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HomeMy WebLinkAbout02-1052 ~ ~ ~ o ~ Q ~ m c~ V` m •> a~i - ~ Z ~ a Q 1 . N O y L L C ~ G N ~ fl1 ~ W ~ ~' ~ ~ C N N ~ N ~ ° ~ _ ca ~ a~ ~ cn ~ Z ~ H ~~ o ~ U N ~ ~ 0 ~ J c Q a~ V N ~ o d - ~ Y , ~ ~ L ~ V Y i ~ N Q ~ ~- d ~ L N Y Y ~, W ~ ~ ~Y/~ Q ~ W Q' MM {Q ~ ~ ~ C ~ d C1 ~ ~ d m ~ y ~ Y ~ ~ ~ , ~ Uc i 3 ~ ~~ ~~ c ic i - 3 ~ '~ c ~ ~ Q L C C f2. l'tl t3 ~ ~ ~ C ~ ` Z C7 C~ a~ Z C7 U ~. G1 C ~ N N ~ ~ ~ d C ~ a V ~ ~ L n ~ d d y . L ~ ~ _' L ~ V U) -c° ~ 3 3 C~ N ~ t r ~, ~ .. ~ ~ ~ zzz Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of CHARLOTTE R. OYLER Also known as No. ~~ ' o oc - ro~~ _ .Deceased Social Security No. 172-24-7697 MYRA A. PLATYS Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioners are the executors named in the Last Will of ^ the Decedent, dated and codicil(s) dated State relevant circumstances, e.g. renunciation, death of Executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not to victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (d.b.n.c.t.a.: pendente life; durante absentia; durante minoritate) Petitioner after a proper search has ascertained that Decedent left no Will and was survived by the following heirs. Each of the following heirs have renounced their right to administer the Estate and have all requested that Letters of Administration be granted to the Petitioner, Myra Platts, who is a Grandniece of the Decedent (*See Intestate Heirs Chart Attached hereto). Name Relationshi Residence Linda K. Simmons Grandniece 5024 Mt. La Platta Drive Wendy A. Kugler Grandniece San Die o, CA 92117 Apartment 11 2821 Morena Blvd. M. June Myers Sister San Die o, CA 92117 P.O. Box 541 Kenneth A. Kugler Grandnephew York, PA 17405-0541 Claremont Nursing Rehabilitation Center 100 Claremont Drive Gertrude M. Cerzullo Niece Carlisle, PA 17013 602 Chambers Street Charles A. Glessner Nephew Bressler Steelton , PA 17113 200 Long Meadow Walter E. Glessner Nephew Mechanicsbur , PA 17055 134 Front Street Myra A. Platts Grandniece West Fairview, PA 17025 2512 Manor Road COMPI FTF IN AI I f'ASFC• Ait~rh ~aa~f~~n~~ ~ti,, ,,~~ ,~ ..............~. York, PA 17404 ~,.~.,~a~ y. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 101 S. South Street West Fairview East Pennsboro Townshi Cumberland Count Penns Ivania (List street, number and municipality) Decedent, then 86 years of age, died June 22, 2002, at Holv Spirit Hospital Camp Hill Cumberland Countv Pennsylvania (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property .....................................................................$ 30,000.00 (If not domiciled in PA) Personal property in Pennsylvania .....................................$ (If not domiciled in PA) Personal property in County ....................................................$ Value of real estate in Pennsylvania ................................................................................................... $ 53,000.00 ................... Total ................................................ ............................................. $ 83.000.00 Real Estate situated as follows: 101 S. South Street East Pennsboro Townshi West Fairview Penns Ivania Wherefore, Petitioners respectfully requests that the grant of letters of administration in the appropriate form be granted to the undersigned: re T ed or rinted name and residence MYRA A. PLATYS ~A~ 2512 Manor Road ~~ `" ~"" ~~ ~-~~ York, PA17404 I~- - t~ 3- 3 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law, Sworn to and affirmed and subscribed Before me this 21st__ day of NO~~EMBER yf~g2 ~,~ m ~'' ~~~' 0.-.>~ ~ No. 21-o2-1n5~ MYRA A. LATTS Estate of MYRA A. PLATYS ,Deceased Social Security No: 172-24-7697 Date of Death: June 22, 2002 AND NOW, No~'EMBER 25 , , 2002, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ^ Testamentary / of Administration are hereby granted to MYRA A. PLATYS in the above estate. FEES Letters ........................... Short Certificate(s) Renunciation ............. Affidavit ( ) .................. Extra Pages ( )....... Codicil ............................ JCP Fee ....................... Inventory ...................... Other .............................. $ 200.00 $ 12.00 $ 35.00 $_ ~ (L p n TOTAL......... $ 2 5 7.0 0 d.b.n.c.t.a.; pendente liter durante absentia; durante minoritate Attorney: EDMUND_ G. MYERS I.D. No: 20558 Address: Johnson, Duffie, Stewart & Weidner 301 Market Street P.O. Box 109 Lemoyne, PA 17043 Telephone: 717-761-4540 010106-00001111.4.02/E G M/K LT/164383.1 Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of CHARLOTTE R. OYLER No. o~/ - ~ a'- - /OS-~' Also known as ,Deceased The undersigned, surviving grandniece and intestate heir, of the above-named decedent hereby renounces the right to administer the estate and respectfully requests that Letters of Administration be issued to MYRA A. PLATYS. WITNESS my hand this SWORN to ands scribed Before me this ~~ day of nl ~Y,Q,{'-'~„~~ " , 2002. Notary Pu lic ~_____ ~_ i' day of ~`~.-~~~~~ -~_-~, 2002. ., ~_- /~ i ~G-~lr,-a~-lam :L.~'i r ~ o~ K. JIMMONS Address: ~~ 5024 Mt. La Platta Dr~_ve San Diego, CA 92117 KAY 1~. cc~. stmt ~~ 010106-00001 /11.4.02/EGM/KLT/164383.1 Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of CHARLOTTE R. OYLER No. a I -Oa. - /OSat Also known as ,Deceased The undersigned, surviving grandniece and intestate heir, of the above-named decedent hereby renounces the right to administer the estate and respectfully requests that Letters of Administration be issued to MYRA A. PLATYS. ~ -~ WITNESS my hand this ~3 day of ~;~~~~/yC.G~ ( , 2002. SWORN to and subscribed Before me this day of 2002. WENDY A. K~LE~ Address: 2821 M^rena Blvd. San D1_ego, CA 92117 Notary Public 010106-00001110.25.02/EGM/KLT/164383.1 Register of Wills of Cumberland County, Pennsylvania RENUNCIATION No. ~I- aa- ~oSZ. Estate of CHARLOTTE R. OYLER ~ ,Deceased Also known The undersigns:d, surviving sister and intestate heir, of the above-named decedent hereby renounces the right to administer the estate and respectfully requests that Letters of Administration be issued to MYRA A. PLATYS. 2002. WITNESS my hand this f ~'S~''" day of ~"~, ~~ ~-' ~~ r° M. JUNE MYERS SWORN to and sub cribed Before me this ~~ t day of ,'J;~ ,~ ~(7 ~' c-: ~' , 2002. l'~ ~. ~ ., n ~ ~ /~~t I ice-- ~.~.~ _.. ~~ / + \ ~~ Notary Public Notarial Seal ySyharon L. Brooks, Notary Public My ~ommission Eicpirter1CBou2rttY5 ~rr~ber, pennayNaniegesoaationof Notaries BY: Pennsylvania Guardianship Association, Inc., her Ag nt under Power of Attorney dated July 1, 2002 f ' s rian D. Br ,Pre ident Address: P.O. Box 541 York, PA 17405-0541 Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of CHARLOTTE R. OYLER No. ~1 ' O 1- 101. Also known as Deceased The undersigned, Gertrude M Cerzullo surviving niece and intestate heir of the above-named decedent, hereby renounces the right to administer the estate and respectfully requests that Letters of Administration be issued to Myra A. Platts. WITNESS my hand this ~0'u' day of tiC~Dh.e~ , 2002. Gertrude M. Cerzullo 602 Chambers Street Bressler (Steelton), PA 17113 SWORN to and subscribed before me this 3D~`' day of Q C.to ku~U , 2002. ~~~ ~ ~~~~ Notary Public Notarial Seal Michele R. Powell, Notaryy Public Steelton Roro, Dauphin coon My commission Expires Jan. 24, Member, Pennsvivania Association ct Notaries Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of CHARLOTTE R. OYLER No. ~1 - Oa. - tiOSo1 Also known as ,Deceased The undersigned, Kenneth A. Kugler survivinq grandnephew and intestate heir of the above- named decedent, hereby renounces the right to administer the estate and respectfully requests that Letters of Administration be issued to Myra A. Platts. WITNESS my hand this ~3U~. day of ~ 2002. Kenneth A. gler Claremont Nursing Rehabilitation Center 100 Claremont Road Carlisle, PA 17013 SWORN to and subscribed before me this~.~ir~; day of ~C.e~~-e-t , 2002. --e, ~~~~-~~ ~ ~p~~ ~ Notary Public Notarial Seal Patricia A. Mack, Nptaty public Middlesex Twp, CumbpAand County MY Commission Expires i~ b; X006 Member, Perxx;ylvertis A~ ~ s Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of CHARLOTTE R. OYLER No. e?1- 4~.- IDSa- Also known as Deceased The undersigned, Charles A Glessner surviving nephew and intestate heir of the above- named decedent, hereby renounces the right to administer the estate and respectfully requests that Letters of Administration be issued to Myra A. Platts. ~f v') WITNESS my hand this ~_ day of ~~~7 , 2002. Charles A. Glessner 200 Long Meadow Mechanicsburg, PA 17055 SWORN to and subs before me this ~(~/ day of ~-r~~~~ , 2002. I Notary Pu 'c NOTARIAL SEAL ROY EARLE COOK, Notary Public Mechanicsburg Boro., Cumberland Co. M Commission 'res A . 22, 2004 Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of CHARLOTTE R. OYLER No. ~ / - O~ - ~ /O~Sa- Also known as ,Deceased The undersigned, Walter E. Glessner, surviving nephew and intestate heir of the above- named decedent, hereby renounces the right to administer the estate and respectfully requests that Letters of Administration be issued to Myra A. Platts. WITNESS my hand this day of ~~~°.~~,,~Zc.~z-~ , 2002. Walter E. Glessner 134 Front Street West Fairview, PA 17025 SWORN to and subscribed before me this ~~ day of (/~~ ~-~ , 2002. NOTARIAL SEAL DANA L. WIESEMAN, Notary Public Lemoyne Bono. Cumberland County My Commission Expires Nov. t 5, 2004 `./~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a Name of Decedent: CHARLOTTE R. OYLER Date of Death: June 22, 2002 Will No.: 2002-01052 Admin. No.: To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on December 6, 2002. NAME ADDRESS Linda K. Simmons 5024 Mt. La Platta Drive San Die o, CA 92117 Wendy A. Kugler Apartment 11 2821 Morena Blvd. San Die o, CA 92117 M. June Myers P.O. Box 541 York, PA 17405-0541 Kenneth A. Kugler Claremont Nursing Rehabilitation Center 100 Claremont Drive Carlisle, PA 17013 Gertrude M. Cerzullo 602 Chambers Street Bressler Steelton , PA 17113 Charles A. Glessner 200 Long Meadow Mechanicsbur , PA 17055 Walter E. Glessner 134 Front Street West Fairview, PA 17025 Myra A. Platts 2512 Manor Road York, PA 17404 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None. Date: December 6, 2002 ~~ ,(~ Signature Name EDMUND G. MYERS Johnson, Duffie, Stewart & Weidner Address 301 Market St. P. O. Box 109 Lemoyne, PA 17043-0109 Telephone (717) 761-4540 Capacity: Counsel for personal representative ~f i'- /03- .3 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG, PA 17128-0601 March 19, 2003 Law Offices of Johnson, Duffie, Stewart & Weidner 301 Market St. P.O. Box 109 Lemoyne, Pa.17043-0109 Telephone (717) 787-3930 FAX (717) 772-0412 Re: Estate of Charlotte R. Oyler File Number 2102-1052 Dear Mr Myers: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before September 22,2003. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. :-- Sincerely,,,: ' ~/ ~ f - ~~ ~~ , ~ Jeffrey Hollenbush, Supervisor Document Processing Unit Inheritance Tax Division STATUS REPORT UNDER RULE 6.12 Name of Decedent: CHARLOTTE R. OYLER Date of Death: JUNE 22 2002 ~~~~ Will No. Admin No. 2002-Ifr1-5~2 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rule, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the Estate is complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 6 MONTHS 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 of interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and maybe attached to this report. Date: June 9, 2003 -E~~ Signature EDMUND G. MYERS ~ Name • ~ JOHNSON, DUFFIE, STEWART & WEIDNER ~-~ 301 Market Street P.O. Box 109 ° _ Lemoyne, PA 17043 (717) 761-4540 Capacity: Personal Representative ._: ~ ;; = (x) Counsel for Personal :..~ ~ Representative G J Q N NI 5 ~.- ~~ ~~ ~ OC ~, ..,, 4 ~.~. z~- '~ o :.~w L w ~~ z o W M v ~ o n ~ 3 w a Q aj ~ Z , w W Q N O J F- to I- X } ~ W Y m ~ Z +~ W ~ O w Q ~ ~ o ~ aa = ~ w Q Q `" } 0 Z ~ o w N J z '7 ~~ v O U ~ ~ ~~ +~ v~ o 2 p ~ ~ o~~a ~ a~~v~ ~~am ~~~~~ ~ c~ ~ . J7P.3-3 OFFICIAL USE ONLY c' REV-1500 EX + (6-00) CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R 0 E E S N T . C o M P T U A T X A T I o N REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER o E C E o E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OYLER Charlotte R. DATE OF DEATH (MM-DD-YEAR) 21-02-1052 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 172-24-7697 THIS RETURN MUST BE FILED IN DUPUCATEWlTHTHE NUMBER 06/22/2002 11 12/1915 IF APPLICABLE SURVIVING SPOUSE'S NAME LAST, FIRST, AND MIDDLE INITIAL REGISTER OF WILLS SOCIAL SECURITY NUMBER X 1. Original Return 4. Limited Estate 6. Decedent Died Testate (AttaCh copy of Will) D 9. Litigation Proceeds Received 3 date of death . Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12~82) 7. Decedent Maintained a LivIng Trust (AttaCh copy of Trust) D 10. Spousal Poverty Credit o D 11. Election to tax under Sec. 9113(A) (AttaCh Sch 0) NAME Edmund G. M ers FIRM NAME (If Applicable) Johnson, Duffie, Stewart & Weidner TELEPHONE NUMBER COMPLETE MAILING ADDRESS P. O. Box 109 301 Market Street Lemoyne, PA 17043-0109 61-4540 Real Estate (Schedule A) (1) 70,000.0 8SFlCIAL USE~ y Stocks and Bonds (Schedule B) (2) 6 ,436 . 6~~ w t-'.n_' Closely Held Corporation, Partnership or (3) No~ c. Sole-Proprietorship F c= 2: 4. Mortgages & Notes Receivable (Schedule D) (4) None R 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 19,240.68 Lv E (Schedule E) C 22 A 6. Jointly Owned Property (Schedule F) (6) 8,457.4:6 - P (." 1 D Separate Billing Requested _I. '-~' T 0\ U 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) None L (Schedule G or L) A T 8. Total Gross Assets (total Lines 1-7) (8) 104,134.76 I 0 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 8,671.95 N 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule l) (10) 13 ,953.72 11. Total Deductions (total Lines 9 & 10) (11) 22.625.67 12. Net Value of Estate (Line 8 minus Line 11) (12) 81,509.09 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 81,509.09 SEE INSTRUCTIONS ON REVERSE SlOE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. .0 0 .0 45 .12 .15 (15) (16) (17) (18) (19) x X X X 0.00 0.00 3,260.36 8.150.91 11 ,411. 27 0.00 27,169.70 54,339.39 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 101 South Street CITY I STATE I ZIP West Fairview PA 17025 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 11 ,411. 27 Total Credits ( A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E) (3) 4. If Line 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund S. If Line 1 -+- Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax dUe. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT ><'<'ii:"':';":';,"C:<:'>"':':';;;:";:':";;::';;;"",.:,;,;,.";,;";;;,.";;.,,;,;,,,,,,,,::::i!!:;!:!!!!!W!!i':"";!!!!!!!!!!!!!!!!!!!!!!!':.,:".:""",,,",;"",,,,:,,,,,,,,,,,""""""""""""':"":""":'".,.,:: ::':::~:::::::!;!!:;!!!!!!!!:!!!!!I!!!!!!!!:!;!:!!:!!..::!i!:!!!!!!!i!!!ii!!!!!!!!!!iil!!!i PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1 Did decedent make a transfer and: Yes No . 8. retain the use or income of the property transferred; ~ ;Xi 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? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 0.00 0.00 11,411.27 129.76 11,541. 03 (4) (5) (SA) o o o rn rn rn Under penalties of perjury, I declare that I have examined this return, including accompanying scheduiesand statements, and to the best of my knowledge and belief, Itls true, correct and complete, Declaration of preparer other than the personal representative Is based on all Information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Myra A. PLATTS 2512 Manor Road --York,--PA --i--'-404- ---- - --- - --- - --- --- - --- --- ----- Johnson, Duffie, Stewart & Weidner OA.TE ~/I;/ 6 DA.TE 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 ~or the use of the surviving spouse is 3% (72 P.S. 9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse IS 0% [72 P.S. 9116 (a) (1.1) (Ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tal< rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116{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. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV...1500 EX (Rev. 6-00) REV-1502 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Charlotte R. OYLER SS# 172-24-7697 06/22/2002 21-02-1052 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge at the relevant facts. Real property which is jointly-owned with riaht of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH 1 Residence and Lot located at 101 South Street, West Fairview, 70,000.00 East Pennsboro Township, Cumberland County. Tax Parcel Nos. 45-17-1044-274 and 45-17-1044-269. Deed recorded in the Cumberland COunty Recorder of Deeds Office in Deed Book C, Volume 21, Page 596. Valued as per attached Settlement Sheet SCHEDULE A REAL ESTATE TOTAL (Also enter on line 1, Recapitulation) $ (It more space IS needed, Insert additional sheets of the same sIze) Copyright (c) 1996 form software only CPSystems, Inc. 70,000.00 Form REV-1502 EX (Rev. 1-97) REV-1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS FILE NUMBER Charlotte R. OYLER SStf 172-24-7697 06/22/2002 21-02-1052 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTIDN UNIT VALUE DF DEATH 1 23 United States Savings Bonds Series E and Series EE - 6,436.60 Valuation of Bonds at Date of Death Attached hereto TOTAL (Also enter on line 2, Recapitulation) 6,436.60 .. (If more space IS needed, Insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1503 EX (Rev. 1-97) REV-15G8 EX + (1-97) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCET/iJ( RETURN RESIDENT DECEDENT ESTATE OF Charlotte R. OYLER FILE NUMBER 21-02-1052 SSfj 172-24-7697 06/22/2002 Include the proceeds of litigation 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 1 10 11 DESCRIPTION Cash received at Settlement VALUE AT DATE OF DEATH 27.21 2 Cash - $2.00 Bills in the possession of the Decedent 20.00 3 2002 Federal Invidivual Income Tax Return Refund 90.00 4 First Union Statement Savings Account No. 3087287310025 8,754.46 Accrued income on item 4 through date of death 4.14 5 Pennsylvania Power and Light 12.50 6 PNC Bank Regular Checking Account No. 51-4011-2357 4,789.48 7 Reimbursement made to Estate for payment of County/School Taxes. Settlement Sheet is attached hereto. 283.53 8 United HealthCare Insurance Company - Reimbursement Check for cancellation of Policy 120.00 9 United HealthCare Insurance Company - Reimbursement/Refund of cancelled Insurance Coverage 589.36 Mt. Royal Furniture - Appraisal of small items for the Estate. Appraisal attached 300.00 Proceeds received from the sale of Decedent's personal property 4,250.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space IS needed, Insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. 19,240.68 Form REV-15GB EX (Rev. 1-97) REV-1509 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCETAX RETURN RESIDENT DECEDENT ESTATE OF Charlotte R. OYLER SCHEDULE F JOINTL V-OWNED PROPERTY SSfj 172-24-7697 06/22/2002 FILE NUMBER 21-02-1052 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. N. June Myers P.O. Box 541 Sister York, PA 17405 B. Sharon Myers 320 West Shady Lane No. 2 Great Niece Enola, PA 17025 C. Richard Myers, Jr. 30 Center Drive Great Nephew Camp Hill, PA 17011 JOINTLY -OWNED PROPERTY, LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial Institution and bank DATE OF DEATH DECO'S VALUE OF account number or similar Identifying number. NUMBER TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1 A 12/01/79 10 U. S. Savings Bonds 3,287.60 50.00% 1,643.80 Series E - Valued as of date of death using U.S. Savings Bond Calculator attached hereto 2 D 08/01/83 18 U.S. Savings Bonds. 3,634.08 50.00% 1,817.04 Series E and Series EE. Valued as of date ad death using U.S. Savings Bond Calculator attached hereto. 3 B 03/01/81 18 U.S. Savings Bonds. 4,996.64 50.00% 2,498.32 Series E and Series EE. Valued as of Date of Death using savings bond calculator attached hereto. 4 C 03/01/81 18 U.S. Savings Bonds. 4,996.64 50.00% 2,498.32 Series E and Series EE. Valued as of Date of Death using U.S. Savings Bond Calculator attached hereto. TOTAL (Also enter on line 6, Recapitulation) S 8,457.48 .. (If more space IS needed Insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1509 EX (Rev. 1~97) Estate of: Soc. See #: Date of Death: Charlotte R. OYLER 172-24-7697 06/22/2002 Continuation of Schedule F (Jointly Owned Property) I SURVIVING JOINT TENANT ADDRESS D. Michael Scott Myers 30 Center Street Camp Hill, PA 17011 I Relationship to Decedent Great Nephew . REV-1511 EX +(1-97) COMMONWEALTH OF PENNSYLVANIA. INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Charlotte R. OYLER SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. SSI/ 172-24-7697 06/22/2002 FILE NUMBER 21-02-1052 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES, B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions 2,000.00 Name of Personal Representative{s) Myra A. PLAITS Social Security Number(s) / EIN Number of Personal Representative(s) Street Address 2512 Manor Road City York State PA Zip 17404 - Year(s) Commission Paid: 2. Attorney's Fees Johnson, Duffie, Stewart & Weidner 6,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip - Relationship of Claimant to Decedent 4. Probate Fees Register of Wills 257.00 5. Accountant's Fees 70.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Additional Costs to be held in Reserve 150.00 2 The Cumberland Law Journal - Estate Advertising Expenses 75.00 3 The Patriot News - Estate Adverstising 119.95 TOTAL (Also enter on line 9, Recapitulation) $ 8,671.95 (If more space IS needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97) Estate of: Charlotte R. OYLER Soc Sec #: 172-24-7697 Date of Death: 06/22/102 Continuation of Schedule H-BS (Accountant's Fees) Item II Description Amount 1 Robert N. Bowman - Preparation of 2002 Individual Income Tax Returns 70.00 70.00 REV-1512 EX + (1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCETIV< RETURN RESIDENT DECEDENT ESTATE OF Charlotte R. OYLER FILE NUMBER 21-02-1052 SSfI 172-24-7697 06/22/2002 Include unreimbursed medical expenses. ITEM NUMBER 1 Alan Hostetler Insurance 12 13 14 15 16 17 18 19 20 21 22 DESCRIPTION Insurance on Residence AMOUNT 228.77 2 Alan Hostetler Insurance 163.77 Dwelling Insurance on vacant Residence 3 48.00 American Water Resources 4 Commission of Auctioneer for sale of Decedent's personal propert) 1,275.00 5 East Pennsboro Ambulance Service, Inc. 50.00 6 East Pennsboro Township Sewer/Sanitation Invoice 184.28 7 East Pennsboro Township Sewer/Sanitation Invoice 104.78 8 East Pennsboro Township Sewer/Sanitation Invoice 105.60 9 East Pennsboro Real Estate Taxes 673.96 10 First Union Statement Savings Account No. 3087287310025 First Union Statement Savings Account No. 3087287310025 First Union Statement Savings Account No. 3087287310025 First Union Statement Savings Account No. 3087287310025 . Bank Service Charge on Account First Union Statement Savings Account No. 3087287310025 - Bank Service Fee on Account 5.00 11 5.00 5.00 5.00 5.00 Holy Spirit Hospital 61.81 Holy Spirit Hospital 25.44 Omaha Property and Casualty - Flood Insurance Policy on Property 1,003.00 Pennsylvania American Water 57.49 Pennsylvania American Water 26.81 Pennsylvania American Water 10.86 Pennsylvania American Water 11.16 Pennsylvania Power and Light 67.87 Total of Continuation Schedule(s) 9,830.12 TOTAL (Also enter on line 10, Recapitulation) $ 13,953.72 (If more space IS needed, Insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1~97) Estate of: Charlotte R. OYLER Soc Sec iI: 172-24-7697 Date of Death: 06/22/2002 Item fI Continuation of Schedule I (Debts of Decedent, Mortgage Liabilities and Liens) Description Amount 31 UGI Gas Company 32 UGI Gas Company 33 UGI Gas Company 34 UGI Gas Company 35 UGI Gas Company 36 UGI Gas Company 37 Verizon Telephone Company 38 West Shore Emergency Medical Services 23 Pennsylvania Power and Light Pennsylvania Power and Light Pennsylvania Power and Light Pennsylvania Power and Light Pennsylvania Power and Light Pennsylvania Power and Light Search Fee for Residence 34.51 24 20.74 25 18.62 26 18.62 27 12.50 28 25.19 29 50.00 30 Settlement Charges from sale of Decedent's residence. Settlement of the sale of Residnece on 5/2/2003 is attached. 8,740.98 239.78 167.28 69.00 69.00 48.00 139.76 90.68 85.46 9,830.12 . , REV-1513 EX + (9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Charlotte R. OYLER SSiI 172-24-7697 06/22/2002 NUMBER I. NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY TAXABLE DISTRIBUTIONS {Include outright spousal distributions, and transfers under Sec. 9116(01)(1.2)] Gertrude M. Cerzullo 602 Chambers Street Harrisburg, PA 17113 1 2 Charles A. Glessner 200 Long Meadow Mechanicsburg, PA 17055 3 Glessner Street 17025 Walter W. 134 Front Enola, PA 4 Kenneth A. Kugler Claremont Nursing Home & Rehabilitation Center 100 Claremont Drive Carlisle, PA 17013 FILE NUMBER 21-02-1052 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE Nephew 1/9th of Estate Nephew Nephew Grand Nephew 1/9th of Estate 1/9th of Estate 1/12th of Estate ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18. AS APPROPRIATE. ON REV 1500 COVER SHEET II. NON TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 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 $ (If more space IS needed, Insert additional sheets of the same size) Copyright(c)2000 form software only The Lackner Group, fnc. 0.00 Form REV-1513 EX (Rev. 9-00) Estate of: Charlotte R. OYLER Soc Sec #: 172-24-7697 Date of Death: 06/22/2002 Item # Continuation of Schedule J, Part I (Taxable Bequests) Name and Address of Beneficiary Relationship Amount or Share of Estate 5 Wendy A. Kugler Apartment 11 2821 Morena Blvd. San Diego, CA 92117 Grand Niece 6 M. June Myers c/o Pennsylvania Guardianship Association P.O. Box 541 York, PA 17405 Sister 7 Myra A. Platts 2512 Manor Road York, PA 17404 Grand Niece 8 Linda K. Simmons 5024 Mt. La Platta Drive San Diego, CA 92117 Grand Niece 1/12th of Estate 1/3 of Estate 1/12th of Estate 1/12th of Estate LISTING OF EXHIBITS FOR ESTATE OF CHARLOTTE R. OYLER EXHIBIT A Copy of Letter granting Extension to File Inheritance Tax Return from Department of Revenue, Inheritance Tax Division EXHIBIT B Settlement Sheet for sale of Residence and Lot located at 101 South Street, West Fairview, East Pennsboro Township, Cumberland County, Pennsylvania EXHIBIT C US. Savings Bonds Calculator valuing Savings Bonds listed on Schedule B EXHIBIT D Appraisal from Mt. Royal Furniture as listed on Schedule E EXHIBIT E US. Savings Bonds Calculator valuing Savings Bonds listed on Schedule J held jointly with N June Myers (Joint Owner "A '') EXHIBIT F Us. Savings Bonds Calculator valuing Savings Bonds listed on Schedule J held jointly with Sharon Myers (Joint Owner "B '') EXHIBIT G Us. Savings Bonds Calculator valuing Savings Bonds listed on Schedule J held jointly with Richard Myers, Jr. (Joint Owner "C'') EXHIBIT H Us. Savings Bonds Calculator valuing Savings Bonds listed on Schedule J held jointly with Michael Scott Myers (Joint Owner "D") COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPARTMENT 280601 HARRISBURG, PA 17128-0601 March 19, 2003 T a/ephone (717) 787-3930 FAX (717) 772-0412 Law Offices of Johnson, Duffie, Stewart & Weidner 301 Market St. P.O. Box 109 Lemoyne, Pa.17043-0109 Re: Estate of Charlotte R. Oyler File Number 2102-1052 Dear Mr Myers: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before September 22,2003. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. _._'"'~j itlt~.,.""-,......_.~......, !,//Sjncert~l;tJ . '- ,,!..;,. /C"I:i"~"~./-I'I'.Y p;;>~f . / fA / _"- ,,'_, O'-/V ...--......v(' L~...- 1/;/ Jeffrey Hollenbush, Supervisor Document Processing Unit Inheritance Tax Division A. Settlement Statement U.S. Department of Housing FINAL B. Twe of Loan and Urban Develoomenl QMB No. 2502-0265 L DFHA 2. OFmHA 3. DConv.Unins. I 6.F't1cNumber I 1. Lolll1Npmbcr IS.MOrtg8gClnsurancecaseNumbCT 4. nVA S. nQmv. Ins. ST2003-S6RCS C.Note: ' . 118m'rnfrk8d.(~.o.c.l"__pilldllllllldlllllllcbH1g;hy"'__,*-flIr~ion~nl"'nolinl:lucledin\hetdals =,G~,"=:~;;;~~==-':~.sr-ec:="~~~~I~""''''uPOn D. NAME OF BORROWER: Ilona G. Atwood ADDRESS: E. NAME OF SELLER: Estate of Charlotte R. Oyler ADDRESS: F. NAME OF LENDER: The Washington Savings Bank,. FSB ADDRESS: 4201 Mitchellville Road. Suite 300. Bowie. MD 20716 G. PROPERTY ADDRESS: 101 South Street, West Fairview, PA 17025 East Pennsboro Township H. SElTLEMENT AGENT: Saidis. Shun: Flower & Lindsay, Telephone: 717-243-6222 Fax: 717-243-6486 PLACE OF SETI1.EMENT: 2109 Market Street, Camp Hill, PA 17011 I. SEITLEMENTDATE: 05/0212003 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: '00. GROSS AMOUNT DUE FROM BORROWER 400, GROSS AMOUNT DUE TO SELLER '" Contmctsales"""" 70 000.00 401. COnlraclaalel 70 000.00 102. PIIl'IONl1p,.,y",.... 402. PersonalProoertv 103. Setllementcha-to borrower Rlne 1400' 3 360.06 '" ,,,. '" '" ,,,. Adjustments for items l"Iald bv seller In advance Ad'ustments for Items "aid b aeller in advance 107. ('hrnlutEllles 05/02/031012/31/03 105.27 0407. CO """ OS 02 031012 31 03 105.27 '" 801'0<"'_ 05/02/031006/30103 115.14 '" """""T_ OS 02 031006 30 03 115.14 109. Sewerrrrash 05/02/031006/30/03 63.12 ",. SewerfTralh OS 02 031006 30 03 63.12 110. 410. '1' 411. 112 412. 120. GROSS AMOUNT DUE FROM BORROWER 73 643.59 420. GROSS AMOUNT DUE TO SELLER' 70 283.53 200. AMOUNTS PAID BY OR ON BEHAlF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELl.ER 2<>,. oe.......ut Of eamest monev 1 000.00 501. excelSl"IoMn<l.ttflMlnllrUcllons' 202. __I amount of new II"IBrIs 71 000.00 502. SelIlementcha Iolel1er11lne14QO\ 6 64.0.98 203. Exllll loa~'I~takenBU""ctlO 503. ExIallnaloan/lll8kenllllllledto '" S" Pal/DflofFlrstMortalaeLoen 205. SOS. "'. seller ContrllO CO.. 2 100.00 '" SallerCOntrllOBuWlrC08I$ 2 100.00 207 .'" 'DO SO,. 'DO 509. Ariiuslments for Items un"aid bv seller Ad ustments ror lIems un aid b seller 213. 513. 214. S1< '" 615. 2111. S16. 217. 517. 218. 51S. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 7. 100.00 520. TOTAL REDUCTION AMOUNT DUE SELl.ER B 740.9B 300. CASH AT SETTLEMENT FROM OR TO BORROWER 500. CASH AT SETTLEMENT TO OR FROM SeLLER 301. Gross amount due from bclmMs ----;-llne 120;- 73 643.59 80' Gl'OIII lmount due to IElIler IIna420 70 283.53 302. Less amount~ ".... ..../for bafrower--;jlne 220~ " 100.00 '" Len reduction amount due Miler Itne 520 B 740.98 303. CASH TO BORROWER 456.41 603. CASH TO SElLER ., 542.55 SUBSTITUTE FORM 1099 SELLER STATEMENT: TIw ~canIIIlecI hnlnlllfrtpoMnl '-" inlgrmllliDnlnd II bMlglumilhedlo lNlrMmIll R....,.,. Servlcll. K)'lU.... ...quired tor.alalum, :""1.t::.~~-=,~==~"leml.requftd\abaIRpClllm_IhaIRSdIleIfroiw'Ihal~MlInal-"mpa1I1d. ThaComractS"".Prl:edesaibed"" :=1::~~:':=#F':~"'=S=:::D~:m""r~,g. sa..<rE>ctnangaOl'Pmdpll~.""anyllR'n,withl">U"l,""""",_rel\.I'T1;""OlI'IarVan.IClIon., =,=~~n:~~{~~:~:~pIIM1U1aOl~-::~~~l'::bor~~=II'%~~~e:f~=:~"" "' SELLER(S}SIGNATURE{8) 8ELLER(S) NEW WIlLING ADDRESS' TitleExpress Scnlement System Printed 05/01/1003 at 12:56 REV. HUD-1 (3/86) U.S. DEFARlMENTOF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT FilcNumbcr.SnOO3-56 PAGE 2 FINAL L. ScntEMENTCHARGES 700. TOTAL SALESlBROKER'S COMMISSION based on price $70 000.00 II 7.000 .. 4 900.00 DtvIIIon 01 oommiUion IlIne 700\ 81 follows' 701 $ 4 900.00 10 Prudential 'l'hrmrnaon Wood IWal Bstate 702, S to 703 CommlSlion It Settlement 704. TIWIUdlon Fee to Prua.ntial i'hCllllDaon Wood. Real Bstate 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. LolIrlOrloln8l1onFee % 802. loaf1011count % 803. AlIlIlBia8lFee 804 CredItR"""" 805. UnderwrttlnllFee 805. DocPreoFee 807 Tax Service Fee 008. "". 810. '" PAID FROM BORRO'NER'S FUNDS AT SETTlEMENT PAID FROM SELLER'S FUNDS AT SETTlEMENT 125.00 4 900.00 125.00 to '!'he Waah:Lrurton to '!'he Wash.innton to Chaae Savi a Bank. Savin s Bank. FSB FSB 75.00 295.00 85.00 22.50 30.00 350.00 FIoodCertlGEOTIBd Feci Ex AnnJicatkmFee to GEO Tract to Federal E:n:l:resliI to The Washin...ton Sav . Bonk FSB 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Internt From 05/01/2003 to 05/02/2003 Q$ 1l.9l00-ldav 902. Mortnaoa In80ltInoe Premium for to 903. Hazllfd lnst1J'8noe Premium for to Brie Ins 904. Flood Ins to omaha Pro~rtv and casual.... .., 1000. RESERVES OEPOSrreO WITH LENDER FOR 1D01.Hazardlnsurance 4mo.DS 1002.M"""'-lnsuranoe 2mo.ll!l$ 1003. CltvPmNlrtvTlIXlls mo.Il!lS 1004. CounlvPro_Taxes 4 mo. ItIl $ 1005. SChool Taxes 11 mo. ItIl $ 1006. Flood Ins 4 mo.R!l$ 1009. Aooreoate AnalVll1s Adiustment to The Washinaton Savi 1100. mLE CHARGES 1101. Settiement or ctoslno fee 1102. DoImLoadFee 1103 Tltleexamlll8tion 1104 TlIlelnluranoebinder 1105. Documenl ration 1106. Fees 1107. Allo alllls lncludeIabovellernlNo 1 Da"s 11.91 Ip.O.C.' 157.00 Bu"er 'P.O.C.' 697.00 B.......1:' 13.08 56.80 I~ 13.12 lmo 50.04 Imo 58.08 Jmo . Bonk FSB 52.32 113.60 52.48 550.44 232.32 421.44 50.00 14.00 684.75 150.00 35.00 101.00 700.00 700.00 40.00 16.35 141.13 35.00 662.50 96.00 3 360.06 6 640.9B 1m, I~ to Saidis Sh~f Flower " Lindsa" to Saidi. to .. rs Shuff .. Fl0W8r " Lindsa'" PaC SELLBR 1108. TItlell\Su~noe to ACCP Inc. IlncludealboveRemsNo' \ 1109. l.ende~sPolicv 71 000.00 - 6.00 1110. 0Wner'a P'*'" 70 000.00 - 679.75 1111. End 100. End3DO End 900 to ACCP Inc. 1112. 1113. CIoslnoServiceLetter to ACCP Inc. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. R F_Deed$ 40.50 a eS 60.50 . ReleIM$ 1202. C' COO tax.'lIu.T1 DeedS700.00'M . $ 1203. SIIteT s 0eed$700.00:M $ "'" "., 1300. ADDmONAL SETILEMENT CHARGES 1301. O'IemiohlLdrPko/2 10 Saidi. Shutf Fl0W8r" Lindaa~' 1302. 2003 CIvfTwn 10 A1icia Stine 1303. 2003CI rr.....T.~ 10 A1ioia Stine 1304. Termite cert 10 Bo_rs Pest 130~. Tennlle Trallment to Bower Past 1306 A rIMa IJune SI!I'MIr1Trash 10 East hnnaboro '1'ownshi... 130' 130B 1400. TOTAL SETTLEMENT CHARGES Il!Interonllnes1D3Seot1onJlUldI502,SeclIon'" HUDCERTl"ICATlONDF8UYEAANOSELLER ~,=~="lhIoco:ut~~,.::.,~":t~~~\'t~L~:i'S:r'*"'"':.tf*iIIf, K..we.....-=nlo.........."'..,..-ptto.r.ddl.-.....emlm_Mmy.<:<:oun\orbyme r . ~, , WARNING, ITIS ACRIME TO 1<N0000GLYMAKE FALSE 8TATEME~ TO lliE UNITED STATES ONllilS OR AMY SIMILAR FORM. PENAlTIES UPON CONVICTION CAN INCLUDE A FNE AJoID 1MPR1S0"lMENT, FOR DETAILS SEE TITlE 18 u_~g~~ilmcmc~rgf5Efg~r18WdOSI{lII2003I1t 12:56 TheHUO-'S.lI~S_wtJictll__&<!I..1nJe_.oc:ur&l..c>:>oun!"'ltlI.lran.aeticn I neve....., ""will_th&luncl.lO bIo dI-""'" in occordonoewllh lhi....'amen' REV. HUD-I (3/86) uUt. CRoyaQ CJ'U/ttlttufte 6421 COkQde <:Rood COOVek. CPo. f7g j 5 717-292-1554 Appraisal for the Estate of Charlotte Oyler, 101 South St., West Fairview, Pa. 17025 Lot of Costume jewelry Group of Figurines 3 stuffed Ducks Oil on canvass painting Water color painting Around the World book Childs Oak chair Childs coat Wood paddle 1000 35.00 20.00 100.00 40.00 40.00 25.00 25.00 5,00 This appraisal is for the express purpose of providing taxable values for the Pa. Inheritance Tax. While it is possible that itemized items may bring more, or less, Than the values assigned, these values represent the price that a willing buyer Might pay a willing seller on this 20th Day of Dec. 2002 L(}7~1? ~ ~ f on 'i::l " g: ('i' 0. " cr" ~ i:t " 0> on 00 o ~ o:l n -- (/) o:l n ." ::1. " " - - -- - 00 w o o IV n IV o -.J V> 00 .,. V> '" o 00 tTl - - -- - \0 -.J 00 tTl - o o -.J V> o o IV V> 00 00 00 w w w 00 00 :I'- o o ~ - - w o o IV - - -- IV o o 00 n N o -.J V> 00 .,. 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Ei !!!!"" .iiI' i"'iiili i~,iiI! '1Ii!! Ii - :- :-. ~ ~: ",: ",,: ,,,,,: ~ .:::J :~i d :"I"O!" ,....., ,.....! "'- .. ::; ;:;" c .. .. ",,'" ...:a c..~ ~< b'" 00= .. ~"" ~ -. = = :::!.e:.. ~ ..., < .., ~;: ~:a '" !l .. ~ ~ z " ~ .. 'It ~Cll oog Cl. ~ .., """ ~g '" o~ Q nO .. .., ",,:a "'!:!, ~ 0- ,..,a b" oo;l ~ ~ I::l ~i = 01 en .. .. ;" ~ :TiiE'! 'c::' :.!I !i:::Li' i~;d ;""'11 ~;il en .. .. [ z " e C' .. .. <Zl '" <: 5' (JQ '" OJ o ::> 0- n '" () '" "' ~ o .... r .~ p e- e-' ...,.- r) ~ ? C " P (D, tl.' c' o R c= c-' =..i:. I.~) (/\ ... l7 "0 '" (JQ C1> o ,..., N ,r Register of Wills of CUMBERLAND INVENTORY Estate of Charlotte R. OYLER also known as County, Pennsylvania No. 21-02-1052 Date of Death 06/22/2002 ,Deceased Social Security No. 172 - 24 - 7697 Myra A. PLATYS, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. 1 /We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative Attorney: Edmund. G . Myers I.D. No.: 20558 Address: P. 0. Box 109 Signature: ~j. Lt~ Myra PLATYS Signature: Address: 2512 Manor Road Lemoyne, PA 17043-0109 Telephone: 717/761- 4540 Description (See continuation page(s) attached) York, PA 17404 Telephone: 717/764 - 0221 Dated: ~ I' (Attach additional sheets if necessary) I Total: 95 , 677.2$ NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form #R W-7 (1992) INVENTORY Estate of: Charlotte R. OYLER Date of Death: 06/22/2002 County: Cumberland CASH: 2002 Federal Invidivual Income Tax Return Refund Cash received at Settlement Cash - $2.00 Bills in the possession of the Decedent First Union Statement Savings Account No. 3087287310025 Accrued income through date of death Pennsylvania Power and Light PNC Bank Regular Checking Account No. 51-4011-2357 Reimbursement made to Estate for payment of County/School Taxes. Settlement Sheet is attached hereto. United Healthcare Insurance Company - Reimbursement Check for cancellation of Policy United Healthcare Insurance Company - Reimbursement/Refund of cancelled Insurance Coverage 90.00 27.21 20.00 8,754.46 4.14 12.50 4,789.48 283.53 120.00 589.36 -------------- 14,690.68 -1- 1 PERSONAL PROPERTY: Mt. Royal Furniture - 300.00 Appraisal of small items for the Estate. Appraisal attached Proceeds received from the 4,250.00 sale of Decedent's personal property 4,550.00 BONDS: 23 United States Savings Bonds 6,436.60 Series E and Series EE - Valuation of Bonds at Date of Death Attached hereto 6,436.60 REAL ESTATE/PA: Residence and Lot located at 70,000.00 101 South Street, West Fairview, East Pennsboro Township, Cumberland County. Tax Parcel Nos. 45-17-1044-274 and 45-17-1044-269. Deed recorded in the Cumberland County Recorder of Deeds Office in Deed Book C, Volume 21, Page 596. Valued as per attached Settlement Sheet 70,000.00 -2- JERRY R. DUFFIE RICHARD W. STEWART C. ROY WEIDNER, JR. EDMUND G. MYERS DAVID W. DELUGE RALPH H. WRIGHT, JR. DAVID J. LANZA MARK C. DUFFIE MELISSA PEEL GREEVY MICHAEL J. CASSIDY ROBERT M. WALKER LAW OFFICES JOHNSON, DUFFIE, STEWART c~ WEIDNER A Professional Corporation 301 MARKET STREET P. O. BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109 WEBSITE: www.jdsw.com TELEPHONE 717-761-4540 FACSIMILE 717-761-3015 E-MAIL mail~jdsw.com June 12, 2003 Register of Wills Office Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 ATTN: CHERYL HORACE A. JOHNSON COUNSEL TO THE FIRM =~ ~ • :~: _ -~ ..'_ E-MA~W dlw@jc~viCom ,,, ~ .._ W ,. r,. ~, _ .. n1 Re: Estate of Charlotte R. Oyler SSN: 172-24-7697 Date of Death: June 22, 2003 Your File No. 21-02-1052 Dear Register: Enclosed for filing please find the following documents for the above referenced decedent: 1. 2 Original PA Inheritance Tax Returns. There is tax due in the amount of $11,541.03 This amount includes interest penalty of 129.76 for Return to be filed on June 13, 2003. Estate Check No. 1024 is attached. 2. Our Check No. 9213 in the amount of $31.00 as follows: a. $15.00 Inheritance Tax filing fee c. $16.00 Inventory Fee. $10.00 for Page 1 and $3.00 for each page thereafter (2@3.00 = $6.00). 3. 2 copies of Pages 1 & 2 of the Pa Inheritance tax return, which we ask that you time- stamp and return to us in the enclosed envelope. 4. Inventory 5. Inventory (2 copies), which we ask that you time stamp and return to us in the enclosed envelope. Should you have any questions, please do not hesitate to contact our office. Thank you for you assistance in this matter. Very truly yours, HNSON, IU~F`rFIE, STE~W{A,RT &WEIDNER D a L. Iesema" ~ n~"_ " ~. Legal Assistant cc: Myra Platts, Administrator :214698 COMMONWEALTH OF PENNSYL\/ANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: MYERS EDMUNC- G ESQUIRE 301 MARKET STREET P O BOX 109 LEMOYNE, PA 17043 fold REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DUPLICATE ACN ASSESSMENT CONTROL NUMBER N0. CD 002679 AMOUNT 101 ~ S 1 1, 541.03 ESTATE INFORMATION: ssN: t72-24-76x7 FILE NUMBER: 2102-1052 DECEDENT NAME: OYLER CHARLOTTE R DATE OF PAYMENT: 06/ 1 3/2003 POSTMARK DATE: 06/12/2003 couNTY: CUMBERLAND DATE OF DEATH: 06/22/2002 TOTAL AMOUNT PAID: REMARKS: EDMUND G MYERS C/O EDMUND G MYERS ESQUIRE CHECK#1024 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS S 1 1, 541.03 DONNA M. OTTO DEPUTY REGISTER OF WILLS ~~- ~p'3 '3 COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISIDN DEPT. 2806D1 NOTICE OF INHERITANCE TAX HARRISBURG, PA 171za-obol pppRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 E% AFP col-o3) .DATE 07-28-2003 ESTATE OF OYLER CHARLOTTE R DATE OF DEATH 06-22-2002 FILE NUMBER 21 02-1052 .v.~ ,~j4 L'~ ~, ~~G~UNTY CUMBERLAND EDMUND G MYERS ~ ACN 101 JOHNSON ETAI_ Amount Remitted PO BOX 109 i.~ LEMOYNE PA 17043",~ 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 DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF OYLER CHARLOTTE R FILE N0. 21 02-1052 ACN 101 DATE 07-28-2003 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 7 0 0 0 0 0 0 NOTE : To insure proper 1. Real Estate ( Schedule A ) (1) , 6 . 60 436 credit to your account, 2. Stocks and Bonds (Schedule B) (2) , . 00 submit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) (3) . 00 of this fora with your 4. Mortgages/Notes Receivable (Schedule D) (4) 19 . 6 8 240 tax payment. 5 Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) . , . 6. Jointly Owned Property (Schedule F) (6) 8 ,457.48 7. Transfers (Schedule G) (7) .00 104,134.76 8. Total Assats (s) APPROVED DEDUCTIONS AND EXEMPTIONS: 8,671.95 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 13.9 53.72 67 11. Total Deductions (11) 22.625. 81,509.09 12. Net Value ofi Tax Return (12) .00 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 81,509.09 14. Net Value ofi Estate Subject to Tax (14) NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17, 18 ssed to date and 19 will . reflect figures that include the total of ALL returns asse ASSESSMENT OF TAX: .00 X 00 _ - .00 15. Amount of Line 14 at Spousal ra{e (15) 045 00 . 00 16. Amount ofi Line 14 taxable at Lineal/Class A rate (16) = X • 12 36 119 3 17. Amount of Line 14 at Sibling rate (1~) 25,994.61 X 55,514.48 X 15 . , 8,327.18 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 446.54 11 19. Principal Ta;x Due (lq)= , TAX CREDITS' DATE 06-12-2003 NUMBER CD002679 + INTEREST/PEN PAID (-) 94.49- AMOUNT PAID 11,541.03 BALANCE OF UNPAID INTtKtS~/rtNALir wa ur * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 06-13-2003 TOTAL TAX CREDIT 11,446.54 BALANCE OF TAX DUE .00 INTEREST AND PEN. 34.10 TOTAL DUE 34.10 ( 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.) RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF WILLS, AGENT REFUND CCR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an ^Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services far taxpayers with special hearing and / or speaking needs: 1-800-447-302D (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, ar disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty C6D7 days of receipt of this Notice by: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone C717) 787-6505. See page 5 of the booklet ^Instructions for Inheritance Tax Return for a Resident Oecedent^ CREV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%] discount of the tax paid is allowed. The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, tc the data of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20% .000548 1987 9% .000247 1999 7% .000192 1983 16% .000438 1988-1991 11% .000301 2000 8% .000219 1984 11% .000301 1992 9% .000247 2001 9% .000247 1985 13% .OD0356 1993-1994 7% .OOD192 2002 6% .000164 1986 10% .000274 1995-1998 9% .000247 2003 5% .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. f REV-1470 EX (6-88) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVEPJUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME Oyler, Charlotte R. REVIEWED BY Daniel Heck ITEM SCHEDULE NO. F 1, 2, 3, 4 INHERITANCE TAX EXPLANATION OF CHANGES EXPLANATION OF CHANGES ILE NUME3tK 2102-1052 cN 101 Jointly held assets are taxable outright to the beneficiarylies before determining residue. ROW Page 1 .- »J 4~ N t,~ ~., ~.~ ~~ r 4~ f.7 ~~°_~ zy.N ~ .. ~ Q- ~ mD~'Q ~~~ ~~ ~°~ ~ ~ w~~ O .Q ,,,~ c ~' n ~ ~ o c 0 m t~./ ~~~ (`^~ ~~ U ,. '. O z 0 0 z z' ~' w b b ~ ~ Z ~ "~ rya O K ~ ~ ~ C ~ ~ O '~ Oyty a~~~ N N ~~ p ,,~j '-~ w ~' _O O ~ CD b z --b. ~, ~ ~~ ~~~ ~~ ~ i _ .t, ~.J 3 ~ ~ ~ 9 1 i 4 Y 3[ ~? ~' ~ ~ r f ' j. ~p I~ s a N Z > W ~- Z W ~ d O ~ = Z F- W J Z W ~ 3a ~a 0 V W ZX O ~ X ~ O Fa-NI- W p W V $ F ~ W sa6 M O Z ~ja oaw z W O Z V Z W p M Q 4 O a W F- H O J a S U M N N q C o W = N N ~~i J ~ , , ~ N W N O pWq ~ J ~ f ti I~ } ~p ~...~ ~ O O O o N U .-i F- W qW W ~ 0 Z ~ W Q W W Z F 1- F J ~ Z Q W A W Cq.1 a ~; _ M Q ti-- _.: a.. a .. ~ O i H ~ F- Z ~ W ~ Z i Q ~ ~ W i ~ N N ~ s O W = ~ r ~ M r r ~o ° r . a H V ~ ~ J g O qi a w ~ a O W• Z . Q ~ maw ~; !C d' , (~ Vf W H .7 i C W Ha4~ ~ ~ ~ ~-_ W W, ~ Zi M N_ ~. O a oc O• J; Z N ' a f- W d' N X N H ~ W .J W .. a o e ~- a f F- o~ z ~..~ C y o W o C9 ~,{ ~ ~ N 'y N c n q O X= H Z X .r F.,i ~ s Z V1 O } ~ = 00 O _' F a 1L w o W 7 a J Z <aN m ~ x ~~-- a~ m ~=io2 ;i~ V ,r COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-961 NO. CD 002878 MYERS EDMUND G 301 MARKET STREET P O BOX 109 LEMOYNE, PA 17043 fold ESTATE INFORMATION: SSN: 172-24-7697 FILE NUMBER: 2102-1052 DECEDENT NAME: OYLER CHARLOTTE R DATE OF PAYMENT: 08/07/2003 POSTMARK DATE: 08/06/2003 couNTY: CUMBERLAND DATE OF DEATH: 06/22/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 534.10 TOTAL AMOUNT PAID: REMARKS: MYRA A PLATYS C/O EDMUND G MYERS ESQUIRE CHECK# 1026 SEAL INITIALS: CW RECEIVED BY: DONNA M. OTTO 534.10 DEPUTY REGISTER OF WILLS REGISTER OF WILLS l~ j-/(i,~- 3 COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL 'FAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 INHERITANCE TAX HARRISBURG, PA 17128-0601 STATEMENT OF ACCOUNT REY-1[R7 E% ~FP (01-OS) DATE 08-18-2003 ESTATE OF OYLER CHARLOTTE R DATE OF DEATH 06-22-2002 FILE NUMBER 21 02-1052 `1~1_ ~`J Lt: ~- COUNTY CUMBERLAND EDMUND G MYERS ACN 101 JOHNSON ETAL Amount Remitted PO BOX 109 LEMOYNE PA.i7043 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, subeit the upper portion of this fore with your tax payment. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1607 EX AFP (01-031 *~~ INHERITANCE TAX STATEMENT OF ACCOUNT ~*~ ESTATE OF OYLER CHARLOTTE R FILE N0. 21 02-1052 ACN 101 DATE 08-18-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-28-2003 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 11,446.54 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 06-12-2003 CD002679 94.49- 11,541.03 08-06-2003 CD002878 34.10- 34.10 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ^ IF PAID AFTER THISt DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULAT]:ON 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. ) 11,446.54 .00 .00 .00 PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax° (REV-13137. Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices or from the Department's 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3D20 (TT only). REPLY TO: questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Texas, ATTN: Post Assessment Review Unit, Deft. 280601, Harrisburg, PA 17128-0601, phone C717) 787-65D5. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9l months and one C1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20% .000548 1987 9% .000247 1999 7% .000192 1983 16% .D00438 1988-1991 11% .000301 2000 8% .000219 1984 11% .D00301 1992 9% .000247 2001 9% .000247 1985 13% .000356 1993-1994 7% .000192 2D02 6% .000164 1986 10% .000274 1995-1998 9% .D00247 2003 5% .OD0137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown en the Notice, additional interest must be calculated. COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-02-1052 ESTATE OF CHARLOTTE R. OYLER, DECEASED ACCOUNT OF MYRA A. PLATYS, Administratrix Date of Death: June 22, 2002 Date of Administratrix's Appointment: Date of First Advertisement of Letters: Accounting for the Period: November 25, 2002 December 31, 2002 June 22, 2002 to August 31, 2003 Purpose of Account: MYRA A. PLATYS, Administratrix, offers this account to acquaint interested parties with the transactions that have occurred during her administration. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Edmund G. Myers Attorney Identification Number: 20558 Johnson, Duffie, Stewart & Weidner P.O. Box 109 Lemoyne, PA 17043-0109 (717) 761-4540 GROSS ESTP,TE $97, 682.49 Principal Receipts + Income Receipts SUMMARY OF ACCOUNT Estate of Charlotte R. OYLER, Deceased For Period of 06/22/2002 through 08/31/2003 Fiduciary Current Acquisition Page Value Value ------ ------- ----------- Proposed Distributions 15 62,874.97 62,847.97 to Beneficiaries =_____________ ______________ PRINCIPAL Receipts: Per Inventory Filed 1-3 95,677.28 Subseq Prn Receipts 1,721.45 Net Gain (or Loss) on Sales 4 0.00 or Other Disposition --------------- 97,398.73 Less Disbursements: Debts of Decedent 5-8 13,293.48 Funeral Expenses 0.00 Administration Expenses 8 894.95 Federal and State Taxes 9 12,249.09 Fees and Commissions 9 8,070.00 Family Exemption 0.00 ------- 34,507.52 Balance before Distributions -------- -- ------------- 62,891.21 Distribution:; to Beneficiaries 10 300.00 Principal Ba]_ance on Hand 11 --- ------------ 62,591.21 For Information: Investments Made Changes i_n Investment Holdings 12 INCOME Receipts: This Account 13 283.76 Net Gain (or Loss) on Sales 0.00 or Other Disposition _______________ 283.76 Less Disbursements 0.00 --------------- Balance Befoz•e Distribution 283.76 Distributions; to Beneficiaries 0.00 --------------- Income Balance on Hand 14 283.76 Investments Made Changes iri Investment Holdings COMBINED BALANCE ON HAND 62,874.97 SCHEDULE A RECEIPTS OF PRINCIPAL CASH: 06/22/02 2002 Federal Invidivual Income Tax Return Refund 06/22/02 Cash received at Settlement 06/22/02 Cash - $2.00 Bills in the possession of the Decedent 06/22/02 First Union Statement Savings Account No. 3087287310025 06/23/02 Accrued income through date of death 06/22/02 Pennsylvania Power and Light 06/22/02 PNC Bank Regular Checking Account No. 51-4011-2357 06/22/02 Reimbursement made to Estate for payment of County/School Taxes. Settlement Sheet is attached hereto. 06/22/02 United Healthcare Insurance Company - Reimbursement Check for cancellation of Policy 06/22/02 United Healthcare Insurance Company - Reimbursement/Refund of cancelled Insurance Coverage 90.00 27.21 20.00 8,754.46 4.14 12.50 4,789.48 283.53 120.00 589.36 Fiduciary Acquisition Value 14,690.68 -1- PERSONAL PROPERTY: ------------------ 06/22/02 Mt. Royal Furniture - 300.00 Appraisal of small items for the Estate. Appraisal attached 06/22/02 Proceeds received from the 4,250.00 sale of Decedent's personal property 4,550.00 BONDS: 06/22/02 23 United States Savings Bonds 6,436.60 Series E and Series EE - Valuation of Bonds at Date of Death Attached hereto 6,436.60 REAL ESTATE/PA: 06/22/02 Residence and Lot located at 70,000.00 101 South Street, West Fairview, East Pennsboro Township, Cumberland County. Tax Parcel Nos. 45-17-1044-274 and 45-17-1044-269. Deed recorded in the Cumberland County Recorder of Deeds Office in Deed Book C, Volume 21, Page 596. Copy of Decedent's Deed is attached. Valued as per attached Settlement Sheet 70,000.00 -2- SUBSEQUENT PRINCIPAL RECEIPTS: ----- 07/29/02 ------------------------ Alan Hostetler Insurance - 29.87 Refund to Estate for overpaid premium on Insurance 06/22/02 M. June Myers - Reimbursement 197.27 to Estate for Estate Tax paid on Joint Savings Bonds 06/24/03 Michael Scott Myers, Joint 272.56 Qwner on Savings Bonds - Reimbursement to Estate for Inheritance Tax paid 06/06/03 Omaha Property and Casualty - 473.00 Refund of Flood Insurance 06/24/03 Richard Myers, Joint Owner on 374.75 Savings Bonds - Reimbursement to Estate for Inheritance Tax paid 06/12/03 Sharon Myers, Joint owner on 374.00 Savings Bonds - Reimbursement to Estate for Inheritance Tax Payment TOTAL RECEIPTS OF PRINCIPAL ............... 1,721.45 97,398.73 -3- SCHEDULE B GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS - PRINCIPAL Gain Loss 05/02/03 Residence and Lot located at 101 South Street, West Fairview, East Pennsboro Township, Cumberland County. Tax Parcel Nos. 45-17-1044-274 and 45-17-1044-269. Deed recorded in the Cumberland County Recorder of Deeds Office in Deed Book C, Volume 21, Page 596. Copy of Decedent's Deed is attached. Valued as per attached Settlement Sheet Net Proceeds 70,000.00 Fid. Acq. Value 70,000.00 0.00 06/01/03 23 United States Savings Bonds Series E and Series EE Net Proceeds 6,436.60 Fid. Acq. Value 6,436.60 0.00 ---------------------------- TOTAI. GAINS AND LOSSES/PRINCIPAL........... 0.00 0.00 LESS LOSS ............................. 0.00 -------------- NET CaAIN OR LOSS ........................... 0.00 -4- SCHEDULE C DISBURSEMENTS OF PRINCIPAL SCHEDULE C-1 DEBTS OF DECEDENT ----------------- Adjustment to Accounting re: too much accrued reported 01/02/03 Alan Hostetler Insurance ------------------------- 11/18/02 01/08/03 Allfirst Bank - Check Printing Fee ----------------------------------- 06/18/03 American Water Resources ------------------------- 11/15/02 Commission of_ Auctioneer for sale of Decedent's personal property ------------------------------------- 03/Ol/03 East Pennsbox~o Ambulance Service, Inc. 01/08/03 228.77 163.77 -------------- 4.14 392.54 28.20 48.00 1,275.00 50.00 -5- East Pennsboro Township Sewer/Sanitat.ion Invoice ------------------------ 11/15/02 184.28 02/05/03 104.78 05/08/03 105.60 -------------- First Union Statement Savings Account No. 308728731.0025 ------------------------------------- 07/31/02 5.00 08/30/02 5.00 09/30/02 5.00 10/31/02 5.00 11/29/02 5.00 -------------- Holy Spirit F(ospital -------------------- 02/05/03 61.81 05/08/03 25.44 -------------- Omaha Property and Casualty --------------------------- 11/15/02 Pennsylvania American Water 11/15/02 57.49 02/05/03 26.81 03/01/03 10.86 04/14/03 11.16 -------------- Pennsylvania Power and Light 11/10/02 67,87 01/08/03 34.51 02/05/03 20.74 03/01/03 18.62 04/14/03 12.50 394.66 25.00 87.25 1,003.00 106.32 -6- 05/08/03 25.19 -------------- 179.43 Search Fee for Residence ------------------------ 04/Ol/03 50.00 Settlement Charges from sale of Decedent's residence. Settlement of the sale of Residence on 5/2/2003 is attached. 05/02/03 8,740.98 UGI Gas Company 11/15/02 239.78 01/08/03 167.28 02/05/03 69.00 04/01/03 69.00 04/15/03 48.00 05/08/03 139.76 732.82 Verizon Telephone Company ------------------------- 11/15/02 90.68 West Shore Emergency Medical Services ------------------------------------- Ol/08/03 85.46 -------------- TOTAL DEBTS OF DECEDENT ............................. 13,293.48 -7- SCHEDULE C-3 ADMINISTRATION EXPENSES ----------------------- Cumberland Law Journal ---------------------- 12/06/02 Notice of Estate Administration 75.00 Cumberland County Register of Wills Probate Fees ----------------------------------- 11/21/02 Probate 257.00 Cumberland County Register of Wills ----------------------------------- 06/18/03 Filing Fees-Inheritance Tax/Inventory 31.00 Patriot News Co. 01/08/03 Notice of Estate Administration 119.95 RESERVES: Additional Costs to be held in Reserve 08/03/03 400.00 Vital Statistics - Bureau of Vital Statistics Death Certificates ordered 08/21/03 12.00 -------------- TOTAL ADMINISTRATION EXPENSES ....................... 894.95 -8- SCHEDULE C-4 FEDERAL AND STATE TAXES ----------------------- Cumberland County Register of Wi11s ----------------------------------- 06/11/03 Inheritance Tax Payment 08/04/03 Additional Interest Due 11,541.03 34.10 -------------- 11,575.13 East Pennsbor-o Real Estate Taxes 01/08/03 TOTAL FEDERAL AND STATE TAXES ....................... SCHEDULE C-5 FEES AND COMMISSIONS Johnson, Dufi=ie, Stewart & Weidner ----------------------------------- 06/18/03 One-Half of Attorneys Fees 3,000.00 08/27/03 Remaining Balance of Fees 3,000.00 -------------- Myra A. Plates 08/02/03 Adminsitratrix Commission Robert N. Bo~~nnan, CPA 04/09/03 Preparation of 2002 Individual Return TOTAL FEES AND COMMISSIONS .......................... 673.96 -------------- 12,249.09 6,000.00 2,000.00 70.00 -------------- 8,070.00 TOTAL DISBURSEMENTS OF PRINCIPAL .................... 34,507.52 -------------- -9- SCHEDULE D DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES Myra A. Platt:s -------------- 01/01/03 Mt. Royal Furniture 300.00 TOTAL DISTRIBUTIONS TO BENEFICIARIES...... 300.00 -10- PRINCIPAL BALANCE ON HAND ~~ Units Description Current Value or as Noted Fiduciary Acquisition Value E:state Account 62,591.21 --------------- 62,591.21 62,591.21 --------------- 62,591.21 --------------- -11- SCHEDULE F CHANGES IN INVESTMENT HOLDINGS - PRINCIPAL 23 United States Savings Bonds Series E and Series EE ------------------------------ 06/22/02 received 06/01/03 sold Mt. Royal Fuz-niture 06/22/02 01/01/03 received distributed Residence an<i Lot located at 101 South Street„ West Fairview, East Pennsboro Township, Cumberland County. Tax Parcel Nos. 45-17-1044-2;~4 and 45-17-1044-269. Deed recorded in the Cumberland County Recorder of Deeds Office in Deed Book C, Volume 21, Page 596. Copy of Decedent's Deed is attached. Valued as per attached Settlement Sheet 06/22/02 received 05/02/03 sold Cost 6,436.60 (6,436.60) -------------- 0.00 -------------- -------------- 300.00 (300.00) -------------- 0.00 70,000.00 (70,000.00) -------------- 0.00 -12- SCHEDULE G RECEIPTS OF INCOME ------------------ SCHEDULE G-2 INTEREST First Union Statement Savings Account No. 308728731.0025 ------------------------------------- 06/30/02 07/31/02 08/30/02 09/30/02 10/31/02 11/29/02 12/19/02 23 United States Savings Bonds Series E and Series EF. 07/28/03 0.40 5.58 5.58 5.40 5.34 2.82 1.08 -------------- TOTAL INTEREST INCOME ..................... 26.20 257.56 -------------- 283.76 TOTAL RECEIPTS OF INCOME .................. 283.76 -------------- -------------- -13- INCOME BALANCE ON HAND ~~ Units Description Estate Account Current Value or as Noted 283.76 --------------- 283.76 Fiduciary Acquisition Value 283.76 --------------- 283.76 -14- STATEMENT OF PROPOSED DISTRIBUTION TO INTESTATE BENEFICIARIES OF THE ESTATE OF CHARLOTTE OYLER COMBINED BALANCE ON HAND: $ 62,874.97 PROPOSED DISTRIBUTION: N. JUNE MYERS l/3rd of Estate $ 20,958.33 42.85* $ 21,001.18 GERTRUDE M. CERZULLO 1/9th of Estate $ 6,986.10 42.86* $ 7,028.96 CHARLES A.. GLESSNER 1/9th of Estate $ 6,986.11 42.86* $ 7,028.97 WALTER W. GLESSNER 1/9th of Estate $ 6,986.11 42.86* $ 7,028.97 KENNETH A. KUGLER 1/12th of Estate $ 5,239.58 42.86* $ 5,282.44 WENDY A. F:UGLER 1/12th of Estate $ 5,239.58 42.86* $ 5,282.44 LINDA K. :~IMMONS 1/12th of Estate $ 5,239.58 42.85* $ 5,282.43 MYRA A. PLATYS 1/12th of Estate $ 5,239.58 - 300.00* $ 4, 939.58 *Myra Platts received certain tangible personality which was appraised at $300.00. Each beneficiary will receive their share of that $300.00 which will be deducted from the distribution of Myra Platt:s* TOTAL PROPOSED DISTRIBUTIONS TO BENEFIC;IARIES: $ 62,874.97 15 AFFIDAVIT Myra A. Platts, Administratrix for the Estate of CHARLOTTE OYLER, deceased, hereby declares under oath that she has fully and faithfully discharged the duties of her office; that the foregoing Account is true and correct. and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that to her knowledge, there are no claims now outstanding against the Estate; that all taxes presently due from the Estate have been paid; and that more than four months have elapsed since the first complete advertisement of the granting of letter in this estate. Myra Platts, Admin'stratrix Subscribed and sworn to by Myra A. Platts, Administratrix Before me i~his 1~~ day of 2003. ~~ ~~~ Notary =tic NOTARIAL SEAL DANA L. WIESEMAN, Notary Public Lemoyne Bono. Cumberland County MY Commission Expires Nov. 15, 2004 O ~ ~ ~°~~ ~- a ~ ~ ~~ u i m d z ~' ~ ~ s .- ~ ~ ~ ~ ~ ~ ~ ro •v ~~ V r ~' C7 a r o ~ ~ ~ 0 7 O , ~gg ~ ~ 25 ~ 6 ~ ~ ~ ~ ~ H d n y t~J O t~7 ~ ~ y ~ ~ yy ~ N C ~ `~ o i-~ z_ ~ ~ z ~ ~ ,~ trf ~ ~ ~ ~ ~ b ~ b O O ~ ~, ,~ ~ ~' ~ ~ m `" ~ ~ m ~ ~ 8 S, ~~~t° ~ ~ n O 7 O cn ~ ° ~' N u ,~ Fl °.o ~ C ~ ~b f, iZ i.1 ~ ~ O n ~ ~ ~ 4~ ~ 3` ~ ~_~ ~ r oxa £~~ ~~ ~ ~+ ~ u S g3 4 ~ 3~ ~' ~~a ~ a ~~~~. -~.~ ~ „ m ~ $ S m ~ ~ $ ~ ~_ ~ ° ~ ~ 3 ~ ~~ c !L STATUS REPORT UNDER RULE 6.12 Name of Decedent: CHARLOTTE R OYLER Date of Death: June 22. 2002 Admin No. 2002-01052 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rule, 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 X No b. The separate Orphans' Court No. (if any) for the personal representative's Account is: 21-02-1052 c. Did the personal representative state an account informally to the parties of interest? .Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and maybe attached to this report. Date: December ll, 2003 ~bN~ Signature EDMUND G. MYERS JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street P.O. BOX 109 Lemoyne, PA 17043 (717) 761-4540 Capacity: Personal Representative (x) Counsel for Personal Representative ~/ ~~ __. ._ _ ~.__... _._m . ~ . ° .~~ - -- - ~..~. , .~ _ . ,~..~~ b:taxa~wkr'.~~a xwwx~+w~r..,_.,, . ~, «a.~n, ,y~.~.~a~,F- ,. r«, ,,.r .~ ..... .4 ..... ... ,~ 1 r COMMONWEALTH OF PENNSYLVANIA SS: October 14, 2003 COUNTY OF CUMBERLAND I, Donna M. Otto, Register for probate of Wills and granting Letters of Administration for the County of Cumberland, in the Commonwealth of Pennsylvania, do hereby certify the foregoing to be true and accurate copies of the First and Final Account of Myra A Platts Administratrix for the Estate of Charlotte R. Oyler, Late of East Pennsboro Township Cumberland County Pennsylvania Deceased. as the same were passed and advertised and remain on file and of record in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal the date above. ~ . ~~ Donna M. Otto, egi r of Wills NOW TO WIT, October 14,2003, came into Court Mira A Platts Administratrix and presented an account and statement of proposed distribution, which were examined, passed, approved, and confirmed with a balance in his hands of $ 62 874.97 and the accountant was directed to distribute said balance in accordance with the statement of distribution filed. C - ~ Donna M. Otter, Clerk of t O ans' Cow-t COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND I, Donna M. Otto, Clerk of the Orphans' Court, in and for said County, do hereby certify the foregoing to be a true copy of the account and statement of proposed distribution of M a A. Platts Administratrix as full and entire as the same remain on file and record in this office. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Carlisle, this 14thday of October,20 03