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HomeMy WebLinkAbout02-0427 Estate of Marie L. Hoffman also known as Louise Hoffman PETITION FOR PROBATE and GRANT OF LETTERS J.I-"~ -9~7 No. To: Register of Wills for the Deceased. County of Cumoerland in the Social Security No. 0 23- 1 2 - 1 50 j Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or in the last will of the above decedent, dated September 2, and codicil(s) dated December 1 7, 1 998 named , 19~ (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 301 WP-!'lt Fi r!'lt St-rppt-, Rni 1 i nlJ Sprin9s, PA 17007 (list street, number and muncipality) Decendent, then 88 years of age, died ~ Sarah A. Todd Nursin9 Home Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 303 West First strp-p-t Boiling SprinlJ~, p~ 17007 March 30, , HI 2002 . 2,500.00 $ $ $ $ 100,000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters TESTAMENTARY . (testamentary; administration c.La.; administration d.b.~.c.t.a.) theron. - ~ '" OJ C '" -a_ .- '" "'- ",... ~~ -g.g CU'= 3~ '" '- ; 0 0; c:: bl) en g~ .Q.A..e .J- ~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or aff"rrm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to ~r af. frrmed.,vand subscribed { A < ~ '1'L ~ .:J- - ~ V:l befo<e~ ~~. da~Jt -- ~. ~l.~1!. '~~7 ~ R~~re ~ 11-'~-~ . No.""Od- t./:r} Estateof A~",e ~. J'/oFr:-tLl4AJ A/K/A LOUISE HOFFMAN , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW APRIL 29 , ~-2.Q.Q2., in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, lT IS DECREED that the instrument(s) dated WILL DATED 9-2. 1 QQ4, CODICIl. DA'T'FD 17-17, 1998 described therein be admitted to probate and filed of record as the last will of J4~ /1/ yP L'...<Ie. ~~LJA) A/K/ A LOUISE HOFFMAN and Letters yc,p-rV 03 A ""'A/~.-'> /\v are hereby granted to t ~/'I/C}l'J ~ rI i=. II U6'h P.r '-1r)(.J.~~' :;IU1A.O'.ur" t! d. ~n;,.LJ ()~~ ' , Regist-:r of Wills FEES tHhblCYLLetters, E~. ......... $-1g: a8 Short Certificates( -} . . . . . . . . .. $ . JomufrliaUi1if; .EXTRA .EGS. . .4. $ 1? 00 JCP $ 5.00 TOTAL _ $ 280.50 Filed .~:r?-~~ .?9 ,. .2.QQ'f. . . . . . . . . . .. . . . . . . A eA.-V{ 0/1)1/ /. r 't>~ 1 u ~~ .:err, ATI6&"1EY (Sup. Ct. I.D. N;.) (Po' ~ If..f Ff"OA./Y- ~e# .P~ rI /'/V/C -:t://UtT'1,j/q. 1/7dtf7 DRESS '7/?- ../ rrP- (:j>ey~ PHONE CALLED ATTORNEY APRIL 30, 2002 ~-, .".... ;;-J :... ~ ~ 1. .....,( d 1'" ,~~ ;:J;c" ::s .....~... ' N C'I ,-.n CODICIL TO 21-02-0427 LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN I, MARIE L. HOFFMAN, of 303 West First Street, Boiling springs, Cumberland County, pennsylvania, do make, publish .and declare this to be the first Codicil to the Last will and Testament executed by me on September 2, 1994, in the presence of (Name of Witnesses) FIRST: I revoke and annul ITEM 5: of my Last will and Testament executed by me on September 2, 1994. In all other respects, I ratify and confirm all of the provisions of my said will dated September 2, 1994. IN WITNESS WHEREOF, I, MARIE L. HOFFMAN, subscribe my name, this 17~day of December, 1998. ~ '-... a~ <:: .. ~~ Mar L. HOff~~ The foregoing instrument, consisting of one typewritten page was signed, published and declared by MARIE L. HOFFMAN, the Testatrix, to be the first Codicil to her Last will and Testament in our presence, and we at her request and in her presence and in the presence of each other have hereunto subscribed our names as witnesses this day of December, 1998. a~~fibU~1~ residing at ~-f~//7~ J?}J/tt~ (l- /2..{1,4 residing at '13/~ ~{0 ;4 1'7~? 11 I ( tI 21-02-0427 LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN I, MARIE L. HOFFMAN, a resident of Boiling springs, Cumberland County, Pennsylvania being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ITEM 1: I direct that all my just debts, the expenses of my last illness and funeral expenses be paid as soon after my decease as the same can conveniently be done. ITEM 2: I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the government of the United states, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this will or otherwise, excluding, however, any property over which I have a taxable power of appointment, provided, however, that no residuary beneficiary shall by reason of this provision be denied the benefit of any deduction, credit, favorable rate of tax or other benefit which by law enures to such beneficiary. ., ~AL.. ~il&7fJtt "'"'-~-. 