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Home My WebLink About02-1057PETITION FOR PROBATE and GRANT OF LETTERS Estate of _~ ~''=r ~ /~ % C•~ ,•1t'Ts <~~~- No. ~1-Oat - IOS"1 also known as To: Deceased. Social Security No. 1 k;;' - ~~ `~ _ `1 9 ~' Register of Wills for the County of r~'~~aTRL~7Ny in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut e` r named in the last will of the above decedent, dated / <ac n'F! ~~ , 19~_ and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in C ~~ ~"- /~ C R G t c, , ~ County, Pennsylvania, with he Y last family or principal residence at __ ~ ~ S o ~ ~ ~ N' 39 fit S ale =c r r..t;.-,r' ,~)rz~ ~, I"7Jr/ ~l,n~~PO ~~ ~owwJNi/.' (list street, number and muncipality) Decendent, then _ d' ~ _ years of age, died ~~ ti ~' ~ =M F IZ ~ ~ ~ ~~ .:z at %~~'-7 Sy'l~' ~'t l~G~r'~T/It 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: ti n 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: ~ ~ ~c ~ %u S~f~ ~ ca~-r~ F/ic ~ P~^ $ ~ ~ ~) , p D ~ $ $ $ `~ ~7 c~ ? r) ue.~r'yF,~ ~w WHEREFC-RE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters (testamentary; administration e.t. theron. a.; administration d.b.n.c.t.a.) ~~ v v~ xv C ~~a; ~~~xa,,~l r,z 6'i~ d~~i~ ,N, a a , w ~ O C b0 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY Ip~' _ t`CTML3ERLAND The petitioners) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent. petitioner(s) will well and truly administer the estate according to law. > / Sworn to or affirmed and subscribed X ~ct.-°^-~ <~~2~ ~ before me this 22nd day of z>~ ~n ~q ~,,~,,~ gister Q ~~ -1~3-1 NO. 21-02-1057 Estate of CEC'ILIA T CAMPBELL ~ ~ Reg;ster o1 Wi1L DECREE OF PROBATE AND GRANT OF LETTERS NOVEMBER 2 5 , 2 0 0 2 19 , in consideration of the petition on AND NOW - the reverse side hereof, satisfactory proof having been presented before me, 10-1-1987 IT IS DECKEED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of _ --- _ _ CEC'ILIA T C'AMPBFT,T, ______-. --- and Letters TFSTAMF,.TmnRV _ ----- are hereby granted to PAUL CAMPBELL ,_ cert r_opi~S 6.00 Probate, Letters, Etc. ......... ~ 115.0 0 Short Certificates( ) .......... ~ 3 0 . 0 0 ~~~~ extra pages ~ 6.00 ~cp ~ 10.00 TOTAL $ 167.00 Filed .... ~-.1-.2 ~ - 2 ~.~ 2 ..... .... ....... . mailed to exec 11-25-2002 ,Deceased ATTORNEY (Sup. Ct. LD. No.) ADDRESS PHONE r ~. LAST WILL OF ;,J, ~., a -a w ~„ w - ¢ U /.~ ~ .~. ,~ a H U . ~ w ..., U ~~ CECILIA T. CAMPBELL ~ ~ - oa -cos'-? I, CECILIA T. CAMPBELL, of the Township of Hampden, 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 and wheresoever situate, together with the insurance thereon, to my son, PAUL CAMPBELL, providing he shall survive me by thirty (30) days. i Item # 2: Should my son, PAUL CAMPBELL, predec ease me or die on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate of every nature and where- soever situate, together with insurance thereon, to my daughter- in-law and spouse of PAUL CAMPBELL, ROSE ELLEN CAMPBELL. Item #3; I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. Item #4: I direct that my body be buried in the Holy Cross Cemetery, Harrisburg, Dauphin County, Pennsylvania. Item #5: I appoint my son, PAUL CAMPBELL, Executor of this my last will. Should my son, PAUL CAMPBELL, fail to qualify or cease to act as my Executor, I appoint my daughter-in-law, and spouse of PAUL CAMPBELL, ROSE ELLEN CAMPBELL, Executrix of this my last will. Item # 6: I direct that my personal representative or their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. 4~ T IN WITNESS WHEREOF, I have hereunto set my hand this ~;~ ~~ ,: -*~__^ +.day of ~`' ~'~.(~~; 1987. i. P ~ r A ecila T. Campbe'~1 The preceding instrument, consisting of this and one (I) ether typewritten page, each identified by the signature of the Cestatrix, CECILIA T. CAMPBELL, was on the day and date thereof signed, published and declared by CECILIA T. CAMPBELL, the Cestatrix therein named, as and for her last will, in the pre- sence of us, who at her request, in her presence, and in the presence of each other have subscribed our names as witnesses hereto . i - ~ ~ ~ ~ ~ ~,,~ ~ T. ~ ~~, ~~~~~~ ; ~~ ,residing at~' ~,L ~ ~ 1 - ,~ ~", _r es idi ng at ~ c,~,~~~~ ~~~~~~ ' '~ ~.? , T F ': t i I~ COMMONWEALTH OF PENNSYLVANIA ) ss: COUNTY OF CUMBERLAND ) We, CECILIA T. CAMPBELL, }~ ~ [V r, ~; '" ~. ~~ T.,r N, and I '=~' ~° the Testatrix and the witnesses i respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her last will and-.that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. '' ,~ ~-, _ ec it is T . Cam el l'j 711 /'. -_ SS Witness ~.l~~ Subscribed, sworn to and acknowledged before me, /~~ ti ,~ ./'~~,~/~ by CECILIA T. CAMPBELL, the Testatrix, and subscribed and sworn to before me by f~eiyrc y /- C~oY~~= ~/_ witnesses this day of ~ and ~ 1~.~ ~r • v~~~,~'iTf ~,~ r ~-` 1987 . %'-~ .c la-~~Y ~~ ~~~G~~~ Notary Pu lic SEAL //^^ yy f S., /C dk •, i`~ f :... a ..! i 1 ~Y t OsAf ii5ii 31 ~':~' ~ `~y:s"t ~tSa ~~C] (J ~~ = `~ (~ n w ~ D 0 ~ `' ~ _ ~ A ~ ~ Z ' ~ ~ m { 'n a ~ ~. C ~ v D - i N -~ ~ ^ ' ! ~ a ~ 0 J m a ~ Z 3 ~ ~.y ~V m ~ ~ ~ + r ~~ ~~ f, CERTIFICATION OF NOTICE UNDER RULE 5.6(a Name of Decedent: (~ E C /~ / ~ cA/+ j ~ ~ EL L (".ssti~ ~~.~ -0~-99ov) Date of Death: ~ (~ !V 0 ~,/~~~~/P a ~ 0 Wi11No. a00a 6 /C~ ~,~ 02~ _Ua _' jQ' ~7 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration 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 7 M,Q RC,y - aoo Name Address ~p~ ~'` C.+ON~~/3~-l G, MY3E'~/~ THE vr,,.cy c°"'~Y Qbu(,eC;7-FR_ /N -LAw Gl~ IJ~ v; .C ~ /rN,o ~ ~ C,o.y P/3Fz~ ('un.(y GRn~~oy Cl~7rCt~ G'1= t 13 <Y-c,v ~ L ~X Q ~, ~ R/~ rXc~ /~RI~~F ~~~ ~a3/~ Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: i~~R~~v ~ ~~ 03 Signature Name j~A ~~~. [. ~ r~ p ~F E ~ Address 60/3 ~ FFc,v TR ~-F R ~ ~F ~ EX .c ~.~ R ~,~ VA as 3 / ~ Telephone ( v~ ~v 3 ~ ~~d -d o ~~' Capacity: ]/ personal Representative Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EX(11-961 BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 71 2 8-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002913 CAMPBELL PAUL 6013 BEECH TREE DRIVE ALEXANDRIA, VA 22310 ACN ASSESSMENT AMOUNT CONTROL -------- ,o,d N U M BE R ESTATE INFORMATION: SSN: 185-09-9900 FILE NUMBER: 2102-1057 DECEDENT NAME: CAMPBELL CECILIA T DATE OF PAYMENT: 08/ 1 8/2003 POSTMARK DATE: 08/ 14/2003 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 / 16/2002 REMARKS: PAUL M CAMPBELL CHECK#1045 SEAL TOTAL AMOUNT PAID: 525,090.46 DONNA M. OTTO DEPUTY REGISTER OF WILLS INITIALS: AC RECEIVED BY: REGISTER OF WILLS REV.1500EXI6-00i . /'7-10..3- -; C>f:nC1/\L USE ON:'" 't REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT *'''' COMMONWEALTH OF , PENNSYLVANIA , , ' . DEPARTMENT OF REVENUE DEPT. 280601 '" HARRISBURG, PA 17128-0601 w ... :.::.$11) 0"'''' wo.o ",00 0"'-' 0." 0. '" z o ~ ...J ::l I- a: ca: o w a:: z o !;;: I- ::l l1. :E o o X ~ FILE NUMBER ~L-.Q~ COUNTY CODE YEAR _105.J.. NUMBER I- Z W C W o W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) CAMPBELL, CfCIL./A. T. DATE OF OEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 11- 16- CJOO;;} ('J~- CJe- 1'1/6 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, ANO MIDDLE INITIAL) SOCIAL SECURITY NUMBER 1'6S"- 09 - '7'10D THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER C!11. Original Return o 4. Limited Estate 0' 6. DecedentDiedTestate(AltachCO~afWiN) o 9. litigation Proceeds Received D 2. Supplemental Return o 4a. Future Interest Compromise (dale of death after 12.12-82) o .7. Decedent Maintained a Living Trust (Attach copy ofTrust) o 10. Spousal Poverty Credit (date of death between 12-31.91 and 1-j-95) o 3. Remainder Return (date of death prior to 12-13-(2) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) I- Z W o z o 0. "' W '" '" o o 'a"~'l:'" ""/._.,,~~,,, "!