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HomeMy WebLinkAbout04-0828 PETITION FOR PROBATE and GRANT OF LETTERS c_. also known as To: Register of Wills for the County of ¢~---~-[,~~ % Commonwealth of Pennsylvania Deceased. Social Security No. i ~, ~ -- o ~-- ~ z. ~ The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut~ in the last will of the above decedent, dated and codicil(s) dated ,~ ~ f~, ~ z_ ~ , t'~ 9 o in the named (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in C ~. -~-~e~- t,~.,~ County, Pennsylvania, with h,~ last family or principal residence at "~z. ~.e~.~,4 c,~t~ (list street, number and muncipality) Decendent, then ~ o years of age, died o ?- z. ~t- z c c> ,! , 19 Except as followd, 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: WHEREFORE, petitioner(s) respectfully reque, st(s) the probate of the?qast will and co~c~s) presented herewith and the grant of letters 4- e s -t4 n, ~ ~, 4-,,~. : c~ :... ( es amentary; administration c.t;a,; administrauon d.b.mc;La.) theron. ~ OATH OF-PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA q COUNTY OFf ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed befor..e m~ thi~ r../O -tr~ day ~f l Register No. ~~~ Estate Of /(.~LdP.. ~..~7~t~Vx~-./(h~' .., Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW /(~rf/~/~.~ / ~//~ 'l'9~d~/, in consideration of the petition on the reverse side hereof, s~sfacto~ proof having been presented before m~,~ IT IS DEC~ED that the instrument(s) dated ~-I~ - /~ a'~'~ ~ tCtL ~~~1 described therein hetadmitted to p~bate and filed of recRrd as the last will of ~dLetters - ~~~~ '- are hereby granted to ~_ ~- ~~ ) /99o FEES Probate, Letters, Etc .......... Short Certificates(.5) .......... TOTAL ................... Register of Wills ATTORNEY (St~. Ct. I.D. No.) ADDRESS ' ~ PH~E his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent.,filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH OATH OF NON-SUBSCRIBING WITNESS Estate of J-~ ~,q~-~ Also known as No. ., Deceased (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of ~e~.a.c_~- C T4_~c[~o~ Jo,testate, r,- of (one of the subscribing wimesses to) the codicil/will presented herewith and that ~ believes the signature on the codicil/will is in the handwriting of ~~ C_~ ~o~3 ,3",,-, to the best of re, 1 "knowledge and belief. Sworn to or af"ffi)r~d and subscribed Before me this /~4~h day of (Name) (Address) (Address) I, HORACE C. RODGERS, JR., of Camp Hill, Pennsylvania, declare this to be the first Codicil to my Last Will and Testament executed by me on July 1.4~. 1975, in the presence of Gerald Morrison, John M~eck~ and~nry Rhoads. ' ~ I I hereby amend Item VIII by deleting this Item in its entirety and replacing it with the following language: I hereby nominate, constitute and appoint my wife, BARBARA S. RODGERS, to be my Executor. If my wife for any reason fails to qualify or ceases to act as Executor, I appoint my son, PAUL E. RODGERS, Executor in her place. My Executor is specifically relieved from the duty or obligation of filing any bond or other security. Confirmation In all other provisions of 1975. respects I ratify and confirm all the my Last Will and Testament dated July 14, Executed this ~ da, of HORACE C. RODGERS, JR. In our presence the above-named testator signed this and declared it to be the first codicil to his will, and now at his request, in his presence, and in the presence of each other, we sign as witnesses: 2 j CO~ONWEALTH OF PENNSYLVANIA : COUNTY OF : SS. I, HORACE C. RODGERS, JR., havin~ been duly qualified according to law, acknowledge that I signed the foregoing instrument as a codicil to my will, and that I signed it as my free and voluntary act for the purposes therein expressed. We, having been duly qualified according to law, depose and say that we were present and saw HORACE C. RODGERS, JR., sign the foregoing instrument as the first codicil to his will; that he signed it as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing and at his request signed the codicil as witnesses; and that to the best of our knowledge he was at that time 18 or more years of age, of sound mind and under no oonstraint or undue influence· Wit-ness 'Witness Subscribed, sworn to or affirmed, and acknowledged before me by the above-named testator and by the witnesses whose names appear opposite, on ~6/f~'h ~{!~ , 1990· LAST WILL AND TESTAMENT OF HORACE C. RODGERS, JR. I, HORACE C. RODGERS, JR., Camp Hill, Cumberland County, Pennsylvania, 448 Poplar Churcl%-~oad,:A i ,:~, being of sound and'~isposing mind and memory, do make, publish and declare this my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becom- ing due by reason of my death, whether such taxes may be payable by my Estate or by any recipient of any property, shall be paid by my Executor out of the property passing under this Will, which is not specifically devised or bequeathed, as an expense and cost of administration of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor even though on proceeds of insurance or other property not passing under this Will. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subject to all such powers of appointment shall be included in my Estate. ITEM III: I give and bequeath all of my household furniture and furnishings, automobiles, books, pictures, jewelry, china, linen, silver- ware, wearing apparel and all other like articles of household or personal use and adornment to my wife, BARBARA S. RODGERS. In the event that my wife shall predecease me, I give and bequeath the same to my children, PAUL E. RODGERS, STEPHEN J. RODGERS and NANCY R. PETERS, in equal shares l~age 1 of 4 pages to be divided among them as they shall agree, under the supervision of my Executor. ITEM IV: I give, devise and bequeath all of the rest, residue and remainder of my property, real, personal and mixed, to my wife, B_A_RBARA S. RODGERS. In the event that my wife shall predecease me, I give, devise and bequeath the same to my children, PAUL E. RODGERS, STEPHEN J. RODGERS and NANCY R. PETERS, in equal shares. In the event any of my children should also predecease me, any assets passing under this Item IV shall be distributed per stirpes to any children of my deceased child. In the event there are no such grandchildren, the assets passing under this Item IV shall be divided equally between my surviving children. ITEM V: In the settlement of my Estate, my Executor shall possess, among others, the