The URL can be used to link to this page

Home My WebLink About02-0881 PETITION FOR PROBATE and GRANT OF LETTERS Estate of ""'^. '-elf e d U. F A~~l: LL also known as No. To: 21-02-881 Deceased. Social Security No. 13 1- 03- ;;J; 10 "3 named , 19~ (state relevant circumstances, e.g. renunciation, death of execOtor, etc.) Oecendent was domiciled at death in c......"" b:(" l~~.l her last family or principal residence atlh r" Ld l<e>A-t:> C.Arl,~I~. PA /1oe3 } . I-Io"""~ . County, Pen!ill'lva:it, with "'l'~:l WAI"....l "Bo 0....... (list street, number and muncipality) Oecendent, then (5 ~ years of age, died A......j 1.L:iT :1 I? , :1:!1, .;IOO.:L, at Thor"wl'llcl H....~ 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: Oecendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ ". $. $ $ Ib'lb, Ob!> . 00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) - -or u " " ~3 " " "'" " ",,0 c''::: ca',::: -" ",,,- "~ 50 .. " "" Vi \I'''~''''A F. Sc..hll'l\J"I l." 0).1(; N"'1~O(A FA/I.. l>R.'\J~ \\.J, L"".",J. "'''-'. DE 1'1 'BDB u-<-'~.._o.~. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLAND Sworn to or affirmed and subscribed before me this 13th day of { lj~::r~7~ /7H~, /'"/47 ~ Reg ter nJI/- 7 flu~ -- 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 estate according to law. ()~- G: ~~Qe '" 00' " " - " ~ ~ No. 21-02-881 Estate of MILDRED D FARRELL , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 1 xpg-1QQl.., 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 NOV, 10, 1992 MAR. 29. 1993 described therein be admitted to probate and filed of record as the last will of MILDRED D FARRELL TESTAMENTARY VIRGINIA F FARRELL and Letters are hereby granted to ~h"7' /7) /J'///) /-<26 ~..n~r' Regis~~~ FEES Probate, Letters, Etc. ...... Shun C.enificates( ).......... COdl.Cl1 Renunciation x-pages ~;O S 410.00 S 6.00 1O.:>U .......... ...... S ~~ S '$8e TOTAL _ S 443.50 Filed ... Q(;;I'... . . ~,. .4002. . . . . . . . . . . . . . . . . ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE ~ -to C?~AV ,'",::,:\ This is ro lTni!'\' (hat thl' in(()rrll:ltio!l !tne gIven is corrccdy copied from an origifl;l] cl'niflc;uc of dCd[h duiv fiied w'idl mt.' ;L~ I c, '111 t I I [11" ,..'[ ,[" Vi[;d Rl'Ci1rds OITICl' I-(lr ','XrJILlil~'ill illi:I.::. [,neal RcgisrLn.' The origin:l U'i'ldIC;Ht' V\'I)(: (HW,U(L'( ro .... ,), .... . WARNING: It is illegal to duplicate this copy by photostat or photograph. Ft'l' j(\I' rhi,~ lcnilll;ltL', 51.00 :\(). ~iii'-i,uu~~;;,-.,,--- li(~\}Jil![fl,t~ I~ ,,:t~\ "~I - ....~. \~~ !$~c'~' ,""'.."., I~~,' .. .o;e:::; I~QI ~#, '~~ :::; c..>, ." J " ' ~ ,. *CCc c' '*1/' "c'~"',_,_ , \\ a'~c' '~i \\~\,-~ / ,-$i;,( "-~-Jl1h'--''t-\; " -""'~i",,'''fNl \\\,"~~!, ~'~"uu~- 2j,"'Nl ~"-~~~ [,(led Rq',isrl-;Ir p 8~0792_~L_ --~-.AllG- ::l 0 2002 l);lt: H1G!i.<3fl....2187 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH .~, ,., ~ NAME OF OECEOEJo(T If~.. .._, lal 1. Mildred Desmond Farrell .____ STIlIE~ILEMJooeEfl SEX $OCI.&.LS!::CUflITYNUMBEfl "GEI\._"""""Y1 UNOER1YEAfl -- - BlRlHPt.ACEICotyOtld S1a'.",F",oognCou,*Yl !. Femal 3. O"TE OF OE.\TH._. 0...''''', .. 89 '" . Elizabeth,NJ ~IO COUNTYOFDERH ;(1 . C1.mt>erland .....S OECEOENT EVER IN US.f<RMEOFORCES7 "..,,0 NOfJ M.vm"lSWUS. JNmM N_...".......~. or-""lSI>><::tyj IW:E."-ncatI____._._OOIC ,-, Ill. Whtre SUFr./IVINGSPOUSE 1"-.--'-1 OECEOEJo(T'SI)S\MlOCCVpq~ I~-.~~":.",:::::&:'i' II.. Homemaker' 11.. OEaOE/otT'SMI.IUNGJ.l)ORESSlSlt_.~.SIaIo.ZIp~l Thornwald Home 442 Walnut Bottom Rd. k. Thornwald Home ... ,. DECEDENT'S ,t.CTUI.l RESIDENCE ...- ""__I 1'..Slo,. PA ~ -- _in. r.'IITlhArl;lann -""'7 1'd. :;...*:::'~... MOTHEfl'S NAIo4E(F.... ModdIo._Svrnam.j 17e.O....~~ln ... .... I.. James Edward Desmond lNFOAMANTSNAWElT...-Pr"", - ~OFOlSPOSITIOH _0 c,..........u: - - .. INfORWANT'S MAIliNG AOOAl;SS .~rro..n.SInt.Z-Ip~1 - PUCEOfOlSPOSITIOlII.N....olC_..-,.C......cory ",Ot,*PIK1I lOCRlON.Cir\<I'Towft.StaM.Z"COdIO 21C. Yorktowne Cremation Serv Td. N,t,MEo\NO.lOOJIESSOfF,.r.cIUTY Hoffman-Roth Funeral Home :r2c.2l9 N. Hanover'-SC., ' lICENSE NUMBER MS73 '-I"'fL nil. 2:10::. -SCASE?FEM~:DICAl.EX'O'MINERlCOfIONER7 ,. H. ~). ~ ~p ,,o.pp.o~....", p,t,RTII'OIhoo'"~_aItlIfiIlUIlnglO_.tIUI :ln1__ ....-lntin....."""*'YIng_o;..ninPllJ'lT1 j......nd_ , :<..0.\0) "'r-. 010 ..uchIOO.,diaoo.-..opi<a ~'::,~ OtJeTO(OIl.o.s..COt<lSEOIJE"'CEOF}, L WERE"UlOf'SYFINOINGS __l.AlllEPAlORlO COWPl.E'lJONOfCAUSE' "'~ DOElO(OFI"SA,CONSEOUENCEOF}' OUElO(OR.o.s"CONSEoutNCEOF} M.-NNEflOF OEAI'H -- "'" o o OATEOFINJUflY IMon"'_CIoy,_1 TIIo4EOF INJUFlY INJURYIIJy,QR1(7 OESCFllBEf1O.YINJUAYlXCUflREO. _"'idol o o o PLACEOFINJUflY.A.lP'G",..lII,"'.......t..,."..,.OIllo..... ~"O,l$pec"l _. _ 0 NoD '"- P.nding_Ug.,,,,,, CouIdnoltMI"""'''''...... ~O ~O - "'EOICAL EXAMINER/CORONER On _"-1100110..",....110.. ."",...I..v..!lg...io... I.. my Opl........ du'h OCcurred Illhe time. dlt.. Ind pl.c.. .nd duelo lh-tt O-.oM(I} and m..........".l"............._..............._.................................................................... ". flEGISTfV,.fl'SSIGNATUREANONU"S o ft.1) (,<:'I"'L.I~... 3D, &.COd- - _. CEII'I'F1EllfChIdI~"""1 .CEJlTIlfY1NO~'ICI.."'PI\"""....cll'rl.tyong<:auslt"'__.""'het."....$OO....h..pt~de.ltllr<loorn_....231 TO...._ol ""kno-...,...ttooecUrrH_IO""c.u"(I/.nd "'................,. . H. Ofl1llOHOuNCINO.-NO CEl'tTII'YINQPHvSICIAN IP>>vso:_"".., "''''''''''''''''9",,,", anoOe<l'l""Q 100'''..of"",,",\ '''''''"-''.....,b>O~..,....._O.........I__....l.......PI'"''.........U....,h.C.u..t.).....m..."'''.......... ~ .~. ~eu..~U 1.:\,\ ...,1,01 ~ ~ ~ ~ ~ ~ ~ WILL OF MILDRED D. FARRELL I, MILDRED D. FARRELL, make this my Will and revoke my former Wills and Codicils. I am domiciled in Virginia and currently reside at 3800 Treyburn Drive, Apartment 206-B, Williamsburg, which is in James City County. I am a widow and I have four children, Virginia F. Schiavelli, Arleen F. DeCoster, Dorothy F. Meixel and Kathleen Farrell. FIRST: I appoint my daughter, VIRGINIA F. SCHIAVELLI, of York County, Virginia as the Executor of my Will. My Executor is empowered to do all things necessary or convenient for the orderly and efficient administration of my estate. Her powers included, but are not limited to, those powers specified in ~64.1-57 of the Code of Virginia of 1950, as amended. In the event my daughter, Virginia, fails to qualify or serve, I appoint my son-in-law, STEVEN A. MEIXEL, as the alternate or successor Executor. SECOND: I request that my appointed Executor not be required to give any bond, and that if, notwithstanding this request, a bond is required, then no surety be required. Further, I request that no appraisement be made of my estate except at the discretion of my Executor. THIRD: I direct my Executor to pay, as a cost of the administration of my estate, all of my debts, expenses of last illness, funeral and burial expenses, and estate and inheritance taxes with respect to any property included in my gross estate. FOURTH: All the rest of my property of every kind I give in 1 four equal shares to my children, VIRGINIA F. SCHIAVELLI, ARLEEN F. DECOSTER, DOROTHY F. MEIXEL and KATHLEEN FARRELL, or their descendants per stirpes. FIFTH: In the event any descendant of mine is less than twenty-one years of age at the time he or she is entitled to any distribution under this Will, I hereby direct that my Executor (a) hold all or any portion of such distribution in trust for the ~ ~ "1 benefit of such descendant until such descendant attains the age of twenty-one years or dies~ whichever first occurs, and then to pay that portion over to the descendant or the descendant's personal representative or (b) pay all or any portion of such distribution over to a custodian for that descendant pursuant to the Virginia Uniform Transfer to Minors Act (21). This Will was signed by me on the --1.D.- day of h UJ) 1992, at Toano, Virginia. IJJ~ oJ.(j'~ MILDRED D. FARRELL The foregoing instrument, consisting of two typewritten pages, was signed, published and declared by Mildred D. Farrell, to be her Last Will 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. ,,0.. -'fda- Q W4. ) 2 --0LWMt_ ~. +<~ Witness ~ Witness ~/ STATE OF VIRGINIA COUNTY OF JAMES CITY Before me, the undersigned authority, on this day personally appeared Mildred D. Farrell, &re.(r> jJ -IJ /!eK <;;/.CSo..... Co. /(old...o.. , and N..lC~OI.R f(o.lAf1J.y f known to me to be the testatrix and witnesses, respectively, whose names are signed to the foregoing instrument, and all of those persons being by me first duly sworn, Mildred D. Farrell, the testatrix, declared to me and to the witnesses in my presence that this instrument is her Last Will and Testament and that she had willingly signed and executed it in the presence of the witnesses as her free and voluntary act for the purposes expressed herein; that the witnesses stated before me that the foregoing Will was executed and acknowledged by the testatrix as her Last Will and Testament in the presence of the witnesses who, in her presence, and at her request, and in the presence of each other, did subscribe their names as attesting witnesses on the day of the date of this Will, and that the testatrix, at the time of the execution of the Will, was over the age of eighteen years and of sound and disposing mind and memory. j);~ Jj. (?