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HomeMy WebLinkAbout03-0032 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Evelyn P. Rauber No. a.~t/~--~'~ also known as To: Register of Wills for the , Deceased. County of Cumberland in the Social Security No. 2043092@1 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 Ben F. Esh named in the last will of the above decedent, dated 11-21-2002 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, crc ) Decedent was domiciled at death in Cumberland County, Pennsylxania, with h er last family or principal residence at 241 Three Square Hollow Road, Newburq, PA 17240 (list street, number and municipality) Decedent, then 64 years of age, died 1/4/03 at Cumberland County 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 ajudicated incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 2,000.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ 75,000.00 situated as follows: 241Three SquareHollow Road Newburg, PA 17240 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary thereon. (testamentary; administration c,t.a.: administration dbn c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF C. umborlandf SS 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 and truly administer the estate according to law. Sworn to or affirmed i~n$1 ~ubscribed ~ e~.~ before me this ./',t/~--,,~.~ day' of (' l:5o..ar(:~-~ ~. ~_,,1/~ da_r~ary, 2003 ~ '~L -- STATUS REPORT UNDER RULE 6.12 Date of Death: I -- £! - ~"0. _(~)C) ~ Will No.: Adrrdn. No.: g I- o 3-00 3& Pursuant to Rule 6.12 o£the Supreme Court Orphans' Cou2 Rules, ! report the following with respect to completion of the administration of the above-captioned estate: 1. State. w~ether administration of the estate is complete: Yes ,]~'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 ['-] b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal r~_~resentative 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. t.~_ co t-lcI c-) g-:.::-- ~.~ : Address '--- _-D CD t., .... Q_ ' '~L 0 C.:; cD C'_'5 cD c...-, ~. 'z ca ~>g Capacity: ,~;~ersonal Representative ~ o ,~Counsel for personal representative No. Estate of Evelyn P. Rauber , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~d~g.~,./.'~, ~ , in consideration of the petition on the reverse side h~eof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated 11/21/02 described therein be admitted to probate and filed of record as the last will of Evelvn P. Rauber and Letters Testamentary _ are hereby granted to ,~_~r_~/7-('"v'~2.~j_ ~ ,/~'~,~,,__~" .... j //T~ ~ FEES Probate, Letters, Etc ......... $(~g~I~_e~ H. Anthony Adams ~.,~'.~e~ ATI'ORNEY (Sup Ct i.D No.) Short Certificates ( ). ...... $ ~ Renunciation ............ $ 49 W. Orange Street, Suite 3  Shippensburq PA 17257 $ ed.~. TOTAL ~ $ o~_.Z~_~) /XI)l)RI!5;Y; Fil , ,,/.~.,.. c~loO.~ 717-532-3290 ....... PHONE OATH OF SUBSCRIBING WITNESS Estate of Evelyn P. Rauber No. ~,/-~C::%~'- ,..~,~J also known as January 04,2003 , Deceased Dora K. Zook Kathryn M. Zook (each) a subscribing witness to the [~ codicil(s) I~ will(s) presented herewith, (each) duly qualified according to law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and that she/he/they signed as a witness at the request of the Testator(rix) in her/his/their presence and~ in the presence of each other I~ in the presence of the other subscribing witness(es). ~ (Signature) Dora K. Zook 80 Zook Lane, Newbur§ PA 17240 (Address) ~- (Signature) Kathryn M. Zook 30 Zook Lane, Newburg .... -::; PA 17240 (Address) Sworn to or affirmed and subscribed  e this */x,/''¢~f''')_ day of _ Notary Public ,/¢.¢¢¢-~ ,,~. My Commission Expires: (Signature and seal of Notary or other NOTE: To be taken by officer authorized to administer oaths. Please have official qualified to administer oaths. Show present the original or copy of instrument(s) at time of notarization. date of expiration of Notary's commission.) RW-2 105.805 REV 9/86 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded t(~ the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or p.hotoflraph. , zm? COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH . ,. Evel~ P. Rauber * ~. Female~. 204 ~ 30 ~ 9291~4. 01~04/2003 s. I [ ,. 09/21/1938 i. Car'~ts'le ? '~pA m Fra~lin m Chambersbur~I~ Cha~ersbur~ Bospital J,~:~"~,t White ,,t Ins~ctor ,,t ~offman, Mills ,,. ~ ~,a 12 (~'~,I J'% Widowed ~,i s~~.~.~.z~~u~,~e ,~.~ Pennsylvania ~.~ ~m HoDewell ,& Newburg, PA 17240 [~) ,..