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HomeMy WebLinkAbout03-0431PETITION FOR PROBATE and GRANT OF LETTERS Estate of Norma A. Cockley abo known as Deceased. Social Security No. I 91 - The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut ors in the last will of the above decedent, dated___ November 1 7 and co~_icil(s) dated __/_4~~/_~~ To: Register of Wills for the County of Cumberland Commonwealth of Pennsylvania in the named ,19 81 (state relevant circumstances, e.g. renunciation, dealh of executor elco Decendent was domiciled at death in Cumberland h or last family or principal residence at Thornwald Road~ Cmrl~sle: PA .... d';~ttS'¢~ (list street, number and muncipality) Decendent, then 96 years of age, died __ MaA3 I 6 County, Pennsylvania, with Homp, 4~12 Walnut Bottom ,1~003 at__C._mr] ~ .q] ~.. PA ' Except as follows~ decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not' the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (if domiciled in Pa.) All personal property $__ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 185,000. WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters theroll. request(s) the probate of the last will and codicil(s) ~o~q tamontar.y {testamentary; adminis,.ration c.t.a.: administration d.b.n.c.t.a.) Rio~hmrd P_ _ .~Carl&s!e~ P_A ! 70! 3 ~r/l'.ou Shover 1820 Ridgeview Dr. .... Car]J s]~: PA 17013 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ COUNTY OF C~UMBERLAND ; ss The petitionerCs; ab_ovc nan:ed swear(s) or affirm(s) that the statements in the foregoing petition are true and correct ~o the best of ne knowledge and belief of petitioner(s) and that as personal represen- tativcls) of the above decedeni petitioner(s) will well and~rulv adminBter the~estate according to law. aerou me this ,_~ .... day of / ff~ ~ ~0~ t~~egtster [, ~ ~-Iqa-g No. Estate of NORMA A. COCKLEY , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~,~_ ,~ 2003 the reverse side hereof, s~tisfactor~ proof having been presented before me, IT IS DECREED that the instrument(s) dated_ November 1 7, 1 981 described therein be admitted to probate and filed of record as the last will of Norma A. Cockley and Letters Testamentary are herebygrantedto Richard P. Cockley and Mary Lou Shover in consideration of the petition on CocK, c.j, I FEES I~ .550 Probate, Letters, Etc .......... Short Certificates( ) .......... $. ~y.~c~.~o.~z~.... $ J2, no $ /0 · TOTAL __ Filed . .-~...',~..'. 0.~. .................... ~~ ~ .~-.~'- os Frances H. Del Duca #06269 ATTORNEY (Sup. Ct. I.D. No.) 10 West High St., Carlisle, PA 17013 ADDRESS 717-249-1323 PHONE C~ LD REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS (ea~'a subscribing witnes, s t~e will presented he~p~vith, (each)be~l~ duly qualified according to /,depose(s) and~ . . / / ~tandsa: the testat ~ the same and that ~ signed ~lga witness at request of te .~ in h~ prese/nd (in the pre/e of each other)-(i~e presence o~e °ther ~s~rribing witness(es))' / / / / Swo~.. to or affirmed and subs~ed before_ / / / ,.m~r this / day o[ / ~fi~qame) / 19 ~.(ff 19_~ , /(Address)/ (Address) · ~E~ER OF WILLS OF COUNTY 'DC{)ATH OF NON-SUBSCRIBING WITNESS ,-,Q 1-05- q31 (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that '¥Y~_~ O,.s~e familiar with the signatur~of ~rgtt~ O, Coc-K~e.u r3 - 1~' ~ codicil O ' testat g,~x of (one of the subscribing witnesses to) the ~tt presented herewith and I$~.-- codicil that -~.xo._~ believel{ the signature on the ~ is in the handwriting of 0 to the best of '~q0~R~ knowledge and b%elief. Sworn to or affirmed and subscribed before me this __ c'~~ day of ...... ~.~L~3.~~ister (Name) (Address) LAST WILL I, NORNA^COCKLEY, of North Middleton Township, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any wills previously made by me. I. I devise and bequeath all of the residue of my estate of whatever nature or wherever situated to my husband, Paul A. Cockley, if he survives me. II. If my husband, Paul A. Cockley, does not survive me, then I devise and bequeath all said residue in equal shares to my two children, Richard P. Cockley and Nary Lou Shover. III. In the event of the death of Richard P. Cockley or Mary Lou Shover leaving children surviving, I direct that his or her share of the trust principal shall be held in trust in the following manner: (a) Hy Trustee shall divide said share into as many shares as there are children of such deceased child then living. (b) My Trustee shall pay the net income from each individual share to or for the benefit of each grand- child respectively. (c) The Trustee shall pay to or for the benefit of such grandchild so much of the principal of that share of the trust estate as the Trustee in its sole dis- cretion deems necessary or advisable for the care, maintenance, support, education and general welfare or any illness or emergency which may befall them. (d) Ny Trustee shall pay one-half of any remaining share to each grandchild upon arrival at age 21 years, and the balance thereof upon arrival at age 25 years. (e) Any amounts payable under subparagraphs (b) and (c) above may be applied directly by my Trustee or may be paid to the person with whom such beneficiary resides or who has the care or control of such beneficiary and my Trustee shall not be obligated to supervise or inquire into the application of such amounts by such person. IV. Ail principal and income shall, until actual distribution to the beneficiary, be free of the debts, contracts, alienations and anticipation of such beneficiary and the same shall not be liable to any levy, attachment, execution or sequestration while in the hands of my Executor or Trustee. ¥. Ail estate, inheritance, succession and other taxes, im- posed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for death tax purposes, whether or not such property passes under this will, shall be paid out of the principal of my estate as if such taxes were administrative expenses, without apportionment or right of reimbursement. I authorize my Executors to pay all such taxes at such time or times as may be deemed advisable. VII. My Executors and Trustee may retain any of the assets of my estate which come into their hands and shall invest and ikeep invested the principal of said trust estate in such manner and in such securities or other property, real or personal, and upon such terms and for such length of time as the Executors and Trustee shall deem meet and proper, it being intended hereby to give unto the Executor and Trustee full and complete authority to hold, possess, manage, control, sell, convey, encumber, lease, -2- give and exercise options, invest and reinvest the whole and every part of the trust estate according to their sole judgment and discretion, without any limit upon their power and authority so to do, either by statute or otherwise. VIII. I appoint my husband, Paul A. Cockley, to be executor of this my will. If he fails to qualify or ceases to act, I appoint Richard P. CoCkley and Nary Leu Shover. IX. I appoint Farmers Trust Company to be Trustee under this my will. X. I direct that neither my Executors nor my Trustee be required to file bond in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will this [~day of November, 1981. The preceding instrument consisting of this page and two (2) others, each identified by the signature of the testator, was on the date thereof signed, published and delcared by Norma Cockley, the testator herein, as and for her Last Will, in the presence of us, who at her request, in her presence, and in the presence of each other have subscribed our names as witnesses hereto. -3- STATE OF P~NSYLVANIA :: SS COUNTY OF CU~{BERLA~D :: We, Norma,Cockley, Frances H. Del Duca and George B. Faller, the testator and 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 testator signed and executed the instrument as her Last Will and that she had signed willingly, 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 testator, signed the will as witness and that to the best of his knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. TeStator (~ ~.¥1tness %~itness SUBSCRIBED, sworn to and acknowledged before me by Norma A, Cockley, the testator, and subscribed and sworn to before me by Frances H. Del Duca and George B. Faller, witnesses, this/ ~day of November, 1981. NOR}iA COCKLEY LAST %¥ILL GEORGE B. FALLER FRANCES H. DEL DUCA ATTORNEYS AT LAW TEN WEST HIGH STREET CARLISLE, PENNSYLVANIA 17013 '03 ~t/I~' 2I P 1:01 SECOND CODICIL I, NORMA A. COCKLEY, of North Middleton Township, hereby declare this to be a second codicil to my will dated November 17, 1981, (the First codicil being written on last page thereof). I. I hereby add a new paragraph II A to said will as Follows: II A. If my husband, Paul A. Cockley, does not survive me, I hereby bequeath $10,000 to each of my grandchildren, Teresa Cockley Dows, Lorie Coekley, Jennifer Coekley, William 5. Shover, Jr., Karen Shover and Becky Shover. Provided, however, if such bequests have been paid or are payable pursuant to the will of my husband then this paragraph shall be void and of no effect. II. In all other respects, I hereby ratify, confirm and re- publish my Last Will dated November 17, 1981. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this Codicil this 22nd day of July, 1985. (SEAL) The preceding instrument was on the date thereof signed, pub- lished and declared by Norma A. Cockley, in the presence of us, who at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto. STATE OF PENNSYLVANIA :: SS COUNTY OF CUMBERLAND :: We, Norma A. Cockley, Frances H. Del Duca and George B. Faller, the testator and 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 testator signed and executed the instrument as a codicil to her Last Will dated November 17, 1981, and that she had signed willingly, 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 testator, signed the instrument as witness and that to the best of his knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. · estator ' '-Witness W~ness SUBSCRIBED, sworn to and acknowledged before me by Norma A. Cockley, the testator, and subscribed and sworn to before me by Frances H Del Duca and George B Faller, witnesses, this.~.~_r~ day of July, 1985. N'6t ar y Publ ~e ~ SHIRI. Fy p. CI. EVENG[R ]0 Wes~ High Sr., Carlisle Cumberland County, Pa. My Commission Expires March §, 1988 PAUL A. COCKLEY LAST WILL GEORGE B. FALLER FRANCES H. DEL DUCA ATTORNEYS AT LAW TEN WEST HIGH STREET CARLISLE, PENNSYLVANIA 17013 '03 N/IlK 21 P 1:01 CERTIFICATION OF NOTICE UNDER RULE 5.6(a] Name of Decedent: Date of Death: Will No. Norma A. Cockley May 16, 2003 Admin. No. 2003-00431 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on-or mailed to the following beneficiaries of the above-captioned estate on Name Address Teresa Cpckley Dows - 17 No. Ac0rg. D~iye.~ Carlisl.e~ PA Lorie Cockley McDermott - 1723 West Patterson St., Tampa, FL, '33604 Jennifer Cockley Ortmyer - 1.186 Newville Rd., Carlisle, PA William S. Shover, Jr. - 347 No. Middlesex Rd., Carli.~le, PA ~oetClk~eS~°vernas nowH~hesuee, ~i$~ ~Sr~l~V~,fs~l~l~ t~o ~,der Rule 5.6(a) except Date Signature Name Frances H. Del Duca Address 10 West High St. Carlisle, PA Telephone1717-249-1323 Capacity:__ Personal Representative x Counsel for personal representative 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 002874 DEL DUCA FRANCES H 10 W HIGH STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 191-46-0688 FILE NUMBER: 2103-0431 DECEDENT NAME: COCKLEY NORMA A DATE OF PAYMENT: 08/06/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 05/1 6/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 920,034.52 TOTAL AMOUNT PAID: 920,034.52 REMARKS: RICHARD P COCKLEY C/O FRANCES H DEL DUCA ESQ SEAL CHECK#0100 INITIALS: DO RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS REV-1500 EX (6-00) ' COMMONWEALTH OF PENNSLYVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 21 COUNTY CODE _ 03 0431 YEAR NUMBER DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL1 Cockley, Norma A. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 2/7/07 May 16, 2003 IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 191-46-0688 THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER Limited Estate Original Return Decedent Died Testate (Attach copy of Will) Litigation Proceeds Received  2. Supplemental Return ~ 3. Remainder Return ¢~,a~p~,~2-~3-~) 4a. Future Interest Compdse (date of death after 12-12-82) L.~ 5. Federal Estate Tax Return Required 7. Decedent Maintained a Living Trust (Attach a copy of Trust) 8. Total Number of Safe Deposit Boxes 10. Spousal Poverty Credit (date of death be~en ~2-3,-91 ,,d ~-~-95) [~] ~A1.;,~l~e~cti~n to tax under Sec. 9113(A) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME Frances H. Del Duca FIRM NAME (If Applicable) TELEPHONE NUMBER COMPLETE MAILING ADDRESS 10 West High Street Carlisle, PA 17013 1. Real Estate (Schedule Al (11 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5~ Cash, Bank Deposits & Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) [ -'~ Separate Billing Requested 7. Inter-Vivos Transfers & Misc. Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 111 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been rn~H~ /~'h~H~ d~,. I ~ 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE IN,~¥1<UCTIONS ON REVERSE SIDE FOR APPLICABLE RATES ~'$ 0.00 i $ o.ooi $ 0.001 $320,592.71 i .. $171,473.09 i $ 0.00 ! OFFICIAL USE ONLY (8) $23,422.19 $ 0.00 (11) (121 (13) (14) $492,065.80 $23,422.19 $468.643.61 $ 0.00 $468,643.61 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x (15) 16. Amount of Line 14 taxable at lineal rate 468,643.61 x 4.5 (16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (191 20. I I CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT $ 0.00 21,088.97 $ 0.00 $ 0.00 ~ .088.97 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < D~cedent"s Complete Address · STREET ADDRESS IThomwald Home, 442 Walnut Bottom Road I Carlisle STATE PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Pavments A. Spousal Poverty Credit B. Prior Payments C. Discount InterestJPenaltv if aoolicable D. Interest E. Penalty 1.054.45 Total Credits (A + B + C) (2) Total InteresFPenaltv (D + El (3) ZIP 17013 (1) 21,088.97 If lin~. ? i.~ nr~.Rt~.r th~n lin~. '1 + lin~. R ~.nt~.r th~. diff~.r~.nc.P. Thi.~ i.~ th~. OVI=RPAYMI=NT Check box on Page 1 Line 20 to request a refund (4) If line I + line 3 is greater than line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 1,054.45 $ 0.00 $ o.oo 20,034.52 $20,034.52 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Did decedent make a transfer and: a. retain the use or income of the property transferred; b. retain the right to designate who shall use the property transferred or its income; c. retain a revisionary interest; or d. receive the promise for life of either payments, benefits or care? Yes 2. If death occurred after December 12, 1982, did decedent transfer property within on year of death without receiving adequate consideration? 3. Did decedent own an "in t~ust for" or payable upon death bank account or security at his or her dealh? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which No contains a beneficiary designation? ~ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FiLE iTAS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer other than the personal representative is based on all the information of which preparer has any knowledge. SIGNATURE.OF PERSOI'~RESPONSIBLE ~OR-FILING RETURN ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116(a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1503EX + (1-97I (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Norma A. Cockley FILE NUMBER 21-03-0431 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. See Attached Schedule F TOTAL (Also enter on line 2, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (1-97)(1) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Norma A. Cockley FILE NUMBER 21-03-0431 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-<~med with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. M & T Bank Corp. a) Acct. No. 31003911173703 CDA opened January 1995- 100,000 w/accrued int. of 178.34 b) Acct. No. 100846-21,596.91 w/accrued int. of 2.74 c) Acct. No. 9833000152 opend 2/21/03- 60,214.89 w/accrued int. of 100.30 C.D. - No. 31003911154620 - 126,719.35 w/accrued int. of 1,779.89 C.D. No. 31003911151163 opened 9/1/67- 10,000 w/accrued int. of .29 TOTAL (Also enter on line 5, Recapitulation) 100,178.34 21,599.65 60,315.19 128,499.24 10,000.29 $320,592.71 (If more space is needed, insert additional sheets of the same size) REV-1509 EX + (1-9/~(1) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF Norma A. Cockley FILE NUMBER 21-03-0431 If an asset was made joint within one ear of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Richard P. Cockley 70 Imperial Court, Carlisle, PA Son B. Mary Lou Shover 1820 Ridgeview Dr., Carlisle, PA Daughter JOINTLY-OWNED PROPERTY: ITEM Lt: ~ ~ ~R DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH NUMBER FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. DATE OF DEATH DECD'S VALUE OF TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 2000 Stock Cert. #MT14937 171,516.00 60% 85,758.44 M & T Bank Corp. - 2020.2223 shares @ 84.90 dated October 6, 2000 B. 2000 Stock Cert. MT14936 171,429.30 50% 85,714.65 !M & T Bank Corp. - 2019.1908 shams @ 84.90 dated October 6, 2000 TOTAL (Also enter on line 6, Recapitulation) 171,473.09 (if more space is needed, insert additional sheets of the same size) REV-1511 EX + (1-97~{1) COMMONWEALTH OF PENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Norma A. Cockley FILE NUMBER 21-03- 0431 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. 5. 6. 7. FUNERAL EXPENSES: Hoffman Roth Westminster Cemetery Funeral Lunch ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Richard P. Ceckley/Mary Leu Shover Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: Attorney Fees FRANCES H. DEL DUCA Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State __ Zip Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees PharAmerica Paul D. Dalbey Reserve TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) 6,684.50 945.00 169.70 15,000.00 276.50 14.49 32.00 300.00 $23,422.19 REV-1513 EX + ({)-00)) COMMONWEALTH OF PENNSYLVANIA INHERITANCETAXRETURN RESIDENT DECEDENT SCHEDULEJ BENEFICIARIES ESTATE OF NormaA. Cockley FILE NUMBER 21-03-0431 NUMBER [I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Teresa Cockley Dows 17 No· Acorn Drive, Boiling Springs, PA, 17007 Lode Cockley McDermott 1723 West Patterson St., Tampa, FL, 33604 Jennifer Cockley Ortmyer 1186 Newville Rd., Carlisle, PA, 17013 William S. Shover Jr. 347 No· Middlesex Rd., Carlisle, PA, 17013 Karen Shover Lowry 1820 Ridgeview Dr., Carlisle, PA, 17013 Becky Shover Hughes 168 Darr Ave., Carlisle, PA, 17013 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Grandchild Grandchild Grandchild Grandchild Grandchild Grandchild 10,000.00 10,000.00 10,000.00 10,000.00 10,000.00 10,000.00 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE Richard P. Cockley, 70 Imperial Dr., Carlisle, PA Son ~ residue Mary Loy Shover, 1820 Ridgeview Dr., Carlisle, PA Daughter ½ residue ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET Manufacturers and Traders Trust Company, 1100 Wehrle Drive, P.O. Box 767, Buffalo, NY 14240-0767 June 16, 2003 Frances H. Del Duca Attorney At Law Ten West High Street Carlisle, PA 17013-2922 Phone(302)934-2916 Fax (302)934-2955 Dear Ms. Del Duca: ge~ Estate qf Norma A. Cocklev Social Security No.: 191-46-0688 Date qf Death: May 16, 2003 In response to your request, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following accounts. ~/1. Type of Account AccOtint Number Certificate of Deposit 31003911151163 Ownership (Names oJ) Opening Date Balance As of Date of Death Accrued Interest Total Norma A. Cockley 09/01/67 $1 O, 000. 00 $ 0.29 $10,000.29 Type of Account Account Number Ownership (Names of) Opening Date ' . Balance As of Date of Death Ac'crued Interest Total Certificate of Deposit 31003911154620 Norma A. Coddey or Paul A. CockIey 07/20/91 $126,719! 35 $ 1,779.89 $128,499.24 Type of Account Account Number Ownership (Names Opening Date Balance As of Date of Death Accrued Interest Total Certificate of Deposit 31003911173703 Norma A. Cocldey 10/18/95 $100,000.00 $ 178.34 ........................ Type of Account Account Number Ownership (Names oJ) Opening Date J~alance As of Date of Death Accrued Interest Total M& T Select w/Interest-Checking - 100846 Norma A. CocMey 09/01/67 $21,596.91 $ 2.74 .......................... Type of Account Account Number Ownership (Names oj9 Opening Date Balance As of Date of Death Accrued Interest Total M&T Premium Interest Checking 9833000152 Norma A. Cockley 02/20/03 (closed 05/21/03) $60,214.89 $ 100.30 " 'd65i :i3 .......................... This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of Uniform Transfers, Representative Payee, or Trustee under a Written Agreement. Sincerely, Natasha Waters (302) 934-2916 · BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 FRANCES H DELDUCA 10 W HIGH ST CARLISLE PA 17015 COMMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 09-22-200:5 ESTATE OF COCKLEY DATE OF DEATH 05-16-200:5 FILE NUMBER 21 0:5-04:51 COUNTY CUMBERLAND ACN 101 Amount Remitted REV-1~7 E~ AFP NORMA C MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 1701:5 CUT ALONG THTS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~ REV-1547 EX RFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO~/ANCE OR DISALLOg/ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF COCKLEY NORMA C FILE NO. 21 0:5-04:51 ACN 101 DATE 09-22-200:5 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1 Real Estate (Schedule A} 2 Stocks and Bonds (Schedule B] $ Closely Held Stock/Partnership Interest (Schedule C) 4 Mortgages/Notes Receivable CSchedule D} 5 Cash/Bank Deposits/Misc. Personal Property (Schedule E) Jointly Owned Property (Schedule F} 7 Transfers CSchedule G} 8 Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens CSchedule I) Total Deductions 12. Net Value of Tax Return (1) c$) c5) c6) c7) :520r592.71 171r47:5.09 .00 .00 NOTE: To insure proper .00 credit to your account, · 00 submit the upper portion · 00 of this form w/th your tax payment. ¢8) 2:5,422.19 .00 492,065.80 15. 14. NOTE: ASSESSMENT OF TAX: 15. Amount of L/ne 14 at Spousal rate 16. Amount of L/ne 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: RECEIPT DISCOUNT C+] NUMBER INTEREST/PEN PAID C-) 08-06-200:5 CD002874 1,054.45 PAYMENT DATE Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) C15) Net Value of Estate Sub3ect to Tax C14) If an assessment was issued previously, lines 14, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to data. (Is) .00 x O0 = cz6) 468,64:5.61 x 045= c17) .00 x 12 = cia) .00 x 15 = C19)= AMOUNT PAID 20,0:54.52 TOTAL TAX CREDZT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 468,645.61 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 18 and 19 will .00 21,088.97 .00 .00 21,088.97 21,088.97 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN 41, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR}, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION] PURPOSE OF NOTICE= PAYMENT= REFUND CCR)= OBJECTIONS= ADHIN- ISTRATIVE CORRECTIONS= DISCOUNT= PENALTY: INTEREST= Estates of decedents d~ing on or before December 12, 1982 -- if an~ future interest tn the estate is transferred in possession or enjoyment to Class B Ccollateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inher/tance Taxes at the lawful Class B Ccollateral} rate on any such future interest. To fulfill the requirements of Section 21~0 of the Inheritance and Estate Tax Act, Act 23 of 2000. C72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Hake check or money order payable to= RE:GIXS~ OF NILLS, &~ A refund of a tax credit, which was not requested on the Tax Return, may be requested bY completing an "Application for Refund of Pennsylvan/a Inheritance and Estate Tax" (REV-ISIS). Applications are available at the Office of the Register of Nills, any of the 25 Revenue D/strict Off/cms, or b~ calling the spec/al 2~-hour answering service for forms ordering= 1-800-$62-2050; services for taxpayers w/th special hear/ng and / or speaking needs= 1-800-~47-$020 CTT only). Any party /n /nterest not sat/sf/ed w/th the appraisement, allowance, or d/sallo~ance of deduct/ons, or assessment of tax ¢including d/scount or /nterest) as sho~n on this Notice must object with/n sixty (60) days of race/pt of th/s Notice by= --wr/tten protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --elect/on to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on th/s assessment should be addressed in writing to= PA Department of Revenue~ Bureau of ~ndividua! Taxes, ATTN= Post Assessment Rev/ew Unit, Dept. 280601~ Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Res/dent Decedent" CREV-1501) for an explanation of administratively correctable errors. If any tax due is pa/d with/n three ($) calendar months after the decedent's death, a f/ye percent CSX) discount of the tax paid is allo~ed. The 15X tax amnesty non-participat/on penalty is computed on the total of the tax and interest assessed, and not paid before Januar~ 18, 1996, the f/rs/ day after the end of the tax amnesty per/od. This non-part/c/pat/on penalty /s appealable in the same manner and in the the same tame per/od as you would appeal the tax and tn/eras/ that has been assessed as /ndicated on this not/ce. Interest is charged beginning w/th first day of delinquency, or nine C9) months and one C1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six ¢6~) percent per annum calculated at a daily rate of .00016~. All taxes wh/ch became del/nquent on and after January 1~ 1982 will bear interest at a rate wh/ch will vary from calendar year to calendar year w/th that rate announced by the PA Department of Revenue. The appl/cable tn/eras/ rates for 1982 through 2005 are= Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor m 1982 20Y, . 0005~8 1987 9X . 0002~7 1999 Tr. . 000192 198~ 16Y, .000~$8 1988-1991 llX .000501 2000 8Y, .000219 198~ llX .000501 1992 9Y. . O002gi7 2001 9X .0002~7 2002 6X .00016~ 1985 1SY, .000S56 1995-199~ 7Y, .000192 1986 10Y. .00027~i 1995-1998 9Z .0002~i7 200.% Sr, .000157 --Interest is calculated as follows= INTEREST = BALANCE OF TAX UNPAXD X NURBER OF DAYS DELTNI~UENT X DAXLY XNTEREST FACTOR --Any Notice /ssued after the tax becomes del/nquent will reflect an interest calculat/on to fifteen ¢15) days beyond the date of the assessment. If payment is made after the /nterest computation date shown on the Not/ce, addit/onal tn/eras/ must be calculated. $ . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: II) tJ cZ 111 /l /J ,3-lf7J Date of Death: 41 /If 1(, Estate No.: ..:) / 0:3 cj:?' I 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: Date: ()") ,;.;:-.., 1. State whether administration of the estate is complete: Yes & No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 1fl- . b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the perso~epresentative state an account informally to the parties in interest? Yes lJJ..... No 0 c. Copies of receipts, releases,joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. tj-r1-o c,,"-- c2~l'-<"j?-c7 19nature dldf~ rrf{ liNC~C:; {J /lEt. U U C/l Name (() t.v ;/16/-1 ?JI (!If ft. (t')L .z. Address ,.;J..cJCj I?:L~ , Telephone No. Capacity: 0 Personal Representative [TI-Counsel for personal representative cJ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/15/2005 DEL DUCA FRANCES H 10 W HIGH STREET CARLISLE, PA 17013 RE: Estate of COCKLEY NORMA A File Number: 2003-00431 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/16/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge ) - Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: Norma A. COckley Date of Death: 0/ ';//1 3 d?005- Of) ~3/ Estate No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the a.dminis1ration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes ~ No 0 2~ If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 9{ . b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the perso~epresentative state an account informally to the parties in interest? Yes )41 No 0 c. Copies of receipts, releases, joinders and approval offormal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: 1/- ;2s-o " ~Jt-U-IJMdJ~ ignature , ..0) Frances H. Del Duca Name 10 W. High st., Carlisle, PA 17013 Address 717-249-1323 Telephone No. Capacity: 0 Personal Representative [B'Counsel for personal representative J -; . . . Register of Wills of Cumberland CoWlty STATUS REPORT UNDER RULE 6.12 Name of Decedent: Norma A. Cockley Date of Death: 5/16/03 Estate No.: 2003-00431 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: I. State whether administration of the estate is complete: Yes r:a- No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No ~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the perso~ r.sPZ"esentative state an account informally to the parties in interest? Yes 11r No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: -f1/JD ~~ J/;(JJ~/~ Frances H. Del Duca Name 10 West High st., Carlisle, PA 17013 Address 717-249-1323 Telephone No. Capacity: 0 Personal Representative lB'COunsel for personal representative J