following powers: (a) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my Estate, any or all real or personal estate or interest therein, whether owned by me severally or in conjunction with other per- sons or acquired after my death by my Executor, and to consum- mate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the pur- chaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, Page Z of 4 pages assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in my Will, (b) To pay all costs, taxes, expenses and charges in con- nection with the administration of my Estate. My Executor shall pay expenses of my last illness and funeral expenses. (c) To distribute my Estate in kind or in money. If any assets are distributed in kind, they shall be distributed at their respective value(s) on the date(s) of their distribution. (d) To do all other acts in the judgment of my Executor necessary or desirable for the proper and advantageous manage- ment, investment and distribution of my Estate. ITEM VI: Any person who shall have died at the same time as Testator or in a common disaster with him, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased him. ITEM VII: If at any time any minor ch[id shall be entitled to receive any assets hereunder, DAUPHIN DEPOSIT TRUST COMPANY, Harrisburg, Pennsylvania, shall act as Guardian of the assets payable to such child. Said Guardian may receive and administer all assets authorized by law and shall have full authority to use such assets, both principal and income,' in any manner said Guardian shall deem advisable for the best interests of such child, including college, university, post-graduate or other education, without securing court order. Said Guardian shall have all the rights and privileges as Page 3 of 4 pages to the Guardianship(s) and the assets thereof as are herein granted to my Executor as to my Estate and the assets therein. ITEM VIII: I hereby nominate, constitute and appoint DAUPHIN DEPOSIT TRUST COMPANY, Harrisburg, Pennsylvania, and my wife, BARBARA S. RODGERS, or the survivor, to be my Executors, herein referred to as "Executor." My Executor and Guardian specifically are relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, consisting of this and the preceding three (3)pages. this day of , (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by 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 hereunto set our hands and seals the day and year above written, and we certify that at the time of the exe- cution thereof, the said Testator was of sound and disposing mind and memory. Page 4 of 4 pages ~egi~ter o£ ~il!~ n~ ~umher/ant~ ~untp OATH OF NON-SUBSCRIBING WITNESS Estateof [[0&,q-ee- C, '1~o~¢~, 3'~--~' ~' No. Also known as .,Deceased (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that -t- familiar with the signature of/4~ ro~e_ C /-~ ~ -/~ ~ s~ ~ ~ testato ~ of (one of the subscribing wimesses to) the codicil/will presented herewith and that ~ believes the signature on the codicil/will is in the handwriting of ~[oa_.xe~ 6~ dv-.,o~ ¢,q t~ to the best of t~ .. knowledge and belief. Sworn to or affirmed anal subscribed .~B. ef~e me th. is /'t~ ~ day 9 ,20o_o_q__ the Register -' (Address) Nam60fD~c~dent:~ Rodgers, Horace C. , Jr. Dat~ofDeath:__July 293- 2004 Will No. 21 -04-0828 Admin. No. To the Register: I c. mity that no6c~ of (]~nelldal Inter~st) ' t'o ' served on or mailex] t,, '~o t ..... · .. ~~m reqm~d by Rule 5,6fa; ,.,t...~ ,-., ,_ , ~ ...... ,vwmg oen¢.clancs of the above-captioned estate on .~.-,~"ansi _'/ourt Rules '.vas ..... r Address Ste hen ~ s .k~?ia Pti a c r P 15317 Nanc R Pet r 1 .____ Paul E. Rodgers 444 South Seventh St., Chambersburg, PA 17201 Nog~e has now been givcn ~o all P~rsons entitl~t thereto under Rule $.6(a) except N / A Date: October 20, 2004 Name.... R. Maur~een M~y_ers, Atty-at-~Law Add~s 775 East Maiden Street, First Washington, PA 15301-3753 (724) ~{ephone( ) 2.~22-9095 Capacity: --.---. Personal Representat~vc XX Counsel for personal representative F1 October 26, 2004 Register of Wills 1 Courthouse Square Carlisle, PA 17013 Greetings: Enclosed is a check for $9,000.00, prepayment on inheritance tax for the Estate of Horace C. Rodgers, Jr. who died July 29, 2004. Sinc~ely, gers, ~xecutor 444 South Seventh Street Chambersburg, PA 17201 (717)-264-6033 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 REV 1162 EX(11-96) NO. CD 004565 RODGERS PAUL E 444 SOUTH SEVENTH STREET CHAMBERSBURG, PA 17201 fold ESTATE INFORMATION: SSN: 183-05~9208 FILE NUMBER: 2104-0828 DECEDENT NAME: RODGERS HORACE C JR. DATE OF PAYMENT: 11/01/2004 POSTMARK DATE: 10/29/2004 COUNTY: CUMBERLAND DATE OF DEATH: 07/29/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $9,000.00 REMARKS: TOTAL AMOUNT PAID: $9,000.00 SEAL CHECK# 12 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS R. Maureen Myers Attorney at Law 775 East Maiden Street, First Floor Washington, Pa 15301-3753 (724) 222-9095 December 21, 2004 Register of Wills One Courthouse Square Carlisle, PA 17013 In Re: Estate of Horace C. Rodgers, Jr., deceased No. 21-04-00828 Enclosed please find the original and one copy of the Inheritance Tax Return and an original of the Inventory for the above named estate. Per your instructions I am enclosing a check for twenty-five ($25.00) dollars, made payable to the Register of Wills (Return filing fee $15 and Inventory filing fee $10). If you have any questions, or need any further information, please let me know. Please send receipts to my office. Thank you for your assistance. Enclosures R. Maureen Myers Attorney at Law  COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY DECEDENTS NAME (LAST. FIRST. AND MIDDLE INITIAL) Rodgers, Horace C. FILE NUMBER 21-04 0 0 8~ 1 Real Estate (Schedule A) (1) 2 Stocks and Bonds (Schedule B) (2) 2,7 0 0.2 8 3~ Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Modgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) R ~ '~ 12 O f~ (Schedule E) 6. Jointly Owned Property (Schedule F) (6) 1 7,0 0 4. 