~ MILDRED D. FARRELL 3 ~b-()WJ{l ) Witness JUX)~ C_ -K~ Witness IrwtktL ~" Witness .. Subscribed, sworn and acknowledged before me by Mildred D. Farrell, the testatrix; subscribed and sworn before me by /#PO iol)(~ 5'USO.. CO foMw.o", and "..:~(~ Ro.~\.( , witnesses, this /cJ"'- day of /0......./,v , "". ~.~ 4.u.- Notary Public My Commission Expires: /MJjy ~I (u;q] 4 B91C2 .....INI~~I^ 'ON.....O.L 9<':;:;v X08 3:)1-3-30 ..LSOd a.....oC! aNOHH:)ICl v88L M\tHSO\t1:l8 NOS1:l30N\t 'l^j TTa~~Ed '0 pa~PT1W JO '1'111'\ HM-19IL9'A~.09IL9.18'8SIL9'cl8'LSIL9 ON ~1:I0~ '08 A 'ddflS 1"'~3' 3!\1'!S-"'" ~ \ -<:1,. \"0 -;:, . CODICIL TO LAST WILL AND TESTAMENT OF MILDRED D. FARRELL I, MILDRED D. FARRELL, do hereby make, publish and declare this to be a Codicil to my Last Will and Testament dated November 10, 1992. I. I hereby amend Article FOURTH of my Will dated November 10, 1992, by changing the period at the end of that Article to a comma and adding the following: " provided, however, that if my daughter, Arleen F. Decoster, should predecease me, the share of my daughter, Arleen, shall pass instead to her two sons to the exclusion of her daughter, Jennifer. I have excluded my granddaughter, Jennifer, but not from any lack of affection. II. In all other respects my Last Will and Testament dated the 10th day of November, 1992, shall remain in full force and effect. In Witness Whereof, I have hereunto affixed my signature and seal to this Codicil this ~ 7 day of )};____ .L , 1993. i1l-'l~ J. (f~ (SEAL) ILDRED D. FARRELL The foregoing instrument, consisting of one typewritten page, was signed, published and declared by Mildred D. Farrell, to be a Codicil to 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 7J;Qdc- Q WfJa ) Witness ~l...."'tli'\l\ Witness {l k/YtJ/'oM..~ ():. - . Witne' ~ -- ~. lJL :.._~. STATE OF VIRGINIA ((>,u. \-S't'\ OF ~ C\,..., Before me, the undersigned authority, on this day personally Suc;.a_ C _KC>'y..,\......~ ~tlo.. ? i\\\'(!>J\ . and \1\...,&;_,~ F- <;'c.lr..lQ.,",~U.; appeared Mildred D. Farrell, known to me to be the testor and witnesses, respectively, whose names are signed to the foregoing instrument, and all of those persons being by me first duly sworn, Mildred D. Farrell, the testator, declared to me and to the witnesses in my presence that this instrument is a Codicil to her Last Will and Testament and that she had willingly signed and executed it in the presence of the witnesses as her free and voluntary act for the purposes expressed herein; that the witnesses stated before me that the foregoing Codicil was executed and acknowledged by the testator as a Codicil to her last Will and Testament in the presence of the witnesses who, in her presence, and at her request, and in the presence of each other, did subscribe their names as attesting witnesses on the day of the date of this Codicil, and that the testator, at the time of the execution of the Codicil, 2 subscribed our names as "'('[;q~ Q {hf!a.J Witness J 1.AA'l1lA"- Witness {l k' tYU /\M.~ ():'i . - (\. lJL :..J.Q.. Witne STATE OF VIRGINIA ((',\.).~'H OF ~ <=\i"1 Before me, the undersigned authority, on this day personally SU.c;.Cl_ c... .kG>~\"""- ~tl~ ? l\\l{l1Joo. . and \1,...'& ;_,~ F. <;('~IQ....Q.ll; appeared Mildred D. Farrell, known to me to be the testor and witnesses, respectively, whose names are signed to the foregoing instrument, and all of those persons being by me first duly sworn, Mildred D. Farrell, the testator, declared to me and to the witnesses in my presence that this instrument is a Codicil to her Last Will and Testament and that she had willingly signed and executed it in the presence of the witnesses as her free and voluntary act for the purposes expressed herein; that the witnesses stated before me that the foregoing Codicil was executed and acknowledged by the testator as a Codicil to her last Will and Testament in the presence of the witnesses who, in her presence, and at her request, and in the presence of each other, did subscribe their names as attesting witnesses on the day of the date of this Codicil, and that the testator, at the time of the execution of the Codicil, 2 was over the age of eighteen years and of sound and disposing mind and memory. /),~ cd. O~ MILDRED D. FARRELL ~ OOfltlfk.) Witness v 1M) 0vIL- C. .f(i'YU/II'A.aNo-. Witness V~'''''- d. M.- 'J1.. Witnes Subscribed, sworn and acknowledged before me by Mildred D. Farrell, the testator; subscribed and sworn before me by ~tc. ~~.~,~~ \J'l'. o....-to '" P.N\~... &:. c; tl...,c..... <<1.\.', Su..r.o.... c... ~ol,..l....o", witnesses, this 2~~ , and day of , 1993. ~.~ ~'~cAifJ.w) Notary Public My Commission Expires: ~~ Ilo( (11)0)3 3 dO 9glE:2 'l7'INI~H:lI^ 'ONVOl. 9517 X08 :3:>I..:l~O l.SOd avo~ ONOWH::lICj v88L M'v'HSO'v'!:J8 NOS!:J30NV .~ 11a~KVd "a aa~a11W lNaHVLsaL aNV 111M lSV1 OL 11J1aOJ HM- ''ill <'9' ^~-091 <'9' -'s-as l <'9' =lS-LS I <'9 ON WHO=, O::l^'ddnS1VEl313.LIo'.LS'1'V ) J- CERTIFICATION UNDER NOTICE UNDER RULE 5.6(a) Name of the Decedent: Mildred D. Farrell Date of Death: Auqust 28, 2002 Will No. 00881 of 2002 Admin. No. 2002-00881 To the Register: I certify that notice of a beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was mailed to the following beneficiaries of the above- captioned estate on November 1, 2002. Name Address Virginia Schiavelli 216 Niagara Falls Drive Wilmington, DE 19808-1656 Arleen F. DeCoster 161 West Louther Street Carlisle, PA 17013 Dorothy F. Meixel 8904 South Joplin Avenue Tulsa, OK 74137 Kathleen Farrell 845 Sharon Court Campbell, CA 95008 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: November 1, 2002 !l~ Signa ure Name: Kathleen K. Shaulis, Esq. Address: 44 South Hanover Street Carlisle, PA 17013 Telephone: (717) 243-6655 Capacity Personal Representative X Counsel to Personal Representative NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE mE REGISTER OF WILLS, COUNfY OF CUMBERLAND In re Estate of Mildred D. Farrell, deceased No. 2002-00881 TO: Dorothy F. Meixel 8904 South Joplin Avenue Tulsa, OK 74137 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You are named as one of onlv four beneficiaries under Mrs. Farrell's Last Will and Testament. Name of the Decedent: Last Known Address: Mildred D. Farrell Thomwald Home 422 Walnut Bottom Road, Carlisle, P A 17013 Date of Death: August 28. 2002 Place of Death: Thomwald Home County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy ofthe will_ X_is _ is not attached. Name{s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Virginia F. SchiaveIli 216 Niagara Falls Drive Wilmington. DE 19808-1656 (02)636-0595 Name(s), addressees) and telephonenumber(s) of all counsel Name Address Telephone Kathleen K. Shaulis. ESQ. 44 South Hanover Street Carlisle. P A 17013 (717) 243-6655 Date: Additional information may be obtained from the und November 1. 2002 Signature: Name: Kathleen K. Shaulis Es . Address: 44 South Hanover Street Carlisle. P A 170 I 3 Telephone: (717) 243-6655 Capacity: _ Personal Representative ~ Counsel for Personal Representative NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE mE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate of Mildred D. Farrell, deceased No. 2002-00881 TO: Arleen F. DeCoster 161 West Louther Street Carlisle, P A 17013 .:/ Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You are named as one of onlv four beneficiaries under Mrs. Farrell's Last Will and Testament. Name of the Decedent: Last Known Address: Mildred D. Farrell Thomwald Home 422 Walnut Bottom Road, Carlisle, PA 17013 Date of Death: August 28. 2002 Place of Death: Thomwald Home County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will _X_is _ is nol attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Virginia F. Schiavelli 216 Niagara Falls Drive Wilmington. DE 19808-1656 (302)636-0595 Name(s), addressees) and telephone number(s) of all counsel Name Address Telephone Kathleen K. Shaulis. ESQ. 44 South Hanover Street Carlisle. PA 17013 (717) 243-6655 Additional information may be obtained from the undersigned. Date: November 1. 2002 Signature: Name: Kathleen K. Shaulis. ESQ. Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: (717) 243-6655 Capacity: ~ Personal Representative ---.-L Counsel for Personal Representative NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate of Mildred D. Farrell, deceased No. 2002-00881 TO: Virginia Schiavelli 216 Niagara Falls Drive Wilmington, DE 19808-1656 Please take notice of the death of decedent and grant ofletters to the personal representative named below. You may have a beneficial interest in the estate as follows: You are named as one ofonlv four beneficiaries under Mrs. Farrell's Last Will and Testament. Name of the Decedent: Last Known Address: Mildred D. Farrell Thornwald Home 422 Walnut Bottom Road, Carlisle, PA 17013 Date of Death: Almust 28. 