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HomeMy WebLinkAbout04-1162PETITION FOR PROBATE and GRANT OF LETTERS ~tate ~ Joseph Oscar Crull also known as Deceased. Social Security No. 2 01 - 1 8- 7 0 0'9 To: Register of Wills for the County of C~imberIand 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 or in the last wilt of the above decedent, dated February 5, and codicil(s) dated in the named ,19. 86 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland' County, Pennsylvania, with ].s last family or principal residence at 3275 Enola Road: Carlisle.. PA ] 7013 (list street, number and muncipality) Decendent, then 78 years of age, died December 9r ,Xi~ 2004 at 3275 Enola Road: Carlisle: PA ] 701 q Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as f©llows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 327'5 Enola Road Carlisle, PA 17013 12,000.00 92,000.00 a:: C~ 2> U'"~ 0 WHEREFORE, petitioner(s) respectfully Lequest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary (testamentary; administration c.r.a.; administration d.b.n.c.t.a.) theron. S~--ephen/J. Cr~ll 37.75 Erfola Road Carlisle, PA 17013 CO1MMONWEAL~B(~FR~P~E~NDNSYLVANIA } ss COUNTY OF 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_admctis~r ¢hejmtate according to law. Sworn to or affirmed and subscribed,-'~'"'.__.._ / ~ ~-'~/C' / F,,,~/~'~. r~ b~efore m.e this '~QOc~ day of { / ~' u~em~er,_. , .,1, , _}D)f._2.IM) 4~ ~ · · REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Anthony L. DeLuca 0fMC) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that he was present and saw Joseph Oscar Crull , the testat, or , sign the same and that he signed as a witness at the request of testat or in h i s presence and (in the presence of each other) (in the presence of the other subscribing Witness(es)). Sworn to or affirmed and subscribed before (f'" ..~.~'~~ · /2' m~-thls x~ C) · day of v (Name) (Address) R~STER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS Crull (t~ a subsci~ier hereto, (~ae~) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of Joseph Oscar Cru11 , testat or of (one of the subscribing witnesses to) the will presented herewith and that he believes the signature on the will is in the handwriting of Joseph Oscar Crull to the best of hi s knowledge and belief. Sworn to or affirmed and subscribed before me tiffs o70~ day of - -z --O~,-,. I~ Re~ter ~--~,,~ 7~'C'/, ~-a a "~ ~.. ("' (Address) (Name) (Address) This is to certify that the information here given is correctly copied from an original certificate of death dui)' liled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for perm:ment :i[ing. WARNING: It is illegal to duplicate this copy by photostat or photograph?; · Fee for this certificate, $2.00 P 110,72930 No. ~cal Registrar ~' Date COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH · VITAL RECORDS -[~ CERTIFICATE OF DEATH ::> STARE FILE NUMBER Joseph O. .,r 11 .OECEDENrSUSUAL~CUPATtON J KIND OF BUSINE~ I INDUSTRY AS OECEDENT ~ER IN DECEDENTS EDUCATION ~v.. (S~) -.. Ci~l S~c i,~Gove~ent / v,,~ .o~ I "''~ ~'~ ..v.,M~.w~.. DECEDENTS ~ILING ADDRESS (S~e'. C~, S~, Z~ ~')1DEC~ENrS 1t2' -- It ~'12 (~'2} [ {14' *'~ '~. Widowed ~s. ~cru~ -~ s~,. Pennsylvania o, ,r. ~ 3275 ~ola Rd. ]~,~ ~.., - YeS.~e.tfi.~in ~wer Frankford ~ ~rlisle, PA 17013 ~.,~ ,~,.~ ~rland ,~,~ .,.~ ,,. ' Oscar Crull I'NF~S ~E (Ty~P~t) 1"- Verna ~ughery "u~mooo~n,s~osmo. ' ~zo~. ~z/~ [no~a KQ. ~r~s~e~ PA 17013 ~ __~'~) ~ ,,~. 12/15/2004 [~,.B~ Cr~tor,, ~SIG~mR~$~IC~P~ORPERSONACTING~SUCH ILiCEN ......... ' , r I . ~ ra ~7028 __ ~~~.~,.m..,~ ~ de ~,. 014404-L ~,~. Hetrick Funeral Home, ~i~p~t {~'171~ liLT' .......... I - I r~ in death)----a, Sequ~J-/li~ ~ b. CA~E (D~a~ ~ in~ c., r~)~ d. WAS ~ AUT~SY I WERE ~TOPSY FINO'NGS --NER * D~ I~, U ..~.,.-.~.~ ~1 I ~ I '~O~NCING ~O CER~ING PHYSI~N (~n ~ ~n~g dea~ ~d ~m~a =n ra,,~ .f ~..*~ LICENSE NUMBER ...................... .~ .... .,. .............. · . ~ . .,on ....... <.... ~q~ ~ / '" ~-/~ -~ c LAST WILL AND TESTAMENT OF JOSEPH OSCAR CRULL I, JOSEPH OSCAR CRULL, a resident of Carlisle, Cum6~and- County, Pennsylvania being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ITEM 1: I direct that all my just debts, the expenses of my last illness and funeral expenses be paid as soon after my decease as the same can conveniently be done. ITEM 2: I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such govern- ments, whether the property passes under this Will or otherwise, excluding, however, any property over which I have a taxable power of appointment, provided, however, that no residuary beneficiary shall by reason of this provision be denied the benefit of any deduction, credit, favorable rate of tax or other benefit which by law enures to such beneficiary. LAST WILL AND TESTAMENT OF JOSEPH OSCAR CRULL ITEM 3: I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatso- ever kind and nature, and wheresoever situate at the time of my death, unto wife, DOROTHY MARY CRULL, provided, however, that she survives me and is living sixty (60) days after the date of my death. ITEM 4: If and in the event that my wife, DOROTHY MARY CRULL, does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my death, in equal shares, unto my three children, STEPHEN J. CRULL, SHELBY CHRISTINE REED, and TINA MARIE CORNMAN, provided, however, that they survive me and are living sixty (60) days after the date of my death. ITEM 5: If and in the event that any of my children, do not survive me and are not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate which such deceased child would have received, if living, to the issue of said deceased child, per stirpes. SEP~ OSCAR CRULL LAST WILL AND TESTAMENT OF JOSEPH OSCAR CRULL ITEM 6: I hereby nominate, constitute and appoint my wife, DOROTHY MARY CRULL, Executrix, of this my Last Will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond or other surety is required of her in this or any other jurisdiction for her performance of this office. If and in the event that my said wife, DOROTHY MARY CRULL, does not survive me and is not living sixty (60) days after the date of my death, or does not complete her duties as Executrix, then and in such event, I hereby nominate, constitute and appoint my son, STEPHEN J. CRULL, Executor, of this my Last Will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond or other surety is required of him in this or any other jurisdiction for his performance of this office. ITEM 7: If any provision of this Will or of any Codicil hereto is held to be inoperative, invalid or illegal, it is my intention that all the remaining provisions thereof shall continue to be fully operative and effective, so far as is possible and reasonable. _3_~SE~H OSCAR CRULL LAST WILL AND TESTAMENT OF JOSEPH OSCAR CRULL IN WITNESS WHEREOF, I, JOSEPH OSCAR CRULL, the Testator, have to this my Last Will and Testament, typewritten on four (4) consecutively numbered pages, subscribed my name and affixed my seal this ~7~ day of ~/-~Z~I, 1986. ? Signed, sealed, published and declared by the above named GOSEPH OSCAR CRULB, as and for his Bast Will and Testament, in the presence of us, who have hereunto subscribed our names at h±s request, as witnesses hereto, in the presence of the said Testator, and of each other. ~~ _ ~~esldlng ~~.~(~. ~/~.~~f~residingat ~~~~~//~ / ~ ~ -4- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Joseph Oscar Crull Date of Death: December 9. 2004 Will No. 2004-01162 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 February 22. 2005 Name Address Stephen J. Crull 3275 Enola Road, Carlisle, P A 17013 She1bv Christine Reed 7 Coral Drive. Carlisle, P A 17013 Tina Marie Cornman 22 Showaker Road. Newville. P A 17241 Notice has now been given to all persons entitled thereto under Rule 5.6 (a) All have received notice. \}:; Signature ~~ ~&r~A - Name AnthonvL. De Es uire 7'r Address 113 Front Street, P.O. Box 358 Boiling Springs, Pennsvlvania 17007 Telephone (717) 258-6844 Capacity: _ Personal Representative ~ Counsel for Personal Representative Date~/L^"uI.1l2-y .too r v REY.150GEX!6-00).. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 N. A."Pb. REV-1500 OFFICIAL USE ONLY w ,.., x:~fJ) 0."" wll.O ",00 0"'.... ll.