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Home My WebLink About03-0193Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Also known as H. VINCENT MYERS HARRY V. MYERS NO. , Deceased Social Security No. BARBARA RICKERT 170-18-9643 Petitioner(s), who is/are 18 years of age or older, apply(les) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioners are the executors named in the Last Will of ~' the Decedent, dated Au.qust 26, 1996 and codicil(s) dated State relevant circumstances, e.g. renunciation, death of Executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not to victim of a killing and was never adjudicated incompetent: Grant of Letters of Administration (d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate) Name Relationship Residence COMPLETE IN ALL CASES: Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at Camp Hill Care Center, 48 Efford Road, Camp Hill, Cumberland County, Pennsylvania (List street, number and municipality) Decedent, then 88 .years of age, died January 22, 2003, at Camp Hill Care Center, 48 Erford Road, Camp Hill, Pennsylvania (Location) 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 Pennsylvania ..................................... $ (If not domiciled in PA) Personal property in County .................................................... $ Value of real estate in Pennsylvania ..................................................................................................................... $. Total ........................................................................................................ $ Real Estate situated as follows: 1,000.00 1,000.00 Wherefore, Petitioners respectfully requests that the grant of letters of administration in the appropriate form be granted to the undersigned: Signature Typed or printed name and residence BARBARA RICKERT 268 Walton Street Lemoyne, PA 17043 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and 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 Decedent, Petitioner will well and truly administer the estate according to law, Sworn to and affirmed and subscribed ~r.z,~/,--~_., /~_.~.,~ ~ARB~,RA RICKER'T Before me this 4 th day of March 2003 Donna M. Otto, 1st Deput No. 21-2003-193 Estate of H. VINCENT MYERS a/k/a HARRY V. MYERS Social Security No: 170-18-9643 Date of Death: January 22, 2003 AND NOW, March 4 th ,2003, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ~' Testamentary [] of Administration d,b.n.c.ta.; pendente lite; durante absentia; durante minoritate are hereby granted to Barbara Rickert in the above estate and that the instrument dated August 26, 1996 described in the Petition be admitted to probate and filed of record as the last Will of the Decedent. FEES Letters ........................... $ 18.0 0 Short Certificate(s) 1 $. Renunciation .............. $ Affidavit ( ) .................. $. Extra Pages (2) .......$ Codicil ............................ $ JCP Fee ....................... $ Inventory ...................... $ Other .............................. $ 3.00 6.00 10. O0 Attorney: DAVID W. DELUCE TOTAL .........$. 37.00 I.D. No: 41687 Address: Johnson, Duffie, Stewart & Weidner, 301 Market Street, P.O. Box 109, Lemoyne, PA 17043 Telephone: 717-761-4540 MAILED LETTERS TO ATTORNEY ON 3-4-2003 Register of Wills of Cumberland County, Pennsylvania OATH OF NON-SUBSCRIBING WITNESS Estate of H. VINCENT MYERS Also known as HARRY V. MYERS No. 21-2003-193 , Deceased each a subscriber hereto, each being duly qualified according to law, deposes and says that they were familiar with the signature of H. VINCENT MYERS a/k/a HARRY V. MYERS, testator of the Will presented herewith, and that such subscribers believe the signature on the Will is in the handwriting of H. VINCENT MYERS a/k/a HARRY V. MYERS to the best of such subscriber's knowledge and belief. Sworn to or affirmed and subscribed Barbara Rickert (AOdr(s~ 0 Vicki Santos (Address) before me this 4 th day of Donna H. Otto, 1st Deputy 21-2003-193 LAST WILL AND TESTAMENT OF H. VINCENT MYERS KNOW ALL MEN BY THESE PRESENTS, That I, H. VINCENT MYERS also known as HARRY V. MYERS, of the Borough of Lemoyne, County of Cumberland, and Commonwealth of Pennsylvania, do make, publish, and declare this instrument to be my Last Will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. FIRST: I direct the Executrix hereof to pay all my just debts, funeral expenses and costs of administration as soon as conveniently may be done after my death. I further direct the Executrix hereof to pay all inheritance, estate, transfer and succession taxes which may be levied or assessed upon any property which is included as part of my gross estate for the purpose of any such tax. SECOND: I give, devise and bequeath unto EDWIN RICKERT and BARBARA RICKERT the rest, residue and remainder of my estate, realty and personalty, howsoever designated wheresoever situate provided