2002 Place of Death: Thornwald Home County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will_X_ is _ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Telephone Virginia F. Schiavelli 216 Niagara Falls Drive Wilmington. DE 19808-1656 (302)636-0595 Name(s), addresS(es) and telephone number(s) of all counsel Name Address Telephone Kathleen K. Shaulis, ESQ. 44 South Hanover Street Carlisle. PAl 70 I3 (7I 7) 243-6655 Additional information may be obtained from the undersigned. Date: November I. 2002 Signature: Name: Kathleen K. Shaulis. ESQ. Address: 44 South Hanover Street Carlisle, P A 17013 Telephone: (717) 243-6655 Capacity: _ Personal Representative --L Counsel for Personal Representative . NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE TIlE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate of Mildred D. Farrell, deceased No. 2002-00881 TO: Kathleen Farrell 845 Sharon Court Campbell, CA 95008 ((~ (F-' \<.:~,:_/,' < Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You are named as one of onlv four beneficiaries under Mrs. Farrell's Last Will and Testament. Name of the Decedent: Last Known Address: Mildred D. Farrell Thornwald Home 422 Walnut Bottom Road, Carlisle, P A 17013 Date of Death: August 28. 2002 Place of Death: Thornwald Home County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy ofthe will_X_ is _ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Teleohone Virginia F. Schiavelli 216 Niagara Falls Drive Wilmington. DE 19808-1656 (3021636-0595 Name(s), address(es) and telephone number(s) of all counsel Name Address Teleohone Kathleen K. Shaulis. ESQ. 44 South Hanover Street Carlisle. P A 17013 (717) 243-6655 Date: A"'.... .""""00."" _,.., """., ~~ November 1. 2002 Signature: . Name: Kathleen K. Shaulis. ESQ. Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: (717) 243-6655 Capacity: _ Personal Representative --2L. Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT,280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SHAULIS KATHLEEN K ESQUIRE 44 SOUTH HANOVER STREET CARLISLE, PA 17013 ____uu fold ESTATE INFORMATION: SSN: 137-03-2963 FILE NUMBER: 2102-0881 DECEDENT NAME: FARRELL MILDRED D DATE OF PAYMENT: 12/16/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/28/2002 NO. CD 001954 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $30,488.01 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: VIRGINIA F SCHIAVELLI C/O KATHLEEN K SHAULIS ESQUIRE CHECK# 505 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $30,488.01 DONNA M. OTTO DEPUTY REGISTER OF WILLS c~ ; December 16, 2002 To: Cumberland County- Register of Wills Cumberland County Courthouse Hanover and High Streets Carlisle, PA 17013 In Re: Estate of Mildred D. Farrell File No. 2002-00881 Kindly enter my appearance as the attorney For the executor Virginia Schiavelli in the above- referenced estate. , Kat leen Attorney 44 South Hanover Street Carlisle, PA 17013 (717) 243-6655 Fax (717) 243-6618 ~ oK STATUS REPORT UNDER RULE 6.12 Name of the Decedent: Mildred D. Farrell Date of Death: August 28, 2002 Will No. 881 of 2002 Admin. No.: 00881 of 2002 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 the administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is c. Did the personal representative state an account informally to the parties in interest? Yes X 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 his report. Date: 1-/<I-(J3 "-ft/~1!;4-4.~~j '~nature Kathleen K. Shaulis 44 South Hanover Street Carlisle, PA 17013 (717) 243-6655 Capacity: Personal Representative X Counsel for Personal Representative . IN RE: ESTATE OF MILDRED D. FARRELL, DECEASED Date of Death: August 28, 2002 Will No. 881 of2002 Admin. No. 00881 of2002 RECEIPT AND RELEASE The circumstances leading up to the execution of this instrument are as follows: 1. Mildred D. Farrell died on August 28, 2002. Testamentary Letters were granted to Virginia Schiavelli. daughter of the decedent and Executrix of her Last Will and Testament dated November 10, 1992 and March 29, 1993. 2. Pursuant to her Last Will and Testament, the following people were named as her beneficiaries, each of whom is entitled to receive an equal 1/4 share of the decedent's estate as indicated: Virginia Schiavelli 216 Niagara Falls Drive, Wilmington, DE 19808-1656 Arleen DeCoster 161 West Louther Street, Carlisle, PA 17013 Dorothy F. Meixel 8904 South Joplin Avenue, Tulsa, OK 74137 Kathleen Farrell 845 Sharon Court, Campbell, CA 95008 3. An informal Accounting of the Administration of the Estate of Mildred D. Farrell, has been prepared by Virginia Schiavelli, Executrix, and is attached hereto as Schedule "A." 4. In consideration of the foregoing and intending to be legally bound hereby, of Virginia Schiavelli, Arleen DeCoster, Dorothy Meixel, and Kathleen Farrell: A. Do hereby waive an audit of an account of the administration of the Estate of Mildred D. Farrell, deceased, by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania; B. Do hereby declare that they examined the attached informal account of the Estate of Mildred D. Farrell, deceased, that they fmd it to be true and correct in all particulars; that they accept and approve it with the same force and effect as if it had been prepared and duly filed with, audited, adjudicated and , confirmed absolutely by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania; C. Do hereby acknowledge that Virginia Schiavelli, Executrix, has distributed the assets of the Estate of Mildred D. Farrell, deceased; D. Do hereby absolutely and irrevocably remise, release, quitclaim and forever discharge Virginia Schiavelli , Executrix, her heirs, executors, administrators and assigns, of and from any and all action, reckonings, liabilities, claims and demands relating in any way to her administration of the Estate of Mildred D. Farrell, deceased; E. Do hereby indemnify and hold harmless Virginia Schiavelli, Executrix, her heirs. executors. administrators and assigns, from and against any and all claims, losses, liabilities and damage which they may suffer or to which they may be subjected by reason of their administration of the Estate of Mildred D. Farrell, and the distribution of the estate without an account or the approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, including but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other death taxes, together with interest and costs incidental thereto, relating in any way to the estate; and F. Do hereby declare it to be there intention that this instrument shall be legally binding upon them and upon their heirs, executors, administrators andassigns. '!J/t".,<-leJ u...~ Vir~el1i I';>_I~_O~ Date Arleen DeCoster Date Dorothy Meixel Date Date Kathleen Farrell C. Do hereby acknowledge that Virginia Schiavelli, Executrix, has distributed the assets of the Estate of Mildred D. Farrell, deceased; D. Do hereby absolutely and irrevocably remise, release, quitclaim and forever discharge Virginia Schiavelli , Executrix, her heirs, executors, administrators and assigns, of and from any and all action, reckonings, liabilities, claims and demands relating in any way to her administration of the Estate of Mildred D. Farrell, deceased; E. Do hereby indemnify and hold harmless Virginia Schiavelli, Executrix, her heirs, executors, administrators and assigns, from and against any and all claims, losses, liabilities and damage which they may suffer or to which they may be subjected by reason of their administration of the Estate of Mildred D. Farrell, and the distribution of the estate without an account or the approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, including but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other death taxes, together with interest and costs incidental thereto, relating in any way to the estate; and F. Do hereby declare it to be there intention that this instrument shall be legally binding upon them and upon their heirs, executors, administrators and assigns. Witness: Virginia Schiavelli Date /', ) / / 'J/1 ---"-'~-"/ ~~?r;v/tJ:1 K~e<- ~ I Arleen Deco~ .A-&~ n G::::JSl:.er Dorothy Meixel Date Ic'19'0'2: Date Kathleen Farrell Date C. Do hereby acknowledge that Virginia Schiavelli, Executrix, has distributed the assets of the Estate of Mildred D. Farrell, deceased; D. Do hereby absolutely and irrevocably remise, release, quitclaim and forever discharge Virginia Schiavelli , Executrix, her heirs, executors, administrators and assigns, of and from any and all action, reckonings, liabilities, claims and demands relating in any way to her administration of the Estate of Mildred D. Farrell, deceased; E. Do hereby indemnify and hold harmless Virginia Schiavelli, Executrix, her heirs, executors, administrators and assigns, from and against any and all claims, losses, liabilities and damage which they may suffer or to which they may be subjected by reason of their administration of the Estate of Mildred D. Farrell, and the distribution of the estate without an account or the approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, including but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other death taxes, together with interest and costs incidental thereto, relating in any way to the estate; and F. Do hereby declare it to be there intention that this instrument shall be legally binding upon them and upon their heirs, executors, administrators andassigns. Witness: Virginia Schiavelli Date ~l / J . Arleen DeCoster , ~d.iu,J /f~AL/~~ ~1 aL&~1uup_1 oroth)' elxel Date /-6,03 Date Kathleen Farrell Date C. Do hereby acknowledge that Virginia Schiavelli, Executrix, has distributed the assets of the Estate of Mildred D. Farrell, deceased; D. Do hereby absolutely and irrevocably remise, release, quitclaim and forever discharge Virginia