Loading...
HomeMy WebLinkAbout01-0017 ntv_l~:~(~ In (101 /6-/f'9-/7 REV-1500 OFFICIAL USE ONLV d' COMMONWEAllIIOF , . rENNSYLVANIA I . r 'il\li. . \c. DErAR fMENT OF REVENUE , . J,. DEFT 28U60' ,-", 'HARRISBURG. rA \7128.0GO\ Z 15. AmOlll1\ o{ line 14 \<lxa\\\e a\ Ihe spo\.l~al 'ax 0 ~ rale, or Iransfers linde, Ser., 9116 (~){1,2) I-' 16. ^ll1ounl of Une 14 taxable at lineal rale :J 0- 17. Amount of line 14 taxable at sibling rate :IE 0 18. Amount of line 14 taxable at collateral rale 0 g 19. T alt Due 20 Cl I- Z W o W U w a I!! x:$(I) 0"'" w"'O ,,00 0"'-' ...", ... .. z o ~ :J l- ii: <( u UJ 0:: \i":,.::'f':)' INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER .Ll-JLl CO(}tHV COOE VEAl" __1LLL '~UMBER OF.CFIJENt'S N^ME II.^S r, rlRS 1. MID MIDDl.f IN\ll^l) SOCIAL SECURITY "UMBER __Glessner._NiI_Qml :r. DAlE or DE^,1f (MM-DD.YF.:^R) !'[lAIr:: ()rB)n-,-,i-(ii~l-[;I~I-YEAHJ 12-23-00 02-13-14 - - - . - (If ArrUCABI_n SlJrN!VING sroUSE'S NAME lLASI, HI~S1. AlJIJ ~!lIJLJt,F U~ll1AI) ...l12.__--=... 01. - 3763 TIllS RETURN MlleT BE FilED IN DUPLICATE WITH TIlE REC~1STER OF WillS SOCIAL SECURITY I.IUMBER J- Z W o z o ... '" w '" ... o o Ii] 1. Original RellJrn [J 2, Supplemental Relurn [J 3. Remainder Relurn {daleo'dl1alhprl~lo 12.13-82l [] 4, Umi\m1 E~\<l\e [] 11,,_ fulurf! lnleresl COIllJlrornj~" (,hI" (II d,,~lh ~rrl), 17-11111) [J 5, rederal Eslnle Tax Relurn Required [~.1 6. LJecedell1 Died Test<Jlp, l^U~(h C(ll'~ "r \''1,11) t__~] 7. Decedent Milinl;lilmd <ll ivirlg ftr.lsl lAII.1(h n>l'V o. 'ttJ~tl 8. Tolal NlImber of Sa{~ Oepos(\ Bore$- [J g, Liligalioll rfOceeds Received [- -110. SpOllSil! roverly Credit (oI~I" of rl",rh 'mrw'111n '?-31-91Ilncll.' ~~) LJ 11. Election 10 lax under Sec. 9113(A) IAtlIl~h Sdl 01 tH S SECtl S . BE COMPlI:TEO. ALL CURRESPONOENC~_!-NtJ ~Qf.l-,,)OEN~IAL~tAJ(JNFUItMAtlt.l1UlROULIUjl!lllltl!lltl!fI~bf~ NAME COM!'LE 1r. !-,MIUflG ^lJDRESS ...Joh.!L.1!..-.!~akin ___________."'_____". nRM NAME I" ^rrlicllbll'l l1arket Square Building Hechanicsburg, FA 17055 TELErHONE NUMBER 717 766-3172 OFFICIAL USE olRv 1. Re,,! Eslnle (Schedule ^) 2. Slocxs ami BOHds (Schedule BJ 3. Closely Held Corporation. Partnership Of Sole-Proptlelmshlp (1) n 17.4.. LOO..O.O \2) ___._.1>...810.J1.'i (3) (1) 4. Morlgages & Noles Receivable (Sd','du[e D) 5. Cash. Brink [)e!lfJ5I1s ,II. Misc(!lImlr.lIrr~ rcrscllll1l rropmly (Schedule EI 6. Joilllly Owned Properly (Schedule FJ D Separate Billing ReQuested 7. InIal-Vivos TnmslelS & MiS{:ellaneous HOl\-Proba\e PlOper\y (Schedule G or LJ 8. T at;tl Gran Assets (Iotal lines 1-1) (!i) ...,z,t,!l....8V--,-5.1 (6) (7) (6) 427.731. 56 9. Funeral Expenses & ^ull'oinislrali'le Cnsls (St~dllle Ii) (9) (10) 19.1'ZJl.JZ_ ___...l.,369.4~ 10. Debls or Oecedenl, Morrgi'lge liabilities, & liens (Schedule 1) 11. , of;tl Deducllol1!; (10101 lines 9 & 10) 12. Net Value of Estate (UI1~ 8 minus lille 11) (11) ~Q,74Z.6J (121_49..9...983.75 (13) 13. Chali!11ble and Governmental Bequesls/Sec 9113 Trusts lor which flll eleel/olllo l;:lx ha<j 110\ been made (Schedule .I) 14. Net Value SubJecllo Tax (line 12 minus line 13) (H) 406.983.75 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES _____________ x .0 _ (15) ___1l.D_6~ 9Jl.l...I5 x .0 -45 (16) 18.314.27 x .12 (IT) (16) PH) 18. 31!i...2L. ~..----~~-~~--_._._--------- x .15 .,. .,1,,';, . ~ " ,,-.,.: ,1~,! ./.,' t:K ,,";' " Decedent's Complete Address: STREET ADDRESS 214 Hempt Road ~~__________~.______~u____~_____ ~ ~ CITY ---------=pTATE PA I-ZIP 17050 M Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2. Credits/Payments A Spousal Povelly Cledit B. Prior paymenl. C. Discount (1) __.tllhllUl_____ _--L~ 000. OQ______ 800.00 Tolal Credits ( A t B t C ) (2) 16,800.00 3. Inlara.VPanally if applicable D.inlerasl E. Penally TOlallllleresVPenally ( 0 t E ) (3) 4. lllilla 2 is grealar Ihan lina 1 t line 3, anler lhe differenca. This is Ihe OVERPAYMENT. Chack box on Page IUne 20 fa raquast a ralund (4) A. Enlar Iha inlara.1 onll,alax dua. (5) (5A) 1,514.27 5. lllina 1 t line 3 is graatar than Lina 2, enler Iha diU",anca. This is Iha TAX DUE. B. Enlar tha lotal of lina 5 t 5A This i. tha BALANCE DUE. (5B) 1 . ~ 14 . 27 Make Check Payable to: REGISTER OF WILLS, AGENT 1~l'lWlV~~~1~I"jfii(,liX(\\~'i4r.;((fl~iIil'ill~:-ilCl~f~ir'4i:",i7fi;;lili~~*",ffp:~:;~'V.i.;'(~'i;r'>>!i:;g1lftlrl~ .iC~ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer all(1: a. retain the use or income of the propl:rty hansfefled;.. ~. retain Ihe right to designale who shall use lite properly Irall:irellCII or ils Income;.. C. relain a reversionary interest; or.......... d. receive tile promise for life of either payments, benefits or care? ..... . 2. If death occurred after December 12, 1982, diLl decetlent Iran~fer property within one year of death WiUlOut receiving adequate consideration? .. 3. Did decedent own an "in trust for" or payable upon dealli bank accOlmt Dr secL/(ily al his or her death? ". 4, Did decedent OWIl an Illdivklual Retirement Account, annuity, or olher non-probate property which contains a benefidary designation? . , Vas No [] !;zJ .....0 /Xl '" [J IXJ 0 IXJ ........0 0 ......0 Ix] .0 GJ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. VmJeI pt'llaWes 01 pmjury, I dorJare Ihall ha~e e~alllincd Ihis rclwn, indlllling accOlllllanyill(J sdlctlllhJS an.1 ,1,11'-"oIlOl1tS, alld tollle lJlOsl (If my ~Iluwted!.le <llId belief, it is Irlle, coned alld complete Declaration uf prclJarer olllr:f Ihan the pelSollat repleselllati~e is bCised Oil all illfurmdtioll of whidll*JI'i1Hlr lias allf Iwuwll.idge .~ CjJlZi~Zd/~ N REI'HESENTATlVE I? -f d fZ,~/ SIGN Dy:. 9z-(/~/ IlIIW8il~~r~Mif;iW.~ .'W .;';V4'.~ ~~;;Uil."!''''liW,IW.'i~I''lWilj.li~1Il!lIilJMllI!/IIf.'M4IMfII"N~ For dates oftJealh on or afler July I, 1994 amJ veluw January " 1995, Ihe lax ralu Ill1posell 011 Ihe n t valuo 01 hanslers 10 or for the use of Ihe surviving spouse is 3% 172 P.S. ~9116 (al (1.1) (III. For dates of death on or after January 1, 1995, Ihe lax rate imposed un Ilia flet value of lIallsfers 10 or for the use of Ihe surviving spouse is 0% {72 P.S. ~9116 (a) (1.1) (ii The staMa does nol exe1nID a transfer to a surviving spouse from lax, alld Ihe slatululY reqlliremellls for disclosure 01 assets and filing a lax. relurn are sUII applicable aVBII the surviving spouse is the only beneficiary. For dales of daalh on or afler July 1, 2000: The tax tate imposed on tile net value of transfers from a deceased child twellly-one years of age or youfIgef al daalll 10 or for Ihe use 01 a nalural parent, an adoptive parel or a stepparenl of Ill" child is 0% 172 P.S. ~9116Ia)(1.2I1. The lax rale imposad on Iha nel valua of Iransfers 10 or for Ihe use 01 the decedellt, III leal "ellafida,ias is 4.5%, axcapt as 1I0led in 72 P.S. ~9 f i6( (2) 172 PS. ~91l6(a)(1)). Tile tax rate imposed on Ute net value of transfers 10 or for (he llse o( IlIe decedenl's siblings is 12% /72 PS. 99116{a)I1.3)). A sibling is uefilled, under Section 9102, as; individual who has at leasl one parent in common with the decedent, whether by Llood or aLloptiOlt "Y'~''''('"'('~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Naomi T. Glessner 21-01-017 All real property owned solely or "'5 a tenant in common must be reported at fair market value. Fair market value is defined as the prir..e at which property would be exchanged between a willing buyer and a willing seller, neither being compelled \0 buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivors hiD must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 5 acres of land in Silver Spring Township, Cumberland County, improved with a single family dwelling. Sell price reported. Sale price is assessed valuation for real estate taxes, see attached. 174,100.00 TOTAL (Also enteron line 1, Recapitulation) $ 174,100.00 (If more space is needed, Insert additional sheets of the same size) IF T^XES ^'""tE IN ESCROW, rOnWN10 TO MORTGAGE CO $1.00 FEE rOR ^UDITIONM. RECEIPTS PAYM11E W DERIlA BASeJ lonE WIES r 269 WOODS DIl/VE MECHANICSBUIlG, PA 17050,2635 OF.SC' MAP NO: 3821'0295016 02H IIEMPIIlOAD ACIlES 4.050 DEED 18D I 248 APPX. 5 ACIlES 1I0USE IW.5IDENI 'AI. ,^' PAYEn GlESSNEIl, W.LEIlOY El UX 21411EMPIIlOAD MECIIANICSBUIlG PA 17050 UlnCE IlDuns. MON & WED 95 CLOSED HOLIDAYS EVENING APPOINTMENTS AVAILABLE ALSO OPENED APmL 23,26 PIIONE: (717)697,1294 ~~.lj!5~.lli9~. Q.~J~.::::QQ~_9}1!_ ___~!!-Qj Sla~e_ment of l!l!.al ESlale Taxe~ ASSf'flSed r.~nd' IllIjnOVemeflt HIner<ll V<llues 53,390 120,710 0 coUNrvofcUMllEliUI;;;o ,-------,--,- ---~ Rater, .001779U01 .00177900 COUNTY R/E 94.98 214.74 R~ t es .-------..-~'O Doio3oo.---.00010300 .---.--- fg~~,k~~~ sil VEft ~~JI~G ________1.?.:_!l. --~------- ~~~~~...~~_ ~~_O_~.~~.~~J __ . OOO_;I~f~_ ______ TAXPAYER COpy T^X ^MOUNT DUE --> D19counl --.------y, 303.5] -~-"'-2Y __~17.52._ H -rfL9" $433,03 1f 3/01/2 Penal j 309.72 340 --~-~-- '---'J ______...1]..:.~."_~ 1 114.21 125. ) $441,86 $486,0' If Pilid On or After ~J/01/20OT -- S/oI!"2oof- --7/01/2( _._____~!..f....!'<!!.~_Q:t!.....qr...J!~~q~t!.~_ 001 6(30/2001 IF NOT rAID BY 12/17/200.1. TillS BILL WIIJI, BE RETURHED TO TAX Cl'!\.Ul DURE!\U FOR COLI,F:CTJON AND FlLI.l1G or A LIEN AGAINST YOUR PROFERTY. netulf' Bill with Paymerl!. ror a Receipt. Enclose Self Addlessed Stamped Envelope. REV-I503EX+P-97] '* SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Naomi T. Glessner All property jointly-owned with right of sUlVlvorshlp must be disclosed on Schedule F. 21-01-017 ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 100 Rite Aid, Common @ $2.10 $ 210.00 2. 195 Duquesne Light @ $23.59 4,600.05 TOTAL (Also enter on line 2, Recapitulation) $ /, Oln n" (If more space IS needed, Insert additional sheets of the same sIze) .Rf.V-t~BE)('(l-9l) ~~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEAL HI or PENNSYLVANIA INHERITANCE I AX RETURN RESIOENT OECEVEI~I EST ATE OF FilE NUMBER NaomI T. Glessner 21-01-017 Include the proceeds of Iiligation and the dale the proceeds were feceived by the estate All pfOJ1erty JoIntly-owned with the light of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPT ION VALUE AT DATE OF DEATH 10,604.49 1. LIberty U.S. Government Money Market ^ Fund, No. 2/2705626 2. Waypoint Bank CD 1800012921, $2,000.00 issued 7/17/00 matures 2/l2/0I, 6.11%, interest accumulated Principal $2,000.00 Interest 54.57 2,054.57 3. Waypoint Bank, 2/l2/01,6.11%, Principal Interest CD 1800012925, $2,000.00, illterest accumulated $2,000.00 SI,.57 issued 7/17/00 matures 2,054.57 4. Waypoint Bank CD 2/26/01 - 6.11%, Principal Interest 1855265218, $2,665.54, interest accumulated $2,665.51, 68.72 Issued 7/26/00 matures 2,734.26 5. PNC Bank, Account 50-0081-2108, see attached 3,255.58 6. PNC Bank CD 31200184647, $1,000.00 issued 4/26/00 matures 1/16/01, 5.76% interest accumulated Principal $1,000.00 Interest 38.34 1,038.34 7. PNC Bank CD 31800158669, 4/30/01, 6.42%, interest Principal Interest $5,183.54, issued accumulated $5,183.51. 189.61, 5/30/00 matures 5,373.28 8. AlHirst Bauk, Account 0981-2915-5 24,115.83 9. Allfirst Investments, See Attached 187,805.59 10. 1996 Mercury, Sale PrIce Reported 5,000.00 11. Household Furnishings 3,285.00 12. Federated Tax Free Instruments Trust 1,500.00 TOTAL (Also enter on line 5, Recapitulation) $148,821.51 (If more space is needed, inserl addilional sheets of the same size) 1001229 012:0 05lO42021 ALLFIRST BROKJ;flAG CO P O. BOX 13Q44 BALTIMOryE, MD 21203 II, YOUR INVESTMENT ADVISOn IS JOHN MCGOWAN nn Number 555 Accoun' Number: OC2-655767 Fot Questions Call: Local Statewide Nationwide ----------' f) allflrst Allfirst Brokerage Corporation 7172376356 717 237 6356 800 527 9210 NAOMI T GLESSNER 214 IIEMPr ROM MECIIANICS8URG PA 17055 Statement Period November 25, 2000 Thru December 3', 2000 INCOME SUMMARY ACCOUNT VALUATION Taxable OivideTlds Long T eml Capital Gaill NOll-Taxable Oividellds This reliod 3,381.79 1,338.41 4600 YEar To Dale 5,888. I ~ 1,338.41 161.00 Casll/Cash Equivalents Equllle., Mutual Funds Pelcentugc of Your PorUoPio 14.2% 61.1% 24.7% Tolal A9sets ACtIVITY SUMMARY This Period 26,670.03 114,800.49 46,335.07 187,805.59 Last Period 26.396.53 103,829.03 44,791.23 175,016.79 Opening Net Money Balarlce Closing Net Money Balance ""..,." ;''';:''',~:'' DESCRIPTION .H OPENING BALANCE H' ARK MONEY MARKET CLASS A @ 1 DREYFUS STRATEGIS MUNs INc ARK MONEY MARKET CLAsS A NET DIV REINVEST ARK MONEY MARKET CLASS A DIVIDEND RECEIVED ARK MONEY MARKET CLAss A @ 1 MFS UTILITIES CLASS A REINVESTto @$11.19 MFS UTILITIES CLASS A REINV~S-r~D @$1I.19 . MFS UTILITIES CLASS A REINVESTED @$11.19 ENT~RGY CORP NEW NFS Is A SPECIALIsT MFS UTllInES CLASS A MFS UTILITIES CLAsS A MFS UTILITIES CLAss A CUSIP 040711863 261932107 040711863 0~0711863 04071 1863 552986309 552986309 562986309 29364G 103 5529B63/\q 562986309 552986309 DebUs .00 .00 Credits .00 .00 IN OUR CONTINUING EFfORT TO CURB TIlE COSTS ASSOCIAtED WITIlINACTIVE ACCOUNTS AND PER TIlE TERMS OF OUR 2000-2001 DISCLOSURE OF tEES. IN JANUARY ALLFIRST BROKERAGE IS CHARGING $25.00 TO TItOSE ACCOUNTS TIIAl DID NOT GENERATE ANY TMDE ACTIVITY IN TIlE 2000 CALENDAR YEAR. QUALlFYINO TRADES INCLUDE PURCItASE OR SALE OF STOCK, BOND, OR MUTUAL FUND, EXECUTION OF MUTUAL FUND EXCItANOES. OR PAYMENT or MARGIN INTEREST. WE ARE PLEASED TO WAIVE TIlE INACTIVITY rEE FOR TIlOSE CI.JENTS WIIO OPENED RELATIONSIUP clIECKINO ACCOUNTS IN 2000. PLEASE NOTE ALSO TIlATInA ACCOUNTS ARE NOT SUBJECT TO INACTIVITY FEES. TItANK YOU FOR YOUR CONTINUED BUSINESS, ,.,...,.,..,.""""" lHH':';,!iii1 ;:;l:'iHUui!! i'ill,; ";;H\:j;EF~ HUt! .' ''-'. :;:':::)'E:UUJ:UL~lil' SETILEMENT DATE TRANSACTION 11-25-00 11-29-00 YOU BOUGHT 11-29-00 DIVIDEND RECEIVED 1 '-30-00 REINVESTMENT 11-30-00 DIVIDEND RECEIVED 12-01-00 YOU BOUGHT 12-01-00 REINVESrMENr 12-01-00 REINVESTMENT 12-01-00 REINVESTMENT 12-01-00 DIVIDEND RECEIVED 12-01-00 DIVIDEND RECEIVED 12-01-00 LONG CAP GAIN 12.01-00 SHoRT CAP GAIN .., hliil1!lO*'.'''A' . ACI!iUf.lTt;il","'JrrYi<u;(;r'J'~: .., . .__.. u ~~.._..~g~. nu"" .. , M.." ,~,,,~,.,,,,,,_...!i;ft]~.jL'!jJ.:jJ,...>;;._..",,.,_..d\;,,,,_.',,, "'....." 'i!:!;;.::,!~:,~:j:Li!'!_tU:i:;;;!mm:~!Eim~wn~:~~w)~WijiT .:!TI~;~lmmr~J~~?J\Er;fJ:\j~mtii\rrJllli[~lIffitm DEBIT CRE AMOUNT AMOL QUANTITY 23 23.00 2: 133 133.00 13 94.5 94.50 18.8~3 210.85 119.608 1,338.41 263.042 2,943.44 2 1.3: 2.9' >, " 11 1\ r I. 1.\ I '.\ P\ II I': , I ( ~ alUirst NAOMI T GLESSNER 214 HEMPT RD MECHANICSBURG PA 17055-2606 1...111...111....1.1..1.1...1.1.11..11....11....,11,1,.1,,11.1 Pltge 1 of 3 The Money Fund Alternative Nov~mbl!' 16, 2000 thru December 15, 2000 Naomi, Glessner- Acct No U0981-29.,5-5 t;I allllrsl.com U 24-hour Cu::Uomer Service 1-800-533-4630 Activity Summary Annual percentage yield earned Avg. daily ledger balance Avg. daily collected balance Interest earnen this statement Interest paid this statement Interest paid this year Days covered by this statement 5.49X $24,076.73 $24,073.20 $I05.96 $105.96 $2,096.83 30 Balance on 11115 Deposits and additions Checks Baiance on 12115 $24,484.87 105.96 -475.00 $24,115.83 Daposlts and additions Date Description Amount 12115 INTEREST PAID $105.96 $105.96 Checks 'II nC!n['~ACl ml,..fn~ ~iD~U~nl"'~ nn".hllar $475.00 We are safekeeping your checks for your convenience. Number Dl'Ite Amount 110 11/20 $Q75.00 End 01 Day Ledger Balance Account balances are updated in the section below on days when transactions posted to this account. D,,'e Balance Date Bltlence Oble ""I"nee 11/15 $24,Q84.87 11/20 $24,009.87 12/15 $24,115.83 Don't miss your chance to win big as Visa(R) and the Grinch Give Back the Holidays! For details, visit allfirst.com. 001299 0009.98317531212 050 ~ allfJrst NAOMI T GLESSNER 214 HEMPT RD MECHANICSBURG PA 17055-2606 1".111...111....1.1..1.1,..1.1.11..11".,11"..,11,1..1..11.1 P"r1~ r 01 :3 The Money Fund Alternative Naomi, Ofessner Acct No 00981-2915-5 November 76, 2000 thru December IS, 2000 " _"flrst.com " 24-hour Customer gervlce 1-800-533-4630 Activity Summary Annual percentage yield earned Avg. daily ledger balance Avg. daily collected balance Interest earned this statement Interest paid this statement Interest paid this year Days covered by this statement 5.49? $24,076.73 $24,073.20 $105.96 $105.96 $2,096.83 30 Balance on 11/15 Deposits and additions Checks Balance on 12/15 $24,484.87 105.96 -475.00 $24,115.83 Deposits and additions Dille Description Amount 12/15 INTEREST PAID $105.96 $105.96 Checks . nqncotRc; ml!l!lllln!? ~!G'~l!~n."~ nlltt"haot Number Dille Amount We are safekeeping your checks for your convenience. 110 11/20 $475.00 $475.00 End of Day Ledger Balance Account balances are updated in the section below on days when transactions posted . to this account. Date Balance Oale Salance Date 8111ance 11/15 $24,484.87 11/20 $24,009.87 12/15 $24,115.83 Don't miss your chance to win big as Visa(R) and the Grinch Give Back the Holidays! For details, visit allfirst.com. 00 1299 0009-98317531212 050 nrV!~ll~~ 'I' ~'l 't~t~, SCIIEUULE II rUNER^,_ EXPENSES & ^VMINIS I 1M lIVE COS IS COMf.'(U'WFA1,III(lr "FII"$~lV^,1IA III1\fU"^'l1'.F '^:'< tn:1tlllU HESIUEUI U!;l:WEUI .. . ES'^IEur N:loll1l T. (; I f'S!'lIlr> I" -----~-- rll.E ;lliMBErl'u 2J-OJ..O' 7 Oehl9 of dp'c'!Ihmt nlll~' he f"l"ntel' 011 Schedulf? I. IIrM NlIMOEfl ~-.^~-. FUNEnAL ExrEf,jsES:'----- liFSClm'IIuII ^MOUIII 1. R1.elwnlsulI Ftlnetn1. Home $ 1" 619 . 00 I. ^iJMI"IS fll^ fiVE eos I S. rmslJmll nepresenlallve'!I Gonmll~slo'ls B. HlIIlIe ur rer'lorml nf?rresenl<1live (<I ~Lrg LJI,'-:L_R...__.RLLl.Jtl.r~_______________~__ Sod;-" Secwlly 'JUIIIIJ('r(~) I Errl fhllll!Jrr or rms{"li11 Hf'plor.rll'nllve(~l ~-------- Sh..l ^,ltlt." .lJ.;LJleJllltL.R".IlIL_...._______u________.~__._____.._ cllylkGJI;l)lJ,hI'Jmtg___~.__.n....___________ Slnl. __1'4_1IP ..11.050___ None Yrmr(s) COlllml!;!'!!rJl! rnld' 2. 3. ^,I","~y rec!'i rOUllly EXf.1Il11llk1ll: (If decedent!'! tllld.es!'ils nol the !lflll1(lll~ dnlllltllll~, nllneh e)l"plmmtlOll) CI;\ll1lon\ 12,800.00 ---~--_..._----_._---_._-----_._-'------ Sheel ^rldless ------_._~~---_...__._.__._------ elly ________.__.._...__.__.____U~_".____. SI.I. ____lip nelnllOl1shl1' I)f Cltlllllanllo Uecerlml' -----~---- 4. rwlmle roes )/,6.00 fi. ^f:f:ouulmlt"!'I rf'!r!~ 6. 'Alf flellllfl f'repmel'!1 ree~ 1. II. Y. LU. 11. eutnbl"rlnnd 1.ow .lournfll, Entnte Not:lce f~veT11Itg Sellt lnel, P;Btnt~ Null ce HIIII"'n Rowe, Personal Property ^pprslsal FUlng Fee Cost of ReIlIng Real Kstate R..alty Transr..r -rllK 875.50 Petltlon FlUng Fees 31.00 fro Junkins, Surveying450.00 75.00 80.87 85.00 15.00 1,357.50 101 ^l (^I,,, .1I1.r olllllle g, l1.c.pillJl.Ii,,") $19,378.37 -- -------_._------_._-~_._---- ____-----~-.. __.__ ____._____,_______~______._ -----.-.-.(iil;l~;rG-~pace I~' il(1~(j811,i-n-sn'\--~;hli\il11,~1;T,ee\s;Jt'tl\~ S3\ne si7.~) ----------..---,---.--..----..------.-.---.------ ... -------,-----------~~---- JlEV-1512EX'(l.97j '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FilE NUMBER 21-01-017 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Naomi T. Glessner Include unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION West Shore Oil Company, Book Account 2. Lowes, Book Account 3. York Waste Disposal, Book Account 4. Verizon, Telephone Bill 5. Vascular Associates, Medical Bill 6. PP&L Electric 7. PA Deptartment of Revenue, 2000 Income Tax AMOUNT $ 722.35 15.34 29.35 116.16 15.00 74.24 397.00 TOTAL (Alsoenler on line 10, Recapilulation) $1,369.44 Ilf more space is needed, insert additional sheets of the same size) REV !5IlEX' (1-91] dib SCHEDULE J BENEFICIARIES COMMONWEAlTll or PENNSYLVANI^ INHERITANCE TAX RETURN RESIUENI UECE.OEN r ESTATE OF __ -.!i"oml T. Glessner NUMBER L FilE NUMBER _~______ _ 21-01-017 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE 00 Nolllsl Truslee(s) OF EST A TE NAMF AND ADDRESS OF PERSON(S) RECEIVING PROPERTY l'AXABLE DISTRIBUTIONS (include o"IJigi;i spousal dislribulionsj----- -- 1. Janet K. Glessner 5015 Santa Cruz Avenue 309 San DIego, CA 92107 daughter 1/2 ResIdue 2. VirginIa R. Wilbur 212 lIempt Road Mechanicsburg, PA 17050 daughter 1/2 Residue 3. Timothy Wilbur 2B4 Campground Road Dillsburg, PA 17019 grandson $2,000.00 beques 4. Christopher Wilbur 1161 A York Road Mechanicsburg, PA 17055 grandson $2,000.00 beques 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 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert addilional sheets of Ihe same size) tso", L.'.J --- C..J c::.: J..' {-,~-,\ c-:-' 7/=,: (,'" C) ( - eei Cc: STATUS REPORT UNDER RULE 6.12 Name of Decedent: Naomi T. Glessner Date of Death: 12/23/2000 Will No.: Admin. No.: 21-01-0017 Pursuant to Rule 6.12 of the Supreme Court Orphans' Comi 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 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No ill 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 og 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: ~(jlll; - M._ Signaturr e 11\ ' ( ,"L o If) Name . a: ~~~ Address ,/ ) _~~~ D ..~ Telephone No. I..' c5 o ('V ;::::;;0 ~-Y -~':~:' U:L CL,- 25i~J U ;;z ",,'?',- ..::; t,n ~ "" Capacity: 0 Personal Representative [2j';counse1 for personal representative cJ JRD/June 30, 1992/17858 JAN 1 2 200~/ Estate No.: 21-01-0017 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Estate of Naomi T. Glessner Late of Silver Spring Township NO. 21-01-0017 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: Virginia Wilbnr Counsel for Personal Representative: Robert Stanffer, Esqnire Date of Decedent's Death: 12/23/2000 Date of Delinquency Notice: 01/10/2005 The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' 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 the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on November 10, 2004, 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 counsel for the delinquent personal representative. Date: 01/13/2005 ~~1:~?L Clerk ofthe Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File '\1\GJ~ '1-, l.<loS Q:30 /II",^, A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to ili. h.orin, dill_ "'. h""'ng will ~tn_oilly h. .~.. ~o . of er, PJ. . p cr l"r , 01"'<1 Estate of ',i'1. l'.l. also known as PETITION FOR PROBATE and GRANT OF LETTERS d../- 01- 00 I 7 T. GLESS;mR No. To: Register of Wills for the , Deceased. County of r,lJmbc-n>l R no in the Social Security No. 17;:>-0] - 3763 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age <;>r older all..the executViX in the last will of the above decedent, dated Hareh c9, and codicil(s) dated na5'ed , 192- (state relevant circumstances, e.g. renunciation, death of executor, etc.) h County, Pennsylvania, with Road, Mechanicsburg, Decendent, then 86 years of age, died December 23, 2000 , W at Holy Spir'i t Hospi tal, Camp Hil J, p,~ 170 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 P~!1nsylvania $ situated as follows: [;.01),se and Lot of' Ground situate at [irechanicsbur n::, PA 17050 215,000.00 110,000.00 2. }.+. Hempt Road, WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters l' est ame n t ary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. V> ~ j~ V~~..~a~*r c.::<J ~~ 212 Hempt Road :i Mechanicsburg. PA 170~O ~p.. <J '- 50 'c;j c OJ) tI3 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF' PENNSYLVANIA 'I '8 COUNTY OF Cumberland J 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. ~ '. Lf! J4. ' I(/A~. . :.(/1) and V:l ~. ~ s::. .... :::: ~ ~ / C:, -/9tJ -.7 No. 21-2001-0017 Estate of Naomi T. Glessner , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ,Janu.ary 5th , 2001 ~_, 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'larch 29. 1995 described therein be admitted to probate and filed of record as the last will of Naomi T. Glessner rrestamentary Virginia R. Wilbur and Letters are hereby granted to FEES Probate, Letters, Etc. ......... Short Certificates( )...~...... Renunciation ................ x-Pages (3) JCP $ 305.00 $ 27.00 $ $ 9.00 TOTAL _ $ 5.00 . .J:~I!~?ry. ?:t.~~ ?99) . . . .~ . ~~? ..Q9. J. Robert Stauffer (no. ATTORNEY (Sup.. Ct. J.D. No.) I~arket Square i:Hdg. I"eC'janl' C"'b'1Y'f1 r\ 1 '70((:)" ~. l.,. .' 0 L-..... .:_, !I J. 1. ".-!, .../.... ADDRESS Filed 717-766-9673 PHONE M.AILED LETTERS AND ORDER 'ID ATTORNEY 21-2001-0017 REGISTER OF WILLS OF CU/1B l.~nLA:m COUNTY OATH OF SUBSCRIBING WITNESS J. Robert Stauffer and Erika L. Levenhagen Jrol:I.icilx (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that they i-Jere present and saw Naomi T. Glessner the testat r ix , sign the same and that the Y signed as a witness at the request of testat..r..L:L in h er presence and (in the p~esence of each other) (in the presence of the other subscribing witness(es)). /.. uare Mechanicsburg, FA 1705 Sworn to or affirmed and subscribed before me this 4 th (Address) (Name) (Address) 21-2001-0017 REGISTER OF WILLS OF CUHE32:HL.tUID COUNTY OATH OF NON-SUBSCRIBING WITNESS --Y::g /11 " ~ r~ ulJ b H^-/ , (each) a Ubscnber hereto, (each) bemg duly qualifIed accordIng to law, depose(s) and say(s) that SIm familiar with the signature of Naomi r.I'. Glessner :lCKdit~k testat~ of (one of the subscribing witnesses to) the will that they presented herewith and cmitctlx. believes the signature on the will is in the handwriting of Naomi T. Glessner to the best of her knowledge and belief. J)~cf<, ~A'jkA) __ day of (Name) 1XJ 2001 212 /~mr ~J) /V}e("h~Y\:" (~b\}d.J~J70S (Address) Register ~ (Name) (Address) This is to certify that the information here given is correctly copi~d fro~ an original certiflc~te of death du!~ filed with l.ocal Registrar. The original certitlcate will be forwarded to the State VItal Records Office for permanent blIng. me as WARNING: It is illegal to duplicate this copy by photostat or photograph. No. jl"1I1"""/00:'",..,, ",,(. ~~i\LOF pre";,.,,. 1II'~'\.l/-- ~clr1"",- II~~ ~.,. l~~.~~ '" .~\ ~ ~i " ->> ~'Z~ % B11' }/j ..,!~~ ... "" . .'," \. *~~..., ~'.'.. . .'~/".!l -~ ....,-" -,.r...<) /~,,\ ""'- 'fp . /~~""" .........fIM Eiif\\'t; ~ "",I '''''''''''0001111111'''' /') ~n !..,,/--"" t-~~r:A!/ /- <. 7a/A.&.~ Local Registrar ree for rhis certificate, $2.00 P 7022517 DEe 27 2000 Date Rev 2187 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH J;ast Pennsboro .... KIND Of BUSINESS/INOUSTAY SEX a.Female STAlE filE NUMBER SOCIAL SeCURITY NUMBER 3. 172 01 - 3763 NAME OF DECEOENT tfl;;-M~~- _h__"_____. Glessner UNOEA , DAY ...... BIRTHPLACE lCoty....d PlACE OF DEATH ICt'>eck Of\lv ()('4t n ... ,nSlluCloOM on IJtheI 'ilde) S1.l!lle 01 fcte~ Counlry) HOSPITAL: - Tw p. P a . r"YI Peach Bottom I_'_~ 1 ... FACilITY NAME (It nol ,ost'MIOfl. gIve Slreel and numberl . 5 ff"r; f 1-Ir;fpl1?) ER/Outpa1i.nl 0 =olylo . ....Cumberland DECEDENT'S USUAl. OCCUPArION (~~~_:o~u:r:z4.::r -~ Manpower . II.. C I e r i c a I lib. DECEDENT'S ......lING AOOReSS (51,.... ColylTown. SIaoo. Z",Codel RACe . Am~ Indian, 8Iadl.. Whit.. Me. (_I White SUAVIVING SPOUSE Ilt1llltlt.. ~....maM:I8n~) Co. 214 Hempt Rd. 1.. Me c h ani c s bur g, P a. 1 7050 fATHER'S NAMe (fils.. Middle. last) ~ Elwood Thompson INFOAMANT'S NAW: (T1""'P'inll _. Virginla Wilbur METHOD OF DISPOSITION _0 c,...._ 0 _.....SI...o 01'-(_' DECEDENT'S ACTUAL AESIDENCE (See InSlrucoona on 0Itle, SIde. 17.. Sta.. 171'1. Coun Did - Min. Cumb e rl and _1 11d.o :.:::c=.::.. MOTHER'S NAMe tF...st. hibddIe. Malden Surnamel It. Pearl Weil INf'OAMANT'S ......lING ADDAESS ~,.... ColyfTown. SIa'.. Zo> Co9"I I 7 0 5 0 _.212 Hempt Kd. Mechanlcsburg, Pa. PlACE OF OISPOSfTtOH. Name 01 Cemetery, Cremalofy LOCR"tON . CilylTown, Stal.. ZIp Code Ol'OI.....ptaee 28,2000....Rolling Green Mem.Par ld~ower Allen Twp. Pa. LICENSE NUMBER NAME AND ADDAESS OF FACILITY 2a.. 0 1 2 7 74 - L a~ i c h a r d son 2 9 S . En 0 I aD r . En 0 I a , P a. 1 702 5 lICENSE NUMBER ORE SIGNED (....,.,.Dav.-I ...... """-.. UNCEO DEAD (Month. Day, Yeat') t'f!f nW ;;J 3 iKaJO 2:lb. .... WAS CASE AEFEAAED TO MEDICAL EXAMINEAiCOAONEA1 Yo. 0 NoD . shock or hean faiJut'e ... I Apptoximate I inIefYaI berween : onaM and death I i PART H: Other siQniftcant c:onc:tiIioM contributing 10 de.th. but not mulling in lhII underlying cauH given in PART I. DATE Of INJURY (Monlh. Day, Year) T1UE Of INJURV INJURY /IJ 'NORK7 DESCRIBE HOW INJURV OCCURRED. No.gG v.. 0 Horn..... 0 Pending Invesligalion 0 Cou6d not be determined 0 Yoo 0 NoD 2... 28b. :no can.IEA ICheck ani., one) aCERllfYING PHYSICIAN (PhySICIan CeftJf'flng cause d dealh when anOl.h8f phvSiC,an has pronounced dealh and completed tlem 231 To'" ~ o. "'y knowledge. de.1h occul1'ed"'lO the cau..(.) and manner ae .t.ted. . . -rRONQUNCJHG ANOCERTlfVlNQ PHVStclAN tPhy5lOiln bolh ;,ll"OflOUflC1ng oedlh and ce(hly\l"IQ 10 cause 0( oealhl To ttMi ~ 01 my knowleOQe, ct.alh occurr" at thlllIm4I, da'., .and plac.. and due to the cau..(a) and manner.. atated.. 19?~tP?,/{ I ... .... LAsrr HILL AND 'rESTArt,!;NT OF NAOHI T. GLESSNER I, NAOI':II T. GLESSNER, of the Township of Sil ve:p Spring, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, rnemory and understanding, do make, publish and declare this Iny Last Will and Testament, hereby revoking and making void any and all prior 'ltlills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 2. I give and bequeath the sum of Two Thousand ($2,000.00) Dollars apiece, to my two (2) grandsons, to wit, TIMOTHY WILBUR and CJffiISTOPHER WILBUR, and direct that the inheritance tax on these bequests be paid out of my residuary estate. 3. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever the same vlay be situate, to my two (2) daughters, to wit, JANET K. GLESSNER and VIRGINIA R. WILBUR, share and share alike. -1- .... LASTLY, I nominate, constitute and appoint my daughter, VIRGINIA R. \vILBUR, Executrix of this my Last Will and Testament, and in the event that my said daughter should predecease me, or should she be unable or unwilling to serve in such capacity for any reason, then in such event, I nominate, constitute and appoint my daughter, JANET K. GLESSNER, Executrix of this my Last Will and ~estament, in her place and stead, and in either instance, I direct that my said personal representatives be excused from posting bond or other security for the faithful performance of their duties in any jurisdiction. IN vlrnmSS v!HEREOF, I have hereunto set my hand and seal this ).q-l-11 day of March, A. D., 199.5. I tl CV\~J~ (SEAL) . v, _____ _--.-. Naomi T. Glessner -2- ~ Signed, sealed, published and declared by the above named, NAOMI T. GLESS}ffiR, as and for her Last Will and Testament, in the presence of us, who have subscribed our names hereto as witnesses, at the request of said testatrix, in her presence and in the presence of each other. -3- COtlMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, FAmH T. GLESSlJER , the testat rix whose name is signed to the attached or foregoing instrument, having \Ieen duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I sIgned it willingly; and that I signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged W\.OEI7~'. G. -L'j::I;SSNER. ' the testatrix of / CVL c? I /) 'C; j , A. D . before me PY"{'L ,this -::,,>\ S day "t /11 ~Jr'1j f~ , # SS. r-----,~.... ~ ~~~."--.,~ \ ~~~:JIt;,~A~b . ' E~'lict;l i'.bv.",,~f(~},..""tI" i , 'an ,;-_ 'u, 1':'0' I ,c;.. "~C>cr';J?~:]/"t'~'~-tl Co.NMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) We, the undersigned, tT. ROBF.:RT STAUFPER and ERIKA L. LEVEHHAGEN ' the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testatrix , NAOI'H T. GU;;SSNER , sign and exe- cute the instrument as~/her Last Will and Testament; that the said testat rix, NAOlU T. !}LESSNER , executed it as kMM'her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testat ri.x: , signed the Will as witnesses; and that to the best of our knowledge, the testatrix was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. ,**-6E:8P1Jic t.h1~~~dO:llnr iii Q..,.l.wklh Ellp!re8tbt 6, 199'}' /I //J;C~iA.../ )1- / ){[) I ~."';.'j..,"!~ ~&,,,,, ' ~Kay~~!;1~:~:: ( ~~lbo, \::t"'i'b~!:{~f.;,'",,,,, --'''lK:Q'J E.'qu.'\;1!, l"-i\u (.I, 1<<( Ofi: ';'''' .;, ' Sworn and subscribed to before me this ~ ~'t-- day of March , 1995. D>l-- 01- 1\ CL .~ S\(r' pee ~tfl-v. teft EAS F,J\-"l.:NT MADE THIS '-L day fo October, 2002, by and between DONNA M. OTTO, Clerk of the Orphan's Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania by virtue of an Order of the Court dated October 23,2001, attached as Exhibit A, GRANTOR AND HAROLD JAMES \VILBUR AND VIRGINIA RUTH WILBUR, husband and wife of Silver Spring Township, Cumberland COlUIty, Pemlsylvania, GRANTEES. WHEREAS, Naomi T. Glessner died December 23,2000, and Letters "--- Testementaty on her estate were gratIted to her daughter, Virginia R. Wilbur, Januaty 5, 2001, and WHEREAS, Virginia R. Wilbur, also known as Virginia Ruth Wilbur and Harold James Wilbur, her husband, own a tract of land in Silver Spring Township which abuts land of Naomi T. Glessner, deceased, and WHEREAS, access to both the Glessner and Wilbur properties from Hempt Road (L.R. 21018) is over a 25 foot wide tract ofland, and WHEREAS, Naomi T. Glessner owned a 10 foot wide tract ofland which is a patt of said 25 foot wide tract extending from Hempt Road to land of Wilbur, and WHEREAS, Wilbur owns a 15 foot wide tract of land which is part of said 25 foot wide tract, extending from Hempt Road to lands of Glessner, and WHEREAS, access from Hempt Road to both properties has been over said 25 foot wide tract and has been used by both parties in common for many years but the right of way has never been documented, and WHEREAS, Virginia R. Wilbur in her capacity of Executrix of the Last Will and Testament of Naomi T. Glessner, was disqualified to convey an interest in the estate to herself and her husband, Harold James Wilbur and by Order of Court dated October 23, 2001, the Clerk of the Orphans' Court division of the Court of Common Pleas was ordered to convey an easement in favor of Virginia Ruth Wilbur and Harold James Wilbur for access to Hempt Road. WITNESSETH, that pursuant to Order of Court and in consideration of good and valuable consideration passing from grantees to the Naomi T. Glessner Estate, the grantor does by these presents grant and convey to the grantees, their heirs, and assigns, a non exculsive easement for ingress, egress, and regress for persons and vehicles to and from Hempt Road over land of Naomi T. Glessner, deceased situate in Silver Springs Township bOWlded and described as follows: BEGINNING at a point in Hempt Road (L.R. 21018) at the northwest comer of land of the grantees; thence by Hempt Road, north 01 degree 30 minutes west, 10 feet to a point at land of Janet Glessner; thence by lands of Janet Glessner and through lands of Naomi T. Glessner, deceased, north 88 degrees 30 minutes east 416.5 feet to a point; thence by lands of the grantees, south 01 degree 30 minutes east, 10 feet to a point; thence by land of the grantee and land now or formerly ofH. R. Sherrard, south 88 degrees 30 minutes west 416.5 feet to a point the place of BEGINNING Being part of the same premises conveyed to W. Leroy Glessner and Naomi T. Glessner by deed dated November 6,1957, recorded in Deed Book D, Volume 18, page 248 and all the premises conveyed thereto by deed dated December 12, 1957, recorded in Deed Book E, Volume 18, Page 249. W. Leroy Glessner died July 5, 1984, whereupon title vested in Naomi T. Glessner by operation oflaw. She died December 23, 2000, and Letter Testementaty on her estate was granted to Virginia R. Wilbur. IN WITNESS WHEREOF, the grantor has executed this agreement the day of October 2002. Witness: Clerk of Orphans' Court Di vision of the Court of Common Pleas COMMONWEALTH OF PENNSYLVANIA) : SS. COUNTY OF CUMBERLAND ) On this, the day of October, 2002, before me , the undersigned officer, personally appeared Donna M. Otto, Clerk of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, known to me (or satisfactorily proven) to be the person described in the foregoing instrument, and acknowledge that she executed the same in the capacity therein stated and for the purpose therein contained. IN WITNESS WHEREOF, I hereby set my hand and offical seal. (SEAL) r-.. .- 1 .- ~ b 0: a (J) d ::J U) '-' N W :It: it ~ 0 (J) nlf William W. and :J a::: Ethel R. Kiner ~ < u DB B-18, Pg. 82 g g DB E, Vol. 18, , ~ Pg. 249 0 z ."0 ~~ ~ o. N88' 30' E 216.5' 0:0 I-t') 0.' ~5 II. ,O~ .995. :r:z W. Leroy and Naomi T. Glessner DB 0-18, Pg. 248 Dwelling st..e Ptl (FncL) 8 .0 ~ b o .0 N o <i( o 0: o U : t 8 .0 N ~ nlf H. R. Sherrard ~ b t<) Harold J. & Virginia Wilbur DB N- 25, Pg. 281 o t') , o :z steel "'" (FncL) ,O'OOl M ,or .995 , ~ ~StMlPIn (FncL) This plat 'does not represent a complete boundary survey. Only those lines between Hempt Road and the Glessner property were surveyed. . {\S '\.'.\ ' ,("!" _. ~J ) , , ~s ~_. ",:..1 n PLAT SHOWING DRIVE LOCATION OVER LANDS OF u GLESSNER and WILBUR GEOMATICS CONSULTANTS COVENTRY CENTER 2110 FISHER ROAD KECHANICSBURG, PA 17055 TEL: (717) 897-84-89 SILVER SPRING TOWNSHIP CUMBERLAND COUNTY, P A. SCALE: 1"=1 00' JULY 18, 2001 EXHIBIT ~ IN IU:: ESTATIC OF NAOMI T. (~I,Ii:SSNI(H, LATE OF SILVli:lt SI'ItIN(~ TOWNSIIII', ClJMlJli;ItLANU COllNTY, I'ICNNSVL V ANIA, I'ECEASI~J) : IN TIII~ COlHU' OF COMMON l'tEAS OF : (:t""miJU ,ANI) COllNTY, 1'fi:NN8YLV AN'A : OIU'IIANS' (:OtlItT "IVISION : F.STATI~ NO. 21-01-0017 OIUHGlt OF counT ANU NO\V, the ::-'.3It~ay of October, 200 I, it appearing that Virginia H. Wilbur, also knuwll as Virginia Ruth Wilbur is the Executrix of the Last Will ami Testament orNnoll1i T. Glessner, deceased, that she ami her husbuml, Ilamld James Wilbur own land a(ljoining the Glessncr Inlld, that nccess to both trads fhHII the public road is by n common J 0 foot right of way which is partly on land ur Glessncr ami pat.tly on land of Wilbur; that no UOClll1lCntatiOJl establishes title ol"either pmty to the said right ufway, that each party has agreed to grant and convey UIl casement to the other without consideration; that Janet K. Glessner and Virginia R. Wilbur are the sole residuary legatees of Naomi T. Glessner and that Junct K. Glessner has joined in the petition or Virginia R. Wilbur, it is therefore OltOI~IUCI) ami ()ICCHI~I~IJ thallhe Clerk of the Com'- urCUlIlberlAllt1 County execute, acknowledge ami deliver a IIUII exclusive casement, 416.5 feet ifllcngth over land late of Naomi T. Glessner ill favor of I larold James Wilbur and Virginia Ruth Wilbur, - I - hushalJd nlld wi fe, I<.H' ilJgress, egress nnd regress (u I Jempt Road (L.R. 21018) as shown 011 the survey by Charles W. Junkins, Registel"cll Surveyor, daled Jury 18, 200 I By Ihe Cuurt J.S{_...JbJ~'::l~~..'i.~__JJ~ P J. A TRUE COpy FROM RECORD In Tos!imony whewf, I hAmlHlto sol my hand and the s.eal of s~id GCl1ft ot Cm!i!;!':), PA lhis._._ d.!l!.~ (jay ~'i._..&.c1._.____21::QL ._ _.....__-.Hl,~~--BClJk~~_...-.--- ( \ 1 Clerk of till) Orplbn~; Court A}Qf.... '\ Cumberland County - 2 - IN RE: ESTATE OF NAOMI T. GLESSNEn., LATE OF SILVER SPRING TOWNSIIIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED : ESTATE NO. 21-01-00J7 J ORDER OF COURT AND NOW, the ~ay of October, 200 I, it appearing that Virginia R. Wilbur, also : IN TilE COURT OF COMMON PLEAS OF : CUMnERLANO COUNTY, PENNSYLVANIA : OIU'IIANS' CO{J(tT "IVISION known as Virginia Ruth Wilbur is the Executrix of the Last Will and Testament of Naomi T. Glessner, deceased, that she and her husband, Harold James Wilbur own land adjoining the Glessner land, that access to both tracts from the public road is by a common 10 foot right of way which is partly on land of Glessner and partly on land of Wilbur; that no documentation establishes title of either party to the said right of way, that each party has agreed to grant and convey an easement to the other without consideration; that Janet K. Glessner and Virginia R. Wilbur are the sole residuary legatees of Naomi T. Glessner and that Janet K. Glessner has joined in the petition of Virginia R. Wilbur, it is therefore ORDERED and DECH.EEO that the Clerk of the Court ofCumberJand County execute, acknowledge and deliver a non exclusive easement, 416.5 feet in length over land late of Naomi T. Glessner in favor of Harold James Wilbur and Virginia Ruth Wilbur, - 1 - husband and wife, for ingress, egress and regress to Hempt Road (L.R. 21018) as shown on the survey by Charles W. Junkins, Registered Surveyor~ dated July 18,2001 By the Court - 2 - N RE: ESTATE OF NAOMI T. GLESSNER, LATE OF SILVER SPRING TOWNSmp, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYL VANIA : ORPHANS' COURT DIVISION : ESTATE NO. 21-01-0017 PETITION To the Honorable, the Judges of said Court: The petition of Virginia R. Wilbur, also known as Virginia Ruth Wilbur, by John M. Eakin, her attorney, respectfully represents: 1.) Your petitioner is the executrix of the Last Will and Testament of Naomi T. Glessner who died December 23, 2000, letters testamentary were granted to her on January 5,2001. 2.) Naomi T. Glessner owned real estate in Silver Spring Township at the time of her death conveyed to her and W. Leroy Glessner, her husband who predeceased her, by deed dated November 6, 1957, recorded in Deed Book D, Volume 18 at Page 248. 3.) The home of your petitioner and her husband, Harold James Wilbur, is erected on an adjoining tract of land. Their deed is dated March 6, 1974 and is recorded in Deed Book N, Volume 25 at Page 281. 4.) The only access to both the Wilbur and the Glessner tract from the public road (L.R.21015 known as Hempt Road) is over a 10 foot wide right of way the centerline of which is the dividing line between the two tracts. The survey of said right of way dated July - 1 - 18,2001, by Charles W. Junkins, Registered Surveyor, is attached hereto as Exhibit A. 5.) Said right of way has been used by both parties for access to the public road for many years but there is no documentation thereof in favor of either party. 6.) Naomi T. Glessner was survived by two daughters, your petitioner and her sister Janet K. Glessner who are equal and sole legatees. 7.) Virginia R. Wilbur is both grantor and grantee of said right of way; she as executrix is grantor of the right of way to herself and her husband as grantees and she, together with her husband, are grantors of the right of way in favor of the estate of which she is executrix. 8.) Janet K. Glessner joins in this Petition by her Joinder attached is Exhibit B. WHEREFOR your petitioner respectfully prays your Honorable Court to make an order authorizing the grant ofa right of way over land of Naomi T. Glessner, deceased, to Virginia Ruth Wilbur and Harold James Wilbur, husband and wife, for access from Hempt Road (L.R. 21018) to their land and authorize and direct the clerk of court to execute and deliver an easement to accomplish the same, all as provided by Section 3356 of the Probate, Estate and Fiduciaries Code (20 Pa C.S.A. 3356). Dated October ~ ,2001 -2- I, VIRGINIA R. WILBUR, hereby verify that the statements of fact made in the foregoing instnmlent are true and correct to the best of my knowledge, information and belief. 1 understand that any false statements therein are subject to the criminal penalties contained in 18 Pa. C.S. 4904, relating to unsworn falsification to authorities. ~i~ C/(. J~tkc~ Virginia R. Wilbur Dated: October A~' 2001 - 3 - - .- 1 .- ~ '8 a:: en g ::) - N L&J ~ n: ~ . nlf William W. and :::J ~ Ethel R. Kiner :a 0 DB B-18, Pg. 82 g ~ DB E, Vol. 18, . .- Pg. 249 0 Z ~:a ~b - 216.5' o. N88' 30' E a::~ ~ , Q.' f. as :J:Z II W. Leroy and Naomi T. Glessner DB 0-18. Pg. 248 Dwelling .... PIn (P'ncL) '8 ~ N '8 .n .- N o ~ a:: 8 ~ \ '8 .n .- N nlf H. R. Sherrard :a :a Harold J. & Virginia Wilbur ~ ~ DB N-25, Pg. 281 . .... . .... o Z .... PIn (F'nd.) ,o.ooz M ,os: .ggs .... PIn (F'nd.) Note: This plat does not represent a complete boundary survey. Only those lines between Hempt Road and the Glessner property were surveyed. ",<6 ~SOcI OJ'.. .", . ~ . (J r ~t., . ~. t' . ~ ~J ---- ~ PLAT SHOWING DRIVE LOCATION OVER LANDS OF . GLESSNER and WILBUR SILVER SPRING TOWNSHIP CUMBERLAND COUNTY, P A. SCALE: 1 "=1 00' JULY 18, 2001 GBOIUTlCS CONSULTANTS COVBNTRY CBNTBR 2UO pJZ:l&ti ROAD IdCBANlCSBURG. PA 17056 TEL: (717) 897-&&89 i::-XH I (311 A ' ,. ~ ,~ :~, .;.:;':1'1 ~ ,b, ~,.: - ~> t ~ .,i c'" :";~. i, T - > ..". ~ ;;~, VIJI4;'~.' ,."-,.,.,.... I." ,~i ,'t p.., ~S\~fr~" IN RE: ESTATE OF NAOMI T. GLESSNER, LATE OF SILVER SPRING TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION : ESTATE NO. 21-01-0017 JOINDER Janet K. Glessner, joins in the petition of Virginia R. Wilbur to request an Order of Court directing the Clerk of Court to execute and deliver an easement over land of the Naomi T. Glessner Estate to Virginia R. Wilbur, the executrix of said Estate and Harold J. Wilbur, her husband and state the following: 1.) Naomi T. Glessner was survived by two daughters, Virginia R. Wilbur and Janet K. Glessner who are her sole residuary legateers. 2.) Access to land of decedent and the adjoining land of Virginia R. Wilbur and Harold J. Wilbur, her husband is over 10 foot wide right of way partly on land of Glessner and partly on land of Wilbur but neither party has documentation establishing the right of way. 3.) The jointly owned non exclusive right of way has been in existence for many years and the recorded rights of way are granted without consideration Dated: Octobero1~, 2001 .12/1.. - 1 - EX f-/lt'> If j3 EASEMENT MADE THIS day of October, 2001, by and between MARY C. LEWIS, Clerk of the Orphan's Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania by virtue of an Order of the Court dated October , 2001, attached as Exhibit A, GRANTOR. AND HAROLD JAMES WILBUR and VffiGINIA RUTH WILBUR, husband and wife of Silver Spring Township, Cumberland County, Pennsylvania, Cc Cat GRANTEES. FOR AND IN CONSIDERATION of one dollar paid by grantees to grantor 011 th lIllden COl1rt1 me (or, and ach the PlIrp( rlV WI'flV and for other good and valuable consideration, the grantor grants to the grantees, their heirs and assigns a non exclusive easement for ingress, egress and regress for persons and vehicles to and from the public road known as Hempt Road (L. R 21018) over the right of way shown on the attached survey dated July 18,2001, by Charles W, Junkins, Registered Surveyor. The easement is 10 feet in width, the centerline of which is the southern boundary line of a 10 foot wide tract conVf W. Leroy Glessner and Naomi T. Glessner by deed recorded in Deed BooJ - 1 - .. - ., ., 0v Ov,- STATUS REPORT UNDER RULE 6.12 Name of Decedent: NAOlU T. GLESSN.ER Date of Death: December 21. 2000 Will No. 2001-00017 Admin. No. 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 x 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: On or before Sept. 1, 2003. 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 Cerk of the Orphans' Court and may b:/~tached to t~is report. Date' November 12, 2002 ;;::,(;!~ ~~ J. Robert Stauff Name (Please typ or print) Market Square Bldg. Mechanicsburg, PA 17055 Address ( 717) 766-9673 Tel. No. Capacity: Personal Representative x Counsel for personal representative (MAH:rmf/AM3) .. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/05/2002 VIRGINIA R WILBUR 212 HEMPT ROAD MECHANICSBURG, PA 17050 RE: Estate of GLESSNER NAOMI T File Number: 2001-00017 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: 12/23/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, MARY C. LEWIS REGISTER OF WILLS cc: J File Counsel Judge E - CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: NRomi T ~lp~~npr Date of Death: Dprpmhpr 71, 7000 Will No. 000] 7 of 700] Admin. No. To the Register: I cerlily that notice ofbcneLicial interest required by Rule 5.6(a) ofthe Orphans' Court R.ules was scrved on or mailed to the f(ll\owing beneficiaries ofthe above captioncd estate on February 2, 2001 Name Address Janet K. Glessner 5015 Santa Cruz Avenue 309, San Diego, CA 92107 Timothy Wilbur 284 Campground Road, Dillsburg, FA 17019 Christopher Wilbur 1161 A York Road, Mechanicsburg, FA 17055 Notice has now been given to all persons entitle there to under Rule 5.6(a) except None Dale: Febrll::lry 7, 700] (\ r.. . &>L ~ /J1-cu . Signa~r Name John M. F.aki n Address Market Square Building Mechanicsburg. FA 17055 Telephone 717 - 766-3172 Capacity: Personal Representative x Counsel for personal representative - 'v /b- /99- 7 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JOHN MEAKIN MARKET SQUARE BLDG MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-05-2001 GLESSNER 12-23-2000 21 01-0017 CUMBERLAND 101 '* REV-lS47 EX AFP <12-001 NAOMI T Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =is4i-E3CAFP-fl2"=o()r-NcfficE--oF-':ftiHEiiiii,ifcE-TAx-"A-PPRAisEMENi"-;--ALDiwANcE-oR"-------------- - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GLESSNER NAOMI T FILE NO. 21 01-0017 ACN 101 DATE 11-05-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: I~ an assessment was issued previously, lines 14. 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due .00 X 00 = .00 406,983.75 X 045 = 18.314.27 .00 X 12 = .00 .00 X 15 = .00 (19)= 18,314.27 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 174.100.00 4.810.05 .00 .00 248,821. 51 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) UO) 19,378.37 1.369.44 UlJ (2) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 427,731.56 20.747 81 406,983.75 .00 406.983.75 TAX CREDITS: PAYMENT RECEIPT pJ:SCOUNT (+) AMOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 03-07-2001 AA478114 842. 11 16,000.00 INTEREST IS CHARGED THROUGH 11-20-2001 TOTAL TAX CREDIT 16,842.11 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1.472.16 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 21.09 TOTAL DUE 1,493.25 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY BE DUE A REFUND. SEE REVERSE SIDE Of THIS FOR" FOR INSTRUCTIONS.) 1~'-/f9 -' 7 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT s~* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 REV-IU7 EX AFP <12-00) RecoroGc! Registe,' of 'IV ill s DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-19-2001 GLESSNER 12-23-2000 21 01-0017 CUMBERLAND 101 NAOMI T .01 NOV 26 All :46 JOHN MEAKIN MARKET SQUARE .JL~, .,.' '. '.' MECHANICSBURGCter ~17{)~s:.:.,-"o:..;rt Cum er/ana (,0., PA Anount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paynent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iffv =i60j-EX--AFP-('i'2:ooT------...-iNiiERiTANC'E--iAX-STA-fEMENT-OF-ACCouirf--.-i.--------------- - ----- ESTATE OF GLESSNER NAOMI T FILE NO.21 01-0017 ACN 101 DATE 11-19-2001 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF lAST ASSESSMENT OR RECORD ADJUSTMENT: 11-05-2001 P R I NC I PAL T AX DUE: ........................................................................................................................................................................................................................... 18,314.27 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-07-2001 AA478114 842.11 16,000.00 09-21-2001 CDOO0294 .00 1,514.27 TOTAL TAX CREDIT 18,356.38 BALANCE OF TAX DUE 42.11CR INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 42. llCR . SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 000294 JOHN EAKIN ESQUIRE MAIN & MARKET STREET MECHANICSBURG, PA 17055 ASSESSMENT AMOUNT CONTROL NUMBER ~__n___ fold .--------- --.----- 101 I $1,514.27 ESTATE INFORMATION: SSN: 172-01-3763 I FILE NUMBER: 21-2001- 0017 I DECEDENT NAME: GLESSNER NAOMI T I DATE OF PAYMENT: 09/21/2001 I POSTMARK DATE: 00/00/0000 I COUNTY: CUMBERLAND I DATE OF DEATH: 12/23/2000 I I TOT AL AMOUNT PAID: $1,514.27 REMARKS: JOHN EAKIN ESQUIRE CHECK#150 INITIALS: AC SEAL RECEIVED BY: MARY C. LEWIS REGISTER OF WiLLS REGISTER OF WILLS ACN - . <0 5: x UJ N <0 ~ a: c,:t ...-4 "f""'l co t-- q <( <( o z ~ t- W '4 <t- -en aW ~O >",Z en< ZW zO wZ 0..< t: CC W :J: ~ .... 0.. - UJ (.) UJ a: ..J c:t - (.) - u. u. o <( Z <( ::; CIl >- uJ ~W~ g Z::>I- 0 WZ...J do O-WoC( N U-Gj~ r: 0,,9 ~ J:u...'2 <( ':,00 0- <(I-~ ci wz....;;a: ~~08::> o'a:a~~ ~~~'a:~ ow::)w<( ooUlOJ: ~ 1') ..0 t' 0) 1 ,'" !'"' "-'~ ~ \ \':j ! t', a: , <.. ~ I Z 01 I r.r) 1-- r' .' .--- !: , < ~D Z .~"'l tn (1 0 - <( Z ..... V c. {, ~ C-, d () .:..). , , ~ :.:,. ~ C . , '2 ,.--4 ~ ~;.l .-. ...J rti U.J ' , a: i:;:: 2 ~ '. ,"'.~' " w '-'- 0 0 [.n t-, W 0 U.J (I) , './ w ';i, J: u.. t"\J w in :; '_l 0) ';{ ~\j , ~ a: 0 >- 0 W U , , " -,:- w ~'.~ w 0 <( :.:: 5 UJ Ul ,.... J 0- rr-. a: .....) 0 liJ ';{ :; CJ u... {~, u... <( >- u u... ,..... ::> 0 0 :; I- 0 'in Z w w t) Z W W ~ ';i, ::> ';i, ....J 0 0 UJ u:: Z 0 "- 0 0 u> f:5 :r: <:> -' 2 () .'~ () \_, ,--' . (1 0 ,-. \- () ~-\ Z ,.. c:' ::J ,,' 0 J) ~ '.A; <t: {f> .., .~_.{ ;:..J \- Z...la: lUo z~a:UJ o(/)\-co <t:(/)Z~ lUo::J ~oz <t: :a o a: u.. o UI :> W o UI a:L 1.0 ';01 j 8 0 .:. r..... ..... \:::1 . ..... ;j:' --. r..... -' ;!'l L.d G 2 cr.: .~~ '-'- f'~ <:1 :J :i ::J lU (l C (j) 0J :.n u t-" :2: l;-- 2- L:j (l 'f ::.:: I ~. a \,J C" UJ -' )--) 'E )- W ~ <:> 2 '~r\'::>, .'~ ~~.,"" '. "'. ;:0}, '\ ~'... '':--...\, Cl 4: 0- \- Z ::J o ~ <t: ...l <t: \- o \- ,-t, '...' \ \ \ \ \ \ \ I \ \ I \ \ I I \ ~\ :::!\ ~\ 0\ 0:' w t) <D w 0: _1 ,...., :3: fu~: '- 0':1. ;,....; w ~. > Ui () Ul a: JJ 1: ::l ,:) o 1] - ., ..: .;;: W ..... '!.: .ll: .._.J. I o (/) :.:: a: <t: ~ Ul a: ...l <t: Ul (/)