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HomeMy WebLinkAbout01-0917 Estate of . HAL 1= R.G 0 w. {J I f:fJTi!:- also known as l/ H. ~/ LA} i? ra r-.e. \1 PETITION FOR PROBATE and GRANT OF LETTERS C:>\- CJ\- q \ 1 No. To: Register of Wills for the , Deceased. County of (l tJ V14 5E:/rLtIt Ht;>in the Social Security No. i c:t [;) - (~- ( r .z. 7 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executu Of,:; in the last will of the above decedent, dated z.. I IlJ u I?' and codicil(s) dated N_ l'\ Nc ,~ u '" I~ T. [J LJ;;~-:t::2:.. ;~ / ~ ~';i;.~ ~w~, LV t;. ~ T~ P tQ. <S(J~C-GJ<I.:..c-ELJ __ _ _____ _ named ,19~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ct u M BclE. LA I/J lJ County, Pennsylvania, with hIS last family or principal residence at ~ r=:o:;:~ J.-it ." c LL.Ar;:.i: J Cl (J iJV\ T- I1Ll.C-faJ D()\ Vi;. M r=C}11H.lICS:l3Uf{G ,p . 7(T)..c\:~ " -l (list street, number and muncipality) SEPT JL.-L 7 (( Except as fo lows, decedent did not marry, was no divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never 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: ~ (l'} pJ B $ 'f-S-CJ,~OD<i!P $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters TgJ;:"''i tA- fII\ ~N/A It Y (testamentary; administration c. La.; administration d. b.n.c. La.) theron. ~ '" 'tr u c OJ ~3 OJ'" c.:OJ c -g.g eu "';::: 3~ OJ,- 50 :;; c Oll Ci'i /!t1:: :~ f?7 ~DOJ)~ j)'p'. eOt IVIC'? i/12..G- fJA /705tJ / OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1. ss COUNTY OF C V (IJ" B.E:R L J'l ;U7 J lc- \~-~ 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 a rding to law. / Sworn to or affirmed and subscribed ' tv!, I~ before me this 11 TH day of S EMBfR 2001 CI'} aQ' ::s l:l .... ;:: ~ B: No. 21 - 01 - 917 Estate of HALFRED W WERTZ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 5, >i~2001 . in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated NOVEMBER 21. 1989 described therein be admitted to probate and filed of record as the last will of HALFRED W WERTZ and Letters TESTAMENTARY are hereby granted to HALFRED W WERTZ I I FEES :5 340.00 :5 111 nn $ l) no $ 1 5 . 00 5.00 TOTAL _ $ iRn nn Filed.... .o.CTOBER .5~. 2001............ Probate, Letters, Etc. ......... Short Certificates( 5) . . . . . . . . . . Renunciation ................ X-Pages JCP Mailed letters to attorney on 10-5-01 MARY CLEWIS ATTORNEY (Sup. Ct. 1.D. No.) ADDRESS PHONE fh. ~~ ~~~ ~ 'J N . E--< ~~ ~ . :s: LAST WILL OF HALF RED W. WERTZ I, HALFRED W. WERTZ, of the Township of Silver Spring (mailing address: 28 DeWalt Drive, Mechanicsburg, Pennsylvania 17055), Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. Item 1: I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, I lito my wife, RUTH T. WERTZ, also known as RUTH P. WERTZ, providing II IShe shall survive me by thirty (30) days. I Item 2: Should my wife, RUTH T. WERTZ, also known as RUTH P. !WERTZ, predecease me or die on or before the thirtieth (30th)day I following my death, I devise and bequeath all of my estate, where- soever situate, as follows: (A) I give and bequeath an undivided one-third (1/3) interest in my residence and lot of ground known as 28 DeWalt Drive, Township of Silver Spring, Cumberland County, Pennsylvania, to my son, HALFRED W. WERTZ, II. My purpose for making this bequest is that my son HALFRED W. WERTZ, II paid one-third (1/3) of the pur- chase price of my residence and also has assisted with the cost of maintaining our residence over the years. (B) I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to my son, HALFRED W. WERTZ, II, of 28 DeWalt Drive, Mechanicsburg, Pennsylvania 17055. r ~ N ~. i . :s: ~ ~ 0::: f.l.. .....4 II 22 I I I (C) I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to the Endowment Fund of Saint Stephen's Lutheran Church, New Kingstown, Cumberland County, Pennsylvania 17072. (D) I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to the Endowment Fund of the Zion Lutheran Church, Ho11idaysburg, Blair County, Pennsylvania 16648. (E) I give and bequeath the sum of One Thousand ($1,000.00) Dollars to my step-granddaughter, HEATHER CAMPBELL, of 468 Inverary, Villanova, Pennsylvania 19085. (F) I give and bequeath the sum of One Thousand ($1,000.00) Dollars to my step-grandson, DOUGLAS CAMPBELL, of USS Dubuque, LPD-8, FPO, San Francisco, California 96663- 1711. (G) I give and bequeath the sum of One Thousand ($1,000.00) Dollars to the Endowment Fund of Messiah Village Retirement Center, Grantham, Cumberland County, Pennsyl- vania. (H) I give and bequeath the sum of One Thousand ($1,000.00) Dollars to the Scholarship Fund of Juniata College, Huntingdon, Huntingdon County, Pennsylvania. (I) Should the net value of my estate, available for dis- tribution, be reduced to a sum less than Twenty-Five Thousand ($25,000.00) Dollars, then all the bequests, noted in this Item (B) thru (H), shall be reduced by Fifty (50%) Percent. Provided, that the bequeath, reflected in Paragraph (A) of this Item, shall not be reduced in any manner and the bequeath shall remain at one-third (1/3) interest in my said residence and lot of ground. r \~ ~ ~ ~ :s: Q u.:! ~ r.r... .....:i ~ Item 3: I direct that the remainder of my estate be divided into five (5) equal shares: one (1) share shall be given to each , of my three (3) children, namely: NANCY D. CAMPBELL, of 468 i Inverary, Villanova, Pennsylvania 19085; MARY LOU OAKES, of Musket I Drive, Salisbury, Maryland 21801; and HALFRED W. WERTZ, II, of 28 I I I DeWalt Drive, Mechanicsburg, Pennsylvania 17055; and one (1) \ share each to my grandch ildren, BRIAN ALEXANDER OAKES, of Musket I Drive, Salisbury, Maryland 21801, and LAURA A~N OAKES, of Box 3319 I James Madison University, Harrisonburg, Virginia 22807. These bequests are conditioned upon the beneficiaries surviving me by a period of ninety (90) days, but should any of the said five (5) persons fail to survive me by a period of ninety (90) days, then I the share of such deceased person shall pass to such of his or her lssue as shall survive me by a period of ninety (90) days, per stirpes, and if no such issue shall survive, then the same shall lapse and be added to other shares, described in this Item, per I stirpes. Item 4: Should any person less than twenty-one (21) years of age be entitled to distribution from my Estate, in such event I :1 d I nominate, consti tute and appoint the parents of such person as i! guardians of the estate of such person