Loading...
HomeMy WebLinkAbout03-0561BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA PETITION FOR GRANT OF LETTERS Estate of Man/A. Bussard also known as Mar)/A. Bussard , Deceased Cynthia Ann. Bussard No. ~'~,J- ~-5~_~J Social Security No. 219147037 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) . A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix [] Decedent, dated 08/27/1987 and codicil(s) dated named in the Last Will of the 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 Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minodtate) 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: J Name Relationship Residence J (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 1000 West South Street, Borou~lh of Carlisle (Fist street, number and municipality) Decedent, then 78 years of age, died April 24 ,2003 , at Sara Todd Memorial Home, Carlisle, Pennsylvania (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 ..................................................................................................................... $ Real Estate situated as follows: 424 Lincoln Street, Carlisle, Pennsylvania 17013 75,000.00 75,O0O.O0 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: Typed or printed name and residence Cynthia Ann Bussard 424 Lincoln Street Carlisle, Pennsylvania 17013 RW-7 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief/~etitioner(s) and that,?~ersonal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate a,c~ording to/l~w. /," .J ~ Sworn to and affirmed and subscribed ~ r~ \ ,~_ ..~_~(-~ ~.2 before me this. I ~ +~' day of June, 2003 C~a Ann Bussard DECREE OF REGISTER Estate of Mary A. Bus~r~l also known as Deceased Social Security No: 219147037' Date of Death:04/23/2003 AND NOW, ~'¥J-,~-~-~ ~l, 2003 , in consideration of the Petition on the reverse side hereon, s~ttisfac~ory proof having been presented before me, IT IS DECREED that Letters ~ Testamentary ~ of Administration (c.ta., d.b.n.c.t.; pendente lite; durante absentia; durante minoritate) are hereby granted to Cynthia Ann Busssard in the above estate and that the instrument(s), if any, dated ~ ' ,2..-I - ~ c~ ~' ~ 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 (5 ) ..............$ Codicil ................................. $ JCP Fee ................................. $ Inventory & Tax Forms ............. $ Other ...................................... $ TOTAL ............................. $ RW-7A 115.00 6.00 15.00 10.00 146.00 Register of Will,~ ! 0 t . Attorney Attorney: Jan L. Brown I.D. No: 67993 Address: 845 Sir Thomas Court Suite 12 Harrisbur~l Pa 17109 Telephone: 717-541-5550 DATE FILED: 13~lCLi'Jila~k3 -"J - Ii - O~ l~is is to certify that the information here given is correctly copied from an original certificate of death duly flied with me as Local Registrar. The original certificate will be. fonvarded to the State Vital Records Office for permanent filing. WARHIHG: It is illegal Io duplicate this ¢op¥ by Dholostal or photoflraph. Fee fbr this certificate, $2.00 P 9283247 No. Local Registrar t~ ? Date mo5.1~ Re,. z'a7 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT 01~ HEALTH * VITAL RECORDS '"~ CERTIFICATE OF DEA'IJH ~K '. Mary A. Bussard " o~cE~'s usuAL ~u~ ~ite ' ' ~ Snow S~il Jackson ~thia Bussard 424 PA 17013 ~ ~ ~l.,~pril 29, 2~3 Me.rial ~rlisle, PA 17013 ~ UM~A SAIDIS & GUIDO 26 W. High Street Carlisle, Pa. LAST WILL AND TESTAMENT OF MARY A. BUSSARD I, MARY A. BUSSARD, of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. If there is no cemetery lot available for my interment owned by me at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care, using therefore funds from my estate in such amount as he shall consider necessary and desirable, and I authorize my personal representative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall designate. Further, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. SAIDIS & GUIDO 26 w. High Street Carlisle, Pa. SECOND I give, devise and bequeath all the rest, residue and remainder of my estate unto my daughter, CYNTHIA ANN BUSSARD. In the event that CYNTHIA ANN BUSSARD predeceases me I give, devise and bequeath all the rest, residue and remainder of my estate unto my