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HomeMy WebLinkAbout04-0903 PETITION FOR PROBATE and GRANT OF LETTERS Estate oS' /~u'J-h E. EC~<,~r""J- NO.~l--Oq~-q03 also known as To: Register of Wills for the , ~ · Deceased. County of ~ in the Social Security No. ~Oq ' 0 ~'~ - ~O 190 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 J ~( named in the last wilt of the above decedent, dated ~}LIt~E. I"'/ , 19 (09 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in CLIr'~:)~.~]O.-~ d County Pennsylvania, with ~last famiIy or principal residence at ~qC] glexc~ndeY- 5prt~a Pal. (list street, number and muncipality) De~n~t,~h~n~yearsofage, died ~0%~ ~l. ~ ~ ,~ Except as follows, decedent d~d not m~, was not d~vorced and d~d not have a/chi d born or addpted 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 $ ~ ~ ~ . OO (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 p~'obate of the last will and codicil(s) presented herewith and the grant of letters 'TC~I'Q IY~m,_.r3TEIY'~ theron. (testamentary; administration c.t.a,; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTA~ ~IVE o ;;: COMMONWEALTH OF PENNSYLVANIA ~ 'z'' f.6 : COUNTY OF ~m~a~l~ ~ 3ss ~ The petitioner(s) above-named swe~(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge ~d belief of petitioner(s) and that as person~ represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affi~ and' subscribed ~ ~ ~,~g~ ~. ~Q ~/ bef~¢ ~e this day of ........ ~ No. Estate 6f"--~Lk:~ ~ ~'cS~C'~z , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW C~e ~'"~"- ~0 ~4 ~__, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DEC~ED that the instrument(s) dated ~- [~ ~ IQ [O~ desc~ therein be admitted to probate ~d filed of record as the last will of ; ~d Letters ~~~t* are hereby granted to~ t t ~ n ~ ~ ~ ~ FEES Probate, Letters, Etc .......... St~. 03 Short Certificates( ) .......... ~ ~ · O~ A~ORNEY (Sup. Ct. I.D. No,) ADD.SS TOTAL $ PHONE PETITION FOR PROBATE and GRANT OF LETTERS Estate of No. also known as To: Register of Wills for the Deceased. County of in the Social Security No. 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 named in the last wilt of the above decedent, dated ,19__ and codicil(s) dated Decendent was domiciled death in Pennsylvania, with h last family residence at Decendent, then died ,19. at ' Except as follows, decedent did was t did not have a child born or adopted after execution Of the will offered for not th and was never adjudicated incompetent: ~,. D~cendent at death owned property with follows: (If domiciled in Pa.) All personal $ (If not domiciled in Pa.) Personal $ (If not domiciled in Pa.) Personal property i: I ( $. Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully 6quest(s) the the last will and codicil(s) presented herewith and the grant of letters (testamentary; .a.; administration d.b.n.c.t.a.) theron. ~ . OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed{ ~. before me this day of Register __ ~ ~egister of ~ill~ of Cumberlanl~ Countp OATH OF SUBSCRIBING WITNESS Estate of'~ ~ ~"c.t~- No. ¢~ I - Oq Also known as , Deceased (each) a subscribing w/mess to the w/Il/codicil presented herewith, (each) being duly qualified according to law, depose(s) and say(s)¥'~ ~qCOpresent and saw ~q'~\ Y,~N ~ ~-~C [~,,-Ct~ , the testat ~t >~ sign the same and that ~ signed as a w/mess at the request of the testat c"~ ~ in h.~__ presence and (in the presence of each other) (in the presence of the other subscribing w/mess(es). mame~ (Address) ~ ,iJ4.)l-7'Or~ Sworn to or affirmed and subscribed Before me this ~ day of 0 C-to ~3c--r~ ,2o_o~t (Name) For the Register ~ it ~l ~/jj~' (Address) __ ~ ~egi~ter of ~9iiI~ of ~uml~erIart~ ~mmtp OATH OF SUBSCRIBING WITNESS Also known as , Deceased (each) a subscribing witness to the will/codicil presented herewith, (each) being duly qualified according to law, depose(s) and say(s) .~ t,ea~present and saw '---~ar~ ~' ~"c_.~,_r-~ , the testat~ X, sign the same and -~a~t,~.~- .~ .~ 3~igned as a wimess at the request of the testat ~ ~ in h ~ r-- presence and (in tha:gresence of each other) (in the presence of the other subscribing witness(es). (Nme) (Address) Sworn to or affirmed and subscribed Before me this 5 day.of 0 C T'O lB DI"~ 20 Crq (Name) For the Register ~JLi_ [/~/~.Z~ ~ ~,~ (Address) his is to certify that the information here given is correctly copied t¥om an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. P 10589862 ' AU6 24 No. ~ ~ C'. Date CERTIFICATE OF DEATH Ruth E. ~kert ,.Fmle ,. 2~ -- 03 -- 61~ ~ Aught 21, 2~ 93 : I April 14 ~ ~ ~ ~ ~ ~ ~ I 1911 Pe~ ~ty P ~rl~d N. 3DiCki~n 849 Alexander Spri~ R~d ,~.~..~ ~ite ~rlisle PA 17013 ~ ,~.~ C~rl~d ~ ~ ' 3:39 pm u ~, AuSus~ 2[, 2004 ~ LAST WILL AND TESTAMENts. OF RUTH E. ECKERT I, RUTH E. ECKERT, widow, of Dickinson ~w~i~] Carlisle), Cumberland County, Pennsylvania, bei~g:o,f sound and disposing mind, memory and understanding, do hereby make, publish and declare ibis as and for my last Will and Testament, hereby revoking and making void any and a~l Wills by me at any lime herelofore made. 1. I direct my hereinafter named Execulrix to pay all of my just debls and funeral expenses as soon afler my dealh as may be found convenien~ lo do so. 2. A~I ~e res~, residue and remainder of my es~a~e, real~ personal and mixed, and wheresoever the same may be si~ua~e, I give, devise and bequeath ~o my daugh~er~ Beulah A. Haar~ of R. D. ~ 5~ Carlisle, Pennsyl~nia, her heirs and assigns, provided my said daugh~er~ Beulah A. Haar, sha~l sur~ve me by a period of N~ne~ (90) days. 3. Should my said daugh~er~ Beulah A. Haar, pre-decease me or ~~' even~ all ~he res~ residue and remainder of my es~ate~ rea~ persona~ and mixed~ and wheresoever ~e same may be si~at~, I g~ve~ de~se and bequeath ~o ~he children of my daughter, Beulah A. Haar~ their heirs and assigns, in equal S~res. At the presen~ time my daughter, Beulah A. ~ Haar, is the mother of one ehild~ Laurie Ann Haar, born November 28~ 1967. 4. Should any person less than 21 years of age share in my estate, I nominate, constitute and appoinl lhe Farmers Trust Company, 1 Wesl High Streei, Carlisle, Pennsyl~nia, its successors and assigns, as Guardian of the eslale of such minor child and I aulhorize and direct said Guardian lo invesl the same and to pay so much of lhe income arising thereon logelher with so much of the principal thereof which in ~e opinion of said ~uardian is necessa~ or desirable to be expended for lhe proper maintenance, support, or education of such minor child, to the person having custody of such minor child, and upon such child attaining 21 years of age to pay the then remaining principal together with any undistributed income lo such minor child. 5. I hereby nominate, constitute and appoint my said daughter, Beulah' A. Haar, as Executrix of this my last Will and Testame?.t, but should she pre-decease me or fail to qualify, then in such event I nominate, constitute and appoint Farmers Trust Company, 1 West High Street, Carlisle, Pennsylvania, or its successor, as Executor of this my last Will and Teslameni and further direct that neilher one shall be required to post any' bond to secure the failhful performance of her or its duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my last Will and Testament written on two (2) pages this /7 ~day of June, 1969. Ruth ~. Eckert Signed, sealed, published and declared by Ruih~E. Eckert, 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. (~ERTIFICATION OF NOTICE UNDER RULE ~.(~a) Name of Decedent: Ru~h E. Eckert DateofDeath: August 21,2004 Will No.2004-00903 Admin. No. 21-04-0903 To the Register: I certify that notice of (beneficial interest) estate admlnistra ion r ' Ornhans' Court R .......... a ...... . ..... ~ equlred by Rule 5.6(a) of the on'October 14, 20~e .......... uu u, mmiea ro me IOllOWmg oeneticlarles of the above-captioned estate .Nam~ Address. Beulah A. Ham- 849 Alexander Spring Road, Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule $.6(a) except Name.'~Ur~ricia D, Naylor~ Address: 104 S. Hanover St., Carlisle, PA 17013 Telephone: (717)243-7437 Capacity: , Personal Representative X Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EX(11-96) BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 004632 HAAR BEULAH A 849 ALEXANDER SPRING RD CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 (;4,990.39 ESTATE INFORMATION: SSN: 204-03-6180 FILE NUMBER: 2104-0903 DECEDENT NAME: ECKERT RUTH E DATE OF PAYMENT: 1 1/1 6/2004 POSTMARK DATE: 11/1 6/2004 COUNTY: CUM BERLAN D DATE OF DEATH: 08/21/2004 TOTAL AMOUNT PAID: $4,990.39 REMARKS: HARR CHECK# 1 INITIALS: CCP SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.2B0601 HARRISBURG. PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HANFT MICHAEL J 19 BROOKWOOD AVENUE SUITE 106 CARLISLE, PA 17013 --------IOld ESTATE INFORMATION: SSN: 1 79~30~3130 FILE NUMBER: 2103-0905 DECEDENT NAME: MCPHERSON EDWARD A DATE OF PAYMENT: 01/27/2005 POSTMARK DATE: 01/25/2005 COUNTY: CUMBERLAND DATE OF DEATH: 10/21/2003 NO. CD 004887 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1.99 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1024 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $1.99 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG, PA 17128-0601 :-: _fJ f;'f; 2: L}3 April 28, 2005 C' 'C' Tl'll!Phone \ ,,; OR; (71 n:7~~3930 :nFAX (717) 772:.0412 John C Oszustowicz Attorney at Law 104 South Hanover Street Carlisle, Pa 17013 Re: Estate of Ruth E Eckert File Number 2104-0903 Dear Sir or Madam: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before 11/21/2005. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. '---1;;;.1 ('" . ~,~;~' Claudia Maffei, Supervisor Document Processing Unit Inheritance Tax Division <;.>l... q... COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-04-0903 ------------------------------------------------------------------------------ ESTATE OF RUTH E. ECKERT, DECEASED Late of Carlisle, P A ---------------------------------------------------------------.-------------- FAMILY SETTLEMENT AGREEMENT BEULAH A. HAAR, EXECUTOR Date of Death: August 21, 2004 Letters Granted: October 6, 2004 First Complete Advertisement of Grant of Letters: October 29, 2004 M Ll._ c::' ~ '- LL! - ,.., C) -- Un_ .'-.- eL , "- ~. ,__I 0 ',/ ill ,- LLJ I 2 Cl _J" = ~- U~-.~ CJ l.'"j L__ C) (/) CJ::~ tLl ~ 0 0:.....:: <= (j = C'-I John C. Oszustowicz, Esq. 104 South Hanover Street Carlisle, PA 17013 (717) 243-7437 pt AGREEMENT TO INDEMNIFY, RECEIPT, AND RELEASE THIS AGREEMENT, by and among Beulah A. Haar Executrix of the Estate of Ruth E. Eckert Deceased, and Beulah A. Haar. WHEREAS, Ruth E. Eckert died August 21, 2004, testate, a resident of Cumberland County, Pennsylvania; and WHEREAS, the Last Will and Testament of Ruth E. Eckert dated June 17, 1969, was duly probated in the Office of the Register of Wills ofCumberIand County, Pennsylvania as appears of record at Number 21-04-0903 (a copy of the Will is attached hereto and marked Exhibit A); and WHEREAS, Letters Testamentary were issued to Beulah A. Haar on October 6, 2004; and WHEREAS, said Executrix has duly administered the estate according to the laws of the Commonwealth of Pennsylvania; and WHEREAS, in Item 2 of her Will, decedent gave, devised and bequeathed the rest, residue and remainder of her estate, real personal and mixed, and wheresoever the same may be situate to Beulah A. Haar; and WHEREAS, Beulah A. Haar has been furnished with a complete listing of the estate assets, receipts and disbursements; and WHEREAS, it is the desire of the parties to this Agreement that final distribution of this estate be accomplished without a formal accounting to the Orphans' Court Division of the Court of Common Pleas ofCumberIand County, it being the desire of the parties to avoid the expense, delay and publicity of a formal accounting. NOW, THEREFORE, in consideration of the mutual promises, covenants and agreements recited herein, the parties do agree as follows: 1. Beneficiary does hereby release and forever discharge Executrix, from any and all liability which she had or may have or which may from time to time arise in connection with her service as Executrix of the Estate of Ruth E. Eckert, Deceased, and hereby authorize and request the Orphans' Court Division to charge the same against her/its share of said estate, and in consideration for said distribution, hereby agree to refund any amounts so distributed which may be required to fully discharge any tax liability of the estate, debts of the decedent, or administration expenses. 2. The parties to this Agreement acknowledge that this Agreement shall be indexed and recorded in the estate proceedings and that the terms hereof shall be binding upon their respective heirs, successors, executors, administrators and assigns. This Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. DATED this ~ day of _I" ___ L P LtA WITNESS ~kmbPY' ,2005. Bon/J,.4 ct. J.I~ Beulah A. Haar, Executrix ,,~~)>l: V',i,. .; :;{1<J c.., LAST WiLt ANn TESTAMENT OF RUTH E. Jl:CtmRT I. RUTH '11). ECKERT. \l!tGl~liff ~inson TOcwnshlP. (11.. D. IJ 5. Carlisle).. Cumberland County. Penn$flvania. being Ocf sOcund and disposing mind. memory and unde.rfttanding, do hereby make. pUblish and declare tIlis as and for my laBt Will and Testament, hereby rev0king and making .ilIJ.lJ "~I1'i e'.. " ,'" .\,- ,'-:f" 1. I direct my hereinafter named Executrix to pay all of my just debts and funeral expenSes as soon after my deatll as may be found convenie ;"{'.", :~:~#'~:r,~~t::~tJi Q-vt;.h:" \\'if.my estate. real, personal devis,e and Pennsylvania.. . '!ire:rheirsand assigns, providE!I;l- Ill!YolI<blid dliughter. Beulah A. ;~.,,;:".".:i', ...:~~:t.:~;%.,",,:~- ,J'~:. . .IA. &.ar, ef.a D. It 5.,.caTlisle. ".,':.i'C,~'" - " '; .. fail to survive tne by tile aforesaid p.erioo of Ninety (90) days. then in sueh ev_ aUthe.,eeit, r~..ndre~o(~"e.:!!Ija.:\,. pers:OI!l/l'ban(li m~. and' ~1I~~ tIleslIm'e may.,~ l!''"''~~''I ll"ive.~s,e....ll bequeath-to- $e ~enofmy daug~i.:ace)J>1di .k,. iEifaar.their heWs-and --'~~Jt:. .....: ...I$$._#~J>IIIkt~..mv...ughter. Beulah A. Guar<ilian of the estate of sueh minor child and I ....thOcri7ie and direct said Guardian to inv!lSt the same and to \ilaY so mwih!illi:$lIi.e income arising thereon t~r _'!lQ much of the pri~l . ieh in the oplni4lin '-',; ,." ~rable to be expert . '~'" ,J;,' the pr~ 1<1' '~~':: ',IF-:,Z, i~T . '.' - CU~ .<fi '..udh~li' ..l1titi. "llii."':' >""- ,- ''':.' . ' '. :....'.:'..:,*- jla.y tae. ti:len r"l!I>~ ~ ::'. .j);,t':",':' 1l"2'1 ;t.ea'l"g Q1'*,te ,. ~i\I-~ ~ltll,i'i),ftte"'''''lIl>e fo ,'.,.,,:' , SUCh EIl!i_1' clii>ld, ,.'::.'''',,:1, 5. I.k>2ll'el>iY Ii~!i"ate, "omimt1Ut2 :U!J:l"I'PC:i(nt~:~~:!F~t,._ ~"I!dx." A. Elaa;r, as Eloee_."" <jf tllis $Y-Ia~t Wm and. %ktament, 'bat .fthouid "he '~.,:tt.hftl :p ab~_:wi~'~~~~i-~@ 1901.EXl&ool REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFiCIAL USE ONLY * COMMONWEAl.lHOF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-l1601 FILE NUMBER 21 - 04 0903 CWirvCOii: YEAR - NUMIIER - - - ffi c w fd c OECEDENrS NMtE (LAST, FIRST, AND MIIlDl.E INlllAL) Eckert, Ruth E. DA1E OF DEAlli (MMOO-YEAR) DATE Of BIRTH (MM-llIJ.YEAR) 0812112004 04/14/1911 (If APPI.I~ SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDlE INITIAL) SOClAL SECURITY NUMBER 204-03-6180 lHlS RETURN MUST BE FILED IN DUPUCATE WITH lHE REGISTER OF WILLS SOCIAL SECURITY NUMBER ~ "''''l'l filiEg "'i.. u.... ~ ~ 1.~ReCum o 4. Unitod E8lalo ~ 6. _DiedT___~M) D9.l.iligatD1-- o 3. RemaI1derRetum (dlllaofdllll_1012-13-82) o 5. F-.o Esblte Tax Relum Required -1.. 8. ToIaINwnber of Safe Deposit Boxes o 11._lofaxunderSec.9113(A)'-'Sd>oj o 2.~Re1um o 4a. Future InI8r8st Compromlse fllMl oIdM11..... 12-t2-82j o 7.___alMngTrust__~T""l o 10. Spousal Poverty Credit (dIIId...1letlllln1:z.J1-81 aIIt 1-1.f15) NAME Tricia D. Na lor FIRM NAME "......., Law Office of John C. Oazustowicz TElEPHONE NUMBER (717) 243-7437 COMPLETE MAILING AOORESS 104 S. Hanover St. Carlisle, PA 17013 z o ~ :I I- ~ c( (J W II: 1. Real EsIaIa (SdleduIoA) (1) 2. _and Bonds (Sc:heduia 8) (2) 3. CIoooIyHelclCapooation, ParInlnh/p"'SoIIH'roprioflloNp (3) 4. MorIgagos&__(SdleduIoO) (4) 5. CasI1,BriIleporlls&__PIoperty (5) (Sc:heduiaEJ 6. ~ Owned PIoperty (Sc:heduia F) (6) o SepaJafa Biling Requ08lad 7.Inlar-Vi'IosT_&___taPloperty (7) (Sc:heduiaGcrL) 6. To4al__(t>IaIl.i1es 1-7) 9. _Exponses&_Cools ISdledulo H) (9) 10. Deblaof-.lbtgage~,&Uens(Sc:heduiaq (10) 11. To4al_(toIall.i1es9&10) 12. Hal Val.. ofEalata (liIe 8 miflUs liIe 11) 13. Chat1laIlIe and Govemmon1aIllequesbrISec 9113 TIUSIs for wt/ch an a1ection to fax has not bean made(_J) 14. Not Val.. &6jec:t \0 Tax (LiIo 12.....liIe 13) SEE INSTRUCl1ON8 ON REVERSE SIDE FOR APPUCABLE RATES 15. AmolIllofl.l1a 14_a1the spousal fax rata, '" _ under See. 9116 (aK1.2) 0.00 0.00 0.00 0.00 1,120.69 "OFFICi:,.bu:oS"fON"LY t~ ::t"9 t..-, l-n t3 :D C:J 'Tl (:::J - ; -:; I' 'n .~ I 7,1 J 1 i , tn d'" \.--0 i ~ -j) ::/J '-."1 '-:J I 0) '0 .r-- Tl --! /, 123,755.89 .' , (_.J 0.00 -C..J ill (8) 10,519.07 236.00 (11) (12) (13) 124,876.58 10,755.07 114,121.51 0.00 (14) 114,121.51 z o lie t- :I A- :I o (J ~ x.O_ (15) 11412151 X.O ~ (16) 5,135.47 16. AmolIll of liIe 14 _ ai_I I&1e x .12 (17) (18) (19) 5.135.47 17. AmolIllofl.loel4_atsibllngrala 18. AmolIllof.l.l1a14_a1_rata x .15 19. Tax 0.. 20.@ CHECK H~RE If-' YOll ARt: REOU[STI~JG A REf-'UND OF AN OVt:f~PAYMENT oJ( Decedent's Complete Address: I -::':--..... CITY Carlisle I STATEpA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Pago1Lina 19) 2. CrodilSlPaymonls A SpousoI Poverty CradIt B. Prior PaymonIs C. Oiscount (1) 5.135.47 4.990.39 262.64 Total Credits ( A + B + C ) (2) 5.253.03 3. InlllrOllflPonally Wapplicable O.ln_ E. Penally TolaIlnlalastlPenaJly ( 0 + E ) (3) 4. WUno 2 is grsalerthan Line 1 + Uno 3, onterthadifloranco. This is tho OVERPAYMENT. Check box on pago 1 Une 20 to request a refund (4) 5. W Uno 1 + Una 3 is greater than Une 2. onI8r tha dWleronca. This is tho TAX DUE. (5) A Enter tho_ 00 tho tax due. (SA) B. EnI8r Iha total of Uno 5 + SA This is tho BAlANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 117.56 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decadent make a IJ8nsfor and: Yes No a. _tho US9 or Income 0I1ha property 1lansf8mld;.......................................................................................... 0 [i) b. _tho righllll designate who shaH usa Iha property transfa~ or its Incomo;............................................ 0 [i) c. roIaIn a IllIIeISionaIy interest; or.......................................................................................................................... 0 [i) d. I'llCllMlthe promise fer life of oither payments, bonofils orcanl?...................................................................... 0 [i) 2. W death o<:aJII1ld aflar Oocambor 12. 1982. did docadonlllllnsfor property within one year of death withouIrecaIving adequate considoratioo? .............................................................................................................: 0 3. Did decadent own an -.. bust fur' or payable upon death bank account or IlOCUI'Ily at his or her death?............. 0 4. Did docadont own an IndMduaI RotiremanIAccoont, annuity, or other ",",-probate property which oonlains a bonaliciaIy dosignatioo? ........................................................................................................................ 0 [i) IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Ll1dor_orl*PY.l_"""'__..__............G_...__ood..lI1o...or"'l~..._..Io.............._. -.or__.......__...........lIwllo_"'''_or__hoolll)'knowlodgo. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN i-? p~( I,J, a - JJ QQh.... ADDRESS 849 Alexander Spring Road. Carlisle. PA 17013 SIGNATURE OF PREPI\RER OTHER THAN REPRESENTAllVE iii ~ DATE 9- i:,.~!i' DATE ADDRESS 104 S. Hanover St.. Carlisle. PA 17013 For dates of death on or a!Ior July I, 1994 and bolonoJanuary 1. 1996, ilia tax rate imposad 00 tho net value of transfers III or for tho uso oflha stlI\'Mng spouse is 3% [72 P.5. ~116 (a) (1.1) Q)J. For datos of death 00 or a!Ior Jaoomy 1. 1995. tho tax rate imposed 00 Iha net va/ue 01_ III 01' for Iha usa of Iha surviving spouse is 0% [72 P.5. ~9116 <a) (1.1) (11)). Tho stalufa dcas not oxomoI a Ilanslar to a survNing spousa from tal, and Iha statuloly raqulremenlll for disdosura of assals and filing a tax return are sIiII appIicabIo lMlI\ << tho survlYlng spouse is tho only baneIidmy. For dstss of death on or s1ter July 1. 2000: The tax IIIIe 1mposecI on tho net wIuo of _ from a docaasod child twonty.<JllO y&aIS 01 age 01' younger at death III or for Iha use 01 a nalural parent, an adoptiva parent, or a stapparont 01 tho child is 0% [72 P.S. ~116(aKl.2)J. The tax IIIIe ilJ1lOSBd onlha net value 01 transfers III OI'for Iha use of the decedenfslineal beneficiaries is 4.5%. except as noted in 72 P.S. ~9116(1.2) [72 P.5. ~l16(a)<I)J. Tho tax IIIIe Imposed onlha net value 01 \ransfars 10 01' for the usa 01 tho docadont's siblings is 12% [72 P.5. ~9116(a)(1.3)]. A sibling is defined, under Sectioo 9102, as an individual ..no has atloost 009 parent in common with the dacadont, whoIhar by blood or adoption. . REV-1501l EX- ("98) .. COMM~TH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDeNT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Eckert, Ruth E. FILE NUMBER 21-04-0903 ITEM NUMBER Indude Ihe proceods of IIIgoIlon IOId ... _Ihe proceods __ ......... by tIr._. All properly joInt1y-oM1ed with rfgIIl oI.._hlp _ be dll....1d on Schld... F. DESCRIPTION 1 Highmak InSUllll10e Refund Ca~isle Regional Med'1CBI CenI8r OII8IpBYI11enl Commonwealth 01 PA. unclaimed property (Prudential Financial demublization cash) TOTAL (Also enter on line 5. Recapjlu/ation) $ (n II10nl SjlIIC8I. needed, Insert addllional_ otlhe..... size) VAlUE AT DATE OF DEATH 228.96 10.09 881.64 1,120.69 REV.,509EX+<8-98* COMMONWEALTH Of PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-oWNEO PROPERlY ESTATE OF Eckert, Ruth E. FILE NUMBER 21-D+0903 K.. ....I.... made /0101 with'" one yur of tho dIcodanfa dolo of_, ~ muaI be nopotf8d on ScII.dult G. SURVMNG JOINT TEIWlT(S) NAME ADDRESS RELATIONSHIP TO OECEOENT A. Beulah A. ~r . 849 Alexander Sprtng Road CarflSle, PA 17013 B. c. JOINTLY-OWNEIl PROPERTY: I.El'I8l ITEM FORJOINT ..-. TEHNIl' 1. A. DAlE lIADE JOIHT DESCRIPTION Of PROPERTY lNCUJOE NAME Of AtW4CtIII.INSTJTUlJONN<<IIWf(ACCOlHTNUMIER OR SfI.ILAR IOeNTIfYING NIJNBfR. ATTACH DEED FOR JOtNltY--KELD REH.. ESTAlE. 2i A 06114169 06117169 Alexander Spring Road, ClIIisIe, PA 17013 A 09101167 Checking Account #410810 4' A 05I0MJ2M&l Savings Account #015004198191543 5 A 0Ml3I89 M&l Certificate of Deposn Accl#031003911156882 6 A 12104189 M&TCertificateofDepositAccl#031003911151955 7, A fliI)819O M&T Certificate of DeposnAccl#031003911159753 8 A 05lO8I91. M&TCertificateofDeposnAccl#031003911160594 .'-'j 9 A 03.Il4I94. M&TCeltilicaIeofDeposnAccl#031003911164786 1Di 11 H__~ "__I A 10lO6I94' CeltilicaIe of DeposItAccl #031003914464406 A $II Van Kampen Senior Loan CI B Child 'OF DATE Of DEATH DATE Of DEATH DfCO'S ....IlEOF VALLE Of ASSet INTEREST oeCEPENiS INTEAEST 50 50 50 50 50 50 50 50 50 3,002.47 50 2,002.11 50 6,902.10 TOlAL (Also enter on line 6, Recapitulation) (If more space is needed, insert _01111 sheets of the same size) 123,755.89 REV"511 EX_ ('2.... COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN AESlOENT DECEDeNT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATI! OF Eckert, Ruth E. FILE NUMBER 21-04-0903 DobIa ol_1IllIOI be '-'"" an Schedule L ITEM NUMBER A. DESCRIPTION AMOUNT 2', 3' FUNERAI.,EXPENSES;,. . Hoffman Rotll Funeral Home CartisIe Brethem in Christ Kitchen (food) Geoo;Jle's Flowers EB Gl'8Ilile Works (Engraving) 1. 4 B. ADMINISTRATIVE COSTS: 1. PtlISOflllI Repnl...._.. CommIssions NameofP_Represenlalive(.) Social Security Number(.)lE1N _ of _ Represenlalive(.) -- City Yoor(.) Cannisslon Paid: State ' Zip 2. AIlomeyF... 2.500.00 3. Fsmlly ExompIJon: (If _. address is not \he same as cIaimar1r.. aIIach explanation) Clsimsnl -- City State .~ RoIalIonsIIIp of Claimant to IlecsdenI 4. Prdlste Fees 5. Accountant's Fees 6. T"" Rolum Prop8nI(. F_ 7. Legal Advertising 8 Family SelII6menl Agreement TOTAL (Also enter on line 9, Recapitulation) (" more BjlIIC8 is needed, _ _ sheets of the SlIIIlO site) 10.519.07 RfY.1512EX<(12-031 *' COl.<IMlIOWEAl.l11U'_VANIA _NlCE1AXIlElUlIl RESIllENT DECEDENT SCHEDULI I DEBTS Of DECEDENT, MORTGAGE UABILmES, & UENS ESTATE OF fILE NUMBER Eckert, Ruth E. 21-04-0903 Roport_ Incomdbylho_ prIorlD_ __lI1\PIIdltortho_or_,lncludIng _ _1_. ITEM VALUE AT DATE NUMBER DESCRIPTION Of DEAlH 1. 0nsIDwn Bank Checking Accounl#l08005836 SefVice fee@$5.00/mo (Nov-Aug) 45.00 2 Na1iomIide Insurance - fire insurance on 847 Alexander Spring Roed 191.00 TOTAL (Also enter on ins 10, Recapitulation) $ (nmora space I. needed, __1_ of the same size) 236.00 REV-1513EX<(9<lO} .. C(lMM(JfWEALlH OF PENNSYLVANIA NEMNlCETAXAEl\llIIl RESIDENT DECEDENT SCHEDULE J BENEFICIARIES NUMBfR NAME AND ADDRESS OF PERSQN(S) RECEMNG PROPERTY I TAXABLE DISTRIBUTIONS ~ outright spousal_, and_under See. 9116 (IJ (1,2)] 1 Beula. A, Haar 849 AlelClll1der Spring Road, CaI1isIe, PA 17013 fILE NUMBER 21.04..()903 RElATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not Llel Tru8lo8(.) OF ESTATE ESTATE OF Eckert, Ruth E. Child ENTER DOlLAR AMOUNTS FOR OISTRIBUTlONS SHOWN ABOVE ON UNES 15 THROUGH 18, AB APPROPRIATE, ON REV-l500 COVER SHEET D NON.TAXABLE 01STRlBUTlONS: A. SPOUSAl DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN El.ECTION TO TAX 1S NOT BEING IIADE B. CHARITABLE AND GOVERNMENTAl. DISTRIBUTIONS TOTAL OF PART H - ENTER TOTAl. NON-TAXABlE D1STRIBU11ONS ON LINE 13 OF REv.I500 COVER SHEET (HmontspllC8Js needed, insarl__ oflhe S8II1BsIz8) 0.00 :_~,t'-,- n li';"("'.' ; {i.) c":: LAST WiLL AND TESTAMENT OF RUTH E. ECKERT I, RUTH E. ECKERT, wi<low~ of Dickinson Township, (R. D. # 5, Carlisle), 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 li~~l\~<'~;;;:7+;{!;... ,,~ i1l~ : II! lJ,!1I " 11 :JIW -'~!!i." lLi:7flil! l!lI.f~~~e. .-,," ,,- -, - '.' "', "'.' ". ;..,. . " ., :-,t -, ,'. '~',. ''',' 1. I direct my hereinafter named Executrix to pay all of my just debts and funeral expenses as soon after my death as may be found convenie to do so. " <'Qfmy estate, real, personal devis e and ali A.l!I:",ar, ofR. D. If 5. Carlisle, Pennsylvania, her heirs and assigns, provided my said daughter, Beulah A. shall survive me by a period of ~ine .. fail to surviVe toe by the aforesaid period of Ninety (90) days, then in such event ail thellest, residueand're,_inden Of~~stMe. neal, personat,and mitlted, and: wbelles:oe~i;' the sarrie may besit\1a~ I give, d~se and" bequeath to the chiliil,ren of my daughter, Beulah A. FIaar, their heirs and assigns, i~H'lljIllililo~.rea., ""t.'~ti_e,my,daughter, BeulahA. l.';" lii!>ln Nov!'mber 28, , , as Guardiaa of the estate of such minor child and I authorize and direct said Guardian to invest the same and to pay so mueh '~.'tl1e income arising thereon t<>g'e~l!ler wi$. $0 much of the principal .'ei~ich in the opinipn '."::;~.'\'- 4,e$irable to be expend~dI;;~r the pr~ ,~:~t. /""' rIrtttn.tenairt~:J,,> .,,'" custoliy ,ot such tninor child, ana ~~~~~~'~'.h\ain:ing 21 ;rears o:l'~l!,to pay the then rema;fuling pril'lf<i~ ~t .",ith any unl:\'is.t1'ibnW M>coli>e te '~\7~':;_\'/, " such' zninoT child. 5. I hereby nominate, """S'litute and appe,iut litly' aa,i9< lI~'1jIhte'\ Bjoula:h'" A. Haar~ as Exeeutri<< Of this 'my lastWiUand Testa.tnent;,'butshould' she theu in ,such event ~ nomina.te, ",',''-',' ',-'. +>:''''''_~' ',,,OC',iI" ~---.' '-".".' '---"--"',;;;'" PennsylVaDia, or its successor. ~,~\i{o:r or thiEf, my last Will and """,'" Testament and further direct that neither one shall be required to, post any' A boncHo "ecu:m,. t!t~~,~erforllllW(;(j' othe4< !Sr ita dJ1t1es iu the ,"',:":,_oh~':~".,'::,!':yt;,:;'S.,<~,--; ",', ",'.,--:'~--;:" ,:,," ",:"__:':; COmIilouweal'lh oU'erH:1BYiIviriia or m ~ at'kif:!' jurJ:ildi'ctton. S$gn'ed. i.Sl!tlllld. p'Ul>1>isl:le'd anet above named'. air. alillf',fot>:1iw last Wul: a """ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX , l BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 17128-0601 REV-1547 EX AFP (06-05) DATE 11-21-2005 ESTATE OF ECKERT RUTH E DATE OF DEATH 08-21-2004 FILE NUMBER 21 04-0903 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 01-20-2006 ( See reverse side under Objections) Amount Remittedl I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ECKERT RUTH E FILE NO. 21 04-0903 ACN 101 DATE 11-21-2005 TRICIA D NAYLOR J C OSZUSTOWICZ LW OFC 104 S HANOVER ST CARLISLE PA 17013 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE 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 (1) (2) (3) (4) (S) (6) (7) 83,550.00 .00 .00 .00 1,120.69 81,980.89 .00 (8) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 166,651.58 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (l0) 10,519.07 236.00 (l1) (l2) (l3) (l4) 10.71i1i.07 155,896.51 .00 155,896.51 If an assessment was issued previouslY, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of !hh returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate NOTE: .00 X 00 .00 155,896.51 X 045 = 7,015.34 .00 X 12 .00 .00 X 15 .00 (l9)= 7,015.34 (lS) (l6) (l7) (l8) 19. Principal Tax Due TAX CREDITS' . PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-16-2004 CD004632 262.65 4,990.39 INTEREST IS CHARGED THROUGH 12-06-2005 TOTAL TAX CREDIT 5,253.04 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,762.30 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 48.05 TOTAL DUE 1,810.35 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE ,,~ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~U - REV-14NEX (6-88) ( INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FILE NUMBER REVIEWED BY ACN 2104-0903 101 Eckert, Ruth E. Daniel Heck ITEM SCHEDULE NO. F 1 EXPLANATION OF CHANGES This real estate has been removed from this schedule and has been placed on schedule A at 100% of its value $83,550.00, as the decedent owned this property singly after the date of death of the spouse. ROW Page 1 COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INOlVIOUI>.L TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96} RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NAYLOR TRICIA D 104 S HANOVER STREET CARLISLE, PA 17013 _u+_~u fold ESTATE INFORMATION: SSN: 204-03-6180 FILE NUMBER: 2104-0903 DECEDENT NAME: ECKERT RUTH E DATE OF PAYMENT: 12/08/2005 POSTMARK DATE: 12/08/2005 COUNTY: CUMBERLAND DATE OF DEATH: 08/21/2004 NO. CD 006079 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,810.35 I I I I I I I I TOTAL AMOUNT PAID: $1,810.35 REMARKS: J OSZUSTOWICZ CHECK# 35 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS ,('\ ,c:. ,... , .,. .\'"' .0 .~ .Cl . .... .$ ... .en , .\'"' ... ,~ .", . . . . , \~ , . . .,. .'" .... ,,. ,.. .~ . ,\,", .0 ,~ ,'" .,. . ,." ,0 .,. ,... ... .0 .~ , .." .0 ,,. . ..... .0 ,c:. .,. , .,. .", ,('\ .0 .,. ,<:I ,en . \, . . , . 0"""'--'-\ ,.On~ ",'" ('l ~lf)O~ '" ",,,, r":e.~'C3 "'~'" O"'~ .c.O~ "'~\'"' ~'OO ",,,,,,. ~ -0\ ';. '" 0 ." ('l .... .., o .... '" "'" r.~ '" Co " ~~~~~ ~~;cp.~ ~13-\~e. r-r'~."rt rn 'P' ,... .,.. "". - '60...... -0 ~~o. ",('l~\'"' 0..'" ..... ~ f""" ~ ...I 0 r'" 'S. o c:. r./) d ....'" ",'" ,. ",. ,.. " ,,' o ..V- ~ ... '" . . . . , , , . , , , , . , . '"..~.. :p.o'iG ~~g;\~ <:.)O:~~ l.~~O ~",,,, ~~~.... .... ~6 ~ "... 'No .........::. .. ..~ ~ V;~ ~ ~}a' ~ r' ... ~ '" '" n :~q ,....., = ~ c> .-.,""\ '0:"" '.,~p, :~jj '.j' >< \ cP y> :>. -- -- ",('\.,,<:I~~ q~ "; ~ ~ ~ ~'""'!.. ...~o'" ......." ~<:I~ ",,,, ,.!.. ,.. - """ ~':% ~'; ~\'"' " <:I.... ~ "'0 ....~..... It... " ~ .. ~o cO-; .::.N ,,0 " , :>.", <>0 i).o ~'" c:P. ~_,..,;; t ' ;~>1CJ "-'J C~.J: ,-,~c:J '",-.:a:~,;J, ('\ ':I'l-'~ 0 ." .~. " \?,'"'. " ~-i~ ~~ r.-~~ ,. ~ ~'1tt_;;o'P' ~-t.Q.;.\'"' f'""~' "';. ~'O.... ~ t:)~% -0 .,. ~f. 0"1\ 11l~~ .""" % -I t1\ lftO?;. ~~ us-n-n omS ~~rn ~~ ~fJ)~_ %r- ~)( c:, ~ r" rn'P' " ~ ... "' .. lI'1;. .,. ><" '" fj. nNO~~ Cr"Q)~~ ;O~~~ '[1'1 ~..... . , ilO \ ' -- rON tV 'P'..oQ (:) ':t,QO C' dCl<lt:' \t1 '" c;. ,.. ~ , ~ 1:l ,. .,. '" ~ ~ ":' ~ '" ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) ': (,_< U DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-27-2005 ECKERT 08-21-2004 21 04-0903 CUMBERLAND 101 RUTH E TRICIA D NAYLOR J C OSZUSTOWICZ LW OFC 104 S HANOVER ST CARLISLE PA 17013 Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT **_ ESTATE OF ECKERT RUTH E FILE NO.21 04-0903 ACN 101 DATE 12-27-2005 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELDW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-21-2005 PRINCIPAL TAX DUE: 7,015.34 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-16-2004 CD004632 262.65 4,990.39 12-08-2005 CD006079 48.05- 1,810.35 TOTAL TAX CREDIT 7,015.34 BALANCE OF TAX DUE .00 INTEREST AND PEN. .48 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .48 IE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) pJ( Register ofWill~ of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: _I< U -~ \'\ [ . Lc te V t Date of Death: ,::;) 12- \ I U "-t Estate No.: 2cccl - C)C/"1 () :-3 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the ad1:1llnistration oft.~e above-captioned estate: 1. State whether administration of the estate is complete: Yes ~ No 0 i.. If the answer is No, state whe" 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 person~epresentative file a [mal account with the Court? Yes No LPi 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 ~ No 0 c. Copies of receipts, releases, joinders and approval offormal or informal accounts may be filed with the Cler;l of the Orphans' Court aJ:ld may be attached to this report. } , . / o .,I,....,I~, :..';Date: ~ L~ Signa "n-- I C I 0--- Name D ''-\ / NOY/Or- iocl S Address t:l ano\;'er ....')1. CczrJI5(-z- I l\,- 2Y3 -IY37 Telephone No. Capacity: 0 Personal Representative ~ Counsel for personal representative / Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/05/2006 HAAR BEULAH A 849 ALEXANDER SPRING RD CARLISLE, PA 17013 RE: Estate of ECKERT RUTH E File Number: 2004-00903 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: 8/21/2006 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 ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/05/2006 NAYLOR TRICIA D 104 S HANOVER STREET CARLISLE, PA 17013 RE: Estate of ECKERT RUTH E File Number: 2004-00903 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: 8/21/2006 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) ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUP'_ TAXES .- ,INHERITANCE TAX ~ )~ ~'°~~ ~ INHERITANCE TAX DIVISI01~ r-~ : ,~_ ....' ~ ' 'D BDx zeo6ol "~ - RECORD ADJUSTMENT HARRISBURG PA 17128-0601 REV-1593 EX AFP (01-09) ~~~'~~~~~ 2.~ ~~~ ~' 30 DATE 11-10-2009 ESTATE OF ECKERT RUTH E ~~~^',\,/~.'~ DATE OF DEATH OS-21-2004 T ~r~'~ ;, ~~,~~ FILE NUMBER 21 04-0903 ~~1~ ~- ' ~! ' ~r~, COUNTY CUMBERLAND TRICIA D NAYLOR ACN 101 J C OSZUSTOWICZ LW OFC Amount Remitted 104 S HANOVER ST CARLISLE PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS F- --------------------------------------------------------------------------------------------------------------------------------------- REV-1593 EX AFP CO1-09) ** INHERITANCE TAX RECORD ADJUSTMENT ** ESTATE OF ECKERT RUTH E FILE N0. 21 04-0903 ACN 101 DATE 11-10-2009 ADJUSTMENT BASED oN: ADMINISTRATIVE CORRECTION VALUE OF ESTATE: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stack/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 DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/ Miscellaneous Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return cl) .00 c2) .00 c3) .00 c4) .00 c5) 1 , 120.69 c6) 123, 755.89 c7) .00 c8) c9) 10,519.07 clo) 236.00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B 19. Principal Tax Due TTTL•_ 124,876.58 cll) 10,755.07 c12) 114, 121 .51 C13) • ~~ c14) 114, 121 .51 c15) . 00 x 00 = . 00 c16) 114, 121 .51 x 045= 5, 135.47 cln . 00 x 12 = . 00 rate C18) . 00 X 15 = . 00 c19) 5, 135.47 DATE NUMBER + INTEREST/PEN PAID C-) AMOUNT PAID 11-16-2004 (0004632 256.77 4,990.39 12-OS-2005 (0006079 .00 1,810.35 TOTAL TAX CREDIT 7,057.51 BALANCE OF TAX DUE 1,922.04CR INTEREST AND PEN. .00 TOTAL DUE 1,922.04CR IF PAID AFTER DATE INDICATED, SEE REVERSE C IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) REV- 370 EX (Cr88) c '~~,,'~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME Ruth E Eckert INHERITANCE TAX EXPLANATION OF CHANGES FILE NUMBER 2104-0903 REVIEWED BY IHLiv Scott Ellison 101 SCHEDULE EXPLANATION OF CHANGES In accordance with the documentation submitted 09-24-2009, the above estate has been adjusted as originally filed. Row Page