HomeMy WebLinkAbout03-0381PETITION FOR PROBATE and GRANT OF LETTERS
Estate of WILLIAM WARWAVESYN
also known as ,Deceased.
To: Register of Wills
County of Cumberland in the
Social Security No. 078 - 14 - 6523 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner, who is 18 years of age or older, is one of the personal representatives named in
the last will of the above decedent, dated March 12, 2001.
Decedent was domiciled at death in SOUTH MIDDLETON TOWNSHIP, CUMBERLAND
COUNTY, PENNSYLVANIA, with his last family or principal residence at 854 LINDSEY ROAD,
CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA 17013.
Decedent, then 83 years of age, died APRIL 13, 2003 at 854 LINDSEY ROAD, CARLISLE,
CUMBERLAND COUNTY, PENNSYLVANIA 17013.
Except as follows, decedent did not marry, was not divorced and did not have a child born or
adopted after execution of the will offered for probate; was not the victim of a killing and was never
adjudicated incompetent.
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 situated as follows:
TOTAL
29,500.00
100,000.00
129,500.00
WHEREFORE, petitioner respectfully requests the probate of the last will presented herewith and
the grant of letters testamentary thereon.
DIANE TRACY
592 THREE CHIMNEYS LANE
LOVELAND OH 45140
,~ OATH OF PERSONAL REPRESENTATIVE
STATE OF OHI(¥~// . .._ L :
:
The petitioner above-named swears that the statements in the foregoing petition are true and
correct to the best of the knowledge of petitioner and that as personal representative of the above
de.dent, petitioner will well and truly administer the estate according to law.
Sworn to and subscribed /~~
before me. this ~d'~y of DIANE TRACY
Estate of WILLIAM WARWAVESYN, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, ~_~, 2003, in consideration of the petition attached
hereto, satisfactory proofl~aving been presented before me,
IT IS DECREED that the instrument dated MARCH 12, 2001, described therein,
be admitted to probate and filed of record as the last will of WILLIAM WARWAVESYN,
and Letters Testamentary are hereby granted to DIANE TRACY.
FEES
Register ~o;I= Wills
Probate, Letters, Etc.
Short Certificates
..3.0_ P $ /o.o~
TOTAL $ ~b~q .o~
Filed:
HAROLD S. IRWIN III (ID/~iO 2!~920)
35 East High Street
Carlisle, PA 17013
717-243-6090
17£: 01.~/ g- ,t~/N 'gO.
jo 79~::{i~ ? !"0,;0381:::t
CERTIFICATE OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
Date of Death:
Will No.
To the Register:
WILLIAM WARWAVESYN
APRIL 13, 2003
2003 - 00381 Admin. No.
21 - 03 -00381
I certify that notice of beneficial interest or estate administration required by Rule
5.6(a) of the Orphan's Court Rules was served on or mailed to the following
beneficiaries of the above-captioned estate on May 22, 2003:
Name
DIANE TRACY
DAVID WARWAVESYN
DANIEL WARWAVESYN
Address
592 THREE CHIMNEYS LN
LOVELAND OH 45140
149 SHUGHART RD
CARLISLE PA 17013
556 COMMONWEALTH DR
CINCINNATI OH 45244
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except:
NONE
May 22, 2003 'R~I
HA~ RE
35 East High Street, Suite 201
Carlisle, PA 17013
717-243-6090
Atty for Estate of WILLIAM WARWAVESYN
I, WILLIAM WARWAVESYN, of South Middleton Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
ONE: I direct my Executrix to pay all of my debts, funeral and administrative expenses
as soon as may be done conveniently after my decease.
TWO: I specifically give, devise and bequeath to DIANE TRACY, of 592 Three
Chimneys Lane, Loveland, Ohio 45140 the sum of Twenty Thousand and no/100 ($20,000.00)
and my china dishes.
THREE: I give, devise and bequeath all the rest, remainder and residue of my property
of every nature and wherever situate to my children, DIANE TRACY, DANIEL
WARWAVESYN and DAVID WARWAVESYN, in equal shares per stirpes. If one of my
children should predecease me, then the share of my predeceased child shall be distributed
equally to the issue of said child. If one of my above-named children should predecease me
without living issue, then the share of my deceased child shall be distributed equally to the other
children listed above who survives me.
FOUR: I nominate and appoint DIANE TRACY, of 592 Three Chimneys Lane,
Loveland, Ohio 45140, to be the Executrix of this my Last Will.
FIVE: My Executrix may, at her discretion, compromise claims, borrow money, retain
property for such length of time as she may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as she may deem proper; and invest estate property and
income without restriction to legal investments.
SIX: I direct that my Executrix shall not be required to post bond or enter security in this
or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 12TM
March, 2001.
