The URL can be used to link to this page

Home My WebLink About02-1002PETITION FOR PROBATE and GRANT OF LETTERS 100 ~~-o~- Estate of I SABELLE H . MILLER No. To: also known as Register of Wills for the County of ti,o,-1 anc3 in the Deceased. ,~ ,, o n ~ c~ _ Commonwealth of Pennsylvania Social Security No. The petition of the undersigned respectfully represents that: named Your petitioner(s), who is/are 18 years of ageFreobl~ua~ the2exec~ 9 , 19 in the last will of the above decedent, dated and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Cumberland County, Pennsylvania, with Decendent was domiciled at death in h Pte- last family or principal residence at Tlri ~~~ ~ nn~. ~ (list street, number and muncipality) November 3, , 19 2002 8 6 years of a e, died . Decendent~ohgy piri Hospl~al at was not divorced and did not have a child born or adopted Except as follows, decedent did not marry, after execution of the will offered for probate; was not the victim of a killing and was never adjudicate incompetent: $450,000.00 Decendent at death owned property with estimated values as fo ows: (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 request(s) the probate of the last will and codicil(s) rant of letters Testamentar presented herewith and the g (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. U C b h ~c ~ avi erm~yer ~:~ Sou Ba timore Street Na Dillsbur PA 1 701 9-1 01 1 ~w ~o c OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ~~ Cumberland COUNTY OF etition are The petitioner(s) above-namethe knowledge and beli f of pet tion r(s) and thatf as personal represen- true and correct to the best o will well and truly administer the estate according to law. tative(s) of the above decedent petitioner(s) ~~ ~ Sworn to or affirmeSdth d subsdca bed 'Fl~nre me this t~ „„ nom.., ___ _ =~_ Tom,...-- oo' a ~o rti ~, ~ ,, i nna M. Otto,Yst Depu egi No. 21-2002-1002 Estate of ISABELLE H. MILLER ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW November 8th l~gx 200 consideration of the petition. on the reverse side hereof, satisfactory proof having been presented before me IT IS DECREED that the instrument(s) dated FRRRiTARY ~ 1 99A described therein be admitted to pprobate and filed of record as the last will of ~iSABELLE H. MILLER and Letters TESTAMENTARY are hereby granted to G . DAVID GERMEYER FEES Probate, Letters, Etc.......... ~ 3 4 0.0 0 Short Certificates( lp......... , $ 3 0.0 0 Ii~a>it~ix x . x- P.a ge s ..6 . $ 18 .0 0 JCP ~ 10.00 TOTAL ~ 398.00 Filed NOv.~~bex'.13.th.,.2Q02........... f Register of Wills Donna M.Otto 1st Deputy ~~ ORNExx1Sup. Ct. I.D.,No.) S ve Howell, Esquire .D. # 62063 ADDRESS 619 Bridge Street PHONE New Cumberland, PA 17070 (717) 770-1277 Voice (717) 770-1278 Telecopier MAILED LETTERS TO ATTORNEY ON 11-8-02 o-_~n..._, ..,, _. .,. ~~hiS 1S LO t:e1'lltT' ChaC iYle llltOi'Yli$C7011 ~el"e g1Ven lti COCCe.~1l.1 L=J;', ,a ,.-. ~.. - I...Ii <. !'~ rr,..:.-, C's_: .. ,, ~ Leril Registrar. ~I'~ae ori~iasl certificate w(~l ~c ~oiys%arded tr. ri.: ~,~~.. ,. _ . V1IARNIN~,: It is iii~gal t0 t~upilC~Ye 1~~~s t ,.~s~t ~ _. a .a~'.~-;~ ~,' ~~;r a s~,~r~ ~. t't~c ter this <:el'tit,~ati', >?.()() .ll G ~ ~' ,a~'e, ~' ~ ~_ ' I c.~ ~ ~ r y + i ~'~';T_ ~: ~ ~•~~ 1 ~/i'A -------- - --- ~_. t ~ ,,,,, . - - - l,. ___._ NIUS ~+J Rey vS7 RINT :ENT INK COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH _ ~tAiE r!lE 4UMBER NAME OF DECEDENT i,Fnp. M.oge. ;aal ~ 5Ex Sa:C1Al SECURITY NUMBER GATE FOEATN,MCmn. Day.'W~;.~ +. ISABELLE MILLER ,Female ,. 159 - 24 - 9029 .. ~~~~ gyp, ~,• ~C40 AGE S n M1aw +I oaYl UNDERIYEAR UNDERIDAY DATE OF &RTN SIRTHPLACE:C.ty ara PUCE OF DEA7N~fn¢cx avy one--.ea nprucl.Y,a nn inner 3nyal SC Mpalr r Data Moue . Mraaa !Manor. Day bw1 wraFawgn l:<UnilYl HOSPITAL V OTHER: m 22 1 y , vn. i 916 Camden, ~ Inpalw~ ERIgApwl,m U DcN ^ N'~a'ng •'-, 0o4r ^-~ 7 M . . COUNTY OF DEAN DTTY SORO, TWP OF DEATH FACILITY NAME ill na nw~ta.On. S!W streal arb nwno«! WA$ DECEDENT OF HISPANIC ORIGIN? RACE ~ Aman<yl Inpan, 9p<Y, M/n,a. «<_ Cumberland East Pennsboro Twp Np® 1•a^tlY,a.apa<EyCuOan. ,~,, ... k. f>`~ ~~ S1'I ~ I I (1U S~- i ILL Ma%ran.PwrlpRKan.