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HomeMy WebLinkAbout04-1144 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Paul S. Shughart No. ~ ] - t0 q - /I yq also known as To: Register of Wills for the SocialSecurityNo. 174-05-1797 ' Deceased. County of Cumberland 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 ors named in the last will of the above decedent, dated July 5. 2004 ~ and codicil(s) dated ' (state relevant circnmstanccs, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at . 39 Wilson Street, Carlisle) PA 17013 D . street, number and muncipality) ~ .~(list c:~ ecsc.nd?ri.t, then m 88 . years of age, died November 16, 2004 ~ ~c~ at v~c~lnson '~ownsh~p [~- ~2~: C'~ ~'5 Except as follows, decedent did not marry, was not divorced and did not have a childb~'-'-~opt~- ~ ' after execution of the will offered for probate; was not the victim of a killing and was ne ·v~[fffi-- ~icat ed~nc°mpetent: '-'c'~_ 0 ~, Decendent at death owned property with estimated values as follows: : :x~ ~ (If domiciled in Pa.) All personal property $. 15,000~;~0~ ro (If not domiciled 'in Pa.) Personal property in Pennsylvania $ r~ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.} ~ Caroline L. Bowes ~ Paul L. Shughart ~_~ 10 Har-John Drive 39 Wilson Street ~.o_ Carlisle, PA 17013 Carlisle. PA 17013 ~ o ;v~ - ... ~. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF _ C,..;..,,,,.~t,~-\o,m~ f The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed X ~/~ /( ' bgf. ore me this ~A-,tx da oc ~ ~ Estate of Paul ~;. Shughart , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW \5'k4~-~c~ o(' "~o.~,~¢ ,19' ~j. in co~iderafion of the petition on thc reverse side hcr~f, satisfactory proof having b~n pr~cnt~ before me, IT IS DEC~ED that the inst~mcnt(s) dated d~cribed therein be admitted to probate and filed o~ord ~ thc l~t will of ~d Letters ~ 'q ~ ~~V Probate, Letters, Etc .......... $. Short Certificates( ) .......... $. ATTORNEY (Sup. Ct. I.D. No.} Renunciation ................ $ 4 North Hanover Street, Carlisle, PA 17013 $- ADDRESS TOTAL ~ $ 717-243-4574 Filed ................................... PHONE Tt~is is lo certify that thc ilfforlnation here given is correctly copied [rolB an original certificate of death duly filed with me as Local Re~istrarf Thc original certificate will be forwarded to thc State Vital Records Office for permanent filing. W~NING: It is i!le~al to duplicate this copy b~ photostat or photograph. Fee for this certificate. $2.00 ~i~O~ ~ ~ '~~~~ ~'~ ~~¢ Local Registrar P 1 0 g 8 8 1 5 0 NOV 2004 m HI05 143 Rev 2187 COMMONWEALTH OF PENNSYLVANIA ' DEPARTMENT OF HEALTH ° VITAL RECORDS CERTIFICATE OF DEATH INT NAME OE DECEDENT (FffsL Middle, kas,, [SEX SOO,AL SECURIT;'i'~TUEM';LE;NUMBE" [DATE OF ,. Pal S. Shuqha~ [z aa/e l,. 174 - 05 - 1797 [,. Novembe~ 16, 2004 AGE La~t~l~ay) I UN~R1YEAR [ UNOER1DAY I DAIE OF BIRTH ] BIRTHP~CE(Cya~ [PkAOEOFDEAIHIChe~lvo~-s~i~t'r~li~so~ol~rB~e) ,.~ ~,, I I ' I I I ,o ,o .o,~F. M~U~e~o~. T~..,D .... .~,D ~ I~='D ...... ~ ~;,~,D 6erg~d [. Dicki~on [,~ 10 Ha~-John Dr~ve ]~ ...... p~,~,.~ 1,o. White ;EDENT'SMAILINGADDRESS Strata C~n. Sae ZpC~}[DEC[DENT'S 17a Stole PA Did ~ ~ Yes fleceden ve0 n ~P 39 Wrlson S~eet ItS~ns~ ....... ~o,O~nl red ~ ~O;--O. . C~&sle,' PA 77 0~ ~ [ ~ ot~r side) 17b. Cou~ ~D ~ t~nshlp3 17d. ~ witch acl~l limits of ~ ~ c y/boro FAIHER'S NAME (First. M~te. Last) I MO/HER'S NAME (First. Mid,e. Ma~den Sum~e) ". M. Herman Shu~h~t I"' Mqmie C. Li~h~nercd~" s~ NFORMANT'S NAME (Tyrant) - IINFORMANT'S MAILI~ A~RESS (Street. ~ . . 2o,.P~l L. Shuqh~ ~20~.39 Wilson S~ee~, C~llsle, PA 17013 METHOD OF DISPOSI~N ~ [ DATE OF DISPOSITION I P~CE OF DiSPOSiTION- Name of Ce~le~. Cremato~ ~LOCATION - Cfly~n. State. Z~p C~e ~,~ a~,~ ~c~t~,,~st~.~ ~1~.~ .......) I°~°t~'m~ Crema~on Socrety [ ........ 09 LICENSENUMBER NAMEANDAODRESSOFFACILITYAa~ ~emo~ gaZ Home smd diseaselMMEDIATE ~USE {Fin~~ ~dltion a ~ '~/~ ~'~' ~ ~'~ ~ ~ ~' * ~ /~ resulti~] in death) ~ ~ TO (~ AS A ~N~QUE~E OF): ~ ~ ~ '~ ~ cause Enter UNDERLYING [~~ CAUSE (D~sease ~ i~u~ ~ c ~ ~ [ ~ I ~ ~13ea. I 3Ob. '" I ~uc. I 28,. ~b. [ 2~. I ' -- ERTIFIER (C~ ,nly one) SIGNA~E AN~ffLE OF C~TIF]~ , 'CER~FYING PHY IClAN (Physi~ ~t~ c~ of death w~n a~er ~ysidan has ~r~nced ~ath a~ ~et~ item 23) ~ ~ ~ ~ ~ '~othebest~my~no~ge, deathoccu~tdduetothecaus~(s}andmannerasstat~ ................................................................. ~ 31b. / ~ ~ ~ ~ - ~"~ LICENSE ~MBER ~ I DATE SIGNED (M~lh, Day. YeaO · PRONOUNCNGANDCERTIFYNGPHYSlClAN(Physi~n~th~on~deatha~i~to~useof~ath) ~ -- ~,-~~ 13~d ~x - mann~ a~ ~tat~ ........................................................................................................................................................... ~ 32. ~- & ~ ~ LAST WILL & TESTAMENT OF PAUL S. SHUGHART, of 39 Wilson Street, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and lbr my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and fi~neral expenses be paid from my estate as soon alter my death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot in accord with my expressed wishes. THIRD. I authorize my personal representative to expend t~nds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my children, Paul L. Shughart and Caroline L. Bowes, in equal shares, per stirpes. FIFTH. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my children, Paul L. Shughart and Caroline L. Bowes, in equal shares, per stirpes. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my children, Paul L. Shughart and Caroline L. Bowes, in equal shares, per stirpes. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my children, Paul L. Shughart and Caroline L. Bowes as Co-Executors of this my Last Will and Testament. I hereby relieve my Executors from the necessity of posting security in connection with their duties, as su~ in any urlsd~ct~on ~n which they may be called upon to act insofar as I am able by law to do ~.~n J'a ..... ' J .n rn ddition to the powers ~onferred by law, I authorize my Executors. in their absolute diet, n, retain in the form received, and to sell either at public or private sale any real or perso~c~, ert~ owned by me at the time of my death, c~o_ IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages this D day of -3'~.~ ,2004. Signed, sealed published and declared by the above named Testator, Paul S. Shughart, as and for his Last Will and Testament, in the presence of us, who, at his request, in his sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA : :SS. COUNTY OF CUMBERLAND : I, Paul S. Shughart, Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my flee and voluntary act for the purposes therein expressed. PAUL S. SHU Sworn or affirmed to and acknowledged before me, by j._-~ ,,..,.~_~._ ~ , Paul S. Shughart this 13 day | of -'~\'~ ,2004. [Borough of Cmttsle, Cumbe~nd Co., PAl COMMONWEALTH OF PENNSYLVANIA : :SS. COUNTY OF CUMBERLAND : We, So(~c~X -3' ~c~l"['r~rx and ~¢¥ ~, OqusS¢( the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Paul S. Shughart sign and execute the instrument as his Last Will; that he signed willingly and that he executed as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or un~influen:e.~/,j Sworn or affirmed to and subscribed before me by S~sa~a "5 ,~c_u"~h'r'c4r~ and , witnesses,  o day of 'X~t[ ,200.0j. J~ ~)t)/~1,/~~ NOTARIAL St=AL' I Borougl~ of C~rlisle, C~Co, PAI Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 02/28/2005 GILROY HUBERT X 4 N HANOVER STREET CARLISLE, PA 17013 RE: Estate of SHUGHART PAUL S File Number: 2004-01144 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.6 (a) 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 ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing is due by: 03/25/2005 Your prompt attention to this matter will be appreciated. Thank You. 'j;;;'~~ GLENDA FARNER STRASBAUGH Clerk of the Orphans' Court cc: File Personal Representative(s) Judge Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 02/28/2005 BOWES CAROLINE L 10 HAR-JOHN DRIVE CARLISLE, PA 17013 RE: Estate of SHUGHART PAUL S File Number: 2004-01144 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.6 (a) 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 ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing is due by: 03/25/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~=:=~:r Clerk of the Orphans' Court cc: File Counsel Judge Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 02/28/2005 SHUGHART PAUL L 39 WILSON STREET CARLISLE, PA 17013 RE: Estate of SHUGHART PAUL S File Number: 2004-01144 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.6 (a) 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 ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing is due by: 03/25/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~F::::~ Clerk of the Orphans' Court cc: File Counsel Judge CERTIFICATION OF NOTICE UNDER RULE 5.6/a) Name of Decedent: rllUJ, 5.5)!uGj}/l/f!- Date of Death: /lIe [/{' fyt b {' R / t / ), ?- t if Will No. '2 (; (! J..!- {) 111/ If Admin. No. To the Register: I certify that notice of (beneficial interest) eslate 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 Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: III! /If C h '3;1 00 j;../ . / pi!a~~/,!/!o/# Signature /' Name f j}U J, J- 5 /J1lhll J2{' Address 3'1I1/i ';.. 5 Ny 5 f ,'-') ClliA;'5Ae,,?Jl J7N.3 / Telephone (717) '})j 3- <i c J../ 7 Capacity: L Personal Representative _Counsel for personal representative if cumberland County - Register Of Will~3 One Courthouse Square Carlisle, PA 17013 phone: (71 7) 240 - 6345 Oat e: 11/09/2006 8IL:i.OY HUBERT XAVIER 4 NORTH HANOVER STREET CAR.LISLE, PA 17013 RE: Estate of SHUGHART PAUL S File Number: 2004-01144 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 dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 11/16/2006 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: rile Personal Representative(s) Cumberland County - Register ot Wllls One Courthouse Square Carlisle, PA 17013 Phone: (717) 240- 6345 Date: 11/09/2006 BOWES CAROLINE L 10 HAR-JOHN DRIVE CARLISLE, PA 17013 RE: Estate of SHUGHART PAUL S File Number: 2004-01144 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COUET RULES, NO, 103 SUPREME COURT RULES DOCKET NO.1, for decedents dyin9 on or after July 1, 1992, the personal representative or his counsel, withln 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: 11/16/2006 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 f'n1JTlsel Cumberland County - Register Of WillE, One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/09/2006 SHUGHART PAUL L 39 WILSON STREET CARLISLE, PA 17013 RE: Estate of SHUGHART PAUL S File Number: 2004-01144 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 11/16/2006 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 ('(Junsel 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 GILROY HUBERT XAVIER 4 NORTH HANOVER STREET CARLISLE, PA 17013 _n_n__ fold ESTATE INFORMATION: SSN: 174-05-1797 FILE NUMBER: 2104-1144 DECEDENT NAME: SHUGHART PAUL S DA TE OF PAYMENT: 11/28/2006 POSTMARK DATE: 11 /28/2006 COUNTY: CUMBERLAND DATE OF DEATH: 11/16/2004 NO. CD 007487 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $305.32 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 6450 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $305.32 GLENDA FARNER STRASBAUGH REGISTER OF WILLS . REv.1SOO EJ(1+ (6-00) .. I- Z W C W o W C W I- ~ :$(1) OO:::~ W~O :I: 0:::9 o o..m ~ z o i= :5 =>> I- a: <C o w 0:: z o i= <C .... =>> Q. :IE o o >< <C .... COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128.()6()1 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL SHUGHART PAUL S DATE OF DEATH (MM-DD-Year) r REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 21 -0 4 1 1 44 COu'NrfcOiiE -YEAR- - - NUMBER- - DATE OF BIRTH (MM-DD-Year) 11/16/2004 12/12/1915 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, F RST, AND MIDDLE INITIAL) 1XJ 1. Original Retum D 4. Limited Estate D 6. Decedent Died Testate (AlIach copy of Will) D 9. Litigation Proceeds Received I- Z W o z o 0.. (I) w 0::: 0::: o o o 2. Supplemental Retum o 4a. Future Interest Compromise (dale ofdealh afler 12-12-82) o 7. Decedent Maintained a Living Trust (Atlach copy of Trusl) D 10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95) SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Retum (date of death prior to 12-13-82) o 5. Federal Estate Tax Retum Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) U...CORRaSPONOeNqEANPQ()NF'Qe..:ri~t.:..TAXINFOR"'ATIONSHOU"'Qae$IREQ1'eDTO: COMPLETE MAILING ADDRESS 4 NORTH HANOVER STREET CARLISLE, PA 17013 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole- roprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Person I Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) D Separate Billing Requested 7. Inter-Vivos Transfel's & Miscellaneous Non-Pro ate Property (7) (Schedule G or L) 8. Total Gross Asse -7) 9. Funeral Expenses & Administrative Costs (Sch ule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Lien (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subjectto Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SI E 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 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due X _(15) 6,784.92 X .045 (16) X .12 (17) X .15 (18) (19) 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT OFFICIAL USE ONLY - ,~:::;;;:~ i_-- C= ;-- =0 $ (8) 2.719.06 150.08 (11 ) (12) (13) (14) > > eEsURETOASWERAL ... QUESTIoNS oN FtEVeR$E$ICE ANDREeAeCK MATH < < ,....., = Co,;) c::;r.. c:) --< r"-' CJ -0 W N -.J ,HI 9,654.06 2,869.14 6,784.92 6,784.92 305.32 305.32 /~ , . Decedent's Com lete Address: STREET ADDRESS 39 WILSON STREET CITY CARLISLE STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 305.32 Total Credits (A + B + C) (2) 3. InteresUPenalty if applicable D. Interest E. Penalty 5. T otallnteresUPenalty ( D + E ) If Line 2 is greater than Line 1 + Line 3, enter the ifference. This is the OVERPAYMENT. Check box on Page 1 Line 20 request a refund (4) If Line 1 + Line 3 is greater than Line 2, enter the ifference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BA NCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT (3) 4. 305.32 305.32 PLEASE ANSWER THE FOLLO ING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the roperty transferred; ....................................... .................................... D 00 b. retain the right to designate who shall use the property transferred or its income; ........................................ D 00 c. retain a reversionary interest; or ...................................................................................................... D 00 d. receive the promise for life of eit er payments, benefits or care? ............................................................. D 00 2. If death occurred after December 1 ,1982, did decedent transfer property within one year of death without receiving adequate conside tion?.. . .... . .. .. . .. .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. . .. .. . .. . .. . .. .. ... .. .. '" . .. . .. .. .. ... .. . .. . .. D 00 3. Did decedent own an "in trust for" 0 payable upon death bank account or security at his or her death? ................. D 00 4. Did decedent own an Individual Reti ement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................................................................................... D 00 IF THE ANSWER TO ANY OF THE ABOVE QU STIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ADDRESS ~ ADDRESS PA 17013 For dates of death on or after July 1, 1994 and before J nuary 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax tte 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 exemot a transfer to a surviving souse 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. i 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 or 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(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P .S. ~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. . . """"'"",.,, . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER 4 M&T Checking - Account 0.996831 I Inetude the proceeds of litigation and the date the p ITEM NUMBER 1. ds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. VALUE AT DATE OF DEATH 8,654.06 DESCRIPTION 2 Miscellaneous Household Items 1,000.00 TOTAL (Also enter on line 5. Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 9 654.06 ur- REV. 151 1EX + 11-97) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER CUI'~"\RT PAIJI ~ 21 04 1144 Debts of decedent must be reported on 8ch ~ulel. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Auer Memorial 350.00 2. Wayne Noss - Church FI owers 85.86 3. Cremation 135.10 4. Auer Memorial Home 1,285.10 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Con missions Name of Personal Repre entative (s) Caroline L. Bowes and Paul L. Shughart Social Security Number(c ) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Pak : 2. Attomey Fees Broujos & G Iroy, PC 750.00 3. Family Exemption: (If decedenfs a ~dress is not the same as c1aimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant o Decedent 4. Probate Fees 5. Accountanfs Fees 6. Tax Retum Prepare(s Fees 7. Register of Wills Filing 78.00 8 Final Inheritance Tax F eturn 15.00 9 Family Settlement Agn ement 20.00 TOTAL (Also enter on line 9, Recapitulation) $ 2.719.06 '* (If more space is needed, insert additional sheets of the same size) ------, REV-1512 EX + IU7l SCHEDULE I I I DEBTS OF DECEDENT, COMMONWEALTH OF PENNSYLVANIA I INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER SHUGHART. PAUL S 21 04 1144 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. West Shore EMS 150.08 2 3 I TOTAL (Also enter on line 10, Recapitulation) $ 150.08 I more s ace is needed insert additional sheets of the same size '* p ~"""'l"n .. COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER ~UII""U J cT PAUL S 21 04 1144 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PE ~SON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include ou right spousal distributions) 1. Paul L. Shughart Son 50% 39 Wilson Street Carlisle, PA 17013 2 Carolione L. Bowes Daughter 50% 10 Har-John Drive Carlisle, PA 17013 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 UNDEF SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENT I\L DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TC TAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ f more s ace is needed insert additional sheets of the same size p Register of Wills of Cumberland County Name of Decedent: STATUS REPORT UNDER RULE 6.12 /~U-: ,j J~M 11/;10 /~60t/ . , oL\ - \ \ L\L\ 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 ofthe administration ofthe above-captioned estate: 1. State whether admi~ation ofthe estate is complete: Yes 0 No E::1 2. lfthe answer is No, state when the personal J~presentative re)?'onably believes that the administration will be complete: ~ A..t~/7 3. Lfthe 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 c. Copies of receipts, releases, joinders and approval offormal or informal accounts may be filed with the Clerk of the Orphans' Court and may be ,,1,-_/ttaChed to this report. . /J _ ~ Date~ {!lnMLt.L J- 'I{t Signature r1fd't~- A. &tu'..? S N;~dM_pdW~ Address €f:r:-~ Telep one No. i-../-\ ,<' {Vi _J Capacity: o Personal Representative o Counsel for personal representative 92 :S ' d "7 ';...10 il 0'"1 .!L ~ COMMONWEAL TH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 ------- PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 007877 BOWES CAROLINE L 10 HAR-JOHN DRIVE CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL NUMBER -~---- f01d ---------- -------- 101 I $25.19 I ESTATE INFORMATION: SSN: 174-05-1797 I I I 2104-1144 I I FILE NUMBER: DECEDENT NAME: SHUGHART PAUL S I DA TE OF PA YMENT: 03/08/2007 I I I POSTMARK DATE: 03/07/2007 I I I I COUNTY: CUMBERLAND I DA TE OF DEATH: 11/16/2004 I I TOTAL AMOUNT PAID: $ 25.1 9 REMARKS: CHECK# 6456 INITIALS: WZ SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS 02-05-2007 SHUGHART 11-16-2004 21 04-1144 CUMBERLAND 101 APPEAL DATE: 04-06-2007 ( See reverse side under Objections) Amount Remittedl I MAKE CHECK PAYABLE AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA rm;p'~_R_TMENT OF REVENUE jk~TrtEq~: :I/'lf:t-ER~TA-NCE TAX APPRAISE;Ml<Jo(T, AL"'{)WA~PEQR DISALLOWANCE OF DEDUCTIONS AND AS_SE~SMENT OF TAX H [2 Pi; DI'-'Te 3 ESTATE OF 0= DATE OF DEATH ",; If~LE NUMBER '(:I@-~NTY ACN HUBERT X GILROY ESQ BROUJOS & GILROY 4 N HANOVER ST CARLISLE PA 17013 *' REV-1547 EX AFP (06-05) PAUL S TO: CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REy:is47-Ex-AFP-C03:0Sl-NOTICE-OF-INHERITANCE-TAX-APPRAISEHENT:-ALLowANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SHUGHART PAUL S FILE NO. 21 04-1144 ACN 101 DATE 02-05-2007 T AX RETURN WAS: (X) ACCEPTED AS F I LED CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. 3. 4. 5. 6. 7. 8. (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 9,654.06 .00 .00 (8) Stocks and Bonds (Schedule B) Closely Held Stock/Partnership Interest (Schedule C) Mortgages/Notes Receivable (Schedule D) Cash/Bank Deposits/Misc. Personal Property (Schedule E) Jointly Owned Property (Schedule F) Transfers (Schedule G) Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) ClO) 2,719.06 150.08 (11) Cl2) Cl3) Cl4) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 9,654.06 ?869.14 6,784.92 .00 6,784.92 NOTE: If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate Cl5) .00 X 00 .00 16. Amount of Line 14 taxable at Lineal/Class A rate Cl6) 6,784.92 X 045 = 305.32 17. Amount of Line 14 at Sibling rate Cl7) .00 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate Cl8) .00 X 15 = .00 19. Principal Tax Due Cl9)= 305.32 TAX CREDITS: PAyMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-28-2006 CDo07487 .00 305.32 BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-29-2006 TOTAL TAX CREDIT 305.32 BALANCE OF TAX DUE .00 INTEREST AND PEN. 25.19 TOTAL DUE 25.19 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, 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.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ,T~ '[:'INHERITANCE TAX . I ','S.TATEMENT OF ACCOUNT '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280'01 HARRISBURG PA 17128-0'01 r..... I 1: i REV-l'07 EX AFP (03-05) HUBERT X GILROY BROUJOS & GILROY 4 N HANOVER ST CARLISLE "'LC:-")l/ riF \..' ,.il:\ \,", On:--!l ~.." '.1/;-.\ l'-"r)I.IDT itl r-1 ':":'.1'.' '''I I .l, In I l ceo. 1'I\.'.,e"",: "."~' . '.-).,\ I;f~,,,,' :',' l-t'_ v\..~" ' DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-02-2007 SHUGHART 11-16-2004 21 04-1144 CUMBERLAND 101 PAUL S Z001 APR -9 M111: 49 Amount Remitted PA 17013 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, sub.it the upper portion of this form with your tax pay.ent. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) ... INHERITANCE TAX STATEMENT OF ACCOUNT .** ESTATE OF SHUGHART PAUL S FILE NO.21 04-1144 ACN 101 DATE 04-02-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FI6URE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-29-2007 PRINCIPAL TAX DUE: 305.32 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-28-2006 CD007487 .00 305.32 03-07-2007 CD007877 25.19- 25.19 TOTAL TAX CREDIT 305.32 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 II IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN .1, 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. ) ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/31/2007 CARLISLE, PA 17013 c GILROY HUBERT XAVIER 4 NORTH HANOVER STREET --~ J ::-'~"' C) C,) (..,.) RE: Estate of SHUGHART PAUL S File Number: 2004-01144 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 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 1S due by: 11/16/2007 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. Since1"ely, I~~~~/'~~L. .... '~..;V~.4 "#, ,I <~:j Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/31/2007 Q 10 HAR-JOHN DRIVE CARLISLE, PA 17013 BOWES CAROLINE L ...,....! (.) c~..... RE: Estate of SHUGHART PAUL S File Number: 2004-01144 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 11/16/2007 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, &$h~ ~~i/tJJ;uc~~ 1/ i Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/31/2007 SHUGHART PAUL L ~ ".J 1',-, . ~-.:} ~'-..~ 39 WILSON STREET CARLISLE, PA 17013 -:"''Jr C~_) (.) c....] RE: Estate of SHUGHART PAUL S File Number: 2004-01144 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 dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 11/16/2007 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, .1;;, V' ,Lt._~ .,6?~,,&L :a.1fM~tt/(./)d?ili..t. l . ',', /~/ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. a.c. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF Cv.........\.t-. M l-1~r COUNTY, PENNSYL V AN1A Name of Decedent: f'Av-t .S: .s~ v r~ A.., f- Date of Death: 11--1 f..s, -6 Y. File Number: Q{- 6it- 11'( \( 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: . . . . . . . . . . . . . . . . . . .. ~s 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: a. Did the personal representative file a final account with the Court? . . . . . .. 0 Yes rztN"o 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? ............................... ~s 0 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. , Dale /1-1 ;)-t/", '\P&a~V'lU38fVfO :lO S,~ >ItIm 6 I :" WV ., J ADN lOOl ( "'.. _ n..... nnn RJlT W. lLLlAMS Orro. Gn.aOY &FALLP rUAIUSON ..."""""'" MART SON LAW OFFICES - N - A, HUBERT X. GILROY ATtORNEY AND CoUNSEUDJ. AT LAw TELEPHONE (111) 243-3341 10 F.Asr HIGHSTlUlllT F LE /"711) 243-1850 C,.w.tSLE. PA 17013 ACSIMI \' INTERNET hgilroy@mamonlaw.com / ('; ): ".~ Ii", r ~. tJ ~ i/11 "I j ).J~' f("fC)'~jI t ~r~ ~ :"'~ . ~.' \..t- 'o;,f,~JJ.. ~Jh.I,~I':~' :~...: :1JI:1-iO (r::!(iWIi'\"~'.' ... ....1..JUIJVJjt; Te ~