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Home My WebLink About04-0920 PETITION FOR PROBATE and GRANT OF LETTERS Estate of"~gTM ~3rg--~ O--x~O.oL_~ No. =~.O1 also known as'~. o-v~4 ~. ~o~ t_~ To: Register of Wills for the · Deceased. County of Social Security No 1 ~ 90rl' &4/.p~ in the · 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~,.ld-~. ~ in the last will of the above decedent, dated ~,.~ox~ ~ 0 and codicil(s) dated ' (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in (..~,sY~ Cg_qnty, Pennsylvania, with h~ last family or princip~ residence at (list street, number an~ muncipality) D,qendent, then~ years of age, died ~ ~T ~ , ~, at ~Q ~A~ Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the ~hst will ~a~d codicil(s) presented herewith and the grant of letters '~-~9-O~x M.~'M.-T .N ~.~n~ : . ~ i~ theron. (testamentary . administrat on c . t. a~ ~dminist r~j.~n ~. ~ d . b. n. ~. t~,) · OATH OF' PERSONAL REPRESENTATIVE : COMMONWEALJ~LH~OF PEN NSYLVANIA " .COUNTY OF - v-c.~e~c~wc~ , ~ ~s 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 beJi~f of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will w~h d truly ad~niste~d~es_ t~te according to law. Sworn to or affi d and subscribed /~ b'u~ ~ "'-'' ~ b,g,forq me this ~c~ day of [- ~ ~" ~ ~'O"°'~~gis~r L ~,z ~,~ No. ~ I - c> ~ -q~.c) Estate 0f'~-h~ ~%:~c~Cot:,\~ B,.K.-~ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW the reverse side hereof, satisfactory proof having been presented before me, IT iS DECREED that the instrument(s) dated describe~Ltllerein be admitted to probate and filed of record as the last will of. and Letters are hereby granted to ~ ~ ~*-~ [ ~ ~D-C.-~q 5t~ ._, in consideration of the petition on FEES Probate, Letters, Etc .......... $ ~[~ Short Certificates( ) .......... Sj-5,CUb Renunciation ................ TOTAL $ ,~1~ .~ Filed .... ~ 9.~ .['~ .~9~ ............. ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) beTng duly qualified according to law, depose(s) and say(s) that g,) ~ ~ faro/liar with the signature of ~ ~ , testat of (one of the subscribing w/messes to) the codicil/will presented herewith and that ~'fl-believes the signature on the codicil/will is in the handwriting of ~ ~ to the best of {~ knowledge and belief. Sworn to or af£mmed and subscribed Before me this Y'~-~'"- day,of (Name) his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 105312 3 No, 85 Vt, Cumberland Collar Setter 1700 Market Street PA 17011 Lawrence James Mister E. Lehr Local Registrar RFP 2 0 200 Date U2 COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF HEALTH . VITAL RECORDS CERTIFICATE OF DEATH Coble female 183 -- 07 -- 6469 rry ~.~.., i'"1 -~*..., I~ ~o^[~ Hill Manor Care white Carrie Florence Beard 341 North 69th Street, Harrisburg, PA 17111 ~ ep~ 2004 Paddletown Cemetery ~ewberry Twp., PA 17319 . ember 20, FD 012 848 L mM~^N°^mmEsso~^c'u~Parthemore FH& CS Inc. O~TE OF ~EATH ( M~nlA. Day. Year) 4September 15, 2004 INJURY AT WORK? DESCRIBE HOW I.JURY OCCURRED · .,D .oD OF RUTH K. COBLE I, Ruth K'. Coble, of Newberry Township, York County, Pennsyl- vania, being of sound and disposing mind and memory, do make, publish and declare the following as and for my last will and testament here- by revoking all former wills by me at any time heretofore made. Item Ii. I direct my hereinafter named personal representative to pay all my Just debts and funeral expenses as soon as may be convenient after my decease. Item I direct my Executrices to convert into cash ~my;2~htir esta~ and direct distribution thereof to be as follows: (.a) Z give and bequeath one-half thereof unto my daughter, Nancy E. Lehr, or if deceased, to her children. (ih) I give and bequeath one-half thereof unto my daughter, Eaten U. Zecher, or