that they are living on the thirtieth (30th) day after the date of my death. THIRD: In the event that both EDWIN RICKERT and BARBARA RICKERT do not survive me or do not survive me by the said period of thirty (30) days, then in that event, I give, devise and bequeath all the rest, residue and remainder of my estate to the survivor of EDWIN RICKERT and BARBARA RICKERT, per stirpes. FOURTH: I appoint BARBARA RICKERT to be Executrix of this my Last Will and Testament. I do hereby give to the Executrix hereof full power, discretion and authority at any time or times to sell, at private or public sale, mortgage, lease, pledge, exchange or otherwise deal with or dispose of the property comprising my estate as deemed best, to settle and compound any and all claims in favor of or against my estate as deemed best and, for any of the foregoing purposes, to make, execute and deliver any and all deeds, mortgages, contracts, leases, bills of sale or other instruments necessary or desirable therefor. FIFTH: In the event BARBARA RICKERT fails or refuses for any reason to serve as Executrix of this my Last Will and Testament, then in that event I appoint EDWIN RICKERT as Executor of this my Last Will and Testament. LASTLY: I direct that no fiduciary appointed by this, my Last Will and Testament, shall be required to give bond and that if, notwithstanding this direction, any bond is required by any law, statute or rule of court, no surety shall be required thereon. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of three (3) typewritten pages on the margin of which (except this page) 1 have affixed my initials this ~ day of ,,~'/~ ~ , A.D. 199____~ -2- Signed, sealed, published and declared by H. VINCENT MYERS, the above-named Testator, as and for his Last Will and Testament, in the presence of us and each of us, who at his request, and in his presence, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. -3- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Will No. 2003-00193 To the Register: H. Vincent Myers a/k/a Harry V. Myers January 22,2003 Admin. No. I certify that notice of estate administration as required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following testate and intestate beneficiaries of the above-captioned estate on March 7, 2003. Name BARBARA RICKERT Address 268 Walton Street Lemoyne, PA 17043 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None. Date: March 7, 2003 Signature Name Address Telephone Capacity: DAVID W. DE/LUCEL'/ Johnson, Duffle, Stewart & Weidner 301 Market Street P.O. Box 109 Lemoyne, PA 17043-0109 (717) 761-4540 Personal Representative X Counsel for personal representative #210790 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 002335 DELUCE DAVID W ESQUIRE JOHNSON DUFFLE STEWART WEIDNER PO BOX 109 301 MARKET STREET LEMOYNE, PA 17043 ........ fold ESTATE INFORMATION: SSN: 170-18-9643 FILE NUMBER: 2103-01 93 DECEDENT NAME: MYERS H VINCENT DATE OF PAYMENT: 03/25/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/22/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $101.60 TOTAL AMOUNT PAID: $101.60 REMARKS: BARBARA RICKERT C/O DAVID W DELUCE ESQUIRE SEAL CHECK# 1388 INITIALS: SK RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) MYERS, H. VINCENT DATE OF'DEATH (MM-DO-YEAR) DATE Of BIRTH (MM~DO-YEAR) 01/22/2003 05/]2/1915 (IF APPLICABLE) suRVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) [] 1. Original Return [] 2. Supplemental Return ~.~ [] 4. Limited Estate [] 4a. Future lnterest Cornpromise (date of death after o 12-12-82) (~ ~ O, [] 6. Decedent Died Testate {Atlach copy [] 7. Decedent Maintained a Living Trust (Attach .n of Will) copy of Trust) < [] 9. Litigation Proceeds Received OFFICIAL USE FILE NUMBER 21 03 00193 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 170-18-9643 SOCIAL REGISTER OF WILLS SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE [] 3. Remainder Re~rr~ (date of death prior to 12-13-82) [] 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [] 10. Spousal Poverty Credit (date of death between [] 11.BectiontotaxunderSec. 9113(A) (Attach Sch O) 12-31-91 and 1-1-95) NAME COMPLETE MAILING ADDRESS DAVID W. DELUCE FIRM NAME (If applicable) Johnson, Duffle, Stewart & Weidner TELEPHONE NUMBER 71 ?/761-4540 1. Real Estate (Schedule A) (1) P.O. Box 109 Lemoyne, PA 17043-0109 None OFFiCiAL USE O~qLY 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) None None None 1,000.02 None [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) None 287.00 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11 ) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax(Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, x or transfers under Sec. 9116(a)(1.2) (8) 1,000.02 (11) 287.00 (12) 713.02 (13) (14) 713.02 (15) 16. Amount of Line 14 taxable at lineal rate x .045 (16) 17.Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 713.02 19. Tax Due 20. [] x .12 (17) x .15 (18) (19) 106.95 106.95 Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) D. ecedent's Complete Address: STREET ADDRESS CITY Camp Hill Care Center 48 Erford Road Camp Hill sTATE p~ ztP 17011 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 5.35 Total Credits (A + B + C) Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is theBALANCE DUE (1) 106.95 (2) 5.35 (3) (4) (5) (5A) (5B) 0.00 101.60 101.60 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; ............................................................................. [] [] 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 death2 ....... [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a benefic ary des gnat on?. ............................................................................................................... [] [] 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 preparer other than the personal representative is based on all information of which preparer has any knowledge. S,G.A.URE O..ERSO..ES.O.S,S.E .OR .,',.G RETUR. ADDRESS Barbara Rickert x 268 Walton Street ~~' R~F Lemoyne, PA 17011 SON ILING RETURN ADDRESS DATE sIGNATURE OF PREP,,K~HER TFtAN ~ATIVE v'~ ADDRESS DATE 7 DAVID W. DE P O B · . ox 109 ~ Lem____oyne, PA 17043-0109 ~'~ I, ~) For dates of death on or after duly -1, -1994 and before danuary 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. §9-116 (a) (1.1) (i)]. For dates of death on or after danuary -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. §9110 (a) (1.1) (ii)]. The statutedoes not exempta transfer to a surviving spouse from 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 duly -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. §91113 {a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the 0ecedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 5}91113 1.2) [72 P.S. §9-1113 (a) (1)]. lhe tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is '12% [72 P.S. §9'11t3 (a) ('1.3)1. 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. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MYERS, H. VINCENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21 - 03- 00193 Include the proceeds of litigation and the date the proceeds were received by the estate~ll property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION Citizens Bank Non Interest Bearing Checking Account No. 6100892700 VALUE AT DATE OF DEATH 1,000.02 TOTAL (Also enter on Line 5, Recapitulation) 1,000.02 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MYERS, H. VINCENT Debts of decedent must be reported on Schedule I. iTEM NUMBER DESCRIPTION A. FUNERAL EXPENSESi SCHEDULE H i FUNERAL EXPENSES & ADMIN~TNE COSTS I _ !F LE iuiBE 21 - 03 - 00193 AMOUNT ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Johnson, Duffle, Stewart & Weidner 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 Probate Fees Cumberland County Register of Wills Zip 225.00 37.00 5. Accountant's Fees 6. Tax Return Preparer's Fees Other Administrative Costs Cumberland County Filing Fee Inheritance Tax Return Inventory $ 15.00 $ 10.00 25.00 TOTAL (Also enter on line 9, Recapitulation) 287.00 REV-151G EX+ (9-00) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER I. 1 SCHEDULEJ BENEFICIARIES MYERS, H. VINCENT FILE NUMBER 21 - 03 - 00193 RELATIoN~HIPTo [ AMOuNT OR ~HARE NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY =,~,~=~~iE~p~'E"N"t!e,s, / ~ D. OF ~S'FATE TAXABLE DISTRIBUTIONS (include outright spousal distributions) Barbara Rickert Friend Entire Estate 268 Walton Street Lemoyne, PA 17043 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover II. 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 II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEM? TABLE OF EXHIBITS FOR THE ESTATE OF H. VINCENT MYERS A/K/A HARRY V. MYERS Exhibit A Last Will and Testament of H. Vincent Myers a/k/a Harry V. Myers dated August 26, 1996 EXHIBIT A LAST .WILL AND TESTAMENT .OF H. VINCENT MYERS KNOW ALL MEN BY THESE PRESENTS, That I, H. VINCENT MYERS also known as HARRY V. MYERS, of the Borough of Lemoyne, County of Cumberland, and' Commonwealth of Pennsylvania, do make, publish, and declare this instrument to be my Last Will and Testament, hereby revoking and making void any and all former Wills'by me at any time heretofore made. FIRST: I direct the Executrix hereof to pay all my just debts, funeral expenses and costs of administration as soon as convenient!y may be done after my death. I further direct the EXecutrix hereof to pay all inheritance, estate, transfer and succession taxes which may be levied or assessed upon any property which is included as part of my gross estate for the purpose of any such tax. SECOND: I give, devise and .bequeath unto EDWIN RICKERT and BARBARA · RICKERT the rest, residue and remainder of my estate, realty and personalty, howsoever designated wheresoever situate provided that