Schiavelli , Executrix, her heirs, executors, administrators and assigns, of and from any and all action, reckonings, liabilities, claims and demands relating in any way to her administration ofthe Estate of Mildred D. Farrell, deceased; E. Do hereby indemnify and hold harmless Virginia Schiavelli, Executrix, her heirs, executors, administrators and assigns, from and against any and all claims, losses, liabilities and damage which they may suffer or to which they may be subjected by reason of their administration of the Estate of Mildred D. Farrell, and the distribution of the estate without an account or the approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylv~nia, including but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other death taxes, together with interest and costs incidental thereto, relating in any way to the estate; and F. Do hereby declare it to be there intention that this instrument shall be legally binding upon them and upon their heirs, executors, administrators and assigns. Witness: Virginia Schiavelli Date Arleen DeCoster Date Chk~-th/ Dorothy Meixel j r<,{";dOp.Uvl.3ft~();) Kathleen Farrell Date 1;:;/';1.0 lOr") Date i ESTATE OF MILDRED D. FARRELL, DECEASED ASSETS Legg Mason Account Old Point National Bank Treasury Bill 1100-069-5569 679,349.90 23,237.72 7,500.00 Total Assets 686,849.90 DISBURSEMENTS Funeral expenses Executor's Fee Attorney's Fees Probate Fees Petition, Short cert. Legal Advertising Inheritance Tax Filing Fee Thornwald Nursing Home Postage Inheritance Tax Physician's Bills PharMerica U.S. Treasury Pa Department of Revenue Social Security Administration 6021.03 0.00 1060.00 443.50 163.43 15.00 189.00 14.75 30,488.01 18.69 188.15 292.00 150.00 783.00 TOTAL 3 9 , 8,2 6 . 56 NET ASSETS 647,023.34 EXPECTED DISTRIBUTION 647,023.34 EXPECTED DISTRIBUTION PER BENEFICIARY 161,755.83 /"/- !jl- ? ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX KATHLEEN K SHAULIS ESQ 44 S HANOVER ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-10-2003 FARRELL 08-28-2002 21 02-0881 CUMBERLAND 101 *' REY-1547 EX AfP (Dl-D!l MILDRED D Allount Helli H:ed 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=iS4'-EiClif'p--foFii3rNoT"IcE--oF-YNHERITilNcE-,'-A"x-irpjiRAIsEifENT:--liii-owilNcE-oR"----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FARRELL MILDRED D FILE NO. 21 02-0881 ACN 101 DATE 02-10-2003 TAX RETURN WAS: (X I ACCEPTED AS FILED I CHANGED 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: IS. Allount of Line 14 at Spousal rate (IS) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS. .00 X 00 = .00 677 ,511.35 X 045 = 30,488.01 .00 X 12 = .00 .00 X 15 = .00 [191= 30,488.01 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Reel Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule CJ 4. Hortgages/Notes Receivable {Schedule OJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule EJ 6. Jointly Owned Property (Schedule FJ 7. Transfers (Schedule GJ 8. Total Assets III (21 (31 (41 (51 (61 (71 .00 .00 .00 .00 679.349.90 7.500.00 .00 (BI APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule HJ 10. Debts/Mortgage Liabilities/Liens (Schedule IJ 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Govern.ental Bequests; Non-elected 9113 Trusts (Schedule JJ 14. Net Value of Estate Subject to Tax (91 1101 7.717.71 1.620.84 (111 1121 1131 1141 NOTE: To insure proper credit to your account) submit the upper portion of this form with your tax payment. 686,849.90 9.338 ~~ 677 ,511.35 .00 677 ,511.35 . .AY"EN (01 AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-J 12-16-2002 CDOO1954 .00 30,488.01 TOTAL TAX CREDIT 30,488.01 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED) SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I REV-15~O'EX (6.0Gi"" .' w ,.., ~~Cf.l U"'''' W"U ",00 U"'~ ..<II .. " COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 OFFICIAL USE ONl.Y c '-'29/- 7 FILE NUMBER 2- I - JJ Z _0 'g' g i_ INHERITANCE TAX RETURN RESIDENT DECEDENT COUNTYCOOE YEAR NUMBER I- Z W C W (.) W C DECEDENTS NAME (LAST, FIRST, AND MIDDlr INITIA,L\ 'Fo1(''Ie \ \ H \ \cired D, DA~ 7~H;7D-~R~D 2- DAq J ~~7D-IEq)) 2- (IF APPLICABLE) SURVIVING SPOUSE'S NAME (lAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECI!aITY NUMBER f 3!-- 03 R9~3 THIS RETURN MUST BE FILED IN OUPLlCA TE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER ~ 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate (Attach copyotWiII) D 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dale of death after 12.12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1.1-95) o 3. Remainder Return (date ofdealh priorto 12.13-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) ,.., Z W o Z o .. '" W '" '" o U TELEPHONE NUMBER (I( )...43- 0&,<;;;C' '+4 SD r..;\--M ~ v\o" or S\--<'ed- C9\rllslc-\ifA 17013 z o ~ ::::l l- ii: <( (.) w a::: 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) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) OFFICIAL USE ONLY (1) (2) (3) (4) (5) & 19) 3 Lf '1 . 9 tJ 1) :;06, o--D (6) (7) (8) (p 't ~ ,Z1-9 .9D . 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 77/7, 71 (10) / (, 2-0,159 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (11) (12) (13) ? 3 3 ? . S5"' (c;77)5 / i---3S" 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made {Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) ~ '17) 5/1 , 3S"' (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;;( I-' ::::l a. :iii o (.) ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1 .2) x.O (15) X.0~(16)~ ~ 7 7) S'I I , 35 _ ':_-,'~~--j l-j. 15 8' .- 0 I 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate x .12 (17) x .15 (18) 18. Amount of Line 14 taxable at collateral rate 19. Tax Due (19) _ 30~gt. 0 I 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address' STREET ADDRESS 'Th 0 (' 1,\ uJ \ d. '-r4- 2- 0 \ V\L.J+ Co..rl \ S\c- Bo~ ~ CITY Tax Payments and Credits: 1 lax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount ~ . ZIP 176/ (1) 30)/f'gg',O} Total Credits (A + B + C ) (2) 3. InteresUPenalty if applicable D.lnterest E. Penalty TotallnteresUPenalty ( D + E ) (3) 4. If Line 2 is 9reater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 30 I 7,j.g, OJ (5A) (5B) 3D, '7: rg ~ 0 { =-- A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT _iIl'1.'~^'~-1rI1_!!'l!I!ll!l--n!j!Jll~I--l-"""'ir- ~n 1lI~- ___ PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.. .................. . 0 b. retain the right to designate who shall use the property transferred or its income;. ....................... ..... 0 c. retain a reversionary interest; or ........ 0 d. receive the promise for life of either payments, benefits or care? . .................... . ................ ..... 0 2. If death occurred after December 12, 1982. did decedent transfer property within one year of death without receiving adequate consideration?. ................. ....................... . ................... .......... 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.. ........ 0 4. Did decedent own an Individual Retirement Account, annuity, or other nonwprobate property which contains a beneficiary designation? . ................. . ................ ................. No Er [3" W W B' B"' .........0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. s- SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN 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 pre parer olherthan the personal representative is based on all inlormation of which preparer has any knowledge. DATE ADDRESS DATE !;t It:, -02.. fA- f si.L v 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. 99116 (a) (1.1) (i)]. For dates of dealh on or after January " 1995, the tax rate imposed on the net value of transfers to or for the use of the survlvin9 spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot 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 " 2000: The tax rate imposed on the net value of transfers from a deceased child twentywone 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. 99116(a)(I)]. 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. 99116(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. , , Decedent's Complete Address: S'rREET AOiJRESS 0 f' ~ uJ l c\ H-o~ Lf4- 2-. 0 \ V\ u + Bo-HLvn Co..rl \ S\c- CITY .~ ZIP 176/ Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 3D} Lf7Jg,O} Total Credits ( A + 8 + C ) (2) 3. InteresUPenalty if applicable D.lnteresl E. Penalty TotallnteresUPenalty ( 0 + E ) (3) 4. 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 (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE, (5) 30 7.j,g, OJ A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This IS the 8ALANCE DUE, (5A) (58) 3D, Lftg~.L.O { - , Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain Ihe use or income of the property transferred; ......................................... .................. .............. D Er' b. retain the right to designate who shali use the property transferred or its income; ........... ............ . ................ D ['j"" C. retain a reversionary interest; or... .. ......................,......"...................................................... ............................. 