and authorize and direct Ii II them as such guardians to receive and to invest the same and to II pay the income arising therefrom together with so much of the Ii 11 principal thereof as in the opinion of such guardians is necessary 11 or desirable to be expending for the proper maintenance, support I I and education of such person, to or fore the benefit of such I person, and upon such person attaining twenty-one (21) years of i ! age to pay to him or her the then remaining principal together with any undistributed income. Should such person not have living parents or should such parents become deceased, I then nominate, I I constitute and appoint as successor guardian of the estate of such person The First Bank and Trust Company of Mechanicsburg, and its successors, Mechanicsburg, Pennsylvania. Item 5: I appoint my wife, RUTH T. WERTZ, also known as RUTH P.WERTZ, Executrix of this my Last Will. Should my wife, RUTH T. WERTZ, also known as RUTH P. WERTZ, fail to qualify or cease to act as Executrix, I appoint my two (2) children, NANCY D. CAMPBELL, of 468 Inverary, Villanova, Pennsylvania; and HALFRED W. WERTZ, II, of 28 DeWalt Drive, Mechanicsburg, Pennsylvania, Co-Executors of this my Last Will. Item 6: I direct that my personal representative or their guardians or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. I I Item 7: I hereby confirm the instructions which I have givenl ! to my personal representative that my body be cremated. Item 8: I direct that i consequence of my death, of I I ! all taxes that may be assessed in \ I I i I I I I I I I I ~ 4V. ,(a~/:;l , a . e W. Wert~ ! 1/ whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IN WITNESS WHEREOF, I have hereunto set my hand this of ~rvzt~ , 1989. I day I \ il !i The preceding instrument consisting of this and four (4) 1\ I other typewritten pages, each identified by the signature of the I Ii Testator, HALFRED W. WERTZ, was on the day and date thereof II signed, published and declared by HALFRED W. WERTZ, the Testator 11 II d d I therein name, as an for his Last Will, in the presence of us, II I who, at his request, in his presence, and in the presence of I each other, have subscribed our names as witnesses hereto. f1 ~f ~ ltJrU1f)/ p residing at C::,- ~ 9 J/~ (Ja~/.l(VjJ :;QOI ~S'1- residing at ~--J'i) Pa1l011 4i6o,L I I Ii 11 I i I I, COMMONWEALTH OF PENNSYLVANIA) ) s s : COUNTY OF CUMBERLAND ) We, HALFRED W. WERTZ, and \\~'N "1 f~ c.. {)'i 'N Q... ,the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. ~~~.~4~ B'a" . - - . Wertz I wi(id:...;;f-- ','f, I-J.JIUY4-- i ~~~c~' Wi tness i I i I II I I I il-.t\~\..~t\I ~,G',.', f~' by HALFRED W. WERTZ, the Testator lland subscribed and sworn to before me by ~~'bQ.\,"\ f, ~W II 'land )1-e'N 'f~r\Cb~N~ lof ~ ~ \f ~ {'C\ t-- Q "'C' I I I I I ;1 Subscribed, sworn to and acknowledged before me, , the witnesses, this ~ day , 19~. r;,T~:;TftL 3EAL ~ HELEN ~1. Gin ,'FI.', H , r.O'i\PI' PlJ~1 I'" CN'fP H!U. J-;",J.. c'Ur~GERLAt>lO 65;jNTv ." m (,'()M!'iISSIC~J ',.t:I"!"FS APRIL lB,l99Z 21 - 01 - 917 RENUNCIATION Kn Re:Estate of HALFRED Wo WERTZ, Deceased TO THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA: The undersigned, NANCY W. CAMPBELL, CO-EXECUTOR, of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters Testamentary be issued solely to HALFRED W. WERTZ, II, the other appointed co-executor ofthe above decedent. WITNESS my hand this /1.'n.J day of Jt:PttrnBER_ ,2001. IJJ~ %N'~L PO.P{)X 59~?, .3901../ BR-uSft c RB!rJ.dRDf1D ,'SAltiJJmASS VILLf'td= CO '6/0'5 . .. \ \~ ~:\\ \ ,\ ('; "', ~ ; ,\' .... 2 \ i\)!1\\ "w~ ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: HALFRED W. WERTZ Date of Death: SEPTEMBER 8, 2001 Will No.: 21-01-0917 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 1"1 NO" '/\ 2001: Name: Halfred W . Wertz, II Saint Stephen's Lutheran Church Zion Lutheran Church Heather Campbell Douglas Campbell Messiah Village Juniata College Nancy Campbell Mary Lou Oakes Brian Alexander Oakes Laura Anne (Oakes) Veriaque Office of the Attorney General Address: 177 Woods Drive, Mechanicsburg, PA 17055 31 West Carlisle Pike, New Kingston, P A 17072 Hollidaysburg, P A 16648 1121 Windrush Drive, Oakville, Ontario L6M 1S9, CANADA 175 D Avenue, Coronado, CA 92118 100 Mt. Allen Drive, Mechanicsburg, PA 17055 Office of Charitable Giving, 1700 Moore Street, Huntingdon, PA 18655 3904 Brush Creek Road, Snowman Village, CO 81615 47 Taunton Blvd., Medford, NJ 08055 475 West End Ave., Apt. P-1], N. Plainfield, NJ 07060 78 Manhattan Ave., Apt. IF, New York City, NY 10025 ATTN: Charitable Trusts and Organizations, 14th Floor, Strawberry Square, Harrisburg, P A 17120 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: .20;./0'/ j/{ \fd "cv,:' ,:.'l?uaqulll'J li j/Y , -\Pt3I~ Ll: ZId 9l AON LO. S jiI N\ p:-) 18r:=;; I)e tf JO papl0::>BCl COYNE & COYNE, P.c. BY: , " .....- . --;7-i.- .,Lisa Marie Coyne, E . 390] Market Stree Camp Hill, PA 17011-4227 (717) 737-0464 Pa. Supreme Ct. No. 53788 Counsel for Personal Representatives ~ ---.,. f""O., ;;"l~" ... .". (1' :3 ~, ;t:"'. ,; .,1 o ,; (J 1 (J (J u) f>,\ 0000 Q)::JC31 ~. CD 3 (') en 0 0- CD moCDo - c:l.-., "U~Q)_ )>::r::J::r o 0. CD ->.co;o "'-IenOCD OCDC<O ~ C/) ~ in' ..... .0 '< CD co' Q) 0 ~o-., 5.~ ::r:=.: 0- c en en CD (, I,,) - - d ..- J ~ o a ,a t '0 CJ C"J o 01. n () 0 )> -< ~~)>Z "o=:m I-a i=~"'RD - )> Z ~~~On men 'i-i)>..J oen-i~ -itii:Z 7"':::i~m ~-i .. ~ :a n . o ..... " '\ C) ::c .~ 0-'" 0/ "l/ .~ ! .' ( j ) I . \ HENRY F. COYNE ATTORNEY AT LAW 3901 MARKET STREET. CAMP HILL, PENNSYLVANIA 17011 · (717) 737-0464 MESSAGE I REPLY TO I ~Jfl((~ t ,R, I; I~- d) t~j;/t I (ul~~~vLJ (~i {~~t~ ()"u..- C0CJ/C T ftDu~L~ 5 Q u A~c- ~A--~2 L i SL E f ~ 1+-1-10 .~ DATE & ': ..~,>~.I~\b-~ V.i- W.erhrJ>t.(ofA<Jd DATE ;~ T:>~C"-{, 2001 ~ ~/tLL-.. r~~ p ~ t--O to' Gt~ r~ ~, hL~ ~ +V'- kv~L 0'-- ~ ~ - f ~ ~.Q.-,,^(' ~ 8<:. ~ . PJ.~ i' ~"'I".J /U~f + f Y --v.- ~ ~~~ {"'-p.. Crv~ i1r:I.fZ3,U, ~ --k 1 :d~~r\ ~-[" 1~1h-<J ()J. W~V't~ C~~(V~ r ~'~l~ I ~lt~ Cir- BY Reorder Item # NR73 Tee Drawing Board, P.O. Box 2944, Hartford, CT 06104-2944 @ EGI, 1982, Printed in U.S.A. INSTRUCTIONS TO SENDER 1. KEEP YELLOW COpy 2. SEND WHITE AND PINK COPIES INTACT SIGNED INSTRUCTIONS TO RECEIVER 1, WRITE REPLY 2 DETACH STUB. KEEP PINK COPY, RETURN WHITE COPY TO SENDER p 0 d :0 n- :n CP 3 .., -- C) (;, 0" rr' C.. C' c::::l CJ (- --- I <:::) -0 (.." 9.. ..;,) (' W ..}..... 