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Home My WebLink About01-0072 " G-- REV-1500 EX + (6-00) It:, - 62c:J3 - 3 OFFICIAL USE ONLY CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R D E E S N T C o M P T U A T X A T I o N REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21-01-0072 D E C E D E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Beddow Barbara H. DATE OF DEATH (MM-OD-YEAR) COUNTY CODE YEAR SOCIAL SECURITY NUMBER 168-26-5749 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE Copyright (c) 2000 form software only The Lackner Group, Inc. DATE OF BIRTH (MM-DD-YEAR) NUMBER REGISTER OF WILLS SOCIAL SECURITY NUMBER 11/17/2000 07/01/1920 IF APPLICABLE SURVIVING SPOUSE'S NAME LAST, FIRST, AND MIDDLE INITIAL X 1. Original Return 2. 4. limited Estate 4a. X 6. Decedent Died Testate 7. (Attach copy of Will) D 9. litigation Proceeds Received D 10. Supplemental Return Future Interest Compromise (date of death after 12-12-82) Decedent Maintained a Living Trust 0 (Attach copy of Trust) 3 date of death . Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) l!r~_I...~_~I.. COMPLETE MAILING ADDRESS Spousal Poverty Credit NAME Geor e A. Vau hn III FI RM NAM E (If Applicable) 3904 Camp Trind1e Road Hill, PA ;pmll {," :::3 TELEPHONE NUMBER R E C A P I T U L A T I o N 9 - 9102 Real Estate (Schedule A) Stocks and Bonds (Schedule B) Closely Held Corporation, Partnership or Sole~Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter~Vjvos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) $ OFFICIAL USE ONLY hJ N --J (8) 178,155.92 (11) 17.584.09 (12) 160,571.83 (13) (14) 160,571. 83 (15) (16) (17) (18) (19) 0.00 7,225.73 0.00 0.00 7,225.73 (1) (2) (3) 100,000.00 55,283.56 None (4) (5) None 17,912.46 (6) None 4,959.90 12,374.56 5,209.53 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 160,571.83 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. x X X X .0 0 .0 45 .12 .15 Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 325 Weslev Drive CITY I STATE I ZIP Mechanicsbur2: PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 7,225.73 6,900.00 Total Credits ( A + B + C) (2) 6,900.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable 10: REGISTER OF WILLS, AGENT '::~i[:g~~ig.:~~~!g~.if~gi~id[[d!~~~:ii~~g~f~di~:~:::~~::~[~21:~:~::~~: "x"IN.fAig:~~~~:d~:~.I~fig:~[~2i~~ii:::":::. 1. Did decedent make a transfer and: Ves No 8. retain the use or income of the property transferred; ~ I~x b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or. d. receive the promise for life of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 0.00 0.00 325.73 0.00 325.73 []] D D D [!] [!] hat I ~ave e mIned this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, her than the personal representative is based on all information of which preparer has any knowledge. Matthew M. Beddow 2154 Chestnut St. ----------------------------------------------------- Carn Hill, PA 17011 George A. Vaughn III 3904 Trindle Road ----------------------------------------------------- Carn Hill PA 17011 DATE i7'/01- DATE For dates of dea on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (a) (1.1 Hill For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a 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. 9116 (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. 9116(1.2) [72 P.S. 9116(aXn]. 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. 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1S00 EX (Rev. 6-00) ADDITIONAL Personal Representatives Estate of Barbara H. Beddow SS# 168-26-5749 11/17/2000 ****************************************************** Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is true, correct and complete. Signature Y!:::,ilA ~ 32 Chestnut St. Name Address Line 1 Address Line 2 City, State, Zip Date Camp Hill, PA 17011 --3');) Md- . RE.V-l;O~ EX ~(1-9?) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Barbara H. Beddow SCHEDULE A REAL ESTATE 11/17/2000 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with riaht of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH 1 Single-family dwelling house located at 32 Chestnut Street, Camp 100,000.00 Hill, Cumberland County, Pennsylvania (See Deed Book !, Volume 22, Page 402) SS# 168-26-5749 FILE NUMBER 21- 01- 0072 TOTAL (Also enter on line 1, Recapitulation) $ 100,000.00 (If more space IS needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1-97) A. Settlement Statement 7130101 Summit Abstract Services, Inc. 3904 Trindle Road Camp Hill, P A 170~ ~ B. T e of L.oan 1. FHA 2. FmHa 3. XX Conv. Unins. . File Number 7. Loan Number 8. Mortgage Insurance Case Number 4. VA 5. Conv. Ins B-~093 231016079 N/A o e: '8 orm IS urnls e 0 gIve you a s men 0 ac ua S8 amen cos . moun pa 0 an y e S8 emen ageo are shown. Items marked "(p.o.c.)" were paW outsickt the closing; they are shown here for I"tonnational purposes and are not included in the totals D. Name and Address of Borrawer , Name and Address of Seller . Name and Address of Lender Bobbie Jo Zeigler Matthew M. Beddow :)ption One Mortgage Corporation 32 Chestnut Street 2154 Chestnut Street 3 Ada Camp Hill, PA 1701~ Camp Hill, PA 17011 Irvine, CA 92618 G. Property Location lH. Settlement Agent 32 Chestnut Street Summit Abstract Services, Inc. Camp Hill, PA ~ 7011 \Place of Settlement II Settlement Date 3904 Trindle Road !camp Hill, PA ~ 70~ ~ 7/30/01 J. Summary of Borrower's Transaction 100 Gross Amount Cue Fl'om Borrower 101. Contract sales price 50,000.00 01. Contract sales price 50,000.00 102. Personal oroperty 402. Personal nronerty 103. Settlement charoes to borrower (line 1400) 5,368.46 03. 104. 04. 105. 405. Adjustments for items paid by seUer In advance Adjustments for items paid by seUer in advance 1Q6. Cityltown taxes to 406. City/town taxes to 107. County taxes to 1407. County taxes to 108. School taxes to 4Q8. School taxes. to 109. Assessments to W9. Assessments to 110. Sewer to 10. Sewer to 111. Trash to 11. Trash to 112. 12. 120. Gross Amount Due From Borrower 55,368.46 20. GI'O&S Amount Due to Seller 50,000.00 200. Amounts Paid By Or In Behalf of Borrower 500. Reductions in Amount Due To Seiter 201. Deposit or earnest monelJ 501. Excess deoosit (see instructions) 202. Princioal amount of new loan(s) 60,000.00 502. Settlement charges to seller i1lne 1400) 4.00 203. Existina loan{s) taken subiect to 503. Existin" ioanls) taken subiect to 204. 504. Pavoff first,mortoaae 205. 505. Pavoff second mortgage 206. 506 207. 507. 208. 508. 209. 509. A.dlustments for items unpaid bv seller Adlustments for items uncold bv seller 210. Cltv/lown taxes to 10. Citv/lown taxes to 211. Countv taxes to 511. Countv taxes to 212. School taxes to 512. School taxes to 213. Assessments to 513. Assessments to 214. Sewer to 514. Sewer to 215. Trash to 515. Trash to 216. 516. 217. , 517. 218. 518. 219. 519. 220. Total Paid By/For Borrower 60,000.00 520. Total Reduction Amount Due Seller 4.00 K. Summary of SeUer's Transaction 400 Gross Amount Due to Seller 300. Cash At SeWement From/To Borrower 600 Cash At Semement To/From Seller 301. Gross amount due from borrower (Iine1.20} 55,368.46 601. Gross amount due to seller (Una 420) 50,000.CC 302. L.ess amDuntsoatci b-v/for borrower {line 220} 60,000.00 602. Less reductions in amt. due seller (line 52Q) 4.00 303. Cash To Borrower 4,631.54 603. Cash To SeUer 49,996.00 >>UD-1 13-86) RESPA, HB 4305.2 L. Settlement Charaes 700. :fotal Sales/Broker's Commission based on price $ Paid From Paid from Division of Commission (tine 700) as foHows: Borrower's Seller's 701. . $ to Funds at Funds at 702. $ to Settlement Settlement 703, Commission paid at Settlement 704. 800. Items Payable in Connection With Loan 801. Loan Orioination Fee to 802. Loan Discount to 803, ArlOraisal Fee to 804. Credit Reoort to 805. Lender's Insoection Fee to 806. Mortoaae Insurance Application Fee to 807. Assumption fee to 808. Tax Service Fee to Option One 70.00 809. Courier/Overnioht Maii to 810. Document Preparation to 811. Flood Certification to Option One 12.00 812. Brokertee to Columbia NatIonal, Inc. 1,800.00 813. Fundino fee to Option One 50.00 814. Underwr~ina fee to Ootion One 515.00 900. Items. R Ulred By Lender To Be Paid in Advance 901. Interest From 813/01 to 9/1/01 12.00/da 902. Mort a e Insurance Premium for month s} to 903. Hazard Insurance Premium for ear(s to Horace Mann 904. 1000. Reserves De sitedWitll Lender 1001. Hazard Insurance 1002. Mort a e Insurance 1003. Cit pro ert taxes 1004. Count ro e taxes 1005. Annual assessments 1006. Schooi taxes 1007. Flood insurance 1008. 1009. rate ad'ustment 348.00 466.00 POC 3 months months months 7 months months 3 months months months 110.76 207.41 241.23 118.61 1100. Title Charaes 1101. Settlement or closing fee to 1102. Abstract or title search to 1103. Title examination to 1104. Title insurance binder . to 1105. Document preparation to . 1106. NotaN fees to Diane Jenkins 4.00 4.00 1107. Attornev's fees to (includina above items numbers: ) 1108. Title insurance to Summit Abstract Services, Inc. 1,028.75 (includina above items numbers: 1101,1102.1103.1104 ) 1109. lender's coveraae $ 788.75 1110. Owner's coveraae $ 828.75 1111. ICS Letter Fee to Securitv Title Guarantee Corp. of Baltimore 35.00 1112. Reimbursement for tax cert. fee to Summit Abstract 4.00 1113. Overnioht mail to Airborne 25.00 1200. overnment Recordlna and Transfer haraes 1201. Recording fees: Deed $ 25.50 Mortaaae $ 45.50 Rel.lAssian. $ 71.00 1202. Citv/county taxlstamps: Deed $ Mortoaae $ 1203. Stale taxlstamos: Deed $ Mortaaae $ 1204. 1205. G c 1300. Additional Settlement Charges 1301. SUNev to 1302. Pest InsDection to 1303. Radon test to 1304.2001-02 school taxes to Marv Ann Prior, Treasurer 964.92 1305. 1400. Total Settlement Cllarges (enter on lines 103, Section J and 502, Section K) 5,368.46 4.00 true and accurate statemen received a Sellers or Agents ent which I have prepared IS a true and accurate account of titransaCllon mem--- ~ /fv '} Jo p/ . r shall cause the funds to be disbursed Penalties upon conviction can 7/30/01 REV-1593 EX,+ (1-S.'1) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Barbara H. Beddow SS1f 168-26-5749 11/17/2000 All property jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21-01-0072 ITEM DESCRIPTION UNIT VALUE VALUE AT DATE NUMBER OF DEATH 1 139.601 shares Janus; Account Number 203265648 - 67.54 9,428.65 Worldwide Fund; balance as of date of death 2 207.424 shares Janus; Account Number 203265648 - Janus 41.31 8,568.69 Fund; balance as of date of death 3 115.787 shares Janus; Account Number 203265648 - Twenty 65.55 7,589.84 Fund; balance as of date of death 4 257.915 shares Janus; Account Number 203265648 - Janus 37.73 9,731.13 Mercury Fund; balance as of date of death 5 220.468 shares Janus; Account Number 203265648 - 46.42 10,234.12 01 ympus Fund; balance as of date of death 6 257.915 shares Janus Fund-48; Mercury 37.73 9,731.13 TOTAL (Also enter on line 2, Recapitulation) 55,283.56 (I{ more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc, Form REV-1503 EX (Rev. 1-97) REV- !5Q8 EX. + (1-9<7) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECE:DENT ESTATE OF Barbara H. Beddow FILE NUMBER 21- 01- 0072 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. SSff 168-26-5749 11/17/2000 ITEM NUMBER 1 DESCRIPTION American Century Investment; Prime Money Market Account #921-000267390 - Balance as of date of death VALUE AT DATE OF DEATH 1,345.76 2 PNC Bank, N.A.; Savings account #5003158228 - Principal balance as of date of death 408.02 3 PNC Bank, N.A.; Savings account #5003158228 - Interest accured tc date of death 0.42 4 Susquehanna Valley Federal Credit Union; share account #1412-00 - Principal balance as of date of death 169.97 Accrued income on item 4 to date of death 0.63 5 The Patriot-News Co. Refund of prepaid newspaper subscription 48.40 6 US Treasury - Refund of federal income tax (final lifetime return) 1,142.00 7 Verizon - Refund on final telephone service 12.33 8 Waypoint Bank; Savings account #1800019929 - Principal balance as of date of death 3,733.83 9 Waypoint Bank; Savings account #1800019929 - Interest accrued to date of death 0.82 10 Waypoint Bank; Savings account #1800019929 - Refund to PERS of retirement benefit overpayment (678.59) 11 Waypoint Bank; Savings account #1800019929 - Erroneous direct deposit of PSERS monthly payment 678.59 12 Waypoint Bank; Savings account #1860006345 - Principal balance as of date of death 214.18 13 Waypoint Bank; Savings account #1860006345 - Interest accrued to date of death 0.10 14 Grandfather clock 1,500.00 15 Miscellaneous tangible personal property 253.50 16 Miscellaneous tangible personal property 2,447.50 Total of Continuation Schedu1e(s) 6,635.00 TOTAL (Also enter on line 5, Recapitulation) $ 17,912.46 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97) Estate of: Barbara H. Beddow Soc Sec #: 168-26-5749 Date of Death: 11/17/2000 Continuation of Schedule E (Cash, Bank Deposits & Miscellaneous Personal Property) Item II Description Value at Date of Death 17 Miscellaneous tangible personal property 3,995.00 18 GE Capital Assurance Uncashed long-term care benefit check received before date of death 2,480.00 19 GE Capital Assurance Uncashed long-term care benefit check received after date of death 160.00 6,635.00 REV- !5:10 EX, + (1-9<7) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Barbara H. Beddow SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY SS# 168-26-5749 11/17/2000 FILE NUMBER 21-01-0072 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. DESCRIPTION OF PROPERTY %QF ITEM RELAW8~M~I~ t~ b~~~5~~rtWJ~~~lflTr:::EJF t~i~SFER. DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE NUMBER ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) 1 Waypoint Bank; Checking 547.75 100.00% 547.75 account #500068325; joint with Bobbie Jo Zeigler - 6/15/0 Balance as of date of death 2 Waypoint Bank; Checking 4,412.15 100.00% 4,412.15 account #4100010215; joint with Bobbie Jo Zeigler - 11/6/0 Balance as of date of death TOTAL (Also enter on line 7, Recapitulation) $ 4,959.90 (If more space IS needed, Insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1510 EX (Rev. 1-97) REV-!5Jl EX+(1-So7) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Barbara H. Beddow Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. SSif 16B-26-5749 11/17/2000 FILE NUMBER 21-01-0072 DESCRIPTION AMOUNT 1 FUNERAL EXPENSES, E. T. Everett & Sons Gravestone 1,200.00 2 Myers-Harner Funeral Home, Inc. - Professional funeral services 4,239.00 1. ADMINISTRATIVE COSTS, Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: z. 3. Attorney's Fees George A. Vaughn III Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 5,000.00 City Relationship of Claimant to Decedent State Zip 4. Probate Fees Register of Wills 270.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Bricker's Auction - Expenses for sale of personal property 83.50 2 Conestoga Auction Company, Inc. - Expenses of auction sale (11/15/01) 684.25 3 Conestoga Auction Company, Inc. - Expenses of auction sale (11/28/01) 483.00 4 Cumberland Law Journal - Probate advertisement fee 75.00 5 Matthew M. Beddow - Reimbursement for income tax return preparation fee (H&R Block) 164.00 Total of Continuation Schedu1e(s) 175.81 TOTAL (Also enter on line 9, Recapitulation) $ 12,374.56 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97) Estate of: Barbara H. Beddow Soc See II: 168-26-5749 Date of Death: 11/17/2000 Continuation of Schedule H-B2 (Attorney's Fees) Item Description II 1 George A. Vaughn, III Reserve for payment of attorney's fees 2 George A. Vaughn, III Partial payment of interim attorney's fees 3 George A. Vaughn, III - Partial payment of interim attorney's fees 4 George A. Vaughn, III Payment of interim attorney's fees 5 George A. Vaughn, III Payment of interim attorney's fees 6 George A. Vaughn, III Payment of interim attorney's fees 7 George A. Vaughn, III Payment of interim attorney's fees 8 George A. Vaughn, III Payment of interim attorney's fees 9 George A. Vaughn, III Payment of interim attorney's fees 10 George A. Vaughn, III Payment of interim attorney's fees Amount 1,250.00 455.00 1,435.00 330.00 390.00 285.00 300.00 315.00 120.00 120.00 5,000.00 Estate of: Barbara H. Beddow Soc Sec #: 168-26-5749 Date of Death: 11/17/2000 Continuation of Schedule H-B4 (Probate Fees) Item # Description Amount 1 Register of Wills - Probate filing fee 270.00 270.00 Estate of: Barbara H. Beddow Sac Sec #: 168-26-5749 Date of Death: 11/17/2000 Continuation of Schedule H-B7 (Other Administrative Costs) Item it Description Amount 6 Notary fee - Expenses for sale of real estate 4.00 7 Patriot News - Probate advertisement fee 100.31 8 Recorder of Deeds Recording fee for deed from estate 26.50 9 Register of Wills Reserve for filing fee for Inventory and Inheritance Tax Return 27.00 10 Register of Wills - Reserve for filing fee for Receipts and Releases 14.00 11 Waypoint Bank; Savings account #1800019929 - Debit Cardholder fee 1.00 12 Waypoint Bank - Fee for checks for estate checking account 3.00 175.81 REV- .15.12 EX. + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT EST"'TE OF Barbara H. Beddow SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SSI! 168-26-5749 11/17/2000 FILE NUMBER 21-01-0072 Include unreimbursed medical expenses. ITEM NUMBER 1 Alert Pharmacy decedent DESCRIPTION Outstanding bill for prescription service to AMOUNT 124.95 2 Bethany Village Final nursing home bill 2,062.12 3 Citibank - Credit card debt outstanding at date of death 426.76 4 Kaplan's Cleaners - Bill for drycleaning services unpaid at date of death 21.18 5 Ruby R. Wingate - Setter Hill Kennels - Outstanding bill for kennel services for decedent's dog 800.00 6 Statewide Tax Recovery, Inc. - Tax bill unpaid at date of death 23.50 7 Verizon - Final telephone service bill 31.58 8 Waypoint Bank; Savings account #1800019929 - Checks issued but uncleared as of date of death 1,719.44 TOT"'L (Also enter on line 10, Recapitulation) $ 5,209.53 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97) REV-,15.13 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Barbara H. Beddow SCHEDULE J BENEFICIARIES 55!! 168-26-5749 11/17/2000 FILE NUMBER 21-01-0072 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 1 Matthew M. Beddow 2154 Chestnut Street Camp Hill, PA 17011 Son One-half 2 Bobbie Jo Zeigler 32 Chestnut Street Camp Hill, PA 17011 Daughter One-half ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON- TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTiON TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lackner Group, Jnc. 0.00 Form REV-1513 EX (Rev. 9-00) LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, BARBARA H. BEDDOW, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all wills and Codicils previously made by me. I I declare that I am not married, my beloved husband, MATTHEW A. BEDDOW, having predeceased me, and that I have two (2) children, BOBBIE JO ZEIGLER and MATTHEW M. BEDDOW. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III 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. IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my children, BOBBIE JO ZEIGLER and MATTHEW M. BEDDOW, in equal shares, per stirpes. V I nominate, constitute and appoint my daughter, BOBBIE JO ZEIGLER, and my son, MATTHEW M. BEDDOW, as Co-Executors of this LAST WILL, to serve without bond. If either is unable or unwilling to act in that capacity, then the other may act alone as Executor of this LAST WILL, to serve without bond. ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, BARBARA H. BEDDOW, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. G 1>J~\4 (~ is ,~ BARBARA H. B DOOW Sworn or affirmed to and acknowledged before me by BARBARA H. BEDDOW, Testatrix, this JnC day of /Y}{i'li:j,__ ,2000. ('\ , AJ/;a 'c_ )~ { .:L,c 2'(~ Notary Public Notarial Seal Diane M. Smitll, Notary Public Mechanicsburg 80ro, Cumberland County My Commission Expires June 22, 2000 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND the wi t~:~s~e. tr-~!f~t~~~ ";re Signe~ndt!~~~{ '~ttached'- .;; /. ~~~~~oi~~ instrument being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her LAST WILL; that BARBARA H. BEDDOW signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 years of age or more, of sound mind and under no constraint or undue influence. ~~1l,', 1C-'7, - ,...- / . , I /' /'//// / 'lit" I ;J l.' // ,/ I Sworn or affirmed to and acknowledged before me this 3r"c! dayof /rJu.\cI,-- ,2000. J\!W--'~L )}I. Notary Public ( -',' '~i; lc_tk:.:,:,:, Notarial Se,;1 Diane M. SlTli~i';, r'lcuxy PL:!Jiic Mechanicsburg 8o~(J, Curnberland C?unty My Commission Expires June 22, ..-::000 3 this LAST WILL this '"3 I, BARBARA H..BED90W' have set day of (VI ,,~v0'V\.. , 2000. my hand to IN WITNESS WHEREOF, [3 vvGmA C'ir- C=SJ-t!crvv BARBARA H. BEDDOW Signed, sealed, published and declared by the above-named BARBARA H. BEDDOW, as and for her Last will and Testament, in the presence of us, who, at her request and in her presence, and l.n the presence of each other, have hereunto subscribed our names as witnesses. J'>;10'.~,- ~ Iii II ( /ji(':/ , , 2 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 MATTHEW M BEDDOW 2154 CHESTNUT STREET CAMP HILL, PA 17011 RE: Estate of BEDDOW BARBARA H File Number: 2001-00072 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: 11/17/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge STATUS REPORT UNE)ER RULE 6.12 Name of Decedent: Barbara H. Beddow Date of Death: Will No.' 2001-00072 Admin. No.: Pursuant to Rule 6.12 of the Supreme Court OChans' Court Rules, I r~o~t following with respect to completion of ~e ad~s~ation of the above-captioned estate: 1. State whether a~inistration of~e estale is complete: Yes 2. ~e ~swer is No, state when the personal representative reasonably beHeves that the a~s~afion will be complete: 06/ 3. ~ the ~swer to No. 1 is Yes, state the follow,g: a. Did the personal representative file a ~al accost with ~e Co~? Yes _ No b. ~e sep~ate OCh~' Com~ No. (if any) for the personal rqCresentative's accomt is: c. Did ~e personal representative state ~ accomt i~o~ally to ~e p~ies c. Copies of receipts, releases, jo~ders ~d approv~ of fo~ or ~o~ accosts may be filed wi~ the Clerk of the OCh~s' Co~ ~d may be a~ached to t~s rep~. George A. Vauqhn~ TTY Name 3523 September Drive, ~6 Camp Hill, PA 17011 Address (717) 975-9102 Telephone No. Capacity: ~ Personal RecresepXative ~ Counsel for personal representative IN RE: ESTATE OF BARBARA H. BEDDOW, Deceased IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2001-00072 (..'~ RECEIPT AND RELEASE - I, BQbbi Jo Zeigler, the undersigned, being a legatee under the Will of Barbara li:-Beddow, deceased, do hereby: 1. St~~~ and acknowledge that I am an adult individual; having been born on November 22, 1954; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received the sum of $2,300.00 in conjunction with previous settlement as the complete distribution to which I am entitled as an heir of Barbara H. Beddow; 4. To the extent of said distribution, release Matthew M. Beddow and Bobbie Jo Zeigler personal representatives of Barbara H. Beddow, and hiS/her heirs and personal representatives, from all liabilities, whether due to hiS/her negligence or otherwise, which I may have by reason of hiS/her administration of the Estate; 5. Agree to refund to the Estate and to the said personal representative any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify said personal representative and the Estate for claims made against him/her and to reimburs him/her and the Estate for all expenses and costs incurred in connection with any such claim; and 6. Agree to a maintenance account of $1,000.00 pending the final settlement of all estate matters. 6. Declare that this instrument shall be legally binding upon me, my personal representatives, and assigns. IN WITNESS WHEREOF, I have hereunto set my hand and seal of April, 2002. this !! tt;ay ~~ STATE OF PENNSYLVANIA (SS: COUNTY OF CUMBERLAND On this, the day of April, 2002, before me, the undersigned officer, personally appeared Bobbie Jo Zeigler, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. Notary Public (~ IN ~~: ESTATg OF BAR~ARA H. BEDDOW, Deceased IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2001-00072 RECEIPT AND RELEASE I, Matthew M. Beddow, the undersigned, being a legatee under the Will of Barbara H. Beddow, deceased, do hereby: 1. State and acknowledge that I am an adult individual; having been born on June 23, 1958; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received the sum of $2,300.00 in conjunction with previous settlement as the complete distribution to which I am entitled as an heir of Barbara H. Beddow; 4. To the extent of said distribution, release Matthew M. Beddow and Bobbie Jo Zeigler personal representatives of Barbara H. Beddow, and his/her heirs and personal representatives, from all liabilities, whether due to his/her negligence or otherwise, which I may have by reason of his/her administration of the Estate; 5. Agree to refund to the Estate and to the said personal representative any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify said personal representative and the Estate for claims made against him/her and to reimburse him/her and the Estate for all expenses and costs incurred in connection with any such claim; and 6. Agree to a maintenance account of $1,000.00 pending the final settlement of all estate matters. 6. Declare that this instrument shall be legally binding upon me, my of April, 2002. J 4f thist~ day personal representatives, and assigns. IN WITNESS WHEREOF, I have hereunto [SEAL] ~ STATE OF PENNSYLVANIA (SS: COUNTY OF CUMBERLAND On this, the day of April~ 2002, before me, the undersigned officer, personally appeared Matthew M. Beddow, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. Notary Public Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/10/2005 BOBBIE JO ZEIGLER 32 CHESTNUT STREET CAMP HILL, PA 17011 RE: Estate of BEDDOW BARBARA H File Number: 2001-00072 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 is due by: 11/17/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~-~~~ ~---- cJ.- GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge G'" t_ Cumberland County keglster UI Wl~~S One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/10/2005 MATTHEW M BEDDOW 2154 CHESTNUT STREET CAMP HILL, PA 17011 RE: Estate of BEDDOW BARBARA H File Number: 2001-00072 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 is due by: 11/17/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, i1w~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge L- C/' Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/10/2005 VAUGHN GEORGE A III ESQ 3523 SEPTEMBER DRIVE APT 6 CAMP HILLI PA 17011-5061 RE: Estate of BEDDOW BARBARA H File Number: 2001-00072 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. 1/ for decedents dying on or after July 11 1992/ 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: 11/17/2005 Your prompt attention to this matter will be appreciated. Thank You. r~~ GLENDA FAIDJER STP~SBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge ~~ George A. Vaughn, III 3523 September Drive, #6 Camp Hill, Pennsylvania 17011 (760) 807-2603 October 24, 2005 c') Glenda Farner Strasbaugh Register of Wills One Court House Square Carlisle, P A 17013 -::' ...r:- o RE: Estate of Barbara H. Beddow File No. 2001-72 Dear Mrs. Strasbaugh: Reference is made to your letter of October 10, 2005, in the above matter requesting the filing of a Status Report. I cannot file this Report as attorney for the estate because my license to practice law within the Commonwealth of Pennsylvania is in inactive status as of July 1,2005. With a copy of this letter, I have forwarded your request to one of the personal representatives of the estate so she can complete it and file it promptly with your office. Thank you. ,Va d yours, tl;~1I GVlbn cc: Ms. Bobbie Jo Zeigler to....., t:'::::) L_~:":'') C,~'-l ~:t Register of"VVills of Cumberland County Name of Decedent: -B A, bc..rOr. ~, II - \'1- d-.OOO ~OD i - OD61~ STATUS REPORT UNDER RULE 6.12 8ecldtvJ Date of Death: Estate 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 0 No~ 2. If the an.s,:er is, No, ~tate when the personal representative reasonabJy. believes that r the admmIstratlOn WIll be complete: t1s Sa) IV etA fhss IlJ/e. - /Ueed .iZt""t-- I .~ {~'\. a II t:A..t../ 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 0 No 0 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 0 No 0 Date: II ~ 11-.~ 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. _ . d~ SIgnature 1Vl.A rT tlC"\J ~ Beddo~ ~., cr.> 0.J Name z., 8" b) fA trv I e vJ Address (A 1A.A.p t.J' t-( 7 I '-3b3,-Ofb-t Telephone No. /Z-d ~ PA. (lb 1/ Capacity: ~Personal Representative o Counsel for personal representative ~:t Social Security No. 168-26-5749 PETITION FOR PROBATE and GRANT OF LETTERS No. ~/-OI-7J.. To: Mary . LewIs RegIster of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Estate of BARBARA H BEDDOW, Deceased. The petition of the undersigned respectfully represents that: Your petitioner(s), who are 18 years of age or older, are the Co-executors named in the last will of the above decedent, dated March 3, 2000, and codicil(s) dated NOT APPLICABLE (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 325 Wesley Drive, Mechanicsburg, Lower Allen Township (list street, number and municipality) Decedent, then 80 years of age, died November 17,2000, at 325 Wesley Drive, Mechanicsburg, PA. Except as fonows~ 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: N()~ Decedent 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: 32 Chestnut Street, Camp Hill, Pennsylvania $ 50,000.00 $ 5,000.00. $ 100,000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary thereon. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) Matthew M. Beddow 2154 Chestnut Street /4lJi!J1IJ /JJb6;J3- Baebi Jo Zeigler 32 Chestnut Street C~p Hill, PA 1~011 )J&M~rr ~~~ .f w OA TH OF PERSONAL REPRESENT A TIVE COMMONWEALTH OF PENNSYLVANIA } SS COUNTY OF CUMBERLAND The petitioner(s) above-named s\vear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above decedent, petitioner(s) vlill well and truly admin~ster th~state acc~rPing to law. Sworn to or affirmyq and SUbSCribe.d before me /\..-/ , this IV: "'d51Y~"~Jf2d-~~ ~ >- m:J:~ -:f7:-211u; . '.). 'J ~ 4" ' rLUh '/ I egl er I - (./ /G-- 1Gi3-3 N 21-01-72 o. Estate of Barbara H. Beddow , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW JANUARY 17 th ~ 2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated March 3, 2000 described therein be admitted to probate and filed of record as the last will of Barbara H. Beddow and Letters Testamentary are hereby granted to Matthew M. Beddow and Bobbi Jo Zeigler I ..,' r,',.. C -.Ji. ('\.. ~ YYftka /1, r'ti 1 Dr iJ 'ilIA- ('--', /A ,~ 41 'AL) / '&1Q-1J-{).-t7J~ Register of Wills FEES P b L 235.00 ro ate, etters, Etc. ......... $ Short Certificates(8) . . . . . . . . .. $ 24.00 ~~.EXI.RA.PGS.2.. $ 6.00 JCP $ 5.00 TOTAL _ $ 270.00 Filed JANUARY. .1} ~ . ? 09 ~ . . . . . . . . . . . . . . . . George A. Vaughn, III (25650 ATTORNEY (Sup. Ct. 1.D. No.) 3904 Trindle Road, Camp Hill, PA 17011 ADDRESS (717) 975-9102 PHONE MAILED LETTERS TO ATTORNEY JANUARY 17, 2001 21-01-72 Ill'S is to certify that the information here given is correctly copied fro~ an original certifIcate of death dll!~ filed with Locd Registrar. The original certificate will be forwarded to the State VItal Records Office for pern1anent hltng. WARNING: It is illegal to duplicate this copy by photostat or photograph. me as No. "" f/1I1"'/h"'""", '1","~~\.1" OF PEi'--'~_ III~~... ~~.I~~ \1 ~ . ,-;. _ l~~.!I' ~\ !~/ -.. . ~~ ~ ~ . :.fft: !;t;;~ ~*~. ."....'" ..~!*$ '\ <::2 -. "~ . . I ~ ~\ ~~ ~l\ ~- :.tip ~'-\.\.'r 1,1 ----,flMENl \\~ ""III' '-""'",/ // /,,11 11"" ~1~..z:...' ,;;t)'? -;:-.L~ <: ~~/ ;",?- :..~ -~. "'" Local Registrar --'v ""7/'L--- o Fee for this certificate, $2.00 P 6920257 NOV 2 1 2000 Date 143 Rev. 2/87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT (Firs!. Middle. last) 1. f34..... 'oa! 0- l4. B ~d6 c:n.u SEX SWE FilE NUMBER SOCIAL seCURITY NUMBER DArE OF OER'H (Month. Day. Year) 4.Nov~~Ia~r J ']. ~ AGE (las! Birthday) UNDER 1 YEAR Months Days UNDER 1 DAY Hours ! Minules : a. Female 3. 168 26 5749 PLACE OF DEATH (Check only one - see instructions 00 olher side) HOSPiTAl: OTHER: Il1plItient D DOA D ~ing ~ ~=ity) B1 80 Yrs. COUNTY OF DEArH Currber land Lower Allen RACE. AmerIcan Indian, Black, While, etc. (Specify) DECEDENT'S USUAL OCCUPArION (~r:~~\ir.~~d~leU~r:~Hr~)' 10. White lb. Ie. SURVIVING SPOUSE (II wile. gille maiden name) 325 Wesley Drive Mechanicsburg, Pa 17055 17a. Stale Pa Did decedent Pve in a CurltJer land lownship? 17d.D :h::::::i:j~ 01 MOTHER'S NAME (Firs!. Middle. Maiden Surname) Ruth Kell twp. 17b. Coun city/boro, Remollat Irom Stale D PLACE OF DISPOSITION. Name of Cemetery, Cremalory or Other Place Hill, Pa 17011 lOCATION. CitylTown, Stal., Zip Code ale. Harrisbur , Pa ~ ~f;tpgt176i ArE SIGNED (Month, Day. Year) a3b. 23c 0 iJ~ Mob c r J 7 .;J (){){) WAS CASE REFERRED TO MEDICAl EXAMINER/CORONER? Yes ~ ,..1/1 NoD 17 ~OOb H. I Approximale !~=~~= I I I IMMEDIATE CAUSE (Final disease or condition resuhU'l1l in death)_ Sequentially lisl conditions b. if any, leading to immediate cause Enter UNDERLYING CAUSE (o.sease or InJUry c. . . that on/haled .lIenlS rasolllng In death) LAST ~ AN AUTOPSY PERFORMED? d WERE AUTOPSY FINDINGS AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? Homicide D D o ~lACE OF INJURY. AI home, larm, 1t;"I. lectory, bu~ding. elc (SpecIfy) 301. Yes D NoD Yes 0 No Yes 0 No ~ Naturel ~ Accident D Suicide 0 DATE OF INJURY (Month. Day. Year) TIME OF INJURY INJURY M WORK? DESCRIBE HOW INJURY OCCURRED Pending Inllesligalion Could not be delermined . PRONOUNCING AND CERTIFYING PHYSICIAN (PhYSICian both plonourlC/ng death and c8ft~Ylng to cause at death) To the best of my knowledge, deeth OCCU"ed at the time, data, and place, end due to the ceuM(s) end manner es staled.. . . . . . . . . . . . , . , . . . . . , . . . . .MEDICAL EXAMINER/CORONER On the buIa of examination and/or Inveatlgatlon, In my opInion, d.ath occurred at the tIme, date, and place, and due to the cauM(a) and manner.. "ated.. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . 31e. RE~R'SSIGNAr~~,~~ U/kAt./ /" < '/ 1:-;!.4".rtt~~ ~__ b(i/ t?./ f I 33. - 7~ D 34. George A. Vaughn, III Attorney at Law 3904 Trindle Road Camp Hill, Pennsylvania 17011 (717) 975-9102 FAX (717) 975-9105 September 20, 2001 HAND DELIVERED Mary C. Lewis, Register of Wills Cumberland County Court House Carlisle, P A 17013 RE: Estate of Barbara H. Beddow File #2001-72 Mrs. Lewis: Enclosed is a payment of the estimated inheritance tax for the above-referenced estate in the amount of $6,900.00. This payment is being made well beyond the discount period, however. A tax return and final payment should be made in the near future. Kindly process this payment and issue your Official Receipt in due course. Call me if you have any questions or need anything further in this regard. Very truly yours, ~~II Attorney at Law GAV/gav Enclosure cc: Ms. Bobbie Jo Zeigler Mr. Matthew M. Beddow .. ..,.,J. ...,.. . IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF BARBARA H BEDDOW Register's # 21-2001-72 Deceased 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) N.A. in the amount of $426.76 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 32 CHESTNUT ST CAMP HILL P A 170116603 Written notice of this claim was given to MATTHEWM BEDDOW, Executor, 2154 CHESTNUT ST, CAMP HILL, PA 170110000 on January 30, 2001. (Claimant) TAMMY ANZ NE, Manager of Citicorp Credit Services, Inc. under limited power of attorney for Citibank (South Dakota) N.A. 7930 NW 110 Street, Kansas City, MO 64153 (Claimant's Address) 01/30/2001-13 Acct. #4128003279289311 ~ ---- ...-. ,.;",' \ \ SD 12/11/00 $426.76 $20.00 mR'm:;:gy.gi,p~ I~UJlll:@J11;N;G!im !t;:;Mnlj~M1.;::qgl!@1 5 SITE:KC-CD TM:CD-6300 ACID:KCB1831 00 Al 1 0695 VI 0015 VI 4 CITIBANK P.O. BOX 8115 S HACKENSACK, NJ USA 07606-8115 BARBARA H BEDDOW 32 CHESTNUT ST CAMP HILL 17011-6603 PA For Customer Service call or write Account Number Citibank Platinum Select 1-800-950-5114 BOX 6500 SIOUX FALLS, SD 57117 01/24/01 01:56:43 For billing inquiries write to this address; calling will not preserve your rights. 4128 0032 7928 9311 Payment must be received by 1:00 pm local time on 12/11/00 Statement Date Total Credit line Cash Advance Limit New Balance Available Credit Line Available Cash Line 11/21/00 $5700 $800 $426.76 $5273 $800 Acc Previous Balance Purchases Advances Total 945 0 94570 R3te Summary Number Of days this Billing Period 32 Balance Subjectto Finance Charge Periodic Rate Nominal Annual Percentage Rate Annual Percentage Rate Acti v it Since Last Statement AYMENT THANK YOU LATE FEE - OCT PAYMENT PAST DUE ORSE FEATHERS HAIR DESI MERCHANICSBURPA EIS MARKET #58 SHD MECHANICSBURGPA HE PEPPERMILL RESTAURANTMECHANICSBURGPA ORSE FEATHERS HAIR DESI MERCHANICSBURPA ORSE FEATHERS HAIR DESI MERCHANICSBURPA OHN MAYNARD DDS CAMPHILL PA ITE AID CORP 3613 MECHANICSBURGPA ORSE FEATHERS HAIR DESI MERCHANICSBURPA URCHASES*FINANCE CHARGE*PERIODIC RATE ANCIAL SOLUTIONS page***** w FINANCIAL SOLUTIONS page at cards. com to take advantage oT exciting and services all in one convenient our website. ash for the holidays? your cash needs knowing that interest eductible(Consult a tax advisor to be today, 1-877-455-5661 to apply for a e Equity Line or Loan. bills online from anywhere. k(R) Bill Manager, you receive, review, anize all your bills online. Register Online at www.accountonline.com and itibankCR) Bill Manager for yourself. + Purchases . Payments & Advances 381 7 94570 381 7 94570 PURCHASES ADVANCES 1106.41 .046307- .054767- 16.9007- 19.9907- 16.9007- 19.9907- . Credits + Finance Charges Amount 94570- 2900 1400 1403 3517 1400 1400 26120 1497 1400 1639 + Late Charges TIC Bin#orMer# RA SiC o 0000 0 0 6 0000 0 70000000000 lQ7230US AE 0 24246510295 lQ5411US 4E 0 24455010295 lQ5812US AE 0 24053520301 1Q7230US AE 0 24246510302 lQ7230US AE 0 24246510309 lQ8021US IN 0 24029460313 lQ5912US AE 0 24435650313 1Q7230US AE 0 24246510316 4 0000 0 70000000000 Amount Due = Balance Pur Min Due Adv Min Due Amount OCL 2 00 42676 Fees Past Due 42676 MinAmtDue 2000 /b-~3 -3 ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-1607 EX AFP (01-03) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-14-2003 BEDDOW 11-17-2000 21 01-0072 CUMBERLAND 101 BARBARA H RecorDed .03 APR 28 P 2 :59 GEORGE A VAUGHN III 3904 TRINDLE RD CAMP HILL Amount Remitted P A Oi0-111. ( ~F\ CUJ'nb&nanG CO., rf"'\ MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-tj :i60-j-i3c--AFP--foi---03j-------...-iNH-ERI,.-ANCi--YAX-STATEMi-Ny-ifF-j'C-couiff--.-..--------------- - ----- ESTATE OF BEDDOW BARBARA H FILE NO. 21 01-0072 ACN 101 DATE 04-14-2003 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-16-2002 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 7,225.73 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-20-2001 CDOO0286 .00 6,900.00 03-21-2002 CDOO0991 .00 325.73 03-18-2003 CD002308 73.16- 73.16 TOTAL TAX CREDIT 7,225.73 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 * SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS lESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT VAUGHN GEORGE A "' ESQ 3904 TRINDLE ROAD CAMP HILL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 168-26-5749 FILE NUMBER: 2101-0072 DECEDENT NAME: BEDDOW BARBARA H DATE OF PAYMENT: 03/19/2003 POSTMARK DATE: 03/18/2003 COUNTY: CUMBERLAND DATE OF DEATH: 11/17/2000 NO. CD 002308 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $73.16 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: GEORGE A VAUGHN III ESQUIRE CHECK# 4207 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $73.16 DONNA M. OTTO DEPUTY REGISTER OF WILLS E .. _ "t. CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Date of Death: Will No. Barbara H. Beddow November 17, 2000 2001-00072 To the Register of Wills: I certify that Notice of 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 as set forth on Schedule A attached hereto on January 19,2001 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except those persons identified on Schedule B attached hereto Date: J /;1/ Of SCHEDULE A Matthew M. Beddow 2154 Chestnut Street Camp Hill, PA 17011 Bobbie Jo Zeigler 32 Chestnut Street Camp Hill, PA 17011 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT VAUGHN GEORGE A III ESQ 3904 TRINDLE ROAD CAMP HILL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 168-26-5749 FILE NUMBER: 21-2001- 0072 DECEDENT NAME: BEDDOW BARBARA H DATE OF PAYMENT: 09/20/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 11/17/2000 NO. CD 000286 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $6,900.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: GEORGE A VAUGHN III ESQUIRE CHECK# 51 6 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $6,900.00 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT VAUGHN GEORGE A III ESQ 3904 TRINDlE ROAD CAMP HilL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 1 68-26-5749 FILE NUMBER: 2101-0072 DECEDENT NAME: BEDDOW BARBARA H DATE OF PAYMENT: 03/22/2002 POSTMARK DATE: 03/21/2002 COUNTY: CUMBERLAND DATE OF DEATH: 11/17/2000 NO. CD 000991 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $325.73 I I I I I I I I TOTAL AMOUNT PAID: $325.73 REMARKS: BOBBI JO ZEIGLER & MATTHEW BEFlOW C/O GEORGE A VAUGHAN II CHECK# 520 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WilLS George A. Vaughn, III Attorney at Law 3904 Trindle Road Camp Hill, Pennsylvania 17011 (717) 975-9102 FAX (717) 975-9105 March 21, 2002 Mary C. Lewis, Register of Wills Cumberland County Court House Carlisle, P A 17013 RE: Estate of Barbara H. Beddow; File Number: 21-01-0072 Dear Mrs. Lewis: Enclosed please find two counterparts of the inheritance tax return for the above-referenced estate for filing in your office. Also enclosed is a check in the amount of $325.73 paying the additional tax shown to be due. Would you please at your convenience issue an Official Receipt for this payment and return it to me. Should you have any questions, please contact me. s, ~ George . Vaughn, III Attorney at Law GA V/dj Enclosures .......... - - " d N ~: N N -J .# ~o~/ :/ ~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: BARBARA H. BEDDOW Date of Death: 11/17/2000 Wi 11 No. 21-2001-0072 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 XX 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: June 1, 2003 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 Cerk of the Orphans' Court and may be attached to this report. Da te: 02/12/2003 ~~~;;;/ S natu George A. Vaughn, III Name (Please type or print) 3904 Trindle Road Cnmp Hill, PA 17011 Address *' , ~O try\ n ;y\\ (MAH:rmf/AM3) (717 ) 975-9102 Tel. No. Capacity: Personal Representative xx Counsel for personal representative JRD/June 30, 1992/17858 DEe 1 2 2002 'S( L,~- . " . .. In Re: Estate of Barbara H. Beddow Late of Lower Allen Township ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-2001-0072 NO. 21-2001-0072 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Counsel for Personal Representative: George A. Vaughn III, Esquire Date of Decedent's Death: 11-17-2000 Date of Delinquency Notice: 10-08-2002 The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on 10-08, 2002, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Distribution: Personal Representative Counsel for Personal Representative Estate File ~Jnf)Lir!d~PG Mary C. Lewis, Register of ~ :l2 ~ Date: 12-09-2002 c:1--',!..o 3 p~..J() ~--/?1r A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cance ~) ~ f}~1;\ O~ Geor . . .. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 ..,. Date: 10/08/2002 MATTHEW M BEDDOW 2154 CHESTNUT STREET CAMP HILL, PA 17011 RE: Estate of BEDDOW BARBARA H File Number: 2001-00072 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: 11/17/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~};t~~~# MARY C. LEWIS ~.~ REGISTER OF WILLS cc: JFile Counsel Judge 09201102102003 ROW621 File No 2001-00072 Decedent BEDDOW BARBARA H Cumberland County - Register Of Wills Page 1 2/10/2003 PA File No 2101-00072 Docket Entries D/E Date No. Filed 001 01/16/01 PETITION FOR PROBATE AND GRANT OF LETTERS TESTAMENTARY OATH OF PERSONAL REPRESENTATIVE DEATH CERTIFICATE Docket: 16 Book: Page: 194.00 002 01/17/01 DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTARY 003 01/22/01 CERTIFICATION OF NOTICE UNDER RULE 5.6(A) 004 02/13/01 CLAIM AGAINST ESTATE - CITIBANK (SOUTH DAKOTA) N.A. 005 09/20/01 INHERITANCE TAX PYMT PAID - 6,900.00 ACN - 101 RECEIPT - CD0000286 VAUGHN GEORGE A III ESQ 006 03/21/02 INHERITANCE TAX PYMT PAID - 325.73 ACN - 101 RECEIPT - CD0000991 POSTMARK DATED - 03/21/2002 VAUGHN GEORGE A III ESQ 007 06/22/02 INHERITANCE TAX RETURN TAX DOCKET 16 PAGE 203 LINE 3 008 12/20/02 REV 1547 NOTICE INH TAX APPRAISEMENT - ACN 101 Docket: 16 Book: Page: 203.00 /6- 20,.3'---3 \ BUREAU OF INDIVIDUAL TAXES ~ INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (01-02) 12-16-2002 BEDDOW 11-17-2000 21 01-0072 CUMBERLAND 101 DATE ESTATE OF DATE OF DEATH FILE NUMBER . COUNTY ACN BARBARA H GEORGE A VAUGHN III 3904 TRINDLE RD CAMP HILL PA 17011 Allount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ifE-Y=is47-iX-AFP-((ff=ozj--NOTICi--OF-i-NHEifiTAifcE-TAX-APPRAISEiiENT~--ALLOWANCE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BEDDOW BARBARA H FILE NO. 21 01-0072 ACN 101 DATE 12-16-2002 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 1001000.00 551283.56 .00 .00 171912.46 .00 41959.90 (8) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. (1) (2) (3) (4) (5) (6) (7) 178,155.92 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/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 12,,374.56 51209.53 (11) (12) (13) (14) (9) (10) 17.584 09 160,,571.83 .00 160,571.83 NOTE: 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~ ~ returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: (15) .00 X 00 = .00 (16) 160,,571.83 X 045 = 7,225.73 (17) .00 X 12 = .00 (18) .00 X 15 = .00 (19)= 7,225.73 ..... ...... ,.......... . [+~ AMOUNT PAID DATE NUI1BER INTEREST/PEN PAID (-) 09-20-2001 CDOO0286 .00 6,900.00 03-21-2002 CDOO0991 .00 325.73 BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-22-2002 TOTAL TAX CREDIT 7,,225.73 BALANCE OF TAX DUE .00 INTEREST AND PEN. 73.16 TOTAL DUE 73.16 ( IF TOTAL DUE IS LESS THAN $1" NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)" YOU I1AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) . IF PAID AFTER DATE INDICATED" SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 MATTHEW M BEDDOW 2154 CHESTNUT STREET CAMP HILL, PA 17011 RE: Estate of BEDDOW BARBARA H File Number: 2001-00072 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. 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 will become delinquent on: 11/17/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~uu~ ~~lM.-i~i GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge LL c....."J c!) u.J ::.-~ ~ ~:~~ U..._ (J c=) e~:: f~ It: (-) (~) o L~_j LUCC 0:: STATUS REPORT UNDER RULE 6.12 l'Jame of Decedent: Barbara H. Beddow Date of Death: 11/1 7/?()()() Will No.: Admin. No.: 2001-00072 Pursuant to Rule 6.12 of the Suprelne Court Orphans' Court Rules, I report the follo""ring with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 0 No Gl 2. lfthe answer is No, state when the personal representative reasonably believes that the administration ~Till be complete: 06 /0 1 / 0 ~ 3. If the answer to No. 1 is Yes, state the fqIlowing: a. Did the personal representative file a final account with the Court? Yes No 0 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 0 No D. 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: l2.L.2..2/04 .A-1tIat.L or- ~ture 0 George A. Vaughn, TTT Name 3523 September Drive, #6 Camp Hill, PA 17011 M ..:t N Address 0:: .- LL 3 f~.~ OC).- L ffi ~ ::.~~: -J ~ C~- U&t( 0::2.. U ,u. Capacity: n Personal Renresentative "'if; IKJ Counsel for "'personal representative :c 0- (717) 975-9102 Telephone No. r- N U L.d o _T C":'> c:;:> c--.J ~ L George A. Vaughn, III Attorney at Law 3904 Trindle Road Camp Hill, Pennsylvania 17011 (717) 975-9102 FAX (717) 975-9105 June 20, 2002 Mary C. Lewis, Register of Wills A TTN: Cheryl Cumberland County Court House Carlisle, PAl 7013 RE: Estate of Barbara Beddow; #21-01-72 Mrs. Lewis: Enclosed is a check in the amount of $15.00 to pay for the filing fee for the inheritance tax return for this estate. For some reason, this apparently was not paid at the time of filing. If you need anything further, please call. Very, ly yours, d~~ e A. vauJ;Z III rney at Law GAV/msf Enclosure Donna M. Otto, First Deputy Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013-3387 L---- George A. Vaughn, III Attorney at Law 3904 Trindle Road Camp Hill, Pennsylvania 17011 (717) 975-9102 FAX (717) 975-9105 March 18, 2003 RE: Estate of Barbara H. Beddow: File No. 21-01-72 Dear Ms. Otto: Enclosed is a payment of $73.16 which represents outstanding interest owed on the Inheritance Tax Liability for the above-referenced estate according to notice dated March 7, 2003 from the Department of Revenue. Kindly apply this payment accordingly. Thank you very much. GA V /nlb Enclosure v A' trul~ lO~ ttg~fU~hn' III Attorney at Law 21-01-72 LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, BARBARA H. BEDDOW, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all wills and Codicils previously made by me. I I declare that I am not married, my beloved husband, MATTHEW A. BEDDOW, having predeceased me, and that I have two (2) children, BOBBIE JO ZEIGLER and MATTHEW M. BEDDOW. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III 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. IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my children, BOBBIE JO ZEIGLER and MATTHEW M. BEDDOW, in equal shares, per stirpes. V I nominate, const i tute and appo int my daughter I BOBBIE JO ZEIGLER, and my son, MATTHEW M. BEDDOW, as Co-Executors of this LAST WILL, to serve without bond. If either is unable or unwilling to act in that capacity, then the other may act alone as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, BARBARA H.. B BEEDD90 O~W, have set my hand to this LAST WILL this'J day of f'1 ~ , 2000. n I C'Is-.._ n ,...J ()AJ~\-{ BARBARA H. BEDDOW 8~ Signed, sealed, published and declared by the above-named BARBARA H. BEDDOW, as and for her Last will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ,l I / / ...... ''1 F' II (j/~ l~. It / / <' " , 2 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND I, BARBARA H. BEDDOW, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. G~~ ~ B ~ BARBARA H. B DDOW Sworn or affirmed to and acknowledged before me by BARBARA H. BEDDOW, Testatrix, this !3.-t.l. day of rr7culcJ, , 2000. [;(LLi~~ )r I.. JhL~ Notary Public Notarial Seal Diane M. Smitll, Notary Public Mechanicsburg Bora, Cumberland County My Commission Expires June 22, 2000 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND the wi t::~s~~ trt[f 6~~~~ It :re Signea;dt!