WILLIAM WARWAVI SYN
day of
(SEAL)
Signed, sealed, published and declared by WILLIAM WARWAVESYN, the above
named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request
and in his presence and in the presence of each other have subscribed our names as witnesses
hereto.
2
ACKNOWLEDGMENT AND AFFIDAVIT
WE, WILLIAM WARWAVESYN, CHERYL L. CLELAND and MARTHA L.
NOEL, the testator and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
testator signed and executed the instrument as his Last Will, and that he had signed willingly,
and that he executed it as his free and voluntary act for the purpose herein expressed, and that
each of the witnesses, in the presence and hearing of the testator, signed the Will as a witness and
that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of
sound mind and under no constraint or undue influence.
WILLIAM WARWAVES~N
CHEI~L L. CLELAND
MkRTHA L.'i~'oEL
COMMONWEALTH OF PENNSYLVANIA :
: SS:
COUNTY OF CUMBERLAND :
Subscribed, sworn to and acknowledged before me by, WILLIAM WARWAVESYN,
the testator herein and subscribed and sworn to before me by CHERYL L. CLELAND and
MARTHA L. NOEL, witnesses, this 12TM day of March, 2001.
Notarial Seal
Betzi A. Morrison, Notanj Public
M..C.,arl_isle.Bo.m, _Cum. berlar~J Courtly
Y ~.,omm~smon Expires Dec. 15, 2004
Member, Pennsylvanm Assoc~tlon o~ Notaries
I~£: OLt/ g- ),VI, t £0.
II
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD O03O66
IRWIN HAROLD S III ESQUIRE
64 SOUTH PITT STREET
CARLISLE, PA 17013
........ fold
ESTATE INFORMATION: SSN: 078-14-6523
FILE NUMBER: 2103-0381
DECEDENT NAME: WARWAVESYN WILLIAM
DATE OF PAYMENT: 09/29/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 04/13/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $7,479.91
REMARKS:
HAROLD S IRWIN III
TOTAL AMOUNT PAID:
$7,479.91
SEAL
CHECK# 8353
INITIALS: JA
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
REV-1500 EX (6-00) I
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST AND MIDDLE INITIAL)
WARWAVESYN, WILLIAM
DATE OF BIRTH
INHERITANCE TA~ RETURN
RESIDENT DECEDENT
DATE OF DEATH
APRIL 13, 2003
OFFICIAL USE ONLY
FILE NUMBER
21 03 0381
COUNTY CODE YEAR NUMBER
SOCIAL SECURITY NUMBER
078 -14 - 6523
APRIL 5, 1920
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) J SOCIAL SECURITY NUMBER
I
X 1. Odginal Return 2. Supplemental Return
4. Limited Estate
X 6. Decedent Died Testate
(Attach copy of Will) EX. A
__ 9. Litigation Proceeds Received
__ 4a. Future Interest Compromise
(for dates of death after 12-12-82)
__ 7. Decedent Maintained a Living Trust
(Attach copy of Trust)
__ 10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-
__ 3. Remainder Retum
(dates of death pdor to 12-13-82)
__ 5. Federal Estate Tax Retum Req
__ 8. Total No. of Safe Deposit Boxes
__ 11. Election to tax (Sec. 9113(A))
NAME
HAROLD S. IRWIN, III
TELEPHONE NUMBER
717-243-6090
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
4. Mortgages and Notes Receivable (Schedule D) (4)
5. Cash, Bank Dep & Misc Personal Property (Sched E) (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers / Misc. Property(Schedule G) (Schedule L) (7)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Sched H) (9)
10. Debts, Mortgage Liabilities & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests (schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
15. Amount of Line 14 taxable at the spousal rate
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax due
COMPLI::¥t: MAILING ADDRESS
35 EAST HIGH STREET, SUITES 201/202
CARLISLE, PA 17013
175,000.00
0.00
0.00
0.00
32,612.05
0.00
OFFICIAL USE ONLY
41,007.37
384.24
(8)
207,612,05
(11)
41,391.61
(12
166,220.44
(13)
0.00
(14)
166,220.44
x. = (15)
0.00
$ 166,220.44 x.045 (16)
= 7,479.91
$ x .12 (17)
$ x .15 (18)
(19)
7,479.91
ii!iii ...............................................
Decedenfs Complete Address:
Tax Payments and Credits:
1. Tax Due (Page I Line 18)
2. Credasl paymea~
A. Spou~ ~ C~
B. Prior ~
C. Discount ~
ISTALE
17013
Total Credits (A+B+C) (2)
3. Irdemst / Pmmlty if apl~K:able
D. Ir~
E. Penalty
Ta~d Inm'mWPem~y (D-,-E) (3)
4. If U~2is~-ea~rthan Lim~ 1 + Une3, mthecr~fer~. This isthe OVERPAYMENT.
Check tx~x on Page I Une 20 to reqmt a refund (4)
(1) $7,479.91
If I_~e I * Une3isgmalerthan Line2, e~-~erlhediffemnce. Thisislhe TAX DUE.
