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HomeMy WebLinkAbout02-0708PETITION FOR PROBATE and GRANT OF LETTERS Estate of ' 1l ~C;i-~r^;C't(~~ ~ ~ ~"~~cY~r ~ ~i,/ C ' t ;~~ No. Z (- O 2- ~~~ also known as To: Deceased. Social Security No. I ~ ' ~ ^ '71 D The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut;~x named in the last will of the above decedent, dated A t.~C,u S# 1St , 19r and codicil(s) dated ~ /f,~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in L am ~ ~~~ D( ~ u he: last family or principal residence at ~iC~i'~Urd ~ (list street, number Register of Wills for the County of ~u ~1~ ~ I ~ 0+ in the Commonwealth of Pennsylvania Decendent, then ~_ years of age, died ~U-'~2 lC7 , i~4~, at Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as 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 situated as follows: _ sit; EC{~;c1 Kd ~v ~'~~ ~ ~~~) I .~. ' y `~ •~' - 'o.~ ^ .~ ~ C i t-i'1~ 4, ~o c~ C Op $ ~3~t~5o OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBExLAND } S3 The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the Etate according to law. . / i Sworn to or affirmed and subscribed ~~~°i ~~ ~ ~ before me this 7th ~ day of ~' A S L MARY LEWIS Reg ster ~~~ a ... i m l y County, Pennsylvania, with WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters- ~2St~cr~n~-Q~~L (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. No. 2 ~' C7 Z-'10~ Estate Of _ MARGARET '"~RUDY" MCBRIDE ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW AUGUST 8 , 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 8=18-1993 described therein be admitted to probate and filed of record as the last will of MARGARET "TRUDY" MCBRIDE and Letters TESTAMETNARY ' are hereby granted to KAREN LEE DESTITO N.K.A. KAREN LEE POST ,~ MAR IS Register of Wi FEES Probate, Letters, Etc. ......... ~ 200.00 Short Certificates( ) .......... ~ 0.00 ~la~~~~ . ~~tza . page$ , , ~ 9.0 0 jcp ~ 5.00 TOTAL $ 220.00 Filed . , 8-$-2002 mailed to'exec $_g=2002'''''''''' :ATTORNEY (Sup. Ct. LD. No.} 4DDRESS PHONE ~h~,s is to cerrifi~ that the information here given is correct)}~ copied from an original certificate of deatL~ duly Ei1ed with me as Local Registrar. I'he original certificate will he forwarded to the Stare Viral Records Office for permanent tiling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for dii.5 certificate, ~K~.00 ~ j J ..rj ~ T ~.....~, Local Registrar /~ V P .8384021 ~~. ,~u "J ~ ~. 2Q02 Date JHev 2•B7 COMMONWEALTH Of PENNSYLVANIA • DEPARTMENT OF HEALiH • 41TAL RECORDS CERTIFICATE OF DEATH giATE r~lE frUMBER NAME OF DECEDENT If uv. Midd».:asl SE% SGCIAL SEI:URITY NUMBER GATE OF UEAIH ~.MCnN par. rear) ~. Margaret B. McBride __ ~ .Female ~. 185 - 30 - 3710 ~ June 10 2002 AGE (Last eumdayl UNDER t YEAR UNDER t DAY DATE OF BIRTH BdiTHPIACf ,Coy and M p PLACE tK DEA7H a;r•tcx r»~ly.u a ~nvu~u I,,.v rnr UnYi suer - _--- -~ ~-~-~_ MpnM . Days Hoes ; Mnutp ~ ornn aY •eerl ila»,>r rcreyn t:wnuvl HOSPITAL OTHER -- 6 4 Vra 6 / 1 / 3 8 A 1 toona , Pa Inpx»nl ^ ERlOulpat»M ~: ~ OOA ^ NHOr~ ^ Reswn~. ~ IJIMr ^ t peca l s. - a. 7. w. y COUNTY OF DEATH CCTV, BOftO. TWP OF DEATH FACILfT`I NAME nt ru,l msrnurc,n y,ve ,heal end iwm°er~ WAS D ECEDEM OF HISPANIC ORIGIN? RACE ~ Amarrcan Intaan, &ac%, NTae. el<. _ ~~ QQ ISpeulyl No L~ yrs l_~ n yp, apacdy Cuban , • M Cumberland Pennsboro Twp,d51 0 Er ford Rd. Camp Hi11 Pa ; ° "a" P"'d°RK°^•"° _ _ , , ,o. h DECEDENT'S USUAL OCCUPRION KIND OF BUSINESSltNDUSTRV NNS DECEDENT EVER IN DECEDENT'S EDUCAT ION MARITAL STATUS Marr»d SURVIVING SPOUSE IGne MrMdwork done Owerg rtio9 US AR(M'EID FORLC~ES? S ~ era ni ralq r.tm IeteJ Nav.r Marr»d, W~d°wW, Id ,.,ln eve ma.len name) d waking aa; w II01 use rented) Y ENrMnlarylSecOMary Cdtepa OwercrM 15pecay) LJ N p OM to-tz) Itaas.l - ,,. Housewife U k . „h. ,,. ,,. ,,. Widow ,,. DECEDENT'S MAILING ADDRESS ISIIeeL pay/1Dwn, Slate. Zn Ca1e1 DECEDENT'S Penns`'lvania East Pennsboro ACTUAL 17 l S 7 51 0 Erford Rd p» 1 a. lxa c.L Yp, dscWan 4v.d in ~. RESIDENCE - decaderM Camp Hill Pa 17011 ISee uuurucluxu Yvan a ~~er sKfel Cumberland lownenlp? I+a. dacadsA lived , u. 17p. county---------- 17d.