HomeMy WebLinkAbout03-0260for robate anh Grant of etters
Estate of
also known as
Earl H.-.~ (~-'0 I" h rmcan fl- c.
Deceased
Social Security No. 174-05-2466 Date of Death
3-19-03
To: Register of Wills
Cumberland County
Carlisle, PA
Petitioner(s), who is/are 18 years of age or older, respectfully represents and apply(les) for:
COMPLETE 'A' OR 'B' and if necessary, Part 'C' BELOW
F~ A. Probate and Grant of Letters E~]Testamentary ~ of Administration
and aver that Petitioner(s) is/are entitled to the aforementioned Letters
under the Last Will of the above named Decedent dated 9-25-87
(c.t.a, or cl.b.n.c.ta.)
Testamentary
(complete Part 'C' also)
State televant c~rcumstances, e.g.. renunciaaon, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for pro~3ate; was not the victim of a killing and was never adjudicated incapacitated: no except±ohs
[~ B. Grant of Letters of ,Administration
td.:).n.; ;3endente lite; durante absentia; duran:e m~nor~tale)
Pet~t~onerf's) after a proper search has/have ascertained that Decedent left no VVill and was surwved by the following spouse {'.if any)
and nears as set forth below ~n part 'C'.
L_- C. Decedent's he,rs and next of kin
Name Relationship Residence
COMPLETE THE FOLLOWING IN ALL CASES
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family
ur principal residence at 2811 Spring Road ,-N MIDDLETON TWP Carlisle PA
(l~st street, numoer anct municipality[
Decedent, then 8___Z__7 years of age, died March 19 ,XCgX 20,0~t C_A,i~T.T._qT.,i~'
(If domiciled in PA)
(If not domiciled in PA)
(If not domiciled in PA)
Value of real estate in Pennsylvania
Decedent at death ow~ed property with estimated values as follows:
All personal property
Personal property in Pennsylvania
Personal property in County
(Loca:;on)
10,000
unknown
situated as follows: 2811 Spring Road Nor,th Middleton Twp
~l~erefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant
~t letters in the appropriate form to the undersigned:
Si~lnature
Typedorprintednameandresidence
Richard L. Cornman 2811 Spring Rd.
Carlisle Pa 17013
Wayne B. Cornman
934 Alexander Spring Rd. Carlisle PA
17013
Oath of Personal Representative
Commonwealth of Pennsylvania
County of ~c~'~ Cumberland
The Petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s)
of the Decedent, Petitioner(s) will well and truly a..dm, ir~ister ]~he~estate according to law.
Sworn to or affirmed and subscribed (~X~ ~ '~, ~' ~
before me this ~-~+'-~ day of
Estate of.
Social Security No:
yne B. Cornman
No.
Earl H. Cornman
., deceased
174-05-2466
Date of Death: 3-19-03
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, ~r'~"5.~O-~'"~ ~)-..~'~ , ~OOO5 , ~ , in consideration
of the Petition on the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~-T./e~;t.a. rr~ntary ~Of Administration
. R i "~ ('~-' cLb.n.c.t.a~; i~enoenie a,bsenha; aurame m~nontale cta,C3m
are hereby granted To 'c..~l~L. Cornman and Wayne B ' Cornman
in the above estate of. Earl I~'~ornman
and that the instrument(s) dated 9-25-87
described in the Petition be admitted to probate and filed of record as the last Will o! the Decedent.
FEES
Probate, Letters ......
Short Certificate(s). ( )
Renunciation(s) ....( )
Affidavit(s) ........ ( )
Reg. Comp. Fee .....
JCP Fee ............
$
$
DEPUTY OR PI=lOBATE CLERK
Attorney: N o n e
(SIGNATURE;)
Attorney:
(TYPE OR PRINTJ
Address:
$ I0,0o
RRC Fee ........... $
Other .............. $
Other .............. $
$ L,,5,oo
TOTAL...~ ~b
(Wayne B. Cornman) 717 243-2897
Telephone:
Supreme Court I.D. No.
REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
'~ codicil "'"" '
(each) a subscribin~ness to the will presented herewith, (each) being duly qualified according to
law, depose(s)and say(~ .-~." present and saw
the testat__, sign the sa~e."~'~i~a[__ ..... signed as a witness at th~
request of testat__ ~'f~'f pres~nd (in the presence of each other) (in the presence of the
other subscribing witness(es)). ~
Sworn to or affirmed and subscribed before
me this
day of
19.__
Register
(Name)
(Ad'dress)
(Name)
(Address)
REGISTER OF WILLS OF COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
LU-~_ O_re__.~ familiar with the signature of ~---O~r\ ~4-, ~grn rka ~,
testator- of (one of the
that
codicil
subscribing witnesses to) the ~ presented herewith and
.~kodicil
believeg the signature on the(._~ is in the handwriting of
to the best of ~ et v'- knowledge and
Sworn to or affirmed and subscribed before
me this ~~ day of
rName)
~r~ m~
(Name)
(Address)
WILL
I, Earl H. Cornman, of 2811 Spring Road, Carlisle, PA., make this
will and revoke all wills and codicils to wills heretofore made by me.