A. Enler lhe inlerest o~ the tax due.
B. Enlerthetl~alo~Line~. This islhe BALANCE DUE.
$, _7_: 479.91
(5),
(SA)
(5~)~ $7,479.91
Make Check Pa ble to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use of income of the property transferred; ................................... ~
b. relain the righl to delignale ~lo lllal use the ~ ~ m #s iaCel~e;........ .llXl ,
c. rlla~a~imem~ m ........................................................................... X
d. receive lira Ixarnise lar ~e ~ e#1tm' payments, bene~ls or earn? ............................... X
2. If dealh occarmd on m' before December 123, 19~2, did de~ade~ w#hi~ two years preceding
~ ~ ~ eallliaelali~? ................................................................... N/A
a~ h~ or her ~? ...................................................................................................... ~
i 111E ~U~WER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLEi~ SC __!~_-~_ ~ l= G AND FiLE ~ ~ p~T ~ ~ ~
SmGN~JRE OF RERSON~ R~SPONSIBLE FOR FLUNG RETURN
ADDRJES_S /I ~/ DATE
59~(~himne~s La~, Op 45140 AUGL[$T ~<::~, __~005
SI~~P~~'i~.~RSONAL REPRESENTATIVE
ADDRESS ( ~ DATE
AUGUST ,,'~, 2003
35 EAST HIGH ~I~T~, .C.A.RLj~__L..E, P..A 17013
suntara si~___,~e_ b ~A [72 P.S. SecUon 9~16 (aXl.1)(i)].
Seclion 9116 (aXt.1)(~)]: The slalule does nol exem~ a transfer to a sunaving spouse from ta~ and the statulo~y r~ for disclosure of __a~__
For ~,ab~ o~ dealh on or alter July 1, 2000:.
pareni, an edoplive pare~, or a ~efaoare~ of the ch~d is 0% [72 p.s. Section 9116 (a)(1.2)].
9~ 1 s (~ .2Xr/2 P.s. Secam m ~ 6 (aX~)].
REV-l§02 EX + (~2-85)
COMMONWEALTH Of PENNSYLVANIA SCHEDULE A
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF --~-~
FILE NUMBER
WILLIAM WARWAVESYN 2003 - 0381
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value
which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to
buy or sell, both havin~l reasonable knowled~le of the relevant facts.
ITEM
NUMBER
DESCRIPTION
HOUSE AND LOT OF GROUND AT 854 LINDSAY ROAD, CARLISLE, PA 17013 (Value
based on sale price)
TOTAL (Also enter on Line 1, Recapitulation)
VALUE AT DATE
OF DEATH
175,000.00
$175,000.00
(If more space is needed, insert additional sheets of same size.)
REV-l§03 EX + (~4-86)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
WILLIAM WARWAVESYN
(All property il
ITEM
NUMBER
SCHEDULE B
STOCKS AND BONDS
dntl¥-owned with Right of Survivorship must be disclosed on Schedule F.)
FILE NUMBER
2OO3 - 0381
NONE
DESCRIPTION
TOTAL (Also enter on Line 2, Recapitulation)
VALUE AT DATE
OF DEATH
NONE
(If more space is needed, insert additional sheets of same size.)
REV-l§04 EX + (3-92)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
WILLIAM WARWAVESYN
ITEM
NUMBER
SCHEDULE C
CLOSELY HELD STOCK
PARTNERSHIP AND PROPRIETORSHIP
FILE NiJ~-3ER
2003 - ~381
DESCRIPTION VALUE AT DATE
OF DEATH
TOTAL (Also enter on Line 3, Recapitulation)
NONE
NONE
(If more space is needed, insert additional sheets of same size.)
REV-1507 EX + (6-86)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
WILLIAN WARWAVESYN
(All propertyi,
ITEM
NUMBER
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
~intl~owned with Right of Survivorship must be disclosed on Schedule F.)
FILE NUMBE~
2003 - 038'I
NONE
DESCRIPTION
TOTAL (Also enter on Line 4, Recapitulation)
VALUE AT DATE
OF DEATH
NONE
(If more space is needed, insert additional sheets of same size.)
REV-1508 EX + (2-87)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
WILLIAM WARWAVESYN
(All property ~
ITEM
NUMBER
4.
5.
6.
7.
8.
9o
10.
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
)intly-owned with Ri~lht of Survivorship must be disclosed on Schedule F.)