son, CHRISTOPHER C. BUSSARD THIRD I appoint my daughter, CYNTHIA ANN BUSSARD as Guardian of the person and property of my minor child, CHRISTOPHER C. BUSSARD. Provided, however, that if said CYNTHIA ANN BUSSARD is unwilling or unable to act as Guardian, I appoint my sister, LORRAINE HAGGERTY as Guardian of the person and property of my minor child, CHRISTOPHER C. BUSSARD. Provided further, that if said LORRAINE HAGGERTY is unwilling or unable to act as Guardian, I appoint my son, CHARLES E. BUSSARD as Guardian of the person and property of my minor child, CHRISTOPHER C. BUSSARD. FOURTH I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this Will or otherwise shall be paid out of the principal of my residuary estate. - 2 - SAIDIS & GUIDO 26 W. High Street Carlisle, Pa. FIFTH In addition to the powers conferred by law, I authorize any personal representative acting under this instrument, in his or her absolute discretion: (a) to retain in the form received, or to sell either at public or private sale any real or personal property; (b) to invest and reinvest in all forms of property without being confined to legal investments and without regard to the principal of diversification; (c) to exercise any options to subscribe for stocks, bonds, or other investments; (d) to join in any plan of lease, mortgage, consolidation, exchange, reorganization or foreclosure, of any corporation in which my estate or any trust may hold stocks, bonds or other securities; (e) to sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representative, in his sole discretion, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; (f) to make settlements and compromises on such terms as my personal representative in his sole discretion may deem wise without the necessity of obtaining any court approval thereof; - 3 - SAIDIS & GUIDO 26 W. High Street Carlisle, Pa. (g) to make distribution hereunder either in cash or kind, as my personal representative in his discretion may deem wise. SIXTH I do hereby nominate, constitute and appoint my daughter, CYNTHIA ANN BUSSARD, to act as Executrix, of this my Last Will and Testament. Provided, however, that if she is unwilling or unable to act as Executrix, I direct the duties of Executrix be performed by my sister, LORRAINE HAGGERTY, as alternate Executrix. SEVENTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, MARY A. BUSSARD, have hereunto set my hand and seal to this my Last Will and Testament, consisting of four typewritten pages, the first three of which bear my signature in the margin for identification, this~'%ay of '1987. Mary ~. Bussard - 4 - SAIDIS & GUIDO 26 W. High Street Carlisle, Pa. Signed, sealed, published and declared by the above-named Testatrix, MARY A. BUSSARD, as and for her, Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testatrix and of each other. ~~ ADDRESS SAIDIS & GUIDO 26 W. High Street Carlisle, Pa. COMMONWEALTH OF PENNSYLVANIA : : ss. COUNTY OF CUMBERLAND : WE, MARY A. BUSSARD, EDWARD E. GUIDO, and SUZANNE M. RUNYON, the Testatrix and witnesses, respectively whose names are signed to the foregoing or attached 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 Testament and that she signed willingly and that she executed 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 witness and that to the best of their knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Mary ~. Bussar~, Testatrix Edward E. Guido, Witness .~-J~ann~e M. Runyon, Witneks Subscribed, sworn to and acknowledged before me by MARY A. BUSSARD, the Testatrix, and subscribed to and sworn or affirmed to before me by EDWARD E. GUIDO and SUZANNE M. RUNYON witnesses, this~ ay of , 1987. C~ril¢~, Cumberland Co., Pa. .NeJ Commission Expires Feb.- 20, 19~ LAST WILL ~AND TESTAMENT OF MARY A. BUSSARD LAW OFFICES SAIDIS & GUIDO P. O. BOX 560 26 W. HI6H STREET CARLISLE, PENNA. 17013 PHONE (717) 243-6222 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Mary A. Bussard Date of Death: 04/24/2003 Will:No. 2003-00561 Admin. No. To the Register: I certify that notice of (beneficial interest) 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 i (~- 30 -~ · Name Address Cynthia A. Bussard 424 Lincoln Street Carlisle PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date: ~ignature Name: Jan L. Brown, Jan L. Brown & Associates Address: 845 Sir Thomas Court, Suite 12 Harrisburq PA 17109 Telephone(717) 5415550 Capacity: X Personal Representative Counsel for Personal Representative Jan L. Brown, Esquire* Jacqueline A. Kelly, Esquire JAN L. BROWN & ASSOCIATES ATTORNEY AND COUNSELOR AT LAW OLDE ENGLISH GAP 845 SIR THOMAS COURT SUITE 12 H~mSU.G, PA 17109 Email: jlbassoc@ptd.net TE~OaE (717) 541-5550 F^CSa~L~ (717) 541-9223 Brenda F. Kephart, Le~ Assistant *ADMITI'ED IN PA AND DISTRICT OF COLUMBIA December 22, 2003 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Mary A. Bussard Estate No. 21-03-0561 Executrix: Cynthia A. Bussard To Whom It May Concern: Enclosed please find the following items for filing with the Register of Wills: 1. Inventory 2. An original and one copy of the Inheritance Tax Return together with Check 545 in the amount of $2,852.24 to cover the tax shown to be due. Please note that the check has been written for more than the tax liability shown to be due. The executrix wrote the check before an exact tax due amount was computed. Also enclosed is a check in the amount of $25.00 for the filing fee. Please time stamp and return our file copies of these documents. A return envelope is provided. If you have any questions, feel free to contact this office. Sincerely, j~c q~ueli~ Enclosures EV-50cl EX + (~-OC~ LU Z COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 2806O1 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Bussard, Mar7 A. DATE OF DEATH (MM-DO-Year) I 04/24/2003 J 08/23/1924 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) REV-1500 INHERITANCE TAX RETURN RESlBENT BECEBENT OFFICIAL USE ONLY i-/-I..51- FILE NUMBER 2 1 -0 3 0 5 6 · COUN~Pr CODE YEAR NUMBER SOCIAL SECURITY NUMBER 2 1 9--1 4-7 0 3 7 DATE OF BIRTH (MM-DO-Year) TI.IlS RETURN MUST BE FILEB IN BUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER J'~l. Original Return [~]4. Limited Estate r~6. Decedent Died Testate (Attach copyof W'dl) [~ 9. Litigation Proceeds Received [-"~ 2. Supplemental Return 4a. Futura Interest Compromise (d~ of death after 12.12.a2) ~--] 7. Decedent Maintained a Living Trust (A~ch copy of Trust) r~ 10. Spousal Pove~ Credit ((~te oldea~ ~et~e, 12-31-91 and 1-1-95) r-'-~ 3. RemainderRetum (dateofdea~phorto12-13-82) J~5. Federal Estate Tax Retum Required __ 8. Total NumberofSafe Deposit Boxes [~] 11. Election to tax under Sec. 9113(A) (^tt~ch sch o) NAME Jacqueline Kelly FIRM NAME (If Applicable) Jan L. Brown & Associates TELEPHONE NUMBER 717-541-5550 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Pa~ership or Sole-Proprietomhip (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) r'-] Separate Billing Requested 7. Inter-Vivos Transfem & Miscellaneous 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 11) COMPLETE MAILING ADDRESS 845 Sir Thomas Court, Suite 12 Harrisburg 13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) PA 17109 75,760.00 883.14 0.00 OFFICIAL USE ONLY (8) 76,643.14 13,758.65 1,527.23 (11) 15,285.88 61,357.26 (12) (13) (14) 61,357.26 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfem under Sec. 9116 (a)(1.2) 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 20. X (15) 61,357.26 X .045 (16) X .12 (17) X .15 (18) (19) 2,761.08 2,761.08 D~ceden~'s Com._plete Address: STREET ^DDRESS 424 Lincoln Street CITY Carlisle STATE PA -[ z~P 17013 Tax Payments and Credits: l. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit El. Prior Payments C. Discount 3. Interest/Penalty if applicable Total Credits ( A + B + C ) (2) D. Interest E. Penalty 4. If Line 2 is greater than Une 1 + Line 3, enter the difference. This is the OVERPAYMENT, Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Une 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. Total Interest/Penalty ( D + E ) (3) (1) 2,761.08 (4) (5) 2,761.08 (5A) Under penaJtJes ofper~ur,/ Ideclamthat have examined this return including accompanyi~,,/."'-~,~,nds~i~ m-~is and lo the best of r '~owled ean Declaration of preparer other than the pefsonaJ repmsantalJve is ~ on all information f ' ' h .-"-'.-: / g d belief, SIGNATURE OF PERSON RESPONSIBLE FOR FiLiNG ~:TURN AgORESS 424 Lincoln Street ~'",~ Carlisle SIGNATURE OF PREPARER~)iTHER THAN REP~ESEN-TATIVE. · "lloma~ourt, Suite-12 B. Enter the total of line 5 + 5A. This is the BALANCE DUE. (5B) 2,761.08 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... [] [] b. retain the dght to designate who shall use the property transferred or its income; ........................................ [] [] c. retain a reversionary interest; or d. receive the promise for life of either payments, benefits or care? ............................................................. [] [] 2. If death occurred after December 12, 1982, did decedent transfer properbj within one year of death without receiving adequate consideration?. .............................................................................................. [] [] 3. Did decedent own an "in trust for' or payable upon death bank account or secudty at his or her death? ................. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN· it is true. correct and complete. DATE PA 17013 DATE Harrisbur~l PA 17109 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 retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a 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-1502EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE TOTAL (Also enter on line 1, Recapitulation) 75,760.00 $ 75,760.00 ESTATE OF FILE NUMBER Bussard. M~ry A, 21 03 ~)~61 All real property owned solely or as a tenant in co,~c,n must be reported at fair market value. Fair market value is defined as the pdce at which prope~ would be exchanged be~een a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Personal residence located at 424 Lincoln Street, Carlisle, PA 17013 See attached Cumberland County Tax Assessment Parcel #05-20-1796-033 REV-1508 EX * (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Bussard, M~lry A, SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21 03 DESCRIPTION checking account #1700022537 TOTAL (Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 883.14 VALUEAT DATE OFDEATH 883.14 ITEM NUMBER Waypoint Bank Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly.owned with the right of sun~ivorship must be disclosed on Schedule F. REV-151 rEX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Bussard. M{~rY A, Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FILE NUMBER 21 03 FUNERAL EXPENSES: Hoffman-Roth Funeral Home Westminster Cemetery-opening of grave ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Repre.~ntaflve (s) Sodal Secudty Number(s) / EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Attorney Fees Jan L. Brown & Associates Family Exemption: (If decedent's address is not the same as daimanfs, attach explanation) Claimant Zip Street Address City Relationship of Claimant to Decedent Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees State Zip TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) AMOUNT 9,642.65 945.00 3,000.00 171.00 13,758.65 REV-1512 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Bussard, Mary A. SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES~& LIENS Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Virtual Healthcare-outstanding medical bills FILE NUMBER 2~1 05 TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) 0561 AMOUNT 1,527.23 $ 1,527.23 REV:1513 EX + (~-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Bussard. M~IrY A, NUMBER II. SCHEDULE J BENEFICIARIES NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions and transfers under Sec. 9116 (a)(1.2)] ' Cynthia A. Bussard 424 Lincoln Street Carlisle, PA 17013 FILE NUMBER 21 03 0261 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not Lisl~ Trustee(s) OF ESTATE daughter 100% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If mom space is needed, insert additional sheets of the same size) Form View - public tax file 11-25-03.fp5 Page 1 of 1 Form View Search public tax file 11-25-03.fp5 Table View Viewing: I of ! District_Number 05 Parcel_Identifier 05-20-1796-033 Map_Suffix_Number House_Number 424 Direction Street LINCOLN STREET Owner..Name_l BUSSARD, MARY A Owner_Name_2 Land Use Code R Property_Descriptio Living_Area 1352 CulTent_Land_Valu 9530 Current_Improvement_Value 66230 Current_Total_Valu 75760 C u rrent_Prefe rred_Valu Acreage .13 CleanGreen_Status Taxable.or_Exempt Sale_Amount Sale_Month Sale_Day Sale_Century Sale_Year Deed_Book_and_Page 0019K-00005 Year_Built 1925 Home J Help IS & GUIDO '. High Street arlisle; Pa. LAST WILL AND TESTAMENT OF MARY A. BUSSARD I, MARY A. BUSSARD, of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my debts and expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. If there is no cemetery lot available for my interment owned by me at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care, using therefore funds from my estate in such amount as he shall consider necessary and desirable, and I authorize my personal representative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall designate. Further, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. ,IS & GUIDO I. High Street arlisle, Pa. SECOND I give, devise and bequeath all the rest, residue and remainder of my estate unto my daughter, CYNTHIA ANN BUSSARD. In the event that CYNTHIA ANN BUSSARD predeceases me I give, devise and bequeath all the rest, residue and remainder of my estate unto my son, CHRISTOPHER C. BUSSARD THIRD I appoint my daughter, CYNTHIA ANN BUSSARD as Guardian of the person and property of my minor child, CHRISTOPHER C. BUSSARD. Provided, however, that if said CYNTHIA ANN BUSSARD is unwilling or unable to act as Guardian, I appoint my sister, LORRAINE HAGGERTY as Guardian of the person and property of my minor child, CHRISTOPHER C. BUSSARD. Provided further, that if said LORRAINE HAGGERTY is unwilling or unable to act as Guardian, I appoint my son, CHARLES E. BUSSARD as Guardian of the person and property of my minor child, CHRISTOPHER C. BUSSARD. FOURTH I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this Will or otherwise shall be paid out of the principal of my residuary estate. - 2 - 3 &-GUIDO High Street lisle, I~a. FIFT~ ~ In addition to the powers conferred by law, I authorize any personal representative acting under this instrument, in his or her absolute discretion: (a) to retain in the form received, or to sell either at public or private sale any real'or personal property; (b) to invest and reinvest in all forms of property without being confined to legal investments and without regard to the principal of diversification; (c) to exercise any options to subscribe for stocks, bonds, or other investments; (d) to join in any plan of lease, mortgage, consolidation, exchange, reorganization or foreclosure, of any corporation in which my estate or any trust may hold stocks, bonds or other securities; (e) to sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representative, in his sole discretion, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; (f) to make settlements and compromises on such terms as my personal representative in his sole discretion may deem wise without the necessity of obtaining any court approval thereof; - 3 - IS & GUIDO · High Street ~rlisle, Pa. (g) to make distribution hereunder either in cash or kind, as my personal representative in his discretion may deem wise. SIXTH I do hereby nominate, constitute and appoint my daughter, CYNTHIA ANN BUSSARD, to act as Executrix, of this my Last Will and Testament. Provided, however, that if she is unwilling or unable to act as Executrix, I direct the duties of Executrix be performed by my sister, LORRAINE HAGGERTY, as alternate Executrix. SEVENTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, MARY A. BUSSARD, have hereunto set my hand and seal to this my Last Will and Testament, consisting of four typewritten pages, the first three of which bear my signature in the margin for identification, this~%'~aY of ' ~ "~ ' ~k_l/~.~"---' (SEAL) Mary{~. Bussard - 4 - 31S & GUIDO ,,V. High Street 2,arlisle, Pa. Signed, sealed, published and declared by the above-named Testatrix, MARY A. BUSSARD, as and for her, Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testatrix and of each other. ~~""'[ ~?' ~ ~.ss )IS & GUIDO V. High Street ;arlisle, Pa. COUNTY OF CUMBERLAND : ss. ~ WE, MARY A. BUSSARD, EDWARD E. GUIDO, and SUSANNE M. RUNYON, the Testatrix and witnesses, respectively whose names are signed to the foregoing or attached 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 Testament and that she signed willingly and that she executed 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 witness and that to the best of their knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Mary ~. Bussard, Testatrix Edward E. Guido, Witness · ~_ ~~~ S~bsc=&bea, s~o=~ to a~a ack~o~eagea be$o=e ~e M~Y A. BUSSARD, the Testatrix, and subscribed to and sworn or affirmed to before me by EDWARD E. GUIDO and SUITE M. RU~ON witnesses, this?7~%ay of ~.~ , 1987. Notary BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA INVENTORY Estate of Bussard, Mary A. also known as Mary A. Bussard Cynthia A. Bussard, Executrix , Deceased No. 2003 0561 Date of Death 04/24/2003 Social Security No. 219147037 Personal Representative(s) of the above Estate, deceased, vedfy that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are tree and correct. INVe understand that false statements herein made are subject to the penalties of 18 Pa. C.$. Section 4904 relating to unswom falsification to authorities. Name of Attorney: I.D. No.: Address: Jacqueline Kelly 91973 845 Sir Thomas Court, Suite 12 Harrisbur~l PA 17109 Personal Representative: Cynthia A. Bussard 424 Lincoln Street, Carlisle, PA 17013 Dated 12-19-2003 Telephone: 717-541-5550 Waypoint Bank checking account #1700022537 Description Personal residence located at 424 Lincoln Street, Carlisle, PA 17013 Parcel #05-20-1796-033 (Attach Additional Sheets if necessary) Total Value 883.14 75,760.00 76,643.14 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 Jan L. Brown & Associates ATTORNEYS AND COUNSELORS AT LAW 845 SIR THOMAS COURT SUITE 12 HARRISBURG, PENNSYLVANIA 17109 TO: REGISTER OF WILLS CUMBERLAND CO COURTHOUSE ONE COURTHOUSE SQ CARLISLE PA 17013 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 O03370 BROWN JAN L 845 SIR THOMAS COURT HARRISBURG, PA 17109 ........ fold ESTATE INFORMATION: SSN: 219-14-7037 FILE NUMBER: 2103-0561 DECEDENT NAME: BUSSARD MARY A DATE OF PAYMENT: 12/23/2003 POSTMARK DATE: 12/22/2003 COUNTY: CUM BERLAN D DATE OF DEATH: 04/24/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,852.24 REMARKS: TOTAL AMOUNT PAID' CYNTHIA BUSSARD C/O JAN L BROWN ESQUIRE $2,852.24 SEAL CHECK# 545 INITIALS: VZ RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES TNHERTTANCE TAX DZVTSZON DEPT. 280601 HARRISBURG, PA 17128-060! COHMONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX · 73:7-9 JACQUELINE KELLY JAN L BROWN 845 SIR THOMAS CT 12L~='' DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-16-2004 BUSSARD 04-24-2003 21 03-0561 CUMBERLAND 101 Amoun"lc Romi'H:ed REV-1647 EX AFP (01-ns) MARY A HAKE CHECK PAYABLE AND REMIT PAYHENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-15~7 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF BUSSARD NARY A FILE NO. 21 03-0561 ACN 101 DATE 02-16-2004 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~a (Schedule A) (1) 2. S~ocks and Bonds {Schedule B) {2) 3. Closely Hold S~ock/Par~nership In~eres~ (Schedule C) (3) ~. Hor~gagas/No~es Receivable (Schedule D) (~) $. Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E) (5) 6. Join*ly Owned Propor~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Assa~s APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ada. Cos~s/Nisc. Expenses (Schedule H} (9) 10. Dab~s/Hor~gago Liabilities/Liens (Schedule Z) (10) 11. To,al Deductions 12. Ne~ Value of Tax Ra~urn 75/760.00 .00 .0O .00 883. .00 .00 (8) 13,758.65 NOTE: To insure proper cradi~ ~o your account, submit the upper portion of ~his fora wi~h your ~ax payment. 13. l~. NOTE: 76,6'I, 3.14 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADD/TZONAL INTEREST. (is) .00 x O0 = .00 (16) 61,357.26 x 045= 2,761.08 (17) .00 X 12 = .00 (18) .00 x 15 = .00 (19)= 2,761.08 ASSESSMENT OF TAX: 15. Amoun~ of Line lq a~ Spousal ra~o 16. Amoun~ of Line lq ~axabla a~ Lineal/Class A ra~a 17. A,oun~ of L/ne lq at Sibling ra~a 18. Aaoun~ of Line 1~ ~axabla a~ Collateral/Class B ra~e 19. Principal Tax Duo TAX CREDITS: PAYHENT RECEIPT DZSCOUNT (+) DATE NUNBER INTEREST/PEN PAID (-) 12-22-2003 CD003370 .00 02-09-2004 REFUND .00 AMOUNT PAZD Z,852.24 91.16- TOTAL TAX CREDIT I 2,761.08 BALANCE OF TAX DUEl .00 INTEREST AND PEN. .00 TOTAL DUE . O0 ( 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 STDE OF THIS FOR" FOR INSTRUCTIONS. reflect figures that include the total of ALL returns assessed to date. (15) . O0 (1~) 61,357.26 16, 17, 18 and 19 will Charitable/Governmental Bequests; Non-olec~ed 9115 Trusts (Schedule J) No~: Value of Es~a~a Subjoc~ ~o Tax ]:f an assessment Has issued prevlously, lines 1~, 15 and/or 1,527.23 (11) 15.2R5.88 (la) 61,357.26 RESERVATION: Estates of decedents dying on or before December 1Z, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Comaoneaalth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the laefut Class B (cotlatmral) rate on any such future interest. PURPOSE OF NDTICE: PAYMENT: REFUND (CR): OBJECTXONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (TZ P.S. Sectlon 91~0). Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, amy be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications are available at the Office of the Register of Mills, any of the 23 Revenue District Offices, or by calling the special 2q-hour ansearing service for forms ordering: 1-800-362-Z050; services for taxpayers aith special hearing and / or speaking needs: 1-800-q~7-30ZO (TT only). Any party in interest not satisfied with the appraisement, allowance, or disalloaance of deductions, or assessment of tax (includlng discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBlOgl, Harrisburg, PA 171Z8-1021, 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 bo addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. ZB06Ol, Harrisburg, PA ITIZa-0601 Phone (717) 787-650S. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent'" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (5) calendar months after the decsdent's death, a five percent (SZ) discount of the tax paid is aIloaed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid bafore January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tiaa period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) 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 (SI) percent per annum calculated at a daily rate of .00016q. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOO3 ars: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOZ .OOOSqB 1987 9Z .O00Zq7 1999 7Z .00019Z 1983 16Z .000q38 1988-1991 llZ .000301 ZOO0 aZ .000Z19 198fi llZ .000301 199Z 9Z .O00Zfi7 2001 9Z .0002¢7 1985 13Z .000356 1993-199q 7Z .00019Z ZOOZ 6Z .00016q 1986 lOX .OOOZTq 1995-1998 9Z .O00Zq7 2005 5Z .000137 --Interest is calculatad as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY 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 made after the interest computation date shown on the Notice, additional interest must be calculatad. BUREAU OF 'rNDI'VZDUAL TAXES I'NHERZTANCE TAX DTVZS'rON DEPT. 280601 HARRZSBURG, PA 17128-0601 COMHONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE TNHERZ'I'ANCE TAX STATEMENT 01= ACCOUNT JACQUELINE KELLY '0~ M/~R 12 P1:45 JAN L BROWN & ASSOCS 8q5 SI'R THOMAS CT I -, DATE ESTATE OF DATE OF DEATH FZLE NUMBER COUNTY ACM 02-23-200q BUSSARD 0q-2~-2005 21 03-0561 CUMBERLAND 101 Amoun'l: Rem'i 'l:'Eed REV-i~O? EX AFP (01-OS) MARY A WAKE CHECK PAYABLE AND RENZT PAYMENT TO: REGISTER OF WZLLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 1701:5 NOTE: To insure proper credJ~ ~:o your account:, submit: ~:he upper portion of ~his form wJ~:h your ~:ax payment:. CUT ALONG THZS LZNE ~'* RETAZN LOWER PORTZON FOR YOUR RECORDS ~ REV-1607 EX AFP (01-03) ~ INHERZTANCE TAX STATEMENT OF ACCOUNT ~]~ ESTATE OF BUSSARD NARY A FXLE NO. 21 03-0561 ACM 101 DATE 02-25-200~ TH'rS STATEMENT 'rs PROV'rDED TO ADV'rSE OF THE CURRENT STATUS OF THE STA~*-D ACM 'tN THE NAMED ESTATE. SHOWN BELO# 1S A SUMMARY OF THE PR/NC.rPAL TAX DUE, APPL.rCATZON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, .rF APPLZCABLE, A PROJECTED INTEREST F.rGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-16-200q PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 2,761.08 PAYMENT DATE 12-22-2005 02-09-200~ RECEIPT NUMBER CD003570 REFUND DISCOUNT (+) INTEREST/PEN PAID (-) .00 .00 AMOUNT PAID 2,852.2q 91.16- .rF PA.rD AFTER TH.rS DATE, SEE REVERSE S'rDE FOR CALCULAT'rON OF ADD'rT'rONAL 'rNTEREST. ( 'rF TOTAL DUE 'rS LESS THAN $1, NO PAYMENT ZS REQUZRED. 'rF TOTAL DUE 'rS REFLECTED AS A "CRED'rT" (CR), TOTAL TAX CREDZT 2,761.08 BALANCE OF TAX DUE .00 XNTEREST AND PEN. .00 TOTAL DUE .00 YOU MAY BE DUE A REFUND. SEE REVERSE S'rDE OF TH'rS FORM FOR 'rNSTRUCTXONS. PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF HILLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND [CR): REPLY TO: DISCOUNT: PENALTY: A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications ara available at the Office of the Register of Mills, any of the 23 Revenue District Offices or from the Department's Z4-hour anseering service for forms ordering: Z-800-36Z-ZOSO; services for taxpayers with special hearing and / or speaking needs: Z-800-q47-30ZO (TT only). Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Revie~ Unit, Dept. 28060l, Harrisburg, PA 17128-060l, phone (717) 787-6505. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (SI) discount of the tax paid is allowed. The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes ~hich became delinquent before January l, 1982 bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 198Z ~ill bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. Interest Daily Rate Factor Year The applicable interest rates for 1982 through 2003 are: Interest Daily Interest Daily Rate Factor Year Rate Factor 1982 lOX .000548 1987 9Z .000Z47 1999 7Z .00019Z 1983 162 .000438 1988-1991 XXZ .OO030l ZOOO 8Z .O00Zl9 1984 llZ .O0030X 199Z 92 .000247 ZOO1 92 .000Z47 1985 132 .000336 1993-1994 72 .O0019g 200Z 6Z .000164 1986 lOX .000274 1995-1998 92 .000247 2003 5Z .000137 --Tnterest is calculated as follo~s: XNTEREST = BALANCE OF TAX UNPAXD X NUNBER OF DAYS DELXNQUENT X DAZLY ZNTERBST 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 made after the interest computation date sho~n on the Notice, additional interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/15/2005 BROWN JAN L 845 SIR THOMAS COURT SUITE 12 HARRISBURG, PA 17109 RE: Estate of BUSSARD MARY A File Number: 2003-00561 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 1 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: 4/24/2005 Your prompt attention to this matter will be appreciated. Thank You. ~e~~ t..~_. GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge cY JAN L. BROWN, ESQUIRE. JACQUELINE A. KELLY, ESQUIRE "ADMITIED IN PA AND DISTRICT OF COLUMBIA JAN L. BROWN & ASSOCIATES ATTORNEYS AND COUNSELORS AT LAW OLOE ENGLISH GAP 845 SIR THOMAS COURT SUITE 12 HARRISBURG, PA 17109 EMAlL: jlbassoc@verizon.net TELEPHONE (717) 541-5550 FACSIMILE (717) 541-9223 BRENDA F. KEPHART. LEGAL ASSISTANT PAULA K. WHITE, LEGAL ASSISTANT JUDITH A. EBERSOLE. ADMINISTRATIVE ASSISTANT March 16, 2005 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Mary A. Bussard No. 2003-00561 To Whom It May Concern: Our office received a letter stating that the Status Report Under Rule 6.12 for the Estate of Mary A. Bussard has not been filed. According to our records, I filed the Status Report on April 19, 2004. Enclosed please find a time-stamped copy for your records of the Status Report Under Rule 6.12 for the Estate of Mary A. Bussard that was filed April 19, 2004. If you have any questions, please feel free to contact me. Sincerely, jak me A. KellY'~S! ~ Enclosure STATUS REPORT UNDER RULE 6.12 LJ COpy Name of Decedent: Marv A. Bussard i..., _-.0 Date of Death: 04/24/2003 Will No. 2003-00561 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans I Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1 . State whether administration of the estate is complete-: Yes X No 2 . If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3 . If the answer to No. 1 is Yes, state the following: a. account with the Court? Did the personal representative file a final Yes No X 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? Yes No X d . Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans I Court and may be attached to this report. Date : 04/16/2004 ~. 'J/}1 J Signa e () -x,11r Jacaueline A. Kelly. Jan Brown & Associates Name (Please type or print) 845 Sir Thomas Court, Suite 12 Harrisbura PA 17109 Address ~ (717) -541-555 Tel . No . ""/d ;'D") P"-2f1aqulil8 .. '.- >jJe(~ Capacity : Personal Representative X Counsel for personal representative ZS: ZId 61 ~d\l 170. c:'~ i j >. ,~h !O ,;(:;;598 : 8CUO;)8H J