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HomeMy WebLinkAbout03-0089PETITION FOR PROBATE and GRANT OF LETTERS also known as Social Security No. !c~_tb_l. _D~..~_ c~tS_q~_ceased._ De No. To: Register of Wills for the County of ~'t~ ,% O,~g Ln_ a_l l~ in the Commonwealth 'of ~-nr~ylvania The petition of the undersigned respectfully represents that: Your petitioner~, who is/are 18 years of age or older an the execut~ l ~, _ named in the last wilt of the above decedent, dated ffbl~-tv~t~l[ O,. .r.f: , ~ (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in tr~u s, ,, ~ o 1~ ~/~ County, Pennsylvania, with h lc; last family or principa~esidenc~a(' '~6 ~ L ~ ~ ~ , (list street, number and muncipality) Decendent, then ~ years of. age, died ~ ~ ~it~ / [ ,~, at ,~0 ~u~ ~t~ L~~ (~~a~JD ~,~.-~. /~ . Except as ~ollows, decedent d~d not marry, was not d~vorced and d~d not have a chhd ~orn or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters ~'~;7'.n_~_E~r t~ a_~ (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF 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 affir~e~ and subscribed before me this °i~3"~_ __ ~ day of Regtsterv No. '- -~ '~1 tl ......... DECREE OF PROBATE AND GRANT OF LETTERS AND NOW J~k~.~ ~L~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument~ dated ~tO~~ ~ l~7~ described therein be admitted to probate and filed of record as the last will of ~ [~ ~ ~ ~ are hereby granteg FEES Probate, Letters, Etc .......... $. Short Certificates( ) .......... $ Renunciation ................ $. $. TOTAL ~ $. Filed ................................... - - Register of Wills ADDRESS PHONE 21-03-89 REOISTER OF WILLS YORK COUNTY OF SUBSCRIBING WIT .. x codicil (each) a subscribing witness to th~wil1 presented herewith(each) being duly qualified according to law, depose(s) and say(s) that 'present and s~v~ ....... B __ ~ , the testat . same and that m ~ _ si~ned as a witness at the request of testat in h ~resence an'Xd'-O.n the presence of ~ach other)(in the presence of the other subscribing witness(es)). / SWorn to or affirmed and cribed 1 ~ (Nlme) before me this day of (Addres~ (Name) / For the Reg~ter ~'~ REGISTER OF WILLS YORK COUNTY OATH OF NON-SUBSCRIBING WITNESS familiar with the signature of $~l~l~,|le '"'17..'~'-~JlS~-~ , testatO~ ~_~i~:~ ~v]:..~::-~o) the will presented herewith and that the will is the hand~ifing of ~g~ ~ Sworn to or affirmed and subscribed before me ~is day of For the Reg~te~ (each) a subscriber hereto, (each) being duly qualified according to law, depose~0 and sayJ~ that~ of believes the signature on I~K~ , to the best of -7~£1R,. knowledge and belief. REGISTER OF WILLS YORK COUNTY OATH OF WITNESS TO WILL EXECUTED BY MARK ,,(each) codicil a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that: testat was unable to sign h name thereto; testat 's name was subscribed thereto in testat 's presence; testat made h mark thereon; testat and dependents(s) was (were) present when testat 's name was subscribed and when testat codicil signed the will made h will as witness(es). mark; and testat was present when the undersigned Sworn to or before me this affirmed and 19 subscribed day of (Address} For the Register 21-03-89 LAST WILL AND TESTAMENT OF MERIL E. BYERS 21-03-89 I, Meril E. Byers, of York Haven Borough, York County, Penn- sylvania, being of sound mind, memory and understanding, do make and publish this my last will and testament, hereby revoking and making void all former wills by me at any. time heretofore made. Item I. I direct that all my just debts and funeral expenses be paid as soon as may be convenient after my decease. Item II. I give, devise and bequeath my entire estate, real, personal and mixed, of whatsoever kind and wheresoever situate, unto my mother, Catherine Krafft, if living. Should she predecease me, I do then give, devise and bequeath my entire estate unto Betty Umphred. Item III. I do hereby nominate, constitute and appoint Betty Umphred to be Executrix of this my last will and testament, and I direct she use the services of Earl R. Doll, as attorney in the settle- ment of my estate. IN WITNESS WHEREOF, I, Meril E. Byers, the Testator above- named, have hereunto subscribed my name and affixed my seal this ~ ~ day of ~~_~ , 1970. (SEAL) Signed, sealed, published and declared