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HomeMy WebLinkAbout02-0798PETITION FOR PROBATE & GRANT OF LETTERS Estafe of BEULA E. WARNER No. 21-02-0798 also known as BEULA STUCKEY WARNER To: Register of Wills for the deceased. County of Cumberland Socral Security No. 182-05-0522 Commonwealth of Pennsylvania The Petition of the undersigned respectfully represents that: Your Petitioners, who is 18 years of age or older and the Executrix named in the Last Will of the above decedent dated June 4 1996 and codicils dated none The Executor named none died Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 90 West Main Street Camobelltown Borough Decedent, then 90 years of age, died June 4 2002, at Twin Oaks Nursinc Home Camobelltown PA 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 Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property $1 900.00 (If not domiciled in PA) Personal property in PA $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania, situated as follows: g WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. Signature(s) and Residence(s) of Petitioner(s): Lansdale. PA 19446 610-584-5754 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of the above decedent, pekitioner(s) will well and truly administer the estate according to law. - Sworn to or affirmed and subsrri5ed before me this day of n December 2002. ~c.s/ iFZe/~.~. ,Z , Register ~y ~~- /r~lq" ~ U~~(j ~_PL; ~~O l0-.3 No. 21-02-0798 Estate of BEULA E. WARNER a BEULA STUCKEY WARNER ,deceased. DECREE OF PROBATE & GRANT OF LETTERS AND NOW, December g 2002, in consideration of the Petition on the reverse side hereof, satisfactory proof hawng been presented before me, IT IS DECREED that the instrument(s) dated June 4 1996 described therein be admitted to probate and filed of record as the Last Will of Beula E. Warner a/k/a Beula Stucke Warner hereby granted to Arlene Stuckey Andreacola 'and Letters Testamentan~ are Register of Wills ~~~~ FEES IRWIN McKNIGHT & HUGHES Probate, Letters, Etc........ $ 25.00 Short Certificates -1- Douolas G Miller. Eseuire (83776) ( ) .... $ 3.00 ATTORNEY (Sup. Ct. I.D. No.) Renunciation(s) ........... $ JCP .......... • • ... $ 10.00 60 West Pomfret St. Carlisle PA 17013 Other Will Paoes (-3-) .... $ 9.00 ~~ TOTAL: .... $ 47.00 ADDRESS Filed Z,$ce,..,> kj~r..e~....a-c~cr ~.... . 717-249-2353 PHONE t~ARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. >; .~ t r',.. ,. ~..i. .. ' Jh p:. 5~ $ ~j ~~ k ,s s ~ =F3r ,;c ? 5137563 u ® ~ June s, zooz 1' i ~d- n ) * -.; z I ei B _ _ eula Stuckey _ Warner ,, ,~ .c Female ~ :9ec~ ~ i ~~~;~, 182-OS-0522 f ~ ~ _ ~ , June 4, 2002 %~~;~ .+ I Irth 3-30-1912 i; rthp~ ~cr~ _ _ New Enterprise, Bedford Co _ _ urrty, Pennsylvania ~i „ f ,,.,~~ Twin Oaks Nursing Home, Lebanon County, Campbelltown __ , ~ . ; ~, ~c Wbite Clerk -~ _ _ . _ _ s r ~~6r,n _ -. _ . __ -- - -.. -r` Fo.~ ~.. N'o rp ~; ~ Widowed ~ ~i ~ihe ; ~, , ,tus _ A~9dress _ _ 90 West Main Street, Campbel(town, P A ~ ~ ~ ~, , ar „ Joan Mariam - - _ __.. M. Lee Dugan Fury.-!)irec~a r3m~ ~ r~er ~ i i i_;d E t ~_,;; n , ,~~r Dugan Funeral Home, Inc. , Bendersville, PA 17306 d, __ -_ Pori i ~the~', ~ ti ~rid;tions _ - _ C VA. Manny J.~a t;~ ~ ~ Describe hew iniory u Na~ur~i' 'i~r;,~~-o ~ ,:, /~ _ AcrirlFn~ rrn v I ~.~estigation I Suicid? ~.~ ii c. ~ « Dalermfned f i _. __ _ _.. >van,e ~ 1 "~hr~ .ersf,~ ~~~ Kent WaB++er-114 U _ . . ~ , Aclcires,< Palmyra, _PA170?$_ ___ __ h ~> , tr ,~.r '' ~' I'e inh;rmatlon here given is correctly r~~p'iearr~i•~ -_ I ~~` ~=="' ~ ~~'~~ t^ n:e as Local Registrar. The original c~ rt fiat:' ,. ~~ <<" ~,/rt~~ r,>', ~~" ce ;or pp;rrnanent filing ~' °-!"I /) ~~ ~/G'LQ~~ 01-010 June 5, 2002 ] 24 Rice Aven~ae.BAghcville, PA 17307 LAST WILL AND TESTAMENT I, BEULA E. WARNER, of Silver Spring Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executrix to sell any realty owned by me at my death and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I give, devise and bequeath ail of my estate of every nature and wherever situate as follows: (1) I give and bequeath the sum of Two Thousand and no/100 ($2,000.00) Dollars to The