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Home My WebLink About02-1114PETITION FOR PROBATE and GRANT OF LETTERS Estate of ~ . nF J ;E ~~ e ~~ «; ~.~ also known as Social Security No. 1 ~; ._ -~ ~ _ Z Deceased. 3 '~ To: Register of Wills for the County of ,u DLL hQ,vl G(/rrt in the 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 executs ~x in the last will of the above decedent, dated C'ic~- ~b ~ - ~ named and codicil(s) dated , 19 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ~~ v r~t,~ ; ~-~ ~ =i~ last family or principal residence at 30 l 2. ~ Count ,Pennsylvania, with '~~r~~~ `y-~~,,a ~ le A ~ nee. ~ ~{ . (ust street, number and muncipality) Decendent, then ~ `~ years of ag died at -~tZ k2 v~E C- t.n ~ 1~'~ 1 . mb-e.~- i `'~- Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never 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 $ ~ ~~ O ~ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ _ situated as follows: ~ ~ I Z cs a 1 c ~t>~ ntyp (i ~ ,,,~ ~ ~ .1 t ~ ~ $ - ~ ~ ~ ~-~ ~ WHEREFORE, petitioner(s) respectfully request(s) the robate of the last will and codicil(s) presented herewith and the grant of letters~2-}--~ t,~ ~ R ~ ~~ therori. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) ~ 1 v C +~ L~~ti ~° ~C~f2.~t'~~~l~oEn~~ ~~ G~~~ ~i; i1`'i A I70C1 ~w ~ o op OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 S3 COUNTY OF ~U (M ~IZt.I~ ~ D 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 w nd tru/ly administer the es/t~e according to law. Sworn to or affirmed and subscribed ~~ L~htCG` " / A i'~/ before me this 9th y ~ ~~~ ~ ZOQ2 ~O(7 gale. /~yen~~ a nna -' o, ~ apu ~~ mn ~1 ~ i I NH 1 ~ ~ it ~ (.~ gister o No, 21-2002-1114 Estate of Genevieve J. Crowley Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW December. 9th' l~__.9Q2 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- October 6th 19A 1 described therein be admitted to probate and filed of record as the last will of Genevieve J. Crowle and Letters Testamentary ; are hereby granted to Patrice Andrea Crowle //~~ ~A.~ ~~w R egister of Wills ~J'~ Donna M. Otto,lst Deputy FEES Probate, Letters, Etc.......... ~ 305.00 _ Vincent C. Deliberato Short Cenificates(1Q ... , . , $ 30.00 . • .. ATTORNEY (Sup. Ct. LD. No.) ~I~~~ • x-pages• •(•1) .. JCP $ 3.00- 10 00 5113 Sunset Drive . TOTAL ~ 348.00 ------ ADDRESS Harrisburg, PA 17112 Filed Dec~rnbex'. 9~hF .20112 .. .......... . PHONE (717) 737-9049 MAILED LE`I`I~RS TO EXECUTRIX O1V DEC~IBER 6TH, ?002 ~ ;~ ~~~* ~a:~: ., + . I. t__!= .r t)e~re .;iv:n 1, e~rrect~~r co~le~ 'tr;tt a(~ c(~~~(~a( c~rrilic,,r_ ! f'. .: '{ G• ~ , .;1; t,r?(t•~f io t~~~' '~i.iC~° '~ i<;1 1~(:a(+_t~ (rF, ;~_ LF•`~~.,),~. ~T: ( ~~~I t~.~ d~~ll~ate this ~,°y ~V ~sl~~at~~lat ~a ~~,~s ' , ~ 8645.36__6 UAL ,7e_ IDENCE nSlruc,ma ner s~del ., ....~ _.._ , ... ~. utC ~~ 3 2QA~ _ _ ~.IaJ++er. vB7 COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT IFav. Middle. teal '~ Genevieve J . Cry AGEILasI &nndavl UNOERtVEM Morons r Days 89 Vrs. i. :OUNTY OF DEATH (l,mhurl ~.,.7 I DAY_ DATE OF BIRTH Minulp •Mann. l7aV. yaert ,June 30,13 DECEDENT'S USUAL OCCUPQION ~~~ od• KIND OF BUSINESS/INDUSTRV JVl (aworkirgkN;~nauerreWed~, Distric WAS US. ,,,, School Teacher Mt Carmel Sch l ~ DECEDENT'S MAILING ADDRESS (Stre«.GryyTOwn. „h. oo SMb_lo Crrnl nerEru MY•c u. 3012 Yale Avenue Camp Hill, Pa 17011 i NAME (Fist. Mitlae. Lash BurW L}~ Cremalion^ R«rbvy hom Slale^ ^ Omer /sdacma ------ •^+Y^N blM Wet of my kn MyMCUn n nd avaaabw at ume of rleam b (S+Urral x+a total unrry uuae a earn. ta.. r~ .. uema 2a-28 must w compared ~ p«aon wlb ponounces deann. ~ TIME OF` IATM~ I za. •]. 27. PART L Enter IM dwaaes, inryrbs or complcalbns wl+irn caused Ine Da~ L+s, only one taus. on earn kM. IYYEDIATE CAUSE (Fu+y aisa:sad tonoubn /~/~ p 'esuarq n drylhl ~- a. 1 y \` ~r 1~.. ~, ,,E ~,tlN~r t, ~~F. ~Y~,s.- ~~ ~~ ~ P:, 47 ,_- r^~ ~_, --------.-_~_ _ giAlE CnE `1UM8ER SE%~~-~ SGCIAL SECURITY NUMBER DAFE OF OEATH:MCna. Day. barl :. Frxnale ,. 186 - 34 - 2533 a. Dec~nber 1,2002 BIRTHPIACF ;Coy and PLACE Oi DEATH ICned. u~ay ~+~.e .;~.rsu.a:l,+an un or~~+lel ~Ialea FCrexJn Cdunlry) HOSPITAL. --- ~- OTHER: Mt CaZlTlt?l , Pa k I'a'n ^ EwowpaneM u DOA ^ "~"'"'° ^ Rea+d.nc. ~,' Snarl ^ IE 111 nut mv9ulia+. ywe weel ono nwnouvi WAS DECEDENT OF HISPANIC ORIGIN? RACE ~ Amencan Inaan, &ack, yVn No ~ Yea U nyww apacdy CuWn, ISpsMI 2 Yale Avenue Me+ICan.Pwndarcan,«~ 9. 10 ~ F's DECEDENT EVER IN DECEDENT'S EDUCATION MARITAL STATUS -Mamrd ARMED FORCES? S ~ M +esl ode cem eU Newr ManrW. Widpwep. SURVIVMIG SPOUSE s ^ No ~ ElernenlarylSecorbary Coaega Drrorced ISPecM IN «ae, grr mardan nartyl u. tool 5+'a S.l ,.. Widowed ,,. Pa did ,Tt.^ Y... deceWMbwdin dsced«a kr. n. Cumberland '°"""np7 "° deteOeln lN•d ~'- --__ r 7a.~ warn anuy lane. of Cc~TID H i 1 ~ MOTHER'S NAME IFasl. MNae. Maiden Surru%rW) Frances Zerbe (IApnln. ~y ~) «OUl« Plan •... 71h. 2tc. $$$~T~TT~]]]~~~''''']]] LICENSE NUMBER -~ _ =,h. 011654-L k]9, dealA odcunad al Ine lime, dale and place scaled 'tip I`C t,~ ~_ '-a. ~ ~ ~ ~ ~ -~_~~- DATE ON UNCED DE\\ (Mdnm. Day, aq M. 25. I d ' L1• - b rb aM« IM mOW of dyny, aYCn as car c Or respaalory arrest, slack or Ix1E ro (oFI As A coNSEOUENCE oFl: Sepu«aiyry Fat cor,daiona b. tl any I•aa^g IO 1^"^•dMl• Old ro (On AS A CONSEQUENCE OF _ 7: cause. Enlw UNOERLYIND ~ CAUSE (Drsease w m1urY c. • 9+ar vkbarad ewlrns DUE TO (OR AS A CONSEQUENCE OF): "~- resuYa,g n Dead,) usT d WAS AN AUTOPSY WERE AUTOPSY FINDINGS _ MANNER OF DEATH PERFORMED? AMUUBLE PRIOR ro GATE OF INJURY TIME C COMPLETION OF CAUSE IMUnm. Oay, Year) OF DEATH? ~ Nalur« H~+Ky, ^ Accdanl ^ Penang Invaalgalion ^ ~I~, VYS ^ No ~J \\\ Yea ^ No ^ SuKbe ^ CouW rbl ba delsnnlned ^ ~ a0b. 2M. yep, 39. PUCE OF INJURY ~ AI nom.. farm, street Wilding, «c. ISpecnr) 7e CERTIFIER ICneck only onel s. - 'CERTIFYING PHYSICIAN 1Pnys~c~an cwrayu+q cause d dean caner ananer Mvs~c,an nos pronamced deem and cex saw To rM Deal of my krbwMdge loam occwr d d m npleled nem 271 , e w b a cause(.) and manner as aleled ................... ............... [] 'PRONOUNCING AND CERTIFYING PHYSICIAN IF'nyscian lxan;n:uux,re~nq Uealn ei KlcHUlymq bcause of deaml -;,~ To ll,e Dent of my krbwlad e tlearn o d g , ccurre at U+e Bme, Dale, and plxe, and due to Ina cauae(a) and manner as elated ................... L J +,i 'MEDICAL EXAMINER/CORONER On the haaia of a%aminatlon and/or invesligaUOn, in my opinion, death occurred at the time. dale, an manner as .rated ............... ... d place, and due to the douse(s) and .... ... .. ...... ...... .. .. ,eta. ................... ...... -~ ^ ................ .... .......... REGISTRAR'S SIGNATk{RE ANO NUMBER -~:~= zae~~`-~, ~ c` I ~ ~1 ~, iM«,u,-~Y-~earl :x. ~ ~ 1 O.~^ WAS CASE REFERRED TO MEDICAL E%AMINER/CORONER? Ves ^ 20. iAFgrokanare PART N: Olh«mgnarcaM COndaroru; mr+IrWlv+g bdeam. Dot ~ a+laryy helvreen 1101 raaUnng n dle Celbe I WLSSI orb deaN u1tl•Ityuq yven n PMT 1. 