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HomeMy WebLinkAbout02-1009~~~'I~I®N ~®12 ~R~~~~~ and ~~N~ ®~' ~,~~'~'E~S Estate of Mary Lou Orendi No a~ ~`V a-I ly0~l also known as Mary T.. Orendi and To: Mary Louise Orendi Register of W'lls for thhe Deceased. County of G~umberland in the Social Security No. 198-24-4171 Commonwealth of Pennsylvania G..~ The petition of the undersigned respectfully represents that: Your petitioner(s), who is/~~18 years of age or older an the execut or named in the last will of the above decedent,,~atec~ ~ October 17 ~ , Ig 77 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 0323 Salem Park Circle. Mechanicsburg, PA 17050 (list street, number and muncipality) Decendent, then 70 years of age, died _ September 17 , 2@t 2002 , at Butler Memorial Hospitals Butler, 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: none Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 9, 887.00 (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: none WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. '~~%~r~- (,~ Ronald endi ~.o ~J h~~3 Salem Park C'i rcl P ~';; ~rhani r~ cl~ rra PA 17(140 hw vw o m ~~ Y Itl ®F ~~AS®1~~~ ~~F do~i~~l~l~~~l 0" ~®1VI1VI®N~'~'.t~SL~~ ®~' P~1`TI~S~'~,V~NI1~ ~ C©IJNT~' ®~ 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 represen- tative(s) of the above decedent petitioner(s) will well and, t~rul~yAadminyi~ster the estate according to law. Sworn to or affilrr~edh and subscribed rX i~~~!~~~/~ ~ v, before Novtehmber Z 2a(y02f ~c ) ~.~1~ ~.. ~ ~?lZ'.r Donna M. ~Jtta, ~f~egister oc a 0 No. 21-2002-1009 Estate of Mary Lou Orendi , aka Mary L. Orendi, a ;aDe~eaSed Mary Louise Orendi DECREE OF PROBATE AND GRANT OF LETTERS AND NOW November 12th X002 , 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 October 17, 1977 described therein be admitted to probate and filed of record as the last will of Mary Lou Orendi,aka Mary L. Orendi, aka Mary Louise Orendi and Letters _~ are hereby granted to Ronald M:' Orendi ~+~z ~ ~a~ ~~ c., t ~ ,,~-- ~ ,2. Register of Wills ~ -~~v Donna M.Otto,lst Deputy J FEES Probate, Letters, Etc.......... ~ 40.00 William B. Beazley 33527 Short Certificates( g) .......... $ 18.00 ATTORNEY (Sup. Cc. LD. No.) 3.00. Stetler & Gribbin ~~~#txx• •x-Pages • • • • • ~ 138 F. MarkPfi St _ ~ Vnrk~ PA 17L~M Copies ~ 1.50 ADDRESS JcP TOTAL ~~- 717-854-9506 Filed ........................ ~. ~? t 50.. . PHONE ATI'URNEY WILL PICK UP LE'1fiEI2 ON 11-12-2002 _ t.t ;~Lt. r ~ t I }11S IS lCG Cet'Cl~' t~laC C~le lIl{OI'Illatloil Elele ~I~'e.l iC t.Y'?iPelr~~' Cii~,l~'t~ Iil a". i Lota1 Re~~ist~~ar. The ori~in~u certificate wili be rc>i-wat<ied ro r's),~ "~, ._ ~r?' I~:tc,rt~~ ,,. ~ , WARNING: It is iliegal to d¢~p15ca#e th•s !~~,~~~~ ~~,~ ~:,~a~~~t.~z~~~~t ~~ ~~r°;~~~~~~ Pie for this corn*!crrre. 4+~.Otl _ ~ 877722 ~,. t, ,t~p,LaN~'f,~~.y~~ ~` ~ ;~ ~ ~ ) ~ >_. , ca - 'y li ~ r- ~,N~N°w ~ x ~_!~ - Si ., ~~-~__ ~~f ~ ~ ~~G __ _ j/ ,. /~f _NVos'rsaTe...ueT rYPErPwNT R~ PERMANENT BLAC%iNK -~ tv "s Z 0 w O W t COMMONWEALTH OF PENNSVLVANfA • DEPARTMENT OF HEALTH • VITAL R£COROS CERTiFiGATE OF DEATfi NAME OF DECEDENT IFasr. M4cak.: ) ~ sEx `/ SCCI~EC ITY NV. ER = I O TE OF DEATN,MCrxn. Dev.'~barl ft ,. ~// ~ u f r~G% ~J f" E~ Y, t'1 ; ~~ _. ,. II , c /J~7 rJ .. ~ -~ 7 ~C~ ~-. AGEtla98~r'nwy) UNOERIYEAR WI ERIDAY DATE Of 81RTN 81RTHPtACE:G aad PUCE OF DERNKI`ec•crN rme-,ee rnu!ro~sbl /r~~ MdnMa . Dan Mwps .. M"vxnes ~ntdnm Oav ''Far)y/~/~'tale aF egnC ~ NOSP Ut. rm~cions OTHER: _ / / Yrs. . ~ r~ J T.! ~ ENOMPaueM ^ IXA4 ^ Name ^ RastNnu ^ S. Pahi ^ V ~ !. ' CAUN7YAF DERV CrtY. 84RO.TwPO DEAT FACWTYN Ot tel: •. .yre snM anaAeannee, DEN70F HISPAN~ORIGIN? RACE ~Am.neartNaisn.~BYCC6, WlWO. ete. (' ) 1 ! Nd Yes^Nyew specAy CUWn. ~/L'`/ ~.}/' y~ `,/ 1~/s. Jr• /// r' Punm RZan. ac. `~!/1'Z"~- ~CEDENt'S IKUAL OCCUPRION tDND OF BUSINESSANOUb'TRY YiAS DECEDENT EVER IN DECEDENi'SE R10N MARRAL STRUS~Marnad SURVIYIN6 SPOUSE e•e'4a.pn.adn. eq mtAt V.S.ARMEDi E IS f+7 can NMI ylr0owea., IN+da,prenynannamel \}~}.a we: DO rearetl 1 r ~ • 1 wa ^ No cner» D(/ ...----~-"° tt•'•-~C{ f'''" l•. ns. ~ f r/ t2. t] tD,zl tt<or 5-) u. ~G~ U::iE~' f!. DECED)ENrs MAIL SsiSy~e1 e:1y/fo.m shl.. zwemes DECEDENT•s -- ~ ire.^ }y.. ~,tleN lN.e "` ~z'y ~...3 `..'Yr'1 %% ll ~y-L: Y.~ ACTUAL ,Ta. stale r, /' RESIDENCE tl°c•tl°'~ J /~ ISee msmaama 9 .AecedeM b.W ' f '• ~/~ ~ Pmetvdel • ..~r ~fr~ ~/ ~ '° ,rtl. .aWlaa,.allm..W ~/,~F . ~,~~ ~ ~~,f. uyFbe,,. t~ '` P N J C` -S .7ti1-^ C li'. J ,Tb. R'S NAMEtFaq. Mtlae. las!/~ MOTHER'S NAMEIF ~n Sat , • M~ORAOWT'S NAME (TypxPrvN1 j INFORMANT'S• r-.' ~ r i ~C" E !' "Lp i (/,, 1 ~y _ '1~c.9 C-~/' '< ~/'E'C /G G; /C.'i Uv'(.. G (~1 y G/ EJ ti G METHOD OF dSPOS1TION ORE OF DISPO ION PLACE OF DISPOSRION~N+nb at CemFNry. Gematay RION- LP Buntl^ C•emabn RMndval hom S,ate^ lMaan. ~ ~ - . 71w -, N SIGNAUAE OFfUNERAL UV6 N SE NUMBER Cf0 7%~ - ~ ~ AODRESS~F FAGLITY .-- J • .~ ~ / ~',/ >s~. / ` _. x J•v, -~) ~FCr:T f :a4 e-h ~ , ..:F #J , vb. ,...- 2b. Calmieu items 23ec wrwn utt '- btlrOW Ot my Me.,eew.aun oceurreaal tn., .unr euu rasa. phy,il.,,ena a.ww. NImN01EN b sand teb3 LICENSE NUMBER ORESNiNEO r'a/~~. - tMONn.Dm. Y(~~,/~/ ~i/t C~y~3rr .LG !/r J/,-< tyROygWe010eUA. w lams 2421 mUS1W<9mPlaleO by OF DFFH EPRONOUNCEO DEADtMdmm.Day. Wert xm. 2]c. ~ WAS CASE REFERREDTO~ ~lE)UMINERtCORONERr PMM.aA.w yabwK.a wear. ? :. , ~ / 11 2 '-~ t. M 2S ` ~ K ' . . . 21. xg b 3udL OM 2r. PAAT 1: Emp me tlrwases, MAnNS a tamPl<d1an9 alacn rausetl u,a wrn. Dd nv1 M1er IM mass of tl'An9. suU of estdue a resprcMwY arrest 5W ck a Wart Ia,bre, r AppnSaima,e -ARi,I; pMrl~~alA caMlbru mnVlEU1 ~p110aa,DaM•M i Ttlre ulWNMn9CNna P'~^in PARE I. Lit dnlYOnB Ca.ffieM eeCA FN. IwErARE CAUlE cir~ ' i IA '~C. ~~/ n ~~~''r ~ 1"' ! ~~~z/`'~ da n ~ \ ~X! aawaaea con c ,.a,lotp a,wrbr-- ' DuE As cD~ ~E oFr ~. ~ / iL Segoen0a0y 4RrnrtlebW b- ! ga1x14W,e (OR +f/~~CON OUEN~'~CEjjQF7`~' /'~ ~ UNDERLYIIM ' r ~~ ~ ' '~"' ~ M ~ L ) i ~ r/ t. `~ " / .Emer /~ . a l.x GUSE(DaseseaaMUtY c ~101a1 A$ACONSEOUENCE OFti Out YtaiNW eYIMs I - raeutrpmdaNllA4T tl_ YtLS AN AUTOPSY WERE AUTOPSY FWDINGS MANNER OF DERM OATS OFINJUAY TIME OF WJURY INlURVR WORKT DESCRIBE NOW INJURY OCCURRED. Sngtm. OaY 1lmt PERFORMEOr AVNtABLE PRIOR 7D COMPLETION OF CAVSE Naafi /~ NwnKide ^ OF pERNr Yes ^ Nd ^ Aapenl ^ PenrlbglnMrlgalbn ^ M. ]OG. YH ^ ,~ ^ ~ ^ ar..,w ^ C4Yb tC,Wdeterm~Wtl ^ PUCE OFINIVPY. AI AOtM,farm, Wet. 18<tdry.OlEGe LOCATpN($tter. Cap,ms.+,SWB) buaanq, re. 15pxevl fie ]O,. ' . 2Y. 200. K. SIG ATU AND TITL OF CERTIFI :' ,,'ERTIWER ICMCt grdy argil 'CERTIPYPID PNYSICUN SPny%'na^<mury'^g taus' d aea+n+ner awns awwan nas p,waw+ccl deem dna ca+:urNetl Item 2Di ~ _~~ ,~1.~,. TetM OMtN my knmvlWN. wem ottdneE aleb me ewae{sl end Danner as a,aNE ....................."........".. "................... ]tb. LICENSE Njl~.tBER DA D/IMawr. Day.IWarl ~ t •PRONOUNGNG ANO CERTIFYRI6 PNYSIGANIPnvSK.do OON'~Yarouremg ceam an6cMlpngbcaeGeWaealnf Q ~! M~,J (/ / ~ (_.~,,, 7t6 r ^ ......................... Te Me Wet of mylrrowle6ge, desl0 oeeurretl at l,eWW,date. arM pYee, atM EwroMe eatne(el antl manner ea sute . NAME AND AUDRE55 OFp!(R NWNO COMP44~QSA DEATH rnen, zrt ryp. ~Ix j~~~ y: vl"cIF ~ -~ •MEDICAL E%AMINERlCORONER GeaIM OCNRetl 0, 10e time, Oala, antl pMCe, antl due to Ne uuae(a)and to my dPlnion a,ion r lnveali l df l t l r "- ' L-~-~ ~-''' ~U" `' ~-~ 1 ~~~ ~~'•~~ , , g ntl tln an d exenf e O On tM bel menmNeaatatad........_ ......................................"."............................................. . ^ a. CH~1 _.~ rE ~/f~l1:rX / ~Z ]le. War) M n D F REGISTRAR'SStGNATURE AND NUMBER C/%%Y~~'T„ y ~, ~ ON a. DATE ILE01 ~. FORM NALY No. 112-S WILL ® Copyright, 1973, P. O. Naly Co. For Sale by P. O. Naly Co., Law Blank Publishers 425 Fourth Avenue, Pittsburgh, Pa. 15219 ~rtt~~ i1~ ~cnd ~~~~~tmPn~ a i-aa ~~9 I, MARY LOU ORENDI of 247 GLENCOE DRIVE of WEST MIFFLIN , County of ALLEGHENY and State of PENNSYLVANIA being of sound mind and memory, do hereby make, publish and declare this to be my Last Will and Testament, in manner and form following, hereby revoking any will or 2oill s heretofore made by me. First. I direct that all my just debts and funeral expenses be fully paid and satisfied, as soon as conveniently may be, after my decease. Second. _I give, devise and bequeath my entire Estate, whether real, personal or_mixed, wheresoever situate, to my beloved Husband, WALTER J. ORENDI, absolutely. Third. _In-the event that my Husband, WALTER J. ORENDI, pre- deceases me, then I give, devise and bequeath my entire. Estate, whether real, personal or mixed, wheresoever situate, to my Son,^RONALD MARTIN ORENDI, absolutely. Fourth. In the event that both my Husband, WALTER J. ORENDI, and my Son, RONALD MARTIN ORENDI, should predecease me, then I give, devise and bequeath all the rest, residue and remainder of my Estate, whether real, personal or mixed and wheresoever situate, to the issue of my Son, RONALD MARTIN ORENDI, to share and share alike. Fifth. (a) I authorize and empower my Executor hereinafter men- tioned, for the payment of debts or for any purpose of .administration ;~ or distribution, at any time within two years from the date of my death, to sell all or any of my real estate, at public or private sale, for such prices and upon such terms as to cash and credit as he may deem best, and to execute ,deeds of conveyance thereof, without liability on the part of the purchasers to see to the application of the purchase moneys, This power shall not be construed to extend the lien of debts. (b) I authorize my Executor to retain all stock, bond and other investments made by me for the Distribution in Kind, or in his discretion to sell and transfer the same, either in person or by Attorney, without liability on the part of the purchasers to see to the application of the purchase moneys. ~ ~ 0 '+ H ~ ~ n ~ ° ~ ~ W ~ ' ~~ C ro O ~ ~ ~ ~ rf [V Ct L=1 ,~~ m m oo r "az r ~~ ~ ~~ ~ ~: ~ ~ o • w ~y n ~ I-' • ~'C b ~ c dl ~ I O c m j ~ ',b CA fy' 'rT1 z~.e ~-~ rn N rt i nr b x o m d v F-' fD iv ~ ro r ~ N £ ~ c b ~ c ~"'~ f-I' ~ ~ ~* N LT1 ~ ~; O CA w b ~' tQ `° ~ R. ~ ~ A. A, R. ~ ~ ~~ ;~ N ~ i~ H ~ ~ . G1 ?~ r ~ ~ ; b ~ O X ~~ iH Z n LTJ ;~ ; O ~ H :~ :'fJ C : H t~ ~ F-' N -- --- ------------- ' - s'~ ._._-~'~~~, - - ---- -- ---------------------- - - ------ -- - - ---- ~ ~s •.ca~l~o uona ~o pun ` 4 ~..~ . ~--~ ~---~ xza }n~sa~ p1:ns ~o aauasa.cd a~{~ u} `o.~una.ca~{.~ sassau~tirn sn ~sanba.t ,zau ~n sa2uvu lno pagb.~asgns o~una.~a~l ac~ml o~{.m `sn jo aauasa.cd a~{l ux }uaucn~say pun 11z~ ~sn7 .zau .~o~ pun sn ` IQN~ZiO ROZ A2Z~'Y~I pautnu anogn a~l~ ~q 1~~n1a~ 1~n pa~lstilRnd `palms `pau6;cs u /~ L`~? uanag-r~~uanag pun pa.cpun~l autiu punsno~l~ auo p.wZ ano ~o .cna~ a~l.~ u} .zago~o0 ~o Rnp (ids L T) u~ u a a ~ uan a S a~l~ `1nas ~uL pax~'n pun auc»u ~itiu pagtirasgns o~una.~a~l annul `paucnu anogn xz a ~n~say azl~ IQi~I~2i0 RO'I ~2iKlni `I `;oa~a~~ ~~au;~~ u¢ •uoz~ozpsz.znC roue u-r puoq ~nou~.z[~ an,zas o~ u~.oq '.zo~naax~ a~eu -.za~T~ s~ ' IQiQ~2i0 iSIZ2iFIY~i Q'I~d.[~02i `uoS btu ~u-rodd,~ I uatt,I, '~~zo~d~o szu~. uz an.zas o~ aTq~un sz `IQN~2i0 'r 23~,L'IFIM 'pu~gsng btu ~.~i-1.~ Juana auk uI Iuau~n~saZ pun ~~ }sn~ ~iui stir{} ~o .zo~naaxa f~uc aq o3 IQ.DI~2i0 'r 23~Z'~IKM 'pu~gsng Buz ~uyoddn pun aln~i~suoa `a~lnuc ~xga.cax{ op 1 REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS (each) a subscribing witness to the law, depose(s) and say(s) that the testat ,sign the same and that _ day of 19 Register 21-2002-1009 request of testat in h presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this present and saw signed as a witness at the (Name) (Address) (Name) (Address) REGISTER OF WILLS OF Cumberland COUNTY OATH OF NON-SUBSCRIBING WITNESS codicil will presented herewith, (each) being duly qualified according to Ronald M. Orendi and Theresa L. Orendi (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of Mary Lou Orendi , d~dl~ testat rix of (o~~xR~xD~DCx)574~RQt~?4R~x4~4~Cx1~ the will presented herewith and that they believes the signature on the will is in the handwriting of Mary Lou Urendi to the best of their Knowledge and belief. Sworn to or affirmed and subscribed before me this 12th day of Ronald M. OrendiiName) November 2002 6323 Salem Park circle, Mechanicsburg, :'.~,azti,.r_ _ ~~7. ~ ;.> ~: a ~' , ~-- ~~•-`~-'s-r`.! (Address y. Donna M. Otto, 1st Deputy egister Theresa L. Or d~Name) 6323 Salem Park Circle, Mechanicsburg, PA 17050 PA 17050 (Address) CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Mary Lou Orendi, a/k/a Mary L. Orendi, a/k/a Mary Louise Orendi September 17, 2002 Will No. 21-02-1009 To The Register: Admin. No. I certify that Notice of Beneficial Interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned Estate on November 15, 2002 Name Address Ronald M. Orendi 6323 Salem Park Circle, Mechanicsburg, PA 17050 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none Date: November 15, 2002 1/~.J Signature Name William B. Beazley Address 138 E. Market Street York, PA 17401 Telephone Capacity: 717-854-9506 Personal Representative X Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BEAZLEY WILLIAM B ESQUIRE STETLER &GRIBBIN 138 EAST MARKET STREET YORK, PA 17401 fold ESTATE INFORMATION: ssrv: 198-24-4i~i FILE NUMBER: 2102-1009 DECEDENT NAME: ORENDI MARY LOU DATE OF PAYMENT: 1 2/ 1 6/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 09/17/2002 REV-1162 EX(11-96) NO. CD 001958 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ S 100.00 TOTAL AMOUNT PAID: REMARKS: WILLIAM B BEAZLEY ESQUIRE C/O STETLER &GRIBBIN CHECK#1659 SEAL INITIALS: CW RECEIVED BY: DONNA M. OTTO S 100.00 DEPUTY REGISTER OF WILLS REGISTER OF WILLS s:'?_:= aF MARY L. ORENDI voc ~ ce ~ r c ~ aL~a 5v KOHL'S DEPARTMENT STORE OFL~~•?YNS' COURT ~I'aISiON C`' CURT OF CON~!flN ?*__`_,:.,5 OF CUMBERLANI~~°NT'' ya 21-02-1009 _.. c.^.e amount cf ~ RRR _ 91 :~_ac pursuant to aecc~on ~C84, ?ranata, ~acataa ar.a . _...:c_.i.r_es ..cce _.ive of ;°,', ;.c- Yo. .04 er~ec_,ve .:uly _, '_97 as amenced_ 7aLe 944+1' LBJ Ft~EE~11lAY '.'O :'?i= a"??.K OF _'i~a ORP!~~,NS' CURT DIVLION: LOCH BOX 3O Enter L`:e c! a, m or KOHL'S DEPARTMENT STORE Da~~BS, ~ 75243 (C;aicnanL ana rlaaresa ) _.. _~e amount or $$$ ql against t::e above enL_t'_ed Es~ate. '^~:a dececenL :rr.o =_=,ce^' 3L 6323 SALEM PARK CIR MECHANICSBURG, PA 1705.0 .._ed an (nacreee) (Dat=) ::r_=_a not.ce ~ L ~a1C ..'_3~ .+as ma 11F?(1 ~~ Se° jt ~3C:1e1 (Personal ~prese^caLive .._ ~cur._e1; aL cn ~,ccra~s~ ~OaLe~ _.`.e .,as~9 .,~ a:cre=_a,a c_a~ i3 as 'oL,nua: (:~ami_e `u1_v co enable persona'_ :e~reseataL:•~e __ ~ai:e cer _nveaL_cat_on)_ Acct.#0300137825 ;V o,:.2 ~ccre__, ~_3r-•. -_ ,: Vie.. ~<~n , 1eF'nC a v _~A wrA _ ~ 441 ~.BJ FREE'v~~.Ay Loci BCx 30 Dallas. ~ X 752d~ !~ccrese) 800-1293-1448 PROBATE COURT Cumberland County, State of Pennsylvania Mary L. Orendi, Deceased Case #21-02-1009 Proof of Mailing I mailed the creditors claim to the fiduciary (and attorney, if applicable) as follows: I deposited a cony/copies of the claim w_th the United State. Posta7_ Serv~.ce in a sealed envelope with the postage fully pre-paid. I used first-class mail. I am employed in the county where the mailing occurred. The envelope(s) was/were addressed and mailed as follows: William B. Beazley Attorney at Law 138 E. Market St. York, PA 17401 Date of Mailing: ~ p~.0 !J,?~ County of Mailing: Dallas, Texas I declare un er penalty of perjury that the foregoing is true and correct. Date: ~.D d,2__ arry Albertson, Agent for Kohl's Department Store P.O. Box 743124 Dallas, TX 75374 SC8820/1 10/14/2002 KOHL'S ACCOUNT STATUS DISPLAY 10/15/2002 14:30 ID: KDD Acct 0300137825 52 Cycle: 17 Bi: 09/17/2002 Due: 10/12/2002 MVC: y St/Lc: 15 355 CLOSED DECEASED-CHEC Op: 03/24/2000 Closed: 10/14/2002 Ins: N Namel: MARY L ORENDI Home: 717 796 - 7553 Pull: Name2: Busl: 717 691 - 7500 Addr 6323 SALEM PARK CIR AScr: 166 09/02 R Srce: I 00000001 Emp: NScr• 536 03/00 N C/S 39 10/14/2002 SCH Rstr: MECHANICSBURG PA 170502839 AdChg: 08/02/2000 : Instr: Pymnt H: LMMLMLLMMMM Dun H: 100000000000000000000000 Last Stmnt Curr Stmnt Auths Last Reage: Prv Bal: 859.77 868.91 Pur/Adv: Avl Credit: 11.09 Returns: Disputes . Fee/Int: Last Pymnt: 50.00 08/08/2002 9.14 20.00 Cr Lmt E : Cr/Dr 900 10% 09/17/2002 Limit Ext Pymnts Cls Bal: b1VC Pur 425.90 868.91 888.91 888.91 Issued Cards Cnt Sts Issue date /~ ~~ -°2 COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-a6o1 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX ~FP coi-os~ DATE 07-28-2003 ESTATE OF ORENDI MARY L DATE OF DEATH 09-17-2002 FILE NUMBER 21 02-1009 °U? , ;~~- z 't ''' j COUNTY CUMBERLAND WILLIAM B BEAZLEY ACN 101 STETLER & GRIBBIN Amount Remitted 138 E MARKET ST s. YORK PA 1 rT,?y~[-;;. MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ORENDI MARY L FILE N0. 21 02-1009 ACN 101 DATE 07-28-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) 46 1.24 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3l .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this form with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 8,063.9 5 tax payment. 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) 1,317.52 8. Total assets (g) 9,842.71 APPROVED DEDUCTIONS AND EXEMPTIONS: 6,934.51 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 2,76 4.8 3 11. Total Deductions (11) 9. 699.34 12. Net Value of Tax Return (12) 143.37 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 143.37 NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15l . 0 0 X 0 0 = . 0 0 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 143.37 X 045 . 6.45 17. Amount of Line 14 at Sibling rate (17) • 00 X 12 . 00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 15 .00 19. Principal Tax Due Tw V f.l1f•7•T Tl2. (19)= 6.45 • DATE NUMBER + INTEREST/PEN PAID (-) AMOUNT PAID 12-16-2002 CD001958 .32 100.00 07-21-2003 REFUND .OD 93.87- TOTAL TAX CREDIT 6.45 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ^ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~~ -iL~C=' - ;11 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 28D601 HARRISBURG, PA 17128-0601 WILLIAM B BEAZLEY STETLER & GRIBBIN 138 E MARKET ST YORK COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 E% ~FP (O1-P3) DATE 08-04-2003 ESTATE OF ORENDI MARY L DATE OF DEATH 09-17-2002 FILE NUMBER 21 02-1009 ``, ~ COUNTY CUMBERLAND ACN 101 Amount Remitted PA ;1,74Q1 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion ofi this fora with your tax payment. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1607 EX AFP (01-03) ~~* INHERITANCE TAX STATEMENT OF ACCOUNT ~~* ESTATE OF ORENDI MARY L FILE N0. 21 02-1009 ACN 101 DATE 08-04-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-28-2003 PRINCIPAL TAX DUE: 6.45 PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 12-16-2002 CD001958 .32 100.00 07-21-2003 REFUND .00 93.87- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 6.45 .00 .00 .00 REV,'5OCElr.~ . Ii-lCD-:+- REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMQNlNEALTli OF PENNSYlVANIA DEPARTMENT OF REVENJE DEPT,2IlOG01 HARRISBURG,PA 17128-0601 ~ Z W C W U W C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) ORENDI, MARY 1. (,; OFFICIAL USE ONLY FILE NUMBER ....,u.,..e......... 21 02 01009 NUMBER COUNTY CODE YEAR SOCIAL SECURITY NUMBER 198-24-4171 DATE OF DEATH (MM-DQ..YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER w ~ :ll::~(I) U ."" w"s :r:~..J U.." .. '" o 4. Limited Estate 0 4a. Future Interest Compromise (date of death after 12-12-82) ~ 6. Decedent Died Testate (Attach copy 0 7. Decedent Maintained a Living Trust (Attach of Will) copy of Trust) o 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (date of death between 0 11.Election 10 tax under Sec. 9113(A) (Attach Soh 0) !I!jj$$!!<\i'illiiM4#g~i!'diiQ:;;;U;l:iiiiii!~il'$;~iI~ipj!jii*(@fAA!fj~tii:mjiij~p.iijjP!iij@fi!pfbf) AME COMPLETE MAILING ADDRESS WILLIAM B. BEAZLEY 09/1 712002 05127/1932 3. Remainder Return (date of death prior 10 12-13-82) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes 138 E. Market Street York, PA 17401 <IF APPLICABLE) SURVIVING SPOUSE'S NAME (lAST, FIRST AND MIDDLE INITIAL) 1. Original Return 2. Supplemental Return (1) (2) (3) (4) (5) (6) (7) None J....-. ~:.. -, . ~ 461.24 ~. ::::1 8,063.95 a.. ~~ ~~ ~c OZ ul;' IRM NAME (If applicable) Stetler & Gribbin OFFICIAL USE ONLY JJ ~ d \.-.J C 2:: ~ ::::,:~ .~.... ,:"''-' N ~ . . ~..uu.....u.u.,.u................u...u..u.......................... lEPHONE NUMBER 7171854-9506 1. Real Estate (Schedule A) 2. Slocks and Bonds (Schedule B) Z o ~ S " ~ 0: <l w ~ 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 (Schedule G or L) B. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) None 1,317.52 (8) 9,842.71 11. Total Deductions (Iotal Lines 9 & 10) 12. Net Value of Estate (Line B minus Line 11) (9) (10) 6,934.51 2,764.83 (11) 9,699.34 143.37 (12) 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) (13) (14) 143.37 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 20. ~ 6.45 6.45 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) Z 143.37 .045 (16) 0 16. Amount of Line 14 taxable at lineal rate x ~ ~ " .. 17.Amount of Line 14 taxable at sibling rate x .12 (17) ~ 0 u x 18. Amount of Line 14 taxable at collateral rate ~ x .15 (18) 19. Tax Due (19) ... N.....N...........................)*~glWi'igT9~!!~AA~j'@~~pij~~!~Jlijpl\gj:;ffl@\Mi\t!lB....................... Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 6322 Salem Park Circle CITY Mechanicsburg I STATEpA 1ZIP 17050 ToIallnteresllPenally (0 + E) (3) 4. If Line 2 is greater than Line 1 + line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request 8 refund 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. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) Make Check Payable to: REGISTER OF WILLS, AGENT @##.Hf&fW#OO}f&t@JWg@rflilWMt[W~itftlWjlffi.itffitrtl~tUmff.1f&'tf@.f.MMtmfm*fmwitmiMfm!j1MNJtiligjmf.e.mg@8Wnm~mff*fH:Mf: Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CredltslPaymenls A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 100.00 .32 Total Credits (A + 6 + C) (2) 3. InteresllPenally if applicable D. Interest E. Penally PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS ~ 1. Did deoedent make a transfer and: a. retain the use or income oflhe property transferred;..................................................................................... b. retain the right to designate who shall use the property transferred or Its income;......................................... c. retain a reversionary interest; or. ................................................................. ..... .................................... .......... d. receive the promise for life of either payments, benefits or care?.......................m........................................ 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 lndiVidual Retirement Account, annuity, or other non~pTObate property which contains a beneficiary designation?....... ................................. .........................."..... ............. ................... Yes o 8 o o o OJ 6.45 100.32 0.00 93.87 0.00 !]I !]I o 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 accompanying schedules and st!Itements, and to the best of my Knowledge and belief, tt is true, correct and complete. Declaration of preparer other than the personal representative is based on aU Information of which Pl8P3.rel has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR F RET RN ADDRESS DATE 6322 Salem Park Circle ADDRESS SIGNATURE OF ER N UN ETURN OA1'E ADDRESS DATE 138 E. Market Street York,PA 17401 :@MMi:MHl&h6f:WI1f;;1-t#t@,w~ttM~~lfjtH4.M.MtM).\iMl.' ~:&.U;j) '-". ;~~@I~@MW4N:4tJ.M~~%t%HH4.M~M{@.tUfM\%:;:lht~~HtfJ:M1::1W@i:. \~,'2.C(J3 For dates of death on or after July 1, 1994 and before January 1, 95, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% (72 P.S. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)). The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are stili applicable even jf 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, cr 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 .5. 99116 1.2) [72 PS ~91 16 (a) (1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116 (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. *' SCHEDULE B STOCKS & BONDS ESTATE OF ;,;H'1:.:~...,:.;.;,:.:t ORENJI, MARY L. COMMotM'EALTH OF PENNSYLVANIA INHERITANCE TAX REruRH RESIDENT DECEDENT I FILE NUMBER 21 - 02 - 01009 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE NUMBER OF DEATH 1 26.2815 Shares Waypoint Financial Corporation - connnon stock 17.55 461.24 TOTAL (Also enter on line 2, Recapitulation) 461.24 *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONVv'EAtTH OF PEt<.NSYLVANIA It<.HERITANCETAXRElURN RESIDENTDECEOEHT ESTATE OF ORENDI, MARY 1. I FILE NUMBER 21 - 02 - 01009 Include the proceeds of Irtigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorshIp must be disclosed on schedule F. ITEM NUMBER I Pay from KoW's Department Store DESCRIPTION VALUE AT DATE OF DEATH 23.68 2 19 Madame Alexander Dolls 1,288.00 3 Proceeds - Sale of 1993 Geo Tracker automobile 3,100.00 4 Proceeds - Sale of 1987 Jayco Travel Trailer J Series 1,500.00 5 Proceeds - Sale of 1989 Club Car Golf Cart 1,000.00 6 Waypoint Bank - checking Ace!. # 3200012817 1,152.27 TOTAL (Also enter on Line 5, Recapitulation) 8,063.95 *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ORENDI, MARY L. FILE NUMBER 21 - 02 - 01009 ESTATE OF This schedule must be comnleted and filed if the answer to any of Questions 1 throuah 4 on DaQe 2 is Yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF Include the name of the transferee, their relat"lonship to decedent and the date of transfer. YALUE OF ASSET DECO'S EXCLUSION TAXABLE VALUE NUMBER (IF APPLICABLE) Attach a copy of the deed for real estate. INTEREST 1 ML Mid-Cap Stock Fund A - Acc!. # 2190497409 209.67 100% 209.67 Named beneficiary - Ronald Martin Orendi, Son 2 ML Balanced Fund A - Ace!. # 2690133480 356.90 100% 356.90 Named beneficiary - Ronald Martin Orendi, Son 3 Kohl's Department Store, Inc. - Savings Plan 750.95 100% 750.95 Named beneficiary - Ronald Martin Orendi. Son TOTAL (Also enter on line 7, Recapitulation) 1,317.52 *' SCHEDULE H FUNERAl.. EXPENSES & ADMINISTRA11VECOSTS COMMOtmEAlTHOF PEJo.NSYlVANIA INHERITANCETAXRElURN RESIDENT DECEDENT ESTATE OF ORENDI, MARY L. I FILE NUMBER 21 - 02 - 01009 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: I The George Irvin Green FIDleral Home, Inc. 1,913.95 2 Capital FIDleral Service 175.00 3 Saint John Mark Church - pastor 25.00 4 Saint John Mark Church - janitor 25.00 5 Saint John Mark Church - organist 60.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State - Zip Year(s) Commission paid 2. Attorney's Fees Stetler & Gribbin -- WILLIAM B. BEAZLEY 551.19 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 Claimant Ronald Martin Orendi Street Address 6323 Salem Park Circle City Mechanicsburg State PA Zip 17050 Relationship of Claimant to Decedent Son 4. Probate Fees Register of Wills - Petition, Short Celis, Copies, JCP fee 72.50 Register of Wills - Short Certs (6) 18.00 Register of Wills - file Inheritance Tax Return 15.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs (a) Cumberland Law Journal- advertise estate 75.00 (b) The Patriot-News Co. - advertise estate 192.07 (c) Stetler & Gribbin - costs advanced 146.52 Total of Continuation Schedule(s) 165.28 TOTAL (Also enter on line 9, Recapitulation) 6,934.51 'W Sct1edE H FlI1l!IilI E..q)et 555 & Ad! ,.,MctliveCosls contiooed COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF OREND1, MARY 1. I FILE NUMBER 21 - 02 - 01009 (d) Reimburse - Ronald Martin Orendi, Executor - expenses incurred during adimnistration of estate: Mileage - trips to Stetler & Gribbin (York, PAl and Cumberland County CourtHouse (398 miles@$.36/mi= $143.28; parking $22,00) 165.28 Page 2 of Schedule H *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PEt.NSYlVANIA IN-lERITNfCE TAX RElURN RESIOENTDECEOENT ESTATE OF ORENDI, MARY L. I FILE NUMBER 21 - 02 - 01009 Include unreimbursed medical expenses. ITEM NUMBER I DESCRIPTION AMOUNT ]90.00 Buttercup Campground - winterize trailer ($40.00), golf cart winter storage fee ($50.00), trailer winter storage fee ($100.00) 2 AT&T Wireless - cell phone 3 KoW's Department Store - credit card balance 4 Butler Ambulance Service 5 Central Cardiovascular Associates 6 Butler Anesthesia Associates 7 Associates in Respiratory Medicine 8 A. Thomas McGill, MD. 9 Butler Emergency Physician Associates 10 U.S. Bank National Association 11 Buttercup Campground - electricity - final bill 486.75 868.91 14.88 5.29 30.28 3.13 36.46 28.02 1,053.71 47.40 TOTAL (Also enter on Line 10, Recapitulation) 2,764.83 '* SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ORENDI, MARY L I FILE NUMBER 21-02-01009 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO n_ ~ECEDENT AMOUNT OR SHARE OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Ronald Martin Orendi 6323 Salem Park Circle Mechanicsburg, P A 17050 Son Entire residuary Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 1Lalit mill aUll Wrlitalurut Oi. 1-(B-/(!XjCJ I, MARY LOU ORENDI of of WEST MIFFLIN , County of 247 GLENCOE DRIVE ALLEGHENY and State of PENNSYLVANIA being of sound mind and memory, do hflreby make, publish and declare this to be my Last Win and Testament, in manner and form foUowing, hereby r61Joking any win or wills heretofor(! made by me. First. I direct that all my ju.8t debts and funeral 6$penses be fully paid and satisfied, as 800n as conveniently may be, after my dece/J8c. Second. ~I giye, devise and bequeath my entifi,Es~ate~ whether real, personal or. mixed, wheresoever situate, to my beloved Hu~band, WALTER J. ORENDI,,' absoJ"utelY. Third..,In"tb.e event that my Husband, WALTl?;R '.:r~ ORENDI, pre- deceases me, then;:,I give, devise and bequeath my entii::e: J;)1State, whether real, personal or"ini;ied, wheresoever situate, to my Son', ~'RQjSlALIi MARTIN ORENDI, absolutely. Fourth. In the event that both my Husband, WALTER J. ORENDI, and my Son, RONALD MARTIN ORENDI, should predecease me, then I give, devise and bequeath all the rest, residue and remainder of my Estate, whether real, personal or mixed and wheresoever situate, to the issue of my Son, RONALD MARTiN ORENDI, to share and share alike. Fifth. (a) ~ 9uFhorize and empower my Executor hereinafter men- tioned, for the paymElnt of debts or for any purpose 9f. "adcininistration or distribution, at any time within two years from the date of my death, to sell all or any of my real estate, at public or private 'sale, for such prices and upon such terms as to cash and credit as he may deem best, and to execute ,deeds of conveyance thereof, without liability on the part of the pu~cha~ers to see to the application ~f, tpe purchase moneys. This power ~hall not be construed to extend'the:~i~n of debts. (b) I authorize my Executor to retain all stock, bond and other investments made by me for the Distribution in Kind, or in his discretion to sell and transfer the same, either in person or by Attorney: without liability on the part of the purchasers to'see to the application' of the purchase moneys. <:l" ,..".'- - - - .....- "~~'-"-"'" 1 do hereby make, constitute and appoint my Husband, WALTER J. ORENDI " to be my ea:ecutor of thiB my La8t Will and Teatamenr In the event that my Husband, WALTER J. ORENDI, is unable to serve in this capacity, Then I appoint my Son, RONALD MARTIN ORENDI, as alter- nate Executor, both to serve without bond in any jurisdiction. Jln Witness Wbet&of, 1, MARY LOU ORENDI the Testat r ix abO'll8 named, have hereunto aubacribed my name and affixed myaeal, the Seventeenth (17th) day of October in the year of our Lord one thousand nine hundred and Seventy-Seven ~..--.... - ."~-Q~:-~--.e Bigned, 88aled, publtahed and declared by the above named MARY LOU ORENDI , as and for her in the presence of ua, who have hereunto subscribed our names at her La8t Will and Teatament request as witnesaes thereunto, in the pre88nCe of said testat r ix , and of each other. ~-== Nl i l N! ..: .--I! i 1 Ul: O'l ~ . 1 .... .:1 0 t r tl,' CJl 0 ':l , '" Il'I ~ 1'1 N :a ~ ~ ~ H\ :> ~j .j.J .--I ' ~ 0 : ~! H il<i ~ . ~ QJ '" .--I ~~~ ~ ~ ~ i I 5:l <ll .--I "" -= ol:;O I'll i=l .; i::- ..:l i-l N . ~ , .ai ~;; + ....... ~l ZI , ... ~ I .j.J \!) Ir:~Z ~ 0' Il'I Hl . '" .j.J CJl ~ I J,go 0 ..:li '" ~ m il< N ~ 81 u rJ ~ I C \!) d~ ;1 ,a; Z fL.! i ;::: >. -.; . <l' o~~ ~ Hi .- . <ll ~ .--I 1:0 ~ ~ ;::;;1 i ~ I-, C .--I . . ~ ~\ ~ .,j 1-1 d <<l .. ~<~ 81 .. ~~:; ~ .- ..:l 0 ,<:: <ll ~I "" <ni .., ; .j.J N C C ~ , ~ <l' I'll '" , .j.J \0 f 0 ~~ ~ N l 1 "2 1 ..; f"l ,<:: <11""9 -- ~. 8 u il< ~...o H " 'e '" :!: , 0 g ~ .! .. ! il tl, ! It " ~ l.~ (,>T~ REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA STATUS REPORT UNDER RULE 6.12 Name of Decedent: Mary Lou Orendi a/k/a Maims- r L Orendi a/k/a Marv Louise Orendi Date of Death: September 17, 2002 Admin. No. 21-02-1009 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned Estate: 1. State whether administration of the Estate is complete: Yes 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 X 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 this report. Date: ~~ ~ r,•,',~ x ~ 13.2Cb3 Signature William B Beazley, Esquire Name 138 East Market Street, York, PA 17401 Address 717-854-9506 Capacity: Personal Representative X Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BACH JAMES M 352 S SPORTING HILL ROAD MECHANICSBURG, PA 17055 fold ESTATE INFORMATION: ssN: isi-is-s33o FILE NUMBER: 2102-1 109 DECEDENT NAME: HARPER WILLIAM S JR DATE OF PAYMENT: 1 2/ 23/ 2003 POSTMARK DATE: 1 2/22/2003 couNTY: CUMBERLAND DATE OF DEATH: 1 2/01 /2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 5638.36 TOTAL AMOUNT PAID: REMARKS: WILLIAM L HARPER C/O JAMES M BACH ESQUIRE CHECK#1043 SEAL INITIALS: VZ RECEIVED BY: DONNA M. OTTO 5638.36 DEPUTY REGISTER OF WILLS REV-1162EX111-961 N0. CD 003366 REGISTER OF WILLS