First Church of the Brethren, of 1340 Forge Road, Carlisle, Pennsylvania 17013. (2) I give and bequeath the sum of Two Thousand and no/100 ($2,000.00) Dollars to The Church of the Brethren, at Rosemont and Butler Avenue, Ambler, Pennsylvania 19002. (3) I give my automobile to my sister-in-law, Irene Stuckey, of Sellersville, Pennsylvania. (4) All the rest, residue and remainder of my estate, of every nature and wherever situate, I give and bequeath as follows: (a) I give and bequeath one-fourth (1/4th) of my said residuary estate to my niece, Arlene Stuckey Andreacola. (b) I give and bequeath cone-eighth (1/8th) share of my residuary estate to my niece, Andrea Stuckey, absolutely; and I give and bequeath cone-eighth (1/8th) share of my residuary estate to my niece, Dianne Stuckey Heberle, and her son, Jonathan Maurice Heberle, shaze and shaze alike, with the stipulation that the share of Jonathan Maurice Heberle be placed in a Savings Account with a local banking institution until such time as he attains the age of eighteen (18) years, at which time the same shall be paid over to him, absolutely. (c) I give and bequeath the remaining one-half (1/2) of my residuary estate to Hazold Warner, Janet A. Prowell, Freda W. Albright, Joan W. Mariam and Ronald L. Wazner, who aze the children of my late husband, Lester G. Warner, share and shaze alike, per stirpes. 4. I nominate and appoint Arlene Stuckey Andreacola to be the executrix of this my Last Will and Testament; she is to serve as such without bond. Should she die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Joan Warner Mariam, as substitute executrix, also to serve as such without 2 bond, with the same powers as are given herein to my executrix. 5. I hereby suggest that my personal representative retain the services of Irwin, McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 4th day of June, 1996. :_ ~--~~: "~~.k'~~ ~~ ~/:~,~~ y~'~ (SEAL) BEULA E. WARNER Signed, sealed, published and declazed by BEULA E. WARNER, the testatrix above named, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. 3 ACKNOWLEDGMENT AND AFFIDAVIT WE, BEULA E. WARNER, BETZI A. MORRISON and CHERYL L. CLELAND, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen yeazs of age or older, of sound mind and under no constraint or undue influence. ~- i -> r= BEULA E. WARNER B ~TZIA.MO SOLi1`N ~_ ~ ~ HERYL L. CLEL D COMMONWEALTH OF PENNSYLVANIA . SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by BEULA E. WARNER, the testatrix herein and subscribed and sworn to before me by BETZI A. MORRISON and CHERYL L. CLELAND, witnesses, this 4TH day of June, 1996. ~~~~ Noytary Public COMMONWEALTH OF PENNSYLVANIA DEPAgTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXER DEPT. 280601 HARRISBURG, PA 1 ]128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001589 ROGER B IRWIN ESQUIRE 60 WEST POMFRET STREET CARLISLE, PA 17013 -------- ~oltl ESTATE INFORMATION: ssN: i8z-o5-0522 FILE NUMBER: 2102-0798 DECEDENT NAME: WARNER BEULA E DATE OF PAYMENT: 09/04/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 06/04/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 57,130.90 REV-1162 EX111-961 TOTAL AMOUNT PAID: REMARKS: ROGER B IRWIN ESQUIRE CHECK#18912 INITIALS: VZ SEAL RECEIVED BY: 57,130.90 MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS ~~-~6-~ v BUREAU DF INDIVIDUAL TAXES INHERITANCE TAX GIVISION DEPT. 280601 HARRISBURG, PA 17128-8b81 DATE 10-14-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 FILE NUMBER 21 02-0798 COUNTY CUMBERLAND ARLENE ANDREACOLA '~ SSNiDC 182-05-0522 2130 WEBER RD ACN 02133076 LANSDALE PA 19446 Anount Renittsd 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 1 ---------------------------- ------------------------------------------------------------------------------- REV-1548 EX AFP (01-021 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 10-14-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 COUNTY CUMBERLAND FILE N0. 21 02-0798 S.S/D.C. N0. 182-OS-0522 ACN 02133076 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WAYPOINT BANK COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT ALLONANCE OR DISALLOXANCE OF DEDUCTION, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1561 EN ,FV (O1-OY) ACCOUNT N0. 1800021883 TYPE OF ACCOUNT: ( ) SAVINGS CX) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 09-23-1997 Account Balance Percent Taxable Amount Sub,iect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 31,376.88 X 0.500 15,688.44 - .00 15,688.44 X .15 2,353.27 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NDTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID PAYMENT MUST BE MADE BY 03-OS- 2003* • TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 2,353.27 INTEREST AND PEN. .00 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTERES DUE 2,353.27 ( 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 INSiRUC7I0N5. ) BUREAU OF INDIVIDUAL TAxES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TA% DIVISION DEPARTMENT OF REVENUE DEPT. 2806 a1 HARRISBURG, pA I7I xa-oeol NOTICE OF INHERITANCE TAX APPRAISEMENT ALLOXANCE OR DISALLOXANCE OF DEDUCTION, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1560 EX 1FI [Ol-Oi) ~I ARLENE ANDREACOLA 2130 WEBER RD LANSDALE PA 19G46 CUT ALONG THIS LINE -- RETAIN LOWER PORTION FOR YOUR RECORDS 1 REV-1548 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 10-14-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 COUNTY CUMBERLAND FILE NO. 21 02-0798 S.S/D.C. N0. 182-05-0522 ACN 02133D77 TAX RETURN WpS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WpYP0IN7 BANK DATE 10-14-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 FILE NUMBER 21 02-0798 ..,COUNTY CUMBERLAND SSNiDC 182-OS-0522 ACN 02133077 Anount Rnnitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ACCOUNT NO. 2300013448 TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TRUST (X) TIME CERTIFICATE DATE ESTABLISHED OS-12-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 58,109.70 X 0.500 29,054.85 - .00 29,D54.85 X 15 4,358.23 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID PAYMENT MUST BE MADE BY 03-OS- 2003* . TOTAL TAX CREDIT .00 BALANCE OF TAX DUE 4,358.23 INTEREST AND PEN. .00 ~ IF PAID AFTER THIS DATE, SEE ( IF TOTAL DUE REVERSE FOR CALCULATION OF ADDIT IONAL INTERES DUE 4,358.23 IS LESS THAN 51, IF TOTAL DUE IS REFLECTED AS NO PAYMENT IS REQUIRED. A CR " SEE REVERSE SIDE OF THIS FORM EDIT ( CR), YOU MAY FOR INSTRUCTIONS. ) BE DUE A REFUND. BUREAU OF INDIVIDUAL TAXES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, pA l7l ze-o6ol NOTICE OF INHERITANCE 7AX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1541 FN RFV fRl-R] DATE 10-14-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 FILE NUMBER 21 02-D798 DOUGLAS G MILLER COUNTY CUMBERLAND IRWIN ETAL ACN 101 60 W POMFRET ST Anount Remitted CARLISLE PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS REV-1547 EX AFP (01-02) ~ NOTICE OF INHERIT ANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WARNER BEULA E FILE N0. 21 02-0798 ACN 101 DATE 10-14-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED NiSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Hsld Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Lash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule N) (q) 1,015.00 10. Debts/Mortgage Liabilities/Liens (Schedule D (10) 863 67 11. total Deductions 12. Nat Value of Tax Re{urn Qll 7 .R7B_67 [12) 50,927.11 13. Charitable/Governnantal Bequests) Nonelected 9113 Trusts (Schedule J) (13) .00 14. Nat Value of Estate Subiact to Tax (ly) 50,927.11 NOTE: if an assessment was issued previously, Sines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX' 15. Amount of Line 14 at Spousal rate (1 00 16. Amount of Line 14 taxable at Lineal/Class A rata 5) (16) . 1 265 28 X 17. Anount of Lina 14 at Sibling rate (17) , . 00 X 18. Amount of Lina 14 taxable at Collateral/Class B rate (18) . 49 661 83 X 19. Principal lax Due , . X _) AMOUNT PAID '1 7,130.9 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ^ IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 00 _ .00 045- 56.94 12 = .00 15 _ 7,449.27 a9)= 7,506.21 7,506.21 _ .00 _ .00 .00 ( IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS (1) .00 NOTE: To insure proper (2) 1.395.45 credit to your account, (3) .00 subait the upper portion (4) .00 of this fore with your [5) .00 tax payment. [6) 51.410.33 [7) .00 [a) 52,805.78 FORM FOR INSTRUCTIONS J l~- ~~-~~ \'BUREAU OF INDIVIDUAL TAXES INHERITANCE TA% DIVISION DEPT. 280601 HARRISBURG, PA 17128-8601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS FEY-1605 EN IFP c6z_FN ARLENE ANDREACOLA 2130 WEBER RD LANSDALE PA 19446-0000 ALONG THIS LINE DATE 11-07-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 FILE NUMBER 21 02-0798 COUNTY CUMBERLAND SSNiDC 182-OS-0522 ACN 02133076 Anount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 ______________________ FOR- YOUR RECORDS REV-1604 EX AFP (12-00) ---' ~-------------------- ^* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ^~ DATE 11-07-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 COUNTY CUMBERLAND FILE N0. 21 02-0798 S.S/D.C. N0. 182-OS-0522 ACN 02133076 ADJUSTMENT BASED ON: ADMINISTRATIVE CDRRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT N0. 1800021883 TYPE OF ACCOUNT: ( ) SAVINGS (X) CHECKING C ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 09-23-1997 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: NUMB NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ADDRESS SHOWN ABOVE. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." /PEN PAID (-) AMOUNT PAID TAX .00 X 0.500 .00 - .00 .00 X .15 .00 T 00 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITiunaL INTERES DUE. ( IF TOTAL DUE IS LESS TNAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT'' (CRI, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INNERITpNCE TAX DIVISION INHERITANCE TAX oErT. zsa6ol HARRI58URG. Pp I~IZa-obol RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS RFV-li0q EY 1FP ~iz_oP~ ARLENE ANDREACOLA 2130 WEBER RD LANSDALE PA 19446-0000 CUT ALONG THIS LINE - RETAIN LOWER -------------------- REV-1604 EX AFP (12-00) ^* INHERITANCE TAX RECORD ADJUSTMENT DATE 11-07-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 FILE NUMBER 21 02-0798 COUNTY CUMBERLAND SSNiDC 182-05-0522 ACN 02133077 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 YOUR RECORDS ~ JOINTLY HELD OR TRUST ASSETS ~[* DATE 11-07-2002 ESTATE OF WARNER BEULA E DATE OF DEATH 06-04-2002 COUNTY CUMBERLAND FILE N0. 21 02-0798 S.S/D.C. N0. 182-OS-0522 ACN 02133077 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT N0. 2300013448 TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TRUST (X) TIME CERTIFICATE DATE ESTABLISHED OS-12-2000 Account Balance Percent Taxable Amount Sub,iect to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: .00 X 0.500 .00 - .00 .00 X .15 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ADDRESS SHOWN A80VE. MAKE CHECK OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." NUMBER DlsCUUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 00 '~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST YC [ IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR ), YOU MAY BE OUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) REV44>O EX (&BB) COMMONWEALTH OF WENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280807 SCHEDULE I INO. BEULA WARNER ROBERT D WILKERSON INHERITANCE TAX EXPLANATION OF CHANGES EXPLANATION OF CHANGES 2102-0798 02133076/02133077 ~~~~~~ ~ ~VIYCV JVIrv I CgrvK gc:c:oUNTS HAVE BEEN ADJU DUE TO BEING REPORTED PREVIOUSLY ON THE PROBATE RETURN ROW TO Pape 1 CERTIFICATION OF NOTICE UNDER RULE 5.6 a Name of Decedent: BEULA E. WARNER Date of Death: June 4 2002 Estate No.: 21-02-0798 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 10/14/2002 Name Address Jonathan M. Heberle 321 W andotte Street Bethlehem PA 18015 Harold R. Warner 316 Pine Road Mt. Holl S rin s PA 17065 Janet A. Prowell 413 North York Road Mechanicsbur PA 17055 Freda W. Albrieht 3352 Gail Lane Whitehall PA 18052 Irene Stuckey 830 Fazrhlll Road Sellersville PA 18960 Arlene S. Andrearnla ~ i ~n w_i_ _ _ „ Dianne S. Kell v"' 1' ` "~"" 321 W andotte Street Bethlehem PA 18015 Ronald L. Wazner 409 River Road Dau hin PA 17018 Joan A. Maziani 112 Hi hland Circle Palm r PA 17078 The Church of the Brethren Rosemont & Butler Avenue Ambler PA 19002 The 1St Church of the Brethren 1340 For e Road Cazlisle PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none Date: 03/13/03 Signature IRWIN, McKNIGHT & HUGHES Name_ Douelas G Miller Esuuire Address 60 West Pomfret Street Carlisle PA 17013 Telephone (7171 249-2353 Capacity: Personal Representative X Counsel for Personal Representative " fl.,",-.', \ ~,,)~~ REV -1500 EX + (6-00) CAPB HpRL EplO CRAC KOTK ES REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT o E C E D E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Warner Beula E. DATE OF DEATH(MM-DO~YEAR) FILE NUMBER ~t OFFICIAL USE ONLY 10- g{y-J 01. or{q~ NUMBER CQUNTYCOOE YEAR SOCIAL SeCURITY NUMBER 182-05-0522 THIS RETURN YUST BE FILED IN DUPUCATE WITH THE None 1,395:.45 None None None 51,410.33 None 1,015.00 863.67 x X X X .0 0 045 .12 .15 DATE OF BIRTH (MM ~OO- YEAR) ITIAL REGISTER OF WILLS so IAL S CURl Y NU BER o o 3 elate of death . RemalnderReturn ptlcrto 12-13-82) 5. Federal Estate Tax Return Re~ulred 8. Total Number of Safe Deposit Boxes 11. Electron to tax under Sec. 9113(10.) (AttaCh Sch 0) C P o 0 R N R D E E S N T C o M P T U A T X A T I o N 'S Dou 1as G. Miller Es . FIRM NAME (If Applicable) COMPLETE MAILING ADDRESS 60 West Pomfret Street West Pomfret Professional Carlisle, PA 17013 Bldg. 1 1. Real Estate (Schedule A) 2, Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6, Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property {7} (Schedule G or L) S. Tota' Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of D""edent, Mortgage Liabil~ies, & Liens (Schedule!) (10) 11. Total Deduc1ions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14,. Net Value Subjec1 to Tax (Line 12 minus Line 13) Copyright (c) 2000 form software only The Lackner Group, Inc. X 1. Original Return 4. LImited Estate X 6. Decedent Oled Testate (Attach eopy 01 Will} o 9. Litigation Proceeds Received 2. Supplemental Return 4.. Future Interest CompromIse (date of death aileT 12.-12.-82.) 7. Decedent Maintained a Living Trust (Attach copy of Tru$t) 010. SpoU$a1 Poverty Credit (date of death between 12.~31-91 and 1-1-95) NAME IRWIN McKNIGHT & HUGHES TELEPHONE NUMBER I 249-2353 (1) (2) (3) R E C A P I T U L A T I o N (4) (5) OFFICIAL USE ONLY (S) 52,805.78 (11) 1.878.67 (12) 50 , 927 .11 (13) (14) 50,927.11 (15) (16) (17) (lS) (19) 0.00 56.94 0.00 7,449.27 7,506.21 (6) 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) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 0.00 1,265.28 0.00 49,661.83 Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 90 West Main Street CITY I STATE I ZIP CamDbe11town PA 17010 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 7,506.21 375.31 Total Credits (A + 8 + C) (2) 375.31 3. Interest/Penalty if applicable D.lnterest E. Penalty !!!inHii!i! TotallnterestlPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 T Line 3, enter the difference. This is the OVERPAYMENT. Cheek box on Page 1 Line 20 to request a rolund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line S + SA. This is the BALANCE DUE. (5B) Make Check Payable to: .. REGISTER OF VVlllS, AGENT ~~::::::!::::!!..!!!i:j!i!m:m:::mi;i:~i:.' II':' 't':l, :1!1!!~!:i\!!:!i!W.,!;~;;~:!\iL!::!:!::r!:m!U!!i!!jW11~!!!!!U!!i!m!!!W!!!!..!!!!1!!il!1!!:!!!!..!!!!:i!!!:Wi!!!!!!i!t!! ,1!i1!!!!:;;ii:i:i!:!!; !:;~;:I" .::~;:!;t ~ .~:....-!;!!:!:iW:i!:.i!i!iitii!!!H!i!i!!:Hi!H!: I' 'I " I" :' t ) ,~::"L,,:,:, _ ~:~:i;:::;; PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X'; IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Ves No a. retain the use or income of the property transferred; . ~ ~ b. reta!" the right. to des.ignate who shall use the property transferred or its income; . X c. retain a reversionary Interest; or . X d. receive the promise for life of either payments, benefits or care? . . X 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? . 3. Did decedent own an "in trust for~ or payable upon death bank account or security at his or her death? . . . . . . 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. 0.00 0.00 7,130.90 0.00 7,130.90 PH!!!!]!!!! o o o IT] IT] IT] Under penalties of perjury, I declare that I have examIned this return, IncludIng accompanyIng schedules and statements, and to the best of my knowledge and belief. It is true, correct and complete. Declaration of preparer other than the personal representative Is based on alllnformatJon of whIch preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FiLING RETURN Arlene S. Andreacola DATE T~~~%d~i~;"F~"~f9446--------------------------- Cf 13o/tJ;;. IRWIN McKNIGHT /; HUGHES DATE 60 West Pomfret Street - - -C~ri-isie - - FA - - i 7"6i3- - - - -- - - - - - - - -- - - - - - -- - - --- 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. 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 filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: 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. 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 in 72 P.S. 9116(1.2) [72 P.S. 9116(aX1l]. 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. 9116(aX1.3)}. 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 (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV-1S03 EX + (1~97) COMMONWEALTH OF PENNSYLVANIA INHERITANCET~ REf URN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Beula E. Warner 55f; 182-05-0522 06/04/2002 All property jointly-owned with right 01 survivorship must be disclosed on Schedule F. FILE NUMBER ITEM DESCRIPTION UNIT V AWE VALUE AT DATE NUMBER OF DEATH 1 45 shares Prudential Insurance (conversion) 31. 01 1,395.45 . TOTAL (Also enter on line 2, Recapitulation) 1,395.45 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. F<><m REV-I503 EX (Rev. 1-97) REV-1509 EX +(1~97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Beula E. Warner SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER SS11 182-05-0522 06/04/2002 If an as..t was made joint within one year 01 the decadent's date 01 death, it must be reportad on Schadule G. A. SURVIVING JOINT TENANT(S) NAME Arlene S. Andreacola ADDRESS 2130 Weber Road Lansdale, PA 19446 RELATIONSHIP TO DECEDENT niece B. Joan A. Mariani 112 Highland Circle Palmyra, PA 17078 stepdaughter c. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY 'Yo OF DATE OF DEATH ITEM FOR JOINT MADE Include name of flnanclalllWtltutlon and bank DATE OF DEATH DECO'S VALUE OF account number or similar Identifying number. NUMBER TENANT JOINT Attach deed for jointly-held realntate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1 B 11/06/72 Citizens Bank, 2,530.56 50.00% 1,265.28 n42-106-6216 2 A 03122/86 !Members First Federal 10,803.51 50.00% 5,401. 76 Credit Union, 1/4709-00 3 A 09/23/97 Waypoint Bank, #1800021883 31,376.88 50.00% 15,688.44 4 A 05/12/00 Waypoint Bank #2300013448 58,109.70 50.00% 29,054.85 TOTAL (Also enter on line 6, Recapitulation) S 51.410.33 (If more space is needed insert additional sheets of the same size) CopyrIght (c) 1996 form software only CPSystems, Inc. Fo,m REV-t509 EX <Rev. 1-97) REV~ 1511 EX + (1~97) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Beula E. Warner 06/04/2002 FILE NUMBER 55f1 182-05-0522 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES, B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip - Year{s) Commission Paid: 2. Attorney's Fees IRWIN McKNIGHT & HUGHES 1,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip - Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Register of Wills - fil ing fees 15.00 TOTAL (Also enter on line 9\ Recapitulation) $ 1,015.00 (If more space is needed, insert additional sheets of the same size) CopyrIght (c) 1996 form software only CPSystems, Inc. Fa<m REV-1511 EX (Rev. 1-97) REV-1512 EX + (1~97) COMMONWelo.LTH OF PENNSYLVANIA INHERITANCE TAX RETUAN RESIDENT DECEDENT ESTATE OF Beula E. Warner SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS FILE NUMBER 55tf 182-05-0522 06(04(2002 Include unreimbursed medical expenses. ITEM NUMBER 1 Omnicare Pharmacies DESCRIPTION AMOUNT 365.47 2 Twin Oaks Nursing Home 498.20 TOTAL (Also enter on line 10, Recapitulation) $ 863.67 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form softwate only CPSystems, Inc. Form REV-1S12 EX (Rev, 1-97) LAST WILL AND TESTAMENT I, BEULA E. WARNER, of Silver Spring Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executrix to sell any realty owned by me at my death and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I give, devise and bequeath all of my estate of every nature and wherever situate as follows: (I) I give and bequeath the sum of Two Thousand and no/JOO ($2,000.00) Dollars to The First Church of the Brethren, of 1340 Forge Road, Carlisle, Pennsylvania 17013. (2) I give and bequeath the sum of Two Thousand and no/JOO ($2,000.00) Dollars to The Church of the Brethren, at Rosemont and Butler Avenue, Ainbler, Pennsylvania 19002. (3) I give my automobile to my sister-in-law, Irene Stuckey, of Sellersville, Pennsylvania. (4) All the rest, residue and remainder of my estate, of every nature and wherever situate, I give and bequeath as follows: (a) I give and bequeath one-fourth (1/4th) of my said residual)' estate to my niece, Arlene Stuckey Andreacola. (b) I give and bequeath a one-eighth (1/8th) share of my residUaI)' estate to my niece, Andrea Stuckey, absolutely; and I give and bequeath a one-eighth (1I8th) share of my residual)' estate to my niece, Dianne Stuckey Heberle, and her son, Jonathan Maurice Heberle, share and share alike, with the stipulation that the share of Jonathan Maurice Heberle be placed in a Savings Account with a local banking institution until such time as he attains the age of eighteen (18) years, at which time the same shall be paid over to him, absolutely. ( c) I give and bequeath the remaining one-half (1/2) of my residual)' estate to Harold Warner, Janet A. Prowell, Freda W. Albright, Joan W. Mariani and Ronald L. Warner, who are the children of my late husband, Lester G. Warner, share and share alike, per stirpes. 4. I nominate and appoint Arlene Stuckey Andreacola to be the executrix of this my Last Will and Testament; she is to serve as such without bond. Should she die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Joan Warner Mariani, as substitute executrix, also to serve as such without 2 bond, with the same powers as are given herein to my executrix. 5. I hereby suggest that my personal representative retain the services of Irwin, McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 4th day of June, 1996. -) .. r I f~U.J--k!..dL ('""; (//;;V'.l 'JUt, (SEAL) BEULA E. WARNER Signed, sealed, published and declared by BEULA E. WARNER, the testatrix above named, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. 3 ACKNOWLEDGMENT AND AFFIDAVIT WE, BEULA E. WARNER. BETZI A. MORRISON and CHERYL L. CLELAND, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. r'-'~""",_ '):) ;,'r= II . "../ ~ -I' "j ce, (;' " I, / c7(./'Y1 Lk/'"L BEULA E. WARNER TZI A. MO SON ~V~W ' BERYL L. CLE D COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by BEULA E. WARNER. the testatrix herein and subscribed and sworn to before me by BETZI A. MORRISON and CHERYL L. CLELAND, witnesses, this 4TH day of June, 1996. ~od.~ N;ary Public I\IIIljlI1lliSllllN* ..~~~ '-i1q:lIItIO:t 3. 1 Wmn.r. Equise'rve: Account Access Information Page 1 of 1 BEULA E WARNER '8 p-:::~l ~.-t~!Wf"''''''- ~~PBf\ \N~~~_~_Qi-t~iJ2LMt,1_!::l\~rY_(Qr~!J __v____ ___ ',.__ __.,,"____,_ __._.___ ____ ___ __.. ._____....____n'._.___ ____ Owner(s) of: PRUDENTIAL COMMON Issue # 230010 Account # 12-45398 Current Price: $31.01 Market Value: $1.395.45 - '", - ""-- '"" -- '" .II, h~lQtI~\J10arkE:tE.Ij.c;~ Ask The Experts Ql~,;stLQT: s ?__~yf?~{~,_ggt ~Oll'A'E;@_ Glossary of Terms indu,;tryJ~m~_and definitjons As of 07/19/2002,11:14, EST Source: Reuters News Group Current Balance f)Of,lk-.EntrIJ 45.0000 Account Activity Last activity: e-mail address updated on 07/19/2002. ~~l'ick 0ere to -lei! sl.:@r8? ClicK her5Lt~'-.:s--9lJ~st g~~}Hlfq!f 'dQxn:-:; I ~:;k_Dl~_Q:Q_eJt~ I 9lQ~~9JY._Ot 'rel"!.!'Q I fj1Q jlSit,J'..QiLS&.rr.Qu..D'i~;~\Lcj_~tsite I Account Information I inouirvCJlIK,li91I,'i1 ~J~UqL8~~iJl1eAt I P'cin.@o.l.B_J_QIIJ:Gi. 1l.c?l!,::;ac~i_Qr1S I Vl!~1~t1L!~.Cgw}Unfb~ I C9.ctg(UL~_ IJ ~rm$Df5rL'l_~I.:~ @2002, EquiServe@. AU rights reserved. https:/ 1 gateway .equiserve.com/igwweb/ content / securel account _info/IG W ACDS.asp 7/19/02 .: CITIZENS BANK 525 William Penn Place Suite 153-2510 Pittsburgh, PA 15219 Iu L Y 12,2002 IRWIN MCKNIGHT & HUGHES WEST POMFRET PROFESSIONAL BUILDING 60 WEST POMFRET STEET CARLISLE, PA 17013-3222 I: i 2002. RE: Estate of BEULA E. WARNER Date of Death: 06/04/2002 SSN 182-05-0522- Dear SirlMadam: \( i,'..I; \' I,)11f:,;"1[( u iiJ\.}\II..) In accordance with your request, the attached information sheet has been provided in the above decedent's name as of his /her date of death. Should you require further assistance regarding this matter, please contact me at 412-867-2299. Sincerely, ~~ Barbara Richards Operations Services .: CITIZENS BANK Account Number Account Tille 142-106-6216 Beula E Wamer Joan A Mariani Friday, July 12, 2002 Date Opened: 11/06/1972 Principal Balint from Last as of DOD Posting to DOD $2,530.56 $0.00 Account Type: DO Account Bal YTD Int to as of DOD DOD $2,530.56 $0.00 Page 2 of 2 MemberslST FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 1-800-283-2328 or (717) 697-1161 July 2, 2002 Douglas G. Miller Irwin, McKnight & Hughes West Pomfret Professional Building 60 W. Pomfret Street Carlisle, PA 17013-3222 ~~~LtUWa~ JUL 05 2002 RE: Estate of Beula E. Warner SSIN 182-05-0522 IRWIN, McKNiGHT & HUGHES Dear Mr. Miller, Enclosed is the information requested in your letter of June 14, 2002 regarding the accounts held with Members 1" by Beula Warner. Please provide a death certificate at your earliest convenience. For purposes of completing Inheritance Tax Reporting, please provide the relationship, social security number and address of Arlene S. Andreocola. This information may be faxed to me at 795-5178. Do not hesitate to contact me at 795-5131 should you have any questions or require additional information. vefJyu~y yours0)// lV1(ld( {~ Denise A. Anders Insurance Products Supervisor Enclosure MemberslST FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 1-800-283-2328 or (717) 697-1161 REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Earned Interest from 1/1/02 to Date of Death Name of Joint Owner Date Joint Ownership Created 4709 -00 02/26/1959 $10,801.97 $1.54 $10.803.51 $78.96 Arlene S. Andreocola 03/22/1986 M~n;: ~'g CREDIT UNION 6e~ A. Anders Insurance Products Supervisor July 2. 2002 Estate of: BEULA E. WARNER Date of Death: 06/04/2002 Social Security Number: 182-05-0522 Y'l Way~qi!'Kt LOOK FOR US. WE'LL GET YOU THERE. ~~~~uw~~ JUN 20 2002 06/18/2002 IRWIN MCKNIGHT & HUGHES . 60 W POMFRET ST CARLISLE P A 17013 IRWIN. McKNIGHT & HUGHES The information which you requested on the account(s) of BEULA WARNER (Social Security Number 182-05-0522) is/are as follows: Account Number Class of Account Date Opened Principal Balance Accrued Interest 1800021883 CHECKING 09/23/97 31376.88 2300013448 CERTIFICATE 05/12/00 56470.48 1639.22 58109.70 Balance at Date of 31376.88 Death Account Ownership ITa JTO Name of Joint ARLENE ARLENE Owner, if any ANDREA COLA ANDREACOLA Date Ownership 09/23/97 05/12/00 Was Established Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint Owner, if any Date Ownership Was Established Additional Information Requested PLEASE COMPLETE W-9 s&ere1Y: UJA KAtft:;.;Id;1 SENIOR SERVICES REP. P.O. Box 1711. HARRISBURG. PENNSYUlANIA 17105-1711 Toll Free 1-866-WAvPOINT (1-866-929-7646). IN YORK AREA 717/815-4500 . www.waypointbank.com STATUS REPORT UNDER RULE 6.12 Name of Decedent: BEULA E. WARNER Date of Death: June 4 2002 No. 21-02-0798 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: X Yes _ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X No b. The sepazate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? X Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphan's Court and may be attached to this report. Date: 6/4/03 gna e IRWIN, McKNIGHT & HUGHES Douelas G Miller Esquire ~- Name (please type or print) ~ 60 West Pomfret Street Address - ~ - Carlisle PA 17013 ;-j City, State, Zip ~. Mo ,;; ~ (717) 249-2353 ,S ".~ Ci Telephone Number Capacity: Personal Representative X Counsel for Personal Representative