by the above-named Meril E. Byers, as and for his last will and testament, in the presence of us, who, have hereunto subscribed our names at his request as witnesses thereto in the presence of said Testator and of each other. CERTIFICATION OF NOTICE UNDER RULE §5.6(a) N~me of Decedent: Meril E. Byers, a/k/a Merril E. Byers, a/k/a Merril Byers Date of Death: January 11, 2~3 Will No. ~-o~-~o ~ Admin. No. To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans Court was served on or mailed to the following beneficiaries of the above captioned estate Name: Betty Umphred Address: 530 Hummel Avenue, Lemoyne, PA 17043 Notice has now been given to all persons entitled thereto under ~ule 5.6(a) except: Catharine Krafft, died August 3, 1978. Date: /~ 3~- o~ Si~ature Name: Robert E. Myers Capacity: Address: %.0Q York Road New Cumberland, PA 17070 Telephone No. 717~774-3163 Personal Representative ~-~- Counsel for Personal Representative TELEPHONE: 717/774-3163 LAW OFFICES OF ROBERT E. MYERS 100 YORK ROAD NEW CUMBERLAND, PA 17070 FAX: 717/774-2257 tax March 3, 2003 Register of WiZls Cumberland County Court House Carlisle, PA 17013, Re: Meril E. Byers No. 2003-00089 Dear Sir or Madam: Enclosed are the following: 1. One copy of Family Agreement for filing 2. Two copies of State Inheritance Tax form 3. Check in the amount of $6138.27 in payment of inheritance 4. Status report under Rule 6.12 5. Our check to you for filing fees - please fill in the amount needed. Very truly yours, REM/MVH Enc. ROBERT E. MYERS Attorney at Law 100 Old York Road New Cumberland, PA 17070 ~EV-1500 EX (6-00) ° ~ ' · COMMONWEALTH OF ,~~ PENNSYLVANIA ~ DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN R E S ID E N T D E C E D E N T coo,, coo -- I-- Z LLI iii t- Z .~, Z o n~ o (b iii X DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) DATE OF DEATR (MM-DD-YEAR) DATE OF BIRTH (ivlM-DD-YEAR) (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER ~1. Original Return E~4. Limited Estate [~6, Decedent Died Testate (Attach capy of Will) E~]9, Litigation Proceeds Received [~2. Supplemental Return E~] 4a. Future Interest Compromise (date of death after 12-12-82) [~7. Decedent Maintained a Living Trust (Attach copy of Trust) ] 10. Spousal Poverty Credit (date of death between 12-31-91 and %1-95) [~3. Remainder Return (date of death prior to 12-13-821 E~5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes E~11. Election to tax under Sec. 9113(A) (Attach Sch O) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATIOt~! SH~LD BE DIRECTED TO, NAME 4 --- ~ ^'~ ' I COMPLETE'M~ILINGADDRE~S ~ ' '" ' ' FIRM NAME (If Applicable) 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 Properly (7) (Schedule G or L) 8, Total Gross Assets (total Lines 1-7) (8) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14, Net Value Subject to Tax (Line 12 minus Line 13) (14) (~ oq~, 2. O 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) x .0_ (15) 16. Amount of Line '14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate x .0_ (16) ,'¢3 _.¢~., ~ U x .12 ¢7) ~. ~t~ I, ~'5 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) ~'~ ~ ~1' --'~_.~ Decedent's Complete Address: CITY Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C ) (2) ~ ~3' ~L Total Interest/Penalty ( D + E ) (3) If Line 2 is greater than Line 1. + Lin.e 3, enter the difference. This is the OVERPAYMENT. Check box on Page'1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] E~' 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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE z/, .¢ ADDRESS ' ' ADDRESS v . U ~ -- ~-'t For dates of death on or a~er July 1, 1994 and before Januaw 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 RS. ~9116 (a) (1.1) (i)]. For dates of death on or a~er JanuaW 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the sullying spouse is 0% [72 RS. ~9116 (a) (1.1) (ii)] The statute does not exempt a transfer to a su~iving spouse from tax, and the statutory requirements br disclosure of assets and filing a tax return are still applicable even the su~iving spouse is the only beneficial. 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 yeaB of age or younger at death to or br the use of a natural parent, an adoptive paren' or a stepparent of the child is 0% [72 RS. ~9116(a)(1.2)]. The tax rate imposed on the net value of tBnsfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 RS. ~9116(1.2) [72 RS. ~9116(a)(1)]. The tax rate, imposed on the net value of transfers to or br the use of the decedent's siblings is 12% [72 RS. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as a~ individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-150~ EX+ (2-87) ' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or Type ESTATE OF (All property iointly-ownea with the Right o viv0rsh~'~ must be disclosed on Schedule F) FILE NUMBER ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH ,,.. ACC e TOTAL (Also enter on line 5, Recapitulation) (Attach additional 8V2" x 11" sheets if more space is needed.) EV-1511EX + (1-97)~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Debts of decedent must be reported on Schedule I. ITEM NUMBER A. 1. SCHEDULE H FUNEI~AL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER DESCRIPTION AMOUNT ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) I '7 ~- ~'b ""~ ._~b Street Address .~'~l:) /"/'l, lJ~,%~-;L /~I~E/I,/i~.~~,: Year(s) Commission Paid: ~.-0 {1 ~ Attorney Fees Family Exemption: (if decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State __ Relationship of Claimant to Decedent Zip 5. 6. 7. Probate Fees Accountant's Fees Tax Return Prepareds Fees FI~-E IN ~'~g~T~,~cf-, TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) 151.'0o REV, 1513 EX+ 11'~7) ~ ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER II. SCHEDULE J BENEFICIARIES NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT ORSHARE OF ESTATE Do Not List Trustee(s) ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, 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 '1'1' - 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) CAPITAL DIVISION · LANCASTER/CHESTER DIVISION DROVERS BANK DIVISION · GREAT VALLEY DIVISION (717)291-2437 February 14, 2003 Robert E. Myers 100 York Road New Cumberland, Pemasylvania 17070 Dear Mr. Myer: RE: Merril Byers, deceased January 11, 2003 In response to your recent inquiry concerning the accounts maintained in the name of the decedent, please be advised that the following accounts were open at the date of death: Savings # 4419- interest $ .25, in 13057, open 8/14/2000, balance $3,803.30 and accrued his name only. ACC CD// BALANCE INT RATE OPEN ROLL OVER MATURITY 000-0077088 $1,055.00 $21.52 3.92% 7/7/1994 7/7/2002 7/7/2006 000-0078405 $1,600.00 $28.78 3.92% 7/29/1994 7/29/2002 7/29/2006 000-0078416 $1,000.00 $16.78 3.92% 8/9/1994 8/9/2002 8/9/2006 000-0078418 $1,000.00 $16.57 3.92% 8/11/1994 8/11/2002 8/11/2006 000-0078437 $1,000.00 $12.27 3.68% 9/12/1994 9/12/2002 9/12/2006 000-0078441 $1,000.00 $11.97 3.68% 9/15/1994 9/15/2002 9/15/2006 000-0081405 $3,000.00 $36.85 4.74% 4/10/1995 4/10/2001 4/10/2004 000-0082703 $2,000.00 $5.99 4.55% 6/19/1995 6/19/2001 6/19/2004 000-0102034 $3,851.68 $114.33 5.59% 7/5/1998 7/5/2003 000-0102035 $10,000.00 $296.84 5.59% 7/5/1998 7/5/2003 000-0102065 $20,000.00 $502.42 5.59% 8/3/1998 8/3/2003 000-0117940 $1,650.00 $58.08 5.35% 5/21/1999 5/21/2004 000-0117951 $ 1,000.00 $33.98 5.35% 5/29/1999 5/29/2004 000-0120622 $8,893.52 $187.22 4.97% 8/12/1999 8/12/2004 *All CD's are in his name only If you should have any further questions, please do not hesitate to contact me. Very truly yo,u, rs: Karen D. Hillegas Credit Inquiry Processor P O Box 4887 Lancasler, PA 17604 www.fultonbank.com 1-800-FULTON-4 ROBERT E MYERS ESQUIRE 100 YORK ROAD NEW CUMBERLAND PA 17070 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105-8486 February 13, 2003 Re: MERIL BYERS SSN: 180-10-8905 Dear Attorney Myers: Pursuant to your letter dated January 29, 2003, the Department of Public Welfare (DPW), Estate Recovery Program, has reviewed the information you provided regarding the above-referenced individual. It has been determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department's Estate Recovery Program will not seek any recovery from this estate. If you have any questions, please feel free to contact me. Sincerely, Ronald D. Hill, Manager TPL - Casualty Unit (717)772-6604 (717)772-6553 FAX LAST WILL AND TESTAMENT OF MERIL E. BYERS 21-03-89 I, Meril E. Byers, of York Haven Borough, York County, Penn- sylvania, being of sound mind, memory and understanding, do make and publish this my last will and testament, hereby revoking and making void all former wills by me at any. time heretofore made. Item I. I direct that all my just debts and funeral expenses be paid as soon as may be convenient after my decease. Item II. I give, devise and bequeath my entire estate, real, personal and mixed, of whatsoever kind and wheresoever situate, unto my mother, Catharine Krafft, if living. Should she predecease me, I do then give, devise and bequeath my entire estate unto Betty MAR 3 .~ 2003 HARRISBURG PA ] ? First Chss M ROBERT E. MYERS ATI'ORNEY AT LAW 1 O0 York Road New Cumberland, PA 17070 Telephone,717-774-3163 TO: Register of Wills Cumberland County Court House Carlisle, PA 17013 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 O02249 MYERS ROBERT E ESQUIRE 100 OLD YORK ROAD NEW CUMBERLAND, PA 17070 ........ fold ESTATE INFORMATION: SSN: 180-10-8905 FILE NUMBER: 2103-0089 DECEDENT NAME: BYERS MERIL E DATE OF PAYMENT: 03/04/2003 POSTMARK DATE: 03/02/2003 COUNTY: CUM BERLAN D DATE OF DEATH: 01/11/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $6,138.27 TOTAL AMOUNT PAID' $6,138.27 REMARKS: BETTYUMPHRED C/O ROBERT E MYERS ESQUIRE SEAL CHECK-//0099 INITIALS: CW RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS THIS AGREEMENT, made as of the ~ day of ~_ , 2003, by and between BETTY UMPHRED, hereinafter refer~ed to as "Betty" individually, and BETTY UMPHRED, a- Executrix of the estate of Meri! E. Byers, deceased, late of Lemoyne, Pennsylvania, hereinafter referred to as "Executrix" W I T N E S S E T H: The Parties hereto intending to be legally bound hereby d<.i-clare, promise and agree as follows: 1. The said Meri! E. Byers, a/k/a Merril E. Byers, a/k/a Merri! Byers, 'lied Testate, a single person on January 11, 2003, leaving a Last Will and Testament dated November 9, 1970. 2. The said Last Will and Testament dated November 9, 1970, w~.s probated by the Register of Wills of Cumberland County, Pennsylvania, on January 29, 2003, and Letters Testamentary were issued and granted to Betty Umphred. 3. The said Last Will and Testament of Meril E. Byers provided for the payment of all debts and funeral expenses. 4. A State Inheritance Tax Return was drafted and to be i~!ed in the Register of Wills Office with a determination thereon showing inheritance tax due of $6138.27 which has been paid less a discount of 5%. to Law. 6. The Estate of Merii E. Byers was not advertised according The said Last Will and Testament of Meril E. Byers provided all of her estate was to go to Catherine Krafft, his mother, if living, and if she predeceased him then to Betty Umphred, individually, one of the parties hereto. 7. The Parties hereto desire and agree to finally and permanently settle their respective interests in the Estate of Meril E. Byers without the formalities'of filing a First and Final Account and the Adjudication thereof and have distributed the net assets of the Estate. 8. The Parties hereto acknowledge that they are aware of their right to have a First and Final Account filed in the Register of Wills Office of Cumberland County, Pennsylvania and adjudication by the Court. 9. The parties hereto waive the filing and service of a First and Final Account. 10. A letter has been obtained from the Pennsylvania Department of Welfare showing no amounts due to the Department for assistance to Meril E. Byers. 11. Betty is aware that if any unknown bills surface in the future that she could be required to pay same to the extent of the distribution to her herein provided. 12. An account of Betty Umphred, Executrix of the Estate of Meril E. Byers is as follows: PRINCIPAL - PERSONALTY Capital Blue Cross refund Drovers Bank - Accounts and C.D.s Total $197.16 61~817.76 $62,014.92 DEBITS Little Funeral Home, Manchester, PA Notice: Forethought Life. Ins. Co. policy paid directly to Little Funeral Home - $6765.00 £~agemyer Flower Shop Personal Representative Commission Attorney Fee - Robert E. Myers Probate fees - Register of Wills File Inheritance Tax return - Register of Wills File Release - Family agreement - Register of Wills N~tary Fee - Mary Ver Hage Inheritance Ta:~ - Register of Wills Total $350.00 124.50 3199.94 2253.76 131.00 10.00 15.00 6.00 6138.27 $12,228.47 PRINCIPAL OF PERSONALTY Debits Credits TOTAL'FOR DISTRIBUTION RECAPITULATION $62,014.92 12,228.47 Net $491786.45 $49,786.45 TOTAL FOR DISTRIBUTION THIS BALANCE IS MADE UP AS FOLLOWS: Cash in Bank Account $49~786.45 Betty Umphred SCHEDULE OF DISTRIBUTION: $49,786.45 13. We and each of us hereby accept, approve and agree that the said accounting of the assets, liabilities and Schedule of Distribution shall have the same force and effect as if a First and Final Account has been filed in ~he Office of the Register of Wills of Cumberland County, Pennsylvania, by Betty Umphred, Executrix, with a propose~ Schedule of Distribution as if the said First and F~nal Account had been adjudicated and confirmed absolutely by the Court of Common Pleas of Cumberland County, Pennsylvania, Orphans' Court Division, and the said Court approved the said Schedule of Distribution. 14. There are no liabilities of Meril E. Byers, deceased, known by the Parties hereto except those herein set forth. 15. Betty acknowledges receipt of complete distribution of the above share of the Estate to which she is entitled. 16. Betty does hereby release the said Executrix of and from any and all claims known or unknown to her which she has against the said Estate of Meril E. Byers. 17. This 'is the entire agreement between the Parties hereto and shall be binding upon them, and their heirs, successors and assigns. IN WITNESS WHEREOF, we, the Parties hereto, have hereunto set our hands and seals as of the day and year first above written. WITNES ."~ Betty U~phred/- Individual Bet~ U~hr~t rix of the estate of Meril E. Byers Commonwealth of Pennsylvania ) ) SS: COUNTY OF ~~ ) On this, the ~7 day of ~~-~ 2003, before me, the undersigned office~, personally appea~ed Betty Umphred, individually and as Executrix of the Estate of Meril E. Byers, deceased, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Instrument, and she acknowledged that she executed the same for the purposes therein contained. NOTARY PUBLIC My Commission Expires: NOTARIAL SEAL MARY D? VER wAGE. Notary Public Fairview :'wp. York County My Cornmiss:~ ,~ Expires May 7, 2006 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Meril E. Byers, a/k/a Merril E. Byers, a/ik/a Merril Byers Date of Deaths January 11, 2003 Will No. 2003-0.0089 21-03-0089 Admin. No.. Pursuant to Rule 6.12 of the Supreme Court Orphans, Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is Yes_ x No 2. If the answer is No, state when the personal representative reasonably believes that the complete: complete: administration will be 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' Cc, urt No. (if any) for the personal representative,s account is: c. Did the personal representative state an account informally to tile parties in interest? Yes x No d. Copies of receipts, releases, Jotnders and approvals of formal or informal accounts may be filed with the Cerk of tile Orphans' C. ourt and may be attached to this report. Date :.. 2/27/03 S--~g~ Robert E. M~s Name (Plea~--~ype or print) ~ 100 York Rd., New Cumberland~PA 17070 · Address - ( MAX ~ rmt .'AM3 ) Capacity: Personal Representative .~.....Counsel for personal representative nH-27 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 18060! HARRISBURG, PA 17128-0601 ROBERT E HYERS 100 YORK RD NEW CUHBERLAND COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF /NMERITANCE TAX APPRATSEMENT, ALLO#ANCE OR DISALLONANCE OF DEDUCT/ONS AND ASSESSMENT OF TAX Reco, ~,~, · ....... Rc~ter of ~f~ DATE EgTATE OF DATE OF 9EATH '03 ~PR28 P3:0~zLz NUHBER COUNTY ACN PA 1707 .... ~-,~:~ --~ ~,~ 0q-21-1003 BYERS 01-11-Z003 21 03-0089 CUHBERLAND 101 Amount Remitted REV-l;4? EX AFP [81-03) HERZL E HAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGTSTER OF WTLLS CUHBERLAND CO COURT HOUSE CARLTSLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP [01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCT/ONS AND ASSESSNENT OF TAX ESTATE OF BYERS HER/L E FXLE NO. 21 03-0089 ACN 101 DATE 0q-21-2003 TAX RETURN #AS: { X) ACCEPTED AS F/LED ( ) CHANGED RESERVATXON CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: 1. Real Estate (ScheduZe A) 2. :5. q. $. 6. 7. 8. ORZGZNAL RETURN (1) Stocks and Bonds (Schedule B) (2) Closely Held Stock~Partnership /nterest (Schedule C) ($) Nortgages/No~es Rece/vable (Schedule D) (q) Cash/Bank Depos/ts/M/sc. PersonaZ Property (Schedule E) Jointly O~ned Property (Schedule F) (6) Transfers (Schedule G) (7) Tote! Assets APPROVED DEDUCTZONS AND EXENPTZONS: 9. Funeral Expensas/Ad,. Costs~Misc. Expenses (Schedule H) 10. Debts/Mortgage L/abil/~ies/L/ens (Schedule ~) 11. Total Deduc~/ons 3.2. Net Value of Tax Return (9) (10) Char/table/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) Ne~ Value of Estate Subject to Tax .00 .00 .00 .00 59~93~.56 .00 .00 (8) 6,090.20 .O0 (11) (12) (13) (1~) NOTE: :Z.I= an assessment Nas issued prev/ously, 11nes 1~, 15 and/or 16, 17, reflect figures that include the tota! of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amount of L/ne 1~ at Spousal rate (15) .00 X O0 : 16. Amoun~ of L/ne 1~ taxable a~ LineaX/Class A ra~e (16) .00 X 0~5 = 17. Amount of Line Xq a~ S/bX/ng rata (17) 53,8qq.36 x 12 = 18. Amount of Line 1~ taxable at Collateral/Class B rate (18) .00 X 15 = )al Tax Due . (19)= RECEIPT NUMBER CDOOZZq9 DXSCUUNT (+) INTEREST/PEN PAXD (-) 323.07 19. Pr/nc/ TAX CREDITS PAYMENT DATE AMOUNT PAZD 6,138.27 03-02-2003 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDZT/ONAL INTEREST. NOTE: To /nsure proper cred/t to your account, submit ~he upper port/on of this for. wi~h your tax payment. 59,93q.56 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~.ogn.2o 53,8qq.36 .00 S3,8qq.36 18 and 19 ~ill ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS RE~UZRED. /F TOTAL DUE /S REFLECTED AS A 'CRED/T" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE S/DE OF TH/S FORM FOR /NSTRUCT/ONS.) .01CR .00 .O1CR 6,q61.3q .00 6,q61.33 .00 6,q61.33 .0O RESERVATION: PURP0SE OF NOTICE: PAYMENT: REFUND (CR): OBJECTZONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decadents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to CZass 8 (collateral) beneficiaries of the decedent after the expiration of any estate for life ar for years, the Cemeoneealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the laaful Class B [collateral) rate on any such future interest. To fulfill the requirements of Section 21q0 of thm Inheritance and Estate Tax Act, Act Z3 of ZOO0. (72 P.S. Section Detach tho top portion of this Notice and submit with your payment to tho Register of Nills printed on the reverse side. --Make chock or money order payable to: REGISTER OF HILLS, AGENT 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-1313). Applications are available mt the Office of the Register of Hills, any of the 23 Revenue District O~ficas, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050~ services for taxpayers with special hearing and / or speaking needs: 1-800-4q7-3020 CTT only). Any party in interest not satisfied with the appraisement, alloaanca, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 2810Zl, 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. 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 17128-0601 Phone [717) 787-6805. Sma 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 eithin three (3) calendar months after the decedent's death, a five percent (52) discount of the tax paid is allowed. The 1SE tax amnesty non-participation penalty is computed on the total of thm tax and interest assmssmd, 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 same manner and in the the same tiaa period as you would appeal the tax and interest that has been assessed ms indicated an this notice. Interest is charged beginning with first day of delinquency, or nine E9) months and one (1} day free the date of death, to the date of payment. Taxes ehich became delinquent before January 1, 1982 bear interest at the rate of six (6X) percent par annum calculated at a daily rate of .O0016q. All taxes which became delinquent on and after January 1, 198E 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 Z003 ara: Interest Dally Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20X .000548 1987 9X .000247 1999 7~ .000192 1983 162 .000~38 1988-1991 11Z .000301 2000 8g .000219 198q 112 .000301 1992 9~ .0002~7 Z001 9X .0002q7 1985 13X .000356 1993-199~ 7X .000192 ZOOZ 6X .00016~ 1986 10~ .000274 1995-1998 9~ .0002q7 2003 SX .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPATD X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fi;teen [15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must bm calculated.