«< white ,. ,•. DECEDENT'$USUAL OCCUPATgN %WOOFIWSINESSANOUSTRY V.IS DECEDEN EVER IN DECEDENT'S EOUCATIDN MARITAL STATUS•Manro SURVIVING SPOUSE IGM YnOa wOrY aln ournq mow U. S. MMED FORCES? and n ep tan Haw Mawro, Wlaowa0. ;tl wN.,.v, nyq,n nwMl a waMrq Yla:mrlotup nano) Elanrmury/Saconpary CoNga DiYacM lSpacNl Office Mana er Electric Service "~^ "°~ ,o-12, • : +a ~~ „ « ., Widowed 12 I t: ,.. te. DECEDENT'S MAILYaG ADDRESS (SYM. CaWTOwn. SMn. ZoCarl DECEDENT'S Messiah Village AcTDAL tT..sw. PA Da n<.I~rw.a.cp.may.ar Upper Allen RESIDENCE „~yr„ rp. 100 Mt. Allen Dr. ISe.x,.n.anrM w.„. ,.. Mechanicsbur PA 17055 °"°na"'°a' laww,n!p7 Na•a<.am.,,., tTG.cw C`ttmFuarlanA na ^ ww. t G . nac lrw nna ~. FATHER'S NAME IFYw. Maaa,. Lap, MOTHER'S NAME rFyp. Mloor. MwMnSwnynal „ David Henderson ,,. Anne Helf oft ' WFORMANT S NAME RytwPrnD INFORMANT'S MAILING ADOIiE5315aa« CIN/Town, SIw. Zip Carl G. David Germeyer ~„ 306 S. Baltimore St., Dillsburg, PA 17019 MET110D OF dSPO5 ~ 1TION DATE OF Dla'O$ITWN PUCE OF DISPOSRION ~ N«na aCamaary. Cr,mabry LOCATION -Cayrtowl. SI«a. Z'p Car tturl« ^ Cramwion ® R«iN)vy Yarn Swa^ IMpM, Day, torl a qnw PMCa °onil°n^ O1n"'~' ^ ~~Nov 6, 2002 East Harrisburg Crematory . tta. t1e. ~larrisburg, PA 17109 Sg ~~ ~ ,t NATURE ~ fVNERAL R E NSEE OR PERSON ACT„Ip AE6UCN LICENSE NUMBER NAME ANO AOORES$ OF FACILITY ^~ /~~rv~i~7~O 'g a( / al % ns. ~//i 9/- c-- ~~ACKLER-WIEDEMAN FH.23Cd & De Sts ~ . H3cri Caawl«a iamst,,c Dor n PA 171 i y w an umN+9 b tna tr« a my Yrnwray., nun occuwaa M In. nma. p«, anp pan palaa. Ptgnt+an ~rlal NaAapyuYrMa M«Ilb tSqulYSaaro TO,) LICENSE NVMBER DATE SIGNED wrW nlr.a a pwm. f4ona+. DaY. yawl ~~ Eanla g4~~WMrrlpl«ap~ pF rnH~ ~~ ,x. ~ hE~ l paean wtb prprrmlcw aawn. a`~~ J ~ yMS CASE REFERREp 1p MEDICAL E%AMINEW'CORONER7 ~STEP ~ / ' / , / E/` r ~ ~ B ~r ~ ~ 0 ~ ran N 1 ! M. No^ / ~ A / N iT. IA/1T I: Einar pu awawa, r. u„urra a conlplic«nra wnicn uuwo Na oaam Do npl am« IM nwG of aybq, au<n as caraac a raapra,ory arraaL anacY or n i , aan ura a Lrl nay ar 4uY Orl a«n YM. r Approaan«a PART N: Olllar a,grllll<ara conolYay a,arr0u0n9 b tlaW, t«I EIIKOIATE CAUSE IFwI ^ n i ~ Oaan na rasutlnq «IM ullaartY%q a,wa gMan w PART I. rawaYpnw.nl-. J F•a' I a r- R,~~ i DUE TOIOR ASA OUENCE OFl: 8aoMawMar oana7norr e.~° `.a ~a~~ C.y ~ ~ `_,/ ~'` f- ' f MY.laa6gbmrW«a ~ //~,~DUE TOtt7R A$A/f~, 1~5E0UENCE OF): -4-___ Oraraa.ylr~ c./ a_ ,5 ~~ •~-F ~1-~ ~ ~ I DUE IOR ASACONSEOUENCE OF}. t r~irp n paallY LAST a I MR$AN AUTOPSY PERFORMEDY WERE AVTOPSYFWgNGS AVMLABLE PRIpi /O MANNER OF DEATH PATE OF INJURY TIME OFIWURY INUURY AT VrOR„7 DESCRIBE NOW INJURY OCCURRED M C ~ EfgN OFDAUSE . ( oon. D,Y. ~1«I 7 ~r ® ^ /IOrnKiOa AcciEa•t ^ PaMYp tnya«gwYYl ^ Yw ^ NO ^ rr %~[[ Yaa ^ NO L.] Yp ^ NO ^ SuY:Wa ^ Coub nd tr dlarmlMO ^ ,tr. M. PLACE OF INJURY . ~ Mm, rrm prep taaary oMc, 70a. 2M. ,p , , . , LOCRgN (Snow. CMtown. twtl6rlq, w<. ISpxnvl CERTIflER ICna<Y nay an,I -- ~' ~. •CEIITVYYq PHYSICIAN IPnyacav!c,raryrq Cwa,ap!«nMw ananw pnyaCyl nas a u SIGN RE TITLE OF CERTIFI p q rc%0 oealnaro cannel-^!tem 2,1 Ts tlla Gant a «y YnOrI,Og,, MaN oa:uw.e Ow b tn, <+uaNal,nO m,nMr a ,rtw .... ........... .. ~ ......... . .................... • „G. LS • 'PRONOUNCING ANO CERTIFYING MIYSICIANIPn TOIM GMam Yro YS<Mn OOn Ya'arC~nQ Oedn drM CM!lynq!OCwa,d oe]nl Y wrag,, a,.In «<urr.a,t w ann a,r a,a l LICE UMBER tYlOrlay Gay. YSwl i , . P ae,, ,ne aa. b tn. <,u.qq .na m,nn.r a. ««w ........................ ^ „<. Do/.~ / F „a // - v S - ~Z!!~J 7-- 'MEDICAL EIIAMINER/CORONER NAME AND ADDRESS OF, /PERSON WMO COMPLETED CAUSE Of DERH lilem 271 TYDaa PruN I~N~r ~ = M { '{ W G P I~ On tM Win of naminallon anNa imaadgalion, in my opnion, death x<urraC at the Ilma, daN, and place, nett due to ma uuse(a) an0 mannaT as atatart ................................. . ... .. / f ~ . , ~ S ~ ~ / I - I%.(Jy:7 T ~ ' ~ .. ......... ..... ......... .. ............ ..... ,ta. REGISTRAR'S SKsNATURE ANO NUMBER , T=' 2 Y/t •'~ •• S •!~ / /'~ r"~' / 7Q1/ ' GATE FILED •Mpnm Day. na,l ,, Imo - ,, //~ ,~ -l» LAST WILL AND TESTAMENT OF ISABELLE H. MILLER 021 ~~-~oo~ I, ISABELLE H. MILLER, of New Cumberland, York County, Pennsylvania, do make, publish and declare this to be 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 becoming 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 the Executor out of the property passing under ITEM IV of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay my just debts and the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. I direct that I be cremated and that my ashes be joined with those of my late husband Curtis and scattered from a plane into the Susquehanna River. °~- ITEM Ill: I make as special bequests those items of my personal property set forth on Exhibit A, which Exhibit is incorporated herein, to those persons set forth on said Exhibit; ITEM IV.• I devise and bequeath all of the rest, residue and remainder whatsoever nature and wherever situate as follows: (a) 50% to my son, G. DAVID GERMEYER. In the event he should predecease me, one half (1 /2) of his share shall be paid to his wife, RUTH GERMEYER and one half (1 /2) of his share shall be paid to her daughter, DIANE ETSWEILER. If either RUTH GERMEYER or DIANE ETSWEILER do not survive me or my son G. David Germeyer, this share shall be paid in full to the survivor of them. (b) 25% to my son, DONALD RODERICK GERMEYER. In the event he predeceases me, his share shall be added to the share payable in subsection IV(a) above. (c) IS% to my niece, FRANCES FELTON. In the event she should predecease me, this share shall be added to the share payable pursuant to subsection IV(a) above. (d) 1 D% to my sister, LIBBY FELTON. In the event she should predecease me, this share shall be paid to her son, Rodney Felton. 2 ~'~~ ITEM YII.• I appoint my son, G. DAVID GERMEYER, to be the Executor of my Estate. In the event my son cannot act or refuses to act as Executor for any reason, I nominate, constitute and appoint DIANE ETSN'EILER, as alternate Executrix. Any Executor is specifically relieved from the duty or obligation of filing any bond or other security. IN A'ITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding 3 pages, at the end of each page of which I have also set my initials for greater security and better identification this ~~ day of 2~,~ ~ 1998. ~,~. ~~~ ~ ll ~-~- (SEAL) ISABELLE H. MILLER We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound mind and memory. ~~c-LG~ Residing at: 205A Tenth Street LISA ZI New Cumberland, PA 17070 ~ ~ 1 Residing at: 313D Eden Road MICHAEL T. STEPH NS Lancaster, PA 17601 4 ' ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF CUMBERLAND I, ISABELLE H. MILLER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. .~ ~~ eis~ l ~l . ~~:~.. (SEAL) ISABELLE H. MILLER Sworn to and subscribed bef e m this ~ day of 1998. ARY PUBLIC My Commission Expires: (SEAL) NCYTAflIAL SEAL 8rbera Sample-SulNven.1'b1~rY Putf(Ic Nerr CWnbeAand Bono. Canbe~lard Ce. Mr Gornmisalon Expmes Nov. 15,19 $ /'~ AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF CUMBERLAND We, Lisa Zizis, and Michael T. Stephens, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix, Isabelle H. Miller, sign and execute the instrument as her Last Will and Testament; that Testatrix signed willingly and she executed said Will as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Lisa Zizis Michael T. Stephens Sworn to and subscribed bef this ~ day of 1998. ~~ NOTARY PUBLIC My Commission Expires: (SEAL) NOTRRIAL 3ERL Neer Cuero g Ovmrr+Issiorr Expires Nov. t~, t999 6 EXHIBIT A SPECIAL BEQUESTS OF ISABELLE H. MILLER To mX son - G. David GermeLer 1. Walnut Desk & plank bottom chair (living room); 2. Regulator wall clock (living room PER Cam's wish); 3. Small box of family jewelry and jewelry inside (top drawer of my dresser); 4. 1 box of Henderson papers (under my bed); 5. Box of photographs from Henderson estate, and 6. Framed photo of his Grandpa Henderson (dining room cupboard). To my son -Donald Germeyer 1. Spool chest and stand; 2. Hand painted picture by his friend, Mrs. Knisely (mantel); 3. Hummel figurine he gave me (bottom drawer, my dresser); 4. Small ruby stone ring /malachite drop necklace / my high school graduation ring, (top drawer dresser in bedroom). To mx daughter-in-law -Ruth Germe~er. 1. Drysink To my sister - Libby Felton 1. All thistle glassware (in built-in dining room cupboard); 2. Wooden flower and fruit plate (dining room wall). To my Granddaughter -Diane 1. Welcome sampler I made in 1938 (Downstairs bathroom), and 2. All trivets hanging in dining room and assorted tiles in dining room. DATED: ~~ 2 -y ~ ~~=~~ ~ `<-'~,ea.