~. C~berland ~ ,m~~. ~t Ralph P. Watson ~.Helen A. ~ Barbara E. Miller ~ 156 ~ ~ ~, ~t~, PA 17257 ~ ~ ~ ~~ ~'~ ~ ] Franklin County, ~ ............... l-~,ol/08/2o03 . ,,.p~~,.1.~ .. I~ Greene ~p., PA 17201 ~ -- ~ ~ ~.~ ' ' / ....... · - - .......................... r- ~~.~~.~,-~,~o.~e~.~,.~~~ m 46 Walnut Bottom Road .... . ..... .-- ......... ~ ............. 7~""? ..... '~:'"'~'~':', ................ : - · ,~,---=..,,~ LAST WILL AND TESTAMENT OF SYF~Lr,~ P. RA UBER B~'-ITI(N~~tl, li;¥Ii;L~ P. ~AOB~R ,aresidentof 2/+1 Three Square Hollo~ Ro~d, }lle~burg , Countyof Cumberland , in the State of Pennsylvania , being of sound mind, do make and declare this to be my Last Will and Testament expressly revoking all my prior Wills and Codicils at any time made. I. PERSONAL REPRESENTATIVE: l appointBen F. l~sh & Barbara K. Esh of 10030 0tterbein Ch. Rd. Nerburg, P,aas Personal Representative of this my Last Will and T _e_s~ment and provide if this Personal Representative is unable or unwilling to serve then I appoint Barbara l~iller of as alternate Personal Representative. My Personal Representative shall'be authorized to carry out all provisions of this Will and pay my just debts, obligations and funeral expenses. I further pwvide my Personal Representative shall not be required to post surety bond in this or any other jurisdiction, and direct that no expert appraisal be made of my estate unless required by law. IlL BEQUESTS: I direct that after payment of all my just debts, my property be bequeathed/n the manner following:. #1. I leave my House & Property, Free of all Leans and or ~ortga~ls, to Ben F. & Barbara K. Esh ~2. I bequeath to the ~owersville Brethren In Christ Church, $15,000.00 #3. I leave ~ Angel collection to my sister ~arbara 'Miller #~. I leave to my sister Vivian Coy $1000.00 or the value there of from my personal ~ro~erty. ~'5. I leave to my niece Xaron, i~y cedar chest. #6. I leave to my niece Dawn, Nicks computer. #?. Ileave to my niece Xatrina Coy, my doll collection. #8. I leave to Barbara K. Esh, my Grandfathers clock. ~9. Ileave to Garth Rauber, Nicks shuffleboard table. ~10. I leave t~o Raymond Rauber, John Rauber, Kathy ~oyer, & Penny Sum~erville, ~500.~0 or the value there on from my personal ill. The remaining Personal Property shall be sold by m Personal epr_ese~tative, the ~roceeds used to ~av all deb~-s & --~Y ..... re~alner shall o 1;o m '~" - '~""°'°' g y sis1;ers, Barbara ~tller & Viv&~a Coy. Ta~tator's In;rials Palee / of IN WITNESS WHEREOF, I have hereunto set my hand this Twenty first day of (year), to this my Last Will and Testament. :~:ovember ' 2002 Testator~ignature IV. ~rlTNESSED: The testator has signed this will at the end and on each other separate page, and has declared or signified in our presence that it is his/her last will and testament, and in the presence of the testa- tor and each other we have hereunto subscribed our names this day of , (y~ar). Witness Signature Address Witness Signature - ~Y Address Wimess Signature Address ACKNOWLEDGMENT State of } County of -~ Vvr¢, , , and , the testator and the witnesses, respectively, whose names are signed to the attached and foregoing instrument, were sworn and declared to the und~slgned that the testator signed the instxument as his/her'Last Will and Testament and that each of the witnesses, in the presence of the testator and each other, signed the will as witnesses. Testator: Witness: Witness: Witness: On before me, , appeared personally known to me (or proved to me on the basis of satisfac~ry evidence) to be thc person(s) whose name(s) authorized capacity(i~s), and that by his/her~ si~(s) on the instrumc~ tbe person(s), or thc entity upon behalf of which the per~s) acted, executed the instrument. WITNESS my hand and official seal. Signature .... Affiant . .Know~ . produced ID Type of ID CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Nicholas F. Rauber Date of Death: 9/19/02 Will No. (¢fl3- 2...~ Adm. No. To the Register: I certify that notice of estate administration required by Rule $.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estateon _ ,1 ,.~ 10..