\~'~ ,. ~"-'i-'?",'-'_'''''''~~ ,J:;'i":"\"':j';l..'f'o/....' "l " ~, ~~"1'1"""'l-'~~< 'v ,_~, I;'&:~,' ~ ,~,'j~ t,.. 't :;;.'t .. . <e .,l:,:..~:1r\l","'",t';&.~L....~"'.'."J..L. " .....0: L",,1J!.,<.,,:..l<<<~'<J NAME COMPLETE MAILING ACDRESS 60/3 f!.EEcH ALEX.iJ /lJD I'Uf!. PA (}L. M. CAMPBELL 7 RtE VA [)f<IV{ Old3/u FIRM NAME (II Applicable) TELEPHONE NUMBER 703 9(,() -009f 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 EI 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 (ScheduJe J) 11. Total Deductions (total lines 9 & 10) 12. Net Value of Estate (Une 8 minus Line 11) /f /15. '-If J :::;"OD_OO '-I :,- 6 . s- '-I QfFICIAL use ONLY (1) (2) (3) IVO IJ f (4) NONE (5) -' d5"6 / /'I<t, / 737.3'f 0'1'6.60 (6) (7) /voJJ(; 4' S- 6' 8>, 4 31f. 4<6 / (9) (10) #/0 .I (8) t70- '-6 1'l'?J.t; (11) / 0, <6 6 g. 70 (121 J'J c:; 5" 3 5' f: t:;. 7 t? (131 /valVe 13. Charitable and Governmental BequestsfSec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Une 12 minus line 13) ~ - SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 565"'.7f? (14) 15. Amount of Une 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x.O_ (15) x.O 4S. (16) x .12 (171 x .15 (181 (19) f O)!;,- 09D . Y b - 16. Amount of line 14 taxable at lineal rate ..,.;). S-. () 9 D . '-I {, ./ 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ""._1502EX+(1-97)~ ~ ~.~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF CfCJ LII!.. T- C4JMP13tu... FILE NUMBER ()./ o d. - ID~7 All real property owned solely or as a tenant in common must be reported at fair market value. Fair mar1o:et 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 survivorshiD must be disclosed on Schedule F. ITEM NUMBER 1. ;;JL {",II -(lIr,Q YOSldQ/T'<cQ -()) StJcli~ ~9t)., C~rrp /~dJ) PA DESCRIPTION of eJec./J c!Qtc-{, sf.. re ri:- n() 1/ VALUE AT DATE OF DEATH ..r / I ~ if a 0- 06 Sff ArTACI-!GD S IJE:~TS TOTAL (Also enteron line 1, Recapitulation) $ /15 ;:200.06 (If more space IS needed, Insert additional sheets of the same size) '1 :...... SCHEDULE A: REAL EST A TE Estate of Cecilia T. Campbell SSN 185-09-900 File No. 21 02-1057 Full time residence of the decedent located at: 22 South 39th Street Camp Hill, PA 17011 (Hampden Twp., Cumberland County) Most recent assessment value: $96,720 (2000) - see attached from County Website The market value is undoubtedly higher because the houses in that neighborhood are highly desirable and the market reflects that. In order to get a reasonable value of the house, four local realtors who do significant business in that area were contacted. Each of them gave a range of estimated sales price (Low - High). Below are listed each realtor, the low and high value for each, and an average value. A professional real estate appraiser was also contracted. His high, low, and average values are also listed. Copies of the appraisals of two of these five valuators (marked with *) are attached for reference. Valuator Low High Average Jack Gaughen Realty 3915 Market Street, Camp Hill Claire Terrill, Agent $110,000 $115,000 $112,500 John Glise Realty 3900 Market Street, Camp Hill Louis Simmons, Agent $110,000 $115,000 $112,500 Homestead Group Realty 4075 Market Street, Camp Hill Justin Gourley, Agent $116,000 $118,000 $117,000 ReMax Realty* 126 W. Harrisburg Street Dillsburg William Ohrum, Agent $122,000 $124,000 $123,000 Freeman Real Estate* 3920 Market Street, Camp Hill Terry E. Freeman, Appraiser $110,000 $112,000 $111,000 Average each column $111,600 $117,200 $115,200 Therefore, the most accurate value is taken as the average of the average value column, which is $115.200. Form View - public tax file 7-31-03.fp5 http://205.247.227.59:591/FMRes/FMPro?-d. ..ut%20%231 &-max= 1 &-skip=0&-token=25&- find , 1 ,; ~ Form View public tax file 7-31-03.fp5 Home I HelD District_Number: Parcel_Identifier: 10-21-0275-290 Map_SulUx_Nnmber: House_Number: 22 Direction: S Street: 39TH STREET Owner_Name_l: CAMPBELL, CECILIA T Owner_Name_2: Land_Dse_Code: R Property_Description: Livin~Area: 1152 CurrenCLand_ Value: 11410 CurrenClmprovemenC Value: 85310 CurrenC Total_Value: 96720 CurrenCPreferred_ Value: Acreage: 10n 8/7/03 9:52 AM Fonn View - public tax file 7-31-03.fpS " .:. .16 CleanGreen_Status: Taxable_or_Exempt: 1 Sale_Amount: Sale_Month: Sale_Day: Sale_Ceutury: Sale_Year: Deed_Book_aud_Page: Year_Built: 1952 2012 httpo!/20S.247.227.S9oS91IFMRes/FMPro'?-d...ut%20%23I&-max= j &-skip=O&-token=2S&- find 8/7103 9oS2 AM Freeman Real Estdll '. : Pro FileNo. Pron..... Address 22 5 39th 5t C'" Camo Hill S1aIB Pa. Zln Code 17011-4201 Lenal Doscrintion see dimensions below County Cumberland Assosso(s Parcel No. 10-21-0275-290 Tax Year 2003 R.E. Taxes t 1 200.00 0.00 Borrower NIA Current Owner Camnbell Occunant n Owner II Tenant lXIvacant Pronertv rioh1l; an"''''ed IXl Fee Slmnle I I Leasehold Pro~ctTvne I I PUO 1- I Condominium IHUDNA onlvl HOAS NIA /Mo. NeinhbOlhood or Prolect Name Hamoen Townshio M.n Reference 42-41 Census Tract 0113.04 Sale Price t NIA Date of Sale NIA n"eri"';"n and , .m"u'" of I"an ehar"e"cone,..'"", to be oald bv seller NIA LenderlClient Camnbelllestate of Cecella Campbell Address 6013 Beech Tree Dr. Alexandria VA 22310 Annralser Terrv E. Freeman Address 3920 Market 5t Camn Hill PA 17011 Location ~ UlIlan ~ Subulllan ~ Rural Predominant _~n~elamIlY hou'l~ Present land use % Land U88 change PRI AG Buittup i:8I Over75% D 25.75% D Under 25% occupancy $(000) (yrs) One family 100% ~NotUkely DUkllly Growth rate D Rapid i:8I Stobie D Slow i:8I Owner 85 Low 35 2-4lamily D In process Property values i:8Ilncraasing D Stable D Declining U Tenant 160 Hinh 65 Multi-family To: Demamllsupply g Shortage . ~ In balance R Over supply ~Vacant(O-5'11.) . " ,'I Predominant .. Commercial Marlultinn time Under 3 mos. 3-6 mos. Over 6 mos. n vae.'o"er 5'11.\ 110 55 Hote: Race and the racial composition of the neighborhood are not appraisal factors. Neighborhood boundaries and characteristics: Southeast Quadrant of Hamoden Townshio. Residential in character. - Factors that affect the marlultabiltty of the properties in the neighborhoOd (proJdmlty to employment and amenities, 'llTljlloyment stabiltty, appeal to market, etc.): - - Camn Hill can be somewhat classified as a "bedroom" communitv with the maioritv of emolovment found in the the areater Harrisbu"'" area and the areater ''west shore". The homes are similar and or comnatible with one another as to aoe stvle desian and acceal. The nredominate construction stvles are 1 and 1.5 storv. The area eniovs ease of access to shonninn schools and the affonnentioned emnlovment centers via a varietv of nubile roads and hinhwavs includine: route 581(114 mileland route 15 '112 mile'. There are no adverse marl<et trends and this should continue into the foreseeable future. Mar>at condiliona In Itle subject neig/lboIhood (Including support for the above conclusions related to Itle trend of property values, demanlVsuPl>Y, and nwkalIng limo - such as data on tomjletitive properties lor sale In Itle neighborhood, description of Itle prevalence of sales and linancIng concessions, etc.): The maioritv of financinn in the sub'ect neiahborhood as well as comnetinn communities is bv conventional means Tne oemandlSunniv ratlo is in balance. The averane marl<etinn time throunhout the nreater "Camn Hill" area is 54 davs. Project Inlormation lor PUO. (tt appijcabIe) - - ~ Itle developertbulldor in control of tha Home Owners' Association (HOA)? -- Yes ~No - AppIwimale lDliI numoer at units In Itle subject JXOject NIA Appro.limaIa to1aI numbel at unils to! ... Illtle suoject project NiA " DescOOe common ~ and recroalionaI facilities: NIA Dimensions 60' +1- x 120' +1- Topography level Sill area 7.200 +1- SQ.ft. Corner Lot D Yes ~No Size tvoical for the area Specific zoning cIassdication and desclip1ion R-llresidential sinnle familv\ Shape rectanaular Zoning compliance i:8I Legal 0 Legal nonconforming (Grandfathored use) 0 illegal D No zoning Drainags adeQuate I Hinlv>d' . : rX1 Pnesorll use n Other use 'eml~n' VIOW aood UtlIltJas Public Other Off-site Improvements Type Public Private LanllsC8plllg adeouate Bectrictty ~ Street macadam i:8I D Driveway Sultace NIA Gas ~ CurWgutter NIA D D Apparent easements none Water ~ Sidewalk concrete i:8I D FEMA Special Rood Hazard Area Dyes i:8I No SanllaJy se.... ~ Streetligh1l; -~ R FEMA Zone C Map Date 0110511996 StoIln sewer Allev NIA FEMAUonNa. 4203600010C Comments (appaIOfII adverse easements, encroac/vnen15, special ~,sIide ueas, illegal or legal nonconforming zoning use, etc.): There are no annarent adverse easements conditions or encroachments indudinn anv utilitv easements or rinhts of way which may traverse the subiect site. GEHERAl. DESCRJPTlO/j EXTERIOR DESCRJPTlON fOUNOATION BASEMENT INSUlATION No.atUnilli 1 Foundation concrete block Stab 0% Alea Sq. ft 882 Roof U No.atS1ories 1.5 ExlariorWaIIs brick Crawl Spa.. 0% " Finiihed 0% CeilIng ~ Type (Det.IAIL) Detached Roof Sillface filberolas shinnl Basement 100% CeilIng none Walls ~ lleiign(Style) 1.5 sto'" Gu1lllIi & DwlliplS. aluminum Sump Pump none Walls none Floor U ~ Existinn WlIldow Type db!. hunn/csmnt llamprless none Floor none None U ~ (Vrs.) 50 SlomI'Scleens ves SetIlemant none Outsioe Enuy none UnMown U Effective An ,lVrs.! 40 Manufactured HaIlse no Infestation none ROOMS Fo~' Uvina Dinino Kitchen Don Fam~ Rm. Roc. Rm. Bedrooms # Baths LaundJv Other Area !:no ft ~ Basement 882 I Levell 1 1 2 1 882 - Level2 1 210 ell . Rnished area abovo "lido contains: 5 Rooms' 3 Bedroom'sl' 1 Bath's" 1092 5 Ulllll Fee! of Gross UviM Area INTERIOR MaterialS/Condition HEATING yes KITCHEN EQUIP. ATTIC AMENiTIES CAR STORAGE: - Roars CamVhdwdlloinelavo Type FHA Refrigerator i:8I None i:8I Rreplace(s) # 1 i:8I None ~ waUs nlasterlnood Fuel Oil RengolOven i:8I StIIrs 0 Patio U Gerago # 01 cars Trirn'Rnlsh wood/averaae Condition averane Disposal 0 Drop Stair D Dock U Attached Bath Aoar asohalt tilelaveraoe COOLING yes Dishwasher D Scutlle 0 Porch ~ Detached Bath Wainscot Marlitelaveraee Central ves FarVHood i:8I Aoor D Fence U Buitt-In Doors wood/averane Other NIA Microwave g Heated R Pool H Cerport Condition averaee Washer/Tl"'er Rnished Drivewav Additional features (special energy efflciorll tiems, etc.): none. Condition of the Improvements, depreciation (physical, functional, and external), repairs needed, qualtty of construction, remodetlnll"addltions, etc.: The sub;ect has been reasonablv well maintained and modernized. There are no nhvsical functional or economic inadenuacies. Adverse environmental conditions (such as, but not limtied to, hazardous wastes, to~c substances, etc.) present In tha Improvements, on tha stie, or in the Immediate vicintty of the SUbject property.: None Observed UNIFORM RESIDENTIAL APPRAISAL REPORT freddie Mac Fonn 70 6193 PAGE10F2 Fannie Mae Fonn 1 004 6193 Fonn UA2 - "TOTAL for Windows' appraisal softwlllll by a Ia mode, Inc. -1-8QO.ALAMODE , ~- :- al , Seellnn FllaNn. ESTIMATED SIlE VALUE . ...P......... .....................= $ 33 000 Commants on Cost Approach (such as, sOllrca of cost estimate, site valua, ESTIMATED REFRDDUCTIDH CDST.HEW.DF IMPROVEMENTS: squara fool calculation and for HUD, VA and FmHA, tha astimal8d ramalnlng Dwelling 1 ,092 Sq. R. @$ 94.00 -$ 102.648 aconomic INe of the property): Remaininc economic Jife-40 Years. 882 Sq. R. @$ 14.00 = 12.348 Estimated site value derived from market. Cost estimates - = extracted from Marshall/Swift Cost Handbook as well as vour : Geragll/CaI]lOl\ _ Sq. R. @$ = aooraisers knowledge of local buildina costs. TolaI Estim818d CoslHew uUU"'U"uu 'uuu = $ 114,996 _ Less Physical Functional Eldemal Depraciation 40,000 I I =$ 40 000 Depraciated Value of Improvements =$ 74996 'As-ls' Value of Site Improvements . . U . -$ 4000 INDICATED VALUE BY COST APPROACH uuuuuuu'u UUUU =S 111,996 ITEM I SUBJECT COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3 22 S 39th St 48 Oak Ave. 3808 Chestnut SI. 3902 Chestnut SI. Address Camo Hill Camn Hill Camn Hill Camn HIli ProximilvtoSubiect .....>- >-'. 3 blocks 1 block 1 block Sales Price 1$ N/A ...... " . Is 109000 I: IS 104 900 ....XJ,:: ',,",h 122 000 Prica/Gross Livinn AlBa IS cP S 103.81 cPl. .. . ". It 94.08 cPt . ..... 81.33 cP ..:,,,,;.. Data and/or Inspected Multi List Service/Court House Multi List Service/Court House Multi List Service/Court House I Verification SOllrc- Records Records Records VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION : +1-J$Adlust. DESCRIPTION +I-l$ Adlust. DESCRIPTION : + I-l$ Adlust. Sales or Anancing ..\ 'f;" Cony Cony Cony Cnnr"ssions '.' 0:..,\:. none none none Date of SalafI1me l.,', :/, 3-03 12-02 1-03 Location ooed oood : neod : Inoed Simola Fee Simnle Fee Simple : Fee Simnle : Fee Simnle : Site 7200 +/- SO.ft. 8000 SO.ft. 9 000 so. ft. 22 000 -5000 VI8W ooed loood : oood : loood : Desion and AnoaaI 1.5 storv/ooed 1 storv/ooed solit-Ievel/oood : sollt-Ievel/ooed aualitv of Construction aoed laood neod Inoed e 50 50 50 35 Condition average averaae a'Veraae : averaoe : Abova Grada TolaI : Bdnns: Baths TolaI : Bdnns: Baths: TolaI : Bdnns : Baths: TolaI : Bdnns: Baths: Room COllnt 5 : 3 1 5 2 1 +2,000 5 3 1 7 : 4 : 1.5 -3,000 Gross Livino AI.. 1 092 So. R. 1 050 So. R. : 1 115 So. Ft. : 1 500 So. R. : -7000 Basement & Anishad 100% Basement 100% Basement 100% Basement 60% Basement : - Rooms Balow Grada 0% Finished 50% Finished -1500 0% Finished 0% Finished Functional Ulilitv typieal tvoieal tvoieal tvoieal HaatinnlCoolino OFHAlcentral OFHAlcentral GFHAlnone +1500 OFHAlnone +1500 Enarov Efticiant Items none none none none GeraoatCaroort none off street parkina : -500 off street narkina : -500 off street narkino : -500 Porch, Patio, Dec~ Porch, Fireplace Enclosed Patio +1,500 Covered Deck +1,500 Patio +3,000 lacals!. all:. , Fanca Pool all:. none none : none : none : : : Hat Ad!. ltofaI) j~/' '. ("",,:,,., IXI+ I I-S 1500 ><1+ I 1-$ 2500 1+ IXI- :S 11000 AdjJsted Salas Prica" ";G '[./ "t ~ of . :"i,<.,,", Is 110500 \01$ 107400 111000 CllIIlIIl8/1ts on Salas Comparlson (including tha subject property's compatibility to tha nalghborhood, all:.): The three camoarable sales studied have an adiusted sale orice range of $107400 to $111 000. Aooraiser selects value of $110 000 aivino eaual weight to each sale. ITEM SUBJECT COMPARABLE NO. 1 COMPARABLE ND. 2 COMPARABLE NO.3 Dete, Price and Dale Not within 3 N/A N/A N/A SOllIC8, for plior sales years within vaar of aoDraiSal Analysis of any CUll8nt agraement of sala, option, or listing of subjact property and analysis of any prior sales of subject and comperablas within one yaar of tha date of appraisal: N/A INDICATED VALUE BY SALES COMPARISON APPROACH ... /Mo. x Gross Rant MultiDliar $ 110000 INDICATED VALUE BY INCOME APPROACH fd Annliceblal Estimated Marl<et Rent $ ~S N/A This appraisal is mada 1;>9 'as Is' U subjact to tha rapairs, alterations, Inspections or conditions listed balow U subjact to complation par plans & specNications. Conditions of AjlpralsaI: none. Anal Raconclliation: Little weight oiven to the cast aooroach, greatest weioht oiven to the market data approach. - Tha pUl]losa of this appraisal is to astimate tha marl<et valua of tha raal proparty that is tha subjact of this raport, basad on tha abova conditions and tha cartitication, contingant and limiting conditions, and marx.t valua dafinition that are stated in tha attachad Fraddla Mac Fonn 4391FNMA form 1004B (Ravisad 6-93 ). I (WE) ESTIMATE THE MARKET VALUE. AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF June 2 2003 (WHICH IS THE DATE OF INSPECTION AND THE EFFECTIVE DATE OFTHIS REPORT) TO BE $ 110,000 APPRAISER: SUPERVISORY APPRAISER (ONLY IF REQUIRED): -~ Sionalura UDid o Did Not Sionalura____ " / ._~ Nama TerwE. Freeman Nama Inspect Property Date Reoort Sioned 6-11-03 Date Raoort Sklnad State Cartitication II RL-000563-L StatePA State Cartitication II State Or State licansa II State Or State Licansa II State UNIFORM RESIDENTIAL APPRAISAL REPORT Fraddla Mac Fonn 7D 6193 PAGE20F2 Fonn UA2 - 'TOTAL for Windows' appraisal softwara by a la moda, inc. -1-8DO-ALAMODE Fannia Maa Fonn 1 004 6-93 ''''.'''''':''.97) ~. ".~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CfG/LlA T_ SCHEDULE B STOCKS & BONDS C/:Ji'1'f'8fk FILE NUMBER ~ J OJ. - /0 57 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH us 5AvIN6> f30tvDS 5 t E- /HI /JCf~ 6D 5f1 E fT5 TOTAL (Also enter on line 2, Recapitulation) $ 47J 456.. :''1 (If more space is needed, insert additional sheets of the same size) " ~. SCHEDULE B (STOCKS AND BONDS) Estate of Cecilia T. Campbell SSN 185-09-900 File No. 21 02-1057 1. US SAVINGS BONDS Value at Death a. Issued solely in name of decedent (Cecilia T. Campbell): Eleven (11) Series EE purchased between 1991 and 2000............................. .$7,596.80 b. Issued in name of decedent (Cecilia T. Campbell) and PAYABLE ON DEATH TO PAUL CAMPBELL (her only child): One hundred fifty nine (159) Series E and/or EE purchased between 1972 AND 1999... ...... ......... ... ... .................. ......... ...... ............ .........$39,859.74 US SAVINGS BONDS SUBTOTAL = $47,456.54 A listing of all the above bonds with their values on the date of death is attached. ~" L P- , w. v. . c ! 1 '" .'C .~ :;' 1:- v. ~ " , '" 5- -'= 1I~'lIlllii~~~~mlinmlil ~11 ifj1ifil1i":f:1i:~1! '\111 \~.:;jil.. "", i "1i(~ii i ~i ,1 ,ii'=.; !!?c !ie, i:SJ,!,':!' ,.c:", elf ,C i.!c:lJ i) II It) It) It) It) \-- ~ ~ ~ ~ '" < ,~ CO CO CO 00 It) '<l' '<l' '<l' '<l' '<l' '<l' '" N N N N N N N N N N N 'lJ '" 0 0 0 0 0 0 0 0 0 0 0 ..J 'J C::! C::! C::! N C::! C::! C::! ~ C::! 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C' ~ 0 0 0 0 0 0 0 0 0 0 0 >0 N N ~ ~ >0 >0 "< "< 0 0 r-: r-: <"i <"i ..t ..t Ir\ V'l V'l V'l 00 00 00 00 ~ ~ 00 00 N N N N V'l V'l .... - - - - N N N N N N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .0 .0 g .0 .0 .0 .0 .0 .0 .0 .0 .0 0 0 0 0 0 0 0 0 0 0 0 V'l V'l V'l V'l V'l V'l V'l V'l V'l V'l V'l V'l .... 0 0 0 0 0 0 8 0 0 0 0 0 8. 8. 0 8. 0 0 0 0 0 0 0 O. O. O. O. O. O. O. O. O. - - - - - - - - - - - - .... ffi ffi ffi ffi ffi ffi '" m '" ffi ffi ffi '" '" '" 0\ 0\ ro- ro- V'l V'l V'l V'l V'l V'l ~ ~ 8i 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ 0\ , - - - - - - - - - - - - ~ ~ <:5 <:5 ~ ~ - ~ - - ~ - ~ '" '" ~ - - 0 0 0 0 0 s .. -;; " .. U ." 5 <Xl ~ '" c os: .. '" REV."'~.("" ~ . .~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF C0C ILIA T. C AMP p,~LL FILE NUMBER d-I 001 -1057 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly~wned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Sff- A TTA c Nfb S/--J((tS TOTAL (Also enteron line 5, Recapitulation) $ ;;J t>o. 737, 3" (If more space is needed, insert additional sheets of the same size) SCHEDULE E (CASH, BANK DEPOSITS, & MISCELLANEOUS PERSONAL PROPERTY Estate of Cecilia T. Campbell SSN 185-09-900 File No. 21 02-1057 1. CASH: $320.00 2. Two Cemetrey Plots (Section G, Block 5 Lot 23),Holy Cross Cemetery, Catholoc Diocese of Harrisbnr!!. 4800 Union DeDosit Rd, Harrisburl! P A..... . .......... ........... ..$1900.00 3. BANK ACCOUNTS (Sole Ownership by Decedent) - See attached bank forms for verification. Balance at Death + Accrued Interest Value at Death a. Catholic Diocese of Harrisburg CD #01-05910 $57,591.09 + $225.60 $57,861.69 b. Allfirst Bank Checking Acc!. #002126458 $4813.58 + $0.00 $4,813.58 c. Allfirst Bank CD #80000002027469 $31,403.31 + $76.74 $31,480.05 d. Allfirst Bank CD #80000002027953 $61,914.25 + $365.18 $62,279.43 e. Allfirst Bank CD #80000002028597 $5,569.39 + $6.01 $5,575.40 f. Allfirst Bank CD #87009100026638 $9,268.12 + $22.27 $9,290.39 g. First Union National Bank Checking Account #1014137353686 $13.93 + $0.00 $13.93 h. First Union National Bank CD #1014137353686 $73406.58 + $74.46 $73,481.04 i. Waypoint Bank Savings Acc!. #102124144 $3,413.56 + $1.05 $3,414.61 j. Wavooint Bank CD #7100032055 $6201.28 + $5.94 $6.207.22 BANK ACCT. SUBTOTAL $254,417.34 3. PERSONAL PROPERTY - value estimated from resale value in second-hand stores. LIVING ROOM FURNITURE AND CONTENTS (all about 30 years old): sofa, three upholstered chairs, two table lamps, one TV, three end tables, and miscellaneous objects................. ...$300.00 SEWING ROOM FURNITURE AND CONTENTS (all about 40 years old): desk, hutch, table, buffet, sewing machine, rocking chair, and various decorative objects......................................... .$400.00 BEDROOM FURNITURE AND CONTENTS (all about 50 years old): twin beds, dresser, chest of drawers, nightstand, three lamps, and various decorative objects................................... ....$700.00 KITCHEN FURNITURE AND CONTENTS (all about 10 - 50 years old): dinette set with four chairs, dishes, glasses, pots and pans, utensils, small microwave oven, toaster, clock, etc........... ...$200.00 UPSTAIRS ROOM: Chest, dresser, foldout sleep chair, 2 lamps, table........... ............ ..................$150.00 BASEMENT: cedar chest, electric lawnmower, tools, garden implements, household objects..............$150.00 MISCELLANEOUS: clothing. linens. towels. bathroom contents. etc.............. .......................... ...$250.00 PERSONAL PROPERTY SUBTOTAL $2,100.00 PAGE TOTAL SCHEDULE E (CASH + BANK +PERSONAL) $256,737.34 Office of Financial Administration Diocese Of Harrisburg Post Office Box 3651 Harrisburg, Pennsylvania 17105 Phone 717/657-4804 December 17, 2002 dd 5 _ (0 !CccPot" 'v;. 10/,.-., "Ii: Mr. Paul Campbell 6013 Beech Tree Drive Alexandria, VA- 22310 37D.7/ ;:,:> S.t/C ------------, , I ~ -5- _ J I t:J .7i/r1!l- '.....'f"-17 err Dear Mr. Campbell: This will acknowledge receipt of your letter dated December 5, 2002 regarding the Estate of Cecilia T. Campbell. The balance in account 01-05910 at the time of death was $57,591.09. The interest eamed from 1/1/02 until 10/1102 was $1,642.96. The interest earned in this current quarter until 11116/02 is $225.60. ] J (j c r- We have no other accounts registered in her name. (/j:... /,,; x /,--4\1 I have received the death certificate and the short certificate but need Note Certificate D 10451 as well. Enclosed is an envelope for your convenience. '-j~ l,-'(,' If you have any further questions, please call the phone number listed above or you can email me at cpollock@hbgdiocese.org. 57 "q 1.0'1' c-<> '( 10/1! 0 2. Sincerely, /(; Ii _ oj It; 3) oc- Jc ,<-"'107 I~ Vii.... 11" (7~-I~ Cindy Pollock Accounting Clerk '1.,/1 -i'll//{ J I fie: :...;7 47 "'1 J!"lfPCS7 : J 6'0.9(, 1/1-1,,11 ~d.s. bD IO/I-II/1f ~ 7 )9 I. CJ'1 ]7!). 7/ 1/U1{IU,r J 'ii t: ~ -Ob S79( / . P J Iv] H+;5]- 1'.57 - J 1/ 6 370. 7/ ,j;/17 6'" C/'t<l: DIOCESAN CENTER - 4800 Union Deposit Road ~--- . Il allflrst Allfirst Financial Center N.A. P.O. Box 900 Millsboro, DE 19966 January 29,2003 Paul Campbell 6013 Beech Tree Dr. Alexandria, VA 22310 RE: Estate of Cecilia T. Ca,mpbell Date of Death: November 16,2002 Social Security Number: 185-09-9900 Dear Mr. Campbell: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type........................... Checking Account (Non Interest Bearing) Account Number....................... 0021261458 Ownership (Names of}.............. Cecilia T. Campbell Opening Date...........................08/28/64 (account closed 01/17/03) Balance on Date ofDeath..........$4,813.58 Accrued Interest $ 0.00 Total........... ........ .... ........... .....$4,813.58 2. Account Type........................... Certificate of Deposit Account Number....................... 80000002027469 Ownership (Names of).............. Cecilia T. Campbell Year to Date Interest..................$690.65 Opening Date...........................08/09/99 (account closed 01/14/03) Balance on Date ojDeath..........$31,403.31 Accrued Interest $ 76.74 Total.... ............. ......... ..... .., .....$31,480.05 . Page 2 January 29, 2003 3. Account Type........................... Certificate of Deposit Account Number....................... 80000002027953 Ownership (Names of}.............. Cecilia T. Campbell Year to Date Interest..................$l,885.00 Opening Date...........................03/27 /00 (account closed 01/14/03) Balance on Date ofDeath.........$61,914.25 Accrued Interest $ 365.18 Total........ ........ ............... ... .....$62,279.43 4. Account Type........................... Certificate of Deposit Account Number.. ..... .... ......... ... 80000002028597 Oumership (Names of}.............. Cecilia T. Campbell Year to Date Interest..................$168.89 Opening Date...........................05/08/01 (account closed 01/14/03) Balance on Date ofDeath.........$5,569.39 Accrued Interest $ 6.01 Total..................................... ..$5,575.40 5. Account Type........................... Certificate of Deposit Account Number....................... 87009100026638 Oumership (Names of}.............. Cecilia T. Campbell Year to Date Interest..................$235.95 Opening Date...........................03/30/94 (account closed 01/14/03) Balance on Date of Death........ .$9,268.12 Accrued Interest $ 22.27 Total...................................... .$9,290.39 . Page 3 January 29, 2003 TIlls letter does not include any accounts in which the deceased may have been listed as power of attorney, custodian of uniform transfers, representative payee, or trustee under a written trust agreement. For any additional information on these accounts, please contact our branch at: 3045 Market Street Camp Hill, PA 17011 Phone: (717) 255-2279 Sincerely, (if-, /'.rJJ;ni) l1j~/IAmii1tl Ch~:Warringto~:~~d~ate I (302) 934-2722 . -~. DoD -i?;4 0 Co . 61> 2<L'i../F-'t. . '1-" 1--3/ 'f ~ I '0'+ Wi'lCI10VICl Bonk. National AssociatIon DC1994 Wealttl M;milgement.PersoJla! Trust 740 Fiftecl1ttl Street. NW Tllird Floor Wastlington. DC 20005 -.- . ::J"",Lt,,~ I f'-'( I - L~ \\:'\CHOVL.\ \\~I':'\I.TlI :\L\.....:\(ii1.:>\U:XT VIA OVERNIGHT MAIL December 23, 2002 Mr. Paul M. Campbell 6013 Beech Tree Drive Alexandria, VA 22310 Re: Cecilia T. Campbell Certificate of Deposit #247412051316831 Certificate of Deposit #247412050752776 Checking Account #1014137353686 Dear Mr. Campbell: Please accept our condolences on the recent loss of your mother. I would like to apologize for our tardiness in responding to your letter dated December 4, 2002 that included instructions on how to handle the closure of the above referenced accounts. We have opened checking accounts in the name ofthe Estate of Cecilia T. Campbell, Paul M. Campbell Executor No. 2000009143843 and Paul M. Campbell and Rose Ellen Campbell JT No.1 020002878170. Please sign the enclosed Deposit Account Applications where indicated and return to me in the postage paid envelope provided. I We have closed CD #247412051316831 n/o Cecilia T. Campbell, Trustee, Paul M. Campbell, Beneficiary and deposited the proceeds, $73,494.10, into the Estate checking account. Enclosed is a receipt indicating the principal balance and interest. Please note that the accrued interest from date of death, November 16,2002, is $74.46. "-- We have also closed CD #247412050752776 n/o Cecilia T. Campbell and Paul M. Do D Campbell and deposited the proceeds, $76,350.83, into your joint checking account. 1-5, '+ 1- ~ ..... '-\ Also enclosed is a receipt indicating the principal balance and interest. The accrued 1\a,""'bS%. ....'P_interest as of date of death is $858.48. ---.-- , ~?:>.o,l.<1~ J Checking account #1014137353688name of Cecilia T. Campbell has been closed and the proceeds in the amount of 13.93 ave been deposited to the Estate checking account. Please note that this was o' terest bearing account. , . Mr. Paul M. Campbell Page 2 December 23, 2002 We have changed the mailing address for all accounts in the name of Cecilia T. Campbell to your address for final statement and 1099 tax reporting purposes. I believe this addresses all of the immediate concerns in your letter. Please do not hesitate to contact me should you have any questions or I may assist you in any other way at (202) 637-7885 or lisa.waller@wachovia.com. I look forward to working with you in the future and again thank you for your patience. Happy Holidays to you and your family! Very truly yours, Lisa P. Waller Vice President Enclosures " f~N. TIME DEPOSIT WITHDRAWAL CONFIRMATION Office Name Customer Name(s), Address and Taxpayer 10 Number WSHNGTN / DOMESTIC PRIVATE BKG PA Date j 12/19/2002 CECILIA T CAMPBELL TRUSTEE PAUL M CAMPBELL BENEFICIARY 22 S 39TH ST -ffUil)f() CAMP HILL PA 17011 AS SeLf 7l) 5185099900 q:CIl/~ ) CAHf(1(L( " .2 m E '" " 8 I;; E o Ui => U CURRENT BALANCE + ACCRUED INTEREST Ava; 1 Int WD/PenFree: - PENALTY AMOUNT - FEDERAL W/HD DUE - WITHDRAWAL FEE - OUTSTANDING PYMT $73,406.37 $87.73 $1,670.63 $0.00 $0.00 $0.00 $0.00 FULL REDEMPTION CD ACCOUNT NUMBER: 247412051316831 -------------- PAID TO CUSTOMER $73,494.10 53782!i(5Cl/PIIgRw02) '6.=C -., ~:2 a:1l I~ H Be. il ~ I . a , . 12/17/2002 PAUL CAMPBELL 6103 BEECH TREE DR ALEXANDRIA VA 22310 Y'l WaYRqi!lt LOOK FOR US. WE'LL GET YOU THERE. The information which you requested on the account(s) of CECELIA CAMPBELL (Social Security Number 185-09-9900) is/are as follows: 102124144 SA VINaS 01/13/92 3413.56 1.05 3414.61 Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership SOLE Name of Joint Owner; if any Date Ownership Was Established Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint Owner, if any Date Ownership Was Established 2300013229 2300013263 2300013281 2300013419 7100032055 CERTIFICATE CERTIFICATE CERTIFICATE CERTIFICATE CERTIFICATE 06/04/99 07/23/99 08/06/99 03/1 0/00 09/09/02 12570.21 69296.39 8086.79 18566.17 6201.28 8.83 54.96 13.92 24.80 5.94 12579.04 69351.35 8100.71 18590.97 6207.22 ITO JTO ITO JTO ITO PAUL PAUL PAUL PAUL PAUL CAMPBELL CAMPBELL CAMPBELL CAMPBELL CAMPBELL 06/04/99 07/23/99 08/06/99 03/1 0/00 09/09/02 / - :Yo" ))'1 - Y'i7.:;J, "- ?- f.: PLEASE COMPLETE W-9 Additional Information Requested ~re1Y, thu KA~ (lOr::! SENIOR SERVICES REP. P.O. Box 1711. HARRISBURG. PeNNsYWANIA 17105-1711 Toll Free I-B66-WAYPOINT (I-B66-929-7646) . IN YORK AREA 717/BI5-4500 . www.waypointbank.com , , VI Way~qi!'Kt LOOK FOR US, WE'LL GET YOU THERE, December 24, 2002 Paul Campbell 6013 Beech Tree Dr Alexandria VA 223 I 0 RE: Cecelia Campbell Estate The information you requested is as follows: Interest earned from January 1,2002 through November 16, 2002, savings account 102 I 24) 44 $34.52, certificate of deposit 2300013229 $601.60, certificate of deposit $ I 4) 0.98, certificate of deposit 230001328) $297.9 I, certificate of deposit 2300013419 $663.05, certificate of deposit 7100032055 $26.46, S~IY, fP ~::~~es Rep. C- P.O. Box 1711, HARRISBURG, PENNSYLVANIA 17105-1711 Toll Free I-B66-WAYPOINT (I-B66-929-7646) . IN YORK AREA 717/BI5-4500 . www.waypointbank.com REV-150gE~+(1'97)~. ,.~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE F JOINTL Y.OWNED PROPERTY C fC I LI A 1'. CIJM P I3f~L If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. FILE NUMBER ()./ 0&- /O~7 SURVIVING JOINT TENANT(S) NAME RELATIONSHIP TO DECEDENT ADDRESS A. pAUl. IvI. cAI'1 Pl3fL<. B. ]vo 1J[ c. IvOJJ~ (;0/3 $ff<1i AL(XAIvO A/A J REf.. DR I!lf- VA d-d S/O Doc"j"'"1'5 (jnl'1 eh 1/1. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or simila- identifying number. Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A SfE- Arr/JCNf}) S;..J[fTS TOTAL (Also enter on line 6, Recapitulation) $ /4901.{0"60 (If more space is needed, insert additional sheets of the same size) SCHEDULE F JOINTLY-OWNED PROPERTY Estate of Cecilia T. Campbell File No. 21 02-1057 Survivinq Joint Tenant Address Relationship A. Paul M. Campbell 6013 Beech Tree Drive, Alexandria VA 22310 decedent's only child ITEM LETTER DATE DESCRIPTION OF OTAL VALUE OF ASSETS AT DECD'~ DOLLAR # FOR MADE PROPERTY DATE OF DEATH %INT VALUE OF ~OINT OINT (Balance + Accrued Interest = Total) DECEDENT'S IrENAN MM-DD-YYYY INTEREST 1 A 06-04-1999 Waypoint Bank CD $12570.21 + $8.83 = $12579.04 50% $6,289.52 #2300013229 2 A 07-23-1999 Waypoint Bank CD $69296.39 + $54.96 = $69351.35 50% $34,675.68 #2300013263 3 A 08-06-1999 Waypoint Bank CD $8086.79 + $13.92 = $8100.71 50% $4,050.36 #2300013281 4 A 03-10-2000 Waypoint Bank CD $18566.17 + 24.80 = $18590.97 50% $9,295.48 #2300013419 5 A 07-01-1999 First Union National $75472.44 + $858.48 = $76331.92 50% $38,165.96 Bank CD #2474120507552776 6 A Date of issue: 113 Series EE US varies with each Savings Bonds issued $113,127.20 50% $56,563.60 bond from March to "Cecilia Campbell 1987 to Oct 2000 OR Paul Campbell" Total Value of Decedent's Interest in Joint Assets = $149,040.60 12/17/2002 PAUL CAMPBELL 6103 BEECH TREE DR ALEXANDRIA VA 22310 1'" Way~qi!lt LOOK FOR U5. WE'LL GET YOU THERE, The information which you requested on the account(s) of CECELIA CAMPBELL (Social Security Number 185-09-9900) is/are as follows: Account Number Class of Account Date Opened Principal Balance Accrued Interest 102124144 SAVINGS 01/13/92 3413.56 1.05 3414.61 Balance at Date of Death Account Ownership SOLE Name of Joint Owner, if any Date Ownership Was Established Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint Owner, if any Date Ownership Was Established Additional Information Requested 2300013229 2300013263 2300013281 2300013419 7100032055 CERTIFICATE CERTIFICATE CERTIFICATE CERTIFICATE CERTIFICATE 06/04/99 07/23/99 08/06/99 03/1 0/00 09/09/02 12570.21 69296.39 8086.79 18566.17 6201.28 8.83 54.96 13.92 24.80 5.94 12579.04 69351.35 8100.71 18590.97 6207.22 JTO JTO JTO JTO JTO PAUL PAUL PAUL PAUL PAUL CAMPBELL CAMPBELL CAMPBELL CAMPBELL CAMPBELL 06/04/99 07/23/99 08/06/99 03/1 0/00 09/09/02 /- ;;-0" rT',-/ ) '), - '1)7;;' ..t... 3.::; PLEASE COMPLETE W-9 ~~;z SENIOR SERVICES REP. P.O, Box 171 J, HARRISBURG, PENNSYl.VANIA 17105-1711 Toll Free 1-866-WAYPOINT (1-866-929-7646) . IN YORK AREA 717/815-4500 . www.waypointbank.com Y'l Way~qi!'Kt LOOK FOR US. WE'LL GET YOU THERE. December 24, 2002 Paul Campbell 6013 Beech Tree Dr Alexandria VA 223 10 RE: Cecelia Campbell Estate The information you requested is as follows: Interest earned from January 1,2002 through November 16, 2002, savings account 102124144 $34.52, certificate of deposit 2300013229 $601.60, certificate of deposit $1410.98, certificate of deposit 2300013281 $297.91, certificate of deposit 2300013419 $663,05, certificate of deposit 7100032055 $26.46. SinYJ:IY,. (/P 1)/UUj' .' C- Kathy yqfu,g' Senior Services Rep. PO. Box 1711, HARRISBURG, PENNSYWANIA 17105-1711 Toll Free 1-866-WAVPOINT (1-866-929-7646) .IN YORK AREA 717/815-4500 . www.waypointbank.com Wacllovia 8"nk. Nation;ll Association DC1994 Wealtll M,1I1ilgcl11entPerSOlli.ll Trust 740 Fiftccrltll Street. NW Tlllr<J Flour Wdsllingtoll. DC 20005 -.- . ,--)-<,<-l-~I fL-( I - . ""1!iI L-vJ \\:\.('HOVL-\. ,n':'\1 .'1'11 .:\L\.,";\'(TI<:l\U::"oOT VIA OVERNIGHT MAIL December 23, 2002 Mr. Paul M. Campbell 6013 Beech Tree Drive Alexandria, VA 22310 Re: Cecilia T. Campbell Certificate of Deposit #247412051316831 Certificate of Deposit #247412050752776 Checking Account #1014137353686 Dear Mr. Campbell: Please accept our condolences on the recent loss of your mother. I would like to apologize for our tardiness in responding to your letter dated December 4, 2002 that included instructions on how to handle the closure of the above referenced accounts. We have opened checking accounts in the name of the Estate of Cecilia T. Campbell, Paul M. Campbell Executor No. 2000009143843 and Paul M. Campbell and Rose Ellen Campbell IT No. 1020002878170. Please sign the enclosed Deposit Account Applications where indicated and return to me in the postage paid envelope provided. DoD ~ \ 1-3,40<0.6'3 We have closed CD #247412051316831 n/o Cecilia T. Campbell, Trustee, Paul M. 2<<..,....1-'1, 'ti!- Campbell, Beneficiary and deposited the proceeds, $73,494.10, into the Estate checking "1--3 'f 'is I .o't account. Enclosed is a receipt indicating the principal balance and inter:\lst. Please note I that the accrued interest from date of death, November 16, 2002, is $74.46. <::,- We have also closed CD #247412050752776 n/o Cecilia T. Campbell and Paul M. Do D Campbell and deposited the proceeds, $76,350.83, into your joint checking account. 1-5, LI-"r-). . '-l- '-\ Also enclosed is a receipt indicating the principal balance and interest. The accrued Au- ,111. <;;S'6. '-t'D interest as of date of death is $858.48. -------- , ':t", ?>.-',I.q", I Checking account #1014137353688name of Cecilia T. Campbell has been closed and the proceeds in the amount of 13.93 ave been deposited to the Estate checking account. Please note that this was o' terest bearing account. Mr. Paul M. Campbell Page 2 December 23, 2002 We have changed the mailing address for all accounts in the name of Cecilia T. Campbell to your address for final statement and 1099 tax reporting purposes. I believe this addresses all of the immediate concerns in your letter. Please do not hesitate to contact me should you have any questions or I may assist you in any other way at (202) 637-7885 or lisa.wallerlqJ,wachovia.com. I look forward to working with you in the future and again thank you for your patience. Happy Holidays to you and your family! Very truly yours, Lisa P. Waller Vice President Enclosures .F~N. TIME DEPOSIT WITHDRAWAL CONFIRMATION Office Name Customer Name(s), Address and Taxpayer 10 Number 12/19/2002 CAMP HILL PA 17011 S185099900 c: .!l ~ "" c: o U li; E ~ " U Date CECILIA T CAMPBELL PAUL M CAMPBELL 22 S 39TH ST WSHNGTN / DOMESTIC PRIVATE BKG PA CURRENT BALANCE + ACCRUED INTEREST Ava; 1 Int WD/PenFree: - PENALTY AMOUNT - FEDERAL W/HDDUE - WITHDRAWAL FEE - OUTSTANDING PVMT - TRANSFER TOTAL $75,472.44 $878.39 $878.39 $0.00 $0.00 $0.00 $0.00 $76,350.83 FULL REDEMPTION CD ACCOUNT NUMBER: 247412050152116 ---TRANSFER ACCOUNT INFORMATION---- ACCT1 : 001 / DDA / 2000009143843 VA AMOUNT 1: $16,350.83 53782S(5O/PkgRev02) a~ -QI h o::~ Cii=E EN ~~ dB Ii i I a " Opening Date JrfT \7 , '';,'-JJ. Iill, 19')9 I ~ TIME DEPOSIT iiTjf:-('.lf~':[\'-:':- ;"; J:\I.,Li/ F:.E~"j:F,VJJ-\'5LZ P:i;}c::;UNAL [.'1) ACcount Nurilber Taxpayer 10 NumbBr 2474120507,52776 185099'}i1)@ This Receipt AcknowledOes That The Depositol'" Nilrilad $ BelowHasOepositedWtthThisBankThe ' Sum Of Depositor Name And Address Term 18 iViONT.HS ,:;'AN1}ARY Interest Payment DIsposition CAPITALIZE 'SSuedbyFIREn ION (.~,'Jm~' n..: l',L / E>i\ Member FDIC ~,662 .61**:fi;~:* CECILIA'T"CAMPBELL PAUL M CAMPBELL 22 oS 39TH CAM'P HILL Pf\ t 1 01. 2001 05; 35it;) AllIiual PercentageYield IntereStPaymentFreqUeneylPEJriOd 12 IvIONTH(',SJ Maturtly Date Inteirest Rate Per AnmJm 05. ~" Accounllo Credit FII~TION1~L bANK Camp Hill d:~ ,( '--', 1/,__ ,0i::.- Authorized Signature '/, , "23./-77 bate f- 0- W U w '" '" W :; o f- en ::J U N o > . ~ 'if ~ a '" M o ~ ~ M ~ o o o o ~ :2 u J; "- 0 u '" .'" Oi ~' '" U '" E!' ce, > ;;, 0 CO ~ ~ !j j i ~ ~ ~ ~ fr --;--, :c ~-- ? .-, --, Ie .u d ~ Q ~\ .'" .2. ~ 'j II 1111 ~Vlllillll 'II. 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U lD II) "- o ~ u co ffi ffi ffi ffi ffi ffi ffi ffi ffi "- > ]~~ 0 01 & .... ..2 Ul .2 .l:l CIl ~ ~ .. l'3 Ql ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ::E OIl ... .... ... ~ ~ .. !a iii .... 0 - - - - - - - - - ~ .- &b fj u .g ~ ~ ~ ~ ~ ~ ~ - - .... a a i:l-.73 !a~ .~ Ql CIl ... = ..Cl "0 ~ r ~ 0 C) <w GI ~ u .. e ~ 0 II) ." -, z II) .g CIl J:J ('f'1 '-' '-' ~ u .. :c :> "Sh '" ." ] Q. "0 '" lij .g ~ - '" s Ul c - ~ 0 - ~ u cu ~ 0 l! ~ lD 'Z ..s :g :g GI ~ Ul "- 01 ~ ~ ~ II) "- c - ~ III ";; Z GI Q. D: .... .. .... II) ..Cl REV'1511EX+(1'97)_~ ,...~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF CECIl../A T. CA, Mfl3ELL FILE NUMBER ;;?/ O~-/OS7 Debts 01 decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. SEE ATTIvCfJ[:1) 5!J((T - - B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (5) Social Security Number(s) ( EIN Number of Personal Representative(s) Street Address City State Zip Yea~s) Commission Paid: 2. Attorney Fees 3. Family Exemption; (1f decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State lip Relationship of Claimant 10 Decedent 4. Probate Fees 5. Accountant's Fees SEE- Il ITA c NrD 5 IJ ftT - . - 6. Tax Return Preparer's Fees - 7. TOTAL (Also enter on line 9, Recapitulation) $ J 0, (; 70- 't s- (II more space is needed, insert additional sheets 01 the same size) SCHEDULE H: FUNERAL EXPENSES AND ADMINISTRATIVE COSTS Estate of Cecilia T. Campbell SSN 185-09-900 File No. 21 02-1057 A. I. 2. 3. 4. 5. 7. 8. B. I. FUNERAL EXPENSES Neill Funeral Home. 3401 Market street. Camp Hill. P A Complete funeral services (embalming, casket, flowers, limosines, etc.) $7,203.95 Rev. Paul Helwig, Good Shepherd Catholic Church, 3435 Trindle Rd. Camp Hill PA Funeral Mass Honorarium $100.00 Stephanie Varner, c/o Good Shepherd Catholic Church, 3435 Trindle Rd. Camp Hill P A Soloist for funeral service $75.00 Charlene Seay, c/o Good Shepherd Catholic Church, 3435 Trindle Rd. Camp Hill PA Organist for funeral service $75.00 Holy Cross Cemetery, 4001 Derry Street, Harrisburg PA Burial Expenses $675.00 Our Family Restaurant, 3302 Derry Street, Harrisburg P A Post Funeral Luncheon $164.50 Brachendorf memorials, 2143 Herr Street, Harrisburg PA Grave Marker $1895.00 ADMINISTRATIVE COSTS Cumberland County Register of Wills, Carlisle P A Recording Of will and copies of wills and letters of administration $167.00 2. Fee for Filing of Inheritance Tax Forms $15.00 3. Freeman Real Estate, 3920 Carlisle Pike, Camp Hill PA Real Estate Appraisal $300.00 TOTAL FUNERAL EXPENSES AND ADMINISTRATIVE COST = $10,670.45 , ~ 1<10\1-15\'1 EX ' _1-97) ESTATE OF "", COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT C [CI U A J. Include unreimbursed medical expenses. ITEM NUMBER 1. .s F- r: '-'- SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS CAMPBEU.. DESCRIPTION A TIA ClJED S Ai {f T FILE NUMBER a / 0;;'- /6S7 AMOUNT I 9 (J. .,,,- TOTAL (Also enter on line 10, Recapitulation) $ 0 '" ~ (If more space is needed, insert additional sheets of the same size) SCHEDULE I: DEBTS Estate of Cecilia T. Campbell SSN 185-09-900 File No. 21 02-1057 The following were debts incurred by decedent before death and paid after date of death to settle accounts: 1. Medical Bill, Holy Spirit Hospital $46.30 2. Medical bill, Moffitt Heart and Vascular Group $29.58 3. Water Bill, Pa American water Company $15.40 4. Gas Bill, UGI Utilities $5.08 5. Electric Bill, PP&L $20.88 6. Long Distance Phone Bill, AT&T $38.67 7. Services, Cumberland County Office of Aging $22.34 8. Victor Bahn, Lawn Service through 11115 $20.00 Total ~ $198.25 .R:-15~EX+(1-971 ~ ..~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF c:.tC/(IA T (J:Jrv;fBf(( FILE NUMBER ~ J 0;2- /os7 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outnght spousal distributions) RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 1. PI.. UL CA. M t /?,6-tL (50 t3 I3ffcH jP-ff j)p-tVf AU;./.J.JNlJRI/Jj VA d-d31D Pl-loNt- 7t.l376,()-069? D (C~Df=jv7 '5 ONl'j CNILD /60 % ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. No~f- B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 NOIU~ - TOTAL OF PART IT. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ /vo Nf-- (If more space is needed, insert additional sheets of the same size) - . ~ ti ~ u (, j~ ~ E-< --~ -- LAST WILL OF CECILIA T. CAMPBELL I, CECILIA T. CAMPBELL, of the Township of Hampden, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. Item #l: I devise and bequeath all of my estate of every nature and wheresoever situate, together with the insurance thereon, to my son, PAUL CAMPBELL, providing he shall survive me by thirty (30) days. Item #2: Should my son, PAUL CAMPBELL, 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 and where- soever situate, together with insurance thereon, to my daughter- in-law and spouse of PAUL CAMPBELL, ROSE ELLEN CAMPBELL. Item #3: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. Item #4: I direct that my body be buried in the Holy Cross Cemetery, Harrisburg, Dauphin County, Pennsylvania. Item # 5: I appoint my son, PAUL CAMPBELL, Executor of this my last will. Should my son, PAUL CAMPBELL, fail to qualify or cease to act as my Executor, I appoint my daughter-in-law, and spouse of PAUL CAMPBELL, ROSE ELLEN CAMPBELL, Executrix of this my la st will. Item #6: I direct that my personal representative or their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. Clerk 0 the Orphans Co Cumberland County - COMMONWEALTH OF PENNSYLVANIA ) ) ss: COUNTY OF CUMBERLAND ) We, CEC ILIA T" CAMPBELL, Jj e.. N 'r i F. c.. 0 ~ 1\1 e. and -H e-LILN M, G \"'\ PElIb, the Testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, b~ing first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her last will and ;that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence, '\.\ 0 'YY\. C ~',W-- \;iT~~-; ~ Subscribed, sworn to and acknowledged before me, l://c!' /V ,6 .(!:;YA/~ , by CECILIA T. CAMPBELL, the Testatrix, and / subscribed and sworn to before me by #e-/l//Z ';1';c. t!t:>y/Y'E / / and Mien) Pr .C5>,4,,c;,c///f ,witnesses, this /d day of d~ , 1987. ,~*d~ m.EEN B. COYNE NOTARY PUHIC 3'901 Ma,ket St. (Hampden Twpf , CAMP Hill, Pi-" 17011 . I ~y Comrnrs'lioo Expire. Jvn<t 26, t<<g--~ . . IN WITNESS WHEREOF, of (D~ I have hereunto set my hand this ~ day 1987. (D .~ (;'-. O~ 'ifen J.a ,4. Camp The .preceding instrument, consisting of this and one (I) other typewritten page, each identified by the signature of the Testatrix, CECILIA T. CAMPBELL, was on the day and date thereof signed, published and declared by CECILIA T. CAMPBELL, the Testatrix therein named, as and for her last will, in the pre- sence of us, who at her request, in her presence, and in the presence of each other have subscribed our names as witnesses her eto . '1\..L In. C.~~ 3CjO) ~>(o residing at rAlM/11' I-Im" ~ j 71J 1 ( 4-\\ F~ ~ residing at ~~._..A/j). I IPP\ 11013 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 PAUL M CAMPBELL 6013 BEECH TREE DR ALEXANDRIA VA 22310 REY-1547 E% AFP (01-03) DATE 10-06-2003 ESTATE OF CAMPBELL CECILIA T DATE OF DEATH 11-16-2002 FILE NUMBER 21 02-1057 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE _- RETAIN LOWER POR_TION_ FOR YOUR RECORDS ~ _ ----------------------------- ------------------ -------------- REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CAMPBELL CECILIA T FILE N0. 21 02-1057 ACN 101 DATE 10-06-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 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 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10,670.45 10. Debts/Mortgage Liabilities/Liens (Schedule I) [10) 198.25 11. Total Deductions (11) 7 0 .868 70 12. Net Value of Tax Return (12) 557,565.78 13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax 557 565 78 (14) , . NOTE: If an assessment was issued previously, lines reflect figures that includ th 14, 15 andior 16, 17, 18 and 19 will e e total of ALL returns assessed to date ASSESSMENT OF TAX: . 15. Amount of Line 14 at Spousal rate (15) .00 00 _ 00 16. Amount of Line 14 taxable at Lineal/Class A rate [16) X 557,565.78 X 045. . 25,090.46 17. Amount of Line 14 at Sibling rate (17) .00 X 12 - .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - 00 19. Principal Tax Due (lq)= . 25 090 46 TAX CRE DITS• , . DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 08-14-2003 CD002913 .00 25,090.46 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX (1) 115, 200.00 NOTE: To insure proper ( 2) 47 , 456.54 credit to your account, (3) .00 submit the upper portion (4) .00 of this form with your (5) 256 , 737.34 tax payment. (6) 149, 040.60 (7) .00 (8) 568, 434.48 TOTAL TAX CREDIT 25,090.46 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before Decenber 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life ar for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirenents of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. C72 P. . Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or Honey order payable to: REGISTER OF WILLS, AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by canpleting an ^Application for Refund of Pennsylvania Inheritance and Estate Tax^ (REV-13137. APPlications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services far taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the natter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA DeparPmAen17128-0601ue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, Phone C717) 787-6505. See page 5 of the booklet ^Instructions for Inheritance Tax Return for a Resident Decedent' (REV-15017 far an explanation of adninistratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five Percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is conputed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) nanths and one (1) day fron the date of death, to the date of paynent. Taxes which becane delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which becane delinquent on and after January 1, 1982 will bear interest at a rate which will vary fron calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2Interest Oaily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20% .000548 1987 9% .000247 1999 7% .000192 1983 16% .000438 1988-1991 11% .000301 2000 8% .000219 .000247 2001 9% .000247 1984 11% .000301 1992 9~ .000164 1985 13% .000356 1993-1994 7% .000192 2002 6~ ,000137 1986 10% .000274 1995-1998 9% .000247 2003 5% --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If paynent is Wade after the interest computation date shown on the Notice, additional interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 CAMPBELL PAUL 6013 BEECH TREE DRIVE ALEXANDRIA, VA 22310 RE: Estate of CAMPBELL CECILIA T File Number: 2002-01057 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 11/16/2004 Your prompt attention to this matter will be appreciated. Thank You. Si~erely:~ ._ GLENDA FARNER STP~ASBAUGH REGISTER OF WILLS cc: File Counsel Judge STATUS REPORT UNDER RULE 6.12. Name of Decedent: Date of Death: /U~ v 1'~ ,,~O 6 2-. Admin. No.: Will No.: ~l. / --- O,.~ 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 E No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: _ 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b.The separate Orphans' 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 [---1 No [--] c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: ~ Signature q ~ Address Telephone No. Capacity: [~2"Personal Representative c'c o ,.' ,~'7 ~ c~:r~ e c(Tf: [-1 Counsel for personal representative Cumberland County - Register Of Wills One Courthouse Square Carlislel PA 17013 Phone: (717) 240-6345 Date: 10/11/2005 CAMPBELL PAUL 6013 BEECH TREE DRIVE ALEXANDRIA I VA 22310 RE: Estate of CAMPBELL CECILIA T File Number: 2002-01057 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 11/16/2005 Your prompt attention to this matter will be appreciated. Thank You. SincerelYI ~~~~ GLENDA FAP~ER S:=RASBA~' REGISTER OF WILLS ~ cc: File Counsel Judge ~~ Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: CE-cIL IA 7. CAkPS6-l....l- Date of Death: J ,j I ~ I "J,() ~ d , Estate No.: ~ DO ~ - c:> 10 S- 7 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 w~ether administration of the estate is complete: Yes lllI No 0 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 fmal account with the Court? Yes 0 No ~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the person~epresentative state an account informally to the parties in interest? Yes 00 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date:~06: p~\~ ~ Signature (',J c-,J PAUl. M. C-A Mf ISS-<- Name r"" 601.3 B6C-<.~ ..qL&K-4.vD P.iA Address ~ oil. V,q o;a411> i_'--;:' t'::.., c".::.::,. c.....,J 703 960-0098 Telephone No. !B'Personal Representative o Counsel for personal representative Capacity: ~:t