1. I give, devise, and bequeath my entire estate to the following:
my step-son, Clair Eugene Beamer, my son, Richard L. Cornman, my son,
Wayne B. Cornman, and my daughter, Carol A. Cornman, in equal shares.
2. I appoint the Commonwealth National Bank ( Carlisle Branch )
guardian of any property which passes, under this will or otherwise,
to a person under twenty-one years of age and with respect to which I
am authorized to appoint a guardian and have no.t otherwise specifically
done so. Such guardian shall have the power to use 'principal as well as
income from time to time for the bemeficiary's support and education
( including college education, both graduate and undergraduate )
without regard to his or her parent's ability to provide for such
support and education, and to make payment for these purposes, without
further responsibility, to the parent of said beneficiary, the beneficiary,
or to any person taking care of the beneficiary. Said guardian shall
have the same powers that I could exercise in connection therewith if
I were living but not limited to those set forth in this paragraph.
Any such guardianship or trust shall terminate when the beneficiary
thereof reaches the age of twenty-one years.
3. My home at 2811 Spring Road, Carlisle, PA., stated above,
consisting of about 1.5 acres, shall be appraised by two real estate
brokers within thirty days of my death. If my son, Richard L. Cornman
survives me, and, within thirty days after the appraisement, notifies
my executors in writing that he desires to purchase said home at that
appraised price for cash my executors shall convey it to him within
thirty days of the date of the receipt by them of his written
notification on the payment by him of that appraised price.
&. I appoint my sons, Richard L. Cornman, and Wayne B. Cornman,
executors to settle my estate. If both fail to qualify or cease to
act as such I appoint the Commonwealth National Bank ( Carlisle
Branch ) executor to settle same.
5. I direct that the services of Marion R. Lower, Attorney at
Law, of Carlisle, Pennsylvania, be used in the settlement of my
estate.
6. My executors shall serve without the necessity of filing
bond.
September__,25 1987
EARL H. CORNMAN
Signed, sealed, published, and declare.d by Earl H. Cornman,
the within testator, as his last will, in the presence of us,
who, at his request, in his presence, and in the presence of each
other, have subscribed our names as witnesses thereto.
C).mllsls, .~.q~!~r.ar ~J .Co,, P,~
My (~Ornmlsllon Expires
April 10, 1989
WILL
of
EARL H. CORNMAN
MARION R. LOWER
ATTO R N EY-AT- LAW
~,ARLISI.E, PA.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 002698
CORNMAN WAYNER B &
CORMAN RICHARD L
934 ALEXANDER SPRING ROAD
CARLISLE, PA 17013
........ fotd
ESTATE INFORMATION: SSN: 174-05-2466
FILE NUMBER: 2103-0260
DECEDENT NAME: CORNMAN EARL H
DATE OF PAYMENT: 06/1 8/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 03/19/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $11,515.24
TOTAL AMOUNT PAID:
REMARKS' WAYNE B CORNMAN &
RICHARD L CORNMAN
SEAL
CHECK//1003
INITIALS: JA
RECEIVED BY:
$11,515.24
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
'REV-1500 EX (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
-0_.5_ o
COUNTY CODE YEAR Nt.N BER
I--
Z
14.1
U.I
LU
mOO
Q.
I--
7
Q.
DECEDENTS NAME (LAST1 FIRST, AND MIDDLE INmAL)
Cornman, Earl H.
DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR)
3-19-03 I 1-18-16
(IF APPtlCABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDtE INITIAt)
n/a
[] 1. Original Retum
[] 4. Limited Estate
[] 6. Decedent Died Testate (Attachcopy of Will)
[] 9. Litigation Proceeds Received
SOCIAL SECURITY NUMBER
174-05-2466
THIS RETURN MUST BE RLED IN DUPUCATE WITH THE
REGISTER OF WILLS
SOCIALSECURITYNUMBER
[] 2. Supplemental Retum
] 4a. Future Interest Compromise (date of death after 12-12-82)
[] 7. Decedent Maintained a Living Trust (A~ch copy of Trot)
[] 10. Spousal Poverty Credit (date of death between12-31-91 and1-1-95)
] 3. Romainder Return (date of death prior to 12-13-82)
[] 5. Federal Estate Tax Return Required
__ 8. Total Number of Safe Deposit Boxes
[] 11. Election to tax under Sec. 9113(A) (A~ach Sch O)
THIS SEC'DION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFiDENTiAL TAX INFORMATION SHOULD BE DIRECTED TO
NAME
Jeffrey S. Cohick,
FIRM NAME (If Applicable)
TELEPHONE NUMBER
717/249-5321
EA
COMPLETE MAILING ADDRESS
390 Alexander Spring Road
Carlisle PA 17013
1. Real Estate (Schedule A) (1) 90,000.~.l~.
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) ,',.
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 195, 794.91
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
[] Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1 - 7) (8)
9. Funeral Expenses &Administrative Costs (Schedule H) (9) 15, 8 2 2.5 0
10. Debts of Decedent, Modgage Liabilities, & Liens (Schedule I) (10) 610.0
11. Total Deductions (total Lines 9 & 10) (11)
12. Net Value of Estate (Line 8 minus Line 11) (12)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13)
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14)
15.
OFFICIAL USE ONLY
285,794.91
16,432.57
269,362.34
269,362.34
SEE INSTRUC'nONS FOR APPUCABLE RATES
16.
17.
18.
19.
20.
Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2) (15)
Amount of Line 14 taxable at lineal rate (16)
Amount of Line 14 taxable at sibling rate (17)
Amount of Line 14 taxable at collateral rate (18)
Tax Due (19)
CHECK HERE IF YOU ARE REQUEST NG A REFUND OF AN OVERPAYMENT
[]1 I
X.O
269,362.34 X.O 45
x .12
x .15
12r 121.31
12r 121.31
> > BE SURE TO ANSWER ALL QUESTIONS ON R~ERSE SIDE AND RECHECK MATH < <
STF PA42021F. 1
Decedent's Complete Address:
ISTREET ADDRESS 2811 Spring Road
CiTY
Carlisle
ISTATE PA
17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Pdor Payments
C. Discount
606.07
InterestJPenalty if applicable
D. Interest
E. Penalty
(1)
Total Credits (A + B + C) (2)
Total Interest/Penalty (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
12, 121.31
606.07
0.00
11,515.24
A. Enter the interest on the tax due.
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF IMLLS, AGENT
PLEASE ANSWER THE FOLLO~NG QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ........................................ [] []
b. retain the dght 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 alter December 12, 1982, did decedent transfer property within one year of death
w thout receiving adequate consideration? .................................................. [] []
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ..... [] []
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................... [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
11,515.24
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has an[/knowledge.
~qlGNATURE OF P~N,~ESPONSIBLE FOR FILING RETURN /q , ;~
ADDR~,~
934 Alexander Spring Road, Carlisle, PA 17013
ADDRES~~ /"~ / '" --
390 Alexander Spring Road, Carlisle, PA 17013
/ 2 Central Street, Newville, PA 17241
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. §9116 (a) (1.1) (i)].
TF,or d .at .es. of .death o.n or after J.anua~ 1: 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)].
ne statute ooes not exempt a transtar to a surviving spouse ~rom tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even
if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive
parent, or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedenrs lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
STFPA42021F.2
REV-1502 EX + (1-97) (I)
co..oNv ^LT, OF,E,NSY, SCHEDULE A
',,ER ^NCET X RETDR. REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Cornman, Earl H.
21-03-0260
All mai property owned solely or as a tei~aiit in common must be reported at fair market value. Fair market value is defined as the price at which properly would be exchanged between a
willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship
must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1. ALL that certain lot or block of property
Middleton Township, Cumberland County, PA
numbered as 2811 Spring Road, Carlisle PA
(sold)
situate North
known and
17013
TOTAL (Also enter on line 1, Recapitulation)
VALUE AT DATE
OF DEATH
90,000.00
$ 90,000. O0
STFPA42021F3 (If more space is needed, insert additional sheets of the same size)
' ~,~ Settlement Statement U.S. Department of Housing OMB Approwd No. 2502-0265
and Urban Development
B. TYPE OF LOAN 6. File Number: 7. Loan Number:
1. FHA 2. FmHA
3. CONV. l IN(NS. 4. VA 5. CONV. INS. 8. Mortgage Insurance Case Number
C. NOTE: Thislbrmisthmishcdtogiveyouastat~nentofactualsettlmn~ntoosts. Amountn paid to and by the se~.l~'ment agent are shown, itenx~ marked ',(p.o. c0-were
paid ouL~ide the ~losing~ they are shown here for inlbrmational puq~o~a and are not included in the totals.
D. NAMEANDADDRESSftt:IIORROWER: E. NAME, ADDRESS AND TIN OF SELLER: F. NAMEANDAI)DRESSt)FI,ENDER:
Dwaine D. Lesher Earl H. Cornman
Renee M. Lesher 2811 Spring Road
Carlisle, Pa. 17013
G. PROPERTY I,OCATION: H. SETI'LEMENT ANENT:
2811 Spring Road Allen E. Hench, Esquire 23-2018894
Carlisle, Pa. 17013 220 Market Street. Newl~or~, Pa., 17074
PLACE OF S~TfLEMENT: 1. SETTI.EMENT DATE:
220 Market Street 06/04/2003
LOT BLOCK Newport, Pa. 17074
.I. SI1MMAR'V OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSA('TION
100. (;ROSS AMOI INT DI IE FRt)M BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
101. Contract sales price 9 0 , 0 0 0 . 0 0 401. Contract sales price 9 0 , 0 0 0 . 0 0
102, Persunal properly 402. Personal properly
103. Settlement charges to bom*wet ( Line 1400 ) 1, 4 9 9 · 0 (~403.
104. 404.
I (15. 405.
Adjustmenls li~r items paid hv Keller in advance Adjus~anmfls for items paid by seller in advance
106. Cily/town {axes 1o 406. City/town taxes Io
107. Counly taxes Io 136.5~ 407. County(axes lo 136.56
108..A. ssessmenls It) 408. Ar, nessmenLs to
109. 409.
1m School taxes 58.66 410. School tax 58.66
iii. 411.
112. 412.
120. GROSS AM()I YNT 1)1 ~1( ~:l~ tM BORROWER 91, 694.22 420. GROSS AMOL~qT DUE TO SEI,LER 90, 195.22
200. AMOl ~NTS P/\II) B\' ()1~ IN BEIIALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DItE TO SEI,LF, R:
201. Deposit or earnest mone?. 5, 0 0 0 . 0 0 501. Exc~ deposit
202. Principal amoun! ol'ncxx I,~:mls) 502. Settlement charges to seller (l,ine 140(I)6,4 3 0.0 0
2{}3. I';xisling loan(s) taken sub cO to 503. Existing loan(s) taken subject to
204. 504. PayolFof'first mortgage loan
205. 505. Payoff'of second mortgage nan
20C,. 5(16. Escrow for inh taxes 5,000.00
207 507.
20K 508.
209. 509.
,\djustment~ lbr itt~ns unpaid by seller Adju,~mlentq for items unpaid by seller
210. Cily/lox~m taxes tn 510. City/town taxes to
21 I. County taxes to 511. County taxes In
212. ,.\ssessmenls 1o 512./~s~sslilents
213. 513.
214 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. TOTAl. I'AID BY/I:()R t I()R ROWER 5 t 0 0 0. 0 0 520. TOTAL REDUCTION AMOUNT DIJE SELLER 11 t 430. 0 O
300. CASI[ SETTLEMENT FlU)M/TO BORROWER
302. Les.q amoun! paid hy/fbr bmrower (I.ine 220)
I 600. CASH AT SglTLEMENT FROM/TO SELI.ER I
3(tl. (;ross amount due fi-om bml*,wer (Linc 120) 9 1, 6 9 4 · 2 2 601. Cn-oss amount due to seller (Linc 420) 9 0, 1 9 5.2 7,
5, 0 0 0 · 0 0 602. Less reduction in amount due seller (I Jne 520) 1 1, 4 3 0 . 0 0
303. CASll ~ ] FRt)M/ [ } '1'{) IIORROWER 86,694.22 603. CASH J~ ] TO/[ } FROM SELLER 78, 765.22
SELLER'S STATEMENT
The intbm~ation contained in BI.cks E, G. IL and I and on line 401 (or, if line 401 is asterisked, line 403 and 404) is important tax inlbrmation and may be furnished to lhe
lnlcmal Revenue Service (sec Scll¢l Certilication). If you are required to file a mum, a negligence penalty or other sanction will be imposed on you il'(bls ilem is required to he
reported and the IRS de(emro}es Ihal it hr~ not been reported. You are required to provide the Settlement Agent with your correct taxpayer idenfilicatio, nnmber. Il'you do no1
provide {he Setllemenl Agenl wilh your correct taxpayer identilication numbs', you may be subject to civil or criminal panallies imposed by law. {tnder penallie~ of perjury. I
cerlil¥, that, the number s ~ox~n~ m this statement is my correct taxpayer, identificat on number. '
(Seller'sgigmalu~._..~ Earl H. /~ornman (;~ler',Si~tu,~) 2811 Spr~ Road
.AS SOFT, int-. (~LJ..9..9..q~rcxious editions a~m obsolete Page I Ibnn ] lull- 1 (3/86)
ret I landbook 4305.2
L SETTLEMENT CHARGES
700 TOTAL SALES/BROKEII,s COMMISSION hascd on price $ 9 0, 0 0 0
7o2.$ ~',400.00 i'-~ Wolee & Shearer Realtors
703.Commission paid at Selllcment
704.
gOO. ITEMS PAYABLE IN ¢ 'ONNECTION WITH LOAN
R0 I. l,oan Originalion Fee
g03. Appraisal Fee to
g04. Credit Report to
g05. l.endcr's Inspection Fcc
06. Mortgage Insuran~,e Appbcation Fec to
807. Assumption Fee
~q0R
g09.
6.o
,~, ~;~t;a [ SE_.TTLEMENT
gll.
901. Interest Il-om
Insurance Prcnfinm for
903. Ilazard Insurance Premmnl
904.
9O5.
;ITED WITlt
100 I. l lazard Insurance
to
months to
years to
years to
Mortgage Insurance
)03.
taxes
1005. Annual a~qessments
1006.
1007,
Aggregate Accotmling .\t[iustment
1100 TITLE CIlARGEN
I I01. Settlement or closing IL.e lo
102. ,\bslract or lille search to
months
months
months
months ~
months ~
months (~
months (~
per month
per month
per month
per month
per month
per month
per month
104. Title insurance binder
preparation
106. Notary lbes to
Attorney's lbes to
10. Owner's coverage
510.
5.01
t112.
1200. GOVERNMENT llEf'ORDING AND TRANSFER CH~
g I~es: Deed $ $ Release
1202. Cily/cnty tax/stamps: Deed $ ~ 0 0 · 0 0 Mortgage$
I)eed $90I
1204. ~ $
1300. AI)DIT1ONAL ,~E'FTI,EMENT CHARGES
1302. Pest inspection to
1304.
1306.
130g.
. 1 6,43
('ERTIFICATION: I havccarelhllyrev~wedtheHUD.i SettlementStatementandtothebestofmyknowlcdgeand . .
rccmpts and d~nls m ,d~u~ o~gj_~me m thru transaction. I lhrth~ certify ti-, · [-. -- belief: a m a tree anti accurate statement of all
Borrnwer( Seller(s)
Dale: nto r · or to be disbursed by the undersigned lbr
WARNING: It is a crime ~o knowingly make false .statements
details see: Title l 8 l I.S. £',d¢ Section 1001 and Section 1010. n convmtmn can include a line and imprisonment. For
~ASY S¢}l~ F, inc. lC) !999 Previous editions are obsolete --'-----'--- Pago 2
lbrm tlUI)-I
ret Itandbook 4305.2
REV-1508 EX + (1-97) (I)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Cornmanf Earl H.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
I
FILE NUMBER
21-03-0260
Include the proceeds of litigation and the date the proceeds were received bythe estate. All property jointly-owned with the right of su~ivorship must be disclosed on Schedule F.
ITEM
NUMBER
2
3
4
5
6
7
8
9
10
DESCRIPTION
Sale of household items at auction
Homeowner's insurance refund
Chapel Pointe - refund deposit on senior living apartment
Medicare - medical reimbursement
Citizens Bank - checking account #6100728471
Citizens Bank - savings account #6203776991
Wachovia Bank - certificate of deposit #206-132860
Wachovia Bank - savings account #3000023888489
Waypoint Bank - certificate of deposit #1716121411
M & T Bank - certificate of deposit #31003911903647
Cash in house
VALUE AT DATE
OF DEATH
566.80
62.71
5,600 00
5 53
3,865 00
42,200 00
10,230 00
82, 613 00
12, 634 28
37, 963.59
54.00
TOTAL
(.Also enter on line 5_,R nit I~in/_eca,...u._._n, ~, 1 9 5,7 9 4.9 1
(If more space is needed, insert additional sheets of the same size)
STF PA42021F.9
REV-1511 EX + (1-97) (I)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Cornman, Earl H.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21-03-0260
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
2.
3.
8.
9.
10.
11.
DESCRIPTION
FUNERAL EXPENSES:
Ewing Funeral Home - funeral expense
Westminster Cemetery - opening grave
Funeral repast and stamps for acknowledgement cards
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City State
Year(s) Commission Paid:
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Zip
Street Address
City State . Zip
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
Sump pump repair at real estate
Waste Management - dumpster fee for house cleaning
Steve Cornman - plumbing repair
Expenses to sell real estate
Register of Wills - filing fees
TOTAL (Also enter on line 9, Recapitulation)
AMOUNT
6,470.00
945.00
171.00
65.00
1,500.00
125.00
710.00
42.50
5,539.00
255.00
15r822.50
STFPA42021F. 12 (If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (1-97) (I)
COMMONWEALTH OF PENNSYLVANIA
INHERiTANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Cornman, Earl H.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21-03-0260
Include unreimbursed medical expenses.
ITEM
NUMBER
2.
3.
4.
DESCRIPTION
Omnicare Pharmacy - drug bill
West Shore EMS - ambulance bill
Breckle Healthcare - balance due
Quantum Imaging - balance due
TOTAL (Also enter on line 10, Recapitulation)
AMOUNT
8.28
592.44
7.23
2.12
610.07
(If more space is needed, inse~ additional sheets of the same size)
STFPA42021F. 13
REV-1513 EX + (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Cornman~ Earl H.
NUMBER
2o
H.
1.
SCHEDULE J
BENEFICIARIES
FILE NUMBER
21-03-0260
NAME ANDADDRESS OF PERSON(S)RECEIVING PROPERTY
TAXABLE DiS] HIBUTIONS [include outdght spousal distributions, and transfers
under Sec. 9116 (a)(1.2)]
Clair Eugene Beamer
Richard L. Cornman
Wayne B. Cornman
Carol A. Cornman
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
step-son
son
son
AMOUNT OR SHARE
OF ESTATE
daughter
25% residue
25% residue
25% residue
25% residue
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
n/a
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
None
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LiNE 13 OF REV_1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
STF PA4202 IF. 14
WILL
I, Earl H. Cornman, of 2811 Spring Road, Carlisle, PA., make th~
will and revoke all wills and codicils to wills heretofore made by me
1. I give, devise, and bequeath my entire estate to the followir
my step-son, Clair Eugene Beamer, my son, Richard L. Cornman, my son,
Wayne B. Cornman, and my daughter, Carol A. Cornman, in equal shares.
2. I appoint the Commonwealth National Bank ( Carlisle Branch )
guardian of any property which passes, under this will or otherwise,
to a person under twenty-one years of age and with respect to which ~
em authorized to appoint a ~uardian and have not otherwise specifica2
done so. Such guardian shall have the power to use principal as well
income from time to time for the bene£1ciary's support and education
( includin~ college education, both graduate and undergraduate }
without r~gard to his or her parent's ability to provide for such
support and education, and to make payment for these purposes, with(
further responsibility, to the parent of said beneficiary, the bene~
or to any person takin~ care of the beneficiary. Said guardian shall
have the same powers that I could exercise in connection therewith ~
I were living but not limited to those set forth in this paragraph.
Any such guardianship or trust shall terminate when the beneficiary
thereof reaches the a~e of twenty-one years.
3. My home at 2811 Sprin~ Road, Carlisle, PA., stated above,
consisting of about 1.5 acres, shall be appraised by two real estate
brokers within thirty days of my death. If my son, Richard L. Cornm~
survives me, and, within thirty days after the appraisement, notifl~
my executors in writing that he desires to purchase said home at th~
appraised price for cash my executors shall convey it to him within
thirty days of the date of the receipt by them of his written
notification on the payment by him of that appraised price.
~. I appoint my sons, R~chard L. Cornman, and Wayne B. Cornman,
executors'to' settle my est~te'.~If, both fa~ to quali£y..or cease to
act as such I appoint the Commonwealth'National Bank ( Carlisle'"
Branch ) executor to settle same.
5. I direct that the services of Marion R. Lower, Attorney at
Law, of Carlisle, Pennsylvania, be used in the settlement of my
estate.
6. My executors shall serve without the necessity of filin&
bond.
September 25 1987
EARL H. COP, NMA~
Si&ned, sealed, published, and declare~ by Earl H. qornman,
the within testator, as his last will, in the presence ox us,
who, at his request, in his presence, and in the presence of each
other, have subscribed our names as witnesses thereto.
COMMONWEALTH OF PENNSYLVANIA :
;
COUNTY OF CUMBERLAND :
SS
WAYNE B. CORNMAN and P, ICHARD L. CORNMAN, being duly sworn according
to law, depose and say that they are the Co-Executors of the Estate of EARL H.
CORNMAN, Deceased; that the foregoing schedules constitute a complete
inventory and appraisement of the real and personal estate of EARL H.
CORNMAN, deceased, except real estate outside the Commonwealth of
Pennsylvania and that the figures opposite each item of real and personal estate,
in the foregoing schedules are determined and stated by the undersigned to be
the fair value of said items as of the date of the decedent's death.
Sworn to and subscribed before me
this .. /~/~ day of.lune, 2003.
Not~ry ~biic -
WAYNE"I~"~ORNMAN "-' "'
_RICHARD L. CORNMAN
No. 21-03-0260
~NVENTORY
Estate of
EARL H. CORNMAN, DECF__.ASED
Late of
North Middleton Township
INVENTORY
REAL AND PERSONAL ESTATE OF
Earl H. Cornman, Deceased
Late of
North Middleton Township, Cumberland County, PA
Date of death: March 19, 2003 Social Security Number 174-05-2466
2.
3.
4.
5.
6.
7.
8.
9.
10.
12.
Sale of household items at auction
Homeowner's insurance refund
Chapel Pointe - refund deposit on senior living apt
Medicare - medical reimbursement
Citizens Bank - checking account #6100728471
Citizens Bank - savings account #6203776991
Wachovia Bank - certificate of deposit #206-132860
Wachovia Bank - savings account #3000023888489
Waypoint Bank- certificate of deposit #1716:[2:L4:[1
M & T Bank- certificate of deposit #310003911903647
Cash in house
Real estate situate North Middleton Township,
Cumberland County, PA known and numbered as
2811 Spring Road, Carlisle, PA 170:[3
Total
$ 566.80
62.71
5,600.00
5.53
3,865.00
42,200.00
:[0,230.00
82,6:[3.00
12,634.28
37,963.59
-,~o,ooo.oo
IN THE COURT OF COMMON PLEASE OF CUMBERLAND COUNTY, PA
ORPHANS' COURT DIVISION
IN RE: ESTATE OF EARL H. CORNMAN, DECEASED
NO. 21-03-0260
CERTIFICATION OF NOTICE UNDER RULE 5.6(A)
Name of decedent: Earl H. Cornman
Date of death: March 19, 2003
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 June 24, 2003.
Name Address
Clair Eugene Beamer
Carol A. Cornman
Wayne B. Cornman
Richard L. Cornman
1021 Goodyear Road, Gardners PA 17324
13 Marilyn Drive, Carlisle PA 17013
934 Alexander Spring Road, Carlisle PA 17013
2 Central Street, Newville PA 17241
Notice has now been given to all persons entitled thereto under Rule
5.6(a).
Date:
Wayne B. Cornman, Co-Executor
934 Alexander Spring Road
Carlisle, PA 17013
Phone: 717-243-4124
BUREAU OF ZNDZVZDUAL TAXES
ZNHERZTANCE TAX DZYTSTON
DEPT. 280601
HARRZSBURG, PA 171Z8-0601
JEFFREY S COHICK
590 ALEXANDER SPG RD
CARLISLE
CONHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTZCE OF ZNHERZTANCE TAX
APPRAZSEHENT, ALLO#ANCE OR DZSALLO#ANCE
OF DEDUCTZONS AND ASSESSHENT OF TAX
~;~' ~DATE 07-28-2005
~:'* ESTATE OF CORNHAN
DATE OF DEATH 05-19-2005
FILE NUHBER 21 05-0Z60
'03 JUL 2~ ~ ~ ~I~IJNTY CUHBERLAND
ACN 101
PA 170151', =~
Amount: RemL'H:od
REV-I~7 EX AFP (01-05)
EARL H
HAKE CHECK PAYABLE AND RENZT PAYHENT TO:
REGISTER OF WILLS
CUNBERLAND CO COURT HOUSE
CARLISLE, PA 1701~
CUT ALONG THIS LINE ~ RETAIN LOWER PORT]:ON FOR YOUR RECORDS ~
REV-15&7 EX AFP (01-03) NOTZCE OF ZNHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR
DZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF CORNHAN EARL H FILE NO. Z1 05-0260 ACN 101 DATE 07-28-2005
TAX RETURN NAS: (X) ACCEPTED AS F/LED ( ) CHANGED
RESERVATZON CONCERN]:NG FUTURE ZNTEREST - SEE REVERSE
APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Reel Es*e~e (Schedulo A) (1)
2. S~ocks end Bonds (Schedulo B). (2)
$. Closoly Held S~ock/Par~nershLp Zn~ores~ (Schedule C) ($)
q. Hor~gages/No~es Receiveblo (Schedule D) (~)
5. Cash/Bank Daposi~s/Nisc. Personal Property (Schedule E) (5)
6. Jointly O,ned Proper~y (Schedulo F) (6)
7. Transfers (Schedule G) (7)
8. To~el Asse~s
APPROVED DEDUCTIONS AND EXENPTZONS:
9. Funeral Expenses/Adm. Cos~s/Nisc. Expenses (Schedulo H) (9)
10. Dob~s/Nor~gmgo Liabilities/Liens (Schodule Z) (10)
11. To~el Deductions
12. No~ Veluo of Tax Ro~urn
90/000.00
.00
.O0
.0O
195/79r,. 91
.00
.00
(8)
15,822.50
610.07
NOTE: To insure proper
credi~ ~o your account,
subm/~ ~he upper portion
of ~his form frith your
~mx payment.
15.
1~.
NOTE:
285,79~.91
(11) 1~ .~:~2-~7
(1:~) 269,$6Z.$~
Char/~eblo/Governmentel Bequos~s; Non-clocked 9115 Trusts (Schedule J) (15)
Ne~ Value of Es~a~:e Sub.ioc~ ~o Tax (lq)
:;f an assess, ent ~as issued previously, lines 14, 15 and/or 16, 17,
reflect flgures that include the total of ALL returns assessed to date.