<II ll. .. INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ~L-Q:L -LLiCLl_ COUNTY CODE YEAR NUMBER I- Z W C W U W C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Crull Joseph O. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) December 9, 2004 March 5, 1929 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER 162 - 22 5923 [] 1. Original Return D 4. Limited Estate IX] 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (dateofdeal!l after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy of Trust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 3. Remainder Return (date of death prior to 12-13-82) D 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113{A) (Attach Sch 0) ,.., Z W C Z o ll. '" W '" '" o o NAME COMPLETE MAILING ADDRESS 113 Front street P.o. Box 358 Boiling Springs, PA 17007 Anthon L D FIRM NAME (lfAPvlicable) Antnon L. DeLuca Es uire TELEPHONE NUMBER 717- 258-6844 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) --9FFICIAbVSE ONLY. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (1) (2) (3) (4) (5) $130,000.00 -0- -0- -0- 12.539.70 -0- c.", z o < ...I ::::l l- ii: <( u w 0:: 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or l) 8. Total Gross Assets (total Lines 1-7) (8) $17,429.79 907.89 $142,539.70 (6) (7) -0- 9. Funeral Expenses & Administrative Costs (Schedule H) (9) (10) 10. Debts of Decedent. Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (11) 18,337.68 (12) 124,202.02 (13) -0- (14) 124,202.02 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (line 12 minus line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !ci: I-' ::::l a. ::IE o u ~ 15. Amount of line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x.O_ (15) x .0 45 (16) 5,589.09 x .12 (17) -O- x .15 (18) -0- (19) $5,589.09 16. Amount of line 14 taxable at lineal rate 124,202.02 17. Amount of line 14 taxable at sibling rate 18. Amount of line 14laxable at collaterai rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS 327" En"],, J>"",-'l CITY Carlisle I STATE PA I ZIP17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount -0- -0- 279.45 (1) $5,589.09 Total Credits ( A + B + C ) (2) 279.45 3. InteresUPenally ff applicable D. Interest E. Penally -0- -0- -0- TotallnteresVPenalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (5) (5A) 5,309.64 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT -0- $5,309.64 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;.. ................... ................... ..................... ................... ..... 0 1[] b. retain the right to designate who shall use the property transferred or its income;. .................... . ...... 0 KJ c. retain a reversionary interest; Of..........".... .....ww..,,"'-.- "".unn........ ..........."..................................... 0 U d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 lD 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............. ................. ................. ................ ................... ....................... 0 1[] 3. Did decedent own an "in trust fo~ or payable upon death bank account or securily at his or her death? ............. 0 iU 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .. .................. ................ .................. .................................. . ................. 0 j[J IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or afier July 1, 1994 and before January 1. 1995, the tax rate imposed on the net value of transfers to or for the use orthe surviving spouse is 3% [72 PS. 99116 (al (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer 10 a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the chiid is 0% [72 P.S. 99116{a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(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, 99116(a)(I.3)]. A Sibling is defined, under Section 9102, as an individual who has at least one parenl in common with the decedent, whether by blood or adoption. . REV.1502.'X + [12-"1 * COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL EST A TE ESTATE OF FILE NUMBER Joseph o. Crull (Property iointly~owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reporfed at fair market value which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reosonable knowledge of the relevant facts. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Residence situated at 3275 Enola Road, Carlisle, PA See attached appraisal. $130,000.00 - . TOTAL (Also enter on Hne 1, Recapitulation) lit. ............ ~...,....... j" "'~"'rl",A. ;n(l~rl nr/r/itinnol sheets of seme size.) 5130,000.0 REV:1503 EX... '(40S61 . SCHEDULE B STOCKS AND BONDS COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DEI;EDENT ESTATE OF FILE NUMBER Joseph O. Crull (All property lolntly-owned with Right of Survivorship must be disclosed on Schedulo F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. NONE -0- lo - " TOTAL (Also enter on line 2, Recapitulation) s o !.".~___f .l.__.L. _I ..___ ..;....1 REV.1507 EX+ (7-BB) '* SCHEDULE D MORTGAGES AND NOTES RECEIVABLE Please Print or Type I FILE NUMBER COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Joseph o. Crull (All property lointly-owned with the Right of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH NONE -0- - TOTAL (Also enter on line 4, Recapitulation) S -0- (If more space ;s needed, insert additional sheets of same size.) . SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or T pe FILE NUMBER UV.150aEX+(2.a71 COMMONWEALTH OF PENNSYlVANIA INHERtlANC'E lAX RETURN RESIDENT DECEDENT ESTATE OF Joseph O. Crull (All property jointly-owned with the Right of Survivorship must be disclosed on Schedule FJ ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Checking accoun~ #7627 at Members 1st Federal Credit Union, Carlisle, PA Savings account, '#7627, at Members 1st Federal Credit Union, carlisle, PA $1,628.10 2. 9,555.60 3. Miscellaneous personal property. See attached appraisal. 1,356.00 TOTAL (Also enter on line 5, Recapitulation) $ 12 539.70 (Alloc:h odditionoI8Y2" x 11" sheets if more space is needed.) "~"09 .X~ 1".'" * COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX R.ETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY Joseph O. Crull I FILE NUMBER ESTATE OF Joint tenant(s): NAME ADDRESS RELATIONSHIP TO DECEDENT A. 6. C. Jointly.qwned pr<lperty: LETTER I FOR JOINT I TEN ANT I I , DATE I MADE ! JOINT , , I i , , DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSeT DECO'S % INT. DOLLAR VALUE OF DECEDENT'S INTEREST ITEM NUMBERi I 1. I NONE -0- i i i I I I I I- I , I I , ! i I - - . TOT AL(A/so enter on line 6, Recapitulation) (If more space is needed insert additional sheefs of same size) s -0 ItEV.1511 EX+ l7.88J ESTATE OF ITEM NUMBER '*' COMMONW~A~TH OF peNN$Y~VA.NIA INHI:RlTANCe: TAX RETURN RESI~I!~T Qielf)~NT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCRLLANIiOUS EXPRNSES Plea.e Print or Type FILE NUMBER Joseph O. Crull OSSCRIPTION A. Funeral Expen.e., 1. Hoffman-Roth Funeral Home, Inc. 219 North Hanover street Carlisle, PA 17013 B. Administrative Costs: 2. 3. 4. C. 1. 2. 3. 4. 5. 6. 7. 8. 1. Personal Representative Commissions 2 ti 2 Social Security Number of Persanal Representative: Year Commissions paid 2005 Attarney Fee. Anthony L. DeLuca, Esquire Family Exemption Claimant Stephen J. Crull Relatianship Address of Claimant at decedent'. death Street Address 3275 Enola Road City Carlisle, State son PA Zip Code 17013 Probate Fees Miscellaneous Expenses: Church Service, soloist, pianist, Pastor Legal Advertising - The Sentinel Legal Advertising - Cumberland Law Journal Filing Fee for Inheritance Tax Return and Inventory TOTAL (Also enter on line 9, Recapitulation) (If more .pace is needed, insert additional sheet. of .ame .ize.) AMOUNT $3,358.50 5,000.00 4,500.00 3,500.00 272.00 550.00 144.29 75.00 30.00 $ 17,429.79 EV.1512 EX+ (9.ln COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT. DECEDENT ESTATE OF SCHEDULE "I" DEBTS OF DECEDENT, MORTGAGES, AND LIENS FILE NUMBER Joseph O. Crull ITEM NUMBER DESCRIPTION AMOUNT 1. Visa - Credit card $45.31 55.00 3. Roy D. Gottshall Auctioneer Appraisal of Personal Property Diversified Appraisal Services Appraisal of Real Estate Clays Service Center - Car Repair 275.00 2. 4. 532.58 TOTAL (Also enter on line 10, Recapitulation) $ 907.89 "1;'1_1.513 EX... l'l.a]} '* COMMONWEALTH Of p~NNsn'lAN1A INHERITANCE TAX atTURN IUlDINt DICIOlNt SCHED'ULE J BENEFICIARIES ESTATE OF FilE NUMBER Joseph o. Crull ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR NUMBER SHARE OF ESTATE A. Taxable Bequests: 1. Stephen J. Crull Son One-Third 3275 Enola Road Carlisle, PA 17013 2. Shelby Christine Reed Daughter One-Third 7 Coral Drive Carlisle, PA 17013 3. Tina Marie Cornman Daughter One-Third 22 Showaker Road Newville, PA 17241 . ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Choritable and..Gov6rnmentol Bequests: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S (If more 'pac. I. needed, In.ert additional sh.ets of same .ize) ....""1 ,. 1"'.. ".',' "..'" .~" ' , -. ~. ',~,"S'I"),'Jl'!1l!'''I'~.' , ',,'l, , . ""'~~.\' '.."~', :,,--,., "r-\:"'~'f""'I\r~,~''':I')~Y\1;ri!t~1'j"~\::.:?'?7'''::,:,n~?~-!'~''"S~:/,,:),:t'f::~~,'~,''" ,~""".~,, "".'-:~,',<,:.<<<.~f~J LAST WILL AND TESTAMENT OF (") ;:;0 i~~~ (J)x (~ (:::'1(""::') -0 -n ~_-) C) -n ::.'t. _".- :-Q Car lisl~::;~umb~lan:if:?~ '~~o (f) 0 ::~ <....)''-1 -.I f"'4 = = J:' :rJ ::::r::Jn. ;"'r"'IO (;+)0 ;;~;l ~~~ ::l-:-){~ JOSEPH OSCAR CRULL a f""1 'n N o I, JOSEPH OSCAR CRULL, a resident of County, Pennsylvania being of sound mind, memory and understanding, do hereby make, pUblish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ITEM I: I direct that all my just debts, the expenses of my last illness and funeral expenses be paid as soon after my decease as the same can conveniently be done. ITEM,2: I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such govern- ments, whether the property passes under this Will or otherwise, excluding, however, any property over which I have a taxable power of appointment, provided, however, that no residuary beneficiary shall by reason of this provision be denied the benefit of any deduction, credit, favorable rate of tax or other benefit which by law enures to such beneficiary. i n /)" U~.L:/~ JOSEPH OSCAR CRULL ITEM 3: I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatso- ever kind and nature, and wheresoever situate at the time of my death, unto wife, DOROTHY MARY CRULL, provided, however, that she survives me and is living sixty (60) days after the date of my death. ITEM 4: If and in the event that my wife, DOROTHY MARY CRULL, does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my death, in equal shares, unto my three children, STEPHEN J. CRULL, SHELBY CHRISTINE REED, and TINA MARIE CORNMAN, provided, however, that they survive me and are living sixty (60) days after the date of my death. ITEM 5: If and in the event that any of my children, do not . 0, f survive me and are not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate which such deceased child would have ;~- received, if living, to the issue of said deceased child, per '.~' Ii.> stirpes. ;~ ~cR~ .~ ( / -?- " ''f,~ }';~ ~~"~""'~""-C"N'~'-"""'"'~-"';""""'''''''.'''''"'''''?''''7'''''''''''''~_~~~...,~ ',r. "-',,"I"_"";'1'~'Y.P." " """ -~ ,. .,.--VW'.. _....,.",~,,_~W ;"""'-.>~'i ..""oc.,~1;r""'...j"'''"'.''~'--'' ,j\",.~, c"-":. .::....~.~t~-'<,:~/1.-t),:,'h~. ,.. .'."T'f!(~~y~_,~~:.'!,,,,.:.,,..- ITEM 6: I hereby nominate, constituteari'd DOROTHY MARY CRULL, Executrix, of this my Last will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond If and in the event that my said wife, DOROTEY MARY CRULL, I r , or other surety is required of her in this or any other jurisdiction for her performance of this office. does not survive me and is not living sixty (60) days after the date of my death, or does not complete her duties as Executrix, then and in such event, I hereby nominate, constitute and appoint my son, STEPHEN J. CRULL, Executor, of this my Last Will and ,~' Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond 6r other surety is required of him in this or any other jurisdiction for his performance of this office. ITEM 7: If any provision of this Will or of any Codicil hereto is held to be inoperative, invalid or illegal, it is my intention that all the remaining provisions thereof shall continue to be fully operative and effective, so far as is possible and reasonable. -3- "~ .-' ".~ .~" ,. ,~, ~",..n. .'~~'..~~" ,~.. "'~""Y ~.",-- 1.~.. r"""",<':""l"If'Iry"",~~~"V"''f''OI:'"'~~::'l'f."l\C ".'. ."')' . ,"...., :'-~":'O\.P_~~l:v.'l:I,"'~~~'~'?~"~/'>'n"''!'':'l''~''-''/-'~:~'1: ....... ,:;;~"7_"'''''~~!l~''~''P'""-,,~;"'': '-;>''~-,o~,,,,'"'''7'\'~ IN WITNESS WHEREOF, I, to this my Last will and Testament, typewritten on foUr (4) consecutively numbered pages, subscribed my name and affixed my seal this Jr1c day of PJ2-6f-'ClIZt/ 1986. ~.o~ . (!,v'-J2L. (SEAL) . (I Signed, sealed, publ~shed and declared by the above named JOSEPH OSCAR CRULL, as and for his Last will and Testament, in the presence of us, who have hereunto subscribed our names at his request, as witnesses hereto, in the presence of the said Testator, and of each other. ~.~ ~~~~ /" ~.,,P'" . '.~.. ...--'c::siding at .., /6? " . . ~;, ~/.l7";~0 (?'~~:d'7eSiding at ~~l"':+';{/"'~rf.a..>.<-4, ,... ../ -4- APPRAISAL REPORT 3275 ENOLA ROAD CARLISLE, PENNSYLVANIA PREPARED FOR THE ESTATE OF JOSEPH O. CRULL BY LARRY E. FOOTE . DIVERSIFIED APPRAISAL SERVICES 35 EAST HIGH STREET, SUITE 101 CARLISLE, PENNSYLVANIA 17013-3052 (717) 249-2758 SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS LOCATION: 3275 Enola Road Carlisle, Pennsylvania TAX PARCEL NUMBER: 14-05-0421-007 IMPROVEMENTS: Two-story detached single-family dwelling. PROPERTY RIGHTS: Fee simple interest. OWNERSHIP HISTORY: The subject property is owned by JosephO. Crull. The property was purchased on November 14, 1973 for a reported consideration of $12,000 and ownership transferred on deed reference 25-L-541. SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of the property's highest and best use, consideration of all three approaches to value, and the application of those relevant to the valuation of the subject. OBJECTIVE: To estimate the market value ofthe subject property as unencumbered. EFFECTIVE DATE: December 9,2004. HIGHEST AND BEST USE: Continued use as a single-family residence. COST APPROACH: NA SALES APPROACH: $130,000 INCOME APPROACH: NA FINAL VALUE CONCLUSION: $130,000 2 APPRAISAL CERTIFICATION I hereby certify that upon application for valuation by: THE ESTATE OF JOSEPH O. CRULL the undersigned personally inspected the following described property: All that certain piece or parcel of land, with the improvements thereon erected, situate in Lower Frankford Township, Cumberland County, Pennsylvania, bounded and described as follows: Beginning at a point in the center of the Public Road leading from Carlisle Springs to Bloserville, at corner of land now or formerly ofHoffinan, later of Jacobs; thence through a post at the side of the Road and by said Jacobs land South 17 degrees 2 I minutes 30 seconds East 250.63 feet to a concrete monument in the center of the abandoned Carlisle Road; thence by the center of said abandoned Road North 67 degrees 44 minutes 50 seconds West 261.62 feet to an iron pin in the center of said abandoned Road; thence by land now or formerly of Clouser and through an iron pin at the side of the said Public Road, North 6 degrees 23 minutes 10 seconds East 156.59 feet to a spike in the center of said Public Road; thence by the center of said Public Road South 84 degrees 5 minutes 50 seconds East 150.73 feet to a point, the place of beginning. To the best of my knowledge and belief the statements contained in this report are true and correct, and that neither the employment to make this appraisal nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of December 9, 2004 is: ONE HUNDRED THIRTY THOUSAND DOLLARS $130,000 The property was appraised as a whole, subject to the contingent and limiting conditions outlined herein. K~ Larry E. Foote Certified General Appraiser GA-000014-L 3 ~~~~~~~ ~ /. /' ./:J", /" C~'/ /"'7, .; -- -; ot:. c:2.d2 A ^' /'d' /' -:7 _ L / c.";:~.df" -=3'::"'::- '/' /.~Cc::u.a.d/'r/~;#?f' d:~~/ /zn-.4?..&~ ~ / ",- /1 ;7e#Ed// ;J , ,~./' .,L 4:- /1. C /;1 /~."'.c'~':<)a~?"o;.i" X'::' '" 4~.A.~d.a/;"~:i! /.j <>l /:;?i~~, ~~..,L/ ~.;::.~,~~'.. / /,?! .... cz;{~:-Z&: y c:2 ?U-''?-#-~ e.Lwt-'d /..:( <>l G::~" ?, _ ~~ ~""'7;i' ~"';...~.4:.e., " (// /.', 7"'// ~:X-1 ~,_..d-.tJt~C:-t" ,/' ;.,{", /'.# /.' 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'.d' -so..-.- 3 /CJ.p,,/.-5'u?>,1/.,F/..dF1 dIJ--" '.' ,r?E lJe[)f(~~;q/ ....P/ ~/,/I ~t$A~~/'l..- . .' ~'.fi:':~'/ ~d p;/~ ~cJ~~K~:'/~"', ~~~i 13;rSIDY181'1!; ~/ h r:;/A~~" ~ (lJ .j- ~:.~- ~t~~' ~.fl!~' r~ - 1'1",,"0 tF'''O ~-"""-,,, ~~ ;:::;;R./lJ1J~6 Rt^,; ~. ~)" ;4" J( .4-:1 __;"u' 'k' J1(~ /,.,-- /)' .p&" .; " i 7J'" ft, cf- ~"'.() .'. ~~i:S"~' (j, p' . j . .A. ,)- ." /~ /~/~' - .7 N P, F'1p"1iC $ffdP',4 '6/1: . ' .' ' ' 'J, ,J f;7:/e<~ ~;/i..' ""; /!,~ ~,~~ ~.f'~'~' ~...,. ..,~"j..l {YI~'7 ~~:.t . '7' pc.- // $3&0. ,p/~ a 'If JO\"- (p \Il \ , ~ bf i?f J~f 1'; /.3 .3 <:: I i.i~ ." ~....IJ' C' h U /1" Ak" -~.. ''''T-::'~''7'1f.,..' /,_~<'G1" c_",:4e&" ,/ f ,r?~ ? ,.- , dO/- $tlED : _$ftf;;~~#.e'~' ru,,:J~L,~,)d/t- -- l,vO FIN;:;:::;' .-;r;:::# ~ <?~ ' ~ ~~~'~"'/"'&I &24-- . 'j l/ V' ~. - . #~ /31f1'~""':u0~ -11;4/ ~ J~' ,4/' ~~~~>>Ip:;.~".;%-. JO~ \ /:?'7.3~ C-~'1ak ~y loP-l- \ ~I ~p-~'r:~.;u/-;<---d' ~~'t ~~4Lj~/ p /3c?'t1 ~ I \ lhi' '. \ .. _;,:9/./ " I 't;:t'h'!//~'~'.'.' ~.L~/a'L~-C'/ih~'L' \ / c:J!"\~~ '/ I ;_31-0!J( \ \ \ \ I \ /.za .;j'" (J.4Rr':-- 0;.~.171/5(IC5 (/ , uz~tf? ,f ------ t(...------' :::.rr'< jll- - "" :CMMONWEALTH OF PENNSYLVANIA :OUNTY OF CUMBERLAND } ss: Sworn eing duly the Executor Sh'phpn .J according to Crull law, deposes and says that he is 0; the Estate 0; Joseph Oscar C'rnl 1 lie of Lowp.r FT"rlkford__'!'_Qwnshi,p Cumberland County, Pa.. deceased and that the 'ithin is an inventory made by hi m ., the said Executor f the entire estate of said decedent, consisting 0/ all the persondl propdrly and real estate, except real estate outside le Commonwealth of Pennsylvania, and that the figures opposite each item of the 1nventory represent it's fair value , of the date of decedent's death. Sworn and subscribed before me, .-<, {/~a4-C~ .f ~;t;;;ji:/i, k.> ___ MARJORIE A DELUCA Notary PublIc SOUIH MDOl.ETON . COI.Mf My COI'IlIIllNlon ExpiI8I Nov 4.2007 ll9 200'i 3275 Enola RCl"rl arlisle, FA 17013 Address Jete of Death 9t 2004 D4Y Monfh 'r'""r INSTRUCTIONS An inventory must be HIed within three months after appcintmenf or personal representative. A supplement inventory must be filed within thirty -days of discovery of additional assets. Additional sheets may be at+ached as to personalty or realty See Article IV, Fiduciaries Act of /949. C,J '. 0. ..... Q)I ..c:: 00 i l-I ..... 0 ::l E-< 0' ..,,; 00 >- 'l:l ~ tiI N I- UJ ~ <D >- '" I- ..... l-I ~ UJ <( ..... 0 ~ - ~ ot. "- I- ::l .... u III ~ 0 VI ~ ~ ,..u 0 l-I ,.I( '" , UJ '" UJ Cl ~::l :c tJ i:: ~ ..,. I- "- "- E...:l 0 Z I- -' u. III ~ I -' <( 0 l-I l-I "- OQ) LIJ u.. UJ ~ r.. ~Cl ~ > 0 <( '" ,;.. <( N Z - . Z 0 I-; c i Cl Q) ~ ...:l ,; VI Z 0 '" :3: (J Z UJ <( 0 - >< "- ...:l " i:: c 0 - ~ ..c:: I 001 0 -;: .j.J 0; ~ ..0 -" i:: >-:>1 ~ E ." 0 0<>: - ~ I ~ ~ 0 1 I -' U u: '" 1 . 2. 3. 4. lnventory of the real and personal estate of Joseph Oscar Crull deceased Residence situated at 3275 Enola Road, Carlisle, PA Checking account at Members 1st Federal Credit Union, Carlisle, PA. Savings account at Members 1st Federal Credit Union, Carlisle, PA. Miscellaneous personal property. ""~---"""-'-~""~.'" ""~',;::;~"-' ....... ",..,.,,",.~.,.,.,..,,~.,, .......~l. .\ . i \ I j \ " .; ~'i ' I;i:;;;~,;, ,':' '-.. " L_._,."::..:,,:~':"'.:~~;~.',<,, "._," J, ,."~ 30,000 00 1,628 10 9,555 60 1 356 00 $1!42,5390 0 II Ii I: II II " il il I: " II I I I I I I I I .. , , I I , I , , , 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 DELUCA ANTHONY L ESQ 113 FRONT ST BOILING SPRINGS, PA 17007 nn fold ESTATE INFORMATION: SSN: 201~18~7009 FILE NUMBER: 2104-1162 DECEDENT NAME: CRULL JOSEPH OSCAR DATE OF PAYMENT: 03/08/2005 POSTMARK DATE: 03/08/2005 COUNTY: CUMBERLAND DATE OF DEATH: 12/09/2004 NO. CD 005036 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $5,309.64 I I I I I I I I TOTAL AMOUNT PAID: $5,309.64 REMARKS: CHECK#1017 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS BUREAU OF INDIVIW~i~.~E~ .' INHERITANCE TAX DIVISION_ -- PO BDX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX en" f"V ~O P',!J, !2'. "9 LJUJ CUll t.. - OJ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-23-2005 CRULL 12-09-2004 21 04-1162 CUMBERLAND 101 AlIOUnt R...itted CLERK OF ORPHiNS COURT ANTHON,(:l!Jtv'!)E[OC)lCE.!>Q. Pi\ 113 FRONT ST PO BOX 358 BOILING SPRGS PA 17007 .. REV-1547 EX AFP (03-05) JOSEPH o 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 ... r'f!V-"m'4,."tf.XIWm~'tI!'.Wtm.!II!'.IMI'tA'l"t'lMM.'IW.lWAATftMM1'~.'lrC[!l\I'lMM.llrr.............. ... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CRULL JOSEPH 0 FILE NO. 21 04-1162 ACN 101 DATE 05-23-2005 TAX RETURN WAS: (X I ACCEPTED AS FILED I CHANGED I~ an asseSSMent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect ~igures that include the total ~ ~ returns assessed to date. ASSESSMENT OF TAX: 15. Anount of Line 14 at Spousal rat. (IS) 16. Aaount of Line 14 taxable at Lineal/Class A rat. (16) 17. Aoount of Li.... 14 .t Sibling rat. 1171 18. Aaount of Line 14 taxable.t Collateral/Class Brat. (18) 19. Principal Tax Due X RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Est.t. (Schedule Al 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Noi.s Receivable (Schedule D) 5. C.sWS.,k DepositslHlsc. Personal Propttrty (ScMdule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets III (21 (31 (41 (51 (61 (7) 130,000.00 .00 .00 .00 12.539.70 .00 .00 (81 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/A*. Costs/Misc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax R.turn 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (91 1101 17,429.79 907.89 Ill) 1121 1131 1141 NOTE: .00 124,202.02 .00 .00 X 00 = X 045 = X 12 = X 15 = AMOUNT PAID 5,309.64 DATE 03-08-2005 IUIBER CD005036 INTEREST/PEN PAID (-I 279.45 ~ TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure proper credit to your BCCO.."t, sub.lt the upper po~tion of this form with you~ tax pay_nt. 142,539.70 lR.~~7 ilR 124,202.02 .00 124,202.02 1191= .00 5,589.09 .00 .00 5,589.09 5,589.09 .00 .00 .00 IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE OUE A REFUND. SEE REVERSE SIDE OF TNIS FORK FOR INSTRUCTIONS.) Cumberland County - Register Of Wills One Courthouse Square Carlisler PA 17013 Phone: (717) 240-6345 Date: 11/30/2006 DELUCA ANTHONY L 113 FRONT STREET PO BOX 358 BOILING SPRINGSr PA 17007 RE: Estate of CRULL JOSEPH OSCAR File Number: 2004-01162 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 RULESr NO. 103 SUPREME COURT RULES DOCKET NO. 1r for decedents dying on or after July 1r 1992r the personal representative or his counsel, within two (2) years of the decedent's deathr shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/09/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Reportr please disregard this notice. SincerelYr Ih. . ~. I f~At...; ;,~jl . ~~~~~v Glenda Farner Strasbaug~~ 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: 11/30/2006 CRULL STEPHEN J 3275 ENOLA ROAD CARLISLE, PA 17013 RE: Estate of CRULL JOSEPH OSCAR File Number: 2004-01162 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: 12/09/2006 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, ~.~~ (J Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTEK Uf WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Joseph Oscar Crull Date of Death: December 9, 2004 File Number: 2004-01162 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: . . . . . . . . . . . . . . . . . . " iii Yes 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 Kl No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... I&l Yes 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. Date .p~~r;~.2 ..,CJ G ro ..::1" 0? ....,... 0:: LL "", '-.~..... Capacity: 0 Personal Representative I&l Counsel Anthony L. DeLuca, EsqUre Name of Person Filing this Form 113 Front st., P.O. Box 358 LLJ C,) '> Ci:. -' ' 1.1 C),: C....\'T' l..~~J ( __.J ,--.- C) (-) l, L.J ex:: W uJ Cl Y::> = c:::,) c--..J ?:i ~::~~ ~ ~ ::c- UT ('. c= 0- o Address Boiling Springs, PA 17007 (717) 258-6844 Telephone Form RW-10 rev. 10.13.06 ~