1 Vas ^ No ^ aIUC. _ add. LOCATION(Sbe«. Cay/iown. SWeI ]fN. i1TLE OF CERTIFIER - V--" to lMdntl+.lMY. Year) J"~>CV t)_OC, l___ are. I)•c~ L 2ou_ MO ADDRESS Of PERSON WMO COMPLETED CAUSE OF DEA 17) Type or Pnnl __. ZJ~1 ~~J,Z ~-'{- FILED(Mdr+ Day. yeah _~~ 3 -zoo L J ~~~# tll ttxcd C`~Q~tttnzent ~ Genevieve J. Crowley I, Genevieve J. Crowley - residing at 3012 Yale Avenue in the County of Cumberland in the State of Pennsylvania - declare this to be my last will and revoke all wills and codicils heretofore made by me. 1. I devise the premises at 3012 Yale Avenue in Camp Hill, Pennsylvania together with any insurance policies thereon to my husband, Daniel R. Crowley, if he survives me for 30 days. If my husband, Daniel R. Crowley, does not survive me for 30 days: then I devise the premises at 3012 Yale Avenue in Camp Hill, Pennsylvania together with any insurance policies thereon to my daughter, Patrice Andrea Crowley. 2. I bequeath all of my money and all of my personal property to my husband, Daniel R. Crowley, if he survives me for 30 days. If my husband, Daniel R. Crowley, does not survive me for 30 days: then I bequeath all of my money and all of my personal property to my daughters, Diane Rae Crowley and Patrice Andrea Crowley, in equal shares. 3. I authorize my executrix - without license of court --- to sell, convey, mortgage, invest, exchange, control, and otherwise deal with all property comprising my estate; however, such authority may be used only to satisfy the requirements of the law concerning the settlement of my estate and to distribute my estate according to the provisions of this will. 4. I nominate and appoint my daughter, Patrice Andrea Crowley, executrix of this will, without necessity of entering bond in any jurisdiction in which she might act. 5. All estate, inheritance, legacy, succession, or transfer taxes including any interest and penalties thereon imposed by any domestic or foreign laws now or hereafter in force with respect to all property taxable under such laws by reason of my death, whether or not such property passes under this my will and whether such taxes be payable by my estate or by any recipient of any such property, shall be paid by my executrix out of my general estate as part of the expenses of the administration thereof with no right or reimbursement from any recipient of any such property. In witness whereof: I have hereunto s my hand on this date ~ ;' enevieve J. Crowley Genevieve J. Crowley of Cumberland County, Pennsylvania signed the foregoing instrument in our presence, declaring it to be her last will; in witness whereof: we three do now, at her re nest, in er other, hereunto subscribe our names, presence and in the presence of each __ /~' ~ f , __. .. l ,r` ~,r _ By an attorney at law - State of Pennsylvania County of Dauphin On this, the seventh day of October 19 81 before me Dora Lynn Gothie the undersigned officer, personally appeared Vincent C. DeLiberato, Jr., Esquire known to me (or satisfactorily proven) to be a member of the bar of the highest court of said state and a subscribing witness to the within instrument, and certified that he was personally present when Genevieve J. Crowley i whose name subscribed to the within instrument executed the same, and that said person, the testatrix acknowledged that on the date stated she executed the same for the purposes therein contained and that he was personally present when Robert N Della-Ce~s~e and Ann W. Della-CYtsce^ whose names subscribed to the within instrument attested to the execution of the same, and that said persons acknowledged that 11ILthP date Gfiated they for the purposes therein contained. attested to the execution of the same In witness whereof, I hereunto set my hand and official seal ~ -~..~_- J ~L;'2 .~U~.i kiY CC'rz°MISS;!'?~d :XPI~;cS' hfRY ?s, 1~~'? W?rr~er, '~e-rs;itrri+a Ass~~::iziion of Pa9zries CERTIFICATION OF NOTICE UNDER RULE 5.6(al //~ Name of Decedent: C~'~, R2V l ~P.~ '2.. ~ ~ l ~i 0 ~ ` 'e-`~1 Date of Death: ~ ~,/~C '~ t't~~P.~' ~ ~~~ Z. Z. i - ~ Z-'. ~ ~ ~ "t Admin. No. Z- ~ - ~ Z - Will No. To the Register: I certify that notice of (beneficial interest) estate administration 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 ~~~ ~ ~ '~ ZC~? 3 Name Address w~~ Z Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: ~ ~'l ( ~-t{ 7~-3 ~> ~///V~~/V Signature Address ~~ ~ Z. ~~~~ ~~~ Telephone (7 ~~) ~ ~ '~ _ C~ Q t^~ Cj Capacity: ~ Personal Representative Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: CROWLEY PATRICE ANDREA 3012 YALE AVENUE CAMP HILL, PA 1701 1 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: i8s-34-2533 FILE NUMBER: 2102-1 1 14 DECEDENT NAME: CROWLEY GENEVIEVE J DATE OF PAYMENT: 07/30/2003 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 1 2/01 /2002 REV-1162 EX~11-96) N0. CD 002851 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $ 3, 000.00 TOTAL AMOUNT PAID: REMARKS: PATRICE A CROWLEY CHECK# 95 SEAL INITIALS: AC RECEIVED BY: DONNA M. OTTO 53,000.00 DEPUTY REGISTER OF WILLS REGISTER OF WILLS R E'~-I 5CB E'K ~6-00) · COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIN. USE ONLY FILE NUMBER 2 I --02 1114 YF. AR NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER GE~V'rE'v'~ J CROWr_~¥ 186-34-2533 DA'rE OF DEATH (MM-DD-YEAR) DA3~ OF BIRTH (MM*DD-YEAR) 1TIIH Rs'TURN MUET BE FILED IN DUPLICATE WITH THE 12-01-2002 06-30-1913 REGISTER OF WILLS F APPLICABLE) SURVIVING SPOUSE*S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECUR]~ NUMBER N/A [~ 1. Odginel Return [~ 2. Supplemental Return ~ 3, Remainder Return (data of death prior to 12-13~2) [~-] 4. Limited Esfate ['---1 4a. Future Intereat Compromise (date of death attsr 12-12-82) I--~ 5. Fedatel Ealate Tax Return Required r'~-~ 6. Decedent Died Teatate (Attach copy of WIll) r---] 7. Decadent Matntalned a Liv{ng Trust (Attach copy of Trust) ~--.--- 8. Tat al N u tuber of Safe Depo~d Boxes ~ 9. Litigation Proceeds Recei~:l i-~ 10. Spousal Poverty Creed (att, of d,ath b,tw,an ~2-3~-g~ sn~ ~-~-~S) ~ 11. Election to tax under Sec. 9113(A) THIS SECTION MUST BE COMPL. ETED AI.L CQRRESPONDENCE AND CONFIDENTIAL TAX~NFORMATiON SHOULD BE DIRECTED TO: COMPLETE MAILING ADDRESS NAME ROBERT L D~UB~ C~ (If Applicable) WAC, C-,OM'ER, FRUTIGER & DAUB 'i~LEPHONE NUMBER (717) 506-1222 EAST TRINDLE COt~ERCE CENTER 5006 EAST TRINDLE ROAD, SUITE 200 MECHANICSBURG, PA 17050-3647 1. Reat Esfate (Schedule A) (1) 2. Stocks a~d Bonds (Schedule B) (2) 3. Closely Hetd Corporation, Partnership or Sole*Proprietorship (3) 4. Mortgages & Notes Rscetvable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. J~ Owned Property (Schedule F) (6) I___] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Scheduat G or L) 8. Total Gro~ Assets (total Lines 1-7) 9. Fu nerel Expenses & Administrati'.~ Casts (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens ~chedula I) (10) 11. Total Deductions (total Lines 9 & 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec9113Trusfsforwhichanatectiontotaxhasnoteden made (Schedule J) 150,480.00 30~485.30 31,648.18 145,454.64 260.49 (B) 13,646.85 2,596.79 (11) (t2) (13) OFFICIAL USE ONLY I 358,528.61 16,243.64 342,284.97 342~284.97 14. Net Vsfue Subjectto Tax (Line 12 minus Line 13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousat tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 ( 1 E) 16. Amount of Line 14 taxable at lineal rate 342,284.97 x .0 · 045(16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collaterat rate x .15 (18) 19. Tax Due (19) 0.00 15,402.82 0.00 0.00 15,402.82 >> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SiDE AND RECHECK MATH ~ < 3W46451,000 COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER GENEVIEVE J CRO~EY 21-02-1114 Reel property which is Jointly-owned with right of eurvlvorshlp must be dl.cloeed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1. 150,480 PEAL ESTATE AT: 3012 YALE AVENUE, CAMP HILL, PA 17111; OWNED SOLELY BY DECEDENT. DOD VALUE BASED ON ASSESSED VALUE. (SEE ATTACHED COPY ON ASSESSMENT) TOTAL (Also enter on line 1, Recapltulation) $ 150,480.00 3W4S95 1.000 (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER GENEVIEVE J CROWLEY 21-02-1114 All prope~'y jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH SEE ATTACHED SCHEDULE 30,485.30 TOTAL (Also enter on line 2, Recapitulation) $ 30,485.30 3W4696 1.000 (If more space is needed, insert additional sheets of the same size) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER GENEVIEVE J CROWLEY 21-02-1114 Include the proceeds of litigation and the date the proceeds ~re received by the estate. - All property JolnUy-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 2 3 4 5 6 7 8 9 10 11 12 A.LLFIRST, CHECKING ACCOUNT, #0038344378 COI~ERCE BANK, CERTIFICATE OF DEPOSIT, #1700099 PNC BANK, CHECKING ACCOUNT, #5000641329 DISCOVER CARD BONUS ~ HIGHMARK BLUE SHIELD P, EIMBURSEMENTS IRS FORM 1040 REFUND FOR 2002 PA FORM PA40 REFUND FOR 2002 VA BURIAL ALLOWANCE PISI INSURANCE REFUND 1927 $2.50 GOLD PIECE, PER W~ITMAN'S RED BOOK: A GUIDE BOOK OF US COINS 2003 1900 $5.00 GOLD PIECE, PER W~ITMAN'S RED BOOK: A GUIDE BOOK OF US COINS 2003 1973 CADILLAC SEDAN DE VILLE, NADA GUIDES (VEHICLE NOT DRIVEN FOR 12 YEARS 419.25 26,683.93 102.62 40.00 495.58 1,864.00 132.00 100.00 165.80 180.00 165.00 1,500.00 TOTAL (Also enter on line 5, Recapitulation) $ 3 1,848.18 3W46AD 1.000 (If more space is needed, insert addffJona~ sheets of the same size) Date of Death: 12/01/2002 Valuation Date: 12/01/2002 Processing Date: 07/01/2004 Shares Security or Par Description Estate Valuation High/Ask Low/Bid 1) 2) 9) 4) 5) 6) 7) 10 AT&T CORP (001957505) COM NEW New York Stock Exchange 11/29/2002 12/02/2002 254 BANK OF AMERICA CORPORATION (060503104) COM New York Stock Exchange 11/29/2802 12/02/2802 85 BELLSOUTH CORP (079860102) COM New York Stock Exchange 11/29/2002 12/02/2082 PPL ELEC UTILS CORP (69351U202) PFD 4.40% New York Stock Exchange 11/25/2002 12/04/2002 50 PPL CORP (69351T106) COM New York Stock Exchange 11/29/2002 12/02/2002 16 COMCAST CORP NEW {20030N200) CL A SPL NASDAQ - Industrial 11/29/2002 12/02/2002 160 SBC COMMUNICATIONS INC (78387G103) COM New York Stock Exchange 11/29/2002 12/02/2002 66 VERIZON COMMUNICATIONS (92343V104) COM New York Stock Exchange 11/29/2002 12/02/2002 28.18000 27.90000 H/L 28.88000 27.80000 H/L 71.20000 69.81000 H/L 71.30000 68.75000 H/L 28.00000 27.42000 H/L 28.56000 27.26000 H/L 67.50000 65.50000 E/L 67.00000 67.00000 B/L 33.41000 33.11000 33.55000 32.33000 B/L 23.72800 22.77000 H/L 23.50000 22.99000 H/L 28.74000 27.87080 B/L 29.10000 27.90000 B/L 42.00000 40.92000 B/L 43.20000 40.73000 H/L Estate of: Genevieve J. Crowley Report Type: Date of Death Nuafoer of Securities: 8 File ID: Crowley Mean and/or Div and Int Security Adjustments Accruals Value 28.190000 281.90 70.265000 17,847.31 27.910000 2,363.85 66.795714 667.86 33.100000 1,655.00 23.247000 371.95 26.402500 4,544.40 41.712500 2,753.03 Total Value: Total Accrual: Total: $30,485.30 $0.00 $30,495.30 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300 or www.evpsy$.com. (Revision 7.0.3) COMMONWEALTH OF PENNSYLVANIA INHEPJTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER GENEVIEVE J CROWT_.~Y 21-02-1114 If an asset was made joint within one year of the decsdent's date of death, it must ba reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADORESS RELA~ONSHIP TO DECEDENT A. PATRICE A CROWLEY DAUGHTER B. DIANE R CROWLEY 3012 YAlE AVENUE CAMP HILL PA 17011 727 CONTRA COSTA AVENUE BERKELEY CA 94707 DAUGHTER JOINTLY-OWNED PROPERTY: ~ ~TE DESC~JP~ON OF PROPER~ % DE DA~ OF DEATH 1. A. 1997 A~LFIRST BANK, MONEY MARKET B. ACCOUNT, %098169823 28,522.19 33 1/3% 9,507.40 2. A. 6-2001 A~LFIRST BANK, CERTIFICATE B~ OF DEPOSIT, %80000002180982 82,888.79 33 1/3% 27,629.60 3. A. 9-2001 ALLFIRST BANK, CERTIFICATE B. OF DEPOSIT, %80000002181100 51,543.05 33 1/3% 17,181.02 4. A. 1981 WACHOVIABANK, CHECKING B. ACCOUNT, %1000322990596 4,708.04 33 1/3% 2,354.02 5. A 6-2001 WACHOVIA BANK, CHECKING B. ACCOUNT, %1010046514950 84,088.81 33 1/3% 28,029.60 6. A 1982 WACHOVIA BANK, SAVINGS B. ACCOUNT, %3000323105757 1,784.20 33 1/3% 594.73 7. A 5-2001 PNC BANK, CERTIFICATE OF B. DEPOSIT, %31300211171 5,918.54 33 1/3 1,972.85 8. A. 7-2001 PNC BANK, CERTIFICATE OF B. DEPOSIT, %31200213811 40,317.97 33 1/3 13,439.32 9. A 7-2001 PNC BANK, CERTIFICATE OF B. DEPOSIT, #31000211911 7,106.51 33 1/3 2,368.84 10. A 1983 PNC BANK, SAVINGS B. ACCOUNT, %5130105153 1,565.60 33 1/3 521.87 TOTAL(Alsoenteroniine6, Recapitulation) $ -continued- 3W46AE 1000 (If more space is needed, insed additional sheets of the same size) ,~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCETAX RETURN RESIDENT DECEDENT OFF~r~L USE ONLY i I i 4 FiLE NUMBER 2 3. -- 0 2 NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURrTY NUMBER GENEVIEVE J CROWLEY 186-34-2533 12-01-2002 06-30-1913 REGISTER OF WILLS N/A r~l. odginal Return r-~ 2. Supplemental Return r-~ 3. Remainder Return (date of death prior to 12-13-82) r~ 4. LImit~ E~e ~ 4a. Futura late~t Compromise (dale of death ~fler 12-12-82) ~ 5. F~e~ Est~e T~ R~urn R~uimd ~ 6. De.dent Died T~t~e (Attach ~py of ~fl) ~ 7. D~edent Malatain~ a Li~ng Tm~ (Attach ~py ~ Trust) ~ 8. Tatal Number ~ S~e Deqosit Boxes ~ 9. Litig~ion Pro--ds R~ ~ 10. Spousal P~y C~it {~,~, o~ a..t~ ~*~.*n ~=~-~ e~ ~-~-~) ~ 1 I. Elemion to t~ under S~. 9113(A)~A.a~ s~ o} THIS SECIION MUST BE COMPEETED; AEL'CORRESPONDENCEANDCONFiOENTIAL T~ [NFQR~TION SHOOED BE DIRECTED TO~ NAME ROBERT L DAUB, CPA FIRM NAME (If Appflcable) WAGGONER, FRUTIGER & DAUB TELEPHONE NUMBER (717) 506-1222 COMPLETE MAILING ADDRESB EAST TRINDLE CO~4ERCE CENTER 5006 EAST TRINDLE ROAD, SUITE 200 MECHANICSBURG, PA 17050-3647 1. Real Eatate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Pmpdatorship (3) 4, Mortgages & Notes Rece[wble (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. J~ Owned Property (Schedule F) (6} ~ Separate Billing Requested 7. Inter-Vivos Tcanaters & Miscellaneous Non-Probete Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 1 O. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Tote[ Deductions (total Lines 9 & t0) 12. NetValue of Estate (Late 8 minus Line11) 13. 150,480.00 30,485.30 31,848.18 145,454.64 260.49 OFFICIAL USE ONLY Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 13,646.85 2,596.79 (11) (12) (13) 358,528.61 16~243.64 342,284.97 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 342,284.97 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0 (15) 16, AmountofLine14taxabieatlinealrate 342,284.97 x.0 '045(16) 17. Amount of Line 14 taxable et albl[ng rate x. 12 (17) 18. Amount of Line 14 taxabat at collateral rate. x .15 (18) 19. Tax Due (19) 0.00 15,402.82 0.00 0.00 15,402.82 > > BE SuRE TO ANSWER ~L QUESTIONS ON REVERSES DE AND RECHECK MATH < < 3W4645 1.000 ~ Dece~lent's Complete Address YJ~,~E AVENUE Tax Payments and Credits: · 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/Penalty if applicable D. Interest E. Penalty 3,000 Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) (1) 15f402.82 3rO00.O0 4. If Line 2 is greater than Line I + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) t2,402.82 A. Enter the interest on the tax due. (5A) 537.45 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT (5B) 12,940.27 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; ....................... r~l 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? ............................ E~] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? r--1 [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................ E~ [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND PILE IT AS PART OF THE RETURN. Under penalties of perjury, I deClare that I ha'~e examined this return, including accompanying s~edules and statements, and to the Pest of my knOWledge and belief, it is true, correct and complete. SIGNA RE OF PERSON RESPONSIBLE FOR FILING RETURN 3012 YALE AV~N~C~/4P HILI~PA 17011 DATE 5006 E TRINDLE ROAD SUITE 200 MECHANICSBURG PA 17050-3647 For dates of death on or after July 1, 1994 and before Jan uary 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the su~iving spouse is 3% [72 P.S. § 9916 (e) (1.1) (i)]. For dates of death on or after Janua~' 1, 1995, the tax rate imposed on the net value of t ransf~rs to or for the use of the su~ving spouse is 0% [72 P.S, § 9116 (a) (1.1) (ii)] or a stepparent of the child is 0% [72 P,S, § 9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedeat's lineal beneficiaries is 4.5%, except as noted in 72 P.S. § 91 f 6(1.2) [72 P.S. § 9116(a)(1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedanfs siblings is 12% (72 P,S. § 9116(a)(1.3)], A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blo~d or adoption. COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER GENEVIEVE J CROWLEY 21-02-1114 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property wuuld be exchanged between a willing buyer and a willing seller, neither being compelled to buy or self, both having reasonable knowledge of the relevant facts. Real p~ope~y which Is Joint]y-owned with right of survivorship must be d faclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1. 150,480 REAL ESTATE AT: 3012 YAlE AVENUE, CAMP HILL, PA 17111; OWNED SOLELY BY DECEDENT. DOD V~LUE BASED ON ASSESSED VALUE. (SEE ATTACHED COPY ON ASSESSMENT) TOTAL (Also enter on line 1, Recapitulation) $ 150,480.00 (rf more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN REStDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER GENEVIEVE J CROWLEY 21-02-1114 All property Jointly-owned with Hght of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIP3]ON OF DEATH SEE ATTACHED SCHEDULE 30,485.30 TOTAL (Also enter on line 2, Recapitulation) $ 30,485.30 3W4596 1.000 (if more space is needed, insert additional sheets of the same size) COMMON~NEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER GENEVIEVE J CRO~TLEY 21-02-1114 Include the proceeds of litigation and the date the prcceeds were received by the estate.. All property jointly.owned w~th the right of survlvomhlp must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 2 3 4 5 6 7 S 9 10 11 12 A.LLFIRST, CHECKING ACCOUNT, #0038344378 CO~4ERCE BANK, CERTIFICATE OF DEPOSIT, #1700099 PNC BANK, CHECKING ACCOUNT, #5000641329 DISCOVER CAP~ BONUS HIGH~Z~K BLUE SHIELD P. EIMBURSEMENTS IRS FORM 1040 P~EFUND FOR 2002 PA FORM PA40 P, EFUND FOR 2002 VA BURIAL A.LLOWA/~CE PISI INSURANCE ~.EFUND 1927 $2.50 GOLD PIECE, PER WHITMAN'S R~D BOOK: A GUIDE BOOK OF US COINS 2003 1900 $5.00 GOLD PIECE, PER WHITMAN'S P~ED BOOK: A GUIDE BOOK OF US COINS 2003 1973 CADILLAC SEDAN DE VILLE, NADA GUIDES (VEHICLE NOT DRIVEN FOR 12 YEARS 419.25 26,683.93 102.62 40.00 495.58 1,864.00 132.00 100.00 165.80 180.00 165.00 1,500.00 TOTAL (Also enter on line 5, Recapitulation) $ 31,848.18 3W46AD 1000 (If more space is needed, insert additional sheets of the same size) Date of Death: 12/01/2002 Valuation Date: 12/01/2002 Processing Date: 07/01/2004 Shares Security or Par Description 1) 10 AT&T CORP (001957505) COM NEW New York Stock Exchange 11/29/2002 12/02/2002 2) 254 3) 4) 3) 6) 7) Estate Valuation High/Ask 5ow/Bid 8) BANK OF AMERICA CORPORATION (060505104) COM New York Stock Exchange 11/29/2002 12/02/2002 85 BELLSOUTH CORE {079860102) COM New York Stock Exchange 11/29/2002 12/02/2002 10 EEL ELEC UTILS CORE (69351U202) EFD 4.40% New York Stock Exchange 11/25/2002 12/04/2002 50 PPL CORE (69351T106} COM New York Stock Exchange 11/29/2002 12/02/2002 16 COMCAST COH? NEW (20030N200) CL A OPL NASDAQ - Industrial 11/29/2002 12/02/2002 160 SBC CO~UNICATIONS INC (78387G103) COM New York Stock Exchange 11/29/2002 12/02/2002 66 VERIZON CO~UNICATIONS (92343V104) COM New York Stock Exchange 11/29/2002 12/02/2002 28.18000 27.90000 H/L 28.88000 27.80000 E/L 71.20000 69.81008 H/L 71.30000 68.75000 H/L 28.00000 27.42000 H/L 28.56000 27.26000 H/L 67.50000 65.50000 H/L 67.00000 67.00000 H/L 33.41000 33.11000 H/L 33.55000 32.33000 H/L 23.72800 22.77000 H/L 23.50000 22.99000 H/L 28.74000 27.87000 H/L 29.10000 27.90000 H/L 42.00000 40.92000 H/L 43.20800 40.73000 H/L Estate of: Genevieve J. Crowley Report Type: Date of Death Number of Securities: 8 File ID: Crowley Mean and/or Div and Int Security Adjustments Accruals Value 28.190000 281.90 70.265000 17,947.31 27.810000 2,363.85 66.785714 667.86 33.100000 1,655.00 23.247000 371.95 28.402500 4,544.40 41.712500 2,753.03 Total Value: Total Accrual: Total: $30,485.30 $0.00 $30,486.30 Page 1 This report was produced with SstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVE Systems at (818) 313-6300 or www.evpsys.com. (Hevision 7.0.3) COMMONWF. ALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER GENEVIEVE J CROWLEY 21-02-1114 If an asset was made Joint within one year of the decedent's date of death, it must be reposed on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. PATRICE A CROWLEY DAUGHTER B. DIANE R CROWLEY 3012 YALE AVENUE L%MP HILL PA 17011 727 CONTRA COSTA AVENUE BERKELEY CA 94707 DAUGHTER JOINTLY-OWNED PROPERTY: 1. A. 1997 ALLFIRST BANK, MONEY MARKET B. ACCOUNT, %098169823 28,522.19 33 1/3% 9,507.40 2. A. 6-2001 ;LLLFIRST BANK, CERTIFICATE B; OF DEPOSIT, #80000002180982 82,888.79 33 1/3% 27,629.60 3. A. 9-2001 ALLFIRST BANK, CERTIFICATE B. OF DEPOSIT, #80000002181100 51,543.05 33 1/3% 17,181.02 4. A. 1981 WACHOVIABANK, CHECKING B. ACCOUNT, %1000322990596 4,708.04 33 1/3% 2,354.02 5. A 6-2001 WACHOVIA BANK, CHECKING B. ACCOUNT, %1010046514950 84,088.81 33 1/3% 28,029.60 6. A 1982 WACHOVIA BANK, SAVINGS B. ACCOUNT, %3000323105757 1,784.20 33 1/3% 594.73 7. IA 5-2001 PNC BANK, CERTIFICATE OF 'B. DEPOSIT, %31300211171 5,918.54 33 1/3 1,972.85 8. A. 7-2001 PNC BANK, CERTIFICATE OF B. DEPOSIT, %31200213811 40,317.97 33 1/3 13,439.32 9. A 7-2001 PNC BANK, CERTIFICATE OF B. DEPOSIT, %31000211911 7,106.51 33 1/3 2,368.84 10. A 1983 PNC BANK, SAVINGS B. ACCOUNT, %5130105153 1,565.60 33 1/3 521.87 TOTAL(Alsoenteronline6, Re~p~u~ation) $ -continued- 3W46^E 1000 (If more space is needed, insert additional sheets of the same size) RE'¥-1509 EX + (6*98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER GENEVIEVE J CROWLEY 21-02-1114 If an asset was made Joint within one year of the decedent's date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADORESS RELATIONSHIP TO DECEDENT A. JOINTLY-OWNED PROPERTY; ~=mm DATE DESCRIPTION OF PROPER'I¥ %OF DATE OF DEATH iTEM ~oR JO~' MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUf~r~ DATE OF DEATH DECD'S VALUE OF JOINTLy4~J3 ~ ESTATE VALUE OF ASSET INTEREST DECEDENTS INTEREST 11. A. 2001 PSECU, P, EGULAR SHAPE 105.18 33 1/3% 35.06 B. ACCOUNT (51) 12. A. 2001 PSECU, MONEY HANDLER B. SHARE ACCOUNT (54) 0.14 33 1/3% .05 13. A. 2001 PSECU, MONEY HANDLER B. ACCOUNT (S7) 3,804.98 33 1/3% 1,268.33 14. A. 2001 PSECU, CERTIFICATE B. OF DEPOSIT (S51) 33,810.98 33 1/3% 11,270.33 15. A. 2001 WAYPOINT BANK, CERTIFICATE B. OF DEPOSIT, 93055310033 22,549.69 33 1/3% 7,516.56 16. A. 2001 WAYPOINT BANK, CERTIFICATE B. OF DEPOSIT, #3056320916 65,295.17 33 1/3% 21,765.06 TOTAL (Also enter on line 6, Recapitulation) $ 145,454.64 3W46AE 1.00D (if more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF GENEVIEVE J CRO~uEy FILE NUMBER 21-02-1114 This schedule must be completed and filed if the answer to any of questions 1 throu h 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCPJPTION Of PRO~'~i Y ITEM IN{:3-['~ ?~E N~ OF ~"~ TR~I~=ER~E,TheIR RE[-ATIONSI'fl P '~O DEC~OENT ~D DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE NUMBEF 3~'E DA3~ OF ~ A'~AO'I A COFY OF T~'E DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST {IF ,~°PLICABLE) VALUE 1. COt'[Lv~RCE ]~K, CEECK3'NG ACCOUNT, #536171531 520.97 I100% 260.48 260.49 TOTAL (Also enter on line 7. Recapitulation) $ 2 60.4 9 (If more space is needed, inset[ additional shsets of the same size) 3W4§AF 1+DO0 OMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER GENEVIEV~ J CROWLEY 21-02-1114 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT 5. 6. 7. FUNERAL EXPENSES: FUNE P,A.L COSTS OPENING AND CLOSING OF THE GRAVE GRAVE MAR~R ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) PATRICE A CRow'r_,Ey Social Security Number(s) / EIN Number of Personal Representative(s) 175-48-4747 Street Address 3012 YALE AVENUE City CAMP HILL StatePA Zip17011 Year(s) Commission Paid: 2004 Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach e~planation) Claimant Street Address city Relationship of Claimant to Decedent Probate Fees State __ Zip Accountant's Fees Tax Return Preparer's Fees 7,907.00 675.00 1,200.00 1,000.00 100.00 574.85 1,995.00 195.00 TOTAL (Also enter on line 9, Recapitulation) $ 13646.85 3W46AG 1000 (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA rNHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER GEN~VI~.V~ J CROWT_.~¥ 21-02-1114 Report debts Incurred by tho decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expencee. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH GROSS OUTSTANDING MEDICA.L BILLS AT DEATH DISCOVER CArD BILL ACCT # 6011 0027 8750, DATE OF DEATH BALANCE GARDENING BILL 2,207.54 237.67 151.58 TOTAL (Also enter on line 10, Recapitulation) $ 2,596.79 3W46AH 2000 (If more space is needed, insert additional sheets of the same size) RBV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN R~SIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER GENEVIEVE J CROWLEy 21-02-1114 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llet Truetee(e) OF ESTATE 1 1. TAXABLE DISTRIBUTIONS [incJude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] PATRICE A CROW~EY 3012 YALE AVENUE CAM~ HILL PA 17011 DIAb~ R CROWLEY 727 CONTRA COSTA AVENLTE BERKELEY CA 94707 DAUGHTER DAUGHTER 50.00% 50.00% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A, SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 3W46AI 1.o00 (If more space is needed, insert additional sheets of the same size) WHEREAS, on the 9th dated October 6th 1981 Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters No. 2002-01114 PA No. ESTATE OF CROWLEY GENEVIEVE J 21-02-1114 Late of CAMP HILL BOROUGH Deceased Social Security No. 186-34-2533 day of December 2002 an instrument was admitted to probate as the last will of CROWLEY GENEVIEVE J late of CAMP HILL BOROUGH , CUMBERLAND County, who died on the 1st day of December 2002 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMEERt_J~ND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to CROWLEY PATRICE ANIDREA who has and has __ duly qualified as Executor(rix) __ agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the of my Office the 9th day of December 2002. seal g seer o~_~ **NOTE** ALL A!AMES ABOVE APPEAR (LAST, FIRST, MIDDLE) Genevieve J. Crowley 21-2002-1114 I, Genevieve J. Crowley -- residing at 3012 Yale Avenue in the County of Cumberland in the State of pennsylvania -- declare this to be my last will and revoke all wills and codicils heretofore made by me. 1. I devise the premises at 3012 Yale Avenue in Damp Hill, Pennsylvan/a together with any insurance policies thereon to my husband, Daniel R. Crowley, if he survives me for 30 days. If my husband, Daniel R. Crowley, does not survive me for 30 days: then I devise the premises at 3012 Yale Avenue in Camp Hill, Pennsylvania together with any insurance policies thereon to my daughter, Patrice Andrea Crowley. 2. I bequeath all of my money and all of my personal property to my husband, Daniel H. Crowley, if he survives me for 30 days. If my husband, Daniel R. Crowley, does not survive me for 30 days: then I bequeath all of my money and all of my personal property to my daughters, Diane Rca Crowley and Patrice Andrea Crowley, in equal shares. 3. I authorize my executrix -- without license of court -- to sell, convey, mortgage, invest, exchange, control, and otherwise deal with all property comprising my estate; however, such authority may be used only to satisfy the requirements of the law concerning the settlement of my estate and to distribute my estate according to the provisions of this will. 4. Inominate and appoint my daughter, Patrice Andrea Crowley, executrix of this will, without necessity of entering bond in any Jurisdiction in which she might act. 5. All estate, inheritance, legacy, succession, or transfer taxes including any interest and penaltiesthereonimposed by a~y domestic or foreign laws now or hereafter in force with respect to all property taxable under such laws by reason of my death, whether or not such property passes under this my will and whether such t~xes be payable by my estate or by any recipient of any such property, shall be paid by my executrix out of my general estate as part of the expenses of the administration thereof with no right or reimbursement from any recipient of any such property. In witness whereof: I have hereunt~ mY ilnd °n this date ,, __ /~enevieve J. trolley Genevieve J. Crowley of Cumberland County, Pennsylvania signed the foregoin instr~nenr in our presence, declaring it to be her last will; in witness whereof we three do now, at her request, in her presence and in the presence of each other, hereunto subscribe our n~ -~,~ County of Dauphin On this, the seventh day of October , 1981 ., before me Dora Lynn Gothie . the undersigned officer, personally appeared Vincent C. DeLiberato, Jr., Esquire~ known to me (or sa~isfactorily proven) =o be a member of the bar of the highest court of said state and a COM,I~4ONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAl- T'AXES DEPT 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002851 CROWLEY PATRICE ANDREA 3012 YALE AVENUE CAMP HILL, PA 17011 ........ [old ESTATE INFORMATION: SSN: 186-34-2533 FILE NUMBER: 2102-1114 DECEDENT NAME: CROWLEY GENEVIEVE J DATE OF PAYMENT: 07/30/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 12/01/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $3,000.00 TOTAL AMOUNT PAID: $3,000.00 REMARKS: PATRICE A CROWLEY SEAL CHECK# 95 INITIALS: AC RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS TAXPAYER MAILING DATE= JUly 1, 2000 Property Ty~e: R Control No: 01002419 THIS IS NOT A TAX BILL Parcel Identifier= 01-22-0533-028. 2000 Assessed Value Old Assessed Value Market Value (2000 Market x 100%) (1974 Market x 25%) Land 21,940 21,940 1,400 Buildings 12 8,540 128,540 10,060 TOTAL 150,4~0~ 150,480 11,460 2000 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Clean and Green values apply to some farm and forest land. Such values become effective only upon application and apprOval~ All applications must be received by the Assessment Office by 4:30 p.m. on October 15, 2000. These previously approved for Clean and Green do net need to re-apply. CUVJOFJ'V Pennsylvania law requires that all real estate be valued as of the most recent county-wide reassessment. The last reassessment, or tax base year, was 1974. Since the last reassessment in 1974, properties have been assessed at 25% of the 1974 value (the "Pre-Determined Ratio'~. The new tax base year will be the Year 2000, with the new assessed values becoming effective for the 2001 tax year. The Pre-Determined Ratio has been changed to 100%. Your new assessed value equals your Year 2000 market value. It is very important for you to know that when the new 2000 tax base is determined after this reassessment, all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year after reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more than five percent (5%) and school districts may not increase overall revenue by more than ten percent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point Is that an increase in market values does not necessarily mean a corresponding increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement pdnted below is our best estimate of change, based on 2000 COUNTY tax figures, This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT: Current 2000 County m~lls = 27.500 Adjusted 2000 County m/11s = 1.858 $ 315 ~ 2000 County Tax BEFORE Reasaessment. $ 280 : 2000 County Tax AFTER Reassessment. ~ 15 03 01:12~ CIS 180293~2136 ~,2 allfirst' Division of M&T Bank May 15, 2003 Allfirst/Camp Hill Attn: Doris Still 3045 Market Street Camp Hill, PA 17011 RE: Estate ot Genevieve J. Crowley Data of Death: December 1, Social Security Number: 186-34-2533 Dear MS. Still: In response to your request, please be advised of the following accounts the at~ove- named decedent had with this bank and the balances on the date of death Account Typr. ............................. Relationship w/Tnt. Checking Account Account Number ........................ 0038344378 Ownership (Hames oO ................ C~ncvieve J. Crowlcy Opening Dale ............................ 05/28/89 golance on Dale of Death ........... $ 419.22 Accrued In~r'e~l ........................ 00~03 70tel ...................................... $ 419.25 Accounl Type ............................. Money Fund Alt. Account AccountlVumber ........................ 098169823 Ownership (Names oO..,Gencvicve J. Crowley or Diane R. Crowley or Pabice Andrea Crcwl~.y Opening Dale ............................ 11/24/97 Balance on Date nf Dcath ........... $ 28,500.05 Accrued Interest ....................... ~.[4 Tolal ...................................... $ 28,522.19 Ha~ 15 03 01:12p CIS 13029342136 · Page2 May 15, 2003 3, Account Type ............................. Certificate of Deposit/11 MOS/2.230000 Accounl Number ........................ 80000002180982 Own¢mhip (NameS of)...Genevieve J. Crowluy or Diane R. Crowley or Pa~rico Andrea Cro[vley OpeninsDate ............................ 06/12/01 Balancc on Dam of Death ........... $ 82,475.60 Accrued Intercept. ........................ 413.19 Total ......................... : ............ $ 82,888.79 Account Type ............................. CD Income Prot/20 MOS/4.040OO0 Account Number ........................ 80000002181100 Ownership (Names of).,.Genevievc J, Crowley or Diane R. Crowlcy or Pat#ce Andrea Crowley OpcninR ~)ate ............................ 09/05/01 Balance on Dale of Death ........... $ 51,0A0.25 Accrued Interest ....................... 502.80 Total ...................................... $ 5:1,543.05 Account Type ............................. Safe Deposit Box AcceuntNumber ........................ 00001000532:100007697 Ownership (Names of) ................ GenevieveJ. Crowley Opening Date ............................ ~.1/3.3/98 (from Dauphin Deposit Bank) Sincerely, Mary Anne Macielag Associate I/elS (302) 93~2240 Wachovia Bank N.A. Balance Confirmation Services P O Box 40028 Roanoke, VA 24022-7313 Reference ID:670227 August 5, 2003 PA 6825 ATTN: MARLENE SPARROW SUBJECT: Verification / Confirmation of Accoant and Balance Information provided for: Customer: GENEVIEVE J CROWLEY (SSN# 186-34-2533) Date of Death: December 1, 2002 Deposit Account Information Account Account Date of Death Average Date Maturity Interest Accrued Type Number Balance Balance* Opened Date Rate Interest CHECKING 1000322990596 $4,707.77 1/20/1981 $0.27 LEGAL TITLE: GENEVIEVE J CROWLEY PATRICIA ANDREA CROWLEY YTD Date Interest Paid Closed $19.93 5/21/2003 CHECKING 1010046514950 LEGAL TITLE: GENEVIEVE J CROWLEY DIANE R CORWLEY PATRICIA A CROWLEY $84,073.38 6/4/2001 $15.43 $1,437.01 5/27/2003 SAVINGS 3000323105757 LEGAL TITLE: GENEVIEVE J CROWLEY DIANE R CROWLEY PATRICIA A CROWLEY $1,784.08 12/I/1982 $0.12 $8.30 5/21/2003 * Due to system limitations, we can only provide a twelve month average balance on depository accounts. Revolving Credit Information Account Account Date of Death Credit Date Date Times Legal Title Type Number Balance Limit Opened Closed Late V ISA 4264298541031574 MBNA - Revolving credit accounts are no longer serviced by Wachovia Bank. Please contact MBNA at 800-441-7048. 0000 000614 ' .PNCBAN( June 20, 2003 Ms. Patricia A Crowley 3012 Yale Ave. Camp Hill, PA 17011-5250 sop RE: Estate ofGenevieveJ Crowley(Deceased) SSN:186-34-2533 DOD: 12-01-2002 Dear Ms. Crowley: In response to your request for Date of Death balances for the customer noted above, our records show the following: Certificate of Deposit Account#31300211171 Established 05-25-2001 GENEVIEVE J CROWLEY DIANE R CROWLEY PATRICE A CROWLEY DOD balance: $5,916.74 + $1.80 accrued interest Account#31200213811 Established 07-10-2001 GENEVIEVE J CROWLEY DIANE R CROWLEY PATRICE A CROWLEY DOD balance: $39,604.23 + $713.74 accrued interest Account31000211911 Established 07-10-2001 GENEVIEVE J CROWLEY DIANE R CROWLEY PATRICE A CROWLEY DOD balance: $6,980.71 + $125.80 accrued interest Checking Account Accounff45000641329 Established 03-25-1997 GENEVIEVE J CROWLEY DOD balance: $102.62 + $0.00 accrued interest Page 1 of 2 Savings Account Account#5130105153 Established 01-01-1983 GENEVIEVE J CROWLEY PATRICE A CROWLEY DIANE R CROWLEY DOD balance: $1,565.43 + $0.17 accrued interest Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any financial transactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-BANK (1 ~888-762-2265) or stop by your local PNC Bank branch office. Sincerely, Erica L Schlegel PNC Decedent Reporting Firstside Center 500 First Ave, 4th F1 CIF Pittsburgh PA 15219-3128 1-800-762-1775 Member FDIC Page 2 of 2 PSECiId, the financial link,M 3uly 11, 2003 Genevieve J. Crowley Patrice Crowley 3012 Yale Ave. Camp Hill, PA 17011 Dear Genevieve Crowley and Patrice Crowley: As of December 1, 2002, your account balances were as follows: Regular Share (SI) Moneyhandler Share (S4) Money Market Share (S7) 18 Month Certificate (S51) $105.18 $.14 $3,804.98 $33,810.98 If you have any questions, you may reach us between 7 a.m. to 5 p.m. Monday through Friday or between 8 a.m. to noon on Saturdays. Call 234-8484 in Harrisburg or call our toll-free number (800) 23%7328. When you come to the menu prompt, enter 5 and then enter 5 again. One of our Member Service Representatives will be glad to assist. Sincerely, amie Lanier Member Service Advisor Member Services PENNSYLVANIA STATE EMPLOYEES CREDIT UNION Main Address: I Credit Union Place, Harrisburg, PA 17110-2990 - (717) 234-8484 · (800) 237-7328 Mailing Address: P,O, Box 67013, Harrisburg, PA 17106~7013 * (717) 777-2100 (TDD) · (800) 472-1967 (TDD) Web Address: www,psecu.corn Savings federally insured up to $100,000 by the National Credit Union Administration. 'PSE P.O. Box 67013 (717) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-7328 (Nationwide) website - http://www, psecu.com VISIT THE PSECU NETLOAN LENDING CENTER AT NNN.PSECU,COH AND GET A RESPONSE TO YOUR LOAN REQUEST IN 50 SECONDS! YOU NAY ALSO CALL TO APPLY AT &OO.LOAN.555. I,,,111,,,111,,,,,,11,,,11,1,1,,,I,1,1,1,11,,,,,,11,,I,1,1,1,1 GENEVIEVE J CRONLEY 501Z YALE AVE CAMP HILL PA 17011-5Z50 JOINT ~ ER pATRTCE A CR~ILEY ~9500Z PAGE ADDITIONAL JOINT ONNER~ DIANE R CROHLEY ~ASED 0N AVERAGE DAZLY BALANOE OF 08/51 PAYHENT= DIVIDEND 1.980A 0.18 10~.75 ANNUAL PERCENTAGE Y[ELD EARNED Z.05~ FROH 08/01/0Z THROUGH 08/51/0Z BASED ON AVERAGE 9AZLY BALANCE OF 10~.75 09/50 END/NO BALANCE loft. 9Z D[VZDEND YTD~ YEAR TO DATE DZVZDEND YTD~ YEAR TO DATE 0,00 HABKET. ~HARE~ ~E~XNNXNG ~ALA~CE -37~0 08/51 PAYHENT~ DIVIDEND Z.150~ 6.86 5786.05 ANNUAL PERCENTAGE YIELD EARNED Z.[5~ FROH 0S/01/0Z THROUGH 08/51/0Z 09/50 PAYHENT: DIVIDEND ~.980~ 6.17 579Z.ZZ 07/01 ZD 51 18 MONTH CERTZF'tCATE ~EGZNN'rNG ~ALANCE 07/51 PAY~ENT~ DIVIDEND Z 760Y~ 78 55 55500 8 :.:::~;, =:.: ::::: ,:: . :~ ........ ~: .:::, ':::::::::: .. 09/50 PAYHENT~ DZV[DEHD 2,760~ 76,[7 55655,56 AHNUAL PERCENTAGE YZEL9 EARHED Z,80~ FROH 09/01/0Z THROUGH 09/50/02 09/50 ENDING SALANCE PSE P.O. 8ox 67013 (717) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-7328 (Nationwide) websJte - http://www, psecu.com VISIT THE PSECU NETLOAN LENDING CENTER AT NNN.PSECU.COH AND GET A RESPONSE TO YOUR LOAN REQUEST IN 50 SECONDS! YOU HAY ALSO CALL TO APPLY AT 800.LOAN.555. GENEVIEVE J CRONLEY J°~'m OWNER PA'n~ZCE A CROHLEY PAGE Z DIVIDEND YTD~ YEAR TO DATE 699.71 I TOTAL DIVIDEND YTD: YEAR TO DATE 76Z.OZ 06-11-2003 15:13:29 Account number: Short name: -E~e~ate Post dte 9-30-02 10-31-02 11-30-02 11-29-02 12-31-02 1-31-03 3056320916 CROWLEY GENEVIEVE CERTIF OF DEPOSIT TC Trans description Check nbr Interest Payment 20 INTEREST ADDED 0000100 Interest Payment 20 INTEREST ADDED 0000100 Interest Payment 20 INTEREST ADDED 4.410 20 INTEREST ADDED 4.410 20 INTEREST ADDED 4.410 Time Inquiry Next Display: .1.2. History Display Start date: .0.0.0.0.0.0~ Amount Type 234.08 INT PAID 242.76 INT PAID 235.82 INT PAID 244.56 INT PAID 245.48 INT PAID 30-0700-10 DSPBR03009 Prin balance Int balance 64,816.59 .00 65,059.35 .00 65,295 17 0O 65,539 73 0O 65,785 21 00 F3=Exit F15=Restart More history to display, press Enter to continue. 0~-11-2003 15:13:12 Account number: 3055310033 Short name: CROWLEY GENEVIEVE TVD : CERTIF OF DEPOSIT ~edate TC Trans description Post dte Check n bt Interest Payment 10-19-01 20 INTEREST ADDED 0000100 Interest Payment 10-31-01 20 INTEREST ADDED 0000100 Interest Payment 11-30-01 20 INTEREST ADDED 0000100 Interest Payment 12-31-01 20 INTEREST ADDED 0000100 Interest Payment 1-31-02 20 INTEREST ADDED 0000100 F3=Exit F15=Restart More history to display, press Time Inquiry Next Display: .1.2. History Display Start date: Amount Type 61.51 INT PAID 18.25 INT PAID 45.68 INT PAID 47.30 INT PAID 47.40 INT PAID Enter to continue. 30-0700-10 DSPBR03009 Prin balance Int balance 22,485.76 .00 22,504.01 .00 22,549.69 .00 22,596.99 .00 22,644.39 .00 Member FDIC CERTIFICATE MATURITY NOTICE 06/17/2002 GENEVIEVE J CROWLEY PATRICE ANDREA CROWLEY DIANE R CROWLEY 3012 YALE AVE CAMP HILL PA 17011-5250 AS of 07/19/2002 , your 9 Month Certificate will mature. The projected Value of the account will be 22,904.51 . Your CD will renew for a term of 9 MONTHS with a new maturity date of 04/19/2003 The interest rate, APY and balance of your new term have not yet been determined but will be available on 07/!9/2002 by calling Customer Service at 1-866-929-7646 or your local branch. Rate information is also available at www.waypointbank.com. Please see the reverse side of this letter for additional account terms and conditions. We are dedicated to improving our products and services for the benefit of valued customers, like yourself. One of these improve- ments is a change in the rate structure of our Certificates of Deposits. By adding additional funds to your certificate, you may earn a higher rate or contact a licensed member of your branch who will gladly discuss alternate investment opportunities with you. TO request additional information, please call Customer Service at 1-866-929-7646. For current interest rates 24 hours a day, 7 days a week, call the Waypoint Access Line at 1-866-929-7646. At WaYlooint Bank we are dedicated to giving extraordinary customer service. Thank you for allowing us to serve your financial needs. Member FDIC Account Number: Maturity Date: Current Term: Current Interest Rate: Interest Payment Method: 3055310033 07/19/2002 9 MONTHS 2.4700% Capitalization POD-SOS (4/02) Commerce Bank~ August 13, 2003 Patrice A Crowley 3012 Yale Ave Camp Hill, PA 17011 RE: Estate of: Genevieve J Crowley Social Security #: 186-34-2533 Date of Death: December 1, 2002 Dear Sir/Madam: In reference to the letter regarding the above mentioned Estate, we would like to inform you of the information that we have researched and found. Type: Checking Account #: 536171531 Date Opened: 8/26/02 Date Closed: 6/19/03 Primary Owner: Genevieve J Crowley Secondary Owner: Patrice A Crowley Date of Death Balance: $520.97 Accrued Interest: $.03 Principal Balance: $520.94 Type: Time Deposit Account #: 1700099 Date Opened: 10/19/02 Date Closed: 6/20803 Primary Owner: Genevieve J Crowley Power of Attorney: Patrice A Crowley Date of Death Balance: $26,683.93 Accrued Interest: $16.14 Principal Balance: $26,667.79 Commerce Bank / Harrisburg, N.A. RO. Box 8599 100 Senate Avenue Camp Hill, Pennsylvania 17001-8599 COMMONWEALTH OF PENNSYLVANIA DEPARTMENTOFREVENUE BUREAU OFINDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 004241 CROWLEY PATRICE ANDREA 3012 YALE AVENUE CAMP HILL, PA 17011 ........ fold ESTATE INFORMATION: SSN: 186-34-2533 FILE NUMBER: 2102-1114 DECEDENT NAME: CROWLEY GENEVIEVE J DATE OF PAYMENT: 08/06/2004 POSTMARK DATE: 08/06/2004 COUNTY: CUM BERLAN D DATE OF DEATH: 12/01/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $12,940.27 REMARKS: -' CHECK# 98 SEAL TOTAL AMOUNT PAID: INITIALS: JA RECEIVED BY: $12,940.27 GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/10/2004 DELIBERATO VINCENT C ESQUIRE 5113 SUNSET DRIVE HARRISBURG, PA 17112 RE: Estate of CROWLEY GENEVIEVE J File Number: 2002-01114 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 12/01/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge STATUS P-I-oz.--i 19 Pursumni to Rule 6.I2 of,he Supreme Co=;t O, ghans' bouz~ Rules, I I~oR ~he )l!owing ,'~ ~ ~' · · . ~ i~ respect to compleaon of th~ ad~mstration of the above-captioned estate: State whether a ' ' ' ~ dnzfl~strat~on oz ~he 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. Lfthe answer to No. 1 is Yes, state the following: a. Did th~ personal ,' ~ ~' . representaave nle a ~al accotmt with the Court? Yes _ No b. The separate Orphans' Com't No. (~ any) ~or the personal representative s account is: c, Did ~e personal representative state a~ account imsgormalIy to the pa~ies Lq k~terest? Yes [] No [] c. Copies of receipts, releases, jokaders and ap~_o, at ....h-real or informal accounts ma5, be filed with the C/eric of the Orphms' Cmzrt amd may be attached to this~rT~rt. Sig-namre Name ~ Ad&ess ~ ' Telephone ~5 CapactR.,: '~ · ~rsona! Rem/esen*o*,v= ~ Counsel z%r personal representative BUREAU OF INDIVIDUAL ZNHERXTANCE TAX DTVTSTON DEPT. 280601 HARRZSBURG, PA 17128-0601 TAXES I ROBERT L D/~ WAGGONER ETAL CONHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE 09-27-2004 ESTATE OF CROWLEY DATE OF DEATH 12-01-2002 FILE NUNBER 21 02-1114 COUNTY CUHBERLAND ACN 101 Amount Raeit'l'ed 5006 E TRINDLE RD ZOO HECHANZCSBURG PA 17050 REV-15~i? EX AFP (01-03) GENEVIEVE J HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTXCE OF INHERXTANCE TAX APPRAXSEHENT, ALLOWANCE OR DXSALLOWANCE OF DEDUCTXONS AND ASSESSNENT OF TAX ESTATE OF CROWLEY GENEVTEVE J FILE NO. 21 02-1114 ACN 101 DATE 09-27-2004 TAX RETURN WAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVAT]:ON CONCERNXNG FUTURE ]:NTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2} 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Hortgages/Notas Receivable (Schedule D) (4) 5. Cash/Bank Deposits/H~sc. Personal Property (Schedule E) (E) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXENPTZONS: 9. Funeral Expenses/Adm. Costs/N/sc. Expenses (Schedule H) (9) 10. Debts/Hot(gage Liabilities/Liens (Schedule 1) (10) 11. Total Deductions 12. Net Value of Tax Return 150~480.00 $0~485.$0 .00 .00 $1z848.18 260.49 (8) 15,646.85 NOTE: To insure proper credit to your account, subeit the upper port/on of this fore w/th your tax payeent. 15. 14. NOTE: 558,528.61 Za596.79 (11) (12) 542,284.97 Chari~:able/Governeental Bequests; Non-elected 9113 Trusts (Schedule J) (13) Net Value of Estate SubSect to Tax (14) Zf an assessment ~as lssued previously, lines 1~, 15 and/or 16, 17, reflect flgures that include the total of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amount of L/ne 14 at Spousal rate 16. Aeount of L/ne 14 taxable at Lineal/Class A rate 17. Aeount of Line 14 at Sibling rate 18. Aeount of L/ne 14 taxable at Collateral/Class B rata 19. Pr/nc/pal Tax Due TAX CREDITS: PAYMENT RECEIPT D/SCOUNT (+) DATE NUHBER 07-$0-2005 CD002851 08-06-200~ CD004241 INTEREST/PEN PAID {-) .00 504.$9- (is) .00 x O0 = ([6) $42,284.97 x 045= (17) .00 x 12 = (18) .00 x 15 = (19)= ANOUNT PA/D 5,000.00 .00 $42,284.97 18 and 19 wi/1 .00 15,402.82 .00 .00 15,401.82 ZF PAID AFTER DATE ZNDZCATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 12,940.27 TOTAL TAX CREDZT] BALANCE OF TAX DUEJ XNTEREST AND PEN. J TOTAL DUE 15,455.88 35.06CR .00 35.06CR ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR ZNSTRUCTZONS.) BUREAU OF INOIVIQQ:A0IJl!E.Sj ( INHERITANCE TAX DIV::fSfON'v, i~,":," :,. "' PO BOX 280601 Qc,t>r "', HARRISBURG~ PA 17128-86'01 ,::r.:\CE OF I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-1U7EX AFP (09-04) CLEF::< O[)D'J~"":''''' ; 011'-1/ ,:J-> ROBERT a:.\I'UAuli WAGGONER ETAL 5006 E TRINDLE RD 200 MECHANICSBURG PA 17050 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-13-2004 CROWLEY 12-01-2002 21 02-1114 CUMBERLAND 101 GENEVIEVE J 2DGl Jr\:-J III PH 3: 39 A..aunt Re..itted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HDUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account.. submit the upper portion of this for.. with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ~~:r&~~.l5r.A~~..rBl~.6~~........;..;rA~!fA~e1r",A5r.~~"f!A~.b~.Atc:60~...j(...................... ESTATE OF CROWLEY GENEVIEVE J FILE NO.21 02-1114 ACN 101 DATE 12-13-2004 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMEO ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTEO INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECDRD ADJUSTMENT, 09-27-2004 PRINCIPAL TAX DUE,. 15,402.82 PAYMENTS (TAX CREDITS), PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-30-2003 CD002851 .00 3,000.00 08-06-2004 CD004241 504.39- ~2,940.27 11-29-2004 REFUND .00 33.06- TOTAL TAX CREDIT 15,402.82 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . If PAID AFTER THIS DATE, see REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF AODITIDNAL 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. ] C'~ <l-- Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/01/2005 DELIBERATO VINCNET C JR LEGISLATIVE REFERENCE BUREAU MAN CAPTIOL BLDG RM 641 HARRISBURG, PA 17120-0033 RE: Estate of CROWLEY GENEVIEVE J File Number: 2002-01114 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/01/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~ C/ ~~ ,. "JI ".~/'/.1'l;;" / {" .~.... .~___ \~;4. t'h u::/v~:,. ~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge Vi; Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: Gpnpv; pvp T r.rnwl Py Date of Death: December 1, 2002 Estate No.: 2002-01114 Pursuant to Rule 6.12 of the Supreme Comi 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 0 No lKl 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: July 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 0 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 infOlmally to the parties in interest? Yes 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or infom1al accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: Nov. It) J 2005 ~~ Signature ~ 0-. LD (";.,J Patrice A. Crowley Name 3017 VRll" Avenue Camp Hill PA 17011 Address (717) 737-9049 Telephone No. C:......) Capacity: ill Personal Representative o Counsel for personal representative \/1. Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF Cumberland COUNTY, PENNSYLVANIA Name of Decedent: Genevieve J. Crowley Date of Death: December 1, 2002 File Number: 2002-01114 Pursuant to Pa. O.C. Rule 6.12, 1 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: 3. if the answer to No. I 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 p_be atttaached to this report. �U/V �,i V�- .l�1GV{liN Signature of Person Filing this Form Capacity: ®Personal Representative ❑Counsel U_ p C Patrice A. Crowley W J 1- 0- Name of Person Filing this Form U Qn19 Valp Aupnnp tL L,_ � U UO U Address O U iz o fD Zo Z Camp Hill PA 17011 o N a _j (717) 737-9049 v x � �' I CL m Telephone U W. O =E LLJ o U N Form)?W-10 rev. 10.13.06 1 Jd/