.00
Z69,$6Z.$~,
18 and 19 will
TOTAL TAX CREDIT I 12,121.$1
BALANCE OF TAX DUEI .00
INTEREST AND PEN. I .00
TOTAL DUE I .00
( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ~S RE~U/RED.
IF TOTAL DUE IS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR /NSTRUCTZONS.)
ZF PAZD AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATZON OF ADDZTZONAL ZNTEREST.
ASSESSHENT OF TAX:
1.6. Amoun~ of L/ne lq a~ Spousal ra~e
16. Amoun'1' of LLne lq taxable m~ LLneal/Cless A re~e
17. Amoun~ of Linc lq e~ Sibling re~e
18. Amoun~ of Line 1~ ~exable a~ Colla~oral/Cless B ra~o
19. Principal Tax Duo
TAX CREDITS:
PAYMENT RECEZPT D/SCOUNT (*)
DATE NUHBER INTEREST/PEN PAZD (-)
06-18-2005 CDOOZ698 606.07
11,515.Z~
ANOUNT PAID
(1.6) .00 X O0 = .00
(16) Z69,$62.$R X 0~5= 12,121.$1
(].7) .00 x 1Z = .00
(18) .00 x 15 = .00
(19)-- 12,121 .~1
RESERVATION:
Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (coIlataraI) beneficiaries of the decadent after the expiration of any estate for
life or far years, ~he CoamonmaaZth hereby expressly reserves the right to appraise and assess transfer inheritance Taxes
at the laaful Class S (collateral) rate on any such future interest.
PURPOSE OF
NOTICE:
PAYNENT:
REFUND (CR):
OBJECTIONS:
ADHIN-
ZSTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act Z5 of ZOO0. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit eith your payment ta the Register of Hills printed on the reverse side.
--Hake check or money order payable to: REGISTER OF NZLLS, AGENT
A refund of a tax credit, which was not requested on the Tax Return, say be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications are available at the Office
of the Register of Hills, any of the Z3 Revenue District Offices, or by calling the special Iq-hour
ansaering service for fores ordering: 1-800-36Z-2050; services for taxpayers with special hearing and / or
speaking needs: 1-800-~q7-$OgO (TT only).
Any party in interest not satisfied aith tho appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount or interest) as sheen on this Notice oust object aithin sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. zalozi, Harrisburg, PA 17128-1021, OR
--elect[on to have the matter determined at audit oft he account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in mriting to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Reviea Unit, Dept. Ia0601, Harrisburg, PA I71za-0601
Phone (717) 787-6505. Sea page S of the booklet "Instructions ~or Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
If any tax due ]s paid within three (3) calendar months after the decadent's death, a five percent (DZ) discount of
the tax paid is allowed.
The 15Z 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 mould appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning mith 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 et the rate of
six (SI) percent per annum calculated at a daily rate of .O0016q. AIl taxes which became delinquent on and after
January l, 19aZ will bear interest at a rate which will vary from calendar year to calendar year eith that rate
announced by the PA Department of Revenue. The applicable interest rates for 19aZ through 2003 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Yeast Rate Factor Yea.__r Rate Factor
198Z ZOZ .O00Sq8 1987 9Z .O00Zq7 1999 7Z .O0019Z
1985 lSX .000~38 1988-1991 11Z .000501 ZOO0 8Z .O00Zl9
198~ 11Z .000301 199Z 9Z .0002~7 ZOO1 9Z .O00Z~7
1985 13Z .000356 1993-199q 7Z .O0019Z ZOOZ 6Z .O0016q
1986 IOZ .O00Z7q 1995-1998 91 .0002q7 ZOO3 SZ .000137
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DA'rLy 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, zf payment is made after tho interest computation date shown on the
Notice, additional interest must be calculated.
.
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
NameofDecedent: EARL b-*. C~"R~N\~N
Date of Death:
:;S-\9 - CY3
:< { - ()3 -O<.~ 0
Estate 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:
I. State whether administration of the estate is complete:
.YesPl No 0
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 0 No 0
b. Tbe 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
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 this report.
Date:. '2 -\<::>-05
c~
'\ ."
Signatur
WCl--~""-""
Name
L~
B. c,,,,,,,~~
Capacity:
c;~.,.. \+l~~~~r Sr"""\~ RJ
Address
l \1- '2..4~-2..8~1
Telephone No.
~rsonal Representative
o Counsel for personal representative
~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
phone: (717) 240-6345
Date: 2/02/2005
CORNMAN WAYNE B
934 ALEXANDER SPRING ROAD
CARLISLE, PA 17013
RE: Estate of CORNMAN EARL H
File Number: 2003-00260
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: 3/19/2005
Your prompt attention to this matter will be appreciated.
Thank You.
:;;;:e~~
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
ul