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HomeMy WebLinkAbout03-0060PETITION FOR PROBATE and GRANT OF LETTERS Estate of MARTIN E. MUELLER, late of West Pennsboro Township, Cumberland County, Pennsylvania, Deceased. Social Security No. 471-12-1755 No. 21~03- ~ To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner, who is 18 years of age or older and the executrix named in the last will of the above decedent, dated October 23, 1998. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 45 Creek Road, Newville, Pennsylvania 17241. Decedent, then 79 years of age, died January 8, 2003, at Carlisle, Pennsylvania. Decedent did not marry, was not divorced and did not have a child bom or adopted after execution of the will offered for probate; was not the victim ora killing and was never adjudicated an incapacitated person. Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in PA (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 45 Creek Road, Newville, Pennsylvania $ 70,000 $ $187,143 WHEREFORE, petitioner respectfully requests the probate of the last will presented herewith and the grant of letters testamentary thereon. a~Aure and Residence of Petitioner 5)tcYE. l~ueller reek Road Newville, PA 17241 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) The petitioner above-named swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner and that as personal representative of the above decedent petitioner will well and truly adminis'~er the estate according to law. ~L(~ ~L]~ ~ ~,t Sworn to or affirmed and subscribed ~ 1. ~ before me this ~ ~ __ day of .-~ ~txax~.aatta 2003 -I-Register~. 0~ Ju~ E~'l~eller Estate of Martin E. Mueller, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~,..~Xk.U~IP3.I ~ t ,2003, in consideration of the petition on the reverse side hereof, satisfactory Proof havingdbeen presented before me, IT IS DECREED that the instrument dated October 23, 1998, described therein be admitted to probate and filed of record as the last will of Martin E. Mueller; and Letters Testamentary are hereby granted to Judy E. Mueller. FEES Probate, Letters, Etc .... $ Short Certificate(s) ....$ .~.~. ,2,/.0o 30..P $ /o. oo TOTAL__ ~ Wayne F. Shade, Esquire 15712 ATTORNEY (Sup. Ct. I.D. No.) 53 West Pomfret Street Carlisle, Pennsylvania 17013 ADDRESS 717-243-0220 PHONE Filed./.'~-..t:~. his 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 to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 No. ~ ' Date Martin Edward Mueller 81 Cumberland control Jun.13,1921 Frazee, Carlisle Carlisle Hospital retail COMMONW,:ALTH OF PENNSYG:ANIA · DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICAIE OF DEAIH Male ,. 471 -- 12 -- 1755 .. January 8, 2003 widowed ,,. 45 Creek Road Newville, PA 17241 Paul Mueller ~ Cm~r land ~' ,,,.O ~ ~ ,, Etta Strelow i~I-S ~ ~ ~. ~. ~. ~ ~) 1~.1464 E. Frontage Road~ Little Su~ico, WI 54141  [~T~ I~e~'~dC~C'~ It~-~.~.~ ~ Jpn.~3, 2~3 I E~ Grove ~etery I ~pla Grove, ~I __ Ia'c- 12Id. .014404-L I~trick Fun. H~e, Inc., 3125 Walnut St., ~. PA ~1- 05- WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 LAST WILL AND TESTAMENT t-O3- toO I, MARTIN E. MUELLER, of the Township of West Pennsboro, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my personal representative or representatives, hereinafter named, as soon as conveniently may be done after my decease. I further authorize my personal representative to expend funds from my Estate in such amounts as my personal representative shall consider appropriate, for the disposition and memorial of my remains. SECOND. I authorize my personal representative or representatives hereinafter named to distribute, in accordance with his or her discretion, items of tangible personal property from my Estate in accordance with any of my wishes expressed in writing. Such tangible personal property shall be restricted to common personal possessions and shall not include cash, bank books, stock certificates, bonds or the like unless otherwise expressly stated in my said written wishes. In the event of any conflict between my said written wishes and this my Last Will and Testament, this shall control. In the event of any cash bequests in my said wishes expressed in writing, I hereby authorize my personal representative or representatives hereinafter named to distribute the bequests to any minor W^Y~E F. SHADE At~rncy at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 legatees by making distribution directly to any parent or legal guardian of the minor legatee. In the event of my failure to leave a list, I order and direct that all of my said tangible personal property, other than as specifically bequeathed herein, be liquidated and distributed as part of my residuary Estate. In the event of the failure of any of the legatees, designated in any of my said written wishes, to survive me, I order and direct that his or her bequests be liquidated and distributed as part of my residuary Estate. In the event of the failure of one of the legatees to survive me, nothing herein shall be interpreted to prevent my personal representative or representatives hereinafter named from selling any of the items which would have passed to that legatee to my other legatees at fair market value. In the event of a dispute as to any aspects of the list, I order and direct that any such disputed tangible personal property be liquidated and distributed as part of my residuary Estate. THIRD. I give, devise and bequeath my farm in the State of Wisconsin unto my issue, in equal shares, by representation and not per capita as tenants in common. It is my specific intention that, in the event of the death of one or more of my children prior to my death, his or her share shall pass to his or her issue by representation and not per capita. FOURTH. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath unto my daughter, JUDY E. MUELLER, if she survives me. In giving the residue of my Estate to my daughter, I do not intend to imply any lack of love and affection for my sons whose -2- WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 financial circumstances are such that their need is not as great as that of my said daughter and her children. FIFTH. For the purposes of this my Last Will and Testament, a person shall not be deemed to have survived me unless he or she shall have survived me by more than ninety (90) days. SIXTH. If my said daughter, JUDY E. MUELLER, should fail to survive me, I give, devise and bequeath all of the said residue of my Estate unto such of her children now in being and hereafter born or adopted by final decree of adoption prior to her death, in equal shares. SEVENTH. I nominate, constitute and appoint FINANCIAL TRUST SERVICES COMPANY of Carlisle, Pennsylvania, its successors or assigns, to serve without bond as the Trustee of any property which shall pass, either under this my Last Will and Testament or otherwise to a minor and with respect to whom I am authorized to appoint a Trustee and have not otherwise specifically done so; provided that this appointment of Trustee shall not supersede the right of any fiduciary in its discretion to distribute such share to the said minor or to another for the benefit of the said minor. The said Trustee is hereby vested with the power to sell, assign, transfer, pledge, mortgage, lease, manage, control, retain, invest and reinvest the corpus of said Trust in such securities and other property as shall be deemed prudent without being restricted to investments known as legal investments for fiduciaries under the laws of the Commonwealth of Pennsylvania. The Trustee shall have the power to manipulate the proceeds