~ . . Name Address Evelyn P. Rauber, Estate 241 Three Square Hollow Road ~ PA 17240 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Name: .H. Anthony Adams Address: _49 W. Oranqe Street, Suite 3 Shippensburq PA 17257 Telephone (717) 532- 3270 Capacity: Personal Representative X Counsel fbr Personal Representative WELTMAN., WEINBERG & REIS Co., DP.A. ATTORNEYS AT LAW COLUblBUS 323 W. Lakeside Avenue, Suite 200 614.228.7272 Cleveland, Ohio 44113-1099 CINCINNATI 216.685.1000 513.723.2200 www.weltman, com PITTSBURGH 412.434.7955 DETROIT 248.362.6100 July 7, 2003 CERTIFIED MAIL Ben S. Esh and Barbara K. Esh, Co-Executors c/o H. Anthony Adams, Esquire 49 W. Orange St., #3 Shippensburg, PA 17257 Re: Estate of Evelyn Rauber ~,No~ 21.2003-4X~32~ ~, Our Client: Direct MerchantBank Account No. 5458004064080144 Balance Due: $698.73 Our File No. 03029336 Dear Mr. Adams: This law £u-m represents Direct MerchantBank with respect to the claim which we wish to file in the estate of Evelyn Rauber. It is our understanding that you are the Attorney of the estate. We are asking that you please accept our client's claim which is based upon its account number 5458004064080144 in the amount of $698.73. Please direct all correspondence and disbursements with respect to this estate directly to our office. It would also be appreciated if you contact us to advise us when you anticipate making disbursements in this matter so that we may mark our file for follow-up at that time. Thanking you in advance for your cooperation in this matter. This law firm is attempting to collect this debt for our client and any information obtained will be used fox_that purpose. f...- Lastly, do not hesitate to contact us to further discuss this matter. --~ Very tru~ yo~s, Legal Assistant (216) 685-1030 DEJ:iar cc: Ben S. Esh and Barbara K. Esh, Co-Executors- regular mail c/o H. Anthony Adams, Esquire WWR#03029336 FORM 93-O.C. DIVISION IN THE COURT OF COMMON PLEAS of CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE:ESTATE OF No.21-2003-00032 of Evelyn Rauber , Deceased Goods and services purchased on Mastercard Direct Merchant Bank Account No. 5458004064080144 CLAIM To the Clerk of Orphans' Court Division: Index and make proper entry in your official records of the claim of Direct Merchant Bank c/o Weltman, Weinberg & Reis Co., L.P.A., 323 West Lakeside Avenue, Suite #200, Cleveland, Ohio 44113-1099 (Claimant) in the amount of $698.73 against the estate of the above named decedent. This claim is filed under Section 3532 (b) (2) of the Probate, Estates and Fiduciaries Code. The said decedent, who resided at 241 Three Square Hollow Newburg, PA 17240 , died on January 04 , (Address) 2003. W'ritten notice of this claim was given to Ben S. Esh and Barbara K. Esh, Co-Executors c/o H. Anthony Adams 49 W. Orange St., #i~Shippensb~g, PA 17257 on ~ (Personal representative, if any, or counsel) · --- ~ ~. ,2003. - /.. ::.: : .;, (Clamaant) -:~ De Juan L. Wilson, Agent for the Claimant :~ .%: .c~ :~: -~ cio Weltman, Weinberg, & Reis Co., L.P.A. .L) r..~ 323 W. Lakeside Ave., Suite200 Cleveland, Ohio 44113 (Claimant's Address) WELTMAN, WEINBERG & REIS Co., L.P.A. ATTORNEYS AT LAW COLUMBUS ~,~2C~ z : . ,i '~ 323 W. Lakeside Avenue, Suite 200 614.228.7272 ~ ~ ~, ~ ~ Cleveland, Ohio 44113-1099 216.685.1000 CINCINNATI www.weltman.com 513.723.2200 '03 JUL 11 All 4~2.434.7955 DETROIT [~[~!~:~,.- i . ~ .J~ 248.362.6100 July 7, 2003 Register Of Wills One Courthouse Square Carlisle, PA 17013 Re: Estate of Evelyn Rauber Case No. 21-2003-00032 Our Client: Direct MerchantBank Account No. 5458004064080144 Balance Due: $698.73 Our File No. 03029336 Dear Clerk of Courts: This law finn represents Direct MerchantBank in connection with its claim which we wish to file on our client's behalf into the estate of Evelyn Rauber, deceased. Enclosed is our check in the amount of $5.00 which we understand is the filing fee for this claim. Our client's claim is based upon its account number 5458004064080144 in the amount of $698.73. Included with this letter is the claim form which we wish to present to this court and which we are forwarding to the attorney and/or fiduciary of this estate. It would be appreciated if all correspondence and disbursements with respect to this matter be forwarded to our office and to the attention of the undersigned. Additionally, it would be appreciated if any notices of any hearings also be forwarded to the undersigned. Thank you for your cooperation in this matter. Very l~y yiurs' ' son Legal Assistant (216) 685-1030 DEJ:iar Enclosures cc: Ben S. Esh and Barbara K. Esh, Co-Executors c/o H. Anthony Adams, Esquire COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 003151 ADAMS H ANTHONY ESQUIRE 49 W ORANGE STREET SUITE 3 SHIPPENSBURG, PA 17257 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold 101 $5,999.55 ESTATE INFORMATION: SSN: 204-30-9291 FILE NUMBER: 