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Home My WebLink About03-0321Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of ,Emma Jane Hammond NO. ~"~[ also known as , Deceased Social Security No. 176-34-9770 John W. Hammond Petitioner(s), who Es/are 18 years of age or older, apply(les) for: (COMPLETE "'A" OR "B" BELOW:) of Administration, C~A. ,the nominee of the A. Probate and Grant of Letters/find aver that Petitioner(s) is/~f~the~xecut or named m the Last Will of the E ~ Decedent, dated April 25, 1 997 and codicil(s) dated Jul), 2~ 2002? Orrstown Bank , with no successors, and Orrstown Bank has renounced in favor of Petitioner. (See attached renunciation and nomination). State relevant circumstances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: B. Grant of Letters of C.T.A. r (c.t.a., d.b.n.c.ta.: pendente Kite, durante absentia; durante minodtate) Administration Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence I John W. Hammond Son 314 S. Fayette Street~ Shippensburg? PA (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumber]and residence at 36 West King Street~ Shippensburg~ PA 17257 (Shippensburg Borough) (list street, number and municipality) Decedent, then 89 years of age, died March 1 ,2003 , at Shippensburg Health Care Center (Location) Decedent at death owned proPerty with estimated values as follows: (if domiciled in PA) All personal property ......................................... $ (if not domiciled in PA) Personal property in Pennsylvania .................... $ (If not domiciled in PA) Personal property in County .............................. $ Value of real estate in Pennsylvania ........................................................................................ $ Total ..................................................................................................................... $ Undetermined County, Pennsylvania, with his/her last family or principal 0.00 Real Estate situated as follows: :none. Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: I.4 Signat~' Typed or printed name and residence // ~ ,/ - / '~c//~ John W. Hammond 314 South Fayette Street Shippensburg~ PA 17257 RW-7 Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and afffirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of.4°etitioner(s) and that, as ppgs'onal representative(s) of the Decedent, Petitioner(s) will well and truly administer the esta/te/a~. ~,ordi. n,g to I~. ~/ Sworn to and affirmed and subscribed ,/r~hn W. I-I~o~d ~" before me this ]~ Jc.~ day of % DECREE OF REGISTER Estate of Emma Jane Hommond Deceased also known as Social Security No: 176-34-9770 Date of Death: 3/1/2003 AND NOW, ~'~'-,--~.-, \~. ~ in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [~ Testamentary [~ of Administration C.T.A. (c.t.a., d.b.n.¢.t.; pendente lite; durante absentia; durante minoritate) are hereby granted to. Iohn W. Hammond in the above estate and that the instrument(s), if any, dated Aprit 25~ !997 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters .................................... $ Short Certificate(s) ............... $ Renunciation .......................... $ Affidavit ( ) ....................... $ Extra Pages ( ) .............. $ Codicil ................................. JCP Fee ................................. Inventory & Tax Forms ............. Other ...................................... $ TOTAL ............................. $ ~ RW-TA " ~ Register of Wills-'l Attorney: HAMILTON C. DAVIS I.D. No: 10264 Address: P.O. BOX 40 SHIPPENSBURG PA 17257 Telephone: 532-5713 DATE FILED: CUMBERLAND Estate of Emma Jane Hammond also known as , Deceased RENUNCIATION - o3 -,.3 Executor in the Will and Codicil of The undersigned,Orrstown Bank, By Barbara Brobst, Vice President and Trust Officer, Designated .as of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters Administration C.T.A. . be issued to John W. Hammond~ son of the deceased. Witness ~'~ %~ hand this ~ day of / (Signature) / Orrstown Bank, By Barbara Brobst, Vice President and Trust Officer 77 East King Street~ Shippensburg PA 17257 (Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this day of Notary Public My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 F :~ILES~DATAF ILE\WILL S\9889-codicil CODICIL TO THE LAST WILL AND TESTAMENT OF EMMA JANE HAMMOND I, EMMA JANE HAMMOND, a legal resident of the Borough of Shippensburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this as and for a Codicil to my Last Will and Testament, dated April 25, 1997. FIRST: I hereby amend the Trustee designation set forth in Paragraph Fourth and my Executor designation set forth in Paragraph Ninth of my Last Will and Testament to substitute Orrstown Bank with offices at 77 East King Street, Shippensburg, Pennsylvania, in place of Financial Trust Services Company and direct that Orrstown Bank shall have all of the powers and duties of Trustee and Executor as set forth in my Will. SECOND: All other provisions of my Last Will and Testament dated April 25, 1997, shall remain in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, a Codicil to my Last Will and Testament, this ~ day of e.,7-~-y - 2001. ,~~ t. (~,~. ,-~~ (SEAL) Emma Jane Hammond, Testatrix Signed, sealed, published, and declared by the above-named Testatrix, Emma Jane Hammond, as and for her Codicil to her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) SS. I, Emma Jane Hammond, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my sole Codicil to my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. of Sworn or affirmed to and acknowledged before me by Emma Jane Hammond this~t~_day ,2001. Emma Jane Hammond (SEAL) No"~ Public [ NOTARIAL SEAL I CORRINE L. MYERS, Notm~ I Carlisle Boro, CumbertandCmmW [ Mv Commission Exoir_esM_a_y~.?~_2~0.~_J AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, Edward L. Schorpp, Esq., and x~at,fftl~:/t'r~/4..~Ec.~t-- , the witnesses whose names are signed to the attachc~t or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Emma Jane Hammond sign and execute the instrument as the sole Codicil to her Last Will and Testament; that Emma Jane Hammond signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of Emma Jane Hammond signed the sole Codicil to her Last Will and Testament as witnesses, and that to the best of our knowledge Emma Jane Hammond was at the time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. Sworn or .affirmed,and subscribed to before me by Edward L. and Dt2.c~j, ,-~ ,/4-. ~60~.o-~ , witnesses, this =,~rud,_ day of {S. gxh_o.rp~, Esq., __ (SEAL) ff~itr/~s No'~' Public NOTARIAL SEAL CORRINE L. MYERS. Notary Public Carlisle Boro, CumberlandCountv L..~_Commission Expires May 27, 2003 (SEAL) CODICIL TO Last Will and testament OF EMMA JANE HAMMOND MARTSON DEARDORFF WILLIAMS ~ OTTO ATTORNEYS ~x~ COUNSELLORS AT LAW TEN EAST HIGH STREET CARLISLE, PENNSYLVANIA 17013 TELEPHONE (717) 243-3341 JRZ:cb - April 10, 1997 Y.,~T WILL~I~D TESTamENT I, Emma ~ane Hammond, of the Borough of Shippensburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my will, hereby revoking any and all former wills and codicils thereto by me heretofore made. I direct that all my just debts and funeral expenses, including all expenses of my last illness, shall be paid from my estate as soon as practicable after my decease as a part of the expense of the administration of my estate. SECOND I give and bequeath those items listed on a separate unsigned memorandum which refers to this my will by date to the individuals named therein. In the event that no such memorandum shall be found within thirty days following my death, this bequest shall lapse. THIRD My son, John W. Hammond, shall have the right to select from my personal property and household goods, excluding cash and other Page 1 securities after distribution has been made of the items listed in the aforementioned unsigned memorandum,. The balance of any personalty and household goods not distributed under said memorandum and not selected by my son, John W. Hammond, shall be sold. FOURTH I give, devise and bequeath the residue of my estate of every nature and wherever situate to Financial Trust Services Company, with offices at 401 East King Street, Shippensburg, Pennsylvania, NEVERTHELESS, for the following uses and purposes: A. The trustee shall invest the principal of the trust and pay to my son, John W. Hammond, or for his benefit, so much of the income as my trustee in its sole discretion deems appropriate after taking into account my son's other readily available sources of income. B. Trustee, in its sole discretion, may use principal from the trust for the support, maintenance and medical expenses of my son, John W. Hammond, after taking into account his other readily available sources of income. C. This trust shall terminate when my son reaches the age of sixty years at which time all principal and any accumulated income shall be distributed as follows: 1. 