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HomeMy WebLinkAbout03-0867PETITION FOR PROBATE and GRANT OF LETTERS Estate of Robert P. ,qt-~mhangh also known as Deceased. Social Security No. 20 ? - 0 ? - 85 ~4 ? To: ~ Register of Wills for the County of Cumberland Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut r i × in the last will of the above decedent, dated ~qc, vembe r 29 ~ jand codicil(s) dated NA Decedent's wife, Madalvn E. Stambaugh. une 20, 2002. Also James R. Humer, one of the Successor in the named ,19 ~ d~ed on Executors died. Decedent's daughter, Lucy W. Stambaugh~married and became l,ucy W. Wolf. (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ¢ u m b e r 1 a n d County, Pennsylvania, with h is last family or principal residence at 293 Yro~t Rc~nd; Ga,-dners, PA 17324 (.q ~- th' Middleton (list street, number and muncipality) Decendent, then g ? years of age, died o c l- o h o r 1 ?, ? 003 ,19 , at 993 l~ra.~t Rc~m~t: c-~rdn~r~. PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 10,000.00 -0- WHEREFORE, petitioner(s) respectfully req~e~t~s} the vrobate of the last will and codicil(s) presented herewith and the grant of letters am e h t a r y theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 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 ar~! trt~ly administer the estate according to law.,~ Sworn to or affirmed and subscribed ~ ~~-~ bef. or.¢ nle lhis rO_.d~ day of I ""-'~]~,~-~---~ --~-~L/.~!L~ ,~-e~ R~egistet~ [ Estate Of ROBERT P. STAMBAUGH , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER c~._~ i~ 200,3fn consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated November 29, 1984 described therein be admitted to probate and filed of record as the last will of Rob er t P. Stambaugh ; and Letters Testamentary are hereby granted to Lucy W.~f FEES Probate, Letters, Etc .......... $ Short Certificates( ) .......... $ Renunciation ................ $ Filed  Dale F. Shughart, Jr. ~ .ED~5 ATTORNEY (Sup: Ct. I.D. No.) 19373 35 East High Street, Suite 203 TOTAL (717) ADD.SS Carlisle, 241-4311 PHONE PA 17013 REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS (each) a subscribing witness to the law, depose(s) and say(s) that codicil will presented herewith, (each) being duly qualified according to 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 (Name) (Address) (Name) (Address) Register R~EGIST~R OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS DALE F. SHUGHART, JR. AND BONNIE L. COYLE (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of ROBERT p. .qTAMRAII~ , of :teo~x~fxxh~x:~l~ai~;x~,,~o~mxxw~: the will testat o r that to the best of they believes the signature on the ROBERT P. STAMBAUGH Sworn to or affirmed and subscribed before me thJ~ c',,~./t.~d~ day of presented herewith and will is in the handwriting of t h e i r knowledge and belief. _ 35 East High ~%. Shughart, PA 17013 35 ~dfr~s)~a r 1 i s 1 e, (Nam~Bo e L. Coyle ~ddress) Carlisle, PA 17013 Jr. 105.805 REV 9/86 This 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 t~ the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 9648623 No. Local RegiStrar ~ OCT 16 2003 Date 144 Rev, 1/91 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH #2 9-124 (Coroner) Robe r t P S t o~- o. ~*- ~,.E .uM~. ~~, ~ _ ~R~" msv..~c,~;~ ..... ~ .... {~707-8547 ~~ 10, 2003 87 v~. I I I ....... I . f ..... ~ _ ~ 293 Faost Ro~d ,=u~ ,...s,.,. Pennsulvan~a ,~ - ~ ~z~.~ ~,.~ South PA 17324 ~ ~ ~ ~ ~d r~d ~ ~ ......... Ed~ P~4o~ ' Co~o~e~ ' ' .................................... : ........ : ..................... I, ROBERT P. STAMBAUGH, of South Middleton Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke ail wills whi~I have previously made. I - I give, devise and bequeath my entire estate, real and personal, to my wife, Madalyn E. Stambaugh, absolutely and in fee simple if she shall surviv~ me, otherwise to my daughter, Lucy W. Stambaugh, if living, and if deceased to her surviving issue. II - If neither my wife nor any issue shall survive me, I direct my executor to convert into cash all my real and personal property and I give and bequeath the same in equal shares to St. Paul's Lutheran Church of Carlisle, Pennsylvania, the Helen H. Krause Animal Foundation, Mechanicsburg, Pennsylvania, and John and Helen Thumma, as tenants by the entireties, and if both shall be deceased to lapse, before deduction for applicable