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Home My WebLink About02-0480 PETITION FOR PROBATE and GRANT OF LETTERS ":'1 ~ Q..s....e.t:/h J/. fj''--'ldt4M udp ~A Estate of L~Sue Delp AKA Suella V. Delp, S,,"''' u ~ 'f No. 21-02- I/?V also known as(2)......rSueElla V. Delp To Register of Wills for the Social Security No. 186-24-8279 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 and the executor 1 the last will of the above decedent, dated April 10, 1992 nd codicil(s) dated N/A named (state relevenat CIrcumstances, e.g. renunciatlOn, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with ler last family or principal residence at .016 Harrisburg Pike, North Middleton Township, Cumberland County, Carlisle (list street, number and mumclpality) Decedent, then 83 years of age, died ;arah Todd Home, 1000 W. Sooth Street, Cumberland County, Carlisle PA Except as follows, decedent dId not marry, was not divorced and did not have a chIld born or adopted ,fter execution of the will offered for probate; was not the victim of a killing and was never adjudicated ncompetent: No Exceptions April 19, 2002 )ecedent 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 lalue of real estate in Pennsylvania :ituated as follows: /tfJ/6' ;//~):5P((! /.;Ce.. .c;'~<..T/e ,-r'fr /7.,-3 , $unestilH8ted ,,?i'; f) DOB.!- $ $ $ 7 5- 6) ,06)- . WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) )resented herewith and the grant of letters testamentary (testamentary; admimstratlOn c.t.a.; administration d.b.n.c.t.a.) hereo n. ~;:. / , ~ ' /7 JPf!n L. Delp 1014 Harrisburg Pke ::arlisle PA 17013 /c= V /~....f~/ OATH o.F PERSONAL REPRSENTATl V E ::OMMONWEA TLH OF PENNSYLVANIA ::OUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirn1(s) that the statement in the foregoing peition are rue and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- ative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. . ;worn to or affirmed and subscribed 0?c.~; / AY~ ~-/ ,efore me this 10th day of /,7 May,t002 tI! -.A . 2{flff}Jt! ~, LA'I.uJ oil JiM J ^f1 Register /7-(.,</-,5 ~o. 21-2002-480 (2) (3/ Estate of Sue Delp AKA Suel a V. Delp, and SueElla V. Delp (1) Sue Ella V.J;lernm;d.Deceased ue.l.p DECREE OF PROBA TE A~D GRA~T OF LETTERS AND NOW May 16th, 2002 in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated_ April 10, 1992 de~cribed therein be admitted to ~robate and fi~d of record as the 11Ist will of 2) 11 ( (4) ue Delp AKA Suel a . Delp, ue Ella V. Delp and SueElIa V.~ Delp and Letters Testamentary are hereby granted to John L. Delp FEES Probate, Letters, Etc. $ 200.00 Short Certificates(3) $ 9.00 Renunciation $ x-Pages $ -lJ- ,1CP 5.00 copies Total $ . 'i0<: Filed.. .':':f!Y..l~.tD.,.?.9.R2... ~.. .?14. 50 ~1 (2.~fiW ~i#j Register of wiils MARY C. L"t.'WlS Stephen D. Tiley ATTORNEY (Sup. Ct. I.D. No.) 5 South Hanover Street Carlisle, Pennsylvania 17013 ADDRESS (717) 243-5838 PHONE 32318 ); \'J . ., 0_, ('.11...\.\.."...1 70. i-.-!.j: ,-- CALL ATTORNEY ST8PHEN TILEY ON 5/16/2002 REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith,. (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat in h presence and (in the presence of each oth.er) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19 (Name) (Address) Register (Name) (Address) 21-2002-480 REGISTER OF WILLS OF /-~.n>ied~..( COUNTY OATH OF NON-SUBSCRIBING WITNESS ~ fu L'. ..2/e/,p (each a subscriber hereto, (each) bci'ng duly qualified according to law, depose(s) and say(s) tha; ~I!!- familiar with the signature of 5Lt. wt'!. b //4- J/, .oe"p l ". eseiro:il testat~ of (one of the subscribing witnesses to) the G:i!/ presented herewith and codicil believes the signature on the will is in the handwriting of Ae- that .J:;.",~ /t .LA~ to the best of A/~ knowledge and belief. 7 ;/ _ /') __ /~ ,! ~ ) . . ' _/ ~ ,'~A'.,/. :--- .?/~. Sworn to or affIrmed and subscnbed before /)/U n c/ .1/.' ""'1~ me this 10th day of/OA"y 2. z:>.e-f:>(Name) May _ ~ ~ /' t9 /Y "L~h.6"'7 .q-4'~ }Jl1 f!.~/~jJbJ,~ I. (Add;ess) MA C. LEWIS Registe ~~ff/e /'.4 /' . /' 7"""'-3 (Name) (Address) REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the wiU presented herewith,.. (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the reqUest of testat in h presence and (in the presence of each oth,er) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19 (Name) (Address) Register (Name) (Address) r', 21-2002-480 REGISTER OF WILLS OF r'T1M"P~L^WD COUNTY Ir" ;:..; OATH OF NON-SUBSCRIBING WITNESS ,,' p ..: ~.- HEIDI M. DELP_ (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of SueE11a V. De1p x~/lil!il'x testat r ix of (one of the subscribing witnesses to) the will sho is that she presented herewith and 'tlS~lSil believes the signature on the will is in the handwriting of SueE11a V. De1p/ 5u-,!. 4f) 5ud4 ,0 U#~ ) / ~ ---5:,<, fi1/", ,/- /3...""'1'/9-<..( /W4 d. '<--J77. 0UY /J .up Heidi M. DeMi ~. . . ame) (8) 429 Chestnut Street,Mt.Ho11y Spgs, PA 17065 (A ddress) to the best of her knowledge and belief. Sworn to or affirmed and subscribed before me this 15th (Name) (Address) . . . .. . . . . . . . . . . . . . . . . . lla!)t mill anb 1!te!)tament {(~~ Ju ! J~ /(!E/J-:_;z'&dde tUl8for County of ~)k.!!J~gj~d_4!12_ _ n_____._H ____.._____,Illd. ;.)tate of Pennsylvania, being 21-2002-480 , ;1 r-=: IO/1! fill L2,(!JS',g "",rf ' -('Ij1f'~i24, j~/I-,,-_12~f~. ~ of pcund and disposIng mind,. ~ mCI;Il)I"Y "rI,j Ilnderstdndinq, rio llerel.!y ffidkc, publish dnd deClare this as dnd f 1)1 my ~;t t...;111 <i;'I",! T(:'~td.nH.nt. liC'rl:l"l rcvuking dtlrt anlllllling any and all Wi lIs 'I" t : :n'.' )H.:l".'t '.)1 (l! L' llIcHt,_,. r,'/ IlH! ,I t .:firl'lL J ol-J'-'f.'1n,i d~;-(".t ,\11 w'/ Ju~;l Jl't,t~;, tcllH'ldl (>xpi'n~if~c, d:, Wt_~ll <15 the cost or a(jmJnl~:;tratton nnd St'lt.tP'1t,'llt of lilY f's1d.tl.' ',Ii lit' pdld by my I':xccutor/Executrix hereafter named, itS SC1,~)n ,lftcr PlY dt(',.:,'1SL' d:', l;onv~~nil,ntly tnd,/ \'C'. ISltconb. Allot my {,5tdt~~, ft'ill, per~;(1ndl dnd /!llxc'd, of wh,'ltcver kinct and nature and wheresoever situdte, reIDaininq aftl~r pdymcnt of my dcbt~ dnd fUlIeral expenses, I give, ckv15e and bequeath unlo I11Y_~L'f' 7J::)r;r.k L~~~ his/her heirs and assigns, absolutely and in (ce. I ilrbirb, U / C'~ I hereby nominate, consitute and appoint "'r'~'.L-< U E~ecutor/Exeoutrix of this last Will arid 'I'~stament and I direct th t to be the Bole he/she shall not be obli(Jated to tile any bond, inventory 01" apPlaisement or accounting in any puhlic u(fice or tribundl whdtsoevf>r, and further I hereby give and grant unto my sa i d .