2103-0032 DECEDENT NAME: RAUBER EVELYN P DATE OF PAYMENT: 10/21/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/04/2003 TOTAL AMOUNT PAID: $5,999.55 REMARKS: BENJAMIN FESH C/O H ANTHONY ADAMS ESQUIR CHECK# 505 INITIALS: JA SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTN OF REV-1500 DEPARTMENT OF REVENUE INHERITANCE TAX RETURN F,LE.U.BE. - DEPT. 280601 .ARR,SBURG. PAl.128-0601 RESIDENT DECEDENT - O COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL SOCIAL SECURITY NUMBER z Rauber, Evelyn P. 2 0 4- 3 O- 9 2 9 1 UJ DATE OF DEATH (MM-DD-Year) I DATE OF BIRTH (MM-DD-Year) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE U.I I REGISTER OF WILLS (.1 01/04/2003 09/21/1938 III (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER [] 1. Original Retam [] 2. Supplemental Return [] 3. Remainder Return (date otdeath prior "' I I 4. Limited Estate L.J 4a. Future Interest Compromise (date of death alter 12-12-82) LJ 5. Federal Estate Tax Retum Required UJ ~ ~- m~ [~] 6. Decedent Died Testate {At[ach copy of W,,,) [] 7. Decedent Maintained a Living Trust (Attach copyofTrust) __ 8. Total Number of Safe Deposit Boxes < LJ 9. Litigation Proceeds Received LJ 10. spousal Poverty Credit (date of death between 12-31-91 and 1-~-9S) L.J 11. Election to tax under Sec. 9113(A) (At~ach Sch O) Z NAME COMPLETE MAILING ADDRESS LU z H. Anthony Adams 49 W. Orange Street o o. FIRM NAME (If Applicable) "' Suite 3 O TELEPHONE NUMBER o 717-532-3270 Shippensburg ::.-; .:' PA 17257 usE o~iLY 1. Real Estate (Schedule A) (1) 75,000-00~C~ 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) . ~ 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 33,184.53 (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) o. 108,184.53 ~ 8. Total Gross Assets (total Lines 1-7) (8) UJ 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 20~ 332.51 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 40,932.70 11. Total Deductions (total Lines 9 & 10) (11) 61,265.21 12. Net Value of Estats (Line 8 minus Line 11) (12) 46,919.32 13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) -6,640.73 made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 40,278.59 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z 15. Amount of Line 14 taxable at the spousal tax O rate, or transfers underSec. 9116 (a)(1.2) X ~ (15) "~ 16. Amount of Line 14 taxable at lineal rate X (16) I~. 17. Amount of Line 14 taxable atsibling rate 1,407.55 x ,12 (17) 168.91 O 18. Amount of Line 14 taxable atcellateral rate 38,871.04 X .15 (18) 5,830.65  19. Tax Due (19) 5,999.55 Decedent's Complete Address: si A~cET ADDRE§S 241 Three Square Hollow Road CITY Newburg, Ii STATE PA I ZIP 17240 Tax Payments and Credits: 1. Tax Due(Page 1 Line 19) (1) 5,999.55 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits ( A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT, Check box on Page I 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) 5,999.55 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SB) 5~999.55 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the properly transferred; ........................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ........................................ [] [] c. retain a reversionary interest; or ...................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ............................................................. [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?. .............................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of 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. SIG,..~E OF P~R~____~,NS~ FOR FILING RETURN DATE A13DRESS ADDR-~$S -- For dates of death on or after Ouly 1, 1994 and before January 1, 1005, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9118 (a) {1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value o[ transfers to or for the use of the surviving spouse is 0% [72 P.S. §9118 {a) {1.1) (ii)]. lhe 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 ~neflciary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9118(a)(1.2)]. lhe tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiades is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. The tax rate imposed on the net value o[ trans[ers to or for the use of the decedent's siblings is 12% [72 P.S. §9118(a){1.3)]. A siblin9 is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX + (6-98) SCHEDULE A COMMO.W ,TH Or PE..SYLVA. REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rauber, Evelyn P. All real properly owned solely 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 knowledge of the relevant facts, P. eal property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Lot of land together with dwelling thereon lying and being situate in Hopeweel Township, 75,000.00 Cumberland County, Pennsylvania TOTAL (Also enter on line 1, Recapitulation) $ 75,000.00 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) ~ SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN REs,DE,~ DEC~EN~- PERSONAL PROPERTY ESTATE OF FILE NUMBER Rauber, Evelyn P. Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivomhip must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Refund of Cable 4.03 2. Tangible Personal Property sold at Auction 31,605.50 3. Tangible Personal Property distributed in kind 1,575.00 TOTAL (Also enter on line 5, Recapitulation) $ 33,184.53 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Rauber, Evelyn P. Debts of decedent must be reported on Schedule i. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Fogelsonger Bricker Funeral Home 5,212.00 2. Parklawn Cemetary (grave opening) 700.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Benjamin Esh 5,174.00 Social Secudty Number(s)/EIN Number of Personal Representative(s) 172524730 Street Address 10030 Otterbein Church Road city Newburg State PA Zip 17240 Year(s) Commission Paid: 2003 2. AttomeyFees H. Anthony Adams 2,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills 258.00 5. Accountant's Fees 6. Tax Retum Preeparer's Fees 7. Cpmmission of Auctioneer for Sale 3,160.55 8. Advertising Costs for Public Sale 1,271.73 9. Fee to Realtor for Market Value Analysis 100.00 10. Cover's Auto Wrecker (estate property repair) 82.68 11. Capital One Credit 88.00 12. Erie Insurance 13.00 13. AARP Pharmacy Service (last illness) 96.42 14. Moffitt Heart (last illness) 59.38 15. Chambersburg Hospital 409.88 16. Carlisle Hospital 530.81 17. Harry Killian (tax collector) Real Estate Tax 148.65 18. Terry Shetter (Appraisal of tangible personal property, expense of sale) 185.00 TOTAL (Also enter on line 9, Recapitulation) $ 20,332.51 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Rauber, Evelyn P. Decedent's Name Page 1 Decedent's Social Security Number Schedule H - Funeral Expenses & Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 19. State Line Gas Co. (utility) 325.41 20. Burnt Mill Veternary 17.00 SUBTOTAL SCHEDULE H-B7 342.41 REV-1512 EX + (6-98) ,~ SCHEDULE I DEBTS OF COMMONWEALTH OF PENNSYLVANIA UI-~,~I-UCN/! INHERITANCE TAX RETURN RES,DE.T DECEDE.T MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Rauber, Evelyn P. Include unreimbursed medical expenses. iTEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Payoff of Fixed Mortgage Note to Orrstwon Bank 17,658.37 Loan # 3001667 L 2. Payoff of Fixed Rate Home Equity 22,162.77 Loan to Orrstown Bank Loan # 130030227 3. Mortgage payments for month of death on above loans 1,111.56 TOTAL (Also enter on line 10, Recapitulation) $ 40,932.70 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rauber, Evelyn P. RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE [. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a)(1.2)] 1. Ben Esh and Barbara Esh friend .806 10030 Otterbein Church Road Newburg, PA 17240 2. Vivian Coy sister .010 110 Railroad Lane Shippensburg, PA 17257 3. Raymond Rauber brother-in-law .005 P.O. Box 386 Shermansdale, PA 17090 4. John Rauber brother-in-law .005 323 Firehouse Road Shippensburg, PA 17257 5. Kathy Moyer sister-in-law .005 5349 St. Samuels Road Newport, PA 17074 6. Penny Sommerville sister-in-law .005 126 W. Burd Street Shippensburg, PA 17257 7. Dawn Moffit niece 75.00 640 Mickey's Inn Road, Lot #16 Chambersburg, PA 17201 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. Mowersville Church -6,640.73 14924 West Creek Road Newburg, PA 17240 TOTAL OF PART [I - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ -6~640.73 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Rauber, Evelyn P. Decedent's Name Parle 2 Decedent's Social Security Number Schedule J - Beneficiaries - 1 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE ! TAXABLE DISTRIBUTIONS (include outright spousal distributions) 8. Barbara Miller sister 75.00 156 Shippensburg Mobile Estate Shippensburg, PA 17257 9. Katrina Coy niece 200.00 110 Railroad Lane Shippensburg, PA 17257 10. Barbara Esh friend 450.00 10030 Otterbein Church Road Newburg, PA 17240 11. Garth Rauber brother-in-law 