transfer, inheritance and similar taxes. III - Any share of my estate which shall become distributable to a minor may be held in a savings account, certificate of deposit or similar security, in a federally insured banking or savings institution in the name of the minor and marked not to be withdrawn until the minor attains the age of 18 years. IV - I appoint as executrix of this my last will my wife, Madalyn E. Stambaugh, and if for any reason she shall fail to qualify or cease to act as such during the administration of my estate, I appoint as substituted co-executors my da~hter, Lucy W. Stambaugh and James R. Humer, or the survivor of them. I direct that no bond shall be required of any fiduciary named in this will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ i day of Signed, sealed, published and declared by Robert P. Stamba~h, testator above named, as and for his last will and testament, written on one sheet of paper, in our presence, who, in his presence, at his request, and in the presence of each other have hereunto subscribed our names as attesting witnesses: ROBERT P. STAMBAUGH JAMES R, HUMER ATTORNEY AT LAW FARMERS TRUST BUILDING ONE WEST HIGH STREET CARLISLE, PENNA. 17013 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Robert P. Stambaugh Date of Death: October 12, 2003 Estate No. 21-03-0867 To the Register: I certify that notice of estate administration 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 October 23, 2003. Name Lucy W. Wolf Address 283 Frost Road Gardners, PA 17324 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date: October 23, 2003 Telephone (717) 241 4311 Capacity: Counsel for Personal Representative Lucy W. Wolf IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of Robert P. Stambaugh, deceased Estate No. 21-03-0867 TO: Lucy W. Wolf 283 Frost Road Gardners, PA 17324 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Robert P. Stambaugh, died on the 12th day of October, 2003, at Gardners, Cumberland County, Pennsylvania. The Decedent died testate. The personal representative of the Decedent is: Lucy W. Wolf 283 Frost Road Gardners, PA 17324 The will has been filed with the Office of the Register of Wills of Cumberland County. 1 Courthouse Square, Carlisle, PA 17013. Phone No. 717-240-6345. A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date: October 23, 2003 _.. i'"k~,~l.~ '~,.~ ~ ii~ Dale F. Shughart, J~. / '. Attorney Supreme Cou=~'~ ~ I.D. #19373 35 East High Street, Suite 203 Carlisle, PA 17013 Telephone (717) 241-4311 Capacity: Counsel for Personal Representative Lucy W. Wolf REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 21 COUNTY CODE 03 00867 YEAR NUMBER ; DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER i Stambaugh, Robert P. 207-07-8547 ~z ? DATE OF DEATH (MM-DD-YEAR) [ DATE OF BIRTH (MM-DD-YEAR) uJ ~ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE I o 10/10/2003 08/24/1916 REGISTER OF WILLS LU O IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER UJ [] 1. Original Return [] 2. Supplemental Return [] 3. Remainder Return (date of death prior to 12-13-82) [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death [] 5. Federal Estate Tax Return Required after 12-12-82) [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 0 8. Total Number of Safe Deposit Boxes, of Will) copy of Trust) -- [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between [] 11.Election to tax under Sec. 9113(A) (Attach Sch O) 12-31-91 and 1-1-95) qAME Dale F Shughart, Jr. Esquire :IRM NAME (If applicable) "ELEPHONE NUMBER 717/241-4311 COMPLETE MAILING ADDRESS ..... 35 E. High Street, Suite 203 Carlisle, PA 17013 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 (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) None None None None 8,663.68 9,847.47 None 6,025.10 959.38 (8) OFFICIAL USE ONLY 18,511.15 6,984.48 11,526.67 11,526.67 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 ) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (11) (12) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) x .00 (15) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 1 1,526.67 x .045 (16) 518.70 x .12 (17) x .15 (18) 19 Tax Due (19) 518.70 20. [] ~ ~ L.~.:.~ ~O ~ ~ ~~ ~!~ ::~m~.~.`~a~sjm~N~t~r~a~m~!~:?::~::~::~::~::~::~::~i~i~!~::i~::~!~!~:~!~!~i~::~::(~::~5~ 5i.((55555~.~.::.::.::.::.::.i !.!.!.::.i.i.i.i.i.i i.i.i i.i.i.i~i: Copyright 2000 form software only The Lackner Group, Inc. Form REV-I$00 EX (Rev. 6-00) Decedent's Complete Address: [STREET ADI)P,I'NS '~9'~ Frost Road CITY Gardners ....................... ~TATI:, PA117324 'zip 17324 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount ......... -Z5.-9 4 Total Credits (A + B + C) 51g.70 0) .... 518.70 (2) 3. Interest/Penalty if applicable D. Interest .......... E. Penalty ................. 0 f)(' Total Interest/Penalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) .......... Check box on Page I Line 20 to request a refund.. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) ........... Q; 0 0 A. Enter the interest on the tax due. (5A) ................. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0 · 0 0 Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Yes No 1. Did decedent make a transfer and: a. retain the use or ncome of the property transferred; ..................................................................................... b. retain the right to deSignate who shall use the property transferred or its ncome; ........................................ o retain a reversionary interest; or ..................................................................................................................... [] [] receive the rom se for life of ether payments, benefits or care? .................................................................. . d,.. .... P-"-r December 12 1982 d d decedent transfer property within one year of death w~thout 2. , aeam occuneu ..... ' ' [] [] 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 A Y OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. N at 1 have examined th s return ncluding accompany ng schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete nde enalbes of pe ury, I declare th · ' d nn ~ll i-F~rmation of which oreparer has any knowledge l~eclaraPtlon of preparer other than the personal [e~r_e?_en~ab~e !~ b_a~se-'_':_:: :-: "~'- ......... -~ SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS ,,,,., ,. / / · .. ' /,( IA/ ,4 ! G'u-dncrs PA 17324 ~"'¢~. , ,,, /1 / ..... ,^ ~ ,-... .............. 7 ....."' - ....... -- -- ,,_../ .......................................................... [:)AT~ siGNk~U~E ~iFi.bRE~SA-F~R--OTH~FfTfl^N-~E'p~kTAiyV-E ........ ADDRESS 35 t' l ligh Street Suite 203 I)nle l,;.Shu.har*.~.Ir. 1"¢ (~//7 ~ ' % ' " ' ' ' -- ' , ..- Carlisle PA 17013 .~ //(~...~/-"/ For dates of death on or after July 1,1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spOuse is the only beneficiary. For dates of death on or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116 (a) (1 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. §9! 16 1.2) [72 P.S. §9116 (a) (1)1. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S §9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANtA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF Stambaugh, Robert P. SCHEDULE E CASH, BANK DEPOSITS, & MISC, PERSONAL PROPERTY FILE NUMBER 21 - 03 - 00867 Include the proceeds of litigation and the date theproceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH Clothing and personal effects Household goods, furniture and furnishings, valued in accordance with attached appraisal of Kevin M. Wickard, auctioneer. Waypint Bank checking account 100096809 (joint owner Madalyne E. Stambaugh died June 20, 2002) Principal - 6,236.20 Accrued interest - .06 Two reissued IDS annuity checks on hand, $250 each Sprint, close out refund. U.S. Treasury, final Civil Service retirement benefits. 0.00 92.00 6,236.26 500.00 11.73 1,823.69 TOTAL (Also enter on Line 5, Recapitulation) 8,663.68 KEVIN M. WICK~IRD Auctioneer 140 Pleasant Hall Road Carlisle, PA 17013 717 -24 !-~¢--------------~-" / LOOK FOR US. WE'LL GET YOU THOR6. 11/25/2003 DALE F SHUGHART JR 35 E HIGH ST STE 203 CARLISLE PA 17013 The information which you requested on the account(s) of ROBERT P STAMBAUGH (Social Security Number 207-07-8547) is/are as follows: Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint Owner, if any Date Ownership Was Established Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint Owner, if' any Date Ownership Was Established 100096809 CHECKING 112200 6236.20 .06 6236.26 JTO MADALYN E STAMBAUGH 112200 Additional Information Requested (._ / ?'--- cEF.11xI-WATT S SENIOR SERVICES REP. RO. Box 171 I, HARRISBURG, PENNSYLVANIA 17105-1711 Toll FrE~ 1-866-WAYPOINT (I-866-9E~9-7646) · IN YORK AREA 717/815-4500 · vvvvw.waypointbank.com COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Stambaugh, RobeA P. 21 - 03 - 00867 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 RELATIONSHIP TO DECEDENT A Lucy A. Wolf. .. Daughter 283 Frost Road Gardners, PA 17324 JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FORJOINT TENANT A A DATE MADE JOINT 08/26/2002 08/26/2002 DESCRIPTION OF PROPERTY Include name of financial institution and bank account number or similar identifying number. Attach deed for jointly-held real estate. M & T Bank, checking account #9830290970 M & T Bank savings account # 15004202-150120 DATE OF DEATH VALUE OF ASSET 323.31 19,371.62 50% DATE OF DEATH VALUE OF DECEDENT'SINTEREST 161.66 9,685.81 TOTAL (Also enter on line 6, Recapitulation) 9,847.47 December 3, 2003 Dale F. Shughart, Jr. Attorney At Law 35 East High Street, Suite 203 Carlisle, PA 17013 499 Mitchell Street, Millsboro, DE 19966 Estate of Robert Paul Stambaugh Date of Death: October 10, 2003 Social Security Number: 207-07-8547 Dear Mr. Shughart: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account 7~jpe ........................... Checking Account Account Number. ...................... 9830290970 Ownership (Names oj') .............. Robert Paul Stambaugh, Lucy W. Wolf Opening Date ........................... 08/26/02 (account closed 10/24/03) Balance on Date of Deattt .........$323.31 Accrued Interest $ 0.00 Total ....................................... $323.31 2. Account Type ........................... Savings Account Account Number. ...................... 15004202150120 Ownership {Names oj) ..............Robert Paul Stambaugh, Lucy W. Wolf Opening Date ........................... 08/26/02 (account closed 10/24/03) Balance on Date of Deattt .........$19,371.62 Accrued Interest $ 3.20 Total ....................................... $19,374.82 Sincerely, Charlene Warrington, AssUciate I (302) 934-2722 COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Stambaugh, Robert P. i FILE NUMBER 21 - 03 - 00867 AMOUNT Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A, FUNERAL EXPENSES: 1 Cremation Socie~', cremation Westminster Cemetay, interment vault and interment. Carlisle Memorial Service, Inc., headstone ~.TIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Dale F. Shughart, .Ir., (estimated) Famil' Exemption: If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Register of Wills State ~ Zip Accountant's Fees Tax Return Preparer's Fees Accountant, prep of final personal income tax (est) Other Administrative Costs Register of Wills, Short Certificates Postmaster, certified mail Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) 1,127.10 965.00 · 1,095.00 2,500.00 50.00 250.00 9.00 4.00 25.00 6,025.10 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Schedule H ESTATE OF FILE NUMBER Stambaugh, Robert P. 21 - 03 - 00867 3 Register of Wills, filing Inventory and Inheritance Tax Return 25.00 Page 2 of Schedule H COMMONWEAL~'I OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF Stambaugh, Robert P. FILE NUMBER 21 - 03 - 00867 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION Checks written before death, clearing after death: #813 - Wilmer Wolf, rent Sprint, final phone bill Waypoint Bank, service fee. TOTAL (Also enter on Line 10, Recapitulation) AMOUNT 925.00 29.38 5.00 959.38 REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Stambaugh, Robert P. 21 - 03 - 00867 AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY OF ESTATE II. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Lucy W. Wolf 283 Frost Road Gardners, PA 17324 RELATIONSHIP TO DECEDENT DO Not List Trustee{s) Daughter 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 CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 100% I, ROBERT P. STAMBAUGH, of South Middleton Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke all wills which I have previously made. I - I give, devise and bequeath my entire estate, real and personal, to wife, Madalyn E. Stambaugh, absolutely and in fee simple if she shall survive me, otherwise to my daughter, Lucy W. Stambaugh, if living, and if deceased to her surviving issue. II - If neither my wife nor any issue shall survive me, I direct my executor to convert into cash all my real and personal property and I give and bequeath the same in equal shares to St. Paul's Lutheran Church of Carlisle, Pennsylvania, the Helen H. Krause Animal Foundation, Mechanicsburg, Pennsylvania, an John and Helen Thumma, as tenants by the entireties, and if both shall be deceased to lapse, before deduction for applicable transfer, inheritance and similar taxes. III - Any share of my estate which shall become distributable to a minor may be held in a savings account, certificate of deposit or similar security, in a federally insured banking or savings institution in the name of the minor and marked not to be withdrawn until the minor attains the age of 18 years. IV - I appoint as executrix of this my last will my wife, Madalyn E. Stambaugh, and if for any reason she shall fail to qualify or cease to act as such during the administration of my estate, I appoint as substituted co-executors my daughter, Lucy W. Stambaugh and James R. Humer, or the survivor of them. I direct that no bond shall be required of any fiduciary named in this will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ]i!i ~ day of Signed, sealed, pnblished and declared by Robert P. Stambaugh, testator above' named, as and for his last will and testament, written on one sheet of paper, in our pre.~ence, who, in his presence, at his request, and in the presence of each other have hereunto subscribed our names a~ attesting witnesses: (SEAL Register of Wills of Cumberland County, INVENTORY Estate of Stambaugh, Robert P. also known as , Deceased Lucy W. Wolf, a/k/a Lucy W. Stambaugh Pennsylvania No. 21 - 03 - 00867 Date of Death 10/10/2003 Social Security No. 207-07-8547 The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. INVe understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: Dale F Shughart, Jr. Esquire I.D. No.: 19373 Personal Repres te~ Sign~ ~,~/l~cy W. Volf, a/k/a ugh Signature: Signature: Address: 35 E. High Street, Suite 203 Address: 283 Frost Road Gardners, PA 17324 Carlisle, PA 17013 Telephone: 717/241-4311 Telephone: (717) 486-4762 Dated: Personal Property Clothing and personal effects 0.00 Household goods, furniture and furnishings, valued in accordance with attached appraisal of Kevin M. Wickard, auctioneer. 92.00 Waypint Bank checking account 100096809 (joint owner Madalyne E. Stambaugh died June 20, 2002) Principal - 6,236.20 Accrued interest - .06 6,236.26 Two reissued IDS annuity checks on hand, $250 each 500.00 Sprint, close out refund. 11.73 U.S. Treasury, final Civil Service retirement benefits. 1,823.69 Total Personal Property $8,663.68 (Attach additional sheets if necessary) Total Personal Property and Real Estate $8,663.68 BUREAU OF ZNDTVZDUAL TAXES ZNHERZTANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA Z71Z8-0601 CONMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ZNHERZTANCE TAX STATEHENT OF ACCOUNT DALE F SHUGHART JR ESQ STE 205 55 E HIGH ST CARLISLE '~:i /',~i~b-ESTATE OF DATE OF DEATH FILE NUMBER ACM PA 17015 ~.,t,ITiOut:cu~u ,JO.. PA OZ-Z$-ZOOq STAMBAUGH 10-12-2005 21 05-0867 CUMBERLAND 101 Amoun1: Rem i'l:'l:ed REV-16"? EX AFP (01-05) ROBERT P HAKE CHECK PAYABLE AND RENZT PAYMENT TO: REGISTER OF MILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper cred/1: t:o your eccoun1:, subm/~ ~he upper portion of 1:his form wit:h your 1:ax payment:. CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS REV-1607 EX AFP (01-03) ~## ZNHERZTANCE TAX STATEMENT OF ACCOUNT ESTATE OF STAMBAUGH ROBERT P FILE NO. 21 05-0867 ACN 101 DATE 02-ZS-gOOq THIS STATEMENT TS PROVTDED TO ADVZSE OF THE CURRENT STATUS OF THE STATED ACM TN THE NAMED ESTATE. SHONN BELO# ZSA SUMHARY OF THE PRZNCZPAL TAX DUE, APPLZCATZON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ZF APPLZCABLE, A PROJECTED ZNTEREST FZGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: OZ-Zq-ZOOq PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DATE NUMBER 01-08-200q COOOSq21 ZF PAID AFTER THZS DATE, SEE REVERSE SIDE FOR CALCULATZON OF ADDZTZONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' DISCOUNT (+) INTEREST/PEN PAID (-) 25.93 AMOUNT PAID q9Z.76 TOTAL TAX CREDIT 518.69 .01 YOU MAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORM FOR TNSTRUCTTONS. } 518.70 BALANCE OF TAX DUE INTEREST AND PEN. .00 TOTAL DUE .01 PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT. -- If NDN-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND (CR): REPLY TO: DISCOUNT: PENALTY: A refund of a tax credit) which was not requested on the Tax Return) may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1515). Applications ars available at the Office of the Register of Nills, any of the 25 Revenue District Offices or from the Department's Z¢-hour answering service for forms ordering: 1-800-$6Z-ZO50; services for taxpayers with special hearing and / or speaking needs: 1-800-447-5020 (TT only). Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue) Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA l?lZB-0601, phone [717) 787-650S. If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (eX) discount of the tax paid is allowed. The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and nat paid before January 16, 1996~ the first day after tho and of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .00016¢. A11 taxes which became delinquent on and after January 1, 19BI will bear interest et a rate which will vary free calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOO5 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20Z .0005¢8 1987 9Z .000Z¢7 1999 7Z .00019Z 1983 lOX .OOO¢~B 1988-1991 llZ .000~01 ZOO0 8Z .OOOZX9 1984 11Z .000301 199Z 9Z .000Z¢7 ZOOX 9Z .O00Zq7 1985 15Z .000556 1995-199¢ 7Z .00019Z ZOOZ 6Z .00016¢ 1986 10X .000Z7¢ 1995-1998 9Z .000Z¢7 2003 5Z .000157 --Interest is calculated as foX1ows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Robert P. Stambaugh Date of Death: October 12, 2003 Admin. No. 21-03-0867 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: State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative,s account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: March 17, 2004 Carlisle, PA 17013 (717) 241-4311 Counsel for Personal Representative BUREAU OF TNDTVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COHHONHEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF /NHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DISALLOWANCE OF DEDUCT/ONS AND ASSESSHENT OF TAX REV-1547 EX AFP (01-03) DALE F SHUGHART JR ESQ STE ZO$ 55 E HIGH ST CARLISLE - ~DATE - .... .:i \~Vi]~S ESTATE OF DATE OF DEATH FILE NUHBER FEB 27 ? :(~OUNTY -ACM O2-Zq-2OOq STAHBAUGH 10-12-2005 Z1 05-0867 CUHBERLAND 101 Aeoun'l: Ram i'l:'l:ad ROBERT P HAKE CHECK PAYABLE AND REt, ITT PAYHENT TO: REGISTER OF HILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 1701:5 CUT ALONG THIS LINE ~ RETAIN LOHER PORTION FOR YOUR RECORDS ~"~ REV-1547 EX AFP (01-03) NOTICE OF /NHERZTANCE TAX APPRATSEHENT, ALLOHANCE OR DZSALLOHANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF STAHBAUGH ROBERT P FILE NO. 21 0:5-0867 ACN 101 DATE 02-2q-200~ TAX RETURN WAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~a (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (~) 3. Closely Held S~ock/Par~narship Zn~eres~ (Schedule C) (3) ~. Mor~gagas/No~as Receivable (Schedule D) (~) E. Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E) ($) 6. Jointly O~nad Propar~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Assa~s APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expansas/Adm. Cos~s/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabili~ias/Liens (Schedule Z) (10) 11. To{al Deduc{ions 12. NB~ Value of Tax Ra~urn 8z66:5.68 9~8~7.~7 .00 .00 NOTE: To insure proper .00 credi~ ~o your account, .00 submi~ ~he upper portion .00 of ~his form wi~h your ~ax payment. (8) 18,511.15 6,025.10 959 .$8 (12) 11,526.67 13. lq. NOTE: Charitable/Governmental Bequests; Non-elec~ad 9113 Trusts (Schedule J) (13) Ne~ Value of Es~a~a Subject: ~o Tax (lq) :;f an assessment was ~ssued prev$ously, lanes 14, 15 and/or 16, 17, reflect fSgures that Snclude the total o~: ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amoun~ of Line lq a~ Spousal ra~e 16. Aaoun~ of Line lq ~axabla a~ Linaal/Class A ra~a 17. Aeoun~ of Line lq a~ Sibling ra~a 18. Amoun~ of Line lfl ~axable a~ Collateral/Class B ra~a 19. Prlnc~pal Tax Due ~AX CREDZTS: PAYMENT RECEIPT DZSCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) .00 11,526.67 18 and 19 ~111 'AYMENT MUST BE MADE BY 07-1Z-Z00q~. (1~) .00 x 00 = .00 (16) 11,526.67 x 0q5= 518.70 (17) .00 x 12 = .00 (18) .00 X 15 : .00 (19)= 518.70 AMOUNT PAID ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT .00 BALANCE OF TAX DUEI 518.70 INTEREST AND PEN. . O0 TOTAL DUE 518.70 ( IF TOTAL DUE TS LESS THAN $1, NO PAYMENT IS REQUIRED. TF TOTAL DUE TS REFLECTED AS A 'CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR TNSTRUCTZONS.)