0'\ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT COYNE HENRY F 3901 MARKET STREET CAMP HILL, PA 17011 ____u__ fold ESTATE INFORMATION: SSN: 190-16-1927 FILE NUMBER: 21-2001- 0917 DECEDENT NAME: WERTZ HALF RED W DA TE OF PAYMENT: 12/10/2001 POSTMARK DATE: 12/07/2001 COUNTY: CUMBERLAND DATE OF DEATH: 09/08/2001 NO. CD 000620 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $18,423.16 I I I I I I I I TOTAL AMOUNT PAID: $18,423.16 REMARKS: HALFRED W WETTZ II C/O HENRY F COYNE ESQUIRE CHECK#106 SEAL INITIALS: PB RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS -~ ~. ,\'~ ,,", :J, , .~ If' B~""]j p-~ '.' . ~; . J .. ,... _ ~j b' .:. ~ '!i ," .~~~ - ' ~ ~- . - i , .... . '\,. ,I ' " ' ~..._t.I ~ -"! ~ j ~ ~\ ~ t_~.. . .!. .~ ", i ~ ,.,' ~"""" . ~, ~ - i :/; .l:: a::: <( 1: 1 ~ ~ :i~ ~ ~~ 1;2) -- C'\J o C) 0J .i ~ 10 nI 'Ir' - d I"- ,," t- (\J .... s w (\J w <(w"t z: -.J a: ~ > t-t-o O<(CfJI"- CfJt-~ U >- w;;X: w:':::u.. ~ z a: -.J- W a: <( -.J z: O~I > <(I: 0 c.. o O>~ u C") <( o .._~ -,,~,~- Q) en :l o ~ .j..l H :l o UM Ul >, \"""" Ul...-1.j..lO ...-1 r-- _..-I _..-I C \"""" ~ 3:: :l Q) 0 H4-!U..:r.; >,Orut:l.i H ~ ctl H ctl .. ::?Z Q)...-1 Q) .j..l 1-1...-1 Ul Ul . _..-I (J)-..-I Ul b'1..o...-1 1-1 Q) E 1-1 ::?Zp:;:lctl Uu t g .. f e ( -.. COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 Apri125,2002 ~J'''''' Mrs. Mary C. Lewis Register of Wills Cumberland County Courthouse Carlisle, P A 17013 '----' I'.......) Re: Estate of Halfred W. Wertz, Deceased 21-01-00917 Dear Mrs. Lewis: Enclosed please find an original and three copies of the Inheritance Tax Return for the above referenced estate. Kindly docket the original and return to me two clocked-in copies with the enclosed stamped envelope. Additionally, enclosed please find Check No. 119 in the amount of $15.00, which represents the filing fee for this Inheritance Tax Return. If you have any questions, please contact me. Thank you for your assistance. Very truly yours, LMC/amd Enclosures COYNE & COYNE, P.C. isa::&f cc: Mr. Ha1fred W. Wertz, II, Executor \ . R~Y .1500 EX + (-..oG. ~ '. .. W I- lI::c(lIl UD:lI:: wlLg :cO..... Ufm lL c( '1- fflZ ~~ OZ 'U~ . REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENjSYlVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 171211-0601 'I DECEDENTS NAME (LAST. FIRST. AND MIDDLE INITIAL) WERTZ, HALFRED W. I- Z W C W U W C 09/08/2001 04/29/1911 III 1. Original Retum D III D D 2. Supplemental Return D D D 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy ofTrust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ==~ I 17 - 07d'~~ USJ~;_v I FILE NUMBER ! 21 01 00917 ! COUNTY CODE YEAR NUMBER i SOCIAL SECURITY NUMBER , I 190-10-2001 I THIS RETURN MUST BE RLED fN DUPLICATE WITH THE REGISTER OF WILLS I SOCIAL SECURITY NUMBER D 3. ema.n er e urn D 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes D 11. Election to tax under See. 9113(A) (Attach Sch 0) 3901 Market Street Camp Hill, PA 17011-4227 (1 ) NDtt~ (2) 266,433.00 (3) None (4) None (5) 199,165.00 (6) None (7) None (9) 25,106.00 (10) 8,560.60 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES O=FI:IALL'SE: OhlL Y ~---' \ ",~. (8) 465,598.00 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) (11 ) 33,666.60 431,931.40 6,000.00 425,931.40 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received IRM NAME (If applicable) Coyne & Coyne, P.c. ElEPHONE NUMBER 717/737-0464 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) Z o ~ :;) l- ii: c( u W llI: 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (12) 13. Charitable and Govemmental Bequests/See 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) (13) (14) 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116{a){1.2) Z 425,931.40 .045 (16) 0 16.Amount of Line 14 taxable at lineal rate x ~ I- :;) 17. Amount of Line 14 taxable at sibling rate (17) lL )( .12 :;; 0 u ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 19,166.91 19,166.91 20. IS CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT_ Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) . *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WERTZ, HALFRED W. I FILE NUMBER 21- 01 - 00917 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION NUMBER 1 Alabama Power Co. 2 BNY Capital Trust 3 Motorola Capital Trust 4 ABN Amro Cap Fund 5 Texaco Inc. 6 Citicorp Bond 7 Mountain States Telephone Bond 8 NM United Parcel Service Bond 9 NM Ford Motor CDT Co 10 NM Bank America Corp. 11 NM General Motors 12 NM General Motors UNIT VALUE I i 25.1 VALUE AT DATE OF DEATH 25,000.00 24.81 19,848.00 22.49 22,490.00 25.08 40,128.00 70.43 14,086.00 26,104.00 14,554.00 15,160.00 24,043.00 24,089.00 15,454.00 25,477.00 TOTAL (Also enter on line 2, Recapitulation) 266,433.00 P...r A. Rohr . FlUl Vice ~lllent - lnvestmtnti C~rtUI~ f1nandal Manager PrIvate ClIellt Group ~MenillLynCh September 27,2001 One Uberty Place 1650 Mlrket Street 29thFtOOr . Ph~pb1.. PeonsyIvaDla 19103 2155874731 800 263 4519 FAX 215 587 4111 Peter.)lohrOml.com Mr. Robert C~pbeJl . 826 Orange Avenue Coronado, CA 92118 RE: Balfred W. Wertz, Deceased Dear Mr. Campbell: Per your request, I have listed below the date of deKth values as of September 10. 2001: ___ ......4 QUANTITY DESCRIPTION PRICE VALUE 25,000 Citicorp $104.4110 $26,104 15,000 Mountain States Tel $97.0320 114,554 15,000 NM United Parcel Service 5101.0680 $15,160 25,000 NM Ford Motor CDT Co $96.1730 $24,043 25,000 CD Providian SI00.5693 525,142 20,000 CD Consec:oBank Ine $100.4926 S20,098 50,000 CD Cole Taylor Bank $100.3110 150.155 25.000 NM Bank America Corp $96.3560 $24,089 15,000 NM General Motors $103.0290 $15,454 25,000 NM General Motors $101.9080 $25.477 1,000 Alabama Power Co $25.0000 $25,000 d? c0'd 80:0t t00G-oc-t)~ 800 BNY Capital Trust $24.8100 $19,848 1.000 Motorola Capital Tru $22.4900 $21,490 1,600 ABN Amro Cap Fund $25.0800 $40,128 200 Teuco Inc. $70.4300 S14,086 68,264 ML Banking Advantage $1.00 $68,264 4,003 ML Senior Floating $8.82 $35,306 Please call me if you ha.ve any questions. Sincerely, i , ~~="W'.sCllfAMDfRDII ClWWirfi nsllXDW:f....:L~~ fI)T INf CPINQt ~ tcNS11MeI A au:lrATrW ttJ>>. ~ftRW.SE ~ OF IIff ~~ ~'d c~.~T T",n? nr ^....... ~/ _..~ _.~ - /0 FC~ ROHR.PETER 07;49 1 PC 1 KA1 PRe CUSTOMER ACCOUNT ASSETS COB 09/12/01 ACCT; 871-22D40 SS#; .190-16-1927 (610) 688-841.5 Fe; 3695 HALnu:D W WERTZ POS/PGS~ 17/ 03 ACCT TYPE: Q4A 177 WOODS DR UNPR.C 0 T-VAI., 465, 40l. 88 HECHANICS13URG PA 17050 12/-- INT: :2.434.00 RAFND .00 Mcsa .00 STFND .00 tNTC .00 C-MNY .00 PAY .48 FME 0 C -0'l'H 68.264.00 CSR .4BC SMA .00 aeon .00 SETa .48C MCAL .00 I{ANfJ .00 SET!> 9/12/01 TCAL .00 MFA .00 FF: N UPDATi: N PRV YR; --/99/98 448.030 424.927 442,871 SEC # SEe: SYMBOL ---- DESCRIPTION ---. - QUANTITY - CORR PX VALTJE - - . S3C44 C eCl JA06 CrrICORP 25.000 104.4160 26,104 ( Ctl932 C MOO At707 MOIJNTAIN STATES TEL 15.000 97.0320 14. 554 S HCLK7 C HCLK7 NK UNITED PAJ.CJI, SER 15,000 1.01.0G80 15,160 : HJD55 c HJD55 NM FORO MOTOR CDT co 25,000 96.1730 24,043 . . H4L57 C CD PROVIDIAN N.S. TI 25,000 100.5693 25,142 . H4L57 ( H4MEl C 84MBl CD CONSECO BANK INC 20,000 100.4926 20,098 t H4M14 C D4Ml4. CD COLE TA'fLOR B1\NK 50,000 100.311.0 50,155 H9BS3 C H9BS3 11M .BAn AMERICA CORP 25,000 96.3560 24,089 ~ H92J7 C H92J'7 NM GBNDAL MTRS ACCP 15.000 103.0290 15,454 H953~ C a~S32 NM CENER1U. MT'RS ACC' 25,000 101.9080 2S,t77 03B34 C ACJl. ALABAMA POWER. CO 1,000 25.0000 25,000 S:2BY7 C BKPU BNY CAPITAL 'tRUST IV 800 24..8100 19,848 52B01 C MO'l'l'RA MOTOROLA CAPITAL TRU 1,000 22.4900 22,490 52612 C ABNPRB ABN AlGtO CAP l"u.ND TR ",iOO 25.0800 40,128 73779 C TX TEXACO mc 200 70-.4300 14,086 94SK9 C 9-tSK9 ML BJUnCINQ ADVAN'I'AGE 68,264 LOOOO 68. 264 97SN9 C totRPPX HI.. SENIOR FLOATING 'R 4,003 8.8200 35,306 I 1 4 . 1 MoNdAy C O.g . v'a/Lte .s Ml+ t\L~r" .~p....U d (iV\ q. 11.0 I (,t(, .l.tl OIL r ~ Sn..t "to) 1 1 : . . . . . , . I , 1 . < END:> P0"d 60 : en l00C-0'i-f'lll'l 1 1 !'- . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WERTZ, HALFRED W. I FILE NUMBER I 21-01-00917 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 68,264.00 Merrill Lynch Banking Advantage Account 2 Merrill Lynch Senior Floating 35,306.00 3 Providian Certificate of Deposit (Merrill Lynch CMA Account) 25,142.00 4 Conseco Bank Inc. Certificate of Deposit (Merrill Lynch CMA Account) 20,098.00 5 Coal Taylor Bank Ceritificate of Deposit (Merrill Lynch CMA Account) 50,155.00 6 Misc. Personal Property and Furnishings 200.00 TOTAL (Also enter on Line 5, Recapitulation) 199,165.00 *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WERTZ, HALFRED W. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. DESCRIPTION FUNERAL EXPENSES: Cremation Society of Harrisburg, Pennsylvania 2 Grave Opening and Burial Social Security Number(s) I EIN Number of Personal Representative(s): City Year(s) Commission paid Attorney's Fees Coyne & Coyne, P.C. -- Lisa M. Coyne, Esquire 4. 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. I Other Administrative Costs Postage Certified Mailing Filing Fee-- Inheritance Tax Return 3 Flowers State Zip 4 Honorarium 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Cumberland County Register of Wills 5 Reception 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Street Address 2. 2 3 State Zip Total of Continuation Schedule(s) TOTAL (Also enter on hne 9, Recapltulatron) I FILE NUMBER 21 - 01 - 00917 AMOUNT 1,000.00 730.00 136.00 150.00 400.00 14,650.00 380.00 100.00 10.00 15.00 7,535.00 25,106.00 *' Schedule H Funeral Expenses & Aaninistrative Cos1s continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WERTZ, HALFRED W. I FILE NUMBER 21- 01 - 00917 4 Reserves 3,000.00 5 6 7 8 9 10 11 12 13 14 Federal Income Tax Owed-- 2001 Toll Calls by Executor Mileage for Executor Lost Wages for Executor to Administer Estate and Probate Will, Etc. Accounting Associates-- Tax return preparation (2001) Obituary--Altoona Mirror Cuberland Law Journal Patriot News Income Tax Preparation Fees Pa. Department of Revenue 2,200.00 80.00 50.00 1,200.00 150.00 194.00 75.00 86.00 200.00 300.00 Page 2 of Schedule H . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WERTZ, HALFRED W. I FILE NUMBER 21 - 01- 00917 Include unreimbursed medical expenses. ITEM NUMBER 1 Uncleared checks from CMA Account DESCRIPTION AMOUNT 4,200.00 2 AT&T 16.00 3 Alert Pharmacy 25.00 4 Messiah Village 4,289.60 5 Dr. Dalbey 30.00 TOTAL (Also enter on Line 10, Recapitulation) 8,560.60 SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT \ FILE NUMBER 21 - 01- 00917 RELATIONSHIP TO I AMOUNT OR SHARE DECEDENT t-' OF ESTATE Do Not List Tructee1cl Son :1/5 of Residual and $2,000 ESTATE OF WERTZ, HALFRED W. NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Halfred W. Wertz 2 Nancy Campbell 3 Mary Lou Oakes 4 Brian A. Oakes 5 Laura Ann (Oakes) Verlaque 6 Heather Campbell 7 Douglas Campbell Daughter 1/5 of Residual Daughter 1/5 of Residual Grandson 1/5 of Residual Granddaughter 1/5 of Residual Granddaughter $1,000.00 I Grandson !$1,000.00 I Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover shee t II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Endowment Fund, S1. Stephen Lutheran Church, New Kingston, PA 2,000.00 2 Endowment Fund, Zion Lutheran Church, Hollidaysburg, P A 2,000.00 3 Endowment Fund, Messiah Village Retirment Ctr., Grantham, P A 1,000.00 4 Juniata College, Huntingdon, P A 1,000.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE T 6,000.00 ~ ~I OCT 11111 I " l~/ 8 ?nn/ Register of Wills of CUMBERLAND Coun~y, pennsylvania Certificate of Grant of Letters No. 2001-00917 PA No. 21-01-0917 ESTATE OF WERTZ HALFRED W (LA::; 'l' , .1:" 1. 1<.::; 'l' , rvlllJlJL~) Late of UPPER ALLEN TOWNSHIP CU1Vll:H:',;r<.LANlJ CUUl\I'l't, Deceased Social Security No. 190-16-1927 day of October WHEREAS, on the 5th ated November 21st 1989 as admitted to probate as the last will of WERTZ HALFRED W (LA::;'l' , .1:'1.1<.::;'1, lvlllJlJLt;) 2001 an instrument late of UPPER ALLEN TOWNSHIP CUMBERLAND County, who died on the 8th day of September 2001 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for he County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify hat I have this day granted Letters TESTAMENTARY o WERTZ HALFRED W II ho has duly qualified as Executor (rix) nd has agreed to administer the estate according to law, all of which fully ppears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, ARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal my Office the 5th day of October 2001. 7fI'(f @~.~rPa(}P~ * * NOTE * * ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) I, I. t "I, '. ~ I LAST WILL OF HALFRED W. WERTZ I, HALFRED W. WERTZ, of the Township of Silver Spring (mailing address: 28 DeWalt Drive, Mechanicsburg, Pennsylvania 17055), Cumberland County, pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. Item 1: I devise and bequeath all of my estate of every nature and wheresoever situate, together with insurance thereon, to my wife, RUTH T. WERTZ, also known as RUTH P. WERTZ, providing she shall survive me by thirty (30) days. Item ~ Should my wife, RUTH T. WERTZ, also ~nown as RUTH P. I WERTZ, predecease me or die on or before the thirtieth (30th)day i, II following my death, I devise and bequeath all of my estate, where- 'Isoever situate, as follows: i (A) I give and bequeath an undivided one-third (1/3) I tli ~N l;! ,,~ i: "'~ ::; I: \ '\ <( II ~ 1\ interest in my residence and lot of ground known as 28 DeWalt Drive, Township of Silver Spring, Cumberland County, Pennsylvania, to my son, HALFRED W. WERTZ, II. My purpose for making this bequest is that my son HALFRED W~; WERTZ, II paid on~~third (1/3) of the pur- .:' chase price of my residence and also has assisted with the cost of maintaining our residence over the years. (B) I give and bequeath the sum of Two Thousand ($ 2,000.00) Dollars to my son, IIALFRED W. WERTZ, II, of 28 DeWalt Drive, Mechanicsburg, Pennsylvania 17055. .::d - \?! . Ii/.' ......, I: '" . r c" :,;:..:' .' . . II I' i! II Ii II 'I I (C) I give and bequeath the sum of Two Thousand ($2,000.00) , Dollars to the Endowment Fund of Saint Stephen's :1 !I :1 ;1 il p 'I II II :1 ii 'I II I' Lutheran Church, New Kingstown, Cumberland County, Pennsylvania 17072. (D) I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to the Endowment Fund of the Zion Lutheran Church, Hollidaysburg, Blair County, Pennsylvania 16648. (E) I give and bequeath the sum of One Thousand ($1,000.00) Dollars to my step-granddaughter, HEATHER CAMPBELL, of 468 Inverary, Villanova, Pennsylvania 19085. (F) I give and bequeath the sum of One Thousartd ($1,000.00) Dollars to my step-grandson, DOUGLAS CAMPBELL, of USS Dubuque, LPD-8, FPO, San Francisco, California 96663- 1711. (G) I give and bequeath the sum of One Thousand ($1,000.00) Dollars to the Endowment Fund of Messiah Village Retirement Center, Grantham, Cumberland County, Pennsyl-, vania. (H) T gi ve and he(l'll'ilth the slim of nne Thollsanu ($1,000.00) Dollars to the Scholarship Fund of Juniata College, " Huntingdon, Huntinguon County, Pennsylvania. (I) Should the net viilue of my estate, available for dis- :j I, tribution, be reduced to a sum less than Twenty-five Thousand ($25,000.00) Dollars, then all the bequests, noted in this Item (B) thru (H), shall be reduced by Fi fty (50%) Percent. Provided, that the bequeath, reflected in Pari'graph (A) of this Item, shall not be reuuceu in any IlIi,nner and the bequeath shall rel1li,in at one-third (1/3) interest in my said residence anu lot of ground. ~'i ~ ~ I Item 3: 1 direct 1h:lt the remninder of my estnte be divided into five (S) equal shall", one (1) share sh.il1 he given to each of my three (3) children, namely: ~^NCY D. CAMPBELL, of 468 Inverary, Villanova, Penlby1vania 19085; MARY LOU OAKES, of Musket Drive, Sa1ishury, Maryland 21801; nnd HALFRF;D W. WERTZ, II, of 28 IIcW,llt lIrive, Mechanics!llllg, Pennsylvania 17055; and one (l) share each to my grandch ildren, BRIAN ALEXANDER OAKES, of Musket Dri ve, Sa1 isbury, Mary1 and 21801, and LAURA .t\.~N OAKES, of Box 3319, .J:lllles ~1:lllison Ilniversity, Ilnrrisonhurg, Virginia 22R07. These hCqllCSts arc conditioned IlpOIl the beneficiaries surviving me by a period of ninety (90) day", but should any of the said five (5) persons fail to survive IlIl' by a period of ninety (90) clays, then II1('.;h:lI'(' of sllch deCl':\Sl'd person shall pass to slIch of his or her j SSlIl' as shall survive Ili~' hy :i period of ninety (90) days, per slirpes, :lnd if no sllch i: slIe sh:ill survive, then the sallll' shall i'If""" :Ind he :Idded to ntlll'r share,;, descrihed in this 1telll, per ~ t I r[>c , 1\\ Iii .1: Should all\ i \'1':'<'11 less th:ln Iwcnl Y "l1t' (211 \'l':lr,; III :11',<' 11" l'lll i lll'd to di ,I rillllt ion rrol1l lilY I::;\';ltl', in :;tlc'Ii event I Ilolllin:ill', constitlltl' :111l1 :lppoint the palTllls or slIch pe/'soll as ~',\J;ll'lli:1I1" of the cst:lte III such person all'! :lllthorize and clirect thelll as slIch guardians tll \'cceive :lTld to invest the snme :/l1d to P;IY the income arising therefrom together with so much of the Ilrincipal thereof as in the opinion of such guardians is necessary or desirable to be expending for the proper maintenance, support and education of such per~on, to or fore the benefit of slIch person, :lnd upon such person attaining twenty-ont:' (21) yenrs of :lge tn pay to him or her the then remaining principal together ''Iitl, ;In,' IIIIdis1ributed 111111111", ~;llOli!d slIch pcrs'l/I IIllt h:II/"] i vi Ill', P;I/'(,Ilt;; Ill' sholl1d sucli 11;11('IlIS hecoJJle deceased, I t1\('1\ I\llllli1l:l1e, constitute and appoint as successor guardian of the estnte of sllcll person The foirst Ibllk and Trust Comp:JllY of ~lech,Jnicshurg, and its successors, ~1echanicsburg, Pennsylvania. ~ I , It em 5: appoint mv wife, ROTH T. WERTZ, also known as RIIl'Il P.WERTZ, Executrix of this my Last Will. Should my wife, 11.11'1'11 T. WERTZ, also knmvn :IS ROTII P. WERTZ, f:lil to qualify or ,-,';"'" I" ;Iet ;IS I:xecut r ix, .appoint my two (2) children, NANCY D. CAMPBELL, of 468 Inverary, Villanova, Pennsylvania; and IIALFRED W. WLRTZ, II, of ZH DeWalt Drive, Mechanicsburg, Pennsylvania, \:O-I:Xl'Clllol's or this my 1.:lsI Wi 11. It L'III (j: direct th:lt my personal renresentative or their guardi:rns or their successors shall not be required to give hand for the raithful perfOrmalHl' of their duties in any jurisdiction. lIe III 7: r herehy cOllfirm the instructions ,,,hich 1 h:lH' i',iven 10 II])' 1"'r:~on:11 represent:11 i ve th:lt my hody he crem;lted. II elll S: I direct thll :1I! taxes th;11 may he ;lss('ssed in '-'''1''(''111('11('(' or III)' dC;lth, "I h'h:lt(,VI.'r nature :Jnd hy wh:IU'vcr jllrisdiction imposed, Sh:ll1 he paid from my Tcsidu:lry cst:lte as a part of the expense of the administration of my estate. d:lY IN W.JTN. ESS WIIER29F, I have hereunto set my hand this () r -:2P.22M.