0 ~ d. receive the promise for life of either payments, benefits or care? ....... . ............... ........... ............"".............. D ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of dealh without receiving adequate consideration?. . ................... 0 B" 3 Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .... D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ... ................................................................... ...... ..... . . ............................... D ." cg.--- 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, I declare that I have examined this return, including cccompanying schedules and statements, and to the best of my ~nowledge and belief, it is true, correct and complete Declaration of pre parer other than the personal representative is based onal! irformationofwhich preparerhas any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FiliNG RETURN DATE ADDRESS DATE '1.-j(p-02 Co...r-I { si..L fA- 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 PS 99116 (a) (1.1) (ill For dates of dealh on or after January 1, 1995, Ihe tax rale 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 not exemDt 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 slepparent of Ihe child is 0% [72 P.S. 99116(a)(1.2)]. The tax rale imposed on the nel value of Iransfers to or for Ihe use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(111. The tax rale imposed on the nel value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. s9116(a)(1.3I1. 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. REV.1508 E)')+ (1.97) '* SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY -\-0. r-\"e \ \ FILE NUMBER .2/- 02 - oggj COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF \v\ . d. IIdre P. Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of sUNivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION l..-~ t-\astlV\ WacO.. 1.00. \ 'KU') ~c... . {\ Q-C...D 0.A.T ~ 38 O<5Cj (p 2-0(0 VALUE AT DATE OF DEATH (p 7q) Y-I q. 90 TOTAL (Also enter on line 5, Recapitulation) $? 7q 3~'I. 9D (If more space is needed, Insert additional sheets of the same size) REV-1m EX. (1-97) . SCHEDULE F JOINTL Y.OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATEO~A\ \ \ _ J \), IV\ ~ v. Fa. rre I I FILE NUMBER 2..1 - 02- - DF'!f I If an asset was made joint within one year of the decedent', date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. VI \"0,11'\ IG\ Sch\o.lIc- \ 1\ ~ 2JG N I ClP'0 rQ m. I \.s, 1:> \', \ie, \!-..h I\~ \~ iorl DE" () ) \Qg-08 - Ibst, West- L0U~-~eN" ~l-r~e::\- GAr-lisle.) p~ 17013 '1)qu~""tvr B. frrkcV\ t>c..Cas.-te-r 1& , DCiUS h-kr c. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY . %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of flnancial institution and bank occount number Of similar identifying number. Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deedforjoinlly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. \1I.e 0 tel ~\V\~ ~-tJOY\cJ 1So..V\K Lit) 1- 7->. <f1 50% 2.~ 2.37.72- \>0 BoX 33q2- fuVV\FY\) VA- 2..3(P{.3 V\- (: CD<Y\.+ * ~gDO'162o~ f3, T Y'eo..s:uQ" ~ - /5""" 000,00 5o~ 7) SOD. eX) ::ft: 1100- obCj- 5S-(PC) I TOTAL (Also enter on line 6, Recapitulation) $ 30 737 ,72. .. I (If more space IS needed, Insert addltlonai sheets of the same size) REV~1511 EX+ {12-99) . _9i.;\'I~'.:"t. ~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF lA \ \ \. A ...J n ~D. ~Y-('ell FILE NUMBER .21 - 07-- Og-g / Debts of decedent must be reported on Schedule I ITEM NUMBER DESCRIPTION AMOUNT A FUNERAL EXPENSES: 1 ~V\ - Ro-Yv\ ~C('oJ. --\t-o'MC. ;;l.\q No~ T\CA."'-O"e.r ~1-r~e.* 4) 7&-{o, 20 (,001c;.\e ) (>A 170 \3 A. SUY\V'\'Is:.lck.. ~es-m uo"O.n-t (YYI~ o&fer ~en-a\) 6"'5.33 Co,ri\s;.le ) pj.. \7013- 3 G '0\ ve.. YV\cx~ 1Yl .50 , 4. -Per-l'Y\\'+ ~ CA ha dl- W I \ lIO..msbllv:J tt ~ve.. IS- (). 00 0f>eV\ VI \ "'-Clq B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) VI r-~l'\(o. F S~:J",,' C\ ve.l I i Social Security Number(s)/EIN Number of Personal Representative{s} Street Address 2.../ &, t--h q ~ 0. 'fV\ \='0"\ \ So 'On " e... City W I \ \'VI 1 V\.% 1-0 "'- State P I:;" Zip ICfgrc,g ~ Year(s) Commission Paid: \bO \J.,.~t.. 2. Attorney Fees ~"\"h\e~ ~ S~I..dl''''', Es&t, ltlf $, \-to.V\O..r-e-r Q-re.~t"' Cor-\\SLk)?t\ j 0 to (j , DD 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 170 J 3 Claimant Street Address City State __Zip Relationship of Claimant to Decedent 4. Probate Fees ~e9S' ~fc..r D~ W, \ \ s 4Lf- 3.50 5. Accountant's Fees 6. Tax Return Preparer's Fees Ad....ve...M-1.s.: \ ~ - UJW\ \oeJr\o..Y\d. Co. l..o-u.J ::s 7~. () 0 7. 6. Ac:\...u~r---h~)~ - s~ -\-t V'\ e. I 86.Lf3 q. Pa;;.1-o...gC I 4-,( S- 10 t:\ \ I~ +=<::,c- 'I.0. Y\BM ~Y\.. Qa.... ~ ~ IS.Oo .. TOTAL (Also enter online 9, Recapitulation) $ 7 7 l 7, 71 (If more space IS needed, Insert additional sheets of the same size) Rf'''.lSl2EX.(l.9111*.. .." ..., ;. COMMONWEAtTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT MORTGAGE LIABILITIES, & LIENS EST ATE OF M,\l Arc-d 1). 1==01. r r-e \ \ SCHEDULE I DEBTS OF DECEDENT, FILE NUMBER 2....1 - 0 L - 0 <J-g- f Include unreimbursed medical expenses. ITEM NUMBER 1. 2. 3. AMOUNT DESCRIPTION ~OrV1uJ~\d . ~c.. CtArllS)c \ 'fA \ 70 I 3 Oxycr \)r. G:-~ r. &0\ VI SCLkY\ ) Sy-. Gc l Wt/ ~ Me-Ol-c~.tJ<.L ~...-vk.r I C'.c.v1, s I <- Dr. PtI\U I VC\ I b~ I X1. (/0 jl.&fL "1. D~- I '68'. 1-:;- if ~h&\y" M.~ e-q 5. & . {. ;)C~ -,- v ~ 1 reC\.s.l,~ PA t>(/ro~A u\2- Kedt':--Y)LL Sb0\cxJ ~rJ:0; ~V\\V>I ~~ Re t-u'fY\ o~ (h;~'S.Y- d1te-.k.. ~q.::z.oo is-o. (')C) ., 6 '3. 00 TOTAL(AlsoenteronlinelD,Recapitulalion) $ II- 20. '6.L REV-1513 EX+ (9-00) . '~(/ " ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES M\ \~ D ESTATE OF :c 'tArn: \\ J NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] . V lVtf:/'^ \ o.~. f;d-\,o." e. I \ \ NUMBER [ 1. :2. A-v--kC-V. F. De.~1e.t.~ ~ Doro-\-k..t.t F. V\ e" ')( e \ 4. ~+hkc:/\ '~"re \ \ FILE NUMBER .:2..../ - D2-Dgg I RELATIONSHIP TO DECEDENT AMOUNT OR SHARE 00 Not LisITrustee(s) OF ESTATE t>Quqhtcr :2..<;0/0 't)o.U~~tc-r ~ S- % Dc;rv~ht0r :J..S 0;., l:t::tv~\r. ~ :;tS; 171 V ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH lB, 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 $ (If more space is needed, insert additional sheets of the same size) .LgJ.~om: lUO:I'UOSowllllOrMMM 18 In IIII^ 'woo'uoSOWCCOrMMM 10 uOIlOOS Iuell~ el8AIJd e~1 uo ~OPOIIIOJUS 'wseJl1lOld 1010.1 'eol^lel uonelloJCae Iunoooo lJO-o~l-IO-e1111 JnO ONV luollaWJUuoo OPIJI PUI IIUIWOI"IIunoool10 ~a^lIep-aIIUOlldo '~oJ.e"J ~nnbo OWn-laeJ 'I.oooa lunoooa JnO~"'~ :10 eoUOIU8^Uoo O~I no~ IJIIIO eUlluo uOlaw CCe, 'OOINOllUnooo. eUIIUo paoua~u. JnO ~oru. nOA IUOIlO WSW8JCOJd J'IWOJd . IV iAapoI UOlaw caa, ~nM OUIIUO Ill!) :lDVSSilW . 9991-9098 I SO NO.1!)NIW1IM S^'lIO S,'V::l 'tl!'tE>VIN 91~ I1'S^VIH~S ::l VINI!)lIl^ Ol~ "SlIlIV::l 0 OSlI01IW 1"1'1"11'11" "'11"1'1"'11'11""1"1"'11'1"1"1'11I"'1 11- S::IO 1 iDVd 9OlPOO RSL~O ~o w.:;E:~O'~OIOllOdcl E IIIIZ eULLOO 1"LZ UO'IOUUOjUIIUalJodwl JOja,nl"'OS'p IUOWI+OIIIU8J1O POIOIOUO 08. ZOOZ 'LE ~nBnv '0 a. ZOOZ 'DE JlqUNJdes JO II :lnWA ~NnOOOV '~tIdWOJd Jll8JIIP't 18IOueul::l ,no,( I08lUOO ~d 'uonaono 1"!OUOUJl Jno,( UJ oeeu~ uuq '^~ "''lI JO 'p08uo~o III\I~ "'^!I08rqo Jno~ '08^!108fqo -'lI CUlweouoo oUOJIHnb ~UO '^~ no,( II po~a::l XI,L '~ 18l!d1:> 10 lIOJI8N808ld 'I :S3AJ.L:l3rSO .LN3W.LS3AN' sves-9&t (009) oot€-tl9USl) 9<:9<:1lO9a V^ 'lIMN lJodMeN Oil. P^IS Of8OllS 01qLUJl.f,L 009 OlJI"~IOM poeM u-W ceo, (::lwMl V11'^'t:>N1nI::l W WVllllM :1I0SIAOY 1VIONYNI::lllnOA ZllOl: 'DC ~all'lil~dalH ~all\'4lldall ma^,IIIHOB d \I1NlElldl/l 010 ."i1ldWd 0 Qi~o'lI'Il LILZo-eZC 'ON ~NnooOW )lIISAql&llWn"'''''''lpq]j)OlS 1\01O,\ MeN 311.... 'oul ',.",aM pooM uoaa... 1111., J.NIWIJ.YJ.S .LNnOOO'V NOSVlN ~'l LEGG MASON Ace 0 U N T Legg Mason Wood Walker, Inc. STATEMENT _.......y...Stod<_~"".-....S1PC 'CCOUNT NO. 325-02757 I MILDRED D FARRELL - C/O VIRGINIA F SCHIAVELU I SEPTEMBER 1-SEPTEMIlER 30, 2002 PAGE 2 OF 5 ~CCOUNT VALUE ...,- .. ., _1102 Equities $422,8llll.40 $469,925.20 Jnll Investment Trusts 31,878.00 31,588.00 \lulual Funds 181,089.83 1n,781.95 Sub TotlIl: $83lI,II32.03 StI79,28t1.18 ::ash Balance 54.75 54.75 rOTAL: $83lI,tI8tI.711 StI7l1,34l1.80 INCOME & DI8TRIBU11ON SUMMARY )lvIdands nterest ~etum of Principal rOTAL: . Taxable Income Tax Exempllncoma other Distributions ThIs _ $3,334.08 128.88 0.00 $3,482.78 . 3,334.08 128.88 0.00 v_ to Dote $10,002.24 1,374.88 9,053.92 $20,430.84 . 10,002.24 1,374.88 9,053.92 CASH ACTMI"YSUMMARY Thl. Period Veor to Dote Beginning Cuh & Money Market Fund Balance ncomeIDistrlbutions Paid In Cash Securities Sold/Redeemed $$4.75 3,482.78 0.00 N1A 11,376.92 44,054.75 2'40011_ ZIP 8 PP011010VG2:!:S4 01 011_ 00405 8 CASH ACTMI"Y SUMMARY (cantinledI WIthdrawals Miscellaneous ThIs _ (4,007.48) 544.70 V_to Dote (89,811.81) 14,234.89 Ending Cah & Money Market Fund Balance $54.75 N1A GAIN '= SUMMARY UNREAl flEO ...,- Short Tarm Galn/(loss) long Tarm Galn/(loH) Net Unrealized Galn/(Loas) SO.OO 47.00 $47.00 Note: POIitIans for which the 0IlgInaI COIl and/or lICqIlIm _ In not knoWn In notlncludad In the above tolaiI. P_ refer to the portfolio Summary and RelIIzId Gsln/lola ~ for mora 1nf0l1Tlltl0n. I25Il1' ,,'.Lnll" ~oeILWlLOtrl:e:JOIi'OIOL LOc"~1 clIZOU~J.OOtr" %N't ".'~. os OO'.U'~CS %YS'Y 1l89' ~I ..../N OO'8J.8' let srlLI ....IN ....IN ....IN PIllA ow""'" II01/UIOO enl.