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HomeMy WebLinkAbout02-1183PETITION FOR PROBATE and GRANT OF LETTERS Estate of Flossie B. Vollmer also known as Deceased. Social Security No. 286-38-9687 The petition of the undersigned respectfully represents that: To: in the Your petitioner(s), who is/are 18 years of age or older an the executor in the last will of the above decedent, dated Mav 12 named and codicil(s) dated October 26, 1990 , 19 87 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland h er last family or principal residence at 71 Hillside Circleounty, Pennsylvania, with East Penns r T (list street, number and muncipality) Decendent, then 102 years of age, died December 17 , ~9~ 2002 at_ 71 Hillside Circle. Camas Hill EaGr PPn„~t, Town ~, PA Except as follows, decedent dtd not marry, was not dtvorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as fallows: (If domiciled in Pa.) All personal property $ 100, 000 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania situated as follows: $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary theion. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) /, .> v j~~~ v .-. ~~ x~ vo ^ 'a ~~ ~a a~ w 7 O tQ C 00 V] Philip B. Vollmer 2935 Lincoln St. ' Camp Hill PA 17011 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 COUNTY OF Cumberland ~ S3 The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well aye' r ly/ adminis,~er the estate ~ajcco~rding to law. Sworn to or affirmed and subscribed U ~ ~ ~ .; ~~C~/~- efore me this _~~~ day of ili V ~ cem e 9 200 ~ _ Q /~J /~C~~JitL.ey ~ eg ster 1 ~? //~- Register of Wills for the County of Cumberland Commonwealth of Pennsylvania No. a l - a~ - ~~83 _ Estate of Flossie B. Vollmer ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW h~ 2002, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, 1990 (codicil) May 12, 1987 (will) & October 26, IT IS DECREED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of - Flossie B. Vollmer -' and Letters Testamentar are hereby granted to Phili B. Vollmer ~ri.~ ~ / lr7 ~I`.ty Register of Wi1Is~~~~ FEES ro a~e,~Letters, Etc. ...... ... Short Certtficates(5) . • • • ... ... ~ 15 00 X- (J~a e s Renunciation ............. °° ... 5 ~ JC.P $ lO4c~'_ TOTAL ~~~-° Filed ~~~~ . ~ 1... 2sx ~.-....... . Bridget M. Whitler ~~33580Z__ ATTORNEY (Sup. Ct. LD. NoJ Keefer Wood Allen & Rahal, LLP. 210 Walnut Street, Harrisburg, PA 17101 ADDRESS (717) 255-8027 PHONE 1 r, "~`i~~# tXX ~~~ C`~es~nte~# .a~# FLOSSIE B. VOLLMER I, FLOSSIE B. VOLLMER, of Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEM V of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate.. ITEM III: I give and bequeath the sum of FIVE THOUSAND DOLLARS ($5,000.00) to the VOLLMER NURSING SCHOLARSHIP FUND at Fairview General Hospital, Cleveland, Ohio. ITEM IV; I give and bequeath to my son, PHILIP B. VOLLMER, of Camp Hill, Pennslvania, absolutely and in fee simple, all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon. If my said son predeceases me, I give and devise said property to my daughter-in-law, KATHRYN VOLLMER. If both my said son and my said daughter-in-law predecease me, I make such bequest to their children, in equal shares, per stirpes. Such property shall be divided among them as they agree. Should there be no agreement, Page 1 7, ~ ~ f such property shall be divided among them by the Executor in as nearly equal portions as is deemed practical in the sole discretion of the Executor, having due regard to the personal preferences of such children.. ITEM V: I devise and bequeath all the rest, residue and remainder of my e~tat~ ~~~" whatsoever nature and wherever situate, together with any insurance policies thereon, as follows: (a) SIXTY PERCENT (60%) to my son, PHILIP B. VOLLMER, of Camp Hill, Pennsylvania; (b) TEN PERCENT (10%) to my grandson, PHILIP VOLLMER, of Camp Hill, Pennsylvania; (c) TEN PERCENT (10%) to my grandson, RICHARD 0. VOLLMER, of Camp Hill, Pennsylvania; (d) TEN PERCENT (10%) to my granddaughter, NANCY ANN VOLLMER, of Camp Hill, Pennsylvania; and (e) TEN PERCENT (10%) to my granddaughter, REBECCA VOLLMER, of Camp Hill, Pennsylvania-. If mY son, PHILIP B. VOLLMER, should predecease me, I devise and bequeath his share to my daughter-in-law, KATHRYN VOLLMER, of Camp Hill, Pennsylvania. In the event that both PHILIP B. VOLLMER and KATHRYN VOLLMER predecease me, I devise and bequeath their share to my grandchildren, per stirpes. In the event any of my grandchildren should predecease me and leave no issue, said share shall be divided equally among the other living grandchildren-. Page 2 ~. ~, In the event issue survives the deceased grandchildren, said living issue shall take the deceased grandchild's share, per stirpes. If any beneficiary under this Will has not attained the age of thirty (30) years at the time of my death, his or her share shall be held IN TRUST by my son, PHILIP B. VOLLMER, as Trustee, until such beneficiary attains the age of thirty (30) years, at which time my Trustee shall distribute to such issue his or her share of my residuary estate. In the event PHILIP B. VOLLMER cannot act as Trustee, I hereby appoint my daughter-in-law, KATHRYN VOLLr1ER, to so act. If both PHILIP B,. VOLLMER and KATHRYN VOLLMER predecease me or cannot act or continue to act for any reason, I appoint my attorney, BARBARA SUMPLE-SULLIVAN, New Cumberland, Pennsylvania, to act in their place. If the said BARBARA SUMPLE-SULLIVAN cannot act or chooses not to serve in this capacity, I appoint CCNB Bank, N:.A-. to act in her place .• Should my son, PHILIP B. VOLLMER, and my daughter-in-law, KATHRYN VOLLMER, and all their children and issue predecease me, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, together with any insurance policies thereon, to be divided into equal shares and distributed as follows: (a) One share to my nephew, JAMES J.. BLIZARD, 3705 Ridgemont Way, Bellingham, Washington. (b) One share to the VOLLMER NURSING SCHOLARSHIP FUND, for Nursing Education at Fairview General Hospital, Cleveland, Ohio. (c) One share to the FAIRVIEW GENERAL HOSPITAL ENDOWMENT FUND, Fairview General Hospital, Cleveland, Ohio. Page 3 ~ !~_ V (d) One share to my sister, RITA BLIZARD, 229 St. Helens Avenue Apt. 14, Tacoma, Washington. ITEM VI: In the settlement of my estate, the Executor and Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, as long as the Executor and Trustee may deem it advisable to my estate to do so; (b) To sell either at private or public sale and upon such terms and conditions as the Executor and Trustee may deem advantageous to the estate, any or all real or personal property or interest therein owned by the estate; (c) To pay all costs, taxes, expenses and charges in connection with the administration of my estate; (d) To compromise controversies; and (e) To do all other acts in the Executor's and Trustee's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the Estate. ITEM VII: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under circum- stances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM VIII: I hereby nominate, constitute and appoint my son, PHILIP B. VOLLMER, to be the Executor of my Estate. I hereby nominate, Page 4 ~" -~.~U, constitute and appoint my daughter-in-law, KATHRYN VOLLMER, to be the Alternate Executrix of my Estate in the event my said son, PHILIP B. VOLLMER, cannot act or refuses to act as Executor. The Executor is specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding four (4) pages, at the end of each page of which I have also set my initials for greater security and better identification this ~~ day of 1987. -_~~~B~.L.1 ~~ (SEAL ) FLOSSIE B. VOLLMER We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and {SEAL) Residing at ~ ~ ~~ /~--~y\ (SEAL) .Residing at ~ ~~~~~ /~~ ---- ---~ (SEAL) Residing at ~/K. i ~~ ACKNOWT,EDGEMENT COMMONWEALTH OF PENNSYLVANIA . . SS. COUNTY OF ~~~~-~~-~--, , I, FLOSSIE B. VOLLMER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. `i ~ t/L~~o R L~~_....r~i (SEAL ) FLOSSIE B. ~OLLMER Sworn to and subscribed before me this ~a.~ day of ~i'1~ 1987. NOTARY UBLIC My Commission Expires: (SEAL) ltMt3A J. O1SEN. NOTARY PU3UC HARRlS3URl':, OAJPHlN COp~lTY MY COtdl~lSSlON ExPlRES SF!'T. 8. ?9$8 Member, Pennsylvania a~soci;;t,'on o1 HotaNes AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF CumBE~Lr4illJ~ We, ~ARBAR14 ~UMPLE - Scic:~.lyAn/, .,,lA mcs D. Fi4~PcE~/ and ~, iwb,~v ~"}~feL E y , 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 Testatrix, FLOSSIE B. VOLLMER, sign and execute the instrument as her Last Will and .Testament; that Testatrix signed willingly and that she executed said Will 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 eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~_ . Witness Witn ss ~./ ~,~. Witness Sworn to and subscribed before me this /a~day of ~~ , 1987. v C/~(A.~li/~... NOT PUBLIC My Commission Expires: (SEAL) LINDA J. OLSEN, NOTARY PUBLIC HARRfSBURC, 1iAUPHIR COUNTY MY COMMISSICiN EYr"IRES $Ep?. 8, 1488 Member, Pennsylr:s,,:;, ~sa~~tlatior d; Notaries CODICIL TO THE LAST WILL AND TESTAMENT OF FLOSSIE B. VOLLMER I, FLOSSIE B. VOLLMER, of Cumberland County, Pennsylvania, do make, publish and declare this to be a Codicil to my Last Will and Testament dated May 12, 1987. FIRST: I hereby amend ITEM V of my said Last Will and Testament to read: ITEM V: I devise and bequeath all the rest, residue and remainder of my estate of whatsoever nature and wherever situate, together with any insurance policies thereon, as follows: (a ) SIXTY PERCENT ( 60 % ) to my son, PHILIP B . VOLLP~4ER, of Camp Hill, Pennsylvania; (b) TEN PERCENT (100) to my grandson, PHILIP VOLLMER, of Camp Hill, Pennsylvania; (c) TEN PERCENT (10%) to my grandson, RICHARD O. VOLLMER, of Camp Hill, Pennsylvania; (d) TEN PERCEPdT (10°s) to my granddaughter, NANCY ANN VOLLMER, of Camp Hill, Pennsylvania; (e) TEN PERCENT (100) to my granddaughter, REBECCA VOLLMER, of Camp Hill, Pennsylvania. If my son, PHILIP B. VOLLMER, should predecease me, I devise and bequeath his share to my daughter-in-law, KATHRYN VOLLMER, of Camp Hill, Pennsylvania. In the event that both PHILIP B. VOLLMER and KATHRYN VOLLMER predecease me, I devise and bequeath their share to my grandchildren, per stirpes. In the event any of my grandchildren should predecease me and leave no issue, said share shall be divided equally among the other living grandchildren. In the event issue survives the deceased grandchildren, said living issue shall take the deceased grandchild's share, per stirpes. Should my son, PHILIP B. VOLLMER, and my daughter-in-law, KATHRYN VOLLMER, and all their children and issue predecease me, I devise and bequeath all the rest, residue Page 1 _._ ~ t { `R and remainder of my estate of whatever nature and wherever situate, together with any insurance policies thereon, to be divided into equal shares and distributed as follows: (a) One share to my nephew, JAMES J. BLIZARD, 3705 Ridgemont Way, Bellingham, Washington; (b) One share to the VOLLMER PdURSIPdG SCHOLARSHIP FUND, for Nursing Education at Fairview General Hospital, Cleveland, Ohio; (c) One share to the FAIRVIEW GENERAL HOSPITAL ENDOWMENT FUND, Fairview General Hospital, Cleveland, Ohio; (d) One share to my sister, RITA BLIZARD, 229 St. Helens Avenue, Apt. 7.4, Tacoma, Washington. SECOND: In all other respects, I do hereby ratify and confirm my Last Will and Testament dated May 12, 1987. IN WITNESS WHEREOF, I have set my hand and seal this r ~ day of ~_r;/;,.(,._ 1990, to this, a Codicil to my Last Will and Testament dated May 12, 1987. ~~ .k~ ~ ,~ . ~-, y~~ ~ f. „_~, ( SEAL ) FLOSSIE B. VOLLMER We, the undersigned, hereby certify that the foregoing Codicil was signed, sealed, published and declared by the above-named Testatrix as and for a Codicil to her Last V1i11 and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above ~,rritten, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. f i .' i , L +1~~ Residing at 5`-IO ~o,`;c>,1nc°~.~. Q- ~~ ~r G- , ~G" {`, Residing at ~ Sv ,~,_,~~ -~i„-.~bc». i~r~ `~ Residing at ,x7~1d j~Ji;~Ljt,lid~ -: ~~ ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA , SS. COUNTY OF , I, FLOSSIE B. VOLLMER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as a Codicil to my Last Will and Testament dated May 12, 1987; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein contained, ~ ~ r~ ! ~~ ( ( SEAL ) i FLOSSIE B, VOLLMER Sworn to and subscribed before me this ;! day of ~ ~ f~r 1990. NO^1ARY PUBLIC My Commission Expires: (SEAL) Notarial Seal Deborah K. tkremer, Notary Pubfic East Pennsboro Rapp., Cumberland County My Commission Expires Sept. ~ 2,1994 Man~bei, Pennsylvan~P,~soaation of Notaries AFFIDAVIT COMMONWEAL^1H OF PENNSYLVANIA . SS. COUNTY OF . We, 1 ,~_ 1 ~ <~ ~ , .i ~ r, l i ~ ,~ ; , , and ,~ , ,t ~ ; :,:, ~ ~~ ~~~ ~ ~; , the Witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according co law, do depose and say that we were present and saw Testatrix,, FLOSSIE B. VOLLMER, sign and execute the instrument as a Codicil to her Last Will and Testament dated May 12, 1987; that Testatrix signed willingly and that she executed said Codicil 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 Codicil as Witnesses; and that to the best of our kno~~~ledge the Testatrix was at that time eighteen (18 ) or more years of age, of sound mind and under no constraint or undue influence. Qi Cl.~c FC1 ~ ~c ~3 C1't'~.~ Witness ` Witness .C~~~~~Z ~ 3~aCC.~ Witn s Sworn to and subscribed before me this j~' - day of ~ ~ ~ ~ =t . ~ _ 1990. ~ ~ ~ .t 1 '. ~ ~ ~ a. ~ NOTARY PUBLIC f+Iy Commission Expires: (SEAL) ptolarial Seal ~ebaah K p2remer, t~cHary Pubic East Pennsbpro Tv,rp Cumberland County h"y Comm+ssion Expires Sept. 12,19°4 C~.'_~rit~r, Pennsywa ~a Association of Note CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Flossie B. Vollmer Date of Death: December 17, 2002 Will No.: 2002-01183 T o the Register: I certify that notice of estate administration required by Rule 5.6 of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on January 24, 2003: Philip B. Vollmer, 2935 Lincoln Street, Camp Hill, PA 17011 Beulah Todd, Fairview/Lutheran Foundation, 20545 Center Ridge Road, Ste 448, Rocky River, OH 44116 Philip Vollmer, 3900 Mountview Road, Columbus, OH 43220 Richard O. Vollmer, 920 Larimore Street, Arlington, VA 22205 Nancy V. LeMay (Nancy Ann Vollmer), 21 Chestnut Square, Jamaica Plain, MA 02130 Rebecca Vollmer, 321 Modoc Avenue, Oakland, CA 94618 Notice has now been given to all persons entitled thereto under Rule 5.6 (a). ,~,/ Date: January 29, 2003 ~t~c, `f ':~ ~~~ ' ~ ~' ~ Bridget .Whitley, Esq. Keefer Wood Allen & Rahal, LLP P.c7. Box 11963 Harrisburg, PA 17108-1963 Capacity: Counsel for Personal Representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND PENNSYLVANIA In re Estate of Flossie B. Vollmer, deceased, TO: Philip B. Vollmer 2935 Lincoln Street Camp Hill, PA 17011 Please take notice of the death of decedent and the grant of letters to the personal representative named below. The Decedent, Flossie B. Vollmer, died on the 17th day of December, 2002 at 71 Hillside Circle, East Pennsboro Township, Camp Hill, Cumberland County, Pennsylvania. The Decedent died testate (with a Will). The personal representative of the Decedent is Philip B. Vollmer, 2935 Lincoln Street, Camp Hill, PA 17011, telephone number (717) 761-7708 The Will has been filed with the Office of the Register of Wills of Cumberland, Courthouse Square, Carlisle, PA 17013-3387, Phone number (717) 240-6345. A copy of the Will may be obtained by contacting the Register of Wills and paying the charges for duplication. r 1 y' Date: January 29, 2003 ,~~~ ;~, . :, Bridget M' Whitley, Esq. Keefer Wood Allen & Rahal, LLP P.O. Box 11963, Harrisburg, PA 17108 Telephone (717) 255-8027 Capacity: Counsel for Personal Representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND PENNSYLVANIA In re Estate of Flossie B. Vollmer, deceased, TO: Beulah Todd Fairview/Lutheran Foundation 20545 Center Ridge Road, Ste 448 Rocky River, OH 44116 Please take notice of the death of decedent and the grant of letters to the personal representative named below. The Decedent, Flossie B. Vollmer, died on the 17th day of December, 2002 at 71 Hillside Circle, East Pennsboro Township, Camp Hill, Cumberland County, Pennsylvania. The Decedent died testate (with a Will). The personal representative of the Decedent is Philip B. Vollmer, 2935 Lincoln Street, Camp Hill, PA 17011, telephone number (717) 761-7708 The Will has been filed with the Office of the Register of Wills of Cumberland, Courthouse Square, Carlisle, PA 17013-3387, Phone number (717) 240-6345. A copy of the Will may be obtained by contacting the Register of Wills and paying the charges for duplication. Date: January 29, 2003 ~'~ ~ ~ :.l- ~~ ( ~ tl~~`-~ Bridget .Whitley, Esq. j Keefer Wood Allen & Rahal, LLP P.O. Box 11963, Harrisburg, PA 17108 Telephone (717) 255-8027 Capacity: Counsel for Personal Representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND PENNSYLVANIA In re Estate of Flossie B. Vollmer, deceased, TO: Philip Vollmer 3900 Mountview Road Columbus, OH 43220 Please take notice of the death of decedent and the grant of letters to the personal representative named below. The Decedent, Flossie B. Vollmer, died on the 17th day of December, 2002 at 71 Hillside Circle, East Pennsboro Township, Camp Hill, Cumberland County, Pennsylvania. The Decedent died testate (with a Will). The personal representative of the Decedent is Philip B. Vollmer, 2935 Lincoln Street, Camp Hill, PA 17011, telephone number (717) 761-7708 The Will has been filed with the Office of the Register of Wills of Cumberland, Courthouse Square, Carlisle, PA 17013-3387, Phone number (717) 240-6345. A copy of the Will may be obtained by contacting the Register of Wills and paying the charges for duplication. Date: January 29, 2003 ~~=:.c =t=,;,/- ~l~ ~ l~~-cZ(.~~ Bridget .Whitley, Esq. Keefer Wood Allen & Rahal, LLP P.O. Box 11963, Harrisburg, PA 17108 Telephone (717) 255-8027 Capacity: Counsel for Personal Representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND PENNSYLVANIA In re Estate of Flossie B. Vollmer, deceased, TO: Richard O. Vollmer 920 Larimore Street Arlington, VA 22205 Please take notice of the death of decedent and the grant of letters to the personal representative named below. The Decedent, Flossie B. Vollmer, died on the 17th day of December, 2002 at 71 Hillside Circle, East Pennsboro Township, Camp Hill, Cumberland County, Pennsylvania. The Decedent died testate (with a Will). The personal representative of the Decedent is Philip B. Vollmer, 2935 Lincoln Street, Camp Hill, PA 17011, telephone number (717) 761-7708 The Will has been filed with the Office of the Register of Wills of Cumberland, Courthouse Square, Carlisle, PA 17013-3387, Phone number (717) 240-6345. A copy of the Will may be obtained by contacting the Register of Wills and paying the charges for duplication. Date: January 29, 2003 : `-'J- '~-~ ~ ~r ~~J~J~' Bridget M. Whitley, Esq. Keefer Wood Allen & Rahal, LLP P.O. Box 11963, Harrisburg, PA 17108 Telephone (717) 255-8027 Capacity: Counsel for Personal Representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND PENNSYLVANIA In re Estate of Flossie B. Vollmer, deceased, TO: Nancy V. LeMay (Nancy Ann Vollmer) 21 Chestnut Square Jamaica Plain, MA 02130 Please take notice of the death of decedent and the grant of letters to the personal representative named below. The Decedent, Flossie B. Vollmer, died on the 17th day of December, 2002 at 71 Hillside Circle, East Pennsboro Township, Camp Hill, Cumberland County, Pennsylvania. The Decedent died testate (with a Will). The personal representative of the Decedent is Philip B. Vollmer, 2935 Lincoln Street, Camp Hill, PA 17011, telephone number (717) 761-7708 The Will has been filed with the Office of the Register of Wills of Cumberland, Courthouse Square, Carlisle, PA 17013-3387, Phone number (717) 240-6345. A copy of the Will may be obtained by contacting the Register of Wills and paying the charges for duplication. Date: January 29, 2003 Bridget M! Whitley, Esq. Keefer Wood Allen & Rahal, LLP P.O. Box 11963, Harrisburg, PA 17108 Telephone (717) 255-8027 Capacity: Counsel for Personal Representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE Whether you will receive any money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND PENNSYLVANIA In re Estate of Flossie B. Vollmer, deceased, TO: Rebecca Vollmer 321 Modoc Avenue Oakland, CA 94618 Please take notice of the death of decedent and the grant of letters to the personal representative named below. The Decedent, Flossie B. Vollmer, died on the 17th day of December, 2002 at 71 Hillside Circle, East Pennsboro Township, Camp Hill, Cumberland County, Pennsylvania. The Decedent died testate (with a Will). The personal representative of the Gecedent is Philip B. Vollmer, 2935 Lincoln Street, Camp Hill, PA 17011, telephone number (717) 761-7708 The Will has been filed with the Office of the Register of Wills of Cumberland, Courthouse Square, Carlisle, PA 17013-3387, Phone number (717) 240-6345. A copy of the Will may be obtained by contacting the Register of Wills and paying the charges for duplication. Date: January 29, 2003 ``=~~ Bridget M'. Whitley, Esq. Keefer Wood Allen & Rahal, LLP P.O. Box 11963, Harrisburg, PA 17108 Telephone (717) 255-8027 Capacity: Counsel for Personal Representative ~_ d~~ ~ ~- a _~ a =~ s~o w3 o~ ~ Q~ 1 ~xnx ~~~~ o ~ ~. ~ ~ ~ rt ~~an a ~ ~¢'no ~n x~ E ~w~~ ~~~+~ o~~ N Wrtn no ~G r~ n ~~ 0 (D "~1 ~a ~, w ~ c~ ~~IL~ ~` 1, Philip B. Vollmer 2935 Lincoln Street Camp Hill, PA 17011 March S, 2003 Register of Wills for Cumberland County Cumberland County Courthouse Hanover and High Streets Carlisle, PA l 7013 Re: Estate of Flossie B. Vollmer Date of Death: December 17, 2002 No. 2002-01183 To the Register: The enclosed check, in the amount of $ f ~2 7 ~" =" , is tendered as a prepayment of the Pennsylvania Inheritance Tax due on the above-referenced Estate. Please send the receipt for this payment to me, at my address indicated above. Sin r ly, /~'' ~' G' Philip B. Vollmer Executor, Estate of Flossie B. Vollmer Enclosure COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-961 NO. CD 002256 VOLLMER PHILIP B 2935 LINCOLN STREET CAMP HILL, PA 1701 1 ACN ASSESSMENT AMOUNT CONTROL NUMBER -- fold ESTATE INFORMATION: ssN: 2s6-38-s6s7 FILE NUMBER: 2102- 1 1 83 DECEDENT NAME: VOLLMER FLOSSIE B DATE OF PAYMENT: 03/06/2003 POSTMARK DATE: 03/05/2003 COUNTY: CUMBERLAND DATE OF DEATH: 1 2/ 1 7/2002 REMARKS: PHILIP B VOLLMER SEAL CHECK# 975 101 ~ 54,275.00 TOTAL AMOUNT PAID: INITIALS: AC RECEIVED BY: DONNA M. OTTO 54,275.00 DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-1162 EX;11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 003014 KE~FER WOODI ALLAN & RAHAL P O BOX 1 1963 HARRISBURG, PA 17108-1963 fold ESTATE INFORMATION: ssN: zas-38-ss87 FILE NUMBER: 2102-1 183 DECEDENT NAME: VOLLMER FLOSSIE B DATE OF PAYMENT: 09/ 1 5/2003 POSTMARK DATE: 09/12/2003 COUNTY: CUMBERLAND DATE OF DEATH: 12/17/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 5210.20 TOTAL AMOUNT PAID: REMARKS: PHILIP B VOLLMER C/O KEEPER ETAL CHECK#1006 SEAL INITIALS: DO RECEIVED BY: DONNA M. OTTO 5210.20 DEPUTY REGISTER OF WILLS REGISTER OF WILLS C C - ., _ . ~' .. rv _ _.. r: ;? j{ ~,~ _ - _ `_ 'a: -~ ._ - - °:w 0 - -~ C/k ~ ~IN I III I ', II iii I a,l~~ __ . ___ _ _ _ s. ~ ~ v -~ w ~ ~ - o _ ~ ~ ~ ~ s3¢a~ _ ____ _ , . _~~,~ uel,~ i-i J e O ~~ J ~. / t~ 3r ~-- 4. ~ ~ -" _ a~~"i~ v= ~ - •~ ~ - __ N ~ 0 H i HEATH L. ALLEN KEEPER WOOD ALLEN &RAHAL, LLP N. DAVID RAHAL 210 WALNUT STREET CHARLES W RUBENDALLII ROBERT L. WELDON P. O. BOX 11963 EUGENE E. PEPINSKY, JR. HARRISBURG, PA 17108-1963 JOHN H. ENDS III - GARY E. FRENCH PHONE 17171 255-8000 DONNA S. WELDON - BRADFORD DORRANCE EIN No. 2 3-071613 5 JEFFREY S. STOKES www.keeferwood.com ROBERT R. CHURCH STEPHEN L. GROSE R. SCOTT SHEARER WAYNE M PECHT Se tember 12, 2003 p ELYSE E. ROGERS CRAIG A. LONGYEAR DONALD M. LEWISI.IL BRIDGET M. WHITLEY JOHN A. FEICHTEL ANN McGEE CARBON ELIZABETH J. GOLDSTEIN BARBARA A. GALL STEPHANIE KLEINFELTER Register of Wills for Cumberland County 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Flossie B. Vollmer No. 21-2002-01183 Dear Register: ESTABLISHED IN 1878 OF COUNSEL: SAMUEL C. HARRY WEST SHORE OFFICE: 415 FALLOWFIELD ROAD CAMP HILL, PA 17011 17171 612-5800 WRITER'S CONTACT INFORMATION: (717)255-8027 E-mail Address: bwh itleyCn~keeferwood. com Enclosed for filing please find two copies of the Pennsylvania Inheritance Tax Return and one copy of the Inventory for the above-referenced Estate. I also enclose separate checks for the additional tax due ($210.20) and your filing fees ($25). Please confirm the filing of these documents by date stamping the enclosed confirmation copies. Ienclose aself-addressed, stamped envelope for your use in returning the confirmation copies. Thank you for your assistance in this matter. Very truly yours, KEEPER WOOD ALLEN }& RAHAL,1.1_P ~~ Bridget M. Whitley Enclosures E - REV-1S00 EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 \f"\ - I\a- 4- REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAl... USE ONLY FILE NUMBER 21 20~ -91183 __ YEAR NUMBER COUNTY CODE DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ Vollmer, Flossie B. ~ DATE OF DEATH (MM-DD- YEAR) DATE OF BIRTH (MM-DD- YEAR) ~ 12/17/2002 12/16/1900 ~ (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 286-38-9687 THIS REnRN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER Original Return D 2. Supplemental Return D 3. Remainder Return (date of death prior to 12-13-82) o 4a, Future Inlerest Compromise (dale of death after 12.-12-82\ 0 5. Federal Estate Tax Return Required D 7. Decedent Maintained a Living Trust (Attach copy alTrust) ~ 8. Total Number of Safe Deposit Boxes D 10. Spousal Poverty Credit {date of death between 12~31-91 ard 1-1_95) D 11. Election to tax under Sec. 9113(A) IAttachSchO) W I- ~::$(I) UO:'" Wo.U J:~ Uo.", 0. '" 00, D4 006 limited Estate Decedent Died Testate (AII(:lch copy of Will) o $, Li1igalion Proceeds Received 'Z '" " Z o "- '" ill 2j u THIS SECTION MUST BE COMPLETEO, ALL CORRESPONDENCE ANO CONFIOENTIAL TAX INFORMATION SHOULO BE DlRECTEO TO: NAME COMPLETE MAILING ADDRESS Bridget M. Whitley, Esq. FIRM NAME (If Applicable) Keefer Wood Allen & Rahal, LLP TELEPHONE NUMBER 210 Walnut Street P.O. Box 11963 Harrisburg, PA 17108-1963 (717) 255-8027 ,. Real Estate (Schedule A, (1) 2 Stocks and Bonds (Schedule B) (2) 3 Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4 Mortgages & Noles Receivable (Schedule D) (4) 5. Cash, Bank Deposns & Miscellaneous Personal Property (Schedule E) (5) Z 6 Jc\n\\y OWned Property (Schedule F) (6) 0 o Separate Billing Requested ;::: ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) ;:) (Schedule G or L) l- s:: 8 Total Gross Assets (total Lines 1-7) ;j W 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) ',.r-I 0.00 102,136.10 0.00 0.00 ! "-OFFICIALUSEONLY 9,767.75 3,850.73 0.00 115,754.58 (8) 4,910.54 1,173.02 (11) 6,083.56 109,671.02 5,000.00 12. Net Value of Estate (Line 8 minus line 11) 13 Charitable and Governmental Bequests/See 9113 Trusts for which an election 101ax has not been made (Schedule J) (12) (13) 14 Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Une 141axable at the spousal tax 0.00 Z rate, or transfers under Sec, 9116 (a)(1.2) 0 ;:: 16 Amount of Line 14 taxable at lineal rate 104,671.02 .. I- ::> 0.00 0. 17 Amount of Line 14 taxable at Sib"ng rate :;; 0 0.00 U 18. Amount of Line 14 taxable at collateral rate x ;! 19. Tax Due (14) 104,671.02 x.OO_(15) 0.00 (19) 4,710.20 0.00 0.00 4,710.20 x .045.......-..... (16) x 12 (17) x 15 (18} 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 2W4645 LOOO Decedent's Complete Address: SlREET ADDRESS 71 Hillside Circle Apt. 1 CllY I STATE I ZIP Camp Hill PA 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 4,275.00 225.00 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 Total Interest/Penalty (0 + E) (3) 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) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A This is the BALANCE DUE. Make Check Payable to: REGISTEROFWlLLS, AGENT (5B) PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 4,710.20 4.500.00 0.00 210.20 0.00 210.20 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . , . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or .... . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which Yes D D D D o D contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. [J IX! IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. No [XI [XI [XI [XI [XI [XI 6 VoII hf~ C::-x e<-u loY" AOORESS Camp Hill, PA 17011 SIGNATURE 5/F PREPARER OTHER THAN REP8ESENTA TIVE ~.. YI1. Ji'kJ'h AOORESS ee er 00 en & a, Harrisburg, PA 17108-1963 ox DATE '1. 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 orforthe use of the SUrviving spouse is 3% (72P.S.g9916 (a) (1.1)(ill 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. 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 stH! 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)(1.211 The tax rate imposed on the net value of transfers to orforthe use of the decedent's linea) beneficiaries is 4,5%, except as noted in 72 P.S,!3 9116(1.2) [72 P.S. g9116(a)(1}J. The tax rate imposed on the net value of transfers to orforthe use of the decedent's siblings is 12% (72 P,S 9 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. 2W46461.000 I REV-1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Vollmer, Flossie B. FILE NUMBER 21-2002-01183 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CESCRIPTlON VALUE AT DATE OF DEATH 1.100 shares Corning Inc. @ $3.79 379.00 2200 shares Exxon Mobile Corp. @ $35.625 7,125.00 3 200 shares Hewlett Packard Co. @ $19.25 3,850.00 4 200 shares Intel Corp. @ $18.03 5 300 shares Kellogg Co. @ $33.785 6200 shares Paychex Inc. @ $26.895 7 100 shares Philip Morris Companies Inc. @ $41. 395 8200 shares Washington Mutual @ $36.815 3,606.00 10,135.50 5,379.00 4,139.50 7,363.00 9 400 shares PPL CAP FOG TR I Premium Equity Part Secs Units @ $18.15 7,260.00 10 500 shares Duke Energy Corp. 8.25% due 5/18/04 @ $16.455 8,227.50 11300 shares GATX Corp. @ $23.75, plus accrued dividend of $96.00 7,221.00 12400 shares JLG Industries Inc. @ $8.16, plus accrued dividend of $2.00 3,266.00 13 300 shares Legg Mason Inc. @ $49.825, plus accrued dividend of $22.00 9,987.00 14 300 shares McKesson Corp. @ $26.625, plus accrued dividend of $18.00 8,005.50 15100 shares Merck & Co. Inc. @ $58.43, plus accrued dividend of $36.00 5,879.00 16 $10,000 GNMA Bond 6% due 11/20/2020, plus accrued interest of $75.60 10,313.10 TOTAL (Also enter on line 2, Recapitulation) $ 102,136.10 2W46963,OOO (If more space is needed, insert additional sheets of the same size) , REV-1508i!X+ (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Vollmer, Flossie B. FILE NUMBER 21-2002-01183 Include the proceeds cf litigaticn and tile date the proceoos were received by the estate All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 7,038.65 L Legg Mason Cash Reserve Trust 2 Pennsylvania Department of Revenue, decedent's 2002 Form PA-40 - refund 221. 00 3 Penn-Treaty, Long term care ~nsurance - refund of unearned premium, Policies Nos. HB2986 & P203910 1,495.20 4 Conseco, Long term care insurance - refund of unearned premium, Policy No. 1826688A 12.90 5 Personal Property - furniture, household goods, clothing, personal effects 1,000.00 2W46AD2,OOO TOTAL (Also enter on line 5, Recanitulation\ $ (If more space is needed, insert additional sheets of the same size} 9,767.75 REV-1500 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vollmer, Flossie B. SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-2002-011B3 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME AOORESS RELATIONSHIP TO DECEDENT Son A. Vollmer, Philip B. 2935 Lincoln Street Camp Hill, PA 17011 B. c. JOINTL Y-OWNED PROPERTY: CBTI'< DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bani<; acoountnl.lmber or DATE OF DEATH DECDS VALUE OF NUMBER TENI\NT JOINT similsridentifying number_Attach deed forjoinlly-held real estate VALUE OF ASSET INTEREST ceCEDENrS INTEREST 1. A 09/19/1997 Commerce Bank Acct. 7,701.46 50.00 3,850.73 No.512105669 Value shown includes accrued interest of $.58 TOTAL {Also enter on line 6, Recanitulation\ $ 3,850.73 2W46AE 2 000 (If more space is needed, insert additional sheets of same size) REV-1511 EX+(1-97) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONVvEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vollmer, Flossie B. FILE NUMBER 21-2002-01183 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: Neill Funeral Home - Funeral and related charges 328.60 1. 2 Burling Backhoe - burial in Aurora Cemetery, Aurora, 150.00 Nebraska 3 Desch Paine Memorials - engraving of final date on 126.00 headstone B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 0.00 Name of Personal Representative{s) Social Security Number(s) f EIN Number of Personal Representative(s) Street Address City State Zip Year{s) Commission Paid: 2. Attorney Fees Name: Keefer Wood Allen & Rahal, LLP 2,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address Cily State Zip Relationship of Claimant to Decedent 4. Probate Fees 265.50 5. Accountant's Fees 0.00 6. Tax Return preparer's Fees 0.00 7. Ann Wilchacky - rent for January and February 2003 700.00 8 PPL - electric service at decedent's residence 281.28 9 State Farm - renters insurance 15.67 10 M.F. Rockey - moving expenses 308.00 11 Keefer Wood Allen & Rahal, LLP - Attorneys' 200.00 disbursements ",ota... rrom cont1nuat1on pages.... .:1::>.49 TOTAL (Also enter on line 9, Recapitulation) $ 4,910.54 2W46AG2.000 (If more space is needed, insert additional sheets of same size) Estate of: Vollmer, Flossie B. Schedule H, Part B -- Administrative Costs Item No. Description 12 Verizon - decedent's telephone expense TOTAL. (Carry forward to main schedule) Page 2 21-2002-01183 Amount 35.49 35.49 REV-1512EX"'(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vollmer, Flossie B. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2002-01183 Include unreimbursed medical eXDenses. ITEM NUMBER DESCRIPTION AMOUNT 1,173.02 1. Checks of the decedent outstanding at date of death: Penn-Treaty Professional Life Line $1,098.90 Pharmacy 43.12 31.00 2W46AH 2000 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1,173.02 REV-1513 EX+ (9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Vollmer Flossle B. NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Vollmer, Philip B. 2935 Lincoln Street Camp Hill, PA 17011 1. 2 Vollmer, Philip 3900 Mountview Road Columbus, OH 43220 3 Vollmer, Richard o. 920 N. Larrimore Street Arlington, VA 22205 4 LeMay, Nancy V. (Nancy Ann Vollmer) 4701 Second Street North Arlington, VA 22203-2606 5 Vollmer, Rebecca 321 Modoc Avenue Oakland, CA 94618 FilE NUMBER 21-2002-01183 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not list Trustee(s) OF ESTATE Son Grandson Grandson Granddaughter Granddaughter 64,742.90 9,982.03 9,982.03 9,982.03 9,982.03 ENTER DOLlAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18. AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Vollmer Nursing SCholarship Fund of the Fairview Lutheran Foundation 2W46AI1.000 TOTAL OF PART" - 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) 5,000,00 $ 5,000.00 ~ Ifiazt ;llIIJiU aUlI W:cztamcut oJ FLOSSIE B. VOLLMER I, FLOSSIE R. VOLLMER, of Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEN I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEN V of this Hill, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though en proceeds of inslIrance or other property not passinr, under this Will. ITEM II: I direct the Executor to pay the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM III: I give and bequeath the sum of FIVE THOUSAND DOLLARS ($5,000.00) to the VOLLMER NURSING SCHOLARSHIP FUND at Fairview General Hospital, Clev(.~land, Ohio. ITEM IV: I give and bequeath to my son, PHILIP B. VOLLMER, of Camp Hill, Pennslvania, absolutely and in fee simple, all of my household furniture and furnishings, books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment and all policies of insurance thereon. If my said son predeceases me, I give and devise said property to my daughter-in-law, KATHRYN VOLLMER. If both my said son and my said daughter-in-law predecease me, I make such bequest to their children, in equal property shall be divided among them as they agree. shares, per stirpes. Such Should there be no agreement, Page 1 +I3V , such property shall be divided among them by the Executor in as nearly equal portions as is deemed practical in the sole discretion of the Executor, having due regard to the personal preferences of such children. ITEN V: I devise and bequeath all the rest, residue and remainder of m} <'.,:tal.-" ,,-f whatsoever nature and wherever situate, together with any insurance policies thereon, as follows: (a) SIXTY PERCENT (60%) to my son, PHILIP B. VOLLMER, of Camp Hill, Pennsylvania; (b) TEN PERCENT (10%) to my grandson, PHILIP VOLLMER, of Camp Hill, Pennsylvania; (c) TEN PERCENT (10%) to my grandson, RICHARD O. VOLLMER, of Camp Hill, Pennsylvania; Cd) TEN PEHCENT 00%) to my granddaughter, NANCY ANN VOLLHER, of Camp Hill, Pennsylvania; and (e) TEN l'El{CENT 00%) to my granddaughter, REBECCA VOLLMER. of Camp Hill, Pennsylvania. If mY son, PHILIP B. VOLLMER, should predecease me, I devise and bequeath his share to my dau~hter-in-Iaw, KATHRYN VOLLMER, of Camp Hill, Pennsylvania. In the event that both PHILIP B. VOLLMER and KATHRYN VOLLMER predecease me, I devise and bequeath their share to my grandchildren, per stirpes. In the event any of my grandchildren should predecease me and leave no issue, said share shall be divided equally among the other living grandchildren. Page 2 1/3. tI In the event issue survives the deceased grandchildren, said living issue shall tal,c the deccilscd r,randchild' s share, per stirpes~ If any beneficiary under this Will has not attained the age of thirty (30) years at the time of my death, his or her share shall be held IN TRUST by my son, PHILIP B. VOLLNER, as Trustee, until such beneficiary attains the age of thirty (30) years, at which time my Trustee shall distribute to such issue his or her share of my residuary estate. In the event PHILIP B. VOLLMER cannot act as Trustee~ I hereby appoint my daughter-in-law, KATHRYN VOLLMER, to so act. If both PHILIP B. VOLLNER and KATHRYN VOLLMER predecease me or cannot act or continue to act for any reason, I appoint my attorney, BARBARA S~IPLE-SULLIVAN~ New Cumberland, Pennsylvania, to act in their place.. If the said BARBARA SUMPLE-SULLIVAN cannot act or chooses not to serve in this capacity, I appoint CeNB Bank, N.A. to act in her place. Should my son~ PHILIP B. VOLLMER, and my daughter-in-law, KATHRYN VOLLMER, and all their children and issue predecease me, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, together with any insurance policies thereon, to be divided into equal shares and distributed as follows: (a) One share to my nephew, JAMES J-. BLIZARD, 3705 Eidgemont Way, Bellingham, Washington. (b) One share to the VOLLMER NURSING SCHOLARSHIP FUND, for Nursing Education at Fairview General Hospital, Cleveland, Ohio. (c) One share to the FAIHVIEW GENERAL HOSPITAL ENDOWNENT FUND, Fairvim,) Gcnm:-al 1I0spitn.l, Cl<'.Veland, Ohio. l'al;C' 3 -/: (3 V (d) One share to my sister. RITA BLIZARD, 229 St. Helens Avenue Apt. 14, Tacoma, Washington. ITEM VI: In the settlement of my estate, the Executor and Trustee shall possess, among others, the following powers: (a) To retain any investments I may have at my death, as long as the Executor and Trustee may deem it advisable to my estate to do so; (b) To sell either at private or public sale and upon such terms and conditions as the Executor and Trustee may deem advantageous to the estate, any or all real or personal property or interest therein owned by the estate; (c) To pay all costs, taxes, expenses and charges in connection with the administration of my estate; (d) To compromise controversies; and (e) To do all other acts in the Executor's and Trustee's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the Estate. ITEM VII: Any person who shall have died at the same time as I shall have. or in a common disaster with me, or under circum- stances that the order of our deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM VIII: I hereby nominate, constitute and appoint my son, PHILIP B. VOLLMER, to be the Executor of my Estate. I hereby nominate, Page 4 ':1. f3 II _ i-,}~:"', constitute and appoint my daughter-in-law, KATHRYN VOLLMER, to be the Alternate Executrix of my Estate in the event my said son, PHILIP B. VOLLMER, cannot act or refuses to act as Executor. The Executor is specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding four (4) pages, at the end of each page of which I have also set my initials for greater security and better identification this ~J 2 -rl. day of h1~ , 1987. lp~.~ 13 U"u-wv FLOSSIE B. VOLLMER (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing miud and I Residing at {SEAL) ~;J; aZz::o ~ ~D;p (SEAL) Residing at. // ~/7C-~ ~J u,oi It; .4VA'E:<- --;:;i'- /7 d L-r ),lUll"tJ_ lJp, 4J. ~"7tJ.:i.c$- (SEAL) ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~ S5. 1, FLOSSIE B. VOLLMER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. --:[ P.~; R V.d.-...- FLOSSIE B. VOLLMER (SEAL) Sworn to and subscribed before me this /::?"11 day of In(\- , 1987. ~d~~~ NOTARY UnLIC (SEAL) tlNflA J. OLSEN. NOTARY PUBLIC My ~~MtI~!):3UIiG, 1),1U?lHN G{!l!HiY '. ,i1ISSION EXI'H/fS HPl Melllber. P~llnsyl~il"iOl A". .. : ., 8. 1988 , ~>UCI~tI\ln of NCllaries Ny Commission Expires: AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cu"'Bl'.I2.<-ANY> 55. We, ~A~8I\RI'T SUrn.PLE- - SULLIVIIN' t JA",e; 1>. F"f!<-EY and Iv )>.}b(t F 1t'?L e Y , 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 Testatrix, FLOSSIE B. VOLLMER, sign and execute the instrument as her Last Will and Testament; that Testatrix signed willingly and that she executed said Will 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 eighteen (18) or more years of age, ;?~~~"~"' /'tf/~ ~JJ!; Witness ,- / Sworn to and subscribed .,.., before me this Ia. day of ??J"O , 1987. ~.dA'~ . ~'-- NOTA PUBLIC (SEAL) tlNDA J, OlSHI, NOTARY PUBliC HA.f<fll'iRU<<l.>. flAUf'HIK CDUI'HY MY COM;,lI'i:;I~t!j EXPJi1f~ ~trr 8. 1988 MfJllilt1r. 1'~li;i:;yh~".' _~~o.;.;;at;un oJ! Nota:riu My Commission Expi~es: CODICIL TO THE LAST WILL AND TESTAMENT OF FLOSSIE B. VOLLMER I, FLOSSIE B. VOLLMER, of Cumberland County, Pennsylvania, do make, publish and declare this to be a Codicil to my Last will and Testament <lated May 12, 1()S7. FIRST: I hereby amend ITEM V of my said Last Will and Testament to read: ITEM V: I rest, residue and remainder of and wherever situate, together thereon, as follows: devise and my estate of with any bequeath all the whatsoever nature insurance policies (a) of Camp lIill, SIXTY PERCENT (60%1 Pennsylvania; to my son, PHILIP B. VOLLHER, (b) TEN PERCENT (10%) to my grandson, PHILIP VOLLMER, of Camp Hill, Pennsylvania; (c) TEN PERCENT (10%) to my grandson, RICHARD O. VOLLMER, of Camp Hill, Pennsylvania; (d) TEN PERCENT (10%) i~o my granddaughter, NANCY ANN VOLLMER, of Camp Hill, pennsylvania; (e) TEN PERCENT (10%) to my granddaughter, REBECCA VOLLMER, of camp Hill, pennsylvania. If my son, PHILIP B. VOLLMER, should predecease me, I devise and bequeath his share to my daughter-in-law, KATHRYN VOLLMER, of Camp Hill, Pennsylvania. In the event that both PHILIP B. VOLLMER and KATHRYN VOLLMER predecease me, I devise and bequeath their share to my grandchildren, per stirpes. In the event any of my grandchildren should predecease me and leave no issue, said share shall be divided equally among the other living grandchildren. In the event issue survives the deceased grandchildren, said living issue shall take the deceased grandchild's share, per stirpes. Should daughter-in-law, issue predecease my son, PHILIP B. VOLLMER, and my KATHRYN VOLU1ER, and all their children and me, I devise and bequeath all the rest, residue Page 1 and remainder of situate, together divided into equal my estate of whatever nature and wherever with any insurance policies thereon, to be shares and distributed as follo\15: (a) One share to my nephe1.t" JAMES J. BLIZi\RD, 3705 Ridgemont Way, Bellingham, Washington; (bl One FUND, for Nursing Cleveland, Ohio; share to Education the at VOLLMER Fairview NURSING SCHOLARSHIP General Hospital, (c) One share to the FAIRVIEW GENERAL HOSPI'1'AL ENDOWMENT FUND, Fairview General Hospital, Cleveland, Ohio; (d) One share to my sister, RITA BLIZARD, 229 St. Helens Avenue, Apt. 14, Tacoma, Washington. SECOND: In all other respects, I do hereby ratify and confirm my Last will and Testament dated May 12, 1907. IN WITNESS WHEREOF, I have set my hand and seal this , (" day of 1990, to this, a Codicil to my Last Will and Testament dated May 12, 1987. J FLOSSIE B. VOLLMER (SEAL) We, the undersigned, hereby certify that the foregoing Codicil was signed, sealed, published and declared by the above-named Testatrix as and for a Codicil to her Last Will and 'l'estament, in the presence of us, who, at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. Q'I./...."iJ'rl r" (" lSc~~ " .f. Residing at ',:)L'.l\..; R"f"'\''<'''~' D Hr<:.::....' ;"~lt-... DA ,\ ill 6Liv;((, .1 ~' . .', <'~""\ ~ .....J / A17, 'p \ < .~--' -;:J. . "'. . '<".\ \ i'~A) Residing at f7::'''...' '-'.. ',;..". " ~ ( (\"1 ,:.~ ,~ .,i-J. " f _x_.~_~._...,~ ('<, /{..l.,;ttd Residing at~/i)J-I//\./;: \ j , ,.. I " j , _ /.1. 1/-"( I.'~ /1, / ;.'/ / "i/,/.' ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA 55. COUNTY OF I, FLOSSIE B. VOLLMER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as a Codicil to my Last Will and Testament dated r-1ay 12, 19B7; that I signed it \oJ'illingly, and that I signed it as my free and voluntary act for the purposes therein contained. FLOSSIE B. VOLLHER (SEAL) Sworn to and subscribed before me this day of 1990. , ), i I) ) j I l; l NO'I'ARY PUBLIC , , My Commission Expires: (SEAL) ,,,,,,,,So, ~ [)p.tcratl K. (Bremer, Notal')' PubfiC East Perm~bOW 1\\ "cumber~ eoun!y My Commi~s;on &rJlres SBpt 12. 1994 t/,efllbef, Penfl5y!van(a Ai.Wciation 01 NotlJies AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF We, <l('\ \<1\ ,\ , and i.t,\ the Witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to la\l, do depose and say that we were present and saw Testatrix, FLOSSIE B. VOLLMER, sign and execute the instrument as a Codicil to her Last Will and Testament dated May 12, 1987; that Testatrix signed willingly and that she executed said Codicil 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 Codicil as Witnesses; and that to the best of our knml1edge the 'festatrix \"as at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. C? p " ~. ,LL'..:' C1 (.. "..Jet 0(.." Witness '-C '\ \ -..,J \ \ --'~:'~'Ji..\ .,.~, ,. witness / 11/ ./, / '~iJi.-("('~- \Vitn, 5 ,I ."1'Y/' . . I- /" ~' 1(/lt../1{!.-.x.. Sworn to and subscribed before me this day of , 1990. I /' I NOTARY PUBLIC My commission Expires: (SEAL) ,,,"',,s,. ~ [)(>bOI<1h K O~rC!ll':"f. Ntrtar( ~lC ~:m.\ Pt.rosbol'o Twp.. ~~f.~.nd (jaUnty t.JycommissioIl8plresseptl2. 1994 I'. '':;11ltlt'.~'. Penr\G~'I'..a;~a AssociallOO of Commerce _Bank.. February 26, 2003 Keefer Wood Allen & Rahal LLP 210 Walnut St POBox 11963 Harrisburg PA 17108-1963 RE: Estate of: Flossie B Vollmer Social Security #: 286-38-9687 Date of Death: December 17, 2002 Dear Sir/Madam: In reference to the letter regarding the above mentioned Estate, we would like to inform you of the information that we have researched and found. Type: Checking Account #: 512105669 Date Opened: 9/19/97 Primary Owner: Flossie B Vollmer Secondary Owner: Philip B Vollmer Date of Death Balance: $7,701.46 Accrued Interest: $.58 If there are any questions or additional information that is needed, please feel free to contact me at (717) 795-7118 ext. 3151. Sincerely, VjQnld~~ 'Tr)~ Wanda J. Morris CIF Associate Commerce Bank / Harrisburg, N.A. P.O. Box 8599 100 Senate Avenue Camp Hill, Pennsylvania 17001-8599 Register of Wilts of Cumberland County, Pennsylvania INVENTORY Estate of Flossie B. Vollmer No. 01183- 2002 also known as Date of Death December 17, 2002 Deceased Social Security No. 286-38-9687 I Philio B. Vollmer Personal Representativels) of the above Estate, deceased, verify that the items appearing in the followi ~g entor'` include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylva ~of s De dent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date oft ~ c enYs death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that w e in a memorandum at the end of this inventory. I/We verify that the statements made in this Inventory are t nd orrec . I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 48 4 relati nsworn falsification to authorities. Person resentative• attorney: Bridget M. Whitley Esa ilip B. p11rt'>;er g . I.D. No.: 33580 Address: Keefer Wood Allen & Rahal, LLP' P.O. Box 1 1963, Harrisburg, PA_ 1 71 08-1 963 Dated /2 n e ex en a mto t o tots o t e nventory. Estate of Flossie B. Vollmer INVENTORY Cash on Hand Pennsylvania Department of Revenue, $ 221.00 decedent's 2002 Form PA-40 -refund Long Term Care Insurance -refund 1,508.10 Money Market Accounts Legg Mason Cash Reserve Trust 7,038.65 Common Stocks and Mutual Funds 100 shares Corning Inc. @ $3.79 379.00 200 shares Exxon Mobile Corp. @ $35.625 7,125.00 300 shares GATX Corp. @ $23.75 7,125.00 Accrued dividend 96.00 200 shares Hewlett Packard Co. @ $19.25 3,850.00 200 shares Intel Corp. @ $18.03 3,606.00 400 shares JLG Industries @ $8.16 3,264.00 Accrued dividend 2.00 300 shares Kellogg Co. @ $33.785 10,135.50 300 shares Legg Mason Inc. @ $49.825 9,965.00 Accrued dividend 22.00 300 shares McKesson Corp. @ $26.625 7,987.50 Accrued dividend 18.00 100 shares Merck ~ Co. Inc. @ $58.43 5,843.00 Accrued dividend 36.00 200 shares Paychex Inc. @ $26.895 5,379.00 100 shares Philip Morris Companies Inc. @ $41.395 4,139.50 200 shares Washington Mutual @ $36.815 7,363.00 Preferred Stocks 500 shares Duke Energy Corp. 8.25% due 8,227.50 5/18/04 @ $16.455 400 shares PPL CAP FDG TR I Premium Equity 7,260.00 Part Secs Units @ $18.15 Federal Notes and Bonds $10,000 GNMA Bond 6% due 11/20/2020 10,237.50 Accrued dividend 75.60 102,136.10 Miscellaneous Property Personal Property -furniture, household goods, 1.000.00 clothing, personal effects TOTAL INVENTORY VALUE $111,903.85 BUREAU OF INDIVIDUAL TAXES COMMONWEALTH OF PENNSYLVANIA y INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-6601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 E% AFP [R1-RS) DATE 10-27-2003 ESTATE OF VOLLMER FLOSSIE B DATE OF DEATH 12-17-2002 FILE NUMBER 21 02-1183 BRIDGET M WHITLEY ESQ ._.. COUNTY CUMBERLAND KEEPER ETAL ACN 101 PO BOX 11963 Amount Remitted HBG PA 17108 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETA_IN LOWER POR_TION_ FOR YOUR RECORDS ~ ------------------------------------ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR --------------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF VOLLMER FLOSSIE B FILE N0. 21 02-1183 ACN 101 DATE 10-27-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) .00 NOTE: To insure 2. Stocks and Bonds (Schedule B) proper (2) 102.136.10 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with your 5. Cash/Bank Deposits/Misc. Personal Property [Schedule E) (5) 9,767.75 tax payment. 6. Jointly Owned Property (Schedule F) (6) 3,850.73 7. Transfers (Schedule G) (7) .00 8. Total Assets [g) 115,754.58 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) [9) 4,910.54 10. Debts/Mortgage Liabilities/Liens (Schedule I) [10) 1.173.02 11. Total Deductions (11) 6.08 r+6 12. Net Value of Tax Return [12) 109,671.02 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts [Schedule J) (13) 5,000.00 14. Net Value of Estate Subject to Tax (14) 104,671.02 NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Aeount of Line 14 at Spousal rate (15) •00 X 00 _ .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 104, 671.02 X 045 . 4, 710.20 17. Amount of Line 14 at Sibling rate (17) .00 X 12 - .00 18. Aeount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .00 19. Principal Tax Due (lq)= 4,710.20 TAX CREDITS: DATE NUMBER INTEREST/PEN PAID [-) 03-05-2003 CD002256 225.00 09-12-2003 CD003014 .00 • IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. AMOUNT PAID ,.~/ ~ . V V 210.20 TOTAL TAX CREDIT 4,710.20 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 [ IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" [CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 12, 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, the Comnonwaalth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140).. PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Hake check ar money order payable to: REGISTER OF WILLS, AGENT REFUND (CR): A refund of a 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-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services far taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or 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. 281021, 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. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Oept. 280601, Harrisburg, PA 17128-0601 Phone C717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent^ (REV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and mat paid before January 18, 1996, the first day after the end of the tax amnesty period. This man-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine C9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 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 for 1982 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20% .000548 1987 9% .000247 1999 7% .000192 1983 16% .000438 1988-1991 11% .000301 2000 8% .000219 1984 11% .000301 1992 9% .000247 2001 9% .000247 1985 13% .000356 1993-1994 7% .000192 2002 6% .000164 1986 1D% .000274 1995-1998 9% .000247 2003 5% .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY 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 oust ba calculated. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/10/2004 WHITLEY BRIDGET M KEEFER,WOOD,ALLEN & R_AHAL P. O. BOX 11963 HARRISBURG, PA 17108-1963 RE: Estate of VOLLMER FLOSSIE B File Number: 2002-01183 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. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Repor{ of completed or uncompleted administration. This filing will become delinquent on: 12/17/2004 Your prompt attention to this matter will be appreciated. Thank You. ~erel~ Yg_ ~ ~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge STATUS REPORT UNDER RULE 6.12 Name of Decedent: Flossie B. Vollmer Date of Death: December 17, 2002 Estate No.: 2002-01183 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 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 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 x No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts m_ay be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: November 23, 2004 tu~ ~' 'Signa ' · Bridget M. Whitley ~ Name (Please type or print) -- Keefer, Wood, Allen & Rahal LLP 210 Walnut St., P.O. Box 11963 Harrisburg, PA 17108-1963 Address (717) 255-8027 Tel. No. Capacity: __ Personal Representative X Counsel for personal representative