700.00 10 Center Court York Haven, PA 17370 12. Karen Miley niece 75.00 4491 Sycamore Grove Road Chambersburg, PA 17201 Sailhamer Real Estate 494 East King Street Shippensburg, PA 17257 (717) $32-6059 Fax: (717) 530-5181 January 14, 2003 Mr. Ben Esh 100310tterbein Church Road Newburg, PA 17240 Dear Mr. Esh, This analysis has not been performed in accordance with the uniform standards of professional practice which requires valuers to act as unbiased, disinterested third parties with impartiability, objectivity and independence and without accommodation of personal interest, it is not to be construed as an appraisal and may not be used as such for any purpose. In response to your request for a comparable market analysis of property located at 241 Three Square Hollow Road, Newburg, PA, Cumberland County, PA. I am sending you my estimation and opinion of current market value. The lot is served by on-lot septic and well water. The lot is improved with a one-story ranch type dwelling that contains approximate 1664 square feet of above ground living space. There is a basement under the dwelling. Roofing material is of metal. The main level contains a kitchen/dining area, living room with free standing propane fuel gas fireplace (not attached), three bedrooms, full bath and finished family room that was once served as a garage. The primary heating system is electric baseboard with individually connected thermostates in each room. Central air has been installed. In addition to the dwelling, there is a 14x20 Esh-type shed. Domestic hot water is acquired from.a propane gas fired water heater. The location of the property is approximate ½ mile from the valley of Newburg and 7 miles from Shippensburg. The property is within driving distance to work, shopping and major highways. The neighborhood consists of similar type single family homes, and rural farm land. The overall condition of the property appears to be good. Based upon my personal investigation and findings, it is my opinion that the comparable market analysis would indicate a current market value of seventy-five thousand dollars ($75,000). Respectfully, Ronald L. Sailhamer Real Estate Broker Broker/Appraiser Terry L. Shetter Auctioneer 365 Musser Road Shippensburg, PA 17257 71 7-264-3885 SETTLEMENT 1. Proceeds of sale: Cash: t~ 07/,~0 Checks: ,~'~- .~....,_ 2. Sellers's Sale Expenses: L. ~ 3 ~ 3.30 Tent: ' Building' Port- a-pot: ~~ Other: 3. Real Estate: Selling Price $ Commission % TOTAL: - 4. Auctioneer's fee/percentage: /ff % TOTAL: TOTAL NET PROCEEDS TO SELLER: $ TOTAL PAYMENT TO AUCTIONEER: ~erry [. Shelter, Auctionee~Pate Seller/Date Terry L. Shetter Auctioneer/Appraiser 365 Musser Road Shippensburg, PA 17257 Phone: 264-3885 Appraisal for: Rauber Estate Date: 1-22-03 ITEM APPRAISAL VALUE Angel collection 75.00 Grandfather clock 450.00 Lane cedar chest : 75.00 Doll collection 200.00 Oak shuffle board . 700.00 HP computer 75.00 TOTAL VALUE: $1.575.00 APPRAISAL FEE: $35.00 6/04/03 Loan Payoff Inquiry 10:46:16 NICHOLAS F RAUBER Messages Loan# 130030227 L EVELYN P RAUBER Active Type: IL FIXED HE BEN F ESH Eff. Dt: 6/04/03 241 THREE SQUARE HOLLOW ROAD PerDiem: 4.07186 NEWBURG PA 17240-9213 Ins PerDiem: Description Amounts Rebates Payoffs Current Balance 22,018.25 22,018.25 Accrued Interest 114.02 22,132.27 Total Payoff 22,132.27 Bottom F3=Exit F6=Messages F7=Escrow/Insurance F8=Set P/O Pending F12=Previous F14=Fee Inq. F20=Generate P/O Letter 6/04/03 Loan Payoff Inquiry 10:45:39 NICHOLAS F RAUBER Messages Loan# 30001667 L EVELYN P RAUBER Active Type: MORTGAGE FIXED 241 THREE SQUARE HOLLOW ROAD Eff. Dt: 6/04/03 NEWBURG PA 17240-9213 PerDiem: 4.94032 Ins PerDiem: Description Amounts Rebates Payoffs Current Balance 17,503.08 17,503.08 Accrued Interest 124.79 17,627.87 Total Payoff 17,627.87 Bottom F3=Exit F6=Messages F7=Escrow/Insurance F8=Set P/O Pending F12=Previous F14=Fee Inq. F20=Generate P/O Letter '//'~"'/'~'----°/'/---/ COMMONWEALTH OF PENNSYLVANIA  BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE I~_~ INHERITANCE TAX DIVISION DEPT. 280&01 HARRISBURG, PA 17128-0~01 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 12-22-2005 ESTATE OF RAUBER EVELYN P DATE OF DEATH 01-04-2005 · FILE NUMBER 21 05-0052 COUNTY CUMBERLAND H ANTHONY ADAMS ACN 101 STE $ 49 W ORANGE ST Amount Remitted SHIPPENSBURG PA 17257 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS REV-1547 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RAUBER EVELYN P FILE NO. 21 05-0052 ACN 101 DATE 12-22-2005 TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSF APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) C1) 751000.