~~~<"~~~ac~ed~';: L i~~~~oi~~ instrument being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her LAST WILL; that BARBARA H. BEDDOW signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 years of age or more, of sound mind and under no constraint or undue influence. Sworn or affirmed to and ackl]owledged before me this 3 ("',:( day of /l)a. \C/'-- , 2000. L:\l-O-~L )}/. .jn~Q~ Notary Public Notarial Seal Diane M. 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H'G ,II: ~...... 0PNCADVlSORS .,.rr-t_~" .-_ !"Or- ~ 1 .: 1 '~J'. -- .. :1=, !.l.!i~\l,U~'; · l . f\~ \/ 0\1 (~ A member of The PNC Financial Services Group Two PNC Plaza 620 Liberty Avenue Pittsburgh PA 15222 2705 tegister of Wills :umberland County Courthouse Jne Courthouse Square =arlisle, P A 17013-3387 _I ~ '~ ~ 0 ~ . ~r ~ ~ p... ~. oy. ~ ~ . ~ ~ ) ~~. o~ o ~ ~~ ~~ o ...... 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V wall . alaldwoo OSI\( '8 pue 'z '~ swell elal~wo~ . ifi ~~ .....5 0-0- '0; 0) ucc ~c EE ::l<lJ ~~ -0 C ~ <1J-o Q)<lJ u..~ ~:5 0)0- E~ 0).... DC -gE ~~ Vl"n ~~ 9000 O'LS2 'LOOt. Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/09/2006 MATTHEW M BEDDOW 2825 FAIRVIEW ROAD CAMP HILL, PA 17011 RE: Estate of BEDDOW BARBARA H File Number: 2001-00072 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dyin9 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 lS 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 ('nunsel Cumberland County - Register OfWllls One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 11/09/2006 BOBBIE JO ZEIGLER 32 CHESTNUT STREET CAMP HILL, PA 17011 RE: Estate of BEDDOW BARBARA H File Number: 2001-00072 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing lS 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 Stra Clerk of the Orphans' Court cc: File r'nllnsel I (:) ~::: (7)00 I.~ ~: :: .~a: O~ uJ ~I~. Oq 8 S:, Q.1fA-~~ &,p (I ~ ~ c. ~, ~ u.. <&1 ~ <t:~ [D ......,6,..... ~q...J <'.so N g <( QJ.lINO 0 0 ~ 11 I' i) (/) Ii.J =:! ~',,-?~ L': u_ (' )C) L. ) a: ! LLJ Jt;-) CD UJ ex: - .... g '<sI '", == re ~e ;:~-g~~ ~ ~ ~ g.~ ~ - ~ V'J ~ .o;'Cis"o \Ut.= r./lr-. ~:....8g-- ~~=.<:<( Eg'Ci~o.. .;;. -g ~'8 4 e:S~~ ~~ ~o8 ~ll! 'Ci .... ... 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(Y ~ .:: c~ 0 ("" (vyt I p') (:) \1) rl \1) rl +. ~o .t." r.x:: [."ill"- .,.4 [."il [."ilrl (::- H r.x:: r'" CJ E-t .,.0) H U)~ [."il ~ N E-t :=> 0 ZH IJ ~H U)H [."il [."il::C H ::c In U~ In N~ 0 In MU In Re: Estate of BEDDOW BARBARA H ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2001-00072 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: MA TTHEW M BEDDOW Counsel for Personal Representative: Date of Decedent's Death: 11/17/2000 The Orphans' Com1 record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 12/6/2006 ~~~ Glenda Farner Strasbaugh Cler Distribution: Personal Representative Counsel for Personal Representative Estate File CJ l"'- I"'- <0 u.s. Postal ServiceTM CERTIFIED MAILM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) <0 IT1 ..lI ru Postage $ ~i.. 0()1~ 'DeL n'*'ce. Lo. Ll Postmark Here IT1 CJ CJ Return Receipt Fee CJ (Endorsement Required) CJ Restricted Delivery Fee IT"" (Endorsement Required) IT1 CJ Total Postage & Fees $ Certified Fee Id.-\e \~ ~ LI1 ~ MATTHEW M BEDDOW I"'- 2825 FAIRVIEW ROAD CAMP HILL PA 17011 ~---'--"-"'-- _.._._-~._." ... :.).,J.;.,l....'"i~liTiIIl"i"E~.[.lll.~ In Re: Estate of BEDDOW BARBARA H ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2001-00072 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: BOBBIE JO ZEIGLER Counsel for Personal Representative: Date of Decedent's Death: 11/17/2000 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. ~~~ Date: 12/6/2006 Glenda Farner Strasbaugh Distribution: Personal Representative ~ Counsel for Personal Representa ~ Estate File - - U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) J:() rn .ll ru Postage $ b\ -ob 1:( to, \?- \00\ ~f Postmark Here rn CJ CJ Return Receipt Fee CJ (Endorsement Required) Certified Fee CJ Restricted Delivery Fee \ <^ I~ . ~ (Endorsement Required) "l\ 1> ,vv CJ Tnt:ll Pm~tflnA & Fees ~ U1 CJ S BOBBIE JO ZEIGLER ::2 s 32 CHESTNUT STREET o CAMP HILL PA 17011. G tj.~_ 0 <.o~} I'~.'~. ~ (b~ ~ "[~" ~ -r" ~~' ~ ";'<JJ UJ ~~'4>~oCi ~lii'h- 00 I'.~'":: . w 0 !li'" 0 u H -. ~. a.. -q ~ - 0'<, , ~ N ,,"(' r'~ (lJ:2: o ,r m 0 i.2 f~~ ~e: $"""":> ., ,") Ci '6.""~ ~: 'fi UJ "'.s- """"~ 0 :=! OJ.lIN" ;::' 0 <( " "j 0 :2 .... "".' . -, , . .. ... ' f'- ~ f'- ~ ~ fT1 ...J] ru fT1 CJ CJ CJ CJ IT" fT1 CJ Lr] CJ CJ f'- - .... ::: c '",) ~ iii _..c 'Ee ;; ~ ~ C) r-- ~~~~~, ~_ ;:u~ ;fi', Q -E ~::: JJl.::: = ;j, c ;... ;... = = r-- ~~~~- ::'o)-t< te J:j Q ::: c... "?t~B-c5~ Z ~ :: g:.:: ~~~o,:5 ii~ '0 .... 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Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 2. Article Number (Transfer from service label) PS Form 3811. February 2004 7005 0390 0003 2638 ~70 t--.) = = 0'"' j\IATTl-iEW Ivr BK~DiJvJ 2825 FAIRVIE~ RUAC CAMP l-iILL FA 17011 i;--;;~; (.~') ,- r~,. ~~~~ -, r r.; '-.---} o ~press ~U: ;_? o flQJrn ReceiP~ Merchandise (-) o r~-r] Domestic Return Receipt 102595..Q2-M-1S40 I I UNITED STATES POSTAL SERVICE 11I111 First-Class Mail Postage & Fees Paid USPS Permit No. G-10 · Sender: Please print your name, address, and ZIP+4.in this box. O\-()D1~ O-i? Glenda Farner Strnsbaugh Register of \'/ iils ....ld Clerk of Orphans' COUli COllnty of CUlchcrland One Courthouse Square Carlisle, P A 17013 ;:C1(;2 \.1111 i'llllilllll,llllII1111111,111l11,IIIIl,I,I'1 1,111111111 Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF C V'M be (' \ Cll I'. ,~ COUNTY, PENNSYLVANIA Name ofDecedent:TS 0t ,6 ct r ~l Lts '2- J J-l> i:".J Date of Death: Il - 11 ~ ~ 0(.)7/ File Number: :2 0 <.) I - (-::; ,) b 1.2 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: . . . . . . . . . . . . . . . . . . ..@Y 0 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: 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 attache 0 this report. a. Did the personal representative file a final account with the Court? . . . . . .. 0 Yes 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? ............................... 0 Yes Date t L . \ l( - 0 b -- (;'\ -, ,; IV , ':180 ',i .....- f ~-... , II,. -V'i \:,~I-Ir\ --\..- I ,_,:I -0 ' Capacity: 9-Personal Representative 0 Counsel M A '1i j.lf!7'.,J IV" 13 -e/ cl ,J~/.1) iA>- '?...\{..: vi v r Name of Person Filing this Form 2... ?> 2/ ') r:.t \ (" V I ~>V-:> V'L cA . Address CA W" ~ -=rll Telephone l-.f. \ I f>..6 \ I D II - 3 t) 3 '- O'K.(. (, 27 '.2 " . ... kd B I JJG 9fiul Attachment to Rule 6.12 Status Report for File Number 2001-00072 12/14/2006 All final estate tax returns for this file were submitted and accepted quite sometime ago and are on file with the County. My Co-executor, Bobbie Jo Zeigler, has disappeared and cannot be found. Her last known address was 32 Chestnut Street, Camp Hill P A 17011. The County should have records of unaccepted registered mail that was sent to her address and returned or not signed for. I have no idea where she is. Also, the attorney for the estate has also disappeared without giving notification. He was George A. Vaughn, III and apparently is not even practicing in Pennsylvania any longer. As the only person now present with this estate, I can say that to the best of my knowledge all accounts, tax filings, etc have been submitted and or closed and I have no remaining financial interest or benefit to be derived or determined. Please advise as needed.