of the Trust in any manner -3- WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 that will guarantee maximum conservation of the Trust funds and the greatest production of income for the beneficiary. I hereby authorize the said Trustee to expend any monies from principal or interest for the beneficiary that in the sole discretion of the Trustee is deemed necessary for the care, health, education, maintenance and general welfare of the beneficiary; the word "education" shall be construed to mean a pre-college course, high school education, college education and post-graduate. It is my intention that the foregoing powers may be exercised by the said Trustee without prior Court approval and without further responsibility to the beneficiary, the parents of the beneficiary or to any other person or persons taking care of the beneficiary. The age of majority for all purposes concerning this my Last Will and Testament shall be deemed to be the age of twenty-one (21) years. If the beneficiary of this Trust should fail to survive to ultimate distribution of the Trust herein, I order and direct that the remainder of this Trust be distributed as part of my residuary estate. EIGHTH. Should my daughter, JUDY E. MUELLER, and all of her children as defined herein fail to survive me, I give, devise and bequeath the said residue of my Estate unto my sons, MARTIN P. MUELLER and MARK K. MUELLER, in equal shares. If either of them should fail to survive me, I give, devise and bequeath his share unto such of his issue who shall survive me, in equal shares, by representation and not per capita. NINTH. I order and direct that any estate, inheritance or similar tax due as a result of my death with respect to any property passing as a result of my death, shall be -4- WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 paid from the residue of my Estate before its division into shares and prior to distribution as an expense of administration and that no part of the taxes should be prorated or apportioned among the persons or beneficiaries receiving the taxable property. It is my express intention that all inheritance taxes imposed as a result of my death be paid from the residue of my Estate whether or not the property passes under my Last Will and Testament. My personal representative shall have full power and authority to pay, compromise or settle any such taxes at anytime whether with respect to present or future interests. TENTH. I order and direct that any liens against any personal property which passes to a designated person either under this my Last Will and Testament or otherwise shall be paid from the residue of my Estate prior to distribution as an expense of administration and that such specific bequests of personal property not pass subject to any liens thereon. ELEVENTH. Any and all decisions, determinations or actions made or taken by a personal representative or Trustee hereunder, if made in good faith, shall be final and conclusive on all persons who are or may become interested in my Estate. No fiduciary acting under this my Last Will and Testament shall be liable for any error in judgment or for any depreciation or reduction in value of any Estate or Trust assets at anytime, in the absence of willful default. LASTLY. I nominate, constitute and appoint my daughter, JUDY E. MUELLER, to be the Executrix of this my Last Will and Testament, but if, for any reason, she should -5- WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 fail to qualify as such Executrix or decline or cease so to serve, I nominate, constitute and appoint my sons, MARTIN P. MUELLER and MARK K. MUELLER, to be the successive alternate Executors hereof, all to serve without bond. IN WITNESS WHEREOF, I, MARTIN E. MUELLER, have hereunto set my hand and seal to this my Last Will and Testament which consists of eight (8) typewritten pages to each of which I have affixed my signature, this 23rd day of Oct:ober , A.D. One Thousand Nine Hundred Ninety-Eight (1998). Martin E. Mueller (SEAI ) The preceding instrument, consisting of this and seven (7) other typewritten pages, each identified by the signature of the Testator, was on the date thereof signed, sealed, published and declared by MARTIN E. MUELLER, the Testator therein named, as his Last Will and Testament, in the presence of us, who, at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. -6- WAYNE F. SHADE Attorney at Law · 53 West Pomfret Street Carlisle, Pennsylvania 17013 Acknowledgment COMMONWEALTH OF PENNSYLVANIA ) ) COUNTY OF CUMBERLAND ) SS: I, MARTIN E. MUELLER, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. this Swom to or affirmed and acknowledged before me by MARTIN E. MUELLER, 23rd day of 0c~:ober ,1998. Matin ~. l~h~ller Notary PulSlic Notarial Seal Connie J. Tritt, Notary Public ~ Carlisle, Cumberland County ~ My Commission Expires Oct. 5, 2000 -7- WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 Affidavit COMMONWEALTH OF PENNSYLVANIA ) ) COUNTY OF CUMBERLAND ) SS: We, Wayne F. Shade and Karen F. Byers ., the witnesses whose names are signed hereto, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that, to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Swom to or affirmed and subscribed to before me by Wayne F. Shade and Karen F. Byers 23rd day of October ,1998. , witnesses, this Notary Pu~m Notarial Seal Connie J. Tritt, Notary Public Carlisle, Cumberland County Commission Expires Oct. 5, 2000 -8- MARTIN E. MUELLER ~rAyNE F. SHADE ATTORNEY AT L~.w 53 WEST POMI~ET S~a~'r CAarlSLZ, P~a~sYrw~ 17013 WAYNE F. SHADE Attorney at Law 53 West Pomfrct Street Carlisle, Pennsylvania 17013 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Martin E. Mueller Date of Death: January 8, 2003 No. 21-03-60 To the Register of Wills: I hereby certify that notice of beneficial interest as required by Rule 5.6(a) of the Orphans' Court Rules was served upon or mailed to the following beneficiaries of the above-captioned Estate on January 29, 2003: Martin P. Mueller 2735 Hollow Valley Trail Green Bay, Wisconsin 54313 Mark K. Mueller 1464 East Frontage Road Little Suemico, Wisconsin 54141 Judy E. Mueller 45 Creek Road Newville, Pennsylvania 17241 Linda Heid West 9522 Peterson Drive Iron Mountain, Michigan 49801 Notice has now been given to all persons entitled thereto under Rule 5.6(a). Date: January 29, 2003 Wayne~.-Shade, I~squir~- 53 West Pomfret Street carlisle, Pennsylvania 17013 Telephone: 717-243-0220 Counsel for Personal Representative 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 REV-1162 EX(11-96) 002389 SHADE WAYNE F ESQUIRE 53 WEST POMFRET STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 471-12-1755 FILE NUMBER: 21 03-0060 DECEDENT NAME: MUELLER MARTIN E DATE OF PAYMENT: 04/03/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/08/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $10,000.00 TOTAL AMOUNT PAID: $10,000.00 REMARKS' WAYNE FSHADE ESQUIRE SEAL CHECK//1593 INITIALS: SK RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS ~V-1500 EX + (6-00) Z UJ n ~J n ~oo OO.O! O. ILl 0 Z 0 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-I$O0 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Mueller~ Martin E. DATE OF DEATH (MM-DD-Year) ] DATE OF BIRTH (MM-DD-Year) 01/08/2003 ] 06/13/1923 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) r-~'l 1. Original Return [~'] 4. Limited Estate r'-]6 Decedent Died Testate (Attach copy of Will) r'-] 9. Litigation Proceeds Received [~2 Supplemental Return E~] 4a. Future Interest Compromise (date of death a~er 12-12-82) E~]7 Decedent Maintained a Living Trust (Attach copy of Trust) ] 10. Spousal PovertyOredit (date of death between12-31-91and l-l-95) OFFICIAL USE ONLY FILE NUMBER 2 1 -0 3 0 0 6 0 COUNTy CODE YEAR NUMBER SOCIAL SECURITY NUMBER 4 7 I - 1 2- 1 7 5 5 THIS RETURN MUST RE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER E~3 Remainder Return (date of death prior to 12-13-82) r"-~ 5. Federal Estate Tax Return Required ]..L 8 Total Number of Safe Deposit Boxes --']11 Election to tax under Sec 9113(A) (A~ach Sch O) NAME Wayne F. Shade? Esquire FIRM NAME (If Appicabb) TELEPHONE NUMBER 717-243-0220 COMPLETE MAILING ADDRESS 53 West Pomfret Street Carlisle PA 17013 1 Real Estate (Schedule A) (1) 2 Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation. Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (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) Total Gross Assets (total Lines 1-7) Funeral Expenses & Administrative Costs (Schedule H) Debts of Decedent, Mortgage Liabilities, & Liens (Schedu e I) Total Deductions (total Lines 9 & 10) 9. (9) 10. (10) 12. Net Value of Estate (Line 8 minus Line 11) 13 Charitable and Governmental Bequests/Sec 9113 Trusts :or which an election to tax has not been made (Schedule J) 14 Net Value Subject to Tax (Line 12 minus Line 13) 187,_142.90 14~515.95 997674.51 (8) 177303.53 9.060.90 OFFICIAL USE ONLY (11) (12) 3017333.36 26?364.43 (13) (14) 274?968.93 274~968.93 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) 16. Amount of Line 14 taxable at lineal rate 17 Amount of Line 14 taxable at sibling rate 18 Amount of Line 14 taxable at collateral rata 19. Tax Due x ~ (15) 274,968.93 X .045 (16) X 12 (17) X .15 (18) 20. 127373.60 (19) 127373.60 > > BE SURE TQ ANSWER ALL QUESTIONS ON REVERSE StDE AND RECHECK MATH Decedent's Complete Address: STREET ADDEESS 45 Creek Road I STATE I ZIP CITY Newville PA 17241 Tax Payments and Credits: 1. Tax Due (Page 1 Line t9) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 10,000.00 526.31 Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A * B * C ) (2) (1) 127373.60 Total Interest/Penalty ( D + E ) (3) 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) 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 + SA. This is the BALANCE DUE. (5B) Make Check Payab/e to: REGISI'ER OF WILLS, AGENr PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ......................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income,; ...................................... [] [] c. retain a reversionary interest;.or ................................................................................................. [] [] d. receive the promise for life of either payments, benefits or care? .......................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ......................................................................................... [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death..?. ............... [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation_?. ................................................................................................. [] [] 10~526.31 17847.29 1~847.29 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, t decbre that I have examined this retum, including accompanying schedubs and statements, and to the best of my knowledge and belef, it is true, correct and compbte. Decbration of preparer other than the person_al representative is based on all information of which preparer has any knowbdge. SIGNATURE OF PERSON RESPON~LE F(~R FILING RETURN /~ , EJATE ADDRESS 45 Creek Road(J' Ncwvillc PA 17013 SIGNATURE OF PREPARER OTHER TI-]A~REPRESENTATIVE ADDRESS ~ West Pomfret Street Carlisle DATE PA 17013 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 frcm tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. {}9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. {}9116(1.2) [72 P.S. {}9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Mueller. Martin E. 21 03 0060 All real property 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 b Jy or sell, both having reasonable knowledge of the relevant facts Real proper'o] which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 187,142.90 House and lot of ground known and numbered as 45 Creek Road, Newville, Cumberland County, Pennsylvania, more particularly bounded and described in Cumberland County Deed Book 'T', Volume 26, Page 996, valued at the 1.01 common level ratio times the assessed value of $185,29£ TOTAL (Also enter on line 1, Recapitulation) 1877142.90 (If more space ~s needed, insert additional sheets of the same size) REV-1503EX-(1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDI~NT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Mueller. Martin E. 21 03 0060 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 1,363 shares Foot Locker, Inc. common stock 14,515.95 TOTAL (Also enter on line 2, Recapitulation) $ 147515.95 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (I-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Mueller. Martin E. 21 03 0060 Include lhe proceeds of litigation and the date the proceeds were eceived by the estate. All property jointly-owned with the right of suntivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION Of DEATH 1. Household contents 630.00 10. 11. 12. Orrstown Bank, Investment Account No. 50001463079 Orrstown Bank, Checking Account No. 417335 Waypoint Bank, Certificate of Deposit No. 1100053266 Nationwide Life Insurance, Policy No. LO 15352630, cash value, including dividends on a policy on the life of Judy Mueller American Heritage, subscription re~'und Insight Magazine, subscription refund The Weekly Standard, subscription refund World Press Review, subscription refund The Week, subscription refund U.S. Treasury, income tax refund Capital Blue Cross, health insurance refund TOTAL (Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) 54,634.32 21,368.74 14,032.16 6,263.84 2.00 62.76 36.23 16.48 55.00 2,056.00 516.98 99~674.51 C/~ck I0. oo OP STOWN BANI( TO: Wayne F Shade Attorney at Law 53 West Pomfret Street Carlisle, PA 17013 FROM: ORRSTOWN BANK P.O. BOX 25O SHIPPENSBURG PA 17257-0250 RE: ESTATE OF Martin E Mueller DECEASED DATE OF DEATH: January 8, 2003 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: (,~) CHECKING ACCOUNTS ACCOUNT NO. TITLE OF ACCOUNT 417335 Martin E Mueller DATE OPENED 9/18/97 DATE OF DEATH PRINCIPLE & ACCRUED INTEREST 21,366.90 1.84 (2) SAVINGS ACCOUNT ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED DATE OF DEATH PRINCIPLE & ACCRUEDINTEREST (3) CERTIFICATES OF DEPOSIT ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED DATE OF DEATH PRINCIPLE & ACCRUEDINTEREST Date: 2/18/03 By: Timothea Customer Service Operator P.O. BOX 250 · SHIPPENSBURG, PA 17257 - TEL. (717) 532-6114 002/005 Re,on Oa~e: March 31, 2005 Time P~op~ma: 04:23:54 PM ns~uasisd aZ. BRAD GERIMCII Inolo~s: ,4ccouttt: $0 O0 1465 079 MARTIN E. MUELLER Account Holdings as of 1/8/03 ORRSTOWN B .~N K Cusip No, Security Name Shams I Par 3135MAKK4 FHLB 7.~25% 1t28/0~ 25,000.0000 60934N625 FEDERATED FUND 851 t,015.2000 687380105 ORRSTOWN FINL aVeS 282.0000 922031810 VG IT CORP ADM 097.0090 022031836 VG 8/T CORP ADM #$39 466.85~0 Total Securities 28,601.0620 Income Cash Principal Caah Account Total Investment 26,000.00 1,916,20 8,745 38 '10,OOO.O0 B,000,00 $0,000,$0 25,2~4,44 ~0,612.4~ Unit Price 1~0.404& 1.00 44.50 10. tl 10.79 Market Value Price Date 25301.13 12/31/2002 t,915.20 08/2~/2000 12,~4~.00 09/24/2002 10,079,76 12131/2002 6,037.34 12131/2002 54,062.43 25,264,44 -26,342.55 54,634.32 LOOK FOR US. WE'LL GET YOU THERE. 