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) C2] .00 credit to your account, 5. Closely Held Stock/Partnership Interest (Schedule C) ($) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) C4} .00 of this form w/th your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 55/184.55 tax payment. 6. Jointly Owned Property (Schedule F) C6) .00 7. Transfers (Schedule G} C7) .00 8. Total Assets C8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) 20,552.51 10. Debts/Mortgage Liabilities/Liens (Schedule I) CIO) 401952.70 11. Total Deductions Cll> 12. Net Value of Tax Return C12) 46,919.52 15. Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) 6,640.75 14. Net Value of Estate Sub3ect to Tax C14) 40,278.59 NOTE: If an assessment was issued previously, lines 14, 15 end/or 16, 17, 18 and 19 will reflect flgures that include the Iota! of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .00 X O0 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16} .00 X 045 = .00 17. Amount of Line 14 at Sibling rate C17). 1,407.55 x 12 = 168.91 18. Amount of Line 14 taxable at Collateral/Class B rate C18) 58,871.04 x 15 = 5,850.65 19. Principal Tax Due TAX CREDITS: cig)= 5,999.55 PAYMENT / RECEIPT DISCOUNT (+~ DATE I NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 10-21-2005 CD005151 .00 5,999.55 BALANCE OF UNPAID INTEREST/PENALTY AS OF 10-22-2005 TOTAL TAX CREDIT I 5,999.55 BALANCE OF TAX DUEI .OO INTEREST AND PEN. I 15.97 TOTAL DUE I 15.97 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR}, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION= Estates of decedents d~ing on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or en§oyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE= To fulfill the requirements of Section 21~0 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S. Section PAYHENT= Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Hake check or money order payable to= REGZSTER OF #XLLS, AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISIS). Applications are available at the Office of the Register of Wills, arp~ of the 25 Revenue D/strict Offices, or by calling the spec/al 24-hour answering service for forms ordering= 1-800-$62-20506 services for taxpayers with special hearing and / or speaking needs= 1-800-447-$020 (TT only). OBJECTIONS= Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must obSect within sixty (60) days of receipt of this Notice by= --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADHIN- ISIRATIVE CORRECTIONS= Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN= Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-060! Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for aD explanation of administratively correctable errors. DISCOUNT= If any tax due is paid w/thin three (5) calendar months after the decedent's death, a five percent (SX) discount of the tax paid is allowed. PENALTY= The 15~ tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before Januar~ 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST= Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before Januar~ 1, 1982 bear interest at the rate of six (6~) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after Januar~ 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2005 are= Interest Daily Interest Daily Interest Daily Year Rate Factor Yea.~ Rate Factor Year Rate Factor 1982 20~ .000548 1987 9~ .000247 1999 7~. .000192 1983 16~ .000458 1988-1991 11~ .000501 2000 8~ .000219 1984 11~ .000501 1992 9~ .000247 2001 9~ .000247 1985 13~ .000556 1995-1994 7~ .000192 2002 6~ .000164 1986 10~ .000274 1995-1998 9~ .000247 2005 5~ .000157 --Interest is calculated as follows= XNTEREST = BALANCE OF TAX UNPAXD X NUNBER OF DAYS DEL/NQUENT X DAXL¥ INTEREST FACTOR --An~ Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Not/ce, additional interest must be calculated. COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTNENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280~01 HARRISBURG, PA 17128-0~01 NOTICE OF INHERITANCE TAX APPRA[SEHEHT, ALLOWANCE OR DISALLOWANCE OF DEDUCT[OHS AND ASSESSHEHT OF TAX R~-~547 ~AFP(01-O$) DATE 12-22-2005 ESTATE OF RAUBER EVELYN P DATE OF DEATH 01-04-2005 FTLE NUNBER 21 05-0052 COUNTY CUHBERLAND H ANTHONY ADAMS ACN 101 STE 5 I Amount Remitted q9 W ORANGE ST I S.IPPE.SBURG .A 72S7 MAKE CHECK PAYABLE AND REMIT PAYHENT TO= REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALON~ TU~O LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS LAW OFFICE H. ANTHONY ADAMS 49 WEST ORANGE STREET, SUITE 3 SHIPPENSBURG, PENNSYLVANIA 17257 Register Of Wills Cumberland County Courthouse Carlisle, PA 17013 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 003386 ADAMS H ANTHONY 49 W ORANGE ST SUITE 3 SHIPPENSBURG, PA 17257 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold .................. 