^ warm aaualMMa at,--- _-- --- crtyroao FATHER'S NAME (Fun. Mgdle. Lanl MOTHER'S NAME rFvs1. MWd». Mewen Swnama) „_ Corbin Musselman ,,. Ruth V. ? tNFOFIMANT'S NAME (1ype•Prml) INFORMANT'S MAILING ADDRESS /Strpl, C~rylbwn, Stale. Zp Code) ~.. Karen Post ,8,.719 Bosler Ave. Lemo ne Pa 17043 METHOD OF DISPOSITION Bunts ® Gemaliort ^ R al hOm SIaM ^ DATE OF DISPOSITION (MpNn. UaY. >bx) PUCE OF DISPOSITION ~ Hams of Cemetery, Cnmalory a Oln" place LOCATION ~ Crry/TOwn, Slxe, Lp Cow DdMtran^ OIMr,SpxayL ^ June 1 4, 2002 Indiantown Gap Nat' 1 C m Lebanon Pa 7,a. 71h. ,td. , ltd. SIGNAT E U ERAL S~ VICE ~ CENSE RSON ACTING AS SUCH LICENSE NUMBER NAME AND ADDRESS OF FACILITY '~ ,:h.F.D.011897-L xTSullivan FH 51 N Enola Dr Enola Pa Complel ms 23at only wMn i b IM Dan d my trwwtadge, warn occurred aI the hme, axe ant place staled LICENSE NUMBER DATE SIGNED . pnyarcun r»I avadade al hma OI root, b ($rgr»IUre Hid 7n») (MOndt a text • . v. o«llry cap. a wxh _ ra.. __ z,h. :x. Hams 2a-26 mw1 W compNladW TIME OF OEATM DATE PRONOUNCED UEAO IMwnn. Day, year) WAS CASE REFERRED TO MEDICAL E%AMINERICORONER? • para0n wlq prOrKlurrpp walh- ,. 7:00 PM June 10 2002 Ve'I] "°® . . :s. „. ,7. PART I: En»r tM d~pases, mrynes or compacaluns wnrch roused Ina root, Oo MI enter IM mode OI dying, swan as cardiac a ies0•alory ones), srwcE or hear laiWia i Approa~male PART ll: qMr sigmf x%mrtJUOns cawibauq to root,, Out Lin Only OM Cause On eitn ant. ~ iNanx t»twpn nq rsw%nq n tM urldertyuq coup gluon Yt PART 1. IYYEDIATE CAUSE (Fuix / /~ I orwt and wem d4aaaea c°ndhon 1 I . 4' c-lC e . ,C_. Cc n q resWlKtpx dr)adrl-+ a. _ ~ ~ ~' _ __ DUE ASACONSEOUENCE OF)~ -~- --- Sapwre»Ey M c°rrdsi°ru D. r __ ___ __ ~-_ N ant. »adrp to rmme6au WE TO (OR AS A CONSEQUENCE OFI: - ~ 1 _ rar»a Einar UNDERLYBW I CAUSE (D~sease a nFrry o --- t.- DUE tt110R AS A CONSEOUE NCE OFD: - ~ q ~~1 ~T I r r d -.---_-._-___-____- _.__.__.________ -___.___L_______ WA$ AN AUTOPSY PERFORMED? WERE AUTOPSY FINDINGS AWVUBLE PRIOR 70 MANNER OF DEATH GATE OF INJURY TIME OF INUURY INJURY AT `MDRK7 DESCRIBE HOW INJURY OCCURRED. ~~ 710N OF CAUSE Nalurx c M ^ IMOnm Oay. read p L om~cufa ) Acculsnt /^` P M I C vW ^ ND ^ yM NO Yoe ^ No ^ a Ug maaruTalnn J rr Surcrw ^ GOUW M1 l» detarmu.ed l__~ ?a_.__ 70h.,_. M. 70e_ ,pd. __..___..-___-. - __-_-___- __. PUCE OF INJURY AI M f ,M Yah ~ ma. arm, sueal. laclay. OMKa LOCATION t$treet. Glv/TO..m, Stale) budding, xc IStwcnvl . . t9. 30e. ,p. _ -_ RTIFIER ICI•aCK Orvy one) 'CERTIFYING PHYSICIAN IPnysKUn crvutying case d deem caner anaher pnvsu:an has prorounced deem anU cunOleled nem 1Jl __ SIGNATURE AND TITLE OF RNFIER • To tl» )teat of my hrgr»dge, walk occurtad due b dra t+use(sl and manner +e noted .. ... , at ~, L;. ` ~ .`-V ~~~ '-tTONOUNCING AND CERTIFYING PHYSICIANIPnyscun d.r.:~„y.wrug uealn and ie.uly~nr, ro ia~..:n nr uenur -- Toth Dael of my knowledge, root, occuned at d»dme, dale and Plau,+nd due l°IM cauaelel+M m+nnaruatalyd.. ..... .... .. ,. i__~ LIC NU BER DATE SIGNEDIMwnn. pay. Yea.) .. ~ rr ,tc._ IY~I~ ~)}_Q_~ ~.~ C- 11 ~.^~ ,ld. ~? _-..__ _ _ __ ,.__ NAME AND ADDRESS OF VERSO WHOCOMPLETEDCAUSE OF DEATH • 'MEDICAL EXAMINER/CORONER (Item 171 TYpa a Pnnl ]r ' ~ - , ,~ IC ,v On tM Oaaia of asamtnalion and/a investigation, in my oplnwn, death occurred al Me Lima, dale, and place, and due to the cause(s) and manno as atatad • , ~ ~ • \ "" r' ; „ .1 I ~, () 3 `)) d I TT ` .................................................. .............. ....... .... ~~~ .. .......... .... ... ... AR' SIGNATURE A N ER / - / / .. 73. , _-.- I DATE FILED IMOrun clay. read ---- --- - - - - -- -- --- ~.- G~i~ ~o ~ LAST WILL AND TESTAMENT OF MARGARET `TRUDY" McBRIDE 21-0~.-`tc~a8 4, MARGARET `TRUDY" McBR{DE, of East PennsboroTownship, Camp Hill, a ~ ~ •~ w ~ ~~ `. ~ v I~ '~ Cumberland County, Pennsylvania, being of sound and disposing mind memory and ~, understanding, do hereby make, pub{ish and declare this to be my Last Will and Testament. hereby revoking any and all Wills and Codicils previously made by me at any time heretofore. FIRST: I hereby direct that my personal representative, hereinafter named, to pay al{ of my just debts, funeral and testamentary expenses, including Pennsylvania Inheritance Taxes, as soon after my demise as may be practicable. ~F,~QN1~: All the rest, residue and remainder of my estate, 1 hereby give, devise and bequeath to my beloved husband, WILLIAM C. McBRIDE, JR.., whereso- ever situate. whether real. personal or mixed, should he survive me by thirty (30) days. THIRD: 1n the eventthat my husband, WILLIAM C. McBRIDE, JR., predeceases me, dies on or before the thirtieth (30th] day following my death, or should we die ' simultaneously in a common disaster, !hereby give, devise and bequeath my entire estateto my daughter, KAREN LEE DeSTITO. FOUflIJ~.:1n the event that KAREN predeceases me, I hereby direct that my husband's son. THOMAS J. McBRIDE, receive all the rest. residue and remainder of my estate. '~; F IFTH: To the extent that it is necessary for my daughter, TRACY LYNN, to ever ~' have a legal guardian or trustee, given her disabilities, I hereby nominate KAREN LEE x .~ ~~ a~ ~~ w +~ m `. a, -~ DeSTITO as Guardian of the PersonlTrustee of TRACY LYNN McBRIDE. ~i ~ A. Should KAREN die or, otherwise, refuse to be incapable of being j TRACY's GuardianrTrustee, lnominate my husband's son, THOMAS J. McBRIDE, as ~f the alternative GuardianlTrustee ofthe person of TRACY LYNN McBRIDE. ~~' SIXTH: Said Trustee/Guardian or the alternate as named herein, shall have ,~ I j complete discretion to do whatever may be deemed prudent and in the best interests I~ ~'' of TRACY LYNN at any time. .SEVENTH: I hereby nominate, constitute and appoint my husband. WILLIAM C. McBRIDE, JR., as Executor, of this my, Last Wi11 and Testament. In the event that my husband, WILLIAM, predeceases me, fails to qualify, ceases to act, or for some reason is incapable of performing such task, I then nominate, constitute and appamt my daughter, KAREN LEE DeSTITO. as alternate Executrix of this my, Last Will and Testament. In the event that KAREN LE DeSTITO predeceases me, fails to qualify, ceases to act, or for some reason is incapable of performing such task, I then nominate, constitute and appoint my husband's son, THOMAS J. McBRIDE, as alternate Executor of this my, Last Will and Testament. EIGHTH: None of the abovenamed persons shall be required to post bond or surety in this or any other jurisdiction for faithful compliance of the office of Executrix/ Executor, and/or Guardian of the Person/Trustee. IN WITNESS WHEREOF, I hereby set my hand and seal and declare this to be my, LAST WILL AND TESTAMENT, consisting of this and two (2) other typewritten pages, identified by my signature, dated on this the ~,(~day of ' r , ,- ,19~. L '` t - +s ~~ :~ f~ - ~~ !~~ '~'%~~~ r'L~ {SEAL) MA ABET `TRU Y" McBRIDE (Testatrix) ;~ The preceding instrument, consisting of this and two (2) other typewritten pages, identified by the signature of the Testatrix, MARGARET "TRUDY" McBRIDE, as and her Last Will; who at her request, in her presence and in the presence of each other have subscribed our names as WITNESSES hereto. Residing At :; __.._. „{ - _ ~~-.~.~-`'--`__ Residing At COMMONWEALTH ~F PENNSYLVANIA } COUNTY OF CUMBERLAND 1 `` i; J -. W E, ' 1r~~• ~ (~~,, ~%. ~t~ ~_ . ~n1 v~ L. M~ ~>i ~,~_ ,AND _ ~~ t c ~ ~ the Testate ,and the witnesses, respectively, whose names are signed to the attached and foregoing instrument. being first duly sworn, do hereby declare to the undersigned authority, that the Testatrix, MARGARET 'TRUDY" McBRIDE, signed and executed the instrument as her Last Will, and that she signed and executed it willingly, and that she executed it as her free and voluntary act fior the purposes therein expressed. that each of the Witnesses. in the presence and hearing of the Testatrix, MARGARET 'TRUDY" McBRIDE, signed the Will as witnesses. and that to the best of our knowledge and sight, , was at the time eighteen (18) or more years of age, of sound and disposing mind, memory and under no constraint or undue influence. MAR"~ARET "TRUDY" McBRIDE (Testatrix ~, ~~ v+~~-~-~ emu' ~ ~ _~:.~J~;.. -~' ~._ -~.~. " iTNESS WITNESS f Subscribed, sworn to and acknowledged bef a me by MARGARET `?RUDY" McBRIDE, the Testatrix, who personally appeared before me, the undersigned officer,and sub ibed~to and sworn to by the WITNESS _-~ ~-~ ~ and l.U nt ~ C' . M ~ P,6u oGz~}E the r b day of (--~ c .19~~~~ c'T- ~~ ~' ~ `. ___... ,t-. C~c'~ ~ J -1VC3 ARY PUBLIC My Commission Expires: NOfa~21 ~nai f~onaki B. C?we,;. ,~„~;;~~ °a-y East Penr~sboro Twr;., ~".: ~;'~,~,atr,~7 Go::n;y My Commission r_::;;;; ~;:. ;'>o ~. 24, t :ego . Member. PHnr~sylvartia Association of Notdrips sevnsoo sx laa7 COMMONWEALTH OF REV -15 0 0 OFFICIAL USE ONLY PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRIS INHERITANCE TAX RETURN FILE NUMBER °? ~ ~~ ~ ~ ~~ ~ BURG, PA 17126-0601 RESIDENT DECEDENT COUNTY CODE YEAR NUHaER OECEDE T'S NAME ST FIRST, AND MIDDLE INI ) ~ SOCI~ECURITY NUMBER z W W ~ DATE OF DEATH (MM-DD-YEAR) -fib -Z D~z o ( DAT BIRTH (MM/-DD-YEAR) / /~ p ~ '-Ol'" 3 THIS RETURN MUST BE FILED IN BUPLICATE WITH THE REGISTER OF U 9 C~ ` T . p WILLS WO (IF APPLICABLE) SURVIVING SPO SE'S ME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER r ~ 1. Original Retum ~ 2. Supplemental Retum "' ~ 3. Remainder Return Idols oroeam vdarmta-ta-sal a W i ~ ~~~iii ~ 4. Limited Estate ~ 4a. Future Interest Compromise lama areaa~n aner tz~tz~ezl 5. Federal Estate Tax Return Required a m 6. Decedent Died Testate lanacn mvr or wap ~ 7. Decedent Maintained a Living Trust lanam mpy or Tway ~8. Total Number of Safe Deposit Bozes 9. Litigation Proceeds Received ~ 10. Spousal Povedy Credit leak waaam haMrean tz-si~sr aaa t-t-ssl 11. Election to taxunder Sec. 9113(A) lAnacn son of z Wo NAME ll~ ~S COMPLETE MAILING ADDRESS v~ 9' ~ ~ } w° FIRM NAME luAVVlkablal jo ~J c5? !/e`~ ~// ~~ o TELEPHONE NUMBER y y ?„~ O ~ ~~ ~, / ~! ! G -P/~O ~ ~ j ~~ / / ~ (i) 1. Real Estate (Schedule A) ~D~000 OFFICIAL USE ONLY 2. Stocks and Bonds (Schedule B) (2) ~- ~ - 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) v 4. Morlgages 8 Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits 8 Miscellaneous Personal Properly (5) ~~ 3,y~V (~ -.,~- Z (Schedule E) ~ ~~ ~ 6. Jointly Owned Property (Schedule F) (6) `- Separate Billing Requested ..i' " 7. Inter-Uvos Transfers S Miscellaneous Non-Probate Property (7) ' r a ~..~ W Z O Q H a O V 14. Net Value Subject to Tax (Line 12 minus Line 13) (scneoule G or y 8. Total Gross Asaete (total Lines 1-7) (6) / Gt / J `'~ 9. Funeral Expenses 8 Administrative Costs (Schedule H) (91 y yy p 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) (10) ~ ~ a 7 q 11. Total Deductions (total Lines 9 8 10) (11) 80~ ~ / 12. Net Value of Estate (Line B minus Line 11) (12) ,'J 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) (,4) ~ ~ ~y 3 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable al the spousal tax .~~ rate, or transfers under Sec. 9116 (a)(1.2) x .0 _~~(15) ? L~ i6. Amount of Line 14 taxable at lineal rate ~l~/ ~ ~ x .0 f_,1" (i6) % ~ V 17. Amoun! of Line 14 taxable at sibling rate '~ x .12 (17) i~ 16. Amount of Line 14 taxable at collateral rate 19. Tax Due x .1s (1a) 7 ~//J~ (19) / / 7 r ~ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: I~tEETADDRESS / ~ Y CITY C' ~ STATE ZIP ~/ Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments ~ A. Spousal Poverty Credit B. Pdor Payments C. Dismount ~-~ Total Credits (A + B + C) (2) 3. InterestlPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (D + E ) 4, If line 2 is greater than Line 1 + Line 3, enter the di0erence. This is the OVERPAYMENT.. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) ~ / / / ~/ (3) (a) 15) ~,'~~ A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 3 ,~/~" /% Make Check Payable to: REGISTER OF WILLS, AGENT a. retain the use or income of the p operty 1 ens ed, ^ b. retain the dght 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 benefits or care? ...................................................................... ^ 2. If death occurted a0er December 12, 1982, did decedent transfer property within one year of death without receiving adequate monsideration? ........................................................................................................ ...... ^ / 3. Did decedent own an "in tmst for" or payable upon death bank account or security at his or her death? ........ ,.~ ...... ^ LFT / A. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which // contains a benefciary designation? .................................................................................................................. ,L.l ...... ^ 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 penalli s or perjury, I declare That I have examined this retain, including accompanying schedules and statemenk, and to the best of my knowledge and belief, it is tine, cortect and complete. naclamlian °r reoarer other than the personal reoresantetive Is based on all inbrmation o(which oreparer has env knowledge. - SIGN OF SON RESPONSIB FOR FILING RETURN DATE o ADDRF,,SS ~"~/ iy // ~~~'/! ~L~YF v ~- L~ C/Y'!IV ~v/ G- ~//' ~ / O/ SIGNATURE R OTHEYER THAN REPRES IVE DATE ADDRESS ~~/~!/ ~-Qi1i" l IC "7 ~'p~ NT/~L/1~~ l ~(/a!~Ci /-~ / //l/ For dates of death on or after July 1, 1994 and before Jahuary 1,1995, the tax rate imposed on the net value of transfers to or for the use df the surviving spouse is 3% (72 Ps. §slts (a) (t.i) p)b 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°fo [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and fling a tax return are still applicable even if the surviving spouse is the only benefciary. 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-0ne years of age or younger at death to w for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% (72 P.S. §9116(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'm 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The lax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: r r ferr ~ ....................................................................................... Yes No PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION Name of Dece~ Date of Death: Estate No.: '2 ~ ~ ~ x ` ©~ ~~~ 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 w her administration of the estate is complete: Yes ~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: (dale) 3. If the answer to No. 1 is yes, state the following: A. Did the p rsonal representative file a final account with the court? Yes ~_ No B. The sepazate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) C. Did the personal represe tative state an account informally to the parties in interest? Yes ~ No D. Copies of receipts, releases, joinders and approvals of formal or informal Date: ~ ~ ~ 0 ~ (MAH:nnt/AM3) accounts may be filed with the Clerk pf the Orphans' Court and may be attached to this report. g f/ ~ ~ l~ ~rgnatore Na~mye'(Please type or print) J ~/' Address / ~~~ ~ C(~l ~ ~ ~ 7C71f.3 Telephone No Capacity: ~ Personal Representative Counsel for Personal Representative R.W. - 58 STATUS REPORT UNDER RULE 6.12 Register ofi Wills of Dauphin County, Pennsylvania INVENTORY Estate of ~~ fir"'" ~ ~I~CW ~o. O~ /- ~~ ~ ©© 7~~ also known as ~'j'lp/Y~~T ~~ Date of Death ~y ~ - r'c P_ ,Deceased Social Security No. -~a ~ / /~ Personal Representetive(s! of the above Estate, deceased, verify that the items appearing in the following inventory Include all of the personal assets wherever situate end ell of the real estate in the Commonwealth of Pennsylvania of said Decedent, [het [he valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no reel estate outside of [ha Commonwealth of Pennsylvania except that which appears in a memorandum at the and of this inventory. I/We verify that the statements made in this Inventory are true end correct. I/We understand that tales s[etemanta herein ere made subject tc [he penalties of 78 Pa. C.S. Section 4904 relating tc unsworn falsification to authorities. Personal Represantativa: ~~-///~~/ Name of / Q r.~ lr a ~ ^~ ^/ y~' Attorney: '~=^l lL / , LD. No.: ~ ~ / j7 j Q 'n Address: ~T~~~./mil ~~'e/Q ~'~ Dated () '~(. / ~y l a~iZ9yy~~_ ~~_~0~~ Telephone: ~T" ? ~ Q~-,_ Description Value v ~e ~ ~- t f G f ~f ~~ ~~t ~v Cow-~%r ~. ,moo ~ 1, d~ IC z = ~o s ~' ` Total: 7 / (/ ,Sv (Attach Additional Sheets if necessary) NOTE: The Memamndum of real estate outside the Commonwealth of Pem~sylvania may, at the election of the personal representative, include the value of each item. but ouch figures should no[ ba extended into the fatal of the Inventory. RW-8 REV-7502 EX+ (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~jJ L ~? FILE NUMBER i ~/ a r ~ Q r'~/ ~/ ./f / L~/~ d °~ ~ ~ ~ doh ` ~ [77D~ All real property owned solely or es a ten n common must be reported at falr market value. Fair market value is defined as the pdce at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE 1. ~~ ~ ~~~ ~~ ~~ o ~ v .TOTAL (Also enter on line 1, Recapitulation) I $ ~Q/ ~B ~ (It more space is needed, insert additional sheets of the same size) ~EV.ISOE E%~,].B>, SCHEDULE E CASH, BANK DEPOSITS AND COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT Please Print or Type ESTATE OF / FILE NUMBER (All properly jointly-owned w the Right of Survivorship must be disclosed en SchadulR EJ ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH / vL' ~ i G~~ / `~~~ CGi~"~` C~-v~ r`ca asp ~ ~~ ~d~ X ? ~ ~visvv .ors ~ r5 f ~C9 ~~ ~~~~6 .~~ ~ lj ~ j dG~ TOTAL (Also enter on line 5 Recapitulation) I$ l~~ ,~f,~i-U IAltech additional 8'h" x Il" sheets if more space is needed.) REV-1511 E%i ~~-BBB SCHEDULE H ' FUNERAL EXPENSES, COMMONWEAaH OF PENNSYLVANIA IN RESIDENTEDECEUENTRN ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES please Print or Type ESTAT OF j FILE NUMBER ITEM NUMBER DESCRIPTION AMOUNT A. i • FuneraLExpenses: S`,t I ~~ V C~- vi ~~ ~r'm-~ ~a7t~'~ L f lL~p D / / ~ ~h ~/~ ~~ / ~o~s~ B. AdminisiraNve Costs: 1. Personal Representative Commissions _ _ 1 Social Security Number of Personal Representative: t/!//] Year Commissions paid 1 2. Attorney Fees "`~~~""" , 3. Family Exemption Claimant Relationship Address of Claimant at decedent's deoth Street Address City State Zip Code 4. Probate Fees Pl .~ (~ !~ C. i. Miscellaneous Expenses. ~~" l`~ /yes s c-- ~ p`~ , ~ 3. 4. 5. 6. 7. 8. TOTAL (Also enter on line 9, Recapitulation) f S ~~ ~ d ~If more space is needed, insert additional sheets of same size.) pEV.IS] E%~ I-YYI COMMONWEALTH OF PENNSYLVANIA INNEflITANCE TAx RETURN SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF ~ q~ ~^ ~ ~Y ~~ ,(7 ~// ~~~, ~~J FILE N~ B~ O ~' Q~ ~O~ V Include unreimbursed medical expenses. ITEM AMOUNT NUMBER DESCRIPTION ~ ~ ~ ~~~ ~ ~F~ ~, ' j, ~ ~ ~ ~• fit( '~/~l> n y,5 ~ ~~~ W 0 ~ ~ ~~' ~~ C~~~~~ - ~~Jt a o y~ ~ ~ ~.~-5~ 7 ~~ G ~~ ~ ~J' y ~-, J ~~~/D~ ,~L'GI/s ~O / v ~~ ~~ ~~~~ ~ j v~~~ s,~ ~ z ~~-, ~-~ f l~ f J ~~,~1oI~ Co 1~ ~dr~~-~ ~~~~~ ~~ ~ / ~~ ?i1' 3 i~~ , ~~ , ~~_ ~~ - TOTAL (Also enter on line 10, Recapitulation) I S ~ ~ ~ 7 " (If more space Is needed, insect additional sheets of the same size) REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER /~~,~9~,-~~ ~ /yam ~ ~'~ ~ ~-~- a~ - c~ v ~o~ NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not Llat Trustee(s) AMOUNT OR SHARE OF ESTATE I 1 TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (12)1 ° ~ ~ Q B ~1~ ~' /'l Gtr" D~^ pb ~ ~ f ~ / ~ ~ l,~v`9 fiJ ./ ~ 7I ~' ~~ sly ~~e~' ~~ 1~~~y~ J ,~~ r7~~~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 16, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S (If more space Is needed, Insed additbnal sheets of the same size) J .. T . ~ LASt WILL ANd tEStAMENT OF MARGARET 'TRUDY" MCBRIDE 2.1-oa-`toa I, MARGARET 'TRUDY" McBRIDE, of East Pennsboro Township, Camp Hill, ,~ Cumberland County, Pennsylvani~~beingNof~saund atsd~dtepossng;m~, d memory and i v~ ~, understanding; do hereby make, publish and declare this to be my Last Will and F Testament, hereby revoking any and all Wills and Codicils previously made by me at A any time heretofore, H ~ FIRST: I hereby direct that my personal representative, hereinafter named, to pay all of my just debts, tuneral and testamentary expenses, including Pennsylvania Inheritance taxes, as soon after my demise as maybe practicable. $FCOND; All the rest, residue and remainder of my estate, I hereby give, devise and bequeath to my„beloved husband, WILLIAM C, McgRlp~;~JR.,, whereso- w ever situate, whether real, personal or mixed, should he survive me by thirty (30) days. ~,. THIRD; In the eventthat my husband, WILLIAM C;"McBRIDE•JA„ predeceases me, dies on or before the thirtieth (30th) day following my death, or should we die simultaneously in a commoh disaster, I hereby give, devise ahd bequeath my entire estate to my daughter, KAkiEN L~~ beS1'I`fi:~; ' ' .,, ' '; , ; r¢tir<~ ;~~~£t14~.,tit~+s, +fsr~ ,,,r" I r ;~., .r=OUF#TN: Ih tht3 event that,KAR~N pr~dso~ses me, i hereby direct that my w ~+~>, s husband's son, THOMAS J: McBRIDE, receive all the rest, residue and remainder of my estate. ,,~ •;, ,, i ,~ , ~~ ..; -.-~~~.-..r-~-._ 3~~F, ~~ j~A, ". ~I ~ ~~ q .~ry'(f pww gg~~ .~ .. ~J ..... .ti .~! sP. ^kPfi1F ~ _ 5~~,{gplJ'M~illi~'~'Ki ~..! Yr ~..~'Hi. FIFTH: To the extent that it is necessary far my daughter, TRACY LYNN, to ever have a legal guardiah or trustee, given her disabilities, l hereby nominate KAREN LEE DeSTITO as Guardian of the PersonlTrustee of TRACY LYNN McBRIDE. A. Should KAREN die or, otherwise,. r~fusa to be intitt abld of bei ~ ' ^~ '; TRACY`s GuardianCTrustee, I nominate myhusband's son, THOMAS J. McBRIDE, as aY w ~ the alternative GuardianlTrustee of the person of TRACY LYNN McBRIDE. ~~ SIXTH; Said Trustee/Guardian or the alternate as named herein, shalt have complete discretion to do Whatever maybe deemed prudent and in the best interests of TRACY LYNN at ahy tune. SEVENTH: I hereby Nominate, cohstitute and appoint my husband, WILLIAM C. McgRIDE, JR., as Executor, of this my, Last Will and Testament. In the event that my husband, WILLIAM, predeceases me, fails to qualify, ceases to act, or for some reason is incapable of perfortnin~""such task, I then~hominate; constitute end appoint my daughter, KAREN LEE DeSTiTC7; ss aherhate Executrix of this my, Last Will and testament. In the event that KAt~EN LE beSTITO predeceases me, fails to qualify, ceases to act, or for some reasotj_is incapable of pbrforming such task, l then nominate, cohstitute and appoint my husband's son, THOMAS J, McBRIDE, as alternate Executor of this my, Last Wiil and Testament. 1:I GHTH: None of the abovenamed persons shall be required to post bond or surety in this or any other jurisdiction for faithful compliance of the office of Executrix) Executor, andlot Guardian of the Personrtrustee. ,~~ -,.- ,,,;; IN WITNESS WHEREOF, 1 hereby set my hand and seal and declare this to be my, LAST WILL AND TESTAMENT, consisting of this and two (2) other typewritten panes, identified by my signature, dated on this the _1~day o0 _ - ,19 ~, J~ (% (SEAL) M ARET'TRU Y" McBR{DE (Testatrix) The preceding instrument, consisting of this and two (2) other typewritten pages, identified by the signature of the Testairix, MARGARET 'TRUDY" McBRIDE, as and her Last Will; who at her request, in her presence ahd in the presence of each other have subscribed our names as WITNESSES hereto, r ..:: << iesiding At ~ `~ . _. , :..+ i f f`` k i t ~'!, _. ,.~ ~~ ~< _~;~ ~~~~ °, ~:, .1 ~. ~• _~ ,~ ~''-: \' J ~ ~~ ~~ "~., .~"> ~, ~.~ ..~,~` ~rm. . L'~3-- ~~ .~ ~' •~. g`q .~ ~ ~~yan ~,.~.. ;~v.N ~~~ ~ a tea, ; .~~r,AS.a n:' ~~ P " ":~A ~~ _~~ ~ 3 '~ p.~~ .7 iv c,..o `::>~~~ rn c: c:~1-~ 3 o-~. _.O b5 /~ ~~~ - ~ COMMONWEALTH OF PENNSYLVANIA BUREAIJ OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 NOTICE OF INHERITANCE TAX HARRISOUR6, PA 17128-0601 APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 E% ~FP (D1-U27 DATE 1.0-28-2002 ESTATE OF MCBRIDE MARGARET B DATE OF DEATH 06-10-2002 FILE NUMBER 21 02-0708 - COUNTY CUMBERLAND KAREN POST ACN 101 719 BOSLER AVE Amount Remitted LEMOYNE PA 17043 MAKE CHECK PAYAIBLE 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 (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MCBRIDE MARGARET B FILE NO. 21 02-0708 ACN 101 DATE 10-28-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHAINGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1l 80,000.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) .00 credit to your account, 3. Closely Held Stock/Partnership Interest iSchedule C) (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this fora with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 11,350.00 tax payment. 6. Jointly Owned Property (Schedule Fl (6) .00 7. Transfers (Schedule G) (7) .00 s. Totai Assets (g) 91,350.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 4,880.00 9. Funeral Expenses/Adm. Costs/Misc. Expenses [Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) :1,327.00 11. Total Deductions (11) 8 .2 D 7_ D O 12. Net Value of Tax Return (12) 83,143.00 13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 83,143.00 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: 00 00 .DO 15. Amount of Line 14 at Spousal rate (15) • = X 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 83,143.00 X 045. 3,741.00 17. Amount of Line 14 at Sibling rate (17) .00 X 12 .00 1S. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 .00 19. Principal Tax Due TAV AACATTG.. (19)= 3,741.00 . DATE NUMBER + INTEREST/PEN PAID (-) AMOUNT PAID 09-06-2002 CD001608 187.05 3,554.00 TOTAL TAX CREDIT 3,741.05 BALANCE OF TAX DUE .05CR INTEREST AND PEN. .00 TOTAL DUE .05CR * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) KtStwVATiON: Estates of decedents dying on ar before December 12, 1982 -- if any future interest in the estate is transterrac in possession ar enjoyment to Class B (collateral] beneficiaries of the decedent after the expiraticn of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxe at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140), PAYMENT: Detach the tap portion of this Notice and submit with your payment tc the Register of Wills printed on the reverse side. --Make check or money order payable to; REGISTER OF HILLS, AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an ^Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 CTT only). 08JECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax [including discount or interest) as shown on this Notice must object within sixty (6D) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dapt. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered an this assessment should he addressed in writing ta: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the bocklet ^Instructions for Inheritance Tax Return far a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine C9) months and one C1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rata of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 20% .000548 1992 9% .000247 1983 16% .000438 1993-1994 7% .OOD192 1984 11% .000301 1995-1998 9% .000247 1985 13% .000356 1999 7% .000192 1986 10% .000274 2000 8% .000219 1987 9% .000247 2001 9% .000247 1988-1991 11% .000301 2002 6% .000164 --Interest is calculated as follows; INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. IN THE COURT OF COMMON PLEp~S OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF MARGARET B MCBRIDE To the Clerk of the Orphans' Court: ,Deceased No. 21027iD8 of 2001 Enter the claim of nISCOVER FI^:A"yCl ;L SEI:VICES, I`~C Acct. 00 i 1x0209+7654799 In the amount of $332.00 ,against the above entitled estate. The decedent, who resided at 510 ERFORD RD, ,CAMP HILL PA 17011 died on 06/10/2002 Written notice of said claim was given to KAREN L POST ,if known to claimant, at (Personal Representative or counsel) 719 BOSLER AVE, LEMOYNE, PA 17043 on September 13, 2002 (Date) t. -__~~ (Claimant) Address: P.O. BOX 8003, HILLIARD, OH 43026 Claimant's Counsel v Address n r ~_ ~ ~. _ ~ D O ~ ~ m cn ' T' o - N z --, v ~' o -° m 0 o o ~ ~ o ~ -~ x o .~ < ~ o Z m ~ co w ~ = T r '~ Z r ~ n D ~ r ~ m m .A w o C7 ~ m z r 3 m m 0 D n m D m n m D m j°v 2 z 0 Z Q 0 6011 0020 9065 NiCBRIDE,MARGARET B ~'REDIT LIMIT: 6000 CREDIT AVAIL: 0 4799 CARDMEMBER STATEMENT 09:22:36 CLOSING DATE: 07/27/02 VIEW DATE: 9Z / ~ PAYMENT DUE DATE: 08/26/02 PREVIOUS BALANCE: MIN PAYMENT DUE: 20.00 PAYMENTS/CREDITS: AMOUNT PAST DUE: 10.00 PURCHASES/MISC: CASH ADVANCES: BALANCE TRANSFERS FINANCE CHARGES: *STATEMENT IS ON HOLD NEW BALANCE: 09/17/02 332.27 0.00- 0.00 0.00 0.00 0.00 332.27 F5-CBB F6-F(~ F9-PREV F10-NEXT F11-VIEW DETAIL F13-MSG F14-ADJ F15-REPRINT MSG: NO DETAIL LINES FOR THIS STATEMENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: JOHN J POST 719 BOSLER AVENUE LEMOYNE, PA 17043 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 185-30-3710 FILE NUMBER: 2102-0708 DECEDENT NAME: MCBRIDE MARGARET "TRUDY' DATE OF PAYMENT: 09/ 1 1 /2002 POSTMARK DATE: 09/06/2002 COUNTY: CUMBERLAND DATE OF DEATH: 06/10/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 53,554.00 TOTAL AMOUNT PAID: REMARKS: JOHN J POST CHECK# 3091 SEAL INITIALS: CW RECEIVED BY: MARY C. LE'WIS REGISTER OF WILLS REV-1162 EX111-96) NO. CD 001608 53,554.00 REGISTER OF WILLS ~i PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, F1LE a 6.12 FORM YEARLY UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: r ~-l" ~4 •.- v~i/~~ / CMG E~ Estate No.: ~ ' ~ ~ ` ©©~~~ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State w her administration of the estate is complete: Yes ~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: (date) 3. If the answer to No. 1 is yes, state the following: A. Did the p rsonal representative file a final account with the court? Yes --~ No B. The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicalble in Dauphin County) C. Did the personal represe tative 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. Sign lure '~(~ ~- e~~ ~ ~-~-~" Name (~Ple~ase type or print) ~/' L~ _-~_-,L-__-__~~~~ 1`~ ~~ ~ ~ '' .,C. ~ ~, ;~ Address / ~~ (,~ ~ ~ ~ ~ 7Q ~~ ~. li 7/Yf ~~ ~ ~-- l (MAH:rmdAM3) Telephone No. ~ C~ ~~ ~~t ~ ~-- - ~ ~~ ~. ~;~~' ~'~' ~ ~ ~ - ' /~a ~ Capacity: ~ Personal Representative ~ 1,~,~-~ ~- ,`\~lr-~,~ ~~ ` _ ~-~` ~`~ ~ n., Counse;l for Personal Representative R.W. - 58 1 ~. ~ ~ ~~ I~"" ~, ~ ,.~ 1, vvv~~~_ ~ . ,~ ~~,~,