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Home My WebLink About02-0785PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of ANNA F. GENSLER __ No. ~Jl-~o2- 7~ also known as To: Deceased. Social Security No. 184-26-3114 Register of WiLIs for the County of Cumberland _ in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, app ies (d. b.u.; pendenie liter durance absentia; duranlc miuorilate) the above decedent. for letters of administration on the estate of Decendent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 61 West Kell r r Borough of Mechanicsburg. Qis1 street, number and municipality) Decendent, then 66 years of age, died August 5 , i~9c 2002 , a[ 61 West Keller Street, Borough of Mechanicsburg, Cumberland County, PA, Decendent at death owned property with estimated values as fohlows: (If domiciled in PaJ All personal property $ Unestimated (If not domiciled in Pa.) Personal property in Pennsylvania $ (If no[ domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ 1n PS 'ma ad situated as follows: Undivided one-half interest in premises known and numbered as 61 West Keller Street Borough of Mechanicsburg Cumberland County, PA. Petitioner after a proper search ham ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name ~)ARna L. Gensler Relationship ~ Dau hter Residence 61_W. Keller St., Mechan: _ ~ Lisa A. Evanoff Dau hter _ _ 500 W. Perr St. Enola Lcsburg, 17055 PA 17025 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. c u a N Anna Gensler a° 0 61 Was Kell r 4 Par ~~~ Me hanirchnrg~ PA 17055 ~a =Q - m c m ~~-~~ ~~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss 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 al representative(s) of the above decedent petitioner(s) w' well nd truly administer the estate according to law. Sworn to or affirmed and subscribed before me this L~ ~~ da of r Anna Gensler 1 Auguste J ~wjyYh2^Y~00..2y J ~/eFZCJ ~ti'yRegistet No. Estate of ANNA F. GENSLER ~ Deceased GRANT OF LETTERS OF ADMINISTRATION . Y 7 ri ep ?i. AND NOW ~-C.000. ~~ X~y 2002 ~ in consideration of the petition on the reverse side hereof,~satisfactory proof having been presented before me, IT IS DECREED that Anna L. Gensler is/aze entitled to Letters of Administration, and in accord with such finding, Letters of Administration aze hereby granted to Anna L. Gensler in the estate of Anna F. Bender FEES Letters of Administration ..... $~~ Short Certificates( ) .......... $ ~~•~ enunciation ................ $~~ ~~ $ ~: on TOTAL _ $ ~~~o Filed ..................... A.D. 19 Regist of Willa~~`~ ~'~'___~~~~[~/ SNELB KE $R ., N & SPARE, P. C. 44 West Main ADDRESS (717) 697-8528 PHONE his is to cerrih~ that the information here ~;,iven is correctly copied from :m olrg na! cert C care n(L car <u~r I~ec w;ci me as Local Registrar. The ori);Inal certificate willhe forwarded to the Starr Vital Rraxds Oftin for urn ..1 ; gut iliq-r WARNING: It is illegal to duplicate this copy by photostat or photograph. Pc. lur rhi~ ccrrificue, k2.00 P 8607513 N.,. N,ns.laK ge..,rol ,PRINT R .NEXT :KIRK ai ~~ A. F~~.~r., ~.oGll ~ZrflSCrat r~uc 7 Zooz I):IIC COMMONWEALTH OF PENNSYLVANIA • DEPAPTMENT OF HEALTH • VITAL gECORDS CERTIFICATE OF DEATH (Coroner) NAME OF DECEDENT IFx„, MiOnb, Le&1 $E% $OCIPLSEWflITV NVMOEp DATE pFpEATN IMpM, Gy. Mrl ,. Anna F Gensler x. Female x. .. August 5, 2002 AOEILaN OrnMayl VNCEg1 VEAP VNDERI OAV DdE OFBIRTN BIpTNPULE ICMenO PUCE OF LEANICnechcMy me-.uelMxucem¢ond r,gel mIM GYe Noun Mlnulsa IMmm, peY. Vaerl S,aled FdepnCwmryl NOSPITAL. OTXEp. 66 Yr ,Tune 8 1936 oilin S z~ °MMm^ EWVUlpell.nl^ WA^ ""m:'"^ R m l~ O1 "" ^ , g p ngs e. N .. nc. p ;; c,ro CWNiY DF DEAT Lli OR POf DEATN FACILITY NAMEIII dxlnyllulan, grvealreel eno numog, W0.5 D ECEDEM pF H15 PANIC ORIGIN! gACE~Amerken lMi,n, &a[Y, Wn"e, ale. ry ISMIIYI Na tp R,^Ilye••PoCN CUWn . Cumberland t9echaniceburg 61 West Keller Stree[ Marc,",PnM qk.",„¢. White x . E. ,o. CELEDEM'B VSVALOCCVPANJX XINOCFOVSINESSIINDVSTRV ~ VMSOECEDENi EVER IN DECEDENT'$EWCdION MARITAL BTATUS~M„rln BVRVINNG SPOVSE Iom FlrggwpYMnedurn mmr U. S. APMEDFORCES> I NersrMnryE, Wr6own, plwlle, prvemagenryme) IIM1 Q YM e Emm , c ndumra wv rp rnl eM ry/$KpM,ry GIMpe dvorcMl5pKM1 Y•°^ "~ " Customer Service Book Distribution ^xR2 °'"a" Divorced • n ne. Ix. u. ' CELEDENt'6 MAILINOAODXESSISVe„. CiryROw". Slere LpCNeI "1ECEDENi'S ' cruu n.. sne PA wa nc^,w a.a.e•mlNnln 61 West Keller St. ,wp, RESIDENCE <.¢w.", Ise.InR w.„. ". r :a ,. Mechanicabu Pa 17055 pn pm„ ~ h, ,M l A '°"'"'"'°] :~ ~ ` ~ ' "~ „° . ' n ,ro. GUn, r an „X,p „ . d .. I „ c"Y,Mro. fAMEp SHAME IFirT, Mgo4. Las, MOTHER'$NAME (Fxal, MiEEIe. Meben Surname) ,e. u. INFORMANx'$N/,ME ltyp„PrrnU INFORMAM'91MILIHp ADDRES6IS ,LTyROrm, Slele, Zrp CO]el Anna L. le METNOOOf gbPoAfION OREOf DISPOSITION PUCEOFDISPOSrtIOH ~Nemsal Gm„ery. Cremelory LCCATIOx-Clry ,sM,, Zp CN, Bun„® Cr,m,lbn^ gemcrellrOm 61„,^ IMCMIr, GYMarI or Un„PYd / ppMlbn^ QnwlSPecYy ^ ,.. • x,e. Au 9X 2002 ,. Westminster Cemete „X. 11s1 $qN4 OF FUNEMLSERWLE IL b EOflPE ACTNI A$$VCN LICENSE HUMBEfl NAME ANDApORESSOF FACILTY o man- nera ome »,. »e. :xe. 219 N. Hanover St., Carlisle, Pa 17013 exxK mlYwMnµlilpnp O 21M M„W mYMrpv.Inpe,Mp"acuneJa11ne 11mm.Oela Y"Eplad sarq. LICENSE NUMBER pATE SIGNED ~ati MM nnm•„dem to PNX• 1J'Y Isq"„rrreenornRl IMOmn p. roerl • m a , v. ».. M„M x4ZamWrbsmq„,eey TIMEOF pEATX DTE PRONOUNCEDDEAp MmN. Dey br NNSCASEREFERREOTOM CLE%AMINEPICORONERi Prx. I I P•r„m wM wdmrmd. M.m. 2002 +''••D~l ne^ Au ust 5 g , xX. M. xa. ». MRTL Enl„IM meeeen.Iryuryv orwmplkelbnewnlcn,eueeCrnpOnln. OOnd enlerlnemoYdeylnp,ew"ucerElscor reMbelcryen„I, alwcM Or "eanlellure. rAPp'o,hnM PAp}II' d"ere p XlcenlmMM1bnacpnulpmvrpm MeM nN V„oN/orwceunon,aM 4na. n ^MMem „ lnl , n rmu rg lnrM UMeMlrpmuNO"enln P/,PTI. MYEdaiI GIHEIFIraI „s XGSeI" ,.