^ 0lllJd .- fIOJlnbo't' llOO~Un lUIJJno '.nu..... _,HJun - ~o 1OO01llOJ. 'JOQ _ilia SJ.snVJ. J.NaWJ.SiANI J.INn :10 in'lYA.lil>lWW A 1HJ.NOW 1L~-llllS 1Q't'll.l ....A W ~# .In lI.l NlIiMN sJ.n uOI&d1JOllCJ cot oIlll\lllltl OIlOll.lOd 10 %18'" : 8J.SnlU J.NaW.1SaANI .LINn %In ..~ 'Z~' o. w...'Utl !!!:!. ..~'Z~ 0 Oto'."'Ut one ....IN gn~8'l!!. ....IN ..../N ~M ....IN ' ~'~ ....IN ....IN WOX PIOJA eWOOUI IICl1fU1lIl) .n'"A 0lllJd - _boW lOOO ~un IOClWAs lUIJIOO IInu..... poZlIHJUn IIlIJlI1\I luauno 110:) 11IOJ. IJOQ polIWllli SilJ.lntli :10 an1"A J.a)IWW 'lYJ.O.l IItI dllOO 1'8OW NOXXll UO\ldIJOllCl ..rn IlOO'8 atZ'L A1iwlllO OIlOll.lOd 10 %line : lal.1lnOa 8J.'ts$ ....11118 JON 9L'ts$ ~IIO IOUIlIlISutPUi .OUIIIS 1I":l olloll.lod 10 %~O'O :S.1Na1"AInOa HSY:l ONY HSY:l 'IIOVU,IS walllou" I "I.OIPUI ,I, pu. 'IIOVUIIS WJII Suo, I "llolpu, 1101 JO UIIIE) plZ"IIJUn lul OllXlU ,1, U\f 'uwnloo 1I01lu,8D PIZ"IIJUn lul UI ..\fIN.. IJIllIl ullM PllllS"uSlu .q 111M .uom.od "'11.1 '.,810IsS01/U,8D P'Z1II1JUn UI plpn,ou, .q IOU 111M UMOU~ IOU .JI Illp UOIIls,nbol JO/pu, 1.00 ,'UISIJO 'ul uOluM JO~ .UOlll.od 'UO'I'WJO~UI PIllod.J lul PU'W8 01 pllU no~ p,nous JO"^P\f '1IOU8UI:l Jno~ 1081UOO ....Id 's'IU UOI108.UIJI Jno JO 'JosI^P't' "lOulul:l Jno~ 'no~ ~q plPIMJd uOII'WJO~UI ',lIq 1100 WOJ~ P'JldlJd II ....ol/.ul.S plZl,IIJUn jO uOl181nollo lu1 AlIyn...n.onO,U.1I0d 9 ~O nO....d zooz '01: llilll\liJ.di.-lll_J.diS 1111i^V1HOS ~ V1N'DlllII 010 -1'illW~ 0 OillO'1W I LiJ.Zo-SZS: 'ON J.Nnooov )jjll *1-wr~UI"llIIlplI! ~s 1I.IOA MeN *lIIIIW 'OUI 'J8l1leM pooM uosew 1111., ~N3W3~Y~S .lNnO~~V NOSVIN ~ ( )"", 8 $Of/lI'OO aaue tottC:,onOlOt tOddS c:UZ oatuoa tra ) (00-0. ) 8l.Z8t'Et .L.I....C. I'Y.LO.L....~ 'L'Z8t'C =--..__ 'J..LIIIIJ.:lY NOWIIllH.I.8IO lINY iWOONI "lYJ.OJ i!:OI9 ~1llO A \fd mHOIllO 03~ ONS COP NO.iN1 E>3~ A 1H1NOW 6lI:-~3S 10\flll \fA _......................................_......._....Il!!:!l1;L........._..__....._......................_.............__._............_.............._............................................~..~~ ~..._.,!.!L;!,I".N_;!.i!t.!.!]!:U!,1,f.!......................._...._....._..._........_......................J,,~i!~U!:!L.!!I!!l! ZOIOIIllOA\fd ZOItI/80 03~ SHS _I NO Ala HS'IO 9O.t&t'E$ d~OO 1'SOW NOlOOl ON30lAlO Ol/ll( _ns _ uogdlJOHO AItIUIlIIO 1JCItPIIlWJ. 81"( .uuw.oV NounBRU.8K1 GNY ilWOON 'UO!lllIIl'UI Jll.flOUI WOJllunOOO. JnO~ OIUj selllJnoe. pIJJIij.U8J: 8AI~ JO Leel~ 01 JOlld UOIIW 66e, II .llwnoes plUMO no~ II ....~oJnd O\lI~S JO/pUI 'IUIWlseAu,ll:I.1 plllu61seP ~llli:!OJd eq IOU ~IW selllJnoe'IO ....~oJnc '6UlllodlJ X8l PUe-JII~ Jell pesn BlIP NlJeA Plno~. JO',ApI XII Jno~ JO nOA 'luIWlS8AUIIJ ~6noJ~1 plJlnOOI ueeq 8AI~ 18~1 seJI~1 IluoRIPPI Ipnloul ~IW S!S8q ISOO Il.fl esn808q lUIWl88AUIIIUI61l0 Jno~ .nSJIA InllA ul 16uI~0 ll.fllueseJdeJ ~11l8SseOIU IOU seop UMO~S ssovu,.6 PIZlllIJUn I~j %WC UO'L. L" CS'SH'I"I saNn~ "lY/U/l1'l ~ iIT1YA J.3)JWW o CC'HY LH 18'81 "lY1O.L ans "l'Il1t'L S \fIN 9O'LQ;'8~ \fIN r.ottZJLO \fIN "'S~'I 1 \fIN ll!:.toQ'la \fIN OMZIOI \fIN m'pee'c ._..........__.............._......_....l.Y.!!L................_......!Q:~~~__........................_..._y.~....._.........._m...!l!!!..~..........._Jt.!N..__......._._....~N!I!;l_..._........,!..! !'O~,1,.1!r.i9.2!:!.!.I;!]>BI~~~~~~~..........~Jl!l~:~. "wc ..Z-I Lt OC'CCI'CS ...., at', WO "lY.LO.L an8 ClI'tOO't 1 Lt Z8U8'1 LZ8'1 1IlO~ 19'91 SlN~~~~~311nSNI m'~1 \fIN $C'g'IOC \fIN \fIN \fIN X1~ld lsnll13WOON13311~ X't'J. WVNJ.ndM llIlC'09ll'C no-vutllO _ 00IJd _ pellI1bO'lf IlOO 1lUR IlX1WAS UOIIdIJ1IIQ AlAUenO pezp8JUI1 _ IU8lJnO IlOO 11lOJ. II\lIO !!U. """ PJOL\ -I IUIIllIIO l1li..... - OJIOWOcIIO Mt'tR: : SONn:! 1VOJ.nw S ~O t 3E>\fd l:001; 'Ol: _.LdiIS-~ ~~as 11T13I\'tIHOS ~ _Ollll\OIO" ,,_~ 0 0DICI'lM I LlUl:01lZI:'ON.LNIlOOO\o :241S........pItJ.."-PIC! lpOlS:l(JOj -N aqu-w 'oul 'Je>lIIM pooM UOSlW ms., J.N:llMlUYJ.S ..LNnO~~V NOS\f1i\l ~3' .t9.t~0!l~B !l0"00 lBEUO Ultpe::~~OI~OJOJ ~Odd B dlZ UIlUDO tpJ.~ .... .l.Sao-sl:€ .lNnO:l:l...llOd .lN3W3.l....lS dO ON3 ..... i'lunoo llOA ,uIA3 'I8JS~' JnoA Il0A PUI IUIWIlsl' ilxoJd I~l pSIJ ISeeld '2:002: '92: Isn5nV' uo pJOOIJ )0 SJIPIO~IJI~' III ollUIWIIIIS ilxoJd I plnlW 1M '~IUOW ISI1 'IJIPIO~IJI~S pun:! UOSIV4 5511 'SUOIl"08X8 )0 Alnlnb I~I SJOIIUOW AIJlln5eJ MMV'l1 'uolln08xll"q IPIAOJd oll.lOjjl UI UI 'l"nbIJ UIlliJM uodn noA 01 pesoloslP eq 111M PUI AJIA AIW UOIIIJeunweJ ~ons)o IOJnOS pUI IJnIIU I~l 'pIl"08X8 IJI IUOl108SUIJI ~Ol~ ~8noJ~1 SJIlU80 \IIljJIW I~I WOJj UOIIIJIUnW8J "^lIOIJ MMV41 '1~IUOW XII JOlJd I~l JO) ,u0111~ 5u!lnoJ JlpJO Ilnpl^lpul IPIAOJd nlM MMV41 'l"nbIJ U811IJM uodn 'IOIN")O Alnlnb 8~1 pUI 'UOIl"OIXI)O I"UIIIWIII~I 'IUlWIAOJdWI IOIJd JO) AIlunl.loddo I~I 'PIPIJIIJI 1I11!JnOIS "O~IIJI~ UO llUIPUldlp SJIIU80 II~JIW)O Jlqwnu 101 SJlpJO ,'IUlnO IlOIJIP (MMV41) 'plllJodJOOUI 'JI~IIM pooM UOSlr4 55a1 (.L -Z....CS) (~13.J .tlI1IAI.L:I" MIM10 '''10111N lar'LOG'.' J OL..... :snoeu1'1'''JW :'JIMI PlIllM :AJ.I/IIJ.:l11 HilHJ.O ",J.OJ. J,!!!;:'~M!,L"""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,",,,,,,,,,,,,,,,,,,,,,,,,,,,,,""""",,,,,,,,,!:!,gU!I\!!l!~~t'!Y!!!,!l,g!!ln~,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,!!i~!!N,~!!J,,,,,,~ ZOIO~ A...d 00lO0IOO O~O:l"M "",,,,,,,J9:~,L,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,J,\!n,!;!!1!~Qgf:jL~,~1T~~~~f:j~~!!~,,,,,,,,,,,,,,,,,,,,,,,,,,,Q.~~Q.!I\!g,,,g~ ~A'v'd =OIlO:l"M """"",,,,,,,,,~:?~t,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,J,!1.n!!,\"~.!:'!QgNLll!1r;l~"Y.j~~~,!!~,,,,,,,,,,,",,,,,,,,g!!l,~q!Ng,,,~ (;0'1>1:1:'<<) H:l......I^ 113dSN'v'llJ.SONnd 1:I3d8N...l:I.l S~i80 luonoe,qqns IUCl!1IPP'v' UOIidtJOUa AllIU'lI1O uonollUaJj, -.-0 A.W\UOY lIaH.LO S dO S 3D...d ~~ 'Ill: l6I8I&.ldillN lliIIlWaJ.dilsll11i1\VIHOII ~ V1NIOW\ 010 ' 11illWd 0 Oi~011W I LSL~" 'ON LNnGOOV :H1I.-q-wr:MtJ "I~ lpOlI~A-N '*I1lMW 'OUI 'J1'IIIM pooM UOSIW llllr1 ~NiI...a~Y~s .LNnOOO'lf NOSVW ~'l .~ I THE OLD POINT NATIONAL BANK p.o. Box 3392, Hampton, Virginia 23663 757-728-1200 page 1 10-15-02 380096206 Statement 4 period Ending: Lead Account #: combined checks Enclosed: Mail code: I .~. MILDRED 0 FARRELL OR VIRGINIA F SCHIAVELLI 216 NIAGARA FALLS DR WILMINGTON DE 19808 Find the money hidden in your house! Ask us how! Your Deposits YOUR ACCOUNTS WITH US Account Nbr Balance INVESTMENT PLUS -Total of Your Deposits- 380096206 .750 812.39 812.39 380096206 INVESTMENT PLUS previous Balance +UC~G5;L~/LI~dl~~ -checks/Debits -Service charge +Interest pald current Balance Average Daily Balance INTEREST SUMMARY Interest Earned From 9/15/02 TO 10/15/02 Days in period Interest Earned Annual Percentage Yield Earned Interest paid this Year Interest withheld this Year 9-15-02 j 5 ~16.475~ 4,411'.78 50,104.22 .00 29.39 812.39 47,686.84 30 29.39 .75 224.30 .00 EFT AaIVITY Date Tracer Description 40916 LEGG MASON WOOD BRKRGE DIV 40923 LEGG MASON WOOD BRKRGE DIV Amount: 9-16 9-23 3334.08 673.38 DESCRIPTIVE TRANSACTIONS Date Tracer Descript:ion 3 DEPOSIT 6 DEBIT MEMO 999 INTEREST PAYMENT Amount: 10-02 10-15 10-15 404.32 44717.05- 29.39 THE OLD POINT NATIONAL BANK p.o. Box 3392, Hampton, Virginia 23663 757-728-1200 page 2 period Ending: 10-15-02 Lead Account #: 380096206 combined Statement MILDRED 0 FARRELL OfECKS PAID NO. Date Amount 1809 10-04 1810 9-23 427.00 188.15 NO.. Date 1811 9-30 1812 9-30 Amount 4766.20 5.82 DAILY BALANCE SUMMARY Date Balance Date Balance Date Balance 50294.75 45500.05 9-15 9-30 10-15 46475.44 9-16 45522.73 10-02 812.39 49809.52 9-23 45927.05 10-04 ~ END OF STATEMENT SEE REVERSE SIDE ~OR IMPORTANT INFORMATION THE OLD POINT NATIONAL BANK p.o. Box 3392, Hampton, Virginia 23663 757-728-1200 page 2 period Ending: 10-15-02 Lead Account #: 380096206 combined statement MILDRED D FARRELL CHECKS PAID NO. Date Amount NO.. Date Amount 1809 10-04 427.00 1811 9-30 4766.20 1810 9-23 188.15 1812 9-30 5.82 DAILY BALANCE SUMMARY Date Balance Date Balance Date Balance 9-15 46475.44 9-16 49809.52 9-23 50294.75 9-30 45522.73 10-02 45927.05 10-04 45500.05 10-15 812 . 39 END OF STATEMENT see REVERSE SIDE FOR IMPORTANT INFORMATION HotTman-Roth Foneral Home, Ioc. 219 North Hanover Street Carlisle, P A 17013 (717)243-4511 September 16, 2002 Virginia Schiavelli 216 Niagra Falls Drive Wilmington, DE 19808 ~ 't-.:J'I-o~ The Funeral Service for Mildred Desmond Farrell 13823-156 We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILmES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. OUR SERVICE: Basic Services of Funeral Director & Staff Other Preparation of the Body. . . . FACILITY, STAFF, EQUIPMENT Funeral Ceremony( Conducted at Funeral Home) USE OF STAFF AND EQUIPMENT: _Miles Transported. Casket Coach (H.....) Refrigeration 2 Days. . OTHER ITEMS CREMATORY CHARGES. FUNERAL HOME SERVICE CHARGES 51650.00 5190.00 5300.00 5175.00 $220.00 5100.00 5255.00 52890.00 SELECfED MERCHANDISE: Hastings Casket(Cremation). Roman Urn. . . . . . . Visitor Register . . . . . Memorial Folders- Prayer Cards THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THATYOUHAVESELECfED . . . . . . . . . . . . . . 5945.00 5210.00 525.00 525.00 $409S.00 Casb Advances Newspaper Obitwuy Norice-Starledger Newspaper Obitwuy Notice-VA Gazette . Clergy Offering . . . . . . . Certified Copies of Death Certificate . Organist . Cantor.......... Alter Servers . . . . . . . . Coroner Autltorizaton Cremation Fee . TOTAL CASH ADVANCES AND SPECIAL CHARGES. 5226.20 520.00 $175.00 530.00 5125.00 550.00 520.00 525.00 $671.%0 Total Total Cost.,. . . . . . . . . . . . . . . . . . . . . . . . . . 54766.20 ~ /Z'P] ~~"':,!.;~ tl~~ , 'lj:1 .,' 8SO N Hanover Street Carlisle, PA 17013 Phone: (717) 243-5712 Fax: (717) 243-8399 WNW.sunnysiderestauranl.com Name C. Address r 4 ~ ~ E L..l.-' Date 8 -J> 1- 0 2.... IGUEST CHECKS .. .'\.. _\\).Iv' I D Y ~J v ,..., ,:) I J ( / ~ 0, O,v" , CHK# 3 A. (,{, lito L- ,1/ 0 J /.., 00 AMOUNT ~sloo . c9.0 1'1' J L/ lu $' 0 sft TOTAL GUEST CHECKS TAX INCLUDED. '\ ~ \ Itft PRE-ORDER/OTHER TAXABLE CHARGES I I 1350 '0. f,.:L ~ fJ ,;>~ .fJ.' .A.A 6J r (o.<r..r j>~ l" Q _. fJo.J (a) I. 9.1' \I I I BAR AND NON TAXABLE ITEMS TOTAL PRE-ORDER/OTC J.t 1'2. I go SALES TAX 6% I TOTAL PRE-ORDER, TAX. a..Lt n a.l3'1 S'J ,. ~1.I(~ TOTAL ~ ~/. 711~ SUBTOTAL GUEST CHECKS PRE-ORDER, TAX, BAR ': ,...:r;A . GRATUITY. "Ct(;lf(r IO'THER- DESCRlPnON & COST I . . I TOTAL OTHER. .k PREPARED BY: I TOTAL" [O'S~ RECEIPT FOR PAYMENT ------------------- ------------------- Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Receipt Date 10/01/2002 Rece~pt Time 11:40:51 Rece1pt No. 1030652 FARRELL MILDRED D File Number 2002-00881 Remarks VIRGINIA F SCHIAVELLI AC ------------------------ Distribution Of Receipt ------------------------ Transaction Description Payment Amount Payee Name PETITION FOR PROBA CODICIL EXTRA PAGES SHORT CERTIFICATE JCP FEE 410.00 10.50 12.00 6.00 5.00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D Check# 1809 Total Received......... $443.50 $443.50 j/... " /'-trr {..i/ _Ali 6(,.:.. L..LA CUMBERLAND LAW JOURNAL 2 LIBERTY AVENUE CARLISLE, P A 17013 NOVEMBER 22, 2002 Cumberland Law Journal is published every Friday by the Cumband County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Kathleen K. Shaulis, ESQUIRE RE: Mildred D. Farrell, ESTATE Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. ----------------------------------------------------- --------------------------------------------------- Advertisement inserted on following dates: NOVEMBER 8,15,22,2002 Advertising Cost $ 75.00 $ 0.00 $ 0.00 $ 75.00 ------------- Proof of Publication Second Proof Request Payment Received Total Amount Due $ 0.00 ------ ------- Payment received NOVEMBER 5. 2002 by Beckv H. MorgenthallExecutive Director RETAIN THIS PORTION FOR YOUR RECORDS REMITTANCE ADDRESS I BILL TO THE SENTINEL - LEGAL LAW OFFICES SHAULIS, KATHLEEN ~ P.O. BOX 130, CARLISLE, PA 17013 AD NUMBER T CLASS SALESPERSON BILLING DATE LINES 234047 10 PUBLIC NOTICES c31 11/20/02 24 AD DESCRIPTION START DATE STOP DATE EXECUTRIX NOTICE LETTERS TESTAMENTA 11/05/02 11/19/02 PUBLICA liON INSERTIONS RATE NET AMOUNT GROSS AMOUNT 3 THE SENTINEL - LEGAL 3 LGL 82.08 TOTAL AD CHARGE 82.08 3 2002 PROOF OF PUBLICATION 01PRF 6.35 DAYS RUN PURCHASE ORDER PAY THIS AMOUNT 88.43 106.12* MildredFarrell . AFTER 12/20/02 MESSAGE: Thank you for advertising with The Sentinel. Deadlines for in-column legal advertisements: Monday is Friday at 11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon; Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday is Thursday at 12 Noon. If you have any questions regarding your Legal bill please call Lori Saylor 243-2611 ext. 201 Fax your legals to 243-3754, attention Lori Saylor You can also EMAIL yourlegaltoClassifiedads:ads@cumberlink.com. Please send a cover letter including your name and address as an attachment DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT THE SENTINEL - LEGAL M'ld d 11 POBOX 130 CARLISLE PA 17013 ~ re Farre . , AD NUMBER ClASSO START DATE .STOP DATE 234047 PUBLIC NOTICES 11/05/02 11/19/02 AD DESCRIPTION BILLING DATE TELEPHONE NUMBER EXECUTRIX NOTICE LETTERS TESTAMENTA 11/20/02 717-243-6655 GROSS AMOUNT OF 106.12 DUE AFTER 12/20/02 TOTAL AMOUNT DUE 88.43 ENTER AMOUNT ENCLOSED LAW OFFICES SHAULIS, KATHLEEN K. 44 SOUTH HANOVER STREET CARLISLE, PA 17013 1,,,111.,,111.,,,,,11,,11,1.,1.1 2D2DDDDDDD234D47DDDDDDDDDDDDDDD1Db12DDDDDD8843D ..,1' ~ ...."'"" ,<' ,,-.. ..4 ,_ :01<'" .. . ~,' ,. ,""'4 ~ ~!h _I<" '" ~ ',~ ~ t'~" ~ ','. , ~ 'lit ~ . ,~U'" 'i.. ./. II . j, ... , n, ,," ", , . " ....il i' " THE LAw OFFICES OF KATHLEEN K. SHAULIS, ESQ. 44 SoUTH HANOVER STREET CARLISLE, PA 17013 PHONE: (717) 243-6655 FAX: (717) 243-6618 EMAIL: JRS037CARLISLE@SPRINTMAIL.COM Virginia Schiavelli 216 Niagara Falls Drive Wilmington, DE 19808-1656 Re: Estate of Mildred D. Farrell No. #1075-2002 Account to Date HrslRate Amount 11/1/2002 Letter to IRS .3 hr/$IOO hr $30.00 11/1/2002 Preparation of Certifications and Notices to Beneficiaries 1.5 hr/ $100 hr 150.00 11/1/2002 Arrange Advertising .5 hr/ $100 hr 50.00 12/4/2002 Reimbursement for Sentinel Advertising N/A 88.33 (See Attached) 12/412002 Reimbursement for CC Law Journal N/A 75.00 12/9/2002 Preparation of Inheritance Tax Return 3.5 hr/$IOO hr 350.00 12/9/2002 Preparation ofInformal Accounting and Family Agreement 4.0 hr/$IOO hr 400.00 12/9/2002 Preparation and Filing of Final Status Report .8 hr/$IOO hr 80.00 12/16/02 Check No. 507 (1223.33) Balance 12/16/2002 $00.00 Statement United Church of Christ Homes Thornwald Home 442 Walnut Bottom Road Carlisle, PA 17013 Statement Date: 11/01/200: Virginia Schiavelli 216 Niagara Falls Dr. Wilmington, DE 19808 Due Date: 11/25/2002 Re: Mildred D Farrell Account Nr: 414 Date Description Payments Charges Days Quant Rate BALANCE FORWARD 08/27/02 Oxygen 10/31/02 Personal Laundry Se 1.00 189.00 -1.00 15.00 15.00 189.00 -15.00 ~. Il-I8'-O;;l- Thornwald Christmas Bazaar Nov. 15 Come & Join us. Thornwald Family Dinner Nov 17 Send in your RSVP Reminder All clothing gifts must be labeled/Please take to the laundry No live Christmas Trees or candles for the Residents Balanc. 15.01 204.01 189.01 PHARMERlCA + , . For Payment: PO Box 6413 Carol Stream, IL 60197-6413 IF YOU HAVE ANY QUESTIONS CONCERNING THIS STATEMENT OR WISH TO PAY WITH YOUR VISA, MASTERCA AMERICAN EXPRESS, OR DISCOVER PLEASE CALLA BILLING REPRESENTATIVE AT 800-352-9161 For Commen1s and lor Concerns; 111 AIJTHAR DRIVE NEWARK, DE 19711- PHYSICIAN NAME BRANSCUM JR GEORGE P STATEMENT DATE ACCT. NO. 08131102 5702-01-02057 DOUAR OTY. CODE AMOUNT DESCRIP110N RX RX 30 30 3 72.20 12.30 24.80 6.60 AX AX -0 AMOUNT DUE UPON RECEIPT CV.CQNVERT TR.TRANSFER CRoCREOIT RX T.TAXABLE OoOlSCOUNTEO N=NQN-COVEREO $188.15 .~ PLEASE RETURN BOTTOM PORTION WITH PAYMENT - Retain lop portion lor your records 484 THE OLD POINT NATIONAL BANK p.o. Box 3392, Hampton, Virginia 23663 757-728-1200 page 1 10-31-02 124737901 period Ending: Account ,: checks Enclosed: Mail cor ~ . ESTATE OF MILDRED D FARRELL VIRGINIA F SCHIAVELLI EXEClITRIX 216 NIAGARA FALLS DR WILMINGTON DE 19808 """""",a.-)O ~~ .-, _ ,..,,- _.~ S: ...-t-L ~:;;... .' ~ : 'r\~~ '~"-G"~ ~..~ -' . ~ ..... d... ~J.k' ~l., .,._.............. .uo.n,e... IV. :i.-: -~ -.......... Find the money hidden in your house Ask us how! -,' . $78' 00 aD 10/23/02 ex.a or . 124737901 COMMERCIAL CHECKING previous Balance +Deposits/credits -Checks/Debits -service Charge +Interest pald Current Balance Average Daily Balance 10-15-02 2 2 .00 45,220.45 791.45 .00 .00 44,429.00 44,828.95 EFT ACTIVITY Date Tracer Description AIIIount 10-31 41030 HARLAND CHECKS CHK ORDERS 8.45- DESCRIPTIVE TRANSACTIONS Date Tracer Description Alllount 10-15 10-15 4 DEPOSIT 6 CREDIT MEMO 503.40 44717.05 CHECKS PAID NO. Date AIIIOunt NO. Date AIIIount *10-23 783.00 ~~ DAILY BALANCE SUMMARY Date Balance Date Balance Date Balance 10-15 45220.45 10-23 44437.45 10-31 44429.00 DATE Ipos, PATIENT I; PROC DESCRIPTION DIAG. AMOUNT I I 5 CODE CODE , 07/2l1!02 NH MILDRED 08/05/02 08/08/02 08/26/02 08/26/02 09/03/02 1 99311 E/M SUBSEQ SNFCARE-LVL 1 466.0 PROVIDER: GEORGE P BRANSCUM JR MD MEDICARE PAYMENT CO: CLMS LACKS INFO FOR ADJUDICATION RECALL FOR INSURANCE REBILLED WITH CORRECT DIAGNOSIS MEDICARE PAYMENT MEDICARE WRITE-OFF AETNA USHEALTHCARE PATIENT IS RESpONSIBLE FOR CO-INSURANCE ~. "l -:;24 -O:::L EFFECTIVE 7/1/99 A ~ WILL BE DUE FOR ANY ADDITIONAL ITBMIZED STATEMENTS. We accept Masterca.:rtl, Tlisa, and MAC! 46.00 .00 .00 23.28- 16.90- .00 ACCOUNT NO. 11. 64 304431 STATEMENT DATE: 09/18/02 . ACCOUNT BALANCE PLACE OF ov ~ OFACE VISIT SERVICE IH. IN PATIENT HOSPITAL BELVEDERE MEDICAL CORPORATION 850 Walnut Bottom Road Carlisle, PA 17013.3698 Phone 717.243.3120 FED 10 NO. 23.1869105 OH w OUT PATIENT HOSPITAL NH - NURSING HOME INSURANCE PENDING 5.82 PATIENT DUE AMOUNT 5.82 PAYMENT DUE BY 10/16/02 I I I c, I , DATE POS PATIENT I 'o' I PROC DESCRIPTION DIAG. . AMOUNT I ; CODE CODE : '08/07/02 NH MILDRED 09/06/02 09/06/02 09/19/02 1 99311 E/M SUBSBQ SNE'CAR.E-LVL 1 414.00 PROVIDER: GEORGE P BRANSCUM JR MD MEDICARE PAYMENT MEDICARE WRITE-OFF ABTNA US HBALTHCARE PATIENT IS RESPONSIBLB FOR CO-INSURANCE 46.00 23.28- 16.90- .00 ~. (O..,:).~..~ 0;;1,. JI-llf'O> . ..' ~ - to.0. C ev.Q,.~ .< .... ~~..~ ~.._. "j:. til.~~~~.&~~. ~- BFFECTIVE 7/1/99 ACllAg.GB WILL BE DUB FOR ANY ADDITIONAL +TBMI~BO' STATEMENTS. We accept Mastercard, 'Visa, and MAC J ACCOUNT NO. 304431 STATEMENT DATE: H/16/02 5.82 PLACE OF OV " OFFICE VISIT SERVICE IH - IN PATIENT HOSPITAl OH - OUT PATIENT HOSPITAL NH - NURSING HOME INSURANCE PENDING .00 BELVEDERE MEDICAL CORPORATION 850 Walnut Bottom Road Carlisle, PA 17013-3698 Phone 717-243-3120 FED ID NO. 23-1869105 PATIENT DUE AMOUNT 5. 