~ ISABELLE H. MILLER 7 c~ ~l ~1 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: ISABELLE H. MILLER Date of Death: NOVEMBER 3,;2002 will No. o2/-~OaZ- /QQ~ Admin. No. To t)ie Regis l.er i certity'~I~at notice of beneficial interest required by Rule 5.6(a) of the OrE~l~ans' court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on _J Name Address G. David Germeyer at 306 South Baltimore Street, Dillsburg, PA 17019 Donald Roderick Germeyer at 124 Logan. Road, Dillsburg, PA 17019 Frances Felton at 1022 Beech Street, Scranton, PA 18505 Libby Felton at 2425 Brittany Drive, Nashville TN 37206-1564 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N ~{~ Date: ~~ ~ ~~ 0 Z turQ Name Steven Howell, Esquire Address 619 Bridge Street: New Cumberland, PA 17070 Telephoneh17) 770-1277 von .P :717 770-1278 Fax Capacity: Personal Representative ~ Counsel for personal representative RW-35 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 002268 HOWELL STEVEN ESQUIRE 619 BRIDGE STREET NEW CUMBERLAND, PA 17070 fold ESTATE INFORMATION: ssN: i 5s-24-sots FILE NUMBER: 2102-1002 DECEDENT NAME: MILLER ISABELLE H DATE OF PAYMENT: 03/ 10/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 /03/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 532,087.48 TOTAL AMOUNT PAID: REMARKS: STEVEN HOWELL ESQUIRE CHECK#111 INITIALS: JA 532,087.48 SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS ~2-~~- io ~, BUREAU OF INDIVIDUAL TAXES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-abDl NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 E% pff (01-031 ~'' "``- ~ DATE 04-21-2003 ry ESTATE OF MILLER ISABELLE H DATE OF DEATH 11-03-2002 FILE NUMBER 21 02-1002 STEVEN HOWELL ESQ ~d3 A~ 2$ ~ 3~~~ COUNTY CUMBERLAND HOWELL LAW FIRM ACN 101 ^~ 619 BRIDGE ST l.'~'}< f- ~* Anount Remitted NEW CUMBERLAND PA ~POTT~£=~+ +-' ~~=~~ ~` MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ -------------------------------------------- REV-15 _ ----------------- 47 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE _ --------------- OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MILLER ISABELLE H FILE N0. 21 02-1002 ACN 101 DATE 04-21-2003 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) (1) .00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) 232 ~ 480.43 credit to your account 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 , submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this fora with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 283,39 2.85 tax payment. 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Totai Assets (g) 515,873.28 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 28,250.94 10. Debts/Mortgage Liabilities/Liens (Schedule I) ( 10) 17.476.01 11. Total Deductions 12. Net Value of Tax Return (11) (12) 4 7 6 9 470,146.33 13. Charitable/Governmental Bequests; Non-elected 9113 Trust s (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 470,146.33 NOTE: If an assessment was issued previously, lines reflect figures that i l d 14, 15 andior 16, 17, 18 and 19 will nc u e the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) .00 X 00 _ .00 16. Anount of Line 14 taxable at Lineal/Class A rate (16) 352,609.74 X 045 . 15,867.44 17. Amount of Line 14 at Sibling rate (17) 47,014.64 X 12 5,641.75 18. Amount of Line 14 taxable at Collateral/Class B rate (18l 70,521.95 X 15 - 10,578.29 19. Principal Tax Due (iq) = 32, 087.48 TAX CREi)iTSe DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 03-10-2003 CD002268 .00 32,087.48 TOTAL TAX CREDIT 32,087.48 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ''CREDIT'' (CR), YOU MAY BE DUE e rtFGUUn cee oeveocr ~r..~ ..~ ~..~.. ~__.. ___ ___ ,EV-1500EX(6-00i . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-0601 \\- QS- to REV-1500 w "' ~:!f(l) U"'" wo.U ,,00 U"'.... 0.'" 0. " INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C W U w C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) MILLER ISABELLE H. DATE OF DEATH (MM-DD-YEAR) 11/3/02 OFF!CIAL USE ONLY C- DATE OF BIRTH (MM-DD-YEAR) 7/22/16 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST FIRST, AND MIDDLE INITIAL) N/A ~ 1. Original Return o 4. Limited Estate ~ 6. Decedent Died Testate \A\\achropyolWill) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dateofdeatha~er12.12-82i o 7. Decedent Maintained a livinglrus\ (A~ach copy of Trust) D 10. Spousal Poverty Credit (date of death between 12-31.91 and 1-1-95) FILE NUMBER 21 0 2 1002 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (daleo/death prior to 12-13-82) o 5, Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11 Election to tax under Sec. 9113(A) (A.\\act\ Sch 0) "' Z W o Z o 0. ., W '" '" o U NAME Steven Howell. Esquire FIRM NAME.I''''pp!;"b'', . HoweLL Law Flrm TELEPHONE NUMBER (717) 770 1277 COMPLETE MAILING ADDRESS 619 Bridge Street New Cumberland, PA 17070 -bFFICIAL'USE'ONL'( (8) $515,873.28 x.O_ (15) ,.012 (16) $ 15.867.44 x .12 (17) $ 5,641.75 x .15 (18) $ 10,578.29 (19) $ 32,087.48 z o ~ ::l l- ii: <C U w D::: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporatlon, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (Schedule G or L) (1) (2) (3) (4) (5) $283,392.85 (11) (12) (13) $ 45.726.95 $470,146.33 $232.480.43 (6) (7) 8. Total Gross Assets (total lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent Mortgage liab"il"rt'les, & liens (Schedule 1) (9) (10) $ 28,250.94 $ 17,476.01 (14) $470,146.33 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !ci: I-' ::l D. :ii: o U ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14laxable at lineal rate $352,609.74 $ 47,014.64 $ 70,521.95 17. Amount of Line 141axable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS Messiah Villane 100 Mt. Allen Drive CITY Mechanicsburg I STATE PA I ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) $ 32,087.48 Total Credits (A + 8 + C) (2) 3. InteresVPenalty if appiicable D. Interest E. Penalty TotallnteresVPenalty ( D + E ) (3) 4. If Une 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE, $ 32,087.48 A. Enter the interest on the tax due. (5) (5A) 8. Enter the total of Une 5 + 5A. This is the BALANCE DUE, (58) Make Check Payable to: REGISTER OF WILLS, AGENT $ 32,087.48 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a retain the use or income of the property transferred;..... b. retain the right to designate who shall use the property transferred or its income;". ..... ......."..... c. retain a reversionary interest; Dr... .. d. receive the promise for life of either payments, benefits or care? .. 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? .... ...... .......... Yes ......0 ..............0 ........0 ...............0 ......0 ..a .......0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. No o ~ [Xl o ~ DATE a I ~ ( 0-1 306 South SIGNATURE OF PREPARER 0 treet, Dillsbur , PA 17019 ADDRESS Bridge street, New Cumberland, PA 17070 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. g9116 (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. 99116 (a) (1.1) (ii) The statute does not exemo1 a transfer to a surviving spouse from tax, and the statutory requirements for dJsclosure of assets and filing a tax return are still applicable even 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 paren or a stepparent of the child is 0% [72 P.S. 99116(a)(I.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(I)). 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. 99116(a)(I.3)]. A sibling is defined, under Section 9102, as a' indivIdual who has at least one parent in common with the decedent, whether by blood or adoption. _"",o,,,,,,,,,,,n* COMMONWEALTH OF PENNSYLVANIA INHER\1 ANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF ISABELLE H MILLER FILE NUMBER 2002-01002/21-02-1002 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. NATHAN & LEWIS BROKERAGE ACCOUNT $232,480.43 TOTAL (Also enter 011 line 2, Recapitulation) $23~, 480.43 (If more space is needed, insert additional sheets of the same size) """'00""1"971. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF ISABELLE H MILLER FILE NUMBER 21-02-1002 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivol'$hip must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Waypoint Bank Citizens Bank (6100716783) Citizens Bank (6100706273) Waypoint CD (244428) Waypoint CD (244427) Heritage Medical Group Refund United Healthcare Refund Miscellaneous Cash Verizon Fackler Series E Dividend Debit $ $ $ $ $ $ 89.60 10.44 3.00 50.00 50.02 24.45 VALUE AT DATE OF DEATH $ 95,562.60 $122,301.94 $ 29,802.93 $ 17,206.91 $ 17,247.70 $ 188.55 $ 854.71 $ 227.51 $283,392.85 TOTAL TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, Insert additional sheets of the same size) RN"""''''''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBA TE PROPERTY ESTATE OF ISABELLE H MILLER FILE NUMBER 21-02-1002 This schedule must be completed and 111ed If the answer to any oi questions 1 through 4 on the reverse side of the REV.1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUDE THE NAMEOFTHETRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER OA TE OF DEATH DECD'S EXCLUSI~~ TAXABLE VALUE ATTACH ACOPVOF THE DEED FOR REAL ESTATE. NUMBER VALUE OF ASSET INTEREST IFAPPUCABLE 1. BOTH CERTIFICATES OF DEPOSIT ARE INCLUDED AS 100% TAXABLE IN SCHEDULE liE". G. David Germeyer 17,247.70 100% $17,247.70 Haris (Now Waypoint Bank CD 244427) Donald R. Germeyer 17,206.91 100% $17,206.91 Harris (Now Waypoint Bank CD 244428) TOTAL (Also enteron line 7, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) .~ .----. ~IWaynojnt I8ANK LOOK FOR US WE'LL GET YOU THERE. January 8, 2003 Mr. Steven Howell, Esq. 619 Bridge Street New Cumberland, P A 17070 Dear Mr. Howell, As per the request of our Ms. Rebecca Ochs I am reporting the following information concerning Certificates of Deposit held by Isabelle H. Miller here at Waypoint Bank. As of the Date of Death ofIsabelle H. Miller, November 3,2002, the Certificates were valued as listed below: Cert.# In Trust For Value on I 1/3/2002 761244427 David Germeyer $17,247.70 761244428 Donald Germeyer $17,206.91 If additional information is required please feel free to contact either Rebecca or me at 7171761-7810. Sincerely yours, QJ~ Paul Schubert Customer Service Representative West Shore Plaza Branch 7171761-7810 LOOK FOR us. WE'LL GET YOU THERE / VI Wayt:tqi!1J PAUL C. SCHUBERT Customer Service Representative Waypoint Bank 1200 Market Street Lemoyne, PA 17043 7171761-7810 7171761.5820 lax RD. Box 1711. HARRISBURG. PENNSY Toll FreE 1-866-WAYPOINT (I-866-929-7646) . www.waypointballk.com W'Iffl.waypointbank.com paul.sd1ubert@waypoinlbank.com (C6Jl) 'iL,"^,v'S i; ", :i18"1:I:i:t5N'Al~-NON UJMnSNI :)10.1 '. >::, ,.~. ,:x \~;~i;~$/ Hl0S: .jNllI 30lS 3S1::13A31::1 NO 03NI1.lnO SS"":J :to S310l:l O~ 1:J3rans .lNnO:J:JV SIH1 '31VO A..L1l::ln1VI"l lVNl:t 3H.1 NO NOUnall::l1SIO 1SV1 3H1 H.lIM lElUV31::13H1 ONV VtS ~ 9NINNI~3a S31VO NOl1nall::l1SIO S~NINl::lV3 HiVk. J_j(l :S~NINl:IV3 (eplS 9SJe.>I8t:I 8I.ll uo A UO!P8S 6E/S) ,4;lllilued ,4;tJp -lvnNN'JrW3' %096"5: S~^ V'H:l3.l l1lM3N3l:t S;661 ~80 1:J 31110 A.1ll:ln.llf~ lVUlNI 00"00>; 1N3V'l31::1lno3l:1 3:)NlfWa V'ln~INI~ >;o"n'l'U llJnl1NB!S pe"l~lnv '. .../~'-";"""'", _~:..,:;';':-i:;:;:~.. '>C' :x- \~f~~g~~~j (CS/Z) 'iLL-AVS ~Nl0NnOdI"lO:J lIinNNlf 1::13d :JO ^:)N3n031::1~ S9N1Nl::lV3 :JO 3111l::l ^I NOI.1::>35 3:i5 - 31VI::I V'Ill::l3.l 1.,/o\3N31::1 3:)NVllf8 9NIN3dO S~""'l~-]:9-L.0 lJ3).3WlJ38 lJ3TlI W LOlLl 'lid '81::fna51l:H:f'tfH .5133815 3Nld ON't ONOO3S :K)1.:I~NI'tV'4 SI~~VHR 11S0d30 :10 31 '1:>I:lIHI3:> lJ H alVNoa JlI 3113at;Jg~3moH 1NnrooV NOL1:ES .urt'ft..ns lNnOOOY ". 3:JNVnSSI ~ 3.lVO 1'66]: 'SO 'PO 1::139WnN 1NnO:J::>v 1::t3aWnN lOO.LNOO 8Gtlt!tlZ ~ ~ ;" :i"l8'Al3:lSNYI:I..L-NON 03unSNI :)10.1 HI0f. 1 I'Hl , HI01' 301S 3S1::13A31::1 NO 03NI11nO SSYl:) .:10 S3Inl::l 0.1 .1:)3rBns .1NOO:):)V SIHl 3.1VO A..LJl::101VW 1"NI:t 3Hl NO NOUnaU:u.SIO ..lSYl 3H1 HllM '1::l3..l::lV3l::l3Hl 9NINNI939 S3..LVO NOI.1nall::l.1SIO S9NINl:IV3 J] (1 :S~NJNl:IV3 (8p!S 9SJeMlt:I &41 uo A UO!1O&S 3&$) ^llvued ,{ep ONV ()8l wrINN'J--IIB 1.096"f. SCI). V'l1:B.l WM3N3l:1 5;;661 ~80 l-J 3.1110 A11l::ln.llfl"l 1lfl11NI OO"OOS 2:1" 1"'7 -' II ~NIONnOdnO:J V'lnNNV 1::13d :JO A:)N3n03'ti::! S9NINI::llf3::10 3.llll:l ^I NOI.l:l~S 335. 31VI::l ftl::l31 '''M3N31::1 .lN3V'l3l:11n03l::l 33NlflV8 9NIN3dO 3:)N'(1\I"8 V'lnl"llN'~ lJ])']Win~I iUTIIW H 31 (JIIWa HI Ufl'J'i T (sliH010H .lNno:):,w l,.f,IJ liJ /.(l ,OLiI Vd '8~n8SI~~'tH .. S133~lS 3Nld QN'If ONO:l3S 3:l1:J:JQ NIVW sl~~VH N 11S0d30 :10 31 \f~1:l11l:l3~ NOI.L:J35 Atl'y....n5 .lNnO::>::>V"1 .. 3:JNV!)_~..!29 ~.lV.9_ ~',~,f) ~ < no -l- III 1::l3SnnN .lNnO:):Jlf 1::l38~nN 10l:l.lNO:) '__',' 1: ':', ~ ..REV,'''''''".''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE 'TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF ISABELLE H MILLER FILE NUMBER 21-02-1002 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Wiedeman Funeral Homl;! $ 1,642.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (5) G. DAVID GERMEYER $ 15,475.00 Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 3 0 6 South R~lt-imnrp ~rr~Pt- City Dillsburg State PA Zip 17019 Year(s) Commission Paid: 2003 2. Attorney Fees S t Howell, Esquire $ 10,420.35 even 3. 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 4. Probate Fees Register of wills $ 450.00 5. Accountant's Fees 6. Tax Return Preparers Fees 7. Advertising Estate (Cumberland Law Journal & Patriot News) $ 263.59 TOTAL (Also enteron line 9, Recapitulation) $ 28,250.94 (If more space is needed, insert additional sheets of the same size) REV.T512EX>p.9Ti . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-02-1002 ESTATE OF ISABELLE H ~rLLER Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT Pharmerica Messiah Village Paul Dalbey Susquehanna Surgeons G. David Germeyer Heritage Medical Group United States Treasury Pennsylvania Department of Revenue TOTAL $ 440.22 $ 5,866.40 $ 30.00 $ 8.98 $ 8.84 $ 179.57 $ 9,416.00 $ 1,526.00 $ 17,476.01 TOTAL (Also enter on line 10, Recapitulation) $ (It more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF ."rO 'U ..".....T T ...,.,~ NUMBER J NAME AND ADDRESS DF PERSON(SI RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (al (1.2IJ 1. G. DAVID GERMEYER 306 South Baltimore Street Dillsburg, PA 17019 Donald R. Germeyer 124 Logan Road Dillsburg, PA 17019 Frances Felton 1022 Beech Street Scranton, PA 18505 Libby Felton 2425 Brittany Drive Nashville, TN 37206-1564 FILE NUMBER ')1 _n')_' nn') RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Son Son Ns,ece Sister AMOUNT OR SHARE OF ESTATE 50% or $235,073.16 25% or $117,536.58 15% or $ 70,521.95 10% or $ 47,014.64 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18. AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - EN,ER ,O,AL NON-,AXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets 01 the same size) CAST WILL AND TESTAMENT/"''\ OF ISABELLE H. MILLER r I, ISABELLE H. MILLER, of New Cumberlalld, York County. Pennsylvania, do make, publish and declare this to be my Last Wif/ and Testalllelll. hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of an)' property, shall be paid by the Executor out of the property passing lindeI' ITEM IV of this Will, as an expense and cost of administration of my estate. The Executor shaff have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay my just debts and Ihe expense.> of lilY last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. I direct that I be cremated alld Ihal my ashes be joined with those of my late husband Curtis and scallered Irom a plane into the Susquehanna River. Sf Il})', _____L_ , _.-._~---~--- -- -~- - ----~-- /"'. --. .-,. -.. ITEM UI: 1 make as special bequests those items of my personal property set forth on Exhibit A, which Exhibit is incorporated herein, to those persons set forth on said Exhibit; ITEM ~ 1 devise and bequeath all of the rest, residue and remainder whatsoever nature find lvherever situate as follows: (a) 50% to my son, G. DA VID GERMEYER. In the event he should predecease me, onc half (J /2) of his share shall be paid to his wife, RUTH GERMEYER and one ha?f (J /2) of his share shall be paid to her daughter, DIANE ETSWE1LER. If either RUTH GERMEYER or DIANE ETSWEILER do not sun->ive me or my son G. David Gemzeyer, this share shall be paid in full to the survivor of them. (b) 25% to my son, DONALD RODERICK GERMEYER. In the event he predeceases me. his share shall be added to the share payable in subsection IV(a) above. (ci 15% to my niece, FRANCES FELTON. In the event she should predecease me, this share shall be added to the share payable pursuant to subsection IV(a) above. (d) 10% to my sister, LIBBY FELTON. In the event she should predecease me, this share shall be paid to her son, Rodney Felton. 2 ~,(l)Y\ , "" /'.. . ".... ._~ " ~.. M_'__'" . ,_'H. ~ . '.' _. ....._ '..._ . _ ~ 4' _........... - ...."""--...- -..---------- _._._.~_..- - .._-- .--',-' - - - . / ITEM V: In the settlement of my estate, my Executor shall possess, among others, thc following powers: (a) To retain any investments I may have at my death, as long as the Executor may deem it advisable to my estate to do so; (b) To sell either at private or public sale and upon such tenns and conditions as the Executor may deem advantageous to the estate, any or all real or personal property or interest therein owned by the estate; (c) To pay all costs, taxes, expenses and charges in connection with the administration oj my estate; (d) To compromise controversies; and (e) To do all other acts in the Executor's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate. ITEM VI: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under circumstance that the order of deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. 3 () jnYl ~ -".. .,. . ..."_ ._.~ ......~. '_'~"_'C--R-'''''_~ .__-_._________ _._ _ . ITEM VJl: I appoint my SOil, G. DA VlD GERM EYER, to be the Executor of my Estate. In the event my son cannot act or refuses to act as Executor for any reason, I nominate, constitute and appoint DIANE ETSWEILER, as alternate , Executrix. Any Executor is specifically relieved from the duty or obligation of filing any bond 01' 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 3 pages, at the end of each page of 1vhieh I have also set my initials for greater security and better identification this ,IN'; day of }Fh.,P"^, , 1998. (~'Sv~/.dJ( ([ ~ ISABELLE II. MILLER (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testmnent, ill the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound mind and memory. "---I /- V~1 A. 7::p~1~ LISA ZIzJ]; I Residing at: 20SA Tenth Street New Cumberland, PA 17070 -rv~-TQf!0 MICHAEL T. S7EPH NS Residing at: 313D Eden Road Lancaster, PA 17601 4 C', ,y\ " ' . t: ACKNOWLEDGEMENT COMMONWEAf-TH OF PENNSYLVANIA : : 55. COUNTY OF CUMBERLAND : I, ISABELLE H. MILLER, Testatrix, whose name is signed to the attached or foregoing instrument. having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it \1'illingly, and that I signed it as my free and voluntary act for the purposes therein expressed. -3 .::;.,*.t(~ IJ. .~ ISABELLE H. MILLER (SEAL) My Commission Expires: (SEAL) NOTARIAL SEAL Bootwa Sumple,5uIIivM. NotlVy PublIc New CumberlMd Boto. Cumborland Qq. My Commlsslon.Expu"s Mov. 15, 1009 5 ;unYi ,..... ./ / . AFFIDA VIT COMMONWEALTH OF PENNSYL VANIA : : SS. COUNTl' OF CUMBERLAND : We, Lisa Zizis, and Michael T. Stephens, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say (hat we were present and saw Testatrix, Isabelle H. Miller, sign and execute the instmment as her Last Will and Testament; that Testatrix signed willingly and she executed said Will as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses: and that to the best of our knowledge the Testatrix was at that time eighteen (] 8) or more years of age, of sound mind and under no constraint or undue influence. . "--/) /-' "V0f A- Lisa Zizis \ ~'1 -114~ifJ-r: ~~ Michael T. Stephens Sworn to and subscn'bed ~th.i' S( d.ay of ~1998. , ~.~ / NOTARY PUBLTC Aly Commission Expires: (SEAL) NOTARIAL SEAL Berbem ~ HollII'y F'I.UIe HowCumberton<l Boro. Cumbe...."'CO My Commission E_ HOlt. 1S, 1GGG' 6 JIJ /r) /,""., I .~ , or EXHIBIT A SPECIAL BEQUESTS QF ISABELLE H. MILLER To mv son - G. David Gennever 1. Walnut Desk & plank bottom chair (living room); 2. Regulator wall clock {living room PER Cam's wish}; 3. Small box of family jewelry andjewelry inside (top drawer of my dresser); 4. 1 box of Henderson papers (under my bed); 5. Box of photographs from Henderson estate, and 6. Framed photo of his Grandpa Henderson (dining room cupboard). To my son - Donald Germever 1. Spool chest and stand; 2. Hand-painted picture by his friend, Mrs. Knisely (mantel); 3. Hummel figurine he gave me (bottom drawer, my dresser); 4. Small ruby stone ring / malachite drop necklace / my high school graduation ring, (top drawer dresser in bedroom). To my daughter-in-law - Ruth Germever 1. Drysink To mv sister - Libbv Felton I. All thistle glassware (in built-in dining room cupboard); 2. Wooden flower and fruit plate ( dining room wall). To mv Granddaughter - Diane 1. Welcome sampler I made in 1938 {Downstairs bathroom}, and 2. All trivets hanging in dining room and assorled tiles in dining room. DATED: ,2.?-" f r.;tp,4L/' Ie ~.~ ISABELLE H. MILLER 7 ~ Jjlll Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/24/2004 GERMEYER G DAVID 306 SOUTH BALTIMORE STREET DILLSBURG, PA 17019-1011 RE: Estate of MILLER ISABELLE H File Number: 2002-01002 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: 11/03/2004 Your prompt attention to this matter will be appreciated. Thank You. Zncerel _~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge STATUS REPORT UNDER RULE 6.12 Name of Decedent: ISABF. LLE H. MILLER Date of Death: November 3, 2002 Will No.' 2002-01 002 Admin. No.: '~1%- 0~. ~00 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 [~x No [-] 2. Lethe 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 l~X ...... b, Th¢-soparateO~hans;CourtNo; (if any) forthepcrsonatrepresentafiVe,s account is: c. Did the personal representative state an account informally to the parties . in interest? Yes ~ No See Family Settlement Agreement filed 3/17/03. c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk office Orphans' Court and may be attached to this report. Steven Howell, Esquire . .~ '" 619 Bridge Street Address New Cumber.land, PA 17070 :: Telephone No. .:.c · .,~ 71 7-770-1 277 ~' '~ Capacity: [] Personal Representative [~%,Counsel for personal representative ID 62063