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HomeMy WebLinkAbout03-0669Estate of Clarence K. Angle also known as PETITION FOR PROBATE and GRANT OF LETTERS No. _t37_/- t~l~- To: Register of Wills for the Deceased. County of Cumberland Social Security No. 180-09-920~ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(H, who is~aVrJ$18 years of age or older an the executrix in the last will of the above decedent, dated December 31 and codicil(s) dated none in the named ,19 73 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in. Cumberland County, Pennsylvania, with h is last family or principal residence at 121 Walnut Bottom Road, Shippensburg, Shiopensburg Township. Cumberland County, PA (list street, number and muncipality) Decendent, then 92 years of age, died March 26 , l~, at 121 Walnut Bottom Road, Shippensburg, Cumberland County, PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: none 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: none 23,000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters, testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. i~ B~ni~a C' Ge'~-~y, now known as~~lp2ro02s~ecH~n.t~g ,~._o Bonita C. Hathcock OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF C ffMBZ~I,AND 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 ~ ~. '~e a~~ Sworn to or affixmed and subscribed before~:~z,.a~me th_is ~'~"~'/ .~da~y~o~f Estate Of No. ~.~/-~),~,- Alverta M. Angle , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated December 31~ 1973 described therein be admitted to probate and filed of record as the last will of Clarence K. Angle and Letters Testamentary are hereby granted to Bonita C. Gentry H~hcock 3119c~O-~, in consideration of the petition on FEES .o~,4ate, Letters, Etc .......... $._~~ S.~l~rt Eertificates( ) .......... $ ,-~.~ l~eng~mation ................ $ / ~'7~o ~ $ · TOTAL __ $ _~/o OO Filed . t~.-.&~:..m.-.-~. ...................... Register of Will~ ~ Jerry A. Weigle, Esquire #01624 A'VFORNEY(Sup. Ct.I.D. No.) WEIGLE & ASSOCIATES, P.C. 126 East King Street .aDDRESS Shippensburg, PA 17257 (717) 532-7388 PHONE REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat in h presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19__ Register (Name) (Address) (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS Jerry A. Weigle and Lee Hathcock (each) a subscriber hereto, (each) being duly qualified according to law, depose(~) and say(~0 that they are familiar with the signature of Clarence K. An§le , testat or of Co~x~xt~x~~x~x~ the will presented herewith and that they believes the signature on the will is in the handwriting of Clarence K. Angle to the best of. their knowledge and b,~e~~ ~f ~/~~/~) Sworn to or affirmed and subscribed before me this ~ day of ~rry ~.[~e~gle rName) ~[ ~~ ~26 East ~ng Street, ~ipp~sburg, PA 17257 Lee Hathcock (Nam~ 12025 Hunting Crest, Prospect, KY 40059 (Address) LAST WILL AND TESTAMENT I, CLARENCE K. ANGLE, of 43% West King Street, Shippensburg, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and wheresoever situate, to my beloved wife, ALVERTA M. ANGLE, absolutely. THIRD. In the event that my said wife predeceases me or we die as the result of a common disaster, I then give, devise and bequeath my said estate in three equal shares to BONITA C. GENTRY, JOHN M. GENTRY, and JACQUE D. ANGLE; EXCEPTING, HOWEVER, I give and bequeath my 10 GAUGE SINGLE BARREL SHOTGUN and my old EDISON PHONOGRAPH WITH RECORDS, to JACQUE D. ANGLE, absolutely. FOURTH. In the event that any of the above residuary legatees predecease me, I then direct that his or her share shall be distributed to my surviving residuary legatees as above set forth. FIFTH. I nominate, constitute and appoint BONITA C.. GENTRY as Executrix of this my Last Will and Testament; and if she be unable to perform the duties of Executrix, I then nominate, constitute and appoint JACQUE D. ANGLE, as my Executor. IN WITNESS WHEREOF, I, CLARENCE K. ANGLE, have hereunto set my hand and seal to this my Last Will and Testament, this ~f~/day of December, 1973. Signed, sealed, published and : declared by CLARENCE K. ANGLE, : the Testator, as and for his : Last Will and Testament, in the : presence of us who have at his : request signed our names