25% thereof to my grandson, Colton John Hammond, however, the same shall be held IN SEPARATE TRUST under the same terms as provided above by my trustee Page 2 Co named above until my said grandson reaches the age of twenty-five. In the event my grandson predeceases me or dies during the term of this trust, his share shall be distributed to my son, John W. Hammond, under the terms of subparagraph C 2 herein. 2. 75% thereof to my son, John W. Hammond, provided, however, if my said son predeceases me or dies during the term of this trust, his share shall be distributed to my grandson, Colton John Hammond, under the terms of said paragraph C 1 herein. Should both my said son and grandson predecease me or die during the term of the aforementioned trust, I give and devise the residue of my estate or the principal and accumulated income of the trust as the case may be as follows: 1. One-third thereof to Shippensburg, Pennsylvania, should Bruce Hockersmith BrUce Hockersmith, provided, however, predecease me, or predecease my son, John W. Hammond, as the case may be, his share shall be distributed equally between his wife and children living at the time set for distribution. One-third thereof to Lee Hockersmith, Shippensburg, Pennsylvania, provided, however, should Lee Hockersmith predecease me, or predecease my son, Page 3 John W. Hammond, as the case may be, his share shall be distributed equally between his wife and children living at the time set for distribution. One-third thereof to James B. Hockersmith, Jr., Shippensburg, Pennsylvania, provided, however, should James B. Hockersmith, Jr., predecease me, or predecease my son, John W. Hammond, as the case may be, his share shall be distributed to his sister, Martha H. Cox. FIFTH The interest of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation; and the principal and income shall be paid by the trustee or guardian direct to or for the use of the beneficiary entitled thereto, without regard to any assignment, order, attachment or claim whatever. BIXTH Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions of my will applicable to all property whether principal or income, including property held for minors, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any and all of the assets of my estate, real or personal, without regard to any principle of Page 4 Bo Ce Do Ee diversification of risk. To invest in all forms of property including stock, common trust funds and mortgage investment funds without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification of risk. To sell at public or private sale, to exchange or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. To compromise any claim or controversy. To distribute in cash or in kind or partly in each. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or unregistered. It is my desire that my clothing not be put up for public sale, but may be given by my executor to my family members who can use it, and the balance to charity. EIGHTH I direct that all taxes that may be assessed in consequence Page 5 of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. NINTH I appoint Financial Trust Services Company, with principal offices at 401 East King Street, Shippensburg, Pennsylvania, as executor of this my will. TENTH No bond shall be required of any fiduciary hereunder in any jurisdiction. purpose of IN WITNESS WHEREOF, I hereunto set my hand and seal to this my last will and testament, consisting of seven typewritten pages, the first five of which bear my signature in the margin for the identification this -~2~~ day of , f7. ~-~*~'~/L.~ _/~e ~{ ~ --~ (SEAL) Signed, sealed, published and declared by the above-named testatrix, as and for her last will and testament in our presence, who in her presence, at her request and in the presence of each other have hereunto set our hands as attesting witnesses. ~~. ~? _~~~esiding at Page 6 residing at the ,.,jO~L. ~ ZuLL(NCrE'~ , and testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her last will and that she had signed willingly (or directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix signed the will as witnesses and to the best of their knowledge, the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Testa'trix ,/ Wi~s~ / Subscribed, sworn to and acknowledged before me by the above-named testatrix and subscribed and sworn to before me by the above-named witnesses this 25~ day of A~I~ , 19 47 · Nota~y(~bli~ NOTARIAL SEAL TRINA M. ~CX:)KENS, Notary Pub~ Shil:~emburg Bom, Cumbodar.:l Co., PA ,,, ,~ C..omrr, i~ ~r~ ~,~c~y,,8, 29o0 Page 7 IN THE ESTATE OF EMMA JANE HAMMOND DATE: April 24, 2003 ESTATE NO.: 21-03-321 DATE OF DEATH: March 1, 2003 CLAIM AGAINST DECEDENT'S ESTATE The Claimant certifies that there is due and owing by Emma Jane Hammond, deceased, to Claimant, the sum of $21,483.97 with costs, expenses and interest. On behalf of the Claimant, I do declare and affirm under the penalties of perjury that the c/o O'Brien, Baric & Scherer 17 West South Street Carlisle, Pennsylvania 17013 (717) 249-6873 information and representations made herein are true and correct to the best of my ~knowledge, /"x /! information and belief. Shippensb~g Health C~e Center David A. B~ic, Esquire for Claim~t, O'Brien, B~ic & Scherer 17 West South S~eet C~lisle, Pe~sylv~ia 17013 (717) 249-6873 CERTIFICATE OF SERVICE I hereby certify that on April 24, 2003, I, David A. Baric, Esquire of O'Brien, Baric & Scherer, did serve a copy of the Claim Against Decedent's Estate, by first class U.S. mail, postage prepaid, to the party listed below, as follows: Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, Pennsylvania 17257 David A. Baric, Esquire IN THE COURT OF CO~4ON PLEAS, CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF EMMA J HAMMOND ) ) Register's # 21-3-321 Deceased ) CLAIM To the Clerk of the Orphans' Court Division: Index and make proper entry in your official records of the claim of CI%/BANK(SOUTHDAKOTA)NA in the amount of $6,406.52 against the estate of the above-named decedent. This claim is filed under Section 3532 (b) (2) PEF Code, 20 Pa. C.S. ss. 3532 (b) (2). The said decedent, whose last known residence was at KING ST APT 2 SHIPPENSBURG PA 172571237 36 W Written notice of this claim was given to JOHN W HAMMOND, Executor, 314 S FAYETTE STREET, SHIPPENSBURG, PA 172570000 on May 21, 2003. ( ~la~lT~a ~ ~TM ~ SHAWN HARMER, Manager of Citicorp Credit Services, Inc.,USA under limited power of attomey for CITIBANK ~JO~l~ l~J~'~9~ NA Kansas City, MO 64153 (Claimant's Address) 05/20/2003-256 Acct. #5424180146305682, 5424180467035975 04/11/03 EMMA d HAMMOND PO BOX 638 SHIPPENSBURG 17257-0638000 PA $80.00 SITE:KC-CD CITI CARDS P.O. BOX 8112 S HACKENSACK, 07606-8112 NJ TM:CD-6350 04/25/03 ACID:KCBg070 23:47:02: Citr Platinum Select* Card Account Number 5424 1804 6703 5975 Payment must be recetved by 1:00 pm local ttme on 04/11/200:3 Statement/Closing Date Total Credit Line Available Credit Line 03/19/2003 $2000 Amount Over Credit Line $0.o0 + For Customer $ervk:e, cell or write 1-800-950-5114 Torepor~blllIMerrm~,M'lte BOX 6500 tot~ds.ddre~c-J#rqwm SIOUX FALLS, SD not p4'e~e~ve your rkJhts. 57117 Cash Advance Limit Available Cash Limit N~ ~lance $600 $2 $1~.48--~ Purch/Adv Pest Due Minimum Due Minimum Amo0nt Due $39.00 + S41.00 = $80.00 Seb Date Post Dar, 3/19 3/03 3/03 3/19 3/19 Relerence Number 51752Y00 Activity Sincm Last Statement Standard Purch LATE FEE - FEB PAYMENT PAST DUE 66 0000 KRAUSE PERIODICALS/BOO 800-258-0929 WI 61 AS968US 1065 PURCHASES*FINANCE CHARGE*PERIODIC RATE 84 0000 Standard Adv ADVANCES*FINANCE CHARGE*PERIODIC RATE 84 0000 The Annual Percentage Rate on your account may increase due to one of the following reasons stated in your Card Agreement with us: if you fail to make a payment to us or any other creditor when due, you exceed your credit line or you make a payment to us that is not honored by your bank. Our records show home phone 717-532-5699 and business phone 717-532-5699. Please update above coupon if incorrect. IMPORTANT INFORMATION ABOUT YOUR ACCOUNT Please see the enclosed Notice of Change in Terms to Your Card Agreement for important information regarding your account. IMPORTANT PROGRAM INFORMATION: MasterCard International renewed their insurance coverage with Combined Specialty Insurance Company, extending Purchase Assurance, Extended Warranty and MasterRental through January 31, 2004. Amount 35.00 0000000000 29.98 78536073063 14.06 0000000000 3.38 0000000000 Previous (+) Purchases (-) Payments (+) FINANCE (=) New Account Summary Balance & Advances & Credits CHARGE Balance PURCHASES $1,703.96 $64.98 $0.00 $14.06 $1,783.00 ADVANCES TOTAL $15211.10 $0.00 ~0.00 $3.38 $214.48 ,915.06 $64.98 $0.00 $17.44 $1,997.48 Days This Billln~ Period: 29 RaEe Summary Balance Su~ect to Periodic Nominal ANNUAL Finance Charge Rate APR PERCENTAGE RATE PURCHASES ADVANcEsStandard Purch $1 ,728.28 0.02805%(D) 10 .240% 10.240% Standard Adv $212.73 0.05477%(D) 19.990% 19.990% SEND PAYMENTS TO: PLEASE REFER TO THE REVERSE SIDE OF THE ORIGINAL STATEMENT FOR PAYMENT INFORMATION. Make check or money order payable in U.S. dollars on a U.S. bank to CItl Cards. Include account number on check or money order. No cash please. 164 04/10/03 EMMA J HAMMOND 36 W KING ST APT 2 SHIPPENSBURG 17257-1237000 SITE:KC-CD CITI CARDS P.O. BOX 8111 S HACKENSACK, 07606-8111 PA NJ TM:CD-6350 04/Z5/03 ACID:KCBg070 23:47:02: CitF Platinum Select' Card Account Number 5424 1801 4630 5682 Payment must he recetvecl Ay 1:00 pm local time on 04/10/2003 Statement/Closing Date Total Credit Line Available Credit Line 03/18/2003 $5000 $421 Amount Over Credit Line $0.00 + For Customer Service, cell or write 1-800-950-5114 Torel)ortMIImJ.n'eP,.,Wllte BOX 6500 tothls&d~re~:cadnmjMfl SIOUX FALLS, SD not preserve your rlgl~ 57117 Cash Advance Limit Available Cash Limit N~w B.,~ce Purch/Adv Past Due Minimum Due MinlmumAmount Due $0.00 + $95.00 = $95.00 Sob Date Post Date Reference Number I 3 /18 3/18 3/18 Activity Since Last Statement Amount Standard Purch MEMBERSHIP FEE MAR 03-DEC 03 74 0000 PURCHASES*FINANCE CHARGE*PERIODIC RATE 84 0000 Purch/Adv Thru 01/16/2003 PURCHASES*FINANCE CHARGE*PERIODIC RATE 84 0000 0.00 0000000000 1.07 0000000000 86.01 0000000000 Credit Protector Activation has ended on your account. Your minimum payment is now due. IMPORTANT PROGRAM INFORMATION: MasterCard International renewed their insurance coverage with Combined Specialty Insurance Company, extending Purchase Assurance, Extended Warranty and MasterRental through January 31, 2004. Use your Citibank credit card to rent a car from Hertz and enjoy great savings in the U.S. and around the world! Call 1-800-654-2200 and mention your Citibank Hertz CDP number 160005. Account Summary Previous (+) Purchases (-) Payments (+) FINANCE (=) New Balance & Advances & Credits CHARGE Balance PURCHASES $4,491.46 S0.00 $$00,00~ ADVANCES $0.00 $¢~ $87.08 $4,578.54 TOTAL S4.491.46 $~.00 $~'~008 SO.O0 · $4,578.54 Days This BIIIIn~ Per[od: 29 Rata Summary Balance Subject to Periodic Nominal ANNUAL Finance Charge Rate APR PERCENTAGE RATE PURCHASES Standard Purch $67.47 0.05477%(D) 19.990% 19.990% Purch/Adv thru 01/16/2003 $4,465.89 0.06641%(D) 24.240% 24.240% ADVANCES Standard Adv $0.00 0.05477%(D) 19.990% 19.990% S£NO PAYM£RTS TO: 161 PLEASE REFER TO THE REVERSE SIDE OF THE ORIGINAL STATEMENT FOR PAYMENT INFORMATION. Make ch~k or money o~er payable in U.S. dollars on a U.S. bank to CItl Cards. Include ~count numar on check or money order. No cash please. WWR#03010818 FORM 93-O.C. DIVISION IN THE COURT OF COMMON PLEAS of CUMBERLAND, COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE:ESTATE OF No.21-03-321 of Emma J. Hammond Deceased Goods and services purchased on Visa Bank of America N.A. Account No. 319041008210397 CLAIM To the Clerk of Orphans' Court Division: Index and make proper entry in your official records of the claim of Bank of America N.A. c/o Weltman, Weinberg & Reis Co., L.P.A., 323 West Lakeside Avenue, Suite #200, Cleveland, Ohio 44113-1099 (Claimant) in the amount of $3,617.75 against the estate of the above named decedent. This claim is filed under Section 3532 (b) (2) of the Probate, Estates and Fiduciaries Code. The said decedent, who resided at P.O. Box 638 Shippensburg, PA 17257 , died on March 01 (Address) 200_~_3. Written notice of this claim was given to John W. Hammond, Fiduciary and Hamilton C. Davis, Esquire 314 S. Fayette Shippensburg, PA 17257 and P.O. Box 040 Shippensburg, PA 17257 on [ \ ~ -- ~ £Personal representative, if any, or counsel) Traci L. Soos, Agent for the Claimant c/o Weltman, Weinberg, & Reis Co., L.P.A. 323 W. Lakeside Ave., Suite200 Cleveland, Ohio 44113 (Claimant's Address) July 22, 2003 WELTMAN, '~VEIN'BERG & REIS CO., L.P.A. ATTORNEYS AT LAW 323 W. Lakeside Avenue, Suite 200 Cleveland, Ohio 44113-1099 216.685.1000 www.weltman.com CINCINNATI, OH 513.723.2200 COLUMBUS, OH 614.228.7272 DETROIT, Ml 248.362.6100 MOUNT HOLLY, NJ 609.914.0437 PHILADELPHIA, PA 215.599.1500 PITTSBURGH, PA 412.434.7955 ./ Register Of Wills One Courthouse Square Carlisle, PA 17013 Re: Estate of Emma J. Hammond Case No. 21-03-321 Our Client: Bank of America N.A. Account No. 4319041008210397 Balance Due: $3,617.75 together with interest at the rate of 10.00% per annum from July 23, 2003 Our File No. 03010818 Dear Clerk of Courts: This law firm represents Bank of America N.A. in connection with its claim which we wish to file on our client's behalf into the estate of Emma J. Hammond, deceased. Enclosed is our check in the amount of $5.00 which we understand is the filing fee for this claim. Our client's claim is based upon its account number 4319041008210397 in the amount of $3,617.75 plus interest which continues to accrue. Included with this letter is the claim form which we wish to present to this court and which we are forwarding to the attorney and/or fiduciary of this estate. It would be appreciated if all correspondence and disbursements with respect to this matter be forwarded to our office and to the attention of the undersigned. Additionally, it would be appreciated if any notices of any hearings also be forwarded to the undersigned. Thank you for your cooperation in this matter. Legal Assistant (216) 685-1022 TLGiar Enclosures cc: John W. Hammond, Fiduciary Hamilton C. Davis, Esquire CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Emma Jane Hammond Date of Death: March 1, 2003 Will No.: 2003-00321 To the Register: PA 21-03-0321 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Date: 07/17/2003 Name: Hamilton C. Davis, Esq. Address: P.O. Box 40 Shippensburg, PA 17257 Telephone: 717-532-5713 Capacity: personal representative X counsel for personal representative NalTle John W. Hammond, Address 314 South Fayette Street, Shippensburg, PA 17257 I certify that notice of (beneficial interes0 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 July ! 7, 2003 · IN RE: ESTATE OF EMMA JANE HAMMOND IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS COURT DIVISION ESTATE NO. 21-03-321 PRAECIPE TO SATISFY Kindly mark the estate claim filed in above-captioned estate as having been satisfied. Respectfully submitted, David A. Baric, Esquire I.D. 44853 17 West South Street Carlisle, Pennsylvania 17013 (717) 249-6873 dab.dir/shcc/hammond/estate.pra ~ .CERTIFICATE OF SERVICE I hereby certify that on January .../-~ , 2004, I, David A. Baric, Esquire of O'Brien, Baric t & Scherer, did serve a copy of the Praecipe To Satisfy, by first class U.S. mail, postage prepaid, to the party listed below, as follows: Hamilton Davis, Esquire 20 East Burd Street, Suite 6 P.O. Box 40 Shippensburg, Pennsylvania 17257 David A. Baric, Esquire STATUS REPORT UNDER RULE 6.12 Name of Decedent: Emma Jane Hammond Date of Death: 03/01/2003 Estate No. 2003-00321 Pursuant to Rille 6.12 of the Supreme Court Orphans' Court Rilles, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes _ No-X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Jilly 2005 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: None c. Did the personal representative state an account informally to the partiesininterest? Yes~ No_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk ofthe Orphans' court and may be attached to this report. ~L (i ~- Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, PA 17257 (717) 532-5713 '_",n ~fql05 / / Datei:, Capacity: _ Personal Representative XX Counsel for Personal Representative J Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 DAVIS HAMILTON C POBOX 040 SHIPPENSBURG, PA 17257-0040 RE: Estate of HAMMOND EMMA JANE File Number: 2003-00321 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: 3/01/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~L~A}~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge ~ D L>- ~ 1- 63-3J \ JOHN DEERE CREDIT John Deere Credit 6400 NW 86'" Street, P, O. Box 6600 Johnston, Iowa 50131-6600 VIA REGULAR US MAIL DELIVERY 4/7/2005 Clerk of Court Probate Division One Courthouse Square Carlisle, PA 17013 RE: In the Matter of the Estate of Emma Jane Hammond, Case No. 2003-321 Dear Clerk: Enclosed is a Statement of Claim and 1 copy for filing in the above matter. Please return a file stamped copy to me in the enclosed envelope. Please contact me if you have any questions or require further information. Thank you. Sincerely, ~~ ~~e- Probate Team 800-275-5322 ex!. 74102 Fax: 888-543-6297 E-mail: JDCProbateDept@JohnDeere.com Enclosure c: Hamilton Davis, Attorney c: John Hammond, Personal Representative 1',': r,) : il (,,") .) IN THE MATTER OF THE ESTATE OF EMMA JANE HAMMOND, DECEASED Case No. 2003-321 STATEMENT OF CLAIM The undersigned hereby presents for filing against the above estate this statement of claim and alleges: ]. The basis for the claim is a retail installment contract - security agreement between Emma Jane Hammond and Deere & Company, and more particularly described as follows: a. Loan # 176349770AA 05 R, Retail Installment Contract including description of collateral and product identification number attached hereto as Exhibit A, with an outstanding balance of$7,176.42 plus interest at the rate of9.9%, Statement of Account attached hereto as A-I; 2. The tax identification number of the claimant is 36-2382580, and the name and address of the claimant are Deere & Company, 6400 NW 86th Street, Johnston, Iowa 50131. 3. The claim is not contingent or unliquidated. 4. The claim is due and unpaid and there are no offsets or counterclaims thereto. Under penalty of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on 4t~;11 ttfJ' ,2005. ~~O!o<< Claimant Barbara Birchmier, Processing Coordinator Deere & Company 6400 NW 86th Street Johnston, Iowa 5013 1 (515) 267-3438 ~ STATE OF IOWA ) ) SS. COUNTY OF POLK ) On this ?tIi day of , 2005, before me, a Notary Public in and for the State ofIowa, personally appeare Barbara Birchmier, to me known to be the person named in and who executed the foregoing instrument, and acknowledged that she executed the same as her voluntary act and deed. g D~ ~"."". PEGGY A PALMER o ~ J... ~ Commission Number 727479 ~ e . My CommiSSion Expires . March 19. 2007 PROOF OF SERVICE A copy of the foregoing was sent by certified mail, retllm receipt requested, to John Hammond, Personal Representative, Po Box 638, Shippensburg, Pa 17257 and Hamilton Davis, Attorney, 20 E Burd St, Shippensburg, Pa 17257, this ~ day of~L 2005. ~4" ~~:t' Barbara Birchmier, Claimant a-a:' .' . 4',t~/ /l FIXED RATE CONTRACT JOHN DEERE CREDIT Lawn & Grounds Care Equipment RTN9009RA9 (02-02) RETAIL INSTALLMENT CONTRACT. LIEN CONTRACT. SECURITY AGREEMENT Date Contract Printed: 8110/02 Contract No: t 76-34-9770 DVJ ~ SELLER'S NAME AND ADDRESS STONEHAM'S, INC. 5890 BUCHANAN TRAIL E. WAYNESBORO, PA 17268 DEAlER NUMBER PHONE HUMBER DATE ACCEPTEO BV OI;I:RE & COMPANY forOfl"ICBUseOnty 05-4277 717-762-3614 PHYSICAL DAMAGE INSURANCE REQUIRED: (See Provisions Below) The Insurance provided hereunder does not include liability insurance coverage for bodily Injury or property damage caused to others. If I desire liability insurance coverage, I should obtain such coverage from an agent of my choice. INSURANce DISCLOSURES: Illndarstand I may obtain Physical Dama.." InalJranee from NO. Pyml:> PREMIUM IwanlPhyslc:aIOarrnlgelnau.ano;;t(Sign",rhi,w) anyone I want that is acceptable to you, If I get this insuml1C(l ttvough you. I will pay lhe premIum shown 81 right. No Insur.lrlce will be provided unle$S I sign OIl the right and lhe premio.;m is shown. X Credit Life Inauranc. is not required to obtain credit and will not be provided unless I sign al NO. Pyml$, PREMIUM I wanlCr,artl,.lf,lnauranc:,CS)gnin lIlisbOxJ the righl and lhe premium is shown, The pol~ applies to the first named Debtor only. X "'. BUYER'S NAME AND ADDRESS EMMA JANE H~tMOND DEBTOR'S SOC. SEC. NUMBER DEBTOR'S PHONE NO I TYPE OF BUSINESS 36WKINGST z..... 176-34-9770 717-532-5699 Individual SHIPPENSBURG, PA 17257 DEBTOR RESIDES IN (Counly I Slale) BUYEK (OE6TOR) AGREES TO KEEP GOODS IN (CQunly, Slate) CUMBERLAND, PA CUMBERLAND, PA ~AME AN IGNINl> 01' I , I'll\iol'l or Llmiled Liabllty,-^,mpeny CO-BUYEF?'S NAME AND ADDRESS CO-DEBTOR'SS5N CO-DEBTOR'S PHONE NO. ffJJ~;;~jl~ il11~~2 :~~:~~~ THE TERMS OF THIS CONTRACT ARE CONTAINED ON MORE THAN ONE PAGE Document Number: 50289958 RTN9009RA98110/02 1 D Original Copy (JOC) D Dealer Copy D Customer Copy D Branch Copy Equipment Type: L PAGE 1 OF 7 tb3 ~ 3,;; '?_ (y,,',6..:>.-~, ........ S-3 7<<1F-..3';~ P.ROr.tUSt: TO PAY INSTALLMENTS: I agree that I have examined and received the Goods and/or Services whose price is shown below, I promise to ;pa)l the TOTAL OF PAYMENTS (Line 8 below) in installments as shown below. Having been quoted both a time price and a lesser cash price, I have chosen to pay you the time price for the Goods described below, You can inspect the Goods at any reasonable time, This sale is not contingent on further financing, Unless I otherwise certify below, this is a consumer credit transaction and the Goods will be I..Jsed primarily for personal, lamHy or household purposes. Each person who signs this contract agrees jointly and severally to abide by its terms. Tt1is means I must make required payments even if someone else sjgned it, jf you release any other person, release any security, waive any rights under this contract, extend new credit or renew this contract. TRADE~IN: Buyer represents that any trade-in property is free and clear of all security agreements, liens and encumbrances. PARTIES: Except with respect to the NOTICE TO BUYER below, In this agreement the words "J", "we","me", and "my' mean the persons, whether one or more, who sign it as "Debtor(s)" (who is also known as "Buyer(st). The words "you" and "your" refer to the SeUer (who is also known as "Secured Party") or CO anyone the Seller assigns this agreement to, and will mean Deere & Company jf it purchases this agreement. The Seller identified above is making the disclosures contained in this agreement. EQUIPMENT PURCHASED NEWI 0'" USED MFR MODEL GOODS tEquJpmIlllI) PRODUCT 10 NO AMOUNT I New JD 4010 TRACTOR LV401OH1l03Z2 59,699.00 I New JD 60" MOWER TC4020XOlOI24 52,000.00 I New JD 410 LOADER W00410X015314 51,900.00 TRADE-IN and CASH DOWN PA YMENT Qry. "-lFR. MODEL DESCRIPTION OF TRADE-IN (From Purchase Ord.r) I>ROOUCT 10 NO I\MOUNT 50.00 Allowance: 50.00 Payoff Amount: $0.00 Lien Holder: Payoff Account: I pohn Deere Credh to make ra)'orr: No Phone Number: TOTAL TRADE.IN $0.00 CASH DOWN PA'tMENT 53,000.00 TOTA.L TRAD~.IN PLUS CASH OOWN 53,000.00 THE TERMS OF THIS CONTRACT ARE CONTAINED ON MORE THAN ONE PAGE Document NumbQr. 50289958 RTN9009RA98/10/02 , o Original Copy (JoC) o Dealer Copy o Customer Copy o Branch Copy Equipment Type: L PAGE 2 OF 7 CONTRACT INSTALLMENTS ITEMIZA nON OF AMOUNT FINANCED OATEFIN.-.NCE SALES TAX (Paid to Gov!. Agencies) $0.00 CHARGE BEGINS CASH PRICE (Including TalC) , <1' <09.00 August ill,. 2002 TOTAL DOWN PAYMeNT 2 53,000.00 II (Sum of Trade-In & Cash Oown Payment) . nless otherwise provided below payments are due each successive month on UNPAID BALANCE OF CASH PRICE 3 $10,599.00 the same day of the month as the first payment (The amount Cledited 10 my account with you). INSURANCE (Credll Life ilnd/or Physical Damilge Pilid to 4 $0.00 Insurance Companies). NUMBER OF AMOUNT OF FIRST PAYMENT DOCUMENTATION FEES A PAYMENTS EACHPAVMENT OIlEDATE OFFICIAL FEES (Paid 10 Publit Officials) 5 50.00 i:Iil AMOUNT FINANCED (lines 3, 4 & 5). 60 $224.67 Scptembcr-tG., 2002 , 5]0,599.00 MomhlyThert:.llller The amounl of tredil provided to me. FINANCE CHARGE (Bilsedon l>ne6)Thedollar 7 $2,881.20 am<:ll,lnt the credit will cost me TOTAL OF PAYMENTS (Unes 6 & 7) The amount I will pay if 8 $13,480.20 I make all payments as scheduled. ANNUAL PERCENTAGE RATE 9,90% (The cost 01 my credit as a yearly rate). TOTAL SALE PRICE (Lines 1,4, 5& 7). The total price of my purchase Oil credil, includirlg my Down $16,480.20 Payment oj $3.000.00 SECURITY INTEREST: I give you a security interesl in the Goods being purchased. LATE CHARGES: If this is a consumer credit transaction, I promise to pay a late charge on each installment which is not paid within 10 days (15 days in Mississippi and Nebraska) from the date itis due. This charge will be 5% of the unpaid amount of the installment, or $5.00, whichever is less. However, if this agreement was signed in one of the following states, the later charge will be as follows: (The percentage stated is based on the unpaid amount of the installment.) Arizona, Missouri, Montana, $10.00, Delaware 5% or $15.00, whichever is less: Alaska, Arkansas, Florida, Illinois, Kentucky, Maryland. Michigan. Nevada, New York, Ohio, Oregon, Vermont and Virginia, 5%; Mississippi, 4%; Nebraska, 5% or $25.00, whichever is less; North Dakota, 10% or $10.00, whichever is less. PREPAYMENT REFUND I may prepay the fuil outstanding balance due under this agreement at any time before my payments are due and will get a refund of any unearned finance charge. ADDITIONAL CONTRACT INFORMATION: See ail of the pages of this agreement for additional information regarding non-payment, default, the right to demand immediate payment, and prepayment refunds. SECURITY AGREEMENT: To secure the obligation evidenced by this contract and any other obligation that I may owe 10 Seller, I grant Seller a Security Interest in the Goods described above (which term includes items, if any, listed as "security" or "additional security") and all parts and accessories now or hereafter incorporated in or on such Goods by way of addition, accession or replacement. I also grant to you a Security Interest in any proceeds, including any refunds of insurance premiums financed hereunder and in any insurance proceeds payable because of any loss or damage to the Goods financed hereunder. If this agreement is not a consumer credit agreement, I acknowledge that all security granted on any other agreement between myself and Seller shall also secure the obligation described in this agreement. APPLICATION OF MY PAYMENTS AND PROCEEDS: To the extent permitted by law, any money you get from me, as well as any insurance proceeds, proceeds of disposition of the Goods and returned insurance premiums may be applied, at your choice, to what I owe under this agreement or to any other debt I owe you or one of your affiliates, in spite of any instructions I may send you. Also, they may be applied to finance charges before the unpaid balance of the Amount Financed and, jf permitted by law, to late charges, charges for dishonored checks and past due interest before installments. If any proceeds from the sale of the Goods or insurance are applied to the debt, I remain liable to make each periodic payment described in the contract until it is paid in full. You can accept payments marked "paid in full" or with other restrictive endorsements without losing any of your rights under this Agreement. THE TERMS OF THIS CONTRACT ARE CONTAINED ON MORE THAN ONE PAGE Documenl Nl,lmt>er: 50289958 o Original Copy (JDC) o Dealer Copy o Customer Copy o Branch Copy EQuipmenl Type: l PAGE 3 OF 7 RTN9009RA9 6/10/02 1 ,LATE CHARGES: If this is a commercial credit transaction, I promise to pay a late charge on each installment which is not paid in full within 10 days (15 days in Mississippi and Nebraska) from the date it is due. That charge will accrue after maturity of the instailment at a rate of 20% per annum. However, if this agreement was signed in one of the following states, the late charge will be as follows: Delaware, 5% or $15.00, whichever is less; Mississippi, 4%; Montana, $10.00, Arizona or Nebraska 5%; North Dakota, 15% or $15.00, whichever is Jess; and Virginia, 5%: and interest will c::.ccrue on any balance remaining unpaid after the final scheduled payment due date at the Annual Percentage Rate, or any lessor rate required by applicable law. EARLY OR LATE PAYMENTS: If I make payments earlier or later than the scheduled payment due date, the actual finance charge earned will be different than shown above. LATE CHARGES: If this is a consumer credit transaction, I promise to pay a late charge on each installment which is not paid within 10 days (15 days in M[ssissippi and Nebraska) from the date it is due. This charge will be 5% of the unpaid amount of the installment, or $5.00, whichever is less. However, if this agreement was signed in one of the following states, the later charge will be as follows: (The percentage stated is based on the unpaid amount of the installment.) Arizona, Missouri, Montana, $10.00, Delaware 5% or $15.00, whichever is less; Alaska, Arkansas, Florida, Illinois, Kentucky, Maryland, Michigan, Nevada, New York, Ohio, Oregon, Vermont and Virginia, 5%; Mississippi, 4%; Nebraska, 5% or $25.00, whichever is iess; North Dakota, 10% or $10.00, whichever is less. PREPAYMENT REFUND I may prepay the full outstanding balance due under this agreement at any time before my payments are due and will get a refund of any unearned finance charge. Interest will accrue on any balance remaining unpaid after the final scheduled payment due date at the Annual Percentage Rate, or any lessor rate required by applicable law. If this is a commercial credit transaction, I promise to pay a [ate charge on each installment which is not paid in full within 10 days (15 days in Mississippi and Nebraska) from the date it is due. That charge will accrue after maturity of the installment at a rate of 20% per annum. However, if this agreement was signed in one of the fOllowing states, the late charge will be as follows: Delaware, 5% or $15.00, whichever is less: Mississippi, 4%: Montana, $10.00, Arizona or Nebraska 5%; North Dakota, 15% or $15.00, whichever is less; and Virginia, 5%; and interest will accrue on any balance remaining unpaid after the final scheduled payment due date at the Annual Percentage Rate, or any lessor rate required by applicable law. CHARGE FOR DISHONORED CHECKS: In the event payment is made by a check which is dishonored, I agree to pay you a fee as fOllOws: $25.00 if this agreement was signed in Alaska, Florida or Michigan: $20,00 if this agreement was signed in Arkansas, Nevada, New York; $15.00 if this agreement was signed in Maryland, Nebraska or Missouri; and $10.00 if this agreement was signed in Arizona. Also, if this is a commercial credit transaction, that fee will be $20:00 if this agreement was signed in Kentucky, Massachusetts, New Mexico, North Dakota, Ohio, Oregon or Pennsylvania. DEFAULT: I will be in default under this agreement (a) if I do not pay an installment on this or any other agreement I have with you on time; (b) if I try to sell, rent, transfer or give somebody else an interest in the Goods; (c) if I abandon the Goods; (d) if I move my residence to a different County or State or otherwise remove the Goods for a period of more than 90 days from the County or State where I have agreed to keep them without giving you written notice in advance; (e) if I start or have started against me a court proceeding under any bankruptcy or insolvency law; (f) if I make an assignment for the benefit of creditors; (g) if I do not pay any taxes on the Goods; (h) if any attachment, execution, written or other legal process is levied against any of my property; (i) if I become unable to pay by reason of death or incompetency: U) if I fail to perform any of my promises or other obligations under this agreement: (k) if I fail at any time to keep the Goods properly insured as described below; (I) if I fail to maintain the Goods in good condition and repair and permit their value to be impaired; (m) if I permit the Goods to be used in violation of any law, regulation or policy of insurance; (n) if any warranty, representation or statement is made to you in connection with this agreement which is false in any material respect when made; or (0) if any legal entity (such as a partnership or a corporation) that has agreed to pay this agreement ceases to do business, changes its name or identity, dissolves, liquidates its assets, changes its principal place of business or registered agent to another state or county or terminates or fails to maintain its corporate existence. If any of these things happen, you may, after providing me with any notices required by law, demand payment of the balance due, minus the unearned finance charge figured by the actuarial method, without presentment or demand. You will also have the right to take possession of the Goods and render them unusabie. In addition, I agree to assemble the Goods at a location designated by you and to pay all reasonable costs and expenses of collection (including court costs and reasonable attorney fees, and bankruptcy fees and costs, to the extent permitted by applicable law) if you have to sue me or do anything else to enforce your rights under this agreement. This includes any reasonable costs and expenses you have in peacefully taking and selling the Goods in which I have given you a security interest or in coUecting any money I owe you. In no case will the costs and expenses referred to in this section be more than those allowed by law. Interest after judgment shall be computed at the Annua[ Percentage Rate, or such lessor rate required by law. THE TERMS OF THIS CONTRACT ARE CONTAINED ON MORE THAN ONE PAGE Document Number: S021l99S8 RTN9009RA9 B/10f02 1 o Original Copy (JDC) o Dealer Copy o Customer Copy o Branch Copy Equipment Type: L PAGE 4 OF 7 If you-taKe possession of the Goods after I default, it shall be commercially reasonable for you to sell the Goods at a private sale: (i) at wholesale to a dealer in used goods of like kind; or (ii) at retail to a purchaser directly or through a dealer in such used goods, or (Hi) to any John Deere dealer or comparable seller of equipment through anyon-line or in person auction, such action shall constitute a commercially reasonable sale. I acknowledge that you may, instead of selling the security, lease or rent the security and such action shall be commercially reasonable so long as you apply the proceeds of such lease or rental to the indebtedness either as such payments are received, or based upon a present value of the scheduled payments. The enumeration of the forgoing methods described in this paragraph are without limitation to Seller's right to dispose of the Goods by any manner or method (whether by sale, lease or otherwise) in a commercially reasonable manner. You also have the right to take possession of the Goods or to render the Goods unusable. A 10-day notice of sale mailed to you at your address as shown on our records shalt be considered reasonable notice, unless otherwise specified by applicable law. PREPAYMENT REFUNDS: Any such refund (as described above on this agreement) will be figured by use of the actuarial method - a commonly used formula for figuring refunds on the early payment of installment sales contracts. RISK OF LOSS AND OTHER AGREEMENTS: I will bear the risk of loss or damage to the Goods and my debt to you will not be reduced if the Goods are lost or damaged. However, if the Seller is located in New York, my obligation to you will be limited to the fair market value of the Goods, plus any amounts then past due, in the event of a total loss due to theft, confiscation or physical damage. LOSS OF YOUR RIGHTS: You will not lose any rights you have if you accept late or partial payments or delay enforcing your rights under this agreement. FINANCING STATEMENT: To the extent permitted by law, I agree that a financing statement which describes either the security interest contained in this Contract or a financing statement which references all equipment currently or in the future financed by Seller or its assigns, may be filed in the appropriate governmental office without my signature. CHANGE OF LOCATION: I agree that I will notify you whenever I change my state of location, as such term is used in Section 9~307 of the Uniform Commercial Code. CARBON OR FAX SIGNATURE: A carbon paper or facsimile transmission copy of my signature or an electronic signature shall constitute an original signature under applicable law for all purposes, including making a financing statement or other document describing the Goods enforceable. PARTS PROHIBITED BY LAW: If any part of this agreement is prohibited by law, it shall not be effective, it shall not be considered to be a part of this agreement, and it shall not make any other part of this agreement invalid. ERROR CORRECTION: You may correct obvious or clerical errors on this agreement or on any purchase order or financing statement that I give you. CONSENT TO RECORD CALLS: I Consent and agree that my telephone conversations with you may be monitored and recorded to further improve your customer service. CREDIT BALANCES: You will retain any credit balance if it is less than $1 or if you do not know my address and It cannot be traced through the last address or telephone number provided to you. CREDIT REPORTING: I agree that Seller, its assignee, and any of the assignee's affiliates may exchange credit reports and other personal, credit and financial information about me for the purposes of providing customer service, considering my eligibility for other products and services offered by them or by others and to enforce my obligations to them. PHYSICAL DAMAGE INSURANCE PROVISIONS: I understand and agree that, except to the extent this agreement is for service, I must at all times provide physical damage insurance for the full insurable value of the Goods against all risk of loss or damage with Deere & Company named as loss payee. t may choose the person through whom I obtain this insurance, I understand that at my option, I may meet this requirement by having you purchase such insurance. If an amount is included of Physical Damage Insurance in line 4 of this agreement, it will be my election to do this, but such insurance will not be purchased by you if you do not accept this contract. If an amount for PHYSICAL DAMAGE INSURANCE is not included in line 4 of this agreement, I promise, at my expense, to purchase "all risk" physical damage insurance for the full insurable value of the Goods and to keep it in full force and effect until my debt to you is completely paid. Such insurance shall provide that losses will be payable to you and me, as our interests may appear. It shall also provide that the insurance may not be canceled by me without your consent or by the insurer without at least 10 days advance written notice to you. I promise to deliver such paid-up policy to you or to furnish other evidence of paid.up insurance satisfactory to you within 15 days of the date of this contract. I agree to notify you immediately if physical damage insurance on the Goods is cancelled or not renewed. If the physical damage insurance purchased by me is canceled before a satisfactory replacement policy purchased by me is furnished to you, or if I fail to deliver to you a satisfactory renewal policy or other satisfactory evidence of paid-up renewal insurance at least 30 days before the renewal date, or if I otherwise fail to maintain insurance as required in this agreement, you may (but are not required to) purchase similar insurance. I agree to pay the cost of such insurance at the time you demand payment, together with interest at the rale shown on the front of this agreement as the ANNUAL PERCENTAGE RATE until paid, or to have such cost added to my installment payments, at your sole discretion. I understand and agree that insurance you purchase may cost more than insurance I could purchase, and that Insurance you purchase may contain coverages different from ones I might purchase. If you have purchased insurance and I fail to pay the final installment due under this agreement, you may (but are not required to) purchase such insurance for the period of time from the due date of the final installment until the final installment is completely paid by me. I agree to pay the cost of this additional insurt=lnce at the time of the final installment. together with interest at the rate shown on the front of this agreement as the ANNUAL PERCENTAGE RATE shown in the contract until paid. THE TERMS OF THIS CONTRACT ARE CONTAINED ON MORE THAN ONE PAGE Oocumenl Number. 50289958 RTN9009RA98/10102 1 o Original Copy (JDC) o Dealer Copy o Customer Copy o Branch Copy Equipment Type: l PAGE 50F 7 Purctfase of physical damage insurance by you will not be a waiver of any rights you may have if I default. If I default, I give you permission to cancel the physical damage insurance on the Goods and, if allowed by law, to apply any refunds or returned premiums first to my debt to you, with any excess returned to me. All proceeds from any loss payable under physical damage insurance on the Goods will be applied toward my debt to you or replacement of the Goods, at your sole discretion. If you purchase physical damage insurance for me under this agreement. I understand that 1 will be furnished a certificate which describes the insurance. Such insurance will terminate if my debt to you is discharged, or if your security interest in the Goods terminates, or if I default and you cancel the insurance, or if any of the Goods is repossessed, of if the Floater Policy under which you purchase the insurance terminates. Any refunds or return premiums will, to the extent allowed by law, be applied first to my debt to you, with any excess returned to me. iF THIS IS A COMMERCIAL CREDIT TRANSACTION. THE FOLLOWING NOTICE DOES NOT APPLY: NOTICE: ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS HEREOF. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER. STATE LAW APPLYING: The construction and validity of this agreement shall be controlled by the law of the state ofthe Seller's place of business, as Indicated on the front of this agreement, and the validity of the SecurIty Interest shall be controlled by the law of the state where the Goods are to be kept and used. If the Seller's palce of business is In Maryland, Subtitle 10 of Title 12 of the Maryland Commercial law will apply If this Is a consumer credit transaction. COMMERCIAL PURPOSE AFFIDAVIT: l!We being first duly sworn, affirm and represenllo Seller and its assignees that this is a commercial credit transaction, as the Goods listed above will be used by the undersigned in his/her/its business primarily for commercial purposes and will not be used primarily for personal, family, or household use. x x (OaleSignlld) (OaleSlgned) NOTICE TO BUYER: 1. DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF IT CONTAINS BLANK SPACES. 2. YOU ARE ENTITLED TO AN EXACT AND COMPLETELY FILLED IN COPY OF THIS CONTRACT WHEN YOU SIGN IT. KEEP IT TO PROTECT YOUR LEGAL RIGHTS. 3. UNDER THE LAW, YOU HAVE THE RIGHT TO PAY OFF IN ADVANCE THE FULL AMOUNT DUE UNDER THIS AGREEMENT WITHOUT PENALTY AND UNDER CERTAIN CONDITIONS TO OBTAIN A PARTIAL REFUND OF THE FINANCE CHARGE. 4. ACCORDING TO THE LAW, YOU HAVE THE PRIVILEGE OF PURCHASING THE INSURANCE ON THE GOODS PROVIDED FOR IN THIS CONTRACT FROM AN AGENT OR BROKER OF YOUR OWN SELECTION. 5. YOU ALSO HAVE THE RIGHT TO REDEEM THE GOODS IF REPOSSESSED FOR A DEFAULT WITHIN THE TIME PERIOD PROVIDED BY LAW AND TO REQUIRE, UNDER CERTAIN CONDITIONS, A RESALE OF THE PROPERTY IF REPOSSESSED. 6. IF YOU DESIRE TO PAY OFF IN ADVANCE THE TOTAL AMOUNT DUE, THE AMOUNT OF THE REFUND YOU ARE ENTITLED TO, IF ANY, AND A STATEMENT SHOWING HOW IT WAS COMPUTED, WILL BE FURNISHED UPON REQUEST. The Seller retaIns a security Interest in the subject matter ofthis agreement. I agree that the provision on this form are part of my agreement with you and are also binding on me. I agree that I have received a completely filled In copy of this agreement. RETAIL INSTALLMENT CONTRACT THE TERMS OF THIS CONTRACT ARE CONTAINED ON MORE THAN ONE PAGE Document Number: 50289958 RTN9009RA98110102 1 o Original Copy (JOC) o Dealer Copy o Customer Copy o Branch Copy Equipment Type: L PAGE 6 OF 7 :~tfrf ;;J /~'A,f DATE AGREEMENT SIGNED: tj-/O -cJ 2--- '0", '"""" IJ!r1,;- 5/-vn -eA a~ r. J By ;;:;t~ ~eller'SSignalu'e) (OateSillned) lese er Inten 5 to sell this contract to eere ompany, 6402 Excelsior Drive, Madison, Wisconsin 53717) which, if it buys the contract will become the owner of the contract and your creditor. After the sale of this contract, all questions concerning either terms of the contract or payments should be directed to the buyer of the contract at the address indicated above. If this contract is assigned to John Deere, the following form of assignment will be used. ASSIGNMENT TO: DEERE & COMPANY ("DEERE") To induce DEERE to accept this instrument, the undersigned Dealership (DEALER) hereby warrants: that this instrument is genuine; that the debtor is of legal age necessary to enter into this contract: that this contract and other documents submitted herewith accurately reflect the transaction with respect to the selling price, down payment, trade~in, trade-in allowance and other items shown hereon; that DEALER has not knowingly misrepresented any information respecting this contract or the transaction, and knows of no misstatements or untruths in any financial or other information furnished by the debtor; that all entries appearing hereon at the time of submission to DEERE were filled in before it was signed (and if corrected after it was signed, that the corrected information was transmitted to the debtor); that the debtor has been furnished a copy of it; that title to this instrument and the property covered hereby (including any equipment taken in trade as part of the transaction) is in DEALER free of any liens or encumbrances except such liens as DEERE might have; that DEALER has the right to transfer the same; that there is no defense, offset, or counterclaim to this instrument. or claim assertable against holder of this instrument; that no part of the down payment was advanced by DEALER; and that DEALER has an established cash price, a portion of DEALER'S sales is for cash at such established cash price, and the price for merchandise purchased in an installment sale is the same a5 the established cash price. For value received, DEALER hereby negotiates, sells and transfers this instrument to DEERE, its successors and assigns under the terms and conditions of the applicable Finance Agreement now In effect between DEALER and DEERE, together with the property covered hereby. This instrument is not an assignment of any DEALER'S obligations 10 the purchaser of the goods. DEALER authorizes DEERE, its successors or assigns to do every act or thing necessary to collect and discharge same. If any of the foregoing warranties is untrue, DEALER will purchase this instrument from DEERE upon demand and will pay not less than the unpaid balance owing hereon including any accrued interest, earned finance charge, and earned insurance premiums, plus all costs and expenses paid or incurred by DEERE in respect hereto. Such remedy shall be cumulative and not exclusive and shall not affect any other right or remedy that DEERE might have at law or equity against DEALER. DEERE is hereby authorized to correct patent or clerical errors in this instrument and all other papers executed, endorsed or signed in connection herewith. Date: ~ytJ7 Dealer: 7fC/7-8{ Jr-r $ SignedBY:~4~~~ 1)h ~~cC . fij'f:rJ 7 -Y~h &;:;~~02'! . ByU. S. I'. 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As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 3/01/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ,.h_, V ,14-: .L..-.Il ~:::UL IJG!/VitU..J Ji;;a&Ml~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge STATUS REPORT UNDER RULE 6.12 Name of Decedent: Emma Jane Hammond Date of Death: 03/0 1/2003 Estate No. 2003-00321 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes _ No-X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: September 2006. 3. If the answer to NO.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No_ b. The separate Orphans' Court No. (if any) for the personal representative's account is: None c. Did the personal representative state an account informally to the parties in interest? Yes_ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. :l f f J.' /~? .~'/ ~ ') /; ,-.(1. ". /:ic<~".;.."'-/;;'~t1 (J. ~.......- Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, PA 17257 (717) 532-5713 Date: ~-h/o ip c::;, I / Capacity: _ Personal Representative XX Counsel for Personal Representative ~. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/20/2007 DAVIS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE: Estate of HAMMOND EMMA JANE File Number: 2003-00321 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 3/01/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) J Cumberland County - Register Of Wills One Courthouse Square Carlislel PA 17013 Phone: (717) 240-6345 Date: 2/20/2007 HAMMOND JOHN W 314 SOUTH FAYETTE STREET SHIPPENSBURGI PA 17257 RE: Estate of HAMMOND EMMA JANE File Number: 2003-00321 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 3/01/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report I please disregard this notice. SincerelYI ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel ~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Emma Jane Hammond Date of Death: 03/01/2003 Estate No. 2003-00321 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes _ No-X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: December 2007. 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No_ b. The separate Orphans' Court No. (if any) for the personal representative's account is: None c. Did the personal representative state an account informally to the parties in interest? Yes_ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. ... J . 7hJL ~ ~ " Date: JI/ /07 I I r'"") Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, P A 17257 (717) 532-5713 co E~~ _ C)=:-:, ~ C) Capacity: _ Personal Representative XX Counsel for Personal Representative C' l.."-..,; \ S{- STATUS REPORT UNDER RULE 6.12 Name of Decedent: Emma Jane Hammond Date of Death: 03/01/2003 Estate No. 2003-00321 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes _ No-.X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: June 2008. 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes_ No_. b. The separate Orphans' Court No. (if any) for the personal representative's account is: None c. Did the personal representative state an account informally to the parties in interest? Yes_ No_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. ~!! J1~ Hamilton C. Davis, Esquire P.O. Box 40 Shippensburg, P A 17257 (717) 532-5713 Date: II/clit/01 ( , Va , ....'..::.!f/f"\ luro~ ,. .,.""".110 .LOI) IJ SNIfH&lQ -!rJ l\j~Dl'l --' Ju:J v Capacity: _ Personal Representative XX Counsel for Personal Representative 01 :Z Wd SZ AON LDOl ,~ IU ~ Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF ('1 ~(6AuC COUNTY, PENNSYLVANIA Date of Death: 2m m6-. \~ LJ O~3 I jO-ne +-\CVY\\l\O\ol File Number: ~ \ 03 Cl3d I Name of Decedent: Pursuant to Pa. O.c. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: ...............,.... DYes )&1 No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ~. 3() uu6 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . .. DYes DNo b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... DYes DNo d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and y be attache to this report, Date~ G6 f 0$ I Capacity: DPersonal Representative JX"Counsel ~1' )~ C. D,4v{"J Name of Person Filing this Form J0'8 '^/. '-( () Address ~ ~ 5.hI.t~=Iv'J /#- n2n -W't. 117 -s- _ 'l.' ~~/J Telephone 92:5 IJ" q7 ;;<11 - v ,.. J.J Form RW-IO rev. 10.1306 ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 2/17/2009 DAMS HAMILTON C 20 E BURD ST STE 6 PO BOX 40 SHIPPENSBURG, PA 17257-0040 RE: Estate of HAMMOND EMMA JANE File Number: 2003-00321 Dear Sir/Madam: - - ` ~ ` - : ~ - - ~ t~~ : -: c~ ~.:~ J,~ ~ a ~ . 7 ~.: c - ~C ~ ~ = ~ -. ' `_~ - _ ;a ~ ~ ; - =r c~ This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. A:~ per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SiJPREME 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: 3/01/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Since ely, ~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 2/17/2009 n ~=~ HAMMOND JOHN W `~ r O ~= -- ~ - -z~ ~..~ 3:14 SOUTH FAYETTE STREET `~ =--+~ a •~r - `'~ , SHIPPENSBURG, PA 17257 r r, ;~\ ,, _ .,.a _ r .. t_ , ~~ -~ --~ x'. 7 RE;: Estate of HAMMOND EMMA JANE File Number: 2003-00321 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 3/01/2009 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel P~. ®.C. R~x~e 6.12 ST ~.'~~J~ P®~~ ~~~~~~~~~^,~ ~ lr-'~' COUNTY, PEN-NSYLVANI~ REGISTER OF WILLS 0~ ~ ` Name of Decedent: ~ ~ ~~~ ~, e 3 ~ E' File Number: ~~ Date of Death: -> ~ ~-~ ~ t~,e f~llp.a,i.~~ ~zritl, rPCp Pct to r.mm~lP_.tipn of thc, a(11111T115trfltlOll of n,,..~. 1 uLODUii~ ~v x u. v.~~. i~.iil°v v. i,:., i iepc the above-captioned estate: ... es ~No 1. State whether administration of the estate is complete:.... • • • 2. If the answei 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 a. Did the personal representative file a final account with the Court? ....... []Yes b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account ]Yes o .................... infotn~ally to the parties in interest? .. • • • • ~ • d. Co ies of receipts, releases, joinders and approvals o efa a h d to tor~apoi~°unts may be p filed with the Clerlc of the Orphans' Court ai~ may b , ~ ~~~~ G 5~ Dnte of p rson Filing this Form d~ ~. 1~~ 1 r' ` '-` ~~W f'~G~Ufl 8~t : i ~d ~Z ~~~ 6002 _ _ , ~ , y. i ~ ,.,, Form R 61~-! 0 r ~~,~ 10.13.06 i - i ` C city: ~er onal Rep sentative Q Counsel ~ ~y ~ ~-v-~-~. mne of Pers n Filing this Fo -m ~~~ G~~~ Address j~~ /. .~ /~~ -,/~~ ~~-~L.- 59 Telephone LAW OFFICES OF ZULLINGER -DAVIS PROFESSIONAL CORPORATION JOEL R ZULLINGER 14 North Main Street Suite 200 Chambersburg, PA 17201 717-264-6029 Fax:717-264-1884 ioelzullin~er(a~zullingerlaw.com Dale F. Shughart, Jr. of counsel HAMILTON C. DAVIS 20 East Burd Street, Suite 6 P.O. Box 40 Shippensburg, PA 17257 717-532-5713 Fax: 717-530-5222 hamiltondavis(a~comcast.net Pegister of Wills of Cumberland County Room No. 102 One Court House Square Carlisle, PA 17013 Re: Estate of Emma Jane Hammond File Number: 2003-00321 Dear Register of Wills: February 26, 2009 I am writing this letter to advise you that I no longer represent the personal representative of this estate (John W. Hammond). Mr. Hammond has not advised me of the identity of his new attorney, if any. Please note that Mr. Hammond's current mailing address is likely to be different from what it shows in your records. I believe that his current mailing address is: John W. Hammond P.O. Box 638 Shippersburg, PA 17257 Sincerely yours, HCD/ams cc: John W. Hammond Hamilton C. Davis for Zullinger -Davis Professional Corporation Reply to: Hamilton C. Davis, Esquire P. O. Box 40 Shippensburg, PA 17257 ~~ 9~ ~ ~ -~ ~, ,: Y-; = c~ ~ - `y,~~ ~ ~ --~ . ~ J ~i ,,,._ y N c~ NOTICE OF INHERITANCE TAX �~tl` pennsylvania APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX INHERITANCE TAX DIVISION REV-1547 EX AFP (11-14) PD BOX 26B1 RECORDED OFFICE OF HARRISBURGRGPA 17128-0601 REGISTETUi E WILLS O4-06-2015 ESTATE OF HAMMOND EMMA J ?015 PPR 6DAfiflOJ1D"'H 03-01-2003 FILE NUMBER 21 03-0321 CLE00RTY CUMBERLAND HAMMOND JOHN W. ORFR�I101 314 S. FAYETTE STREET 'i'�O{{��A6PEAL DATE: 06-05-2015 SHIPPENSBURG PA 17257 CUMBE.'.LAND Si(.V�j�everseside under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE --! RETAIN LOWER PORTION FOR YOUR RECORDS E- -------------- ----------------------------------------------------------------------------- REV 1547 EX AFP (11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: HAMMOND EMMA JFILE NO. :21 03-0321 ACN: 101 DATE: 04-06-2015 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) (2) .00 credit to your account, 00 submit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form with your 4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment. S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 S. Total Assets (8) .00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) .00 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .00 11. Total Deductions (11) 00 12. Net Value of Tax Return (12) 00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 00 14. Net Value of Estate Subject to Tax (14) 00 NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will reflect figures that include the total of all returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at spousal rate (15) .00 X 00 = .00 16. Amount of Line 14 taxable at lineal rate (16) -fly x 045 = .00 17. Amount of Line 14 at sibling rate (17) 00 X 12 = .00 18. Amount of Line 14 taxable at collateral rate (18) .00 x 15 = .00 19. Principal Tax Due (19)= 00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE \ FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. REV-1470 EX(01-10) pennsyLVanla INHERITANCE TAX DEPARTMENT bF REVENUE EXPLANATION BUREAU OF INDIVIDUAL TAXES OF CHANGES PO Box 280601 HARRISBURG,PA 17128-0601 DECEDENTS NAME FILE NUMBER Emma Jane Hammond 2103-0321 REVIEWED BY ACN Joan Agent#196 101 ITEM SCHEDULE NO, EXPLANATION OF CHANGES Efforts to file an Inheritance Tax return have been exhausted in the above referenced estate. Therefore, the filing requirements have been waived. The Department however, reserves the right to assess any assets that may be recovered at a future time. Page 1