HomeMy WebLinkAbout04-1092 PETITION FOR PROBATE and GRANT OF LETTERS I
also known as To:
Register of Wills for the
Deceased. County of _Cumberland in
Social Security No. 1 ? 8-16 - 1 fi 71 A Commonwealth o f Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut or~ nar ted
in the last will of the above decedent, dated April_25 .. ,
and codicil(s) dated none.
Decendent was dotniciled at death in Cumberland County, Pennsylvania,4ith
h er last family or principal residence at 85 Ball Park Drive t ~
Gardners; Cumberland County, Pennsylvania 17324. ,
Dickinson Township (list street, number and muncipality)
Decendent, then 84 years of age, died Octob~li 1~, .2004 , 19
at_ 85 Ball Park Dr. Lv_e+_~rdners: Pennsylvania 17324.
Except as follows, decedent did not marry, was not divorced and did not have a child born or adop :ed
after execution of the will offered for probate; was not the victim of a killing and was never adjudica :ed
incompetent: N/A
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $~ 000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ 65,000,00 :
situated as follows: 85 Bail Park Drive~ Gardners DO.
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codidl(s)
presented herewith and the grant of letters testamentary
{testamentary; administration c.t.a.; administration d.b.n.c~t~a.)
theron.
ob ginda Grime~ 'Richard Myo/~
= ~ ~. ,~twt~,~:t._ ~/~e 1679 State Route 225
~=:~ "a~k/a Linda Moose D~arfi~=]~, OH 44411
~ 60 Old Gap Road
~o Carlisle. PA 17013
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ~ ss
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition ~ xe
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal reprels,
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to
Sworn to or affirn~eg and subscribed r ~t&
before ~e this 2'/ __ __ day of~, ~ L~nda Grimes
~%%i)}Stt(k~ Richard Myers ~~~
Estate Of MABLE D. MYERS, , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
~P ~)9 , in consideration of the petitio on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated April 25, 1983
described therein be admitted to probate and filed of record as the last will of
Mable D. Myers
and Letters Testamentary
are hereby granted to Linda Grimes. a/k/a Linda Moose and ,
Richard Myers
Register of Will~ (~'~ ( ~/;~; q~ ] ],f! /
FEES
Probate, Letters, Etc. ......... $ llS.(i~C John R. white, ~21506
$ I~'.C)~I 112 Baltimore Street
TOTAL __ $ i~ ()~) Gettysburg,~D~£$$17325
(717)
334-9278
Filed ................................... 'i
PHONE
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
5754485 October 15, 2004 [
Mable Dorothy Myers
October
9-8-1920 Huntington Township, Adams County, Pennsylvan'~
85 Ball Park Drive, Cumberland County, Dickinson Township
Laborer
Widowed 85 Ball Park Drive, Gardners. PA 17324
Mervin D. Myers Allen L. Dugan
Dugan Funeral Home, lnc. Bendersville, PA 17300
Squmnous cell carcinoma, right arm
Interstitial fibrosis Dementia
David A. Dell, M.D.
303 North Baltimore Avenue, Mt Holly Springs, PA 17065
2004 124 Rice Avenue. Biglervflle. PA 17307
I, ~b].e D. Myers, of Dickinson Township, Cumberland
County, Permsylw~nia, being of sound and diseasing min¢],memory
and understanding, declare the following to be nV last w~ !! and
testament, hereby revoking and making void any and all wills
heretofore made by me.
Item I. I direct my executors to pay my debts and fu~.eral
expenses.
Ite~n II. I direct that my real estate and personal
property be sold, either at public or private sale, at the
discretion of my executors.
Item III. I bequesth my entire estate in five equal parts
tO mp_~ children: Helen I. Hockley, Richard ~[vers, R/th Be_am,
Linda Grimes, and }~ervin .Myers.
Item IV. If eny of my children predecease me, or die in a
cc~mon disaster with me, their share will go to their issue per
stirpes.
Item V. If any of ~f children predecease r~, and leave ne
issue, their share will be divided among ~ surviving children.
Item VI. I nominate, constitute and appoimt Richar6 r~N~ers
and Linda Grimes as my executors, and I direct that they are to
serve without h~nd.
IN WITT~SS WHEREOF, i have hereunto set my hand and seal
this the '? day of ~/ . ~,1983.
Signed, sealed, published and declared
by the above named testatrix as and
for her last will and testament, who
at her request, in her presence, in
our presence, and in the presence of
each other, have hereunto subscribed
our names as attesting witnesses:
09-13-2005
HYERS
10-14-2004
21 04-1092
CUMBERLAND
101
APPEAL DATE: 11-12-2005
( See reverse side "nder Objections)
Amourrt 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 -
REy:i54j-Ex-AFp-co3:osi-NOTicE-oF-iNHERiTANCE-TAX-APPRAiSEHENT:-ALLOWANCE-OR---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
MABLE D FILE NO. 21 04-1092 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PD BOX t8060 1
HARRISBURG PA 11128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~TICE OF INHERITANCE TAX
RECO~~. .@iTr.~1~LLOIIANCE OR OISALLOIIANCE
,'c",OF :nONS AND ASSESSHENT OF TAX
:"'::',-,-,' -," I'
ZUGS SEP I 3 PH I:!, 5
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
JOHN R WHITE
CAMPBELL & WHITE
112 BALTIMORE ST
GETTVSBURG
CLEF;(
CP~::
r,j'
~
rJT
PA 17325
ESTATE OF HYERS
*'
REV-1547 EX AFP (D6-DS>
MABLE
D
TAX RETURN liAS: (X) ACCEPTED AS FILED
( ) CHANGED
DATE 09-13-2005
If an asseSSMerrt was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of abb returns assessed to date.
ASSESSMENT OF TAX:
15. AIIount of Line l't at Spousal rat. US)
16. ~ount of Line 14 taxable .t Lineal/Class A rete (16)
17. AlIOUnt of Line 14 .t Sibling ....t. (17)
18. ~unt of Line 14 taxable at Collateral/Class Brat. (18)
19. Principal Tax Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R.al Estata (_1. A)
2. Stocks and Bonds (Schedula B)
3. Closely Held Stock/Partnership Interest (Schedule CJ
4. Mortgages/Notes Receivable (Schedule OJ
S. Cash/Bank Deposits/Hisc. Personal Property (Schedule El
6. Jointly Owned Property (Schedule Fl
7. Transfers (Schedule GJ
8. Total Assets
III
(2)
(3)
(4)
(5)
(6)
(7)
69,000.00
.00
.00
.00
721.03
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expens.s/A~. Costs/Misc. Expenses (Schedule Hl
10. Debts/Mortgage Liabilities/Liens (Schedule Il
11. Total Oaductions
12. ...t Value of Tax Return
13. Charltabl./Govern.ental Bequests; Non-elected 9113 Trusts
14. N.t Value of Estate Subject to Tax
14,349.08
(9)
110)
16.947.36
Ill)
112)
113)
114)
ISchedule .J)
NOTE:
.00 X
38,424.59 X
.00 X
.00 X
00 =
045 =
12 =
15 =
(19)=
NOTE: To insure proper
credit to your account,
subllit the _. portion
of this for. with your
tax pa~nt.
69,721. 03
3.1.?Q6 44
38,424.59
.00
38,424.59
.00
1,729.11
.00
.00
1,729.11
fAX CREDITS.
co.. n<n' <OJ AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
06-29-2005 CD005515 .00 1,729 . II
TOTAL TAX CREDIT 1,729 . 11
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. ,./]/
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE ~ K /
A REFUND. SEE REVERSE SIDE OF TNT!=:. a:-nDU IC'nD .......--..------- -
CO~dVO~'~ALTH OF PFi~,~SYLVANtA
COL$~Y OF CI~$EPIY~ID
I, ~]~le D. ~;ers, whose ne~e ~ s signed to the attached or
foregoing instrument, having been duly qualified according to
] aw, do hereby acknowledge that I si~cnled and executed the
instrument as mv last will; that I signed it willingly; and. that
I si?~led it as my free and voluntary act for the purposes therein
expressed.
~ble D. Myers
~orn to and subscribed to
before me ~,nhis ~ ~day
Notary
C( kdONWEALTH OF PENNSYLVANIA )
C( NTY OF CUMBERLAND )
ti witnesses whose name~ are signed
to the attached 6r foregoinq
trument, being duly qualified according to law, do depose a~d
s, that we were present and saw Testatrix sign and execute the
trument as her last will, and that s~e signed willingly and
.t she executed it as her free ~nd voluntary act for the
>uses therein contained; that each of us in the hearing and
s ~t of the Testatrix signed the will as witnesses; and that tO
t best of our knowledge, the Testatrix was at that time ]8 or
m, years of age, of sound mind and under ~o constraint or undue
i [luence.
S ~rn to and subscr~ before
/
m this ,.~ day o~-/~
N ~ary
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
Date of Death:
Mable D. Myers
10/14/2004
Will No.
21-04-1092
Admin. No.
To the Register:
I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules
was served on or mailed to the following beneficiaries of the above-captioned estate on
01/03/2005
Name
Helen I. Hockley
Richard Myers
Rutl1 "RA.::Im
Linda Grimes a/k/a Linda Moose
Mervin Mvers
Address
87 Ball Park Drive, Gardners, PA 17324
1679 state Route 225, Dearfield, OR 44411
1100 Goodyear Road, Gardners, PA 17324
60 Old Gap Road, Carlisle, PA 17013
60 Ely Lane, Aspes, PA 17304
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
None.
Date:
1/10/2005
~.~~-
Name
John R. White
CAMPBELL & WHITE, P. C.
112 Baltimore Street
Gettysburg, PA 17325
Address
Telephone ( 717) 334-9278
Capacity:
\
,
x
Personal Representative
Counsel for personal
representative
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1 ~J'r::cy" (~~'J';/:..),!\JO
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;
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Virginia B. Ricker
Date of Death: September 18, 2002
Will No.
eXl -();). - I oCf~
Admin. No. 2002-0192
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:
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. Ifthe answer to No.1 is Yes, state the following:
Yes X
a.
No
Did the personal representative file a final account with the Court?
b.
representative's account is:
The separate Orphans' Court No. (if any) for the personal
c.
parties in interest? Yes
Did the personal representative state an account informally to the
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:
/1 0 ~/'..
Sign~ J'lJ(l ( j~
. /
J oanh.e :Ii Book
Name (Please type or print)
Rhoads & Sinon LLP
Address
One South Market Square. Harrisburg. P A 17101
Tel. No. (717) 233-5731
February 28.2005.
C'?
"..........
Li_
(-'''',,4
Capacity:_Personal Representative
X-- Counsel for personal
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REV.1500 EX + (6-00)
OFFICIAL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
*
FILE NUMBER
il 04
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
1092
NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Myers, Mable D.
DATE OF DEATH (MM-DD-YEAR)
I-
Z
W
C
W
U
W
C
178-16-1671 A
DATE OF BIRTH (MM-DD-YEAR)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
10-14-2004
09-08-1920
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAl)
o 1. Original Return
o 4. Limited Estate
o 6. Decedent Died Testate (Attach
copy of Will)
o 9. Litigation Proceeds Received
o
o
o
o
2. Supplemental Return
o 3. Remainder Return (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o '11. Election to tax under Sec. 9113(A) (Attach Sch 0)
w
....
",:!cn
00::'"
wl1.g
:z:0..
Oflll
l1.
<(
4a. Future Interest Compromise (date of death afler
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal PovertY' Credit (date of death between
. 12-31-91 and 1-1-95)
....
z
w
Q
z
o
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UI
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0::
o
o
NAME
John R. White
FIRM NAME (If applicable)
Campbell & White, P.C.
TElEPHONE NUMBER
(717) 334-9278
COMPLETE MAILING ADDRESS
112 Baltimore Street
Gettysburg, PA 17325
(1 ) 69,000.00 OFFICIAL USE ONL Y
(2) None
(3) None
(4) None
(5) 721.03
(6) None
(7) None
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation. Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) 0 Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
z
o
i=
~
:)
I-
D:
<
u
w
IX:
(8)
69,721.03
(9)
(10)
14,349.08
16,947.36
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
(11 )
31,296.44
38,424.59
0.00
12. Net Value of Estate (Line 8 minus Line 11)
(12)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has
not been made (Schedule J)
14. Net Value SUbject to Tax (Line 12 minus Line 13)
(13)
(14)
38,424.59
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15.Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15)
z or transfers under Sec. 9116(a)(1.2)
0 (16)
i= 16.Amount of Line 14 taxable at lineal rate 38,424.59 x .045
~
::::l
D.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17)
:ii
0
u 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18)
>< x
~ 19. Tax Due
(19)
0.00
1,729.11
0.00
0.00
1,729.11
Copyright 2002 form software only The Lackner Group, Inc.
Form REV.1500 EX (Rev. 6-00:
if.
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred;.............................__.............................................. D
b. retain the right to designate who shall use the property transferred or its income;................................ D
c. retain a reversionary interest; or............................................................................................................ D
d. receive the promise for life of either payments, benefits or care?........................................................... D
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?........................................................... --................................................... D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........ D
4. Did 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.
Under penalties of pe~ury. I declare that I have examined this return. including accompanying schedules and statements, and to the best of my knowledge and beilef, it is true, correct and
complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
Linda Grimes
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. 99116 (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
[72 P.S. 99116 (a) (1.1) (ii)]. The statutedoes not exemota transfer to a surviving spouse from tax,
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiar
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 (
natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefici
99116 1.2) [72 P.S. 99116 (a) (1)].
Decedent's Complete Address:
STREET ADDRESS
85 Ball Park Drive
CITY Gardners
STATE PA
ZIP 17324
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
0.00
Total Credits (A + 8 + C)
(2)
3. InteresVPenalty if applicable
D. Interest
E. Penalty
TotallnteresVPenalty (0 + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is thEOVERPAYMENT. (4)
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. (5)
A. Enter the interest on the tax due. (SA)
8. Enter the total of Line 5 + 5A. This is theBALANCE DUE (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS
60 Old Gap Road
Carlisle, PA 17013
~
ADDRESS
1679 State Route 225
Deerfield, OH 44411
ADDRESS
112 Baltimore Street
Gettysburg, PA 17325
npPj)
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12
defined under Section 9102, as an individual who has at least one parent in common with the deCE
T A U5T
1,729.11
0.00
1,729.11
1,729.11
No
~
~
~
~
~
~
DATE
(p- r- 0.3
DATE
b --;~ t;-e:? S-
ATE
~.1,9~05
'.8%
5ure
i.
Rev-1502 EX+ (6-98)
*'
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Myers, Mable D.
FILE NUMBER
21-04-1092
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 willing 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 survlvorshtp must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1
85 Ball Park Drive, Gardners, Pennsylvania 17324 - Cumberland County Deed Book
E24 at Page 537, see attached HUD-1
69.000.00
TOTAL (Also enter on Line 1, Recapitulation)
69.000.00
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule A (Rev. 6-98)
Rev-1508 EX+ (6-98)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Myers, Mable D.
FILE NUMBER
21-04-1092
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Comcast Cable Company - refund
VALUE AT DATE
OF DEATH
26.90
2 Donegal Mutual Insurance Company - refund
271.00
3 M & T Bank, Checking Account No. 607991
72.37
4 Real estate tax proration - per attached HUD-1 Settlement Statement
350.76
TOTAL (Also enter on Line 5, Recapitulation)
721.03
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule E (Rev. 6-98)
REV.1151 EX+ (12-99)
*'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Myers, Mable D.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-04-1092
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 6,033.50
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number{s) I EIN Number of Personal Representative{s):
Street Address
City State Zip
-
Year(s) Commission paid 0.00
2. Attorney's Fees Campbell & White, P.C. 3,255.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 207.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 4,853.58
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 14,349.08
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Myers, Mable D.
FILE NUMBER
21-04-1092
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Dugan's Funeral Home - funeral expense
5.558.50
2
Richard Weidner - digging burial plot
475.00
Subtotal
6.033.50
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-87
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Myers, Mable D.
FILE NUMBER
21-04-1092
ITEM
NUMBER
AMOUNT
DESCRIPTION
1
85 Ball Park Drive, Gardners, Pennsylvania 17324 - closing costs per attached
HUD-1 Settlement Statement
3.230.23
2
Bob Jack - reimbursement for appraisal of decedent's home
300.00
3
Bob Jack - reimbursement for replacement of broken appliance (refrigerator), water
pump & plumbing in decedent's home
589.00
4
Cumberland County Legal Journal - estate notice
75.00
5
Gilbert's Pest Control - inspection and treatment for powder post beetles in
decedent's home
191.00
6
Group's Tax & Payroll Service - preparation of decedent's 2004 personal tax returns
35.00
7
Peck's Septic System - repairs to septic system to decedent's home
90.00
8
Richard Weidner - opening of well for repairs to decedent's home
110.00
9
Shipley's Energy - furnace inspection
99.95
10
The Sentinel - estate notice
133.40
Subtotal
4.853.58
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 ScheduleH-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Myers, Mable D.
FILE NUMBER
21-04-1092
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 AT&T - credit card
VALUE AT DATE
OF DEATH
186.87
2 Comcast Cable
42.40
3 Donegal Mutual Insurance Company - fire insurance
702.50
4 G.E. Insurance Company - life insurance
156.50
5 Littles Gas Service - propane
23.18
6 Met-Ed - utilities, electric
144.64
7 Monumental Life Insurance Company - life insurance premium due
17.34
8 Pay-off of Redevelopment Authority 1st Mortgage upon decedent's home - per
attached HUD-1 Settlement Statement
15.385.00
9 Shipley's Energy - heating fuel
191.82
10 Sprint - telephone
97.11
TOTAL (Also enter on Line 10, Recapitulation)
16,947.36
(If more space is needed. additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV.1513 EX+ (9-00)
*'
SCHEDULE ..
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Myers, Mable D. 21-04-1092
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not List Trustee/51
I. TAXABLE DISTRIBUTIONS [include outright sgousal
oistributions, and ransfers
under Sec. 9116(a)(1.2)]
Ruth Beam Daughter 1/5 of residuary
1100 Goodyear Road estate
Gardners, PA 17324
Linda Grimes Daughter 1/5 of residuary
60 Old Gap Road estate
Carlisle, PA 17013
Helen I. Hockley Daughter 1/5 of residuary
87 Ball Park Drive estate
Gardners, PA 17324
Mervin Myers Son 1/5 of residuary
60 Ely Lane estate
Aspers, PA 17304
Richard E. Myers Son 1/5 of residuary
1679 State Route 225 estate
Deerfield, OH 44411
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropnate, 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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 ScheduleJ (Rev. 6-98)
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LAST WILL AND TESTAMENI'
I, Mable D. Myers, of Dickinson Township, Cumberland
County, Pennsylvania, being of sound and disposing roind,rrerrory
and understanding, declare the follO'V\Ting to be my last will and
testament, hereby revoking and making void any and all wills
heretofore made by Ire.
Item I. I direct my executors to pay my debts and funeral
expenses.
Item II. I direct that my real estate and personal
property be sold, either at public or private sale, at the
discretion of my executors.
Item III. I bequesth my entire estate in five equal parts
to my children: Helen 1. Hockley, Richard Myers, Ruth Beam,
Lirida Grirres, and Mervin' Myers.
Item IV. If any of my children predecease me, or die in a
ccmron disaster with !IE, their share will go to their issue per
stirpes.
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.__,.._.~__.".....'_'__"____'_""__W ..,__~___.__~._.._~.~,"......-,.__,........,.._,___._'.,,-,,__,,,,,,,,,,,,,",,,.,...,.,.....__~~M,(....o;;.>,j'._~~._.,_~\6o!Il..._",..""'._~'tMI.~.~.91I\'1.1.."..1"'........,_,~._w;_._.____._..~...,.'",.....'"'".-~.,._._,._.......,---.'-
Item V. If any of my children predecease me, and leave no
issue, their share will be divided arrong my surviving children.
Item VI. I nominate, constitute and appoint Richard Myers
and Linda Grimes as my executors, and I direct that they are to
serve without bond.
ill WITNESS. WHERIDF, I have hereunto set my hand and seal
this the;2 5 ' day of ~ 1983.
.111A{~ P //1.Y:-"fJA (SEAL)
Signed, sealed, published and declared
by the alx>ve named testatrix as. and
for her last will and testarrent, who
at her request, in her presence, in
our presence, and. in the presence of
each other, have hereunto subscribed
our names as attesting witnesses:
~
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m..'_~._.___,_.__._._...___ --.....-.-.......-,.,..., '---~---'.' ----,_~.. "- ". ...__'_____'._,__._~..,_ __~____,.__~.~'~,.~.~............~~........,"".__...,~__.............~_"_......_.._"_._.,'r__." P_'._ _~.,__..,' ,_~".._,_...._._.,_~ ,..
~TH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I, Mable D. Myers, 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
instrmnent as my last will; that I signed it willingly; and that
I signed it as my free and voluntary act for the purposes therein
expressed.
1)J~4--4 j)' m~
Mable D. Myers
fMom to and subscribed to
befl\me this eJ.j- day
of~t ,1983.
Q~Q/
Notary
- m. COX', ffoblY !'Iublil"
Carlisle Cumbo Co, Penna. __
Jrly Commission ~pircs;u:y !';, I l' J>~
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COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND
We,\~~Q1hJ.-a .and. ,A~~)
witnesses whose na~are signed to the attached ~ foregoing
the
instrument, being duly qualified according to law, do depose and
say that we were present and saw Testatrix sign and execute the
instrument as her last will, and that she signed willingly and
that she executed it as her free and voluntary act for the
purposes therein contained; that each of us in the hearing and
sight of the Testatrix signed the will as witnesses; and that to
the best of our knowledge, the Testatrix was at that time 18 or
more years of age, of sound mind and under no constraint or undue
influence.
Sworn to an~ubsc~ be~ore
me this ,e>l~ day o~ '
19830Q ~ Oy
Notary
,.'tv!. tm~ Willlii'V Pub!ltt
Carlisle Cumb, Co, yonl'la, _'
my Colitmissiol1~pif\l$ July lA, '11 f ~'
f
.
REGISTER OF WILLS
CUMBERLAND County, Pennsylvania
CERTIFICATE OF GRANT OF LETTERS
No. 2004-01092 PA No. 21-04- 1092
Esta te Of: MABLE D MYERS
(First, Middle, Last)
Late Of:
DICKINSON TO WNSHIP
CUMBERLAND COUNTY
Deceased
Social Security No: 178-16-1671 A
WHEREAS, on the 29th day of November 2004 an instrument dated
April 25th 1983 was admitted to probate as the last will of
MABLE D MYERS
(Rrst, Middle, Last!
late of DICKINSON TOWNSHIP, CUMBERLAND County,
who died on the 14th day of October 2004 andr
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA FARNER STRASBAUGH Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
LINDA GRIMES and AKA LINDA MOOSE and
RICHARD MYERS
who have duly qualified as EXECUTOR(RIX)
and have agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 29th day of November 2004,
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
A. u.s. DEPAAl\IENT OF HOUSING AND UR8AN [)E:VELOPMENT
SETTLEMENT STATEMENT
Waypoint Settlement Services, LLC
1940 Carlisle Road, 2nd Floor
York, PA 17404
(717) 779-0919
FINAL
C. NOTE: This (ann is furnished to give you a statement of adua/ settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked 'l'P. O. C.). were paid outside the dosing; they are shown here for informationa I purposes and are not included in the totals.
Fonn Approved OMS No. 2502~0265
8. TYPE OF LOAN
1. 0 FHA 2.0 FMHA 3.lXIcONV. UNINS.
4. 0 VA 5. 0 CONV. INS.
6. ESCROW FILE NUMBER: 7. LOAN NUMBER:
00005290-001 MCM
8. MORTGAGE INSURANCE CASE NUMBER:
ADDRESS OF BORROWER:
D. NAME OF BORROWER:
E. NAME OF SELLER:
ADDRESS OF SEL.LER:
Robert E. Jack
6 Earl Street
Boiling SprinQs, PA 17007
Estate of Mable D. Myers
ADDRESS OF LENDER:
F. NAME OF LENDER:
G. PROPERTY LOCATION:
H. SETTLEMENT AGENT:
PLACE OF SETTLEMENT:
I. SETllEMENT OA TE:
Waypoint Bank
101 South George Street
York, PA 17401
85 Ball Park Drive
Gardners, PA 17324
Cumberland County ACCOUNT #08160210043
ACCOUNT # 08160210043
Waypoint Settlement Services, LLC
Waypoint Bank, 17 W. High Street, Carlisle, PA 17013
12/30/2004 PRORATION DATE: 12/30/2004
DISBURSEMENT DATE:
12/30/2004
J. SUMMARY OF BORROWER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION
101. Contract Sales Price 69,000.00 401. Contract Sales Price 69,000.00
102. Personal Property 402. Personal Property
103. Settlement charges to Bonower (line 1400) 2,571.47 403.
104. 404.
105. 405.
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE'
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE:
106. Cltyrrown Taxes 406. CitVrrown Taxes
107. Counlv Taxes 12130/04 to 12131/04 0.37 407. County Taxes 12130/04 to 12/31/04 0.37
108. Assessments 408. Assessments
109. School Tax 12130/04 to 06130/05 350.39 409. School Tax 12130/04 to 06130/05 350.39
110. 410.
111. 411.
112. 412.
113. 413.
114. 414.
115. 415.
120. GROSS AMOUNT OUE FROM BORROWER: 71,922.23 420. GROSS AMOUNT DUE TO SELLER: 69,350.76
201. Deposit or earnest money 501. Excess deposit (see Instructlonsl
202. Principal amount of new loan(s) 69,000.00 502. Settlement charges to Seller (line 1400) 12,950.00
203. ExIsting loan(s) taken subject to 503. ExIsting loan(s) taken subject to
204. 504. Payoff of 1 st mtg. loan to Redevelopment Authority 15,385.00
205. 505. Payoff of second mortgage loan
206. Seller pd closing costs 3,230.23 506. Seller pd clOSing costs 3,230.23
207. 507.
208. 508.
209. 509.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
210. Cityrr own Taxes 510. Citvrrown Taxes
211. County Taxes 511. County Taxes
212. Assessments 512. Assessments
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519
220. TOTAIL PAlO BYIFOR BORROWER: 72,230.23 520. TOTAIL REDUCTIONS IN AMOUNT DUE SELLER: 31 ,565.23
301. Gross amount due from Borrower ( line 120) 71,922.23 601. Gross amount due to Seller (line 420) 69,350.76
302. Less amount paid bylfor Borrower ( line 220) 72,230.23 602. Less reduction In amount due Seller (line 520) 31,565.23
303. CASH ( 0 FROM) ( fi1I TO) BORROWER: 308.00 603. CASH (0 FROM) (fill TO) SEllER: 37,785.53
BASED ON PRICE$ 69,000.00 @ %= PAl D FROM PAID FROM
DIVISION OF COMMISSION (UNE 700) AS FOLLOWS: BORROWER'S FUNDS SEllER'S
AT SETTLEMENT FUNDS AT
701. $ III SETTLEMENT
702. $ to
703. Commission paid at settlement
704.
601. Loan Origination Fee
802. Loan Discount Fee .2500 % to Waypoint BanI< 172.50
603. Appraisal Fee
604. Credit Report
605. Lenders Inspection Fee
606. Mortgage Insurance Application Fee
807. Assumption Fee
608. Tax Service Fee to Waypolnt Bank 91.00
609. Underwriting Fee to Waypolnt Bank 115.00
610. Flood Certification Fee to Waypolnt Bank 14.00
611. Application Fee to Waypolnt Bank (350.00)
901. Interest From 12/30104 to 01101105 @$11.02oolday % (2 days) 22.04
902. Mortgage Insurance Premium for Month(s) to
903. Hazard Insurance Premium for 1 Years(s) to (456.00)
904. Document Preparation Fee to Waypoint Bank 290.00
905.
1001. Hazard Insurance 3 months@ $ 36.17 per month 114.51
1002. Mortgage Insurance months @ $ per month
1003. City Properly Taxes months@ $ per month
1004. County Properly Taxes 11 months @ $ 11.21 per month 123.31
1005. Annual Assessments months @ $ per month
1006. School Tax 7 months @ $ 59.75 per month 416.25
1007. months @ $ per month
1006. Aggregate Acct. Adj. months@ $ per month -326.70
1101. Settlement or closing fee
1102. Abstract or title search
1103. Title examination
1104. Title Insurance binder
1105. Document preparation
1106. Notary fees to Settlement Officer 25.00
1107. Attorney's Fees
(includes above items numben;: )
1108. Title Insurance to Waypolnt Settlement Services, LLC 504.56
(Includes above items numben;: 25% Welcome Home Disc. )
1109. Lenders coverage $ 69,000.00
1110. Owner's coverage $ 69,000.00
1111. End. 100, 300 & 6.1 to Waypolnt Settlement Services, LLC 150.00
1112. Ovemlaht mall fee to Waypolnt Settlement Services, LLC 30.00 15.00
1113. I.C.L. to Sou1hem Title Ins Con> 35.00
1201. Recording Fees: Deed $ 36.50 Mortgage $ 66.50 Release $ 105.00
1202. City/County taxlstamos Deed $ 690.00 Morlaaae $ 690.00
1203. State taxlstamos Deed $ 690.00 Morlaaae $ 690.00
1204. Set Fee -Redevelopment Loan to Recorder 27.00
1205. Sat Fee-Signal to Recorder of Deed 81.00
1301. Survey
1302. Pest Inspection
1303. Tax Certification Fee to Carolyn R. McQuillen 5.00
1304. Escrow for Signal Pay-off to Waypolnt Settlements 12,132.00
1305.
1306.
1307.
1400. TOTAL SETn.EMENT CHARGES (EnIer on line 103,Sedian J - and -line 502, Section I<) 2,571.47 12,950.00
I have carefully reviewed 1he HUD-1 Settlement Sta~ent and t> 1he best of my knowledge and belief, Ii Is a true and aGCuratestalement of all reooipls and disbursements made on my
acrount or by me In flis transaction. I further certify flat I have received a copy 01 the HUD-1 SetUementS1atemenl.
-;(~ ? ~-'J - ~ -L.''4-A.i?/9- ~~ J'n~~
Robert E. Jack / tate of Mable D. Myers Co' e 1e-eML
TheHUD-1 S
s1aternenl.
Borrowen; Sellers
Is a true and aGCurate account of this transaction. I~Used or....1I cause the funds t> be disbursed in accordancewlihthls
Settlement Agent I 30jOt{ Date
WARNING: Ills acrlme b knov.lngly make falses1atements to the Unlied S1ates on this or any similar form. Penaliies upon convlelion can indudea fine and Imprisonment. For details
see: Tnle 18 U.S. Code Section 1 001 andSeellon 1010.
WAYPOINT SETTLEMENT SERVICES. LLC REAL ESTATE TITLE INS. - ESCROW ACCOUNT
ESCROW FROM CLOSING
Check #: 14~01~ 0 ;
Check Date: 05/02/2005
Escrow - Branch: 00005290 - 001/ MCM
Check Total
$12,132.00
$12,132.00
Escrow-Branch: 00005290 - 001 / MCM
tit)Jut /iJriLJ
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".0000 ~~qO 25". I: 2:1 ~:I? 2bq ~I:
2 ? :I ~ ? :I :I 5 ~ :I".
0_
r:! M&rBank
499 Mitchell Road, MiIlsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
June 6, 2005
Campbell & White PC
Attorneys At Law
112 Baltimore Street
Gettysburg, Pennsylvania 17325
Re: Estate of- Mable D Mvers
Social Security: 178-16-1671A
Date of Death: October 14. 2004
Dear Sir or Madam:
Per your inquiry dated May 31,2005, please be advised that at the time of death, the above-named decedent had on deposit
with this bank the following:
1.
Type of Account
Checking Account
Account Number
607991
Ownership (Names of)
Mable D Myers *
Merv Myers, POA
Opening Date
/0112182 Closed011/OI05
Balance on Date of Death
$72.37
Accrued Interest
$0.00
Total
$72.37
Please be advised, there was no safe deposit box found for the above decedent.
* For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call
the Mt Holly Springs Office # 717-486-3038.
Sincerely,
7f~~
Nancy Clagett
Records Management
Register of Wills of Cumberland County, Pennsylvania
Inventory
Estate of Mable D. Myers
No. 21-04-1092
also known as
Date of Death 10/14/2004
Social Security No. 178-16-1671A
Linda Grimes, a/k/a Linda Moose and Richard Myers, Personal Representatives 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 in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair
value as of the date of the Decedent's death, and that Decedent owned no real estate outside of
the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of
this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We
understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section
4904 relatin to unsworn falsification to authorities. .
Attorney jJ ~ -AJl~~
Li~~~ Grimes
Li~~:- m~
Address: 112 Baltimore Street
Gettysburg, PA 17325
Telephone: (717) 334-9278
~~-
R' hard Myers
Description
Value
1.
2.
3.
4.
5.
85 Ball Park Drive, Gardners, Pennsylvania
Donegal Mutual Insurance Company, refund
Comcast Cable Company, refund
M & T Bank, Checking Account No. 607991
Real estate tax proration, per HUD-1
$69,000.00
271.00
26.90
72.37
350.76
$69,721.03
Total
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of
personal representative, include the value of each item, but such figures should not be extended into the
total of the Inventory.
-
CAMPBELL & WHITE, P.C.
ATIORNEYS AT LAW
]]2 BALTIMORE STREET
GETTYSBURG, PENNSYLVANIA] 7325
ROBERT E. CAMPBELL
JOHN R. WH]TE
THOMAS R. CAMPBELL*
TELEPHONE 717-334-9278
FACSIMILE 717-334-137]
ALSO ADMIlTED MD BAR.
Direct Dial: (717) 334-9278, V oicemailbox 15
E-mail: jwhite@pa.net
June 29, 2005
Cumberland County Courthouse
Attn: Ms. Glenda Farner Strasbaugh
Register of Wills
One Courthouse Square
Carlisle, P A 17013
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
InRe:
Pennsylvania Inheritance Tax Return
Estate of Mable D. Myers, deceased
Dear Ms. Strasbaugh:
Enclosed for filing is the above-referenced Estate's subject Pennsylvania
Inheritance Tax Return and Inventory along with the required filing fee of Thirty Dollars
and a second check for inheritance taxes in the amount of $1,729.11.
Please refer any questions regarding the enclosed return to the undersigned.
Thank you for your assistance herein.
Sincerely,
o n R. White
Attorneys for the Estate of
Mable D. Myers, deceased
JRW /bb
Enclosure (as stated)
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CO 005515
WHITE JOHN R
112 BALTIMORE STREET
GETTYSBURG, PA 17325
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
nnn__ fold ---------- --------
101 I $1,729.11
ESTATE INFORMATION: SSN: 178-16-1671 I
FILE NUMBER: 2104-1092 I
DECEDENT NAME: MYERS MABLE D I
DATE OF PAYMENT: 07/01/2005 I
POSTMARK DATE: 06/29/2005 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 10/14/2004 I
I
TOT AL AMOUNT PAID: $1,729.11
REMARKS:
CHECK# 105
INITIALS: JA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
- Cumberland county--- .Keglscer UJ: WLLJ.S
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/14/2006
WHITE JOHN ROY
CAMPBELL & WHITE PC
112 BALTIMORE STREET
GETTYSBURG, PA 17325-2311
RE: Estate of MYERS MABLE D
File Number: 2004-01092
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
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 Report of completed or uncompleted administration.
This filing is due by: 10/14/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
~
Cumberland County - Reg-rster aT WilTs--
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/14/2006
GRIMES LINDA
60 OLD GAP ROAD
CARLISLE I PA 17013
RE: Estate of MYERS MABLE D
File Number: 2004-01092
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES I NO. 103
SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 19921 the personal representative or his counsell within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by: 10/14/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
~
cumoerlana county - r<.eglsterOr Wlrls
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/14/2006
MYERS RICHARD
1679 STATE ROUTE 225
DEARFIELD, OH 44411
RE: Estate of MYERS MABLE D
File Number: 2004-01092
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
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 I, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
wills a Status Report of completed or uncompleted administration.
This filing is due by: 10/14/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
~
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STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Date of Death:
Will No.
Mable D. Myers
10-14-2004
21-04-1092
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with
respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes 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
may be filed with the Clerk of the Orphans' Court and may be attached to this report.
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John R. White
Name (Please type or print)
112 Baltimore street
Gettvsburg, FA 17325
Address
( 71'1 334-9278
Tel. No.
Capacity:
Personal Representative
Date: September 28, 2006
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SATISFACTION OF AWARD AND RELEASE
KNOW ALL PERSONS BY THESE PRESENTS, that I, Ruth Beam, of
1100 Goodyear Road, Gardners, Pennsylvania 17324, being a legatee under
the Will of Mable D. Myers, late of Dickinson Township, Cumberland County,
Pennsylvania, deceased, who died October 14, 2004, do hereby acknowledge
that I have received of and from Linda Grimes, a1k/a Linda Moose, and Richard
E. Myers, Co-Executors of the Estate of Mable D. Myers, deceased, the items
or cash set opposite my name as follows:
Ruth Beam
1100 Goodyear Road
Gardners, P A 17324
$8,931.10
NOW, THEREFORE, for value received and intending to be legally
bound, I do hereby release and forever discharge the said Linda Grimes, alk/a
Linda Moose, and Richard E. Myers, Co-Executors, of and from all suits,
actions, payments, accounts, reckonings, claims and demands whatsoever that
I may have for any reason arising out of the administration, settlement and
distribution of the Estate of Mable D. Myers.
AND FURTHER, I, the undersigned, do hereby consent to the discharge
of the said Linda Grimes, a/kla Linda Moose, and Richard E. Myers, Co-
Executors of the Estate of Mable D. Myers, deceased, by the Court of Common
~" ,-' .",i'"',"'.
~'dl J'\ i:~il}?~~~~J9( Cumberland County, Pennsylvania, without further notice to me of any
CAMPBElL&WHlTE,P.C !n ')J-j '\:J"
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An:~~~~W application by the said Linda Grimes, a1k1a Linda Moose, and Richard E.
OErrYSB,,";::'::'""'''in; : \ ~d ~y~r~~ S6~:Executors to the said Court for discharge from all liability to the
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CAMPBElL & WInTE. P,C.
ATIORNEYS AT LAW
II~ BALTlMORE3'I'RI!ET
GETrYSSllRO.PBNNSYLVANtA '73'11
(111)3,..-1271
creditors and beneficiaries of the Estate of Mable D. Myers, deceased.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
~9!1day of .rlft 4 r. ' 2005.
,
By: 11 ~ ~+t... (3 d~___
Ruth Beam
Witness
CAMPBElL & WHITE. P.C.
A'ITORNEYS AT LAW
ItJ BALTIMORBS'I'REBT
OB'M'YS81JRO,PSNHs'YLVANIA 1732!
{717}334.t271
SATISFACTION OF AWARD AND RELEASE
KNOW ALL PERSONS BY THESE PRESENTS, that I, Mervin Myers,
of 60 Ely Lane, Aspers, Pennsylvania 17304, being a legatee under the Will of
Mable D. Myers, late of Dickinson Township, Cumberland County,
Pennsylvania, deceased, who died October 14, 2004, do hereby acknowledge
that I have received of and from Linda Grimes, a1k/a Linda Moose, and Richard
E. Myers, Co-Executors of the Estate of Mable D. Myers, deceased, the items
or cash set opposite my name as follows:
Mervin Myers
60 Ely Lane
Aspers, P A 17304
$8,931.10
NOW, THEREFORE, for value received and intending to be legally
bound, I do hereby release and forever discharge the said Linda Grimes, alk/a
Linda Moose, and Richard E. Myers, Co-Executors, of and from all suits,
actions, payments, accounts, reckonings, claims and demands whatsoever that
I may have for any reason arising out of the administration, settlement and
distribution of the Estate of Mable D. Myers.
AND FURTHER, I, the undersigned, do hereby consent to the discharge
of the said Linda Grimes, alk/a Linda Moose, and Richard E. Myers, Co-
Executors of the Estate of Mable D. Myers, deceased, by the Court of Common
Pleas of Cumberland County, Pennsylvania, without further notice to me of any
application by the said Linda Grimes, alkla Linda Moose, and Richard E.
Myers, Co-Executors to the said Court for discharge from all liability to the
CAMPBELL & WHITB. P.C.
ATIORNEYS AT LAW
112 BALTIMOItBSTREBT
OElTYIBuaO,PENNSYLVAMA 11325
(7 J7) '3<-9t1I
creditors and beneficiaries of the Estate of Mable D. Myers, deceased.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
eflRffday of ,.:;;;~ . 2005.
By: ~~~~~~ <<,...,
-
ervln My
Witness
CAMPBElL & WlUTE, P.C.
AITORNEYSATLAW
) 12BALTDdOREI'I'RBBT
OE'ITYSBURO,PENNSYL VANIA 11J~
(717)334.9271
SATISFACTION OF AWARD AND RELEASE
KNOW ALL PERSONS BY THESE PRESENTS, that I, Richard E.
Myers, of 1679 State Route 225, Deerfield, Ohio 44411, being a legatee under
the Will of Mable D. Myers, late of Dickinson Township, Cumberland County,
Pennsylvania, deceased, who died October 14, 2004, do hereby acknowledge
that I have received of and from Linda Grimes, a1k/a Linda Moose, and Richard
E. Myers, Co-Executors of the Estate of Mable D. Myers, deceased, the items
or cash set opposite my name as follows:
Richard E. Myers
1679 State Route 225
Deerfield, OH 44411
$4,931.09
NOW, THEREFORE, for value received and intending to be legally
bound, I do hereby release and forever discharge the said Linda Grimes, a1k/a
Linda Moose, and Richard E. Myers, Co-Executors, of and from all suits,
actions, payments, accounts, reckonings, claims and demands whatsoever that
I may have for any reason arising out of the administration, settlement and
distribution of the Estate of Mable D. Myers.
AND FURTHER, I, the undersigned, do hereby consent to the discharge
of the said Linda Grimes, a1k/a Linda Moose, and Richard E. Myers, Co-
Executors of the Estate of Mable D. Myers, deceased, by the Court of Common
Pleas of Cumberland County, Pennsylvania, without further notice to me of any
application by the said Linda Grimes, alk/a ~inda Moose, and Richard E.
Myers, Co-Executors to the said Court for discharge from all liability to the
.
"'
CAMPBElL & WHITE, P.C.
A ITORNEYS AT LAW
1128ALTlMOREST1U!.ET
OETTYSBURO,PENNSYLVAfflA 17325
(717)334.9271
creditors and beneficiaries of the Estate of Mable D. Myers, deceased.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
.I!J.
~r day of .5'rT ,2005.
~.~
Witness
-
BY:-4:.~~ I!--!!- ~ftA.J
Richard E. Myer
CAMPBElL & WHITE, P.C.
AITORNEYSATLAW
I '2 BAI.. TlMOIU! STREIIT
OElTYSBURO,PENNSYL VAf\IIA 17J23
(717)334-9278
SATISFACTION OF AWARD AND RELEASE
KNOW ALL PERSONS BY THESE PRESENTS, that I, Linda Grimes,
a1k/a Linda Moose, of 60 Old Gap Road, Carlisle, Pennsylvania 17013, being
a legatee under the Will of Mable D. Myers, late of Dickinson Township,
Cumberland County, Pennsylvania, deceased, who died October 14, 2004, do
hereby acknowledge that I have received of and from Linda Grimes, alk/a Linda
Moose, and Richard E. Myers, Co-Executors of the Estate of Mable D. Myers,
deceased, the items or cash set opposite my name as follows:
Linda Grimes, a1k1a Linda Moose
60 Old Gap Road
Carlisle, P A 17013
$8,931.09
NOW, THEREFORE, for value received and intending to be legally
bound, I do hereby release and forever discharge the said Linda Grimes, a1k/a
Linda Moose, and Richard E. Myers, Co-Executors, of and from all suits,
actions, payments, accounts, reckonings, claims and demands whatsoever that
I may have for any reason arising out of the administration, settlement and
distribution of the Estate of Mable D. Myers.
AND FURTHER, I, the undersigned, do hereby consent to the discharge
of the said Linda Grimes, a1k/a Linda Moose, and Richard E. Myers, Co-
Executors of the Estate of Mable D. Myers, deceased, by the Court of Common
Pleas of Cumberland County, Pennsylvania, without further notice to me of any
application by the said Linda Grimes, alkJa Linda Moose, and Richard E.
Myers, Co-Executors to the said Court for discharge from all liability to the
*
CAMPBEI.L& WHITE, P.C.
A TIORNEYS AT LAW
J IZBALTDdOIt.!S1'RP.ET
aE1TYSBURG,PI!NJ'oLffL VANIA 113:15
(111)3~..m.
creditors and beneficiaries of the Estate of Mable D. Myers, deceased.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
!J. q day ofJjdr J 2005.
~L~.
ness
By:
~.~
l.; nda Grimes
By: ~ ~~'..h h1 ~1(jt? ./
~a Moose
CAMPBELL & WHITE, P.c.
AITORNEYSATLAW
I 12BAL:rtMORESl'llEEI'
OB'ITYSBUR.G.PENNSYLVANlA 1732j
(717):JJ4.917'
SATISFACTION OF AWARD AND RELEASE
KNOW ALL PERSONS BY THESE PRESENTS, that I, Helen I.
Hockley, of 87 Ball Park Drive, Gardners, Pennsylvania 17324, being a legatee
under the Will of Mable D. Myers, late of Dickinson Township, Cumberland
County, Pennsylvania, deceased, who died October 14, 2004, do hereby
acknowledge that I have received of and from Linda Grimes, a/k/a Linda
Moose, and Richard E. Myers, Co-Executors of the Estate of Mable D. Myers,
deceased, the items or cash set opposite my name as follows:
Helen I. Hockley
87 Ball Park Drive
Gardners, P A 17324
$8,931.10
NOW, THEREFORE, for value received and intending to be legally
bound, I do hereby release and forever discharge the said Linda Grimes, alk/a
Linda Moose, and Richard E. Myers, Co-Executors, of and from all suits,
actions, payments, accounts, reckonings, claims and demands whatsoever that
I may have for any reason arising out of the administration, settlement and
distribution of the Estate of Mable D. Myers.
AND FURTHER, I, the undersigned, do hereby consent to the discharge
of the said Linda Grimes, a/k/a Linda Moose, and Richard E. Myers, Co-
Executors of the Estate of Mable D. Myers, deceased, by the Court of Common
Pleas of Cumberland County, Pennsylvania, without further notice to me of any
application by the said Linda Grimes, alk/a Linda Moose, and Richard E.
Myers, Co-Executors to the said Court for discharge from all liability to the
CAMPBElL & WHITE, P.C.
A TIORNEYS AT LAW
IllBALTIMORESTREET
OBTrYSBURO,PBNNSYlVANlA 113~
(111) 334.9278
creditors and beneficiaries of the Estate of Mable D. Myers, deceased.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
;q-fk.day of ~~'1' ~~ , 2005.
~. (~ ~.-
itness
BY:~...r ~
Helen I. Hockley
CAMPBElL & WHITE. P.e.
ATIORNEYSATLAW
. 1118ALTIMOREST'It.I!2T
aEtTYSBURO.P!NNS:YLVANrA 17:JU
(717) 334.911t
SATISFACTION OF AWARD AND RELEASE
KNOW ALL PERSONS BY THESE PRESENTS, that I, Linda Grimes,
aIkIa Linda Moose, of 60 Old Gap Road, Carlisle, Pennsylvania 17013, being
a legatee under the Will of Mable D. Myers, late of Dickinson Township,
Cumberland County, Pennsylvania, deceased, who died October 14, 2004, do
hereby acknowledge that I have received of and from Linda Grimes, alkla Linda
Moose, and Richard E. Myers, Co-Executors of the Estate of Mable D. Myers,
deceased, the items or cash set opposite my name as follows:
Linda Grimes, a1kJa Linda Moose
60 Old Gap Road
Carlisle, PA 17013
$8,931.09
NOW, THEREFORE, for value received and intending to be legally
bound, I do hereby release and forever discharge the said Linda Grimes, alk/a
Linda Moose, and Richard E. Myers, Co-Executors,. of and from all suits,
actions, payments, accounts, reckonings, claims and demands whatsoever that
I may have for any reason arising out of the administration, settlement and
distribution of the Estate of Mable D. Myers.
AND FURTHER, I, the undersigned, do hereby consent to the discharge
of the said Linda Grimes, alk/a Linda Moose, and Richard E. Myers, Co-
Executors of the Estate of Mable D. Myers, deceased, by the Court of Common
Pleas of Cumberland County, Pennsylvania, without further notice to me of any
application by the said Linda Grimes, alkla Linda Moose, and Richard E.
Myers, Co-Executors to the said Court for discharge from all liability to the
CAMPBElL & WHITE. P.C.
A TIORNEYS AT LAW
111BALTJMORIS'I'RBI:1'
OETTYSBURo.PENNSYLVANlA 11325
(111)334-9%11
creditors and beneficiaries of the Estate of Mable D. Myers, deceased.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
~ q day ofJ~-h- I 2005.
~c~_
ness
By:
~~
l.; nda Grimes
BY:~';...b. J1J t)<4<"i'" ./
nda Moose
CAMPBEI.L& wmTE. P.C.
AITORNEYSATLAW
111IlAI.:tlMClQ!.S1'UST
Ol!1TYS8URCJ,Pl!NNS'YLVANIA 17125
(711)334-9278
SATISFACTION OF AWARD AND RELEASE
KNOW ALL PERSONS BY THESE PRESENTS, that I, Richard E.
Myers, of 1679 State Route 225, Deerfield, Ohio 44411, being a legatee under
the Will of Mable D. Myers, late of Dickinson Township, Cumberland County,
Pennsylvania, deceased, who died October 14, 2004, do hereby acknowledge
that I have received of and from Linda Grimes, a1k/a Linda Moose, and Richard
E. Myers, Co-Executors of the Estate of Mable D. Myers, deceased, the items
or cash set opposite my name as follows:
Richard E. Myers
1679 State Route 225
Deerfield, OH 44411
$4,931.09
NOW, THEREFORE, for value received and intending to be legally
bound, I do hereby release and forever discharge the said Linda Grimes, a/k/a
Linda Moose, and Richard E. Myers, Co-Executors, of and from all suits,
actions, payments, accounts, reckonings, claims and demands whatsoever that
I may have for any reason arising out of the administration, settlement and
distribution of the Estate of Mable D. Myers.
AND FURTHER, I, the undersigned, do hereby consent to the discharge
of the said Linda Grimes, a1k/a Linda Moose, and Richard E. Myers, Co-
Executors of the Estate of Mable D. Myers, deceased, by the Court of Common
Pleas of Cumberland County, Pennsylvania, without further notice to me of any
application by the said Linda Grimes, a/k/a Linda Moose, and Richard E.
Myers, Co-Executors to the said Court for discharge from all liability to the
CAMPBELL & WHITE, P.C.
ATIORNEYS AT LA W
112DALTlMOR!STRI!ET
OETTYS8URO.PENNSYLVANIA 1T.J2S
(711) 334-9111
creditors and beneficiaries of the Estate of Mable D. Myers, deceased.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
.I!L
~r day of 5rr ) 2005.
~.~
Witness
...
BY:~~ ~~-!J &>~~
Richard E. Myer
CAMPBELL & WHITE,P.C.
ATTORNEYS AT LAW
112 BALTIMORE STREET
GETTYSBURG, PENNSYLVANIA 17325
ROBERT E. CAMPBELL
JOHN R. WHITE
THOMAS R. CAMPBELL.
TELEPHONE 717-334-9278
FACSIMILE 717-334-1371
ALSO ADMITTED MD BAR.
Direct Dial: (717) 334-9278, Voicemailbox 15
E-mail: jwhite@pa.net
September 28, 2006
Cumbereland County - Register of Wills
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Mable D. Myers
Dear Sir or Madam:
Please find enclosed herein for filing the Status Report Under Rule
6.12 in the above-referenced estate. If you have any questions, please
contact my office.
Sincerely,
CAMPBELL & WHITE, P.C.
~~.~o
John R. White ~:~ 0
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Enclosure (as stated)
Cc: Linda Grimes Moose, Co-Executor
Richard E. Myers, Co-Executor
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STATUS REPORT UNDER RULE 6.12
Name Of Decedent:
Date of Death:
Will No.
Mable D. Myers
10-14-2004
21-04-1092
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with
respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes 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
may be filed with the Clerk of the Orphans' Court and may be attached to this report.
LL N
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John R. White
Name (Please type or print)
112 Baltimore street
Gettvsburq, PA 17325
Address
( 711 334-9278
Tel. No.
Capacity:
Personal Representative
x
Counsel for personal
representative
~