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HomeMy WebLinkAbout04-1090Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of David B. Shuster also known as David Bernard Shuster , Deceased No. Social Security No. 110-30-0432 (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner is the executrix named in the Last Will of the Decedent, dated April 17, 1983 and codicil(s) dated 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 kirling and was never adjudicated incompetent: C] B. Grant of Letters of Administration Petitioner(s) ~fter a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: r Residence Name Relationship ) (COMPLETE IN ALL CASES:) Attach additional sheets if necessary, Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or~L,j~incipal residence at 38 Col,qate Drive, Camp Hill, Cumberland County, Lower Alien Township, Pennsylvania -- {list street, number and municipality] Decedent, then 66 years of~age, died October 13, 1991, at Holy Spirit Hospital, East Pennsboro Township, Cumberland County, Pennsylvania (Loca~on) Decedent at death owned prope~y with estimated values as follows: (If domiciled in PA) All personal property (; 0.00 (If not domiciled in PA) Personal property in Pennsylvania $ (If not domiciled in PA). Personal property in County $ -- Value of real estate in Pennsylvania $ 0.00 Total $ 0.00 Real Estate situated as follows: ~ Interest in house in Toronto, Canada Wherefore, Petitioner(s) respectfully request(s) the probate of the ~ast Will and Codicil{s) presented with this Petition and the grant of letters in the appropriate form to the undersign~ed: Signature Typed or printed name and residence Verna S. Shuster, 38 Colgate Drive, Camp Hill, PA 1701 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and Correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed before me this ~L~-P,'- day of. ~bV,~ r~, ~- , 20 0___~ Verna S. Shuster Register of Wills'--p~ ~-.Cc~t ~ DECREEiOF REGISTER Estate of David B. Shuster also known as David~Bernard Shuster , Deceased No. jl-O~- Social Security No: 110-30-0432 Date of Death: October 13, 1991 AND NOW, ~,[D¥. ~.L~ , 200ii- , in consideration of the Petition on the reverse side here~On, satisfactory proof having been presented before me, IT IS DECREED that Letters ~estamentary [] of Administration are hereby granted to Verna S. Shuster in the above estate and that the instrument(s), if any, dated April 7, 1983 the Petition be admitted to probate and filed of record as the last Will of Decedent. described in FEES Letters ........................ !.. Short Certificate(s) ....... ~.. Renunciation .................. Affidavit I ) ................. Extra Pages (._7~) ............ Codicil ......................... . JCP Fee ........................ Inventory & Tax Forms,,. Other ............................ TOTAL ................ Attorney: I.D. No: Bruce J. Warshawsky, Esquire 58799 Address: 2320 North Second Street PO Box 60457; Harrisbur.q, PA 17106-0457 Telephone: (717) 238-6570 DATE FILED: '~\- ~_d,_ C~ WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. CO MONW L"rH OF PENNSYLVAN DEPA~IM3JMENT~AF~ HEALTH V TAL RECORDS LOCAL REGISTRAR'S CERT CERT. NO. 0 9 7 ~[ 0t,3 Sex Social Security No. - .~D ' - ,/--..-.- Date of Death__ DateofBirt ~-_. /, /f,,~J Birthplace , Race ~ Occupation ~ ~ e~~ Armed Forces? (Yes or ~) ~ ~ ~ Dec~ent's Marital Statu~~~ailing Address ~ Informant /7~ ~ ~~ Funerat Dir~. Name and Addressof ~ ~// ~ ~ / Y Inte~al ~ween Pa~ I: Immedi~e ~use ~ ~ ~ : Onset and DeMh (a) - -- _- ~~ ~ ,, (cl (d) Part Il: Other Significant Conditions Manner of ~th: Natural Accident [] Suicide [] Homicide [] Pending Investigation [] Could not be Determined [] AddressName and Title °f CertiSr This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. --' d' ~. .,.~ Describe how injury occurred~j (M.D., D.O., C_oroner, M.E,) LAST WILL AND TESTAMENT OF DAVID B. SHUSTER 0,4- IOqO I, DAVID B. SHUSTER, of the Township of Lower Allen, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind and memory do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking and declaring null and void any and all wills and/or codicils by me at any time heretofore made. FIRST I direct my hereinafter named Executrix or alternate Executrix, as the cas, may be, to pay all of my just debts, funeral expenses, inheritance taxes and costs of administration of my estate out of the corpus of my estate as soon after my decease as it is practical to do so SECOND ~:: In the event that my wife, VERNA S. SHUSTER, survives m~.y~, ecease by a ~eriod of sixty (60) days, then and in that event I give, beqd~ath and devise all the rest, residue and remainder of my property, real, per$0nal and mixed, whatsoever kind and nature and wheresoever situate, unto my wife, VERNA S. SHUSTER, to be hers absolutely, to do and have as she in her best judgment THIRD In the event that my wife, VERNA So SHUSTER, should predecease me or not live to survive me by a period of sixty (60) days, then and in that event I give, bequeath and devise all the rest, residue and remainder of my property, real, personal and mixed, of whatsoever kind and nature and wheresoever situate unto my daughter, SANDRA G. SHUSTER, absolutely and in fee simple. In the event my said child should predecease me and leave children ;urviving her, then and in that event all the rest, residue and remainder of my estate shall be distributed to the issue of my deceased child, equally, share and share alike, per stirpes by representation, and not per capita. Page One of Four Pages FOURTH I direct that no Executrix, alternate Executrix, or any other fiduciary named, nominated or appointed or required in this, my Last Will and Testament, shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of Court of the Commonwealth of Pennsylvani~ or any other jurisdiction to the contrary notwithstanding. FIFTH I hereby name, constitute and appoint my wife, VERNA S. SHUSTER, as Execu- trix of this, my Last Will and Testament. In the event that my wife should not survive my decease or should not live to complete the settlement of my estate, then and in that event I name, constitute and appoint my daughter, SANDRA G. SHUSTER, as my alternate Executrix. My Executrix or alternate Executrix is authorized and empowered to sell any real estate which I may own at the time of my decease at either public or private sale, or otherwise lease or dispose of same as may be in the best interests of my estate, whichever, in the opinion of my Executrix or alternate Executrix shall be in the best interest of my estate. IN WITNESS WHEREOF, Will and Testament this I have hereunto set my hand and seal to this my Last . 7 ~ day of ~'~ ~ , 1983. Page Two of Four Pages ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) SS. I, DAVID B. SHUSTER, Testator, 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 Testa ment; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein e~ressed. Swo~ or affirmed to and acknowledged before me by DAVID B. SHUSTER, the Testator, this 7 ~ day of ~ , 1983. David B. Shuster, Testator Sworn and subscribed to before me this -yv~z day of ~-~ , 1983. Notafr~ Public My commission expires: Page Three of Four Pages COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) AFFIDAVIT SS. We, I.iARK S. SILVER, JANET M. FORRY, and SUSAN A. McCOY, the witnesses who names are signed to the attached or forgoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purpos~ therein expressed; that each of us in the hearing and sight of the Testator si the Will as witnesses; and that to the best of our knowledge the Testator was that time eighteen (18) or more years of age, of sound mind and under no con- straint or undue influence. Sworn or affirmed to and subscribed to before me by MARK S. SILVER,.JANET M. FORRY, and SUSAN A. McCOY, witnesses, this ?-/w? ~ day of ~ 1983. Witness Witness Witness ~worn and subscribed to before me, a Notary Public, this ?~ day of ~.~.~j_.~ , i983. ~.~ g~c~-~ ~, ~-~_~j (SEAL) -~ ~ No~ry Pu~li~ - - My commission expires: Page Four of Four Pages STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: FileNo. David B. Shuster October 13,1991 2004-01090 Admin No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion ofthe administration ofthe above-captioned estate: I. 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: December 31, 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: interest? c. Did the personal representative state an account informally to the parties in 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: Address 2320 North Second Street P.O. Box 60457 Harrisburg, P A 17106-0457 LI_ e),::" ~:~j ~- ,:') ('.1 C" Telephone (717) 238-6570 (',1 i....'~ c"" " c> Capacity: Personal Representative X Counsel for Personal Representative co I~ (, .1 -- ~,: j _:" (,:",' .""- u 8 ;,,;' :::.~. f:~;'~: ~ ~-'"-F:\HO~JW\DOCsiSjr~~ER\612FORM,DOC c-;6 0 <'-l () J-^ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent Date of Death Will No. David B. Shuster October 13. 1991 2004-01090 Admin. No.: To the Register: I hereby certifY that notice of beneficial interest required by Rule 5.6(a) ofthe Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on February 9,2005. Name Address Sandra G. Shuster 38 Colgate Drive, Camp Hill, P A 17011 1773 Fremont Avenue South, Minneapolis, MN 55403 Verna S. Shuster Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None D~~ ~. Name Bruce J. Warshawsky. Esquire Address 2320 North Second Street P.O. Box 60457 Harrisburg.PA 17110-0457 Telephone (7J 7) 238-6570 Capacity: Personal Representative F:\HOMEIBJW\DOCS\SHUSTER\CERT56. WPD X Counsel for Personal Representatiye ~ IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION TillS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM TillS ESTATE OR OTHERWISE Whether you will receive money or property will be determined wholly or partly by the decedent's will. If the decedent died without a will, whether you receive any money or property will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS OF CUMBERLAND COUNTY OF PENNSYLVANIA In re: Estate of David B. Shuster, deceased, No: 2004-01090 Sandra G. Shuster 38 Colgate Drive, Camp Hill, P A 17011 1773 Fremont Avenue South, Minneapolis, MN 55403 TO: Verna S. Shuster PLEASE TAKE NOTICE of the death of Decedent and the grant of Letters of Testameiitluy the personal representatives named below.: The personal representatives of the Decedent are: Verna S. Shuster 38 Colgate Drive Camp Hill, PA l701l 717-761-0958 Sandra G. Shuster 1773 Fremont A venue South Minneapolis, MN 55403 (,j The Decedent, David B. Shuster, died on the 13th day of October, 1991, at Cumberland County, Pennsylvania, testate and the Will has been filed with the Office of the Register of Wills of Cumberland County. Register of Wills County of Cumberland One Courthouse Square Carlisle, P A 17013 717-240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Additional information may be obtained from the undersigned. Respectfully submitted, CUNNINGHAM & CHERNICOFF, P.c. / B !MM. J-M ( B ce J. Warshawsky quire Attorneys for Personal Representative 2320 North Second Street P.O. Box 60457 Harrisburg, PA 17110-0457 (717) 238-6570 F:IJIOME\8JW\IX)CSISHUSTER\56NOTICE.WPD Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Shuster, David B. also known as David Bernard Shuster , Deceased No. 21 - 04 - 01090 Date of Death 10/13/1991 Social Security No. 110-30-0432 Vema Spivak Shuster The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonweallh of Pennsylvania of said Decedent, that the valuation placed opposite each lIem of said Inventory represents lis fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonweallh of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verity that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penallies of 18 Pa. C. S. Section 4904 relating to unswom falsification to authorities. Attorney: Bruce J. Warshawsky perso~al Represe~~ i::' .~ Signature: Z; A'A"- ~ a/~'-( Vema Spivak S uster Signature: I.D.No.: 58799 Signature: Address: 2320 North Second Street Harrisburg, P A 1711 0 Address: 38 Colgate Drive Camp Hill,PA 17011 Telephone: 717/238-6570 Telephone: 717-761-0958 Dated: 1-~7-O~ Real Estate Real Estate owned by Decedent in Ontario Canada (non-Taxable), valued at $75,000 at Date of Death $75,000.00 ~ -0 Total Real Estate c:-~o $75t!OO >'AQ-S ._-~~ C) ?= ~9 2~ - N :;:i!''h -".' I :-j ....0 ~ :''J CJ >~ -0 :3: )C) .-\ ~-,\ _ .,'1 cS ,-n J:;:"" C") o -1'1 Ul (Attach additional sheets if necessary) Total Personal Property and Real Estate $75,000.00 , REV.I_Ell.(__ I!! !S.... W~~ ofs " '* OFFICIAL USE ONLY REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COUMOHWEAL TH OF PENNSYlVANIA. DEPARTMENT OF REVENUE DEPT.2l101lO1 HARRIS8URG, PA 11128-0<<11 ... Z W C ~ i!l DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAl) Shuster, David B. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MN-DO-YEAR) FILE NUMBER 21 04 co NTY OOOE YEAR SOCIAl SECURITY NUMBER 01090 NUMBER 10/13/1991 0110111925 110-30-0432 THIS RETURN MUST BE FILED IN DUPlICATE WITH THE REGISTER OF WILLS SOCIAl SECURITY NUMBER 047-16-0968 3. Remainder Return (date rJdesth prior to 12-13-82) 6. Decedent Died Testate (Attach copy ofW.) 9. utigation Proceeds Received 4a. Fullxe Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Uving Trust (Attach copydTNSt) 10. Spousal Poverty Credit (daledde8th between 1 11 1-1 o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes 2320 North Second Street Harrisburg, P A 17110 (1) -0- (2) None (3) None (4) None (5) None (6) None (7) None OFFICIAL 4SQPNl Y = = c.n <- 'c:= f-- r,) u;) (") C~~!"J :u ~'r: !Tl j--'-' ('") C"j C:> f~~/3 B 1 In . CJ (~~.:. C) -C1 -rl ;: (--"') . I.. '.,/;0 -n (IF APPUCASlE) SURVIVING SPOUSE'S NAME ( lAST, FIRST AND MICDLE INITIAl) Shuster, Vema Spivak 1. Original Return 2. Supplemental Return 4. Umited Estate .... n u.. E Broce J. Warshawsky lAM NAME I"_l Cwmingham & ChemicofI LEPHOf'E NUMBER 717/238-6570 '-' C) ,- ., ~) " -u --r'" Ii Ii ~ i u II! 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closaly Hatd Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash. Bank Deposits & Miscellaneous Personal Property (Schedula E) 6. JoinUy Owned Property (Schedule F) o Separate Billing Requested 7.lnter~Vivos Transfers & Miscellaneous Non-Probate Property (Schedula G or L) 8. Total Grosa Asaeta (total Lines 1-7) g. Funeral Expenses & Administrative Costs (Schedule H) -" i o 10. Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I) (10) 11. Total Deductlona (total Lines g & 10) 12. Nat Value of Eatate (Line 8 minus Line 11) (8) (9) 996.00 (11) (12) 996.00 insolvent 13. Charitabla and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Une 14 taxable at the spousal tax rate. x .06 (15) or transfers under See. 9116(a)(1.2) Ii 16.Amount ofUne 14 taxable at lineal rate x .06 (16) Ii ... " 17. Amount of Line 14 taxable at sibling rate (17) ~ x .12 g 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 20. 0 ,t;';<}Jf,1llt'f';.:I':~~M'~~"'m<>!it:.'~':h':';;};'::,~ ;. Copyright 2000 form aoftwa.. only The Lackner Group, Inc. Form REV.1500 EX (Rev. 8-(0) , , Decedent's Complete Address: STREET ADDRESS 38 Colgate Drive CITY ISTATE PA I ZIP 17011 Camp Hill Tax Payments and Credits: 1, Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits (A + B + C) (2) 0.00 3. Interest/Penally ff applicable D. Interest E. Penally Total Interest/Penally (0 + E) 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 5. If Une 1 + Une 3 is greater than Line 2. enter the difference. This is the TAX DUE. A. Enter the Interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) 0.00 (4) (5) 0.00 (5A) (5B) 0.00 Make Check Payable fo: REGISTER OF WlUS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or Income of the property transferred;.................................................................................. ~ I 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 OCCUlTed after December 12, 1982, did decedent transfer properly within one year of death without receiving adequate consideration? ....................................................................................................................... 0 ~ 3. Did decedent own an "In trust for" or payable upon death bank account or security at his or her death?........ 0 ~ 4. Old decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................................................................................................... D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Underpen&llies rJperjt.ry, I decl8tethet I have examined this relum, induding accompan~ schedules and statements, and to the best of my knowledge and beIef, it is true. COlT8Ctand complete. DeclaratIOn of prepanv other than !he personeI representative Is based on all information d which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FlUNG RETURN ADDRESS DATE Ve 8 Spivak Shuster 38 Colgate Drive CampHilI,PA 17011 7 -.;),-CJ'f: ADDRESS DATE ADDRESS DATE ~ 2320 North Second Street Harrisburg, P A 17110 I -;J 7-0 -S- For dates of death on or after July 1. 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% (72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemDta transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1. 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116 1.2) [72 P.S. ~9116 (a)(1)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P.S. 99116 (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. '* SCHEDULE A REAL ESTATE COUUONWEAl. TH OF PENNSYLVANIA INHERITN<<:ETAXRETURN RESIDENT OECEDeNT ESTATE OF Shuster, David B. FILE NUMBER 21 - 04 - 01090 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wilnng seller, neither being compelled to buy or sell, both having reasonable knoWledge of the relevant facts. Real property which is jointly-owned with right Of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VAlUE AT DATE OF DEATH 0.00 Real Estate owned by Decedent in Ontario Canada (non- Taxable), valued at $75,000 at Date of Death TOTAl (Also enter on Line 1, Recapitulation) 0.00 . SCtEDUl.E H F\N:RALEXPENSES& ADMNSTRA11VEUJSI~ COUMONWEALTH OF PENNSYLVANIA N-IERlTANCCTAX RETURN RESIDENT oeceoENT ESTATEOF Sh D .dB uster, aVl . I FILE NUMBER 21 - 04 - 01090 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Represenlative(s): Slreet Address City Slate - Zip Year( s) Commission paid 2. Attomey's Fees Cwmingbam & Chemicoff -- Bruce J. Warshawsky 750.00 3. Family Exemption: (If decedent's address Is not the same as claimant's, attach explanation) Claimant Slreet Address City Slate Zip Relationship of Claimant to Decedent 4. Probate Fees 222.00 5. Acc:ountanfs Fees 6. Tax Return Preparer's Fees 7. other Administrative Costs 1 Law Office Costs 24.00 TOTAL (Also enter on line 9, Recapitulation) 996.00 ". LAW OFFICES SNELBAICER. Ic:CALES a: ELICKER LAST WILL AND TESTAMENT OF DAVID B. SHUSTER I, DAVID B. SHUSTER, of the Township of Lower Allen, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind and memory do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking and declaring null and void any and all wills and/or codicils by me at any time heretofore made. FIRST I direct my hereinafter named Executrix or alternate Executrix, as the cas may be, to pay all of my just debts, funeral expenses, inheritance taxes and costs of administration of my estate out of the corpus of my estate as soon after my decease as it is practical to do so. ~ In the event that my wife, VERNA S. SHUSTER, survives my decease by a period of sixty (60) days, then and in that event I give, bequeath and devise all the rest, residue and remainder of my property, real, personal and mixed, 0 whatsoever kind and nature and wheresoever situate, unto my wife, VERNA S. SHUSTER, to be hers absolutely, to do and have as she in her best judgment declares. THIRD In the event that my wife, VERNA S. SHUSTER, should predecease me or not live to survive me by a period of sixty (60) days, then and in that event I give, bequeath and devise all the rest, residue and remainder of my property, real, personal and mixed, of whatsoever kind and nature and wheresoever unto my daughter, SANDRA G. SHUSTER, absolutely and in fee simple. In the event my said child should predecease me and leave children surviving her, then and in that event all the rest, residue and remainder of my estate shall be distributed to the issue of my deceased child, equally, share and share alike, per stirpeS by representation, and not per capita. Page One of Four Pages " FOURTH I direct that no Executrix, alternate Executrix, or any other fiduciary named, nominated or appointed or required in this, my Last Will and Testament, shall be required to post any bond or give any security of any type for any purpose whatsoever, any law or rule of Court of the Commonwealth of Pennsylvani or any other jurisdiction to the contrary notwithstanding. FIFTH --- I hereby name, constitute and appoint my wife, VERNA S. SHUSTER, as Execu- trix of this, my Last Will and Testament. In the event that my wife should not survive my decease or should not live to complete the settlement of my estate, then and in that event I name, constitute and appoint my daughter, SANDRA G. SHUSTER, as my alternate Executrix. My Executrix or alternate Executrix is authorized and empowered to sell any real estate which I may own at the time of my decease at either public or private sale, or otherwise lease or dispose of same as may be in the best interests of my estate, whichever, in the opinion of my Executrix or alternate Executrix shall be in the best interest of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament this 7K day of . +~N/ ~'f~~~. 'David B. Shuster, Testator , 1983. U'II OJl'P'\CE& SNELBAICER. .CCAt..EB a ItUCKER Page Two of Four Pages / ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) I, DAVID B. SHUSTER, Testator, 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 Testa ment; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by DAVID B. SHUSTER, the Testator, this 7K day of ~ ' 1983. ~~~~ David B. Shuster, Testator Sworn and subscribed to before me this 7-Hi day of u~ , 1983. ~UMf rx4 ,:X~v (SEAL) Notary Public FLORENCE 8. LOSCHER. NOiARY PUBLIC My commission expires: IIECMANICS8URG noao. CUM';[cl'.\D cOUWTY MY CCL~MIS~:(W H.?!i:(S .;~:j~,';L 6, lS,~;) M:.;mbt:1. PH,fdv;>;"r;\::; k5.~!nj:/;-ur: (.t ti::.:;:"i,,"s LAW OFFICES SNELBAKER. cCALED a ELICKER Page Three of Four Pages " AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) We, MARK S. SILVER, JANET M. FORRY, and SUSAN A. McCOY, the witnesses whos names are signed to the attached or forgoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testator sig ed the Will as witnesses; and that to the best of our knowledge the Testator was a that time eighteen (18) or more years of age, of sound mind and under no con- straint or undue influence. Sworn or affirmed to and subscribed to before me by MARK S. 7-117 day of SILVER,. JANET ~/ M. FORRY, and SUSAN A. McCOY, witnesses, this 1983. U~ Witness y~.-t:. m. t:;~ W1.tness 4- -,oj C:;. /"'Ic 7: Witness Sworn and subscribed to before me, a Notary Public, this 71'1 day of rl-P- , 1983. c. (SEAL) < No My commission expires: fLORfNCE 8. lOSCHER. NOTARY PUDlIC IIECHANltSBURG BORO, CU~EE~\;'O ~OUNTY MY COMMISSION EXPiHS ..YR;l G. ,~8S Mtl\'l.l;)(:i. Ptl\fiS'llvilnii '.s!::~~kti(;'f> of fiotaries. tAW OFnet:6 SNELBAKER. cCALEB III ELICKER Page Four of Four Pages .) 10-10-2005 SHUSTER 10-13-1991 21 04-1090 CUMBERLAND 101 APPEAL DATE: 12-09-2005 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DAVID B FILE NO. 21 04-1090 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA ~~PARTMENT OF REVENUE NOTICE OF INHERITANCE TAX Arp~AISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX r ,~-... : ;:.7 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN BRUCE J WARSHAWSKY CUNNINGHAM & CHERNICOF 2320 N 2ND ST HBG PA 17110 ESTATE OF SHUSTER REV-1547 EX AFP (06-05) DAVID B TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED DATE 10-10-2005 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 .00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 996.00 (9) (10) .00 (11) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. .00 996 00 996.00- .00 996.00- I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ~ ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 06 = .00 .00 X 06 = .00 .00 X 00 = .00 .00 X 15 = .00 (19)= .00 NOTE: (15) (16) (17J (18) ,,~v, (+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. t if IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUEVv A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: File No. David B. Shuster October 13,1991 2004-01090 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. ~hether administration of the estate is complete: V 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. I is Yes, state the following: a. Did the personal rep~ve file a final account with the Court? Yes V The separate Orphans' Court No. (if any) for the personal representative's tJllt b. account is: c. Did the perso~resentative state an account informally to the parties in Yes V 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. interest? .. <>. \..DcJ--'':' ','~ Date: ('.J\/'J.. ~ (., -) , Address 2320 North Second Street P.O. Box 60457 Harrisburg, P A 17106-0457 (,.r;. Telephone (717) 238-6570 Capacity: Personal Representative X Counsel for Personal Representati ve F:\HOME\BJW\DOCS\SHUSTER\612AFORM. wpd LcY