~, 1989. A/ ( ~~i~ r, . c. . ~ , The preceding instnllllt~nt consisting of this and four (4) other typewritten pages. ~ach identified by the signature of the Testator, IIALFRED W. WERT C, was on the day and date thereof signed, published and declared by HALFRED W. WERTZ, the Testator therein named, as and f(,r his Last Will, in the presence of us, (.il\(). :11 his request, in his presence, and in the presence of each other, have subscrib('d our names as wi tnesses hereto. .Jf~..t- If. (-i)nljJ~ rt.siding at Pb Jyfi' Cczppj-/~-C ~J 2, q tJ I /Yh,tl~ 5 F- r(' sid i ng at ~ 14...d-J \ PIJf' J IJ I ( Ii ~ , - .. ~ COMMONWE^L I'll OF PENNSYLVANI A ) ) COUNTY OF CUMBERLAND ) s s: , \\i'N '('~ respectively, We, HALFRED W. WERTZ, ~ <;\ 6 l';t', f. W ^ Ll;-r f. Cl\i\"l L_' the Testator and the witnesses and whose names ;Ire signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned iluthority th;lt the Testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose therein expressed, imd that each of the witnesses, in the presence and hearing or the Testator, signed the Will as wi t !less and that to the lws t 0 f his or her knowled),e, the Testator was at the time ,'ighteen (18) years of age or older, or sOllnll mind and under no constraint or undue influence. ~~i~4- yJJ.:.+~~~ wftt'f.~~ fl~'r Subscribed, sworn to and acknowledged before me, I' il J\..J...-t.N f"\. Q 'r' ~1r;Tl, by HALFRED W. WERTZ, the Testator and subscribed and sworn to before me by \~l\ '6,~\\ f. ~LLT and J-~!.sLy-_~_r.LC~~.N_Q",_, the witnesses, this ~~ clay of _~ "Ii> '{V\ bf r ,19~1. JJkta:rpu~~ NOTARIAL SEAL HEUH 11. GRIFfI1H, NOTARY PU8LIC CN\!> HILL BORO. CUMBERLAND COUNTY l.jY CO:~:'llSSION EXPIRES APRIL 18. 1992 Cumberland County- Register of Wills Hanover and High Streets Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/03/2004 HALFRED W WERTZ, II RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel. Within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 09/08/2004 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, GLENDA FARNER STRASB/kJSGH REGISTER OF WILLS cc: File Personal Representative (s) Counsel Judge STATUS REPORT UNDER RUI,I*. 6.12 Name of Decedent: __ Halfred W. Wertz Date of Death: September 8, 2001 Will No. 21-01-0917 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 complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: FEBRUARY 2005 3. If the answer to No. 1 is Yes, state the following: a.Did the personal representative file a final account with the Court? Yes No b. the separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 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. Dated: ] 0 ~) ~/ c' HENRY F. COYNE, ~sQUIRE 3901 Market Street ~ Camp Hill, PA 170114227 (717) 737-0464 Counsel for Estate Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/15/2005 COYNE HENRY . ESQ. 3901 MARKET STREET CAMP HILL, PA 17011 RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/08/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge uf STATUS REPORT UNDER RULE 6.12 Name of Decedent: Halfred W. Wertz Date of Death: September 8. 2001 Will No. 21-01-0917 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 complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: FEBRUARY 2006 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. the separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 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. Dated: Cf-;j-..--c) (' ~~ 'It: ~ TH YF.COYNE'ESQ~E i 3901 Market Street ,') CampHill,PA 17011-4227 (717) 737-0464 Counsel for Estate - ','J c..:.l (C,,- l ' , . (",' (- -' Cl eP ...::;.:--, C'--.: Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/27/2007 o c- --:0 ~ "'1""'1 '~:Jn 'L~'~ j-- '/In -'- : I !--, (~- " f":_~ ---LJ :;';1lI WERTZ HALFRED W II 177 WOODS DRIVE MECHANICSBURG, PA 17050 r,) -..J J:'"'"1'lt Cl o 1..0 . , RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/08/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/27/2007 CAMP HILL, PA 17011-4227 C'") ~'1 f".-", t":'":") '-';:.'.} --oJ :r.:.'b f~-__: C;-) r,) -.J . I COYNE HENRY F 3901 MARKET STREET Q - '.) ;>< (-) -h ~~,.. ~-~j ---I n \.0 RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/08/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, /al1!d4t- ~gA~ ~duJ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) . IIII ~~ ~ Iii !~ ~ l(~1 ~~ ~~ ~ ~~~ ~6' Ng <( Q.1.LINO 00 ~ . r- N 0'> \" --- u-- ...1:;...- C) cd: ) ..... -' I 0- W (/) r- = ~ ..- .... := C> '6l '" = .. fRe 6q!)~~~ ~ Q,f ItS C'3 ~ ta :' ~ &~ ;... _ CW r/) ('l'l _.'.' i C> E "0 ~. .=s=~r- " : ~ ~~..8 ~ 0< E'6l'c;t::pS ~.....,o, ra JQ g ~ '?=P>UUi .,g:Sg~ ti8~ol3 i~ C> .... to> ti "a ~ f'.. 0 0 v ..... I (JI f'.. - j~iE ~ ('4 - I = V (,:C II! '0 I>> vI I, 0 U) - 0 W f.') - 0 1r0 0 Ml 9= I l.lI - - 0([3 '"' - % Ir ('4 :: W00 0 ('('<' T 0([1.1. oj( - \j~l\ t (y~ WO - ',,' "JI- 0 fl1 - %([W (Jl IrIrJ 01 - rl :>WID 'Ii f'.. 1->([ 0 - - '"' WHZ f.') :: f1:J:> (I) :: W f.') 0 rl - 0 - l- f\. :: W 0 rl - H % - X .. - H 0 z In rl ~ ~ r ~ - (J ~ 0 ~ I 0 ("j - Ii) t:O 0 0 t'" ~_l n r... ..... H H ~ ~ ~ ILl :> ~ ~ HO ILl P:::P::: P::: ~::> rx.. III H (J)(J) ~ ~U OH t'J ~~ f-l P::: r--U ILl t"'1Ll ~ n~ Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Name of Decedent: Halfred W. Wertz Date of Death: September 8. 2001 File Number: 21-01-0917 Pursuant to Pa. O.c. Rule 6.12, 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: . . . . . . . . . . . . . . . . . . .. 0 Yes i2i No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: FEBRUARY 2008 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . .. 0 Yes 0 No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... 0 Yes 0 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 q - II ~n Capacity: DPersonal Represen ative i2i Counsel Lisa Marie Coyne Name of Person Filing this Form 3901 Market Street Address 'T/a ~ '.'_ ,,_ x,jliJ lefiG:=i S,[\VH&:JO :0 ).ldj-18 Camp Hill, PA 17011 )717) 737-0464 Telephone SO: II Wi Z I d3S LOnZ Form RJ}-W, fey. 10.13.06 (, 11-/e:L -02- ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX \ ~O~~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-04-2002 WERTZ 09-08-2001 21 01-0917 CUMBERLAND 101 1C LISA M COYNE ESQ COYNE 8 COYNE 3901 MARKET ST CAMP HILL *' REY-1547 EX AFP IDl-DU HALFRED W 'I, .~ r"\ PA troil Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is'4-j-EX--AFP-foY:02Y-NOYicE--OF-YtiHEififANCE-YA'X-A-PPRAisEirENT~--Aii-owAircE-o-R------------ -- - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WERTZ HALFRED W FILE NO. 21 01-0917 ACN 101 DATE 06-04-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS. .00 X 00 = .00 425,931.40 X 045 = 19,166.91 .00 X 12 = .00 .00 X 15 = .00 (19)= 19,166.91 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 266.433.00 .00 .00 199.165.00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 25,106.00 8,560.60 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 465,598.00 (11) (12) (13) (14) 33.666 60 431,931. 40 6,000.00 425,931.40 . ... n"," , (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-07-2001 CDOO0620 958.35 18,423.16 TOTAL TAX CREDIT 19,381.51 BALANCE OF TAX DUE 214.60CR INTEREST AND PEN. .00 TOTAL DUE 214.60CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). PAYMENT: Oetach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or 1I0ney order payable to: REGISTER OF NILLS, AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue Oistrict Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Oept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. AOMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Oepartment of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Oept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before 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 time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 20% .000548 1992 9% .000247 1983 16% .000438 1993-1994 n .000192 1984 11% .000301 1995-1998 9% .000247 1985 13% .000356 1999 n .000192 1986 10% .000274 2000 8% .000219 1987 9% .000247 2001 9% .000247 1988-1991 11% .000301 2002 6% .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY 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. I '7 - / c2 - .;;2..J , BUREAU OF INDIVIDUAL TAXES ~ INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-IU1 EX AFP '01-02) \.-J;";:_ ~ \ U . ' ..J DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-24-2002 WERTZ 09-08-2001 21 01-0917 CUMBERLAND 101 HALFRED W LISA M COYNE ESQ COYNE 8 COYNE 3901 MARKET ST CAMP HILL Allount Rellitted P A l1iDll MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =i6cfj-ix--AFP--foY=o2Y------...--iNHERITANCE--YAX--STA-fE~iENY-cfF-A'i=-couiff--.-..---------------- ----- ESTATE OF WERTZ HALFRED W FILE NO. 21 01-0917 ACN 101 DATE 06-24-2002 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-28-2002 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 19,166.91 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-07-2001 CDOO0620 958.35 18,423.16 06-04-2002 REFUND .00 214.60- TOTAL TAX CREDIT 19,166.91 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. If RESIDENT DECEDENT make check or 1I0ney order payable to: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT lIake check or money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by cOllpleting an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Dffices or from the Department's 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is cOllputed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate DailY Interest Factor 1982 20% .000548 1992 9% .000247 1983 16% .000438 1993-1994 7% .000192 1984 11% .000301 1995-1998 9% .000247 1985 13% .000356 1999 7% .000192 1986 10% .000274 2000 8% .000219 1987 9% .000247 2001 9% .000247 1988-1991 11% .000301 2002 6% .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessllent. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. Cumberland County - Register of Wills Hanover and High Streets Carlisle, P A 17013 Phone: (717) 240-6345 Date: 8/03/2004 HALFRED W WERTZ, II RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear sirIMadam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel. Within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 09/0812004 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, ~F~~::~ REGISTER OF WILLS cc: File Personal Representative (s) Counsel Judge OJ/ , "/ .. STATUS REPORT UNDER RULE 6.12 Name of Decedent: I/.//';J w. lIIuh Date of Death: 9 - y- 01 Will No.: :l60/- ()O "17 Admin. No.: Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration ofthe above-captioned estate: 1. State whether ad~stration of the estate is complete: Yes 0 No Jbl 2. lfthe answer is No, state when the personal representa1;ive reasonably believes that the administration will be complete: 1J~t:~ ",.. ~ I, ~~ { 3. lfthe answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 "\--1 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to fui:~ 1t ~ 1,5'" AA ft1UE' /' "1' " E Name 3tto/ ~~. ~ )J.d; _ ;J4 /701/-122.1 Address ( 17lV 7n-ol/t y ~phone No. Capacity: ~ersonal Representative o Counsel for personal representative Date: "-J COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne Austin F. Grogan Sharon F. Clark 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 August 10, 2004 ~\\ cP\/ f Register of Wills Cumberland County Courthouse Carlisle, P A 17013 Re: Estate of Halfred W. Wertz, Deceased Dear Sir/Madam: We represent the Estate of the Late Halfred W. Wertz. Pursuant to Orphans' Court rule No. 6.12 of the Pennsylvania Supreme Court Orphans' Court, enclosed is an original Status Report regarding this Estate. Please docket the original and return a "clocked-in" copy to this office with the enclosed envelope. Thank you for your assistance. If you have any questions, please contact me. Very truly yours, COYNE & CO 1M Henry F. Coyne ('. HFC/amd Enclosure L, = c:: Ci1 ..... ..... Cc: Mr. Halfred Wertz, II, w/encl. -0 .-. N Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/15/2005 COYNE HENRY , ESQ. 3901 MARKET STREET CAMP HILL, PA 17011 RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/08/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge u-R -- STATUS REPORT UNDER RULE 6.12 Name of Decedent: Halfred W. Wertz Date of Death: September 8, 2001 Will No. 21-01-0917 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 complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: FEBRUARY 2006 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 account is: b. the separate Orphans' Court No. (if any) for the personal representative's interest? c. Did the personal representative state an account informally to the parties in Yes 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. Dated: Cf-:J-~u S iJr~J tH. -YF.COYNE'ESQ~ ' 3901 Market Street ~ Camp Hill, P A 17011-4227 (717) 737-0464 Counsel for Estate - '.'J .::.:) r"" L. (.u' c '~', ..:~;.:' ; C'-.,; () eP Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/27/2007 COYNE HENRY F 3901 MARKET STREET C) ~ ('~,-, , CAMP HILL, PA 17011-4227 --.1 '.':.) RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/08/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, In. I V. . ""'''.' , J -1:!vr~LJ If/;/!!/J' .Q...vfvu,,,.