1 LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN ITEM 3: I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my death, in equal shares, unto FREDA M. HUGHES, HAZEL M. LITTLE, BARBARA A. WONDERS, AND JEFFREY F. HUGHES, provided, however, that they survive me and are living sixty (60) days after the date of my death. ITEM 4: If and in the event that FREDA M. HUGHES does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate, which she would have received, if living, to her husband, BERNARD F. HUGHES. A. If and in the event that HAZEL M. LITTLE does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate, which she would have received, if living, to the issue of HAZEL M. LITTLE, per stirpes. B. If and in the event that BARBARA A. WONDERS does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the ~'l. 'to~--. 2 LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN interest in my estate, which she would have received, if living, to the issue of BARBARA A. WONDERS, per stirpes. C. If and in the event that JEFFREY F. HUGHES does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate, which he would have received, if living, unto his wife, MEREDITH HUGHES. ITEM 5: I direct that the one-fourth (1/4) residuary share of my estate that I have bequeathed unto BARBARA A. WONDERS be placed and held in a restricted savings account at PNC Bank, N.A. in Boiling Springs, Cumberland County, Pennsylvania until she becomes sixty-five (65) years of age, at which time all of the proceeds from said restricted savings account shall be distributed to her. until the said BARBARA A. WONDERS becomes sixty-five (65) years of age, I direct that she only receive the interest generated from the restricted savings account. ITEM 6: I hereby nominate, constitute and appoint BERNARD F. HUGHES of 307 West First Street, Boiling Springs, Pennsylvania, Executor of this my Last Will and Testament, with full power to do any and all things necessary for the complete administration of my ~. ~.~ . IVU..R- .,.,...... ./) E L. HOFF ~ +1 3 LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN estate, and direct that no bond or other surety is required of him in this or any other jurisdiction for his performance of this office. If and in the event that BERNARD F. HUGHES does not survive me and is not living sixty (60) days after the date of my death, or does not complete his duties as Executor, then and in such event, I hereby nominate, constitute and appoint JEFFREY F. HUGHES of 190 Lindorf Street, Ulster Park, New York, Executor of this my Last will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond or other surety is required of him in this or any other jurisdiction for his performance of this office. ITEM 7: If any provision of this will or of any Codicil hereto is held to be inoperative, invalid or illegal, it is my intention that all the remaining provisions thereof shall continue to be fully operative and effective, so far as is possible and reasonable. ~ . 'f~ ~ ~D ,.-. ~ MARl T. "1iOFF t1Z '" 4 LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN IN WITNESS WHEREOF, I, MARIE L. HOFFMAN, the Testatrix, have to this my Last will and Testament, typewritten on five (5) consecutively numbered pages, subscribed my name and affixed my seal this f}.1i- day Of~ ' 1994. ~~"L' /:"Y,#-"" (SEAL) signed, sealed, published and declared by the above named MARIE L. HOFFMAN, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and of each other. ~~/~/1residingat~~1'1~~ jJ./f7d6~ ~r;'" tl."J", Jt.:.residingat ~'&j ~J~/~' /?-;Z 5 ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Marie L. Hoffman Date of Death: March 30, 2002 Will No. 2002-00427 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Au gu s t 8, 200 2 : Name Address Freda M. Hughes, 307 W. First st., Boiling Springs, PA 17007 Hazel M. Little, 1968 Fullerton Ave., Costa Mesa, California 92627 Barbara A. Wonders, 414 Pine Road, Mt. Holly Springs, PA 17065 Jeffrey F. Hughes, 190 Lindorf Street, Ulster Park, New York 12487 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except All have received notice. Datea~1e~/3, :("02- C2~~ Y'~~""&r~ Signature Name Anthony L. DeLuca, Esquire 113 Front st., P.O. Box 358 Address Boiling Srpings, PA 17007 Telephone c7 1? 2 58- 6844 Capacity: _ Personal Representative ~Counsel for personal representative ftEY.1500EXl6-OO1 w .... :!Il::.:!(f.I "",,,, W"" ,,00 ,,"''''' ..", .. '" REV-1500 OFFICIAL USE ONLY Co.-/ , COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0801 INHERITANCE TAX RETURN RESIDENT DECEDENT /7-&0"'7 L2LL.122 NUMBER FILE NUMBER d -tL~ couNke YEAR SOCIAL SECURITY NUMBER 023 - 12 - 1503 THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Return (date of death poor to 12-13-82) D 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Al1ach Scl10l NAME Anthony L. DeLuca Es uire FIRM NAME ("Applicable) . it', " COMPLETE MAILING ADDRESS 113 Front Street P.O. Box 358 Boiling Springs, PA 17007 (11) (12) (13) 31,258.78 (1) $97,000.00 OFFICIAL USE ONLY (2) -0 (3) -0- (4) 0 (5) 16,372.00 (6) -0- (7) -0- (8) $113,372.00 (9) 18,525.83 (10) 12.732.95 I- Z W C W (,) W C DECEDENTS NAME (lAST, FIRST, AND MIDDLE INITIAL) HOffman, Marie L. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) March 30, 2002 September 26, 1913 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 82.113.22 -0- (14) 82,113.22 09 1. Original Return o 4. Limited Estate ~ 6. Decedent Died Testate (Al1ach cop-y a/Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dalecAdealh after 12.12-82) o ], Decedent Maintained a Living Trust (AlIach copy of Trust) o 10. Spousal Po....erty Credit (dale cA dealh tletween 12.31.91 and 1-1-95) -0- (19) -0- -0- 12,316.98 12,111> 96 .... Z W C Z o .. '" w '" '" o " TELEPHONE NUMBER 717-258-6844 , ;- ',: ,"':.'"', ~ . -<:" - _ _ ~ . _ 'J ~ ~ \ 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Recei....able (Schedule D) z o ~ ::l l- ii: < (,) W Q: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrati....e Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;i I- ::l Q. :E o (,) ~ 15. Amount of Line 14 taxable at the spousal tax rate, or translefS under Sec, 9116 (a)(I.2) x,O_ (15) 16. Amount of line 14 taxable at lineal rate x,O_ (16) 17. Amount of line 14 taxable at sibling rate x ,12 (17) 82,113.22 x ,15 (1B) 18. Amount of Line 14 taxable al collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: I ,~,~~ CITY I STATE Tax Payments and Credits: 1. Tax Due (Page Hille 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (I) 12,316.98 Total Credits (A+ 8 + C) (2) -0- -0- (3) (4) -0- (5) 12,316.98 (SA) -0- (58) 12,316.98 3. InteresUPenal1y ~ applicable O. Interest E. Penalty TotallnteresUPenalty ( 0 + E) 4. If Une 2 is greater 1I1an Une 1 + Une 3, enter the differe""". This is the OVERPAYMENT, Check box on Page I line 20 to request a refund 5. If Une 1 + Une 3 Is greater than Une 2, enler the difference. This is Ihe TAX DUE, A. Enter the interest on the tax due, " . I ZIP 8. Enler the total of Une 5 + SA. This is Ihe BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ~'.~..,' ~.'..~~- ~-", .' .;~, .: '.;; -, '~>i'<~:.. '..",. Ii:: PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;............................... ................ ................... ................... 0 b. retain Ihe right to designate who shall use the property transferred or its income;.." .."..""....". ...... 0 c. retain a reversionary interest; or.. ........."...............".n.m.............. ....."............................._ ...."......... 0 d. receive the promise for life of either payments, benefits orcare?"."""......"""....""......."...""....""".".. ..."".. 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....""."............"".""..""."""".."...."..."."".""......."..,,."""""""'" ".", 0 3. Did decedent own an 'in trust for" Dr payable upon dealh bank acoount Dr securily at his or her dealh?"."..""... 0 4. Did decedent own an Individual Retirement Account, annuily, or olher non.probate property which contains a beneficiary designation? ................. .._............ ..... ......,....,......... ........... .. ...................... ...... .......... ..... .... No [Xl [Xl [XJ [Xl [XJ IXI o ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTiONS is YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of pel]ury, I declare that \ have examined this rerum, induding accompanying SChedules and statements, and to /he besl of my knowledge and belief, it is true. corre<::t and complete. Oeetara~on of preparer other than the personal representative is based on all mfotmatlon r;I whfch preparer has any knowledge. j J107 "". f:-'^OT sr DATE tJ ,/ -/8- O,;h ADDRESS I, For dates of dealh on or after July 1, 1994 and before January 1, 1995, the tax rale imposed on Ihe net value of lransfers to or for the use of Ihe surviving spouse is 3% 172 P.S. g9116 (a) (1.1) (il]. For dates of dealh 011 or after January 1, 1995, Ihe tax rate imposed on Ihe net value of transfers to Dr for the use of the surviving spouse is 0% 172 PS. g9116 (01 (1.1) (ii)]. The stalute does not exemot 0 lransfer to a surviving spouse from tax, and Ihe statutory requirements for disclosure of assels and fiiing a lax return are sUI! applicable even ~ Ihe surviving spouse is the only beneficiary. For dates of dealh on or after July 1, 2000: The tax rale imposed on Ihe net value of transfers from a deceased child twenty-one years of age Dr younger