8 0 [~ Separate Billing Requested 7. Inter-V~vos Transfers & Miscellaneous Non-Probate Properb/ (7) 193,209.02 (Schedule G or L) 8. Totar 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) (724) 222-9095 [~]1 Original Return [~4 Limited Estate [~9. Litigation Proceeds Received E~2. Supplemental Return [~4a. Future Interest Compromise (date of death a~ef 12-12-82) ~7. Decedent Maintained a Living Trust (Altach copyof Tiusl} ~]10. Spousal Poverty Credit (date of death be[~een 12-31-91 and 1-1-95) NAME R. Maureen Myers FIRM NAME Ill Applicable) TELEPHONE NUMBER [~5. Federal Estate Tax Return Required 1~ 8. Total Number of Safe Deposit Boxes 111. Bection to tax under Sec. 9113(A) (At~ach COMPLETE MAILING ADDRESS 775 East Maiden St., 1st Fi. Washington, PA 15301-3753 13~ Chahtable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 4,730.98 3,907.15 221,226.10 (8) (11) 8,638.13 (12) 212,587.97 (13) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICASLE RATES 15 Amount of Line f 4 taxable at the spousal tax rate, or translers under Sec. 9116(a)(l,2) x ,0__ (t5) 1§ AmountofLine 14 taxable at lineai rate x .0__45 (16) 17. Amount of Line 14 taxabte at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19 Tax Due {19) 212,587.97 212,587.97 (14) 9,566.46 9,566.46 Z Jr. uJ ¢'~ DATE OF DEATH (MM-DB-YEAR) DATE OF BIRTH (MM-DD-YEAR) THtS RETURN MUST BE FILED IN DUPLICATE WITH THE LLI 072904 012514 REGISTER OF WILLS ILl (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER 183 - 05 -9208 Decedent's Complete Address: ISTREETADDRESS 212 Messiah Circle CITY Mechanicsburg I STATE PA I ZIP17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Paymenta A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 9,566.46 Interest/Penalty if applicable D. Interest E. Penalty 9~000.00 473.68 Total Credits ( A + B + C ) Total Interest/Penalty ( D + E ) (3) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I Line 20 to request a refund (4) 5. if Line 1 + Line 3 is greater than Line 2, enter the difference. This is lhe TAX DUE. A. Enter the interest on the tax due. (2) 9,473.68 92.78 (5) (5A) 92.78 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 2. If death occurrod after December 12, 1982, did decedent transfer Propert'd within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, Under penalhas of perju ~j, I declare that I have examined this return, including accompenyio~ schedules and stalements, and to the pes~ d my knowledge and belief, it ~ true, correct and complete. Declaration of preparer other than the personal representative is based on all informa~ of which preparer has any kr~wtudge. SIGNATURE OF PERSON RESPOi~3t~LE FO2R FILIN~ RETURN x ADDRESS 444 South ~h St., Chambersburg, PA 17201-2744 DATE /2 -/~, SIGN A~,~ ~ TH~E,,~E N TATIV E ADDRESS v~ 775 Eas~ Maiden St., DATE 1st Fi., Washington, PA 15301-3753 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 ars 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 b'ansfers 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 RS. §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 RS. §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 decadent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at ieast one parent in common with the decedent, whether by blood or adoption. LAST WILL AND TESTAMENT OF H.ORACE C. RODGERS, JR. I, HORACE C. RODGERS, JR., 448 Poplar Church Road, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becom- ing due by reason of my death, whether such taxes may be payable by my Estate or by any recipient of any ~operty, shall be paid by my Executor out of the property passing under this Will, which is not specifically devised or bequeathed, as an expense and cost of administration of my Estate. My Executor shall have no: duty or obligation to obtain reimbursement for any such tax paid by my Executor even though on proceeds of insurance or other property not passing under this Will. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subject to all such powers of appointment shall be included in my Estate. ITEM III: I give and bequeath all of my household furniture and furnishings, automobiles, books, pictures, jewelry, china, linen, silver- ware, wearing apparel and all other like articles of household or personal use and adornment to my wife, BARBARA S. RODGERS. In the event that my w~fe shall predecease me, I give and bequeath the same to my children, PAUL E. RODGERS, STEPHEN J. RODGERS and NANCY R. PETERS, in equal shares Page 1 of 4 pages to be divided among them as they shall agree, under the supervision of my Executor, ITEM IV: I give, devise and bequeath all of the rest, residue and remainder of my property~ real~ personal and mixed, to my wife~ BARBARA S. RODGERS. In the event that my wife shall predecease me~ I give, devise and bequeath the same to my children, P~kUL E. RODGERSj STEPHEN J. RODGERS and NANCY R. PETERS~ in equal shares. In the event any of my children should also predecease me, any assets passing under this Item IV shall be distributed per stirpes to any children of my deceased child. In the event there are no such grandchildren, the assets passing under this Item IV shall be divided equally between my surviving children. ITEM V: In the settlement of my Estate, my Executor shall possess, among others~ the following powers: (a) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my Estate, any or all real or persorml estate or interest therein~ whether owned by me severally or in conjunction with other per- sons or acquired after my death by my Executor, and to consum- mate said sale or sales by sufficient deeds or other instruments to the purchaser or p~rchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the pur- chaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales~ also~ to make~ execute, acknowledge and deliver any and all deeds, Page 2 of 4 pages assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in my IYill. (b) To pay aLl costs, taxes, expenses and charges in con- nection with the administration of my Estate. My Executor shall pay expenses of my last iU,~ess and funeral expenses. (c) To distribute my Estate in kind or in money. If any assets are distributed in kind, they shall be distributed at their respective value{s) on the date(s) of their distribution. (d) To do all other acts in the judgment of my Executor necessary or desirable for the proper and advantageous manage- ment, investment and distribution of my Estate. ITEM VI: Any person who shall have died at the same time as Testator or in a common disaster with him, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased him. ITEM VII: If at any time any minor child shall be entitled to receive any assets hereunder, DAUPHIN DEPOSIT TRUST COMPANY, Harrisburg, Pennsylvania, shall act as Guardian of the assets payable to such child. Said Guardian may receive and administer all assets authorized by law and shall have full authority to use such assets, both principal and income,' in any manner said Guardian shall deem advisable for the best interests of such child, including college, university, post-graduate or other education, without securing court order. Said Guardian shall have ali the rights and privileges as Page 3 of 4 pages to the Guardianship(s) and the assets thereof as are herein granted to my Executor as to my Estate and the assets therein. ITEM VIII: I hereby nominate, constitute and appoint DAUPHIN DEPOSIT TRUST COMPANY, Harrisburg, Pennsylvania, and my wife, BARBARA S. RODGERS, or the survivor, to be my Executors, herein referred to as "Executor." My Executor and Guard[an specifically are relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I h~ve hereunto set my hand and seal to this my Last Will and Testament, consisting of this and the preceding three (3)pages. this ~q~T~ day of ~.~' , 1975. We, the undersigned, hereby certify that the foregoing Will was signed, sea~ed, published and declared by 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 hereunto set our hands and seals the day and year above written, and we certify that at the time of the exe- cution thereof, the said Testator was of sound and disposing mind and memory. I, HORACE C. RODGERS, declare this to be the first Codicil Testament executed by me on July presence of Gerald Horrison, John Rhoads. JR., of Camp Hill, Pennsylvania, to my Last Will and 14, 1975, in the Hanbeck, and Henry inendaenta I hereby amend Item VIII by deleting this Item in its entirety and replacing it with the following language: I hereby nominate, constitute and appoint my wife, BARBARA S. RODGERS, to be my Executor. If my wife for any reason fails to qualify or ceases to act as Executor, I appoint my son, PAUL E. RODGERS, Executor in her place. Ny Executor specifically relieved from the duty or obligation of filing any Bond or other security. Comfimtiou In all other provisions of 1975. respects I ratify and confirm all the my Last Will and Testament dated July 14, F~eouted this ~ day of /~/~/~C/~ , lS90. HORACE C. RODGI~RS, JR. In our presence the above-na~ed testator signed this and declared it to be the first codicil to his will, and now at his request, in his presence, and in the presence of each other~ we sign as witnesses: / I~i~ness Address Witness / AdcLreas 2 CO~ONW]/ALTH OF PI~NNSYLVANIA : : SS. COUNTY OF : I, HORACR C. P~DGHR8, JR., havin~ been duly qualified e~oording to law, acknowledge that I signed the foregoing instrument as a codicil to my will, and that I signed it as my free and voluntary act for the purposes therein expressed. HORACR C. R We, having been duly qualified according to law, depose and say that we were present and saw HORAC~ C. RODG~S, ~R., atgn the foregoing instrument as the first codicil to his will; that he signed it as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing and at hie request signed the codicil as witnesses; and that to the best of our knowledge he was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Witness 'Witness / Subscribed, sworn to or affirmed, and acknowledged before me by the above-named testator and by the witnesse~ whose names appear opposite, on ~ar¢'h ~[5 , 1990. Notary Pdb~ c Nc~a.~l Se~ ] J ~sa M. Tes[a, NO~ Pu~ m Susqueh&nna i~p.,. Dau~%~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 8 STOCKS& BONDS ESTATE OF FILE NUMBER Rodgers, Rorace C. Jr. 21-04-00828 All property joint¥owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 76 shares MetLife, Inc. @ 35.53 per share 2,700.28 TOTAL (Also enter on line 2, Recapitulation) $ 2,7 0 0.2 8 (If more space is needed, insert additional sheets of the same size) Mellon Investor Services P.O. Box 3333 South Hackensack, NJ 07606 August 20, 2004 ESTATE OF HORACE C RODGERS JR ATTN PAUL RODGERS 444 SOUTH SEVENTH STREET CHAMBERSBURG PA 17201 Company METLIFE, INC. Name Account Key RODGERS-- HORAC 1000 Investor ID # 11806350866543 Eontrol 200408190007290 Number Dear Investor: Thank you for contacting Mellon Investor Services regarding the above referenced MetLife, Inc. common stock account. Our records show this account has 76 shares of Metlife stock. The closing price on July 29, 2004 was $ 35.5300 per share. If you have any additional questions or concerns, please call our Customer Service Center at 1-800-649, 3593. You may also access your MetLife, Inc. common stock account on the Interact at https://vault, melloninvestor, com/isd. Sincerely, Mellon Investor Services SCHEDULE E CASH, BANK DEPOSITS,& MISC. PERSONAL PROPERTY ESTATE OF Rodgers, Horace C. Jr. FILE NUMBER 21 -04-00828 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly.owned with the right of survivorship must be dis~closed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, mile 1991 Chevrolet Lumina Sedan 4 door - 106,000 (See attached) 1861 $2½ Gold Liberty EF 1913 $2½ Gold Indian EF 1913 $10 Indian Gold EF (See attached) Household goods (See attached) PNCBank checking acct. #5003547995 accrued interest (See attched) 850.00 160.00 135.00 260.00 270.00 8,312.00 TOTAL (Also enter on line 5, Recapitulation) $ {If more space is needed, insert additional sheets of the same size) 6,636.76 .24 Bill of Sale Received from: Pat Hartle 546 Frederick Street Hagerstown, Maryland 2 t 740 301-665-3737 Signed: $850.00 cash On August 25, 2004 For a 1991 Chevrolet Lumina Sedan 4 Door approximately 106,000 miles VEHICLE IDENTIFICAITON NUMBER: 2Gl WL54T1M9182024 Seller: Estate of Horace C. Rodgers, Jr. Paul E. Rodger, Executor 444 S Seventh Street Chambersburg, PA 17201 717-264-6033 John M. Foreman, Sr. ANA R 88662 PCGS 120 Choice U.S. Coins Copper - Silver. Gold Buy, Sell, Trade Appraisals Addreas Foreman's Rare Coins 717-762-1731 717-762-3964 101W. MainSt. Waynesboro, Pe~.~,17268 No. 3436 PRICE TOTAL AMOUNT DESCRIPTION PER ITEM Inventory of 212 Nittany %30-2004 Items Estimated value $ ¥~ ' Steve Nancy Paul 8-Track receiver 5 Speakers (2) 5 Wing chairs (2) 50 Side chair 25 End table (2) 20 Stacking tablets 5 Table lamps (2) 10 Floor lamp 20 Pictures, wall (11) 11 Answering machine 5 Clock 5 Folding chairs (2) 2 Card table 3 4-drawer filing cabinet (2) 30 Chest of drawers 25 Mirror, wall 5 Screen 3 Clock, electric ~ Books, misc 15 Clip lights (3) 5 Bed 20 5 50 10 11 5 3 25 5 20 2 3 5 l0 10 5 30 25 PNCBANK September 23, 2004 Mr. Paul Rodgers 444 S 7th St. Chambersburg, PA 17201 scp Estate of Horace C Rodgers (Deceased) SSN: 206-26-6798 DOD: 07-29-2004 Dear Mr. Rodgers: In response to your request for Date of Death balances for the customer noted above, our records show the following: Certificate of Deposit Account #3120039640 Established 04-06-2004 HORACE C RODGERS JR STEPHEN RODGERS DOD balance: $27,705.32+ $51.59 accmedinterest Account #31300240104 Established 04-06-2004 HORACE C RODGERS JR NANCY R PETERS DOD balance: $27,705.32 + $51.59 accrued interest Account #31300240105 Established 04-06-2004 HORACE C RODGERS JR PAUL E RODGERS DOD balance: $27,705.32 + $51.59 accrued interest Checking Account Account #5003547995 Established 12-03-2002 HORACE C RODGERS JR DOD balance: $6,636.76 + $0.24 accrued interest Page 1 of 2 Safe deposit box The decedent maintained safe deposit box #45. It was in two names. HORACE C RODGERS JR PAUL E RODGERS It is located at: MESSIAH VILLAGE VILLAGE COMMONS - 100 MT. ALLEN DRIVE MECHANICSBURG PA 17055 717-691-4090 Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any financial transactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, Erica L Schlegel 1-800-762-1775 P7-PFSC-04-F 500 First Ave. Pittsburgh PA 15219 Member FDIC Page 2 of 2 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEF JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Rodgers, Horace C. Jr. 21-04-00828 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S} NAME ADDRESS RELAT)ONSHIP TO DECEDENT Christopher S. Rodgers S. 1LT Peter S. Rodgers c. Katherine M. Rodgers 322 N. Matlock Street, Apt. West Chester, PA 19380 259-5 Waterdown Drive Fayetteville, NC 28314 2 544 Craighead Street, Apt F Canonsburg, PA 15317 grandson randson granddaughter JOINTLY-OWNED PROPERTY: 1. A. 1988 two (2) Series EE bonds (500 face) 1,191.20 50 595.6 0 A 7/03 six (6) Series EE bonds (1000 face) 3,060.00 50 1,530.0 0 ~ 1988 two (2) Series EE bonds (500 face) 1,191.20 50 595.60 ~ 7/03 six (6) Series EE bonds (1000 face) 3,060.00 50 1,530.00 C 1988 two (2) Series EE bonds (500 face) 1,191.20 50 595.60 C 7~03 six (6) Series EE bonds (1000 face) 3,060.00 50 1,530.00 D 1988 two (2) Series EE bonds (500 face) 1,191.20 50 595.60 D 7/03 six (6) Series EE bonds (1000 face) 3,060.00 50 1,530.00 E 1988 two (2) Series EE nonds (500 face) 1,191.20 50 595.60 E 7/03 six (6) Series EE bonds (1000 face) 3,060.00 50 1,530.00 F 1988 two (2) Series EE bonds (500 face) 1,191.20 50 595.60 F 7/03 six (6) Series EE bonds (1000 face) 3,060.00 50 1,530.00 G 1988 two (2) Series EE bonds (500 face) 1,191.20 50 595.60 G 7/03 six (6) Series EE bonds (1000 face) 3,060.00 50 1,530.00 H 1988 two (2) Series EE bonds (500 face) 1,191.20 50 595.60 H 7/03 six (6) Series EE bonds (1000 face) 3,060.00 50 1,530.00 (See attached lists for date-of-dea2h values for each Joint Tenan~ TOTAL(Alsoenteronline6, R~apitalation) $ 17,004.80 (If more space is needed, insert additional sheets of the same size) Schedule F Jointly-Owned Property (Continued) Estate of Rodgers, Horace C. Jr. 21-04-00828 D. Melinda P. Petreich E. Rebecca G. Vittone F. Jeffrey P. Rodgers G. Alan E. Rodgers H. Brian C. Rodgers 1358 Craigview Drive Pittsburgh, PA 15243 granddaughter 905 Glenwood Court Cranberry Township, PA 16066 granddaughter 507 43rd Avenue, NW Rochester, MN 55901 grandson 444 So~h~ 7th Street Chambersburg, PA 17201 grandson 444 South 7th Street Chambersburg, PA 17201 grandson 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000000000000 0000000000000000 0000000000000000 0000000000000000 0000 0000 0000 i~l 0 0 0000 I I ~ 1 mmm ~°°°°°°°°8°~~~ ~ 0 0 0 0 0 0 0 0 0 0 oo oooo ~ ~ ~ ooooooooooooo~ ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ o o o o o o ~ ~ ~ ~~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ............ bb~b~ oooooooooo~~.~ ~ o o o o o o o o ~ ~ ~ ~ ~ ~ ~ ~ o o o b b b b b b ~0 ~ ~ L~ i~ oooooooooo 0 o o 0 o 0 0 o 0 o oooooooooo_ ooo ooooooooooo COMMONWEALTH OF PENNSYLVANIA ~NHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE G INTER-VIVOS TI~ANSFERS & MISC. NON-PROBATE PROPERTY Rodgers, Horace C. Jr. FILE NUMBER 21-04-00828 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPER~ % OF ITEM ~NCLUDE THE NAME OF THE T~SFEREE' THEIR RE~TIONSHIP TO DEC~ENT ~D THE ~TE ~ T~$FER' DATE OF DEATH DECD'S EXCLUSION TA~BLE VALUE NUMBER VALUE OF ASSET INTEREST 1. PNCBank CD #3120039640 jt. w/son, Stephen Rodgers, est. 040604 27,705.32 3,000 24,705.32 accrued interest on CD 51.59 51.59 PNCBank CD #31300240104 jt. w/daughte: , iNancy R. Peters, est. 040604 27,705.32 13,000 24,705.32 accrued interest on CD 51.59 51.59 PNCBank CD #31300240105 jt. w/son, iPaul E. Rodgers 27,705.32 3,000 24,705.32 accrued interest on CD 51.59 51.59 (See attached PNCBank letter for abow~) ~Following are Series EE bonds, POD: Christopher S. Rodgers (8 bonds) 4,457.60 100 4,457.60 1LT Peter S. Rodgers (8bonds) 4,457.60 100 4,457.60 Katherine M. Rodgers (8bonds) 4,457.60 100 4,457.60 Melinda P. Petreich (Sbonds) 4,457.60 100 4,457.60 Rebecca G. Vittone (8 bonds) 4,457.60 100 4,457.60 Jeffrey P. Rodgers (8 bonds) 4,457.60 100 4,457.60 Alan E. Rodgers (8 bonds) 4,457.60 100 4,457.60 Brian C. Rodgers (8 bonds) 4,457.60 100 4,457.60 (See attached lists for Series EE bona valuation:;) Allstate Variable Annuity II #205486( 83,277.49 100 83,277.49 Beneficiaries: Stephen Rodgers, son Nancy R. Peters, daughter Paul E. Rodgers, son (See attached for DOD valuation) TOTAL(Alsoenteronline7, R~apitulation) $ 193,209.02 (If more space is needed, inser~ additional sheets of the same size) Allstate. Allstate Life Insurance Company PO Sox 94040 Palatine IL 60094-4040 Telephone: 1-800-654-2397 Fax: 1-847-402-4361 HORACE RODGERS JR 212 MESSIAH CIRCLE MECHANICSBURG PA 17055-8619 August 2, 2004 ANGELA CAMPLESE D,W,R.-HARRISBURG, PA P O BOX 12053 HARRISBURG PA 17108-2053 (717)255-6666 RE: Variable Annuity II Statement Date109/17199tTo 07129/04 For Annuity #2054860 Variable Sub-Account(s) Number of Unit ValUe as Total Value as Percent of Units Owned of 07129/04 of 07~29~04 Annuity Value Utilities 1079.2007 22.137597 $ 23,890.91 28.7% Dividend Growth 1029.3424 34.522366 $ 35,535.34 42.7% Global Div. Growth 1240.2053 19.231685 $ 23,851.24 28.6% Total Annuity Value* ~ 83~277,49 100.0% *This is ~ot necessarily the amcunt avaaable for withdrawal. The amount available for withdrawal is the Total Annuh'y Value less any applicable withdrawal charge, maintenance fee, and premium tax. Distr;butions taken pdor to annuiflzaflon (also referred to as the payoot phase) are generally considered to come from the gain in the contract first. If the contract is tax-qualified, generally all withdrawals are treated as distribution of gain. Withdrawals of gain are taxed as ordinary income and, if taken prior to age 59½, may be subject to an additional 10% federal tax penalty. V55NKRYA.N01 0049 .REV-1511 EX+ (12-99)~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Rodgers, }{orace C. Jr. 21 -04-00828 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. 5, 6. FUNERAL EXPENSES: Neill Funeral Home Harrisburg Graphic Arts - Rolling Green Cemetery 12 funeral books ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(sI Street Address City State -- Zip Year{s) Commission Paid: AttorneyFees 12 hours x $125.00/hour Family Exemption: (tf decedent's address is not the same as claimant's, attach explanation) Claimant Street Address Ciiy State Zip Relationship of Claimant to Decedent ProbateFees : Paid to open estate; Inventory; Tax Return; Cost of closing estate Accountant's Fees Inheritance Tax Return Preparer's Fees Cumberland Law Journal - legal adv. The Sentinel - Legal - legal adv. Executor's "out-of-pocket" costs (postage, phone calls, mileage) supplies, 759.10 45.03 1,251.00 waived 1 , 500.00 385.50 75.00 156.83 558.52 TOTAL (Also enter on line 9, Recapitulatior $ 4 v 7 3 0.9 8 (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES~ & LIENS ~ FILE NUMBER Rodgers, Horace C. Jr. 21-04-00828 AMOUNT Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Bank Card Services - amt. due credit card Messiah village (assisted living) amt. due A. T. & T. - amt. due Idaho dues - check cleared after DOD, Alert Pharmacy - amt. due Verizon - amt. due Messiah Village (transportation/med. written prior supplies) amt. TOTAL (Afso enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) 173.65 3,668.00 10.64 14.51 2.45 10.76 due 27.14 $3,907.15 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Rodgers, Horace C. Jr. 21-04-0082~ RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1. 11 ~XABLE DISTRIBUTIONS linclude outright s~usal distributions, and transfers under Sec. 9116(a)(1.2)] Paul E. Rodgers 444 South 7th Street Chambersburg, PA 17201-2744 Stephen J. Rodgers 130 Lakeview Drive McMurrsy, PA 15317-2733 Nancy R. Peters 132 Allan Drive Beaver, PA 15009 son son daughter /3rd R,R &R I/3rd R,R &R /3rd R, R &R ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insed additional sheets of the same size) Invento~ of the real and personal estate of Rodgers, I-Iorace C. Jr. deceased 1. 76 shares MetLife Financial, 2. 1991 Chevrolet Lumina Sedan 3. 1861 $2~ Gold Liberty EF 4. 1913 $2~ Gold Indian EF 5. 1913 $10 Indian Gold EF Inc. @ $35.53 6. HouSehold goods 7. PNCBank acct #5003547995 8. Accrued interest on #5003547~95 Total 2,700 850 160 135 260 270 6,636 11~012 Z8 ]0 ]0 ]0 ]0 00 76 24 28 COMMONWEALTH OF PENNSYLVANIA 'k ss: COUNTY OF ~ ~/'"~Li"qC-L'~ .~ Rodgers, Paul E. be;.9 duly swo.~n ......... ~ccord;n9 to law. deposes and say, that he i.s Executor oF the ~tate ef Rodgers, Horace C. Jr. lat. of _UDP. er__All.e.o..._T.o~fI~ship_ ........ ., Cumberi.nd County, Pa., deceased ~nd that the within is ~n invenfo~ made by _.~.~.. P~u~ E. , the said Executor of the entire estate of said decedent, c~ns;sti~g of ell the personal property and rea estate, except ~eal e~ate outside the Commonwealth of Pent, sylvan;a, a.d that the figures oppas~fe each item of the ~nven~ry represent ;t's fair value es of the date ~{ decedent s death. Sworn and subscribed before ma, ' / ~-~-.,,~A~Tn O~ ~r. re~.~r.-.~~, Rodgers, Paul E. Dray INSTRUCTIONS Date of Death 444 South 7th Street Chambersburg, PA 1 2004 I. An inventory must be filed within t)tree months after appolnfment of persona~ representative. 2. A supplement inventory must be filed within fhlrty days of dlscovery of additional essetm. 3. Addlt;oneI sheets may be attached as to personalty or rea/fy 4. See Article IV, Fidueieries Act of 1949. z COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 004769 MYERS R MAUREEN ESQUIRE 775 EAST MAIDEN STREET 1ST FL WASHINGTON, PA 15301 fold ESTATE INFORMATION: SSN: 183-05-9208 FILE NUMBER: 2104-0828 DECEDENT NAME: RODGERS HORACE C JR. DATE OF PAYMENT: 12/27/2004 POSTMARK DATE: 12/21/2004 COUNTY: CUMBERLAND DATE OF DEATH: 07/29/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 892.78 TOTAL AMOUNT PAID: $92.78 REMARKS: SEAL CHECK//1066 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISE"ENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX REV-1541 EX AFP 112-041 R MAUREEN MYERS 1ST FlR 77~~ MAIDEN ST WAS,~INGTO~ 1" ". ,-.'"- ATTY DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-07-2005 RODGERS JR 07-29-2004 21 04-0828 CUMBERLAND 101 HORACE C Allount Rellitted PA 15301 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 .' - f:-UTALO",'; THIS~ i4:1~E ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Ri:V:I!2t"lClx..1.F~-t\.:tJ!'r.N6".icE.oF.i'N'HErtillN.cE.TAX.A.PPRA.isE;.iEN'~..1.[toQlNCE.OR.............. ... ~: CS DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RODGERS JR HORACE C FILE NO. 21 04-0828 ACN 101 DATE 03-07-2005 TAX RETURN WAS: (X) ACCEPTED AS FILED ) 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) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. ~rtgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/"isc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (S) (6) (7) .00 2.700.28 .00 .00 8.312.00 17.004.80 193.209.02 (8) NOTE: To insure proper credit to your account~ subllit the upper portion of this forI! with your tax paYllent. 221~226.1o APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/"isc. Expenses (Schedule H) 10. Debts/"ortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) nO) 4~73o.98 3.907.15 (11) (12) (13) (14) 8.638 13 212~587.97 .00 212~587.97 I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: IS. Allount of Line 14 at Spousal rate (IS) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CR NOTE: .00 212~587.97 .00 .00 X 00 = X 045 = X 12 = X 15 = (19)= .00 9~566.46 .00 .00 9~566.46 DATE 10-29-2004 12-21-2004 NU"BER CDo04565 CDo04769 + INTEREST/PEN PAID (-) 473.68 .00 A"OUNT PAID 9~000.00 92.78 ~ TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 9~566.46 .00 .00 .00 . IF PAID AFTER DATE INDICATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $l~ NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/31/2006 MYERS R MAUREEN ESQUIRE 775 EAST MAIDEN STREET 1ST FL WASHINGTON, PA 15301 RE: Estate of RODGERS HORACE C JR. File Number: 2004-00828 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death{ shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 7/29/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Ah/~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/31/2006 RODGERS PAUL E 444 SOUTH SEVENTH STREET CHAMBERSBURG, PA 17201 RE: Estate of RODGERS HORACE C JR. File Number: 2004-00828 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing lS due by: 7/29/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, I/~...J_.~ I~~_L,_ /) /~~ IJd~AJ~~ , ! Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA ORPHANS' COURT DIVISION IN RE: Estate of Horace C. Rodgers, Jr., deceased No. 21-04-00828 F AMIL Y AGREEMENT Filed on Behalf of: Paul E. Rodgers, Executor Counsel of Record for this Party: R. Maureen Myers, Attorney at Law PAID No. 33233 775 East Maiden Street First Floor Washington, PA 15301-3753 (724) 222-9095 i.',~) -- , l f',,) -..J ...,-. r<l C",) -- J C\ 9> FAMILY SETTLEMENT AGREEMENT OF THE EST A TE OF HORACE C. RODGERS, JR. NO. 21-04-00828 . 'fI-... THIS AGREEMENT executed thIS J~ day of fl/~/L. ,2007, by and between Paul E. Rodgers, Executrix of the Estate of Horace C. Rodgers, Jr., deceased, and Paul E. Rodgers, individual and beneficiary, Stephen 1. Rodgers, individual and beneficiary and Nancy R. Peters, individual and beneficiary of the Estate of Horace C. Rodgers, Jr. WHEREAS, Horace C. Rodgers, Jr., who resided at 212 Messiah Circle, Mechanicsburg, Pennsylvania, died July 29,2004, having left his Last Will and Testament dated July 14, 1975, and Codicil dated March 26, 1990, which was duly admitted to probate by the Register of Wills of Cumberland County, Pennsylvania, at the above number and term on September 13,2004; and WHEREAS, Paul E. Rodgers was duly appointed as Executor of the Estate of Horace C. Rodgers, Jr., deceased; and WHEREAS, the parties-in-interest in the Estate of Horace C. Rodgers, Jr., deceased, are: 1. Paul E. Rodgers, son, Executor; 2. Stephen J. Rodgers, son; 3. Nancy R. Peters, daughter; and WHEREAS, each of the above identified parties-in-interest is entitled to a one- third ( 1/3rd) share of the residuary estate per the Last Will and Testament and Codicil of Horace C. Rodgers, Jr.; and WHEREAS, the parties to this Agreement have been furnished with a complete listing of the estate assets, receipts and disbursements as set forth on the Accounting, which is attached hereto and marked as Exhibit A; and WHEREAS, it is the desire of the parties to this Agreement that final distribution of this estate be accomplished without a formal accounting to the Orphans' Court Division of the Court of Common Pleas of Washington County, it being the desire of the parties to avoid the expense, delay and publicity of a formal accounting; and WHEREAS, the parties to this Agreement do acknowledge to have received a proposed Schedule of Distribution attached hereto and marked Exhibit B. NOW, THEREFORE, WITNESSETH that in consideration of the mutual promises, covenants and agreements recited herein the parties do agree as follows; 1. The parties to this Agreement do hereby release and forever discharge Paul E. Rodgers, Executor, from any and all liability which may from time to time arise in connection with his service as Executor of the Estate of Horace C. Rodgers, Jr., deceased. The parties do further agree to indemnify and hold harmless said Paul E. Rodgers, Executor, from any and all liability which may arise against the estate from creditors or other claimants. 2. The parties to this Agreement acknowledge that this Agreement shall be indexed and recorded in the estate proceedings and that the terms hereof shall be binding upon their respective heirs, successors, administrators and assigns. 3. This Agreement shall be governed by the laws ofthe Commonwealth of Pennsylvania. Dated at 444 South 7th Street, Chambersburg, Pennsylvania, the day and year above written. WITNESS: ({~ C ~^^-. Paul E. Rod rs, Executor of the Estate of Horace C. Rodgers, Jr., Deceased and individually and as beneficiary r~d( ~ q~~~ ji'] !/ Stephen 1. Rodgers, individ y and as beneficiary - ~.0Y~\~rs!l:i12r~ as beneficiary IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF HORACE C. RODGERS, JR. ) ) ) NO. 21-04-00828 FIRST AND FINAL ACCOUNT OF PAUL E. RODGERS, EXECUTOR The Accountant charges as follows: Amount of Inventory and Appraisement Metlife, Inc. -76 shares 1991 Chevrolet Lumina Sedan 4 door 1861 $2 ~ Gold Liberty EF 1913 $2 ~ Gold Indian EF 1913 $10 Gold Indian EF Household Goods PNC Bank - Checking Acct No. 5003547995 Accrued Interest 2,700.28 850.00 160.00 13 5.00 260.00 270.00 6,636.76 .24 Total Assets 11,012.28 NOTE: Automobile was sold for the amount listed in the Inventory. Asset changed from "In-Kind" to "Cash" (liquid). Exhibit A-I The Accountant claims credit as follows: Neill Funeral Home Harrisburg Graphic Arts - 12 funeral books Rolling Green Cemetery R. Maureen Myers, Attorney at Law - attorney's fee Probate Fees - Amount to "open" 285.50 Inventory 10.00 Filing Inh Tax Return 15.00 Cumberland Law Journal- Legal advertisement The Sentinel - Legal advertisement Executor's - out-of-pocket costs Bank Card Services - balance due Messiah Village - Assisted Living - balance due AT&T - balance due Idaho dues - check cleared after date-of-death, written prior Alert Pharmacy - balance due Verizon - balance due Messiah Village - transportation, medical supplies - balance due Inheritance Tax on Probate Assets Total Credits 759.10 45.03 1,251.00 1,500.00 310.50 75.00 156.83 558.52 173.65 3,668.00 10.64 14.51 2.45 10.76 27.14 106.84 RECAPITULATION: 8,669.97 Total Assets Cash advanced by beneficiaries to protect assets in-kind Total Credits Balance for Distribution 11,012.28 1,182.97 ( 8.669.97) 3,525.28 Balance consists of: Metlife -76 shares 1861 $2 ~ Gold Liberty EF 1913 $2 ~ Gold Indian EF 1913 $10 Gold Indian EF Household Goods Total 2,700.28 160.00 13 5.00 260.00 270.00 3,525.28 NOTE: Beneficiaries to pay for the Recording of the Family Settlement Agreement. Exhibit A-2 SCHEDULE OF DISTRIBUTION Balance for Distribution per Account 3,525.28 TO: Paul E. Rodgers: Metlife -76 shares 1913 $10 Gold Indian EF One-third ( 1I3rd) of Household Goods 2,700.28 260.00 90.00 (3,050.28) TO: Stephen J. Rodgers: 1913 $2 ~ Gold Indian EF One-third ( 1I3rd) of Household Goods 135.00 90.00 ( 225.00) TO: Nancy R. Peters: 1861 $2 'l2 Gold Liberty EF One-third ( 1I3rd) of Household Goods 160.00 90.00 ( 250.00) Ending Balance 0.00 NOTE: Beneficiaries to pay for Recording of the Family Settlement Agreement. Exhibit B . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 N f D d t Horace C. Rodgers, Jr. ame 0 ece en : Date of Death: 07-29-2004 Estate No.: 21-04-0828 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes [8] 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.l8l 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 g No D fAM 1(. 't S~,rL. ~ ~~,.J;- A- e; l.H M.~I\J I 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: Apn I 2S; L!:)o7 ~~~ Signature {"J :-_! R. Maureen Myers, Attorney at Law Name 775 East Maiden Street, First Floor Washington, PA 15301-3753 Address '-0 (V) r-- C',j r___ 724-222-9095 Telephone No. Capacity: o Personal Representative l&l Counsel for personal representative BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-1607 EX AFP (03-05) II: 39 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-09-2007 RODGERS JR 07-29-2004 21 04-0828 CUMBERLAND 101 HORACE C R MAUREEN 1ST FLR 775 E MAIDEN ST WASHINGTON O,e,::, ..Il \i , MYERSC'ATTY , I' ::~ Amount Remitted I' PA 15301 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF RODGERS JR HORACE C FILE NO. 21 04-0828 ACN 101 DATE 04-09-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-08-2007 PRINCIPAL TAX DUE: 9,352.05 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-29-2004 CD004565 467.60 9,000.00 12-21-2004 CD004769 .00 92.78 03-20-2007 REFUND .00 208.33- , TOTAL TAX CREDIT 9,352.05 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 l! SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~,. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 INHERITANCE TAX RECORD ADJUSTMENT ..~ .. i: 1 17 ~) ,-.., ":: ., \ C. ,,,) 3 C; DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN R MAUREEN MYERS 1ST FLR 775 E MAIDEN ST WASHINGTON n,=~. ...1' . AU~" 03-09-2007 RODGERS JR 07-29-2004 21 04-0828 CUMBERLAND 101 *' REV-1593 EX AFP (03-05) HORACE C Amount Remitted PA 15301 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. REV-1593 EX AFP (03-05) --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- --------------------------------------------------------------------------------------------------------------------------------------- ESTATE OF RODGERS JR HORACE C FILE NO. 21 04-0828 ** INHERITANCE TAX RECORD ADJUSTMENT .. ACN 101 DATE 03-09-2007 ADJUSTMENT BASED ON: VALUE OF ESTATE: ADMINISTRATIVE CORRECTION 1. Real Estate (Schedule A) 2. 3. 4. 5. 6. 7. 8. (1) (2) (3) (4) (5) (6) (7) Stocks and Bonds (Schedule B) Closely Held Stock/Partnership Interest (Schedule C) Mortgages/Notes Receivable (Schedule D) Cash/Bank Deposits/Misc. Personal Property (Schedule E) Jointly Owned Property (Schedule F) Transfers (Schedule G) Total Assets DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/ Miscellaneous Expenses (Schedule H) (9) ClO) 10. 11. 12. 13. 14. Debts/Mortgage Liabilities/Liens (Schedule I) Total Deductions .00 2,700.28 .00 .00 8,312.00 12,240.00 193,209.02 (8) 4,730.98 3,907.15 Cll) Cl2) Cl3) Cl4) Net Value of Tax Return Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) Net Value of Estate Subject to Tax TAX: 15. Amount of 16. Amount of 17. Amount of 18. Amount of 19. Principal TAX CREDITS: Line 14 at Spousal rate Cl5) .OOX 00 Line 14 taxable at Lineal/Class A rate (16) 207 ,823.17 X 045= Line 14 at Sibling rate Cl7) .OOX 12 = Line 14 taxable at Collateral/Class B rate Cl8) .OOX 15 = Tax Due Cl9) 216,461.30 8,638.13 207,823.17 .00 207,823.17 .00 9,352.04 .00 .00 9,352.05 'ATn~" I ,,~,,~ .U' I T+--'- AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-29-2004 CD004565 467.60 9,000.00 12-21-2004 CD004769 .00 92.78 TOTAL TAX CREDIT 9,560.38 BALANCE OF TAX DUE 208.33CR INTEREST AND PEN. .00 TOTAL DUE 208.33CR it IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) \) \,f\ REV-1470 EX (6-88) '* INHERITANCE TAX EXP~N~ION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENrS NAME FILE NUMBER Horace C. Rodgers, Jr. REVIEWED BY ACN 21 04-0828 101 Steven James ITEM SCHEDULE NO. EXPLANATION OF CHANGES Based on the letter from the U. S. Treasury indicating that some of the savings bonds listed on the return were reported missing and replaced by the decedent prior to his death, a factual correction has been completed to remove the values from the return. ROW PaQe 1 -- Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/13/2007 f'"'-..-); c:::::> C'':::;> --J """"':J 775 EAST MAIDEN STREET 1ST FL WASHINGTON, PA 15301 o I"' ""("1 ;"I~P ~:~n , ~:/) :~'( C) -'11 ~,~- I_....^,..- r- MYERS R MAUREEN ESQUIRE GJ co RE: Estate of RODGERS HORACE C JR. File Number: 2004-00828 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 7/29/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~L~kf Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) cJ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/13/2007 -,;) '=J C::.::> -.J c_ r:: 1- RODGERS PAUL E w 444 SOUTH SEVENTH STREET CHAMBERSBURG, PA 17201 v CJ RE: Estate of RODGERS HORACE C JR. File Number: 2004-00828 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 7/29/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~LJtw.tt- Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel ~ In Re: Estate of RODGERS HORACE C JR ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00828 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: RODGERS PAUL E Counsel for Personal Representative: MYERS R MAUREEN ESQUIRE Date of Decedent's Death: 7/29/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 7/30/2007 b~Jt:" / ($;~ Glenda Farner Strasbaugh Clerk of the Orphans' Court Dish'ibution: Personal Representative Counsel for Personal Representative Estate File o :-0 --,=0 '---:::::l ,-0 !sr'"- " f::F1 ':..>-':: ~: ;~~).~ )C=. - =0 '"J ---; ~;......... 1-..) = = -.. <-- c::: r- w a ~ ~ "", N 0'\ ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Estate of RODGERS HORACE C JR NO. 2004-00828 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: RODGERS PAUL E Counsel for Personal Representative: MYERS R MAUREEN ESQUIRE Date of Decedent's Death: 7/29/2004 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to detem1ine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. k~~~J I#;~~./~ Date: 7/30/2007 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File 2 -,.0 --~:J.J ] '"'I...) )-'"FeJ : :=~~r- ':~S8 /.~ ,--'c' ::P'" [~~-'{'l :J~: ::.0 - --j r-v = c.-:;.) --' l'..._ c: I W o N C1'\