DESCRiP¥iON
ALLFIRST BANK - Checking Account No. 00142-8568-1 (Value based on bank
statement attached as Exhibit "B")
ALLFIRST BANK- Money Market Account No. 09509-8408-2 (Value based on bank
statement attached as Exhibit "B")
REICHHOLD CHEMICALS PENSION PLAN - Pension Plan Check and Interest
SHIPLEY OIL CO. - Credit on Account
I.R.S. - Income Tax Refund
SPRINT - Credit on Account
EMPIRE BLUE CROSS / BLUE SHIELD - Refund
1991 OLDSMOBILE CUTLASS CIERRA- Very Poor Condition Mechanically and
Otherwise (Value based on Kelley Blue Book Trade-In value as shown on attached
Exhibit "C")
SET OF NORITAKE DISHES (30 Years Old) [ These dishes are being listed with no
value because they are mentioned in the will; however, decedent gave these dishes to
the beneficiary in 2001, more than one year prior to death]
REAL ESTATE TAX PRO-RATION
TOTAL (Also enter on Line 5, Recapitulation)
FILE NUMBER
2003 -- 0381
VALUE AT DATE
OF DEATH
1,747.75
27,976.88
235.23
627.30
80.00
176.00
361.72
0.00
0.00
1,407.17
$ 32,612.05
(if more space is needed, insert additional sheets of same size.)
REV-1509 EX + (~2-88)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
EST~.TE OF
WILLIAM WARWAVESYN
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUMBER
2003 - 0381
Joint tenant{s):
NAME
ADDRESS
RELATIONSHIP TO DECEDENT
Jointly-(,wned prop, rt¥:
ITEM' Lc I I r-R ' DATE DESCRIPTION OF PROPERTY TOTAL DECD'S DOLLAR
NO. FOR MADE VALUE % INT. VALUE OI
JOINT JOINT OF ASSET DECEDENT,.~
TENANT INTEREST
NONE
TOTAL (Also enter on Line 6, Recapitulation) NONE
(If more space is needed, insert additional sheets of same size.)
REV-1'510 EX +'(2-87)
SCHEDULE G
INTERVIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE ~F FILE NUMBER
WILLIAM WARWAVESYN 2003 - 0381
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
ITEM DESCRIPTION OF PROPERTY DATE OF
NUMBER Include name of the transferee, their relationship to decedent, date of transfer DEATH % OF EXCLUSION TAXABLE
VALUE OF DECD'S (If applicable) VALUE
ASSET INTEREST
TOTAL (Also enter on Line 7, Recapitulation) NONE
(if more space is needed, insert additional sheets of same size.)
REV-1511 EX + (7-88)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
FILE NUMBER
WILLIAM WARWAVESYN 2003 0381
ITEM DESCRiP~ON AMOUNT
NUMBER
A. Funeral Expenses:
1. HOFFMAN - ROTH FUNERAL HOME, INC. 7,067.50
2. PASTOR CHUCK KISH and PASTOR DWAYNE WEAVER - Funeral Services 125.00
B. Administrative Costs:
1. Personal Representative Commissions:
Social Security Number of Personal Representative::
Year Commissions Paid:
2. Estimated Total Attorney Fees: HAROLD S. IRWIN, III 9,981.36
3. Family Exemption:
Claimant Relationship
Address of Claimant at decedent's death:
Street Address
City State Zip Code
4. Probate Fees: REGISTER OF WILLS 269.00
C. Miscellaneous Expenses:
1. REGISTER OF WILLS - File Inventory and Appraisement 25.00
2. HAROLD S. IRWIN, III - Notary Fees 10.00
3. ALLSTATE INSURANCE CO. - Car Insurance Premium 207.20
4. PAT BROWN, ESQUIRE - Deed Preparation 100.00
5. VARIOUS PAYEES - Payments for Labor and Expenses to Prepare Real Estate for Sale 960.00
6. JUDY A. CAMPBELL, TAX COLLECTOR - School Real Estate Taxes 1,760.49
7. DAVID WARWAVESYN - Reimbursement for Materials and Supplies for Repairs to 1,294.32
Real Estate
8. BRETT WARWAVESYN - Lawn Cutting at Real Estate (8 Times @ $20.00) 160.00
9. RICHARD HARVEY- Construction of New Roof on Real Estate 4,746.00
10. HARRISBURG HAULING - Removal of Trash from Real Estate 25.50
11. ED NELSON - Repairs to Real Estate 540.00
12. LAUREN WARWAVESYN - House Cleaning 240.00
13. REGISTER OF WILLS - Copies 6.00
14. WSI HAULING - Dumpster Rental 850.00
15. DAVID WARWAVESYN - Miscellaneous Expense Reimbursement Related to Funeral 275.00
16. REAL ESTATE SALES COMMISSION 10,500.00
17. COMMONWEALTH OF PA - Real Estate Transfer Tax 1,750.00
18. SEPTIC PUMPING 115.00
TOTAL $ 41,007.37
(If more space is needed, insert additional sheets of same size.)