~~fdZ;; Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) cJ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/27/2007 l? Cn.. WERTZ HALFRED W II ,j -_I 177 WOODS DRIVE MECHANICSBURG, PA 17050 1 -I -' 'J) RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/08/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, k~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel J I' 0 ":- ('CJ 'Iii ~~ ~ '~=o"'UJ ~,~ og 3 ~'I I-~<(~ 'ft-Ci (X) ::E ff r\t ~ [ \2 \..".} <(0a '<r. ~ ~';t~ '<'~ ",g <( Q.t.[INn c. 0 ~ r- ("-.1 (.:;"1 ;;.:I: -~ I " 1.0 (/) r- c.:"::; c:..) (.._~ - !::: Q I,) '" ::: Ie "&fr fii~ ~ 1::1;;; ~~-egM 1:: ~ ~ rX,.), "" Q - " - ~-':::E~f: ~~tJ2- E~'t;t:~ I'e ..Q :::I~. ~ r; ~ 0-2 2~g~~ ;:;'=\oJou ~~ Q ... '" t; & ~ . ~ {iUJ l'- 0 b 'It " , Ql I"- ,-:n:i'r :::..-. ('1 ji /1!.t-!loI- I . ~..,', ,:111 V '(j)!i . t1 ro :" ~ III W i') o /:to 0 Si~~ ~ Q<r3 -rl Z ll: ~ Wli'10 0 -'-'- Vi'\T/L. 11 - - - - - ; - I - - - :: - - - - - - - - - - - :: - - - wo JI- m Z<1:lJ.I It/:tJ M :Jwm I"- t-><r -rl WHZ lrJ;) W Q t- W 0 H Z X H Z 01 m rl o i') i') (1) M o I"- M " - l' ( u m , ( ::':"J c.; ,., t ., .: i. fi rw i\f 0 .;,:) lJ) 0 0 ',0 1'- '.~' r-j r,o, H 'M H Et 1'- 0 ~ ~ 0 , C'J q HCJ "- !X1 &[5 1'- 0:: C'J Ii, m "- ...:1 UJUJ co m qCJ OH N ~~ Q) E-i .w 0:: 1'-CJ rtl ~ 1'-!X1 ::) r-j~ (. r c;- O o ~ Pa. D.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA Name of Decedent: Halfred W. Wertz Date of Death: September 8.2001 File Number: 21-01-0917 Pursuant to Pa. O.c. Rule 6.12, 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: . . . . . . . . . . . . . . . . . . .. D Yes ~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: FEBRUARY 2008 3. lfthe answer to No.1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . .. D Yes DNo b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... DYes DNo 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 q - " ~a-7 ~ Counsel Lisa Marie Coyne Name of Person Filing this Form ..'...... , 'j Address 3901 Market Street Camp Hill, PA 17011 )717) 737-0464 Telephone SO : II! '-J 2 i ,....... j - ~..) U,! ~ Form RW-10 rev. 10.13.06 ~ Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: HALFRED W. WERTZ Date of Death: September 8, 2001 File Number: 21-01-0917 Pursuant to Pa. O.C. Rule 6.12, 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 No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: MARCH 2009 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^ Yes ^ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... ^ Yes ^ 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 8/26108 ~_ Signatu ofP son Filing this Form Capacity: Personal Representative Counsel LISA MARIE COYNE, ESQUIRE Name of Person Filing this Form 3901 Market Street ~ ~,~; ~j.ti~ Address a ~ ,. ~ ~ ~~~ Camp Hill, PA 17011 lu :~ ... _ ;,~ ; `- (717) 737-0464 r , Telephone Form RW-10 reu. 10.13.06 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 9/08/2009 OYNE HENRY F ~,~, 0 :ao ~{ ~ ..`~ 3901 MARKET STREET ~ ~'-'Y CAMP HILL, PA 17011-4227 ~ ~ Q t_'~i ~, ~ f r'3'•^ h RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/08/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~~l~b Glenda Farner Strasbaug Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 9/08/2009 WERTZ HALFRED W II s <.•> 177 WOODS DRIVE ~ ~jr~,3 MECHANICSBURG, PA 17050 ~ ~, ife E•",.. RE: Estate of WERTZ HALFRED W File Number: 2001-00917 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 9/08/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Halfred W. Wertz Date of Death: September 8, 2001 File Number: 21-O1-0917 Pursuant to Pa. O.C. Rule 6.12, 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 ~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: FEBRUARY 2010 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^Yes ^ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... ^Yes ^ 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. 10/8/09 QPersonalRepresentative ®Counsel t: r"' ~: ~ ~ . ~ L ,~`.., ' E ... l J L/_~ 4 ~ l ~-__,1 p o U N Form RW-/0 rev. 10./3.06 LISA MARIE COYNE Name ofPerson Filing this Form 3901 MARKET STREET Address CAMP HILL, PA 17011 (717)737-0464 Telephone °~d ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUMBERLAND COUNTY WERTZ HALFRED W PENNSYLVANIA NO. 2001-00917 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: WERTZ HALFRED W II Counsel for Personal Representative: COYNE HENRY F Date of Decedent's Death: 9/8/2001 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten (l0) days to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 10/7/2009 .n~ 1 T/ln.Har /~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File N C7 ''~ ':7 ~~ _aQ `a cl `-y ~7 O i'~r't C..~ Ln -I art .-+~7 ~ Ill I ri ~ i 1 'b N - ~.! In Re: Estate of WERTZ HALFRED W ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2001-00917 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: WERTZ HALFRED W II Counsel for Personal Representative: COYNE HENRY F Date of Decedent's Death: 9/8/2001 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given that you have ten (10) days to file the Status Report. If the required 6.12 fonn is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will request that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 10/7/2009 i~~~~GJLGfQ,~l:~OA.frrzt ~jClCl./Ai~~ r ~ ~ , , p Glenda Famer Strasbaugh /~ Clerk of the Orphans' Court v Distribution: Personal Representative Counsel for Personal Represe ntative Estate File n N n 10 C ~ o .:~ `~°~ ~ . t -r C7 -~ ~,'y r7 Vi i\ _ ~)~./1l ~ .lt n ~~~ _~ Zi ~ X11 N `..1 Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND Name of Decedent: Halfred W. Wertz COUNTY, PENNSYLVANIA Date of Death: September 8, 2001 File Number: 21-01-0917 Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration oI~ the above-captioned estate: 1. State whether administration of the estate is complete :.................... ~ Yes ^ No 2. If the answer is No, state when the personal representative reasonably believes that the administration. will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^Yes ~No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... Yes ^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. - ,~ _.,! --- oat~ August 16, 2011 ~ L ~, j ~ ~. L ~ ~ ~-- - - Si nature of Person Filing this Form ~.t_ O c. _, i .~ ' ~ ~_ .. . ... -- . ,.... Ll_ - ~ "., ,~~ ~~ 1.,~ -.. ~4 L~~,; '' ~ -~_ ' _ ? "~ G Form RW-10 r~r. IQ / x.06 Capacity: ^Personal Representative QCounsel Lisa Marie Coyne Nmne of Person Filing this Form 3901 Market Street Address Camp Hill, PA 17011 (717) 737-0464 Telephone T'-