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HomeMy WebLinkAbout03-0295PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Lawrence J. Gannon, Jr. No. also known as To: Social Security No. 168-32-1425 Register of Wills for the 'Deceased. County of Cumberland 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, applies for letters of administration on the estate of (d.b.n.; pendente lite; durant¢ absentia; durante minoritate) the above decedent. Decendent was domiciled at death in Camp Hill, Cumberland County, Pennsylvania, with his last family or principal residence at. 2024 Lincoln Street, Camp Hill (list street, number and municipality) Decendent, then 63 ..... years of age, died March 1,. 2003 ., at Lehigh Valley Hospital~ Salisbury Township, Lehigh County Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal. property in Pennsylvania $ (If not d6miciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Petitioner the following spouse (if any) and heirs: Name after a proper search ha s ascertained that decedent left no will and was survived by Relationship Residence Kathleen M. Gannon spouse 2024 Lincoln Street, Camp Hill, PA Mark Gannon son 4170 Clairemont Mesa Boulevard San Diego, CA 92117 Brian Gannon son 6076 Tusca Road, Beaver, PA 15009 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. Kathleen M. Gannon OATH OF PERSONAL REPRF~NTATIVE COMMONWEALTH OF PENNSYLVANIA. ~ ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or af£n'm(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 representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. b.efor~4ne this c~.rxc~ day of No. Estate. of CUMBERLAND , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW ~ OT ~ ~ ~ 2003 ~, in consideration of the petition on the reverse side hereof, sat~isfactory proof having been presented before me, IT IS DECREED that Kathlccn M. Gannon is/are entitled to Letters of Administration, and in accord with such f'mding, Letters of Administration are hereby granted to Kathleen M. Gannon in the estate of Lawrence J. Gannon, Jr. FEES Letters of Administra~o~ ..... $ ~' '--- Short Certificates(~ ..... ..-..44-. $ ~,'~- ---'"' Renunciation ................ $ .:res / ~q-rzr $ ~ ~. -- ... ~ TOTAL ~ $.~---~--~- Filed .~ ~i...,..~. ,~3A.D ........ ADDRESS Camp Hill, PA 17011 PHONE Thomas E. Flower, Esquire (ID # 83993) ATTORNEY (S~up. Ct. I.D. No.) 2109 Market Street REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Lawrence J. Gannon, Jr. Date of Death: March 1, 2003 Will No. 21-03-0295 Admin. No. 2003-00295 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 April .~O ,2003. Name Address Kathleen Gannon 2024 Lincoln Street, Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none SAIDIS, SHUFF, FLOWER & LINDSAY 2109 Market Street Camp Hill, PA 17011 (717) 737-3405 Capacity: Personal Representative X Counsel for Personal Representative £V-1500 EX  COMMONWF_ALTH Of PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT Ut;l'2 0 2003 LU r~l. Original Return r'--14. Limited Estate ~"~ 6. Decedent Died Testate (Attach copy of Will) z z 0 uJ 0,.,,m < SOCIAL SECURITY NUMBER J--'--] 3. (data of death prior to 12-13-82) Remainder Retum [~5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes [~11. to tax Sec. 9113(A) (Attach Sch O) Election under COMPLETE MAILING ADDRESS 2109 Market Street Camp Hill, PA 1701 1 []2. Supplemental Return i'~ 4a. Future Interest Compromise (date of death after 12-12-82) i'~7. Decedent Maintained a Living Trust (A[tach copy of Trust) ~] 9. Li§gation Proceeds Received i--'] 10. Spousal Poverty Credit (data of death between 12-31-91 and 1-1-95) NAME Thomas E. Flower FIRM NAME (if Applicable) Saidis, Shuff, Flower & Lindsay TELEPHONE NUMBER (717) 737-3405 DECEDENq'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER I-- Cannon, Lawrence J., Jr. 168-32-1425 Z ~-I DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE UJ 03/01/2003 12/08/1939 REGISTER OF WILLS LM (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Cannon, Kathleen M. Charitable and Govemmental Bequesta/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 159,916.17 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnemhip or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 14,000.00 (Schedule E) 6. Jointly Owned Property (Schedule F) (6) 146,377.00 ~] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Prope~ (7) 19,295.17 (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (8) 9. Funeral Expenses & Adminisffative Costs (Schedule H) (9) 10,837.00 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 8,91 9.00 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. (13) 179,672.17 19,756.00 159,916.17 0.00 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) 159,916.17 x .0 0 (15) 0.00 16. Amount of Line 14 taxable at lineal rate x .0 (16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 0.00 FILE NUMBER 21 _ 03 0295 COUNTY CODE YEAR NUMBER Dec, edent's Complete Address: STREET ADDRESS 2024 Lincoln Street C~T¥camp Hill I STATEpA I Z~P17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 0.00 Total Credits ( A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty 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 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (5) (5A) (5B) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined lhis return, including accompanying schedules and statements, and to the bast of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on ail information of which preparer has any knowledge. SIGNATURE OF PE, J~)N RES~PO~NSIBLE FOR FILING RETURN D~E ADDRESS KathleenM. Gannon, 2024 Lincoln Street, Camp Hill, PA 17011 SAID~ ~VE Saidis, Shuff, Flower & Lindsay, 2109 Market Street, Camp Hill, PA 17011 DATE 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)]. For dates of death on or after January 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)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum 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 stepparant 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 decedent's 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 decedenrs siblings is 12% [72 RS. §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. .REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Lawrence J. Gannon, Jr. 21-03-0295 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 2002 Saturn SLI automobile, 9,500 miles 1995 Ford Windstar automobile, 29,000 miles 9,500 4,500 TOTAL (Also enter on line 5, Recapitulation) $ 14,000.00 (If more space is needed, insert additional sheets of the same size) BEV-1509. . EX+ (6-98~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Lawrence J. Gannon, Jr. SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-03-0295 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 ADDRESS RELATIONSHIP TO DECEDENT A. Kathleen M. Gannon 2024 Lincoln Street, Camp Hill, PA 17011 spouse JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOIN'[ MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER, ATTACH DEED FOR JOINTLY*HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. lot with dwelling at 2024 Lincoln Street, Camp Hill, Pa 125,900 1/2 62,95( per assessment at 100% of value 2. A. PNC Bank - Checking acct. 51-4016-1167 15,000 1/2 7,50( 3. A. Savings acct. 50-0098-6589 2,737 1/2 1,36(` 4. A. PSECU Checking account 2,315 1/2 1,16( Savings account 1,611 1/2 80( Certificate of Deposit 2,970 1/2 1,48,~ 5. A. American Express Mutual Fund & Money Market Account 142,214 1/2 71,10; TOTAL (Also enter on line 6, Recapitulation) $ 146,377.0C (If more space is needed, insert additional sheets of the same size) .REV-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Lawrence J. Gannon, Jr. 21-03-0295 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is "es. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIRRELATIONSHIPTODECEDENTAND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBEI; THE DATE OF TRANSFER. AT~'ACHACOPYOFTHEDEEDFORREALESTATE. VALUE OFASSET INTEREST (IFAPPLICABLE) VALUE l. PSECU IRA Certificate, designating spouse as beneficiary 19,295.17 100% 19,295/I TOTAL (Also enter on line 7 Recapitulation) $ 19,295.1 (If more space is needed, insert additional sheets of the same size) REV-1511. . EX+ (12-99)~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Lawrence J. Gannon, Jr. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-03-0295 Debts of decedent must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT 5. 6. 7. FUNERAL EXPENSES: Musselman Funeral Home, Inc. - professional services, facilities & autos ............ 3,495 metal casket ....................................................... 1,625 concrete vault ..................................................... 700 Funeral Flowers ........................................................................................................ 106 Copies death certificate ................................................................................................ 40 Obituary notice ............................................................................................................ 133 Rental Good Shepherd Church .................................................................................. 100 Cantor, Organist, Alter servers ................................................................................... 140 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__Zip Year(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Kathleen M. Gannon Street Address 2024 Lincoln Street city Camp Hill Relationship of Claimant to Decedent spouse Probate Fees Accountant's Fees Tax Return Preparer's Fees Advertise Grant of Letters ~1~ State PA Zip 17011 6,339.00 750.00 3,500.00 50.00 198.00 10,837.00 TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT BECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF Lawrence J. Gannon, Jr. FILE NUMBER 21-03-029,5 Include unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. GMAC loan #020-9022-35767 8,919 TOTAL (Also enter on line 10, Recapitulation) $ 8,919.00 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Lawrence J. Gannon, Jr. SCHEDULE J BENEFICIARIES FILE NUMBER 21-03-0295 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Bo Not List Trustee(s) OF ESTATE ! TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Kathleen M. Gannon 2024 Lincoln Street Camp Hill, PA 17011 spouse 100% 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 $ (If more space is needed, insert additional sheets of the same size) CERTIF!.CATEOFTITLE FOR A VEHICLE 557 REG STERED OWNER S) FIRS~ DEN FAVOR OF; ODOMETER STATUS ACTUAL MILEAGE ~ ' MILEAGE EXCEEDS THE MECHANICAL LIMITS NOT THE ACTUAL MILEAGE NOT THE ACTUAL MILEAGE'ODOMETER TAMPERING VERIEIED A = ANTIQUEVEHICL~ o = COLLECT,BLE VEHICLE F = OUT OF COUNTRY G = ORIGINALLY MFGO. FOR NONUJ.S. H = AGRICULTURAL VEHICLE L = LOGGING VEHICLE ' R = RECONSTRUCTED S = STREET ROD T = RECOVERED THEFT VEHICLE V = VEHICLE CONTAINS REISSUED VIN W = FLOOD VEHICLE SECOND LI~N FAVOR OF: X = ~S~VAS A TAXI It a second~i:lienholder Is listed upon satisfaction of the ~irst FIRST UEN RELEASED Ilenholder mQst forward [his Title to the Bureau of Motor Vehicles With ihe/ DATE ~ appropriate f?m and fee. BY' -- SE ~ AUTHORIZED REPRESENTATIVE CONO LI.~N RELEASED DATE -- ! MAILING ADDRESS ~ BY ~ AUTHORIZED REPRESENTATIVE KATHLEEN . GANNON 2QP_.4 LINCOLN ST'REET. CAHP HILL PA 171111' ~ I ce,~y a. of the date o, i.~.. [ho o~r~la~ records of the PemssylVanla Depadment~ a L L EN D B I E H L ER ~ of Transpo.ati .... flacl [hat the person(s} or company .... d herein is [he lawful owr~r Secreta~-y -i~ TO BEFORE ME 1ST LIENHOLDER 003-04 REAL ESTATE TAX NOTICE *-CAMP HILL SCHOOL DISTRICT MICHAEL W HARLING 206 S 17TH ST CAMP HILL PA 17011 1, 7o.7 1,5oo.73 ,65o.8q COT NO 01-21-0271-13 A GANNON, LAWRENCE j & KATHLEEN N GANNON 2024 LINCOLN STREET CAMP HILL PA 17011 ~ ~,~uu j 947 WEDNESDAY 9:00AM ~Q~2:00PM~/ PHONE 717-730-0230 c1 L} ~ ~ACE ~SEPT - OC ~WI' 161 & 162 ~Sidential Buildin IF UNPAID B~ 12/12/03 TAXES WILL BE TURNED OVER TO CUMBERLAND CO. TAX CLAIM BUREAU. $1.00 FEE FOR ADD,L RECEIPTS REQUESTED 'otal B.anking Statement 4C Bank For the period 02/08/2003 to 03111/2003 KATHLEEN H 6ANNON LARRY J 6ANNON Z026 LINCOLN ST CAHP HILL PA I70II-386! alationship Overview PNCBANK Primary account number: 51-4016-1167 Page 1 of 3 Number of enclosures: 3 ~ For 24-hour customer service or current rates: Call 1-888-PNC-BANK Moving? Please contact tls at 1-888-PNC-BANK Write to: Customer Service PO Box 609 Pittsburgl~ PA 15230-9738 Visit us at www.pncbank.corn TDD terminal: 1-800~531-1648 For hearing impaired clients only' ~nk Deposit Accounts cription Account Number Deposit Balance erest Checking 51-4016-1167 15,828.6.1 'in gs 50-0098-6589 2,737.40 tal Deposits 18,566.114 art saving today with a PNC Bank IRA ~. w's the time to start saving for your future. Open or contribute to a PNC Bank Individual l~xetiremeut Account (IIL~) to<la~,. easy to get started and you still have until April 15th to make a contribution for t~x-year 2002. Increased contril:~ufiot~ limbs ke it even easier to save for the future. So don't delay, contact a retirement specialist ;:tt 1-888-PNC-I 'RAS (1-888-762-4727) and rt saving today. I Ioice Plan Kathleen M Gannon terest Checking Account Summary Larry J Gannon ount number: 51-4016-1167 Account Link ® number: 0192346789 lance Summary Beginning Deposits and balance other additions 9,61 ].93 9,5 ] 8.8] Checks and other Ending deductions balance 3,302.10 15,828.6. t Average monthly Charges balance and fees 10,055.20 .00 ansaction Summary Checks paid/ Bank card/POS withdrawals transactions 3 2 Total ATM PNC Bank MAC transactions ATM transactions 1 ! Account Information Teller assistance calls transactions 0 l Other MAC ATM Other ATM transactions transactions 0 0 erest Summary Annual Percentage Number of days Average collected Interest Earned Yield Earned (APYE) in interest period balance for APYE this period 0.3 lZ 32 9,789.7O 2.65 Please see the Activity Detail section for additional information. As of 03/11, a total of $8.94 in interest was earned this year. PSECL,. J ~".li li[~J~ [~li I illTJl j'Jl j'~ ill~-I DI'~i'~4,JlJ'J'~ JJ'J IJ~l~j I,,,111,,,111,,,,,,11,,,11,,11,1,,I,,I,,I,,,11,,I,1,1,,11,,I,I LANRENCE J GANNON 202~ LINCOLN ST CAMP HILL PA 17Ol1-38q,! P.O. Box 670] 3 (71 ?) 234-8484 (Harrisburg) Harrisburg, PA i ?106-7013 (800) 237-7328 (Nationwide) website - i~:p://;'~vw, psecu.com CONSOLIDATE YOUR DEBT NITH A PSECU PERSONAL SERVICE LOAN AT NNN.PSECU.COH OR CALL 800.LOAN.555. JOINT OWNER KATHLEEN H GANNON 0168 XXXXXX 020101022803 PAGE I 02/0! i'D 01 REGULAR SHARES BEGINNING BALANCE 79.23 OZ/Z8 PAYHENT; DIVIDEND 1.000~0 0,06 79.29 ANNUAL PERCENTAGE YIELD EARNED 0.99y~ FROH 02/01/05 THROUGH 02/28/05 DIVIDEND YTD.' IN 2002 '1.52 ............................................... 02/01 ZD 04 CHECKING BEGINNING BALANCE 02/01 ZD 53 36 HONTH ZRA CERTIFICATE BEGINNING BALANCE 19295.17 02/01 HITHDRANAL BILL PAYER NORHAL DISTRIBUTION 92.28- 19202.89 ANNUAL PERCENTAGE YIELD EARNED 7.25Yo FROH 02/01/05 THROUGH 02/28/05 02/28 ENDING . BALANCE 19506.50 56 HONTH IRA CERTIFICATE HILL HATURE ON 09/08/05 IRS HITHHOLDING IN 2002 110.76 02/01 ID 5~ 36 NONTH CERTIFICATE BEGINNING BALANCE :===;;;;=.;;= 56 HONTH CERTIFICATE NILL HATURE ON 09/14/05 ........................... 1 DIVIDEND YTD: YEAR TO DATE 55.r~2 DIVIDEND YTD.' IN ZOOZ 198.~9 TOTAL DIVIDEND YTD= YEAR TO DATE 53.55.................. TOTAL NONTAXABLE DIVIDENDS YEAR TO DATE 217.77 TOTAL IRS HITHHOLDING YEAR TO DATE 18.q6 P.O. Box 6/013 (TI 7) 234-8484 (tlanisburg) Jlmrisburg, PA 17106-7013 (800) 237-7328 (Nalionwide) weJbsiJe - hi~!p://www, psecu.com CONSOLIDATE YOUR DEBT WITH A PSECU PERSONAL SERVICE LOAN AT NNN.PSECU.COH OR CALL' 800.LOAN.555. LAWRENCE J GANNON TOTAL NONTAXABLE DIVIDENDS IN Z002 TOTAL IRS WITHHOLDING IN 200Z JOINT OWNER KATHLEEN H GANNON PAGE Z J FINk'~ICE CHAI:i~E 15~7.fi8 110.76 Statement Mailed to MR LAWRENCE J GANNON MRS KATHLEEN M GANNON 2024 LINCOLN ST CAMP HILL PA 17011-3841 On track with your retirement plans? Job change and turbulent markets can leave you wondering if you are on track with your retirement savings plans, a Free-for-Life IRA from American Express Financial Advisors inc. can help keep your retirement plans moving forward. And now through April 30th we will waive the custodial tees for the life of your new, qualifying IRA. 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American Express Where your assets Percent of are invested all current by product products ~ 7% [] 93°/° [] ~ 0% ~ 0% [] ~ 0% ~ 0% 10o% Group Number 0815 3504 9 001 Client Number 1812 8080 1 001 MR LAWRENCE J GANNON Client Number 1812 8066 0 001 MRS KATHLEEN M GANNON Check Your Accounts Automated Telephone Service 800-862-7919 Online home2.americanexpress.com/cacc Direct your service and investment questions to RONALD P LEUSCHEN CFP CFS American Express Financial Adv 4661 Trindle Rd Camp Hill PA 17011-5603 717-761-3600 717-761-1994 FAX 888-607-7526 Toll free Portfolio Summary Product type Value Value one year ago last statement Current value Money Market Funds and Cash $9,061.57 '"~/./ , $10,429.85 Mutual Funds $42,151.58...~ '- $131,545.44 Securities Not applicable $205.02 Annuities Not applicable Not applicable Certificates Not applicable Not applicable Insurance Not applicable Not applicable Limited Partnerships and REITs Not applicable Not applicable Additional Products Not applicable Not applicable Total value of all accounts $51,21 3,15 $142,180.31 $10,503.52 $131,515.81 ~ $195.03 '---.- Not applicable Not applicable Not applicable Not applicable Not applicable $142,214.36 00100081535040000001 02/28/2003 ,d~Wilil[TmqlT! .q ~lf~Tfi][ovz~.i4"~illi~iiqil t'.O. Box 6/013 (7i 7) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-7328 (Nationwide) website - hJtp://www, psecu.com CONSOLIDATE YOUR DEBT NITH A PSECU PERSONAL SERVICE LOAD AT NNN.PSECU.COH OR CALL 800.LOAN.555. KATHLEEN M GANNON JOINT OWNER LARRY J GANNON PAGE 2 0214 NITHDRANAL TRANSFER TO LOAN O1 0228 PAYHENT: DIVIDEND 1.000~ ANNUAL PERCENTAGE YIELD EARNED 1.01~ FROH 02/01/05 THROUGH 02/28/05 POST EFF I)ESCRZPTION . AMOUNT BALANCE POST EFF DESCRIPTION AHOUNT BALANCE iiiiiiiiii!!~l) ~:iiiiiiiiiiiiiii~i?~iiii[i~ ! ~HRISi~HA:~ ii!iSH~RE~ ~EG~HH~ i BAE~N~E ~ ~ ~Z ............ i~i~ti~:S~ ~; ~ ~:~i:~ ................................ i:'g~ ................ ' .................................... POST EFF DESCRIPTION AMOUNT BALANCE AIM lOZ~ STA~ ST LEHOYNE PA J OZO1 NITHDRANAL AT ATH ~00006580/TR8550 100.00- 2159.11 J / 21~9~:82 GENEILAL MOTORS ACCEPTANCE CORPORATION ILO. Box 971 llorsham ISA 19044-3601 1-800-200-4622 BRANCIII!S '1 IIROUGIIOUT EXECUIIVF. OFFICES TI I E WOI~.LD DE'[ROIT ASSUMPTION OF LIABILITY AGREEMENT I, Kathleen M. Gmmon, residing at 2024 Lincoln St., Camp Hill, PA 17011 hereby assmne all responsibility regarding a retail installment sales contract, number 020-9022- 35767 entered into by Lawrence J. Gannon Jr. on 12/30/02 and assigned to General Motors Acceptance Corporation. I am in agreement that the cur:'¢nt outstanding balance on this account is $8,919.78 representing 56 payments of $159.28. The original finance charge was detemfined at an APR of 0 %. if any payment is not paid in full within 10 days after it is due, you will pay a late charge of 5% per month of the amount of the payment that is late. You can pre-pay all of your debt and get a refund of part of the finance charge. The refund will be calculated by the actuarial method. There will be no refund paid to you if it is less than $1.00. I am entering into this ASSUMPTION OF LIABILITY AGREEMENT because the vehicle, a 2002 Saturn SL1 VIN# 1G8ZG52822Z311327, is now in my sole possession. It is EXPRESSLY UNDERSTOOD AND AGREED THAT, EXCEPT AS MODIFIED BY THIS ASSUMPTION OF LIABILITY: AGREEMENT, ALL TERMS OF THE ABOVE-IDENTIFiED CONTRACT SHALL REMAIN IN FULL FORCE AND EFFECT. Kathleen M. Gannon Date GENE RA L~T__.,T~O,RS ACCEP TAN CE CO RPORATION ASSISTANT SECRETAI7 555 Business Center Dr, Horsham, PA 19044 Eslablished 1895 Brian C. Musselman, F.D. Supe/vi$or William G. Pegan, F.D. P.O. Box 137 324 tlunqnlel Avenue Lel,oyne, PA 17043-0137 (717) 763-7440 To Funeral Expenses of LAWRENCE Kathleen Gannon 2024 Lincon Street Camp Hill, PA 17011 J. GANNON 2003 March 5 PROF. SERVICES, FACILITIES "Camry" Metal casket Reinforced concrete vault & AUTOS Cash Advance Items: Flowers Copies of death certificate Newspaper death notice Good Shpherd Church Cantor Organist Altar servers Apr.9, $3,495.00 1,625.00 700.00 $106.00 40.00 133.20 100.00 50.00 75.00 15.00 2003 $5,820.00 $519.20 TOTAL $6,339.20 FOR APPOINIMENI PHONE 717-163-t440 P. 0. Box 67013 (717) 234-8484 (Harrisburg) Ha~fis§ulg, PA 17106-7013 (800) 237-7328 (Nationwide) website - http://ww~,.psecu.com CONSOLIDATE YOUR DEBT HITH A PSECU PERSONAL SERVICE LOAD AT NNN.PSECU.COH OR CALL 800.LOAN.555. KATHLEEN N GANNON JOINT OWNER LARRY J GANNON PAGE OZZ8 ENDING BALANCE Z$15.59 DIVIDEND YTD.' YEAR TO DATE 0.81 DIVIDEND YTD: IN Z00Z 9.8q 00r+997 508.1fi 005000 57.98 . 005004, .'38.11 005008 59'66 ASTERISK NEXT TO NUI"IBER INDICATES SKIP IN NUt'IBER SEQUENCE OZOZ ID 01 PSL LOAN (OPEN END) BEGINNING BALANCE 1.17 ~:~:~~ ~.~ ~~ :~ : ~ ~ ~ ~ ~ ~ ~ ~ ~ ~/~??' '? .......... ?.:~.~..~.~..? ...................... YTD FZNANCE CHARGE= YEAR TO DATE 0.0Z YTD FZNANCE CHARGE: [N Z00Z 0.00 ~ ~: ~:~ ~ ~ ~ ~:::~:~ ~ ~:~: .:..:.:.:.~:...:~..:. ;.;:;: ;..::: ::::~:.;::::..~:.~:: ..~;: ::; ;:.::.....::.:::...:: ::;:~ : ,; :....:: :~::;:.: . P.O. Box 67013 (717) 234-8484 (Harrisburg) Hurdsbu[g, ?A 17106-7013 (800) 237-7328 (Nationwide) website - ht~p: / /www. psecu.com CONSOLIDATE YOUR DEBT NITH A PSECU PERSONAL SERVICE LOAD AT HNN.PSECU.COH OR CALL 800.LOAN.555. KATHLEEN M GANNON JOINT OWNER LARRY J GANNON PAGE ATH 102:~ STATE ST LEHOYNE PA I OZO~ CHECK 00~.009 61,50~ 1707.61 I ~ ~ : OZl)~:'::ii~ii:::ii : CHECK 0l)~9~ ii i-:~ : ~ :' OZlO ~THDRA~AL AT ATH flOOOOB~15/TR8550 ZO0.O0- 850.80 ATH 10~ STATE ST LEHO~E PA 0Z1~ CHECK 00500~ ~8.11- 779. OZ~ CHECK 005000 57. ~S- OZi~ PAYHENT= AT ATH flOOOOOZOO/T~S~O Z05.00 OZZ6 CHECK 005008 59.66- 607.~0 OZZ6 CHECK 005007 7Z. 6Z- I OZZ8 PAYHEHT~ DIVIDEND 0.500~ 0.~  AHHUAL PERCEHTAGE YZELD EARHED 0.50~ F~OH Z1r~9383 BUREAU OF /NDIVIDUAL TAXES TNHERXTANCE TAX DTV/SZON DEPT. 180601 HARRISBURG, PA 17126-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-lB47 EX AFP COl-OS) THOMAS E FLOWER SAIDIS ETAL 2109 MARKET ST ~ CAMP HILL PA 1701I ! DATE ESTATE OF DATE OF DEATH F.rLE NUMBER COUNTY ACN 12-15-2005 GANNON JR 05-01-2005 21 05-0295 CUMBERLAND 101 Amoun'l: Rem/~ed LAWRENCE J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CA~LISLE, PA 1701~ CUT ALONG TH'rS LINE ~ RETA.rN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTZCE OF 'rNHERZTANCE TAX APPRAZSEMENT, ALLOWANCE OR DZSALLOWANCE OF DEDUCT.rONS AND ASSESSHENT OF TAX ESTATE OF GANNON JR LAWRENCE J FILE NO. 21 05-0295 ACN 101 DATE 12-15-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVAT.rON CONCERNING FUTURE INTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S~ocks end Bonds (Schedule B) (2) $. Closely Held S~ock/Par~nership Zn~eras~ (Schedule C) ($) q. Mortgages/No,es Receivable (Schedule D) E. Cash/Dank Deposits/Misc. Personal Propar~y (Schedule E) (5) 6. Join~Zy Owned Proper~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Asse~s APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expanses/Adm. Cos~s/Misc. Expanses (Schedule H) (9) 10. Dab,s/Mortgage Liabilities/Liens (Schedule 1) (10) 11. To,al Deductions 12. Na~ Value of Tax Re~urn lq/O00.O0 lq6/377.00 19/295.17 (8) 10,837. O0 8~919.00 (11) (12) 15. NOTE: ASSESSMENT OF TAX: 15. Amoun~ of Line lq 16. Amoun~ of Line lq ~axable 17. Amoun~ of Line lq 18. Amoun~ of Line lq ~axeble 19. Principal Tax Due TAX CRED.rTS: PAYMENT RECEIPT DISCOUNT DATE NUMBER INTEREST/PEN PAID (-) Charitable/governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) Ne~ Value of Es~a~a Sub~ec~ ~o Tax (lq) .rf an assessment ~as issued previously, lines 1~, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. .00 NOTE: To insure proper .00 credi~ ~o your account, .00 submi~ ~he upper portion .00 of ~hts form wi~h your ~ax payment. ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDZTZONAL INTEREST. 179,671.17 19.756.00 1S9,916.17 .00 159,916.17 18 and 19 ~ill .00 .00 .00 ( IF TOTAL DUE ZS LESS THAN $1, NO PAYMENT 1S REQUIRED. ZF TOTAL DUE 1S REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) TOTAL TAX CRED.rT BALANCE OF TAX DUE] XNTEREST AND PEN. TOTAL DUE AMOUNT PAID .00 (15) 159,916.17 x O0 = .00 (26) .00 x Oq5= .00 (17) . O0 x 12 : . O0 (lB) . O0 x 15 : . O0 (19)= . O0 RESERVATION: Estates of decedents dying on or before December II, 19AZ -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate far life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECT[OHS: DISCOUNT: PENALTY: INTEREST: To ~uIfill the rmquirements of Section ZI~O of the Inheritance end Estate Tax Act, Act Z3 of ZOO0. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILES, AGENT A refund of a tax credit, which was not requested on the Tax Return, may bm requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1513). Appllcations are available at the Office of the Register of NiIls, any of the 23 Revenue District Offices, or by calling the special Z4-hour ansmmring service for forms ordering: 1-800-36Z-Z050; services for taxpayers mith special hearing and / or speaking needs: 1-800-~qT-30ZO (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Not[ce must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals) Dept. ZBIOZ1, Harrisburg, PA 17lIB-lOll, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171ZB-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three I3) calendar months after the decedent's death, a five percent (5X) 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 with first day of delinquency, or nine (9) months and one il) day from the date of death, to the data of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .00016~. All taxes which became dmlinquent on and after January 1, 1982 miZl bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOO3 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOZ .0005~8 1987 9Z .000Z47 1999 7Z .OOOXDZ 1983 16Z .000~38 1988-1991 llZ .000501 ZOOO 8Z .000Z19 198~ 1II .000301 199Z 9Z .0002~7 ZOO1 9Z .O00Z~7 1985 15Z .000~56 1993-199~ 7Z .O0019Z 2002 6Z .00016~ 1986 XOZ .OOOZ7~ 1995-1998 9Z .OOOZ~7 2003 5Z .DOg137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued ~'fter the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: Will No. 21-03-0295 Lawrence J. Gannon, Jr. March 1, 2003 Admin. No. 2003-00295 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X; No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: No X Did the personal representative file a final account with the Court? Yes_; account is: b. The separate Orphans' Court No. (if any) for the personal representative's c. Did the personal representative state an account informally to the parties in interest? Yes ___X; No __. d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: Signature Name: Thomas E. Flower, Esquire I.D. No. 83993 SAIDIS, SHUFF, FLOWER & LINDSAY 2109 Market Street Camp Hill, PA 17011 (717) 737-3405 Capacity: __ Personal Representative X Counsel for Personal Representative