at death to or for Ihe use of a natural parent, an adoptive parent, or a stepparent of Ihe child is 0% [72 P.S. g9116(a)(1.2)1. The tax rate imposed on Ihe net value of transfers to or for the use oflhe decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. g9116(1.2) [72 P.S. g9116(a)(I)J. The tax rate imposed on the nel value of transfers 10 or for the use 01 the decedent's siblings is 12% 172 P.S. g9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common wilhthe decedent, whetl1er by blood Dr adoption. REV-1502 EX+ (12.851 . _~ i'" ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Marie L. Hoffman (Property jointly..owned with Right of Survivorship must b. disclosed on Schedule F) All real.stat. should b. reported at fair market value which is d.fined os the price at which property would b. exchanged between a willing buyer and a willing s.II." neither being compelled to buy or s.II, both having reasonable knowledge of the relevant facts. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Residence at 303 West First street, Boiling Springs, PA 17007. See attached Settlement Sheet $97,000.00 TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of some size.) 5 97,000.00 ~ REV.1503 EX+ 14-86) w SCHEDULE B STOCKS AND BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN '\,j RESIDENT DECEOENT ESTATE OF FILE NUMBER Marie L. Hoffman (AU property iointly-owned with Right of Survivorship must b. disclos.d Olt Sch.dul. F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. NONE -0- , TOTAL {Also enter on line 2, Recapitulation) (Jf more space is needed, insert addifional sheeh; of some she.) s -0- REV_l.507 EX. [7.881 " .~ COMMONWEALTH OF PENNSYLVANIA. 'NHU-'TAHtE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES AND NOTES RECEIVABLE Please Print or Type I FILE NUMBER ESTATE OF Marie L. Hoffman (All proJNIrty lointly..owned with the Right of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH NONE -0- TOTAL (Also enter on line 4, Recapitulation) S - 0- (If more space ;s needed, insert additional sheets of some size.) RE'o'.\S08 EX+ 12-87) ~ SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plea,e Print or Type fILE NUMBER COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DEC!:DENT ESTATE OF Marie L. Hoffman (AU properly iointly-owrled with the Right of Survivorship must b. disdosed on Schedule F) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Miscellaneous Personal Property See attached exhibit from Public Sale Balance in checking account at M&~ Bank 15,655.05 716.95 2. TOTAL (Also enter on line 5, Recapitulation) S. 16,372.00 _---:-.._-- (Anoch additional S~.. ,c 1'" sheets if more space is needed.' ..-----.,-,.-' -'--::.::-:.:;-:-'~~:;~ ....1!09"'.~,..~ '*' , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE Of Marie L. Hoffman I FILE NUMBER Joint tenant(sJ: NAME ADDRESS RELATIONSHIP TO DECEDENT . A. NONE B. C. Jointly-awned property: LETTER ITEM fOR NUMBE JOINT TliNANT DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECO'S DOLLAR VALUE OF % INT. DECEDENT'S INTEREST 1. TOTAL {Also enter o.n line 6, Rec.opit\.llation) s -0- (If more space ;s needed insert additional sheets of same size) 1l~V.1~11 EX... (7-B81 . t~ COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Please Print 0' Type FILE NUMBER Marie L. Hoffman ITEM NUMBER AMOUNT DESCRIPTION A. Funeral Expenses: B. 4. c. 2. 3. 4. 5. 6. 7. 8. 1. $6,552.00 Ewing Brothers Funeral Horne 630 S. Hanover Street Carlisle, PA 17013 Administrative COSTS: 1. Personol Rep,esentotive Commissions Social Security Number of Personal Representafive: 5,500.00 Year Commissions paid 2002 2. ,Attorney Fees 6,000.00 Anthony L. DeLuca, Esquire 3. ' Family Exemption Claimant Add,ess of Claimant at decedent's deoth St,eet Add,ess Relationship City Zip Code State Probate Fees 280.00 i MisceJlaneous Expenses: i 1. Legal Advertising - Cumberland Law Journal Legal Advertising - The Sentinel 75.00 93.83 Filing Fee - Inheritance Tax 15.00 10.00 Filing Fee - Invent~vy TOTAL (Alsa enter on line 9, Recapitulation) 18,525.83 s (If more space is needed, insert additional sheets of same size.) RE".15'2EX.[1.q31_~ .'.~ COMMONWEALTH OF PENNSYt.VANIA INHERITANCe TAX RETURN RESIOENT DECEDENT ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or Type I FILE NUMBER Marie L. Hoffman ITEM NUMBER AMOUNT DESCRIPTION 1. 2. 3. 4; . 5. 6. 7. 8. 9. Telephone bill to Sprint (Local1j Telephone bill to MCr [Long Distance] Electric bill to Met-Ed Water/Sewer bill to SMTMA Gas bill to Carlisle Propane Corp. Appraisal of residence to Steven W. Barrett Nursing home bill to Sarah A. Todd Memorial Home Actioneer's fee for attempt to sell residence at public sale Costs of selling decedent's residence. See attached Settlement Sheet. 81.82 13.61 48.50 103.95 28.24 250.00 2,334.50 1,523.31 8,349.02 TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of some size.) $ 12,732.95 CODICIL TO 21-02-0427 LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN I, MARIE L. HOFFMAN, of 303 West First Street, Boiling springs, Cumberland County, Pennsylvania, do make, publish -and declare this to be the first Codicil to the Last will and Testament executed by me on September 2, 1994, in the presence of (Name of witnesses) FIRST: I revoke and annul ITEM 5: of my Last will and Testament executed by me on September 2, 1994. In all other respects, I ratify and confirm all of the provisions of my said will dated September 2, 1994. IN WITNESS WHEREOF, I, MARIE L. HOFFMAN, subscribe my name, this 1'7~day of December, 1998. ~a~~d Mar L. Hoffma ~41 "'1----- The foregoing instrument, consisting of one typewritten page was signed, published and declared by MARIE L. HOFFMAN, the Testatrix, to be the first Codicil to her Last will and Testament in our presence, and we at her request and in her presence and in the presence of each other have hereunto subscribed our names as witnesses this day of December, 1998. a~~A~~i~: /n!tJr~ (J-/p-p,~ residin9:at ~fk~I/7~ 'j3(<<!tl/~jf;i~~~1 -:'rh--- -.. .:....-".'":..".- .~-;:-:;::_..-':"i:~.- - _.~::.:C-=-:::..::.:......".:~> '- 'r"f-~ 21-02-0427 LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN I, MARIE L. HOFFMAN, a resident of Boiling Springs, Cumberland county, Pennsylvania being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last will and Testament, hereby revoking all wills and Codicils heretofore made by me. ITEM 1: I direct that all my just debts, the expenses of my last illness and funeral expenses be paid as soon after my decease as the same can conveniently be done. ITEM 2: I direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this will or otherwise, excluding, however, any property over which I have a taxable power of appointment, provided, however, that no residuary beneficiary shall by reason of this provision be denied the benefit of any deduction, credit, favorable rate of tax or other benefit which by law enures to such beneficiary. ~.;~ ~~if"~ (?4~ .L. H F 1 ~~""'..;: ~~ _ ~, ,,.':! ."..:.'::-,c:.'::':'':::..':--,-,-__ ~". -,-':'':':''",'''-~';:!G::~:~:::: .:.'--._--'-.--'_~.-.,.,.::~::::..~~:E...::: :::.-,"""". ~n.","-~--=-~;'S:c. ,...---.~...-- LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN ITEM 3: I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my death, in equal shares, unto FREDA M. HUGHES, HAZEL M. LITTLE, BARBARA A. WONDERS, AND JEFFREY F. HUGHES, provided, however, tha t they survive me and are living sixty (60) days after the date of my death. ITEM 4: If and in the event that FREDA M. HUGHES does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate, which she would have received, if living, to her husband, BERNARD F. HUGHES. A. If and in the event that HAZEL M. LITTLE does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate, which she would have received, if living, to the issue of HAZEL M. LITTLE, per stirpes. B. If and in the event that BARBARA A. WONDERS does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the ~AI~. 'to/tdt~-~ 2 . '''_L-.:'''''~,,,,,, ,.._;.'..,..." LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN interest in my estate, which she would have received, if living, to the issue of BARBARA A. WONDERS, per stirpes. C. If and in the event that JEFFREY F. HUGHES does not survive me and is not living sixty (60) days after the date of my death, then and in such event, I give, devise and bequeath the interest in my estate, which he would have received, if living, unto his wife, MEREDITH HUGHES. ITEM 5: I direct that the one-fourth (1/4) residuary share of my estate that I have bequeathed unto BARBARA A. WONDERS be placed and held in a restricted savings account at PNC Bank, N.A. in Boiling Springs, Cumberland County, Pennsylvania until she becomes sixty-five (65) years of age, at which time all of the proceeds from said restricted savings account shall be distributed to her. until the said BARBARA A. WONDERS becomes sixty-five (65) years of age, I direct that she only receive the interest generated from the restricted savings account. ITEM 6: I hereby nominate, constitute and appoint BERNARD F. HUGHES of 307 West First Street, Boiling Springs, Pennsylvania, Executor of this my Last will and Testament, with full power to do any and all things necessary for the complete administration of my ~. ~..~ ' n/U~ h ' ~.f ~/)'<l E L. HOFF . / 3 - ;1-,-' \' .~ - LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN estate, and direct that no bond or other surety is required of him in this or any other jurisdiction for his performance of this office. If and in the event that BERNARD F. HUGHES does not survive me and is not living sixty (60) days after the date of my death, or does not complete his duties as Executor, then and in such event, I hereby nominate, constitute and appoint JEFFREY F. HUGHES of 190 Lindorf street, Ulster Park, New York, Executor of this my Last Will and Testament, with full power to do any and all things necessary for the complete administration of my estate, and direct that no bond or other surety is required of him in this or any other jurisdiction for his performance of this office. ITEM 7: If any provision of this will or of any codicil hereto is held to be inoperative, invalid or illegal, it is my intention that all the remaining provisions thereof shall continue to be fully operative and effective, so far as is possible and reasonable. '~~.~f;:r{tt~n MARl L. OFF ;' 4 ,..- ~~~-_.. -,-, :~:;2~~~':"- :,".~~- :Z:~:~':''-::~ ._~---------_. -- -.- '"'- LAST WILL AND TESTAMENT OF MARIE L. HOFFMAN IN WITNESS WHEREOF, I, MARIE L. HOFFMAN, the Testatrix, have to this my Last will and Testament, typewritten on five (5) consecutively numbered pages, subscribed my name and affixed my seal this:7.-1i- day Of~~ ' 1994. ~ . . " 'l' Y'-lf{f;~ ~ .p'~ (SEALl Signed, sealed, published and declared by the above named MARIE L. HOFFMAN, as and for her Last will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and of each other. ~'>."'&,f."idingat 4';P7l '-'7t; jJ. a,,,;> ~/";i;~;;. {).lJ~ x: <tresidingat YJ~-7 l~JhJ~1 r~. /"1'&)0;7 'i f J A. Settlement Statement U.S. Department of Housina and Urban Development A-.. ,r OMB No. 2502-0265 B. Type of Loan 1.oFHA 4. OVA 2. 0 FmHA 5. 0 Cony. Ins. 3. [8J Cony. Unins File Number P129-865/R&Dp Loan Number Mortgage In~ur~nce Case Number c. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "p.o.c" were paid outside of closing; they are shown here for informational purposes and are not included in the totals. D.NI\ME AND ADDRESSOFBOFlROWER:JoelD. Ramp . 7800 Wel1zvl/le Road, CarlIsle, PA 17013 Tanya M, SmIth 3800 Spring Road, Shennansdale, PA170~: E. NAME AND ADDRESS OF SELLER: Estate of Marle L. Hoffman 303 West FIrst Street, Bolling Springs, FA 17007 Orrstown Bank P.O. Box 250, Shlppensburg, PA 17257 F.NAMEANQ ADDRESS OF LEND.ER: G. PROPERTY 303 West First Street LOCATION: Boiling Springs, FA 17001 J"ksElTLEMENT AGENT: :'.;;':l>LACEO~.SETTLEMENT: '"'j''' TIN: I. SETTLEMENT DATE: 12/0512002 RESCISSION DATE: J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100; GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: .'.: 101; COnlrsct Salea Price .<07 non no 401. Contract Sales Price 597 000.00 102. Perlonal Prooertv 402.Personalmooertv 103; S~menb Charges to borrower: 403. '.' lfrom line 14001 $3,194.75 104. 404. 105..... . ... ..' <405. . '. c:c c:c ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: l06:CItyIlowli 18... 10 I <406. Cityftown Taxes to . '. 107. County Taxes 12/05/2002 10 01/01/2003 $21.28 407. County Taxes 12/05/2002 to 01/01/2003 $21. 28 '10S;Au8Isments 12/05/2002 10 ". 01/01/2003 $850.63 408. Assessments 12/05/2002 to 01/01/2003 '>$850.63 109. 409. 110. 410. . . 111. 4". 112. 412. .. '.' .<', 120. GROSS AMOUNT DUE FROM BORROWER: $101,066.66 420. GROSS AMOUNT DUE TO SELLER: $97,871.91 200.'AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: . ...... ..... 201. Deposit or earnest money $3,000.00 501. Excess deposit (see instructions) 2.02. ,Principal amount of new loan(s) ..... $110,000.00 502. Settlement chargel to seller (line 1<400) $8,349.02 203. Existing Ioan(s) taken subject to 503. Existing loan(s) taken subject to 204: . . 50<4. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan '206."" . 506. 207. 507. 20B.'!'" SOB, . '. CCC' ..... 209. 509. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: 210. Cityltown taxes to 510. City/town taxes to . -;'211. County taX\llS to 5". Counlytaxel to 212. Assessments to 512. Assessments to 213. 513. , 214. 514. '.'.\215.' < . 515. ... '. . 21B. 516. ::;:211:' ...... ..... .. ........... . ,.... I'" 517. '" ..' ...., .. ,....,.;:..' 218. 518. O'Brien, Baric & Scherer .17 West South Street, Carlisle, PA 17013 25-1708515 HUD.1 {Rev. 3/86) L OMS No. 2502-0265 700. TOTAL SALES/BROKER'S COMMISSION PAID FROM PAID FROM BASED ON PRICE $97,000.00 @ ". $5,820.00 BORROWER'S SELLER'S FUNDS FUNDS DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: AT AT 101. I. SETTLEMENT SETTLEMENT 702. $5,820.00 .. Cen tury 21 - Coon ~ Co. 703. Commi,.iOl'l paid .t .euremenl $5,820.00 704 Tran.saction Fee to Century 21-Coon & Co. $125.00 SETTLEMENT CHARGES 800 ITEMS PAYABLE IN CONNECTION WITH LOAN' 801.lotlr1or1ginallon fee " I. Orr.stovn Sank $750,00 ... 602. loan dlfcounl " 803. Apprels.' fee to 804. Credit report 10 805. Lender'f In.peclion fM ---;- 806. Mortgage In.urance application tee to 807. Alsumptlon ree 808. Doc Prep Fee to Orr".tovn Bank $250.00 809. ... 810. '". ......... ... .. . .. ...... 900 ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE' 901"tntereslfrom . 12/05/2002 to 01101/2003 @ Id., . . .... 902. Mortgege Insurance premium ror mos. 10 903. Hazard Insuranc9 premium for yr.. 10 .. .. . 904. Flood Insurance premium for yrs.lo 905. . 1000. RESERVES DEPOSITED WITH LENDER: 1001. Huard Insuranca 1002. Mortgage Insurance 1003. Cl\y property lB)le. 1004. County properly laX8S 1005. MmHll Unnml'lnts 1006. Flood Insurance 1007, 1008. 1~. A re ate Accountin 1100 TITLE CHARGES' monlhso morllh.@ months @ mor'llhs@ monlh.@ months @ morllhS@ monlhs @ Escrow Ad'ustment permonlh per monlh per mOOlh per monlh per month per month per mOMlh "'" mon!h 1101. Samemenl or closing fee 10 1102. Abslnid Dr lille search 10 1103. Title 8xllmine1ion 10 1104. tllle insurerice binder 10 1105. Document preperalion 10 11OS.Nal8/)' '88110 C.sh $8.00 .. 1107. Altomey'l fees 10 Anthony L. DeLuca, Eaquire (POC) --- --- -- -- -- - ~ - - - - Includes above jleml Numbers' 1108: llUe Inll,.Klncelo O'Brien, Baric. Ii Scherer flndudel above Uams Numbers: 1101-1105 J.107-1111 1109. Lender'lcoverege $908,75 1110. Owner'SCOV8t 1111. End5 1300-$50 1900-$50 1112. 1113. 1200 GOVERNMENT RECORDING AND TRANSFER CHARGES' $110,000.00 I $97,000.00 I 1201. Recording feel: Deod $38.50 : Mort,... $44.50 ; ReMase. $83.00 1202. City/OO\Jl"I\'f \alll$\amps D.", $970. 00; Mortgage $970.00 1203. Sllle lax/slamps' De.d $970.00;MOrlgage $970.00 1204. 1205; .: . . 1300 ADDITIONAL SETTLEMENT CHARGES' 1301. Survayto 1302. Pesllnspecllon 10 1303. Judy Campbell ('02 ao11001 bill at pen) $1,486.42 1304 SM'1MA (water/aewer act 1002026) $72.60 1305. .. I . ...../ .. \306. 1307. . . . .. ~7 - w~'7\1 --- JohnF. Kohler, Jr. - Auctioneer Final Settlement Owner E So'l1'tT6 0 ~ HAYU E""" Address {"',()Il..'Al r. sOiLlt-l(, ~ ( Date of Sale S - "2-1 - Q"L. Auctioneer -K () "'- U:J"- Other Date HIlr--t ~ "0M\ L , U,dl>\S \..rt'lFFHI'W ~t\ C'J~~.O F- H-vGI-t Pi4- - 11l) G ') Sale Location Clerk (bA:tfB"W ~..; ~\..J~y Cashier -. $ 7.'C-, G A (j. Oil.- PROCEEDS OF SALE: Cash ................... ---.+U-l- Checks. . . . . . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Miscellaneous (see attached list) . ......... ..... Total Proceeds of Sale .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LESS SELLER'S SALE EXPENSE: Auctioneer's Fee. . . .. . . .. }:/Q ~d~ .. .. . .. . .. .. . . $ Other Seller's expenses advanced by auctioneer: kp.ND~lI.-L P6GS. q ad $ 'Gel 09'- {/Jr 2- '7 'C_1J 3~I,rr Miscellaneous (see attached list) .. . . . . . . . . . . . . . Deduct Total Seller's Sale Expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total Net Proceeds to Seller .......... . . . . .. .. .. .. .. . . .. .. . .. . . . . . . . .. . . ~.s- $ ~~5~. ~ $ I 5',.... o~ ( I, (or we), the seller of goods. merchandise, and/or property sold at public aucLion on above date and location. acknowledge and accept tbis settlement of proceeds of sale. I (or we) agree to accept all responsibility for providing merchantable title to all goods, merchandise, and/or property sold, and for delivery of Litle to tbe purchaser. (Seller's Signature) (Seller's Signature) , COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss: Bernard F. Huqhes being duly sworn according to law, deposes and says that he is the Executor ot the Estate of Marie L. Hoffman fate ot ~out_h Miqd_l~_t.Q.n__T_Qwn~n i.p , Cumberland County, Pa., deceased and that the ....ithin is an inventory made by him I the said Executor ot the entire estate ot said decedent, consisting of all the personal propoarty and real estate, except real estate outside tne Commonwealth of Pennsylvania, and that the figures opposite each item of the 1nventory represent it's fair value as or the date of decedent's death. Sworn and subscribed before me, ,x 10 Kr(.//fU hu /Y I ~x 2002 ,fl~DLA d r~fI.: /.r:/- 1.'~: 0/, Executor .. .f ministr~tor 307 West First Street Boiling Springs, PA 17007 Address March 2002 Jate of Death .. Day Month Year INSTRUCTIONS An inventory must be filed within three months atter appointment of personal representative. A supplement inventory must be filed within thirty days of discovery of additional assets. Additional sheets may be attached as to personalty or realty See Article IY, Fiduciaries Act of 1949. " i I .! >- ""0 0" 41 l'-- ~ W '" Ul N ~ 0:: ~ III ~ W -< <l) "" 0... t- v 0 0 0 Vl c:: <l) 41 ... I w W 0 C'I IC >- :c 0:: IC '0 III 41 N J- 0... E 0... () c: 0 Z ~ -I u.. -r-! III ::l ... <: 0 4-l :a: 0 I u.. -I 0... ~ === W 0 <: w 4-l >. Q) .- > 0:: 0 ..c:: <C N Z ::t:: - Cl Z 0 +J c: C ::l ;, 0 Vl Z 0 . 0:: . 0 C,) ~ Z w <C ~ CI) - 0... ""0 :>. Q) c: III c:: 'r-! - t: 1-1 0 <l) 0 IC ..J:J ""0 ~ ..c:: :a: oil E Ul 0 +J - := 0 c:: III -I () u: cc oCt; ~nventory of the real and personal estate of Marie L. Hoffman deceased 1 . Residence at 303 West First street, Boiling Springs, PA 17007. 2. Miscellaneous Personal Property from public sale 3. Balance in checking account at M&T Bank (3. 97,000. 0 15,655.05 716.95 13,372.00 II , I I I I i Ii iI i: )/ Ii ii !I I, I: 'I il I II , I I I i j .< COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 260601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DELUCA ANTHONY L ESQUIRE 113 FRONT STREET BOILING SPRINGS, PA 17007 _nnn_ fold ESTATE INFORMATION: SSN: 023-12-1503 FILE NUMBER: 2102-0427 DECEDENT NAME: HOFFMAN MARIE L DATE OF PAYMENT: 12/23/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 03/30/2002 NO. CD 001982 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $12,316.98 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: BERNARD F HUGHES C/O ANTHONY L DELUCA ESQUIRE CHECK#130 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS $12,316.98 DONNA M. OTTO DEPUTY REGISTER OF WILLS /';- "0- 7 \, BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ANTHONY L DElUCA 113 FRONT ST PO BOX 358 BOILING SPGS ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-17-2003 HOFFMAN 03-30-2002 21 02-0427 CUMBERLAND 101 *' REY-1541 EX AFP 101-051 MARIE L Allount Rellitted PPi, a. 7.007 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=is4j-EY-AFP--coY:oiY-NoYicE--OF-YtiHEii'iTANCE-YA';rAPPRA-isEMENT~--Ail-oWANCE-OR------------ -- - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOFFMAN MARIE L FILE NO. 21 02-0427 ACN 101 DATE 02-17-2003 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) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 97. 000.00 .00 .00 .00 16,372.00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ~ 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 TAX CREDITS: .00 X 00 = .00 .00 X 045 = .00 .00 X 12 = .00 82,113 . 22 X 15 = 12,316.98 (19)= 12,316.98 (9) (10) 18,525.83 12,732.95 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 113,372.00 31.258 78 82,113 . 22 .00 82,113.22 ~_. (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-23-2002 CDOO1982 .00 12,316.98 TOTAL TAX CREDIT 12,316.98 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . 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 MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 DELUCA ANTHONY L ESQ 113 FRONT ST BOILING SPRINGS, PA 17007 RE: Estate of HOFFMAN MARIE L File Number: 2002-00427 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/30/2005 Your prompt attention to this matter will be appreciated. Thank You. r~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge J . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: M~riA To Hnffm~n DMeofDeaili: March 30, 2002 Estate No.: 2002-00427 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report ilie following with respect to completion of ilie administration of the above-captioned estate: I. State wheilier administration of ilie estate is complete: . Yes 51. No 0 2. If ilie answer is No, state when ilie personal representative reasonably believes that ilie administration will be complete: 3. If the answer to No. I is Yes, state the following: a. Did ilie personal representative file a final account wiili the Court? Yes 0 No !Xl b. The separate Orphans' Court No. (if any) for ilie personal representative's account is: c. Did the personal representative state an account informally to ilie parties in interest? Yes IU No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed wiili ilie Clerk ofilie Orphans' Court and may be attached to this report. . Cb.-u~ ;r?,d,k/A./-'0f Signature )" ~~~e:~..I 'I~ 7 of ~ ~""r Anthony L. DeLuca, Esquire Name 113 Front St. P.O. Box 358 Address Boiling Springs, PA 17007 717-258-6844 Telephone No. Capacity: 0 Personal Representative JXJ Counsel for personal representative V'-