if deceased, to her children. Item III. I de hereby nominate, constitute and appoint my daughters, Nancy E. Lehr and Karen U. Zecher to be the Executrices of this my last will and testament and direct that they shall serve in such capacity without being required to post bond. affixed my seal this ~ day of IN WITNESS WHEREOF, I have hereunto /'2/~, 1983. subscribed my name and (_SEAL US~ nesses thereto in the presence of said Testatrix Signed, sealed, published and declared by the above-named Ruth Coble, as and for her last will and testament, in the presence of who have hereunto subscribed our names at her request as wit- and of each other. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 004625 LEHR NANCY E 341 N 69TH ST HARRISBURG, PA 17111 ESTATE INFORMATION: SSN: 183-07-6469 FILE NUMBER: 2104-0920 DECEDENT NAME: COBLE RUTH MARY DATE OF PAYMENT: 11/12/2004 POSTMARK DATE: 11/10/2004 COUNTY: CUM BERLAN D DATE OF DEATH: 09/15/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $389.02 REMARKS: TOTAL AMOUNT PAID: INHERITANCE TAX PYMT $389.02 SEAL CHECK# 919 INITIALS: RSK RECEIVED BY' GLENDA FARNER STRASBAUGH REGISTER OF WILLS DEPARTMENT OF REVENUE $ i0. oO 18,687-5W 1 ,085.00 '1,0U5 ~'00 17,602-59 REV-1500 EX ~$-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 I..- Z UJ LIJ W I- Z Z 0 LLI 0 0 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDE,~S NAME (LAST, FI~D MIDDLE INITIALI / DATE OF BIRTH (MM-DD-YEAR) o4 - ~5- iq iq DATE OF DEATH (MM-DD-YEAR) OFFICIAL USE ONLY FILE NUMBER · Z_L-O~_ 0 ~L2 COUNTY CODE YEAR NUMBER 14. 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Properly (Schedule F) (6I [~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. i '! , (,, o P. , G q I, 08¢5, OO Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) (11) (12) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. .0_ (15) .12 (17) .15 (18) (19) [~3. Remainder Return (date of death prior to 12-13-82) E~]5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [~] 11. Election to tax under Sec. 9113(A) (Attach Sch O) COMPLETE MAILING ADDRESS ~,~( k~--r ~ -PA t'-I iJI OFFiCiAL USE ONLY ~ .7.; q, oqq,64 Zto~. 4 q TELEPHONE NUMBER FIRM NAME (IfApplicable) ~, 1. Original Return [~4. Limited Estate ,6. Decedent Died Testate (Attach copy of Will) [~9. Litigation Proceeds Received ~"~ 2. Supplemental Return J~4a. Future Interest Compromise (date of death after 12-12-82) r'--~ 7. Decedent Maintained a Living Trust (Attach copy of Trust) [~10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS Decedent's Complete Address: STREETADDRESS ~,A t,J.O ~ ~______..~A, ~.. Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATE z,,:, t qo f { .qOq.4q (1) Total Credits ( A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 4- Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] [] 4. Did decedent own an individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] ~ IF THE A,,N,.~WER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties'~f ~rju~, I dec are that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of prep~.reyother than the personal representative is based on all information of which preparer has any knowledge. S,,:,NAT,.,(,E ¢¢ERSON R ,.,RN DATE It' ADDRESS ,~ H / t I ~, SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1)(i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)]. 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. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-150~ ~ + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF/..) FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointly-own~ with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. '~ O ~o'y... I'"111 ~l~o ~o~ 4F~ I TOTAL (Also enter on line 5, Recapitulation) $ I YI ~' O ~__..o ~: ~ (If more space is needed, insert additional sheets of the same size) R~-1509 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF~_.