101 $13.97 ESTATE INFORMATION: SSN: 204-30-9291 FILE NUMBER: 2103-0032 DECEDENT NAME: RAUBER EVELYN P DATE OF PAYMENT: 12/30/2003 POSTMARK DATE: 12/29/2003 COUNTY: CUMBERLAND DATE OF DEATH: 01/04/2003 TOTAL AMOUNT PAID: ~13.97 REMARKS' H ANTHONY ADAMS ESQUIRE CHECK# 10665 INITIALS: VZ SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA BUREAU OF ZNDZVZDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 INHERITANCE TAX HAnn~SBUn~, PA ~7~Z8-060~ STATEHENT OF ACCOUNT REV-i~07 EX AFP ~ J~ DATE 02-17-200q ~ . ~_! ¥?idS ESTATE OF RAUBER EVELYN P DATE OF DEATH 01-04-2005 FILE NUMBER 21 05-0052 '04 FEB 27 P1:00 COUNTY CUMBERLAND H ANTHONY ADAMS ACN 101 STE $ 49 W ORANGE ST ~:i~;~-: 5ourt Amour* SHIPPENSBURG PA l~:i~t~b~'~" '" ~O., HAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~ ~o your account, submi~ ~he upper portion of this fore wi~h your ~ex payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS REV-1607 EX AFP (01-03) ##~ INHERITANCE TAX STATEMENT OF ACCOUNT ESTATE OF RAUBER EVELYN P FILE NO. 21 0:5-00:52 ACN 101 DATE 02-17-2004 THIS STATEMENT TS PROV/DED TO ADV/SE OF THE CURRENT STATUS OF THE STATED ACN TN THE NAMED ESTATE. SHONN BELO# TS A SUMMARY OF THE PR/NCTpAL TAX DUE, APpLTCAT/ON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ZF APpLTCABLE, A PROJECTED INTEREST FTGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-22-200:5 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... 5,999.55 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-21-200:5 CD00:5151 .00 5,999.55 12-29-200:5 CD00:5S86 1:5.97- 1:5.97 TOTAL TAX CREDIT 5,999.55 ]~ALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TF pA'rD AFTER THTS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT TS REgUZRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF #ILLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COHHON#EALTH OF PENNSYLVANIA. REFUND [CR): A refund of a tax credit, ~hich ~as not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-l:513). Applications are available at tho Office of the Register of #ills, any of the Z:5 Revenue District Offices or from the Department's 24-hour answering service for forms ordering: 1-BOO-:56Z-Z050; services for taxpayers ~ith speclal hearing and ! or speaking needs: 1-800-~47-:50Z0 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Revieu Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone (717) 767-6505. DISCOUNT: Zf any tax due is paid ~ithin three (:5) calendar months after the decadant's death, a five percent (51) discount of the tax paid is a11o~ad. PENALTY: The 15Z tax amnesty non-participation penalty is computed on the tara1 of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. INTEREST: Interest is charged beginning ~ith first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes ~hich became delinquent before January 1, 1982 bear interest at the rate of six (SZ) percent per annum calculated at a daily rate of .000164. All taxes ~hich became delinquent on and after January 1, 1982 Hill bear interest at a rate ~hich ~ill vary from calendar year to calendar year ~ith that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO:5 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOZ .000548 1987 91 . O00Zfi7 1999 71 .000192 1983 161 .D00~+:58 1988-1991 llZ .000301 2000 82 .OOOZ19 1984 111 .000:501 1991 91 .000147 2001 91 .000147 1985 1:51 .000:556 199:5-199~* 7'/. .00019Z 2002 61 .000164 1986 ZOZ .00027~· 1995-1998 9Z .000247 200:5 5X .0001:57 --Interest is calculated as follo~s: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DEL'rNQUENT X DA.fEY TNTEREST FACTOR --Any Notice issued after the tax becomes delinquent Hill reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shoNn on the Notice, additional interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 ADAMS H ANTHONY 49 W ORANGE ST SUITE 3 SHIPPENSBURG, PA 17257 RE: Estate of RAUBER EVELYN P File Number: 2003-00032 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: 1/04/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge