HomeMy WebLinkAbout02-0570PETITION FOR PROBATE and GRAN,,T/OF LETTJ'E~RS
Estate of ~ No. ~~-V~ ~ ~v
also kno n To:
Register of tlls fort e
Deceased. County of ~". Y' ~l n~} !rn in the
Social Security No. ~ ~ Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age
in the last will of the above decedent, dated `
and codicil(s) dated '~
(state relevant circumstances, e,g. renunciation, death of executor, etc.)
Decendent was domiciled at death in ~ ~' r lQ h d County, Pennsylvania, with
~~last family or principal residence_at ~, / DGL h t' /=~/e r-i 1~ Y'
(list street, number and muncipality)
years of
at
Except as follows, decedent d not marry, was not divorced nd 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 fallows:
(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 ;rII Tw l
situated as follows:
WHEREFORE, petitioner(s) respectfully, equest(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters fi S ~l ~"J ~ YI ]`Q r''L/
(testamentary; ad inistration c.t.a.; administration d.b.n.c.t.a.)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEA TH OF PENNSYLVANIA 1 ss
COUNTY OF ~i ~ ~j(~Y ~~~
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and my administer the estate according to law.
Sworn to or affirmle~thand subscribed ,- a~'1 ~s!'" Cxti~~- c.,
before me this
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19
No. 21-2002-5~0
Estate of Eva G. Sollenberger, aka Ezra Sollenberger ~ Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW June 18th ~ 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_ June 18th. 1998
described therein be admitted to probate and filed of record as the last will of
Eva G Sollenbe~er aka Ezra Sc~llenberger ;
and Letters TEstamentary
are hereby granted to ~~ Gartner
..-
Register of Wills /~%~
Mary C. Lewis
FEES
Probate, Letters, Etc.......... ~ 235.00
Short Certificates(5) .......... $ 15.00 ATTORNEY (Sup. Ct. I.D. No.)
Renunciation ................ $
x-Pages (5) ~ 15.00
JCP TOTAL ~ 5.00
Filed ~7une.18.th.20Q2.......~2.7.Q,00...
.ADDRESS
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MAILED LETTERS AND ORilER 'PO EXEC[T117R
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This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate. will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 8453892
No. '
H 105, I N Rw. 7/87
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NAME AND ADDRESS Of PERSON WHO COMPLETED CAUSE DEATH
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21-2002-570
LAST WILL AND TESTAMENT
OF
EVA G. SOLLENBERGER
I, EVA G. SOLLENBERGER, of 1012 S. 19'~ Street, Harrisburg, Dauphin County,
Pennsylvania 17104, declare this to be my Last Will and revoke any Will previously made by me.
ITEM I: I direct that all my just debts and funeral expenses, including the cost of a suitable
grave marker and perpetual care for my burial plot, shall be paid from the assets of my estate as soon as
practicable after my decease.
ITEM II: I give, devise and bequeath all of my estate, real, personal and mixed, wheresoever
situated, as follows:
(A) I give, devise and bequeath specific amounts of money to the following,
provided that they survive me. In the event any of the following beneficiaries predecease me, said sum shall
revert to my residuary clause of this Will:
(1) Five Thousand Dollars ($5,000.00) to ADAM GARTNER;
(2) Three Hundred Dollars ($300.00} to STANLEY GARTNER;
(3) Two Thousand Dollars ($2,000.00) to FREDERICK GARTNER;
(4} Three Hundred Dollars ($300.00) to DONNA CULLEN;
(5) Three Hundred Dollars ($300.00) to THELMA GARTNER;
(6) Two Thousand Dollars ($2,000.00) to KENNETH SCHENFELT;
(7) Three Hundred Dollars ($300.00) to KARL SCHENFELT;
Page One (1) of Six (6) Pages
(B) I give, devise and bequeath my house that I reside in at the time of my death and
all furnishings, fixtures and appliances located thereon to ADAM GARTNER of 55 Kensington Drive Camp
Ilill, Pennsylvania. In the event ADAM GARTNER should predecease me, I give devise and bequeath my
house and all furnishings, fixtures and appliances located thereon to Adam Gartner's wife, THELMA
GARTNER. In the event THELMA GARTNER predeceases me, I give, devise and bequeath my house and
all furnishings, fixtures and appliances located thereon to her children surviving at my death.
(C) I give, devise and bequeath all of the rest, residue and remainder of my estate, real,
personal and mixed, wheresoever situated, as follows: One Hundred Percent (100%) to ADAM GARTNER.
>f Adam predeceases me, then the rest residue and remainder of my estate, I give, devise and bequeath to his
wife, THELMA GARTNER. >f Thelma is not so surviving, then I give, devise and bequeath the rest, residue
and remainder of my estate equally to Adam and Thelma's children surviving at my death.
ITEM III: No interest in income or principal shall be assignable by or available to anyone
having a claim against a beneficiary before actual payment to the beneficiary.
ITEM IV: All federal, state, and other death taxes payable on the properly forming my gross
estate for tax purposes, whether or not it passed under this Will, shall be paid out of the principal of my
residuary estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary.
ITEM V: I authorize my Executor.
(a) to retain and to invest in all forms of real and personal property, regardless
of (i) arry limitations imposed bylaw on investments by executors or trustees, (ii) arty principle or law
concerning delegation of investment responsibility by executors or trustees, or (iii) any principle of law
Page Two (2) of Six (6) Pages
concerning investment diversification;
(b) to compromise claims and to abandon any property which, in my
Executor's opinion, is of little or no value; to borrow from, and to sell property to others, and to pledge
property as security for repayment of any funds borrowed;
(c) to sell at public or private sale, to exchange or to lease for any period of
time any real or personal property, and to give options for sales or leases;
(d) to join in any merger, reorganization, voting-trust plan or other concerted
action of security holders, and to delegate discretionary duties with respect thereto;
(e) to use administrative or other expenses of my estate as income tax or estate
tax deductions and to value my estate for tax purposes by any optional method permitted by the law in force
when I die, without requiring adjustments between income and principal for any resulting effect on income or
estate taxes; and
(f) to distribute in kind and to allocate specific assets among the beneficiaries in
such proportions as my Executor may think best, so long as the total market value of any beneficiary's share is
not effected by such allocation.
These authorities shall extend to all real and personal property at any time held
by my Executor and shall continue in full force until the actual distribution of all such property.
