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Home My WebLink About04-1097 % also kno~Pn as To': Decease& Social SecurRy No. t (q ~'- ~5 ~ ~ 0 ~-c ~ Register of Wills for County of Commonwealth of Pennsylvania The petition of the undersigned respectfully' represents that: Your petitioner(s), who is/are 18 years of age or old--cut cx ',~ in the last will of the above decedent, dated and codicil(s) dated in the (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in (~ w*,~.%-e~ k~._~ Co unty, Pennsylvania. with h~ last famiN or r~rinci~al residence at io~ ~a,~{e. ~i ~ }4d[, ~ (list street, number and muncipality) Decendem, ~hen .~c{ years of age, died . ~ ~ t ~ , 1~ 2~ q , Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (if not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: WHEREFORE, oetitioner(s) res¢ectfu!ly reo..u, est(s) the probate of the last will and codicil(s) presented herewith ~nd the grant of-letters '/'~.~,,~,~-,-'["r.,~1 (testamentary; aOministration c.La.; administration d.b.n.c.t.a.) theron. 7?2 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF ?ENN$¥LYANI~A COUNTY OF (-. ~t.fYI l~ ~-1~ k lqW',g ~) f ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative<s) of the above ~et:edent petitioner{s) ,~,_i ,ye_ ~.nd tru y administer t~e estate according to law. Sworn to o~ affirmed ~=nd subscribed before me this ~5 } day of ~ REV. 1500 EX + (6-00) '. REV-1500 OFFIC;,.\L USE ()NL',:,' I I \ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN FILE NUMBER DEPARTMENT OF REVENUE RESIDENT DECEDENT 21 2004 1097 DEPT. 280601 HARRISBURG. PA 17128-0601 I COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER EAGLE, JR., DA VID S. 198-34-6802 .... z DATE OF DEATH (MM.DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE w c w 11/11/2004 12/30/1944 REGISTER OF WILLS u w c I(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER EAGLE, JUDY M. ~ 1. Original Return D 2. Supplemental Return D 3. Remainder Return (date of death prior to 12-13-82) w .... D D 4a. Future Interest Compromise (date of death after D 5. Federal Estate Tax Return Required ,,::fill 4. Limited Estate ull:" 12-12.82) wl1.U I~ D ",00 6. Decedent Died Testate (Attach copy 7. Decedent Maintained a Living Trust (Attach 8. Total Number of Safe Deposit Boxes ull:-' I1.ID of Will) copy of Trust) 11. <( 9. Litigation Proceeds Received D 10. Spousal Poverty Credit (date of death between D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) COMPLETE MAILING ADDRESS AME !Z Lisa Marie Coyne l!:l IRM NAME (If applicable) ~ Coyne & Coyne, P.C. IrELEPHONE NUMBER 717/737-0464 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) z o ;:: :5 ::l .... ii: <( u W II: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 3901 Market Street Camp Hill, PA 17011-4227 (1 ) None (2) None (3) None (4) None (5) 5,410.00 (6) 706.51 (7) None (9) 10,646.31 (10) 81,219.83 OFTICIAL U~NLY C::J c;n () ;;0 :0 -n -rO 'C;:::f'- '..-.m .C :JJ Cf) ....'< o ("") --I N U1 ()(=",..',' \.4_.1 c: :.:0 -, :;::000 _..a. ~.~0 (:"...) -l (8) 6,116.51 (11 ) 91,866.14 (12) insolvent 13. Charitable 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 Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) z .045 (16) 0 16.Amount of Line 14 taxable at lineal rate x ;:: <( .... ::l 11. 17.Amount of Line 14 taxable at sibling rate x .12 (17) :IE 0 u ~ 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. Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 104 Maple Avenue CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty B. Enter the total of Line 5 + 5A. This is theBALANCE DUE. (3) 0.00 (4) (5) 0.00 (5A) (5B) 0.00 Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPA YMENT. 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. A. Enter the interest on the tax due. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;............................................................................. ~ I ~: ~::::~ :h~e~~~;i~~:~s:~~;=s~~~.~~~~I..~.~.~. ~.~~. :.~~:.~~. .~~~.~.~~.~~~~.~. .~.~ .i.~. ~~.~.~~~..............................~~: ::::::: ::: ~~..... d. receive the promise for life of either payments, benefits or care?.......................................................... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ...... ........................... ....... .... ........ ............... ............................. ................. 0 1:8] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 1:8] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?................................................................................................................ 0 1:8] 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 perjury. I declare that I have examined this return. including accompanying schedules and statements. and to the best of my knowledge and belief. it is true. correct and complete. Dectaration preparer other than the personal representative is based on all information of which preparer has any knOWledge. SIG TURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS d M. Eagl DATE 104 M~p1e Avenue Camp Hill, PA 17011 ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE Lisa Marie Coyne ADDRESS DATE 3901 Market Street Camp Hill, P A 17011-4227 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. 39116 (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. 39116 (a) (1.1) (i1)]. The statutedoes not exemota transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return 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. 39116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 39116 1.2) [72 P.S. 39116 (a) (1)]. 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. 39116 (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 E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY i I L___~___._____________________ I FILE NUMBER 21 - 2004 - 1097 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EAGLE, JR., DAVID S. 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 ______m______..._ 1 VALUE AT DATE OF DEATH 5,410.00 DESCRIPTION 2002 Chevy Malibu (30,000 miles) See Kelley Blue Book Valuation TOTAL (Also enter on Line 5, Recapitulation) 5,410.00 Kelley Blue Book - Private Party Value Pricing Report - Chevrolet, Malibu Kelley Blue look THE TRUmO RESOURCE .""....~"..."..."...H..._...._ ...._ advertisement Page 10f2 Close Window X W SEND TO PRINTER 2002 Chevrolet Malibu Sedan 40 BLUE BOOKs PRIVATE PARTY VAlUE Condition Value Excellent $6,505 Good $6,015 '" Fair $5,410 (Selected) Vehicle Details Mileage: Engine: Transmission: Drivetrain: 30,000 V6 3.1 Liter Automatic FWD Selected Vechile Standard Air Conditioning Power Steering Power Door Locks Tilt Wheel AM/FM Stereo Single Compact Disc Dual Front Air Bags ABS (4-Wheel) Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Vehicle Condition Ratings Excellent $6,505 "Excellent" condition means that the vehicle looks new, is in excellent rnecllanical condition and needs no reconditioning. This vehicle has never had any paint or bOdy work and is free of rust. The vehicle has a clean title history and will pass a smog and safety inspection. The engine compartment advertisement What . IS New (ar Blue Book"t? http://www.kbb.com/KBB/U sedCars/Print/PricingReport. aspx?QuizConditions=&ManufacturerI... 10/23/2006 ," I SCHEDULE F COM~N~~~~LJ~EO';~E:E~t~~ANIA ~OINTL Y -OWNED PROPERTY RESIDENT DECEDENT -----------...- ------~---~-- --.-- -,-._- -----~._-_._-_.__..__._-- ESTATE OF EAGLE, JR., DAVID S. i FILE NUMBER I 21 - 2004 - 1097 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Judy Eagle 104 Maple A venue Camp Hill, P A 17011 Wife JOINTLY OWNED PROPERTY: ITEM LETTER NUMBER FOR JOINTi TENANT DESCRIPTION OF PROPERTY ---~---T~- ------ Ilncl~d~ n~me <;If ~nancial institution and bank .a?count number DATE OF DEATH I D~C~S DA:';'~~EDg~TH lor similar Identifying number. Attach deed for JOintly-held real VALUE OF ASSET INTERES DECEDENT'S INTEREST estate. A --tI2/06/19961 PSECU-- -----t---- 913.20-~50% i Checking Aeet. 0451551625 I 456.60 2 A 05/10/1994 PSECU Savings Acet. 198346802 499.82 50% 249.91 TOTAL (Also enter on line 6, Recapitulation) 706.51 . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EAGLE, JR., DAVID S. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. 1. FUNERAL EXPENSES: Monument Engraving DESCRIPTION Social Security Number(s) / EIN Number of Personal Representative(s): FILE NUMBER 21 - 2004 - 1097 I +-- AMOUNT 100.00 1,000.00 100.00 3,000.00 1,500.00 3,500.00 49.00 78.00 75.00 1,244.31 10,646.31 2. Reception 3. Honorarium 4. Myers Funeral Home 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions 2. Street Address City Year(s) Commission paid Attorney's Fees Coyne & Coyne, P.C. State Zip Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Judy M. Eagle Street Address 104 Maple Avenue City Camp Hill State P A Zip 17011 Relationship of Claimant to Decedent Wife 3. 4. Probate Fees Cumberland County Register of Wills 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Postage 2 Legal Advertisement-- Cumberland Law Journal Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) . SchedEH Funeral Expenses & Adninistrative Costs ca1tinued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EAGLE, JR., DAVID S. . ~ I ~:g~ Advert~mont.. Patriot New, 4 ! Filing Fee-- Inheritance Tax Return I FILE NUMBER 21 - 2004 - 1097 r I 5 Reserves 6 West Shore EMS Page 2 of Schedule H 110.00 15.00 500.00 619.31 *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE I LIABILITIES, & LIENS ~_~_m I FILE NUMBER - . 21 - 2004 - 1097 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EAGLE, JR., DAVID S. Include unreimbursed medical expenses. ITEM NUMBER ----- 1 2 3 4 5 6 7 8 9 10 11 12 DESCRIPTION Citi Card Acct. No. 5424-1804-5417-4373 Bank of America Acct. No. 4153-8602-2705-8397 BankOne AcctNo.4417-121-4727-0815 Sovereign Bank BankCard Services Acct. No. 5490-9992-5866-0256 Discover Card Acct. No. 6011-0021-5025-2310 Capital One Card Acct. No. 5291-4921-4360-2551 Chase Bankcard Services AcctNo.5490-9218-2000-8137 MBNA Acct. No. 5401-2612-7002-7172 People's Bank Acct. No. 4388-3401-0026-0342 RES Crdit Card Services Acct. No. 5545-1410-0002-9978 PSECU Visa Acct. No. 4121-3400-0108-5253 PSECU Car Loan Acct. No. 198-34-6802 TOTAL (Also enter on Line 10, Recapitulation) AMOUNT 8,065.27 5,617.32 10,903.00 6,492.39 2,818.84 10,418.65 6,941.14 10,584.37 4,183.22 6,743.19 2,281.91 6,170.53 81,219.83 REV.1513 EX+ (9.00) . SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER i NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY i FILE NUMBER I 21 - 2004 - 1097 RELATIONSHIP TO I AM~~~~~R SHARE DECEDENT OF ESTATE Do Not List Irusteelsi-_ _ _ ___~_u__~ ! ESTATE OF EAGLE, JR., DAVID S. _ __~____ ___.._........_.._~_u I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Judy M. Eagle Wife 100% of Residual Estate , Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover she t 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 I I I I TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET }: ~\~ \J, . iV, I)~ .~~ ~'-\CO LAST WILL OF DAVID S. EAGLE, JR. I, DAVID S. EAGLE, JR., of the Township of Hampden, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any will previously made by me. ITEM I: I devise and bequeath all of my estate of every nature wheresoever situate, together with insurance thereon, to my wife, JUDY M. EAGLE, providing she survives me by thirty (30) days. ITEM 2: Should my wife, JUDY M. EAGLE, predecease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate of every nature, whereso- ever situate, together with insurance thereon, to my children, including afterborn children, living on the thirty-first day following my death. ITEM 3: Should my wife, JUDY M. EAGLE, and all of my children, die on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate of every nature wheresoever situate, together with insurance thereon, as follows: A. Fifty (50%) percent of all of my estate to my mother, DOROTHY EAGLE and my sister, JUDY E. PORTER, or their survivor, share and share alike. B. Fifty (50%) percent to my parents-in-law, J. ROSS METZ and JEANNE B. METZ, and my two brothers-in-law, LARRY METZ and DAVIO METZ, or to the survivors of the~, share and share alike. ITEM 4: Should any of the beneficiaries entitled to a share of my estate not have attained the age of twenty-three (23) years at the time of distribution to him or her, I devise and bequeath the share of each beneficiary to CCNB BANK, N.A., \~ ~~.;: ~~ ~: 1~ f------- I 21st and Market Streets, Camp Hill, Cumberland County, Pennsylvania, IN SEPARATE TRUSTS, to hold, manage, invest and reinvest the share so received, and the accumulation of income thereon to use and apply the income and principal, or so much thereof as, in trustee's discretion, may be necessary or appropriate for such beneficiary's medical care, support and education, (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such medical care, support or education, or to make payment for these purposes, without further responsibility, to such beneficiary, or to any person taking care of such beneficiary. Any principal or income not so applied shall be distributed to such beneficiary absolutely when he or she attains the age of twenty three (23) years. If he or she dies before attaining age twenty-three (23), the Trust shall terminate and such share shall be distributed to hi5 or her personal representative. ITEM 5: I appoint my wife,JUDY M. EAGLE, executrix of this my Last Will. Should my wife, JUDY M. EAGLE, fail to qualify or cease to act as executrix, I appoint my sister, JUDY E. PORTER, executrix of this my Last Will. I TE M 6: I direct that all taxes. that may he assessed in consequence of my death, of whatever nature, and by whatever jursidiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. ITEM 7: Upon my death, I direct that my body be cremated and the ashes be disposed of in accordance with direction from my personal representative. ITEMB: I direct that my executrix and trustee or their successors shall not be required to give bond for the -2- faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this ~27__day of " ..-k ,-..N:?V (.- " 1983. ~. . ~ -~::_C>e:~ /:1 ~.:-cc _?.:::..;;;;-t_~I>______ D A V IDS. z;:.MJ L ~_, JR. The preceding instrument consisting of this and two (2) other typewritten pages, identified by the signature of the Testator, DAVID S. EAGLE, JR., was on the day and date thereof signed, published and declared by DAVID S. EAGLE, JR., the Testator therein named, as and for his Last Wi 11, in the presence of us, who, at his request, in his presence, in the presence of each other, have subscribed our names as witnesses hereto. jj~L~~reSiding ~~'.';di"' at I CJ ~, fY\[APuIAl De. _~~H 11\1 ?~-11() IL______ 3 CJ 0 I m~..e;t7 5' (. ~_1d-dLlr1J-U{.Lll at COMMONWEALTH OF PENNSYLVANIA} } ss: COUNTY OF CUMBERLAND } 4 "{i'"i;,,::U~ respectively, whose names are _~L~dlLUU____' and the Testator and the witnesses signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his or her knowledge, the Testator was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. ~ ~ / s:~:--,. -;:"7 ./ '..:::~:..=:'.::'__L?- --=-~__~ David S. gle.;~ Jr. o ~ . ~ SlJ. _J, n J" n.-~. V----:----===~~~~ /) 1/ &:Z) I} LftJPJJiLV~tfd_-~(i)-a~ Subscribed, sworn to and acknowledged before -~Jt,--~~<--____, by David S. Eagle, me, Jr, the TL~r, and subscribed and sworn to before me by __ ~~/M1 -' and _ -ffi./J1~__~__~~- witnesses, this ~~~~ay of ~~tJ_____, 1983. ' (SEAL) ti1 .4 '/lJI/tJRAA'''''"';t'I.Ya...J -~a ;:~blf~------- Nol.IY PLlhlic 1).lores IJ. n!e"oem.n'~\a"h 19, 198a N'W c.omrnidr.n ,'btPlrCScumberland (ounl'l thropden TownshlP_ described therein be admitre~ to probale and filed u~ ~.co:a ~ ~h, !~o[ wxil of and Letters are hereby granted to J-Lt[)LI fY~ }-7~i(.tL~ FEES Short Certificates( ) .......... TOTAL Filed ATTORNEY (Sup. Ct, I.D. No.) ADDRESS PHONE OMMONWEALTH OF PENNSYLVANIA ' DEPARTMENT OF HEALTH ·VtTAL RECORDS CERTIFICATE OF DEATH z Male!~ 198- 34 6802 [4 November17,2004 ~,,, E] ............ [] .......... [] ......... [] ...... [] David S. Eagle, Jr. 59 ¥,~ Dec 30, 1944 Dauphin Harrisburg ~ys(ems ~,nalys Insurance 104 Maple Avenue Camp Hill, Pa 17011 m~,,~,,,t Chambersburg, Harrisburg Hospital I~~ P"*"°~'~" ~¢ ~o White David S Eagle · Judy Metz Eagle Dorothy Weaver 104 Maple Avenue Camp Hill, ~a 17011 Nov 19 2004 z~ Conotite Crematory ~ Schaefferstown, Pa 17088 LAST P/ILL OF DAVID S. EAGLE, ]R. I, DAVID S. EAGLE, IR., of the Township of Rampden, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any will previously made by me. ITEM 1: I devise and bequeath all of my estate of every nature wheresoever situate, together with insurance thereon, to my wife, JUDY M. EAGLE, providing she survives me by thirty (JO) days. ITEM 2: Should my wife, JUDY M. EAGLE, predecease me or die on or before the thirtieth (~Oth) day following my death, I devise and bequeath all of my estate of every nature, whereso- ever situate, together with insurance thereon, to my ehildren, including afterborn children, following my death. ITEM 3: Should my wife, living on the thirty-first day JUDY M. EAGLE, and all of my children, die on or before the thirtieth (~Oth) day following my death, I devise and bequeath all of my estate of every nature wheresoever situate, together with insurance thereon, as follows: A. Fifty (50%] percent of all of my estate to my mother, DOROTHY EAGLE and my sister, ]uny E. PORTER, or their survivo£, share and share alike. B. Fifty (50%] percent to my parents-in-law, J. ROSS METZ and JEANNE B. METZ, and my two hrothers-Jn-law, LARRY METZ and DAVID METZ, or to the survivors of them, share and share alike. ITEM ~: Should any of the beneficiaries entitled to a share of my estate mot have attained the age of twenty-three (25) years at the time of d~strihutiom to him or her, I devlse and bequeath the share of each beneficiary to COMB BANK, M.A. , 21st and Market Streets, Camp Rill, Cumberland Countg, PennsglvanJa, TN S~PAR~TE TRUSTS, to hold, manage, invest and reinvest the share so reeeived, and the accumulation of income thereon to use and applg the income and principal, or so much appropriate Tot such benefieiarg's medical care, suppo£t and education, (including college edueation, both graduate and undergraduateJ without regard to his or her parent's abilitg to provide £oz such medical care, support or education, or to make pagment for these purposes, without £urther zesponsibilitg, to such bene?ieJarg~ or to ang person taking care o£ such bene?iciarg. Ang principal or income not so applied shall be distributed to such bene£iciarg absolutelg when he or she attains the ape of twenty three (23) years, l£ he or she dies before attaining aqe twenty-three (25), the Trust shall terminate and such share shall be distributed to his or her personal representative. ITEM ~ l appoint mU wi£e,JUDY M. E~GLE, executrix o£ this mg Last Will. Should my wife, JUDY M. £~GLE, Tail to quali£y or cease to act as executrix, [ appoint my sister, JUDY E. PORTER, exeuutrJx o£ this my Last Will. ITEM 6: £ direct that ali taxes that may be assessed in consequence of my death, of whatever nature, and by whatever ]ursJdJetlon imposed, shall be paid f£om mg residuary estate as a part of the expense of the administration o£ my estate. [TEN 7: Upon mg death, I direct that my body be cremated and the ashes be disposed o£ Jn accordance with direction f£om my personal ITEM their successors representative. 8: I direct that my executrix and trustee or shall not be required to qJve bond for the -2- #aithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF~ T have hereunto set mg hand this '" dag of _.~' x'~ ...... , 198~. The preceding instrument eonsistinq of this and two (2) other tgpewritten pages, identified bg the signature of the Testator, DAVID S. EAGLE~ ]R. ~ was on the daq and date thereof siqned, pubfished and deeJared bq DAVID S. EAGLE, JR., Last WJl], in the .in the Testator therein named, as and for his presence of us, who, at his request, in his presence, the presence of eaeh other, have subscribed our names as residing residing COMMONWEALTH 0£ PENHSYLVANIA] SS: COUNTY OF CUMBERLAND ] ~f 7~ ~ / ~_ ~ X¢~,,' the Testator and the witnesses respectively, whose names are signed to the attached or foregoing ~nstrumeot, being flrst duly sworn, do here~y declare to the undersigned authority that the Testato~ s~gned and executed the 1nst~umemt as bls Last WJll and that he h~d s~gned and that he execoted ~t as h]s free and voluntary act for the purpose thereJn expressed, and that each of the the preseoee amd hea~ing of the Testator, slgned the Will as wltness and that to the best of h~s or her knowledge, the Testato~ was at the tlme elghteen (18) years of age o~ older, of sound m~nd and undem no constraiot o~ undue influence. Subscribed, sworn to and acknowledged before me~ by David S. Eagle, Jr, the Testator, and subscribed and sworn to before me by I ..- ? . f / ~/~/ -z /,: .......... ..... ' wi tnestes, this /;~/___dag of _~./,&ZZ~LJL::'_ ...... 1985. (SEAL) Notary Public IN THE COURT OF COMMON PLEAS,CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF DAVID S EAGLE ) ) Deceased) Register's # CLAIM To the Clerk of the Orphans' Court Division : Index and make proper entry in your official records of the claim of CITIBANK(SOUTH DAKOTA)MA in the amount of $8,065.27 against the estate of the above-named decedent. This claim is filed under Section 3532 (b) (2) PEF Code, 20 Pa. C.S. ss. 3532 (b) (2) The said decedent, whose last known residence was at 104 MAPLE AVE CAMP HILL PA 17011 Written notice of this claim was given to JUDY EAGLE 104 MAPLE AVE CAMP HILL PA 17011 on December 21, 2004 (C~ma~t) JOHN ~BBOTT ,manager of Citicorp Credit Services, Inc. USA under limited power of attorney for CITIBANK(SOUTH DAKOTA)NA 7930 NW 110TM ST KANSAS CITY, MO 64153 (Claimant's Address) Account #(s) 5424180454174373 zoom zoom citi SUMM <== TRNCD ACCNT#==> 5424180454174373 CUSTOMER STATEMENT DISPLAY - ACCOUNT SUMMARY AVAIL CRED: 16809.04 CRED LINE: DESCRIPTION PREV BAL PURCH/ADV PYMT/CR PURCHASES 8,065.27 39.00 .00 ADVANCES .00 .00 .00 LOAN .00 .00 .00 TOTAL 8,065.27 39.00 .00 PURCHASES BAL SUB FIN CHG PER. KATE NOM. APR Standard Purch 3,831.98 0.04107 14.990% Standard Adv .00 0.05477 19.990% Purch/Adv 00/00/00 .00 0.04107 14.990% Offer 4 .00 0.00819 2.990% Offer 5 .00 0.04107 14.990% DECEMBER 8, 2004 25000 DUE DATE: 01/03/05 FIN CHG NEW-BAL 86.69 8,190.96 ~l~0.q~ .00 ,00 I~-g.~ F~s 86.69 8,190.96 (~OCg, APR 14.990% 19.990% 14.990% 2.990% 14.990% PFll = ALL BALANCE SEGMENTS DAYS THIS BILL 33 AMOUNT OVER CL > PURCH/ADV MIN DUE > 0.00 PAST DUE > 168.00 170.00 MIN AMT DUE > 338.00 MONTHS: 11/05/04 10/08/04 09/08/04 08/09/04 07/08/04 December 10, 2004 Cumberland, Register Of Wills One Courthouse Square Carlisle, PA 017013 WELTMAN, WEINBERG &REIS. CD~L.P.A. ATTORNEYS AT LA'~L~H~f~ GF~CE OF 17~ South Third Street, Su~[]~ (;~¢ ¢[ e Columbus, Ohio 43215 800.325.9965 CLERK OF ORPH/',N'S COURT BURLINGTON, NJ 609.914.0437 CHICAGO, IL 847.940.9812 CINCINNATI, OH 513.723.2200 CLEVELAND, OH 216.685.1000 DETROIT, MI 248.362.6100 PHILADELPHIA, PA 215.599.1500 PITTSBURGH, PA 412.434.7955 Re: Estate of David S Eagle Case No. 21-2004-1097 Our Client: Discover Bank Account No. 601 ! 002150252310 Balance Due: $2,818.00 Our File No. 4036681 Dear Clerk of Courts: This law firm represents Discover Bank in connection with its claim which we wish to file on our client's behalf into the estate of David S Eagle, deceased. Enclosed is our check in the amount of $5.00 which we understand is the filing fee for this claim. Our client's claim is based upon its account number 6011002150252310 in the amount of $2,818.00. As of the date of this letter, this is the amount due. Included with this letter is the claim form which we wish to present to this court and which we are forwarding to the attorney and/or fiduciary of this estate. It would be appreciated if all correspondence and disbursements with respect to this matter be forwarded to our office and to the attention of the undersigned. Additionally, it would be appreciated if any notices of any hearings also be forwarded to the undersigned. Thank you for your cooperation in this matter. Sincerely Yours, Y WH TNEY Authorized agent for the claimant NDP:sek Enclosures cc: Judy M Eagle, Fid C/O Coyne Lisa Marie Coyne WWRg4036681 FORM 93-O.C. DIVISION IN THE COURT OF COMMON PLEAS of CUMBERLAND, REGISTER OF WILLS, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE:ESTATE OF No. 21-2004-1097 David S Eagle , Deceased For an installment loan with Discover Bank, Account No. 6011002150252310 CLAIM To the Clerk of Orphans' Court Division: Index and make proper entry in your official records of the claim of Discover Bank c/o Weltman, Weinberg & Reis Co., L.P.A., 175 South Third Street, Suite 900 Columbus OH 43215 (Claimant) in the amount of $2,818.00 against the estate of the above named decedent. This claim is filed under Section 3532 (b) (2) of the Probate, Estates and Fiduciaries Code. The said decedent, who resided at 104 Manic Ave Hill PA 17011 , died on 11/17/04 (Address) Written notice of this claim was given to Judy M Eagle, Fid C/O Coyne Lisa Marie Coyne on (Personal representative, if any, or counsel) Caren 3901 Market Camp Hill, PAl7011 3901Market Camp Hill PA17011 . t ~j Address or Personal Representative, if any, or counsel ~ ~ ,,~ Authorized Agent for Claimant Weltman, Weinberg, & Reis Co., L.P.A. 175 South Third Street, Suite 900 Columbus, OH 43215 WWR# 4036681 STATEMENT OF ACCOUNTS FOR: Discover Bank DECEDENT'S NAME: David S Eagle ADDRESS: 104 Maple Ave CSZ: Camp Hill, PA 17011 SSN: 198-34-6802 ACCOUNT#: 6011002150252310 DOD: 11/17/04 BALANCE DUE: $2,818.00 EXHIBIT A Name of Decedent: Date of Death: Will No.: To the Register: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) DAVID S. EAGLE, JR. November 17,2004 21-04-1097 I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on January 3, 2005. Mrs. Judy Eagle 104 Maple Avenue CampHiIl,PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: rf I) ,jAA ,e:S COYNE & COYNE, P.C. (' BY: Lis' Marie Coyne Esquire ,_ 3 0 I Market Stre t Camp Hill, P A 17011-4227 (717) 737-0464 Pa. Supreme Ct. No. 53788 Counsel for Personal Representative C) '=0 :';?~p ~-7m (;)?2 ()O ~-":.c.:):-n :.:)3j .-j ~ "" = ,= c.n "-- ~ I C1' " '" (,.) "".. Q ,. ) FORM 93 - O. C. DIVISION IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE } } } } } } <"::2 :_-::;(=:> :n , --,; -l- , c";.-..~ OF No. 04-1097 of 2004 DAVID EAGLE (Deceased) CLAIM To the Clerk of Orphans court Division: , Index and make proper entry in your official records of the claim of OMNIUM WORLDWIDE, INC. for BANK ONE (Claimant), account # 4417121247270815, in the amount of $10,903.00 against the estate of the above named decedent. This claim is filed under Section 732 (b) (2) of the Fiduciaries Act of 1949 as amended. The said decedent, who resided at 104 MAPLE AVE, CAMP HILL, P A 17011-4120, died on November 17, 2004. Written notice of this claim was given to LISA COYNE, 3901 MARKET ST, CAMP HILL, PA 17011-4227 (Personal representative, if any, or counsel). January 7 ,2005 (Clai OMNIUM WORLDWIDE, INC. 7171 MERCYRD,SUITE400 PO BOX 6618 OMAHA, NE 68106 800-999-3778 (Claimant's Address) .:::r- C~~ -I-j ,,> I'~;) C:."} <;.:...."1 ::-n r-i, C) c::=> :~;-'J -, 1 ,:-') L. :>" 1',) C> -'1 ~.) ;'1 ''''1 c) rn - ,-.1 S-~~ f-J w t~_'" Q c':) :,.-:;0 :2)~ . ~~ :..TJ I: :.~;~! :") c "~ . ,'-( __ ~ f-.) ,) -1'. \.D ~ ~ ~ ~ CO \ .s ~ ~ u i '" 'Q ~ "" ~ Cl 1 ~ " e <. r- . " 'Q ~ \Xl " ~ '" e :: Q g P .~ -< \-. 9- ~ ~o e. ~ q> ~ r>~ t ~ """ p 0 % ... z ~ ~ \ ~ .~ ... ARS-ARRC 25 RECOVERY MAINTEIlAlICE RECDSP 9:52:29 1/07/2005 CLIENT: BANK ONE STANDARD STATUS: AcrIVE STATUS CLI REF#: 4417121247270815 REASON: 42-CLAIM FILED ACCOUNT: 104158757 PACKET: More... PHONE INFORMATION I PHONE mE: HOMPllN AREA CODE: ~ PREFIX: 737 IlUMBER:m'2' EXTEIlSION: 'GUUUoooo ANSWER CODE: CALL CODE: CALL I CONTAcr mE: PRMCON PREFIX: FIRST NAME: DAVID MIDDLE NAME: LAST NAME: EAGLE EXTENDED: SUFFIX: CONTACT INFORMATION I LANGUAGE: ENGLSH RESP: PRMRSP I ADDRESS INFORMATION I ADDRESS mE: PRMHOM STREET: 104 MAPLE AVE CITY: CAMP HILL STATE: PA ZIP CODE: 17011 4120 COUNTRY: us-- ~IL CODE: MAIL SSN: 198346802 I EVENTS I I CDRRENT BALANCE: 10903.00000 PROMISED PAYMENTS: 0.00000 BALANCES I I ADJUSTMENTS I I ADJUSTED BALANCE: 0.00000 PRINCIPAL PAYMENTS: 0.00000 PAYMENTS I I ACCOUNT STATISTICS I LISTING BALANCE: 10903.00000 LOCAL LISTING BAL: 0.00000 More.. . ACTIVITY: S42 CLM CLM CLAIM FILED INnATY - FILE CLAIM WITH PROBATE: PROBATE CLAIM FORM PRECRT-FILE CLAIM WITH PROBATE:PROBATE CLAIM FORM FOLLOW UP ACTIVITY: REVIEW FOLLOW UP DATE: 1/08/2005 FOLLOW UP TIME: 102749 01/07(2005 07:16:21 102749 01(07(2005 07:16:18 102749 01(07(2005 07:05:31 More. .. I ACCOUNT AmIBUTES I F2=CONTINUE SEARCH FMXIT F4=PROMPT F6=ADD CONTACT F7:PRMOUS CONTACT F8=NEXT CONTACT F9=HISTORY F24=MORE KEYS (") "-:;0 -;~?Q '-;'::'"J'l I......" c:;:.) r:";;:J (;..I', c_ ~--',., " /", ,'"',) co ~? ,'."? '":> Ci ;;--=1 ARS-ARRC 25 RECOVERY MAINTENANCE RECDSP 7:42:15 1/12/2005 CLIENT: BANK ONE STANDARD STATUS: ACTIVE STATUS CLI REF#: 4417121247270815 REASON: 42-CLAIM FILED ACCOUNT: 104158757 PACKET: I CONTACT TYPE: PRMCON PREFIX: FIRST NAME: DAVID MIDDLE NAME: LAST NAME: EAGLE EXTENDED: SUFFIX: More... PHONE INFORMATION I PHONE TYPE: HOMPHN AREA CODE: ~ PREFIX: 737 NUMBER: '5"m' EXTENSION: unuuoooo ANSWER CODE: CALL CODE: CALL CONTACT INFORMATION I I ADDRESS INFORMATION I LANGUAGE: ENGLSH ADDRESS TYPE: PRMHOM RESP: PRMRSP STREET: 104 MAPLE AVE SSN: 198346802 CITY: CAMP HILL STATE: PA ZIP CODE: 17011 4120 COUNTRY: us-- -MAIL CODE: MAIL BALANCES I I ADJUSTMENTS I I ADJUSTED BALANCE: 0.00000 PRINCIPAL PAYMENTS: 0.00000 PAYMENTS I I ACCOUNT STATISTICS I LISTING BALANCE: 10903.00000 LOCAL LISTING BAL: 0.00000 More... I EVENTS I I CURRENT BALANCE: 10903.00000 PROMISED PAYMENTS: 0.00000 ACTIVITY: CLM FILE CLAIM WITH PROBATE CSSTFR CLIENT REQUEST TRANSFER -AS OF 1/1/2005 NEW COST TO FILE CLMS $10. ..NEED TO SEND 4421 CSSTFR ADDNTL $5 TO PRST CRT. . . I 4421 SK SKIPTRACING -CLLD 6345 REP ADVSD NEW COST FOR EST CLAIMS $10 4421 FOLLOW DP ACTIVITY: FOLLOW DP DATE: FOLLOW DP TIME: 01/11/2005 14:57:45 01/11/2005 14:57:45 01/11/2005 14:54:54 More.. . I ACCOUNT A'1'1'RIBUTES I F2=CONTINUE SEARCH F3=EXIT F4=PROMPT F6=ADD CONTACT F7=PREVIOUS CONTA; F8=NEXT CONTACT ~/N?/ ~?"'fJ %~ F9=HISTORY F24=MORE KEYS (,--~? , C) =-~l -0 r_) r::-:::.} r.,:;'> <:';"!1 c__ ''c' o -ry c::-) ,'j -""1 , h in '.':J(-) "T1 r..",} \.D ~~ RBS Credit Card Services 1000 Lafayette Boulevard Bridgeport, CT 06604 STATEMENT AND PROOF OF CLAIM RE: Account #SS4S 141000029978 To: The Estate of David S Eagles Jr, late of 104 Maple Ave Camp Hill Pa 17011 Deceased: November 17, 2004 The subscriber represents that: I. The above-named deceased was at the time ofhislher death, hislher estate is still, justly and truly indebted to the subscriber in the sum of$ 6,743.19 2. The nature and consideration of said debt is as follows: Purchase of commodities and/or services made under RBS branded credit card. The claim is just and that all legal offsets, payments and credits known to the affiant have been allowed. 3. The subscriber has not nor has any person by its order, for its use, had or received any manner of security for said debt. WHEREFORE, the subscriber presents a claim to you. Make all payments payable to Credit Card Services. Citizens Bank of Rhode Island 1000 Lafayette Blvd 6TH Floor Bridgeport, CT 06604 BY: ~Hi1Wa~ Michael Kalasardo RBS Credit Card Services Citizens Bank of Rhode Island b , , r'J Subscribed and sworn to this 2Sth day of Janaury 200S, before me. C"..,) ('_/(.:::'l -r'l C)vLhQ arcl Ringel NOTARY PUBLIC My Commission Expires: December 31, 200S Your RBS branded credit card is issued by Citizens Bank of Rhode Island, Providence, RI, an affiliate of the Royal Bank of Scotland Group. ..::r- FORM 93 - O. C. DIVISION IN THE COURT OF COMMQNPLEAS OF ('.-" CUMBERLAND COUNTY, PENNSYLVANIA L G ORPHANS' COURT DIVISION OF } } } } } } No. 21-04-1097 of 2004 INRE: ESTATE DAVID SEAGLE (Deceased) CLAIM To the Clerk of Orphans court Division: Index and make proper entry in your official records of the claim of OMNIUM WORLDWIDE, INC. for CHASE BANK (Claimant), account # 5490921820008137, in the amount of $7,098.14 against the estate of the above named decedent. This claim is filed under Section 732 (b) (2) of the Fiduciaries Act of 1949 as amended. The said decedent, who resided at 104 MAPLE AVE, CAMP HILL, P A 17011-4120, died on November 17, 2004. Written notice of this claim was given to JUDY EAGLE, 104 MAPLE AVE, CAMP HILL, P A 17011 (Personal representative, if any, or counsel). February 17 , 2005 (Cll nt) OMNIUM WORLDW E, INC. 7I7l MERCY RD, SUITE 400 PO BOX 6618 OMAHA, NE 68106 800-999-3778 (Claimaut's Address) J'. ~ '6 ~ ~ e \ 0 1;3 u ~ ... ;; ~ '" "" ':i:e 0 ~ '" S \li~~ ~ II:! ~ 9~.s c ~ <;:. c r/l " ,- 3'~O < \0< " ~ ~B 0. ~ .". , % .. ~ ..... -< '" .. p 0 3' ~ ~ z ~ ~ ~ := ~ ARs-mc 25 RECOVERY MAINTENANCE RECDSP 7:19:38 2/17/2005 CLI REF~: 5490921820008137 REASON: 42-CLAIM FILED CONTACT INFORMATION I I ADDRESS INFORMATION I LANGUAGE: ENGLSH ADDRESS TYPE: PRMHOM RESP: PRMRSP STREET: 104 MAPLE AVE ACCOUNT: 106203406 PACKET: CLIENT: CHASE BANK STATUS: ACTIVE STATUS I CONTACT TYPE: PRMCON PREFIX: FIRST NAME: DAVID MIDDLE NAME: S LAST NAME: EAGLE llX'l'ENDED: SUFFIX: More.. . PHONE INFORMATION I PHONE TYPE: HOMPHN AREA CODE: ~ PREFIX: 737 NUMBER: m7 EXTENSION: ~OOOO ANSWER CODE: CALL CODE: CALL SSN: 198346802 CITY: CAMP HILL STATE: PA ZIP CODE: 17011 4120 COUNTRY: us--- ~L CODE: MAIL I EVENTS I CURRENT BALANCE: PROMISED PAYMENTS: BALANCES I I ADJUSTMENTS I I ADJUSTED BALANCE: 0.00000 PRINCIPAL PAYMENTS: 0.00000 PAYMENTS I I ACCOUNT STATISTICS I LISTING BALANCE: 7098.14000 LOCAL LISTING BAL: 0.00000 More... [ 7098.14000 0.00000 ACTIVITY : S42 CLM CLM FOLLOW UP ACTIVITY: REVIEW FOLLOW UP DATE: 2/18/2005 FOLLOW UP TIME: 102749 02/17/2005 07:19:34 102749 02/17/2005 07:19:33 102749 02/17/2005 07:19:29 More... I ACCOUNT ATTRIBUTES I CLAIM FILED INDATY - FILE CLAIM WITIl PROBATE: PROBATE CLAIM FORM PRBCRT-FILE CLAIM WITIl PROBATE:PROBATE CLAIM FORM F2=CONTINllE SEARCH F3=EXIT F4:PROMPT F6=ADD CONTACT F7:PRMOUS CONTACT F8=NEXT CONTACT F9=HISTORY F24=MORE KEYS IN THE MATTER OF ESTATE OF: DAVID SEAGLE A1KJA DAVID S. EAGLE, JR. STATE OFPENNBYLVANIA IN THE ORPHAN'S COURT , '. Q.F CUMBERLAND COUNTY , i;' ihATE#: 21041097 DATE OF DEATH: 11/17/04 ,j. ,-.,':t, STATEMENT OF CLAIM I. The creditor, Fleet Credit Card Services, L.P., certifies that there is due and owing by DAVID S EAGLE, deceased, the sum of FIVE THOUSAND SIX HUNDRED SEVENTEEN DOLLARS AND THIRTY TWO CENTS ($ 5,617.32). 2. The nature of the claim is a VISA CARD account 4153860227058397, which was established in 02/27/03. 3. The name and address ofthe claimant is: Fleet Credit Card Services, L.P., 550 Blair Mill Road, Horsham, Pennsylvania 19044. 4. The name and address of the claimant's agent is: Jennifer L. Strehlein, Estate Recoveries, Inc., P. O. Box 24566, Baltimore, Maryland 21214. 5. This claim is not contingent and is not secured by any liens or judgments. 6. This claim is not based on anyone instrument. Said balance has accrued since the account was established. On behalf of Fleet Credit Card Services, L.P., creditor, I do solemnly declare and affirm under the penalties of peljury that the information in the foregoing claim is true and correct to the best of my knowledge, information and belief. I have made diligent inquiry and examination, and I believe the claim is just and all legal offsets, payments, and credits made known to the affiant have been allowed. ~\ '/+ ;! I" ,j, i ),U.lll(J{/t/ ate Recoveries, Inc. P.O. Box 24566 Baltimore, Maryland 21214 (410) 444-8022 County of Baltimore, Maryland: IN WITNESS WHEREOF, I hereunto set my hand and Notarial Seal this My Commission Expires: If ::r Cumberland County - Register Of WillE One Courthouse Square Carlisle, PA 17013 Phone: (71 7) 240 - 6345 Date: 11/09/2006 COYNE LISA MARIE 390l MARKET STREET CAMP HILL, PA 17011-4227 RE: Estate of EAGLE DAVID S JR File Number: 2004-01097 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' COUET RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 11/17/2006 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 - Register ot Wllls One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/09/2006 EAGLE JUDY M 104 MAPLE AVENUE CAMP HILL, PA 17011 RE: Estate of EAGLE DAVID S JR File Number: 2004-01097 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 tLe 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: 11/17/2006 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 STATUS REPORT UNDER RULE b.U Name of Decedent: DAVID S. EAGLE. JR. Date of Death: November 17. 2004 Will No. 21-04-01097 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: FEBRUARY 2007 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes_ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Dated: +1:!blo .., LISA M 3901 .iv1 et Street Camp Hill, PA 17011-4227 (717) 737-0464 Counsel for Personal Representative .~__l iil. .' - l I ! ~ ,1 'v ~ COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 November 15,2006 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of David S. Eagle, Jr., Deceased Dear Madam: We represent the Estate of the Late David S. Eagle, Jr. Enclosed are an original and one copy of the Status Report. Kindly docket the original and return to this office a "clocked-in" copy with the enclosed envelope. Thank you for your assistance. If you have any questions, please contact me. Very truly yours, LMC/amd Enclosure cc: Mrs. Judy Eagle, Administrator, w/encl. _..i.j -' ',...! / ,~~ ~ , ...) r- 12-18-2006 EAGLE JR 11-17-2004 21 04-1097 CUMBERLAND 101 APPEAL DATE: 02-16-2007 ( 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 9Y!_~~9~~_!~~~_~~~~______~___~~!~!~_~g~~~_~g~!!g~_~g~_!g~~_~~~g~~~__~____________________ REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DAVID S FILE NO. 21 04-1097 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 111Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ;::('nRf")I=D OFFiCE ~ICE OF INHERITANCE TAX ,\_,......w~ ~rP,RA([~ENT, ALLOWANCE OR DISALLOWANCE \),OF'DEDUCTIONS AND ASSESSMENT OF TAX 2006 DEe 26 PM 12: 13 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN CLERV, OF ORP' 'H'YC' ('("\1 JRT rr-\i'lv '-' j, \\ LISA MARIE COYNE CUL/::~':" . COYNE & COYNE 3901 MARKET ST CAMP HILL PA 17011 ESTATE OF EAGLE JR . REV-1541 EX AFP (06-05) DAVID S TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 12-18-2006 I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due T X TS: RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. 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 5.410.00 706.51 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) UO) 10,646.31 81.219.83 Ul) (12) (13) (4) NOTE: .00 .00 .00 .00 X 00 = X 045 = X 12 = X 15 = DATE AMOUNT PAID NUMBER INTEREST/PEN PAID (-) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 6,116.51 91.866 14 85,749.63- .00 85,749.63- (19)= .00 .00 .00 .00 .00 TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: DAVID S. EAGLE, JR. Date of Death: November 17,2004 File Number: 21-04-01097 Pursuant to Pa. O.c. Rule 6.12, 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: . . . . . . . . . . . . . . . . . . .. (;2t Yes D 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 fin,al account with the Court? . . . . . .. DYes (;2tNo 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? ............................... (;2tYes DNo 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 10/24/07 ---- (;2t Counsel Lisa Marie Coyne, Esquire Name of Person Filing this Form 3901 Market Street Address J: ,-,' Camp Hill, Pa 17011 (717) 737-0464 6 I -., I;~ .../ \,,0 ; Telephone c-: _, ....1 L :,J~ Form RW-IO rev. 10.13.06 ~