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HomeMy WebLinkAbout02-0333PETITION FOR PROBATE and GRANT OF LETTERS Estate of Emmett Vance Rodc~ers No. a~o known as To: E_ Vanoo_ Rc~dg~.¥S Social Security No. 2 01 - 2 8 - 9 ~ 7 ~eceased. Register of Wills for the County of ' Commonwealth of Pennsylvania The petition of the undemigned respectfully represent,, that: Your petitioner(s), who:/~'are 18 years of age or older an the execut rices in thc last will of the above decedent, dated Febrnary 1 and codicil(s) dated N/A in the 19n~ed (state relevant cir~unstances, e.g. renunciation, death of'executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h last family or principal residence at B~-lany Villaqe (Iht ~m~, -umber ,nd munci~li~/) Decendent, then 90 years of age, died March 12 , ~ 2002, at Except as follow% decedent did not marry, was not divorced and did not have a child born or adolxed 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 $ 80 ~ 000.00 (If not domiciled ia Pa.) Personal property in Pennsylvania $ O0.0O (If not domiciled in Pa.) Personal property in County $ no on Value of real e~ate in Pennsylvania $ nn nn situated as follows: N/A ..... WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~land The petitioner(s) above-named swear(s) or af£um(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 deced.ent petitioner(s) will well,nd truly~administer~fl~e estate according to law. Sworn to or affh-med and subscribed before me this 2nd day o_f / No..21 - ~ :, ~,%3 Estate of Emmett Vance Rodgers .. . Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW AgRIL 2, 2002 the reverse side hereof, satisfactory proof having been presented before me, IT I$ DECREED that the ~strument(s) dat~t w':'~'"'-'~=*'!r 1, 199t described therein be admitted to probate and filed of record as the last will o'f Emmett Vance Rodgers A.K.A. E VANCE RODGERS and Letters Testamentary xl~ ~ consideration of the petition on are hereby granted to M~=rl~ ll va~= T~=r~nn~ anr~ r~nna Ei l aan ari~ FEES Probate, Letters, Etc .......... $. Short Certificates( ) .......... $ jcp $ TOTAL $ MA~Y C~EWIs Register Fded 4-2-2002 ~' 'i'~' ~h'~' 'ffI~' 'i'fi'~b'fh office 4-2-2002 200.00 Ron Turo, #34334 18.00 ATTORNEY (Sup. Ct. I.D. No.) 6.00 28 S. Pitt St. 5.00 229.00 ADDRF.~ Carlisle, PA 17013 PHONE (717) 245-9688 21-02-333 SAIDIS, GUIDO & MASLAND 2109 Market Street Camp Hill, PA LAST WILL AND TESTAMENT OF E. VANCE RODGERS a/k/a EMMETT VANCE RODGERS I, E. VANCE RODGERS, also known as EMMETT VANCE RODGERS, of the Borough of Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I bequeath the sum of $1,000 to the Camp Hill Presbyterian Church. III - I bequeath the sum of $1,000 to each of my grandchildren who are living at the time of my death. IV - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate unto my daughters, Merle Alyce LeDonne and Donna Eileen Grimwood, in equal shares, the share of a deceased child to be paid to his or her issue per stirpes. V - I appoint my daughters, Merle Alyce LeDonne and Donna Eileen Grimwood, co-Executrices of this, my Last Will and Testament. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. "J ///~ Page 1 SAIDIS, GUIDO & MASLAND 21o9 Market Street Camp Hill, PA IN WITNESS/~WHEREOF' I have=.~reunto=?, set my hand and this, the day of //'~~ , 1994. seal on E. Vance Rodger~) Also known as: ~-~.c.--'t-I / ~~~ ~.,~-~( SEAL ) Emmett Vance Rodgers Signed, sealed, published and declared by E. VANCE RODGERS, also known as EMMETT VANCE RODGERS, therein named, on this and one (1) other sheet of paper as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~/~CA,.t"? .../ / Name~~~.d t//, Name' Address '~ddres s / Page 2 SAIDIS, GUIDO & MASLAND 21o9 Market Street Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA) : COUNTY OF CUMBERLAND ) SS. WE, the undersigned, the testator and the witnesses, respectively, whose names are signed to the foregoing instru- ment, being first duly sworn, do hereby declare to the under- signed authority that the testator signed and executed the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator signed the will as witnesses and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. ~,~Testator J Subscribed, sworn to and acknowledged before me by the testator, and subscr'.~d and sworn to ~efo~re me by both l~tary Public NO'I"ARIAi. S~L THELMA S McCAUSLIN, Notary Public Camp hlill, Cumberland County My Commissior} Expires July 3, 1996 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of death: Will No. Admin. No. Emmett Vance Rodgers March 12,2002 2002-00333 21-02-0333 TO THE REGISTER: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above captioned estate. Name Address Merle Alyce LeDonne, 144 Forest Drive, Camp Hill, PA 17011 Donna Eileen Grimwood, 5013 Kylock Road, Mechanicsburg, PA 17055 Bret Kendrick LeDonne, 1 Pine Hill Ave., Mechanicsburg, PA 17050 Renee LeDonne-Cockley, 138 Bumbee Hollow Road, Landisburg, PA 17040 Andrea Cheryl LeDonne, 144 Forest Drive, Camp Hill, PA 17011 Marlin W. Grimwood, III, 5013 Kylock Road, Mechanicsburg, PA 17055 Nathan Allan Grimwood, 5013 Kylock Road, Mechanicsburg, PA 17055 Camp Hill Presbyterian Church, 101 North 23rd Street, Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a). j / Date Respectfully Submitted /T.U.~O LAW OFFI.~,ES-- ~°n Turo, Esquire Turo Law Offices "J28 South Pitt Street Carlisle, PA 17013 (717) 245-9688 Counsel for Personal Representative REV - 1500 EX + 16 JJ0) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 2002 O 33 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Rodgers, Ernrnett V. ~z DATEDFDEATI~D-¥EAR) ~TE OF BIRTH (MM-DO-YEAR) ~ 03/12/2002 ' 10/29/2011 m (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 201-18-9179 THIS RETURN MUST BE FILED IN DupLICATE WiTH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER [] 1. Original Return [] 2. Supplemental Return -- ' ~ ~mainder Retuth a(~te oYdeath priSft6 F2-f3-82) [] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) [] 5. Federal Estate Tax Retum Required [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 0 8, Total Number of Safe Deposit Boxes of Will) copy of Trust) - [] 9, Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between [] 11.Election to tax under Sec, 9113(A) (Attach Sch O) 12-31-91 and 1-1-95) NAME I COMPLETE MAILING ADDRESS Ron Turo ' FIRM NAME (1~ applicabi~) ....... Turo Law Offices. 28 S. Pitt St. rELEP.ONENuuaE~ .... Carlisle, PA 17013 717/245-9688 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) [] Separate Billirlg Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (1) Non~ ~ (2) Non~' / (3) None / c... ....... (4) ~one [ ~. (5) 80,227.00 / (7) (9) 5,774.31 (10) 4,376.21 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 15. Amount of Line 14 taxable at the spousal tax rate, x or transfers under Sec. 9116(a)(1.2) (8) 80,227.00 (11) 10,150.52 (12) 70,076.48 (13) 1,000.00 (14) 69,076.48 .00 (15) 16. Amount of Line 14 taxable at lineal rate 69,076.48 x .045 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due 20. [] ....... , ..... (16) 3,108.44 (19) 3,108.44 Copyright 2000 form software only The Lackner Group, Inc, Form REV-1500 EX {Rev. 6-00) Decedent's Complete Address: ISTREET ADDRESS 5013 Kylock Road CITY Mechanicsburg -~;TATE -p~ ~ZIP i70~481~ - Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount InteresFPenalty if applicable D. Interest E. Penalty Total Credits (A + B + C) Total InterestJPenalty (D + E) 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 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. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (1) 3,108.44 (2) 155.42 (3) (4) (5) (5A) (5B) 0.00 2,953.02 -- 2~953.02 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER T'~IE FOLLOWING QUESTIONS BY PLACIN(~"r.~N "X" IN THE ,~,"~'~'ROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ............................................................................. [] [] b. retain the right to designate who shall use the property transferred or its income; ................................ [] [] c. retain a reversionary interest; or ............................................................................................................ [] [] d. receive the promise for life of either payments, benefits or care? .......................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................................ [] [] 3. Did decedent own an "in trust for'' or payable upon death bank account or security at his or her death? ...... [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ............................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I decl~ thai i have ex~min~d thi~ ~turn, including accompany[~he-(~and statements, and to t~e ~st o(my k-nowledge and belief, it i~ t~Je, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PER~ON RFSP/ON~I.E FOR ~ILING RETURN ADDRESS .... DA'rE -- tO, o / ) 144 Forest Drive [. } 2'3 ~? . . A 5013 Ky. lock Road ~'),/Y~,t[_~5~: (~ J~'~J.~ a"~/Z34~ Mechanicsburg, PA 17055 ~/~ / O 2.- 28 S. Pitt St. Y. a..is.e. eA 1.o . For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (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. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rodgers, Emmett V. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21 - 2002- Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 Cash DESCRIPTION VALUE AT DATE OF DEATH ~0,2~.oo TOTAL (Also enter on ~ine 5, RecaPitulation) 80,227.00 .~ SCHEDULE H ~ FUNERAL EXPENSES & COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENT ESTATE OF FILE NUMBER Rodgers, Emmett V. 21 - 2002 - ~ J J Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION ! AMOUNT NUMBER FUNERAL EXPENSES: Cremation 1,170.00 2 Reception 150.00 ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Turo Law Offices. -- Ron Turo Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees State Zip 4,000.00 229.00 Accountant's Fees Tax Return Preparer's Fees 50.00 Other Administrative Costs Death Notice Estate Notice TOTAL (Also enter on line 9, Recapitulation) 100.31 75.00 5,774.31 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rodgers, Emmett V. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21 - 2002- Include unreimbursed medical expenses. ITEM NUMBER GienVille Sthte College ....... Heritage Medical Group Alert Pharmacy Bethany Village Nursing Quantum Imaging Mobile X-Ray Imaging DESCRIPTION ¥O+AE (Ais° e"t'er on Line 10, Recapitulation) AMOUNT 11.35 22.87 2,434.44 1,835.72 14.93 56.90 4,376.21 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF NUMBER I. 1 SCHEDULE J BENEFICIARIES RESIDENT DECEDENT Rodgers, Emmett V. 'FILE NUMBER 21-2002- O333 RELATIONSHIP TO AMOUNT OR SHARE NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE Do Not List Trustee(s) ~ TAXABLE DISTRIBUTIONS (include outright spousal distributions) Brett K. LeDonne Grandchild 1,000.00 1 Pine Hill Ave Mechanicsburg, PA 17055 Renee LeDonne-Cockley Grandchild 138 Bumbee Hollow Road Landisburg, PA 17040 1,000.00 Andrea C. LeDonne 144 Forest Drive Camp Hill, PA 17011 Grandchild 1,000.00 Marlin W. Grimwood, III 5013 Kylock Road Mechanicsburg, PA 17055 Grandchild 1,000.00 See Continuation Schedule(s) attached Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: :A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Camp Hill Presbyterian Church 1,000.00 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 1,000.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF NUMBER I. SCHEDULE J BENEFICIARIES continued RESIDENT DECEDENTi Rodgers, Emmett V. HLE NUMBER 21-2002- O33~ I RELATIONSHIP TO NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY 'DECEDENT AMOUNT OR SHARE OF ESTATE Do Not List Trustee(s) TAXABLE DIsTRiBuTioNs iin~iucl; outright spousal distributions) Nathan A. Grimwood Grandchild 1,000.00 5013 Kylock Road Mechanicsburg, PA 17055 Page 2 of Schedule J SAIDIS, GUIDO & MASLAND 2109 Market Street Camp Hill, PA LAST WILL AND TESTAMENT OF E. VANCE RODGERS a/k/a EMMETT VANCE RODGERS I, E. VANCE ROD~ERS, also known as EMMETT VANCE RODGERS, of the Borough of Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made by me. I - I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II - I bequeath the sum of $1,000 to the Camp Hill Presbyterian Church. III - I bequeath the sum of $1,000 to each of my grandchildren who are living at the time of my death. IV - I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate unto my daughters, Merle Alyce LeDonne and Donna Eileen Grimwood, in equal shares, the share of a deceased child to be paid to his or her issue per stirpes. V - I appoint my daughters, Merle Alyce LeDonne and Donna Eileen Grimwood, co-Executrices of this, my Last Will and Testament. Neither of my personal representatives shall be required to post bond in this or any jurisdiction. ' ~ ]//~. Page 1 SAIDIS, GUIDO & MASLAND 2109 Market Street Camp Hill, PA IN WITNESS WHEREOF, I have~reunto set my hand and seal this, the / '~ " "- day of //"~'q.~-bD~.~. ,1994. on E. Vance Rodger~J Also known as: Emmett Vance Rodgers C/ Signed, sealed, published and declared by E. VANCE RODGERS, also known as EMMETT VANCE RODGERS, therein named, on this and one (1) other sheet of paper as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Addr e s s Page 2 SAIDIS, GUIDO & MASLAND 2109 Market Street Camp Hill, PA COMMONWEALTH OF PENNSYLVANIA) : COUNTY OF CUMBERLAND ) SS. WE, the undersigned, the testator and the witnesses, respectively, whose names are signed to the foregoing instru- ment, being first duly sworn, do hereby declare to the under- signed authority that the testator signed and executed the instrument as his Last Will and Testament and that he signed willingly (or willingly directed another to sign for him), and that he executed it as his free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator signed the will as witnesses and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. Testator " Subscribed, sworn to and acknowledged before me by the testator, and subsc;~d and sworn to ~efore me by both witnesses, this day of ~---'~~&-L~--¥._ , 1994. ~tary Public THELMA S Mc?~USLIN, Notary Public Camp Hilj, ~,m:berlalld County My Commis.,io,, Expires July 3,1996 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 001 274 TURO RON 28 S PITT STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 201-18-9179 FILE NUMBER: 2102-0333 DECEDENT NAME: RODGERS E. VANCE DATE OF PAYMENT: 06/10/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 03/12/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,953.02 REMARKS: TOTAL AMOUNT PAID' $2,953.02 SEAL CHECK//3847 INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DZVISInN DEPT. 280601 HARRTSBURG, PA 17128-0601 COMMON#EALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLO#ANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-i$4? EX AFP ¢01-02) ROM TURO TURO LAN OFFICES 28 S P~TT ST ~ CARLISLE ~*~P~1701~ DATE 07-ZZ-Z002 ESTATE OF RODGERS DATE OF DEATH 05-12-2002 FILE NUNDER 21 02-0333 COUNTY CUMBERLAND ACN 101 Amoun~ Romi~od EMMETT V MAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGTSTER OF NTLLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-02) NOTZCE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLO#ANCE OF DEDUCTZONS AND ASSESSMENT OF TAX ESTATE OF RODSERS EMMETT V FILE NO. 21 02-0555 ACN 101 DATE 07-22-2002 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNZNO FUTURE INTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN I Real Es~a~o (Schedule A) S~ocks end Bonds (Sohodule B) $ Closely Held S~ook/Par~norship In~eres~ (Schedule C) Mortgages/No,es Reoeivable (Sohedule D) $ Cash/Dank Deposits/Misc. Personal Proper~y (Schedule E) 6 Jointly Owned Proper~y (Schedule F) 7 Transfers (Schedule G) 8 To,al Asso~s APPROVED DEDUCTIONS AND EXEMPTIONS: 9 Funoral Expanses/Ada. Costs/Misc. Expanses (Schedule H) 10 Debts/Mortgage Liabilities/Liens (Schedule I) 11 To'al Deduo~ions 12 Ne~ Value of Tax Re~urn (1) (2) (3) (5) (6) (7) 80~ZZ7.00 00 O0 NOTE: To insure proper O0 credi~ ~o your account, .00 sub~i~ ~he upper portion O0 of ~his fora wi~h your ~ax payment. (9) O0 (10) (8) 5,77q.$1 13 NOTE: q,$76.21 (11) (12) Charitable/Governmental Bequests; Non-elected 9115 Trus'cs (Schedule J) (13) Ne~ Value of Es~a~a Sub~ec~ ~o Tax (lq) Zf an assessment was lssued previously, lines 14, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. 80,227.00 ASSESSMENT OF TAX: 1E. Amoun~ of Line lq a~ Spouse1 ra~e 16. Amoun~ of Line lq ~exablo a~ Ltnaal/Cless A ra~e 17. Amoun~ of Line lq a~ Sibling ra~o 18. Aeoun~ of Line lq ~axablo a~ Collateral/Class B re~e 19. Principal Tax Due TAX CREDITS: PAYMENT RECEIPT DXSCOUNT {+) DATE NUMBER INTEREST/PEN PAID (-) 06-10-2002 CDOOIZ7q 155.~2 10.150.52 70,076.q8 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 1,000.00 69,076.q8 18 and 19 will (15) .00 X 00 = .00 (16). 69,076.48 X 0q5= $,108.qq (17) .00 X 12 = .00 (18) .00 X 15 = .00 (19)= $,108.qq AMOUNT PAID 2,955.02 TOTAL TAX CREDIT BALANCE OF TAX DUE ZNTEREST AND PEN. TOTAL DUE 3,108.qq .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 TURO RON 28 S PITT STREET CARLISLE, PA 17013 RE: Estate of RODGERS E. VANCE File Number: 2002-00333 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: 3/12/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, &~~j~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge uf . Register of Wills of Cumberland County Name of Decedent: STATUS REPORT UNDER RULE 6.12 E [;CQIfJC--t' f/OOG9 f3 r>-<S Date of Death: Estate No.: )OOd - DO ?:?3 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: I. State~er administration of the estate is complete: . Yes.-k\ No 0 2. lfthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. lfthe answer to No. I is Yes, state the following: a. Did the person~entative file a final account with the Court? Yes 0 No~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the perso'e!.~entative state an account informally to the parties in interest? Ye~ No 0 c. Copies of receipts, releases, joinders an pproval of formal or informal accounts may be filed with the Clerk of e Orphans' Court ay be / ./ attached to this report. ,:} L2/()~ Date: c'''\ Si re /. tJlf/7uI^CJ JgS. @ tf ~I- Cj~fL {f{ Address ?//_ dYS~- Cjft;YtY Telephone No. en = Capacity: 0 Personal Representative ~ounsel for personal representative c0