~ H . FILE NUMBER If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT JOINTLY-OWNED PROPERTY: U- I ~ t::~DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar idenfi~ing number. Attach DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTERES1 ~. A. ,//~,~ .lU, ~.-'T'"~^~¢-_.. 2 I'/o.oo 6'o~ ,,o,~5,oI '~:z~orF'n-co, I~."j' 142-40- 09'/,, '-[ tOTAL (Also enter on line6, Recapitulation) $ J ,0~. (,,) 0 (If more space is needed, insert additional sheets of the same size) RE, V-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF ~ U"[" H- FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. I_FUNERAL EXPENSES: 1. b,,"Z't 2. I ~¢,.o ~ ~ ~ ¢..~ E; ¢-.,5, ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City Year(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 5. 6. 7. Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees State__Zip State__Zip TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) AMOUNT [ O0 .00 5'(, .o o TOTAL OF PART II - FNTFR TOTAl NON-TAXARI F Fil,qTRII~I ITIC~ltl.q ~kJ I Ikll:: 1~ nl~ ~l=~/.~Knn ~c~/~ ~I-II;I;;T I · A Family PARTHEMORE Funeral, .H Mrs. Nancy E. Lehr 341 North 69th Street Harrisburg, PA 17111 Tradition Of Caring Cremation Services, Inc. 9/17/2004 1303 Bridge Street P.O. Box 431 New Cumberland, PA 17070 (717) 774-772 ! (Fax) 774-5546 www. parthemore.com Gilbert W. Parthemore, Founder Gilbert J. Parthemore, Supervisor Stephen K. Parthemore, CFSP Bruce R. Parthemore, Pre-Need Coordinator, CPC Professional Memberships: NFDA · PFDA DCFDA · CCFDA The Rule You Know, The People You Trust We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. The following is an itemized statement of the services, facilities, automotive equipment and merchandise that you selected when making the funeral arrangements. Terms Due Date Account # I Net 30 I 10/17/2004 I 2004059.0 Description Amount Traditional Funeral Service 4,956.00 18 Gauge Steel Almond Blend Exterior Casket 2,190.00 12 Gauge Standard Steel Vault 789.00 Total Services and Merchandise 7,935.00 Death Notice, York 123.75 Certified Copies of Death Certificates 24.00 Hairdresser 35.00 Tent & Cemetery Equipment 100.00 Clergy Honorarium 200.00 Organist Honorarium 100.00 Flowers, Casket Spray 140.00 Grave Opening 550.00 Total Cash Advances 1,272.75 Total ~.? $9,207.75 Payments/Credits ,~,, $-9,207.75 Balance Due $0.00 Pi VVau p i.n.t P.O. Box 1711. Harrisburg. P~nnsglvania 17105-1711 Member FDIC RUTH K COBLE 341 N 69TH ST HARRISBURG PA 17111 STATEMENT DATE 9-30-04 o12-4723 CHECK 21 ACT A NEW FEDERAL LAW EFFECTIVE 10/28/04. INCREASES EFFICIENCY & SECURITY OF U.S. CHECK PAYMENT SYSTEM. YOUR NOVEMBER STATEMENT CONTAINS MORE INFORMATION. QUESTIONS? VISIT WAYPOINTBANK.COM ACCOUNT TYPE OF ACCOUNT 1600114223 WAYPOINT SUPER SAVER PREVIOUS BALANCE 8,392.81 DEPOSITS WITHDRAWAL§ CHARGES INTEREST ENDING BALANCE 8,294,84 ............ INTEREST SUMMARY ..... * INTEREST EARNED FROM 8/21/04 TO 9/20/04 ......... DAYS IN PERIOD 30 INTEREST EARNED 1.03 ANNUAL PERCENTA6E YIELD EARNED .15 ~ INTEREST PAID THIS YEAR 28.20 INTEREST WITHHELD THIS YEAR .00 * ............. TRANSACTION SUMMARY .............. TRANSACTION DEPOSITS/ CH£CKS! DATE DESCRIPTION CREDITS DEBITS BALANCE 9/30 INTEREST PAYMENT 1.03 8394.84 THANK YOU FOR BANKING AT WAYPOINT BANK POD-502 (8/02) CustomEr S~rvic~ TolI-Fr~ 1-866-WAYPOINT (I-E166-91~9-7646) · In York Area 717/815-4500 www. wagpointbank.com way STATEMENT RECONCILIATION You must examine your statement of account with "reasonable promptness." ff you discover (or reasonably should have discovered) any unauthorized payments or alterations, you must promptly notify us of the relevant facts, if you fail to do either of these duties, you will have to either share the loss with us, or bear the loss entirely yourself (depending on whether we exercised ordinary care, and if not, whether we substantially contributed to the loss). The loss could be not only with respect to items on the statement but other items forged or altered by the same wrongdoer. You agree that the time you have to exam[ne your statement and report to us will depend on the circumstances, but that such time will not, in any circumstances, exceed a total of 30 days from when the statement is first made available to you. FINANCE CHARGES-- BALANCE COMPUTATIONS We calcutate the finance charges on your account by applying the periodic rate to the "actual daily balance" of your account including current transactions. To get the "actual daily balance" we take the beginning balance on your account each day, add any new loans, and subtract any payments or credits and unpaid finance charges, unpaid insurance premiums, unpaid late charges, and unpaid annual fees. This gives us the daily balance. FINANCE CHARGES are calculated by applying the appropriate Daily Periodic Rate, as disclosed on the face of this statement, to each Actual Daily Balance. The finance charge for the billing cycle is the sum of the finance charge for each of the days in that billing cycle. BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR STATEMENT. If you think your statement is wrong, or if you need more information about a transaction on your statement, write us at the address shown on the front of this statement as soon as possible. We must hear from you no later than thirty (30) days (60 days for electronic funds transfer) after we sent you the first statement on which the error or problem appeared. You may telephone us, but doing so will not preserve your rights. IN YOUR LETTER, GIVE US THE FOLLOWING INFORMATION · Your name and account number. · The dollar amount of the suspected error. · Describe the error and explain, if you can, why you believe there is an error. If you need more information describe the item that you are unsure about. You do not have to pay any amount in question while we are investigating, but you are still obli- gated to pay the parts of your statement that are not in question. While we investigate your ques- tion, we cannot report you as delinquent or take any action to collect the amount you question. IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFERS Telephone us or write us at the number or address shown on the front of the statement as soon as you can, if you think your statement or receipt is wrong or if you need more information about a transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the first statement on which the error or problem appeared. 1. Tell us your name and account number. 2. Describe the error or transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. 3. Tell us the dollar amount of the suspected error. We will investigate your complaint and will correct any error promptly, If we take more than 10 business days to do this, we will recredit your account for the amount you think is in error, so that you will have use of the money during the time it takes us to complete our investigation PREAUTHORIZED CREDITS If you have arranged to have direct deposits made to your account, you may can us at the phone number shown on the front of the statement to verify that the deposit has been made. ACCOUNT RECONCILIATION For your convenience, this form is provided to help you verify your account balance on this statement. Please report any errors promptly. CHECKS OUTSTANDING CHECK#DATE/ DOLLARS CENTS TOTAL Ending BALANCE shown on this statement ADD Deposits not shown on Statement Sub Total SUBTRACT ~ Checks Outstanding SUBTRACT ATM withdrawals and automatic payments not shown on statement TOTAL I 2 CheckBook Balance SUBTRACT Charges. if any Sub Total ADD EarRings Paid TOTAL 2. Total I should equal Total 2 S $ $ REGISTER OF WILLS CERTIFICATE OF GRANT OF LETTERs CUMBERLAND County, Pennsylvania lVo. 2004- 00920 _Pa _No. 21- 04- 0920 .Estate Of: COBLE RUTH MARY (Last, First, Middle) a/k/a : COBLE MARY K .Late Of: CAMP HILL BOROUGH CUMBERLAND COUNTY Deceased Social Security No: 183-07-6469 W~EREAS, on the 13th day of October 2004 an instrument dated November 30th 1983 was admitted to Probate as the last will of COBLE RUTH MARY (Last, First, Middle) a/k/a COBLE MARY K late of CAMP HILL BOROUGH, CUMBERLAND County, who died on the 15th day of September 2004 an WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and for CUMBERLAJ~D County, in the Commonwealth of Pennsylvania, hereby certif~ that ~ have this day granted Letters TESTAMENTARY to: LEHR NANCY E and ZECHER KAREN C who have duly qualified as EXECUTOR(R/X) and have agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal · of my office on the 13th day of October 2004. **NOTE** ALL NAI~ES ABOVE APPEAR (LAST, FIRST, MIDDLE) OF RUTH K. COBLE I', Ruth K; Cohl'e,' of NeWbeTry Township, York County, Pennsyl- vania, be.±'ng of sound and d±s.pos±ng mind and memory, do make, publish and declare 'the''Followi, ng as and for' my. last will and testament here- by revoking all former wills by' me at any time heretofore made. '~t'.em 'D. I' direct my hereinafter named personal rep'resentative to pay all my just deb~.s and funeral exPenses: as. soon' as-may be: 'convenl. ent after my. decease, I' d±rec't my. Executrices' to Convert into 'cash:~ entire ·estate and direct 'dis-tr'i~ution th~reo'f' to ~e''as''£ollow's:: Cai I-dive and bequeath one-half thereof' unto my daugMffer, Nancy: E'~ Le~r, or' if dec'eased', to ' her children. (~ I. give and bequeath one-half thereof unto my daug~t'er, Karen U. Ze. cher', or if dec'eased, to her children. ' It·em IIT. I' do he.re5y nomTnate, cons~itu'te-and appoint my. daughters, Nancy E, Lehr and Karen U, Zecher to be th~' Executrices: of' this· my last will and teatament and direct that they shall serve in such capacity without being req[uired' to Post bond, affixed my seal this IN WTTNESS WHEREOF, I have hereunto sub. scribed my name and ~O~..day of /~~, 1983 ' ", /'t~/L. ./1- Signed, s.~aled, puhIis-he'd and declared 5Y the 'above-named Ruth K.. Ceble, as 'and for' her last' ~ill and te's:tament~ in the presence of us., wh~ have here. Unto subscr~Sd our names: at her' request as wit- nesses' the'ret'e in the' 'presence 'of said Tes:tatrix and of' each other, his is to certify that the information here given is correctly copied frmn 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. Local Registrar 10531271 - SEP 202004 No. ~ Date V HtO5 143 Rev 2287 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT (First. Middle. Last) STATE FILE NUMBER I SEX I SOCIAL SECURITY NUMBER I DATE OF DEATH (MO~ Day Year) ~. Ruth Mar, Coble 12. female [,. 183 -- 07 -- 6469 I~eptember 12,'2004 . (MO~, Day, 74~1 Sram of Fo~ CoL~try ) HO~TA~: OT~R ~. 1919 COUNTY OF DEATH CITY. BORO. TW13 OF DEATH Cumberland Hill DECEDENT'S USUAL OCCUPATION KIND OF BUSINESS / INDUSTRY .s. Collar Setter Clothin DECEDEN¥S 1700 Market Street RESIDENCE (See instmmions PA 17011 o~ ot~ ~) FATHER'S NAME (First, Midd{e, Last) Lawrence James Kister Nanc, E. Lehr 21&, (Sf~cif~) FACILITY NAME (If ~Ot insMulio~q, give streel anci number) WAS DECEDENT OF HISPANIC ORIGIN? IRACE - Amencan indian. Black. Whrte Manor Care Me~c~n. Pue~r6R~an. etc. I 10. white U S ARMED FORCES? DECEDENT'S EDUCATION MARITAL STATUS - Married. I SURVIVING SPOUSE Yes[] NO~ (012) (I-4 ~ 5.) E~vorced (Spe~) 8 widowed ,ya. sate Pennsylvania md ~?~. Co.ay Cumberland towns~p? Camp Hill SUCH I LICENSE NUMBER J,Z~. FD 012 848 L twp J MOTHER'S.NAME (F~sl. Midge. Ma,~en Sumarne) [~e. ~arr~e Florence Beard I INFORMANT'S MAILI~ AD'ESS (SI~, City~n, S~, Zip C~} [~. 341 North 69th Street, Harrisburg~ PA 17111 m ~ember 20, 20041=,, addleto~ Cemetery I~,~ewberry Twp., PA 17319 ~MEA~AO~ESS~FACILITYParth~more FHa CS Inc , O. Box UCENSE NUMBER ) LAST WAS AN AUTOPSY I WERE AUTOPSY FINENNGS I MANNER OF DEATI~. PERFORMED? I AVAILABLE PRIOR TO I I COMPLETION OF CAUSE ! OF DEATH? I / I A~, [] -.. 2~. , (Month, Day, Yea') 23c. WAS CASE REFERRED TO A MEDICAL EXAMINER/CORONER? Y-El No~3 DATE OF )N JURY I TIME OF N JURY ~ACE OF INJURY - At hom~. term, street DESCRIBE HOW INJURY OCCURRED T~OEI~aT1FYINOPHy IClAN(Physiclancert i o~deathwhenanofh&- sioan the be~t of ,y~nowleOg,, death occ/~ln~tO th ..... e~($) End ~a~ner, [ihl~t t~'d .°~J.. ~c~I death and completed iIem 23) . --. ...... . ...u, lm ii me ams, ails, aN pla¢l, and due to the cauael(i) and manner aa ilaled ...................... [] *MEDICAL EXAMINER/CORONER AND Ai:X:)RESS ( DATE FILED (M~th. Day, YeaO U.S. POSTAGE PAID AMOUNT HRRR I SBURG. PA ~ 17112 ~~,TEo,~T, ~ I ,')ri ~-rl,~-~. oooo ~/ h,,llh,,llh,,,,,Ih,lhh,hl'~ i~=~ ~ ~ ,' ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 01/10/2005 LEHR NANCY E 341 N 69TH ST HARRISBURG, PA 17111 RE: Estate of COBLE RUTH MARY File Number: 2004-00920 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO_ 103 ~REME CO~ R~E$ DOCKET NO. 1,. for_decedents~.dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 01/23/2005 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge GLENDA FARNER STRASBAUGH Clerk of the Orphans' Court Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: .01/10/2005 ZECHER KAREN C 9 STUYVESANT DR HOCKESSIN, DE 19707 RE: Estate of COBLE RUTH MARY File Number: 2004-00920 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 01/23/2005 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge .~i, ncere~ ~.~-- GLENDA FARNER STRASBAUGH Clerk of the Orphans' Court COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF IND:w)iO~'f~~H:CE OF INHERITANCE TAX dlYi5lrJN',\<I."j PO BOX 280601 O::::(j:. HARRISBURG PA 17128~U601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX " \ l r'\,' 3: 38 2nD' 11<"" } I'll "J'J .... f'" DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-17-2005 COBLE 09-15-2004 21 04-0920 CUMBERLAND 101 CLERI< O~ _ ~:~Ctl~;~~~~~) aGum HBG PA 17111 '*' REV-l&47EXAFPI12-04l RUTH M Allount Rellitted 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 ~ iW=rAl"'f-EX.-AFp..Cln,-.-6'!'-1Joj-ffirOF-i'iiHER-I-ilNC'I-YAX-A-PPRA.isiM.€Ni~..A[towlNCE-OR-------_.._-_. --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF COBLE RUTH M FILE NO. 21 04-0920 ACN 101 DATE 01-17-2005 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule BJ 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable {Schedule DJ S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. jointly Owned Properiy {Schedule fl 7. Transfers (Schedule G) 8. Toial Asseis ll) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 17.602.59 1.085.00 .00 (B) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Cosis/Misc. Expenses (Schedule H) 10. Debis/Morigage Liabiliiies/Liens {Schedule Il 11. Toial Deduciions 12. Nei Value of Tax Reiurn 13. Chariiable/Governmenial Bequesis; Non-elecied 9113 Trusis (Schedule J) 14. Nei Value of Esiaie Subieci io Tax (9) 1l0) 9,587.75 .00 (11) (12) (13) (14) NOTE: To insure proper credii io your accouni, submii ihe upper pori ion of ihis form wiih your iax paymeni. 18,687.59 9.~87 7~ 9,099.84 .00 9,099.84 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. NOTE: I~ an assessment was issued previoUSly, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Amouni of Line 14 ai Spousal raie (IS) 16. Amouni of Line 14 iaxable ai Lineal/Class A raie (16) 17. Amouni of Line 14 ai Sibling raie (17) 18. Amouni of Line 14 iaxable ai Collaieral/Class B reie (18) 19. Principal Tax Due TAX CREDITS. .00 X 00 = 9,099.84 X 045 = .00 X 12 = .00X15= (19)= .00 409.49 .00 .00 409.49 . '" AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-10-2004 CD004625 20.47 389.02 TOTAL TAX CREDIT 409.49 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . 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 HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~,L- "4.: L' eSer:, lLJ -,' C) .C.i':: .:',. c_" C' (Xi c' -, Cl,_. o c.~ LU CC STATUS REPORT UNDER RULE 6.12 Name of Decedent: 12.ur"" Yv.e..1 CO 1'>b\..~ Date ofDeath: 6 lOr-- \., I ~6M Will No.: 1-004 - c>oq:20 Admin. No.: PA-\.k Zl ~ 04- 0~2.0 Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes rg 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 personal 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 ~resentative state an account informally to the parties in interest? Yes ~ No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed w' the Clerk of the Orphans' Court and may be attached to this rep Date: 1::.1J-oi 00 L{) Signature ~A\.l.C\ ~. LI?:t\-/U Name 6~ U: '-'- o ~t\l J.llftl 6r. ~Ae./Ll~(bUe.L17A ~71/1 , Address ('oJ I?E?? ---J '<.~..: 0-'1"- 0:::: er: I,', 0'"" ---' C) 111- t558-'T'(Q8 Telephone No. -;:,~ ."'- ...,.",,~ -:.; l.r" t:::J "" c-.., Capacity: mPersonal Representative DCounsel for personal representative '--" oX CERTIFICATION OF NOTICE UNDER RULE 5.6(0\ R IAIiI /J( If~ '/ (!.JjtS LF. 9-/')--()<I WiIlNo. /}..tJ6-1-()OQZO l:Je 2/-0-1--00170 To the Register: -- Name of Decedent: Date of Death: '/ L Admin. No. 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 N= Address 3<1/ JJ (.)' ?!- Sf. J,j a-....J ~ A) >fa~~A" J~/) 4....<) t:..'''<i ;J4 I I <J ~J}/-'-<J ~ D/l. /;l6~ i).::.. Notice has now been given to all persons entitled thereto under Rule 5.6(a) except tJ //1 . Date: ~ /3/c2Mcf I' Sign:~ Cf-~ Name ;( A ,€E xJ z.e~ II E-I?.- Address ~ S, T u... Y 'I.E S If ;(j T "0 I! co t,..:'"? r_~, f ill' '-:;., 1.".. C) c:> '....\..1 c.:c - _:2: -) 1--- Q:,~. z~~:i; "":::': cc dtt O=C'-1 G /r/O~/<..cs<;/0 j) E:. /771J7-/3<16 , u_ C' uJ C_? " i-;- Cd 0... Telephone (3p;). - c.1. .3 ? - ofL ot (' , "..l ,,\ Capacity: ~Personal Representative ~~ ~ = c--l _Counsel for personal representative 0'- 2 rrl .:L:D~" Ic.e... Glenda Farner Slrasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 85 11/12/2004 RUlli K. OOBLE 21-04-0920 NANCYE LEHR 341 NOR1H691HST JA HARRISBURG, PA 17111 Qty 1 Fee Description Additional Probate Fee Total 10,00 $10.00 Total: $10,00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. Name of Decedent: CERTIFICATION OF NOTICE UNDER RULE 5.6Ia) 1<.v-rH k. CobLE. (12.vn+- /...tA.ILI Ce&\..~ 6EfT /'5, 20D4 Will No. 'J..I1W ~ .. 60 q .2. 0 Date of Death: Admin. No. To the Register: I certify that notice of (beneficial interest) estate adminislJ'ation 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 () c:-r I 0 2.oo"'l....-: , N= Address ki.A-I(U~ t. L~HR- ~~l Wo. (p~ br, ku..~1l c.. k\l. E fL-.- , ~,4.Ut~e,\)e.'1 'YA \1 III q 6rupE!>A.J..!'t l)~j -+t,r..~E:~51tJ. 12[' lCi.1()7 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except --- Date: 1- 1'9-0~ Signature Ll_ (:.J l_LJ C,_~) L--~ . L... I,,:) r ~~", 11) L_.-l ,~-_: C::.) C:.' ~~t .:I c_= ~: UAt.1L '\ ~. L~tf-f......., .341 N.. ~qTtt :rr- U"Q.,JU.,e:,ULlt 1/A- 11//1 Telephone ({17J tff/3 -1118 Address Name 0:> I." (....:-.1 ;~:( -, \r, C:::') = c--> L'~ 1--'\ 2G II.: u.J j""-'- (~&~: Oo~ . U Capacity: /Personal Representative U- f.""-J _Counsel for personal representative ::;-