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HomeMy WebLinkAbout02-0329PETITION FOR PROBATE and GRANT OF LETTERS Estate of f'LL`i~" ~ C.i ~ l ~ . ~y~14 h also known as Deceased. Socra( Security No. ~ ~ - cla - 777 7 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut /2i X named in the last will of the above decedent, dated _~~0. ~' / y ~' I9_~~_ and codicil(s) dated -~- (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in _ ~~ ~~r' ~~r~ C~ Cou y, Pennsylvania, with last family or principal residence at ~ _JI ~~S~nuf ~f,. QY?'t/) ~~-t fir', Oft- i7r~ t I l-f~4~nn,.1~„a ?r.u s.-, :~, : ~, (list street, number and muncipality) Decendent, then ~I _ years of age, died /~'1~'<< ~ ~~% ~bc~;~ , .~}-~ at I-~~~Iti Sn~r~t l ~nj~n~L ~a~~~ ~'// /.1 i7~~i/ 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: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: ~>«/// C-~tPS-~r)c.t.~f ~~i"P~_f, ~~b'V~II { j,~ I l,a~ ~ WHEREFORE, petitioner(s) respectfully request s~ the robate of the last will and codicil(s) presented herewith and the grant of letters ~ ~ ~~~ ~~'~'~~ (testamentary; admi istration c.t.a.; administration d.b.n.c.t.a.) theron. ~_ !v v ~, - ', ' ~c_G ,S~- z~ ro ... v ~a U ,.- C :C C 7G V: No. ~~ - D~ - 7J~~ To: Register of ills for the County of ,Lt./~i ~r ~~n in the Commonwealth of Pennsylvania OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~e-~.r~Mlc~-~~. a s~ The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or aff~irr~ted and subscribed ~~~~`~'c1 ~ ~L c„ be ~ re me ~s n day of v C'_ L , ~ ~~tj y ~' RIL U2--- A - J _ ~ MARY LEWIS Register I`~-53--~i No. ~l - Da- - 3~~ Estate of PATRICA A DOBYNS ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW APRTT 2, ~~~~ 19 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated_ I`'IAY i 4 F i yuu described therein be admitted to probate and filed of record as the last will of PATRICIA A DOBYNS and Letters are hereby granted to NANCY L SHATTO FEES Probate, Letters, Etc.......... ~ 70.00 Short Certificates( ) .......... $ 15.00 ~Ii~~n extra, pages... ~ 9.00 jcp ~ 5.00 99 00 / d MARY I,E4~T)E$gister of Wills ATTORNEY (Sup: Ct. LD. No.) ADDRESS PHONE TOTAL $ Filed ....4-2-2002 ...................... executrix will pick up 4-4 or 4-5 2002 ~.. "_ ~' ;~_ LAST WILL AND TESTAMENT 21-02-3.zq I, PATRICIA A. DOBYNS, of Wheat£ield Township, Perry County, Pennsylvania being o£ sound and disposing mind, memory and understanding, do make~ publish and declare this writing as and £or my Last Will and Testament, hereby express- ly revoking all writings in nature testamentary by me at any time hereto£ore made. FIRST: I direct that all my just debts, to which there are no de£enses i~ law or equity, and the expenses o£ my last illness and £uneral be paid out o£ my estate as soon after my death as is convenient and expeditious in the judg- ment of my Executrix, hereina£ter named. SECOND: I give, devise and bequeath all my property, be it real, persona] or mixed, o£ whatsoever nature and wheresoever situate, to my daughter, Jennifer Lynne Dobyns. THIP~D: Should any person less than 18 years of age be entitled to dis- tribution from my estate, I nominate, constitute and appoint my sister, Nancy L. Shatto, as Guardian of the estate of such person and I authorize and direct said Guardian to invest the same and to pay the income arising therefrom to- gether with so much of the principal thereof as in the opinion of said Guardia~ is necessary or desirable to be expended for the proper maintenance, support and education of such person, to the person having custody of such person, and upon such person attaining 18 years of age to pay to him or her the then remaii- ing principal together with any undistributed income. Should my sister, Nancy L. Shatto, be unable to so serve as Guardian for any reason whatsoever, then and in that event, I nominate, constitute and appoint my mother, Helen Shatto, as Guardian of the estate of such person and R. BmOTT P-RAMER ATTO R NEY AT LAW CENTER S~I UARE DUN[~ANNON, (717) 834-5700 I authorize and direct said Guardian to invest the same and to pay the income arising there£rom together with so much o£ the principal thereo£ as in the opinion o£. said Guardian is necessary or desirable to be expended for the proper maintenance, support and education ~ such person, to the person having custody of such person, and upon such person attaining 18 years o£ age to pay to him or her the then remaining principal together with any undistributed income. FOURTH: I appoint my sister, Nancy L. Shatto, as Guardian o£ the person of my minor children. Should my sister, Nancy L. Shatto~ be unable to so serve as Guardian £or any reason whatsoever, then and in that event, I appoint my mother, Helen Shatto, as Guardian of the person o£ my minor children. FIFTH: I hereby nominate, constitute and appoint my sister, Nancy L. Shatto, Executrix o£ this my Last Will and Testament. Should my sister~ Nancy L. Shatto, be unable to so serve as Executrix for any reason whatsoever, then and in that event, I name, constitute and appoint my brother, Robert K. Shatto, Executor o£ this my Last Will and Testament. I £urther direct that my personal representatives shall not be required to post any bond to secure the