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Home My WebLink About02-0778PETITION FOR PROBATE and GRANT OF LETTERS Estate of _ Blanche V. Shatto No. Z I " 0 Z ' "t'1,~____. also known as To: Soria! Security No. I72-32-2201' Deceased. The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut °Y named in the last wall of the above decedent, dated July 23 _ , 19_ 85 and codicil(s) dated _ -_ (state relevant circnmstanccs, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland - County Pennsylvania, with h er______ last family or principal residence at 4B MelJRon Court, Carlisle, `_C~tmber__1_and_ CountX, Middlesex Township_T, Pennsylvania _ (Iis1 street, number and muncipalitc! Decendent, ihen89 years of age, died August 15, 2002 19 at _C~mberland Count I3u;_sing,_.Home, Carlisle, Pa _ Except a~ I~~~IIu~~~s, decedent did not marry, was not divorced and did not have a child born or adoptecN after e.ecruion of the will offered for probate; was not the victim of a killing and was never adjudicated incoinp~trnr. -- _-- _ - De~_endcnt at death o~,~~ned property ticith estimated values as fellows: (If d~,nuciled in i'a.) All personal property (tf not domiciled in Pa.) Personal property in Pennsylvania (If n~~t ~t~rniciled in Pa.) Personal property in County Value ~ti real estate in Pennsylvania sintat~:d a., iollo~c~: _ _ ~1 HE~EFOR1-:, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters_Testamprta?'~ - (icstamentan; administration e.t.a.; administration d.b.n.c.t.a.) [hcic~u. _ - ~-~~.Sf~A> _ ----- N J - -- -- -~}" ---- - - _Ard'e11a Mathna _ ~ - -- ~_ 8 Far_Vew Avenue _ ~arliale~ _P~ 17013 --_ -~ --- f 40,000.00 Register of Wills for the County of _ (:umberland in the Commonwealth of Pennsylvania 7 ~ ., ~, - Blaine $. Shatto 2040 Enola Road _ (:arlisle~ PA 17013 OATH OF PERSONAL REPRESENTATIVE CO!~I14IOti~'EALTH OF PENNSYLVANIA 1 ~- ~s COl ~ Th OF _ Cumberland l"he pctitiorr~~rt5) ab;~~~;~-named swear(s) or affirm(s) that the statements in the foregoing petition are true <~nd ~,3rre.t ~.c~ t";~ i'~c,! of t;~te knowledge and belief of petitioner(s) and that as personal represen- t,t;i~et,; ,~( the ano~~c decedent tied+ioner(s) will well and truly administer the estate according to law. Ssao> n t~ ~ cx al firmed and subscribed ~ ~ vi bef<~rc ~;~,~ tlii, -- 27th __- day of _ ~- ~ r~UG _2.002_- li~x acne a o „ t, _ ~ ~~ : ~ .-, E,, ~ f r - _ _. ~ a _ tea No, n?1-0~.-'7-1~ Estate of BLANCHE V. SHATTO ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW August 28 ~ 202 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated July 23, 2002 described therein be admitted to probate and filed of record as the last will of Blanche V. Shatto and Letters Testamentary ' are hereby granted to Blaine L. Shatto and Ardella M. Mathna xtra pads 3.00 Probate, Letters, Etc.......... $ 80.00 Short Certificates( ) .......... $ ~a nn Renunciation ................ $ 5.00 jcp $ 5.00 TOTAL $ 117, 00 Filed .. ... 8-28-2002 caYlec~~ atty~ 8-~$-~20~2~ Fegister of Wsps ~7~y~ 1 V ATTORNEY (Sup. Ct. LD. NoJ William A. Duncan i Irvine Row, Carlisle, PA 17013 ADDRESS 717-249-77$0 PHONE rl,:~ :., ., _. _ ,_ ~ , ,~;,;-r~nn ,Zere g,ive^ is correctly copied t•rot~1 an original certificate r~( c7~•arh ,iuv tiled with me as (.cl_.'f ~,•.;i +r.1 1 i. :~~ ~ <:~,~=itic.ICe will he forwarded to the State Vital lZecords Of#ire fol ,_Ircrn~,l~ent filing. il~';A=ii'~l~i(.a: It is illegal to duplicate this copy by photostat or photogra~rh. ~ r~607716 ,~t,. M1G5.:47 Rev 2fe7 NT NT rK AIl~ _l. G_ ~?Q4~?__ _. COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTfF1CATE OF DEATH NAME OF DECEDENTIF:rsI. MrOOIe, ~-ear Y `_~ -~• ---~- SEX SGCIAL SECVRITY NU!ABER DALE OF DEATH,MCmn. Dar.'~earl ~ Shatto Blanche V F 172 32 2201 . ,, ,. ,. _ a. g/15/2002 AGE iLax $..maayl UNDER 1 YEAq UNDER i DAY DATE OF &RTH BIRTHPUCE (CdY a 4 PUCE OF DFATH rCnecw only one - xHr ~mhucl,trg nn OI"N sUel MOnms . Days Howe , Minutes ~;Mtnm. OaY.'AMl Stale «FCragn L'ounlty, HOSPITAL OTHER 89 Yn 7/13/1913 ewville, PA 1npalNnt^ EworrtwtNntu DDAC ~«':C~ R e 01"' ^ S. 8. 7. ' ea, anu isoecMl M. COUNTY OF DEATH CITY,80RO.TWP OF DEATH FAOILT'NAME(It no, my~Mion. give slre9l ano numMr+ WAS O E GEOENT OF HISPANIC ORIGIN? RACE-Amsncan N,Oian, BNta, YVnaa. etc. , pp , (SDat°t) No I[~ YM ^ II yaw apacA}Cuban . Cumberland Middlesex Ztap. aremont Nursing & Rehab. Cntr. ; aaa:an.PUaneRkan,«t. ' ,, • White . o DECEDENT'S VSUAL OCCUPATION KINOOF BUSINESSf,NDUSTRY WAS DECEDENT EVER IN DECEDENT'S EDUCATION MARITAL STATUS-MSniao $URVWING SP(K15E IG~ve kmdaworn OOne Owxg moat U. S. ARMED FORCES? I n re Navar MartNO, Wlepwa0. In rate, yvs maven Hamel & t N i Cl t W agrawq Ma: AO not use rtlxe0l urs ng araron ca,sge Dnorcea lScetMf vea^ ~~ ENmsmaryYSewnOary • ,,.. Matron ,,,,Rehab. Center g (D,2) ,,'«DN ~^lidaYaed - DECEDENT'S MAILING AOORES$15vM. Crrynown_ SIaN. Zq COtle/ DECEDENT'S 1 eseX ACTUAL ,i » s PA ~ Y O l 4B Mel-Ron Court t. .. lat. ae. ecadar,tl veO;n as tiP. RESIDENCE eacseam fSee mxructgna ~m ~arlisle, PA 17013 F~ ~ ~„Maw Cumberland anq? °"«"°'~°" , , a ,,, ,,, c«,n cMAS«o. FRHER'S NAME IFNx, Mq«e. Ldxl MOTHER'S NAME IFxsl. Mrtl«e. Mae1M 5«nemel Alexander M Heberlig R S F b h t k . ,,, ,,. . e ecca a nes oc INFORMANT'S NAME (TypelPnnR INFORMANT'S MAILING ADDRESS ISDen Gtyliwvn, N, Zip aOnl P d ~ ~ ~,,, Blaine L. Shatto , Car ,~, 2040 Enola Roa is e, A 17013 METHOD OF DISPOSITION GATE OF DISPOSITION PUCE OF DI$POS1710N-Name of Cemnery, Crematory LOCATION-CeyROwn, $uN. Zq COm BwNI® Cramation^ RamovM frpm $NN^ (MOnm. Day, bar) «OtMrPlam "`""^ aMr'SOatMt ^ +:: 8/19/2002 M G tmi t d C rli PA 17013 l :: . ,,,. „~es ns er an. ar ens 21a a s e, ' SIGNATURE OFF SERVICE LKENS PER CTING A51UCM LICENSE NUMBER NAME ANO ADDRESS OF FACILITY • ~/ ~ gn FD 012633 L win Brother Funeral H C rlisle 3?A 17013 „•, , ,2b. c 2~ g s e, a , CanpaN Hams 23ac MN vrMn can,tying To tM Mat d tgwNOge, Otatn ottuna0 al the rams. tlala ano Platt statlO. UCEN$E NUMBER DATE SIGNED ~~ plryRCW N rql evaAaeN a1 Dma W Ham to ' mrtM muss or Oaetn ($igrNMe T' . J. • . Dav. hr, ~9 ~ (~(1~ 1C.IV 2]a, 2]b. ~L~• ~ 0 7 ' L ~ ~ ~ ~~Y G.tJV Hama 2x-28 muatMtompa,e0 by • wraDn wro Pmrourrws aa><n. TIME OF pEATH DATE PRO NCED DEAD IMOnm. Day. rear) WAS CASE REFERRED TO MEDICAL EXAMINERi/CORONERi - / ^ 2.. ~ M M. ~t~ 2s. nee NoL~ 2s. },. PART I: EnNr ma Oisaaaas, irNunaa«fAmplkatWna wnicn Causao lM Natn. DO r,tt antarlM moesal tlyi auto as careiat or reapeafory arreal.arotk or Man lailure. iApproaimaN PART I7: gMrlgniAtam tonJili«N WntMainq,00aaM.W Litt Dory ons cause on each lim. imarvL M1wMn not rown 'n9 in tM urglrlyupmyaa 9yvan in PART I. j oMal anp OsaM ,Ma1ED1ATE CAUSE!F~nal ' aoesr«corwrtm ~ ~ eLltep n Oestn) -+ a _ DUE TO (pi AS A C NSEOUENCE OFT: - S•pNmNOYIIaMr,eaiOM D v 8 arty, Nat%nq to imrrNENN DUE TO IOR AS A CONSEOVENCE ' taaNa. Emar UMDFALYrNG CAV8E,Droeesa«xrywY t. i • a,M eNWea evenR DUE TO (OR qS A CONSEQUENCE OF} rea„arq n Oeaml L.AS7 0 WA$AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH PATE OFINJURY TIME OFINJURY INJURY AT WORX7 DESCRIBE HOWINJURY OCCURRED . PERFORMED? Aw,IABIE PRIOR TO (Mpnln. Day, rear) Op TET10N Of CAUSE Natural ~ HOmeE ^ a Vas ^ "~ a AttiOem ^ Paneirq Imwsugafan ^ ] ]Ob. M. ]ee 1M ^ No ~ Vn ^ No ^ SuitaM ^ Doule not W Oet&m,nad ^ PUCE Of I,JJQRy - AI Home. farm, Street. lapOly. Ottka LOCATION (Snee1. Da(R , $g{e, buiMirp, alt, ISpxavl .2M. 2ab. 29. ]ea. ]b. CERTIFIER tCnsce ooh anal SIGNATURE AND TITLE OF CERTIFIER 'CERTIfY1N0 PNYSICIAN(Pnyn,tum cMdy+nq muaBdpea,n when arglnM lf,YSrUannasponounteOOealn an0 com«eteO Item 231 T \ • ^ .. eMbnl a/mY arww,W9a,0eatn oceurteO Ow,e rha cauagalaM manner as alslaE .......................... ...... ....... .............. ~ ],b. •PRONOVHCINO AND CERTIFYING PHrSICIAN IPnysraan DOm«Onwncrnq peam ano CenMxg to cause of Oeaml U NSE NU ER OA E S14NED i . OaY. ban ~/~ [~, L ~ ~ TetM bast e, my MnOwleope, e0atn oeeurreC St Mallma,Date, ano place. andtlw to tM eaufalq antl manner as a,aten .......... ... ... ...... .... ~ M L_ } ]it. tea/ T/ " ]IO. NAME AND AODRESSOE -ERSON WHO COMPLETEDCAUSE DEATH - 'MEDICAL EXAMINER/CORONER On tns basis b1 aaaminatlon anNOr InveaNgation in my opinion Oesln Ottu(te0 et Inc time tla,a and lace and due to the cauaets) ane QI°m 271 Type a Prim L /. ~„~~ U - r ~~ P{ ~ , , , , p , ^ manner as eta,arl ...................................................................................... ........ .... ~ , f-TV E~ t1~1 ]ta. ]2. REG,STRAR'S SIGNATURE ANON GATE FLED IMOnm. Oay. but Y 21-02-778 LAST WILL AND TESTAMENT` I, BLANCHE V. SIiAT'IC), of South Middleton Township, C~unberland County, Pennsylvania, being of sound mind, men~ry and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. I direct all my just debts and funeral expenses, including all inheritance taxes that may be assessed against my estate, be fully paid and satisfied out of my estate by my personal representatives hereinafter named as soon as conveniently may be done after my decease. SECOND. I give and bequeath the following items to the following people: A. One bedroom suite of her choice, a set of dishes, the 50th anniversary picture of us, and one large drop leaf table to my daughter Ardella Mathna. B. One bedroom suite, a set of dishes, the crockpot, the grinding ocean and rolls, and the water set with apples on to my daughter Rhelda Gleim. C. The small drop leaf table, cedar chest, snowblower, the 22 gauge gun, and the corner cupboard to my son Blaine Shatto. D. The 40th anniversary dishes shall be divided between my three children, my daughter-in-law Patricia Shatto and my grandchildren (Cathy Boudman, Gary G:Leim, Cindy Nailor, Brad Mathna, Daryl Shatto, Vick Gutshall and Jon Mathna). E. My jewelry shall be divided between my two daughters, my daughter-in-I_aw Patricia Shatto and my three granddaughters (Cathy Boudman, Cindy Nailor and Vick Gutshall) . F. Each of my three granddaughters, namely, Cathy Boudman, Cindy Nailor and Vick Gutshall, shall have their choice of one item of the dishes in the attic. G. The remaining gun to my grandson Daryl Shatto. H. The ping pong table to my grandson Jon. Mathna. THLRD. I give and bequeath the sum of four hundred ($400.00) dollars to each of my three children, namely, Ardella Mathna, Rhelda Gleim and Blaine Shatto, to be used for placing flowers on the cemetery lots. FOURTH. I direct my personal representatives hereinafter named to convert all the rest, residue and remainder of my estate, real and personal, whatsoever and wherever situate, into cash at either public or private sale or sales at the best price or prices obtainable in their discretion; and, I give, devise and bequeath all the rest, residue and remainder of my estate, whatsoever and wherever situate, in equal shares to my three children, namely, Ardella Mathna, Rhelda Gleim and Blaine Shatto, share and share alike, or to their issue if any of them should predecease me. LASTLY, I nominate, constitute and appoint my three children, Ardella Mathna, Rhelda Gleim and Blaine Shatto, Executors, of this my last will and testament. In the event any of my said children should predecease me, resign, renounce, refuse or be unable to serve for any reason or should die before my estate is fully admin- istered, then in any of t~iose events, I nominate, constitute and appoint my remaining children or child, Executors, Executrices, Executor or Executrix, of this my last will and testament. My personal representatives sha11 serve in this or any other jurisdiction without giving bond. I direct my personal representatives to retain George B. Stuart, Esquire, as the attorney in the settlement of my estate due to his familiarity with my affairs and business. IN WITI~SS T~VfiI~~EOF, I have hereunto set my hand and seal this~y~day of ~ , 1985. .pi~ (S'EAL} Sicmed, sealed, published and declared by the above named Testatrix, Blanche V. Shatto, as and for her last will and testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto. ~. `;~° %' REGISTER OF WILLS OATH OF SU ~~~ ~12~`"`CbUNTY G WITNESS (each) a subscribing witness to the will law, depose(s) and say(s) that the testat , s e same and that request of testat in h_ resen other subscribing witness(es)). Sworn to or affirmed and subscribed before _ day of 19 signed as a witness at the ~r) (in the presence of the (Name) (A ess) (Name) (Address) ~1 t~~3 ~~~ U-a REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS 21-02-778 i..-UDC ~. ti`s ~. ~. ~ U 1t<l-- i ~'('~ z~ ~~c ~ ~- ~-l~ W1` ~1~ T~~ (e ch) a subscriber hereto, (each) being duly qualified according to law, depose(s) and s~y(s) that _ /'-., Gl~ SCE familiar with the signature of ~Lt~.t~,~c-~.1. c~ ~ ~~ ~~, ~T i v ead7cT)--' testat~Ln_ of (one of the subscribing witnesses to) the will presented herewith and sec#ieil that '2-~~--( ~'~- believes the signature on the will is in the handwriting of to the best of __-._--__ knowledge and belief. Sworn to c. affirmed and subscribed before me this 27~h day of AUGUST 2002 ~~ „ , .~.,. egister herewith, (each} being duly qu'al~ied according to ~`~. present and saw and (in the presence of ~R' ~ ~ ~ ~~~ ~~ ,~~~1 y A r- s J~- ~~,-~,21_[S ~, (Address) ~-~~ l~ ~) ~~~ CERTIFICATION OF NOTICE UNDER RULE 5 6fa1 Name of Decedent: Blanche V. Shatto Date of Death: August 15, 2002 Will No. 21-02-0778 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.8(a) of the Orphan's Court Rules wa served on or mailed to the following beneficiaries of the above-captioned estate on September 12-02 Name Address Cindy Meador 6217 Beale Road, Snow Camp, NC 27349 Vicki Gutshall 2977 Franklin Oaks Drive, Oak Hill, VA 20171 Daryl Shatto 103 Creekview Drive, Carlisle „ PA 17013 Cathy S. Boudman 328 1/2 Third Street, Hanover, PA 17331 Notice has now been given to all persons entitled thereto under Rule 5.8(a) except: NONE Date: ~~ ~" / ' ~ ~ ~ / 1 1l 1 ~ ~ ~'~/~ Signature William A. Duncan Name: William A. Duncan, Esquire Address: 1 Irvine Row Carlisle, PA 17013 Telephone(7171 ~eg-~7Rn Capacity: Personal Representative x Counsel for Personal Representative Continuation of Certification of Notice Under Rule 5.6(a) r Page 1 Names and addresses N~ rl_e A res Brad L. Mathna P. O. Boa 121. Etters. PA 17319 Jon L. Mathna 8 Far View Avenue Carlisle PA 17013 Gary L. Gleim 2417 Mill Creek Road, Mebane, NC 27302 Patricia Shatto 2040 Enola Road, Carlisle, PA 17013 Ardella M. Mathna 8 Far View Avenue, Carlisle, PA 17013 Blaine L. Shatto 2040 Enola Road, Carlisle, PA 17013 Rhelda R. Gleim 6225 Beale Road, Snow Camp, NC 27349 REV-1SOO EX + (&.00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W o w o w o DECEDENT'S NAME (LAST, FIRST, AND MlDDLE INITIAL) Shatto, Blanche V. DATE OF DEATH (MM-DO-Year) August 15, 2002 DATE OF BIRTH (MM-OO-Year) July 13, 1913 (IF APPLICABLE) SURVIVING spauslOs NAME (LAST, FIRST, ANO MlDDLE INrrUll) I!! ",S.. u"'''' w~8 "",.... UQ,1Il !l: g 1. Original Return o 4. limited Estate o 6. Decedent Died Testate (Mach copy of WI) o 9. litigation Proceeds Received D 2. Supplemental Return o 48. Future Interest Compromise (date of death after 12--12-82) D 7. Decedent Maintained a Living Trust (AltachcopyofTrust) o 10. Spousal Poverty Credi1 (dZe of death between 12-31-91 and 1-1-95) OFFICIAL USE ONlY <:. J 7 - 56-- J FILE NUMBER 2 1 - 0 2 007 7 8 ""COiiiiv"'Cciii"'"'-YEAR----i:i::iiiR-- saM SECURITY NUMBER 172 - 32 - 2201 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 03. Remainder Return (date ofdealh prior 10 12-13-82) o 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o I1.ElectiontolaxunderSec.S113(Ali"""'S<ho) ... z w a z ~ ~ THIS SECTION MUST BE COMPLETED. ALL CORRESpONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NUlME COMPUETE MAiliNG ADDRESS William A. Duncan FIRM NAME (W A""icabo) Duncan & Hartman, P.C. TELEPHONE NUMBER 717-249-7780 1 Irvine Row Carlisle, PA 17013 z o S ~ l- ii: <( o w a:: 1. Real Estate (Schedule A) 2 Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (Schedule G or l) 8 Total Gross Asse1s (total Lines 1-7) (1) (2) (3) (4) (5) $21,436.09 (6) 16,706.09 (7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10,908.79 10. Debts of Decedent, Mortsage Liabilities, & Liens (Schedule I) (10) 11. Totat 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 Subjecllo Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES z o j:: ~ ~ Q. :!: o o S 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (aX1.2) 16. Amount of Line 14 taxable at lineal rate 27,233.39 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due X _(15) X .:..2i:!. (16) X 12 (17) X .15 (18) (19) 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT OFFICIAL USE ONLY (8) 38,142.18 (11) (12) (13) 10 QOR 7Q 27,233.39 (14) 27_211 1'1 1.225.50 1, ??5 ~Q Decedent's ComDlete Address: STREET ADDRESS 1 Irvine Row < CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page lline 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 1 ??.:;, -;;n 1,100.00 55.00 3. InlEresUPenalty if applicable D.lnterest E.PenaJty Total Credts (A+B +C) (2) 1,155.00 TotallnteresUPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the<ifterence. This is the OVERPAYMENT. Check box on Page 1 Uoo 20 to request a refund (4) 5. If Line 1 + Line 3 is grealer than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 70.50 70.50 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transter and: Yes No a. retain the use or income of the property transfenred;....................... .................................................. 0 I&l b. retain the right to designate who shall use the property transferred or its income;..................................... 0 IjI c. retain areversionay interest;.or.................................................................................................. 0 ~ d. receive the promise for life ofeilherpayments. benefi1s or careL...................................................... 0 llV 2. If death occurred after December 12. 1982. did decedent transfer property within one year of death without receiving adequate consideration? ...... ...... ...... .................................... ..... ..... ......................... 0 00 3. Did decedent own an .in trust tor' or payable upon death bank account or security at his or her death2............... 0 IZl 4. Did decedent own an Individual Retirement Account. annuity. or other non-probate property which contains a beneficiay designatian2....................... ..... ................... .......................... ..... .................... 0 IA 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 penaties of perjury, I decEr8 that J haw examined this return, indJcfing ~ng schedul9s and statements, and to the best of myknowBdge lWld belel. it is true, COITeCt and c.:tlfTlJlfile. Declntion of prepeffJf other than the pen;onel represenltlliw is based on aI information of ~ prepser has Btr'f knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING ~URN . DATE 73/!.~ .?J..;t& ~. _ .&\:O.u,~fAU), ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS For dales of death on or after July 1. 1994 and before Januay 1. 1995. the tax rale 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 rale imposed on the nelvalue of transfers to or for the use of the sllViving spouse is 0% [72 P.S. ~9116 (a) (1.1) (iOJ. The sletule does not exemDt a transter to a surviving spouse from tax. and the stalutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiay. For dates of death on or after July 1,2000: The tax rate imposed on the net value of lransters 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 chffd is 0% [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value oftransters to or for the use of the decedenrs lineal beneficiaries is 4.5%. except as noted in 72 P.S. ~116(1.2) [72 P.S. ~9116(a)(1)J. The tax rate imoosed on the net value oflransfers to or for the use of the decedenrs siblinos is 12% 172 PS &9116Ia)(13)1 A siblino is defined. under Section 9102 as an REv.1509EX +IU7) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE Of FILE NUMBER Shatto Blanche V. 21 02 00778 Indude Ihe proceeds of Iitigalion and the dale Ihe proceeds were rece~ed by lhe estate. All property jolntty.owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUM8ER DESCRIPTION OF DEATH 1. Refund Blue Cross Blue Shield 52.10 2. Retirement Refund 56.02 3. M& T Account #317831600 Interest 754.75 4. M&T Checking Account #451657 2,001.68 5. M& T Savings Club Account #15004200909660 14,525.88 6. Christmas Club Account #25004920105671 901.74 7. Refund Blue Cross Blue Shield 35.02 8. Ohio Casualty Group Insurance Refund 180.30 9. Prudential Financial Insurance 2,928.60 TOTAL (Also enter on line 5, Recapitulation) $ 21 436.09 RE\t-l509ex..(l.87) SCHEDULE F JOINTL Y.OWNED PROPERTY COMMONW~THOFPENNSYLVAN~ INHERrrANCE TAX RETURN RESIDENT DECCDENT ESTATE OF Shatto Blanche V If an asset was made joint within one year of the decedent's date of death, It must be reported on Schedule G. FILE NUMBER 21 02 00778 SURVIVING JOINT TENANT(S) NAME ADDRESS R8.ATIONSHIP TO DECEDENT A. Blaine Shatto Son B Ardella Mathna Daughter c JOINTL Y.OWNED PROPERTY: LEITER DATE DESCRIPTION OF PROPERTY lOOF DATE OF DEATH ITEM FOR JOINT MADE InctJde n8lTl8 of finln:ial instituOOn and bank account numberor similar identifying number. Attach DATE OF DEATH DEeD'S VAlUE OF NUMBER TENANT JOINT deed for joirrt~./1eij ...._. VAlUE OF ASSET INTEREST DECEDENTS INTEREST 1. NB M&T Bank Certificate of Deposit 6,628.40 33.33333 2,209.47 #31003910949866 2. AlB M&T Checking Account 43,489.85 33.33333 14,496.62 #9830435823 TOTAL (Also enter on line 6. Recapitulation) $ 16,706.09 RBl1511EX+{1-97) COMMONWEALTH OF PENNSYLVANIA , INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Shallo Blanche V. Debts of decedent must be reported on Schedule I. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 02 00778 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Ewing Brothers 1,459.80 2. Reimbursement to Ardella Mathna for Family Thank You Notice 80.96 3. George's Flowers Family Spray 132.50 B. ADMINISTRATIVE COSTS: 1. Personal Represenlalive's Commissions Name of Personal Representative (s) Social Security Numbef{s) I EIN Number of Personal Representative(s) Street Address City State Zip Year{s) Commission Paid: 2. Attorney Fees Duncan & Hartman P.C. 1,907.11 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City Slate Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills 232.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. Sprint 9.35 8. R.L. Simon 45.00 9. Carlisle Digestive Disease 9.10 10. Cumberland Law Joumal 75.00 11. The Sentinel 87.35 12. Cumberland Goodwill 26.05 13. Central Pennsylvania Medical 28.02 14. Nancy Sheibley- Tax Collector 10.00 15. PP&L 58.57 16. Harmony Hall Condominium Association Fee 180.00 17. Middlesex Township Municipal Authority Water/Sewer 78.75 18. PP&L 16.91 TOTAL (Also enteron line 9, Recapitulation) $ 10908.79 ,,~____ _____:_ ___..1_..1 .___...... _..1..1'10:___' _...__~_ _.~.._ ____ _'__\ RE'ol151:iEX+(1-97) SCHEDULE J BENEFICIARIES COMoADNWEAL TH DF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER eV 21 02 00778 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY 00 Not List Trustee(.) OF ESTATE 1. TAXABLE DISTRIBUTIONS Qnclude outright spousal distributions) 1. Blaine Shatto Son 1/3+$400.00 2040 Enola Road Carlisle, PA 17013 2. Ardella Mathna Daughter 1/3+$400.00 8 Far View Avenue Carlisle, PA 17013 3. Rhelda R. Gleim Daughter 1/3+$400.00 6225 Beale Road Snow Camp, NC 27349 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE OISTRlBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEE $ (If mnrA c::n~A ic::: rwArlArt inc:::M wtrtitinn~ c:::hAAh=: nf thA ~A c:::i7A\ - L1\Sr WlLL AND TESTAMENl' ,.,. I, BLANCHE V. SHATIO, of South Middleton TcMnship 1 Q..mIberland County I Pennsylvania, being of sound mind, rnenory and understandin1, do make, publish and declare this as and for my Last Will and Testarrent, hereby revoking and rnakin:] void all wills by Ire at any tine heretofore made. FIRST. I direct all my just debts and funeral expenses, including all inheritance taxes that may be assessed against my estate, be fully paid and satisfied cut of my estate by my fersonal representatives hereinafter narred as soon as conveniently may be done after my decease. SEiIX'ID. I give and bequeath the fOllowing items to the followiI1:j people: A. One bedroom suite of her choice, a set of dishes, the 50th anniversary picture of us, and one large drop leaf table to my daughter Ardella Mathna. B. One bedrcx::lm suite, a set of dishes, the crackpot, the grinding organ an::l rolls, and the water set with apples on to my daughter Rhelda Gleim. C. 'lbe small drop leaf table, cedar chest, sncwblower I the 22 gauge gun, and the oorner cupboard to my son Blaine Shatto. D. 'Ihe 40th anniversary dishes shall be divided between my three children, my daughter-in-law Patricia Shatto and my grandchildren (Cathy Boudrnan, Gary Gleim, Cindy Nailor, Brad Mathna, Daryl Shatto, Vick Gutshall and Jon Mathoo) . E. My jewelry shall be divided betJreen my tw::> daughters, my daughter-in-law Patricia Shatto and my three granddaughters (Cathy Boudrnan, Cindy Nailor and Vick Gutshall) . F. Each of my three granddaughters, namely, Cathy Boudman, Cindy Nailor and Vick Gutshall, shall have their choice of one item of the dishes in the attic. G. The remainiI1:j gun to my grandson Daryl Shatto. H. The ping pong table to my grandson Jon Mathna. THIRD. I give and bequeath the sum of fcur hundred ($400.00) dollars to each of Irr:l three children, narrely, Ard.ella Matima, Rhelda Gleim and Blaine Shatto, to be used for placing fl~s on the ce:rretery lots. FDURTH'. I direct my personal representatives hereinafter named to convert all the rest, residue and remainder of nw estate, real and personal, whatsoever and wherever situate, into cash at either public or private sale or sales at the best price or prices obtainable in their discretion; and, I give, devise and l:equeath all the rest, residue ar:d remainder of my estate, whatsoever and wherever situate, in equal shares to my three children, namely, Ardella Mathna, Rhelda Gleim and BlairE Shatto, share and share alike, or to their issue if any of them should predecease mE!. IASTLY, I naninate, constitute and appoint my three children, Ardella Mathna, Rhelda Gleim and Blaine Shatto, Executors, of this my last will and. testarrEnt. In the event any of Il'\Y said children should predecease me, resign, renounce, refuse or be unable to serve for any reason or should die before my estate is fully admin- istered, then. in any of those events, I nominate, constitute and. appoint 'WJ remaining children or child, Executors, Executrices, :Executor or Execu:trix, of this my last will and testarrent. My personal representatives shall serve in this or any other jurisdiction without givirq bond. I direct my personal representatives to retain George B. Stuart, Esquire, as the attorney in the settlement of rny estate due to his familiarity with my affairs and business. IN WITNESS WHEREOF, I have hereunto set nw hand and seal this ..2..?&day of c:i1:J' , 1985. /~/./ d. lI-~d- ) ~flAA~.) , . (SEAL) Signed, sealed, published and declared by the above named Testatrix, Blanche V. Shatto, as and for her last will and testanent, in the presence of us, who, at her request and in her presence arrl in the presence of ead1. other, have hereunto subscribed our names as witnesses thereto. ., / ~ir:;1,>--.? ~. / j(::VMh (~1 'v/a.:~.c4.~ c /1, ..rj44? ~ ~'~-~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, Pp 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT RFY-I(0) F% (FI (A1-OS] WILLIAM A DUNCAN DUNCAN 8 HARTMAN PC 1 IRVINE ROW CARLISLE PA 17013 DATE ESTATE OF DATE OF DEA FILE NUMBER COUNTY ACN ~- 03-03-2003 SHATTO BLANCHE V IH 08-15-2002 21 02-0778 CUMBERLAND 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: io insure proper credit to your account, submit the upper por}ion of this Porn wi}h your fax paynnnt. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS __~ REV-1607 EX AFP (01-03) ~[*~[ INHERITANCE TAX STATEMENT OF ACCOUNT ii* ------""""-""-' ESTATE OF SHATTO BLANCHE V FILE NO. 21 02-0778 ACN 101 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATETESNONN BELON 03 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: 02-10-2003 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): DATE "`ter' UiSCOUNT (+) NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 11-13-2D02 CD001837 57 89 12-16-2002 CD001952 1,100.00 02-18-2003 '00 70.50 REFUND OD 2 89- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ^ IF PAID AFTER TNIS 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), y0U MAY BE DUE A REFUND. SEE REVERSE SIDE OF THZS FORM FOR INSTRUCTIONS. ) 1,225.50 1,225.50 .00 .00 .00 /~-~S ~, BUREAU OF INDIVIDUAL TAXES INNERITpNLE Tp% DIVISION DEPT. 288681 HARRISBURG, Pp 17128-8681 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOHANCE OR DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-150 EM ,FP [PE-On WILLIAM A DUNCAN DUNCAN 8 HARTMAN PC 1 IRVINE ROW CARLISLE PA 17013-4802 CUT ALONG THIS LINE -------------- REV-1547 Ex aFO"ini=ni; "L:.~ uaSaLLOWANCE OF DI ESTATE OF SHATTO BLANCHE V pI DATE 02-1D-2003 ESTATE OF SHATTO BLANCHE V DATE OF DEATH 08-15-2002 .FILE NUMBER 21 02-0778 COUNTY CUMBERLAND ACN 101 Anount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PORTION FOR cTIDNS AND ASS N0. 21 02-0778 TAX RETURN NAS: (X) ACCEPTED AS FILED A iSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Esta{e (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Meld 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 G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adn. Costs/Misc. Expenses (Schedule H) (g) 10,908.79 10. Debts/Mortgage Liabilities/Liens (Schedule I] - ~ 11. Total Deductions (10)~ ,~D 12. Net Value of Tax Return (11) 10,908 79 13. Charitable/Governmental Bequests) Non-elected 9113 Tru t ( 27,233 14. Net value of Estate Subject to Tax s s Schedule J) (13) .00 NOTE: If an assessment was issued previously, lines f 14 15 a4) 27,233.39 re lect figures that include the total of ALL , andior 16, 17, 18 returns and 19 will ASSESSMENT OF TAX: assess ed to date. 15. Anount of Line 14 at Spousal rate (15) .00 00 16. Anount of Line 14 taxable at Lineal/Class A rata (16) 27,233 39 X _ 045 .00 17. Anount of Line 14 at Sibling rate . ~~- = X 1,225.50 18. Anount of Line 14 taxable at Collateral/Class B rate (18) 15 19. Principal Tax Due - X .00 ~X CREDITS• ~a(~Di-~ u9)=_, 1_225.50 12-16- 01952 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. AMOUNT PAID 00 I ~ 70.50 TAX CREDIT 1,228.39 OF TAX DUE 2.89CR .T AND PEN. .00 'AL DUE 2.89CR ( IF TOTAL DUE IS LESS THAN O1, 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.) C~~MENT OF TAX ACN 101 ( ) CNANGED DATE 02-10-2003 (1) .00 NOTE: io insure proper (2) .00 credit to your account, (3) .00 subnit the uDPer Dortion (4) .00 of this forn wi{h your (5) 21.436 09 tax paynsnt. (e) 16.706 09 (7T .00 [a) 38,142.18 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EX(i 1-96~ BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1)128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001837 DUNCAN WILLIAM A ESQUIRE 1 IRVINE ROW CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL ________ ,o,a NUMBER ESTATE INFORMATION: FILE NUMBER: DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH SSN: 172-32-2201 2102-0778 SHATTO BLANCHE V 11/13/2002 00/00/0000 CUMBERLAND 08/15/2002 TOTAL AMOUNT PAID: REMARKS: WILLIAM A DUNCAN ESQUIRE CHECK#134 INITIALS: JA SEAL RECEIVED BY: 51,100.00 MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA oEPARTMENr of REVENUE REV-1162 EX(11-961 BUREAU OF INDIVIDUAL TA%ES DEPT. 280601 HARg158URG, PA l J 128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 001952 DUNCAN WILLIAM A ESQUIRE 1 IRVINE ROW CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL _____ ,old NUMBER -- -- --- 101 ~ $70.50 TOTAL AMOUNT PAID: REMARKS: ARDELLA MATHNA & BLAINE SHATTO C/O WILLIAM A DUNCAN ESQUIRE CHECK#137 INITIALS: CW SEAL RECEIVED BY: $70.50 DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/08/2004 DUNCAN WILLIAM A 1 IRVINE ROW CARLISLE, PA 17013 RE: Estate of SHATTO BLANCHE V File Number: 2002-00778 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: 8/15/2004 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 Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/08/2004 SHATTO BLAINE 2040 ENOLA ROAD CARLISLE, PA 17013 RE: Estate of SHATTO BLANCHE V File Number: 2002-00778 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: 8/15/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/08/2004 MATHNA ARDELLA 8 FAR VIEW AVENUE CARLISLE, PA 17013 RE: Estate of SHATTO BLANCHE V File Number: 2002-00778 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: 8/15/2004 Your prompt attention to this matter wmll be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge Name of Decedent: Date of Death: Will No.: STATUS REPORT UNDEI~RULE 6.12 [ tq l oa-- /)-- OC)'~-- O0 ~'~ Admin. No.: 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: State whether administration of the estate is complete: Yes [~l, No 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: Did the personal representative file a final account with the Court? Yes _ No [-] b. The separate Orphans' Court No. (if any) for the personal representative's account is: Date: c. Did the personal r,~presentative state an account informally to the parties in interest? Yes ~ No [-] c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. , Signature v ,~ -- - Name .:. Addre~'~ ~~' ~--~ [ ~ , CD Telephone No. Capacity: r-] Personal Representative 5Qgunsel for personal representative