they are living on the thirtieth (30th) day after the date of my death'. THIRD: in the event that both EDWIN RICKERT and BARBARA RICKERT do not survive me or do not survive me by the said period of thirty (30) days, then in that event, I give, devise and bequeath: all ~the rest, residue and remainder of my estate to the survivor of EDWIN RICKERT and BARBARA RICKERT, per stirpes. FOURTH: I appoint BARBARA RICKERT to be Executrix of this my Last Will and Testament. I do hereby give to the Executrix hereof full power, discretion and'authority at any time or times to sell, at private or public sale, mortgage, lease, pledge, exchange or otherwise deal with or dispose of 'the property comprising my estate as deemed best, to settle and compound any and all claims in favor of or against my estate as deemed best and, for any of the foregoing purposes, to make, execute and deliver any and all deeds, mortgages, contracts, leases, bills of sale or other instruments necessary or desirable therefor. FIFTH: In the event BARBARA RICKERT fails or refuses for any reason to serve as Executrix of this my Last Will and Testament, then in that event I appoint EDWIN RICKERT as Executor of this my Last Will and Testament. LASTLY: I direct that no fiduciary appointed by this, my Last Will and Testament, shall be required to give bond and that if, notwithstanding this direction, any bond is · required by any law, statute or rule of court, no surety shall be required thereon. IN -2- ~J~.e~l, ~eaje~' I~bji:'shed and declared bY H. VINcENT'MYERS, the above-named Testator,. as and for his Last Will and Testament, in the presence of us and each of us, who at his request, and in. his presence, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of MYERS, H. VINCENT also known as Harry V. Myers , Deceased No. 21 - 03 - 00193 Date of Death 1/22/2003 Social Security No. 170-18-9643 Barbara Rickert The PersonaI Representative(s~of the above Estate, deceased, verify that the items appearing in the foli°Win~ Invento~y include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: I.D. No.: Address: Telephone: Personal Representative DAVID W. DELUCE _ Signature: k..~~.~.__ Barbara Rickert 41687 Signature: Signature: P.O. Box 109 Lemoyne, PA 17043-0109 Address: 268 Walton Street Lemoyne, PA 17011 717/761-4540 Telephone: 717-774-6769 Dated: d/~/~-_ [ ~ Personal Property Citizens Bank Non Interest Bearing Checking Account No. 6100892700 Total Personal Property 1,000.02 $1,000.02 (Attach additional sheets if necessary) Total Personal Property and Real Estate $1,000.02 STATUS REPORT UNDER RULE 6.12 Name of Decedent: H. VINCENT MYERS a/k/a HARRY VINCENT MYERS Date of Death: Will No.: January 22, 2003 2003-00193 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rule, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the Estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's Account is: parties of interest? Did the personal representative state an account informally to the Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: Aprilm30, 2003 ,iZ7 I~k/VID W. D~ELUCE'" JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street P.O. Box 109 Lemoyne, PA 17043 (717) 761-4540 Capacity: __Personal Representative (x) Counsel for Personal Representative Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of MYERS, H. VINCENT No. 21 - 03 - 00193 also known as Harry V. Myers Date of Death 1/22/2003 , Deceased Social Security No. 170-18-9643 Barbara Rickert The PerSOnal Representative(s) of th~bove Estat~i decease~, verify that the ii'ms appearing in the following inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/VVe verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: I.D. No.: Address: Telephone: Personal Representative DAVID W. DELUCE Signature: x,,,6~O,..,(~.,._ /'~.-~' ;k"" Barbara Rickert 41687 Signature: Signature: P.O. Box 109 Lemoyne, PA 17043-0109 Address: 268 Walton Street Lemoyne, PA 17011 717/761-4540 Telephone: 717-774-6769 Dated: Personal Property Citizens Bank Non Interest Bearing Checking Account No. 6100892700 Total Personal Property 1,000.02 $1,000.02 (Attach additional sheets if necessary) Total Personal Property and Real Estate $1,000.02 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: Will No..' H. VINCENT MYERS a/k/a HARRY VINCENT MYERS January 22, 2003 2003-00193 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rule, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the Estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's Account is: Co parties of interest? Did the personal representative state an account informally to the Yes X No d. Copies of receipts, releases, j oinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: April 30, 2003 ¥vrD w. JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street P.O. Box 109 Lemoyne, PA 17043 (717) 761-4540 Capacity: Personal Representative (x) Counsel for Personal Representative