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HomeMy WebLinkAbout02-0937 I - . Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Janice A. Hewitt No. .01- ()fJ. qat- also known as , Deceased Social Security No. 161-32-47 15 William C. Cuddv Petitioner(s), who is/are 18 years of age or older, apply{ies) for: (COMPLETE "A" OR "B" BELOW:) Gl A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or named in the Last Will "'the Decedent, dated 7/30/98 and codicil(s) dated . JUL.l" 5 S 1-[ E-w (-r.. ftL{7 0 € C E-".-rE' v ()(CEDcSvl of", 11-/1.-o/"f'? 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 incapacitated: 0 B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spo e (if any) and heirs: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or prin !pal residence at 45 N. 10th Sf. Lemovne PA 17043 (list street, number and municipality) Decedent, then 63 years of age, died October 13 ,2002 ,at Holv Soirit Hosoital Camo Hill PA (Location) Decedent at death owned property with estimated values as follows: ho.oo (if domiciled in PAl All personal property ..................... .................. $ 12 (if not domiciled in PAl Personal property in Pennsylvania .................... $ (If not domiciled in PAl Personal property in County .................. $ Value of real estate in Pennsylvania. ......... .............. ............................................................ $ Total............................................. ................................... ............... $ 12~ Real Estate 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 undersigned: r Signature //-:l Typed or printed name and residence I / ,......, //~// (; ! 7/. William C. Cuddv / 3810 Sunset Drive Harrisburo PA 17111 RW-7 17'95-~ Oath of Personal Representative Commonwealth of Pennsylvania County of Dauphin The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are tru and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Dece nt, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed ~~~~~ before me this 17th day of 7 (~ Estate of Janice A. Hewitt DECREE OF REGISTER Deceased No. also known as Social Security No: 161-32-4795 Date of Death: 10/13/02 AND NOW, OCOTBER 19, 2002 ,in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters tliI Testamentary 0 of Administration are hereby granted to William C. Cudd (c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoritat ) in the above estate and that the instrument(s), if any, dated Jui 30 1998 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters .................................... $ 50.00 Short Certificate( s) ............... Renunciation .......................... Affidavit ( ) ....................... Extra Pages ( ).........,.... Codicil................................. JCP Fee ................................. Inventory & Tax Forms............. Other ...................................... $ 30.00 $ $ $ 12.00 $ $ ~ 00 $ $ 0"" Attorney: James D. Cam I.D. No: 07051 Address: 3631 North Front Street Harrisbur PA 1711 TOTAL .............................$ 97.00 mailed to exec 10-18-2002 RW-7A Telephone: 717 232-7661 10-17-2002 DATE FILED: H10580~ REV 9186 This is to certify that the information here given is correctly copied from an original certificate of death duly filed wit me as Local Registrar. The original certificate will be forwarded ro rhe Srare Viral Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~ Fee for this certificate, $2.00 Local Registrar U\..I .L v~~uL P 8629877 Date HEM It~{'/.) "HOUW m: A D AS FOLLOWS: .')~.~ trC//t>1'-[./ /.,..~ ~'.--' t'.-'/ J ,/ Lt--(.,'/_1L.e:-r.,:'-...".~ U;OMMONWEALTH Of PENNSYLVANIA. DEPARTMENT OF HEALTH. VITALRECOROS CERTIFICATE OF DEATH ~3f1"" 2/87 OECEOEtrIJ'S USUAl 0CCtJf'IllI'I0N ~~~'::~-r lU. 'Bus Driver It. Education OE<:E(Il:NT'SM.AlUHG AODfIESS($U",. ~lTown_ Sla.-.l'QCoOeI DECEDENT'S .eM, """"'NeE ...'- oroOl'l..-1Idel KIHOOFBtJSlNESSJINOUSTRV '" SfAlIi'HlElruMlIEI". SQCI"'l SEClJRITY NUMBER HoI.MEOFOECEOENT\fo,...~.L_ 1. Janice AGEllolSlBir1l>I:layJ lJHOERIYEVl ...... - Ann Hewi t t lJNOE.R101\Y OATeOEBlRtK Haur1I.......... tMonm.~, ''''l l September 9 , .. 1939 CITY. 8ORO. T'M' OF OEA.TH 2. female ,. 161 32 4795 , ~OO2. 63 Y... COUNTY OF DEAfH PVoCE OF OE.AJH 'C","""Of'Iy'>Nt -- _"'..,""""""""'~_ HOsprfAL Harrisburg, PA 1~lJ] ,. k FACIlJT'( NNolE (~nol "'Ol'kAoon, go"e S1rHla/'ldnumtJer. ilolR'l"W'lACi:.'C,ly_ Sta..Ot~cteoQllC<lllN'YI ERI~O ,0 ... Cumberland E. Pennsboro Twp. SP't.; r HosI'l'i(j I ". IU.RlTAl.swus.......,.cI ~,..,......~. -~, widowed 171.51.-. .. 45 N. Tenth Street 1" Lemoyne, PA 17043 FAfMEA'S~tfir..Mo;)oM'LnJ II. Chester Cuddy INFOAIMNT'SNAUE(T~ . Daniel E. Hewitt METIiOOOFDlSI"O$l11ON .....0 ~OO ~'-'sw.O .-... ,,.. Cumberland 17dl :OilM-:-::ol IoIOTHER'S NAME,f.~_ M_. MaM;IIrlSu",a,lWI) II. Jane Bender \NF~I\HT'StUllllNG 1oDt.lRESSlSlr_.Ct,"fboon. SUR.lipCoiJll.l 2~ 736 Bosler Avenue Lemo ne PA 17043 PiACEOF .N.....olC-..y.~ lOCATION-Cilwli>>n.sw..l\llCodl w""'" .... 16, 2002 Yorktowne Cremation Servic 21c. Lema ne - _0 ", _OF' llCENSENIJI,lIIlER FS 012 849 L 'k. ". ..Mcu~ss.()f"fIoCiUT'I' art emore . nc. P.O. Box 431. New Cumberland, PA 1707 lICENSE NUMBER DATE SIGHED lMonII.Oay,YutI 0431 ... 27.NlltrI:E_Ihe...._.injurlMctc;an1plic8l.,...which~Ihe""-'" I..iIlcnyonec:a-on.-cll..... T1MEOfIDEAfH ,,:'0 ..0 . .- '-~ :~~..... , i , .....ATII:OIIIeriligoillCll/ll~~ .N rIQl~inlhe~_ 1Wtt1. , . PIE AU10PIiV FJNtlINGS .........'" H ........."""'''' COMP\.E11OHOFCAUSE I)li -.g 0 OF"""" -. ..,- 0 ~Jnv.~ 0 "" 0 ..~ "" 0 ..0 ....... 0 CouIdnolt-.""''''''''''" 0 OAJE OF INJURY lMonlh,Oay,YutI TIME OF INJURY IMJURY f/J WOfU<1 DESCRIBE HOW lHJllRY OCCVRREO. v.. 0 NOD Iol. :MIc. .... .... CEATIFIEfI'O>.:lc",.,.......l .CMTIfYI'tGPHY$6Cl""(PIlySO::......c_l""9cau...a!_..l>er'anolNIIur>Y$oC""'nasJll~..,..."'ar><Jc~Il<I/n2J\ To.....oI"'Y~...Ib~d_fOu..CILlM(.)....._'..II._.,. ... PLACE OF.NJUFlY......"""""-,lal<l\.>l,_.I&<:'oQ<1.eIClc:oI bu-.g,,",,,,ISo>ecolvl _. I.OC.IiTlOIt (SIr... c.rrno-_ SI;Il~ SlGN,\fU .~MClHGAMOCERTIF'tIf'4Q"HTSICI"'N IPI'>y""oanl>Qlh ~r<lo'lQ<.o'.c."'J_ "'odce-rlilyo"QkJc.....(;IIa! ooatfll Tou.._oIm,kna.....,_"'..oc.......a.\__,_. _~.._llu.\olhllc.UH(.)......m...".....III"".. , ~ LICENSE NUWlER .KEDtCAL EXAIIIHEAlCOFlOfllER On dle bal. of."wnin'lion .nG/or In"..'lg.lion, i.n my Q9in<<m.<k&U\O'O....Mud.. "'" 11m', dall,..-d place, and aue 10 Ihe c:au"(I) and manner..".t...... ............... 31.. AEGISTAAA.S;YNIJURE .>.N~~~R .~.;.,.-/ 1<.//;;_4;:.../ /~~, G;~'~l./,._. )~ ... . "-',. .!.,... ;. ~:P" .," c.l. ..~. 6(, / ..,iV, /1 :] 31C. 314. NAME' .>.NO a.DOAESS OF PeRSOH WHO COMf'lET(O CAlISl! OF OEATH (lIl!rn21l Type Of PfiIM o \)( \2.Dk:trrlo A . [?t!td . \Y\ D n. DATE FILEO(t.l""IIl. Oa~,_l n ~ /c ..;L- WILL OF JANICE A. HEWITT 21-o~-qa~ I, JANICE A. HEWITT, of the Borough of Lemoyne, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all <\, ~ other articles of household and personal use, equipment and ornament, together with all ~ ",-,'I insurance thereon and relating thereto, to my husband, muus F. HEWITT, provided he ~ survives my death by thirty (30) days. Should my said husband predecease me or be deceased on ~ the thirty-first day after my death, I give and bequeath all such items and insurance thereon, as follows: ~ A. One-half to my son, DANIEL E. HEWITT, provided he survives my 1 ~ death by thirty (30) days. B. One-half to my son, DAVID F. HEWITT, provided he survives my death by thirty (30) days. I ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate to my husband, JULIUS F. HEWITT, provided he survives my death by thirty (30) days. Should my said husband predecease me or be deceased on the thirty-first day after my death, I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate, as follows: A. One-half to my son, DANIEL E. HEWITT, provided he survives my death by thirty (30) days. ~ "t \) ~ t"\. B. One-half to my son, DAVID F. HEWITT, provided he survives my death by thirty (30) days. 1 ITEM IV. I appoint my husband, JULIUS F. HEWITT, executor of this my last will. Should my said husband predecease me or otherwise fail to qualify or cease to serve as executor ~ ofthis my last will, I appoint WILLIAM C. CUDDY, of Harrisburg, Pennsylvania, executor of this my last will. , 4 ITEM V. In addition to the other powers and authorities granted to my personal ~ representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by them; to 2 invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, 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 my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITEM VI. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this :?O~ day of ~ ,1998. ~a~ JAN CE A. HEWITT 3 The preceding instrument, consisting of this and three other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by JANICE A. HEWITT, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. dj~ 4 COMMONWEALTH OF PENNSYLVANIA ) ( SSe ) COUNTY OF CUMBERLAND The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~ e r.L::tt NOTo1lIIAi SlAL So CHeSIRO. NofaI)' Public ~ AIIM Twp.. CualIl......... Co.. PA "", eo...h"", Eopho MIzr 10. 1999 COMMONWEALTH OF PENNSYLVANIA ) ( SSe COUNTY OF CUMBERLAND ) WE,Ji-,j,i-o f He"';;-4- and heLl L.&rv6J ,thewitnesseswhose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. ~J..~ ,.tV\.- f 9J ~lf ~2y Notary Public NOTARIAl 5UL -~ weNDY So CHESIRO. N_". Publ" Lowe.- Allen Twp.. Cumbetlood Co., PA My CoOlOlIulon Eap/nlo M4y '0, 'm bv 5 REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.61al Name of Decedent: .I"ni"p A. ...., ,'H Date of Death: 1 0/13/02 Will No. 2002-00937 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphan's Court ~ules was served on or mailed to the following beneficiaries of the above-captioned estate on 10/22/02 Name Address Daniel E. Hewitt 736 Bosler Avenue Lemovnp PA 1 h43 David F. Hewitt 4118 Green Court Harrisburn PA 1 10 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date: 10/22/02 Oil U; J Signature Name: .J"mps D. C"mnbell .Ir. Esnllire -- 3631 North Front Strpet Address: Harrishl ICn PA 1 10 -, Telephone(232) - 7661 Capacity: Personal Representative X Counsel for Personal . - Representative jl /7- 9s-- ~ REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT REV-1500 EX + '''00) * I- Z W C W U W C w !;: ,,-0> 0"''' W~O :I:a:9 08:10 " z o S ::J l- ii: <( u w a:: z o i= <( I- ::J 11. :E o U ~ I- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL) Hewitt, Janice A. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) 10/13/2002 09/09/1939 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 001. Original Retum o 4. limited Estate [R] 6. Decedent Died Testate (AltachcopyofWm) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dateofdeath alIer 12-12-a2} o 7. Decedent Maintained a living Trust (Attach copy of Trust) D 10. Spousal Poverty Credit (dateofdeath between 12-31-91 and 1-1-95) .... z w Q Z o .. 0> W '" '" o o Hri!!iHIIII '1' OFFICIAL USE ONLY (}/ FILE NUMBER 2 1 -0 2 0 9 3 ""'OOiiNTYCODE ---YEAR- - - NlJt,I 7 SOCIAL SECURITY NUMBER 1 6 1 - 3 2 - 4 7 THIS RETURN MUST BE FilED IN OUPLlCAT ITH THE REGISTER OF WILL SOCIAL SECURITY NUMBER o 3. Remainder Return (dateotdeath o 5. Federal Estate Tax Return Req _ 8. Total Number of Safe Depos.B o 11. Election to lax under Sec. 911 1012-13-82) 8~~_ioojr ...g.... COMPLETE MAILING ADDRESS 3631 North Front Street NAME James D. Cam bell, Jr., Es FIRM NAME (If Ap~;cable) CALDWELL & KEARNS TELEPHONE NUMBER 717 232-7661 Harrisbur 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notas Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Totat Deductions (total Lines 9 & 10) 12. Net Value of Estate (linea minus line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (1) (2) (3) (4) (5) (6) (7) (9) (10) 14. Net Vatue Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTtONS 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 (8) (14) PA 1 10 ..J..... ~ ~:' C; 0"'. ~OFFICIAL USE 0 Y 1 c:i w 2. '- c::: .- t W 13,559.61 ..}. }. :g N o \0 ,559.61 1,315.84 35,121.43 (11) (12) (13) ,437.27 ,877.66 ,877 .66 X _(15) jNIOf.--1I t:-'-' ( X _(16) X .12 (17) X .15 (18) (19) 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~EV-1508 EX + (6.98) '* SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FilE NUMBER Hpwitt ,. ^ ?1 n? nq~7 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE DATE NUMBER DESCRIPTION OFD TH 1. Personal effects, furniture, furnishings 100.00 2. Cremation Society refund 900.00 3. Susquehanna Valley Federal Credit Union Share Accl. #7073-00 104.67 4. Susquehanna Valley Federal Credit Union Checking Accl. #7073-40 18.01 5. Security Deposit (Apartment) refund 405.45 6. Time Inc. refund 64.79 7. Patriot News refund 44.00 8. TV Guide refund 31.82 9. 1998 Honda CRV - Sale proceeds 1,890.87 TOTAL (Also enter on line 5, Recapitulation) $ ~,559.61 (If more space is needed, insert additional sheets of the same size) REV-1511 ex + (17.,-99) * SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER u. .,.. I~n;~" A. ?1 02 na<l7 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMO NT A. FUNERAL EXPENSES: 1. (Not paid from Estate) B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) William C. Cuddy 500.00 Social Security Numbe~s)IEIN Number of Pe""nal Representative(s) 2c't '30 'if>?"J Street Address 3~ID )'~- fd Dr City 11",,,,,"_., State fll Zip /'"1111 Yea~s) Commission Paid: 'l. 00 J 2. Attorney Fees Caldwell & Kearns 500.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Slreet Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 122.00 5. Accountanfs Fees 6. Tax Return Prepare~s Fees 7. Cumberland Law Journal 75.00 8. Carlisle Sentinel 90.59 9. Copies, Fax expense 28.25 TOTAL (Also enter on line 9, Recapitulafion) $ ,315.84 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (6-98) * SCHEDULE. COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER I-lcwitl1ani'-c Il 21 02 n!'l'l7 Include unreimbursed medical expenses. ITEM V AWE A ATE NUMBER DESCRIPTION OFDE H 1. Susquehanna Valley Federal Credit Union - VISA #4851 60000101 9834 1,978.23 2. UGI 22.80 3. IC System Inc. 25.73 4. IRS 2002 Balance due 64.89 5. Sears Gold MasterCard Accl. #5121071773374883 9,715.89 6. T-Mobile 61.70 7. Verizon 29.00 8. Discover Platinum Acel. #6011 00264552 5296 ~,478.19 9. PPL 36.55 10. Quantum Imaging 559.00 11. Andrews and Patel 305.00 12. Holy Spirit Hospital ~,847.25 13. West Shore Pathology 130.00 14. Internists of Central PA 677.20 15. Cytometry/Esoterix Inc. 11,155.00 TOTAL (Also enter on line 10, Recapitulation) $ 5,121.43 (If more space is needed, insert additional sheets of the same size) I REV,,513EX,t,* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF 1-10",1111 mi"oA NUMBER L SCHEDULE J BENEFICIARIES 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under Sec. 9116 la) (1.2)) David F, Hewitt 4118 Green Court Harrisburg, PA 17110 Daniel E. Hewitt 736 Bosler Avenue Lemoyne, PA 17043 FILE NUMBER 21 02 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Son Son . O<l::l7 AMOUNT 0 SHARE OF ES TE 50% 50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER S ET II, NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 2. 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ,. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space is needed, insert additional sheets of the same size) $ II ~T~~~~ijf~~$1~~I2tS;:~~~~:E~~j.~-~. WILL OF JANICE A. HEWITI I, JANICE A. HEWITT, of the Borough ofLemoyne, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ~ ~ other articles of household and personal use, equipment and ornament, together with all K insurance thereon and relating thereto, to my husband, JULIUS F. HEWITT, provided he '" ITEM II. I give and bequeath all of my household goods, automobiles, jewelry, and all survives my death by thirty (30) dayS. Should my said husband predecease me or be deceased on ~ ~ the thirty-first day after my death, I give and bequeath all such items and insurance thereon, as follows: ~ ~ A. One-half to my son, DANIEL E. HEWITT, provided he survives my death by thirty (30) days. B. One-half to my son, DAVID F. HEWITT, provided he survives my death by thirty (30) days. I -::~~~: :~-~,::7~~:~~~~~~-~~1~ .~I'- . -,,-; ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate to my husband, JULIUS F. HEWITT, provided he survives my death by thirty (30) days. Should my said husband predecease me or be deceased on the thirty-first day after my death, I give, devise, and bequeath all the rest, residue, and remainder of my possessions and estate of every nature and wherever situate, as follows: A. One-half to my son, DANIEL E. HEWITT, provided he survives my death by thirty (30) days. \.lo ~ v ~ I'.. B. One-halfto my son, DAVID F. HEWITT, provided he survives my death by thirty (30) days. .~ ~ ~ ITEM IV. I appoint my husband, JULIUS F. HEWITT, executor of this my last will. Should my said husband predecease me or otherwise fail to qualify or cease to serve as executor of this my last will, I appoint WILLIAM C. CUDDY, of Harrisburg, Pennsylvania, executor of this my last will. . ! ITEM V. In addition to the other powers and authorities granted to my personal ~ representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by them; to 2 invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, 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 my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITEM VI. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this :?OTh day of ~ ,1998. ~~ {l. f.1~ 1M'! CE A. HEWITT v 3 The preceding instrument, consisting of this and three other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by JANICE A. HEWITT, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. v 4 .tr COMMONWEALTH OF PENNSYLVANIA ) ( 55: ) COUNTY OF CUMBERLAND The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~ t r.L~ NOT_ SlAl 50 CHfSlllO, -., Public lower ADM Twp., C:u..IIJI~....4 Co.4 PA ,., ea...IooI.. &p/No May 10, 19n COMMONWEALTH OF PENNSYLVANIA ) (55: COUNTY OF CUMBERLAND ) WE,d,f. .:..c f Ife~. -i+ and 11.4 j L&tv6.f , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. d(,i"G\-- f 9J ~:i( .lM~2 Y Notary Public NOTARlM ~i --1 ....altll' ~ CHEsllllO. -17 M,r;., ! loww Allen r..,... c-b"'"'-d Co.. ~ A I Iioy c:.""mlaolon ap/noo May 10. 197.' i _.=-.1 bv 5 \,1 ?-9$-6 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAK DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF OEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-11-2003 HEWITT 10-13-2002 21 02-0937 CUMBERLAND 101 Amount R...1 tted JAMES D CAMPBELL JR CALDWELL & KEARNS 3631 N FRONT ST HBG 'OJ ESQ 1'1:':10 (,GO 19 l. PA 1 iitn.: Rn-lS41EX 'FP -IS) JANICE A MAKE CHECK PAYABLE AND REMIT PAYMENT 0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE"y=iS4f-EX-AFP-coFii3rNCii'"iCE--O"-YNHERiTANCn'"A"in("PPRAYSEMiN;"~--Ai:.rOWANCnfR---------- DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HEWITT JANICE A FILE NO. 21 02-0937 ACN 101 DATE 08-11 2003 TAX RETURN WAS: (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Estate (Schedule AJ 2. Stocks and Bonds (Schedule BJ 3. Closely Held stock/Partnership Interest (Schedule Cl 4. Mortgages/Notes Receivable (Schedule DJ S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. ~ointly Owned Property (Schedule fJ 7. Transfers (Schedule GJ 8. Totel Assets I CHANGED III 121 131 1111 151 161 (71 .00 .00 .00 .00 13.559.61 .00 .00 (81 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ad.. Costs/Hlsc. Expenses (Schedule HJ 10. Debts/Mortgage Liabilities/Lions (Schedule II 11. Total Deductions 12. Net Value of Tax R.turn 13. Charitable/Soyernnantal aequests; Non-elected 9113 Trusts (Schedule J) 14. N.t ValuB of Estat. Subject to Tax I~ an asses.-ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 1 r-'lect ~igures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: IS. Aaount of Line 14 at Spousal rate (IS) 16. ~unt of Line 14 taxable at Lineal/Class A rate (16) 17. Anount of Line III et Sibling rete 1171 18. Anount of Line 14 taxable at Collat.ral/Class a rat. (18) 19. Principal Tax Due CR D NOTE: DATE NUHBER INTEREST/PEN PAID (-I (91 1101 1,315.84 NOTE: To ins... credit to you subloit the of this forn tax papent. proper eccountl r portion th your 35.121.43 1111 1121 1131 11111 .00 X .00 X .00 X .00 X AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 13,55 .61 22,87 .66- .00 22,87 .66- will 00 = 045 = 12 = 15 = .00 .00 .00 .00 .00 1191= o o o o . IF PAID AFTER DATE INDICATEO, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INST NS.I JRD/June 30, 1992/17858 In Re: Estate ofJanice Hewitt ' ORPHANS' COURT DIVISION Late of Lemoyne Borough ' COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY Estate No.: 21-02-0937 : PENNSYLVANIA : : NO. 21-02-0937 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: William Cuddy Counsel for Personal Representative: James Campbell Jr Date of Decedent's Death: 10/13/2002 Date of Delinquency Notice: 08/11/04 The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 11/08/04 ~ ~'~' ' ~-''d~''''~') Glenda Famer Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for at in Courtroom No. 3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. .~ ~ Geo~~f~, ~~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Janice A. Hewitt Date of Death: 10/13/2002 Will No 21-02-0937 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: 1.State whether administration of the estate is complete: Yes No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: June 30, 2005 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 __ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest ? Yes No __ 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 · 11/10/2004 Signature dames D. Campbell, dr., Esquire Name (Please type or print ) 3631 North Front Street Harrisburq PA 17110 Address ( 717 ) -2327661 ~.:~ 1~.; Tel. No. ~ Capacity' ~ Personal Representative c. t: [ (2 0 [ ..~!~! ~:,t.!. X Counsel for personal representative STATUS REPORT UNDER RULE 6.12 Name of Decedent: Janice A. Hewitt Date of Death: 1 0/ 1 3/ 0 2 Will No.: 2002-0937 Admin. No.: Pursuant to Rule 6.12 of the Supreme Coufi O~;hans' 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 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 b. The separate Orphans' COnrt 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 ^X No ^ c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerlc of the Orphans' Court and maybe attached to this report. q Date: S/25/05 ~ // Sign tore James D Camp.~~ Name 3631 North Front Street Harrisburg, PA 17110 Address +~.'~ (717) ~ -7661 Telephone No. Capacity: ^ Personal Representative Q Counsel for personal representative ~~, IN RE: ESTATE OF ) JANICE A. HEWITT, ) DECEASED ) IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION N0. 2002-0937 RECEIPT AND RELEASE $5,847.25 in full settlement of the creditor's claim against said Estate. AND THEREFORE, the undersigned creditor does by these presents remise, release, quitclaim and forever discharge the said William C. Cuddy, his heirs, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to this final distribution of the said Estate of Janice A. Hewitt. The undersigned verifies that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4909 relating to unsworn falsifications to authorities. NAME OF CREDITOR: HOLY SPIRIT HOSPITAL (/// _.`r~niGS ~ .. bNE`~, ~I~iL=i%T~r~ , rJ)~ `~ Please print name of authorized signer Dated: f~,~~JGi~y ~~1 ~1-UC_%~ The undersigned creditor of the subject Estate, intending to be legally bound hereby:. does hereby acknowledge that the creditor has had and received of and from William C. Cuddy, Executor of the Estate of Janice A. Hewitt, deceased, the sum of: 02-753/82098-1 IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS JANICE A. HEWITT, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION NO. 2002-0937 RECEIPT AND RELEASE The undersigned creditor of the subject Estate, intending to be legally bound hereby, does hereby acknowledge that the creditor has had and received of and from William C. Cuddy, Executor of the Estate of Janice A. Hewitt, deceased, the sum of: $6,:51:1.96 in full settlement of the creditor's claim against said Estate. AND THEREFORE, the undersigned creditor does by these presents remise, release, quitclaim and forever discharge the said William C. Cuddy, his heirs, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to this final distribution of the said Estate of Janice A. Hewitt. The undersigned verifies that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4909 relating to unsworn falsifications to authorities. NAME OF CREDITOR: DISCOVER FINAL 'ICES, INC. By: f~.~itad ya~s~~ Please print name of authorized signer Dated: GE$,2dA~"7 ~~ 200,E sazsi /~ ~~~ IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS JANICE A. HEWITT, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION NO. 2002-0937 RECEIPT AND RELEASE The undersigned creditor of the subject Estate, intending to be legally bound hereby, does hereby acknowledge that the creditor has had and received of and from William C. Cuddy, Executor of the Estate of Janice A. Hewitt, deceased, the sum of: $4,916.24 in full settlement of the creditor's claim against said Estate. AND THEREFORE, the undersigned creditor does by these presents remise, release, quitclaim and forever discharge the said William C. Cuddy, his heirs, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to this final distribution of the said Estate of Janice A. Hewitt. The undersigned verifies that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4909 relating to unsworn falsifications to authorities. Dated: MAR ` ~ `'~i~~' 83784 IN RE: ESTATE OF 1N THE COURT OF COMMON PLEAS JANICE A. HEWITT, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION NO. 2002-0937 RECEIPT AND RELEASE The undersigned creditor of the subject Estate, intending to be legally bound hereby, does hereby acknowledge that the creditor has had and received of and from William C. Cuddy, Executor of the Estate of Janice A. Hewitt, deceased, the sum of: $772.89 in full settlement of the creditor's claim against said Estate. AND THEREFORE, the undersigned creditor does by these presents remise, release, quitclaim and forever discharge the said William C. Cuddy, his heirs, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to this final distribution of the said Estate of Janice A. Hewitt. The undersigned verifies that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4909 relating to unsworn falsifications to authorities. NAME OF CREDITOR: 83776 SUSQUEHANNA VALLEY FEDERAL C/REDIT UNION By: r ~\ .. Please prir5~ name of authorized signer ~_.') ~ r Dated: ~~ tY-tint P ~e5 ~' ~ IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS JANICE A. HEWITT, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED ORPHANS' COURT DIVISION NO. 2002-0937 RECEIPT AND RELEASE The undersigned creditor of the subject Estate, intending to be legally bound hereby, does hereby acknowledge that the creditor has had and received of and from William C. Cuddy, Executor of the Estate of Janice A. Hewitt, deceased, the sum of: $11.68 in full settlement of the creditor's claim against said Estate. AND THEREFORE, the undersigned creditor does by these presents remise, release, quitclaim and forever discharge the said William C. Cuddy, his heirs, successors and assigns, of and from any and all actions, liabilities, claims and demands relating in any way to this final distribution of the said Estate of Janice A. Hewitt. The undersigned verifies that the statements made in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4909 relating to unsworn falsifications to authorities. NAME OF CREDITOR: UGI UTILITIES iNC. l Imo, 1"t I ~ S l~ Please print name of authorized signer Dated: ~ -- ~ -_D j 83791