°`~X„rY„e`°A4X,I,i-. ,, H ertensive Cardiovascular Disease puETOIORASncDNSSauENLE Dh. 8,pxrXl,Xy Wq mrvSlbn o. Xeq. Y,ArYmlmmtlWe DUE IOIGR FSACON5E0UENCE ~'. a,w.EMx IMOIIIYIMG CAIISEIdweeaiyry <. ' r aW M,I.]mru WETOIOq PSACOrvSEOVENCE OFI'. reeRYq l"ammluBT a YNBANAVIWSY PERFORMEOi WERE AUR)PSV iIXDIn'O$ MMIUBLE PP,d1T0 MANNEROF pETTM DATEOFINJVflV TIMEOF INJURY INJURY Ai NVRR'I DESCRIBE MDN INJVflYOCCVRPEp. COMMEipNOi CAUSE (Mpmm,pey, Yeerl OG pFATN] Nelunl Nmrlclw ^ Yx ^ No^ ' ^ ^ ^ AaY•nl ^ PmEMx lmv„Ipelbn ^ M M Ne~. Re Xa $ klb ^ C ^ PUCEOFINJURV ~Allwme, lean, ennl, XClory,OMCe LCCAIION SUn, Uryruxn, yebl »e. xee. u ouW nnb MlerminM ». WXOInx,„c15.. IIYI xd. RRFIFI[RICMCF mrymal SIGNOURE T O IFIE C[RTIIYINOPMVaX]AX IFTyecmn cenilyiy c„reetl owm Men eMAV pnyeeian"ppprrwzMeeePanodmp„M l,emxJ) A *em.emel mYKneM•eY,a..mace.r..aar.mlMnrrwn.rwm.rrrr....„.w.._.........__ .................................... ^ Coroner x,b. • ~rROxWxdra Anpc[RTIPrdG rxraldANlPnYek.n mmprw,oorra..Eaeemararn;l,:.roro¢ap.oraealnl Llc uMb R DmE S1pXEDIMmm. GV. reen Te1M[Mermr Krro.YXEe.eeetlreeaume„Xwtlme.ab.,MVlparNaw mm,nuulq erMmmmrn NleX..._ ..................... ^ Au ust 7, 2002 am. me. NAMEANOAWRE$$OF PERSON WXOCOMPLETEp CAV$EOF DF/{IN •YEdLAL Ex•YdlwcaaoRER (M1em x]ITYGeer Prl"1 Michael L. Norris Coroner ' anm•Bw[men.mm„In emler l"n„IBMIOrr,mmYegme",e..m eemrme n,M nm., a.n,.m Plew. maaX.mm.nrrnl•1 e"a m.mY,..„YW , 6375 Basehore Roa Suite I/1 d .......................................................................................... a,.. , Mechanicsburg, Pa. 17050 ». REOISTMR'S SpNniVREANDNV DRE FILEOIMOnIn. peY Wrl ' A• Fe.,_cA. I~iLaLLQJ ~ aooa. . u. V ~ /-oa-- ~BaS" RENUNCIATION In Re Estate of ANNA F. GENSLER deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Lisa G Evanoff daughter of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters Administration be issued to Anna L. Gensler WITNESS my hand this ~~ day of August ~~ 2002 ~---, ''1 Sa v w'e 500 West Perry Street Enola, PA 17025 (Address) (Signature) (Address) (Signature) (Address) CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Anna F. Gensler, Deceased Date of Death: August 5, 2002 No. 2002-00785 PA No. 2102-0785 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 or about September 4, 2002: Name Anna L. Gensler Lisa A. Evanoff Address 61 West Keller Street Mechanicsburg, PA 17055 500 West Perry Street Enola, PA 17025 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NONE. Date: September 4, 2002 ~" 'c lard C. Snelbaker, Esquire 44 West Main Street Mechanicsburg, PA 17055-0318 (717) 697-8528 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE R! IREAU OF INDIVIDUAL TA%EG i be 1 2eosol ~ HARRISBURG, PA 17128"0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SNELBAKER RICHARD C ESQUIRE 44 W MAIN STREET MECHANICSBURG, PA 17055 role ESTATE INFORMATION: SsN: 1sa-2s-atla FILE NUMBER: 2102-0785 DECEDENT NAME: GENSLER ANNA F DATE OF PAYMENT: 05/27/2003 POSTMARK DATE: 05/20/2003 COUNTY: CUMBERLAND DATE OF DEATH: 08/05/2002 ACN ASSESSMENT CONTROL NUMBER REV-1162 EX111-961 N0. CD 002607 AMOUNT 101 ~ 53,701.07 TOTAL AMOUNT PAID: REMARKS: RICHARD C SNELBAKER ESQUIRE CHECK#112 SEAL INITIALS: JA RECEIVED BY 53,701 .07 DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENYOF REVENU2 BUREAU OF INDIVIDUAL TAXES DEFT. 280601 HAP.~16BURG, PA i ] 128-0601 RECEIVED FROM: EX~ PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 002589 SNELBAKER RICHARD C ESQUIRE 44 W MAIN STREET MECHANICSBURG, PA 17055 -------- in~E ESTATE INFORMATION: sSN: i8a-26-371a FILE NUMBER: 2102-0785 DECEDENT NAME: GENSLER ANNA F DATE OF PAYMENT: 05/20/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/05/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER I Ol AL AMOUNT PAID: REMARKS: RICHARD C SNELBAKER ESQUIRE CHECK#112 INITIALS: JA SEAL RECEIVED BY TAXPAYER V~ v ~~~~~~ -~~~~ s DONNA M. OTTO ~i~A~~~ DEPUTY REGISTER OF WILLS ~ ~ i~ ~~~ ~" ~~,~` COMMONWEALTH OF PENNBVLVANIA DEPARTMENT OF REVENUE BUflEAU OF MDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 J128-Ofi01 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SNELBAKER RICHARD C ESQUIRE 44 W MAIN STREET MECHANICSBURG, PA 17055 REV-1162 EXI11-96~ N0. CD 002589 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- role ESTATE INFORMATION: ssrv: lea-2s-atta FILE NUMBER: 2102-0785 DECEDENT NAME: GENSLER ANNA F DATE OF PAYMENT: 05/20/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/05/2002 101 ~ 52.26 TOTAL AMOUNT PAID: REMARKS: RICHARD C SNELBAKER ESQUIRE SEAL CHECK#112 INITIALS: JA RECEIVED BY: DONNA M. OTTO 52.26 DEPUTY REGISTER OF WILLS REGISTER OF WILLS ~,~ _. ~..~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX BIVISIBN DEPT. 280601 HARRISBURG, PA 11128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NDTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX '03 ,iUi! 30 RICHARD C SNELBAKER SNELBAKER ETAL 44 W MAIN ST ~,.~-~ MECHANICSBURG PA 17D~1~+-- -` CUT ALONG THIS LINE ESTATE OF GENSLER ANNA F DATE 06-3D-2003 ESTATE OF GENSLER ANNA F DATE OF DEATH 08-05-2002 _ FILE NUMBER 21 02-0785 A ! ~`~COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 21 02-0785 ACN 101 DATE 06-30-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) [1) 57, 500.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B] [2) 721.82 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) [3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) [4) .00 of this form Nith your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 15) 4, 030.90 tax Daynent. b. Jointly Owned Property (Schedule F) (b) .DO 7. Transfers (Schedule G) (7) 34, 080.60 B. Total Assets Ig) 96,333.32 APPROVED DEDUCTIONS AND EXEMPTIONS: 13,781.75 9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H) 19) 10. Debts/Mortgage Liabilities/Lions (Schedule I) (10) 305.57 11. Total Deductions (11) 74.087.32 12. Net Value of Tax Return (12) 82,246.00 13. Charitable/Governnantal Bequests; Non-elected 9113 Trusts (Schedule J) (13] .00 14. Net Value of Estate Subjset to Tax Ily) 82,246.00 NOTE: if an assessment was issued previously, 11nes 14, 15 andior 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Anount of Line 14 at Spousal rata (15) •00 X 00 _ .DO 16. Anount of Line 14 taxable at Lineal/Class A rate (16) 82,246.00 X 045= 3,701.D7 17. Anount of Line 14 at Sibling rate (17) •00 X 12 = .00 18. Anoun4 of Line 14 taxable at Collateral/Class B rate (18) •OD X 15 .00 19. Principal Tax Due (1q). 3,701.07 TAY f:Q FMTTQ• DATE NUMBER + INTEREST/PEN PAID (-) AMOUNT PAID 05-20-2003 CD002589 .00 2.26 1NItREST IS CHARGED THROUGH AT THE RATES APPLICABLE AS REVERSE SIDE OF THIS FORM RETAIN 07-15-2003 TOTAL TAX CREDIT 2.26 OUTLINED ON THE BALANCE OF TAX DUE 3,698.81 INTEREST AND PEN. 35.99 TOTAL DUE 3,734.80 ^ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ••CREDZi•• (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) __ / ~ `~~~J ~ COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX BIVISIBN DEPT. 280601 INHERITANCE TAX HGRRISBURG. PR 17128-0601 STATEMENT OF ACCOUNT REV-1fW ER RFP IRI-Rb ;;": r; ;; DATE 06-30-2003 ESTATE OF GENSLER ANNA F DATE OF DEATH OB-05-2002 FILE NUMBER 21 02-0785 '~~ i~~ ~~ ;'„' :?r~OUNTY CUMBERLAND RICHARD C SNELBAKER ACN 101 SNELBAKER ETAL Anoun4 Reaitted 44 W MAIN 5T MECHANICSBURG PA 170~~5 .. MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure Dropar credit to your account, subnit the upper portion of this forn with your tax paynant. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t REV-1607 EX AFP (O1-03) *~[~[ INHERITANCE TAX STATEMENT OF ACCOUNT ~[~~[ ESTATE OF GENSLER ANNA F FILE N0. 21 02-0785 ACN 101 DATE 06-30-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-30-2003 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 05-20-2003 CD002607 .00 3,701.07 BALANCE OF UNPAID INTEREST/PENALTY AS OF OS-21-2003 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ^ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS TNAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTIONS. ) 3.701.07 3,701.07 .00 7.61 7.61 1 ` ~-~~~ COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL rnxes DEPARTMENT OF REVENUE INHERITANCE TA% BIVISIGN BEPT. z8B6B1 INHERITANCE TAX HARRISBURG, PA 17128-0681 RECORD ADJUSTMENT REV-159! EM 1F9 (01-w) !-;' ' DATE 07-D3-20D3 ESTATE OF GENSLER ANNA F DATE OF DEATH 08-05-2002 FILE NUMBER 21 02-0785 '(73 ~;~~ 7'; 't,~.'~gUNTY CUMBERLAND RICHARD C SNELBAKER ACN 101 SNELBAKER ETAL Amount Remitted 44 W MAIN ST MECHANICSBURG PA 17055'•-(' MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this fora with your tax payment. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t REV-1593 EX AFP (01-03) ** INHERITANCE TAX RECORD ADJUSTMENT ~x ESTATE OF GENSLER ANNA F FILE NO. 21 02-0785 ACN 101 DATE 07-03-2003 ADJUSTMENT BASED DN: ADMINISTRATIVE CORK CTIDN VALUE OF ESTATE: 1. Real Estate (Schedule A) (1) 57,500.00 2. Stocks and Bonds [Schedule B) (2) 721.82 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 4. Mortgages/Notes Receivable (Schedule D) (4) .00 5. Cash/Bank Deposits/Nisc. Personal Property (Schedule E) (5) 4,030.90 6. Jointly Owned Property (Schedule F] (6) .00 7. Transfers (Schedule G) [7) 34,080.60 a. Total Assets (e) 96,333.32 DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/ Miscellaneous Expenses (Schedule H) (9) 13,781.75 30. Debts/Mortgage Liabilities/Liens (Schedule I) (30) 305.57 11. Total Deductions [11) 14,087.32 12. Net Values of Tax Return (12) 82,246.00 13. Charitable/Governnsntal Bequestsi Non-elected 9113 Trusts (Schedule J) (13) .00 14 Nat Value of Estate Subject to Tax (14) 82,246.00 . TAX: 15. Amount of Lines 14 at Spousal rats (15) .00 X DO = .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 82,246.00% 045= 3,701.07 17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate [18] .00 X 15 = .00 19. Principal Tex Dua (19) 3,701.07 ^ DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 05-2D-2003 CD002607 .00 3,701.D7 BALANCE OF UNPAID INTEREST/PENALTY AS OF OS-21-2003 TOTAL TAX CREDIT 3,701.07 BALANCE OF TAX DUE .00 INTEREST AND PEN. 7.61 TOTAL DUE 7.61 ^ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) f ~ REV-ta]0 EX I&601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES GENSLER, ANNA F Bryan Rondon 2102-0785 101 ITEM EXPLANATION OF CHANGES SCHEDULE NO. Receipt# CD002607 applied to the estate. INHERITANCE TAX EXPLANATION OF CHANGES Row Pape 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1]128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SNELBAKER RICHARD C ESQUIRE 44 W MAIN STREET MECHANICSBURG, PA 17055 ~oltl ESTATE INFORMATION: ssN: taa-26-3tta FILE NUMBER: 2102-0785 DECEDENT NAME: GENSLER ANNA F DATE OF PAYMENT: 09/18/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/05/2002 REV-1162 EXI11-961 N0. CD 003036 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 57.61 TOTAL AMOUNT PAID: REMARKS: ANNA L GENSLER C/O RICHARD C SNELBAKER ESQ-INT & PENALTIES CHECK# N/A SEAL INITIALS: JA RECEIVED BY 57.61 DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS .~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARR ISBDRG, PA 17128-0601 RICHARD C SNELBAKER SNELBAKER ETAL 44 W MAIN ST MECHANICSBURG PA 17055 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT EEV-lfw EM fFV [O1-Ob DATE 09-29-2003 ESTATE OF GENSLER ANNA F DATE OF DEATH OS-DS-2002 FILE NUMBER 21 02-0785 .COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this Porn with your tax Daynent. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS t REV-1607 EX AFP (01-03) *** INHERITANCE TAX STATEMENT OF ACCOUNT x*I~ ESTATE OF GENSLER ANNA F FILE NO. 21 02-D785 ACN 101 DATE 09-29-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIDURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-02-2003 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 3,701.07 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 05-20-2003 CD002607 .00 3,701.07 09-18-2003 CD003036 7.61- 7.61 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ^ IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. [ IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. IF TDTAL DUE IS REFLECTED AS A ^CREDIT^ (CRI, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS. ) 3,701.07 .00 .00 .OD , REV-1500 EX (6-00) '1#- " L' 1""1-85- ~ REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA OEPARTM ENT OF R EVEN U E OEPT, 280601 HARRISBURG. PA 17128-0601 OFFIClAI... USE ONLY 21 FILE NUMBER 2002 -p78L __ YEAR NUMBER COUNTY CODE SOCIAL SEaJRITY NUMBER 184-26-3114 CECECENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ Gensler, Anna F ~ DATE OF DEATH (MM DO-YEAR) DATE OF BIRTH (MM-DD-YEAR) W 08/05/2002 6/8/36 () W (IF APPlIO\BlE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) o THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SEaJRITY NUMBER Original Return D 2. Supplemental Return D 3. Remainder Return (dale of death prior to 12.13-82) D 43. Future Interest Compmmise (date of death after 12-12-82) D 5, Federal Estate Tax Return Required D 7. Decedent Maintained a Living Trust (Attach copy of Trust) ~ 8. Total Number of Safe Deposit Boxes D 10 Spousal Poverty Credrt (dale of death belween 12-31-91 and 1_1_95) D 11, Election to tax under See 9113(A) (Attach Sch 0) w .... ::(;:~Cf.l 0"'''' w"g J:~....I O..m !i;: 12{], D4 D6 D9 Decedent Died Testate (Attach copy of WII) litigation Proceeds Received Lim rted Estate THIS SeCTION MUST Be COMPLETeo. ALL CORRES PONOeNCfi AND CONFIDeNTIAL TAX INFORMATION SHOULD Be DIReCTED TO: NAME COMPLETE MAILING ADDRESS Richard C. Sne1baker .... z w o z ~ '" w ll! 8 P. 44 West Main Street Mechanicsburg, PA 17055 FIRM NAME (If Applicable) Sne1baker TELEPHONE NUMBER Brenneman & S are ( 717) 697-8528 or::. 57,500.08-,- <1' 721. ~ 0.0;(). O.OD 4,030.911:1: 0.01 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) 15) Z 6 Jointly O'M1ed Property (Schedule F) (6) 0 D Separate Billing Requested t= :5 7 Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) ::) (Schedule G or L) l- ii: 8 Total Gross Assets (total Lines 1-7) <( () W 9 Funeral Expenses & Administrative Costs (Schedule H) (9) a: 10 Debts of Decedent, Mortgage Liabilities, & Liens (SChedule I) (10) 11 Total Deductions (total Lines 9 & 10) 34,080.60 (8) 13,781. 75 305.57 OFFIOJll!,,~E~LY :.:z: -, = -< N o ::D \0 d N 96,333.32 (11) 12 Net Value of Estate (Line 8 minus Line 11) 13 Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) (12) (13) 14,087.32 82,246.00 0.00 82,246.00 14 Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTlOOS ON REVERSE SIDE FOR APPLICABLE RATES 15 Amount of Line 14 taxable at the spousal tax 0.00 Z rate, or transfers under See, 9116 (a)(12) 0 82,246.00 ;:: 16 Amount of Line 14 taxable at lineal rate " .... ::> 0.00 .. 17 Amount of Line 14 taxable at sibling rate " 0 18 Amount of Line 14 taxable at collateral rate 0.00 0 x " 19 T ax Due .... (14) x_OO~(15) x04~(16) , 12 (17) 3,701.07 , 15 (18) (19) 20 Q CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0.00 3,701.07 0.00 0.00 > > BE SURE TO ANSWER All QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 2W46451.000 Decedent's Complete Address: STREET ADDRESS 61 West Keller Street Bore of Mechanicsburg Cumberland Countu CITY I STATE I ZIP Mechanicsbura PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2 Credits/Payments A. Spousal Poverty Credit B Prior Payments C. Discount (1) 3,701.07 0.00 0.00 0.00 3 Interest/Penalty if applicable o Interest E. Penalty Total Credits (A + 6 + C) (2) 0.00 0.00 0.00 Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 3,701.07 A Enter the interest on the tax due. (SA) 0.00 B. Enter the total of Line 5 + SA (56) 3,701.07 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;. . . . . . . . . . . . . . . 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 fife of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . , . . . . . . . . . . . . .. 0 Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 0 Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . , . . . . . . , . . . . . . . . . . . . . . . .. [Xl 0 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 penaltie erjury. I declare thaI I ha...e examined t is retum. Including accompanying schedules and statements. and to the best of my knowledge and belief, it IS tnJe. correct and complete Declaratio pre rer otherlhan the p D D D D [2{] [2{] [2{] [2{] 3. 4. IRJ IRJ A 6. ~n Street P.O. Box 318 PA 17055 s ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995. the tax rate imposed on the net value of transfers to or for the use of the surviving spouse IS 3% [72 PS, 9 9916 (a) (1 1) (i)] For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 PS 99116 (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 -he tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent an adoptive parent -;r ." stepoarent of the anlld IS 0"'" i7:' P ,S S 9116(aH 1 :)~ The lax rate Imposed on the net value of transfers 10 or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted In 72 PS 99116(1.2) [72 P S. 99116(a)(1)) The tax rate Imposed on the net value of transfers to or for the use of the decedent's Siblings is 12% (72 P,S S 9116(a)(1,3)1. A sibling IS defined, under Section 9102. as an mdlvldual WhO has at least one parent In common with the decedent, whether by blood or adoption 2VV46461000 REV-1502EXt(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE Gensler 1 Anna F FI~E NUMBER 21-2002-0785 ESTATE OF 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 10 buy or sell, both having reasonable knowledge oflhe relevant facts Real property which Is jointly-owned with rightd survivorship must be disclosed on Schedule F. ITEM DESCRIPTION NUMBER 1. Property known and numbered as 61 West Keller street, Mechanicsburg PA 17055, appraised value (copy attached) . Property is joint~y with Anna L. Gensler as Tenants in Common, therefore only 1/2 is taxable VALUE AT DATE OF DEATH 57,500.00 Appraised value $115,000.00 divided by 2 = $57,500.00 2W46952.000 TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 57,500.00 REV-150J EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS Gensler, Anna F FILE NUMBER 21-2002-0785 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CESCR1PTION VALUE AT DATE OF DEATH 1. Prudential Financial, Inc., 16 shares common stock valued at $30.57 per share 489.12 2 United states Savings Bond, Series E, face value $50.00, issue date 7/1976 232.70 2W46963,OOO TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 721. 82 REV-150e ~ -1- (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Gensler, Anna F FILE NUMBER 21-2002-0785 Include the proceeds 01 litigation and the date the proceeds V\lere recerved by the estate All property jointly-owned with the right of sur....lvorst\lp must be disclosed on St.hethlle F. ITEM NUMBER DESCRIPTION 1. PNC Bank, N.A., checking account #5070079757 VALUE AT DATE OF DEATH 4,030.90 2W46AD2.000 TOTAL(AJso enter on line 5, Recaoltulation) $ (II more space is needed, insert additional sheets 01 the same size) 4,030.90 REV-1510EX+(1-97) OOMMONV\IEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RES DENT CECEDENT ESTATE OF Gensler I Anna F SCHEDULE G INTER.VlVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-2002-0785 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. CEs::::RIPTION OF PROPERTY %OF ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE NUMBEf a::CEDENT AND THE ~€nO{o~~~€:rtlJACH ACOPY OF THE VALUE OF ASSET INTEREST nF APPLICABLE I ,. M&T Bank, IRA account 7,881.28 100.00 0.00 7,881.28 #35004200220628 2 AOL Time Warner Savings Plan, 26,199.32 100.00 0.00 26,199.32 employee retirement plan TOTAL (Also enter on line 7, Recapitulation) $ 34,080.60 (If more space is needed, insert additional sheets of same size.) 2W46AF2000 REV.151'rEX+(1-97) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS OOMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESlCENT CECECENT ESTATE OF Gensler, Anna F FILE NUMBER 21-2002-0785 o b ed S ebts of decedent must e reDort on chedu e L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERIIL EXPENSES: ,. Westminster Cemetery, monument and interment fees 1,545.00 2 Hoffman-Roth Funeral Home, Inc. , funeral services 6,494.80 B. ADMINISTRATIVE COSTS: 1- Personal Representative's Commissions 0.00 Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees Name : Snelbaker, Brenneman & Spare 1,500.00 3. Family Exemption; (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 Claimant Gensler, Anna L Street Address 61 West Keller street City Mechanicsburq State PA Zip 17055 Relationship of Claimant to Decedent Daughter 4. Probate fees 82.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7. Register of Wills, Cumberland County, filing fee for 15.00 Inheritance Tax Return 8 Cwnberland Law Journal, advertising Administratrix 75.00 notice 9 Patriot-News, advertising Administratrix notice 119.95 10 Michael J. Henningan, real estate appraisal 150.00 11 Reserve for filing fees, accounting fees and other 300.00 TOTAL (Also enter on line 9, Recapitulation) $ 13.781. 75 2W46AG2,OQO (If more space is needed, insert additional sheets of same size) Estate of: Gensler, Anna F Schedule H, Par~ B -- Administrative Costs Item No. Description 11 costs associated wi~h the administration of Decedent's Estate TOTAL. (Carry forward to main schedule) Page 2 21-2002-0785 Amount 0.00 REV-1512 EX+ (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT CECEDENT ESTATE OF Gensler, Anna F SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2002-0785 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. Comcast Cable, cable TV services, aocount payable 2.06 2 PPL, electric service, account payable 124.00 3 United Water, water service, account payable 28.20 4 Mr, Food, Ooh So Easy subscription, subscription fee, account payable 16.94 5 Doubleday Book Club, subscription fee, account payable 7.30 6 Kilmore Eye Associates, medical services, account payable 16.66 7 Holy Spirit Hospital, medical services, account payable 93.90 8 Assoc. Otolaryngologists of PA Inc., medical services, account payable 16.51 2W46AH 2.000 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 305.57 REV-1513 EX+ (9-00) SCHEDULE J BENEFICIARIES CXJMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESICENT CECECENT ESTATE OF Gensler Anna F NUMBER I. 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)1 Gensler, Anna L 61 West Keller Street Mechanicsburg, PA 17055 FILE NUMBER 21-2002-0785 RELATIONSHIP TO DECEDENT Do Not list Trustee{s) Daughter Daughter AMOUNT OR SHARE OF ESTATE 69,873.00 12,373.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, 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 2W46AI1,OOO 2 Evanoff, Lisa A 500 West Perry Street Enola, PA 17025 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 addItional sheets of the same sIze) $ 0.00 II ESTATE NO. 21-02-0785 FIRST AND FINAL ACCOUNT AND STATEMENT OF PROPOSED DISTRIBUTION OF AND BY ANNA L GENSLER, ADMINISTRATRIX OF THE ESTATE OF ANNA F, GENSLER. DECEASED LATE OF BOROUGH OF MECHANICSBURG, CUMBERLAND COUNTY, PENNSYLVANIA Anna L. Gensler, Administratrix as aforesaid and Accountant herein, avers as follows; DATE OF DECEDENT'S DEATH: August 5, 2002 ,.., .,0 c;~ DATE LETTERS TESTAMENTARY ISSUED: August 30. 2002 (; '...:',,' I:":::~- '-'-''1 , :'q C- DATES EXECUTOR'S NOTICE ADVERTISED: "'.i" "-'.u .( Cumberland Law Journal September 13, 20, 27. 2002';1:,9 r<'; r(\ , i i:.:. ;I Patrlot.News Co September 17, 24, October t:20i@ (J"" .,.. /" :jJ, ~-:': ."1'1 -.... . -.;( ) FIRST AND FINAL ACCOUNT -.-- 1"1 'i'-""~ (~"? 0 <'"~') .n "'- '-jl ~r'" (..l'\ PERSONALTY. PRINCIPAL ACCOUNT DEBITS The Accountant charges herself with the receipt of the Decedent's personalty, goods and chattels as set forth In her inventory heretofore filed In the amount of: $ 4,752,72 The Accountant charges herself with the following additional receipts: 1 Internal Revenue Service, refund on 2002 Ind'lv'lduallncome Taxes 44700 TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS $ 5.199,72 PERSONALTY. PRINCIPAL ACCOUNT CREDITS The Accountant claIms credit for the payment 01 the 1o\\owmg items 1rom Decedent's Personalty Account: 1 Holy Spint HospItal, medical expenses $ 9390 2 Kilmore Eye Associates, medical expenses 6.90 3 Assoc Otolaryngologists of PA, Inc., medIcal expenses 16.51 4 Register of Wills, filing 1ee for Inheritance Tax return 1500 5 Register 01 Wills, Agent, Inheritance Tax Return 3,70107 6 Register of Wills, Agent, interest and penalties 761 7 Prudential Financial, Inc., loss on sale of stock 1680 8 Westminster Cemetery, grave opening expenses 1.545.00 9 PNC Bank, service charge on checking account # 5070079757 4.00 10 Anna L. Gensler, family exemption 3,50000 Items to be paid subsequent to confirmation of Final Accounting: 11. Snelbaker, Brenneman & Spare, P_C, attorney services 1. 500 00 12. Snelbaker, Brenneman & Spare, PC, costs advanced: 446 45 a. Patriot-News, advertising Administratrix notice 11995 b Cumberland Law Journal, advertising Administratnx notice 75.00 c. Reg'lster of Wills, probate fee 8200 d Register of Wills, filing fee for First and Final Account & Inventory 12300 e Register of Wills, filing fee for Decree Awarding Real Estate 800 f Recorder of Deeds, recording fee for Decree Awarding Real 38.50 Estate LAW OFFICES TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS $ 10,853.24 SNELBAKER. BRENNEMAN & SPARE Page 1 II Ii II PERSONALTY. INCOME ACCOUNT DEBITS The Accountant charges herself with the receipt of the following Income from the investment of Personalty Pnncipal: 1 United States Savings Bond, interest $ 1424 2 PNC Bank, interest on checking account # 5070079757 079 3 Prudential Flnanc'lsl, stock div'ldend 640 TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS' $ 2143 PERSONALTY. INCOME ACCOUNT CREDITS The Accountant claims credit for the payment of the following items from the Personalty Principal Account: $ NONE TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS $ NONE REAL ESTATE, PRINCIPAL ACCOUNT DEBITS The Accountant charges herself with the receipt of Decedent's Real Estate as set forth In her Inventory heretofore filed in the amount of: $ 57.50000 TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, DEBITS: $ 57,50000 REAL ESTATE. PRINCIPAL ACCOUNT CREDITS The Accountant claims credit for the payment of the following items from Real Estate Principal Account 1 Michael J. Hennigan, real estate appraisal fee $ 15000 TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS: $ 150.00 REAL ESTATE. INCOME ACCOUNT DEBITS The Accountant charges herself With the receipt of the income from the investment of Real Estate Principal Account: $ NONE TOTAL, REAL ESTATE, INCOME ACCOUNT, DEBITS: $ NONE REAL ESTATE. INCOME ACCOUNT CREDITS The Accountant claims credit for the payment of the following items From the Real Estate Income Account $ NONE TOTAL. REAL ESTATE. INCOME ACCOUNT. CREDITS: $ NONE LAW OFFICES SNElBAKER. BRENNEMAN & SPARE Page 2 /I I, I RECAPITULATION PERSONALTY: PRINCIPAL ACCOUNT: Debits $ 5.19972 Credits $ 10,85324 Balance $ (5.65352) INCOME ACCOUNT Debits $ 2143 Credits $ NONE Balance $ 2143 TOTAL PERSONALTY $ (5,63209) REAL ESTATE: PRINCIPAL ACCOUNT: Debits $ 57.50000 Credits $ 150.00 Balance $ 57,35000 INCOME ACCOUNT: Debits $ NONE Credits $ NONE Balance $ NONE TOTAL REAL ESTATE $ 57.35000 TOTAL FOR DISTRIBUTION: $ 51,71791 LAW OFFICES SNELBAKER. BRENNEMAN & SPARE Page 3 II COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) Anna L. Gensler, Administratrix, being duly sworn according to law deposes and says: that shels the Administratr'rx of the Estate of Anna F Gensler, Deceased: that she IS the Accountant herein; that the 1oregoing IS a true and complete accounting 01 her admmistrat'lon of said Estate', that the attached list or schedule [*) contains the names, addresses and amounts due unpaid credItors who have given proper notice of their claims; that the attached list or schedule (-J conta(ns the names and addresses of all persons interested in the distnbution of said Estate~ and that ,", "d' '" "0' ",'0 ".,,, oc, CO""," ,", ""., '"~ informatIOn and belief Anna L. Gensler, Administratrix Sworn to and subscr'lbed before me thIS '11" day of'j(,,, \).o,r-;f; 200($ o.:s'CnL ~~(}I~ COMMONWEALTH ;JF PE~INSYLVANIA Notan:.]! Seal Sandra K. Showers, Notary Public Mechanicsburg Bore, Cumoonand County My Commission Expire:=::, Nov. 22. 2007 Memhm. Ow'''svlvr:'';o '.I.~,'ncia'h,., (-:Of Notaries LAW OFFICES SNELBAKER. BRENNEMAN & SPARE Page 4 !I . UNPAID CREDITORS: NONE .. PERSONS INTERESTED IN DISTRIBUTION OF ESTATE: 1 Anna Lee Gensler 61 West Keller Street Mechanlcsburg, PA 17055 2 Lisa A Evanoff 500 West Perry Street Enola. PA 17025 LAW OFFICES SNEL8AKER, BRENNEMAN & SPARE Page 5 !I STATEMENT OF PROPOSED DISTRIBUTION Preface: The following statement of Proposed Distribution is based upon an arrangement between the Distributees whereby Lisa A. Evanoff, for good and valuable consideration. heretofore transferred, assigned and set-over unto Anna Lee Gensler all her right, title and interest 'In and to her potential distributive share of the Estate of Anna F Gensler, Deceased Anna L. Gensler, Administratrix and Accountant herein, proposes to distribute the balance of the Estate of Anna F Gensler, Deceased, to wit: $51,717.91 aslollows', 1 TO: Anna Lee Gensler Undivided 50% lnterest in real estate located at 61 W Keller Street $ 51.71791 Mechanlcsburg, PA 17055 2 TO: Lisa A Evanoff 0.00 TOTAL DISTRIBUTION: $ 51,71791 LAW OFFICES SNElBAKER. BRENNEMAN & SPARE Page 6 " II I II 'I COMMONWEALTH OF PENNSYLVANIA ) I SS. COUNTY OF CUMBERLAND ) Anna L. Gensler, being duly sworn according to law, deposes and says that the facts set forth In the foregOing Statement of Proposed Distribution '^ ,,"' '"" 'CO"~ '" "" """ ,., '","00", '",.~",." .~ Anna L. Gensler, Adminlstratnx Sworn to and subscribed be10re me thIS '1 t/, day o(}C,'I",o.r if 20cg ~C)\~ --k ~l~ COMMON NiOAL HI 0f- PENNSYLVANIA Notana! Seal Sandra K. Showers, Notary Public Medlanicsburg Bora, Cumbenand County I My Commission Expires Nov. 22, 2007 Membef, Pennsylvania Association Of Notaries "~l , LAW OFFICES SNELBAKER, BRENNEMAN 8: SPARE Page 7 COMMONWEALTH OF PENNSYLVANIA , I I 55: COUNTY OF CUMBERLAND Anna L. Gensler being duly sworn according to law, deposes and says that she is the Adminis tra trix of the Estate of Anna F. Gensler late of _'y.?_ro~lt _ o_f~.""lt"tlic sbu ~~. , Cumberland County, Pa., deceased and that the within is an inventory made by Anna L. Gensler ., the said Adminis tratrix ,- of the entire estate of said decedent, consisting of all the personal prop.rty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value "Of,"'d':::~~'dOM'd''''. . a ~~. _ and subscribed before me, /2. '/ --< ') ) (Lr) \J...Ar 1 ~ Execu r. Administrator '- if 119C 200 Anna L. Gensler cS J {( ~ ~ 61 West Keller Street _ Oh . I C<- . 10 ~ 11"charrt=burg, PA 17055 co MO EALTHOFPE NSYLVANIA Nolanal Seal Sandra K. Showers, ryP c Address MedlanicsbullJ Bom, CUm nand County My Commission Expires v.22,2oo1 Member. Pennsylvania A~socia\ion Of Notaries. Date of Death _ 5th Augus t 2002 Day Month Y.ar INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative, ,-.> 2. A supplement inventory must be filed within thirty days of discovery of additional assets. i:~o = C;::') ~JJ "n ,"'r"J 3. Additional sheets may be attached as to personalty or realty . s:;r3 L- c-, ~; C-, :~ ~J': C) -,:1::] 4. See Article IV, Fiduciaries Act of /949. ,-'-,.["'- C') ~~; ;1 N i--:-j o~ t-'J ...., ~ "_.H >71 -n -='''"- .-n 0:, ,;~ i;~~ .$:" 0 " - 00 U H "" ::J ..a Ul '" U H ." ..,; " >- " " " en I-- w ~ ~ "" I-- ..c: .. I w < u " "" U"\ 0.. I-- '" 0 00 0 ;:;: " ~j...{ ~ >0- ..... 0 W III H 0 "" W ",QJ co CI) 0 :t '" .... o...::s: S .c: I l- I-- 0.. ...J U. ..... 0 .,; " '" ~ N Z < 0 Ul 0.. " 0 0 U. ...J '" '" ..... ,,:l: I w 0 < w ~I 00 >- "''''< > "" ..... I z ::J - " H N Z 0 0 c en'" I <:> ... " ,; I - Vl Z ... 0 0 "" () z I w <{ '" - u ... I 0.. " -0 '" " c "'''' " .. ... " I <: - 0; "-'" 0 ..c:..... ~ -0 ....u '" " E c>" " - " ..! 0", Vl .. I ...J () i.i: '" Inventory of the real and personal estate of ANNA F. GENSLER, Deceased PERSONALTY: 1. United States Saving Bond, Series E, $50.00 face value $ 232.70 2. Prudential Financial Inc., 16 shares common stock valued at $30.57 per share 489.12 3. PNC Bank, checking account # 5070079757 4,030.90 TOTAL PERSONALTY: $ 4,752.72 REAL ESTATE: 1. 1/2 of appraised value ($115,000) of house and lot known as numbered as 57,500.00 61 West Keller Street, Mechanicsburg, (Borough of Mechanicsburg). Cumberland County, Pennsylvania. Property is jointly owned with Anna Lee Gensler as Tenants in Common TOTAL PERSONALTY AND REAL ESTATE: $ 62,252.72 Page 1 V- I T,_..... ","_r... _~'"... ~,,..,. "V,,;} nereby certily lllal wrmen notice of the filing of ,his Account, and of !he date, time and place when the 8lIfTlll will be presented to the Court 'or confirmation and 01 the 16&1 day 10 nle written .Ojacti0n6 to said Account, has been given to ,very unpaid claimant and to every other person ~nown to the accountant 10 have or claim an interest in the estate as credltor, beneficiary, nair or next of kin. - gJ OC>H / .. ?g~z '" ~ "'..., H il> '" ~ - en ~ n:J:: t""I t:E:l !:2: l^l t:r:l - H en 0 ('Dill III tr.l t"'I ./ :> t-3 ~nrtrt ...:>no / t-3::1 :::r' (D PJZ c: _ '" il> rt" rt C> '=' c::: .......::s:: Z '<: ::I 0 C1l O:;:tl ::!... ~ /. ~ t:E:l t::l .. 1'-'" H'l c:: C':l I-i3 - Z "0 ~Oo - ~ t-3 t"%j I"tj 00 t::J:l-l-h t-3 ~-1":r:j ::- - >H (00"02: (- H az Z ::1_ -~ ti :> t::l H (j 1/ g:",,=,> :;lrtOZ H>'<O - -' H t""I 00 (JQ C Z I <::... ::s:: - H;g :> ~.. ~:> b:: l"t1e ~a C':) < (j I':l:j Htl=:lZ / "'8 "0;0' OZ o ~SH'l ZZI"t1 ./ - ,...-: ;; tr.I c:: 1-'_ 0" 4.l tr.l t""I ./ :/ - tJ;:I Z j1) ctl.t:Ij ...:: t:E:l / ' ,/ t::l H :::. ~ ~~ - 7': "t" >0 :;l '" Z ~ V c..:;:tl H l-:j - il> ;II ""jii(Ii"! 4141 '~WA ~..!I 'eM l!JCl1l6Hllto t\fCO tf"\ ^-~\.I (") S ;' ~.,;. II'~' - ..._~ ...~""'" r". UV"..J V f:;J m (}~, 'Uflf I<l jl(BU JO ..., 'ilJe!OI~""" '" " \_ - -. ~ ,,...--... - 0 ---, 'JOllpeJO SIl_ 9lIl UII8&J&lUj U& Wf8p JO 8Ml4 \_ ~ ~ i- ')lIUlilUnO~ &Ill '" UMOUlf U08.I8d .I8IUO "- 01 pug V . '" ~ r- ,uaw""O Il!8dun N1M9 01 UII"!Il ueeq Ill4 'UO\lIlClIII8K] 1d0: ~ \0 ll'lsodold jO ~""1ll1ll16 P!88 '" .~ U8I11lM . ;; ~ U' "!II 01 .<up lS1lf "41 /0 _ ''''RP''''V' '00 JOj IlIlOO 8111 ~ S. "'. I 0' ll'l!U888Jd eq JaM 8\11&8 8IlI UllIjM ~ pus 8lU!1 2 "'. \ ,,"" "4110 PIA! '~~ I" IU4llW8lIllS .<;; ".:, ''4I,e BUllij "'1110 ""!\OIJ UOIllIAM l"'Il ~ AQ"',"< , t. ,,~, :c.: >. . l~~~ ~".,..o~::!;.~... -<n~=: r"~ ~~ ::To.Q,Q,. ~ 9. C"\."--'" ~' STATUS REPORT UNDER RULE 6.12 Name of Decedent: Anna F. Gensler Date of Death: August 5 , 2002 Will No.: 21-02-0785 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 rn 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. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yesxf 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 Date: 3/8/05 and may be attached to thi~ - S i ature Richard C. Snelbaker Snelbaker & Brennpm~n, P r. Name . 44 West Main Street Mechanicsburg, PA 17055 Address (717) 697-8528 Telephone No. r c C' , Capacity: 0 Personal Representative UL, EQd Counsel for personal representative ) c - , -.. t..\ MAR 0 S 2005p IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS OF ANNA F. GENSLER, LATE OF CUMBERLAND COUNTY, PENNSYLVANIA BOROUGH OF MECHANICSBURG ORPHANS' COURT DMSION CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED ESTATE NO. 21-02-0785 DECREE AWARDING REAL ESTATE ~.,{ AND NOW, this 10 · day of WJ~ ,~, it appearing that the First and Final Account and Statement of Proposed Distribution of Anna L. Gensler, Administratrix of the Estate of Anna F. Gensler, Deceased, have been duly filed and advertised according to law and rules of court, and that said Account was duly confirmed and' Statement of Proposed Distribution duly approved by this Court on October 22, 2004; and it further appearing that said Administratrix has proposed in said Statement of Proposed Distribution to distribute the Decedent's real estate in kind to ANNA LEE GENSLER, as beneficiary of said estate, and said Court having decreed distribution in accordance with said Statement of Proposed Distribution on November 23,2004, IT IS ORDERED, ADJUDGED and DECREED that all right, title and interest of the said ANNA F. GENSLER, Deceased, in and to the following described real estate is hereby awarded in fee simple to ANNA LEE GENSLER: ALL that lot of ground, together with the dwelling thereon erected, situate on the southeast comer of West Keller and South Frederick Street, in the First Ward of the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a post, comer of West Keller Street and South Frederick Streets; thence eastward along said West Keller Street a distance of thirty-three (33) feet to lot now or fannerly of Mary E. Donson; thence along said lot, southward a distance of one hundred forty-one (141) feet to Hill Alley; thence along said Alley, westward a distance of twenty-four (24) feet, six (6) inches to South Frederick Street; thence along said Street, northward a distance of one hundred forty-one (141) feet, six (6) inches, to the place of BEGINNING. LAW OFFICES SNELBAKER, HA VING thereon erected a frame dwelling house known and numbered as 61 West Keller BRENNEMAN Street, Mechanicsburg, Pennsylvania. & SPARE SAID right, title and interest being the undivided one-half interest of the whole of said I Real Estate. .... \ 11, IT IS FURTHER ORDERED AND DIRECTED that a certified copy of this Decree shall be recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, among the deeds recorded in said Office, said Decree to be indexed in the Grantor Index for Deeds against the Estate of ANNA F. GENSLER, Deceased, and in the Grantee Index for Deeds to ANNA LEE GENSLER, pursuant to the Section 3536 of the Decedents, Estates and Fiduciaries Code (20 Pa. C.S. 3536). By the COU~ .11 J. .. _..~ - ..- -~ .~...-"" ;-~~"::I C:) LAW OFFICES SNELBAKER. BRENNEMAN & SPARE