as : witnesses hereto in the presence : of the said Testator and of each : other. : '03 i~i;O-~ CLARENCE K. ANGLE WILLIAM R. MARK ATTORNEY AT LAW I IS EAST KING STREET SHIPPENSBURG, PENNA. BOND REGISTER OF WILLS OF cmmem~no COUNTY BOND AND SURETY FOR PERSONAL REPRESENTATIVE B80-239014 KNOW ALL BY THESE PRESENTS, That Bonita C. Gentry Ha~hc0ck as principal(s) and Cincinnati Insurance Company as surety (sureties) are held and firmly bound unto the Commonwealth of Pennsylvania in the sum of Forty-six Thousand dollars ($ 46,000.0}0to be paid to the Commonwealth, for which payment we do bind ourselves, jointly and severally, our heirs, executors, administrators and successors, the condition of this obligation being that if Bonita C. Gentry llathcock as (state fiduciary capacity) Executrix of the estate of ClarenCe K. Angle ., deceased, or any of them, shall well and truly administer the estate according to law, then this obligation shall be void as to the personal representative or representatives who shall so administer the estate and his or their surety or sureties; but otherwise it shall remain in full force. Signed and sealed this 11 th intending to be legally bound hereby. day °i' August ,I~ 2003 , each (Seal) (Seal) THE CINCINNATI INSURANCE COMPANY Cincinnati, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That TIlE CINCINNATI INSURANCE COMPANY, a corporation organized under the laws of the State of Ohio, and having its principal office in the City of Cincinnati, Ohio, does hereby constitute and appoint Fred E. Clapsaddle, Jr. and/or Jeffrey P. Fogelsanger of Shippensburg, Pennsylvania itstrueandlawfulAttorney(s)-in-Facttosign, execute, seal and deliver on its behalfas Surety, and asitsactand deed, any and allbonds, policies, undertakings, orotherlikeinstruments, as follows: Any such obligations in the United States, up to Two Hundred Fifty Thousand and No/lO0 Dollars ($250,000.00). This appointment is made under and by authority of the following resolution passed by the Board of Directors of said Company at a meeting held in the principal office of the Company, a quorum being present and voting, on the 6th day of Dece~nber, 1958, which resolution is still in effect: "RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorneys-in- Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney-in-Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority. Any such writings so executed by such Attorneys-in- Fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company." This Power of Attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 7th day of December, 1973: "RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary and Treasurer and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company." IN WITNESS WHEREOF, THE CINCINNATI INSURANCE COMPANY has caused these presents to be sealed with its corporate seal, duly attested by its Senior Vice President this 14th day of June, 1984. STATE OF OHIO ) ss: COUNTY OF HAMILTON) THE CINCINNATI INSURANCE COMPANY S nior Vice Presidem~~ On this 14th day of June, 1984, before me came the above-named Senior Vice President of THE CINCINNATI INSURANCE COMPANY, to me personally known to be the officer described herein, and acknowledged that the seal affixed to the preceding instrument is the corporate seal of said Company and the corporate seal and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporation. HF_NFIy G. BI~RLr, DN. Attorney At Law Notary Public State of Ohio My commission has no expiration date. Section 147.03 R. C. I, the undersigned Secretary and Treasurer of THE CINCINNATI INSURANCE COMPANY, hereby certify that the above is a true and correct copy of the Original Power of Attorney issued by said Company, and do hereby further certify that the said Power of Attorney is still in full force and effect. GIVEN under my hand and seal of said Company at Cincinnati, Ohio. this i1 th day of August 1~2003 BN-1005 (6/84) 126 EAST KING 1N RE: ESTATE OF CLARENCE K. ANGLE, late of the Township of Shippensburg, Cumberland County, Pennsylvania, deceased : 1N THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY : PENNSYLVANIA : ORPHANS' COURT DIVISION : ESTATE NUMBER 21-03-0669 CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Clarence K. Angle Date of Death: March 26, 2003 Will No. 21-03-0669 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on November 4, 2003: Jacque D. Angle 135 Carlton Place Media, PA 19063 Bonita C. Hathcock 12025 Hunting Crest Prospect, KY 40059 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE. November 4, 2003 ( sigh~tur Name: / Jerry A. W~igle, Esquire Address: ~j Weigle & Associates, P.C. ~ ~, 126 East King Street Shippensburg, PA 17257 Telephone: (717) 532-7388 Capacity: Personal Representative Counsel for Personal Representative WEI6LE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KIN6 STREET -- SHIPPENSBURG, PA 17257-1397 WEIGLE & ASSOCIATES, P.C. ATTORNEYS AT LAW 126 EAST KING STREET, SHIPPENSBURG, PA 17257-13g%-',-T-~-~PHONE: (717) 532-7388 FAX: (717) 532-5289 IN RE: ESTATE OF CLARENCE K. ANGLE, late of the Township of Shippensburg, Cumberland County, Pennsylvania, deceased : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY : PENNSYLVANIA : ORPHANS' COURT DIVISION : ESTATE NUMBER 21-03-0669 CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Clarence K. Angle Date of Death: March 26, 2003 Will No. 21-03-0669 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on November 4, 2003: Jacque D. Angle 135 Carlton Place Media, PA 19063 Bonita C. Hathcock 12025 Hunting Crest Prospect, KY 40059 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE. November 4, 2003 sig~/itur Name: / Jerry A. W~igle, Esquire Address: Weigle & Associates, P.C. ,., 126 East King Street :': Shippensburg, PA 17257 Telephone: Capacity: (717) 532-7388 Personal Representative X Counsel for Personal Representative WEIGLE & ASSOCIATES. P.C. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG. PA 17257-1397 REV-15(/o EX + (6-00) ,.. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY FILE NUMBER 21 2003 0669 COUNTYCODE YEAR NUMBER SOCIAL SECURITY NUMBER Angle, Clarence K. 180-09-9202 DECE- DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 03/26/01 05/31/1910 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER CHECK APPRO- PRIATE BLOCKS COR- RE- SPON DENT RECA- PITULA- TION TAX COMPU- TATION 1. Original Return 4. Limited Estate 6, Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach a copy of Trust) 10. Spousal Poverty Credit(date of death between 12-31-91 and 1-1-95) 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes D 11, Election to tax under Sec. 9113(A) (Attach Sch O) NAME Jerry A. Weigle, Esquire FIRM NAME (If Applicable) Weigle &Associates, P.C. TELEPHONE NUMBER 717-532-7388 COMPLETE MAILING ADDRESS 126 East King Street Shippensburg, PA 17257 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) g Separate Billing Requested (6) None None None None 22,746.19 None None 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) (7) 8. Total Gross Assets (total Lines 1-7) (8) 9. Funeral Expenses & Administrative Costs (Schedule HI(9) 64,942.57 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 1, 157.29 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax (13) has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) OFFICIAL USE ONLY 22,746.19 66,099.86 (43,353.67) None (43,353.67) 15. SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 (1 5) 16. AmountofLine14taxableatlinealrate 0.00 X.0 45 (16) 17. Amount of Line 14 taxable at sibling rate 0. 00 X .12 (17) 18. Amount of Line 14 taxable at collateral rate 0. 00 X ,15 (18) lg. Tax Due (19) 0.00 0.00 0.00 NONE - INSOLVENT 0.00 0 PA15001 NTF 29755 Copyright 2000 Greatland/Nelco LP- Forms Software Only PA REV-1500 EX (6-00) Decedent's Complete Address: ~3TRH- I ADDRESS Page 2 Shippensburg Health Care Center 121 Walnut Bottom Road CITY J STATE I zlP Shippensburg PA 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments O. O0 C. Discount Total Credits (A + B + C) (2) 0.00 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line I + 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 the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (SA) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00 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; ....................................... I 1 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 care9 2. If death occurred after December 12, 1982, did decedent transfer property 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. Schedule Under penalties of perjuD/, I declare that I have examined this return, including accompanying schedules and statements and to the best of my knowledge and bel,ef, it is true, correct and complete. Dec aration of preparer other than the personal representat ye s based on information of wh ch preparer has _ {EPRESENTATIVE 126 East K_~q Street, PA 17257 DATE t Z- For dates of death on or after July 1, 1994 and before January 1, 1995, th e tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. § g116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate is 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 nat exempt a transfer to a surviving spouse from tax, and th e statutory requirements for disclosure of assets and filing a tax return are still app licable 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(aX1.2)]. Th e 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. § 9115(1,2) [72 P.S, § 9116(aX1)]. 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, 0 PA15002 NTF 29756 Copyright 2000 Greatland/Nelco LP- Forms Software Only ~tate of: Clarence K. Angle 21-2003-0669 The following person (s) Bonita C. Hathcock 12025 Hunting Crest Prospect, KY 40059 are signing the return as representative(s) of the estate: REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Clarence K. Angle 21-2003-0669 Include proceeds of litigation & date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F. ITEM NO. 1 2 3 4 DESCRIPTION Allfirst Checking Acct. #0950290259 Social Security DeathBenefit - on life of Alverta M. Angle Estate of Alverta M. Angle - return of Social Security payment erroneously paid to AlvertaAngle received 10/06/03 Estate of Alverta M. Angle - beneficiary's share received 10/06/03 TOTAL (Also enter on line 5, Recapitulation) $ 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 Nelco, Inc. (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 2,920.75 255.00 1,091.00 18,479.44 22,746.19 EV-15,11~X + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Clarence K. Anqle FILE NUMBER 21-2003-0669 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION AMOUNT FUNERAL EXPENSES: None ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) ~OD. ita C. [-~3.thcock Social Security Number(s)/EIN No. of Personal Representative(s) 205-38-6380 Street Address 12025 Hunting Crest City Prospect State KY Zip 40059 Year(s) Commission Paid: 2004 Attorney Fees Name: Weigle & Associates, P.C. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees See Schedule attached Total from continuation page (s) 7 CPA11 NTF lo911 Copyright Forms Software Only, 1997 Nelco, Inc, 1,132.76 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1,500.00 0.00 91.00 0.00 0.00 64,942.57 62,218.81 Es~tate of: Item No. Clarence K. Angle SCHEDULE H, PART B -- Administrative Costs Description Page 2 21-2003-0669 Amount 7 8 10 11 12 13 14 15 16 Cumberland Law Journal - advertising cost Cumberland County Register of Wills - filing PA Inheritance Tax Return Cumberland County Register of Wills - filing fee for Family Settlement Agreement Weigle &Associates, P.C. - postage, xerox copies and long distance telephone calls Postmaster - certified mailing to Department of Public Welfare J. Paul Fogelsanger Insurance - Executrix Bond The News-Chronicle - advertising cost Bonita C. Hathcock - reimbursement for the following expenses: Avis Rental Car (3/26 - 3/30) $182.01; Shippen Place Hotel (3/26 - 3/30) $441.42; Italian Village - funeral luncheon, $141.63; Food - $9.57; Humana, Inc. (airplane travel 3/26 and 3/30) $1,248.80 Bonita C. Hathcock - reimbursement for the following expenses to probate will and take care of administrative duties: Humana, Inc. (airplane travel 8/7 and 8/12) $1,146.52; Shippen Place Hotel (8/7 - 8/10) $280.89; Avis Rental Car (8/7 - 8/10) $152.44; Food - $73.90 Conmonwealth of Pennsylvania Department of Public Welfare - claim against the estate for medical assistance 75.00 15.00 50.00 17.50 4.42 240.00 84.50 2,023.43 1,653.75 58,055.21 TOTAL.(Caz-zyfozward to main schedule) ...... 62,218.81 REV-1512 EX * (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Clarence K. Angle 21-2003-0669 Include unreimbursed medical expenses. ITEM NO. DESCRIPTION AMOUNT 2 Social Security Administration - return of March social security benefit State Employees' Retirement System - return of overpayment of pension for March, 2003 TOTAL (Also enter on line 10, Recapitulation) 1,091.00 7 CPA12 NTF 10912 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. 66.29 $ 1,157.29 REV-1513 EX + (1-97) ' ' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Clarence K. Angle 21-2003-0669 RELATIONSHIP TO DECEDENT AMOUNT OR No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) SHARE OF ESTATE I. II, TAXABLE DISTRIBUTIONS (include outright spousal distributions) Not relevant as estate is insolvent. ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17~ 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 None B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None TOTAL OF PART ~ -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 7 CPA13 NTF 10913 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. LAST WILL AND TESTAMENT I, CLARENCE K. ANGLE, of 43½ West King Street, Shippensburg, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking making vo±d all wills by me at any time heretofore made. FIRST. I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give, der±se and bequeath all. my estate, real, personal and mixed, whatsoever and wheresoever situate, to my beloved wife, ALVERTA M. ANGLE, absolutely. THIRD. In the event that: my said wife predeceases me or we die as the result of a common disaster, I then give, devise and bequeath my said estate in three equal shares to BONITA C. GENTRY, JOHN M. GENTRY, and JACQUE D.. 32qGLE; EXCEPTING, HOWEVER, I give and bequeath my 10 GAUGE SINGLE BARREL SHOTGUN and my old EDISON PHONOGRAPH WITH RECORDS, to JACQUE D. ANGLE, absolutely. FOURTH. In the event that any of the above residuary legatees predecease me, I then direct that his or her share shall be distributed to my surviving residuary legatees as above set forth. PIPTIt. I nominate, constitute and appoint BONITA C GENTRY as Executrix of this my Last Will and Testament:; and if she be unable to perform the duties of Executrix, I then nominate, constitute and appoint JACqUE D. ANGLE, as my Executor. IN WITNESS WHEREOF, I, CLARENCE K. ANGLE, have hereunto set my hand and seal to this my Last Will and Testament, this ~ff '~day of December, 1973. Signed, sealed, published and : declared by CLARENCE K. ANGLE, : the Testator, as and for his : Last Will and Testament, in the : presence of us who have at his : request signed our names as : witnesses hereto in the presence : of the said Testator and of each : other. : allfirst' A Division of M and T Bank Weigle & Associates, P.C. Attorneys At Law 126 East King Street Shippensburg, PA 17257-1397 Allfirst Financial Center N.A. PC). Box 900 F ax (302) 934-2955 May 7, 2003 / Re: Estate of Clarence K Angle Social Security: 180-09-9202 Date of Death.. March 26, 2003 Dear Sir or Madam: Per your inquiry dated May 1, 2003, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: Type of Account Golden Age Checking Account Number 0950290259 Ownership (Names ojO Clarence K Angle, Owner Opening Date 06/28/02 Balance on Date of Death $2,920.75 Accrued Interest $ 0. 00 Total $2,920.75 This letter does not include any accounts in which the deceased ma), have been listed as Power of Attorne).,, Custodian of Uniform Transfers, Representative Payee, or Trustee under a Written Agreement. For further account information, closures and/or reimbursement of funds refer to below branch: SHIPPENSBURG OFFICE 35-39 EAST KING STREET SHIPPENSBURG, PA 17257 717-532-4132 Assistant I Cis Services, (302) 934-2909 ESTATE OF ALVERTA M. ANGLE File No. 21-03-0134 FAMILY SETTLEMENT AGREEMENT Will Cumberland County, Pennsylvania, THIS AGREEMENT made this /~ ~] day of /P~)tr;J-£~2-)(,f~ ,2003, BETWEEN: The Estate of Clarence K. Angle, being the legatee under the Last and Testament of Alverta M. Angle, late of the Borough of Shippensburg, AND BONITA C. GENTRY, n/k/a BONITA C. HATHCOCK, Executrix of the Estate under the Last Will and Testament of Alverta M. Angle, deceased, WHEREAS, Alverta M. Angle died January 12, 2003, testate, and under her Will left her estate to the party herein; and WHEREAS, Letters Testamentary were granted to Bonita C. Gentry n/k/a Bonita C. Hathcock on February 14, 2003, by the Register of Wills of Cumberland County, Pennsylvania; and WHEREAS., Clarence K. Angle passed away on March 26, 2003, with Letters Testamentary having been granted to Bonita C. Gentry, n/k/a Bonita C. Hathcock on August 3, 2003, by the Register of Wills of Cumberland County, Pennsylvania; and WHEREAS, all assets of the late Alverta M. Angle have been liquidated or distributed and all her debts paid in full, and further the period of four months having been terminated since the first advertisement of the issuance of Letters to the said Executrix, the said party hereto desires to waive the duties of Executrix to file a First and WEIGLE ~S{ ASSOCIATES, RC. -- ATTORNEYS AT LAW --126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 PROPOSED DISTRIBUTIONS TO BENEFICIARIES Estate of Alverta M. Angle For Period 01/12/01 Through 9/4/03 Page 6 To: Estate of Clarence K. Angle Cash 09/04/03 The beneficiary will receive a 100% interest in the estate's residue, representing a portion of the following assets: Cash Total $ 18,479.44 $ 18,479.44 TOTAL PROPOSED DISTRIBUTIONS TO BENEFICIARIES $ 18,479.44 WEIGLE PERKINS & ASSOCIATES JERRY A WEIGLE ESQUIRE 126 EAST KING STREET SHIPPENSBURG PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA DEPARTMEN'~ OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105-8486 May 21, 2003 Re: CLD~RENCE A/~GLE CIS #: 050155922 SSN: 180-09-9202 Date of Death: 03/26/2003 Dear Attorney Weigle: Please be advised that the Department of Public Welfare maintains a claim in the amount of $58,055.21 against the above-mentioned estate. This claim is for restitution of medical assistance granted on behalf of the decedent for which the Probate Estate is now responsible to reimburse the Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's itemized statement of claim. A portion of this medical expense, namely $22,262.08, was incurred during the last six months of the decedent's lifej therefore, it is a Class 3 claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $35,793.13, is to be entered as a priority Class 6 claim against the estate. Please acknowledge receipt of this letter and advise whether the Commonwealth's claim is admitted and when payment may be expected. If the estate accounting is complete, please provide a copy. If the estate contains real estate, please provide copies of the deed, the latest tax assessment, and a current appraisal, if available. Sincerely, Margaret L. Sohn Claims Investigation Agent 717-772-6609 717-705-8150 FAX Enclosure LIAN VILLAGE CASU~ 7 PHILADELPHIA AVl MBERSBURG PA 1720! 717-2~4-8577 R 29, 200~ 01:53PI ~ERCHANT NUMBER 5428~40800099731 CE ID: 0: #: 008 : AMERICAN EXPREE $ 118 The Shippen Place Hotel 32 East King Street Shippcnsburg, PA 17257 (717) 532-4141 / (717) 532-5142 sNppen@inncrnct.net / www. shippcnplace.com Page 1 of 1 Mr. and Mrs. Bonnie & Lee Hathcock 500 W. Main Street Louisville, KY 40202 Master Folio Weekday: 62.00 Weekend: 62.00 03/26/03 210 Transient Room Revenue 62.00 0.00 62.00 03/26/03 210 Sales Tax - 6.000% 3.72 0.00 65.72 03~26/03 210 County Hotel Tax- 2.000% 1.24 0.00 66.96 03/27/03 210 Restaurant - 0061 97.01 0.00 163.97 03/27/03 210 Transient Room Revenue 62.00 0.00 225.97 03/27/03 210 Sales Tax - 6.000% 3.72 0.00 229.69 03/27/03 210 County Hotel Tax - 2.000% 1.24 0.00 230.93 03/28/03 210 Transient Room Revenue 62.00 0.00 292.93 03/28/03 210 Sales Tax - 6.000% 3.72 0.00 296.65 03~28/03 210 County Hotel Tax - 2.000% 1.24 0.00 297.89 03128/03 210 Long Distance - 375-0267@6.7MIN 2.09 0.00 299.98 03/29/03 210 Restaurant - 0040 74.48 0.00 374.48 03/29/03 210 Transient Room Revenue 62.00 0.00 436.46 03/29/03 210 Sales Tax - 6.000% 3.72 0.00 440.18 03/29/03 210 County Hotel Tax - 2.000% 1.24 0.00 441.42 03/30/03 210 American Express - THAN K YOU 0.00 441.42 0.00 Summary and Taxes Balance Due 0.00 Taxable Sales 248.00 Sales Tax 6.00% 14.88 County Hotel Tax 2.00% 4.96 JML/1 03/30/03 10:50 AM Thank you for staying with us/. HUMANA INC PERSONAL AIRPLANE USE (HAC) MILEAGE # OF TAXABLE EMPLOYEE LEVEL DATE FROM TO AIRCRAFT ~TATU~ PERSONS AMOUNT HATHCOCK, BONNIE CONTROL 01/09/2003 LOUISVILLE KY HAGERSTOWN MD 1 443 1 $312.209 ~cc' 01/14/2003 WASHINGTON DC HAGERSTOVVN MD I 55 1 $71.84( ~\~ 01/18/2003 HAGERSTOVVN MD LOUISVILLE KY 1 443 2 $624.40 ~ 02/04/2003 WASHINGTON DC HAGERSTOWN MD 1 55 2 $143.68/ 02/08/2003 HAGERSTOWN MD LOUISVILLE KY 1 443 2 $624.40/ $3,025.32 The ai. pRen Place Hotel 32 East King Street Shippcnsburg, PA 17257 (717) 532-4141 / (717) 532-5142 shippcn~inncrnct.nct / www. shippcnplace.¢om Mr. and Mrs. Bonnie & Lee Hathcock 500 W. Main Street Louisville, KY 40202 Page 1 of I 305 24509 08/07/03 08/10/03 0.00 Master Fo io Weekday: 62.00 Weekend: 62.00 08/07/03 305 Restaurant - 0022A 5.50 08/07/03 I 305 I Transient Room Revenue [ 62.00 08/07/03 I 305 I Sales Tax- 6.000% I , 3.72 08/07/03 305 ~ County Hotel Tax- 2.000% I 1.24 08/08/03 305 Restaurant - 0041 74.51 08/08/03 305 Transient Room Revenue 62.00 08/08/03 305 Sales Tax - 6.000% 3.72 08/08/03 305 County Hotel Tax - 2.000% 1.24 08/09/03 305 Transient Room Revenue 62.00 08/09/03 305 Sales Tax - 6.000% 3 72 08~09/03 305 County Hotel Tax - 2.000% 1 24 08/10/03 305 American Express - THAN K YOU 0 00 Summary and Taxes Balance Due Taxable Sales Sales Tax 6.00% County Hotel Tax 2.00% 0.00 67.50 0.00 71.22 0.00 72.46 0.00 146.97 0.00 208.97 0.00 212.69 0.00 213.93 0.00 275.93 0.00 279.65 0.00 280.89 280.89 0.00 0.00 186.00 11.16 3.72 ITALIAN VILLAGE CASUAL 5267 PHILADELRHIA AVE CHAMBERSBURG PA ~7201 717-264-8577 AUG 07, 2003 06,;57PM MERCHANT. NUMBER 5428140880099731 DEVICE ID: 0224 REF #: 013 ACT #: ***********2004 CARD : AMERICAN EXPRESS SALE: , S: 65.98 TOTAL: .... APPROVAL CODE: 54099, I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENI SIGNATURE HATHCOCK/LL THANK YOU FOR YOUR BUSINESS CUSTOMER COPY 4V15. 2 9733 HUMANA INC PERSONAL AIRPLANE USE (HAC) 2003 W-2 YEAR (NOV 1, 2002 TO OCT 31, 2003) EMPLOYEE LEVEL HATHCOCK, BONNIE CONTROL DATE FROM 12/21/2002 LOUISVILLE KY 12/27/2002 HAGERSTOWN MD 1/9/2003 LOUISVILLE KY 1114/2003 LOUISVILLE KY 1/14/2003 WASHINGTON VA 1/18/2003 HAGERSTOWN MD 2/4/2003 LOUISVILLE KY 2/4/2003 WASHINGTON VA 2/8/2003 HAGERSTOWN MD 3/26/2003 LOUISVILLE KY 3/3012003 HAGERSTOWN MD 8/7/2003 LOUISVILLE KY 8112/2003 HAGERSTOWN MD TO AIRCRAFT HAGERSTOWN MD HAWKER LOUISVILLE KY HAWKER HAGERSTOWN MD KILO WASHINGTON VA ALPHA HAGERSTOWN MD ALPHA LOUISVILLE KY HAWKER WASHINGTON VA KILO HAGERSTOWN MD KILO LOUISVILLE KY ALPHA HAGERSTOWN MD ALPHA LOUISVILLE KY ALPHA HAGERSTOWN MD ALPHA LOUISVILLE KY ALPHA MILEAGE (STATUTE! 443 443 443 0 443 443 0 443 443 443 443 443 443 # OF PER~ON8 TAXABLE 2 $628 2 $620.88 1 $312.20 1 $0.00 I $312.20 2 $624.40 2 s~.~ . ~"-~ 2 $624.~o ~- j.,/ 2 2 3.26 ' 2 BUREAU OF INDIVIDUAL TAXES /NHER/TANCE TAX DTVTSZON DEPT. 180601 HARRISBURG, PA 17118-060! JERRY A WEIGLE ESQ WEIGLE & ASSOCIATES 126 E KING ST SHIPPENSBURG COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOT/CE OF INHERITANCE TAX APPRAISENENT, ALLO#ANCE OR D/SALLOWANCE OF DEDUCT/OHS AND ASSESSHENT OF TAX '04 FEB 13 P3:29 DATE 02-16-200q ESTATE OF ANGLE DATE OF DEATH 05-26-Z005 FILE NUMBER 21 03-0669 COUNTY CUMBERLAND ACH 101 r Amoun~ Reei~ed REV-15¢7 EX AFP COZ-OS) CLARENCE K MAKE CHECK PAYABLE AND REMIT PAYNENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOT/CE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ANGLE CLARENCE K FILE NO. Z! 03-0669 ACH 101 DATE 02-16-200q TAX RETURN WAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Reel Es~e~e (ScheduZe A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S~ock/Par~nership In~eres~ (Schedule C) ($) q. Nor~geges/No~es Receivable (Schedule D) (q) $. Cesh/Benk Deposi~s/Nis¢. Personal Proper~y (Schedule E) (5) 6. Jointly Owned Proper~y (Schedule F) (6) 7. Transfers (Schedule O) (7) 8. To~el Asse~s APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expenses/Ada. Costs/Hist. Expanses (Schedule H) (9) 10. Debts/Hot,gage Liabilities/Liens (Schedule /) (10) 11. To~el Deduc~/ons 12. Ne~ VaZue of Tax Re~urn .o0 .oo .oo .o0 22/7q6.19 .00 .00 (8) NOTE: To /nsure proper credi~ ~o your account, subei~ ~he upper por~/on of ~his fore wi~h your ~ax payment. 22,7q6.19 6~,9~2.57 1,157.29 (11) &6.o99.86 (12) q3,353.67- 15. NOTE: Char/~able/governeen~al Bequests; Non-elected 9115 Trusts (Schedule J) (15) . O0 Ne~ VaZue of Es~a~e Subjec~ ~:o Tax (Iq) qO,353.67- Zf an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 1.6. Aeoun~ of L/ne lq a~ Spousal ra~e (15) 16. Amoun~ of Line lq ~axable a~ Lineal/Class A ra~e (16). 17. Amoun~ of L/ne lq e~ S/bling ra~ce (17) 18. Aeoun~ of L/ne lq ~axable a~ Collateral/Class B ra~e (18) 19. Pr/ncipal Tax Due D/SCOUNT INTEREST/PEN PAID (-) TAX CREDITS: PAYNENT DATE · O0 x O0 = . O0 · 00 x 0~5= .00 · O0 x 11 = . O0 · O0 x 15 = .00 (19)= . O0 ANOUNT PAZD RECEZPT NUHBER ZF PA/D AFTER DATE INDICATED, SEE REVERSE FOR CALCULAT/ON OF ADD/T~ONAL /NTEREST. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .0o .00 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REgUZRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU NAY DE DUE A REFUND· SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 1Z, 19aZ -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for 1ifa or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the laaful Class B (collateral) rate on any such future interest. PURPOSE OF NOT[CE: PAYMENT: REFUND (CA): OBJECTIONS: ADMIN- ISTRATIVE CORRECT/ONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section ZlqO of the Inheritance end Estate Tax Act, Act g$ of ZOO0. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Make check or money order payable to: REGISTER OF #ILLS, AGENT A refund of a tax credit, which ems not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1515). Applications are available at tho Office of the Register of Hills, any of the 23 Revenue District Offices, or by calling the special Z4-hour answering service for forms ordering: 1-800-56Z-20S0; services for taxpayers with special hearing and / or speaking needs: 1-800-447-50Z0 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as sheen 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. ZBIOZ1, Harrisburg, PA 171ZB-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6S05. Sea page S of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of adminlstratively correctable errors. If any tax due is paid aithin three (5) calendar months after the decedent's death, a five percent (5X) discount of the tax paid is allowed. The 1SZ 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 and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time 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 (6Z) percent par annum calculated at a daily rate of .000164. AIl taxes which became delinquent on and after January 1, 19aZ 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 19aZ through ZOO3 ara: Interest Daily Interest Daily Intarast Daily Year Rate Factor Yea__.r Rate Factor Yea.r Rate Factor 1982 lOX .000548 1987 97. .000247 1999 7Z .000192 1983 162 .000458 1988-1991 llZ .000301 ZOO0 82 .000219 1984 llZ . 000501 199Z 9Z . 000Z47 2001 9Z . O00Z47 1985 152 .000356 1993-1994 72 . O0019Z 200Z 6Z .000164 1986 IOZ .000274 1995-1998 9Z .000Z47 2005 57. .000137 --Interest is calculated as folloas: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINI~UENT X DAILY TNTEREST 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 bm calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 WEIGLE JERRY A 126 E KING STREET SHIPPENSBURG, PA 17257 RE: Estate of ANGLE CLARENCE K File Number: 2003-00669 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/26/2005 Your prompt attention to this matter will be appreciated. Thank You. Z=~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge J REGISTER OF WILLS. CUMBERLAND COUNTY STATUS REPORT UNDER RULE 6.12 Name of Decedent: Clarence K. Angle Date of Death: Karch 26. 2003 Will No.: 21-03-0669 Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes~ No 0 PA Insolvent Inheritance Tax Return filed and approved on February 16. 2004. 2. lfthe answer is No, state when the,personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No ~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal ~resentative state an account informally to the parties in interest? Yes ~ No 0 Date: c. Copies of receipts, releases, joinders and approval oHormal or informal accounts maybe filed with the Clerk oftJ?e Orphans' 0 and may be attached to thinep I 10, 2005 ~ ~ February Sign Jerry A. Wei Ie. Es uire Name WEIGLE & ASSOCIATES. P.C. 126 East King Street Shippensburg. PA 17257 Address 717-532-7388 Telephone No. j Capacity: 0 Personal Representative 00 Counsel for personal representative ('7 <," cI