02/06/2003 WAYNE SHADE 53 W POMFRET ST CARLISLE PA 17013 The information which you requested on the account(s) of MARTIN MUELLER (Social Security Number 471-12-1755) is/are'as follows: Account Number 1100053266 Class of Account CERTIFICATE Date Opened 04/14/00 Principal Balance 14003.55 Accrued Interest 28.61 Balance at Date of 14032.16 Death Account Ownership SOLE Name of Joint Owner, if any Date Ownership Was Established Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint Owner, if any Date Ownership Was Established Additional Information Requested Sincerely, SENIOR SERVICES REP. I~.0. Box 171 I. HARRISBURG. PENNSYLVANIA 17105-1711 Toll Free 1-866-WAYPOINT (I-866-9;~9-7646) · IN YORK AREA 717/E!15-4500 · www. wagpointbank.com JAN--50--05 W~D 01 .'04 PM P. 02 L04 INSURED: J-JDY MUELLER PAYOR: OWNER: MARTIN MUELLER MARTIN MUELLER LIFE POLICY RECORD 01/30/03 POLICY #; L015352630 UPDATED: 02/07/02 FACE AMT: 10,000 ISSUE: 02/05/76 PLAN: WHOLE LIFE POLICY STATUS: IN-FORCE PREMIUM PAYING POLICY EQUITY FOR ANNIVERSARY 2002 2003 BASE CASH VALUE: 2,773.20 2,910.90 ACCUMULATED DIVIDENDS APPROX. TOTAL CASH: NON-FORFEITURE OPTION: FINAL: EXTENDED INSURANCE APL: YES MEMO: RESTRICTED BY ASSIGNMENT, OWNERSHIP, OR IRREVOCABLE BENEFICIARY: YES ENTER X IN SELECT TO CHANGE MEMO AREA PRESS END TO FINISH SELECT REV-1511EX* (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Mueller. Martin E. 21 03 0060 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Marnocha Funeral Home Ltd. 8. 9. 10. 11. 12. 14. 15. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Securily Number(s) / EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Attorney Fees Wayne F. Shade, Esquire Family Exemption: (If decedent's address is not the same as claimant's, attach explanation Claimant Zip Slreet Address City State Relationship of Claimant to Decedent Probate Fees Register of Wills of Cumberland Coun .ty, Pennsylvania Zip Accountant's Fees Tax Return Preparer's Fees Cumberland Law Journal, advertise Letters Testamentary Register of Wills, certified copy of the Last Will and Testament Judge & Krzewinski, S.C., ancillary probate retainer Kough's Oil Service, heating fuel The Sentinel, advertise Letters ~I'estamentary West Shore EMS-Carlisle, unreimbursed medical expenses Register of Wills, Short Certificate U.S. Post Office, registered mail Judge & Krzewinski, S.C., attorney fees for ancillary, probate 6,401.75 7,500.00 313.00 75.00 4.00 1,500.00 221.67 88.43 552.44 3.00 9.85 634.39 TOTAL (Aisc enter on line 9, Recapitulation) $ 17~303.53 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Mueller. Martin E. 21 03 0060 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. Taste of Home. magazine subscription 14.98 6o 10. Kough's Oil Service, heating fuel Hoover's Plumbing & Heating, Inc., furnace maintenance Oconto County Treasurer, real estate tax M&T Bank. MasterCard Carlisle Apothecary, unreimbursed v++pharmaceuticals Masland Associates, Inc., unreimbursed medical expenses Sprint, telephone service PP&L? electric service Deborah W. Piper, personal tax 600.46 88.50 292.29 7,498.15 169.11 100.00 121.24 171.27 4.90 TOTAL (Also enter on line 10, Recapitulation) $ 9~060.90 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-nm COMMONWEALTH OFPENNSYLVANIA INHERITANCE TAXRETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Mueller, I¢lartin E. NUMBER [. 1. II. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright s[:)ou.~ al distributions, and transfers under Sec. 9116 (a) (1.2)] Judy E. Mueller 45 Creek Road Newville, PA 17241 FILE NUMBER 21 03 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Daughter 0060 AMOUNT OR SHARE OF ESTATE Entire taxable estate ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART |I - 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) LAST WILL AND TESTAMENT I, MARTIN E. MUELLER, of the Township of West Pennsboro, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and'declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that ali my just debts and funeral expenses be paid by my personal representative or representatives, hereinafter named, as soon as conveniently may be done after my decease. I further authorize my personal representative to expend funds fi.om my Estate in such amounts as my personal representative shall consider appropriate, for the disposition and memorial of my remains. SECOND. I authorize my personal representative or representatives hereinafter named to distribute, in accordance with his or her discretion, items of tangible personal property fi.om my Estate in accordance with any of my wishes expressed in writing. Such tangible personal property shall be restricted to common personal possessions and shall lnot include cash, bank books, stock certificates, bonds or the like unless otherwise expressly stated in my said written wishes. In the event of any conflict between my said written wishes and this.my Last Will and Testament, this shall control. In the event of any cash bequests in my said wishes expressed in writing, I hereby authorize my personal representative or representatives hereinafter named to distribute the bequests to any minor WAYNE F. SHADE Altomey at Law 53 Wes~ Pomfi~ ~isl~ P~I~a 17013 legatees by making distribution directly to any parent or legal guardian of the minor legatee. In the event o£my failure to leave a list, I order and direct that all of my said tangible personal property, other than as specifically bequeathed herein, be liquidated and distributed as part of my residuary Estate. In the event of the failure of any of the legatees, designated in any of my said written wishes, to survive me, I order and direct that his or her bequests be liquidated and distrib.uted as part of my residuary Estate. In the event 0fthe failure of one of the legatees to survive me, noth~g herein shall be f~ interpreted to prevent my personal representative or representatives hereinafter named l~om selling any of the items which would have passed to that legatee to my other legatees at fair market value. In the event ora dispute as to any aspects of the list, I order and direct that any such disputed tangible personal property be liquidated and distributed as part of my residuary Estate. THIRD. I give, devise and bequeath my farm in the State of Wisconsin unto my issue, in equal shares, by representation and not per capita as tenants in common. It is my specific intention that, in the event of the death of one or more of my children prior to my death, his or her share shall pass to his or her issue by representation and not per capita. FOURTH. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath unto my daughter, JUDY E. MUELLER, if she survives me. In giving the residue of my Estate to ~my daughter, I do not intend to imply any lack of love and affection for my sons whose WAYNE F. SHADE " Attorney at Law 53 West Pomfret Sueet Carlisle, Pennsylvania 17013 WAY~ F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pcnnsylvania 17013 financial circumstances are such that their need is not as great as that of my said daughter and her children. FIFTH. For the purposes of this my Last Will and Testament, a person shall not be deemed to have survived me unless he or she shall have survived me by more than ninety (90) days. SIXTH. If my said daughter, JUDY E. MUELLER, should fail to survive me, I .give, devise and bequeath all of the said residue of my Estate unto such of her children now in being and hereafter bom or adopted by final decree of adoption prior to her death, in equal shares. SEVENTH. I nominate, constitute and appoint FINANCIAL TRUST SERVICES COMPANY of Carlisle, Pennsylvania, its successors or ~signs, to serve without bond as the Trustee of any property which shall pass, either under this my Last Will and Testament or otherwise to a minor and with respect to whom I am authorized to appoint a Trustee and have not otherwise specifically done so; provided that this appointment of Trustee shall not supersede the right of any fiduciary in its discretion to distribute such share to the said minor or to another for the benefit of the said minor. The said Trustee is hereby vested with the power to sell, assign, transfer, pledge, mortgage, lease, manage, control, retain, invest and reinvest the corpus of said Trust in such securities and other property as shall be deemed prudent without being restricted to investments known as legal investments for fiduciaries under the laws of the Commonwealth of Pennsylvania. The Trustee shall have the power to manipulate the proceeds of the Trust in any manner WAYNE F. SttA~E Attorney at L~w 53 West Pomfret Street that will guarantee maximum conservation of the Trust funds and the greatest production of income for the beneficiary. I hereby authorize the said Trustee to expend any monies from principal or interest for the beneficiary that in the sole discretion of the Trustee is deemed necessary for the care, health, education, maintenance and general welfare of the beneficiary; the word "education" shall be construed to mean a pre-college course, high school educatiOn, college education and post-gm, duate. It is my intention that the foregoing powers m~ay be exercised by the said Trustee without prior Cour~_approval and without further responsibility to the beneficiary, the parents of the beneficiary or to any other person or persons taking care of the beneficiary. The age of majority for all purposes concerning this my Last Will and Testament shall be deemed to be the age of twenty-one (21) years. If the beneficiary of this Trust should fail to survive to ultimate distribution of the Trust herein, I order and direct that the remainder of this Trust be distributed as part of my residuary estate. EIGHTH. Should my daughter, JUDY E. MUELLER, and all of her children as Idefined herein fail to survive me, I give, devise and bequeath the said residue of my Estate unto my sons, MARTIN P. MUELLER and MARK K. MUELLER, in equal shares. If either of them should fail to survive me, I give, devise and bequeath his share unto such of his issue who shall survive me, in equal shares, by representation and not per capita. · Carlisle, Pennsylvania 17013 NINTH. I order and direct that any estate, inheritance or similar tax due as a result of my death with respect to any property passing as a result of my death, shall be WAYNE F. SHADE Attorney ~t Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 paid from the residue of my Estate before its division into shares and prior .to distribution as an expense of administration and that no part of' the taxes should be prorated or apportioned among the persons or beneficiaries receiving the taxable property. It is my express intention that all inheritance taxes imposed as a result of my death be paid from the residue of my Estate whether or not the property passes under my Last Will and Testament. My personal representative shall have full power and authority to pay, compromise or, settle any such taxes at anytime whether with respect to present or furore interests. TENTH. I order and direct that any liens against any personal property which passes to a designated person either under this my Last Will and Testament or otherwise shall be paid from the residue of my Estate prior to distribution as an expense of administration and that such specific bequests of personal property not pass subject to any liens thereon. ELEVENTH. Any and all decisions, determinations or actions made or taken by a personal representative or Trustee hereunder, if made in good faith, shall be final and Conclusive on all persons who are or may become interested in my Estate. No fiduciary acting under this my Last Will and Testament shall be 'liable for any error in judgment or for any depreciation or reduction in value of any Estate or Trust assets at anytime, in the absence of willful default. LASTLY. I nominate, constitute and appoint my daughter, JUDY E. MUELLER, to be the Executrix of this my Last Will and Testament, but if, for any reason, she should WAYNE F. SHADE Attorney at i~aw 53 West Pomfr~-t Street Carlisle, Pennsylvania 17013 fail to qualify as such Executrix or decline or cease so to se.ave, I nominate, constitute and appoint my sons, MARTIN P. MUELLER and MARK K. MUELLER, to be the successive alternate Executors hereof, all to serve without bond. IN WITNESS WHEREOF, I, MARTIN E. MUELLER, have hereunto set my hand and seal to this my Last Will and Testament which consists., of eight (8) typewritten pages to each of which I have affixed my signature, this 23rd day of Oc~.ober , A.D. One Thousand Nine Hundred Ninety-Eight (1998). ~ Martin E. Mdeller The preceding instrument, consisting of this and seven (7) other typewritten pages, each identified by the signature of the Testator, was on the date thereof signed, sealed, published and declared by MARTIN E. MUELLER, the Testator therein named, as his Last Will and Testament, in the presence of us, who, at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. -6- WAYNE F. SHADE Attorney at Law '. 53 West Pomfr~t Slreet Carlisle, Pennsylvania 17013 Acknowledgment COMMONWEALTH OF PENNSYLVANIA ) ) COUNTY OF CUMBERLAND ) SS: I, MARTIN E. MUELLER, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament and that I signed it willingly and as my free and voluntary act for the purposes' therein expressed. Sworn to or affirmed and acknowledged'before me by MARTIN E. MUELLER, 23rd day of Oc~tober ,1998. ,~ ~_ Notary Pu~iC Notarial seal Connie J. Trttt, Notay public Carlisle, CumberlandCounly 'l i My Commission Expires Oct. 5, 2000 A~c~vit COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) We, Wayne F. Shade and Karen F. Byers , the witnesses whose names are signed hereto, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament; that the Testator signed wiJlingly and executed it as his bee and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that, to the best of our ~k~owledge, the Testator was~at that time eighteen or mole years of age, of sound · ~ mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by F. Shade and Karen F. Byers 23rd day of October ., 1998. , witnesses, this Notary Pu c .' WAYNE F. SHADE AHomey at Law 53 West Pomfret Street C-~isle, Pennsylvania 17013 iaNotarial Seal Connie J. Trill, Nota~/Public Carlisle, CumberlandCounly **. Y Commission Expires Oct. $, 2000J 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. REV-1162 EX(11-96) CD 002888 SHADE WAYNE F ESQUIRE 53 WEST POMFRET STREET CARLISLE, PA 17013 ........ ford ESTATE INFORMATION: SSN: 471-12-1755 FILE NUMBER: 2103- 0060 DECEDENT NAME: MUELLER MARTIN E DATE OF PAYMENT: 08/11/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/08/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $1,847.29 REMARKS: TOTAL AMOUNT PAID' WAYNE SHADE ESQUIRE 91,847.29 SEAL CHECK# 1714 INITIALS: VZ RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES ZNHERTTANCE TAX DZVZS/ON DEPT. 180601 HARRTSBURG, PA 17118-0601 COHHONWEALTH OF PENNSYLVANIA BEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLONANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSNENT OF TAX RE¥-15¢7 EX AFP cn1-05) WAYNE F SHADE ESQ 55 W POHFRET ST CARLISLE :~ DATE 09-29-Z005 ESTATE OF HUELLER DATE OF DEATH 01-08-200:3 FILE NUHBER 21 05-0060 '(~j.-'j. ~i~ i -='~ ~'i~,, .*c~... ;~',,_ COUNTY CUHBERLAND ACN 101 I Amoun~ Reei~:ad PA 170:1,3 HARTZN E HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF TNHERZTANCE TAX APPRATSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AN]) ASSESSHENT OF TAX ESTATE OF HUELLER HARTIN E FILE NO. 21 0:3-0060 ACN 101 DATE 09-29-200:3 TAX RETURN NAS: (X) ACCEPTED AS FTLED ( ) CHANGED RESERVATION CONCERNING FUTURE ZNTEREST- SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S~ock/Par~nersh/p ln~eres~ (Schedule C) ($) ¢. Nor~geges/No~es Rece/vable (Schedule D) (¢) 5. Cash/Bank Depos/*s/Nisc. Personal Proper~y (Schedule E) (5) 6. Jo/n~ly Owned Proper~y (Schedule F) (6} 7. Transfers (Schedule G) (7) 8. To,al Asse~s APPROVED DEDUCTZONS AND EXEHPTZONS: 9. Funeral Expanses/Ada. Cos~s/N/sc. Expenses (Schedule H) (9) 10. Deb~s/Nor~gmga L/abili~ies/Liens (Schedule Z) (10) 11. To~el Deductions 12. Na~ Value of Tax Re~urn 187~142.90 14~515.95 .00 .00 99~674.51 .00 .00 (8) 17,303.53 NOTE: To insure proper credi~ ~o your account, sube/~ ~he upper portion of ~his fore w/~h your ~ax payment. 13. NOTE: 301,333.36 IF PA/D AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ASSESSHENT OF TAX: 1.6. Aeoun'~ of L/ne 1¢ a~ Spousal ra~e 16. Aeoun'l: of L/ne 1¢ ~exabZe e~: Lineal/Class A re~e 17. Aeoun~: of Line 1¢ e~: S/bling ra~:e 18. Aeoun'l: of Line 1¢ ~axebla a~ Collateral/Class B ra~e 19. Pr/nc/pal Tax Due TAX CREDITS: PAYHENT RECETP1- DTSCOUNT (+J DATE NUNBER INTEREST/PEN PAID (-) 04-03-2005 CD002589 526.$2 08-11-200:3 CD002888 .00 (1.6) .00 X O0 = .00 (16) 274,968.95 X 045= 12,:573.60 (17) . O0 X 12 = .00 (18) .00 x 15 = .00 (19)= 12,373.60 ANOUNT PAZD 10,000.00 1,847.29 reflect f/gures that include the total of ALL returns assessed to date. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 12,373.61 .01CR .00 .01CR ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUZRED. ZF TOTAL DUE 1S REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) Char/~abla/Govarnean~al Bequests; Non-elected 9113 Trusts (Schedule J) (1:5) . O0 Ne~ Value of Es~a~;e SubSec~: ~:o Tax (1¢) 274,968.95 :;f an assessment ,as issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will 9,060.90 (11) 26.364.4:3 (12) 274,968.95 RESERYATZON: Estates of decadents dying on or before December 12, 1982 -- Jf any futura interest in the estate is transferred in possession ar enjoyment to Class B (collateral} beneficiaries of the decadent after the expiration of any estate for 1ifa or far years, the Coaaanaaalth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the 1aero1 Class B (collateral) rate on any such futura interest. PURPOSE OF NOTZCE: To fulfill the requirements of Section 21q0 of the Inheritance and Estate Tax Act, Act 2~ of 2000. (72 P.S. Section 9140). PAYNENT: REFUND (CR): OBJECTIONS: ADNZN- ZSTRATZVE CORRECTIONS: DISCOUNT: PENALTY: Detach the top portion of this Notice and submit eith your payment to the Register of Hills printed on the reverse side. --Make check or money order payable to: REGISTER OF #ILLS, AGENT A refund of a tax credit, ehich ams not requested on the Tax Return, say ba requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-ISIS). Applications ara available at the Office of the Register of Hills, any of the 13 Revenue District Offices, or by calling the special Zq-hour answering service for forms ordering: 1-800-S62-Z050; services far taxpayers with special hearing and / or speaking needs: 1-800-&~7-5020 (TT only). Any party in interest not satisfied with the appraisement, alloeance, ar disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Not[ca must object eJthJn sixty (60) days of receipt of this Natica by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZSIOZ1, Harrisburg, PA 17118-1011, OR --alactlon to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should bo addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17118-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three ($) calendar months after the dacadant's death, a five percent (51) discount the tax paid is allowed. The 151 tax amnesty non-participation penalty is computed on the total of tho tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the saaa manner and in the the same tiaa 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 Gna (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6Z) percent par annum calculated at a daily rate of .00016q. All taxes ahich became delinquent on and after January 1, 1982 will bear interest at a rate which mill vary from calendar year to calendar year aith that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through Z003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOZ .0005q8 1987 91 .O00Zq7 1999 71 .000192 1983 16Z .000¢38 1988-1991 111 .000301 ZOO0 81 .000119 198q 111 .000301 1991 91 .O00Zq7 Z001 91 .0001~7 1985 132 .000356 1993-199q 71 .000192 20OZ 61 .00016q 1986 101 .00027q 1995-1998 9Z .0002~7 2003 51 .000137 --Interest ]s calculated as folloes: TNTEREST -- BALANCE OF TAX UNPAID X NUHBER OF DAYS DELTN~IUENT X DATL¥ INTEREST FACTOR --Any 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 Notice, additional interest must be calculated. WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 Tax Parcel No. 46-7-481-16 IN RE: ESTATE OF MARTIN E. MUELLER, Deceased, Late of the Township of West Pennsboro, Cumberland County, Pennsylvania : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION : : NO. 21-03-60 DEC.R~E AWARDING. REAL ESTATE AND NOW, this ~- day of~~_--~ ,2003, the First and Final Account and Statement of Proposed Distribution of Judy E. Mueller, Executrix of the Estate of Martin E. Mueller, having been confirmed by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division, on November 25, 2003, pursuant to 3534 of the Probate, Estates and Fiduciaries Code of 1972, as amended, the entire fee simple interest in the real estate hereinafter described is awarded to Judy E. Mueller, in accordance with the Statement of Proposed Distribution confirmed by the Court of Common Pleas of Cumberland County, Pennsylvania, as aforesaid: ALL THOSE CERTAIN lots or tracts of land situate in West Pennsboro Township, Cumberland County, Pennsylvania, more particularly bounded and described, as follows: TRACT NO. 1: BEGINNING at a point on Township Road No. 427, which point is in the northeastern line of a lot now or formerly of Harold M. Clymans and Amy Clymans; thence along said Clymans' lot, North 69 degrees 26 minutes West, 285 feet to an iron pin; thence along other lands now or formerly of the said Clymans of which the lot hereby conveyed was formerly a part, North 20 degrees 34 minutes East, 50 feet to an iron pin; thence along the same, South 69 degrees 26 minutes East, 285 feet to a point in said Township Road; thence in said Township Road, South 27 degrees 08 minutes West, 50 feet to the Place of BEGINNING. TRACT NO. 2: BEGINNING at a spike in the center of said Township Road No. 427, which spike is 768 feet northeast of the property now or formerly of John Walters, measured northeastwardly in the centerline of the old Township Road as it existed prior to its relocation; thence through the property now or formerly of Lloyd Franklin, of which the lot hereby conveyed was formerly a part, North 40 degrees 45 minutes West, 226.55 feet to a pin; thence by the same, North 17 degrees 17 minutes East, 190 feet to a pin; thence by the same, South 72 degrees 43 WAYNE F. SHADE Attorney at Law 53 West Pomfi'et Street Carlisle, Pennsylvania 17013 minutes East, 285 feet to a spike in the center of the existing Township Road; thence by the center thereof, South 15 degrees 02 minutes West, 160 feet to a spike; thence continuing in the center of said Township Road, South 50 degrees 40 minutes West, 180 feet to the Place of BEGINNING. THE above-described Tract No. 2 contains 1.626 acres, as determined by a survey thereof made by John H. Fox, Professional Engineer, dated March 23, 1963. TRACT NO. 3: BEGINNING at a point in the centerline of said Township Road No. 427, which point is in the eastern line of Tract No. 2 hereinabove described; thence along said Tract No. 2, North 69 degrees 26 minutes West, 285 feet to a point; thence along the same and along Tract No. 1 hereinabove described, South 20 degrees 34 minutes West, 240 feet to a point; thence by lands now or formerly of Leroy E. Fickes and Doris M. Fickes, North 69 degrees 26 minutes West, 60 feet to a point; thence by other lands now or formerly of the said Leroy E. Fickes and Doris M. Fickes, North 20 degrees 34 minutes East, 290 feet to a point; thence continuing along other lands now or formerly of the said Leroy E. Fickes and Doris M. Fickes, South 69 degrees 26 minutes East, 345 feet to a spike in the centerline of said Township Road; thence in said Township Road, South 27 degrees 08 minutes West, 50 feet to the Place of BEGINNING. BEING the same premises which Robert D. Shaffner and Elaine V. Shaffner, husband and wife, by Deed dated November 25, 1975, and recorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Deed Book "I", Volume 26, Page 996, granted and conveyed unto Martin E. Mueller, widower. THIS transfer is exempt from Pennsylvania realty transfer taxes as a transfer for no consideration by testate succession from a personal representative of a decedent to the decedent's heir. · ~°Xlrfer' P'7 I do hereby certify that the precise residence and complete post office address of the within named Grantee is 45 Creek Road, Newville, Pennsylvania 17241. Date: Attorney for Grantee -2- ORPHANS' COURT DIVISION NO. 21-03-60 IN RE: ESTATE OF MARTIN E. MUELLER, Deceased, Late of the Township of West Pennsboro, Cumberland County, Pennsylvania DECREE AWARDING REAL ESTATE WAYNE E SHADE ATFORNEY AT LAW 53 WEST POMFRET STREET CARLISLE, PENNSYLVANIA 170 WAYNE F. SHADE Attorney at Law 53 West Pom£ret Street Carlisle, Pennsylvania 17013 IN RE: ESTATE OF MARTIN E. MUELLER, Deceased, Late of the Township of West Pennsboro, Cumberland County, Pennsylvania : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION : : NO. 21-03-60 STATEMENT OF PROPOSED DISTRIBUTION The Executrix proposes to distribute the entire balance of the Estate for distribution under the provisions of Item Fourth of the Last Will and Testament of the decedent, as follows: 1. House and lot of ground known and numbered as 45 Creek Road, Newville, Cumberland County, Pennsylvania, more particularly bounded and described in Cumberland County Deed Book 'T', Volume 26, Page 996 2. Nationwide Life Insurance, Policy No. L015352630, in kind 3. Household contents, in kind 4. Cash TOTAL $187,142.90 6,263.84 630.00 32.245.24 $226,281.98 I, JUDY E. MUELLER, Executrix of the Estate of Martin E. Mueller, Deceased, hereby declare under penalty of perjury that the foregoing Statement of Proposed Distribution is true and correct to the best of my knowledge, information and belief. Date: October l6,2003 Ju~j~ E~ l~ueller CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-60 IN RE: ESTATE OF MARTIN E. MUELLER, Deceased, Late of the Township of West Pennsboro, Cumberland County, Pennsylvania STATEMENT OF PROPOSED DISTRIBUTION I hereby certify that written notice of the filing of this Statemem of Proposed Distribution, and c~ the dele, t~ne and p~oe when Ihe ~ame wel be pmeemed to the Court for oonllrmalton and o~ Ihe leer clay ~o i~ written oblecaom to ~ 8~m~ d pmpoeed and to every oth~ perm~ known to the aecounlent to have o~ claim an intemet In Ihe eela~ a~ a,edilo~. A copy of said S~atement was included w~ the nolice WAYNE F. SHADE ATTORNEY AT LAW 53 WEST POMFRET STREET CARLISLE, PENNSYLVANIA 17013 WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 IN RE: ESTATE OF MARTIN E. MUELLER, Deceased, Late of the Township of West Pennsboro, Cumberland County, Pennsylvania IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-60 FIRST AND FINAL ACCOUNT OF JUDY E. MUELLER, EXECUTRIX Date of Death: January 8, 2003 Letters Testamentary Granted: January 22, 2003 First Complete Advertisement of Grant of Letters: February 14, 2003 Account Stated to June 30, 2003 PRINCIPAL RECEIPTS 1/22/03 1/22/03 1/22/03 1/22/03 1/22/03 1/22/03 1/22/03 House and lot of ground known and numbered as 45 Creek Road, Newville, Cumberland County, Pennsylvania, more particularly bounded and described in Cumberland County Deed Book 'T', Volume 26, Page 996 $187,142.90 Parcel of land known and numbered as 1417 East Frontage Road, being part of the north 1/2 - southwest 1/4 of Section 14, Township 26 North, Range 20 East, Town of Little Suamico, Oconto County, Wisconsin Household contents Orrstown Bank, Investment Account No. 50001463079 Orrstown Bank, Checking Account No. 417335 Waypoint Bank, Certificate of Deposit No. 1100053266 1,363 shares Woolworth Corporation common stock 370,000.00 630.00 54,634.32 21,366.90 14,003.55 14,515.95 WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 1/22/03 2/10/03 2/12/03 2/20/03 3/12/03 3/15/03 3/26/03 4/ 4/03 4/ 9/03 4/14/03 4/15/03 1/22/03 1/30/03 1/30/03 1/30/03 1/30/03 Nationwide Life Insurance, Policy No. LO 15352630, cash value on the life of Judy Mueller American Heritage, subscription refund Insight Magazine, subscription refund The Weekly, Standard, subscription refund World Press Review, subscription refund The Week, subscription refund Paterson Litigation Settlement, litigation settlement proceeds U.S. Treasury, federal income tax refund Metropolitan Life Insurance Company, life insurance proceeds Capital Blue Cross, health insurance refund Cumberland County Veteran's Death Benefit TOTAL PRINCIPAL RECEIPTS PRINCIPAL DISBURSEMENTS Orrstown Bank, Checking Account No. 417335, charges after date of death 1/17/03 Service fee 3.00 1/23/03 Sprint 152.22 1/27/03 PP&L 119.30 Cumberland Law Journal, advertise Letters Testamentary Wayne F. Shade, reimbursement for probate Taste of Home, magazine subscription Kough's Oil Service, heating fuel -2- 6,263.84 2.00 62.76 36.23 16.48 55.00 1.00 2,056.00 10,030.82 516.98 100.00 $681,434.73 $274.52 75.00 313.00 14.98 600.46 WAYNE F. SHADE Attorney at Law 53 West Pomffet Street Carlisle, Pennsylvania 17013 1/30/03 1/30/03 1/30/03 1/30/03 1/31/03 1/31/03 2/14/03 2/14/03 2/14/03 2/14/03 2/14/03 2/20/03 3/31/03 3/31/03 4/ 2/03 4/ 3/03 4/ 3/03 7/30/03 8/11/03 8/11/03 6/30/03 Hoover's Plumbing & Heating, Inc., furnace maintenance Oconto County Treasurer, real estate tax on land in Wisconsin M&T Bank, Mastercard Mamocha Funeral Home Ltd., funeral services Register of Wills, certified copy of Last Will and Testament Judge & Krzewinski, S.C., ancillary probate retainer Kough's Oil Service, heating fuel Carlisle Apothecary, pharmaceuticals Masland Associates, Inc., medical services Sprint, telephone service PP&L, electric service The Sentinel, advertise Letters Testamentary Deborah W. Piper, personal tax West Shore EMS-Carlisle, ambulance service Register of Wills, Short Certificate Register of Wills, estimated Inheritance Tax U.S. Post Office, registered mail Judge & Krzewinski, S.C., attomey fees Register of Wills, Inheritance Tax Register of Wills, file Inheritance Tax Return Wayne F. Shade, Esquire, reserve for attomey fees -3- 88.50 292.29 7,401.85 6,401.75 4.00 1,500.00 221.67 169.11 100.00 121.24 171.27 88.43 4.90 552.44 3.00 10,000.00 9.85 634.39 1,847.29 15.00 7,500.00 WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 6/30/03 1/30/03 2/26/03 3/11/03 4/ 8/03 4/ 9/03 4/ 9/03 7/ 8/03 7/ 8/03 7/ 8/03 7/ 8/03 1/31/03 3/11/03 1/30/03 Register of Wills, reserve for filing account, etc. TOTAL PRINCIPAL DISBURSEMENTS PRINCIPAL DISTRIBUTIONS Judy E. Mueller Judy E. Mueller Judy E. Mueller Judy E. Mueller Judy E. Mueller, 1,363 shares Woolworth Corporation common stock Metropolitan Life Insurance Company, life insurance proceeds Judy E. Mueller, undivided one-fourth interest in 1417 East Frontage Road, Little Suamico, Wisconsin Martin P. Mueller, undivided one-fourth interest in 1417 East Frontage Road, Little Suamico, Wisconsin Mark K. Mueller, undivided one-fourth interest in 1417 East Frontage Road, Little Suamico, Wisconsin Linda Heid, undivided one-fourth interest in 1417 East Frontage Road, Little Suamico, Wisconsin TOTAL DrSTRIBUTIONS INCOME RECEIPTS Foot Locker, Inc., stock dividend Waypoint Bank, interest on Certificate of Deposit No. 1100053266 Orrstown Bank, Checking Account No. 417335 -4- 200.00 $38,604.94 $3,000.00 3,000.00 14,003.55 2,056.00 14,515.95 10,030.82 92,500.00 92,500.00 92,500.00 92,500.00 $416,606.32 $40.89 180.19 4.65 WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 4/11/03 Metropolitan Life Insurance Company, interest TOTAL IN'COME RECEIPTS INCOME DISTRIBUTIONS 3/11/03 Judy E. Mueller TOTAL INCOME DISBURSEMENTS RECAPITULATION PRINCIPAL Receipts Less Disbursements Less Distributions $681,434.73 38,604.94 416 606.32 Principal Balance Remaining INCOME Receipts Less Distributions $238.70 180.19 Income Balance Remaining COMBINED BALANCE REMAINING -5- 12.97 $238.70 $180.19 $180.19 $226,223.47 58.51 $226,281.98 I, JUDY E. MUELLER, Executrix of the Estate of Martin E. Mueller, Deceased, hereby declare under penalty of perjury that I have fully and faithfully discharged the duties of my office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Estate have been paid in full; that, to my knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the Estate have been paid. Date: October 16, 2003 J eller - - ' WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-03-60 IN RE: ESTATE OF MARTIN E. MUELLER, Deceased, Late of the Township of West Pennsboro, Cumberland County, Pennsylvania FIRST AND FINAL ACCOUNT ~;,~'~0¥ certify that written notice of the filin~ o! :,s Account, and of the date, time and pl~ce .,-le~ the same will be preeeflmd to the Court · confirmation and ol the ~ day to file written :..~ctions to said Aceount, hat been given to · .,i~ry unpaid ctaknant afld to every other person . ~own to the a(xx:iunta~ to have or claim an · *~ef. cst in the estate as credit(x, beneficiary, ~ or next of kin, WAYNE F. SHADE ATTORNEY AT LAW 53 WEST POMFRET STREET CARLISLE, PENNSYLVANIA 1'701 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Martin E. Mueller Date of Death: January 8, 2003 Social Security No.: 471-12-1755 File No.: 21-03-60 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of thc administration of the above-captioned Estate: 1. State whether administration of the Estate is complete: Yes X No 2. If the answer to No. 1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes X No Date: December 1, 2003 W~ayne/~. Sl~ade, Esquire Supreme Court No. 15712 53 West Pomfret Street Carlisle, Pennsylvania 17013 Telephone: 717-243-0220 Counsel for personal representative WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 IN RE: ESTATE OF MARTIN E. MUELLER, Deceased, Late of the Township of West Pennsboro, Cumberland County, Pennsylvania : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION : : NO. 21-03-60 RELEASE KNOW ALL PERSONS BY THESE PRESENTS, That I, JUDY E. MUELLER, being the sole residuaD' heir of Martin E. Mueller, Deceased, late of the Township of West Pennsboro, Cumberland County, Pennsylvania, do hereby acknowledge that I have this date had and received of and from Judy E. Mueller, Executrix of the Estate of the said Martin E. Mueller, the following in full satisfaction and payment of all such sum or sums of money, legacies, bequests, intestate shares and family exemptions to which I am entitled by Will or as an heir-at-law and to which I am entitled from the Estate of said Decedent: House and lot of ground known and numbered as 45 Creek Road, Newville, Cumberland County, Pennsylvania, more particularly bounded and described in Cumberland County Deed Book 'T', Volume 26, Page 996 $187,142.90 2. Nationwide Life Insurance, Policy No. L015352630, in kind 6,263.84 3. Household contents, in kind 630.00 4. Cash 32,245.24 TOTAL $226,281.98 NOW, THEREFORE, I do hereby remise, release, quitclaim and forever discharge myself as Executrix of said Estate, my heirs, executors, administrators and assigns, of and from the said legacy or legacies and other shares in said Estate and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for and by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the date of these presents. WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 IN WITNESS WHEREOF, I have hereunto set my hand and seal, this day of December, 2003. WITNESS: Jud~ E~. l~[ueller (SEAL) I verify that the statements made in the foregoing Release are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4904, relating to unsworn falsification to authorities. Date: I~] i I~)~ Judy EOMue~er 542676 Document Number Judy E. Mueller, STATE BAR OF WISCONSIN FORM 5 - 2000 PERSONAL REPRESENTATIVE'S DEED as Personal Representative of the estate of Martin E. Mueller, ("Decedent"), for valuable consideration conveys, without warranty, to Martin P. Mueller, Mark K. Mueller, Judy E. Mueller, and Linda Heid, as tenants in common, Grantee, the following described real estate in Oconto County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): The Northwest Quarter of ti~e Southwest Quarter (NW 1/4 of SW .... of Section Fourteen (14), Township Twenty-six (26) North, Range Twenty (20) East, in the Town of Little Suamico, Oconto County, Wisconsin EXCEPT Vol. 581 Records, Page 294, EXCEPT Vol. 730 Records, Page 120, EXCEPT part deeded for road purposes in Vol. 755 Records, Page 961, and FURTHER EXCEPTING THEREFROM any part used for road/hwy purposes. Subject to easements in Vol. 1570 Records, Pages 940 & 941. FEE EXEMPT: Pursuant to Wis. Stat. 77.25 (11). VOL. 21 RECORDED AT · O'CLOCK M JUL 8. 2003 LORALEE LASLEY REGISTER OF DEEDS OCONTO COUNTY, WI Recording Area Name and Retm'n Address Attorney Michael T. Judge P.O. Box 75 Oconto, WI 54153 024-081401232A Parcel Identification Number (PIN) Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the Decedent had immediately prior to Decedent's dzath, and all of the estate and interest in the Property which the Personal Representative has since acquired. Dated this 3rd day of July ,2003 Personal Representative * J~dy E?Mueller Personal Representative AUTHENTIC ~kTION ACKNOWLEDGMENT Signature(s) authenticated this day of , T1TLE: MEMBER STATE BAR OF WISCONSIN (If not, STATE OF PENNSYLVANIA ) ) SS. Cumberland County ) Personally came before me this 3 r d . day of Ju'l ¥, 2003 the above named Judy E. Mueller, as Personal RepreSentative of the Estate of Martin E. Mueller to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instant andac~l,owled~ged the same. THIS INSTRUMENT WAS DRAFTED BY , - / ' ' Attorney Mmhael T Judge ' ' . ' . Notary Public, State of PENNSYLVANIA Oconto, Wl 54153 __ My Commission is pe[m=ncnt. (If net, (Signatures may be authenticated or acknowledged. Both are not necessary.) [ Notarial Seal / I' .) * Names of persons signing in any capacity must be typed or printed below their signature. [ ~ii~[e"~;;~l"i~J ~;~;[~ J , STATE BAR OF WISCONSIN · ' · . PERSONAL REPRESENTATIYE S DEED FORM No. 5 - 2000 h~O~.igels$tSO0~O)~_[~2~ Ctv~v~.l~o~rlforms.com