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HomeMy WebLinkAbout03-1051Register of Wills of Estate of Richard W. also known as Margaret J. Lutes Cumberland PETITION FOR Lutes County, Pennsylvania GRANT OF LETTERS No. oli-0.5-i051 , Deceased Social Security No. 086 - 18 - 7251 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut ri× the Decedent, dated 12/15/1980 and codicil(s) dated None named in the last Will of State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: None B. Grant of Letters of Administration (c.ta.; d.b.n.c.ta; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family or principal residence at Woods Retirement Community, Apt. 415, Lower Allen township, (list street, number, and municipality) Decedent, then 78 years of age, died 11/22/2003 at Camp Hill, PA 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 (Location) Camp Hill, PA 90,000.00 situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersi~lned: Signature Typed or printed name and residence Apt. 415, Camp Hill, PA 17011 p y t~'e Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this 2~. day of zoo ~~~F~ Registe~ No. - M~rg~t J .-L~tes zl-o5- 01051 Estate of Richard W. Lutes Deceased Social Security No: 086-18- 7251 Date of Death: 11/22/2003 AND NOW, , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [] Testamentary ~ Of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Margaret J. Lutes in the above estate and that the instrument(s) dated 12/15/1980 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........... $ Short Certificate(s). ~,..~). $ Renunciation ........ $ Attorney: James D. Bo~ar, Esquire Affidavits ( ) .... $ I.D. No: 19475 Extra Pages ( ) .... $ {~'0'0 Address: One West Main Street Codicil ........... $ Camp Mill, PA 17011 JCPFee .......... $ ID.O[') Telephone: 717/737-8761 Inventory .......... $ Other ........... $ ~'~~~ ......... , %ZS, ,rO Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystem~, inc. Form RW-1 (1991) Estate of also known as Register of Wills of OATH Richard W. Lutes Cumberland County, Pennsylvania OF SUBSCRIBING WITNESS , Deceased Margaret J. Lutes (each) a subscribing witness to the [~ codicil(s) ~ will(s) presented herewith, (each) being duly qualified according to law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and that she/he/they signed as a witness at the request of Testator(rix) in his/her/their presence and J'~ in the presence of each other ~ in the presence of the other subscribing witness(es). (Signature) M~r'garet Lutes Woods Retirement Community, Apt. 415 Camp Hill, PA 17011 (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this '~ Z day o, ~'g-- ~ and seal of ~tary'or other official ~E: qualified to administer oaths, Show date of expiration of Notary's commission.) To be taken by officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form #RW-2 (1991) Estate of also known as Register of Wills of OATH Richard W. Lutes Cumberland County, Pennsylvania OF SUBSCRIBING WITNESS , Deceased James D. Bo~ar, Esquire (each) a subscribing witness to the [~ codicil(s) ~'~ will(s) presented herewith, (each) being duly qualified according to law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and that she/he/they signed as a witness at the request of Testator(rix) in his/her/their presence and ~ in the presence of each other [~ in the presence of the other subscribing witness(es). ~--~~J%e~'sD~ ~ar, Esquire (Signature) ~ Vgne'Wes~ ~narstreet' Shiremanstown, PA 17011 (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this ~-~-~ ~'-~ day Notary Public My Commission Expires: (signature and seal of Notary or other official qualified to adm{nister oaths. Show date of expiration of Notary's commission.) NOTARIAL SEAL ' I BONNIE L WILLIAMS, NOTARY PUBLIC I SHIREMANSTOWN BORO., CUMBERLAND CO.I MY COMMISSION EXPIRES APRIL 1.8. 2005J NOTE: To b~ taken by officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form #RW-2 (1991) 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 f}ling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 ocal Registrar No. Date Ht 05. t43 Rev 2/87 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH ast [ill atti sl aut ttl OF RICHARD W. LUTES I, RICHARD W. LUTES, of the Township of Lower Allen, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I direct the payment of all my just debts and the expenses of my last illness and funeral from my estate, as soon after my death as conveniently may be done. SECOND: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate unto my wife, MARGARET J. LUTES, provided she survives me by sixty (60) days. THIRD: Should my wife, Margaret J. Lutes, predecease me or die on or before the sixtieth (60th) day following my death, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate unto my duaghter, SARA E. ACHUFF. FOURTH: Should my daughter, Sara E. Achuff, predecease me, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate unto CARRIE E. ACHUFF and any other children of my daughter, Sara E. Achuff, that are living at the time of my death, in equal shares. FIFTH: Should Carrie E. Achuff or any other beneficiary under this my Last Will and Testament not have attained the age of twenty-five (25) years at the time for distribution to him or her, then I give, devise and bequeath the share of each such child to my hereinafter named Trustee, IN SEPARATE TRUSTS, to hold, manage, invest and reinvest the shares so received, and to use and apply from time to time such portion of income and principal for the said child's education (including college education), support and welfare as my Trustee in his sole discretion deem advisable. My Trustee may make the payments for the support and maintenance of the children directly to my Guardian, hereinafter named as required. Any income or principal not so applied shall be distributed to each child when he or she attains the age of twenty-five (25). In addition, my hereinafter named Trustee shall have the right in their discretion to purchase and pay for out of the principal as well as income such insurance policies as will provide for the minor's medical care. SIXTH: My Executrix and Trustee shall have the following powers in addition to those vested in them by law and by other provisions of this Will, applicable to all property, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as are deemed proper. (B) To make immediate payments for the support and maintenance of Carrie E. Achuff and any other grandchildren to said grandchildren or their Guardians as may be agreed upon by said Guardians, Executrix and Trustee. (C) To compromise any claim or controversy. (D) To invest in all forms of property, including stocks, con, non trust funds and mortgage investments funds, without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. SEVENTH: I nominate and appoint CHARLES B. ACHUFF, as Trustee of the hereinabove named Trusts. EIGHTH: I direct that any and all inheritance, estate and transfer taxes imposed upon my estate passing under my Will or otherwise shall be paid out of the principal of my residuary estate. NINTH: I nominate and appoint MARGARET J. LUTES, Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said Margaret J. Lutes, I nominate and appoint SARA E. Afl~JFF, Executrix of this, my Last Will and Testament. I hereby relieve my Executrix from the necessity of posting security in connection with her duties as such in any jurisdiction in which she may be called upon to act insofar as I am able by law to do SO. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this /~' ~ day of ~'~L~;~'-~' 1980. '~" ' RICHARD W'. LUTES (SEA1 Signed, sealed, published and declared by the above named Testator as and for his Last Will and Testament in our presence, who at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address -3- OFFICIAL USE ONLY FILE NUMBER 21-03 -1051 COUNTYCODE YEAR NIJI SOCIAL SECUP~'~'~ REV- 1500 EX + (6-00) cAPB HpRL EpIO CRAC voTK COMMONWEALTH OF PENNSYLVANIA REV-1500 DEPARTMENTOFREVENUE INHERITANCE TAX RETURI OEPT. 8o60 RESIDENT DECEDENT HARRISBURG, PA 171Z8-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Lutes Richard W. DATE OF DEATH (MM-DO-YEAR) I DATE OF BIRTH (MM-OD-YEAR) 11/22/2003 I 05/01/1925 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 1. Odglna, Return ~ 2~! Supplernental Return ~ 4. Limited Estate · Future Interest Compromise (date of death after 12-12-82) __ 6. Decedent Died Testate · Decedent Maintained a Living Trust 0 (Attach copy of Will) (Attach copy of Trust) '" [-'--] 9. Lltlgatlon Proceeds Received ['~ 10. Spousal Poverty Credit ~ (date of death between lZ-31-91 and 1-1-95) c o R R E NAME James D. Bogar Fsquire FIRM NAME (If Applicable) TELEPHONE NUMBER R E C A P I T U L A T I O N 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or (3) Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property ($) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) I~ 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. THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 195-20-0665 {date of death 3. Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (A~-ch Sch O) .......................... ............................... ~' ~"~ ....... ~=~'~ ........ '~..:..~...~':~,~:~ ~=~'~ ~'.T COMPLETE MAILING ADDRESS One West Main Street Shiremanstown, PA 17011 None:: None None 89,923.95 None None None None Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (8) 89,923.95 (11},. 0.00 (12) 89,923.95 (13),,,~ (14) 89,923.95 O SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES M  15. Amount of Line 14 taxable at the spousal tax AT rate, or transfers under Sec. 9116(aX1.2) 89,923.95 X .0 0 16. Amount of Line 14 taxable at lineal rate X .0 4.5 T 17. Amount of Line 14 taxable at sibling rate O X .12 N 18. Amount of Line 14 taxable at collateral rate X .15 19. Tax Due (15) 0.00 (16) 0.00 (17) 0.00 (1~) 0.00 (19) 0.00 Copyright (c) 2000 form software only The Lackner Groul3. Inc. Decedent's Complete Address: STREErADDRESS Woods Retirement Community Apt. 415 CIYY Camp Hill Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATE ZIP PA 17011 (1) 0.00 Total Credits ( A + B + C ) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 0.00 4. 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 (4) O. 00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (SA) 0. O0 B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SB) O. 00 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 ;. retain the use or income of the property transferred; ......................... ~ ~ · 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? ................... Z. 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 ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare 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 preparer other than the personal representative Is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Hargaret J. Lutes DATE ~~~~ Woods Retirement Community 7- iV6ii' ......................... RE OF PR/E~ARER OTHER THAN REPRESENTATIVE James D. Bogar Esquire DATE ~~.. One West Main Street 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(aX1)]. 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. Copyright (c) ZOO0 form software only The Lackner Group, Inc. Form REV-1SO0 EX (Rev. 6-00) REV- 1508 E~ * (1-97) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA - INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Richard W. Lutes SS~; 086-18-7251 11/22/2003 21-03-1051 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1 of death Citizens Bank - Checking Account No. 6200168834, date balance $89,923.95, accrued interest $0.00 TOTAL (Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) VALUE AT DATE Of DEATH 89,923.95 $ 89,923.95 Copyright (c) 19~6 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97) CITIZENS BANK 525 William Penn Place Suite 153-2510 Pittsburgh, PA 15219 January6,2004 JAMES D BOGAR ONE WEST MAIN STREET SHIREMANSTOWN, PA 17011 Estate of RICHARD W. LUTES Date of Death: Nov 22, 2003 SSN: 086-18-7251 Dear Sir/Madam: In accordance with your request, the attached information sheet has been provided in the above decedent's name as of his/her date of death. For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please call 412-867-2366. Sincerely, Carole Gregory Operations Services CITIZENS BANK Account Number 6200168834 Account Title RICHARD W LUTES Date Opened 12/12/02 Account TTpe Principal Balance as of DOD Interest from Last Posting to DOD Account Balance as of DOD Checking $89923.95 $ .00 $89923.95 YTD Interest to DOD $1681.08 REV-l$13 ~X *(9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Richard W. Lutes SS~/ 086-18-7251 11/22/2003 21-03-1051 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE Ih TAXABLE DISTRIBUTIONS [i~lude outright spousal distributions, and t~fem under Sec. 9116(~1,Z)] Margaret J. Lutes Woods Retirement Community Apt. 415 Camp Hill, PA 17011 Wife Rest, residue and remainder ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A, SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) Z000 form software only The Lackner Group, Inc. Form REV-1513 EX (Rev. 9-00) OF RI~MJU3 W. LtrI'ES I, RIQMuRD W. LUTES, of tile Township of Lower Allen, Ctunberland Cotmty, Pelmsylvania, make, publish and declare this as and for my Last Will mid Testanmnt, hereby revoking all other Wills ~md Codicils heretofore made by me. FIRST: I direct the pa)anent of ail my just debts and tile exl)enses o£ my last illness and funeral from my estate, as soon after my death as conveniently may be done. SECOND: I devise uqd bequeath ail the rest, residue and r~,,ainder of my estate of whatever nature and wherever situate unto my wife, M/U~GAIUiT d. IMI'I!S, provided she survives me by sixty (O0) days. 'IIIIRD: Should my wife, Margaret J. Lutes, predecease me or die on or before the sixtieth (60th) day following my death, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate unto my duaghter, SARA F.. AClRIFF. FOUR'III: Should my daughter, Sara P.. Achuff, predecease me, I devise and bequeath all tile rest, residue m~d remainder of my estate of whatever nature and wherever situate tmto CAI~II~ ~. A(]~JFI: and any other children of my daughter, Sara E. Acbuff, that are living at the t:bne of my death, in equal shares. FIFqII: S{muld Carrie r.. Achuff or any other beneficiary under this ,ny Last Will and Testmnent not have attained tile age of twenty-five (2S) years at the time for distribution to him or her, then I give, devise and bequeath tim share of each such child to my hereinafter nmned T~x~stee, IN SEPARATE TRUSTS, to hold, mintage, invest and reinvest t'he shares so received, and to use and apply from time to time such portion of income and principal for the said child's education (including college educatiou), support and welfare as my Trustee in his sole discretiun deem advisable. My Trustee may make the pa)qnents for the support m~d maintenance of thc children directly to my Guardian, hereinafter named as required. Any inconm or i}rincipal not so applied shall be distributed to each child when he or she attains the age of twenty-five Ill addition, my hereinafter nml~ed Trustee shall have the right ill their discretion to purchase and pay for out of the principal as well as income such insurance policies as will provide for the minor's ii~dical care. SIX1]I: My 'Executrix and Trustee shall have the following powers in addition to those vested in them by law and by other provisions of this Will, applicable to all property, exercisable without court approval m~d effective tu~til actual distributiol~ of all property: (A) To sell at public or private sale, or to lease, for ally period of thl~, m~y real or l~rsona/, property and to gkve options Col- sales, exchanges or leases, for such prices and upon such reruns or conditions as are deemed propor. (B) To make in~nediate pay~nents for the support and maintenm~ce of Carrie E. Achuff and any other grandchildren to said grandchildren or their Guardians as may be agreed upon by said Guardians, 'Executrix m~d Trustee. (C) To compromise any claim or controversy. (D) To invest in all forms of property, including stocks, conmon trust funds and mortgage investments funds, without restriction to investments authorized for Pennsylvania fiduciaries, as they dean proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. SEVEKIII: I nominate and appoint (]~RLES B. Ai]~JI:F, as Trustee of the hereinabove named Trusts. EI(]rI~[: I direct that any and all ir~eritance, estate and trm~sfer taxes imposed upon my estate passing rudder my Will or otherwise sball be paid out of the principal of my residuary estate. NINTH: ! nominate and apl~int M~R~ J. LUTES, 'Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for m~y reason whatsoever of the said Margaret Lutes, I nominate and appoint SARA P.. Ai]~JFF, -Executrix of this, my Last -2- Will and Testament. I hereby relieve my 'Executrix £rom the necessity of posting security in connection with her duties as such in any jurisdiction i.n which she may be called upon to act insofar as I mn able by law to do SO. IN ~/ITNESS I~EREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this .f t../, day of ,.W ,,',; ,, ,. 1980. Signed, sealed, published and declared by the above nmned Testator as and for his Last ~/ill and Testament in our presence, who at hi.s rmluest, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address STATUS REPORT UNDER RULE 6.12 Name of Decedent: Richard W. Lutes Date of Death: November 22, 2003 Will No. 21-03-1051 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No XX 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 XX No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: March 15, 2004 -S~gha6ure/% James D.~ogar, Esquire Name (Please type or print) One West Main St. ,?~ ,~ ~-' ~I~QUI~ Shiremanstown, PA 17011 ~ :'~1~?0 Address J717) 737-8761 Tel. No. (MAH:rmf/AM3) Capacity: x __Personal Representative __Counsel for personal representative ~CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Richard W. Lutes Date of Death: November 22, 2003 Will No. 21-03-1051 Admin. No. To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed 'to the following beneficiaries of the above-captioned estate on March 8, 2004: Name Address Margaret J. Lutes Woods Retirement Community Apt. 415 Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: March 15, 2004 Capacity: - ~!i~ ' i!~i (717) 73p 7er 8s 7on6 ~ ~ Repr~e s en~ ~mve X CounseZ3 for ~rso~!~ Repres~ntatixr~ BUREAU OF INDIVIDUAL TAXES TNHERTTANCE TAX DTVTSTON DEPT. ZBg60! HARRTiBURG, PA 17118-0601 COMMONHEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-I~4? EX AFP (01-OS) JAMES D BOGAR ESQ I g HAIN ST SHIREHANSTOWN '04 gEP 15 ~ DATE 09-1q-ZO0~ ESTATE OF LUTES DATE OF DEATH 11-22-2005 FILE NUMBER 21 03-1051 :25 COUNTY CUHBERLAND ACN 101 PA Amoun~ Remi'l:~ced RICHARD HAKE CHECK PAYABLE AND REMTT PAYMENT TO: REGISTER OF HILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THTS L/NE ~ RETAIN LOHER PORTTON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTTCE OF TNHERTTANCE TAX APPRATSEMEMT, ALLO#ANCE OR DZSALLONANCE OF DEDUCTTONS AND ASSESSMENT OF TAX ESTATE OF LUTES RICHARD H FTLE NO. 21 03-1051 ACN 101 DATE 09-1~-200~ TAX RETURN )lAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNTNG FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S~ock/Par~nership Zn~aras~ (Schedule C) ($) q. Hor~gages/No~as Receivable (Schedule D) (~) $. Cash/Bank Deposi~s/Hisc. Personal Proper~y (Schedule E) ($) 6. Jointly Owned Propar~y (Schedule F) (6) 7. Transfers (Schedule G) (7) B. To,al Asse~s APPROVED DEDUCTIONS AND EXEMPTZONS: 9. Funeral Expenses/Adm. Cos~s/Hisc. Expanses (Schedule H) (9) 10. Debts/Hot,gage Liabilities/Liens (Schedule I) (10) 11. To*al Deductions 12. Ne~ Value of Tax Re~urn 15. 1~. Chari~able/Govarnaen~al Bequests; Non-elected 9115 Trusts (Schedule J) Na~ Value of Es~a~a Subjec~ ~o Tax 89~923.95 .00 .00 NOTE: To insure proper .00 credi~ ~o your account, .00 subai~ ~he upper portion .00 of ~his form wi~h your ~ax payment. .0O (8) .00 89,9Z3.95 .00 (11} . oo (12) 89,925.95 (1s) . O0 (1~) 89,923.95 NOTE Zf an assessment was issued previously, 11nas 1~, 15 and/er 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Aaoun~ of L/ne 1~ a~ Spousal ra~e (15) 16. Amoun~ of Line lq ~axable a~ Lineal/Class A ra~e (16) 17. Amoun~ of Line 1~ a~ Sibling ra~a (17) 18. Amoun'E of Line lq ~axable a~ Collateral/Class B ra~e (18) ~al Tax Due 19. Princi TAX CREDTTS PAYHENT DATE RECEIPT NUHBER 89,923.95 X O0 = .00 · 00 X 0~5= .00 · O0 X 12 = . O0 · O0 X 15 = .00 (19)= .00 IF PAID AFTER DATE INDZCATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST· DISCOUNT (+) INTEREST/PEN PAID AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 ( IF TOTAL DUE ZS LESS THAN $1) NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)) YOU HAY DE DU~I~ ., A REFUND. SEE REVERSE S[DE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: PURPOSE OF NOTICE: PAYHENT: REFUND (CR): OBJECTIONS: ADHIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 1Z, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, tho Coamoneealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section Z1¢0 of the Inheritance and Estate Tax Act, Act Z~ of 2000. (TI P.S. Section 910,0). Detach the top portion of this Notice and submit eith your payment to the Register of Hills printed on the reverse side. --Hake check or money order payable to: REGISTER OF MILLS, AGENT A refund of · tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-151:5). Applications are available at the Office of the Register of Hills, any of the Z:5 Revenue District Offices, or by calling the special Z4-hour ansaering service for forms ordering: 1-800-56Z-Z050; services for taxpayers eith special hearing and / or speaking needs: I-BOO-0,0,7-~OZO (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, ar assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 2810Z1, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered an this assessment should be addressed in writing to: PA Department of Revenue, Bureau of IndividuaZ Taxes, ATTN: Post Assessment Review Unit, Dept. ZB0601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. See page 5 of the bookZet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (SZ) discount of the tax paid ]s alloeed. The 15Z tax amnesty non-participation penalty is computed on the total af the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tile period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes ehich became delinquent before January 1, 1982 bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000160,. AIl taxes which became delinquent on and after January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates far 198Z through ZOO0, are: Interest Daily Interest Daily Year Rate Factor Year Rate Factor 1982 ZDZ .00050,8 ~)'~'8 - 1991 Ill .OOO$O1 1983 16Z .0000,38 1992 9Z .000247 1980· llZ .000301 199:5-1990, 7Z .OO019Z 1985 1:5Z .000556 1995-1998 9Z .gOOZ0,7 1986 iOZ .000Z74 1999 7Z .OO019Z 1987 iOZ . O00ZT~ ZOO0 7Z .00019Z --Interest is calculated as folloes: INTEREST = BALANCE OF TAX UNPAID Interest Daily Year Rate Factor ~ 9Z .000Z47 ZOOZ 6Z .OOO16~ 2003 5Z .000137 ZOO6 0,Z .000110 X NUNBER OF DAYS DELINI~UENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calcuZated.