___~~?J A(_____~_~.. full power and author i ty at any time to sell any real estate which may at any time form part of IllY estate, for such price, upon such terms, in such way and ffianllf:r as may lJe deemed wise, and to make good and sufficient deeds to the purchaser or purchasers thereof without any obligation on the latter to see to or be respon~,ii.)le tor the application of the purchase price. ll1 WSilnr~S g~rrrof, n'&lc day of _ HfJ/21L. A,D" 19 9d-. ~r~..~ W71i ~ bove named testatorl2('}iA l!n. I and for his/her last Will and Testament in the /i)JTJ2g'f have here- unto ge~ my hand and seal this I, the said .. !O!.~~ 6ignrb. Iiltalrb. t)ubli NOTARIAL SEAL SUSAN L HOUGHTON, Notary PuoTlc Carlisle B~ro~ Cumberland County, Pa. My Commission Ex ires July 31,1995 r a a~ presence of us who have at his/her request and in his/her presence an(1 in the presence of each other hereunto subscribed Qur names as witnesses h('reto. '~.JV' d~i(jco_..____ Wi trfess Witness Address AdJre~s ~ . . . .. . . . .. . . . .. . ~ . .. .. . .. . . ~ , t t , ~ . . t t . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU DF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128.0601 REV-1162 EX( 11.96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT STEPHEN 0 TILEY ESQUIRE 5 SOUTH HANOVER STREET CARLISLE, PA 17013 __nnu fold ESTATE INFORMATION: SSN: 186-24-8279 FILE NUMBER: 2102-0480 DECEDENT NAME: DELP SUEELLA V DATE OF PAYMENT: 07/18/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/19/2002 NO. CD 001423 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,000.00 I I I I I I I I TOTAL AMOUNT PAID: $2,000.00 REMARKS: JOHN L DELP C/O STEPHEN 0 TILEY ESQUIRE CHECK# 112 INITIALS: VZ RECEIVED BY: SEAL REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS r# CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Sue V. Delp aka Sue Delp, Suella V. Delp, and Sue Ella V. Bernard Delp Date of Death: April 19, 2002 Will No. Admin.No. 21-02-0480 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: August 29, 2002 Name Address John L. Delp 1014 Harrisburg Pike, Carlisle, Pennsylvania 17013 Notice has now been given to all persons entitled thereto under Rule 5.6)a) except NO EXCEPTIONS Date: August 29, 2002 e:f -<1 7r~ Name: Address: Stephen D. Tiley 5 South Hanover Street Carlisle. Pennsylvania 17013 Capacity:_Personal Representative --.X..Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128.0601 REV- 1'62 EX(1 1-96} RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT TILEY STEPHEN 0 ESQUIRE 5 S HANOVER STREET CARLISLE, PA 17013 ___uu_ told ESTATE INFORMATION: SSN: 186-24-8279 FILE NUMBER: 2102-0480 DECEDENT NAME: DELP SUEELLA V DATE OF PAYMENT: 04/16/2003 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 04/19/2002 NO. CD 002456 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,333.00 I I I I I I I I TOTAL AMOUNT PAID: $2,333.00 REMARKS: STEPHEN 0 TILEY ESQUIRE CHECK#105 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS DONNA M. OTTO DEPUTY REGISTER OF WILLS FIRST AND FINAL ACCOUNT OF JOHN L. DELP, EXECUTOR OF THE LAST WILL AND TESTAMENT OF SUE ELLA V. DELP, AKA SUE DELP, AKA SUELLA V. DELP, AKA SUE ELLA V. BERNARD DELP, LATE OF NORTH MIDDLETOWN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED. DATE OF DEATH: APRIL 19, 2002 LETTERS TESTAMENTARY ADVERTISED: CLJ: May 31st,June 7th & 14th,2002 The Sentinel: May 15th,22nd & 29th, 2002 ESTATE FILE NO.: 21-02-0480 PRINCIPAL RECEIVED ACCOUNTANT IS CHARGED WITH THE AMOUNTS OF PRINCIPAL AND INTEREST RECEIVED AND CLAIMS CREDIT FOR THE DISBURSEMENTS MADE AS STATED BELOW: 2002 April 19 Members 1st, Savings Acct #183315-00 $25.65 April 19 Members 1st, Checking Acct #183315-11 $1,422.61 Accrued interest to April 19, 2002 $2.05 April 19 Members 1st, C/D #183315-40 $2,011.56 Accrued interest to April 19, 2002 $3.51 April 19 Members 1st, C/D #183315-41 $517.89 Accrued interest to April 19, 2002 $1.10 April 19 1993 Saturn Automobile $1,727.00 July 15 Refund, Capital Blue Cross Premium $281.90 July 15 Refund, Sprint $17.73 July 24 Refund, Bankers Life & Casualty Premium $40.47 Aug. 23 Proceeds from Auction of Household Goods $810.00 Sept. 25 Refund, The Bon Ton $25.00 Oct. 30 Proceeds from Auction of Household Goods $399.50 Oct. 30 Refund, U.S. Treasury Tax $39.70 Page 1 ---- Oct. 30 Household Goods, Appraisal $125.00 $75,000.00 Oct. 30 Real Estate, 1016 Harrisburg Pike N. Middleton Township, Cumberland County 2003 Jan. 30 Proceeds from Auction of Household Good $ 249.50 TOTAL PRINCIPAL RECEIVED $82,700.17 INCOME RECEIVED 2002 May 29 Interest, Members 1st C/O #183315-40 $6.84 May 29 Interest, Members 1st C/O #183315-41 $2.01 May 29 Members 1 st, Checking Acct #183315-11 $253.10 June 10 Interest, Estate Checking $.04 July 10 Interest, Estate Checking $.10 Aug. 11 Interest, Estate Checking $.11 Sept. 4 Interest, Estate Checking $.03 Oct. 10 Interest, Estate Checking $.04 Nov. 11 Interest, Estate Checking $1.47 Dec. 1 0 Interest, Estate Checking $5.37 2003 Jan. 12 Interest, Estate Checking $6.10 Feb. 10 Interest, Estate Checking $5.36 Page 2 - March 10 Interest, Estate Checking TOTAL INCOME 2002 July 17 2002 May 10 May 10 May 20 May 20 May 20 May 23 May 23 May 23 May 23 May 23 May 24 June 12 June 14 ----- LOAN John L. Delp, Loan to Estate TOTAL LOAN DISBURSEMENTS Register of Wills, Probate Will CLJ, Advertising AT&T, Telephone Carlisle Surburban Authority, Water Agway, Heating Oil West Shore EMS-BLS State Farm Insurance, Homeowners Insurance Sprint, Telephone PharAmerica, Prescription Comcast, Final Cable Members 1 st, Final payment on Loan The Sentinel, Advertising PP&L, Electricity Page 3 $ 5.17 $285.74 $2.129.85 $2,129.85 $214.50 $75.00 $6.10 $21 .90 $114.74 $32.00 $270.00 $22.30 $1,015.45 $3.95 $1,703.41 $93.83 $27.20 June 14 AT&T, Telephone $4.50 July 15 PP&L, Electricity $26.73 July 15 Carlisle Suburban Authority, Water $21.90 July 15 York Waste Disposal, Trash $28.14 July 15 Sarah A. Todd Home, (1) Day in Nursing Home $168.00 July 15 Robin K. Sollenberger, Tax Collector $198.26 July 15 Register of Wills, Estimated Pennsylvania $2,000.00 Inheritance Tax Aug. 7 PP&L, Electricity $50.63 Aug. 11 Orrstown Bank, Withheld Federal Tax $.03 Sept. 4 PP&L, Electricity $25.66 Sept. 4 Yellow Breeches EMS $34.80 Sept. 4 Frank D. Potteiger, Commission for $283.50 Auction of Household Goods Sept. 10 Orrstown, Bank Fee $5.00 Sept. 24 West Shore EMS $32.00 Sept. 24 N. Middleton Township, Pump Septic Permit $35.00 Sept. 24 York Waste Disposal, Trash $30.90 Sept. 24 Carlisle Suburban Authority, Water $24.00 Sept. 26 PP&L, Electricity $18.18 $ Oct. 10 Orrstown, Bank Fee $5.00 Oct. 10 Orrstown, Withheld Federal Tax $.01 Oct. 30 Century 21 Asso Coon & Co.(B)/Jack Gaughen(s) $2,770.00 Real Estate Commission Page 4 ---- Oct. 30 ERA NRT, Inc., Real Estate Commission $2,720.00 Oct. 30 Sale of Real Estate, State tax/stamps $770.00 Oct. 30 Sale of Real Estate, Septic Certification $130.00 Oct. 30 Sale of Real Estate, Termite Treatment $530.00 Oct. 30 Carlisle Suburban Authority, Water $27.60 Oct. 30 Frank D. Potteiger, Commission on $139.82 Auction of Household Goods Nov. 8 Orrstown, Bank Fee $5.00 Nov. 20 PP&L, Final bill $35.21 Dec. 3 Agway, Final Bill $8.03 Dec. 3 Carlisle Suburban Authority, Final bill $24.00 2003 Feb. 18 Frank D. Potteiger, Commission on $87.36 Auction of Household Goods April 30 John L. Delp, repay loan $2,129.85 April 30 Register of Wills, Filing Fee $15.00 PA Inheritance Tax Return April 30 Register of Wills, Agent $2,333.00 Pennsylvania Inheritance Tax May 20 Register of Wills, Fee for First & Final Account $113.00 June 21 Stephen D. Tiley, Reserve for Preparation and $25.00 Filing of the 2003 Taxes June 21 Stephen D. Tiley, Attorney Fee $ 5.209.00 TOTAL DISBURSEMENTS $23,664.49 Page 5 RECAPITULA TlON TOTAL PRINCIPAL $82,700.17 TOTAL INCOME RECEIVED $285.74 TOTAL RECEIPTS $82,985.91 LOAN $2.129.85 TOTAL $85,115.76 LESS TOTAL DISBURSEMENTS $23.664.49 BALANCE FOR DISTRIBUTIONS $61.451.27 PROPOSED SCHEDULE OF DISTRIBUTION BALANCE FOR DISTRIBUTION $61.451.27 TO: John I. Delp 1014 Harrisburg Pike Carlisle PA 17013 100% of residue of estate Household Goods, in kind Automobile, in kind Partial Distribution Final Distribution 125.00 1,727.00 50,000.00 9.599.27 $61.451.27 TOTAL DISTRIBUTION $61.451.27 Page 6 COMMONWEALTH OF PENN8YL VANIA) ):88.: COUNTY OF CUMBERLAND ) Before me, the undersigned officer, personally appeared John L. Delp, Executor of the Last Will and Testament of SueElla V. Delp,aka Sue Delp, aka Suella V. Delp, aka Sue Ella V. Bernard Delp deceased, who, being duly sworn according to law, deposes and says that the foregoing First and Final Account is true and correct to the best of his knowledge, information and belief. ~ j, f)# J#L. Delp Sworn to and subscribed before me this / ,L'1day of April 2003. ~~~A -7~~ NOTARIAL lEAL lTEPHEND."/Ln, NOTARYPU8UC CARU8lJ! BOlIO, ~RlAND COUNTY, PA IIY COIIIIISllION _EI J\JNl! 11.1llO4 Page 7 . ... i:l. C. CJ~Q) C1JQ.; .....c: O"'~-'- Q- IooooC c:..c _ ~...... rt:l...., -0::'" ~-'''' :: ,,::I~ .-...", ::I"-rn""Q..~-OS o 0 e '- 0 :: '" ",,_ OS< i:l.<lI,-"::I "" ""::I_~OiQ'"'o'" <asi!J~Q'l:l::UQ -xE-<"" .l~~'l:l' g r.1 'l:l cr.> ~ .s ::.$ ....,.:;...__,. ~~c ~_-~"\oi""_-e= -=I""'\='~"'C:'-> "'CIaJ_~Q"l~"'CI~- ::Q=--:::I .._..c:... OS .e:.....rn>:;s e ~ tl>:: _.s~~..c:u::I ~ s...... rI.I- _..... ,.,. '-..c: osr.1 r.1" .... f;1;; O~ ",< II 0 ...., ::I :::\Z rn en :: .51 - ::I ..c: .;: - '" S ... o '" "3 'l:l '" ..c: "" rn 'l:l '" '" o i:l. o .. ~ I heNby 0IIl1lIy thlil wrIll<>n ootice of lhv fllill',) of thiS 'IJil 1 ....~ Of PnlpolIed l)l&IrilluIion, and of the deW _ and" when the _ will be preoenled to the Ocurt fer ...... ! I' -. and Of the IeIIt day to lie Wl1llen <Lit>- J~ -.10 BIll' ...... 01 p~ 0IIII1IlI8ln. h88 ~ gMIn III ewry IJl1ll8id c\Ilin1<lni and 10 ewry 0Ihar ~ known III IIle IICCOUt'1llII1t tc '- 01 cIIlIm an .-In the _ as credllor. ben8IIcIary. heir 0I118lCl of 1cIn. A 00f1'I of SlaIsment was included with the notiw n ... /7 _ c: ~ ii~~g!i . :.D~~i.llij "S~ m ~ 15~~IBgj~!5l :, >-;;:~"'~ = !l~~t w:5(/lo~ c:i J~~1! \'" :::!!:i:"~'" c:~ !I! ~.ll 1-001;..;R ~ ti. \ ~~~a.t::ÿ~~E~ ~ >-~I~; ~ Bll~~O.. <0 ~ f~~ i~~i! ~~ ~!t~lr}t~ .. -- ~ '. I ., . j '~";~ -rj-h I. ~.r;~' i 'YY-,~-7): ;" 'I \JI1O() . I; , ',', /"-:.> atn .(g 'ijl!M'.J9tf uonnQ;~~'IP 10 _,n .pelf:>1 pe1odo.ld 4JJAA 80UapJOo ~~jO,9P uO!JriqlJl~!P PUlt ^1.ln~~SqU~ ~J!ItK>8 wnOO'.)V'- (, ,'j I {. :5"',1 -, /1_..li +! i '.- 217 REV.1500EX{6-QO) II-lP~-S 1-- REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT CCUNTY CODE YEAR lU.mER SOCIAL SECURITY NUMBER OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0001 FILE NUMBER 2 1- 2 4 BO I- ili c LU 1;3 C DECEOENrs NAME (lAST, FIRST, AND MIDDLE INITIAL) SueElla V. Del DATE OF DEATH <M>1-DO-YEAR) THIS ItfTWaf MU&T 8E FILED IN DUPUCAT!" WITH lJE 186-24-8279 DATE OF BIRTH (M'd-DD- YEAR) 4/19/2002 3/9/1919 (IF API'LICABLE) SURVlVlNG SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) REGISTER OF WILLS SOCIAL SECURJTY NUMBER ~ [8] 1. OrlginalRetum 02. SupplementalRetum 03. RemIlndllrR.rum(cI*ofduthpriottD12-13-82) """0 0 0 g & g 4. Umlted Estate 4a. Future Interest Compromise (date of death after 12.1NI2) 5. Federal Estate Tax Retum ReQuired ::I:a:::..J ~ rvlX (,) 8: ID ~ 6. Oec6dem Died Testale {Attach copy of Will) ~ 7. Decedent Mainlained a LMng Trust (Attach copy of TruSI) < 09. UtigatlonPnxeedsRece1ved 010. S~PovertyCrtdl:(dDof""'~12.3'-911nd'.1..gS) I- ;,;:fl!.THi$SEC;:T10N",U$TBi:c;OMPt.E'tl:D;'~c;9~~.iii:lNQi:ijC:~~Q;c: . FiilE'," ~ NAME COMI'LETE MAIUNG ADDRESS z 5 South HBnDver Street 2 Carlisle, Pennsylvania 17013 li'l lli: lli: o o 717 243-5838 OFFICIAL USE ONLY 1. Real Estate (Schedul.A) (1) (2) NONE (3) NONE (4) NONE 75,000 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Soi&-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal F'roperty (Schedule E) (5) (5) NONE 7,702 z ~ :s :> l- ll: ~ lli: 6. Joinlly Owned Prope1ly (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfer & Miscellaneous Non-Probate Property (Schedule G or L) (7) 8. TOTAL GROSS ASSETS (total Un.. 1-7) 115,083 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Uabilities, & Uens (Schedule I) 10) 11. TOTAL DEDUCTIONS (IOlal Un.. 9 & 10) 12. NET VALUE OF ESTATE (Une 8 minus Uno 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax: has not been made (Schedule J) 17,177 97 , 906 14. NetVaJue Subject. to Tax (Une 12 minus Une 13) 97,906 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Une 14 taxable at the spousal tax rate ,or lransfers under Sec.9116 (a)(1.2) x .0 (15) Z 0 >= 16. Amount of Line 14 taxable at lineal rate 97,906 x .045 (16) ~ i 17. Amount of Une 14 taxable at sibling rate .12 (17) ::Ii x 0 0 >< 16. Amount of Una 14 taxable at collateral rate x .15 (16) ~ 19. Tax Due (19) 4,406 4,406 20.0 . ., . ..... "'~ u.._.~. <~.... ......,. . . . . .."'~ ,..... "C~H ...~....~~ .~........~~~~.... ......<c~~..... .<".~~.....,..~." .. ...Q~~,,,""hc~" . ." < . ~-:~~.'::~0:'@.2~ ~1D"i:~'f@:=-~'1J..:.L:!~::-~~~~;~7:-~f~ :-~~:~y~~~ ' " O:~SWER~~L~j)()EST1oNS:.OriliREYER$ .. 217 Decedent's Com lete Address: STREET ADDRESS 1016 Harrisbu Pike SueEUa V. Delp CITY Cartisle STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 2,000 105 ToIaICredits(A+B+C) (2) 3. Interesl/Penalty if applicable D. Interest E. Penalty 32 4. TotallnterestlPenalty( 0 + E) ItUne 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 (3) (4) 5. ff line 1 + line 3 is greater than line 2. enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of line 5 + SA. This is the BAlANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT '~illS'dj~1:!J,~~'f~~~1~~,~ 186-24-8279 4,406 2,105 32 2,333 2,333 1. PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN .X. IN THE APPROPRIATE BLOCKS Did decedent make a transfer and: a. retain the use or income of the property transferred; . . . . . , . . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . . . . . . . . . . c. retain a reversionary interest; or . . . , . . . . . . . . . d. receive the promise for life of either payments, beneftfs or care? If death occurred after December 12,1982.did decedent transfer property within one year of death Yes o o o o o o 2. without receiving adequale consideration? . . _ . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account. annuity or other no~te property which containsabeneficiarydesignalion? .."....,..,..."....". ..[8] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. o Undltf' penalties of perjury, I declare that I have examined thiS return, including accompanying scheduleland statements, and to the basi of my knowledge and belief, ills lrue, and comDlete. Declaration of Dreoarer other than the Dersonal reoteSeI1tatiYe is based on all information or which DreOIIrer nas anv knowIedae. SIGNA~ON :;,r~NS~ FlUNG RETURN ~rrisbum~~~3 SIGNATU E OF PREPARER OTHER THAN REPRESENTATIVE No [8] [8] [8] [8] [8] [8] DATE ~//S- /IJ,? / ESS 5 South Hanover Street, Cartisle, Pennsylvania 11013 :~:S;~~:.!t~~'1[~~$i1~.~. -.~l Fordetes of death on or after July 1, 1994 and before January 1, 1995, the tax rate Imposed on the net value oftransters to otfot the use of the SlXVivlng spouse Is 3% [72 P.S. SectIon 9116 (a)(1.1Xi)]. 1llIl~_JII ~;;JI For dates ofdealh on or after January 1, 1995, the lax rate imposed on the net value of lransfers to or for the use of the swviving spouse is 0% [72 P.S. Sec110n 9116 (a)(1.1)(il)]. The statute does not exempt a lransfer to a surviYing spouse from III)(, and the statutory requirements for disclosure af assets and filing 8 tax re1um are stil appficable even if the surviving spouse is the only benefiCiary. For dates 01 death on ot aftltf' July 1, 2000: The tax rale imposed on lhe net vakJe af transfers from a deceased ch~d twenty-one years of age or younger at death to or for the use of 8 nalursl parent, an adoptive parent, or 8 stepparent oflhe child is 0%[72 P.S. Section 9116(8)(1.2)]. The tax rate Imposed on the nel value of transfers 10 or for the use of the decedenrs Iinesl beneficiaries is 4.5%, except as noted in 72 P.S. SectIon 9116(1.2) [72 P.S. SecliOn 9116(a)(1)]. The tllX rate imposed on the nel value of transfers to or'orthe use 01 the decedenfs siblings is 12% [72 P.S. Section 9116(a)(1.3)l.A slbUng is defined, under Section 9102, as an IndlYidual who has at least one parent In common with the decectent, whether by blood or adoption. AT REV.1502 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX AETURN RESIDENT DE DENT ESTATE OF FILE NUMBER SueElla V. Delp,aka Sue Delp,aka Suella V. Delp,aka Sue Ella V. Bemard Delp 21-02-0480 All REAL PROPERlY OWNED S<X.a y OR AS A TENANT IN COMMON MUST BE REPORTED AT FAIR MARKET VALUE. Fair markal value is defined as the pr~e at which prOjlOrty would be exchanged between a willing buyer and a wimng seller, neither being compelled 10 buy or sell, both having reasonable knowledge of the reievanl facts. REAL PROPERTY WHICH IS JOINTLY -OWNED WITH RIGHT OF SURV1VORSHIP MUST BE DISCLOSED ON SCHEDULE F. ITEM NUMBER 1. SCHEDULE A REAL ESTATE DESCRIPTION Real Estate, 1016 Harrisburg Pike, N.Mlddleton Township, Cumbet1and County, Pennsylvania VALUE AT DATE OF DEATH 75,000 ALL THAT CERTAIN lot of ground situate in North Middleton Township, Cumberland County, Pennsylvania, in a plan of Jots known as Maniet Acres, said ~Ian being ",corded in the Office of the Recorder of Deeds in and for said Cumberland County In Plan aook 2, Page 100, bounded and described as follows: BEGINNING et a point on the north line of the State Highway Route No. II, formerly Carlisle and Harrisburg Turnpike; thence westerly along the north line of said Highway, 44.7 feet to a point; thence northerly along the dividing line oflotNo. 2, 250 feet to a point; thence easterly along lots Nos. 21 and 22, 44.7 feet to a point; thence soulberly 250 feet to a point, the Place of BEGINNING. BEING all ofLotNo. I on said Plan, and being improved with a I-In story frame bungalow. BEING the same ptemises which Alfred H. Speck and Idella M. Speck by deed dated luly 10,1948 and ",corded luly 10,1948 in the Office of the Recorder of Deeds in and for Cumberland County, at Carlisle, Pennsylvania in Deed Book "V," Volume 13, Page 462, granted and conveyed to Luther L. Delp and SueUa V . Delp, husband and wife. The said Luther L. Delp died on September 3, 1991 in Pennsylvania,lhereby vesting the entire fee simple title to the above described premises in his surviving spouse Suella V. Delp, whose Executor is the Grantor herein. TOTAL (Also enter on line 1 Recaoitulatiortlt (If more space Is needed, insert additional sheets of the same size) 75,000 . A. Settlement Statement U,S. o.JmtmMd: ufHoullna MCI Urblin Development ....,..." ,r OMS Approval No. 2502-0265 8. Typa or LOM . ~ d-';"" 2. 0 FmllA 3. IX! Conv.~.FIo- 1'.....- 1.---- .. 0 VA 5. 0 Conv.lns. 0014367957 C. N;~: This tOO11" furnished 10 give you a statement of aclUal setllement costs. AmounI8 paid to and by Ihe 8elUemenlll(Jenl n shQwn. ItBms marked -(p,o.cS were paid outI'de dOlIng; 1hey are shown hete lor k1IormaDonal plJIpOS8S snd not Included In the totals Go t~~~o(ec;;;;- E.1WIe..,.u.n. of SIIIr F."'" nI"... orl.lllll..- EVEN L. FETTER JOHN L. DELP, EXECUTOR MEMBERS 1ST EBORA K. FETTER ESTATE OF SUELLA V. DELP FEDERAL CREDIT UNION REGENCY WOODS N. 5000 LOUISE DRIVE 8!,1SLE_.__ PA 17013 MECHANICSBURG PA 17055 -...-. H.__ MEMBERS 1ST SETTLEMENT SERVICES, L1.C 16 HARRISBURG PIKE _d_ l_"'" RLlSLE PA 17013 5000 LOUISE DRIVE 1013012002 MECHANICSBURG PA 17055 --- , '"'" D. ST o 99 CA 10 CA .. J. n~l!'~ry Of.8orr~ TfanNCtfon 100 GtoII.AmoUllIOut From8om:lww 'D 10? '''' !"' !l!5 lll' ).0- '00 ,.. ~1(l " .. ------ 77 000.00 77 000.00 r._~!'l,.:t..~~ 401. Contra:lIllf!lDllce ...~!I!'OMI~ 402. PeraonallV'l"onMlu . ...!!!!I!~I..J_lI!!lo bomlWerb 14001 2583.19 403- - - -- - MJ~t!!!!..IIfI" f<!....tt~ by .......In.mnc. ~......... for...... oWrIlw Hhr In IIlMnCl! '. ~\ua___--!L-_ 408.CllvlIIlwnlalt.. ~ f.CoulIlL-l8xes 10130I2OO210 1213112002 34.03 0407. '"'--1ueI 10130I2OO210 12/3112002 34.03 ..~'!!!!'"....!!.-.__._~-- ..... ,....ib. " . J?9HOOL TAX 10130I2OO210 8i3OI2OO3 462.69 409. SCHOOL TAX1013012002to6l3O/2OO3 462.69 - ~ 410. ~ 1 , - " 4n. ~ - ~ 412. ~ -- " ,,2. ~ .--- ~ 41' " ---- .. 41' ~ . Gra",AmountDu.Frol"80~ 80,079.91 420. G,.. AInounl Due To hIIw 77,496.72 K. Summary of SeIIIr'& TI1I_tton _ aro.. AmoI&I\tDu. To SeIlM 1.14- 11;\ '" '" 12' ZlK! AsmlIJl\Is POi !J' 0.. In a.t.It Of Bonowar .... AMI......... Amount Due To War n -. - ...lMlruclIoIwl 201.,0epc1~~.'!!I!!!V 1 000.00 1I01.exc... 2(J;._~~l!lTlOUl'llol',!.'IeWlol!!:!tsJ 61.600.00 tlO2. ~~\Q""""4OO) 6 417.60 ~"~~I8ken~1a l503. ;I~~" II) 20<. -- 1504.-0I1h1 """ 2IHl. .-- !1015. Pnroft'oIleC011l1mort111a1ro.n 200. .... ""."SELLER CONTRIBUTION 2 000.00 ..,. SELl.ER CONTRIBUTION 2 ooo~OQ 2IHl,1:.flEDrrFoR TEHMiTE TREATMENT 530.00 .... CREDIT FOR TERMITE TREATMENT 530.00 ~"- .... _ ...!!!J.U1tlMnla 1M IIernI un.ilI by..... Ivr bmI UflDUd Iw MI. ~O,~OI/III1laxes ~ S1o. ......~.... ~ ~1"Coun/y__ ~ 611.1"'-"'___ ~ ~2. AueSllTlllnll b 1112. AudImentI ~ ~3,-, " ,,2. " !1<4._ ~ 514. ~ ~'5._ .. ,I' ~ ~)ll" " Of' " - 2.'!.7,_ " &11. " 210 ~ 1118. ~ '- ill"_ ~ ". ~ 22G. Tolal PIIId B)llFor Bo~ 65,130.00 ao. ToW RedueIIon Amount 0... Sehr 6,947.60 ~. ~h At s.w.m~t'F~o BotTower ~1_ GroU~lduefl'tlml;?otruwer(1lnll120l ~2..!::!!!8rTIQIJntpeld~~(IIneD3} 303. Ca.h f&] From D To BotTOIfIIf lOG. c.hAI SetllemelrtToIFromSeller 80079.91 8t)1. Gftluernountdulllo......lIM420l 65130.00 l502. tea,...,..ln8d.du......(llne8201 14.949.91 103. c.... 00 To 0 FrontSel.... 77 496.72 8947.60, 68,549.12 SUBSTITUTE FORM 1099 SElLER STATEMENT The Informallon contIlnedln Btoc:kl E. G. H. end I end on h<t01 (ot.IlnII403end-<<M)"ImpoNnt_InfarmIIunVlllIsb8lngturrilhedtohlnlen\ll Revenue Sernce.llyou 1111 required Ionle .rellA'Tl.' negligence penlltyorotherlNlndlondbelmposlldon youff!lillem Ilrequ1redlobB..pcrted_"IRS~ lhalll hlIIMJI been ..ported.If'hII ruI....lellyvwprlncfplilntlidence.1l1e Form 2111i1. SIIleorExchenoeolPrindpll~, for8llygllln,wlthyourlnc:Clme 11I1 rtIlurn; 'ornlherltansec1lons.o;JmpleCtIlhe~bIlI ,*,,01 F(II'I'Il47li17. Form 1.232 arwJ/rJt SchlIcUII 0, Form 1040~ You ..,.~Cio.p!Q'lidl.lheSeW.merA./loInI. (nall'lllld&l:nte)wI\t1yourCClt'A!C\_~kienlIIlcIllonlUftler.ff)'OUdlInolproYldl!ltheSelllrMntAgentwfl1yourCDl1lcllllXpllyerldentlRctllonflUl'llber.youn-.ybe IUbject 10 dvll or crin*lal pensllleI ~ by law. Under penIIleI 01 pelJWy,l c:ertlfyhllll number IhoMI on ItA slltemenlll m'f c:omd Iaxpayw k*lIi8cIlIon 1IUITlbw. ~~_ ill~ . '~S_) S";~ ,F ..Ju..4'h I/. a-;. ay J /",r", "" - :z:.e;:.:.~ J';<",~- ~ ..L StltUe tCIaatg.. _0 !!!J. ToIIl Saledraan Commlsllon baud on DrIcf' 77.000.00~7.00 II. 5 390.00 -- _F... DMsIon at ComriaIon (line 700) .. "*"- -- ...... - ..... At ..... At 101.' 2.670.00 ~ G-21 ASSOC. COON & CO. -.. .- 702.' 2 720.00 ~ ERA-NRT INC. ~_~~DJ!!!!It~ 5 390.00 704. SETTLEMENT PREP. FEE C-21 ASSOC. COON & CO. tBl/JACK GAUGH EN (51 125.00 100.00 100 1l.nlt."~.IttCOl\ftlK1lOftwt1l\Lon - 61 ,600.00 rw.1.L..oIn~IlonF" " ~2. lo8n DlICOlIlt 61 600.00 " ~~,.., ~ -c- ~.~~ ~ B05.J.!':!fer'.~,F.. . ~'._~~r=..1o ef!1.~-E!I!..-. MEMBERS lST'C$325 P.O.G.l IlOO. APPLICATION FEE .,. UNDERWRITING FEE MEMBERS 1ST 75.00 !i.. b6cUMENTPREP FEE MEMBERS 1ST 275.00 !U. ~.!.2. .13 ;00 lie"" RequlNd By Lenchr To Bti Paid In AdwnclI ExcIUcIe lut......1n caIcI. hi 90t "!1.'o,";"-",,,--wi3012002 ~ 10/3112002...10.6944 I~' 9.Q..2. M..,,~~Premllmror monlhllo ~ HuaId InItnnce Prert*.nn lor -- to *. --to ... 1001] R."l\'a~Wla,Leftd... 21.39 ----. - 3 19.75 -...... !qol:.-H:!zard~ -- 59.25 '!..~2.~1IwursncI -- ',=- !.OO'~._C!!Y.~lu" -. -- ~.~1axeI 9 monlhIG' 16.69-= """" 150.21 lOO5."",",*.1RISnIIFIlI" ......111...' -- !OC>l.'SCiioOLTAX- 5 -- , 57.92= """" I 289.60 100'. -. -- 1'(H)o1:-~e-";~"Ilk1oAdlualm.nt -216.01 1too TIlkC~ , .n._ _'~.OI'.-S_~Il8mentDl'~ ~ t.!O~_~'!!!!.C!.-IIIleMllfCh ~ 11O:J._Tllle_~~_. Ia '.1o.1.!Il11ln1wancebklder .. 1.105.~~1lon " ~IOR, ~'- ~ CASH 6.00 '1.07. A!!OI!!i.II... Ia FREY & TILEY P.O.C. JI~""'11emI runbers: I '_~O/I,_~~ " MURREL R. WALTERS, III. ESQUIRE 795.75 . LncludlIIllbcMllte!nlrunbenl: 1101-1104.1106 PENN ATTORNEYS TITLE INS. CO. , l'.01l.L~~ . 61 ,600.00 endOtsements 100 300 8.1 l'_lll.Owner'J~ . 77 000.00 t1.11. 1112. 111:\. 1200._~~~I~.,,~.ndTIII"""ctII~ 1201'_~~"',,--~Deed , 28.50 ; ~ s 54.50;~ . t20;~._~~~ 0.1 , 770.00 ;~ $ 12(1:\._!!~_~Dnd .L_. 770.00 ;MorfalIoI . ,,... RECORD ASSIGNMENT OF MORTGAGE 83.00 770.00 770.00 17.00 l2O!i. 1~ Addlllon" S.W.menl Chargss 13" - .---- .J~.~ " .p'~l~ ~ . HOME INSPECTION HOMECHEK ($375 P.O.C.) '.!1!;PT1C CERTIFICATION D&D SEPTIC & TOILET RENTALS 130.00 130.00 . FINAl. WATER READING CARLISLE SUBURBAN AUTHORITY 27.60 , Tot.1 Setlllmetlt Charge. (.n.... on 1!neI1G3, See1Ion J.~ lI02. SectlOIt K) 2583.19 6417.60 130" 13Q~ 130' I.,. ''''' l~i '''''' ,... CERTIF1CATlON ~~~7':;""'I~~'.-::'I=:=:''"i~li'1o.~~-'-''''''-''''_O. ~~~~;ExECUTO _: 20j~VEN L. ER = ~s T . LP DEBO K. FETTER :~1lI . '01 ~..~.~"'lr\Ielnl~acaurtd1helun6lwhld1qrer8ClWedandhaw,,""or"" .... SettIemenl Agent O. MEMBERS1ST SETTLEMENT SERVICES, UC WARNING: 1111. c:r!mIt ID knowIr9Y IMke ..... a'-\emenlllo!hl Un/led SIIlIeI on '* or 'nv otIW IImhr form. P...... upon llIIn'tIlclIon can IndudI . nne and imprisonment. For det8.....: Tile 13 U.S. Code Section 1001 and SeclIon 10tO. 1U.-'~CWICI:_MMw AT REV-1508 EX + (1-97) (I) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERlTANCE TAX RETURN RESIDENT OECEDENT ESTATE OF SueEJla V. Delp.aka Sue Delp,aka Suella V. Delp,aka Sue Ella V. Bemard Delp FILE NUMBER 21-02-0480 11'ldud."'" prtlC&eda of ~n..:llhe dll. the ploeeeda..... receMd by !IIlI..uQ. ALL PROPERTY JOIN1'L.y.oWNED WITH THE RIGHT OF SURVIVORSHIP MUST BE OISCl,.OSEO ON SCHEDULE F. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. DESCRIPTION Members 1st, Savings Account #183315-00 Members 1st, Checking Account #183315-11 accrued interest to date of death Members 1 st, C/O #183315-40 accrued interest to date of death Members 1 st, C/O #183315-41 accrued interest to date of death 1993 Satum Automobile Refund, Capital Blue Cross Premium Refund, Sprint Refund, Bankers Life & Casualty Premium Proceeds from Auction of Household Goods Refund, The Bon Ton Refund, United States Treasury Tax VALUE AT DATE OF DEATH 28 1,423 2 2,012 4 518 1 1,727 282 18 40 1,584 25 40 TOTAL (Also enter on line 5 Recaoitulation 1$ (If more space is needed, insert additional sheets of the same size) 7702 MemberslSl FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 1-800-283-2328 or (717) 697-1161 REGULAR SAVINGS ACCOUNT: Account NwnberlSuffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest to Date of Death Name of Joint Owner CHECKING ACCOUNT: Account Nwnber/Suffix Date Account Opened Principal Balance at Dale of Death Accrued Interest to Date of Death Total Principal and Accrued Interest to Date of Death Name of Joint Owner CERTIF1CA TFS OF DEPOSIT: Account Nwnber/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Dale of Death Total Principal and Accrued Interest to Date of Death Name of Joint Owner LOAN ACCOUNT: Account Nwnber/Suffix Date of Disbursement Principal Balance at Dale of Death Loan Description Name of Co-Maker Collateral Securing Loan Estate of: SUEELLA V. DELP Date of Death: April 19, 2002 Social Security Number: 186-24-8279 183315-00 0411211999 $25.65 $.00 $25.65 iNone 183315 -11 0411211999 $1,422.61 $2.05 $1,424.66 None 183315 -40 1 YR 09113/1999 $2,011.56 $351 $2,015.07 None 183315 -41 1 YR 061071200 1 $517.89 $1.10 $518.99 John Delp 183315 -02 0410712000 $2,040.03 2"" Mortgage None Property: 1016 Harrisburg Pike Carlisle, PA Contractual Pledge of Shares ~,nWITumON Denise A. And~ Insurance Products Supervisor June 7, 2002 1993 5atuqt SW Used GIlt prices, Inldc in value at Edmunds 12/3102 ]:,. PM ~J- l~ -:. .. - '- - -. '_:... =r~ ~i- ~.\.l'r-' : - . ~~~ - - - - . Home I New I Used I Reviews I Advice I News I Ownership I Newsletters I Town Hall I About I Help '-___J ~WOJlfl/llttl ~~~ ~.~.:- ~~~~ ',-oIt-------";' ," ' , ~ ,~~_-'--_J'~:" ~~ .~ - 1.J' Page 1 of 12 <<pfev next>> o Prices e Price with Options e Overview . Standard Features e Colors . Specs & Safety . Warranties . Car Reviews . Car Ratin!ls e Consumer Discussions o Photos & Video t) Resale Values Next Sleps Search Used Vehicle Llstfnas Get Low Rate Auto Loans Free Insurance Quote Free Warranty Quote Get a Vehicle Historv ReDort Find a Similar Vehicle Other Saturn SW Stvles Other Saturn Models Other ComDact Waaons Find a Used VehicLe By Vehicle Type Manufacturer 1993 Saturn SW Compact Wagon 4 Or SW1 Wagon ,'. Show All 1993 Styles I Other Years For This Style' ~ I Ratings Consumer Ratina 6.2 I Rn. 'ThIs VehloI.1 . Search Used Saturn Ustinas . Request a Free Insurance Quote . Financina As low As 5.19% APR . Free Extended Warranlv I Quote U'l Car Discussions El Download to PDA ., Prices Financino Ilnsurancel Free Extended Warranty Quote 1993 Satum SW 4 Dr SWl Wagon criOO What Is TMV? Dealer Trade-In: What Others Are Getting Private Party: What Others Are Gettingl Paying Dealer Retail: What Others Are Paying $1,165. $1,727 $2,663 -* These prices contIngent upon a Clean Vehicle Historv Note: These prices do not Include optional equipment, taxes and other fees. Next Ste!,s --S-';;~u;.dv.;jjic';-Li;tl~B5--Ts;ito~u~~ Ir.~a~ci~~ ' ~ True Market ValueClll I Customized Appraisal I :::{iillllllll.[. ~ 11o..'""'l:.l.."J:] il1'iI r::!III'..rft:tliTi' I!~' :<~)"li~T '.N::,,';..:;ii" . Instantly search thousands of used car listings . Target your search by year, price, mileage, and distance !.J,..~"1.~~-:;1 "~::\"?frl'1-J.::~>>~ If" t- :_.- - 1 Sell 1 Disclaimer: The prices shown here are estimates for vehicles with standard equipment, average mileage and in clean cond~ion. You should adjust for optional equipment, mileage, color, condition and geography to arrive at an accurate True Market ValueClll for your specific vehicle by clicking on the "Appraise This Vehicle" button below. All prices assume a clean vehicle histoN. p:/lwww.odmunds.comlulcdlI99J/slltUm/5W/4drswlwaIJ.Qnlpriecs.btml hge ! of] r I I 00 :I: m m -i '.. I ~2o' Sf 20 -0-"- Si,3 ~:Gliin r .iiii=~llJg :I~ 55'o!fiii~ i~~ ~i8~~i! ~Rz ;-g-3-~!-:r aOo oii_go.~ ~:::::J1JlI ~5!!.a-!!.tIl :I:q;"ii.~l.~ ~o -g3~.g og ii;~~!>,,~!!lh~ 2."'tIi5i liiiii'~ llm:r2- ~i ~~;Ui~~ ou- !._il~~ :;o.=g..QO'ii~c ~_c:rCDi5i"CI-3 =~ .,,_~!.. 0 Ii'. Ul..~ ~;;.~ 3!. 3 .....- ~;!.~ j; ~n! o__CD:::::J&'acg5CD ii~ ~I ~:l8.i' iI -1ii.aI ... ~~i5n=i [ fnli!~h~~ 120 ..!..ll"..... nhdl~~g ! I i i I I ~ li 3 i '" .g- . cO il!!l o . ii ~ '" o Q '" .g- . ,. il r ~ )> r- oo :I: m !!l 00 o o z CD i5 z o :D ciJ CD m -i -i r- m ;: m z .... o o ~ 1 I "tJ :I: o Z m -~- . .>~:~~-;: )> c C JJ m Ul Ul o o z Ul G5 z o :D en z )> ;;:: m I :~ ......-- - "'\ - ,.f 1'^'I.f' .,' ~ ," .. ""1"'" \,~""""o=.....,.. ' ,)., rt!:CEIVEr; BY: /J .' ...._.. I ,,""'I' MAl.,; I AND SETTLEMENt. , (:nf/:\\flf/nn'f; NAME I'i":" ?;14'~ . "'-;/,,, / ,,""'1 AnDI1ESS .~;~.X~;t::'o//~ <:-~:4 /?J'!;'~~~:.J'" .'>r--~ , /.-'// ." /1 /~/./"t:~~. 'f.:"'~ '.' /' ,7 /.~L - /:.:~~~:7 .~ PHONE ~'," /~.7 - :? 9'<.7-. / .~'_:.' _~_. (;--;. ZIP CODE ... '--C- ,", ,- -:. /. { /.-"..; , " _ :r'~_ .\ QU/l~'JI~'i1 DESCRIPTION OF CONSIGNED ITEMS QUA'ITITY I DESCRIPTION OF CONSIGNED ITEMS I .. , ) -~'; \ . \A ~_ , --- \ .' I , ~. '-:--"- - - ~'-'- ".,'i':6-~A- ''\ , .^ " '.., ~., .' . --t.-' ,--' C5~c ' . ,I::'~ .-:: :;.ps:: <:"" .._" I / r-- '-(7f.: / " . . " - ~. ~/5>-- . --." _,/2---:7'/ /' .1,.4 ,.1----- \,. -'. ',1) '- ----.... - , HEETII OF_____TOTALSHEETS l " EXPENSES: :..:...,~ ::... 15') %CoMMISSioM ,..... $~IJIENT. .' \,totAL ~asm~OR SAL.ES " $,' - $; $;J.'6~SD $ $ TOTAL EXPENSES $ <6\ o-==- I (ccnsignor) hereby commission you to sea the Items listed above & on 1M attached sheets 10 the highest bidder by public auction. I certlly !hat I am the owner of Ihe above lISted Jtems and have good title and Ihe rlghl '0 sell ttletn. I certify thai the IItKnS Ustltd are free lrom alincumbrances. agree to accept afl responslblHty for providing good tl\te and 'or delivery 11 til\e to the purchaser. It Is agrHd thaI the consignee Is not responsible Of the 10&8 of any Item due 10 ffre, lhePl, d8:n'1aQe, ~. I understand thel t % commissIon will be deducled lrom the gross sales r my Items, "No mer' items will be dIsposed of at the disaetlon of the .uctIoneerlAuctlon House, Payment will be made 10 the consIgnOr Within _ days from dale of sale. l r b Consignor Slgnalu1e CHECK NO. , HEr PAyABLE TO CONSIGNOR $ 2,. "tJ3.So 5;).09 Date - CONSIGNOR'S SETTLEMENT COpy - . - , ~\. Dale AucIloneerlA~lan Staff Signature ~ oi, --- C ~ - ... ..,- .. ...-->-. ,. .. , . " . .- "_;~.-;~~;~;k:~!;.l'r~~'. . . J ." .,',' ., ,. i I ~ i ~ I f I J ~ t' .i I' i , , . ',,' !.:friiffit: '.ii! fe ~i~1 , i>~ '2. '8-:J n ":il~ :i!i:!iIJ ~~~!fvI~R ii.f~'J"i -~:~ ~I ii;{llhff , 2"~h~lff! Ut[:J!&;l i!l.iJ1IllJ' , i~~~f~fI~f , !f-orirlilffl ,U~f~Ui !. t~ lU:j! !ullj~'iig ,.~~j~Hi~?" lfil ~ r- oo :r m !!l 00 00 :r m !!l .. r f i r ,. [ 10 to ,z If/! 'G') z o :D cD a; ,m !~ m 3: m z -i o o 1:1 -< ~~-" "1 ....". F' -, , ' .1 i .::... J Ji ,# r .:..-. --!-.- 1 " ~} . l' .-. 'r'"-!';" ...:,~ ,:'f ;~ '-:. )' '..: :~?:~j;~L::./,_;~;. _"h ;;: m ,--~ . .-~' 'Jt. '" 00\- d 51 J.CA5 v;-wJc p~~'V\ tx>>J: Ai- '7) S L d)J.ot P~~l (lJ Cp....f;w lL Pp-- tzn') () 43 -/3GY ~utV\ ~-- '^iJ[1AtMD.J.~ W~ D,~ \-C&lL \- ~~ 'v.J\o.1<- ~J-. lrx-- ~ ~ $. (0 --:::::- iN IS:=- $I (00 -:=- - 217 REV-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER SueElla V. Delp,aka Sue Delp,aka Suella V. Delp.aka Sue Ella V. Bernard Delp 21-02-0480 This schedule must be C(Impleted and filed if the answer to any of questions 1 through 4 on the reverse side of the REV.1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INCLUOE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO CECEDENT AND THE DATE OF DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER TRANSfER. ATTACH A copy OF THE DEED FOR REAL esTATE. VALUE OF ASSET INTEREST C.AI'Pl.ICo\aE) VALUE 1. Allfirst, IRA #87000090604002 30,284 100.00% 30,284 2. Allfirst, IRA #87100090604002 2,097 100.00% 2,097 . TOTAL (Also enter on line 7 Recanitulationl $ 32381 (If more space Is needed, insert additional sheets of the same size) ...--. I) allflrst ~) AllftrSt Financial Center N.A. P.O. Box 900 Millsboro. DE 19966 May 23, 2002 Frey & Tiley Attorneys At Law . 5 South Hanover Street Carlisle, PA 17013 Artn: Stephen Tiley RE: Estate of Sue Ella V. Delp Date ofDea~: AprU 19, 2002 Social Seourity Number: 186-24-8279 Dear Mr. Tiley:' In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type........................... Individual Retirement Account Account Nwnber........ ........ ....... 87000090604002 Ownership (Namesof).............. Sue Delp John Delp (beneficiaryl Opening Date.... ...................... .02/22/83 Balance on Date ofDeath..........$29,863.34 Accrued Interest $ 420.20 TotaL................................. .....$30,283.54 2. Account Type........................... Individual Retirement Account Account Number................. ...... 87100090604002 Ownership (Names of).............. Sue Delp John Delp (beneficiary) Opening Date.... ............... ....... .11/01/00 Balance on Date ofDeath.........$2,075.50 Accrued Interest $ 21.08 TotaL.................................. ....$2,096.58 217 REV.1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DEceDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER SueElla V. Delp,aka Sue Delp,aka Suella V. Delp,aka Sue Ella V. Bernard Delp 21-O2.{)480 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ,. B. ADMINISTRATIVE COSTS: ,. Personal Representative's Commissions Name of-Pmona\ Representative (s) NIA Social Security Number(s} I EIN Number of Personal Representative(s) Street Address City State Zip Year{s) Commission Paid: -c- 2. Attomey Fees 5,209 3. Family Exemption: <If decedent's address is not the same as c1aimar'lfs, attach expCanation) Claimant N/A Street Address City Stale ZIp Relationship of Claimant to Decedent 4. Probate Fees 215 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. CLJ, Advertising 75 8. The Sentinel, Advertising 94 9. Register of Wills, Filing Fee 15 10. Register of Wills, Filing Fee for Final Account 113 TOTAL (Also enter on line 9 Recaoitulation\ $ 5721 (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (6-98) AT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF SueElla V. Delp,aka Sue Delp,aka Suella V. Delp,aka Sue Ella V. Bernard Delp Include un reimbursed medical expenses. FILE NUMBER 21.{)2-0480 ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. DESCRIPTION VALUE AT DATE OF DEATH Agway, Heating Oil AT&T, Telephone Carlisle Suburban Authority, Water C-21 Assoc. Coon & Co.,(B)/Jack Gaughen(s), Real Estate Commission ERA-NRT, Inc., Real Estate Commission Comcast, Final Cable bill Members 1 st, Final Payment of Loan North Middleton Township, Pump Septic Permit Application Orrstown Bank, Bank Fees PharAmerica, Prescriptions Potteiger, Frank D., Commission for sale of Household Goods PP&L, Electricity Real Estate, State tax/stamps Real Estate, Septic Certification Real Estate, Termite Treatment Robin K. Sollenberger, Tax Collector Sarah A. Todd, (1) day at Nursing Home Sprint, Telephone State Farm Insruance Co., Homeowners West Shore EMS Yellow Breeches EMS York Waste Disposal, Trash 123 11 119 2,770 2,720 4 1,703 35 15 1,015 511 184 770 130 530 19B 168 22 270 64 35 59 TOTAL (Also enter on line 10 Recaoitulation\ $ (If more space is needed, insert additional sheets of the same size) 11456 217 REV.1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RE1\lRN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER SueElla v. Oelo,aka Sue Oelo,aka Suella v. Oelo,aka Sue Ella V. Bernard Oelo 21-02-0480 RElATIONSHIP TO DECEDENT NUMBER NAME AND ADDRESS OF PERSON'Sl RECEIVING PROPERTY Do Not List Trustee's' I. TAXABLE DISTRIBUTIONS pnclude oubight spousal dlsbibutions, and transfers under Sec. 9116 (a) (1.2)] 1. John L Oelp 1014 Harrisburg Pike Carlisle PA Son AMOUNT OR SHARE OF ESTATE 100% of residue of estab ENTER DOLLAR AMOUNTS FOR OISTRIBUTONS SHOWN ABOVE ON LINES 1S THROUGH 18 AS APPROPRIATE ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTONS, A. SPOUSAl DISTRIBUTONS UNDER SECTION 9113 FOR WHICH "N ELECTION TO TI\X IS NOT BEING M"DE 1. B. CHARITABLE AND GOVERNMENT"L DISTRIBUTIONS 1. TOTAL OF PART 11- 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) I. - - - - - - - .. - . . . . . . ... l.a~t .ill anb 1lttstamtnt C~)~ /01' fffd)l!,.>,tr....rf ;J.'Ye (!41t!J..iS-t-E /H- /7or..? I ~lnd State of Pennsylvania, being tJl })-~2(:&ljuu~ !dfof County of iJ-a-.Jk.dc-,e~,p"y 1/ _ of ~cund and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my last Will and 'Test.ament, hereby revoking and annulling any and all Wills by me at any ti:ne llerelofore made. .:tirllt. I order and dirc(.t .111 my just debts, fun~l-al eKpeC15es 35 well as the cost or administration and settl(,!l1\~nt. of my est.ate t.o be paid by my t:xecutor/Executrix hereafter named, as soon after my d~cease as conveniently may be. &tconb. All oJ:: my estate, real, personal and mixed, of,whatcvcr kind and nature and wheresoe'ver situate. remaining after paYlnent of my debts expenses. I 9ive. devise and bequeath unto my ...;:5b,Al, fJjT~ his/her heirs and assigns, absolutely and in fee. I ( l!rbirb. I hereby nominate, consitute and appoint ad.L. CU~ to be the Bole Executor/Exeautrix of this last Will and ~nt and I direct~- he/Bhe shall not be obli9ated to file any bond, inventory or appraisement or and funeral .1-:= u~ accounting in any public office or tribunal whatsoever, and further I hereby 9ive and grant unto my said SL9# full power and authority at any time to sell any real estate which may at any time form part of my estate, for auch price, upon such terms, in such way and manner as may be deemed wise, and to make good and sufficient deeds to the purchaser or purchasers thereof without any obli9ation on the latter to see to or be re5ponsibl~ tor the application of the purchase price. as and for Ib&lc flpR.1 L i4thf~ have here- In Ulitnt.. fabmot, I, the saidlJ" Tfll<'1 ;,oTH- day of A.D.. 19 9c9-. unto eet my hand and seal this 6hlntb. 6uhb. tlubll NOTARIAL SEAL S~AN I. HOUGHTON, II<>fary Pu I. Carll.le 8~ro. Cumberland Counly, Pa. Nrt CommIssion Ex Ira. uly 31, 1995 t 1/73 presence of us who have at his/her request and in his/her presence and in the presence of each ot.her hereunto subscribed our names as witnesses hl'reto. ~o( ~ Wit ess Witness Address Address .. . .- . .. . . . . ... . . . 4' . . . .. . . . . \;/ /) /d .f- BUREAU~OF INOIVIDUAL 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 * Rec Ii" RH-15~1 EX AFP {Ol-O!l ,'ATE ESTATE OF DATE OF DEATH FILE NUMBER 1\11 :S~NTY ACN STEPHEN D TILEY FREY & TILEY 5 S HANOVER ST CARLISLE 'OJ JUN-6 06-03-2003 DElP 04-19-2002 21 02-0480 CUMBERLAND 101 SUEElLA C~'c'l.r' Amount Rellitted PA 17013ClImb,-Ci" r-i--. 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:iS4TEiCAFP--fiiFo3rNiir-iCE--OF-i:tiiiEififAi.rcE-rAin-PPRA-iSEMENT~--ALi-oWAN-CE-Cjii----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DElP SUEEllA V FILE NO. 21 02-0480 ACN 101 DATE 06-03-2003 TAX RETURN WAS: I X J ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. Stocks and Bonds (Schedule BJ 3. Closely Held Stock/Partnership Interest (Schedule CJ 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ 6. ~ointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets J CMANGED [lJ 12J [3J 14J 15J 16J 17J 75.000.00 .00 .00 .00 7.702.00 .00 32.381. 00 18J V NOTE: To insure proper credit to your aceount~ submit the upper portion of this form with your tax payment. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule 4) 14. Net Value of Estate Subject to Tax 115,083.00 19J llDJ 5,721.00 11.456.00 IllJ 112J 113J 114J 17.177 nn 97,906.00 .00 97,906.00 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 ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of L in. 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS' .00 97,906.00 .00 .00 X 00 = X 045 = X 12 = X 15 = .00 4,406.00 .00 .00 4,406.00 . l+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID [-J 07-18-2002 CDOO1423 105.26 2,000.00 04-16-2003 CD002456 27.42- 2,333.00 TOTAL TAX CREDIT 4,410.84 BALANCE OF TAX DUE 4.84CR INTEREST AND PEN. .00 TOTAL DUE 4.84CR 119J= IF PAlO AFTER OATE INOICATED, SEE REVERSE FOR CALCULATION OF ADOITIONAL INTEREST. [ IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTEO AS A "CREDIT" ICRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SlOE OF TMIS FORM FOR INSTRUCTIONS.J STATUS REPORT UNDER RULE 6.12 o d~ Name of Decedent: Sue Ella V. Delp, aka Sue Delp, aka Suella V. Delp, aka Sue Ella V. Bernard Delp Date of Death: April 19, 2002 Will No. Admin. No. 21-02-0480 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 if complete: Yes (X ) No ( ) 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes (X ) No ( ). (b) The separate Orphans' Court no. (if any) for the personal representative's account is: (c) Did the personal representative state an account informally to the parties in interest? Yes ( ) No ( ) (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: June 19, 2003 N ::~- =~~ Si nat e -;{) - 7 54"7 o N M 9 - E .; 1 ".~ ..)U Stephen D. Tilev Name (Please type or print) 5 South Hanover Street Address -~ :5 --" (717) 243-5838 Telephone No. Capacity: ( ) Personal Representative ( X) Counsel for personal representative --...... /7-/>;/-6- \- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' RE~-lU7 EIr AFP enl-on 'OJ JUL 11 TIll :?9 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-23-2003 DELP 04-19-2002 21 02-0480 CUMBERLAND 101 SUEElLA v STEPHEN D TILEY FREY II TILEY 5 S HANOVER ST CARLISLE C PA rH'6 Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: NOTE: To insure proper credit to your account, submit the upper portion of this for.. with your tax payment. REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Ri-li"=i6'iWEx-AFP--fiiFo3y------...--fNiffRii:ANc'Ci'Ax--sTATEMi-N"'nrF-A'ifcoui,rf--...--------------------- ESTATE OF DELP SUEElLA V FILE NO.21 02-0480 ACN 101 DATE 06-23-2003 THIS STATEHENT IS PROVIDED TO ADVISE DF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUMHARY DF THE PRINCIPAL TAX DUE, APPLICATION DF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT: 06-03-2003 PAYMENTS (TAX CREDITS): PRINCIPAL TAX DUE: 4,406.00 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-18-2002 CDOO1423 105.26 2,000.00 04-16-2003 CD002456 27.42- 2,333.00 06-09-2003 REFUND .00 4.84- TOTAL TAX CREDIT 4,406.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J