HomeMy WebLinkAbout03-0878
2004
3-Sep
2005
7-Feb
CD # 31003911160172 (Principal)
Accrued Interest to date of death
Statement Savings 15004200045109
Accrued Interest to date of death
Proceeds as residuary beneficiary of Emily A. Child Trust
P A Income Tax Refund
TOT AL PRINCIPAL RECEIVED
CAPITAL GAINS (LOSSES)
Accountant charges herself or claims credit for the following caital gains (losses):
Date
2003
2004
26- Mar
26-Mar
3-Sep
2005
22- Feb
30-Mar
II-Jul
Legg Mason: Sale of 3 shares At&T Corp. @ $19.76
Total Received: $59.27 net of commissions (none)
Legg Mason: Sale of 10 shares SBC Communications @ $25.06
Total Received: $250.59 net of commissions (none)
Sale of one share of ATT common stock @ $14.08
Total Received: $14.08 net of commissions (none)
Proceeds of Sale - 18 Shares SBC Common Stock @ $24.498
Total Received: $429.16 net of commissions ($11.80)
Proceeds of Sale - 4 Shares Agere Systems, Inc. @ $1.2462
Total Received: $0.00 net of commissions ($4.98)
Proceeds of Sale - 16 Shares Lucent Technologies @ $2.50
Total Received: $25.00 net of commissions ($15.00)
Page 2
12,948.32
21.41
15,377.14
12.05
5,431.59
215.00
101,045.04
(1.21)
23.09
(6.08)
19.66
(13.00)
(11.80)
20-Dec
Proceeds of Sale - 7 Shares Comcast @ $34.1964
Total Received: $230.62 net of commissions ($8.75)
TOTAL CAPITAL GAINS (LOSSES)
INCOME RECEIVED
Accountant charges herself with the following income amounts received:
Date
2003
13-Nov
25-Nov
25-Nov
25-Nov
24- Dec
2004
23-J an
9-Feb
24-Feb
24-Mar
1-Apr
23-Apr
SBC Dividend #21048-02868
SBC Dividend #21048-01992
ATT Dividend #42924-0794
Interest from date of death to close:
Wachovia Bank CD #24712050910565
Fleet Bank, Trustee under the Marjorie E. Wood Trust
for Marie J. Wood. (See funds returned March 19,2004)
Additional Interest, Statement Savings 15004200045109
(See Principal entry this date for M&T Bank.)
Interest on Estate Checking Account
Interest on Estate Checking Account
SBC Dividend #21048-02868
SBC Dividend #21048-01992
A TT Dividend #42924-0794
Interest on Estate Checking Account
Interest on Estate Checking Account
Chapel Pointe at Carlisle (Supplemental Insurance payments)
Interest on Estate Checking Account
Page 3
6.76
17.42
3.06
7.65
0.95
80.07
808.95
32.32
34.72
19.00
2.50
6.25
0.95
20.16
18.28
262.92
11.96
10- May SBC Dividend #21048-02868 2.50
SBC Dividend #21048-01992 3.13
A IT Dividend #42924-0794 0.24
24-May Interest on Estate Checking Account 6.67
24-Jun Interest on Estate Checking Account 6.66
23-Jul Interest on Estate Checking Account 5.10
17-Aug SBC Dividend #21048-02868 2.50
SBC Dividend #21048-01992 3.13
A IT Dividend #42924-0794 0.24
24-Aug Interest on Estate Checking Account 4.59
24-Sep Interest on Estate Checking Account 4.66
22-0ct Interest on Estate Checking Account 2.51
24-Nov Interest on Estate Checking Account 1.44
24- Dec Interest on Estate Checking Account 1.31
2005
24-J an Interest on Estate Checking Account 1.35
7 -Feb SBC Dividend #21048-02868 2.50
SBC Dividend #21048-01992 3.13
9-Feb SBC Dividend #21048-02868 2.58
SBC Dividend #21048-01992 3.23
9-Feb Returned Items From Deposit of Dividend Checks:
SBC Dividend #21048-01992 (3.13)
SBC Dividend #21048-01992 (3.23)
24-Feb Interest on Estate Checking Account 1.37
24-Mar Interest on Estate Checking Account 1.27
22-Apr Interest on Estate Checking Account 1.32
24-May Interest on Estate Checking Account 1.45
24-Jun Interest on Estate Checking Account 1.41
22-Jul Interest on Estate Checking Account 1.27
Page 4
Estate of
also known as
Social Security No.
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and
in the last will of the above decedent, dated Dec. 14, 2000
and codicil(s) dated N/A
PETITION FOR PROBATE and GRANT OF LETTERS
Marie J. Wood No 21-03 -~"~
~ To: Register of Wills for the
County of Cumberland in the
079-09-296~
Commonwealth of Pennsylvania
the executrix named
(state relevenat circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland
with her last family or principal residence at
770 South Hanover Street, Cumberland County
County, Pennsylvania,
(list street, number and municipality)
Decedent, then 97 years of age, died Oct. 7, 2003
at Borough of Carlisle, Cumberland County
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: No Exceptions
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ unestimated
$
Total: unestimated
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
thereon.
D~. ~/' ~~
Hostetter
5 Alliance Drive, Apt. 304
Carlisle PA 17013
testamentary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
OATH OF' PERSONAL REPRSENTATIVE
COMMONWEATLH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
bef_~e me this~O.~f>/ day of
~ b~~~/ Register
No. 21-03. ~ ~
Estate of
Marie J. Wood , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~~~ 20~____~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated__ Dec. 14, 2000
described therein be admitted to probate and filed of record as the last will of
Marie J. Wood
and Le{ters Testamentary
are hereby granted to Dorothy M. Hostetter
FEES
Probate, Letters, Etc.$
Short Certificates(1 )$
Renunciation $
$
Total $
Filed ........................................
Stephen D. Tiley #32318
ATTORNEY (Sup. Ct. I,D. No.)
5 South Hanover Street
Carlisle, Pennsylvania 17013
ADDRESS
(717) 243-5838
PHONE
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that he was present and saw .the testatrix, sign the same
and that signed as a witness at the request of testatrix in the 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 ,2003 Name
Address
Name
DOROTHY M. HOSTETTER,,
Address
REGISTER OF WILL OF CUMBERLAND COUNTY
· OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
she is familiar with the signature of Marie J. Wood testrix of (one of the subscribing witnesses to)
the will presented herewith and that she believes the signature on the will is in the handwriting of
Marie J. Wood to the best of her knowledge and belief.
Sworn to or affirmed and sabscribed before
me thi8~// day o~~,-_~/, 2003.
Dorothy 1¢I. Hostetter (Name)
5 Alliance Drive, Apt 304, Carlisle, PA
(Address)
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
STEPHEN D. T1LEY
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according
to law, depose(s) and say(s) that they were present and saw MARIE J. WOOD, the testatrix, sign
the same and that they signed as a witness at the request of testatrix in her presence and (in the
presence of each other) (in the presence of the other subscribing witness(es)).
Swom to or affirmed and subscribed before _. ~.~'~~ .~ _~ ~
me th~ day of October, 2003. N~ame '
_5 South Hanover Street, Carlisle, PA 17013
.. REGISTER OF WILLS OF CUMBERLAND COUNTY
"7 OATH OF NONSUBSCRIBING WITNESS
(each) a subsC~er he~-et9, (each) being duly qualified according to law, depose(s) and say(s) that
they are familiar with the signature of (one of the subscribing witnesses to) the
will presented herewith and that each believes the signature on the will is in the handwriting of
.to the best of our knowledge and beliefl
Sworn to or affirmed and subscribed before
me this day of Name
,2003.
Address
Register
LAST WILL AND TESTAMENT
OF
MARIE J. WOOD
I, Marie J. Wood, of the Borough of Carlisle, (770 South Hanover Street),
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this as and for my Last Will and
Testament, hereby revoking and making void any and all Wills and Codicils heretofore
made.
FIRST
I direct the payment of my just debts and funeral expenses as soon after my
death as may be convenient.
SECOND
I declare that I am unmarried and that I have no children.
THIRD
All the rest, residue and remainder of my estate, real, personal and mixed, and
wheresoever the same may be situate, I give, devise and bequeath to The Alliance
Home of Carlisle, PA, Inc., t/a/d/b/a Chapel Pointe at Carlisle, it successors and
assigns.
FOURTH
I hereby nominate, constitute and appoint Dorothy M. Hostetter, of 5 Alliance
Drive, Apartment 304, Carlisle, Pennsylvania 17013, as Executrix of this my Last Will
and Testament. I further direct that no bond or other security shall be required of any
Executor or Executrix appointed in this Will for the performance of his, her or its duties
in any jurisdiction in which he, she or it may be called upon to act.
FIFTH
In addition to, and not in limitation of, the powers conferred by law or by other
provisions of this Will, my Executrix shall have the following powers, each of which
may be exercised from time to time by my Executrix in her sole discretion:
(a) To retain in the form received, and to sell either at public or private sale, or
to distribute in kind, any real or personal property.
(b) To manage both real and personal property.
(c) To invest and reinvest in all forms of property, notwithstanding the fact that
any or all of the investments made are of a character or size which but for this
expressed authority would not be considered proper for an Executrix.
(d) To exercise any option or rights arising from the ownership of
investments.
Last Will and Testament of Marie J. Wood Page 1
(e) To compromise claims without court approval and without the consent of
any beneficiary.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
Will and Testament, written on two (2) pages, this 14th day of December, 2000.
Marie J. Wood :~~'
Signed, sealed, published, and declared by Marie J. Wood, the Testatrix above
named, as and for her Last Will and Testament, in our presence, who, in her
presence, at her request, and in the presence of each other, have hereunto
subscribed our names as attesting witnesses.
Last Will and Testament of Marie J. Wood Page 2
LAST WILL AND TESTAMENT
OF
MARIE J. WOOD
FREY & TILEY
ATTO RN EYS-AT- LAW
5 South Hanover Street
Carlisle, PA 17013
Telephone (717) 243-5838
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
Date of Death:
Will No.
To the Register:
MARIE J. WOOD
October 7, 2003
Admin. No.
21-03-0878
I certify that notice of (beneficial Interest) 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:
Name
The Alliance Home of Carlisle, PA, Inc.,
Ua/d/b/a/ Chapel Pointe at Carlisle
Address
770 S. Hanover St., Carlisle PA 17013
Notice has now been given to all persons entitled thereto under Rule
5.6)a) except NO EXCEPTIONS
Date: December 2, 2003
Name: Stephen D. Tiley
Address: 5 South Hanover Street
Capacity:__
Carlisle, Pennsylvania 17013
Personal Representative
X Counsel for Personal Representative
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/15/2005
TILEY STEPHEN D
5 S HANOVER STREET
CARLISLE, PA 17013
RE: Estate of WOOD MARIE J
File Number: 2003-00878
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 paptioned
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, w~thin two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administr~tion.
This filing is due by: 10/07/2005
Your prompt attention to this matter will be appreciated.
Thank You.
s/:cerel~, /' #. . /'
~,L~k)J~~
. ,/
GLENDA FARNER STRASEAUGH
REGISTER OF WILLS
cc: File
Personal Representative(s)
Judge
L-~
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217
D
d t' C
Wood, Marie J.
079-09-2967
ece en s omple e ress:
STREET ADDRESS
770 South Hanover Street
CITY ISTATE /ZIP
Carlisle PA 17013
I t Add
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
o
3. InteresVPenalty if applicable
D. Interest
E. Penalty
Total Credits ( A + 8 + C ) (2)
o
4.
TotallnteresVPenalty ( 0 + E )
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
(3)
o
5.
(4)
If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
8. Enter the total of Line 5 + 5A. This is the 8ALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
o
o
o
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; . . . . . . . . . . . .
Yes
o
o
o
o
o
o
b. retain the right to designate who shall use the property transferred or its income;
c. retain a reversionary interest; or .
2.
d. receive the promise for life of either payments, benefits or care?
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? . . . . . . . . . . . . . . . . . . . . . . . . .
o
DATE
~. ~ ~ .:(cJO.5-
,
55
Stephen D. Tiley. Esquire. 5 South Hanover Street, 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 survivin9 spouse is 3%
(72 P.S. Section 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. Section 9116 (a)(l.l )(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 naturat parent, an adoptive parent,
or a stepparent of the child is 0%[72 P.S. Section 9116(a)(1.2)).
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%. except as noted in 72 P.S. Section 9116(1.2) [72 P.S. Section 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. Section 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.
217
REV-1503 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 8
STOCKS & BONDS
ESTATE OF
Marie J. Wood
ITEM
NUMBER
1.
2.
3.
4.
5.
FILE -.uMBER
21-03-0878
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
4 shares ATT common stock @ $20.16
28 shares SBC Communications, Inc., @ $22.75
4 shares Agere Systems, Inc. @ $3.25
16 shares Lucent Technologies @ $2.30
7 shares Comcast Communications stock @ $31.98
DESCRIPTION
VALUE AT DATE
OF DEATH
81
637
13
37
224
TOTAL (Also enter on line 2 Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
992
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217
REV-1508 EX+ (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wood, Marie J.
ITEM
NUMBER DESCRIPTION
1 Cash in Room at death
2 Wachovia Bank CD #24712050910565
3 'Accrued Interest
4 M & T Bank CD #31003911154860
5 Accrued Interest
6 M & T Bank CD #31003711160172
7 Accrued Interest
8 M & T Bank Savings #15004200045109
9 Accrued Interest
10 PA Income Tax Refund
11 Proceeds as Residuary Benficiary of the Emily A. Child Trust
Include the proceeds of litigation and the date the proceeds were received by the estate.
All orooertv iointlv-owned with riaht of survivorshio must be disclosed on Schedule F.
FILE NUMBER
21-03-00878
VALUE AT DATE
OF DEATH
138
55,807
17
10,087
124
12,970
21
15,389
12
215
5,432
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
100,212
--
~~~
~-
WACHOVIA
Reference ill: 753 101
Wachovia Bank N.A.
Balan~e Confirmation Services
POBox 40028
Roanoke, VA 24022-73 13
November 18,2003
FREY & TILEY
ATTORNEYS AT LAW
5 SOUTH HANOVER STREET
CARLISLE, PA 17013
SUBJECT: Verification / Confinnation of Account and Balance Information provided for:
Customer: MARJE .J WOOD (SSN# 079-09-2967)
Date of Death: October 7, 2003
Deposit Account Information
Account
Type
Account
Number
Date of Death
Balance
Average
Balance.
Date
Opened
Maturity Interest Accrued YTD Date
Date Rate Interest Interest Paid Closed
CERTIFICATE OF DEPOSIT 247412050910565
LEGAL TITLE: MARIE lWOOD
CHAPEL POINTE AT CARLISLE
$55,806.61
9/28/1999 6/28/2005
$16.67
$1,173.38
· Due to system limitations, we can only provide a twelve month average balance on depository accounts.
No Safe Deposit Box found for customer.
· Date of death balance does not include accrued interest.
... If date of death occurrs on a weekend or a holiday, date of death balance does not include any transactions that were
LCk;~nOd
Servicenter Associate
Phone: (540)563-7323
ssp; at
lOOO 000614
~
I! M&TBank
499 Mitchell Street, Millsboro, DE 19966
December 4, 2003
Stephen D. Tiley
5 South Hanover Street
Carlisle, PA 17013
RE: Estate of Marie J. Wood
Date of Death: October 7, 2003
Social Security Number: 079-09-2967
Dear Mr. Tiley:
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 Type. . .. . ... . . . . . . .. . . . . . .. . . .. Certificate of Deposit
Account Number....................... 31003911154860
Ownership (Names oj}.............. Marie J. Wood or The Alliance Home
Opening Date.. ....................... ..12/29/90 (account closed 11/26/03)
Balance on Date ojDeath.........$1O,086.70
Accrued Interest
$ 124.23
TotaL................................... ...$10,210.93
2. Account Type........................... Certificate of Deposit
Account Number.... ...... .., ....... ... 31003911160172
Ownership {Names oj}.............. Marie J. Wood or The Alliance Home
Opening Date...........................O 1/25 /91 (account closed 11/26/03)
Balance on Date ojDeath.........$12,969.73
Accrued Interest
$
21.41
TotaL..................................... .$12,291.14
. Page 2
December 4, 2003
3. Account Type........................... Savings Account
Account Number....................... 15004200045109
Ownership (Names of).............. Marie J. Wood or The Alliance Home
Opening Date.......................... .08/08/89 (account closed 11/25/03)
Balance on Date ojDeath.........$15,389.19
Accrued Interest
$
12.05
TotaL...... ....... ..................... ....$15,401.24
Sincerely,
CkWnu tJJ,1/IJ;1~
Charlene Warrington, Associate I
(302) 934-2722
Law Offices
REGINA M. FLAHERTY
P. O. Box 229
Norwalk, Connecticut 06852-0229
(203) 219-0734
Facsimile: (203) 849-0715
e-mail: rmflaherty@snet.net
August 23, 2004
VIA FACSIMILE: (717) 243-6441 AND FIRST CLASS MAIL
Stephen D. Tiley, Esq.
Frey & Tiley
5 South Hanover Street
Carlisle, P A 17013
Re: Trust u/w Emily Child f/b/o Marie J. Wood
Dear Attorney Tiley,
Please accept my apology for the delay in replying to your letter. It was unavoidable.
Enclosed is check #1069 in the amount of $5,431.59 payable to the Estate of Marie C.
Wood representing 5% of the net fair market value of the Estate of Emily A. Child as of
October 7,2003, in accordance with the attached accounting. Also enclosed is K-1 for 2003.
Also enclosed is a copy of this letter which I would appreciate your signing on the line
indicated showing that you received this check, and returning it to me in the enclosed self-
addressed stamped envelope.
Please advise if you need any further documents to close your estate.
Very truly yours,
RMF:rof
Enclosures
O~M~,,-~
REGlNi M. FLAHERTY d
217
REV-1511 EX + (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
21-03-0878
Marie J. Wood
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Hoffman-Roth Funeral Home
5,220
Carlisle Memorial Service, Inc., (engraving)
250
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (5) Dorothy.b.1. Hostetter
Social Security Number(s) I EIN Number of Personal Representative(s) 197-20-1231
Street Address 5 Alliance Drive, Apt. 304
City Carlisle State PA Zip 17013
Year(s) Commission Paid:
2005
5,048
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's. attach explanation)
Claimant
Street Address
5,750
City
Relationship of Claimant to Decedent
State
Zip
Probate Fees
Accountant's Fees
(Included at item B.2)
222
Tax Return Preparer's Fees
(Included at item B.2)
Additional short certificates
35
Banks service charge - estate checking account
14
Bond for sale of Lucent stock (Seaboard Surity Company)
25
TOTAL (Also enter on line 9 Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
16,564
REV-1512 EX+ (12-03) 217
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Marie J. Wood
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
FILE NUMBER
21-03-0878
ITEM
NUMBER
1.
2.
3.
4.
Philhaven (medical services)
Donnicare Pharmacies
Chapel Pointe at Carlisle
PA Department of Revenue - PA-41 Tax
DESCRIPTION
VALUE AT DATE
OF DEATH
18
316
3,702
4
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4,040
217
REV-1513 EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
Marie J Wood
FILE NUMBER
21-03-0878
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1) The Alliance Home of Carlisle, PA, Inc., t/d/b/a Chaple Pointe at Carlisle 100%
,
770 South Hanover Street, Carlisle, PA 17013 80,600
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 80 600
(If more space is needed, insert additional sheets of the same size)
FIRST AND FINAL ACCOUNT OF DOROTHY M. HOSTETTER, EXECUTRIX
. OF THE LAST WILL AND TESTAMENT OF MARIE J. WOOD,
LATE OF 770 SOUTH HANVOER STREET,
CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED
DATE OF DEATH:
October 7, 2003
FILE NUMBER:
21-03-0878
LETTERS TESTAMENTARY ADVERTISED:
CUMBERLAND LAW JOURNAL
(Not Advertised)
THE SENTINEL
(Not Advertised)
PRINCIPAL RECEIVED (REAL ESTATE)
'-'.')
( -)
.)
'.: _ ~l
NONE.
,.
j'-.. )
PRINCIPAL RECEIVED (PERSONAL PROPERTY)
I .
Accountant charges herself with the following principal amounts received:
, .
...~~--;
Date
2003
7 -Oct
7 -Oct
7 -Oct
7 -Oct
7 -Oct
24-0ct
13-Nov
25-Nov
4 Shares AT&T Common Stock @ $20.16
80.64
28 Shares SBC Communications, Inc. Common Stock @ $22.75
637.00
4 Shares Agere Systems, Inc. Common Stock @ $3.25
13.00
16 Shares Lucent Technologies Common Stock @ $2.30
36.80
7 Shares Comcast Common Stock @ $31.95
223.86
Cash in Room
138.25
Wachovia Bank CD #24712050910565
Accrued Interest to date of death
55,806.61
16.67
Close Three M&T Bank Accounts:
CD # 31003911154860 (Principal)
Accrued Interest to date of death
9,962.47
124.23
Page 1
.~
/~
24-Aug Interest on Estate Checking Account 1.50
23-Sep Interest on Estate Checking Account 1.36
24-0ct Interest on Estate Checking Account 1.41
23-Nov Interest on Estate Checking Account 1.36
TOTAL INCOME RECEIVED 1,374.57
DISBURSEMENTS
Accoutant claims credit for the following amounts paid:
Date
2003
25-Nov
25-Nov
25-Nov
25-Nov
25-Nov
2004
13-Jan
13-Jan
4-Feb
19-Mar
24-May
Philhaven (Medical Services)
18.43
Omnicare Pharmacies
315.91
Hoffman-Roth Funeral Home
5,220.00
Chapel Pointe at Carlisle
3,701.61
Frey & Tiley (Reimburse for probate fee $219.00 and
Short Certificate $3.00)
222.00
Register of Wills - Short Certificates
24.00
Carlisle Memorial Service, Inc.
250.00
Frey & Tiley (Short Certificate)
3.00
Fleet Bank, Trustee under the Marjorie E. Wood Trust
for Marie J. Wood. (See funds received November 25,2003)
808.95
Bank Service Charge
14.00
Page 5
2005
9-Feb Register of Wills - Short Certificates 8.00
15-Mar Seaboard Surety Company (Sale Bond - Lucent Stock) 25.00
14- A pr PA Department of Revenue - PA-41 Tax 4.00
22-Nov Register of Wills - Filing fee for Inheritance Tax Return 15.00
28-Nov Register of Wills - Additional Probate Fee 35.00
20- Dee Register of Wills - Filing of Account 180.00
2006
7 - Mar Dorothy M. Hostetter, Executrix Commission 5,048.11
7-Mar Frey & Tiley - Attorney's Fees 5,750.00
TOTAL DISBURSEMENTS 21,643.01
RECAPITULA TION
Total Principal Received
Net Capital Gains (Losses)
Total Income Received
101,045.04
17.42
1,374.57
102,437.03
Total Receipts
Less Total Disbursements
21,643.01
Balance for Distribution
80,794.02
Page 6
- --------..--
PROPOSED
SCHEDULE OF DISTRIBUTION
100% Residuary Beneficiary:
80,794.02
The Alliance Home of Carlisle, P A, Inc.
tJd/b/a Chapel Pointe at Carlisle
770 South Hanvoer Street
Carlisle, Pennsylvania 17013
Partial Distribution November 25, 2003
Partial Distribution March 19,2004
Final Distribution per this Accounting
55,000.00
20,000.00
5,794.02
80,794.02
COMMONWEALTH OF PENNSYLVANIA
SS.:
COUNTY OF CUMBERALND
Before me, the undersigned officer, personally appeared Dorothy M. Hostetter
Executrix of the Last Will and Testament of Marie J. Wood, Deceased, who, being duly sworn
according to law, desposes and says that the foregoing First and Final Account and Proposed Schedule
are true and correct to the best of her knowledge, information and belief.
~111')~~
Dorothy M. Hostetter
Sworn to and subscribed before me
nS+- ~ I /'
this ~I day of JJ~ U-h/ RU"'/ d C(l ::>.
~"- Il-cfw
NOT ARlAL SEAL
TRISHA A LfESS. NOTARY PUBLIC
. BOROUGH OF CARLISLE, CUMBERLAND CO., PA
MY COMMISSION EXPIRES MAY 20.2006
Page 7
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01-30-2006
WOOD
10-07-2003
21 03-0878
CUMBERLAND
101
APPEAL DATE: 03-31-2006
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
9Y!_~~9~9_!~!~_~!~~______~___~~!~!~_~Q~~~_~Q~!!Q~_EQ~_!Q~~_~~~Q~~~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
MARIE J FILE NO. 21 03-0878 ACN 101
BUREAU OF INDIVIDUAL T^XE~_
INHERITANCE TAX DIVISION .
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
- APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
. OF DEDUCTIONS AND ASSESSMENT OF TAX
STEPHEN D THEV
FREY & TILEY
5 S HANOVER ST
CARLISLE
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17013
ESTATE OF
WOOD
REV-1547 EX AFP (06-05)
MARIE
J
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 01-30-2006
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
Cl)
(2)
(3)
(4)
(5)
(6)
(7)
.00
992.00
.00
.00
100.212.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adn. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governnental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
ClO)
16,564.00
4.040.00
(11)
Cl2)
Cl3)
Cl4)
NOTE: If an assessment was issued previously, lines
reflect figures that include the total of ~
ASSESSMENT OF TAX:
15. Anount of Line 14 at Spousal rate (15)
16. Anount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Anount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
NOTE: To insure proper
credit to your account,
subnit the upper portion
of this forn with your
tax paynent.
101,204.00
20.604 00
80,600.00
80,600.00
.00
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
.00 X 00 =
.00 X 045=
.00 X 12 =
.00 X 15 =
Cl9)=
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
.00
.00
.00
.00
.00
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RA
217 REV-1500 OFFICIAL USE ONLY
REV-1500 EX (S-OO) COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE INHERITANCE TAX RETURN
DEPT. 280601 FILE NUMBER 21-03-00878
HARRISBURG, PA 17128-0601 RESIDENT DECEDENT -
COUNTY CODE YEAR NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
.... Wood, Marie J. 079-09-2967
z DATE OF DEATH (MM-DD-YEAR) IDATE OF ~IRTH (MM-DD-YEAR)
w THIS RETURN MUST BE FILED IN DUPUCA TE WITH THE
C
W 1 0/7/2003 1/4/1906 REGISTER OF WILLS
0
w (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
c
I!! [Kh Original Return o 2. Supplemental Return o 3. Remainder Return (date of dealh prio, to 12-13-82)
$cn 04. 04a. Future Interest Compromise (date of death after 12-12-82) o 5. Federal Estate Tax Return Required
>::Q;>:: limited Estate
ua..o
woo 0s. o 7. Decedent Maintained a living Trust (Attach copy of Trust)
:l:Q;...J ...Q... 8. Total Number of Safe Deposit Boxes
ua..m Decedent Died Testate (Attach copy of Will)
a..
-0: 09. 010. Spousal POWlrty Cred~ (dale of dealh between 12-31-91 and 1-1-95) 011. Election to tax under Sec. 9113(A) (Attach Sch 0)
litigation Proceeds Received
.... THIS SECTION MUST BE COMPLETED. All CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
z NAME COMPLETE MAILING ADDRESS
w
c Frey & Tiley
z Stephen D. Tiley
0
Q. FIRM NAME (If Applicable) 5 South Hanover Street
f3
0:: Frey & Tiley Carlisle, PA 17013
0:: TELEPHONE NUMBER
0
0 (717) 243-5838
OFFICIAL USE ONLY
1. Real Estate (Schedule A) (1) NONE
2. Stocks and Bonds (Schedule B) (2) 992
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) NONE
4. Mortgages & Notes Receivable (Schedule D) (4) NONE
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E) (5) 100,212 f'o-:J
,', =
t;:,,:;) ~D
S. Jointly Owned Property (Schedule F) (6) NONE C11 c-nt
z Dseparate Billing Requested ::. ("J
0 (~? _. ;,c. <:)
i= ~. '. ::0
c( 7. Inter-Vivos Transfer & Miscellaneous Non-Probate Property ""n ''0 -~c CJ
..J (7) NONE ~ ~=l ;::.q
:J (Schedule G or L) CO
.... / .~
ii: - .. ) (~,'1 r:-)
c( 8. TOTAL GROSS ASSETS (total Lines 1-7) (8) i I "'"D f01I,2~f
0 _':i>..
W : -0
0:: 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 16,564 i C) iTl
o. r
4,040 .~ \../)0
10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I) ;10) Ul -'I
11. TOTAL DEDUCTIONS (total Lines 9 & 10) (11) 20,604
12. NET VALUE OF ESTATE (Line 8 minus Line 11) (12) 80,600
13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not
been made (Schedule J) (13) 80,600
14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 0
.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 .0 - (15) 0
Z
0
i= 16. Amount of Line 14 taxable at lineal rate x .0 (16) 0
c(
.... -
:J
Q.
::e 17. Amount of Line 14 taxable at sibling rate X .12 (17) 0
0
0
>< .15 (18) 0
i5 18. Amount of Line 14 taxable at collateral rate X
19. Tax Due (19) 0
20.0 :':~"~~.~)H_r;~E. !~'Y()9.~Rg:~E9@~T.I~~A'~~EQrm:;p~~~"O"E;RPAYME.N'''!':
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
217
d
C
Wood, Marie J.
079-09-2967
Dece ent's amp ete ress:
STREET ADDRESS
770 South Hanover Street
CITY I~TATE I~IP
Carlisle PA 17013
Add
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
o
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits ( A + B + C ) (2)
o
4.
Total Interest/Penalty ( D + E )
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
(3)
o
5.
If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(4)
(5)
(5A)
(58)
Make Check Payable to: REGISTER OF WILLS, AGENT
o
o
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
o
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; . . . . . . . .
Yes
o
o
o
o
o
o
o
b. retain the right to designate who shall use the property transferred or its income;
c. retain a reversionary interest; or . . . . .
2.
d. receive the promise for life of either payments, benefits or care?
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? . . . . . . . . . . . . . . . . . . . . . . . . .
DATE
~. ;;l:l, .<OOS-
~
Carlisle PA 17013
5 South Hanover Street 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. Section 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. Section 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 rale imposed on the net value of transfers from a deceased child twenly-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. Section 9116(a)(1.2)].
The lax rate imposed on the nel value of transfers to or for Ihe use of the decedent's siblings is 12% [72 P.S. Section 9116(a)(1.3)J .A sibting is defined, under Section 9102, as an
individual who has at least one parenl in common with the decedent, whether by blood or adoption.
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. Section 9116(1.2) [72 P.S. Section 9116(a)(1)J.
217
REV-1503 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 8
STOCKS & BONDS
ITEM
NUMBER
1.
2.
3.
4.
5.
I
FILE *,MBER
21-03-0878
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ESTATE OF
Marie J. Wood
4 shares ATT common stock @ $20.16
28 shares SBC Communications, Inc., @ $22.75
4 shares Agere Systems, Inc. @ $3.25
16 shares Lucent Technologies @ $2.30
7 shares Com cast Communications stock @ $31.98
DESCRIPTION
VALUE AT DATE
OF DEATH
81
637
13
37
224
TOTAL (Also enter on line 2 Recaoitulation \ $
(If more space is needed, insert additional sheets of the same size)
992
T: Historical Prices for AT&T CP NEW. Yahoo! Finance
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20.34
7 -Oct-03
22.55
22.95
22.55
22.91 8,378,100
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33.50
7 -Oct-03
3.15
3.36
3.13
3.35 1,116,200
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31.71
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Close
31.52
32.23
Volume Adj Close'
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217
REV-1508 EX+ (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wood, Marie J.
ITEM
NUMBER DESCRIPTION
1 Cash in Room at death
2 Wachovia Bank CD #24712050910565
3 "Accrued Interest
4 M & T Bank CD #31003911154860
5 Accrued Interest
6 M&TBankCD#31003711160172
7 Accrued Interest
8 M & T Bank Savings #15004200045109
9 Accrued Interest
10 PA Income Tax Refund
11 Proceeds as Residuary Benficiary of the Emily A. Child Trust
Include the proceeds of litigation and the date the proceeds were received by the estate.
All orooertv iointlv-owned with richt of survivorshio must be disclosed on Schedule F.
FILE NUMBER
21-03-00878
VALUE AT DATE
OF DEATH
138
55,807
17
10,087
124
12,970
21
15,389
12
215
5,432
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
100,212
--
:}-'"=...
~~
WACHOVIA
Reference ill: 753101
Wachovia Bank N.A.
Balan~e Confirmation Services
POBox 40028
Roanoke, VA 24022-7313
November 18, 2003
FREY & TILEY
ATTORNEYS AT LAW
5 SOUTH HANOVER STREET
CARLISLE, PA 17013
SUBJECT: Verification / Confmnation of Account and Balance Information provided for:
Customer: MARIE .T WOOD (SSN# 079-09-2967)
Date of Death: October 7, 2003
Deposit Account Information
Account
Type
Account
Number
Date of Death
Balance
Average
Balance*
Date
Opened
Maturity Interest Accrued YTD Date
Date Rate Interest Interest Paid Closed
CERTIFICATE OF DEPOSIT 247412050910565
LEGAL TITLE: MARIE JWOOD
CHAPEL POINTE AT CARLISLE
$55,806.61
9/28/1999 6/28/2005
$16.67
$1,173.38
* Due to system limitations, we can only provide a twelve month average balance on depository accounts.
No Safe Deposit Box found for customer.
* Date of death balance does not include accrued interest.
* If date of death occurrs on a weekend or a holiday, date of death balance does not include any transactions that were
~;TOd
Servicenter Associate
Phone: (540)563-7323
ssp; at
lOOO 000614
~
r!lM&TBank
499 Mitchell Street, Millsboro, DE 19966
December 4, 2003
Stephen D. Tiley
5 South Hanover Street
Carlisle, FA 17013
RE: Estate of Marie J. Wood
Date of Death: October 7, 2003
Social Security Number: 079-09-2967
Dear Mr. Tiley:
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 Type. . .. . ... . .. . .. .. . . . . . . . . . .. Certificate of Deposit
Account Number............. ...... .... 31003911154860
Ownership (Names of}.............. Marie J. Wood or The Alliance Home
Opening Date......................... ..12/29/90 (account closed 11/26/03)
Balance on Date ojDeath.........$1O,086.70
Accrued Interest
$ 124.23
TotaL.................................. ....$10,210.93
2. Account Type........................... Certificate of Deposit
Account Number....................... 31003911160172
Ownership {Names of}.............. Marie J. Wood or The Alliance Home
Opening Date...........................O 1/25/91 (account closed 11/26/03)
Balance on Date ojDeath.........$12,969.73
Accrued Interest
$
21.41
TotaL................... ........... .... ....$12,291.14
. Page 2
December 4, 2003
3. Account Type........................... Savings Account
Account Number....................... 15004200045109
Ownership (Names oj).............. Marie J. Wood or The Alliance Home
Opening Date.......................... .08/08/89 (account closed 11/25/03)
Balance on Date of Death........ .$15,389.19
Accrued Interest
$
12.05
Total................................... ....$15,40 1.24
Sincerely,
~ tJJ,1I'U11~
Charlene Warrington, Associate I
(302) 934-2722
Law Offices.
REGINA M. FLAHERTY
P. O. Box 229
Norwalk, Connecticut 06852-0229
(203) 219-0734
Facsimile: (203) 849-0715
e-mail: rmflaherty@snet.net
August 23, 2004
VIA FACSIMILE: (717) 243-6441 AND FIRST CLASS MAIL
Stephen D. Tiley, Esq.
Frey & Tiley
5 South Hanover Street
Carlisle, P A 17013
Re: Trust u/w Emily Child f/b/o Marie J. Wood
Dear Attorney Tiley,
Please accept my apology for the delay in replying to your letter. It was unavoidable.
Enclosed is check #1069 in the amount of$5,431.59 payable to the Estate of Marie C.
Wood representing 5% of the net fair market value of the Estate of Emily A. Child as of
October 7, 2003, in accordance with the attached accounting. Also enclosed is K-1 for 2003.
Also enclosed is a copy of this letter which I would appreciate your signing on the line
indicated showing that you received this check, and returning it to me in the enclosed self-
addressed stamped envelope.
Please advise if you need any further documents to close your estate.
Very truly yours,
RMF:rof
Enclosures
Q~\vv/~~
REGlNA M. FLAHERTY d
217
REV-1511 EX + (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
Marie J. Wood
Debts of decedent must be reported on Schedule J.
ITEM
NUMBER
A.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
21-03-0878
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Hoffman-Roth Funeral Home
5,220
Carlisle Memorial Service, Inc., (engraving)
250
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) Dorothy.ll.1. Hostetter
Social Security Number(s) I EIN Number of Personal Representative(s) 197-20-1231
Street Address 5 Alliance Drive, Apt. 304
City Carlisle State PA Zip 17013
Year(s) Commission Paid: 2005
5,048
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
5,750
City
Relationship of Claimant to Decedent
State
Zip
Probate Fees
Accountant's Fees
(Included at item B.2)
222
Tax Return Preparer's Fees
(Included at item B.2)
Additional short certificates
35
Banks service charge - estate checking account
14
Bond for sale of Lucent stock (Seaboard Surity Company)
25
TOTAL (Also enter on line 9 Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
16 564
REV-1512 EX+ (12-03) 217
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Marie J. Wood
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
FILE NUMBER
21-03-0878
ITEM
NUMBER
1.
2.
3.
4.
DESCRIPTION
VALUE AT DATE
OF DEATH
Philhaven (medical services)
Donnicare Pharmacies
Chapel Pointe at Carlisle
PA Department of Revenue - PA-41 Tax
18
316
3,702
4
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4,040
217
REV-1513 EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
Marie J Wood
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1 ) The Alliance Home of Carlisle, PA, Inc., Ud/b/a Chaple Pointe at Carlisle 100%
,
770 South Hanover Street, Carlisle, PA 17013 80,600
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 80 600
21-03-0878
(If more space is needed, insert additional sheets of the same size)
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/14/2006
TILEY STEPHEN DOUGLAS
FREY & TILEY
5 S HANOVER STREET
CARLISLE, PA 17013-3385
RE: Estate of WOOD MARIE J
File Number: 2003-00878
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after
July I, 1992, 'the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by: 10/07/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report~ please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/14/2006
HOSTETTER DOROTHY M
5 ALLIANCE DRIVE APT #304
CARLISLE" PA 17013
RE: Estate of WOOD MARIE J
File Number: 2003-00878
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
wills a Status Report of completed or uncompleted administration.
This filing is due by: 10/07/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
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Register of Wills of Cumberland County
-STATUS REPORT UNDER RULE 6.12
Name of Decedent: /7/#A)~ /. ~A/
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Date of Death: &~.6~ 7 ~.PP.3
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Estate No.: 02'/ - CJ3 - t!)87r
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, r report the following
with respect to completion of the administration of the above-captioned estate:
I. State ~~r administration of the estate is complete:
Yes IH No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the~rsonal representative file a final account with the Court?
Yes ~- No 0
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 0 No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
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Signatu1l
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Address
Date:
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Telephone No.
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Capacity:
bJ ~onal Representative
l....::rCounsel for personal representative
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