faithful performance o£ their duties in the Commonwealth o£ Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, which consists o£ two (2) sheets o£ paper, dated this/~~ day o£ May, 1980. Patricia A. Dobbs (SEAL) The writing contained on the two preceding pages was signed and sealed by Patricia A. Dobyns, and by her published and declared as her Last Will and Testament, in the presence o£ us, who have hereunto subscribed our names as witnesses at her request, in her presence~ and in the presence o£ each other. COMMONWEALTH OF PENNSYLVANIA ) )ss COUNTY OF PERRY ) I, Patricia A. Dobyns, testatrix, whose name is signed to the attached or foregoing instrument~ having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. SWORN or affirmed to and acknowledged before me by Patricia A. Dobyns, the testatrix, this/~ day of May, 1980. RUTH ELEANOR GUNTRUM, Notary PubJi¢ Duncannon, Perry Co., Pa. My Commission Expires May 18, 1981 R. SCOTT ~F~AM E~R ATTO R IN g'y AT LAW (717) 8 3 4-5'701D COMMONWEALTH OF PENNSYLVANIA ) )ss COUNTY OF PERRY ) the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testatrix sign and execute the instrument as her Last Will; that Patricia A. Dobyns signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge the testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. SWORN or affirmed to and subscribed to before me by /~.~,~ ~-~ef~ and ~C/~>~ ~L~,~o~, witnesses, this/~day of May, 1980. Expires February 25, 1982 Pen¥ Coua~ Name of Decedent: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Patricia A. Dobyns Date of Death: March 26, 2002 Will No. 21-02-329 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 April 29, 2002 : Name Address Jennifer L. Bornman 9 Countryside Court, Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE Date: Signature Name Nancy L. Shatto, Executrix Address 204 Church Street Duncannon, PA 17020 Telephone ( ) (717) 834 - 9361 Capacity: __ X Personal Representative Counsel for personal representative Ms. Nancy Shatto 204 Church St Duncannon, PF~ 17020 Estate ofPatricia A. Dobyns Nancy L. Shatto, Executrix 204 Church Street Duncannon, PA 17020 June 19, 2002 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013-3387 RE: Inheritance Tax for the Estate ofPatricia A. Dobyns Dear Sue Kaser: Enclosed please find a check in the amount of $2,430.00 for payment of the estimated inheritance tax for the Estate ofPatricia A. Dobyns, number 21-02-0329. If you need additional information please do not hesitate to contact me at the above address or call me at (717)834-9361 (home) or (717) 772-2132 (work). Thank you for your assistance. Sincerely, Nancy L. Shatto, Executrix For Patricia A. Dobyns COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001321 SHATTO NANCY L 204 CHURCH ST DUNCANNON, PA 17020 ........ fold ESTATE INFORMATION: SSN: 191-42-7777 FILE NUMBER: 2102-0329 DECEDENT NAME: DOBYNS PATRICIA A DATE OF PAYMENT: 06/21/2002 POSTMARK DATE: 06/20/2002 COUNTY: CUMBERLAND DATE OF DEATH: 03/26/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,430.00 REMARKS: NANCY SHATTO TOTAL AMOUNT PAID: $2,430.00 SEAL CHECK# 115 INITIALS: SK RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEFT. 280601 ~/t~;~,~J[d' HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT ,DECEDENT FILE NUMBER 21 _ 02 329 co~ COOE ~ NI.NSE~ I- Z LU U,I L) m DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Patdcia A. Dobyns 191-42-7777 DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (UU-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 03/26/02 11/05/50 REGISTER OF WILLS (IF APPLICABLE) SURVNING SPOUSES NAME (LAST, FIRST, AND ME)DEE INITIAL) SOCIAL SECURITY NUMBER r~l. Original Retum r'--~ 4. Limited Estate r~6. Decedent Died Testata (~ea~ c~ of ~NO r~ 9. Litigation Proceeds Recek, ed r--.] 4a. Future Interest Compromise (da~ o~ ~ e~ 12-12-82) r-"] 7. Decedent Maintained a Livhg Trust ¢~ach copy of mmv) 10. Spousal Poverty Credit (Me ofd~ ~ 12.314~ and :]3. Remainder Return (da. of deee ~to 12-13~2) [~ 5. Federal Estate Tax I~ Required 1 8. Total Number of Safe Deposit Boxes [] 11. Election to tax axler Sec. 9113(A) (~=~ s~ o) Nancy L. Shaffo FIRM NAME TELEPHONE NUMBER (717) 834-9361 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedae B) (2) 3. Closely HeM Corporation, Patnaship or Sote-F~opdetagnip (3) 4. Mortcjages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Pemonal Property (5) (Schedule E) 6. J~nUy Owned Prope~y (Schedule F) (6) [] Separate Billing Requested 7. Inter. Vivos Transfers & Iv~scelleneous Non-Probate Property (7) (Schedule G or L) 8. ToM Gross ASMlS (total Lines 1-7) 9. Funeral Expenses & Administrative Casts (Schedule H) 10. Debts of Decedent, Mmlgage Liablittes, & Liens (Schedule I) 11. Tolal I~ (total Lines 9 & 10) 12. N~ Value of Estate (Une 8 minus Une 11) 13. COMPLETE MNLING ADDRESS 204 Church Street Duncannon, PA 17020 0.00 0.00 25,529.68 0.00 0.00 (8) (9) 16,874.56 (lO) 103,777.40 Charitable and Governmental Bequests/Sec 9113 Treats for w~l~ a~ ~ to tax ha~ not bMm r~e (Scnnd~ J) 14. N~ Value Subject to Tax (Line 12 n~nus Line 13) 173,629.68 (11) (12) 120,65! :96 52,977.72 (13) (14) 0.00 52,977.72 SEE INSTRUCTIONS ON REVI~SE SIDE FOR ~ RATE8 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. g116(aX1.2) x .0_ (15) 16. Amount of Une14 taxable at lineal rate 52,977.72 x .0 45 (16) 17..Nnount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Une 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) Decedent's Complete Address: 4411 Chestnut Street C~TYcamp Hill I STATEpA I z~P17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (~) 2,43O.00 119.20 2,384.00 2,549.20 165.20 Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C ) (2) Total Interest/Penalty ( D + E ) (3) If Line 2 is greater than Line 1 + Line 3, enter the ditfemnce. This is the OVERPAYMENT. Clteck box on Page 1 Une 20 to request a refund If Line 1 + Line 3 is greater than Line 2, enter the dilfemnce. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (4) ($) (SA) (SB) 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 lhe property lmnsferred; .......................................................................................... [] [] b, retain the right to deaigrmte who shall use the property lransfermd or its income; ............................................ [] [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, bene§is or care? ...................................................................... [] [] 2. If death occu~ed after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] [] 4. Did decedent ovm an Individual R~drement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] [] IF THE ANSI&ER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE rr AS PANT OF THE REI1JRN, Under penallies of perjury, I declare that I have mined Ibis relurn, including ~ schedules and statements, a~l to the be~ of ~ ~ ~ ~, ~ ~ ~, ~ a~ ~. Dedara~ o1' preparer other than Ihe personal repmser, Mtve is based on all infomml~ d ~ ~ ~ ~ k~. SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of Irensfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (i~]. The staMe does not exempt a transfer to a surviving spouse from tax, and the ststutery requirements for disclosure of assels and filing a tax return are slill applicable even if the survMng 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 adop~ve parent, or a stepparant of the child is 0% [72 P.S. §9116(a)(1,2)], The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefi:iaries is 4.5%, except as noted in 72 FS, §9116{1.2) [72 ES, §9116(aX1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is detined, under Seclion 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. · REV.1502 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE ~)F ' Patricia A. Dobyns SCHIDULi A REAL, ESTATE FILE NUMBER 21-02-329 NI real property owned sd~y or Is a temmt In ~=mnmon mu~t be ~ M b~ m~ ~. Fa~ ~et ~e b ~ ~ ~ ~ ~ ~1~ ~W w~ ~ e~a~ ~en a w~llng ~ and a ~ ~, ~ ~ ~ = buy = ~11, ~ ha~ng ~ ~ d ~ mM~t ~. Red ~ ~ b J~~ ~ ~ d ~ ~ ~ ~ ~ ~ F. ITEM V~UE AT DA~ NUMAR ~SCRI~I~ OF D~TH $148,1~.~ 4411 Chestnut Street, Camp Hill, Pennsylvania, Township of Hampden, County of Cumberland, Lot No. 25 on the Plan of Oakwood Park, Extension No. 2 as recorded in the Cumberland County Recorder's Office in Plan Book 15, p. 60. Conveyed to decedent from Frederick A. Hoover, Executor of the Estate of Elizabeth A. Weigel Property sold after death TOTAL (Also enter on line 1, Recapitulation) $ 148,100.00 (If more apace is needed, insert additional sheets of Ihe same size) REV-1508 EX+ (6-~) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTAT~ OF ' FILE NUMBER Palrida A. Dobyns 21-02-329 Include the proceeds of liltgalton and the date the proceeds were received by the estate. Ail ~ Jeintly.e~n~d ~ ~lght of sa~ll= mlmt be dbdosed ~ ~bedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 2001 Toyota Corolla Sold after death Household Goods Sold after death Pennsylvania State Employees Credit Union, Savings Account #0191427777 Pennsylvania State Employees Credit Union, Vacation Account ~0191427777 Pennsylvania State Employees Credit Union, Christmas Account ~0191427777 Pennsylvania State Employees Credit Union, Savings Account #1191427777 Pennsylvania State Employees Credit Union, Checking Account #0191427777 Pennsylvania State Employees Credit Union, Checking Account #1191427777 Commonwealth of Pennsylvania, Public School Employees' Retirement System, Salary Commonwealth of Pennsylvania, Public School Employees' Retirement System, Unused vacation and sick pay Intamal Revenue Ser¥ica, Refund from 2001 Taxes Ohio Casualty Group, Worker's compensation survivor benefits 3/11/2002 thru 3/26/2002 Ohio Casualty Group, Uncashed check for Worker's compensation survivor benefits 2/11/2002 thru 3/10/2002 Cash on hand $10,456.00 1,593.00 410.59 253.13 73.88 827.28 542.61 7.42 1,332.24 7,312.08 1,941.00 275.62 501.12 3.71 TOTAL (Also enter on line 5, Recapitulation) $ 25,529.68 (If more space is needed, insert additional shee~ of the same size) I~'V-151i EX+ (12-~) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FJTATE OF Pal~icia A. I~s SCHEDULE H FUNERAL EXPENSES & ADMINI~ COSTS FILE NUMBER 21--02-329 Debl~ of decedent must be mperted on Schedule ]. iTEM NUMBER OESCRIPTION AMOUNT FUNERAL EXPENSES: Ronald C L Smilh Funeral Home Funeral Luncheon after sewices Insaiplion on grave marker ADMINISTRATIVE COSTS: Perusal Represeatat~'s ~ Name of PsmonaI ~We(s) Social ~K~JrRy Nun~s)/EIN Numbe~ of Pemonal Re--ye(s) Stme{ Address c~y , s~te Year(s) Co.mission Paid: Family Exemption: (ff clec~mt's add, ss is not the same as daimenrs, attach explanalfm) Claimant Street Address Relationship of Claimalt to Decedent Probate Fees Accountant's Fees Tax Return Pre~arer's Fees Adverlising of Estate Selling costs for real estale at 4411 Chesl~ut Slme~ Camp Hill, PA $ 5,20820 177.73 95.00 115.00 108.00 142.63 I0,498.00 530.00 16,874.56 TOTAL (Also enter on line 9, Recapitulatkm) i $ (ff more space Is needed, Insert additional sheets of the same size) R~'¥-1512 EX+ (6-08) I SCHEDULE I I ~~ or ~.s~w~ DEBTS OF DECEDENT, r.~rr~c~='n.~ MORTGAGE UABIUTIES, & UENS _ ESTATE OF F1LE NUMBER Palficia A. Dobyns 21-O2-329 2. 3. 4. 5. 6. Outstanding medical bill at death Pennsylvania State Employees' Credit Union, VISA ~0191427777 Sears credit account #11 50065 54056 1 Wells Fargo Financial, account #54318656 Secured loan on 2001 Toyota Corolla with Pennsylvania State Employees Credit Union Secured loan on 4411 Chestnut Street, Camp Hill with Waterfield Mortgage Co. Inc. 15.98 4,476.86 1,281.47 1,021.47 10,396.18 86,565.44 TOTAL (Nso enter on line 10, Recapitulation) $ 103,777.40 (If mom ~ is needed, Inse~t addllo~al sheels of lhe same size) REV.1513'EX~ (9..00) SCHEDULE J BENEFICIARIES ESTATE OF RtE NUMBER Patricia A. Dobyns 21-O2-329 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND N:X]RES~ OF I:r'cRSON(S) RECEMNG PROPERTY Do No~ Mit TmstN(-.) OF ESTATE I Sec. 91~6 (a) Jennifer L. Bomman 9 Countryside Court Camp Hill, PA 17011 Daughter 100% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHC~VN ABO~ ON UNES 15 THROUGH 18, AS APPROF~TE, ON REV-1500 COVER ~'IEET 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 II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If mom space is needed, insert additional sheets of the same size) Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters WHEREAS, on the 2nd dated March 14th 1980 No. 2002-00329 PA No. 21-02-0329 ESTATE OF DOBYNS PATRICIA A Late of HAMPDEN TOWNSHIP Deceased Social Security No. 191-42-7777 day of April 2002 an instrument was admitted to probate as the last will of DOBYNS PATRICIA A (~S'i', ~'l~S'i', Miuub~) late of HAMPDEN TOWNSHIP , CUMBERLAND County, who died on the 26th day of March 2002 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to SHATTO NANCY L who has duly qualified as Executor(rix) and has agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND CO~TY COURT HOUSE, CARLISLE, PENNSYLVANIA .... _ IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 2nd day of April 2002. **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) F~. LAST WILL AND TESTAMENT 21-02-32.9 I, PATRICIA A. DOB~NS, of l~eatfield Township, Perry County, Pennsylvania t being of sound and disposing mind, memory and understanding, do make, publish and declare this writing as and for my Last Will a.nd Testament, hereby express~ ly revoking all writings in nature testamentary by me at any time heretofore made. FIRST:-' I-'dire~t t~h~t'ail'my'j~ust' de6t~,~-t° -w~ich there are no d~s ~; law or equity, and the expenses of my last illness and funeral be paid out of ~I my estate as soon after my death as is convenient and expeditious in the judg- · merit of my Executrix, hereinafter named. SECOND: I give, devise and bequeath all my property, be it real, persona~ or mixed, of whatsoever nature and wheresoever situate, to my daughter, Jennifer Lynne Dobyns. THIRD: Should any person less than 18 years of age be entitled to dis- tribution from my estate, I nominate, constitute and appoint my sister, Nancy L. Shatto, as Guardian of the estate of such person and I authorize and direct said Guardian to invest the same and to pay the income arising therefrom ~' j gether with sO much of the principal thereof as in the opinion of said Guardi~ is necessary or desirable to be -~p'~nded for the proper maintenance, support and education of such person, to the person having custody of such person, and upon such person attaining 18 years of age to pay to him or her the then remaii ing principal together with any undistributed income. Should my sister, Nancy L. Shatto, be unable to so serve as Guardian for any reason whatsoever, then and in that event, I nominate, constitute and appoint my mother, Helen Shatto, as Guardian of the estate of such person and I authorize and direct said Guardian to invest the same and to pay the income arising therefrom together with so much of the principal thereof as in the opinion of said Guardian is necessary or desirable to be expended for the proper maintenance, support and education cf such person, to the person having custody of such person, and upon such person attaining 18 years of age to pay to him or her the then remaining principal together with any undistributed FOURTH: I appoint my sister, Nancy L. Shatto, as Guardian of the person of my minor children. Should my sister, Nancy L. Shatto, be unable to so serve as Guardian for any reason whatsoever, then and in that event, I appoint my mother, Helen Shatto, as Guardian of the person of my minor children. FIFTH: I hereby nominate, constitute and appoint my sister, Nancy L. Shatto, Executrix of this my Bast Will and Testament. Should my sister, Nancy L. Shatto, be unable to so serve as Executrix for any reason whatsoever, then and in that event, I name, constitute and appoint my brother,-Robert K. ~hatto, Executor of this my Bast Will and Testament. I further direct that my personal representatives shall not be required to post any bond to secure the faithful performance of their duties in the Commonwealth of PennsylVania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, which consists of two (2) sheets of paper, dated this/~~ day of May, 1980. Patricia A. (SEAL) The writing contained on the two preceding pages was signed and sealed by Patricia A. Dobyns, and by her published and declared as her Last Will and Testament, in the presence of us, .who have hereunto subscribed our names as witnesses at her request, in her presence, and in the presence of each other. I~. ~COTT CRAMER COMMONWEALTH OF PENNSYLVANIA ) )SS COUNTY OF PERRY ) I, Patricia A. Dobyns, testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. SWORN or affirmed to and acknowledged before me by Patricia A. Dobyns, the testatrix, this/~day of May, 1980. RUTH ELEANOR GUNTRUM, Notary Public Duncannon, Perry Co., Pa. My Commission Expires May 18, 1981 COMMONWEALTH OF PENNSYLVANIA ) )ss COUNTY 01' PERRY the witnesses whose names are signed to the attached or foregoing instrumentl being duly qualified according to law, do depose and say tb~t we were present and saw testatrix sign and execute the instrument as her Last Will: that D',tric~. A. Dob~s s±~,od w~liin~iy and that she executed" it aS her free and voluntary act for the purposes therein ex~£es.~ed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge the testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. SWORN or affirmed to and subscribed to before me by and ~. C~/~_-~, ~ _~.~,~-~,.,.,., witnesses, this/~day of May, 1980. a s G. Ford, Il, Notary Public ~ Co.~,n~is~ofl Expires Fel~uarv z$, 1982 Dun.,:~nnon, PA Peny OMB NO. 2502-0265 D. NAME AND ADDRESS OF BORROWER: a. B. TYPE Of LOAN: U,S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.r-]FHA 2.E~FmHA 3.['-]CONV. UNINS. 4. I--]VA 5.[~]CONV. INS. 6. FILE NUMBER: I 7, LOAN NUMBER: SETTLEMENT STATEMENT P-128440 ] 623467469 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "[POC]" were paid outside the closing; they ara shown here for informational purposes and are not included in the totals. 1.0 3/98 (P-128440.PFDIP-128440/22) PAUL F. JOERZ MARCI K. JOERZ 215 Eden Street Etters, PA 17319 G. PROPERTY LOCATION: 4411 Chestnut Street Camp Hill, PA 17011 Cumberland County, Pennsylvania E. NAME AND ADDRESS OF SELLER: ESTATE OF PATRICIA DOBYNS F. NAME AND ADDRESS OF LENDER: ABN AMRO MORTGAGE GROUP 777 Eisenhower Parkway, Ste 700 Ann Arbour, MI 48108-3258 H. SF_.YrLEMENT AGENT: 25-1722090 Capital Region Land Transfer, Inc. PLACE OF SETTLEMENT 3310 Market Street Camp Hill, PA 17011 I. SETTLEMENT DATE: June 13, 2002 J. SUMMARY OF BORROWER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 101. Contract Sales Price I 148,100.00 102. Personal Property I 103. Settlement Charges to Borrower (Line 1400) 6,497.33 104. 105. Adjustments For Items Paid By Seller in advance 106. City Taxes to I 107. County Taxes 06/13/02 to 01/01/03 I 178.09 108. SchooITaxes 06/13/02 to 07/01/02 ! 59.51 109, Sewer/trash 06/13/02 to 07/01/02 I 19.38 lO. I 12. ' I 120. GROSS AMOUNT DUE FROM BORROWER 200, AMOUNTS PAID BY OR IN BEHALF O~F BORROWER: 154,854.31 201, Deposit or earnest money ! 1,000,00 202. Principal Amount of New Loan(s) I 105,100.00 203. Existing loan(s) taken subject to ~, 204. I 205. i 206. 207. 208. 209. Seller paid closing costs Adjustments For Items Unpaid By Seller 210. City Taxe, s to 211. County Taxes to 212. School Taxes to 213. 214. 215. 2,679.00 K. SUMMARY OF SELLER'S TRANSACTION 400. GROSS AMOUNT DUE TO SELLER: 401, Contract Sales Price i 148,10Q00 402. Personal Property 403. 404. 405. Adjustments For Items Paid By Seller in advance 406. City Taxes to L 407, County Taxes 06/13/02 to 01/01/03 , 17~09 408, School Taxes 06113/02 to 07/01/02 i 59.51 409. Sewer/trash 06/13/02 to 07/01/02 19.38 410. 411. 412. 420. GROSS AMOUNT DUE TO SELLER 148,356.98 800. REDUCTIONS IN AMOUNT DUE TO SELLER: 501. Excess Deposit (See Instructions) Settlement Charges to Seller (Line 1400) Existinc~ loan(s) taken subject to ' Payoff of first Mortgage to Waterfield Mortgage Co 502. 503. 504. 505. Payoff of second Mortgage I 506. 507. (Deposit disb. as proceeds) 508. 509. Seller paid closing costs Adjustments For Items UnpaYd By Seller 510. City Taxes to 18,954.00 511. County Taxes to 512. School Taxes to I 513. I 86,58544 ' 2,679.00 216. I 217. 218. 219. 220. TOTAL PAID BY/FOR BORROWER I 108,779.00 300, CASH AT SETTLEMENT FROM/TO BORROWER: 301. Gross Amount Due From Borrower (Line 120) I 154,854.31 302. Less Amount Paid By/For Borrower (Line 220) I( 108,779.00) 303. CASH( X FROM) (TO) BORROWER I 46,075.31 514. 515. 516. I 517, 518. 519, 520. TOTAL REDUCTION AMOUNT DUE SELLER i The undersigned hereby acknowledge receipt of a completed Borrower copy of pages 1 &2 PAULF._JOERZ .~.~'. _ ~ MARCI K. JOERZ ~' /I 108,21844 600. CASH AT SETTLEMENT TO/FROM SELLER: 601. Gross Amount Due To Seller (Line 420) I 148,356.98 602. Less Reductions Due Seller (Line 520) J( 108,218.44) 603. CASH ( X TO) ( FROM) SELLER 40,13854 of this statement & any attachments referred to herein. Selle~'..~T,,,E O F PATRIC IA DOBYN S L. SETTLEMENT CHARGES 8,886.00 700. TOTAL COMMISSION Based on Price $ 148,100.00 (~ 6.0000 % Division of Commission (line 700) as Follows: 701. $ 4,468.00 to REMAX STERLING ASSOCIATES 702. $ 4,418.00 to HOWARD HANNA DETWEILER REALTY 703. Commission Paid at Settlement 704. to Paid FROM BORROWER"S FUNDS AT SETTLEMENT PAID FROM SELLER'S FUNDS AT SETTLEMENT 8,886,00 800. ITEMS PAYABLE IN CONNECTION VVlTH LOAN 801. Loan Origination Fee % to 802. Loan Discount 1,182.38 1.1300 % to Pacific Guarantee Mortgage 803. Appraisal Fee to ABN AMRO MORTGAGE GROUP 275.00 poc 804. Credit Report to 805. Lender's inspection Fee to 200.00 to Pacific Guarantee Mortgage to ABN AMRO Mortgage Group 806. Processin~l fee 807. Lender Administrative fee 275.00 808. Document Prep. Fee Deferred Premium -Pacific Guar 525.50 pd-ABN AMRO 810. Application Fee ABN AMRO MORTGAGE GROUP 50.00 poc 811. Lendingtree ABN AMRO MORTGAGE GROUP 300.00 poc ;12. Administrative Fee to Pacific Guarantee Mortgage 275.00 813. Lender credit to Pacific Guarantee Mortgage -131.38 814. 815. 116. 817. 818. H9. 820. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 06/13/02 to 07/01/02 @ $ 18.980000/day ( 18 days %) Insurance Premium for months to 903. Hazard Insurance Premium for 1.0 years to Lititz Mutual 366.00 poc 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 3.000 91.50 341'64/ months (~ '$ 30.50 per month 1002. Mortgage Insurance months (~ $ per month Taxes months @ $ per month 004. County Taxes 5.000 months @ $ 26.28 per month 1005. SchoolTaxes 13,000 months @ $ 98.56 per month 1006. 1007. ustment 1100. TITLE CHARGES months (~ $ per month months t~$. per month months ~ $ per month 131.40 1,281.28 -166.2a 1101. Settlement or Closing Fee to 110~2. Abstract or Title-Search to 1103. Title Examination to 1104. Title Insurance Binder to 1105. Document Preparation to to Lisa Rowe 106. Notary Fees 107. Attorney's Fees to (includes above item numbers: 108. Title Insurance (includes above item numbers: to Capital Region Land Transfer, Inc. 109. Lender's Coverage $ 105,100.00 110. Owner's Coverage $ 148,100.00 111. 100,300,8.1 to Capital Region Land Transfer, Inc. 112. Deed Preparation to R. Scott Cramer 1113. Overnight to Capital Region Land Transfer, Inc. pkg (2)/payoff 1114. Transaction fee to Capital Region Land Transfer, Inc. 1115. Escrow for inheritance tax to Capital Region Land Transfer, Inc. 1116. Escrow fee to Capital Region Land Transfer, Inc. 1117. 1118. 12.00 8.00 1,103.7~ . 150.00 80.00 36.00 18.00 125.00 8,456.00 25.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 25.50; Mortgage $ 49.50; Releases $ 1,481.00 }s: Deed 1203. State Tax/Stamps: Deed 1204. Record Mortgage Assignment 1205. 1300, ADDITIONAL SETTLEMENT CHARGES to 1,481.00; Mortgage 1 ~481.00; ,Mcrt~age Recorder of Deeds 75-00I 1,481.00 14.00 1301, Survey to 1302. Pest Inspection to 1303, 304. Wire Fee to Capital Region Land Transfer, Inc, 20.00 305. 6,497.33 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) By signing page I of this statemenL the signatories acknowledge receipt of a completed copy of page 2 of this two page stat en~.~..~ -. Cap~ Re~ion Land Transfer, Inc. Settlement Agent 18,954.00 ( P-128440 / P-128440 / 22 ) P.O. Box 67013 (717) 234-8484 (Harrisburg) Harrisburg, PA 17106-7013 (800) 237-7328 (NQfionwide) websife - hflp://www, psecu.com HON NOULD YOU LIKE TO NIN $10,0007 OPEN A SHAREBUILDER ACCOUNT TO ENTER. FOR NORE DETAILS, SEE THE ENCLOSED INFORHATION. PATRICTA DOBYNS JOINT OWNER PAGE 2 0191XXXXXX 03/31/02 0505 0508 PAYHENT; ATH REBATE FEBRUARY PAYHENT: TRANSFER FROH SHARE O~ ~.00 210.59 IZ5.00 555.59 0351 PAYMENTs DIVIDEND 2.250% 0.60 qll.19 ANNUAL PERCENTAGE YIELD EARNED 2.25% FROH 05/01/02 THROUGH 05/31/02 BASED ON AVERAGE DAILY DALANCE OF 516.55 0331 ENDING BALANCE 253.56 DIVIDEND YTD; 1.08 0508 PAYHENT: TRANSFER FROH SHARE 06 ZO.O0 53.88 05ZZ PAYMENT; TRANSFER FROH SHARE O~ ZO.O0 73.88 0551 PAY~ENT~ DIVIDEND Z.~30~ 0.1~ 73.99 Z3Z~913 PSEC P.0. Box 67013 Hordsburg, PA 17106.-7013 (800) 237-7328 website - hfip://www, psecu.com HOg MOULD YOU LZKE TO HZN ~10,0007 OPEN A SHAREBUZLDER ACCOUNT TO ENTER. FOR HORE DETAZLS, SEE THE ENCLOSED ZNFORMAT~ON. PATRI'CTA DOBYNS JOINT OWNER PAGE 0320 NZTHDRANAL METLTFE 550 15.d. 0- 552.q0 TYPE: ]34S, PAYMT 1D: 1135581829 0520 CHECK 0055q8 56.78- 515.62 TYPE~ PAYROLL TD; 1236003133 05ZZ HTTHDRAHAL TRANSFER TO LOAN 10 125.21- 1189.75 05ZZ gTTHDRAHAL TRANSFER TO SHARE 01 125.00- 106q.75 05ZZ NITHDRAgAL TRANSFER ZO0.O0- 82q.75 TO DOOYNS,PATRTCZA XXXXXXXXXX SHARE 01 05ZZ H/THDRAI4AL TRANSFER TO SHARE* OZ 50.00- 79q.75 0.522 CHECK 005`5q6 55.91- 700.82 0525 CHECK 005558 ZZ.q9- 678~55 0`525 CHECK 0055q5 ZZ..58- 655.75 .......... ~ ....... ~ ............ i:: . ' '.: ":: ....... ": ....... .":? .......... ~.::~:~:/:..~:~.~.:.:..~.....~?..;...?`...??;.....}..;......?...........`............~...`..'...~<..)?;?.......;.!:.:.?;.:.`.......:.........`..~::~::``~`::`?::7~:. i ::2 'lli~!:?~i?.~i: :'.Y!: :' ::.![:.:.ii:.:.?.i:. ............ ....... ~:::~:,:~,~:~,:~.~:~:~::~?~ ......... ,::~:,:,:, ............. ,::~::~,:::~: ............... ~:?:: ....... ~ ....... ~:,::~¥~::~ ............................. ~::~:::::~:::~::::::::~ .............. :~:~:~::~:::::~:::~ ........................ : ...... 0528 CHECK 005556 9.uu- 555.61 0551 PAYHENT~ D~V~DEND 1.000~ 0.Tq 55q.55 ANNUAL PERCENTAGE Y~ELD EARNED 1.00~ FROM 05/01/02 THROUGH 0~/51/02 232q916 BUREAU OF ZNDZVZDUAL TAXES INHERTTANCE TAX DIVTSTON DEPT. 280601 HARRISBURG, PA 17128-0601 NANCY L SHATTO 20q CHURCH ST DUNCANNON COMMONNEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTZCE OF ZNHERZTANCE TAX APPRAZSEMENT, ALLO#ANCE OR DZSALLONANCE OF DEDUCTZONS AND ASSESSMENT OF TAX REV-1547 EX AFP PA 17020 DATE 09-25-2002 ESTATE OF DOBYNS DATE OF DEATH 05-26-2002 FXLE NUMBER 21 02-0529 COUNTY CUMBERLAND ACN 101 I Amoun~ Remi~ed PATRICIA A MAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF ~/TLLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THZS L];NE ~ RETAZN LONER PORTZON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-02) NOTTCE OF ]:NHERTTANCE TAX APPRATSEMENT, ALLONANCE OR D]:SALLO#ANCE OF DEDUCTZONS AND ASSESSMENT OF TAX ESTATE OF DOBYNS PATRTCTA A FTLE NO. 21 02-0529 ACN 101 DATE 09-2::5-2002 TAX RETURN #AS: (X) ACCEPTED AS FZLED ( ) CHANGED RESERVATZON CONCERNZNG FUTURE ZNTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnarsh/p /ntarest (Schedule C) (3) q. Mortgages/Notes Race/vable (Schedule D) (q) 5. Cash/Bank Depos/ts/M/sc. Personal Propar~¥ (Schedule E) (E) 6. Jo/ntly Owned Propar~¥ (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTZONS AND EXEMPTZONS: 9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H) (9) 10. Debts/Mortgage L/ab/1/t/es/L/ans (Schedule 1) (10) 11. Total Deduct/ohs 12. Nat Value of Tax Return lq8~100.00 .00 .0O .00 251529.68 .00 .O0 (8) 16,87q.56 NOTE: To /nsura proper cred/t to your account, subm/t the upper port/on of ~h/s fore w/th your tax payment. 13. NOTE: 173,629.68 105,777.q0 (11) 120 .~51 .g(, (12) 52,977.72 Char/table/Governean~al Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 Net Value of Estate Subject to Tax (lq) 52,977.72 Zf an assess, ent was ~ssued prev$ously, lSnes 14, 15 and/er 16, 17, 18 and 19 re~lect ~lgures that incZude the totaZ o~ ALL returns assessed to date. ASSESSMENT OF TAX: 1~. Amount of L/ne lq at Spousal rata 16. Amount of L/ne lq taxable at L/naal/Class A rata 17. A.oun~ of L/ne lq at S/bl/ng rata 18. Amount of L/ne lq taxable at Collateral/Class B rate 19. Pr/nc/~al Tax Due TAX CREDZTS PAYMENT RECEZPT DISCOUNT DATE NUMBER ZNTEREST/PEN PAZD (-) 06-20-2002 CD001521 119.20 (15) .00 x O0 = .00 (16) 52,977.72 x Oq5= 2,38q.00 (17) .00 x 12 = .00 (18) .00 x 15 = .00 (19)= Z,$8q. O0 ZF PAZD AFTER DATE ZNDZCATED, SEE REVERSE FOR CALCULATION OF ADDZTZONAL /NTEREST. AMOUNT PAZD 2,q$0.00 TOTAL TAX CREDIT BALANCE OF TAX DUEI ZNTEREST AND PEN. TOTAL DUE 2,5q9.20 165.20CR .00 165.20CR ( IF TOTAL DUE 1S LESS THAN $1, NO PAYMENT ZS REBUZRED. IF TOTAL DUE ZS REFLECTED AS A 'CRED/T" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SZDE OF THIS FORM FOR ZNSTRUCTZONS.) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVTSION DEPT. ZB0601 HARRISBURG, PA 17118-0601 NANCY L SHATTO Z04 CHURCH ST DUNCANNON COHHONNEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE INHERITANCE TAX STATEt4ENT OF ACCOUNT DATE ESTATE OF DATE OF DEATH FILE NUHBER : I~UNTY ACN PA 1702Q;, 10-15-2002 DOBYNS 03-26-2002 21 02-0529 CUNBERLAND 101 Amount: Rem L*l"l:ed REV-ZB07 EX &FP PATRZCZA A HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGTSTER OF ~/]'LLS CUHBERLAND CO COURT HOUSE CARLTSLE, PA 17015 NOTE: To 'insur,e pr,oper, cr'edJ.~: '~o your` accoun'~, submi'l: 'l:he upper por-'l:'ion of ~:his for,m w'i'ih your '~ax paymen'l:. CUT ALONG THIS L'rNE ~ RETA'rN LO#ER PORTION FOR YOUR RECORDS -.~ REV-1607 EX APr (01-02) ~K~ ZNHERZTANCE TAX STATEHENT OF ACCOUNT ESTATE OF DOBYNS PATRICIA A FTLE NO. 21 02-0529 ACN 101 DATE 10-15-2002 THTS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHO#N BELO# IS A SUNNARY OF THE PRINCIPAL TAX DUE,, APPLICATION OF ALL PAYNENTS., THE CURRENT BALANCE, AND,, IF APPLICABLE,, A PROJECTED *rNTEREST FIGURE. DATE OF LAST ASSESSHENT OR RECORD ADdUSTHENT: 09-16-2002 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYHENTS (TAX CREDITS): 2,584.00 PAYNENT RECEIPT DISCOUNT (+) DATE NUH~ER INTEREST/PEN PAID (-) AHOUNT PAID 119.20 06-20-2002 09-27-Z001 CDO01$Z1 REFUND .00 2,450.00 165.20- ZF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE ZS LESS THAN $1, NO PAYNENT IS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" TOTAL TAX CREDZT 2,584.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. Cumberland County - Register Of Wills ~ ~ _ One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 2/02/2005 SHATTO NANCY L 204 CHURCH ST DUNCANNON, PA 17020 RE: Estate of DOBYNS PATRICIA A File Number: 2002-00329 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/26/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASg'AUGH REGISTER OF WILLS cc: File Counsel Judge 4`RlfFTf l~fff f ~ ~ZZ O \ i w~ Q Ul 9 !- O N~ VI o N Qi a O A h Z ttl ~' SOW ~ ,~ ~I y°~'' „rd W M !~~~R err ~ 70 ~~ ~~ N W ~^ R z m W ~¢ . ~ p ~ 4 •+ O _ ~ t~ I ii O t- ~ ~ ''Y NitlJ~`!-i Z O ~ ~ ~ ~ hW"rGQ ~ ~,~ .~e s V J d F- HZW W F-QH.J ~ ZlLJ 7A- ZH 4~OWY NQt- 'r3F-hd Q~QOs ;i4:iPQ ~AILU!-1U o U ~ ~ ~' O ~ r 4., ~ o 'i ~ ~ ~ `~ U .~ ~ ~~~~, ~ ~ ~ o ~3 ~`~ ~w.~~ ~o~a ~ i o ~ ~ _~ U a~ C7~OU i ~' Ij .~ 4 :;.i Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 2/02/2005 SHATTO NANCY L 204 CHURCH ST DUNCANNON, PA 17020 RE: Estate of DOBYNS PATRICIA A File Number: 2002-00329 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/26/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge L2~ S Post a er vi ~~~ ~ PT - • U, CE . RTIiF 1ED MA~~- ~~~' REC urance C EI Provlded) overag _ • M i ail Only ; No In s (Do c mest r website at www.usps•oomc~ ~ ~_r..,nrv in formatio n visit o u fU $ ~ Postage __._____- t"rl Oertified Fee I O ~ O Retum ReceiM Fee dorsement Required) (En O Restdcte~eneR~ui ed) dorse ~ (En u'1 fLJ O O [`- Postmark Here Certified Mail Pri)vities: • A mailiny receipt • A unique identifier for r"'`~"`'~r~ cooz aun ~ . • A record of delive yL~r''r rnailpiece i noes `uiO~ s~; /mportant R' kepr by the Postal Service for iwo Reminders: years • C~rtitied Marl may ONE • Cerritied M Ue combrned with First-Class Mail a I is nor av ~r~ble for any class of international w NO lNSURAN ` ay or Priority Mails;., valuables, la (,E COVERgC,E IS PROVID~p mail P ase consider Insured or Registered Mailh • For an additional fee, Certified Mail For delivery, To obtain Return R~cerp~senrroenra~ Receipt (PS Form ^ ~ Y be requested to provide fee. Endorse mailpi 8e )Ro the article Please complete and attach a Return a duplicate ret,~r,~ re eturn Receipt~e~~es(ed licable postage to cover the regtr~re~d. cerpt, ~ USPS~~ postmark To receive a fee on Your Certifie ~'l'aiver for w For an additional fee, d Mail receipt is addressee's authorized adenrtPr endorsement Y may oe restricted to the addressee or "Restricre~ pPrriery!se Phe clerk pr mark the mailpiece with the ^ If a postmark on the Certified cle at the post office for posh arrk rig rPf~a desired, please present the artr- rereipt is not needed, detar.h and affix label with k postmar on the Certified Mail IMPORTAPdT: Save this receipt and present it when makin fnternet access to delivery information is postage and mail. addresser) to RPOs and FPOs 9 an inquiry. not available on mail First-Cle & Feels Paid Postag UNITED STATES POSTAL SERVICE USPS Permit No. G-10 nder: Please print your name, address, and ZIP+4 in this box • • Se ~, ~ ti . ~.. ~:~~'k' i~G`: `; i`~ -X8.9`,:" e ~+,~~d13~+ ~ -. '~ ~~: '`` _' 2002-00329 ^ Complete items 1, 2, and 3. item 4 if Restricted Delive Also complete ^ Print your name and address on the reverse so that we can return the card to you. ^ Attach this card to the back of the mailpiece, or on the front if space permits. • Article addressed to: SHATTO NANCY L 1907 ENFIELD STREET CAMP HILL PA 17011 -,cress tlifferent from item 1 ~ O esY delivery address below: ^ No w.~~c Hype Certified Maif ^ Express Mail ^ Registered ^ Return Receipt for Merchandise ^ Insured Mail ^ C O D 2• Article Number 4• Restricted Deliveryp (Extra Fes) (Transfer from sen,/ce ~abelJ ~ Yes PS Form 3811, February 2004 7 0 0 4 ~ 510 ~ ~ ~ 3 12 4 4 6 7 8 8 -- omestic Return Receipt ~-„ Estate of'DOBYNS PATRICIA A ORPHANS' COURT DIVISION Late of HAMPDEN TOWNSHIP COURT OF COMMON PLEAS OF CUMBERLAND COUNTY Estate No.: 21-02-00329 PENNSYLVANIA Date: 4/08/2005 SHATTO NANCY L 1907 ENFIELD STREET CAMP HILL PA 17011 NO.: 21-02-00329 ~~~~ NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: SHATTO NANCY L Personal Representative Counsel: ** NO INFORMATION FOUND ** Date of Decedent's Death: 3/15/2001 Date of Delinquency Notice: 3/26/2005 The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans' Court, in accordance with rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor their counsel, have filed with the Register of Wills or Clerk of Orphans' Court, his/her Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule, and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orhans' Court Rules, was given by the Clerk of Orphans' Court on 3/03/2005 and that the ten (10) day notice to file the status report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or their counsel. cc: File Personal Representative Glenda Farner Strasbaug Counsel Clerk of Orhans' Court A hearing is scheduled for June 03, 2005 at 9:30 AM in Courtroom No. 03. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. e' ~y ~` Register of Wills of Cumberland County o STATUS REPORT`UNDER RULE 6.12 Name of Decedent: ~ ~ ~ c. i u.. ~ .Uc31p U n 3 Date of Death: 1''~Q~r`c~ ~ ~ oZ 00 ~ Estate No.: o`t ~ ' C~ of - ~ ~ a Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes ~ No II 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal. representative file a final account with the Court? Yes II No ~~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: N ~a c. Did the personal epresentative state an account informally to the parties in interest? Yes ,~ No II c. Copies of receipts, releases, joinders and approval of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and may be attached to this repork Date: ~ ~~©5 ~Z2~j Signatur f~CJ ~ ~ `~In~~°4'0 Name IR~7 ~ ~/~ s~~-~ C'~ ~~l ~~ ~~o~ Address C7-7~ 737- ,3~.~ 9 Telephone No. Capacity: ~ Personal Representative II Counsel for personal representative ~~ `