HomeMy WebLinkAbout02-036104/04×02 12:48 REGISTER OF WILLS e 17178667642 N0.690 Q02
PETITION FOR PROBATE and GRANT OF LETTERS
also Icao,w/as ~ ~ ~ ~ ...
Deceased.
Social Security No. ~ ~ - ~ ~ - ~1 ~ g
The petition of the undersigned respectfully represents that:
Your petidonerfs), ~ho. is/are 18 years of ag~ older an the exec
in the last will or,he above aCc~dent, dated _ O~nj~ i~ ~
and codicil(s) da~ed
No.
To: l
Register.: of Wills for the
Countyiof _Ch-~-4-/~.~,~ in the
Commonwealth of Pennsylvania
~t OF~; named
,1991
(~ta. te televarll ¢il'¢llms't~.Bces, e.g. fellu.ncJaliOn, deaLh o[ cxccuior, etc.)
Dccendem was domiciled at death in ~a m ~p.c ~an~ . _', Cqunt~, Pegnsylvania, with
b ie last f~mil~ or princfpat residence ~t c16o ~ ~}cJ rnck ~
(Iisi strecl, nu~b~' and muncipatity) [ I
E~c~pt as follow, decedent did not marry~as not ~ivor~ and did not have a child born or adopted
after ~ecution of the will offered for probate; was not the victim ofh killing and was never adjudicated
incomDetent:
Decendent at death owned property with estimated values as follows:
(If domiciled i.n Pa.) . ,&Il personal property ]
(If not domiciled in Pa.) ' Personal property in Pennsylvania 1
(If not domiciled in Pa.) Persooal property in County l
Value of real estate in Pennsylvania
WHEREFORE, petitioner(s) respectfully refluest(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters 7"e:.~7~,,'7~-,,}. : ..
(t~ta~leflta~y; admi~iSttalioo ¢.l.a.; :adminis~'rai'ion d.b,a,¢,t,a,)
theron.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~
COUNTY OF CUMBE~ j :55
The petitioner(s) above-named swear(s) or affirm(s) that the stat ements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitimler(s) and that as personal cepresen-
lative(s) of the above decedent petitioner(s) will well and truly adrainister the estate according to law,
Sworn to or affh'med and subscribed
before me this ._ 9th day of
04×04×02 12:48 REGISTER OF WILLS a 17178667642 N0.690 ~03
Estate Of
SAMUEL ROY WEAVER A.K.A. S
A o K.A. SAMUEL WEAVE5
DECREE OF PROBATE AND GRA
AM WEAVER Dece~ed
NT OF LETTERS
AND NOW .Z~RIL 9, 2002 19~
the rever~e side hereof, satisfactory proof hav~ng been pr~t~ before me,
~ I$ DEC~ED ~at the instmm~t(s) dat~ 06-19-1991
d~bed thegn be admltt~ to probate ~d f~ed of r~ord ~ th: I~t ~ of
S~UEL ROY ~ A.K.A. S~ ~R A.K.A S~EL ~
~d Le~ers TEST~~Y
~e h~eby U~md to CHES~R C ~R SR, ~OLD
FEES
_, in consideration of the petition on
H WEAVER AND ETHAN R WEAVER
Probate, Letters, Etc ..........
Short Certificates(5'~ ..........
~ ,e,.xzt,,r,a,.p~.s{e..s., $ 6.00
jcp $ 5.00
TOTAI.__. $ 506.00
FUed .... ~. r~.%0.O,~. ..............
execs-~will pick up 4-9-02 ......
A'I'I'ORNEY (Sup. Cc, I,D. No.)
ADDIKESS
PI.IONE
LAST WILL AND TESTAMENT ~ f_ O~- ~
I, SAMUEL ROY WEAVER, of Fairview Township, York County, Pennsylvania,
teclare this to be my Last Will and Testament and revoke any will or codicil
~reviously made by me.
ITEM I: I direct that all my just debts and funeral expenses, including
~ gravemarker and all expenses of my last illness, shall be paid from my
residuary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I devise and bequeath the residue of my estate of every nature
and wherever situate in equal shares to such of my children, Chester C.
Weaver, Sr., Harold H. Weaver and Bertha M. Martin, as shall survive me by
thirty (30) days.
ITEM III: Should any of my children, Chester C. Weaver, Sr., Harold H.
Weaver and Bertha M. Martin, predecease me or die on or before the thirtieth
day following my death but leaving issue who so survive me, such issue shall
receive, per stirpes, the share that such predeceased child would have
received had he or she so survived me.
ITEM IV: I direct that all taxes that may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed, shall be
paid from my residuary estate as part of the expenses of the administration of
my estate.
ITEM V: I appoint my sons, Chester C. Weaver, Sr. and Harold H. Weaver,
and my grandson, Ethan R. Weaver, executors of this my last will.
ITEM VI: I direct that my executors or guardian or their successors
shall not be required to give bond for the faithful performance of their
duties in any jurisdiction.
ITEM VII: My individual fiduciary shall be entitled to reasonable
compensation for his or her services rendered from time to time unless
different compensation has been provided for in a separate letter of
agreement.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
and Testament, written on 3 sheets of paper, dated this /~ day of
(SEAL)
Samuel Roy Weaver
The preceding instrument, consisting of this and two (02) other
typewritten pages, each identified by the signature of the testator, was on
the day and date thereof signed, published and declared by the testator
therein named, as and for his Last Will, in the presence of us, who, at his
request, in his presence, and in the presence of each other have subscribed
our names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :
I, Samuel Roy Weaver, the testator whose name is signed to the attached
or foregoing instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as my Last Will;
and that I signed it willingly and as my free and voluntary act for the
purposes therein expr~e~ ~~~ (SEAL)
Samuel Roy Weaver
Sworn to or affirmed and acknowledged
before me by Samuel Roy Weaver,
the testator, this /~ day of
~ ~ , 1991.
Notary Public
NOTARIAl. SEA[.
VELDA M. SEASE, Notary Public
Shippen, sburg goro, Cumberland Co., Pa.
My Corem]ss]on Expires April 16, 1994
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :
We, '~;~Z[¢ Z. ~,'~e~ and ~~ ~. ~ ~, 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 the testator sign and execute the instrument as his Last Will; that
the testator signed willingly and executed it as his free and voluntary act
for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the testator signed the Will as a witness; and that to
the best of our knowledge the testator was at that time eighteen (18) or more
years of age and of sound mind and under no constraint or undue influence.
!
Sworn to or affirmed and subscribed to before
me by ~fcl(¢ ~. ,~fpe£ and
~*~&~ ~. ~a~ i~ ; , witnesses,
this /~Z day of d~ , 1991.
Notary Public
i NOTARIAL SEAL
VELDA M. SEASE, Notary, Public
~h]ppensburg l]oro, Cumberland Co,, Pa.
My Commission -Expires April 16~ 1994.
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Samuel Roy Weaver
Date of Death: 03/26/2002
Will No. X Admin. No. 21-02-0361
To the Register:
I certify that notice of beneficial interest required by Rule 5.6(a) of the
Orphans' Court Rules was served on or mailed to the following beneficiaries
of the above-captioned estate on ·
Name
Chester C. Weaver, Sr
Harold H. Weaver
Bertha M. Martin
Address
952 West Old York Rd. Carlisle, Pa 17013
103 Dickens Hill Rd. Box 285 Russell, Ma 01071
~50 Kraybill Rd. Mt. Joy, Pa 17552
Date:
06/07/2002
Signature /~ .~~ C.~..o. aoe~
Chester C. Weaver, Sr, Personal Representative
952 West Old York Rd.
Carlisle, Pa 17013
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 001332
WEAVER CHESTER C SR
952 WEST OLD YORK RD
CARLISLE, PA 17013
........ fold
ESTATE INFORMATION: SSN: 204-30-5145
FILE NUMBER: 2102-0361
DECEDENT NAME: WEAVER SAMUEL ROY
DATE OF PAYMENT: 06/25/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 03/26/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $41,298.98
REMARKS:
TOTAL AMOUNT PAID:
CHESTER C WEAVER SR
$41,298.98
SEAL
CHECK#438
INITIALS: DO
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
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 O01 951
WEAVER CHESTER C SR
952 WEST OLD YORK RD
CARLISLE, PA 17013
........ fold
ESTATE INFORMATION: SSN: 204-30-5145
FILE NUMBER: 2102-0361
DECEDENT NAME: WEAVER SAMUEL ROY
DATE OF PAYMENT: 12/16/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 03/26/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $1,215.00
TOTAL AMOUNT PAID:
$1,215.00
REMARKS: CHESTERCWEAVERSR
SEAL
CHECK//1005
INITIALS: AC
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
REV-1500 EX + (6-00)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 28o601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
/?-~--~ ~
F~L£ ~U~
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SAMUEL ROY WEAVER
SOCIAL SECURITY NUMBER
204-30-5145
DECE-
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE
DENT
0 3 / 2 6 / 2 0 0 2 0 2 / 0 7 / 1 9 0 zj WITH THE REGISTER OF WILLS
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
CHECK
APPRO-
PRIATE
BLOCKS
COR-
RE-
SPON
DENT
RECA-
PITULA-
TION
TAX
COMPU-
TATION
1. Original Return
4. Limited Estate
6. Decedent Died Testate
(Attach copy of Will)
9. Litigation Proceeds Received
2. Supplemental Return
4a. Future Interest Compromise
(date of death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach a copy of Trust)
10. Spousal Poverty Credit(date of death between
12-31-91 and 1-1-95)
3. Remainder Return
(date of death prior to 12-13-82)
5. Federal Estate Tax Return Required
0 8. Total Number of Safe Deposit Boxes
B 1 1. Election to tax un der Sec. 9113(A)
(Attach Sch O)
NAME
CHESTER C. WEAVER, SR
FIRM NAME (If Applicable)
TELEPHONE NUMBER
717-776-5765
COMPL~E MAILING ADDRESS
CHESTER C. WEAVER, SR
952 WEST OLD YORK RD.
CARLISLE, PA 17013
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal
Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F)
B Separate Billing Requested (6)
990,000.00
9,249.12
27,639.00
7. Inter-Vivos Transfers & Miscellaneous
Non-Probate Property (Schedule G or L)
(7)
8. Total Gross Assets (total Lines 1-7) (8)
9. Funeral Expenses & Administrative Costs (Schedule H)(9) 1 2, 1 89.52
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 4 2 7 . 3 8
11. Total Deductions (total Lines 9 & 10) (11)
12. Net Value of Estate (Line 8 minus Line 11) (12)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax (13)
has not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14)
OFFICIAL USE ONLY
1,026,888.12
12,616.90
1,014,271 .22
1,014,271.22
SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES
15. Amount of Line 14 tax~ble at the spousal tax
rate, or transfers under Sec. 9116 (aX1.2)
16. Amountof Line14taxableatlinealrate 1 , 014, 271 . 22
17. Amount of Line 14 taxable at si bling rate
1 8. Amount of Line 14 taxable at collateral rate
x .o (15)
x.o 45 (16) 45,642.20
x .12 (17)
x .15 (18)
45,642.20
19. Tax Due (19)
0 PA15001 NTF 29755 Copyright 2000 Greatland/Nelco LP- Forms Software Only
PA REV-1500 EX (6-00)
Decedent's Complete Address:
Page 2
STREET ADDRESS
952 WEST OLD YORK RD.
CITY I STATE I ZIP
CARLISLE, PA 17013
Tax Payments and Credits:
1. Tax Due (Page I Line 19) (1)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 4 2, 2 0 5.8 4
C. Discount 2,221 . 36
45,642.20
Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C) (2)
Total Interest/Penalty (D + E) (3)
44,427.20
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 I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1 , 2 1 5.0 0
A. Enter the interest on the tax due. (5A)
B. Enter the total of Une 5 + SA. This is the BALANCE DUE. (SB) 1,21 5.0 0
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ....................................... I 1
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 adeq,..u, ate consideration? ............................................... .'iii
3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death? ~] ~j
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................ B ~
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 p. enalties of.pe, rju .ry, I declare that I have examined this return, including accompanying schedules and statement.s, and to the best of my
kn. ow.~eoge and .be,el it )s tru.e correct and complete. Declaration of preparer other than the persona representative is based on information of
wnicn preparer nas any Knowled,qe.
GNATIJRE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
·. ._ C. pfc,
ADDRESS
952 WEST OLD YORK RD. CARLISLE, PA 17013
SIGNATURE 0.F P~J;~E~AREP~OTHER Tt~N REPRESENTATIVE
~--/'7719 E. LINCOLN AVE-. MYERSTOWN,
PA 17067
DATE
12/05/2002
For dates of death on or after July 1, 1994and before January 1, 1995, thetaxrateimposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. § 9118 (a) (1.1)(i)].
For dates of death on or after January 1, 1995, the tax rate is 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 th e 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(aX1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's si blings is 12% [72 P.S. § 9116(aX1.3)]. 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.
0 PA15002 NTF 29756 Copyright 2000 Greatland/Nelco LP- Forms Software Only
REV-1502 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
SAMUEL ROY WEAVER 21 - 02- 0361
All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value 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
reasonable knowledge of the relevant facts. Real property which Is Jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NO. DESCRIPTION OF DEATH
1. Farm- 145.41 acres 990,000.00
TOTAL (Also enter on line 1, Recapitulation) $ 9 9 0, 0 0 0 . 0 0
(If more space is needed, insert additional sheets of the same size)
0 PA15021 NTF 33299 Copyright 2000 Grestland/Nelco LP- Forms Software Only
REV-1508 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
SAMUEL ROY WEAVER 21 - 02- 0361
Include proceeds of litigation & date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F.
ITEM VALUE AT
NO. DESCRIPTION DATE OF DEATH
Allfirst - checking acct#00892-3107-4
Cash on Hand
Elsie Zimmerman Estate - final payment
8,527.39
12.00
709.73
TOTAL (Aisc enter on line 5, Recapitulation) $ 9, 2 4 9. 1 2
(If more space is needed, insert additional sheets of the same size)
9 PA15081 NTF 33305 Copyright 2000 Greatlaod/Nelco LP- Forms Software Only
REV-I§IO EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
SAMUEL ROY WEAVER 21 - 02 - 0361
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY % OF
INCLUDE NAME OF THE TRANSFEREE, THEIR
ITEM RELATIONSHIP TO DECD & DATE OF TRANSFER. DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
NO. A'I-rACH COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE)
1. Cash gifted to Chester C. Weaver Sr., son, 03/19/02
7,606.50 1 00% 3,000.00 4,606.50
2. Cash gifted to Esther Weaver, daughter-in-law,~ 03/19/02
7,606.50 1 00% 3,000.00 4,606.50
3.; Cash gifted to Harold Martin, son-in-l~w, 03/119/02
7,606.50 100% 3,000.00 4,606.50
4. Cash gifted to Bertha M. Martin, daugkter, 03/19/02
7,606.50 100% 3,000.00 4,606.50
5. Cash gifted to Harold H. Weaver, son, 93/19/02
7,606.50 100% 3,000.00 4,606.50
6. Cash gifted to Darlene Weaver, daughter-in-la~, 03/19/02
7,606.50 100% 3,000.00 4,606.50
TOTAL (Aisc enter on line 7, Recapitulation) $ 2 7, 6 3 9.0 0
(If more space is needed, insert additional sheets of the same size)
0 PA15101 NTF 33307 Copyright 2000 Greatland/Nelco LP- Forms Software Only
REV-1511 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
SAMUEL ROY WEAVER 21 - 02- 0361
Debts of decedent must be reported on Schedule I.
ITEM
NO.
A.
1.
3
4
5
6
DESCRIPTION
FUNERAL EXPENSES:
Slate Hill Cemetery - digging grave
Slate Mennonite Church - funeral meal
B. B. Baltozer Cabinet Shop - casket
Myers Funeral Home, Inc.
Paul W. Nisley - funeral
Wagner's Memorials
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN No. of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Chester C. Weaver, Sr
Street Address 952 West Old York Rd.
City Carlisle StatePA Zip17013
Relationship of Claimant to Decedent SOD.
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
Check order
Chester C. Weaver - appraisal on property
Martin Accounting Service - file inheritance return
AMOUNT
625.00
200.00
495.00
4,690.00
50.00
985.00
150.00
3,500.00
506.00
13.52
50.00
925.00
TOTAL (Also enter on line 9, Recapitulation) $ 12, 189. 52
(If more space is needed, insert additional sheets of the same size)
0 PA15111 NTF 33308 Copyright 2000 Greatlan d/Nelco LP- Forms Software Only
REV-1512 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF
SAMUEL ROY WEAVER
FILE NUMBER
21 -02-0361
Include unreimbursed medical expenses.
ITEM
NO.
1.
3
5
DESCRIPTION
Pinnacle Health Med Svc.
Howard's Accounting - tax preparation
The Cooley Dickinson Hospital - medical
Quantum Imaging & Ther. - medical
Bertha M. Martin - hospital
TOTAL (Also enter on line 10, Recapitulation) $
AMOUNT
48.03
100.00
69.00
16.24
194.11
427.38
(If more space is needed, insert additional sheets of the same size)
0 PA15121 NTF 33309 Copyright 2000 Greatland/Nelco LP- Forms Software Only
REV-1513 EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
SAMUEL ROY WEAVER 21-02-0361
RELATIONSHIP lO DECEDENI AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
II
1.
TAXABLEDISTRIBUTlONS[includeoutrightspousaldistribu~ons, and
trans~munderSec. 9116(~(1.2)]
CHESTER C. WEAVER, SR
952 WEST OLD YORK RD. CARLISLE, PA 1
HAROLD H. WEAVER
103 DICKENS HILL RD. BOX 285 RUSSELL
BERTHA M. MARTIN
850 KRAYBILL RD. MT. JOY, PA 17552
SON
7013
SON
, MA 01071
DAUGHTER
33.33%
33.33%
33.33%
ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBS. ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 Greatland/Nelco LP - Forms Software Only
0 PA15131 NTF 33293
· This is'to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local R, egistrar. The original certificate will be forwarded to the State Vital Records Office for permanent'qiling.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 8203559
No.
Local Registrar
Dare
COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
.AMEOFOECEDENT(F~S~ M~.L~,~)~, I D tAI [~X M=I=
, oamue, ~oy ..eaver , -~ , ~u. ou ~,.~ , ·
. _ __ I. I. - - I.~
,. I , I ~ I.. I,. I.. I
Dau.hin I Harrisburg I HarrlsburgHospital J~'Q .... *~, I'~' ~ite
-. - I-. I-. I,~'-'~'" I,,.
Carlisle. Pa. 17013 {~;~u~ Cumberland
;~..s.~ ~¢~,~..~ t~ Matin M. Weaver A. Bookwalter
~ Be~a M. Ma~n PA 17552
c,.~ ~ ~.~.~ Slate Hill Cemete~ Camp Hill, Pa. 17011
rD-012662-L I~c. 37 East Main Street Mechanicsburg. Pa 17055
,.. [] v.. [] .~ []
LAST WILL AND TESTAMENT
I, SAM~JEL ROY WEAVER, of Fairview Township, York County, Pennsylvania,
this to be my Last Will and Testament and revoke any will or codicil
~reviously made by me.
ITEM I: I direct that all my just debts and funeral expenses, including
gravemarker and all expenses of my last illness, shall be paid from my
residuary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I devise and bequeath the residue of my estate of every nature
and wherever situate in equal shares to such of my children, Chester C.
Weaver, Sr., Harold H. Weaver and Bertha M. Martin, as shall survive me by
thirty (30) days.
ITEM III: Should any of my children, Chester C. Weaver, Sr., Harold H.
Weaver and Bertha M. Martin, predecease me or die on or before the thirtieth
day following my death but leaving issue who so survive me, such issue shall
receive, per stirpes, the share that such predeceased child would have
received had he or she so survived me.
ITEM IV: I direct that all taxes that may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed, shall be
paid from my residuary estate as part of the expenses of the administration of
my estate.
ITEM V: I appoint my sons, Chester C. Weaver, Sr. and Harold H. Weaver,
and my grandson, Ethan R. Weaver, executors of this my last will.
ITEM VI: I direct that my executors or guardian or their successors
shall not be required to give bond for the faithful performance of their
duties in any jurisdiction.
ITEM VII: My individual fiduciary shall be entitled to reasonable
compensation for his or her services rendered from time to time unless
different compensation has been provided for in a separate letter of
agreement.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
and Testament, written on 3 sheets of paper, dated this /~L~ day of
(SEAL)
Samuel Roy Weaver
The preceding instrument, consisting of this and two (02) other
typewritten pages, each identified by the signature of the testator, was on
the day and date thereof signed, published and declared by the testator
therein named, as and for his Last Will, in the presence of us, who, at his
request, in his presence, and in the presence of each other have subscribed
our names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA :
: ss.
COUNTY OF CUMBERLAND :
I, Samuel Roy Weaver, the testator whose name is signed to the attached
or foregoing instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as my Last Will;
and that I signed it willingly and as my free and voluntary act for the
purposes therein expr~e~ ~~~ (SEAL)
Samuel Roy Weaver
Sworn to or affirmed and acknowledged
before me by Samuel Roy Weaver,
the testator, this /4 ~ ~ day of
'-J~C , 1991.
Notary Public
NOT^i~!AI. SEAL
VELDA M. SEASE, Notary, Public
Sh~ppe~.sburg ,P~ro, Cum0erland Co., Pa.
My' Comm;ssion Expires April 16, 1994
COMMONWEALTH OF PENNSYLVANIA :
: ss.
COUNTY OF CUMBE~AND :
We, .D~m;~[[¢ Z. ~,'fe~ and ~A~ ~. ~ o~, 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 the testator sign and execute the instrument as his Last Will; that
the testator signed willingly and executed it as his free and voluntary act
for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the testator signed the Will as a witness; and that to
the best of our knowledge the testator was at that time eighteen (18) or more
years of age and of sound mind and under no constraint or undue influence.
!
Sworn to or affirmed and subscribed to before
me by ~_~;~1(~ A. ~f~oe f and
~,~g~ ,,4-. ,~,~,.~ ;~ ~ , witnesses,
this /¢~-I day of ,Ja~_ , 1991.
Notary Public
/ippr~9~Ftz ~or<:
Samuel ~p~ Weaver
6/21/02
[P~CEZ # ti _For Appraisal pUrposes, adjacent parcels gl and ~2 combined
~ to equal approx. 145.41 acres, see attached copy for discription:
_ $~t(~0~.3_~ per acre x 145.41=
[PFtI~C~.~ # 2] .q~l_m_.b.ined with parcel ~1.
(PdI~CEZ. # ~1 _ N./A ....
9m~:= N/,A,
CO~tY~ ~ N / A
~$C. _RE~ARKS _-Apprais~ largely derived by sales
comparison observation.
Samuel RoT Weaver Farm Discripgion
.!
Address: OLd Forge Road, Fairview Township, York County
Lewisberry, Pennsylvania 17339
Aceraqe: 145.41
Zoning: R.R.
Soil type: Landsdale Channery Loam with some variation.
Soil condition: Fair
Terrain: MODERATE ROLLING, few acres in 100 year flood plain
along Yellow Breaches creek.
Road Frontaqe: Along Old Forge, Sheepford, Rubytown, and
Shauffnertown roads.
Improvements/Buildings: None
Utilities: Electric and telephone are available.
allfirst
Other activity
Date Description Amount
04/09 CLOSING WITHDRAWAL ¢~ ~-),'f~,, F),~t -9,027.39
Page 3 of 3
-9,027.$9
End of Day Ledger Balance
Account balances are updated in the section below on days when transactions posted
to this account.
Date Balance Date Balance Date Balance
03125 ~ 0410g · O0
Thank you for your support and your business. Our priority at Allfirst is to
serve you, our customers, colleagues, and communities. We look forward to
continuing our relationship with you as we provide financial solutions that
fit your needs.
The annual percentage yield earned reflects the amount of interest earned on the account
during the statement period and the average daily balance in the account for that period.
The interest rate paid will fluctuate according to money market conditions.
About your Relationship Checking with Interest account. When you maintain an average
daily ledger balance of $1,000 in your checking account; or $2,500 in your checking,
money market and savings accounts; or $7,500 in all related accounts you will not be
assessed the $10 monthly maintenance fee.
Balancing your checkbook. Look on the back of your first statement page for a fast and easy
way to balance your checkbook.
What your icons mean
O Customer Service
~ Credit to your account
O Important reminder
~ Charge to your account
Other banks' ATM
transaction
For questions about
your statement or
change of address
information, please see
page 2.
033782 2
0013-98317512920 050
A standard qfexcellence itt Central Pe,nsylvania sittce 1910 BOYD L. MYERS, JR., Supervisor
~7 E MAIN STREET
MECHANICSBURG. PENNSYLVANIA 17055
V Funeral Home, Inc. {717)766-3a21
STATEblENT OF FUNE~L GOODS AND SERVICES SELECTED
Charges arc univ for those items that you selected or that arc required If wc are required by law ~r by a ccmctcq or crematory to use any items, we will
rxp ain in wr hg bclo~ ......... ~ for embalm}n- You do not have to pay for embalming
If you selected a funeral ihal may require embalming such as a funeral Wl{~ viewing, vo~ may nave ~o
' ' '1 ~', ~ ~ ' -- ' ' ' ' ' ' ' ' ' "
A. CHARGE FOR SERVICES SELECTED: Other clothing
PROFESSIONAL SERVICES
Services of Funeral Director/Staff
Embalming ...........
Other preparation ot bod?
SUB-'fOTAL OF PROFESSIONAL SERVICES .... ~.1
2 FACILITIES AND SERVICES
Use of facilities and services for
viewing (Visitation/Wage) ........ $
Use of facilities and services $~_.~_
for funeral ceremony .......
Cse of facilities and services for
Memorial Service .........
Use of equipment and services
for graves}de service ........
Other use of facilities
SuB-TOTAL ~1~ FXCiI~ITI~s'IE~UiPMENT ........
Vehicle to transfer remains to Funeral Home.~
Local .................
Hearse (Casket Coach)
Local ...............
Limousine
Local ................
Family car
Local ......................
Flower car or floral disposition ~.~-,,¢[~--'
Local
Lead car!clergy car $
Car for pall~arers
Local .......................
Om of tow~ transportatioB ........
EQUIPMENT
B. CHARGE FOR MERCHANDISE SELECTED:
Casket .................
{Description) '
Other Receptacle ..............
(Description) ~
Outer burial comainer ............
(Description) ~ '-
Acknowledgemem cards .......
Register book{s) ............
Memory folders
Praxer cards ...........
Temporary grave marker ........
Cremation urn ...............
iDescription)
OTHER $
$
TOTAL MERCHANDISE SELECTED ............ B
C. SPEC1AL CHARGES:
Forwarding of remains to
(Funeral Home)
Receiving of remains from
IFuneral Homel
Immediate Burial ................
Direct Cremation ..............
s__._/__ _..--
opening Grave
Cemetery Eqnipment ..........
Lot and Deed ...............
Newspaper Notices--Local
Newspaper Notices--Out-of-town $- p --
Telephone & Telegrams ......... $- --
Airfare ................... $-- --
C ergv/Mass Offering ......... $
Pallbearers ....................
Certified Copies of the Death $
Certificate ...... /~;. ~'' ~''
Police Escort ..................
Flowers .................
Vault Service Charge .......... $-- -
S _
SUB-TOTAL OF ADVANCES ................. D $
We charge you for our services in obtaining:
(specify casl~ adranCeS t~at are marked-up)
SUMMARY OF CHARGES
A. professional Services. Facilities and
Equipment. and Automotive $ .~'7 ~'~ ~,
Equipment
B. Merchandise ..........
C. Special Charge ..................
D. Casl~ Advances
TOTAL OF ALL SECTIONS ......................
PAID AT TIME OF OR PRIOR TO ......... $
ARRANGEMENTS .......................
BALANCE DUE ........................
REASON FOR~MBAL'MING · / '
_ ././~c.,L L/;.~.-,~"'"-1 · e
If ans'-~ la~erv, or crematorY requirements have required the purcnas
of an,.' nf_~he items'lis~d above the law or/requiremem is explained below.
Bnrial clothing ........... $-- '-- - ~ rrec andaccordingmthearrangements haverequesteg, lacknov, ledg. e
a~ e examined the items of goods and srr~ ices selected ab°ye and f°und mere onecn ' ' ' '
hat I have sufficient funds avai able for pavmen (if the cash price for the goons
lagreethatlh S ed [re resent t alhan~oneel',e~.ho
~ of th s S a emem of Funeral Goods and Services S$.lg~ · P '"'~ "~"' '- da~ s I agree lO be jointly and'severally
receipt t f a cop.' · ~ ~$~w thin '. ' . - · ' · - days
selected also a tee t m e paxment ~ . er year will ~ apphed m the unpaM balance beginning ~ ·
agd se:,,,cc~., .... ;har-e o~ ~ ~1 .per month ,mounung ,o ~he Funeral Il}rector to collect amounts, owe ugde
be considered ~art of this agreement and the cost thereof will be reflected on the final bill or statemen
~ re)
{Purchaser)
BUREAU OF ZNDTVZDUAL TAXES
INHERITANCE TAX DZVZSTON
DEPT. 280601
HARRISBURG) PA 17128-0601
COMMONNEALTH OF PENNSYLVANZA
DEPARTMENT OF REVENUE
NOTZCE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
CHESTER C NEAVER SR
952 N OLD YORK RD
CARLISLE ~ PA 17015-q802
REV-ISq7 EX AFP (gl-OS)
DATE 02-10-2005
ESTATE OF NEAVER SAMUEL R
DATE OF DEATH 05-26-2002
FILE NUMBER 21 02-0561
COUNTY CUMBERLAND
ACN 101
Amoun~ Remi~ad
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF gILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THZS LINE ~ RETAZN LONER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTZCE OF ZNHERZTANCE TAX APPRAZSENENT, ALLON,a. NCE OR
DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ~/EAVER SAMUEL R FZLE NO. 21 02-0361 ACN 101 DATE 02-10-2003
TAX RETURN WAS: (X) ACCEPTED AS F/LED ( ) CHANGED
RESERVATION CONCERNZNG FUTURE ZHi=KEST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
$. Closely Held Stock/Partnership Interest (Schedule C) ($)
q. Mortgages~No,es Receivable (Schedule D) (q)
5. Cash/Bank Deposits~Misc. Persona/ Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. Tote/ Asse~s
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/M/sc. Expanses (Schedule H} (9)
10. Debts/Mortgage L/ab/1/t/es/L/ens (Schedule Z) (10)
11. Total Deduct/ohS
12. Net Value of Tax Return
990z000.00
.00
.00
.00
9/249.12
.00
NOTE: To /nsure proper
cred/t to your account,
subm/t the upper port/on
of this form w/th your
tax payment.
27~639.00
(8) 1,026,888.12
12,189.52
427.38
(11) ]2.~1&.90
(la) 1,01q,271.22
15.
lq.
NOTE
ASSESSMENT OF TAX:
15. Amount of Line lq at Spousal rata
16. Amount of Line lq taxable at Lineal~Class A rata
17. Amount of L/ne lq a~ Sibling rata
18. Amount of L/ne lq taxable at Collatara1/Class B rata
19. Principal Tax Due
TAX CREDITS:
PAYMEN1 RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAZD (-)
06-25-2002 CD001332 2,173.63
12-16-2002 CD001951 .00
Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) . O0
Nat VaZua of Estate Subject to Tax (lq) 1,014,271.22
Z-F an assessment ~as lssued previously, lines 14, 15 and/or 16, 17, 18 and 19 '~
reflect figures that include the total of ALL returns assessed to date.
INTEREST IS CHARGED THROUGH 02-25-2003
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
(15) .00 x O0 = .00
(16) 1,014,271.22 x 045= 45,6q2.20
(17) .00 x 1Z = . O0
(18) .00 x 15 = .00
(19)= q5,642.20
AMOUNT PAID
q1,298.98
1,215.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
1F PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
,687.61
954.59
8.11
962.70
( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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 002187
WEAVER CHESTER C SR
952 WEST OLD YORK RD
CARLISLE, PA 17013
........ fold
ESTATE INFORMATION: SSN: 204-30-5145
FILE NUMBER: 2102-0361
DECEDENT NAME: WEAVER SAMUEL ROY
DATE OF PAYMENT: 02/1 9/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 03/26/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $962.70
TOTAL AMOUNT PAID'
$962.70
REMARKS: CHESTER C WEAVER
SEAL
CHECK//109
INITIALS: JA
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF ZNDZVZDUAL TAXES
I'NHERTTANCE TAX DTVZSZON
DEPT. 180601
HARRTSBURG, PA 171P'8-0601
CONHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF ZNHERZTANCE TAX
APPRAISEMENT, ALLONANCE OR DZSALLONANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
CHESTER C WEAVER SR
952 W OLD YORK RD
CARLISLE PA 1701:3=6802
DATE 01-10-100:3
ESTATE OF WEAVER
DATE OF DEATH 0:3-26-2002
FILE NUMBER 21 01-0:361
COUNTY CUNllERLAND
ACN 101
I Amoun~ Remitted
SAMUEL R
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 1701:3
CUT ALONG THZS LINE ~ RETAZN LOWER PORTION FOR YOUR RECORDS ~
REV-Z547 EX AFP (01-03) NOTICE OF ZNHERZTANCE TAX APPRAZSEHENT, ALLOWANCE OR
DZSALLOWANCE OF DEDUCTZONS AND ASSESSMENT OF TAX
ESTATE OF WEAVER SAMUEL R FZLE NO. 21 02-0:361 ACN 101 DATE 02-10-200:3
TAX RETURN gAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSR
APPRAISED VALUE OF RETURN BASED ON: ORIG/NAL RETURN
1. Raal Es~a~ (Schadula A) (1)
2. Stocks end Bonds (Schadula B) (2)
3. Closaly Held S~ock/PartnarshAp Interest (Schadula C) (3)
~. Hortgages/Notas ReceAvabla (Schedule D) (~)
$. Cash/Bank Daposits/Hisc. Parsonal Property (Schadula E)
6. JoAntly Owned Property (Schedule F) (6)
7. Transfers (Schadula G) (7)
8. Tota/ Assets
APPROVED DEDUCTIONS AND EXENPTZONS:
9. Funaral Expansas/Adm. Costs/Nisc. Expansas (Schedule H) (9)
10. Dabts/Nortgaga LAabLlitAas/LAans (Schedule T) (10)
11. Total Deduct Aons
12. Net VaZue of Tax Return
990/000.00
.00
.00
,00
9/269.12
.00
NOTE: To Ansura propar
cradAt to your account,
submit the uppar portAon
of thLs form with your
tax payment.
12,189.52
627.:38
(11) 12.~16.90
(12) 1,016,271.22
13.
lq.
NOTE
ASSESSMENT OF TAX:
15. Amount of LAna 1~ et SpousaZ rate (15) .00 X
16. Amount of Line 1~ taxable et LAnaal/Class A rata (16) 1,016,271.22 X
17. Amount of LAne 1~ et Sibling rate (17) .00 X
18. Amoun* of Lina 1~ ~axabla et Collateral/Class B ra~a (18) .00 X
19. PrAncApal Tax Due
TAX CREDITS:
PAYMENT RECEIPT D/SCOUNT
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
06-25-2002 CD0015:32 2,17:3.6:3
12-16-2002 CD001951
INTEREST IS CHARGED THROUGH 02-25-200:3 TOTAL TAX CREDIT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE
REVERSE SIDE OF THIS FORH INTEREST AND PEN.
TOTAL DUE
~ ZF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADD/TIONAL INTEREST.
61,298.98
1,215.00
66,687.61
956.59
8.11
962.70
( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS RE;)UZRED.
ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE
A REFUND. SEE REVERSE SZDE OF THZS FORN FOR TNSTRUCTZONS.
Char/table/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) . O0
Net Value of Estate Subjact to Tax (1~) 1,016,271.22
Zf an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
O0 = .00
065 = 65,662.20
12 = .00
15 = .00
(~9)= 65,662.20
17~6:39.00
(e) 1,026,888.12
BUREAU OF ZNDZVTDUAL TAXES
ZNHERTTANCE TAX DIYTSTON
DEPT. 28n601
HARRISBURG,, PA 17128-0601
CHESTER C WEAVER SR
952 W OLD YORK RD
CARLISLE PA 17015
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEHENT OF ACCOUNT
DATE
ESTATE OF
DATE OF DEATH
FILE NUMDER
COUNTY
ACN
REV-16D7 EX AFP
05-10-Z005
WEAVER SAMUEL R
05-26-2002
21 02-0361
CUMBERLAND
101
Amoun~ Remi~ed I
MAKE CMECK PAYADLE AND REMZT PAYMENT TO:
REGISTER OF WILLS '
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credi~ ~o your account, submi~ ~he upper portion of ~hJs form frith your ~ax payment.
CUT ALONG THIS LINE ~ RETA'rN LOWER PORT*rON FOR YOUR RECORDS *~
REV-1607 EX AFP (01-03) ~ ZNHER'rTANCE TAX STATENENT OF ACCOUNT ~
ESTATE OF WEAVER SAHUEL R F'rLE NO. 21 02-0361 ACN 101 DATE 03-10-2003
THTS STATEMENT TS PROVIDED TO ADVTSE OF THE CURRENT STATUS OF THE STATED ACN TN THE NAMED ESTATE. SHO#N BELOW
ZSA SUMMARY OF THE PRZNCZPAL TAX DUE, APPLZCATZON OF ALL PAYHENTS, THE CURRENT BALANCE, AND, ZF APPLZCABLE,
A PROJECTED ZNTEREST FZOURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTHENT-' 02-10-2003
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
2,173.63
~5,6~2.20
06-25-2002
12-16-2002
02-19-2003
CD001332
CD001951
CD002187
.00
7.32-
41,298.98
1,215.00
962.70
45,642.99
.79CR
ZF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( ZF TOTAL DUE ZS LESS THAN $1,
NO PAYMENT ZS REQUIRED.
ZF TOTAL DUE IS REFLECTED AS A "CREDIT"
TOTAL TAX CRED'rT
BALANCE OF TAX DUE
INTEREST AND PEN. .00
TOTAL DUE .79CR
YOU HAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORM FOR TNSTRUCTTONS.
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 2/02/2005
WEAVER CHESTER C SR
952 WEST OLD YORK RD
CARLISLE, PA 17013
RE: Estate of WEAVER SAMUEL ROY
File Number: 2002-00361
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.
~~~
. iJ
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
u1
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: $AIJ1 Vt. L ~r /....dfA4If/Z...
Date of Death: "3 - ~ Co- 0 L--
Estate No.: ;lDD t2 - 00"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:
1. State whether administration of the estate is complete:
. Yes 0 No J)?l
2. lfthe answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. lfthe answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0 No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes 0 No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date: '6 -1-o~
6fL-1? tJ~
Signature
!:fII;9;.I !l WfA/f~
Name
:.::r'>
).. f~ W/LO ta:Jop> /./We-
Address ;7I!wt/kl.t ,tJ~ I") .;2. '-i(
-,/7 - 7?~ - 7>"yr
Telephone No.
Capacity: 0 Personal Representative
o Counsel for personal representative
cF
"
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: ~ Q\>,~
Date of Death: j - ...:j b - (j J.
Estate No.: :J..() (!):J. - 0 () j ~ (
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 0 No Kl
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 0 No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes 0 No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date: :;2-j '-( ~6 ~
~C.~~lHJl-
Signature
Name
q.5~~ W. ~~ PeL~ ~J N
Address
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Telephone No.
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,:, \ei~aClty:
o Personal Representative
o Counsel for personal representative
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Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 2/17/2006
WEAVER HAROLD H
103 DICKENSON HILL RD BOX 285
RUSSELL, MA 01071
RE: Estate of WEAVER SAMUEL ROY
File Number: 2002-00361
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:
3/26/2006
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.
r~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 2/17/2006
WEAVER ETHAN R
296 WILDWOOD LANE
NEWVILLE, PA 17241
RE: Estate of WEAVER SAMUEL ROY
File Number: 2002-00361
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:
3/26/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
~~
Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF Cumberland
Name of Decedent: SAMUEL ROY WEAVER
COUNTY, PENNSYLVANIA
Date of Death: 03/26/2002 File Number: 21-02-0361
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 :.................... ^ Yes /^ No
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
We are not sure -the farm has not yet been sold. Hopefully this next year.
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 ^ 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? ............................... ^ Yes ^ 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.
o~,t< <~ I Q~ c ~ ~~~ ~ , ~ .~ ,
Signature of Person Filing this Form
Capacity: /^Personal Representative ^Counsel
Chester C. Weaver, Sr.
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... ~_. _ I ~,~
£~ ~ ~ ~'~ ~1~ ~Y1rl~ r;,
ll:l ,3
Narne of Persona Filing this Form
1450 Creek Road
ACZCIi"C'Ss
Carlisle, PA 17015
717-243-9699
Telephone
Form F;W-l0 rev. 10.13.06
STATUS REPORT UNDER RULE 6 12
Name of Decedent : SAMUEL ROY WEAVER
Date of Death : Mazch 26, 2002
Estate Number : 21-02-0361
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 ~~
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete : Not sure -farm not yet sold
3. If the answer to No. 1 is Yes, state the following:
A. Did the personal representative file a formal final account with the
court?
Yes Q No
B. Did the personal representative state an account informally to the
parties in interest?
Yes ~~ No
C. Did the personal representative file approvals of the account, receipts,
joinders and releases with the Clerk of Orphans' Court?
Yes Q No
D. Did the personal representative complete final distribution?
Yes Q No
Date: x g ~l--D~
Capacity: ~ Personal Representative
a Counsel for Personal
-, Representative
-:_
,,_
O r `t ~JQ,J~o
Signature a ~,~ ~ t
Name Chester C. Weaver, Sr.
Address 1450 Creek Road
Cazlisle, PA 17015
Telephone (717) 243-9699
S'v
STATUS REPORT UNDER RULE 6.12
Name of Decedent : SAMUEL ROY WEAVER
Date of Death : March 26,2002
Estate Number : 21-02-0361
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 t�! No Q
2. If the answer is No,state when the personal representative reasonably believes
that the administration will be complete ; not sure - farm not yet sold
3. If the answer to No. 1 is Yes,state the following:
A.Did the personal representative file a formal final account with the
court?
Yes Q No
B. Did the personal representative state an account informally to the
parties iin interest?
Yes F_t No Q
C.Did the personal representative file approvals of the account, receipts,
joinders and releases with the Clerk of Orphans' Court?
Yes F---] No r
D.Did the personal representative complete final distribution?
Yes LEI No
Date : j b-- 1-13 Signature x jt e�eA�t" 2"4A—
Capacity: ✓Q Personal Representative Name Chester C. Weaver
aCounsel for Personal Address 952 West Old York Road
Representative Carlisle, PA 17013
Telephone (717)243-9699
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