HomeMy WebLinkAbout04-1160
PETITION FOR .PROBATE and GRANT OF LETTERS
Estate of /JUL'~~Jt.c:.r L - ~rs~A/ No. '~\-~i..\ - \ \~t
also known as To:
Register of Wills for the
, Deceased. County of C tM'f/Je:A!. ~A..(.r> in the
Social Security No. /1?.Yt17-~ 8 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#,I,t..vu ~cJtI/.sL A1""n~.€' y
in the last will of the above decedent, dated .4 M.~.s;r /c.J , 19~
and codicil(s) dated
(state relevant circumstances. e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in County, Penn~ylvania, with
hK.. last family or principal residence at t.. t-. c ~ ' ~ .~
(list street, number and muncipality)
Decendent, then 'fiJ.s- years of age, died 1J~~tNL:&.IL /r / ,..w .z... P(7.V,
at /JkE $.s L.tI:-#.___~f:4L4L-
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: .
Decendent at death owned property with estimated values as follows: / """I ~
(If domiciled in Pa.) All personal property $ /.2:F: _ v ~
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $.
situated as follows:
-......-. ..............._...
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters " (. ~"\
(testamentary; administration c.La.; administration dobon.c.toa.)
theron.
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OATH OF' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } S8
COUNTY OF ~~",~c;:,~l\4~~
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 ~.r. a[firmed and sUbser. ibed { ~/~ ~ ~
J2efore me thIS :l...~~'" day of ~
c~~'^'~ . , .
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No. '')..\-~'\ - " \ '-0 t)
Estate of /1'1~ I!t: # "t;t 7 i... ~r7S'~ , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ~'-'<:...~ ....').. ~ d..~1::)1..\ .}9_, in consideration of the petition on
I
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instfUment(s) dated <.-'\~-\~~~
described therein be admitted to probate and filed of record as the last will of
'" ~~ ,,'~ '~.S.;,\ t . \,.) \:{\ ~ ~ \" ,
and Letters ,<:."S.~ \:. \l\x"f\ ~ R \..\
are hereby granted to # A/'u./ kp/cS€ ~~E:.y
<;~ ~~~ ~~~~,
Register of Willi
~~ ~~ . ~\;;l\) ~~
FEES ':::. I
Probate, Letters. Etc. ........ 0 $ ~~~
Short ~enificates(s) . . . . . 0 . . . 0 $ '\5 AITORNEY (Sup. Ct. J.D. No.)
&~. . $ \5
eflUR~latl(}fl ...... 0 . . . . . 0 . 0 0 '"
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TOTAL _ $ i.. ~ \0
Filed ... 0 . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . .. . .
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This is to certify that the information here given is correctly copied from an original certificate of death dlJly filed with me as
Local Regis~rar. The original certificate will be forwarded to the State Vital Records Office for permanent 'filingo
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2000 ~.~~~~
Local egistrar
p 10813372 ';:Y'.{A,.w ~;^ J ;4( ~60'l
No. Date
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H105. ;43 A.\j' 2lB7 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
TYPE/PRINT
IN ----.---
PERMANENT NAME OF DECEDENT (F,rSl MldOlEI. tasll
BLACK INK ,. Mar aret L. Watson
AGE (LaS! Blfttldav) UNDER' YEAR UNDER 1 DAY SIRTHP~CE (Coty iIIr.cJ
_h> ! 0.... HoUfl ! ,..intll.. SlaleOffc,eognCOlJf1IrYI
85 v,. =...,0
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COUNTY OF DEATH
. CUmber land White
.... Ie,
MARITAL STATUS - Married SOfMYJNQ SPOUSE
~ Mutiled. Widowm. (IfMl..gwe~namel
--,
- ". 1.. Widowed II.
. 17.. SI..I. llNl 17e.KJ v..~.II.....:I1n Upper Allen Iwp
-
Min.
CUmberland IOwnlhip7
1lb. Coun ""'-.
. RMtovallrom StaleD
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TIUE OF DEATH
J. ~50
I ApproJIimale PART N: OIherligniflcentCClf'ldlliOMc:on&nbutingto....buI
I inlllMlI bMween noc.....ing in the ~cawe giwen __ PART I
:OI'IMIencldMIh
(f\ V 11'~ \" /Y'of do (\o-A I (/bf(},\(
. I f V(I>t. ~ "
DUE TO fORAS'ACONSEOUENCf : .
! : .
DUE 10 (OR AS A CONSEOUENCE Of); I
I
I
DUE TO tOA AS A CONSEQUENCE OF): l
WERE AUTOPSY FtNDlNGS MANNER OF DeATH DATE OF INJURY TIME OF INJURY INJURY R WORK? DESCRI8E HOW INJURY OCCURRED.
"""IlA8l.E PRIOR 10 ~ (Monlh. Day. Vear)
COMPlETlON OF CAUSE 0
OFDERH? ....~.. Homeide ....0 NoD
Accident 0 Pendtnv Invesligalion 0
....0 NoD 0 o PlACE OF INJURY. AI home. t..rm.O:;.... ,..C1Oty. 0ffIt:4t IA.
~ide Could not ~ d8lann'ned
building, ..c. ISpecllv)
_. ...., 2t. ""'.
..- CER1'WIEA ICt1edl only one}
.CEATIFYINQ PHYSICIAN (Phy$ICoan cerh'yong cause 01 deelh wnlltl1 A"OIhe' ptIys.c,an has plonounced Deillh ana camp/tlred!lem 231
To"'" be8t 0' my Ilnow~. deethoccul'Nddue ta Ihae"UM(aland manne,... ...tH...... . . . . . . . .
~ .000y.'llIaI1
~ .PRONOUNClNG AND CEATIFYING PHYSlC'AN (PhySlClCIon boIh ;ll'Oflounc.og oealtl and cerWrlOQ to cause of dedltll
Q To the Met 0' my llnowtedge. d...th occur,," .1 !he 11m.. d"le, oJrld ptec.. ..net due to the CoIuM(a)..nd m..nMf... .'aled .............
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Q .UED.cAL EXAMINER/CORONER
~ On the beal. of ..aminatlon and/or Inv..tlgatlon,ln my opinion", d..th oc(;u"ed .1 the Urn.. data. and pl.ce, and duela the c..u..(.) and 0
w m.nn.'.....led..............................................,........... ................,......................
~ 21.
REGISTR
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------ --.-.--- -_.__.._-~ -------..-- ~--... --,._----~--.._--,._--_.~.._-_...- -----..--- - .-..-------- -.-.---..--
WILL
OF
MARGARET LOUISE WATSON
I, MARGARET LOUISE WATSON, currently of Upper Allen Township,
Cumberland County, Pennsylvania, declare this to be my last Wi 11 and
Testament, hereby revoking any and all prior Wills and Codicils made by
me.
I. I direct that all my just debts and funeral expenses be paid
from the assets of my estate as soon as practicable after my demise.
II. I direct that all estate, inheritance and succession taxes
that may be assessed in consequence of my death, of whatever nature and
by whatever jurisdiction imposed, shall be paid out of the principal of
my general estate to the same effect as if sa id taxes were expenses of
administration and all property includable in my taxable estate whether
or not passing under this Will shall be free and clear thereof.
I I I. I bequeath unto my husband, Harry Hatcher Watson, a 11 tangible
personal property which I own at my death.
IV. All the rest, residue and remainder of my estate, of whatever
nature and wherever situate, including property over which I hold a
power of appointment, I devise and bequeath unto my husband, Harry
Hatcher Watson.
V. In the event that my husband, Harry Hatcher Watson, does not
survive me, I devise and bequeath my entire estate that would have
otherwise passed under Paragraphs I II and IV above equally unto my
daughter, Nancy Louise Mahoney. If she predeceases me, my entire estate
1'1 ,. 1'1 Aj 7lJ(
shall be divided equally among my grandchildren, Allan W. Mahoney,
Barbara Lee Mahoney, and Beverly Louise Mahoney, and their issue Py.[,
o (") ~
stIrpes. 'So ~ ~
VI. I appoint my husband, Harry Hatcher Watson, Executorf~~is ~ S3
Will. In the event that he fails to qualify or ceases~~it ~ ~3
Executor, I appoint my daughter, Nancy Loui se Mahoney, as Exe~x ~ ~~
;~~"--; <-.J '" -..,.. ,._^ ---r,
th is my Wi 11. In the event she fa i 1 s to qua 1 i fy or ceases :t'~5 act 4i ~~~ ~~
-1~ -.; .-. ''.---
Executrix, I appoint the First Bank and Trust Compan.r-; or i1rs:l ':::n~
successors, Mechanicsburg, Pennsylvania, Executor of this my Will.
ilfltf i. fl . /'
G rn L 7l? ~ /7~./ :7-t%;q:4 J2. _ ~:; a~J
v
IN WITNESS WHEREOF, I , MARGARET LOUISE WATSON, herewith set my hand to
this my last Will, typewritten on two (2) sheets of paper including the
attestation clause and signatures of witnesses, this lorflday of
;:J uG 1J05 T , 1988.
(~lZZ & .
~. ,.ac-:Y4?1.?L ...'::- //AJ? ?{Jd~_/l~'-'"
MARGAR~T LOUISE WATSON
Signed by MARGARET LOUISE WATSON, by her declared to be her Will in our
presence, who have hereunto subscribed our names as witnesses in her
presence and at her request, this IOTN day of /1vtios.T , 1988.
f' d!bf7 residing at 1J1f. Jo 7 I fA.
(/{JtJ^" . '
~ .,
q-~ !~ residing at nu~iPA
, -
COMMONWEALTH OF PENNSYLVANIA .
.
. SS:
COUNTY OF c.. (/ M 136 R. G-F; ~J D :
We, MARGARET LOUISE WATSON /lu...6.1J H, HeINL Y and
,
GL.~ JJ 0/1 L~Mf:3 , the testatrix and the witnesses,
respectively, whose names are signed to the attached or foregoing
instrument, being first duly sworn, do hereby declare to the undersigned
authori ty that the testatrix signed and executed the instrument as her
Last Wi 11 and that she signed wi 11 ingly (or will ingly di rected another
to sign for her), and that she executed it as her free and voluntary act
for the purposes therein expressed, and that each of the wi tnesse s, in
the presence and hearing of the testatrix, signed the will as witness
and that to the best of our knowledge the testatrix was at that time
eighteen years of age or older, of sound mind and under no constraint or
undue infl uence.
;{;kS~ JfLnL
W!TN S S
Subscribed, sworn or affi rmed and acknowledged before me by MARGARET
LOUISE WATSON, the testatrix, /hL.€1V fI lie /l1/L.'/ and GUEAJO/l L/91-16 ,
witnesses, thisJorH day of /jOtTvSl; 1988.
(SEAL) ~7nA-(f n(N~~~ta)./
. MARY Lo KUNTlWEILER. NOTARY PUBLIC
UPPER ALLEN TOWNSHIP, CUMBfRlANDCOUNTY
MY COMMISSION EXPIRES JAN. 13, 1990
Member. PMltl$ylvania Association of Notaries
\
')..\- ~~- \\~\:J
-Indiii-na
Bond of Ohio Farmers Insurance Co.
Administrator Executor or Westfield Companies
Guardian Westfield Center, Ohio 44251-5001
Including Proceeds of Sale of Real Estate
Cause No. 04 1947 County of Cumberland Bond Noo 5844908
KNOW ALL MEN BY THESE PRESENTS:
That we Nancy L. Mahoney
as Principal and Ohio Farmers Insurance Company, a corporation organized and existing under the laws of the the State
of Ohio and licensed to do Surety business in the State of Indiana are held and firmly bound unto the State of Indiana in the
penal sum of Two Hundred Fifty Thol]~~nd ~nd no/100-----------------------
($ 250,000.00 ) Dollars
for the payment of which we jointly and severally bind ourselves, our heirs, executors and administrators.
Sealed and dated this 17th day of December 2004
THE CONDITION OF THE ABOVE OBLIGATION IS, That if the above bound Principal shall faithfully discharge the duties of
his/her trust as Executor
(Administrator - Executor, Guardian)
f h person and estate D f Marqaret L. Watson ward D
ote tt oaO deceased~
es a e
according to law, then this obligation is null and void, otherwise to remain in full force and effect.
\D #~L~ Principal
u- ~cuted i~tiii:Presence of
Oc.n
--l
UJ ---1 CO a: _.' Principal
c..).. :.::: ::c :::,:) C,'
Ci=- - u_ 0 c:
L.l.. ' ~ OUe
(,c',
C:::J c' ~ C> :::<':cn:'
L!.J 1,LJ N f~ ~~ 7' By:
Ot.'.
c:: L) (....) U:.LUl Gregory
0(') lu 8::: D::
1!},~ed t~ 0:::; day of
Q::. = U
=
C'-..I
Judge 0 Clerk 0
Court, County.
OATH OF OFFICE
STATE OF INDIANA
ss:
County of M~r~hrlll
I, Nancy L. Mahoney , swear that I will faithfully
Executor person and estate D
discharge the duties of my trust as of the of
(Administrator - Executor, Guardian) estate KI
Margaret L. Watson ward
deceased
Princi al
Subscribed and sworn to before me, this , 2004
My Commission Expires Judge D
l)f.()~ , ':)01)1 Court County
SD 5504 (5/96)
- -
TillS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING TillS SAME
POW~R # AND ISSUED PRIOR TO 06115101. FOR ANY PERSON OR PERSONS NAMED BELOW
General POWER NO 1301081 00
Power Ohio
of Attorney Farmers Insurance CO.
CERTIFIED COPY Westfield Center, Ohio
Know All Men by These Presents, That OHIO FARMERS INSURANCE COMPANY, a corporation duly organized and exJstlng under the laws of
the State of Ohio, and having Its princlP<l1 office In Westfield Center, Medina County, Ohio. does by these presents make, conslltute and appoint
ROBERT W KLINE, NORMA E HOUGHTON, GREGORY S. MILLER, SCOT A MCKINNIS, RICKIE L HAND. JOINTLY OR
SEVERALLY
01 CULVER and State 01 IN its true and lawlul Attorney(s),in.Fact, with lull power and authority hereby conlerred In its name,
place and stead, to execute, acknOWledge and deliver any and all bonds, undertaldngs, and re<:ognlzances; provided, howevef'. lhatlhe penaJ sum
ot any one such Instrument executed hereunder shall not exceed FIVE MIWON DOUARS AND NO CENTS ($5,OOO,OOO}--
UMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE, OR BANK DEPOSITORY BONDS.
and to bind the ComP<lny thereby as fully and to the same extent as II such bonds were signed by the President, sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s),in-Fact may do In the premises.
Said appointment is made under and by authority 01 the following resolutions adopted by the Board 01 Directors of the Ohio Farmers Insurance
Company:
"Be It Resolved, that the President, any Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full
power and authority to appoint anyone or more suitable persons as Attorney(s),ln,Fact to represent and act for and on behalf of the
Company subject to the following provisions:
"Section 1. Attorney'in,Fact Attorney,in,Fact may be given lull power and authority for and in the name of and on behalf of the Company,
to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of Indemnity and other conditional or
obligatory undertakings and any and all notices and documents canceling or terminating the CompanyOs liability thereunder, and any such
instruments so executed by any such Attorney'in-Fact shall be as binding upon the Company as if signed by the President and sealed and
attested by the Corporate Secretaryo' (Adopted at a meeting held on the 3rd day of July, 1957.)
"Be It Resolved, that the power and authority to appoint Attorney(s)-ln'Fact granted to certain officers by a resolution of this Board on the
3rd day of July, 1957, is hereby also granted to any Assistant Vice-President.' (Adopted at a meeting held on the 13th day of July, 1976.)
This power of attorney and certificate is Signed and sealed by facsimile under and by the authority of the following Resolution adopted by the
Board of Directors of the Ohio Farmers Insurance Company at a meeting duly called and held on the 9th day of June, 1970:
"Be it Resolved, that the signature of any authorized officer and the seal of the Company hertofore or hereafter affixed to any power of
attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal
shail be valid and binding upon the Company with respect to any bond or undertaking to which it Is attached.'
In Witness Whereof, OHIO FARMERS INSURANCE COMPANY has caused these presents to be signed by its Vice President, and Its corporate
seal to De hereto affixed this 15th day of JUNE A.D., 2001
Corporate ' .......:::::..,,"!-<.. OHIO FARMERS INSURANCE COMPANY
Seal ..~
Affixed /1$...-;;........ \0 ~~~
1~t\\WClti'i\
- 0- . r
\%\ 1848 .if!
State of Ohio .0;..., .. .....::-...... . ~..~ By Richa d L Kinnaird, Jr. Vice Pre ident
County of Medina ss.: 1r", ""'......
'-,'.............'"
On this 15th day of JUNE A.Do, 2001 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly
sworn, did depose and say, that he resides In Medina, Ohio; that he is Vice President 01 OHIO FARMERS INSURANCE COMPANY, the company
described in and which executed the above instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such
corporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto by like order.
Notarial
Seal wV\. ~~
,t.,ff I xed ~~
James M, Walker Notary Public
Sla,e of Ohio
COU'1ty of Medina ss,: My CommiSSion Does Not Expire
Sec, 147.03 Ohio ReVised Code
CERTIFICATE
'. Richard A. Wallet. ASSistant Secretary of the OHIO FARMERS INSURANCE COMPANY. do hereby certlty that the above and loregoing IS
e ~'ue and correc1 copy of a Power of 1'\l1orney. executed by said Company. whiCh IS stili In full force and effect: and furthermore, the resolutions
')1 lr," !Jo<lrd of Directors, set oul In the Power 0' Attorney are In full force and effect n~ day of
~ ,,, WItness Whereof, I have hereunI:J sel mv hand and affixed the seal at S<lld Company at Westfield Center. OhiO. ttllS
L~~ AD. ~O()'f
.,....._~.... ~IU~/ wJk
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! ~"'t'\J.RTU[D\'i '!
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\~...01848 ...~:: Richard A Wallel ASSIstant Secretary
""<'..::.::~:.',::oo.:.~.../
r
C MJuma ) ~ C NOIlCEN )
GREGORY~. MILLER, CPCU, CIC
t09 W. Plymouth St, ~ P.O. Box 150
Bremen, IN 46506 Culver. IN 46511
Ph: (574) 546.3341 Ph: (574) 842-4400
1-888-345-3049 1,888-842-4500
Fax: (574) 546-2687 Fax: (574) 842-4205
E, Mail: greg@millernorcen.com
1/
~
,
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 004974
MAHONEY NANCY LOUISE
17914 JUNIPER ROAD
ARGOS, IN 46501
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
__n_U~ told uuu__n u___u_
101 I $10,986.00
EST A TE INFORMATION: SSN: 185-07.5568 I
FILE NUMBER: 2104-1160 I
DECEDENT NAME: WATSON MARGARET l I
DATE OF PAYMENT: 02/22/2005 I
POSTMARK DATE: 02/16/2005 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 12/10/2004 I
I
TOTAL AMOUNT PAID: $10,986.00
REMARKS:
CHECK# 93
INITIALS: JA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WillS
REGISTER OF WILLS
Marjorie A. Wevodau First
Glenda Farner Strasbaugh Deputy
Register of Wills
and
Clerk of Orphans' Court KirK S. Sohonage. Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240,6345
FAX (717)240,7797
I INVOICE I
Bill To: InvoiceNo: 174
Invoice Date: 01,19,2005
NANCY L. MAHONEY Estate of:
17914 JUNIPER ROAD Estate No: 21,2004-1160
JA
ARGOS, IN 46501
Qty Fee Description Fee Total
1 Short Certificates 5.00 $5.00
Total: $5.00
Checks should be made payable to the Register of Wills. Tenns: Net 30.
Please return one copy of this invoice with your payment. Thank you.
f'l."'''''''LXIII,''O'. R E V\ 1 500 OFFICIAL USE ONLY
Iii":: ~ COMMONWEALTH OF ""
,~. ,'. PENNSYLVANIA
~~~DEPAR'6;\~~T2~~VENUE INHERITANCE TAX RETURN RLENUMBER
<~~~~ HARRISBURG, PA 17128,0601 RESIDENT DECEDENT cC';m~JDO - ~E/~ l... ~U':8E~0 - -
DECEDENTS NAME il./.\ST, FIRST, AND MIDDLE iNiTIAU ! SOCIAL SECURITY NUM8!::R
~ '
Z WATSON MARGARET L. 185 - 07 5568
w - ---.-- -.. ,,- ,L__. ,-- -." - .., ,-..,. ---,-.- . ---,-.-
C DATE OF DEATH IWkDD-y'EAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
W 12/10/04 08/16/19 REGISTER OF WILLS
U
W (IF APPliCABLE! SURVIVING Sr.JOUSES NP.,ME (LAST, FIRST. ,AND MIDDLE 1~.i11I"'.L1 .SOCiAL SECURITY ~IUMSER
C' ,
~ LKj 1. Onginal Return [] 2. Supplemental Return [J 3. Remainder Return (dac 0' dfk1th pn",," '.2-'3.821
,<1.", ~. D' ~
~ ~ G L.J 4. Limited Estate L. 4a. Future Interest Compromise (doto of death ."or 12,~2-82) L_.i 5. Federal Estate Tax Return Required
i3 ~ ~ i-i] 6. Decedent Died Testate IAtmdl copy of Will! [J 7, Decedent Maintained a Living Trust (Atmh copy 0' Trust) Q.. 8, Total Number of Safe DepOSit Boxes
~ L_..J 9, Litigation Proceeds Received l_J 10, Spousal Poverty Credit Idoto 0; de"", botwcor, i2,31 ,g', ono . " ,95: L.~j 11. Election to tax under Sec. 9113(A) (Allilch Sch 0)
~ THIS$ECTlOtfIVlUSTJ3I:COM~l.EtED.ALI.Cbf{RESP()NbENCEAN[)C()NFlllENll."l.Tp.){I~FORtIIA1'1()N~HOULDBEDIREC'TEPTO;
z
~ NAME COMPLETE MAILING ADDRESS
15 . -NANCYL_MARONEL. __unn --.-- 179 4
Q.'FiRMNAME(lfAp~j"'ble) 1 JUNIPER ROAD
{tJ
~ ARGaS, IN 46501
:5 TELEPHONE NUMBER
u 574 892-5264
-0- OFFICIAL USE ONLY
1. Real Estate (Schedule A) (1) _____'m'_m_uu....._,______m____,____.._m..m
2 Stocks and Bonds (Schedule B) (2) ...._mm_.._..__....m...._..m._...m.....'~,~..'...899__ f' ,
3. Closely Held Corporation, Partnership or Sole,Proprietorship (3) -0-"
4, Mongages & Notes Receivable (Schedule D) (4) -0-
5, Cash, Bank Deposits & Miscellaneous Personal Property (5) 69 , 737
Z (Schedule E) .m"U_ _,._.._n...mm.....__'_..m._.m__mm.....____m... --
e 6, Jointly Owned Property (Schedule F) (6) mmmmmm,m,mm ,.._.._.. n___mmm!_,..loo~'~m..m -, \
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::> 7. Inter,Vlvos Transfers & Miscellaneous Non,Probate Property (7) ..___._____m_'_......_m.........1) 4 LllL__ ,~", ',-
!:: (Schedule G or L) _.."
~ 8. Total Gross Assets (total Lines 1.7) (8)____m____m.?:...Z"L, 9 3 4 '_"'_"'_mOo
~ 9. Funeral Expenses & Admllllstrative Costs (Schedule H) (9) __,__.____.._'m.._..,__,lJ.L2.~4.m_
0:::
10, Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) ..m..'..nmmmmmmmmmmm................,9,...Q28...._m
11. Total Deductions (total Lines 9 & 10) (11) =.~~~,..,~.~,.c.......2~_._~,,~52__~~.:"::,__
12. Net Value of Estate (Line 8 minus Line 11) (12) ______..--15.Q~__.__
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) 0
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 256 . 982
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
~ 15, Amount of Line 14 taxable at tbe spousal tax
i= rate, or transfers under Sec. 9116 (a)(1.2) --0 x.O (15) --.-------{}-...-----
< '. 256,982 045 16 11,564
~ 16, Amount of Line 14 taxable at lineal rate x . ( ) _....___ ..__,_...._...,........m...__..._..,__m..___.._..
~ 0 -0-
:E 17. Amount of Line 14 taxableat sibling rate x ,12 (17) ______..._____,__,_____ ........ooo'mooo.
8 18. Amounf of line 14 taxable at collateral rate 0 x ,15 (18) ":~_.::_-:,~:~~:~_.,.~::::~~_...._""Jl=_m.~~-'~:~..~.':~~~
g ~: ~~~j Due (19)mnmm..m....'..ooo',.'.. 00 11..5.6_4,mmmm..'.
Decedent's Complete Address: MARGARET L. WATSON CASE 21-04-166
STREET ADDRESS
.836 OAK. OVAL ---- ~-._'_.._..---_._------ -- -------
CITY HECHANICSBURG PA ZIP 17055
Tax Payments and Credits: 11 ,564
1. Tax Due (Page 1 LlI1e 19) (1)
2. Credits/Payments
A, Spousal Poverty Credit
8. Prior Payments
C. Discount 578 578
Total Credits (A + 8 + C ) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penally -0-
TotallnterestlPenalty, ( 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) -O-
S. If Line 1 + line 3 is greater than line 2, enter the difference. ThiS is the TAX DUE. (5) ]0,986
A. Enter the interest on the tax due. (SA) -0-
8. Enter the total of Line 5 + SA. ThiS IS the BALANCE DUE. (58) 10,986
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;...................h.........................................h......................00.. 0 XJ
b. retain the right to designate who shall use the property transferred or its Income, .............'.00........................... 0 XJ
c. retain a reversionary interest; or.,............ ...... ................... ............. ............ ....00...00........................,.. ...............,.... 0 E
d. receive the promise for lite ot either payments, benefits or care? 00.....................................................00............. 0
2. It death occurred atter December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? 00 .'.0000..'.............................00..........................00......h............................... KJ 0
3. Did decedent own an "in trust tor" or payable upon death bank account or secunty at hiS or her death? 00...00....00. 0 ftJ
4. Did decedent own an Individual Retirement Account, annuity, or other non,probate property which
contains a beneficiary designation? ............ .00..00.......'.......... 00..00... ................ ...........00............ ......................,.......,.. 0 P
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN.
Under penal"es of pe~ury, I declare that I have examined thiS return, including accompanYing schedules and statements, and to the best of my knowledge and belief. it IS true, correct and complete.
Declaration of prepareI' other than the personal representative IS based on all Information of which preparer has any knowledge.
'::;;E:P:a~:~;OO~~~~J________ DATE
. -.--.---..-----....,
ADDRESS
s~~2YuiEB~~MRl6~~~~~~SE~tiiIV~u-5{}ln - .,.. -~------ n -~_._----_...._~-- -------- -
DATE
_ _ _ _____________.___.___ . "U___________________..__.._._ _ _________.__.___. __ ___ ___________________________ .
ADDRESS
- ---------...----.--. .--.~_. ~._--_._----_.._---- -- .----------...... --------------------.
For dates of death on or after Ju!y 1,1994 and before January 1,1995, the tax rate imposed on t:le net vaiue of transfers to or for the use of Ine SUlvivlng spouse is 3%
[72 PS 99116 (a) (1.1) (i)l.
For dates [)f death on or after January 1, 1995, the lax rate irnpDsed ,In the ne1 value of transfers to ()' !Dr IIle use of nw I;urviving SpOUSE: is 0% [72 P.S. S9116 (a) (1.1) (I:)]
H,e statute gQft~ nQJ.311ill"JPJ a transfer to a survIving spouse from tax, and the sia!lltory requirements tor d:sclosure of assets and filing a tax return are stiil applicabie even If
tile surviving spouse :s the oniy beneficiary.
For dales of death on or after July 1, 2000
The lax rate Imposed on [he nel vaiUl' of tr,m~:fers from a deceasE:d crl:!d twenty.one years of a9" cr younger at death iO cr for Ihe use of a natural :Jar;)n!. an adopllve parem,
or a stepparent of the child IS 0% [72 PS ~9116(aj(1.2)].
The tax rate imposed on the net value 01 transfers to 0:' for lne use of the dec.edenls linea, beneficianes is 4.5%, except as noted In 72 P.S. ~9116( 1.2) [72 PS ~9116(a)(1 I].
The ta:< rale impcsE;ej on the !"I;ll valUE; of transfers to or lor the use of the dEicedent's Siblings IS 12% [72 PS. fj9115(a)i1.3i]. I~ slbiin[l 15 defined, unoer Section 'J102. as an
ind~v:dlJa! v.,rho has ai least on{; parElnt :n CDmmDn w:1111118 dHcedf:nC wlli;l!v~r by t)f{)CK! nr adoplior:
REV-1503 EX+ (6.98)
'* SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARGARET L. WATSON 21-04-1160
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. SERIES E BONDS (LIST ATTACHED)
66,890
2. SERIES HH BONDS (LIST ATTACHED) 20,000
TOTAL (Also enter on line 2, Recapitulation) $ 86,890 0.00
(If more space is needed, insert additional sheets of the same size)
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REV,150B EX+ (6-9B) . SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARGARET L. WATSON 21-04-1160
Include the proceeds of litigation and the date the proceeds were received by the estateo
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. MEMBERS 1ST CREDIT UNION, MECHANICSBURG, PA
ACCOUNT 114467 REG SAVINGS (00) 439.12
LIFE SAVINGS (04) 4,000.00
MONEY MGMNT (05) 17,561.29 22,000
2. PNC BANK, PITTSBURGH, PA
ACCOUNT 50-7010-1774 12,158
3. CASH 51
4. CIVIL SERVICE RETIREMENT FOR DECI-I0 441
5. CNA LTC BENEFITS 3,072
6. CNA LTC INSURANCE PREMIUM REFUND 2,520
7. APARTMENT REFUND (MESSIAH VILLAGE) 20,450
8. TRAVELERS INSUrJlliCE REFUND 129
9. MET LIFE DIVIDEND 15
10. MISC. FURNITURE 46
II. JEWELRY 60
-
12. CLOTHING 50
13. PREPAID FUNERAL (MALPEZZI FUNERAl, HOME, MECHANICSBURG, PA) 8,745
~
TOTAL (Also enter on line 5, Recapitulation) $ 69,737
(If more space is needed, insert additional sheets of the same size)
Send Inquires to: Statement of Accounts
5000 Louise Drive
PO Box 40
Mechanicsburg, PA 17055 Nov 01, 2004 thru Dec 31, 2004
wwwomembers1st.org
Main Switchboard: (717) 697,1161 or (800) 283.2328 Account Number: 4467
EZCall: (717) 697,4372 or (800) 283-4372
TOO: (717) 697-5312 or (800) 283,2328 ex!. 5312
TeleBranch: (717) 795,6049 or (800) 237,7288
MEMBERS 1st Account Balances at a Glance:
FEDERAL CREDIT UNION Checking: 0.00
Savings: 4,442.89
Certificates: 0.00
MARGARET L WATSON Loans: 0.00
CIO NANCY L MAHONEY Money Management: 17 ,577 .55
17914 JUNIPER ROAD
ARGOS IN 46501
Page: 1 of 2
20041099.INT and/or IRA Fair Market Value information is provided with this
statement. No separate tax mailing will be made for the tax information
provided. This information is being furnished to the Internal Revenue Service.
Please retain this statement for your tax records.
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
Date Transaction Description Additions Subtractions Balance
Nov 01 Balance Forward 438.47
Nov 30 Deposit Dividend 1 . 000% 0.36 438. 83
Annual Percentage Yield Earned 1. 000% from 11/01/2004 through 11/30/2004
Nov 30 Deposit Transfer From Share 04 3.29 442.12
Dee 01 Deposit ACH CIVIL SERV 1,191.05 1,633.17
ID:3121736156
Dec 01 Withdrawal Transfer To Share 05 1,191.05- 442.12
Dee 03 Withdrawal ACH AD&D INS 800- 25 3.00- 4390 12
TYPE: 2- 2148 ID: 1621282786
DATA: 1671 041203 FEDERAL
Dee 31 Deposit Dividend 1 . 000% 0.37 439. 49
Annual Percentage Yield Earned 1. 000% from 12/01/2004 through 12/31/2004
Dec 31 Deposit Transfer From Share 04 3.40 442 . 89
Dec 31 Ending Balance 442 . 89
04 - LIFE SAVINGS
Date Transaction Description Additions Subtractions Balance
Nov 01 Balance Forward 4,000.00
Nov 30 Deposit Dividend 1 . 000% 3.29 4,003.29
Annual Percentage Yield Earned 1.010% from 11/01/2004 through 11/30/2004
Nov 30 Withdrawal Transfer To Share 00 3.29- 4,000.00
Dec 31 Deposit Dividend 1 . 000% 3.40 4,003040
Annual Percentage Yield Earned 1. 010% from 12/01/2004 through 12/31/2004
Dee 31 Withdrawal Transfer To Share 00 3.40- 4,000.00
Dec 31 Ending Balance 4,000000
- - - Continued on following page - - - MARGARETL.WATSON
CASE 21-04-1160
IV 1~ Nov 01, 2004 thru Dec 31, 2004
Account Number: 4467
!::!,~~,l).Ii,,'!-.~,!: Page: 2 of 2
05 - MONEY MANAGEMENT
Date Transaction Description Additions Subtraction~___ Balance
Nov 01 Balance Forward 16, 355. 59
Nov 30 Deposit Dividend 1 . 090% 14.65 16,370.24
Annual Percentage Yield Earned 1. 100% from 11/01/2004 through 11/30/2004
Dec 01 Deposit Transfer From Share 00 1,191005 17,561.29
Dec 31 Deposit Dividend 1 . 090% 16.26 17, 577 . 55
Annual Percentage Yield Earned 10 100% from 12/01/2004 through 12/31/2004
Dec 31 Ending Balance 17 ,577 . 55
~---_._- -~--~-----------~--~.._-----.
---~_."--_._._---------~
YTD SUMMARIES
TOTAL DIVIDENDS PAID
00 REGULAR SAVINGS 4.26
04 LIFE SAVINGS 40.14
05 MONEY MANAGEMENT 139.28
Total Year To Date Dividends Paid 183.68
NOTE: Total includes closed shares
MARGARET L. VVA TSON
CASE 21-04-1160
Interest Checking Account Statement
FortH f*Iod 11117/2004 to 12/17/21104
Ei!l F= 24...""""=s"'" =~ :i1_ "D. stln-a> tl juxountl:i1k * lIaRGaRETL V aTSON - -
by r; eb em pnc:bo.nklXlR =Jll-8BB-FNC-IlaNK P:::io UYac<:l:lUDtnuaber: 50-7010-1774 -
P_Zof3
-
Interest Checking Account Summary II _tL V ....",
Aco:mntnUJll ber. 50-7010-17'14
Balance Summary P __..... ....lc...iv D.."'ilsecd:m br
add:I:Craal:i1iml ati:n,
BI;iI9J1nh-;j Depo,;-Ji5' and C hl;ilC'ks and other End*'9
t1aLanCG oltter add itbna deductbnllJ ba.ncl;iI
8,172.25 4,056.84 70031 12,158078
A.verage II onth~ C haIgQ5
ba15n.::,a and ~IiIS
9,790.74 .00
Interest Summary as oflZI1 7... b"'lel $8.03 :i1 neaestvas
A.nnua.lPe:ocentzl..ge N UlI becofda~'8 A,veallQiIII coJ21clBd Iltlu".tEamed _ lb.,.,.,..
"f)wi:! E amQQ rAP'tE l .n "'SICI~tpQd::Id ba.1!lncGI tlrA-PYE tM;pubd
0.10~ 31 9,689.10 .81
Activity Detail
Deposits and Other Additions Tb_.._ 5 DlOpOSislDld 0 Ih..dcldm.s
[j",... AM ount D eQcr:ptlcn baIi:Ig $4,056.84
t2101 75.00 Direct neposil - HIHh Intst
Bur Of Pub nebl21850755680ll
12103 720.00 Direct Deposit - Soc See
US Treasury 303 185075568A
12106 3,251.03 Deposit Reference No. 024847706
12106 10000 Deposit Adjmt Reference No. 024847707
12117 .81 Interest Payment
Online and Electronic Banking Deductions T_.._20IlJDoarE~B~
D.cIG ,i,.m OIHl t 0 Iilac~tjcn D eductals tlalng $70.31
11123 14.70 Direct Paymelll . Elec Bill Pp 1l90075025Ws
12/06 55.61 Direct Payment - Payment Verizon 7176917218906
Dally Balance Detail
Po" B<!IBnCllt Doe Baitnee D.e Ba.hnce
11117 8,t72.25 t2101 8,232055 12/06 12,157.97
11123 8,157.55 12103 8,952055 12/t7 12,158.78
Important Account Information - Change in Terms Notice and Amendment to the Consumer
Schedule of Service Charges and Fees
The pridn9 cbangesp",,,ided ....low _eff&tct:ZJesofJoauazy lS.Z005._d.. em! Cl!!IE1IIi1:b_ at:i:m:in ourC_ "'"
Sche::lule of Smv:i::::e C h~ and Fees fI::::lr your~2t.g . SIlIV:Dgsara c:merv.. dcetaa::cuJlt. A .1lo1he:r:i1f:ca:a at::bn in our
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ST.I TEN Ell T C OPlES AND STA TEl! EN T ITEl! 5 _McI....low fcrappJ:i:ablltchmgllSlDld_.
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Ia ~_ dil;;:iJBl p~_ of yourc:htocks. SIbstiUlllo c:htocks. d.eo>osit a::kelsoad deposilod checks tbatyco. COIl "... cmJ:bo. aDd
1he,' include 1lo8181.. flcnt....d bock.asv =llas81..ab1l:ilv l:lJnztar......aCCI'VOIl yolIrCClll pilar. Cop....of _,,~
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tlbt"'" -, !<;'''''llUbj.:U' ....V"PPJ:bobIlt tees. c_ tit...lia ilo.ti:."..PPJv, asoIJonl1a%V15, 200 5 ,SOfIlk.O!ePilg ~""... ill
no .bngerll!!!C:e:i51e 24 Dee c:hec:k copi!splllryeAr, but hke allolbM-OJStca SIS th8p . illbave un.m.. iII!ld ecc::eIl!S lo:!111tV8 orprmtout
c:heck==atno c:h-.. tbat_.."aiJoblo lb1cughA =ntL:bk by 11 lOb fcrbarcmzmt;asup b 90 dayscll.~...v
MARGARETL.WATSON
CASE 21-04-1160
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Malpezzi Funeral Home
8 Market Plaza Way
Mechanicsburg, PAl 7055
(717)697-4696
January 12,2005
Nancy L. Mahoney
17914 Juniper Road
Argos, IN 46501
The Funeral Service for Margaret L. Watson
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please
feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
1. PROFESSIONAL SERVICES
Services of Funeral Director/Staff $3545.00
, -
FUNERAL HOME SERVICE CHARGES $3545.00
SELECTED MERCHANDISE:
Stainless Steel Casket $3095.00
Sentinel $955.00
Register, M7morials, Ackn. $58.00
. ...........
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THA T YOU HAVE SELECTED $7653.00
A T THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS TO
OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES.
CASH ADVANCES
Open.ing_ Grav,: $650.00
Cem:tery EC)uipm~nt . $105.00
New~pal?er Notice~ - Lo~al . $108.08
Newspal?er Notices - Out-of~town $50.70
Clerg;y/Mass Offering. $]00.00
Organisto $75.00
Certified Copies of the Death Certificate $30.00
Rev. Lee Brumback $50.00
TOTAL CASH ADVANCES AND SPECIAL CHARGES $1168.78
CONTRACT PRICE $8821.78
HISTORY
] 2/30/2~04 F orethou~ht $-8744.87
TOTAL AMOUNT DUE $76.91
MARGARETLWATSON
CASE 21-04-1160
MARGARET L WATSON - CASE 21-04-1160
FURNITURE
CHEST OF DRAWERS 20
NIGHT STAND 5
SMALL UPRIGHT 10
SMALL TELEVISION 5
CHAIR 5
LAMP 1
46
JEWELRY
COSTUME JEWELRY - 50 50
EARRINGS
PINS
NECKLACES
WEDDING BAND 5
CULTURED PEARLS 5
TOTAL 60
CLOTHING
10 PR SLACKS 10
8 SWEATERS 8
4 BLOUSES 2
4 PR SHOES 4
UNDERWEAR 5
COAT 5
GLOVES, SCARVES 5
3 DRESSES 6
1 SUIT 5
50
REV,1509 EX+ (6-98* SCHEDULE F
COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARGARET L. WATSON 21-04-1160
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. NANCY L. MAHONEY 17914 JUNIPER ROAD DAUGHTER
ARGOS, IN 46501
B. ALAN W. MAHONEY 17914 JUNIPER ROAD GRANDSON
ARGOS, IN 46501
c. BARBARA L. MIDDAUGH 1320 KESSLER BLVD, W DR GRANDDAUGHTER
INDIANAPOLIS, IN 46228
d. BEVERLY L. MOHLER 740 OVERLAND DRIVE GRANDDAUGHTER
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUl.tBER OR SIMILAR DATE OF DEATH DECO'S VAlUE OF
NUM8ER TENANT JOINT IDENTIFYING NUM8ER. ATTACH DEED FOR JOINTlY-HELD REAl ESTATE. VAlUE OF ASSET INTEREST DECEDENT'S INTEREST
1. Ao 12/03 HH BONDS 10,000 50 5,000
2. B 2/84 MEMBERS 1ST CREDIT UNION #36593 983 50 491
3. C 2/84 MEMBERS 1ST CREDIT UNION #36594 2,036 50 1,018
4. D 2/84 MEMBERS 1ST CREDIT UNION #36595 1,355 50 677
-
-
TOTAL (Also enter on line 6, Recapitulation) $ 7,186
(If more space is needed, insert additional sheets of the same size)
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Send Inquires to: Statement of Accounts
5000 Louise Drive
PO Box 40
Mechanicsburg, PA 17055 Nov 01, 2004 thru Dec 31, 2004
www.members1st.org
Main Switchboard: (717) 697.1161 or (800) 283.2328 Account Number: 36593
EZCall: (717) 697,4372 or (800) 283.4372
TOO: (717) 697.5312 or (800) 283.2328 ext. 5312 -
TeleBranch: (717) 795.6049 or (800) 237.7288 Account Balances at a Glance:
MEMBERS 1st Checking: 0.00
FEDERAL CREDIT UNION Savings: 984.06 -
30628 1 MB 0.309 30628-30628
*- 1,1"1,11",1,1.11"""111,1",,1,1,,11,,,1,1,,,11,1..1,.11,1 Certificates: 0.00
- ALAN W MAHONEY Loans: 0.00 -
- 17914 JUNIPER RD -
1--'=== Money Management: 0.00
ARGOS IN 46501
""'-
N- Page: 1 of 1
0-
* 2004 1099-INT and/or IRA Fair Market Value information is provided with this
statement. No separate tax mailing will be made for the tax information
provided. This information is being furnished to the Internal Revenue Service.
Please retain this statement for your tax records.
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
Date Transaction Description Additions Subtractions Balance
Nov 01 Balance Forward 982.41
Joint Owner: HARRY WATSON
Joint Owner: MARGRET WATSON
Nov 30 Deposit Dividend 1.000% 0.81 983.22
Annual Percentage Yield Eamed 1. 01(J% from 11/01/2004 through 11/30/2004
Dee 31 Deposit Dividend 1 0000% 0.84 984.06
Annual Percentage Yield Eamed 10 01(J% from 12/01/2004 through 12/31/2004
Dec 31 Ending Balance 984.06
02 - HOLIDAY CLUB
Date Transaction Description Additions Subtractions Balance
Nov 01 Balance Forward 0.00
Dec 31 Ending Balance 0.00
yrD SUMMARIES
TOTAL DIVIDENDS PAID
00 REGULAR SAVINGS 9.81
02 HOLIDAY CLUB 0.00
Total Year To Date Dividends Paid 9.81
NOTE: Total includes closed shares
MARGARETLWATSON
CASE 21-04-1160
M1ST01
Send Inquires to Statement of Accounts
5000 Louise Drive
PO Box 40
Meehan icsburg, PA 17055 Nov 01, 2004 thru Dec 31, 2004
www.members1st.org
Main Switchboard: (717:16971161 or (800) 2832328
EZCall: (717) 697-4372 or 1800) 283,4372 Account Number: 36594
TOO: (717) 697,5312 or (800) 283-2328 exL 5312
TcleBranch: (717) 795,6049 or 1800)237,7288
MEMBERS 1st Account Balances at a Glance:
FEDERAL CREDIT UNION Checking: 0.00
Savings: 2,037.76
Certificates: 0.00
BARBARA L MIDDAUGH Loans: 0.00
7647 MORAN CT Money Management: 0000
INDIANAPOLIS IN 46268-4747
Page: 1 of 1
2004 1 099-INT and/or IRA Fair Market Value information is provided with this
statement. No separate tax mailing will be made for the tax information
provided. This information is being furnished to the Internal Revenue Service.
Please retain this statement for your tax records.
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
Q~.!!_-- Transaction Description Additions Subtractions n _ n ~alance
Nov 01 Balance Forward 2,034.36
Joint Owner: HARRY WATSON
Joint Owner: MARGRET WATSON
Nov 30 Deposit Dividend 1 , 000% 1.67 2, 036 , 03
Annual Percentage Yield Earned 1.000% from 11/01/2004 through 11/30/2004
Dec 31 Deposit Dividend 1 . 000% 1.73 2,037076
Annual Percentage Yield Earned 1. 010% from 12/01/2004 through 12/31/2004
Dec 31 Ending Balance 2,037.76
02 - HOLIDAY CLUB
Date Transaction Description oo____Additi,Qns .. Subtractions Balance
Nov 01 Balance Forward 0.00
Dec 31 Ending Balance 0.00
-..- -. . "----~_._------ -~~
- ______n_" ___ __ _______.___._..._____.____________..___________ __ _____._____. ...-..,.._--_.0_-
YTD SUMMARIES
TOTAL DIVIDENDS PAID
00 REGULAR SAVINGS 23.86
02 HOLIDAY CLUB 0.00
Total Year To Date Dividends Paid 23,86
NOTE: Total includes closed shares
MARGARETL.WATSON
CASE 21-04-1160
Send Inquires to: Statement of Accounts
5000 Louise Drive
PO Box 40
Mechanicsburg, PA 17055 Nov 01, 2004 thru Dec 31, 2004
. www.members1st.org
Main Switchboard: (717) 697-1161 or (800) 283.2328 Account Number: 36595
EZCall: (717) 697-4372 or (800) 283-4372 -
TOO: (717) 697-5312 or (800) 283-2328 ex!. 5312
MEMBERS 1st TeleBranch: (717) 795-6049 or (800) 237-7288 Account Balances at a Glance:
FEDERAL CREDIT UNION Checking: 0.00
37007 1 MB 0.309 87320-37007 Savings: 0.00
*- 1111.11111111'11111..1.1'11111.1.1'1.1111111, 11111111111111111 Certificates: 0.00 -
- BEVERLY L MAHONEY Loans: 0.00
---- -
740 OVERLAND DR Money Management: 0.00
'>= MCKINNEY TX 75069-2991
-
'>- Page: 1 of 1
::>-
* 2004 1099-INT and/or IRA Fair Market Value information is provided with this
statement. No separate tax mailing will be made for the tax information
provided. This information is being furnished to the Internal Revenue Service.
Please retain this statement for your tax records. .
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
Date Transaction Dest;ripuon Additions Subtractions Baiance
Nov 01 Balance Forward 1,353081
Joint Owner: HARRY WATSON
Joint Owner: MARGRET WATSON
Nov 30 Deposit Dividend 1 00000/0 1011 1,354092
Annual Percentage Yield Eamed 10(}()(J% from 11/01/2004 through 11/30/2004
Dec 28 Deposit Dividend 1000 1,355.92
Annual Percentage Yield Eamed 100(}{f% from 12/01/2004 through 12/27/2004
Dee 28 Withdrawal by Check 1,355.92- 0000
REGULAR SA VINGS Closed
.... ~ This is the tinal statement presenting information on this product...."
~ ~ ~ Please retain this tinal statement for tax reporting purposes ~ ~ ~
02 - HOLIDAY CLUB
Date Transaction Description Additions Subtractions Balance
Nov 01 Balance Forward 0000
HOLlDA Y CLUB Closed
....~This is the tinal statement presenting information on this product......
~.... Please retain this tinal statement for tax reporting purposes ......
YTD SUMMARIES
TOTAL DIVIDENDS PAID
00 REGULAR SAVINGS 13.38
02 HOLIDAY CLUB 0000
Total Year To Date Dividends Paid 13038
NOTE: Total includes closed shares
MARGARETL.WATSON
CASE 21-04-1160
M1ST01
REV,1510 EX'" (6-98. SCHEDULE G
COMMONVVEALTH OF PENNSYLVANIA INTER-VIVOS TRANSFERS &
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARGARET L. WATSON 21-04-1160
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
ITEM INCLUDE THE NAME Of THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND
NUMBER THE DATE Of TRANSFER. ATIACH A COf"I OF TIlE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. NANCY L. MAHONEY, DAUGHTER CASH 06/04 5,000 100 3,000 2,000
CASH 12/04 4,731 100 -0- 4,731
AMERICAN FUNDS TE BOND FUND OF AMERICA
8422.997 SHARES @ $12.55 11/04 05,709 100 -0- 105,709
2. DONALD L. MAHONEY, SON-IN-LAW CASH 10/04 4,681 100 3,000 1,681
-
-
TOTAL (Also enter on line 7 Recapitulation) $ 114,121
(If more space is needed, insert additional sheets of the same size)
'rlle ri~T)ht (hni(~' fDf th': <..'1'
@ AI~lerici:lll] New Account _.,.h'
Confirmation /(:// ,J
/ 2../ " GI/ () 'Y
PO Box 6007 November 1, 2004
Indianapolis IN 46206,6007 <::,- 'r (':/
,. " (..'(f !..i"
Your financial adviser ..:~ /~J 1.../ ~/. /' r
,>-,)
I I . MAHONEY
NANCY L MAHONEY TTEE /.:. .,
NANCY L MAHONEY REVOCABLE TRUST ING FINANCIAL PARTNERS, INC. J..>
UOT OTO 04/25/2001 17914 JUNIPER RO
17914 JUNIPER RO ARGOS IN 46501-9232
ARGOS IN 46501-9232
1,1111.11".1.1.1111'1,,111.1"1.1.1..11...1.111.11.1..1,,11.1
We appreciate your confidence in us! For more account information
................. ~. ~....~......... .... .. . ....... .. ..............................~............... ..... . . . .... ~.............., ~............ ~....................... ....... ........................... .............
We are delighted to have you as an investor. Please carefully review this . Call your financial adviser
statement to make sure your account is set up correctly. If you did not . Automated information and services
receive a prospectus from yourfinancial adviser, please contact your Website - americanfunds. com
financial adviser, download one from our website or call us. For account American FundsLine (" - 800/325,3590
changes, please notify yourfinancial adviser or call us at 800/421,0180. . Personal assistance - 8 a.m. to 8 p.m. Eastern time M,F
For any questions or concerns about your account,
please call Shareholder Services - 800/421,0180
Transactions
...... ................~............ ~'.'."..."" ~.......'.""......".....'..~.... ............~................. ~......~............ ~..... ~......,......... ~. ~..."'."'."......'....".~..""..'. .~.'.'.".... . ~~..
Shares this
Trade date Description Dollar amollnt Share price transaction Share balancl
.................................................................................................................................................................... ..........................,.... ...........................................................................
11/01/04 Transfer From 68447137 8,394.354 8,394.35l
Account information
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Fund The T ax-Exempt Bond Fund of America-A To comply with federal regulations, information you provided on
...................................................................................................
Fund number 19 the application will be used to verify your identity.
...................................................................................................
Account number 59623599
........................................................... .......................................
Share class A
.. ..... .... .............. ....... ............... .............. .... .................. ..... ....... ....
Type 01 fund !.a.x. :.e.x.~~p..~,j.n.~.~.~. ~.......................,.......... ,............................
J)i.~I1.ib/Jtion olJtiom
.................................................. ...................................................................................
DIVidends Remvest
...................................................................................................
Capital gains Reinvest
.................... ..................-......................................................
11111111111111111111111111111111111 MARGARET L. VVA TSON
CASE 21-04-1160
AfS ~ IB 102_ 679116401000 lB5,29330 CDlAFSO LNSO.lAF 1008549651
The right choice for the long term" Y ear- End Statement Page 1 of 2
@ American Funds@
January 1 - December 31, 2004
PO Box 2280
Norfolk VA 23501,2280
I 4 8 0 5
MARGARET L WATSON Your financial advisl.'1'
PA/TOD MAHONEY
NANCY L MAHONEY
836 OAK OVAL ING FINANCIAL PARTNERS, INC.
MECHANICSBURG PA 17055-8409 17914 JUNIPER RD
ARGaS IN 46501-9232
1...111...111....1.1..1.1.1..1..1,.111...1.1..,,11..11....1.11
Best wishes for the New Year For more account infortnation
............................................................................................................ .........................................................................................................
This statement shows your complete account activity for 2004. so . Call your fin:mcial adviser
please keep it for your tax records. Our online Tax Center can . Automated information and services
help you with duplicate tax forms, average cost information, an Website - americanfunds. com
interactive Tax Guide, and more. You can also go online to make American FundsLine ". - 800/325-3590
your IRA contributions. Visit us at americanfunds. com. . Personal assistance - 8 a.m. ' 8 p.mo Eastern time M,F
Shareholder Services - 800/421-0180
Summary
.........................................................................................................................................................................................................................
Fund Account Type of Shares held Share price Account value
numher number fund as of 12131 as of 12131 as of 12131
.......................................................................................................................................................................................................................................................................................
The Tax-Exempt Bond Fund of America-A 19 68447137 tax, exempt income 0.000 $12.54 $0.00
Year-to-date dividends and capital gains
..... ...... ........................... ................................. ..... .......... .................. ........~........... .............. ............................................... ...... ............... .............
Fund Account Short,term Long-term
.................................,............................... ......... ............ ........... .... .~1.~!7!~~~.................... .'?~.,:!~~r............................ .~~~I!!~~!!~....... ............. ~~p.!:~!.~.~!:!~... .......................... ~.~/:.i~~!.9.~~~:~..
The Tax-Exempt Bond Fund of America-A 19 68447137 $3,538.95 $0.00 $0.00
Transactions
............0.................................... ...................... ....... ... 00 o. 00..000.....0 o~. 0... 0.' .........0..... 0" 0.00.0. .... ..................... o. 0... ....... ........ .... ...... ............... .............
The Tax-Exempt Bond Fund of America - Class A Dividends and capital gains reinvested
Fund number 19
Account number 68447137
Trade date Description Dollar amoul1t Share price Shares transacted Share balance
........................................................................................................................................................................................................................................................,....................'
01/01/04 Beginning share balance 8,110.157
01/30/04 Income Dividend $343.91 $12.54 270425 8, 137 . 582
02/27104 Income Dividend $347.78 $12070 27,384 8,164.966
03/31/04 Income Dividend $355.76 $12.60 28.235 8,193.201
04/30104 Income Dividend $353.37 $12030 28.729 8,221.930
05/28/04 Income Dividend $355063 $12,23 29.078 8,251.008
06/30/04 Income Dividend $355.05 $12.24 29.007 8,280,015
07/30/04 Income Dividend $356.61 $12032 28.946 8,308.961
08/31/04 Income Dividend $355033 $12.51 28.404 8,3370365
09/30/04 Income Dividend $355.00 $12053 28.332 8,365.697
10/29/04 Income Dividend $360051 $12.58 28.657 8,394.354
11/01/04 Transfer To 59623599 ,8,394.354 0.000
12/31/04 Ending share balance 0.000
Daily dividend. Since the fund declares dividends daily, the amount of your income dividend depends on the number of days
between the day you paid for your shares and the day the dividend was paid.
I 1111111111111111111111111111111111 MARGARETL.WATSON
CASE 21-04-1160
AFS.,~05IE2~ 69B475400429609.29609_CNSAFSO 1.INVMCR .'. .AF 1.."".0086733 10/
REV,1511 EX+ (12.99)_ SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF
-0
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. MALPEZZI FUNERAL HOME 8,745
2. MATTHIAS MONUMENTS ENGRAVING 194
3. ROTHERMAL FLORIST - FLOWERS 261
TOTAL FUNERAL 9,200
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s) NANCY L. MAHONEY -0-
Social Security Number(s)/EIN Number of Personal Representative!s) 172-32-1028
Street Address 1 7q 14 .TTJNTPF.R ROAD
City ARGOS State~Zip 46501
Year(s) Commission Paid:
2. Attomey Fees -0-
30 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) -0-
Claimant
Street Address
-
City State _Zip
Relationship of Claimant to Decedent
4. Probate Fees 266
5. Accountant's Fees -0-
6. Tax Return Preparer's Fees -0-
-
7. BOND 985
8. TRAVEL - MILEAGE $1,000
TOLLS 59
MEALS 155
LODGING 212 1,426
9 POSTAGE 22
10 TELEPHONE 25
TOTAL (Also enter on line 9, Recapitulation) $ 11,924
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12'()3) '*
SCHEDULE I
DEBTS OF DECEDENT,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARGARET L. WATSON 21-04-1160
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. MESSIAH VILLAGE - APARTMENT, ASSISTED LIVING, NURSING 7,372
2. VERIZON (TELEPHONE) 5
3. PRESCRIPTIONS 150
4. PA 2004 INCOME TAX 7
5. FEDERAL 2004 INCOME TAX 1,494
TOTAL (Also enter on line 10, Recapitulation) $ 9.028
(If more space is needed, insert additional sheets of the same size)
~~~~Jah Form PB.01
100 MOUNT ALLEN DRIVE, MECHANICSBURG, PA 17055
QUESTIONS? CALL: 717 697-4666
RESIDENT # UNIT STMT. DATE
98722 089D 12/31/2004
RESIDENT S
NANCY L. MAHONEY Mrs. MARGARET L. WATSON I
17914 JUNIPER ROAD
ARGOS, IN 46501
TOTAL AMOUNT DUE $7,459.01
$
DATE DESCRIPTION RATE UNIT CHARGES CREDITS BALANCE
Balance Forward 5,690.08
*** Assisted Living ***
12/01/04 CABLE TV 12/01-12/03 -25.00 1 25.00 5,665.08
12/02/04 TRANSPORT A TION 87.50 1 87.50 5,752.58
WEST SHORE EMS; HSH TO MV
12103/04 PS2 - SUSQUEHANNA SINGLE 129.00 3 387.00 6,139.58
12/01-12/03
*** Nursing Care ***
12/01/04 CABLE TV 12/04-12/09 -25.00 1 25.00 6,114.58
12/07/04 TRANSPORT A TION 138.43 1 138.43 6,253.01
WEST SHORE EMS; HSH TO MV
12/09/04 RM/ BRD - NURSING - SEMI-PVT 201.00 6 1,206.00 7,459.01
12/04-12/09
. "~ ,.,,~
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RESIDENT # CURRENT OVER 30 OVER 60 OVER 90 OVER 120 TOTAL AMOUNT DUE
98722 1,768.93 3,845.00 1,845.08 0.00 0.00 $7,459.01
RESIDENT NAME Mrs. MARGARET L. WATSON Form PB.01
H/A
A I % finance charge may be assessed on accounts for which payment has not been received by the due date. Thank you!
If you have any questions or concerns about your bill, please address them directly to FisCf' C' .... 0 , _,....... "",__ro. ...-. . ..
MARGARETL.WATSON
CASE 21-04-1160
REV,1513 EX+ (9,00) "i
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MARGARET L. WATSON 21-04-1160
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s} OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
NANCY L. MAHONEY DAUGHTER 100%
17914 JUNIPER ROAD
ARGOS. IN 46501
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV,1500 COVER SHEET
II NON,TAXABLE DISTRIBUTIONS:
A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART" - 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)
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717)240-6345
Date: 02/28/2005
MAHONEY NANCY LOUISE
17914 JUNIPER ROAD
ARGOS, IN 46501
RE: Estate of WATSON MARGARET L
File Number: 2004-01160
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: 03/30/2005
Your prompt attention to this matter will be appreciated.
Thank You.
~:y,
GLENDA F=~:~
Clerk of the Orphans' Court
cc: File
Counsel
Judge
CERTIFICATION OF NOTICE UNDER RULE 506(a)
Name of Decedent: /ff#~/1/Uf .1-. tow "TS(]},/l/
Date of Death: /-:z..jN /~
.
Will No, ~/7tti- cJ//c;, 0 Admin. No,
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5,6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on l /0 i' /,.;5 :
Name Address
;{/.4uy /'OU/5.!! /MJffl,<J4'.'( , /791'1' JV;b/;PEIL ;'2.0,4..1), A)[!,GCHI... IA./ ";/(j,SoI
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date: 3h ;;.S-
Signature k/,tA/C Y L ' A~,1 kC:> -0'5 Y
Name~7'~ ~
Address J::J9/~ J..v.u/;PEIL t/!.04-.l>
4.l!.G-t7-S, /IV 7"~SO/
Telephone f57 V g ,/2 -cS-Z-iJ 1/
Capacity: L Personal Representative
_Counsel for personal representative
J-
Marjorie A. Wevodau
Glenda Farner Strasbaugh First Deputy
Register of Wills
and
Kirk S. Sohonage, Esq
Clerk of Orphans' Court Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240,6345
FAX (717)240,7797
I INVOICE h_) I
c:::-.>
Bill To: InvoiceNo: . 320
Invoice Date: 4/18/2005
NANCY L MAHONEY Estate of: Mar2:aret L. Watson
17914JUNIPERRD Estate No: 21-Cl4cl160
cep.
e._>
ARGaS, IN 46501
Qty Fee Description Fee Total
1 Additional Probate 35.00 $35.ClCl
Total: ?d I#-\L/~~ $35.00
Checks should be made payable to the Register of Wills. Terms: Net 30.
Please return one copy of this invoice with your payment. Thank you.
COMMONWEALTH OF PENNSYLVANIA '*'
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAI',T'''X~~C~! APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISldH"~)' ".' ',.",-' OF DEDUCTIONS AND ASSESSHENT OF TAX
PO BOX Z80601
HARRISBURG PA 17128-0601' REY-1547 EX AFP (03-05)
7'"" ~.. Y I DATE 05-09-2005
lhiJ "~:'i r Pi"J 2: 44 ESTATE OF WATSON MARGARET
""'I" '/', 0 L
DATE OF DEATH 12-10-2004
CLERK OF FILE NUMBER 21 04-1160
~'S COI RT COUNTY CUMBERLAND
NANCY L ,'," .yr; {'J, 0,' ACN 101
17914 JbI ~ER RD". ,1"\ I A.ount 1...1 tted I
ARGOS IN 46501
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 ~
4!V--M~"Yf.m.m~'1I!'. .W.IJMnrtlM!'t.'tW.lWltlMMM1'~.'lrC[WlM!'t.r.W'.............. ...
DI LLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF WATSON MARGARET L FILE NO. 21 04-1160 ACN 101 DATE 05-09-2005
( J CHANGED
RESERVATION CONCERNING FU URE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN SED ON: ORIGINAL RETURN
1. Real Estat. {Schedule A IlJ 000 NOTE: To insure proper
2. Stocks and Bonds (Sch Ie BJ (2J 86.890000 credit to your .ccount,
sub.it t~ upper portion
3. Closely Held stock/Part rship Interest (Schedule C) (3J 000 of this for. with your
4. Mortgages/Notes Rec.i Ie (Schedule DJ (4J .00 tax payaent.
5. Cash/Bank DeposltsIMlsc Personal Property (Schedule E) (5J 69.737000
6. Jointly Owned Property S_du1e FJ (6J 7.186000
7. Transfers (Schedule S) (7l 114,121.00
B. Total Assets (BJ 277,934.00
APPROVED DEDUCTIONS AND E EMPTIONS: 11,924000
9. Funeral Expenses/Ad.. C sts/"lsc. ExPenses (Schedule H) (9J
10. Debts/Hortgege Liebi1it es/Liens (Schedule II 1l0J 9.028000
110 Tote1 Deductions llll ?O.91i? on
120 Net Value of Tax Rat rn 112J 256,982.00
13. Charitable/GovarnDen a1 Bequests; Non-elected 9113 Trusts (Schedule JJ 113J ,00
140 N.t Value of Estate ubject to Tax 114J 256,982000
NOTE: I~ an asseSSMent as issued previously. lines 14, 15 and/or 16. 17. 18 and 19 will
re~1ect ~igures t at include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX: 000 X 00
150 _t of Une 14 at 115J = 000
16. ~t of Line 14 tax Ie at Lineal/Class A rate 116J 256,982000 X 045 = 11,564.00
17. A~t of Line 14 et S ling NIt. 117l .00 X 12 = .00
18. Amount of Line 14 tax le at Collateral/Class Brat. 118J .00 X 15 = .00
19. Principal Tax Du. 119J= 11,564000
A C DI S:
DATE NUHBER INTEREST/PEN PAID (-J AttOIINT PAID
02-16-2005 CD00497 578.20 10,986.00
TOTAL TAX CREDIT 11,564020
BALANCE OF TAX DUE .20CR
~ INTEREST AND PEN. .00
TOTAL DUE 020CR
. IF PAID AFTER DATE INDICAT , SEE REVERSE ( IF TOTAL DUE IS LESS THAN U, NO PAYNENT IS REQUIREDo
FOR CALCULATION OF ADDITI L INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT"' (CRJ, YOU HAY BE DUE
A REFUNDo SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.J
~
.
. . Register of Wills of Cumberland County
:
,
STATUS REPORT IlNDER RULE 6.12
Name of Decedent: 114,.eG/A!.r.r [ ?v4T.SCY.u
Date of Death: /2;/;' 0. ,.0,~
Estate Noo: ..1 t::V'7"-o/ /~o
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the fOllowing
with respect to completion of the administration of the above-captioned estate:
1. State w)1ether administration of the estate is complete:
Yes }XJ No 0
2~ If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to Noo 1 is Yes, state the fOllOwing:
a. Did the Personal representative file a final account with the Court? ?
Yes 0 No 0 1'l<J:P /A/N~//~= /4><. 7Z~"r""'~ T#.ea...
C'u"'d"'~ -:;:"", "e&;g,,.~;rLL OF ,f::,/'-4S
f'1J,4,,~ NJ'ISE /'" 4NYrHW"- -4,1) /rlP"'-" (. '.5
b. The separate Orp~' Court No. (if any) for the Personal representative's ,v&&~~
account is: )ll/.W
cO Did the personal representative state an account infOrmally to the parties in
interest? Yes ~ No 0
c. Copies of receipts, releases,joinders and approval...Qfformal or infOrmal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date: ~/eh5 ~<';;tvf~~~
Signa t/
#Alf/c'/ L.. ~Pc>AJ.cy
Name
/7?/y ~-f///.lff~ ~p
Address ,,41'!60,s. //1/ ~5o/
.5'7-/ g9Z-5~:/
Telephone No.
Capacity: g'Personal Representative
o Counsel for personal representative cd
\ S~ lQ\~.c:jJ
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA ORPHANS' COURT DIVISION
FIRST AND FINAL ACCOUNT OF NANCY L. MAHONEY,EXECUTRIX OF THE
ESTATE OF MARGARET L. WATSON, LATE OF UPPER ALLEN TOWNSHIP,
CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED
DATE OF DEATH: DECEMBER 10, 2004
DATE OF ISSUANCE OF LETTERS TESTAMENTARY: DECEMBER 20, 2004
DATE OF ADVERTISEMENT OF LETTERS TESTAMENTARY:
The Sentinel: December 8, 15, and 22, 2006
Cumberland Law Journal: December 15, 22 and 29, 2006
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PRINCIPAL ACCOUNT
w
RECEIPTS
Accountants charge themselves with the following items which comprIse the
decedent's total estate, to wit:
CIVIL SERVICE RETIREMENT BENEFITS
$
441.00
MEMEBERS 1sT FEDERAL CREDIT UNION
22,000.00
PNC BANK
12,158.00
CASH
51.00
CNA LTC BENEFITS
CNA - INSURANCE PREMIUM REFUND
3,072.00
2,520.00
MESSIAH VILLAGE - RENT REFUND
20,450.00
TRAVELERS INSURANCE - REFUND
129.00
METROPOLITAN LIFE - DIVIDEND
15.00
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MISC. FURNITURE
JEWELRY
CLOTHING
MALPEZZI FUNERAL HOME - PREPAID FUNERAL
U.S. SAVINGS BONDS
46.00
60.00
50.00
8,745.00
86,890.00
GROSS ESTATE ASSETS
$ 156,612.00
DISBURSEMENTS
Accountant asks credit for the following monies paid out:
MALPEZZI FUNERAL HOME
MATTHIAS MONUMENTS - ENGRAVING
ROTHERMEL FLORIST - FLOWERS
REGISTER OF WILLS - CUMBERLAND COUNTY
REGISTER OF WILLS - CUMBERLAND COUNTY
ADDITIONAL FILING FEES
MILLER INSURANCE - BOND
MESSIAH VILLAGE - APT. ASSISTED LIVING
VERIZON - TELEPHONE
SAM'S CLUB - CALLING CARD
PRESCRIPTIONS
POSTAGE
TRAVEL EXPENSES
PA DEPT OF REVENUE - 2004 INCOME TAXES
INTERNAL REVENUE SERVICE - 2004 INCOME TAXES
PA DEPT OF REVENUE - INHERITANCE TAXES
CUMBERLAND LAW JOURNAL & SENTINEL -
LEGAL ADVERTISEMENTS
MURREL R. WALTERS III, ESQ. - LEGAL FEES
TOTAL DISBURSEMENTS
$ 8,745.00
194.00
261.00
281.00
450.00
985.00
7,372.00
5.00
25.00
150.00
22.00
1,426.00
7.00
1,494.00
10,986.00
212.03
750.00
$ 33,365.03
RECAPITULATION
GROSS ESTATE ASSETS
$ 156,612.00
LESS: DISBURSEMENTS
33,365.03
BALANCE IN HANDS OF ACCOUNTANT
FOR DISTRIBUTION
$ 123,246.97
STATE OF INDIANA
COUNTY OF /W.Si/"'-LL.
ss.
Personally appeared before me, the undersigned officer, a Notary Public, in
and for said State and County, Nancy L. Mahoney, Executrix of the ESTATE OF
MARGARET L. WATSON, late of Upper Allen Township, Cumberland County,
Pennsylvania, deceased, who being duly sworn according to law, deposes and says
that he was the Accountant in the annexed Account and that the said Account is true
and correct to the best of his knowledge, information and belief, and that there are no
unpaid creditors to be notified of the filing of this Account and the day of proposed
decree of confirmation has been given to all persons who have any interest in the
estate as beneficiaries.
~
~%.~
NANl . MAHONE
II NOTARY SEAL II
Kenneth D. Powell, Notary Public
M~:~ "'ill COUllty, State of Indiana
My CommIssion Expires 10/21/2008
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA, ORPHANS' COURT DIVISION
IN RE: ESTATE OF MARGARET L. WATSON, LATE OF UPPER ALLEN
TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA
SCHEDULE OF PROPOSED DISTRIBUTION
Suggestion is made that the balance in the hands of the Account for distribution, to
wit: the sum of $124,659.00in cash to be distributed as follows:
Nancy L. Mahoney
$123,246.97
Respectfully submitted,
'~~
STATE OF INDIANA
COUNTY OF /ll~f2S#/Jt- L.-
ss.
Personally appeared before me, the undersigned officer, a Notary Public in and
for said State and County, NANCY L. MAHONEY, Executrix of the ESTATE OF
MARGARET L. WATSON, late of Upper Allen Township, Cumberland County,
Pennsylvania, deceased, who being duly sworn according to law, deposes and says
that the foregoing Schedule of Proposed Distribution is a true and correct distribution
of the net assets of the ESTATE OF MARGRET L. WATSON, deceased, and is made
with the provisions and laws of the Commonwealth of Pennsylvania applicable
thereto.
~~~~
swo~n to nd su~bed
befo Z!},s7 day
of /,,2007.
/~
Notary Public
"NOTARY SEAL"
Kenneth O. Powell, Notary Public
M8I1hall County, State of Indiana
My Commission Expires 10/21/2008
DECEDENT'S ESTATE
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF MARGARET L. WATSON
, DECEASED
No. 21-041160
PETITION FOR ADJUDICATION /
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.C. Rule 6.9
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This form may be used in all cases involving the Audit of the Account of a Decedent's Estate.-Jf
space is insufficient, riders may be attached. Attach the spouse's election, if any; the papers
required under items 8-19 inclusive; and any instrument pertinent to the adjudication.
INCLUDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: MURREL R. WALTERS III
Supreme Court 1.0. No.: 24849
Name of Law Firm: MURREL R. WALTERS III, ESQ.
Address: 54 EAST MAIN STREET, MECHANICS BURG, P A 17055
Telephone: 717-697-4650
Fax: 717-697-9395
Form OC-OJ rev. 10.13.06
Page 1 of 10
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Estate of MARGARET L. WATSON
, Deceased
1. Name(s) and address(es) ofPetitioner(s):
Name:
MURREL R. WALTERS III, ES~ .
Address:
54 E. Main Street
Mechanicsburg, PA 17055
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
Is this the fIrst accounting by this fIduciary? . . . . . . . . . . . . . . . . . . . .. IZI Yes 0 No
If not, identify prior accountings, the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on DECEMBER 10, 2004
IZI Letters Testamentary or o Letters of Administration were granted to Petitioner(s) on
December 20, 2004
Date of Will (if applicable): AUGUST 10 1988
,
Date(s) ofCodicil(s) (ifapplicable): N/A
Date of probate (if differentfrom date Letters granted):
Was a bond required? lZJYes 0 No If yes, state amount: 985.00
Are proofs of advertising of the grant of Letters attached? ......... IZI Yes 0 No
Dates of advertising of the grant of Letters: DECEMBER 15 22 29 2006
, , ,
(CUMB. LAW JOURNAL) & DECEMBER 8,15,22,2006 (THE SENTINEL)
Form OC-OJ rev. JO.13.06
Page 2 of 10
Estate of MARGARET L. WATSON
, Deceased
3. Was decedent survived by a spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DYes IZI No
If yes, name ofthe surviving spouse:
4. Has the surviving spouse filed to take an elective share? ............ . DYes D No
(See Section 2201 et seq. of the Probate, Estates and Fiduciaries Code)
If yes, date of election:
5. In the case of an intestacy, state the names of the decedent's surviving children or
surviving issue of deceased children (if none, so state):
6. Did decedent marry after execution of Will or Codicil( s)? . . . . . . . . . .. DYes IZI No
Were any children born to decedent after execution of
Will or Codicil(s)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes IZI No
If yes, give names and dates of birth:
Name:
Date of Birth:
7. If required by the Medical Assistance Estate Recovery Act,
62 P.S. ~ 1412, was a request for a statement of claim sent to
the Department of Public Welfare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IZIYes D No
Form OC-OJ rev. JO.13.06
Page 3 of 10
Estate of MARGARET L. WATSON
, Deceased
8. Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7 and 6.8 has been or will be
given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants
listed in item 10 below. In addition, notice of any questions requiring Adjudication as
discussed in item 14 below has been or will be given to all persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of the names
and addresses of the parties receiving such Notice.
B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and
addresses of the parties receiving such Notice shall be submitted at the Audit
together with a statement executed by a Petitioner or counsel certifying that such
notice has been given.
C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated
persons), Notice of the Audit has been or will be given to the appropriate
representative on such party's behalf as required by Pa. O.c. Rule 5.2.
D. If any charitable interest is involved, Notice of the Audit has been or will also be
given to the Attorney General as required under Pa. O.C. Rule 5.5. In addition, the
Attorney General's clearance certificate (or proof of service of Notice and a copy
of such Notice) must be submitted herewith or at the Audit.
9. List all parties (charitable and non-charitable) of whom Petitioner( s) has/have notice or
knowledge, having or claiming any interest in the estate as beneficiaries under the Will or
Codicil(s) or as intestate heirs if there is a complete or partial intestacy:
A. State each party's relationship to the decedent and the nature of each party's
interest(s):
Name and Address of Each Party in Interest
RelationshiD and Comments. if anv Interest
NANCY L. MAHONEY
17914 JUNIPER ROAD
ARGOS, IN 46501
DAUGHTER 100%
Form OC-OI rev. 10.13.06
Page 4 of 10
Estate of MARGARET L. WATSON
, Deceased
Name and Address of Each Partl; in Interest
Relationshio and Comments. if anv
Interest
B. Identify each party who is not sui juris (e.g., minors or incapacitated persons).
For each such party, give date of birth, the name of each Guardian and how each
Guardian was appointed. If no Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each.
C. State why a Petition for Guardianlfrustee Ad Litem has or has not been filed for
this Audit (see Pa. o.c. Rule 12.4).
D. If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
Form OC-OJ rev. 10.13.06
Page 5 of 10
Estate of MARGARET L. WATSON
, Deceased
10. Other than the claim for the family exemption, list the names of all known claimants and
the amount of their claims and state whether each claim is admitted.
Name and Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Paid In
Full?
DYes DYes
DNo DNo
DYes DYes
DNo DNo
DYes DYes
DNo DNo
DYes DYes
DNo DNo
If the estate is insolvent, attach a schedule setting forth the order of preference under
20 Pa.C.S. ~ 3392 and the proposed payments.
11.
Was family exemption claimed?
DYes lZINo
DYes DNo
Was family exemption allowed?
Family exemption claimant's name and relationship:
Name:
Relationship:
Form OC-OI rev. /0.13.06
Page 6 of 10
Estate of MARGARET L. WATSON
, Deceased
12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate
Tax paid, the date(s) ofpayment(s), and the interest(s) upon which paid, are as follows:
Date
Payment
Interest
2/16/05
10 ,986.00
13. On the date of death, was the decedent a fiduciary
(personal representative, trustee, guardian, agent under power
of attorney) or surety on the bond of a fiduciary? . . . . . . . . . . . . . . . . . . . DYes IZJ No
If yes, provide the name of the estate, indicate whether an account has been filed and
confirmed absolutely and all awards performed, or, in the alternative, how the
decedent's estate will be discharged for the decedent's fiduciary administration of the
estate.
14. A. Describe in detail any questions requiring adjudication and state the position of the
Petitioner(s) as to each question:
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? .................. DYes D No
15. IfPetitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed
or attached, provide a copy of the assignment, renunciation, disclaimer or attachment,
together with any relevant supporting documentation.
Form OC-OI rev. /O.I3.06
Page 7 of! 0
Estate of MARGARET L. WATSON
, Deceased
16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . D Yes IZI No
If yes, attach a copy of the Order if available; otherwise state the Court, term, number,
date, and name of Hearing Judge.
17. A. List or attach a separate list of additional receipts and disbursements since the closing
date of the Account.
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above? ............ . DYes D No
18. If a reserve is requested, state amount and purpose.
Amount:
Purpose:
If a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest? ........................................ DYes DNo
If so, attach a copy of the notice.
19.
Is the Court being asked to direct
the filing ofa Schedule of Distribution?
IifYes DNo
As to real estate only? ........................................ [JYes DNo
Form OC-OJ rev. JO.13.06
Page 8 of 10
Estate of MARGARET L. WATSON
, Deceased
Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled
and suggest( s) that the distributive shares of income and principal (residuary shares being stated
in proportions, not amounts) are as follows:
A. Income:
Proposed Distributee(s)
Amount/Proportion
B. Principal:
Proposed Distributee(s)
Amount/Proportion
NANCY L. MAHONEY
123,246.67
Submitted By:
(All petitioners must sign.
AddmMllJ;
Name of Petitioner: MURREL R. WALTERS III,
.~
Name of Petitioner:
Form OC-OJ rev. /0./3.06
Page 9 of 10
Estate of MARGARET L. WATSON
, Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * [that he/she
IS title
of the above-named name of corporation
and] that the facts set
forth in the foregoing Petition for Adjudication / Statement of Proposed Distribution which are
within the personal knowledge of the Petitioner are true, and as to facts based on the information
of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false
falsification to authorities).
Signature of Petitioner
Murrel R. Walters III as Attorney for
the EstaEe of Margaret L. Watson
* Corporate petitioners must complete bracketed information.
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition fo djud. / tion!
Statement of Proposed Distribution is a true and accurate reproductio of form '
authorized by the Supreme Court, and that no changes to the fI ve
responses herein.
Signature of Counsel for Petitioner
Murrel R. Walters III
Form OC-OJ rev. 10.13.06
Page 10 of 10
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No.5 87, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
V1Z:
December 15, December 22 and December 29, 2006
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
Watson, Margaret L., dee'd.
Late of Upper Allen Township.
Executrix: Nancy Louise Ma-
honey, 17914 Juniper Road,
Argos, IN 46501.
Attorney: Murrel R Walters, III,
Attorneys-at-Law, 54 East Main
Street, Mechanicsburg, PA
17055.
SWORN TO AND SUBSCRIBED before me this
29 day of December. 2006
NOTARIAL SEAL
LOIS E. SNYDER, Notary Public
Carlisle 8oro, Cumberland County
My Commission Expires March 5, 2009
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tanunv Shoemaker, Classified Advertising Manager, of The Sentinel, of the County
and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a
newspaper of general circulation in the Borough of Carlisle, County and State
aforesaid, was established December 13th, 1881, since which date THE SENTINEL has
been regularly issued in said County, and that the printed notice or publication
attached hereto is exactly the same as was printed and published in the regular editions
and issues of THE SENTINEL on the following day(s)
December 08,15,22,2006
COpy OF NOTICE OF PUBLICATION
, -- .~-...,-~.~. -:",,;;;'.,;;,:' ';', .
,,~/ ~. '<..- . ..,
Affiant further deposes that he/ she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement
as to time, place and character of
~~~~~n~;c
ESTAlENOTICE" .' ,
LettefS 1~l'ydii1he*ofMAR~Atl~ L. ,
. WATSON, late of UppeLAlen~ . :owA5hip, 0W1iber\and
. eoUn~.PeniIsylvania', ~.baveb~9ranted
4o.the undersigned.' " . .
,~,- -"::J:: :',.." , .'~
All person$~~g lbEllnselves to be indebted to saiq
estate.wiII nta!<e, '. irrJn'iediateI) Snd'lhoSe .
l.1aving CIai!ns!'"ft. .. ttIem for-Sett1ement;to:
, ., " ....., . " .' ,Nanyy Lbuis&Mahoney
...' _ 'l19,14-1J~illipe,:Road
_ " . . . Argas, IN 46501
. Murrel R. \"Iatters. 111
. Attom~-at~l..aW
54,EastMai\l.Street
t.tectiailiCStJuqj; p,. '17U5!5-
Sworn to and subscribed before me this
27th.. day of December 2006.
('-I1J.iff;tl~ i! ~
Notary Pub
My commission expires: q / / /6~
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Christina L Wdfe, NotarY Public
Carlisle 8010, ~ CountY .
Mt Comm\SSiOO Expires Sept. 1, 2008
Member. Pennsylvania Association Of Notaries
,"lr
....
--
'~
.-
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNYSLVANIA
ORPHANS' COURT DIVISION
Docket No: 21-2004-1160
INRE:
FIRST AND FINAL ACCOUNT OF NANCY L. MAHONEY, EXECUTRIX FOR THE ESTATE OF
MARGARET L. WATSON, LATE OF UPPER ALLEN TOWNSHIP, CUMBERLAND COUNTY,
PENNSYL VANIA, DECEASED.
AND
PETITION FOR ADJUDICATION/STATEMENT OF PROPOSED DISTRIBUTION
ORDER OF COURT
AN NOW, this 28th day of August, 2007, the herein account is confirmed absolutely and distribution is
decreed in accordance with the proposed schedule of distribution herewith.
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