82 PAYMENT DUE BY 11/13/02 PAUL D. DALBEY, DPM 5 KACEY COURT, SUITE 202 MECHANICSBURG, PA 17055 MILDRED D. FARRELL THORNWALD HOME 442 WALNUT BOTTOM ROAD CARLISLE, PA 17013 1867 Closing Date: Charge: Date: Code: AtcouDt Number. DescriptloD: 9-AUG-02 DEBRIDE MYCOTIC NAil. 6 $43.00 PAID BY HGS ADMINISTRATORS COURTESY ADJUSTMENT NOT PAID BY AETNA US HEALTHCARE DUE FROM PATIENT $7.05 11721 ~. IO-d-~-O;L DUE FROM PATIENT 57.05 Your prompt payment is appreciated. CurreDt Over 30 Days Over 60 Days Over 90 Days $7.05 10/9/2002 Credit: $28.20 $7.75 Total Balance $7.05 ~, & i .l-..;! .... .. WILL OF MILDRED D. FARRELL I, MILDRED D. FARRELL, make this my Will and revoke my former Wills and Codicils. I am domiciled in Virginia and currently reside at 3800 Treyburn Drive, Apartment 206-B, Williamsburg, which is in James City County. I am a widow and I have four children, Virginia F. ~ Schiavelli, Arleen F. DeCoster, Dorothy F. Meixel and Kathleen ~. o ~ li'.?:'~.L':'~:'. , I FIRST: I appoint my daughter, VIRGINIA F. SCHIAVELLI, of York County, Virginia as the Executor of my Will. My Executor is ~ ~ ~ empowered to do all things necessary or convenient for the orderly and efricient administration of my estate. Her powers included, but are not limited to, those powers specified in ~64.1-57 or the Code of Virginia of 1950, as amended. In the event my daughter, Virginia, rails to qualify or serve, I appoint my son-in-law, STEVEN A. MEIXEL, as the alternate or successor Executor. "~ SECOND: I request that my appgintaduExacutor not be required to give any bond, and that if, notwithstanding this request, a bond is required, then no surety be required. Further, I request that no appraisement be made of my estate except at the discretion of my Executor. THIRD: I direct my Executor to pay, as a cost or the administration of my estate, all or my debts, expenses of last illness, funeral and burial expenses, and estate and inheritance taxes with respect to any property included in my gross estate. FOURTH: All the rest or my property of every kind I give in 1 the Virginia Uniform Transfer to Minors Act (21). This Will "as signed by me on the -in.- day of n tJ1) 1992, at Toano, Virginia. .-.... ;>~'_.,..A~.C~'.'.T".' ,-. four equal shares to my children, VIRGINIA F. SCHIAVELLI, ARLEEN F. DECOSTER, DOROTHY F. MEIXEL and KATHLEEN FARRELL, or their descendants per stirpes. FIFTH: In the event any descendant of mine is less than twenty-one years of age at the time he or she is entitled to any distribution under this Will, I hereby direct that my Executor (a) hold all or any portion of such distribution in trust for the be~Ffit 0: sUf"'.h nee<::c:1~::.~t: until such .:..:.sc.sndo.nt attd...Ll1E:l th~ age of twenty-one years or dies, whichever first occurs, and then to pay that portion over to the descendant or the descendant's personal representative or (b) pay all or any portion of such distribution over to a custodian for that descendant pursuant to 1iJ~ oIY, (j'~ MILDRED D. FARRELL The foregoing instrument, consisting of two cypewritten pages, was signed, published and declared by Mildred D. Farrell, to be her Last Will 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. '/1~QWk 2 2 ~,- t'''''''_S~lI>>a,~J.~.~~,~' ~.. ".'", F~~.-:-''''. -.JU,/)(}/),t _ Witness c.. +<~ ~ Witness ~/ STATE OF VIRGINIA COUNTY OF JAMES CITY Before me, the undersigned authority, on this day personally ff".7~(()} - iJ ikl'. . f'.AlC ~rw f(o.l).OJ.y f appeared Mildred D. <;/lS~"" 2-.rofdJAo... Farrell, , and known to me to be the testatrix and witnesses, respectively, whose names are signed to the foregoing instrument, and all of those persons heing by me first duly sworn, Mildred D. Farrell, the testatrix, declared to me and to the witnesses in my presence that this instrument is her Last Will and Testament and that she had willingly signed and executed it in the presence of the witnesses as her free and voluntary act for the purposes expressed herein; that the witnesses stated before me that the foregoing Will was executed and acknowledged by the testatrix as her Last Will and Testament in the presence of the witnesses who, in-her presence, !and at her request, and in the presence of each other, did subscribe their names as attesting witnesses on the day of the date of this Will, and that the testatrix, at the time of the execution of the Will, was over the age of eighteen years and of sound and disposing mind and memory. j);-<./~ cA. q~ MILDRED D. FARRELL 3 __.::0_"._ Farrell, the testatrix; subscribed and sworn before me by . ~v ; ./)(LfN. , 5'~;;:k C. ,koMk<a... and \\k\(~ Aa.I/I.(b.~(__, witnesses, this /cJ'"' day of /JcNQ~ ,1992. fV.--~ ~_ Notary Public ."- -.--..--.- , . . - \ A..--'o<j'::r~, /. ~ rL"~7- Witness ~W(JCV\(... C_ -K~ Witness ~~/ Witness Subscribed, sworn and acknowledged before me by Mildred D. My Commission Expires: /lJJJy q\ I~J 4 CODICIL TO LAST WILL AND TESTAMENT OF MILDRED D. FARRELL I, MILDRED D. FARRELL, do hereby make, publish and declare this to be a Codicil to my Last Will and Testament dated November 10, 1992. !, I herC0Y 3=end A~t~cle P8DRTH of roy Will datedN2yc~be~ 1992, by changing the period at the end of that Article to a comma and adding the following: " provided, however, that if my daughter, Arleen F. Decoster, should predecease me, the share of my daughter, Arleen, shall pass instead to her two sons to the exclusion of her daughter, Jennifer. I have excluded my granddaughter, Jennifer, but not from any lack of affection. II. In all other respects my Last Will and Testament dated the 10th day of November, 1992, shall remain in full force and effect. In Witness Whereof, I have hereunto affixed my signature and seal to this Codicil this ...( <; day of )};_-,,--I.. , 1993. ill~~ J, C?~ (SEAL) ILDRED D. FARRELL The foregoing instrument, consisting of one typewritten page, was signed, published and declared by Mildred D. Farrell, to be a Codicil to her Last Will and Testament in the presence of us, who, at her request, in her presence, and in the presence of each other, have '" .l.'.}_ ,,;~,:. .-,"~ . ~ \ - "e_._ '__'_'__~'.,.__ subscribed our names as witnesses. .(bJRb- Q CWzo ) J'.I^nh\ Witness (l k' o-lJ/1M.~ f). ;;:~e; ~ & \ ~. ^ (\., ~~.-, -::::I '-J. STATE OF VIRGINIA ((\)u. '-'1"'1 OF ~ C\.., Before me, the undersigned authority, on this day personally appeared Mildred D. Farrell, ~.ttCl '? A\tel>., . and \l. \"b :-,~ r. <;c..l."l<lvQ.\!.; su.<;Q.... c... _ Kol".,\.....~ known to me to be the testor and witnesses, respectively, whose names are signed to the foregoing instrument, and all of those persons being by me first duly sworn, Mildred D. Farrell, the testator, declared to,. me and to the witnesses in my presence that this instrument is a Codicil.to her Last Will and Testament and that she had willingly signed and executed it in the presence of the witnesses as her 'free and voluntary act for the purposes expressed herein; that the witnesses stated before me that the foregoing Codicil was executed and acknowledged by the testator as a Codicil to her last Will and Testament in the presence of the witnesses who, in her presence, and at her request, and in the presence of each other, did subscribe their names as attesting witnesses on the day of the date of this Codicil, and that the testator, at the time of the execution of the Codicil, 2 was over the age of eighteen years and of sound and disposing mind and memory. I;,~ oJ. O~ MILDRED D. FARRELL ~ o (}tJ1a-) Witness ...iJ.~o Ov~~~-I(tVU~ Witness U~'., ',- (1. A-D., - .. Qt. Witnes Subscribed, sworn and acknowledged before me by Mildred D. Farrell, the testator; subscribed and sworn before me by ~lo. \l\r~\~~ IN'-o...-e '" P.N\~... &:. C; cl..,Q." 4'1.\.', <;u.~Q.", c.. ~o"'lt>-O.... witnesses, this 2~~ , and day of , 1993. t'f\.~ ~~kw Notary Public My Commission Expires: N-o.y l\l (~J 3 - ,. ""-".\~""~"""" '~.b i' loIJ ..... ~' " 'I..... "...:.....~ /:,,;"i. , , ',_ _' ,,~I .....-'\.?. ""~V..''''''''' I ,,- , .,..... '" t. ,~ <r "." , ,,-., .. ~ '1~'" ('...,: '. ~ ",'-' ~~ I...: 'i, (",. ) t ....'i: . . ,\, !. :l t: ., tt.. ~1Z: ..: ~ .... ,"J,;/:c. Y . '\ _;.;~- ""l..~ L' Or I.;..... ...-.,.. , . ,-~"",,,,,,,,,,....,, ,~-.. . I) .,......_...~("J...,<,",. '", ... ," .'~" ,~. ....~.\ .... \ , \\ 11'\' -" .,~,'tt;fI.ltII.~~J.l..\) Register of Wills of CUMBERLAND County, pennsylvania Certificate of Grant of Letters No. 2002-00881 PA No. 21-02-0881 ESTATE OF FARRELL MILDRED D (LAbl, ~l~bl, M1UU~b) Late of CARLISLE BOROUGH LUIVlbbKLA.NlJ L.:UUl\l'l Y I Deceased Social Security No. 137-03-2963 WHEREAS, on the 1st day of October 2002 instruments dated November lOth 1992 & March 29th 1993 were admitted to probate as the last will and codicil of FARRELL MILDRED D (LAbl, tlKbl, M1UUL~i late of CARLISLE BOROUGH CUMBERLAND County, who died on the 28th day of August 2002 and, WHEREAS, a true copy of the will & codicil as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to SCHIAVELLI VIRGINIA F who has duly qualified as Executor (rix) and has agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, of my Office the 1st day I have hereunto set my hand and affixed the seal of October 2002. ~A'?n/a;2 ~~ I~ ~'f:t~' Kegls er 0 S ~'/2U ~'lL/ * *NOTE* * ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE)