Loading...
HomeMy WebLinkAbout03-1059 PETITION FOR PROBATE and GRANT OF LETTERS Estate of BREAM, DONALD E., No. t2~/-~-/t~t_~l~} Deceased. To: Register of Wills for r Cumberland County, Pennsylvania Social Security No. 162-32-4477 The Petition of the undersigned respectfully represents that: Your Petitioner, who is 18 years of age or older and the Executrix named in the Last Will and Testament of the above decedent, dated August 8, 1977. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his principal residence at 28 Pine School Road, South Middleton Township, Gardners, Cumberland County, Pennsylvania. Decedent, then 63 years of age, died December 6, 2003, at 28 Pine School Road, South Middleton Township, Gardners, Cumberland County, Pennsylvania. Except as follows, decedent did not many, 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: N/A. Decedent at death owned property with estimated values as follows: $ (If domiciled in Pa.) All personal property $ 5,000.00 (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: Total $ 5,000.00 WHEREFORE, Petitioner respectfully requests the probate of the Last Will and Testament presented herey/ith and the grant of letters TESTAMENTARY thereon. Gloria ). Brean~Exec~trix 28 Pine School Road Gardners, Pennsylvania 17324 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) : SS COUNTY OF CUMBERLAND ) The Petitioner above-named swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of Petitioner and that as personal representative of the above decedent Petitioner will well and truly administer the/~, tare accordi~ to la~. Sworn to or affirmed and subscribed before me thi~:n~=~~?~ d~y of Gloria J. Bream(./ / .~_ m.~b_ ,.2~,er' 2003 NO. ~./o~..~- /~~? Estate of Donald E. Bream DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ['-Cx)Ec g.rr~{qt, ~ oD_~ ,2003, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated August 8, 1977 described therein be admitted to probate and filed of record as the last will of DONALD E. BREAM; and Letters Testamentary are hereby granted to Gloria J. Bream. Regi~t~{ OWills - { -~~_~-~ FEES ~ Probate, Letters, Etc ............ $ e~'52, C~Cv SBort~ Certificate(s) ............. $ cO., I, gD c5 Mi l~e-n~cfa~on ....................... $ ,~. oo Attorney I.D. No. 57976 ~ } 0/9 $ /rq. oo 19 Brookwood Avenue, Suite 106 - TOTAL $_g~Oc> Carlisle, Pennsylvania 17103-9142 Filed~.,.~.,...~..o.~ ............. ~ (717) 249-5373 F:\User Folder\Firm Docs\Estatesk3389-1 pet Itrs.wpd REGISTER OF WILLS OF .~"~-x COUNTY OATH OF SUBSCRIBING WI~SS ~,.,~ codicil ~"~ ~(each) a subscribing wi~ t~will presented here~(each) being duly quali~ccording to ~s~s) and say(s~hat ~ ~ ~e~d sa~ the testat~ , sign the same and that ~~~edasawitnes~the request of t~t~_ in h presence and~he presence of each~r~(in the presence o~e other subscribing wi~. ~ ~ Sworn to or affirmed and su~ed befor~ ~ me this ~ay of ~ (Name) Reg~t~ ~ . ~ ~. (Nam~ (Address~ REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ~ familiar with the signature of testats'e~. of (one of the subscribing witnesses to) the will presented herewith and codicil that ~ ~ t~t_¢ ~' oe~ ~s the signature on the will is in the handwriting of to thebestof '/q~"~d.- knowledge andbelief~. ~, Sworn to or affirmed and subscribed before me this dayof Register (Address) -['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 ~ ~8q8~29 ~ "' ~-: ,, ~,,, rife. 9 2003 ~..'~... ~.. ~.~.~,~ _ __ ~o. H~05.~43 Rev 2/87 COMMONWEALTH OF PENNSYLVANIA ° DEPARTMENT OF HEALTH · VITAL RECORDS ~.,.T CERTIFICATE OF DEATH STATE FILS NUMBER IN NAME OF DECEDENT (First. Middle. Lilt) SEX I SOCIAL SECURITY NUMBER I DATE OF D~TH ~. Day. Year) :K'A"~"?,,, t Donatd E. Bream ~Mate I,.162 - 32 -4477 ~. 12/6/~003 AGE (Last Bi~y) [ UNDER1Y~I UNDER1DAY Cumberland I S. M~dd~et0n Tw~. I 28 Pine Schoo~ Rd. ~;~ ~1 Yes~ NO~ E~men~.~S~d~ ~l~e Di~r~ (S~) ,,. Post~ Carrier ,~. US GOV'T i~. I~. 1~°''~ "~'~'~ ~,~rricfl ~.GToria J. Dick DECEDEN~S~ILINGADDRESS. S~t,~.~n, Sta~e, ZipC~e) ACTuALDECEDENT'S 17..Sta~e pennsylvania o~d ~?=. ~ v..,~.~..~. S. Midd~eton 28 Prn~ Schoot Rd. Gardn~rs, PA 17324 ~dam E. Bream 2~,TM o~.(~) ~1~ 12/10/¥03 2~t. V~ctory Church C~m 2~ardners, PA 17324 ~.. ~ ~. /~~ / [~. P~ I~ g . g aprZngs,PM7065 I I LAST WILL AND TESTAMENT OF DONALD E. BRFAM I, DONALD E. BREAM, a legal resident of South Middleton Township, 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 all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I devise and bequeath the residue of my estate of every nature and wherever situate to my wife, Gloria J. Bream, providing she shall survive me by thirty (30) days. ShoUld my wife, Gloria J. Bream, predecease me or die on or before the thirtieth day following my death, I devise and be- queath the residue of my estate, of every nature and wherever situate, to my children, equally, provided that the share of any child who predeceases me or dies on or before the thirtieth day following my death shall be distributed to his or her issue, per stirpes, living on the thirty-first day following my death and in default of any such then living issue, such share shall be added to the share or shares for my other children. THIRD: I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. FOURTH: Should my wife Predecease me Or die on or before the thirtieth day following my death, I nominate, constitute and appoint Mr. and Mrs. Kenneth Bream of Gardners, Pennsylvania, guardians of the persons of my children. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of the said guardians, I nominate, constitute and appoint Mr. and Mrs. Gary Prosser of Gardners, Pennsylvania, guardians of the persons of my children. It is my expresSed desire that my Children shall not be separated. FIFTH: Should my wife Predecease me or die on or before the thirtieth day following my death, I nominate, constitute and appoint Mr. and Mrs. Kenneth Bream of Gardners, Pennsylvania, guardians of the estate of my children. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of the said guardians, I nominate, constitute and appoint Mr. and Mrs. Gary Prosser of Gardners, pennsylvania, guardians of the estates of my children. Such guardians as appointed shall have the power to use principal as well as income from time to time for the minor's support and edu- cation (including college education, both graduate and under graduate) and in- cluding provisions for any additional expenses which may be incurred by any person upon his or her taking any child into his or .her home, without regard to the ability of any person or persons to provide for such support and education, or to make payments for theSe purposes, withoUt further responsibility, to the minor or the person taking care of the minor. It is my intention that my guardians shall have the greatest latitude in determining what income and principal of the minor child's estate shall be employed for the child's welfare, even to the extent of expending in furtherance of purchases for the joint use of the family unit of which Said child shall be a part. It is not my desire that any portion of the estate of a minor child shall remain when he or she obtains the age of 18 years if the employment of such assets prior thereto will benefit the child directly or indirectly. The guardians as appointed shall not be required to give bond or furnish sureties in any jurisdiction. SIXTH: I nominate, constitute and appoint my wife, Gloria J. Bream, Executrix of this my Last Will and Testament. In the event of the renun- ciation, death, resignation or inability to act for any reason whatsoever of the said Gloria J. Bream, I nominate, constitute and appoint Mr. and Mrs. Gary Prosser of Gardners, Pennsylvania, Co-Executors of this my Last Will and Testa- ment. I hereby relieve my Executrix or Executors from the necessity of posting security in connection with her or their duties as such in any jurisdiction in which she or they 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, consisting of two (2) typewritten pages, the first of which bears my signature in the margin thereof for the purpose of identification this ~-_~__~ day of August, 1977/ Donald E. Bream Signed, sealed, published and declared by the above-named Testator, Donald E.~ Bream, as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence, and in the sight and presence of each other, have hereunto subsCribed our names as witnesses. I.AW OFFICES LANDIS & BLACK CARLISLE, PENNSYLVANIA -Page 2 of 2 Pages- F:\User Folder\Firm Docs\Estates\3389- I certification wpd CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: DONALD E. BREAM Date of Death: December 6, 2003 Will No. 2003-01059 To the Register: I certify that notice of beneficial interest 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 January 2~ 2004. Name Address Curt Bream 35 Trine Avenue, Mt. Holly Springs, Pennsylvania 17065 Gloria J. Bream 28 Pine School Road, Gardners, Pennsylvania 17324 Derek Bream 5 Forge Road, Boiling Springs, Pennsylvania 17007 Notice has not been given to all persons entitled thereto under Rule 5.6(a) except: N/A HANFT & KNIGHT, P.C. Date: January g- o , 2004 Attorney I.D. No. 57976 19 Brookwood Avenue, Suite 106 Carlisle, Pennsylvania 17013-9142 Telephone (717) 249-5373 Capacity: Counsel for personal representatives REV-1500 INHERITANCE TAX RETURN O~*RT~,ENT Of RE~E~ 21 03 01059 ~E~T ~0~o, RESIDENT DECEDENT I Bream, Donald E. 62-32-4477 12/06/2003 , 02/22/1940 REGISTER OF WILLS Bream, Gloria J. 8 [] 1 Original Return [] 2 Supplemental Return [] 3 Ren-,ai~der Return (date of death pnor to ~2-13-82) [] 5 Federal Estate Tax Return Required [] 4 Limited Estate [] 48 Future interest Compromise (date of death after [] 6 Decedent Died Testate (Attach copy [] 7 Decedent Maintained a Living Trust (Attach 8 Total Number of Safe Degosit Boxes [] 9 Litigation Proceeds Received [] 10 Spousal Povedy Credit (date of death between [] 11 Election to tax under Sec 9113(A) (Attach SCh O) ~THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: iCObIPLETE MAILING AODRESS Sean M. Shultz, Esqun'e 19 Brookwood Avenue, Suite 106 ~ Hanft & Knight, P.C. i Carlisle, PA 17013 717/249-5373 1 Real Estate (Schedule A) (1) None 3- 2. Stocks and Bonds (Schedule B) (2) ~one 3 Closely Held Corporation, Partnership or Sole-Proprietorship (3) None 4 Mortgages & Notes Receivable (Schedule D) (4) None 5 Cash, Bank Deposits & Miscellaneous Personal Property (5) 23,487.59 (Schedule E) 6. Jointly Owned Property (Schedule F) (6) 14,191.56 [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) None (Schedule G or L) (8) 37,679.15 8. Total Gross Assets (total Lines 1-7) 9, Funeral Expenses & Administrative Costs (Schedule H) (9) 7,5 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 633.17 11. Total Deductions (total Lines 9 & 10) (11) 8,204.68 12. Net Value of Estate (Line 8 minus Line 11) (12) 29,474.47 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 29,474.47 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate' 29,474.47 x .00 (15) 0.00 or transfers under Sec. 9116(a)(1 2) 16.AmountofLine14taxableatlinealrate x .045 (16) 17.AmountofLine14taxableatsiblingrate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 0.00 Decedent's Complete Address: STREIiT \DDRESS 28 Pine School Road Gardners j STATE PA 17324 ZIP Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B Prior Payments C. Discount 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. (4) Check box on Page 1 Line 20 to request a refund 5 If Line 1 + Line 3is greater than Line 2, enter thedJfference. Thisis the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE (5B) 0,0 0 Make Cheek 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 fife 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 ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. prepaper other than the personal representad',e is based on all in fcrmation of '4 hich preparer has ar,? kno,aled§e CIoria J.~rcam / ~(d~%~ d ~ ~ ~/Lk, ry.o-~-{. Gardners, PA 17324 SIGNAJURE OF PERSON R~,~PONpB~"~ FOR FILING RETURN ADDRESS SIGNA, URE OF PREPARER OTHER THAN REPRESENTATI'v E ADDRESS DATE Senn Rl, Shultz Esquire Carlisle, PA 17013 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.11 (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) (1.110il]. The statute does not exempt a transfer 1o a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even ir 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 bcventy-one years of age or younger at death to or for the use of 8 natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S §9116 (a) (1.21]. 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 72PS §9116 1.21 [72 P.S. §9116 (a) (11] 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) (1.31] 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  SCHEDULE E CASH, BANK DEPOSITS, & MISC. CO..,ON*EA~T. O, PE'NS~- .... PERSONAL PROPERTY , i FILE NUMBER EBTATFOF Bream, DonaldE. 21 -03 -01059 nc ude 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 d sclosed on schedule F. VALUE AT DATE OF ITEM DESCRIPTION DEATH NUMBER I Thrift Savings Plan Account 21,590.62 2 Postmark Credit Union Savings Account 1,639.37 3 PA Tax Refund 3.71 4 Capital Tax Bureau 253.89 TOTAL (Also enter on Line 5, Recapitulation) 23,487.59 ~ SCHEDULE f eO,~ON~E~LT. O~ P~NNSYLVAN~A JOINTLY'OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER FSIATI: OF: Bream, Donald E. ' 21 - 03 - 01059 f an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A 9,/1,/1972 28 Pine School Road Wife Gardners, PA 17324 JOINTLY OWNED PROPERTY: T' DESCRIPTION OF PROPERTY [ ! % OF i DATE OF DEATH LETTER DATE :Include name of financial institution and bank account number; DATE OF DEATH ! DECD'S ' VALUE OF ITEM FOR JOINT MADE 'or similar identif in number Attach deed for jointly-held rea VALUE OF ASSET INTEREST NUMBER TENANT JOINT estate. Y g ' DECEDENT'S INTEREST 1 A 09/01/19721M&T Bank Checking Account #779814 26,366.15/ 50°/'( 13,183.08 2 A 02/24/2000 120 shares of Epicor Software Coq~. Corn stock at 1,378.20 50% 689.10 $11.485 per share 02/24/2000 50 shares of Oracle Corp Corn stock at $12.775 per 638.75 50% 319.38 3 A share TOTAL (Also enter on line 6, Recapitulation) 14,191.56  SCHEDULE H · FUNERAL EXPENSES & ESTATE OF ! FILE NUMBER Bream, Donald E. 21 - 03 - 01059 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: 1 Hollinger Fnneral Home &Crernatory Inc. 6,211.20 2 Marlin Stoner - cemetery lot 75.00 B. ADMINISTRATIVE COSTS: 1. Persona Represen a ive's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees to Hanft & Knight, P.C. 1,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State -- Zip Relationship of Claimant to Decedent 4. Probate Fees to Register of Wills 74.00 5. Accountant's Fees Tax Return Preparer's Fees 7. Other Administrative Costs 1 Cumberland Law Journal - advertise letters 75.00 2 The Sentinel - advertise letters 136.31 TOTAL (Also enter on line 9, Recapitulation) 7,571.51  SCHEDULE I DEBTS OF DECEDENT, MORTGAGE COMMCNW~ALTtqOF~3~NN$ ...... LIABILITIES, & LIENS ESTATE OF i FILE NUMBER Bream, Donald E. : 21 - 03 - 01059 Include unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 1 Tluee Springs Family Practice 98.40 2 Carlisle Regional Medical Center 202.00 3 Andorra Radiology Association 53.70 4 Carlisle Digestive Disease Association 23.00 5 Blue Mountain Anesthesia Association 8.45 6 Bronstein Jeffries 11.27 7 lmpathy, Inc. 125.00 8 Yellow Breeches EMS 79.35 9 Lancaster HMA Physicians Management 16.50 10 Central Permsylvania Medical 15.50 TOTAL (Also enter on Line 10, Recapitulation) 633.17 '~ SCHEDULE J eOM~dO N'WEALTH O F PENNSYLVANIA BENEFICIARIES RES:DENT DECEDENT I FILE NUMBER ESTATE OF Bream, Donald E. I 21 - 03 - 01059 ~ RELATIONSHIP TO AMOUNT OR SHARE NUMBER i NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE L TAXABLE DISTRIBUTIONS (include outright spousal distributions) i 1 Gloria J. Bream wife 100% residue 28 Pine School Road Gardners, PA 17324 :Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT E NG MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI LAST WILL ~D TESTA~NT OF DONALD B. BRF~X~ I, DONAL3 E. BRF~I, a legal resident of South bRddleton Township, C~nberland 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 all other ~lls and codicils heretofore made by FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I devise and bequeath the residue of my estate of every nature and wherever situate to my wife, Gloria J. Bream, providing she shall survive me by thirty (30) days. Should my wife, Gloria J. Bream, predecease me or die on or before the thirtieth day following my death, I devise and be- queath the residue of my estate, of every nature and wherever situate, to my children, equally, provided that the share of any child who predeceases me or dies on or before the thirtieth day following my death shall be distributed to his or her issue, per stirpes, living on the ~irty-first day following my deat and in default of any such then living issue, such share shall be added to the share or shares for my other children. THIRD: I direct that all taxes that rmay be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of ~e ex~pcnse of the administration of my estate. Should mywife predecease me or die on or before the thirtieth day following my death, I nominate, constitute and appoint ~. and ~ks. Kenneth Bream of Gardners, Pennsylvania, guardians of the persons of my children. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of the said guardians, I nominate, constitute and appoint ~. and Mrs. Gary Prosser of Gardners, pem~sylvania, guardians of the persons of my children. It is np- ex-pressed desire that my children shall not be separated. FIFTH: Should my wife predecease me or die on or before the thirtieth day following my death, I nominate, constitute and appoint Mr. and Mrs. Kenneth Bream of Gardners, Pennsylvania, guardians of the estate of my children. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of the said guardians, I nominate, constitute and appoint b~. and b~s. Gary Prosser of Gardners, pe]msylvania, guardians of the estates of my children. Such guardians as appointed shall have the power to use principal as well as income from time to tine for the minor's support and edu- cation (including college education, both graduate and under graduate) and in- cluding provisions for any additional expenses which may be incurred by any person upon his or her taking any child into his or her home, without regard to the ability of any person or persons to provide for such support and education, or to make payments for these purposes, without further responsibility, to the minor or the person taking care of the minor. It is my intention that my guardians shall have the greatest latitude in determining what income and principal of the minor child's estate shall be employed for the child's welfare even to the extent of expending in furtherance of purchases for the joint use of the family unit of which said child shall be a part. It is not my desire that any portion of the estate of a minor child shall remain when he or she obtains the age of 18 years if the employment of such assets prior thereto will benefit the child directly or indirectly. The guardians as appointed shall not be required to give bond or furnish sureties in any jurisdiction. SIXTH: I nominate, constitute and appoint my wife, Gloria J. Bream, Executrix of this my Last Will and Testament. In the event of the renun- ciation, death, resignation or inability to act for any reason whatsoever of the said Gloria J. Bream, I nominate, constitute and appoint Mr. and Mrs. Gary Prosser of Gardners, Permsylvania, Co-Executors of this my Last Will and Testal. ment. I hereby relieve my Executrix or Executors from the necessity of posting security in connection with her or their duties as such in any jurisdiction in . which she or the)- may be called upon to act insofar as I am able by law to do so. IN %VITNESS ;~HEREOF, I have hereunto set my hand and seal to this, my Lasf Will and Testament, consisting of two (2) typewritten pages, the first of ~ich bears my signature in the margin thereof for the purpose of identificatior this ~x/'_~day o£ August, 1977. Donald E. Bream Signed, sealed, published and declared by the above-named Testator, Donald E. Bream, as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence, and in the sight and presence of each other, have here~mto subscribed our names as witnesses. -Page 2 of 2 Pages- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE rNY)'v,'" rTI''^F CC BUREAU OF INDIVIDUAL RiW':,--,L..' !'~I:~ -\,"~"" .it NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION . \:"',\LSApPRAISEHENT I ALLOWANCE OR DISALLOWANCE PO 00' ...." ' OF DEDUCTIONS AND ASSESSMENT OF TAX HARRISBURG PA 17128-0601 Z005 JM~ 10 Ail 9: 48 CLERi< OF ORPHt-N'S com 'I.'~\ I',r.., n't SEAN M sHuC\i.1tESQ/" '), ,", HANFT ETAL 19 BROOKWOOD AVE 106 CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-10-2005 BREAM 12-06-2003 21 03-1059 CUMBERLAND 101 Allount Re.ltted *' REY-l&47EXAFP112-D4l DONALD E 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:is4i-EiniW-coi":oii""NOi'"iCE-OF-YN'HEiiifAN-CE-TAX-APjiRiiisEiiENT:--KLlowliiicE-oR'----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BREAM DONALD E FILE NO. 21 03-1059 ACN 101 DATE 01-10-2005 TAX RETURN WAS: I 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 B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable [Schedule OJ 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule Fl 7. Transfers (Schedule G) S. Total Assets (1) (2) (3) (4) IS) (6) (7) .00 .00 .00 .00 23.487.59 14.191.56 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS, 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule Il 11. Total Deductions 12. Net Value of Tax R.turn 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 7,571.51 633.17 Ill) (12) (13) (14) NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ abb ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal r.te (15) 16. AMOUnt of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due NOTE: To insure proper credit to your account} submit the upper portion of this form with your tax payment. 37,679.15 8.?n4 68 29,474.47 .00 29,474.47 14, lS and/or 16, 17, 18 and 19 will returns assessed to date. 29,474.47 X 00 = .00 X 045 = .00 X 12 = .00 X 15 = (19)= .00 .00 .00 .00 .00 AX CR"nIT!':' '" AMOUNT PAID DATE NUH8ER INTEREST/PEN PAID 1-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. S~ I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. { IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY 8E DUE Ul\ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/01/2005 HANFT MICHAEL J 19 BROOKWOOD AVENUE SUITE 106 CARLISLE, PA 17013 RE: Estate of BREAM DONALDE File Number: 2003-01059 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/06/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~A ,y, lAJk~J ~'t. ti./.~Yt;i:e;,-L/ /.,,"v~~- ~a- GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge \(k ORPHANS' COURT DIVISION OF THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA STATUS REPORT UNDER RULE 6.12 Name of Decedent: DONALD E. BREAM Date of Death: December 6, 2003 Admin. No. 21-03-1059 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion ofthe administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes --L No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No --.X b. The separate Orphans' Court No. (if any) for the personal representative's account IS: c. Did the personal representative state an account informally to the parties in interest? Yes --L No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: November JL, 2005 Respectfully submitted, C:l C2J ean M. Shultz, Esquire Attorney ill No. 90946 11 Roadway Drive, Suite B Carlisle, Pennsylvania 17013 (717) 249-5373 Counsel for personal representative , :-) F:\Uscr Folder\Firm Docs\Eslates\3389~lstatus.report.wpd u:c