All powers, authorities, and discretion granted by this Will shall be in addition
to those granted bylaw and shall be exercisable without leave of court.
ITEM VI: I appoint my nephew, ADAM GARTNER, Executor under this Will. Should my
nephew, Adam, fail to qualify or cease to act as Executor, I appoint his wife, THELMA GARTNER,
Page Three (3) of Six (6) Pages
Executrix under this Will. I direct that any fiduciary acting hereunder shall not be required to enter bond or
other security in any Court or jurisdiction in which said fiduciary maybe called upon to act.
ITEM VII: I appoint my Executor Guardian of the estate over any property that may pass to
any minor children with respect to which property I am authorized to appoint a guardian and have not
otherwise specifically done so.
Such guardian shall have the same management powers as those granted my Executor
may pay or apply principal as well as income for the minor's welfare, comfort, support or education, without
court approval, and if he, in his sole discretion, determines that it is impractical to administer any fund, he may
deposit such fund in one or more savings accounts in the minor's name, payable to him or her at majority. The
guardian shall have no further responsibility for any funds so paid, applied or deposited.
ITEM VIII: I hereby declare it to be my expressed desire that my Executor employ
the services of my personal attorney, JOHN R. ZONARICH, ESQUIRE, as the attorney for my Estate, since
he has particular knowledge of all of the facts and circumstances involved herein.
IN WITNESS WHEREOF, I have hereunto set my hand and seal and caused this my
Last Will and Testament, consisting of Six {6) typewritten pages, including this attestation clause and the
folio Acknowledgment and Affidavit, to be executed, declared and published this ~ ''day of
1998, at Pennsylvania.
EVA G. SOLLENBER R
Page Four (4) of Six (6) Pages
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF DAUPHIN )
I, EVA G. SOLLENBERGER, the Ted whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will; that I signed it willingly and that I signed it as my free and voluntary
act for the purposes therein expressed.
c,. iti-I~~ ~ .~
EVA G. SOLLENBERGER
Sworn or affirmed to and acknowledged before me by EVA G. SOLLENB RGER, the
Testatrix this day of /j~,.~- 1998.
Page Five (S) of Six (6) Pages
Ulv7 J
Public
(SEAL)
My Commission Expires:
Notarial Seal
Sharon K. Shaffer, Notary Public
Harrisburg, Dauphin County
My Commission Expires Aug. 17, 2000
~ ~ -• - --
AFFIDAVIT
COMMONWEALTH OF PENNSYLVATTIA )
SS:
COUNTY OF DAUPHIN )
..-- ~~
W , ~ ESQ
~~~'
e witnesses, whose nam ar signed tc~:~""""'hed or foregoing
instrumern, being d ed according to law, do depose and sa t we were present and saw EVA G.
SOLLENBERGER, sign and execute the instrument as her free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the
best of our knowledge, the T{e~~statrix was at the time twerny-one (21) or more years of age, of sound mind and
under no cbnstraiflt ~r unduelinfluence.
Residing at LQ 33~- st-~~o 2~ ~tl~
(.~
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~ ~ 70~
~~~~~
My Commission Expires:
Page Six (6) of Six (6) Pages
Notarial Seal
Sharon K. Shaffer, Notary Public
Harrisburg, Dauphin County
My Commission Expires Aug. 17, 2000
_ _ _~ _
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Eva G. Sollenberger a/k/a Eva Sollenberger
Date of Death: June 11. 2002
Will No. Admin. No. 20-02-00570
To the Register:
I certify that notice of beneficial interest required by Rule 5.6(a) of
the Orphans' Court Rules was served on or mailed to the following
beneficiaries of the above-captioned estate on July 16, 2002:
Name
Address
Stanley Gartner, 163 Hickory Road, Dillsbura PA 17019
Karl Schenfelt, 201 Tree Top Court, Warminster PA 18794
Kenneth E. Schenfelt. 730 Brintons Wood Rd West Chester PA 19382
Donna Cullen, 171 Torv Circle, Enola, PA 17025
Frederick Gartner, 84 Honeysuckle Drive, Mechanicsburg PA 17055
Thelma Gartner, 55 Kensington Drive Camp Hill PA 17011
Adam Gartner, 55 Kensington Drive, Camp Hill PA 17011
Notice has now been given to all persons entitled thereto under Rule 5.6 (a)
except None
Date: July 16, 2002
Signature
Name erbert G. Rupp, Jr., Esquire
Address 5 N 21St St., Suite 205
Camp Hill, PA 17011
Telephone (717) 761-3459
Capacity: Personal Representative
X Counsel for Personal
Representative
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENrT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
HERBERT RUPP ESQUIRE
355 N 21ST STREET
CAMP HILL, PA 1701 1
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EXI11-96)
NO. CD 001597
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 204-03-8977
FILE NUMBER: 2102-0570
DECEDENT NAME: SOLLENBERGER EVA G
DATE OF PAYMENT: 09/05/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 06/ 1 1 / 2002
101 ~ S31,350.00
TOTAL AMOUNT PAID:
REMARKS: HERBERT RUPP ESQUIRE
CHECK#1023
SEAL
INITIALS: VZ
RECEIVED BY:
MARY C. LEWIS
S31,350.00
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWE~~LTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
6l;REAU OF*INDIVIDUAL TAXES
DEPT. 280601
iiARRISBURG, PA 17128-0601
RECEIVED FROM:
HERBERT RUPP ESQUIRE
355 N 21ST STREET
CAMP HILL, PA 1701 1
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSM
CONT OL
NU ER
fold
101
ESTATE INFORMATION: ssrv: 204-o3-ssi 7
FILE NUMBER: 2102-0570
DECEDENT NAME: SOLLENBE G V
DATE OF PAYMENT: 09/05/20 2
POSTMARK DATE: 00/00/ 0
couNTY: CUMBERL D
DATE OF DEATH: 06/ 1 1 / 002
TOTAL AMOUNT PAID:
REMARKS: ADAM GARTNER
C/O HERBERT RUPP ESQUIRE
SEAL
CHECK#1023
AMOUNT
531,500.00
531, 500.00
INITIALS: VZ
RECEIVED BY: MARY C. LEWIS
REGISTER OF WILLS
REV-1162 EX(11-961
NO. CD 001593
REGISTER OF WILLS
~Q,~ - '~,~v- ~~ ~ d de' l S F 7
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 001876
HERBERT G RUPP JR ESQUIRE
355 N 21ST STREET
SUITE 205
CAMP HILL, PA 1701 1
fold
ESTATE INFORMATION: ssrv: 204-o3-89i7
FILE NUMBER: 2102-0570
DECEDENT NAME: SOLLENBERGER EVA G
DATE OF PAYMENT: 1 1 /22/2002
POSTMARK DATE: 1 1 /21 /2002
COUNTY: CUMBERLAND
DATE OF DEATH: 06/ 1 1 / 2002
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $4,059.92
TOTAL AMOUNT PAID:
REMARKS: ADAM GARTNER
C/O HERBERT G RUPP JR ESQUIRE
CHECK#1026
SEAL
INITIALS: CW
RECEIVED BY: MARY C. LEWIS
REV-1162 EXI11-961
54,059.92
REGISTER OF WILLS
REGISTER OF WILLS
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HERBERT G. RUPP, JR.
RICHARD C. RUPP
ANN MEIKLE ERIKSSON (1964-82)
LAW OFFICES
RUPP AND MEIKLE
A PROFESSIONAL CORPORATION
366 NORTH 21ST STREET, SUITE 206
CAMP HILL, PA 17011
(717) 761-3469
E-MAIL: RUPPLAWI®AOL.COM
November 21, 2002
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Eva G. Sollenberger
a/k/a Eva Sollenberger, deceased
No. 21-02-0570
Our File No.: S-3719.01
MAILING ADDRESS
P.O. BOX 396
CAMP HILL, PA 17001-0396
TELEFAX: (717) 730-0214
Dear Ladies:
Enclosed please find the following for filing:
Original Inventory;
Original and one copy of Rev. 1500 Inheritance Tax Return;
Check No. 1026 made payable to the Register of Wilts, Agent
in the amount of $4,059.92 for the remaining balance of
tax due; and
Check No. 1027 made payable to the Register of Wills in the
amount of $25.00 for the filing fee
Please mail the receipt to our office.
Thank you.
Yours sincerely
G. Rupp, Jr.
HGR/bk
Enclosures
FORM 16 REG. WILLS
INVENTORY
of all real and personal estate of EyA G. SOLLENBERGER a/k/a EVA SOLLENBERGER
deceased, late of 55 KENSINGTON DRIVE
CAMP HILL
(Number and street) (oityj
LOWER ALLEN TOWNSHIP ,Cumberland County, Pennsylvania, 17011
jBorough or Township)
who died JUNE 11, 2002
(date of death)
1
2
3.
4.
5.
6
7
8
(Zip Code)
PERSONAL ESTATE SCHEDULE
CAP Account - Wachovia Securities No. 9620843554
Principal 62882.13
Accrued interest to date of death 27.09
74 U.S, S~ries'8onds -list attached
Prin~i~at` 1387.50
Interest 8410.72
Waypoint Bank -Savings Account No. 100101713
Principal 900.25
Accrued Interest to date of death .12
Waypoint Bank.- Certificate of Deposit No. 131162747
Principal 16173.34
Accrued interest to date of death 9.00
Waypoint Bank - Cert~cate of Deposit No. 155297275
Principal 13181.98
Accrued interest to date of death 12.16 G -
-_ ,~,
Waypoint Bank -Certificate of Deposit No. 15502284
Principal 5100.00 ~~
Accrued interest to date of death 4.82
>v
Waypoint Bank -Certificate of Deposit No. 155302285 `~
Principal 10000.00 _ -
Accirued interest to date of death 9.56 --~
Fulton Bank -Certificate ofbeposit No. 012-0126410
Principal 747.57
Accrued' in#erest to date of death 5.71
753.28
TOTAL .....:.................................... $118,852.25
REAL ESTATE SCHEDULE
NONE
MEMORANDUM OF REAL ESTATE OUTSIDE
THE COMMONWEALTH OF PENNSYLVANIA
NONE
69909.22
9798.22
900.37
16182.34
13194.44
5104.82
10009.56
Copyright 2000 David James Thorpe, Esq.
AFFIDAVIT OF EXECUTOR OR ADMINISTRATOR
Commonwea~ilfh /o~ Qperu/zs~Cvania SS.
County o~l.umberland
Personally before me,the undersigned authority, a Notary. Public
and State, appeared ADAM GARTNER
to law, deposes and says that he is the executor or administrator of the estate of
in and for said County
who, being duly sworn according
EVA G. SOLLENBERGER
a/k/a EVA SOLLENBERGER ,deceased, that the foregoing schedules constitute a complete inventory
and appraisement of the real and personal estate of EVA G. SOLLENBERGER a/k/a EVA SOLLENBERGER
deceased, except real estate outside the Commonwealth of Pennsylvania, that the figures opposite each item of real and
personal estate in the foregoing schedules are determined and stated by the undersigned to be fair value of said items as
of the date of the decedent's death.
Sworn and subscribed before me
this ~d day of 1~-~t~v~it~C,r ~ ~~~ ,,,(1,~,~.,,,, ~~,~yt.f,rt,,,
h ~ ~'l_h..Cl~_~ ~p ~ ADAM~G'A`+RJT'N~~ER EXECUTOR
NOTARIAL SEAL ADDITIONAL INSTRUCTIONS
BARBARA J. KOCHER, Notary Public
~. ~i@'-pib~~RSPs16'All-1~19 ~ an the date the account is filed or the due date, including any extension, for the
M on Ex fires ,2005
months from the date of death) whichever comes first.
2. A Supplemental inventory must be filed within thirty days of discovery of additional
3. An original and two copies must be filed.
4. Additional sheets may be attached as to personalty or
5. See Section 3301 et seq. Of the Probate Estates and Fiduciaries Code of 1972, as amended.
6. The inventory must be typed.
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Copyright 2000 David James Thorpe, Esq.
~~~ ~~ -~ COMMONWEALTH OF PENNSYLVANIA
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-D6D1 NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 ER AFP t01-03)
DATE 01-20-2003
ESTATE OF SOLLENBERGER EVA G
DATE OF DEATH 06-11-2002
FILE NUMBER 21 02-0570
,; ~"7 COUNTY CUMBERLAND
HERBERT G RUPP JI~'`" - ' ACN 101
RUPP & MEIKLE Amount Remitted
355 N 21ST ST STE 205
CAMP HILL `.;PA 17011
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SOLLENBERGER EVA G FILE N0. 21 02-0570 ACN 101 DATE 01-20-2003
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) 72,707.44 credit to your account,
3. Closely Neld Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 46,144.81 tax payment.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) 138,479.61
8. Total assets (g) 257,331.86
APPROVED DEDUCTIONS AND EXEMPTIONS:
6,053.15
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2,788.23
11. Total Deductions (11) 8.841.18
12. Net Value of Tax Return (12) 248,490.68
13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14)
248,490.68
NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) •00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) •00 X 04 5 . .00
17. Amount of Line 14 at Sibling rate (17) .00 X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 248,490.68 X 15 - 37,273.60
19. Principal Tax Due (19)= 37,273.60
DATE NUMBER INTEREST/PEN PAID (-) PAID
09-05-2002 CD001597 1,650.00 31,350.00
11-21-2002 CD001876 .00 4,059.92
PAYMENT MUST BE MADE BY 03-11-2003*.
^ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 37,059.92
BALANCE OF TAX DUE 213.68
INTEREST AND PEN. .00
TOTAL DUE 213.68
( IF TOTAL DUE IS LESS THAN S1, 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.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
N0. CD 002129
RUPP HERBERT G JR ESQUIRE
355 N 21 STREET
CAMP HILL, PA 1701 1
------- fold
ESTATE INFORMATION: ssN: 204-o3-8si7
FILE NUMBER: 2102-0570
DECEDENT NAME: SOLLENBERGER EVA G
DATE OF PAYMENT: 02/05/2003
POSTMARK DATE: 02/04/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 06/ 1 1 /2002
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5213.68
TOTAL AMOUNT PAID:
REMARKS: HERBERT G RUPP JR ESQUIRE
CHECK# 1022
INITIALS: AC
SEAL RECEIVED BY
DONNA M. OTTO
5213.68
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 2806D1
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
HERBERT G RUPP JR
RUPP 8 MEIKLE
355 N 21ST ST STS, 205
CAMP HILL '`PA 17011
REY-1547 EX ~fP t01-DS)
DATE 01-20-2003
ESTATE OF SOLLENBERGER EVA G
DATE OF DEATH 06-11-2002
FILE NUMBER 21 02-0570
COUNTY CUMBERLAND
ACN 101
Amount Remitted
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MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~
LAW OFFICES
B,UPP AND MEIKLE
A PROFESSIONAL CORPORATION
P. O. BO% 396'
CAMP HILL, PA 17001-0396
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Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
HERBERT G RUPP JR ~~
RUPP & MEIKLE
355 N 21ST ST STE 205
CAMP HILL PA 1701$."i,
REY-1607 EX AFP (O1-OS)
DATE 02-18-2003
ESTATE OF SOLLENBERGER EVA G
DATE OF DEATH 06-11-2002
FILE NUMBER 21 02-0570
'GQUNTY CUMBERLAND
ACN 101
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HDUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this fora with your tax payment.
CUT ALONG_ THIS LINE __-___ RE_TAIN LOWER P_ORTI_ON FOR YOUR RECORDS __~ _____________________
REV-1607 EX AFP (01-03) ~*~ INHERITANCE TAX STATEMENT OF ACCOUNT ~~~
ESTATE OF SOLLENBERGER EVA G FILE N0. 21 02-0570 ACN 101 DATE 02-18-2003
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-20-2003
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
37,273.60
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
09-05-2002 CD001597 1,650.00 31,350.00
11-21-2002 CD001876 .00 4,059.92
02-04-2003 CD002129 .00 213.68
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
* IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1,
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. )
37,273.60
.00
.00
.00
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STATUS REPORT UNDER RULE 6.12
Name of Decedent: EVA G. SOLLENBERGER
Date of Death: Tent e 1 l~ 2002
Will No.:
Admin. No.: 2002-00570
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect
to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes ~_ No
2. If the answer is No, state when the personal representative reasonably believes the administration
will be complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes No ~
b. The separate Orphans' Court No. (if any) for the personal representative 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 form or informal accounts may be
filed with the Clerk of the Orphans' Court and may be attached to this report.
Previously filed on
Date: March 27. 2003
Signature
Adam Gartner
Name (Please type or print)
55 Kensington Drive, Camp Hill, PA 17011
Address
737-8507
Telephone Number
Capacity: ~_ Personal Representative
Counsel for personal representative
COMMONIlVEAL TH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
L-
V
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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3. Remainder Return (date of death priortc12_
13-82)
4. Limited Estate
4a, Future Interest Comprise (date c/death after 12-12-82)
5. Federal Estate Tax Return Required
Decedent Died Testate (Attach copy of Will)
7. Decedent Maintained a Living Trust (Attach a copy of Trust)
8. Total Number of Safe Deposit Boxes
Election to tax under Sec. 9113{A)
Litigation Proceeds Received
10. Spousal Poverty Credit (dale of death between 12.31_91 and 1-1-95)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
"E NAME COMPLETE MAILING ADDRESS
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1. Real Estate (Schedule A)
(1)
(2)
(3)
(4)
(5)
(6)
$0.00
OFFICIAL USE ONLY
2. Stocks and Bonds (Schedule B)
$72,707.44
3. Closely Held Corporation, Partnership or Sole-Proprietorship
$0.00
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4. Mortgages & Notes Receivable (Schedule D)
$0.00
5. Cash, Bank Deposits & Misc. Personal Property (Schedule E)
$46,144.81
6. Jointly Owned Property (Schedule F)
Separate Billing Requested
$0.00
7. Inter-Vivos Transfers & Misc. Non-Probate Property
(Schedule G or L)
(7)
$138,479.61
8. Total Gross Assets (total Lines 1-7)
$257,331.86
(8)
(9) $6,053.15
(10) $2,788.23
(11) $884118
9. Funeral Expenses & Administrative 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)
(12) $248,490.68
13. Charitable and Governmental BequestS/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
(13)
$0 00
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14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of line 14 taxable at the spousal tax
rate, or transfers under Sec, 9116 (a)(1.2)
$0.00
(14)
$248,490.68
(15)
(16)
(17)
(18)
(19)
x
16. Amount of line 14 taxable at lineal rate
x
$0.00
17. Amount of line 14 taxable at sibling rate
.12
x
$0.00
18. Amount of line 14 taxable at collateral rate
19. Tax Due
.15
$37273 60
x
$37,273.60
20.
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Copyright 2000 David James Thorpe, Esq.
Deced,ent's Complete Address:
'STREET ADDRESS
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C)
3. InteresUPenalty if applicable
D. Interest
E. Penalty
4.
InteresUPenalty (D + E)
If line 2 is greater than line 1 + line 3, enter the difference, This is the OVERPAYMENT,
Check box on Page 1 Line 20 to request a refund
If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BAlANCE DUE.
(4)
(5)
(SA)
(58)
Make Check Payable to: REGISTER OF WILLS. AGENT
5.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN X IN THE APPROPRIATE BLOCKS
Yes
No
,.
Did decedent make a transfer and:
e, 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 revisionary interest; or
d. receive the promise for life of either payments, benefits or care?
If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death occurred
after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?
Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?
Did decedent own an indilJklual retirement account, annuity, or other non-probate property?
2.
3.
4.
(1)
$37,273.60
(2)
$33,213.68
(3)
$0,00
$4,059.92
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 perjury, J declare that I have examined this retum, including accompanying sc/1edules and statements, and to the best of my knowledge and belief, it is true, correct,
and complete
Declaration of pre parer other than the personal representative is besed on all the information of which preparer has any knowledge.
SIGNATURE OF IfERSON RESPON
rJvcI...('" /--1...-
ADDRESS
I Street, Suite 205, Camp Hill, PA 17011
-
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S.
~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)]. The
statute does no exempt a transfer to a survilJing spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the
survNing spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a
stepparent of the child is 0% [72 P.S. 99116(a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S, 99116{1.2) [72 P.S. S9116(a) (1)],
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. sg116(a}(1.3)], A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
Copyright 2000 David James Thorpe, Esq.
SKARLATOSIl: ZONARlCH
,. "-,
LAST WlLL AND TESTAMENT
OF
EVA G. SOLLENBERGER
LEVA G SOLLENBERGER, of 1012 S 19th Street. f1arri,hur~, Dauphin ('ounty,
""II"" I';ll\ia 1711.1, dedare this 10 h.., 111\' f ,as' "'ill and le\(l~e am \\,,11 1'1l'")o,,sly mad" by Ill<.'
ITL1\1/ 1 <.JrrL'Ctthal all mY.lusl <.Jebts and hmeral e~p<:nse', indudmg Ihl' eOS! ofa SUllabk
grave marker and perpetual care lor my burial plOI, shall be paid from the assets of my estate as soon as
practicable after my decease.
ITEM II: ] give, devise and bequeath all of my estate, real, personal and mixed, wheresoever
situated, as follows:
(A) ] give, devise and bequeath specific amounts of money to the following,
provided that they survive me, In the event any of the following beneficiaries predecease me, said sum shall
revert to my residuary clause of this Will:
(I) Five Thousand Dollars ($5,00000) to ADAM GARTNER;
(2) Three Hundred Dollars ($30000) 10 STANLEY GART"iER,
(J) Two Thousand Dollah IS2,lXI(} (KIIIO FRFlll-:iUC!\. (;Aln"FR.
(-1) Three Hundred Dollars ($300 L'lIi tll DO:\~A Cl'I.LE'\,
(5) Three Hundred Dollars ($300.00) to THELMA GARTNER;
(6) Two Thousand Dollars ($2,000.00) to KENNETH SCHENFEL T;
(7) Three Hundred Dollars ($300,00) to KARL SCHENFELT;
Page One (I) of Six (6) Pages
~-:~~r-~'~7:';iI~:~~~:41t~~_-:';;_ ~ '~:""";:;"""~~~-------"~"~'.'~- ~-
(B) I give, devise and bequeath my house that I reside in at the time of my death and
all furnishings, fixtures and appliances located thereon to ADAM GARTNER of 5 5 Kensington Drive Camp
Hill, Pennsylvania. In the event ADAM GARTNER should predecease me, I give devise and bequeath my
house and all furnishings, fixtures and appliances located thereon to Adam Gartner's wife, THELMA
GARTNER In the event TIffiLMA GARTNER predeceases me, I give, devise and bequeath my house and
all furnishings, fixtures and appliances located thereon to her children surviving at my death.
(C) I give, devise and bequeath all of the rest, residue and remainder of my estate, real,
personal and mixed, wheresoever situated, as follows: One Hundred Percent (100"10) to ADAM GARTNER
If Adam predeceases me, then the rest residue and remainder of my estate, I give, devise and bequeath to his
wife, TIffiLMA GARTNER If Thelma is not so surviving, then I give, devise and bequeath the rest, residue
and remainder of my estate equally to Adam and Thelma's children surviving at my death.
ITEM III: No interest in income or principal shall be assignable by or available to anyone
having a claim against a beneficiary before actual payment to the beneficiary.
ITEM IV: All federal, state, and other death taxes payable on the property forming my gross
estate for tax purposes, whether or not it passed under this Will, shall be paid out of the principal of my
residuary estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary.
ITEM V: I authorize my Executor:
(a) to retain and to invest in all forms of real and personal property, regardless
of (i) any limitations imposed by law on investments by executors or trustees, (ii) any principle or law
concerning delegation of investment responsibility by executors or trustees, or (iii) any principle oflaw
Page Two (2) of Six (6) Pages
concerning investment diversification;
(b) to compromise claims and to abandon any property which, in my
Executor's opinion, is of little or no value; to borrow from, and to sell property to others, and to pledge
property as security for repayment of any funds borrowed;
(c) to sell at public or private sale, to exchange or to lease for any period of
time any real or personal property, and to give options for sales or leases;
(d) to join in any merger, reorganization, voting-trust plan or other concerted
action of security holders, and to delegate discretionary duties with respect thereto;
(e) to use administrative or other expenses of my estate as income tax or estate
tax deductions and to value my estate for tax purposes by any optional method permitted by the law in force
when I die, without requiring adjustments between income and principal for any resulting effect on income or
estate taxes; and
(f) to distribute in kind and to allocate specific assets among the beneficiaries in
such proportions as my Executor may think best, so long as the total market value of any beneficiary's share is
not effected by such allocation.
These authorities shall extend to all real and personal property at any time held
by my Executor and shall continue in full force until the actual distribution of all such property.
All powers, authorities, and discretion granted by this Will shall be in addition
to those granted by law and shall be exercisable without leave of court.
ITEM VI: I appoint my nephew, ADAM GARTNER, Executor under this Will. Should my
nephew, Adam, fail to qualifY or cease to act as Executor, I appoint his wife, THELMA GARTNER,
Page Three (3) of Six (6) Pages
Executrix under this Will. I direct that any fiduciary acting hereunder shall not be required to enter bond or
other security in any Court or jurisdiction in which said fiduciary may be called upon to act.
ITEM VII: I appoint my Executor Guardian of the estate over any property that may pass to
any minor children with respect to which property I am authorized to appoint a f:,'lIardian and have not
otherwise specifically done so.
Such guardian shall have the same management powers as those granted my Executor
may payor apply principal as well as income for the minor's welfare, comfort, support or education, without
court approval, and ifhe, in his sole discretion, determines that it is impractical to administer any fund, he may
deposit such fund in one or more savings accounts in the minor's name, payable to him or her at majority. The
guardian shall have no further responsibility for any funds so paid, applied or deposited.
ITEM VITI: I hereby declare it to be my expressed desire that my Executor employ
the services of my personal attorney, JOHN R. ZONARICH, ESQUIRE, as the attorney for my Estate, since
he has particular knowledge of all of the facts and circumstances involved herein.
IN WITNESS WHEREOF, I have hereunto set my hand and seal and caused this my
Last Will and Testament, consisting of Six (6) typewritten pages, including this attestation cla~ and the
r"'''"'''' """ Affid,.', '" b',~=''''' dc'''''''' ~d ""Jili,"'" ,Ii;, / If - "', or
]998 at /~ V , Pennsylvania.
, , v 0
Page Four (-I) of Six (6) Pages
{~.J1 J&!!e -t<r-
EVA G. SOLLENBER
-
ACKNOWLEDGMENT
COMMONWEALTII OF PENNSYLVANIA )
: SS:
COUNTY OF DAUPHIN )
I, EVA G. SOLLENBERGER, the Testatrix. whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will; that I signed it willingly and that I signed it as my free and voluntary
act for the purposes therein expressed.
Testatrix this
? ~.h...-J...f&. Z
EVA G. SOLLENBERGER -
Sworn or affirmed to and acknowledged before me by EVA G. S6LLENB GER, the
/ M my of fJ't Jt..L.. , 1998.
. (;
~ II ft~fX//(ljj 1;1j/L
ary Public .
, (SEAL)
My Cominission Expires:
Page Five (5) of Six (6) Pages
Notanal Seal
Sharon K. Shaffer, Notary Pubhc
Harrisburg. Dauphm County
My ~~mmisslon .E~P!r8S AU9: '?: 3.0?O~
~M lif, f:l!1tt.:iYY Ilia Iii Iii I I lJ U 01
AFFIDAVIT
COMMONWEALTI-l OF PENNSYLVANIA
COUNTY OF DAUPHIN
)
)
55:
signed t th ached or foregoing
instrument, being d ed according to law, do depose and sa t we were present and saw EVA G.
SOLLENBERGER, sign and execute the instrument as her free and voluntary act for the purposes therein
expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the
best of our knowledge, the Testatrix was at the time twenty-one (21) or more years of age, of sound mind and
under no ' r undu influence.
V
Residing at
-----
Residing at
. the
Residing at
w rn oj?,rmed I
/ 'l'fl}
ledged before m
d .
1998
/;
i/fi)/ttJiw/( gjW.~,
otary Public I / I
(SEAL)
My Commission Expires:
Page Six (6) o/Six (6) Pages
Notarial Seal
Sharon K. ShaHer. Notary Public
Harrisburg, Dauphin County
M~Commisslon Expire. Aug. 17, 2000
t, " Y ".,, >8661A 16" 0 0 tl~'
--
. r.OMMONINEALTH OF PENNSYLVANIA
. INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
],
ESTATE OF
SOLLENBERGER, EVA G. alkJa SOLLENBERGER, EVA
FILE NUMBER
21-02-0570
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION
NUMBER
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq.
Wachovia Securities. Inc.
Retail Investment Group
NC1164
401 South Tryon Street
Charlotte, NC 28288
.
-
WACHOVIASECUlUTIES
September 17, 2002
Rupp & Meike Attorney at Law
Hebert Rupp
335 N 21 sl. Street
Camp Hill. PA 17011-3707
Fax: (717)730-0214
RE: CAP Account 9620843554
Estate of Eva S\ll!enberg~r
Dear Mr. Rupp:
Thank you for contacting Wachovia Securities.
This letter is in response to your request for information regarding the CAP Account of
Eva Sollenberger. The value of CAP Account number 9620843554 was $62,882.13
with accrued interest in the FDIC Insured option of $27.09 on June 11,2002. The
value of Brokerage Account number 73835518 was $0.00.
If we can be of any further assistance, please do not hesitate to call an Estate
Processing Specialist at 1-866-874-2717.
Sincerely,
gA<~ ~h-
Brian Austin
Estate Processing Specialist
Retail Investment Group
*First Union National Bank and Wachovia Bank, N.A merged effective April 1, 2002,.and the combined bank is now Wachovia
Bank, N.A. First Union is a registered trademark of Wachovia Corporation.
UThe price per share is based on the closing price at the end of regular trading hours for the date of death. Due to certain
securities not priced on a daily basis, we can not guarantee that the price given was as of the date of death. The market
information contained herein, including but not limited to, prices, quotes and statistics, has been obtamed from sources that we
believe to be rellable, but we do not offer any guarantees as to its accuracy or completeness.
Securities and Insurance Products:
;\'ot Insured B)' FDIC Or Any "'fA Y LOSE VALUE Not A Deposit Of Or Guaranteed By
Federal Government Agency A Bank Or Any Bank Affiliate
Brokerage services otfered through Wachovia Securities Inc., a registered broker.dealer and a separate, non~bank
affiliau~ ofWachovia Corporation Member NYSE and SIPe.
RGCUS 849532706
'.1,,,,,,'.,,, NYSF .,'~-
Savings Bond Redemption
Waypoint Bank
235 North Second Street
Harrisburg PA 17101
Date: 6/24/2002
Tax ID Number: 204-03-8917
User: WEAVERAM Branch: 00018
EVA G SOLLENBERGER
55 KENSINGTON DR
CAMP HILL, PA 17011
Bond Type Denom Mo Year Purchase Redeem Interest
-----------------------------------------------------------
Series E 25 01 1967 18.75 125.86 107.11
Series E 25 01 1967 18.75 125.86 107.11
Series E 25 02 1967 18.75 125.86 107.11
Series E 25 02 1967 18.75 125.86 107.11
Series E 25 03 1967 18.75 125.86 107.11
Series E 25 04 1967 18.75 125.86 107.11
Series E 25 04 1967 18.75 125.86 107.11
Series E 25 05 1967 18.75 127.06 108.31
Series E 25 05 1967 18.75 127.06 108.31
Series E 25 06 1967 18.75 128.46 109.71
Series E 25 06 1967 18.75 128.46 109.71
Series E 25 07 1967 18.75 128.45 109.70
Series E 25 07 1967 18.75 128.45 109.70
Series E 25 07 1967 18.75 128.45 109.70
Series E 25 08 1967 18.75 128.45 109.70
Series E 25 08 1967 18.75 128.45 109.70
Series E 25 09 1967 18.75 128.45 109.70
Series E 25 09 1967 18.75 i28.45 109.70
Series E 25 10 1967 18.75 128.45 109.70
Series E 25 10 1967 18.75 128.45 109.70
Series E 25 11 1967 18.75 129.70 110.95
Series E 25 11 1967 18.75 129.70 110.95
Series E 25 12 1967 18.75 131.28 112.53
Series E 25 12 1967 18.75 131.28 112.53
Series E 25 12 1967 18.75 131.28 112.53
Series E 25 01 1968 18.75 131.28 112.53
Series E 25 01 1968 18.75 131.28 112.53
Series E 25 02 1968 18.75 131.28 112.53
Series E 25 02 1968 18.75 131.28 112.53
Series E 25 03 1968 18.75 131.28 112.53
Series E 25 03 1968 18.75 131.28 112.53
Series E
Series E
Series E
Series E
25
25
25
25
04 1968
04 1968
05 1968
05 1968
18.75
18.75
18.75
18.75
131.28
131.28
132.57
132.57
112.53
112.53
113 . 82
113.82
Savings Bond Redemption
Waypoint Bank
235 North Second Street
Harrisburg PA 17101
Date: 6/24/2002
Tax ID Number: 204-03-8917
User: WEAVERAM Branch: 00018
EVA G SOLLENBERGER
55 KENSINGTON DR
CAMP HILL, PA 17011
Bond Type Denom Mo Year Purchase Redeem Interest
-----------------------------------------------------------
Series E 25 06 1968 18.75 1.34.16 115.41
Series E 25 06 1968 18.75 1.34.16 115.41
Series E 25 06 1968 18.75 134.16 115.41
Series E 25 07 1968 18.75 1.34.14 115.39
Series E 25 07 1968 18.75 134.14 115.39
Series E 25 08 1968 18.75 1.34.14 115.39
Series E 25 08 1968 18.75 1.34.14 115.39
Series E 25 09 1968 18.75 1.34.14 115.39
Series E 25 09 1968 18.75 1.34.14 115.39
Series E 25 10 1968 18.75 134.14 115.39
Series E 25 10 1968 18.75 134.14 115.39
Series E 25 11 1968 18.75 1.35.44 116.69
Series E 25 11 1968 18.75 1.35.44 116.69
Series E 25 11 1968 18.75 1.35.44 116.69
Series E 25 12 1968 18.75 137.28 118.53
Series E 25 12 1968 18.75 1.37.28 118.53
Series E 25 01 1969 18.75 137.27 118.52
Series E 25 03 1969 18.75 13 7.27 118.52
Series E 25 04 1969 18.75 1.37.27 118.52
Series E 25 04 1969 18.75 137.27 118.52
Series E 25 05 1969 18.75 1.38.60 119.85
Series E 25 05 1969 18.75 138.60 119.85
Series E 25 05 1969 18.75 138.60 119.85
Series E 25 06 1969 18.75 133.42 114.67
Series E 25 06 1969 18.75 133.42 114.67
Series E 25 07 1969 18.75 134.71 115.96
Series E 25 07 1969 18.75 1.34.71 115.96
Series E 25 08 1969 18.75 135.01 116.26
Series E 25 08 1969 18.75 135.01 116.26
Series E 25 09 1969 18.75 135.02 116.27
Series E 25 09 1969 18.75 135.02 116.27
series E
series E
series E
Series E
25
25
25
25
10 1969
10 1969
11 1969
11 1969
18.75
18.75
18.75
18.75
135.02
135.02
135.02
135.02
116.27
116.27
116.27
116.27
.
Savings Bond Redemption
Waypoint Bank
235 North Second Street
Harrisburg PA 17101
Date: 6/24/2002
Tax ID Number: 204-03-8917
User: WEAVE RAM Branch: 00018
EVA G SOLLENBERGER
55 KENSINGTON DR
CAMP HILL, PA 17011
Bond Type Denom Mo Year Purchase Redeem Interest
-----------------------------------------------------------
Series E 25 11 1969 18.75 135.02 116.27
Series E 25 12 1969 18.75 135.72 116.97
Series E 25 12 1969 18.75 135.72 116.97
Series E 25 03 1969 18.75 137.27 118.52
Total Savings Bonds 74 1387.50 9798.22 8410.72
COMMONIlVEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
SOLLENBERGER, EVA G. a/kJa SOLLENBERGER EVA
FILE NUMBER
21-02-0570
ESTATE OF
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with the right of survivorship must be dIsclosed on
Schedule F.
DESCRIPTION
TOTAL (Also enter on line 5, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq.
1~-28-Q8 16:SQ WAYPOINT BANK
IDa7179lil97481
Plil2/Qi
f'lWayRqiElJ
I.OOK FOR US. We-I.L GET YOU THERE.
09/1112002
RUPP & MEIKLE
355 N21ST 8T SUITE 206
CAMP HlLL PA 17011
The iDformation which you requested on the account(s) of EVA SOlLENBERGER
(Social Security Number 204-03-8917) is/are as follows:
Account Nwnber 100101713 131162747 155297275 1 ~~302284 155302285
Class of Accollllt SAVINGS CERTIFICATE CER.1'1FlCA TE CERnFlCATE CUTIFlCA TE
DalD OpellOd 05t17/83 12/08189 09/18/96 08/12197 08112197
Principalll~.e 900.25 16173.H 13181.98 5100.00 10000.00
Accrued mtI!fCst .12 9.00 12.46 4.82 9.56
BalaDee atDIIlC of 900.37 16182.34 13194.44 5104.82 10009.56
Dea%h
AccOUllt Ownetll.!l.ip SOl..E SOl..E SOLE SOLE SOLE
Name of loint
Owtw., ifany
Date OWllership
WI!> Establi8becl
Account Number
CU of ACCOWIt
Dale Opened
PrIncipal Balance
Accruocllnterest
Balance at Date of
Death
Account Ownmhip
Name of Joint
Owner, if any
DalD Ownership
Was EslBblw.cd
,.
Additional
lDfonnadon
Requested
a;b
SENIOR SERVICES REP.
P.O. Box 1711. HARltJ58U1IG. PINNSYIlANIA 17105-1711
'Il>11 Free 1-866-WAVPOINT (1-866-929-7646) . IN YoRK MV. 7f7/8IS-4500 . www.waypointbank.com
fulton Bank
CAPITAL DIVISION . LANCASTER/CHESTER DIVISION
DROVERS BANK DIVISION . GREAT VALLEY DIVISION
(717)291-2437
November 6, 2002
Rupp and Meikle
356 North 21" Street
Suite 206
Camp Hill, Pennsylvania 17011
Dear Ms. Kocher:
RE: Eva Sollenberger, deceased June 11,2002
In response to your recent inquiry concerning the accounts maintained in the name of
the decedent, please be advised that the following accounts were open at the date of death:
CD # 012-0126410, open 12/18/2000, roll over 1/18/2002, matures
2/18/2003, balance $747.57 and accrued interest $5.71; paying 1.93%.
Adam Gartner as Power of Attorney.
If you should have any further questions, please do not hesitate to contact me.
Very truly yours,
\4n-~~~">J)
Karen D. Hillegas J
Credit Inquiry Processor
POBox 4887 lancaster, PA 17604
www.fultonbankcom 1-8 OO-F U l TON-4
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
SOLLENBERGER, EVA G. alkla SOLLENBERGER EVA
FILE NUMBER
21-02-0570
Copyright 2000 David James Thorpe, Esq.
9a-2a-9a 16:51 WAYPOINT BANK
08/2812002
RUFP & MEIKLE
355 N 21ST ST SUITE 206
CAMP HILL PA 17011
ID=71799974al
P92/92
~rIWayRqi!lJ
LOOK FOR US. we'LL GET YOU THERE.
The information which you requested on the accOUnI(S) ofEV A SOllENBERGER
(Social Security Number 204-03-8917) is/are as follows:
100 114406
CERTIFICATE
0Sf.!8I99
77~3 1.09
58.1i3
77S89.72
AQCOUJ1t Number
Class of A_WIt
Date Opened
Principal Balance
A=ued InlCTCst
Ballllee II Date of
Duth
AccollJ1t Ownenbip TRUIBEN
Name of Joint ADAM
Owner, iflllY GARTNER
Date Own=hip OS103/99
W.. ESlablisbod
100009782
CER11FICATE
05103199
18656.21
8.53
13664.74
AccoUllt Number
CluB of Account
Date Opeoed
Principal Balauce
ACCNIld InIe:est
Bal8lIce II Dare of
Deem
Account Ownership
Name of Joint
Owner. if any
Date Ownmhip
Was Established
Additional
hltormatton
Requested
TR:U!BBN
ACAM
<:lARTNER
05128.'99
~IYii.n,~ .
~~6~'
SENIOR SERVICES REP.
ROo Box 1711. HARRISBURG. PENNSYl.VAN1A 17105.17.
Toll FNC 1-866-WAYPOINT (1-866-929-7646) . IN YORK ARu. 7f7 /815-4500 . www.Wiilypointbank.com
~0/30/2002 00;22 FAA 860 843 6188
HARTFORD LIfE
1aI00l/00l
October 28, 2002
Hartford Life
Rupp &: Meikle
Attn: Barbarll Kocher
Fax: 717.730-0214
REFERENCE: Hartford Annuity Account # 710002577
Decedent: Eva Sollenberger
Dear Ms. Kocher:
Thank you for your correspondence regarding the above annuity contract.
The death be:aefit payable under this contxacl i. not cO!l.5idered "life insurance" reportable
on IRS Fonn 712, (life insurance statement). Please find the below infOImation in
response to your request
Contract Numben
Owner:
Decedent;
Ow1ler's SSN:
Date of Death:
Date of Death Vtdue:
710002577
Eva Sollenberger
Eva Sollenberger
204-03-8917
June 11,2002
$17,175.15
, ,
If you have any other questions or concerns, pleasefeel:freeto contact your investment
prnfessional. or one of ow annuity specialists by ca:lling 1-800.862.6668, Monday;.
through Thursday from 8 a.m. to 7 p.m., Friday from 8 aID. to 6p.m., and otiSatI.lJ:day
from 9 a.m. to 2 p.m. Eastern time. We will be happy to assistyou~.Thank you for' the
opportunity to help provide for your ti.Oancial needs. .
Sincerely,
.I
C. DeLuca
Investment Product Services
Contract Management
Hartford Life !ilsuta1lce Company
Bu1f'onlUle, (1VI.1~ C9JDPall1es
ZOOlloto___.
. 5Im...ry.cr06089.' .
;J'GII Ji'rH 'I ,I" 'IJQ 66ft
!.ayertaleaOr...cit 5er.ietl
M,'IIIJ"dd,.." P'O.llos....
_..... cr IOIOU08S
DDliIlILII.rti-o!"llllfe.tfm :'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF SOLLENBERGER, EVA G. a/kJa SOLLENBERGER, EVA
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION
NUMBER
COMMONVv'EAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21-02-0570
AMOUNT
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF SOLLENBERGER, EVA G. alkla SOLLENBERGER, EVA
Include unrelmbursed medical expenses.
ITEM DESCRIPTION
NUMBER
COMMQNVVEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21-02-0570
AMOUNT
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James ThOlpe, Esq.
COMMONVv'EALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
SOLLENBERGER, EVA G. a1k/a SOLLENBERGER, EVA
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
FILE NUMBER
RELATIONSHIP TO DECEDENT
Do Not list Trustee(s)
21-02-0570
AMOUNT OR SHARE
OF ESTATE
NUMBER
I.
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
TOTAL OF PART 11- ENTER TOTAL ON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq.