES G I I The Annuity is fully taxable as the decedent is the primary owner and the transferee is a beneficiary not a joint owner. H ~ ~ Added additional expenses to this schedule. INHERITANCE TAX EXPLANATION OF CHANGES Row Page 1 N N = I M O ~D t1. O J o N o ~ ~ W i a~D W ~ o ~ ~ o ~ ~ N ~ ~ v x ~ 3~ H Z ~ O J x ..1~ !' H Z YW up~ zW 4 C W W~ ~~ N a LL ~ Z~ O O r H a 4 fW ~`YZ J,~,~ W ..O 3a ~?, u S Z $p Ho 4 O K C V o°'. a x W W ~' Ga a ~~ r oz r W Q N A ~ ~ a A ~ W Q Y ~ °~ N o N H ~ ~ H Q C ~ % 4 H r ~a ~~yo _o~ ~ r N N 4 p .H ~~~_ .. o r z a a N H O S ' 9 °G o~c ~ `tS A N ~ °, 9 a ~"~' a '~ 3 V Ca. V ~' A W O Z a ,°,~ ~t ~-' ,~,, N o v N ~ ~ Y ~ ~ V ~ LL ~ Z „~ O ~ H O d. O J N M 0 N N 6. a ~, W A 7 ~ ~ W DG X N ~ ~ ''' c oG w~'" a A ~ ~ o m ~ ~,?.. ai, o a p~ 3 ~~ ~~ oo• 74 N ~`~o. ~. ~~~ .p ~' ~ ~ ~ ~ G i~, i i„} {,} ~j4 t tr- bit Cl~ ~"'~ ti•~ ~ "' . ~. .~ s -`'' f ._, ~ ~,~ p. )~: ,/° COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002964 RYDER DENNIS E 4910 ORKNEY COURT FAIRFAX, VA 22032 fold ESTATE INFORMATION: ssN: i s7-i s-s2o2 FILE NUMBER: 2102-0762 DECEDENT NAME: RYDER JEAN F DATE OF PAYMENT: 09/02/2003 POSTMARK DATE: 08/28/2003 COUNTY: CUMBERLAND DATE OF DEATH: 08/ 1 1 /2002 REMARKS: DENNIS RYDER CHECK# 8261 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 56.26 TOTAL AMOUNT PAID: INITIALS: VZ RECEIVED BY: DONNA M. OTTO REV-1162 EX~11-96) 56.26 DEPUTY REGISTER OF WILLS REGISTER OF WILLS X17 ~~- ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION 6EPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 E% pFP (01-03) DATE 08-25-2003 ESTATE OF RYDER JEAN F DATE OF DEATH 08-11-2002 ,FILE NUMBER 21 02-0762 - "~~' COUNTY CUMBERLAND DENNIS E RYDER ACN 101 4910 ORKNEY CT Anowt Remitted FAIRFAX VA 22052 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, submit the upper portion of this fora with your tax payment. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -~ ---------------------------------------------------------------------------------------------------------------- REV-1607 EX AFP (01-03) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF RYDER JEAN F FILE N0. 21 02-0762 ACN 101 DATE 08-25-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-18-2003 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 4,152.84 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 05-09-2003 CD002547 .00 7,322.89 05-09-2003 CD002548 .00 1,429.42 08-06-2003 CD002895 .00 400.53 BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-07-2003 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 9,152.84 .00 4.77 4.77 ~ ~- 2~ ~ COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL raxES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 INHERITANCE TAX HARRISBURG, PA 17128-0601 STATEMENT OF ACCOUNT REY-1607 EX RFP (O1-OS7 DATE 09-15-2003 ' ESTATE OF RYDER JEAN F DATE OF DEATH 08-11-2002 FILE NUMBER 21 02-0762 - 'COUNTY CUMBERLAND DENNIS E RYDER ACN 101 4910 ORKNEY CT Amount Remitted FAIRFAX VA 22032 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this fore with your tax payment. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS 1 ---------------------------------------------------------------------------------------------------------------- REV-1607 EX AFP (01-03) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~** ESTATE OF RYDER JEAN F FILE N0. 21 02-0762 ACN 101 DATE 09-15-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-18-2003 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 9,152.84 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 05-09-2003 CD002547 .00 7,322.89 05-09-2003 CD002548 .00 1,429.42 OS-06-2003 CD002895 .00 400.53 08-28-2003 CD002964 4.77- 6.26 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 9,154.33 1.49CR .00 1.49CR Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone:(717) 240-6345 Date: 7/08/2004 RYDER DENNIS E 4910 ORKNEY COURT FAIRFAX, VA 22032 RE: Estate of RYDER JEAN F File Number: 2002-00762 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, N0. 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: 8/11/2004 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: ~i F'r~ 7!' ~`". /rr~n,~ Date of Death: lh ~l / Will No.: ,~'~j~;~ ~~ oZ Admin. No.: ~~~ ~ `y~ ~- 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 wh ther administration of the estate is complete: Yes ~ No n 2. If the answer is No, state when the personal representative reasonablybelieves 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 [+~ b. The separate Orphans' Court No. (if any) for the personal representatave's account is: c. Did the personal representative state an account informally to the p arties in interest? Yes ~V No c. Copies of receipts, releases, joinders and approval of formal o~- informal accounts maybe filed with the Clerk of the Orphans' Co~ur~' and maybe attached to this report. ,,, ~,~ ~... ~ Date: ;~~y~/ ~- `'"~~ ~''~ ,zc._--., --.~ Signature `~~~n~~s~ ~~ . F~ r ~. _ . ° r[.. Name -- ~ ,,. ~ ~tY~;~"-~_ Goa - l~'D,s;`' ,~ Address ~ ~s~ ~~- ~ Telephone No. Capacity: Personal RepresentativeS~,~--' [] Counsel for personal representative