REV-1512 EX + (1-93)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
WILLIAM WARWAVESYN
NUMBER
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGES, LIABILITIES AND LIENS
I
FILE NUMBER
2003 - 038'1
DESCRIPTION
SOUTH MIDDLETON TOWNSHIP AUTHORITY - Water Bills
METROPOLITAN EDISON COMPANY - Electric Bills
TUCKEY MECHANICAL SERVICES, INC. - Repairs to Heating System
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
$ 69.30
144.63
170.31
$ 384.24
(If more space is needed, insert additional sheets of same size.)
REV-1913 EX + (2-87)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
....
Wi!.LIAM WARWAVESYN
SCHEDULE J
BENEFICIARIES
r
FILE NUMBER
2003 - 0381
ITEM NAME AND ADDRESS OF BENEFICIARY K~-LATIONSHIP AMOUNT OR
NUMBER
A. Taxable Bequests: SHARE OF ESTATE
1. DIANE TRACY DAUGHTER 1/3 RESIDUE [NOTE -
592 THREE CHIMNEYS LN Dishes mentioned in will
LOVELAND OH 45140 given to this beneficiary in
2001; also $20,000 in will
to this beneficiary being
disclaimed by her]
2. DAVID WARWAVESYN SON 1/3 RESIDUE
149 SHUGHART RD
CARLISLE PA 17013
3. DANIEL WARWAVESYN SON 1/3 RESIDUE
556 COMMONWEALTH DR
CINCINNATI OH 45244
ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
NUMBER SHARE OF ESTATE
B. Charitable and Governmental Beque~:
NONE
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (also enter on Line 13, Recapitulation) $ NONE
(If more space is needed, insert additional sheets of same size.)
EXHIBIT "A"
I, WILLIAM WARWAVESYN, of South Middleton Township, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
ONE: I direct my Executrix to pay all of my debts, funeral and administrative expenses
as soon as may be done conveniently after my decease.
TWO: I specifically give, devise and bequeath to DIANE TRACY, of 592 Three
Chimneys Lane, Loveland, Ohio 45140 the sum of Twenty Thousand and no/100 ($20,000.00)
and my china dishes.
THREE: I give, devise and bequeath all the rest, remainder and residue of my property
of every nature and wherever situate to my children, DIANE TRACY, DANIEL
WARWAVESYN and DAVID WARWAVESYN, in equal shares per stirpes. If one of my
children should predecease me, then the share of my predeceased child shall be distributed
equally to the issue of said child. If one of my above-named children should predecease me
without living issue, then the share of my deceased child shall be distributed equally to the other
children listed above who survives me.
FOUR: I nominate and appoint DIANE TRACY, of 592 Three Chimneys Lane,
Loveland, Ohio 45140, to be the Executrix of this my Last Will.
FIVE: My Executrix may, at her discretion, compromise claims, borrow money, retain
property for such length of time as she may deem proper; lease and sell property for such prices,
on such terms, at public or private sales, as she may deem proper; and invest estate property and
income without restriction to legal investments.
SIX: I direct that my Executrix shall not be required to post bond or enter security in this
or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 12TM
March, 2001.
WILLIAM WARWAVI SYN
day of
(SEAL)
Signed, sealed, published and declared by WILLIAM WARWAVESYN, the above
named Testator, as and for his Last Will and Testament, in the presence of' us, who, at his request
and in his presence and in the presence of each other have subscribed our names as witnesses
hereto.
ACKNOWLEDGMENT AND AFFIDAVIT
WE, WILLIAM WARWAVESYN, CHERYL L. CLELAND and MARTHA L.
NOEL, the testator and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declare to the undersigned authority that the
testator signed and executed the instrument as his Last Will, and that he had signed willingly,
and that he executed it as his free and voluntary act for the purpose herein expressed, and that
each of the witnesses, in the presence and hearing of the testator, signed the Will as a witness and
that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of
sound mind and under no constraint or undue influence.
WILLIAM~WARWAV~E$~N ,
CHERYL- L. CLELAND '
COMMONWEALTH OF PENNSYLVANIA :
: SS:
COUNTY OF CUMBERLAND :
Subscribed, sworn to and acknowledged before me by, WILLIAM WARWAVESYN,
the testator herein and subscribed and sworn to before me by CHERYL L. CLELAND and
MARTHA L. NOEL, witnesses, this 12TM day of March, 2001.
Notarial Sea~
Betzi A. Momson, Notary Public
M..C~d_isle .Bo. ro, _Cum. berland County
y ~,ommlss~on Expires Dec. 15, 2004
Member, Pennsylvania Association o~ Notaries
EXHIBIT "B"
allfirst'
A Division of M and T Bank
Harold S. Irwin, III
Attorney At Law
35 East High Street
Hitner House, Suites 201 & 202
Carlisle, PA 17013
Allfirst Financial Center N.A.
I~O. Box 900
Millsboro, DE 10966
Phone (302) 934-2909
Fax (302) 934-2955
May 29, 2003
Re: Estate of William Warwaves)~n
Social Security: 078-14-6253
Date of Death: April 13, 2003
Dear Sir or Madam:
Per your inquiry dated May 1, 2003, please be advised that at the time of death, the above-named decedent had on deposit
with this bank the following:
Type of Account
Account Number
Ownership ('Names o.19
Opening Date
Balance on Date of Death
Accrued Interest
Total
Relationship Checking W/Interest
0014285681
William Warwavesyn, Owner
06/28/89
$1,747.38
$ .25
$1,747.63
Type of Account
Account Number
Ownership (Names oJ)
Opening Date
Balance on Date of Death
Accrued Interest
Total
Money Fund Alternative
0950984082
William Warwavesyn, Owner
06/07/02
$27,951.84
$ 16.69
$27,968.53
This letter does not include any accounts in which the deceased may have been listed as Power of .dttorney,
Custodian of Uniform Transfers, Representative Payee, or Trustee under a Written Agreement.
For further account information, closures and/or reimbursement of funds refer to below branch:
CARLISLE GIANT OFFICE
255 SOUTH SPRING GARDEN STREET
CARLISLE, PA 17013
717-240-6734
Sincerely,
Assistant I
Cis Services, (302) 934-2909
EXHIBIT "C"
· Kelley Blue Book Used Car Values
Page 1 of 2
NewCar ~
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Blue Book Trade-In Report
Pennsylvania · August 20, 2003
Le
1991 Oldsmobile Ciera sedan 4D
Engine: 4-Cyl. 2.5 Liter
Trans: Automatic
Drive: Front Wheel Drive
Mileage: 94,000
Equipment
Air Conditioning
Power Steering
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AM/FM Stereo
Consumer Rated Condition: Poor
"Poor" condition means that the vehicle has severe mechanical
and/or cosmetic defects and may be in questionable running
condition. The vehicle may have problems that cannot be readily
fixed such as a damaged frame or a rusted-through body. A vehicle
with a branded title (salvage, flood, etc.) or unsubstantiated mileage
should be considered "poor" because of potential problems and
should be independently appraised to determine its value.
Trade-In Value (no value)
Trade-in value represents what you might expect to receive from a
dealer for this consumer owned vehicle. Keep in mind that the
dealer must then absorb the cost of making the vehicle ready for
sale, advertising, sales commissions, arranging financing and
insurance and standing behind the vehicle for any mechanical or
safety problems.
Get the latest Blue Book
Get a Private Party Value
Get Invoice & MSRP on New Cars
Inventory of the real and personal estate of
WILLIAM WARWAVE~YN, deceased
1. HOUSE AND LOT OF GROUND AT 854 LINDSAY ROAD, CARLISLE, PA
17013 175,000 00
2. ALLFIRST BANK- Checking Account No. 00142-8568-1 1,747 75
3. ALLFIRST BANK- Money Market Account No. 09509-8408-2 27,976 88
4. REICHHOLD CHEMICALS PENSION PLAN - Pension Plan Check Due 235 23
5. SHIPLEY OIL CO. - Credit on Account 627 30
6. I.R.S.- Income Tax Refund 80 00
7. SPRINT-Credit on Account 176 00
8. EMPIRE BLUE CROSS / BLUE SHIELD- Refund 361 72
9. 1991 OLDSMOBILE CUTLASS CIERRA- Very Poor Condition
Mechanically and Otherwise (Value based on Kelley Blue Book Trade-In
value) 0 00
10. REAL ESTATE TAX PRORATION 1,407 17
TOTAL $ 207,612 05
BUREAU OF INDIVIDUAL TAXES
ZNHERTTANCE TAX DZVTSTON
DEPT. 280601
HARRTSBURG, PA 1712B-0601
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF .ZN~ERZTANCE TAX
.APPRAZSEflENT, ALLONANCE OR DZSALLONANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE 11-17-2005
ESTATE OF WARWAVESYN
DATE OF DEATH 04-13-2005
FILE NUMBER 21 03-0381
RE¥-1547 EX AFP (01-0S)
WILLIAM
COUNTY CUMBERLAND
HAROLD S IRWIN III ACN 101
STES 201 Z02
35 E HIGH ST I Amount Remitted
CARLISLE PA 17013
HAKE CHECK PAYABLE AND RENZT PAYNENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DZSALLOWANCE OF DEDUCTZONS AND ASSESSHENT OF TAX
ESTATE OF WARWAVESYN WILLIAH F]:LE NO. 21 0:3-0381 ACN 101 DATE 11-17-2003
TAX RETURN NAS: (X) ACCEPTED AS FILED ( } CHANGED
RESERVATION CONCERNZNG FUTURE INTEREST - SEE REVERSF
APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Sohedule B) (2)
3. Closaly Held Stock/Partnership Interest (Schedule C) (3)
q. Hortgages/Notas Reoeivable (Schedule D) (~)
E. Cash/Bank Deposlts/Nisc. Personal Property (Schedule E) ($)
6. Jointly Ownad Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. Total Assets
APPROVED DEDUCTIONS AND EXENPTZONS:
9. Funeral Expenses/Ada. Costs/Nisc. Expenses (Schedule H) (9)
10. Debts/Hortgaga L{abilities/Lians (Schedule Z) (10)
11. Total Deductions
12. Nat Value of Tax Return
175z000.00
.00
,00
.O0
$2r612.05
.00
.O0
(8)
41,007.$7
NOTE: To insure propar
credit to your account,
submit the upper portion
of this for. with your
tax payment.
13.
1~.
NOTE:
207,612.05
ZF PAID AFTER DATE INDZCATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TAX CREDITS:
PAYNEN1
DATE
09-29-2005
RECEIPT
NUHBER
CD005066
OI$COUNT {+)
INTEREST/PEN PAID (-)
.O0
reflect figures that include the total of ALL returns assessed to date.
· O0 x O0 = . O0
166,220.~4 x 045= 7,479.91
· O0 x 12 = . O0
· 00 x 15 = . O0
(19)= 7,q79.91
ANOUNT PAID
7,479.91
ASSESSHENT OF TAX:
15. Amount of Line 1~ at SpousaZ rate (15)
16. kaount of Line 1~ taxable at Linaal/Class A rate (16)
17. Amount of L/ne 1~ at Sibling rata (17)
18. Amount of Line lq taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
7,479.91
.00
.00
.00
( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT" (CR), YOU NAY BE DUE
A REFUND· SEE REVERSE SZDE OF THIS FORH FOR ZNSTRUCTZO~.)
Charitable/Governmental Bequests; Non-alected 9115 Trusts (Schedule J) (15) . O0
Nat Value of Estate Sub,act to Tax (lq) 166,2Z0.~4
Zf an assessment ~as issued previously, lines 14, 15 and/er 16, 17, 18 and 19 ~ill
384.24
(11) ~1.391 .~
(~) 166,220.44
RESERVATION:
Estates of decedents dying on or before December IZ, 1982 -- if any futura interest in the estate is transferred
in possess[on or enjoyment to Class B (collateral) beneficiaries of the dmcedent after the expiration of any estate for
life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inharitmnce Taxes
at the taafut Ctass B (coltataral) rate on any such future interest.
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section 21q0 of the Inheritance and Estate Tax Act, Act Z$ of 2000. (72 P.S.
Section 91q0).
Detach the top portion of this Notice and submit with your payment to the Register of #[11s 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 ba requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications ara available at the Office
of the Register of Nills, any of the 23 Revenue District Off[cas, or by calling the special lq-hour
answering service for forms ordering: 1-SDO-362-ZOSO; services for taxpayers aith special hearing and / or
speaking needs: 1-800-qq7-3020 (TT only).
Any party in interest not satisfied eith the appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of
this Notice by:
--eritten protest to the PA Department of Rsvanusj Board of Appeals, Dept. ZBiOZIj Harrisburg, PA 17128-1021, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Reviaa Unit, Dept. 260601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page S of the booklet "Tnstructions for Tnharitance Tax Return for a Resident
Decadent" (REV-1501) for an explanation of administratively correctable errors.
If any tax due is paid within three (5) calendar months after the dacedant's death, a five percent (52) discount of
the tax paid is alZoaad.
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and Interest assessed, and not
paid bmform January 18, 1996, the first day after the and of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same tiaa period as you would appeal the tax and interest
that has bean assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the data of
death, to the date of payment. Taxes which became delinquent before January 1, 19az bear interest at the rata of
six (6Z) percent par annum calculated at a daily rata of .OOOl6q. All taxes ahich became delinquent on and after
January 1, 1982 Hill bear interest at a rate which Hill vary from calendar year to calendar year ~ith that rate
announced by the PA Department of Revenue. The applicable interest rates for 19BI through 2005 ara:
Interest Daily Interest Daily Tntarest Daily
Year Rate Factor Yeast Rate Factor Yamr Rate Factor
1982 lOX . O00Sq8 1987 9Z . O00Zq7 1999 72 . O00lgZ
1983 162 .000¢38 1988-1991 Ill .000501 2000 82 .000219
198q 11Z .000301 1992 92 . O00247 2001 92 .000247
1985 13Z .000556 1993-1994 77. . O00XgZ ZOOZ 62 .000164
1986 IOZ .000Z74 1995-1998 97. .000247 2005 57. .000137
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NURBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is mmda after the interest computation date shown on the
Notice, additional interest oust be calculated.
STATUS REPORT UNDER RULE 6.1~
Name of Decedent:
WILLIAM WARWAVESYN
Date of Death:
APRIL 13, 2O03
Will No.
21- 03 - 0381
Admin No. 2103 - 0381
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:
State whether administration of the estate is complete:
Yes X No
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:
Did the personal representative file a final account with the Court?
Yes No X
b. The separate Orphans' Court No. (if any) for the personal
representative's account is: N/A
Did the personal representative state an account informally to the
parties in interest? Yes X No
March 15,2004
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.
?
::':;-u:~3 ~rold S. I~in, III ,
· ~) Afforney for Estate of Iliam ~a~avesyn
G [ ~ ~0. 64 South Piff Street
Carlisle, PA 17013
717-243-6090
RELEASE
I, DIANE TRACY, hereby acknowledge that I have this day had and received
from DIANE TRACY, executrix, and HAROLD S. IRWIN, III, the legal counsel for the
ESTATE OF WILLIAM WARWAVESYN, deceased, the additional sum of Four
Hundred Forty-two and 10/100 ($442.10) Dollars in full satisfaction and payment of my
share in the estate.
AND THEREFORE, I, the said DIANE TRACY, by these presents remise,
release, quit claim, and forever discharge the said executrix and attorney, their heirs,
executors and administrators, of and from the said share and of and from all actions,
suits, payments, accounts, reckonings, claims and demands whatsoever, for or by
reason thereof, or any other act, matter, cause or thing whatever, from the beginning of
the world to the day of the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County
may discharge the said executor and legal counsel as to this share upon application,
without further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the
day ""~ '3~.~'
STATE OF OHIO
DIANE TRACY ~
(SEAL)
On this, the L~ day of ~, before me, the undersigned
officer, personally appeared DIANE TRACY, known to me (or satisfactorily proven) to
be the person whose name is subscribed to the within instrument, and acknowledged
that she executed same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
(SEAL)
RELEASE
I, DANIEL WARWAVESYN, hereby acknowledge that I have this day had and
received from DIANE TRACY, executrix, and HAROLD S. IRWIN, III, the legal
counsel for the ESTATE OF WILLIAM WARWAVESYN, deceased, the additional sum
of Four Hundred Forty-two and 09/100 ($442.09) Dollars in full satisfaction and
payment of my share in the estate.
AND THEREFORE, I, the said DANIEL WARWAVESYN, by these presents
remise, release, quit claim, and forever discharge the said executrix and attorney, their
heirs, executors and administrators, of and from the said share and of and from all
actions, suits, payments, accounts, ruckof~ings, clai~f'~s a~d demands whatsoever, for or
by reason thereof, or any other act, matter, cause or thing whatever, from the beginning
of the world to the day of the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County
may discharge the said executor and legal counsel as to this share upon application,
without further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the
day of~, 200~.'J
DANIEL WARWAVESYN
(SEAL)
STATE OF OHIO ·
,'SS ,'
On this, the ~ I.~? day of--~a~ll~, 200~ before me, the undersigned
officer, personally appeared DANIEL WARWAVESYN, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and
acknowledged that he executed same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
RELEASE
I, DAVID WARWAVESYN, hereby acknowledge that I have this day had and
received from DIANE TRACY, executrix, and HAROLD S. IRWIN, III, the legal
counsel for the ESTATE OF WILLIAM WARWAVESYN, deceased, the additional sum
of Four Hundred Forty-two and 09/100 ($442.09) Dollars in full satisfaction and
payment of my share in the estate.
AND THEREFORE, I, the said DAVID WARWAVESYN, by these presents
remise, release, quit claim, and forever discharge the said executrix and attorney, their
heirs, executors and administrators, of and from the said share and of and from all
actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or
by reason thereof, or any other act, matter, cause or thing whatever, from the beginning
of the wodd to the day of the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County
may discharge the said executor and legal counsel as to this share upon application,
without further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the ~<~>"~'"
day of December, 2003.
(~~)~ ~ ~ ~ (SEAL)
DAVID WARWAW/ESYN
COMMONWEALTH OF PENNSYLVANIA :
:SS:
COUNTY OF CUMBERLAND :
On this, the day of December, 2003, before me, the undersigned
officer, personally appeared DAVID WARWAVESYN, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and
acknowledged that he executed same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public
(SEAL)