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HomeMy WebLinkAbout02-1163~~ CERTIFICATION OF NOTICE UNDER RULE 5 6(a) Name of Decedent: MILDRED K. ENCK Date of Death: DECEMBER 5, 2002 Estate No.: 21-02-1163 - To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Januar~4, 2003 . Name Address Ph 11~ is Br~sser _ 714 Gobin Drive, Carlisle PA 17013 Raymond & Betty Bear 836 West North Street, Carlisle PA 17013 Am. Heart Assn. P.O. Box 8835, Camp Hill PA 17001 St. Paul's Ev. Lutheran Church 201 W. Louther Street, Carlisle PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Evelyn Woll ~incorrectl~referred to as Wolf) predeceased Date: O l /24/03 Signature IRWIN, Mc>~~iI~GHT~~ HUGHES Name Roder B. Irwin, Esquire Address 60 West Pomfret Street Carlisle, PA 17013 Telephone (717) 249-2353 Capacity: Personal Representative X Counsel for Personal Representative LAST WILL AND TESTAMENT I, MILDRED K. ENCK, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon as maybe done conveniently after my decease. 2. I authorize and empower my executor to sell any realty owned by me at my death, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I give, devise and bequeath all of my estate of every nature and wherever situate as follows: (a) 10% to Evelyn Wolf; (b) 20% to Phyllis Brymesser; (c) 50% to Raymond F. Bear and Betty L. Bear, share and share alike, or the survivor thereof; (d) 10% to the Heart Association-PA Affiliate, Wormleysburg, Pennsylvania, and; (e) 10% to St. Paul's Lutheran Church of Carlisle, Pennsylvania. 4. I nominate and appoint Raymond F. Bear, to be the executor of this my Last Will and Testament, he is to serve as such without bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, Inominate and appoint Joanne L. Bear, as substitute executrix, also to serve as such without bond, with the same powers as are given herein to my executor. 5. I hereby suggest that my personal representatives retain the services of Irwin, McKnight & Hughes as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 19TH day of December, 2000. ~Z (SEAL) MILDRED K. ENCK Signed, sealed, published and declared by MILDRED K. ENCK, the testatrix above named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. ~a°~ 2 ACKNOWLEDGMENT AND AFFIDAVIT WE, MILDRED K. ENCK, CHERYL L. CLELAND and MARTHA L. NOEL, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will, and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. /~ ~ ~~ MILDRED K. ENCK CHER L. CLELAND AL.N COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . SS: Subscribed, sworn to and acknowledged before me by, MILDRED K. ENCK, the testatrix herein and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L. NOEL, witnesses, this 19TH day of December, 2000. `f'~ ~ . C Notary Pub c Notarial Seal Roger B. Irwin, Notary Public Carlisle Boro, Cumberland County My Commission Expires Oct. 3, 2004 Member, PennsylvaniaASSOCiationofNotaries n D ~ ~ ~ m m ~ - ~' Z m o 3 ,. ~ ~ N ~ ~ RI z N f D D J m i v 0 '*~ ~ m A 1 ~ m -, ~ m N N > r ~ n ~ Z ~ 2 ~ n ~ O T m N ~ W - r O C N ~' lTl N ~ d ~v COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-961 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002252 IRWIN ROGER B E=SQ 60 W POMFRET ;;T CARLISLE, PA 1 ;7013 fold ESTATE INFORMATION: ssrv: ~~z-of-5o2s FILE NUMBER: 2102-1 163 DECEDENT NAME: ENCK MILDRED K DATE OF PAYMENT: 03/05/2003 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 12/05/2002 AMOUNT ACN ASSESSMENT CONTROL NUMBER 101 ~ 558,000.00 TOTAL AMOUNT PAID: REMARKS: ROGER B IRWIN ESQUIRE CHECK#19553 SEAL INITIALS: SK RECEIVED BY: DONNA M. OTTO REGISTER OF WILLS 558,000.00 DEPUTY REGISTER OF WILLS Inventory of the real and personal estate of MILDRED K. ENCK deceased 1. 834 West North Street, Carlisle, North Middleton Township, Cumberland County, PA. 116, 000 00 2. M&T Bank -Certificate. 57, 928 16 3. M&T Bank -Certificate. 122,945 06 4. M&T Bank - Savings Account. 30,072 75 5. M&T Bank - Savings Account. 127,862 36 6. M&T Bank -Certificate. I ~ 46,898 i 19 7. M&T Bank -Certificate. I 41,508 O1 8. M&T Bank -Certificate. 1 134, 058 20 9. M&T Bank -Checking Account I 9, 145 51 10. Miscellaneous Personal Property sold at auction 119,216 50 TOTAL j~ 705, 634 ~ 74 ~~. COMMONWEALTH OF PENNSYLVANIA ~•~ ss: COUNTY OF CUMBERLAND Raymond F. Bear being duly sworn according to law, deposes and says that he is the Executor of the Estate of Mildred K. Enck late of North Middleton Township__ ______ ,Cumberland County, Pa., deceased and that the within is an inventory made by Raymond F. Bear __ - ., the said Executor of the entire estate of said decedent, consisting of all the personal proparty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death, Sworn and subscribed before me, 's 29t day J 2003 R and F. Be r, Executor 36 West North Street BNen aeclweW OOZ `b[ '8ny sandxg uo~ sl ~o~ ,~yq Carlisle, PA 17013 ~t~uno~ pu¢laagwn~ bio Isq~s~ Addras: atlgnd ,C,ie~o~ `yEnegMe.-~ -Z aai~anb~e,~ [gaS feue~oN Date of Death 05 12 2002 Day Mon+h Yaar INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. , M I ~s d I r-I N O Z f~ O w Z ~ Q W a F W_ ~ w ~ J LL F- LL ~ Q O O Z o! Z W Q D. .,~ ~ i ~ m H ~ ~ ~ x ~ ~ d p u ~ cn m W ~} ~ ~ O ~ d m H ,'~~ ip ~ ~- '~ I ~ o * C7 z .,~ } ~'' H Q x ~ ~ u o ~ U ~ U O "' ~ z i .~ '~ C ~ bD H ~~ ~ T. v ~ Ri H ~ 'p ;? E .Y m ° I J U 11 o m x U z W 'r~i W P4 Q a H O-\d-' \ \ "'t 'f . y OFFICIAL USEONL Y AEV-150a EX + (6-00) \ REV-1500 INHERITANCE TAX RETURN FILE NUMBER COMMONWEAL TH OF PENNSYLVANIA 21- (>~.1163 DEPARTMENT OF REVENUE RESIDENT DECEDENT OEPT. 280601 HARRISBURG, PA 17128-0601 COUNTY CODE YEAR NUMBER D DECEDENT'S NAME (LAST, FIRST, AND MIDDLE \MITIA.l) SOCIAL SECURITY NUMBER E Enck Mildred K. 172-01-5029 C DATE OF DEATH\MM-DD-YEAA) DAle OF BIRTH (MM-DO-YEARl THIS RETURN MUST BE FILED IN DUPLICATE WITH THE E 12/05/2002 D 11/12/1912 REGISTER OF WILLS E N (IF APPUCABlE) SURVIVING SPOUSE'S NAME \L.AST, FIRST, AND MIDDLE INITIAL.) SOCIAL SECURITY NUMBER T ~ 1. OrigInal Return 2. S'ppleme"al Ae"" B 3 . , ~date of death - . Remamder Return prior to 12-13-82) CAPS 'x 4. LImited Estate 4a. FuturelnteTes\ CompTomise(date of death after 12-12-82) 5. Federal Estate Tax Return Required HpRL 6. Decedent Died Testate - 7. Decedent Maintained a LiYlng Trust l 8. Total Number of Safe Deposit Boxes EplO ...0.: - CRAC (Attach copy of WHQ (Attach copy of Trust) KOTK o 9. L.itigation Proceeds Receiyed 010. 0 11. Election to tax under Sec. 9113(A) ES Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) (AttaCh Sch 0) ;"" ; ,THIS SECT/Oil MUST BE ~ETED. AtL CORItESPONDalCE & CONFlDalTIAL TlIXlllFORMATtON SKOlILD BE DIRECTED TO. NAME COMPLETE MAILING ADDRESS C P o 0 R N R D E E S N T C o M T P A ~ X A T I o N Ro er B. Irwin Es . FIRM NAME (If Applicable) IRWIN McKNIGHT & HUGHES TELEPHONE NUMBER 60 West Pomfret Street West Pomfret Professional Bldg. Carlisle, PA 17013 R E C A P I T U L A T I o N 49- 353 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Nates Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested . 1. Inter-Vivos Transfers & Miscellaneous Non-Probate Property {7} (Schedule G or L) 8. Total Gross Assets {total Lines 1-7} 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Une 12 minus Une 13) d OFFICIAL USE ONLY L c: r. 1'-) \.() '"0 I '. ~ ., ~ (8) 705,634.74 (11) 85.940.97 (12) 619,693.77 (13) 142.529.57 (14) 477 ,164.20 (15) (16) (17) (18) (19) 0.00 0.00 0.00 71.574.63 71,574.63 (1) (2) (3) 116,00q,oo None None (4) (5) None 589,634.74 (6) None None 74,777 .42 11,163.55 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of line 14 taxable at sibling rate 18. Amount of line 14 taxable at collateral rate 19. Tax Due ZO. x X X X .0 0 o 45 .12 .IS 0.00 0.00 0.00 477 ,164.20 Copyright (c) 2000 form software only The Lackner GrOup. Inc. FormREV-1500 EX (Rev. 6400) Decedent's Complete Address: STREET ADDRESS 834 West North Street CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 71,574.63 0.00 58,000.00 3,052.63 Total CredITS ( A + B + C) (2) 61,052.63 3. Interest/Penalty if applicable D. Interest E. Penalty TotallnteresVPenalty ( D + E) (3) 4. If line 2 is greater than Line 1 + line 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on"the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 'Pi..EAsEANSWER'THEFoi..i..owi'NG'QUESTiONSBYPi..ACI~:ciAN "X';; !;~m~~:~:!~~'~~!~:i~~~::~t~~:~~:mw 1. Did decedent make a transfer and: Ves No a. 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 10,522.00 0.00 10,522.00 D D D [K] [K] [K] Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, It Is true, correct and complete. Declaration of pre parer other than the personal representative Is based on all Information of which pre parer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Raymond F. Bear 836 W. North St. - - -C';'rYi~i~-,- - PA - - i Y6i3- - - - - - - - - -- - - - - - - - - - - - - - - -- SIGNATURE IRWIN McKNIGHT & HUGHES 60 West Pomfret Street - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - Carlisle, PA 17013 DATE -r/'-"/tH DATE For dates of death on 0 July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P,S, 9116 (a) (1.1) (ill 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) (in]. The statute does not exempt a transferto a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9'16(aX1ll The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(aX1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV-1S0J EX + (1-97) COMMONWEALTH OF PENNSYLVANJA IN.HERIT A.NeE TAX. RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mildred K. Enck SS# 172-01-5029 12/05/2002 2l-~-1163 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 01 the relevant 1acts. Real property which is jointly-owned with riaht of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH 1 834 West North Street, Carlisle, N. Middleton Township - 116,000.00 Cumberland County SCHEDULE A REAL ESTATE TOTAL (Also enter on line ',Recapitulation) $ 116,000.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 fOfm software only CPSystems, lrn:. Form REV-1SD2 EX (Rev. 1-97) , REV-150!1 EX -+ (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mildred K. Enck SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY SSIl 172-01-5029 12/05/2002 FILE NUMBER 21- o,il-1163 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 DESCRIPTION 1 M&T Bank, certificate 2 M&T Bank, certificate 3 M&T Bank, savings account 4 M&T Bank, savings account 5 M&T Bank, certificate 6 M&T Bank, certificate 7 M&T Bank, certificate 8 M&T Bank, checking account 9 Miscellaneous personal property sold at auction VALUE AT DATE OF DEATH 57,928.16 122,945.06 30,072.75 127,862.36 46,898.19 41,508.01 134,058.20 9,145.51 19,216.50 TOTAL (Also enter on line 5, Recapitulation) $ 589,634.74 (If more space is needed, insert additional sheets of the same size) Copyright (c.) 1996fOfmownwareonlyCPSystems, Inc. Form REV-1508 EX (Rev. 1-97) REV-15?1 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Mildred K. Enck SSIf 172-01-5029 FILE NUMBER 21- 0).-1163 12/05/2002 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES, 1 Carlisle Memorial Service B. AMOUNT 170.00 2 Hoffman-Roth Funeral Home 9,238.00 1. ADMINISTRATIVE COSTS, Personal Representative's Commissions Name of Personal Representative(s) Raymond F. Bear Social Security Number{s) I ErN Number of Personal Representative{s) Street Address 836 W. North St. City Carlisle State PA zip17013 24,064.00 Year(s) Commission Paid: 2003 2. 3. Attorney's Fees IRWIN McKNIGIIT & HUGHES Family Exemption: (1f decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 24,814.00 City Relationship of Claimant to Decedent State ZIp 4. Probate Fees Register of Wills 263.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Cumberland Law Journal - estate notice publication 75.00 2 Register of Wills - filing fees 25.00 3 Roy Gotshall Auctioneer, commission/fees 3,257.00 4 Roy D. Gottshall Auctioneer - appraisal fee 60.00 5 Settlement charges on sale of real estate 12,417.73 6 Steven Barrett Real Estate - appraisal 250.00 Total of Continuation Schedule(s) 143.69 TOTAL (Also enter on line 9, Recapitulation) $ 74,777.42 (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: Mildred K. Enck Sac Sec #: 172-01-5029 Date of Death: 12/05/2002 Continuation of Schedule H-B7 (Other Administrative Costs) Item if Description Amount 7 Steve Naugle trash removal 45.00 8 The Sentinel - Legal - estate notice publication 98_69 143.69 . REV-151t.'EX+(1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mildred K. Enck FilE NUMBER 21-0).-1163 SSif 172 -01- 5029 12/05/2002 Include unreimbursed medical expenses. ITEM NUMBER 1 10 11 12 DESCRIPTION Carlisle Suburban Authority - water/sewer fees & hookup charges AMOUNT 2,086.60 2 Castles Lumber Yard - repairs 12.71 3 Dauphin Oil Co. 423.46 4 Don Rinehart Septic Service - tank cleanout 430.01 5 Jones Plumbing - sewer hookup 5,409.75 6 North Middleton Township - septic permit 35.00 7 Pharmerica 764.44 8 PP&L 174.94 9 Robert S. Hench - labor/repairs 80.87 United Church of Christ Homes 1,111.48 West Shore Oil Co. 574.47 York Waste Disposal 59.82 TOTAL (Also enter on line 10, Recapitulation) $ 11,163.55 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software onty CPSystems, Inc. Form REV..1S12 EX (Rev. 1.97) REV-151'3 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERIT~NCE TAX RETURN RES/DENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Mildred K. Enck SS!I 172-01-5029 12/05/2002 FILE NUMBER 21-~-1163 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Nol Lisl Truslee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 1 Raymond & Betty Bear 836 West North Street Carlisle, PA 17013 Friend 55% 2 Phyllis Brymesser 714 Gobin Drive Carlisle, PA 17013 Niece 22% 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 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS American Heart Assoc.-PA Affiliate P.O. Box 8835 Camp Hill, PA 17001 11. 5% 2 St. Paul's Evangelical Lutheran Church 201 West Louther Street Carlisle, PA 17013 11. 5% 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 ot the same size) copyright (c:) 2000 form software only The Lac\(.M.f GIOup, lne. Form REV-1513 EX (Rev. 9-00) LAST WILL AND TESTAMENT I, MILDRED K. ENCK, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executor to sell any realty owned by me at my death, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do ifliving. 3. I give, devise and bequeath all of my estate of every nature and wherever situate as follows: (a) 10% to Evelyn Wolf; (b) 20% to Phyllis Brymesser; (c) 50% to Raymond F. Bear and Betty 1. Bear, share and share alike, or the survivor thereof; (d) 10% to the Heart Association-PA Affiliate, Wormleysburg, Pennsylvania, and; (e) 10% to St. Paul's Lutheran Church ofCarIisle, Pennsylvania. 4. I nominate and appoint Raymond F. Bear, to be the executor of this my Last Will and Testament, he is to serve as such without bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Joanne L. Bear, as substitute executrix, also to serve as such without bond, with the same powers as are given herein to my executor. 5. I hereby suggest that my personal representatives retain the services of Irwin, McKnight & Hughes as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 19TH day of December, 2000. fJll1lJ/~.( ?# (SEAL) MILDRED K. ENCK Signed, sealed, published and declared by MILDRED K. ENCK, the testatrix above named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. f~/~ ~~C('fi41M 2 ACKt'lOWLEDGMENT AND AFFIDAVIT WE, MILDRED K. ENCK, CHERYL L. CLELAND and MARTHA L. NOEL, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will, and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each ofthe witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. i /!)tttlJ'rfJl. C _.h/t f Cr~ MILDRED K. ENCK ~ r~ ~~. ~ CHER~. CLELAND :{~'<~ AL.N COMMONWEALTH OF PENNSYL VANIA SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by, MILDRED K. ENCK, the testatrix herein and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L. NOEL, witnesses, this 19TH day of December, 2000. ~j '3~ ~otary PUbfc' .--" Notarial Seal Roger 8. Irwin, Notary Publlo eMlsr. Bora. Cumberland County My Commission Expires Oct. 3, 2004 Memberl Pennsylvania Association of NotarteS U,S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT iA:~ .HUQ~i{(jNjFt>RM/$e1r-:t~lM.~N1\~!At~M~Nt#~ ,.c,'" ,~,.--,';""; .. ;",;"L b %:\UJ\W<t{HUJJ U Yd:: /J :{~>\l)[i \'M* i@:i:M@i lKW;i:~r: j<iS2V' +M B, T eofLoan 1.( ] FHA 2.( ) FmHA 3.[ J Conv Unins 6. File Number: 7 Loan Number: 8. Insurance Case Number: 4.[ ] VA 5.[ ] Conv. Ins C. NOTE: This form furnishes a statement of settlement costs, Amounts paid to and by the settlement agent are shown. Items marked "(p,o.c )" were paid outside the closing; they are shown for informational purposes and are not included in the totals 0: Name & Address of Borrower: E. Name, Address & TIN of Seller' F. Name & Address of lender: H. Settlement J. Summary of Borrower's Transaction 100. Gross Amount Due from Borrower: 101. Contract sales rice 102 Personal Pro pert 103. Borrower's settlement char es (line 1400 104 105 I. Settlement Date: K, Summary of Seller's Transaction 400. Gross Amount Due to Seller: 1,12;500.00 401 Contract sales rice 402, Personal Pro pert 6,375.44 403 404. 405. 112,500,00 Adjustments for items aid b 106 Cit /town taxes 6/27/03 107. Count taxes 6/27/03 108. Assessments 109. School taxes 110. 111. 112. 113. 120. Gross Amount Due from Borrower 200. Amounts Paid b or in Behalf of Borrower: 201. De osils or earnest mone 202. Principal amount of new loan(s) 203, Existin loan s taken sub'ect to 204, Seller assistance 205 Home Equit Line of Credit 206. 207. 208. 209. seller in advance to 12/31/03 to 12/31/03 to 10 6/30103 Ad.ustments for items 48.83 406. Cit Itown taxes 106.96 407. Count taxes 0,00 408. Assessments 11,50 409 School taxes 410. 411. 412. 413 119,042.73 420. Gross Amount Due to Seller 500, Reductions in Amount Due to Seller: ~),lOO,oq 501 Excess deposit see instructions) ~{fOOQ:QO 502 Settlement char es to seller {line 1400 :d'Cte 503. Existin loan(s} taken sub'eel to. ';(M:f13 504. Pa off of first mort a e 505. Pa off of second mort a e 506. Seller assistance 507. 508. 509 aid b seller in advance 6/27/03 to 12/31/03 6/27103 to 12/31/03 to to 6/30/03 6/27/03 48.83 106.96 0.00 11.50 6/27/03 112,667.29 Ad'ustments for items un aid b 210 Cit /Iown taxes 211 Count taxes 212. Assessments 213 214. 215. 216. 217. 218. 219. 220, Total Paid B Ifor Borrower 300, Cash at Settlement From/to Borrower 301, Gross amount due from borrower (line 120) 302, Less amounts paid b Ifor borrower (Une 220) 303. Cash 0 from 0 to Borrower seller to to to to Ad'ustments for items un aid b 0.00 510. Cit !lawn taxes 0.00 511 County taxes 0.00 512 Assessments 0.00 513, 514 515, 516 517 518 519 119,042.73 520. Total Reduction Amount Due Seller 600. Cash at Settlement Tolfrom Seller 119,042,73601 Gross amount dueto seller line 420) 119,042,73 602 Less reduelions in amount due seller (line 520) 0.00 603, Cash l8] to 0 from Seller ;7\ seller to to to to 0.00 0.00 0.00 0.00 12,417.73 "I 112,667,29 12,417.73 -1~ 'i''\ "',:-) '}"l The information in Btocks E, G, H, I & line 401 (or, if line 401 is asterisked, line 403 and 404) is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. If this real estate is your prin'cipal residence, file Form 2119, Sale or Exchange of Principal Residence, for any gain, with your income tax return; for other transactions, complete the applicable parts of Form 4797, Form 6252 andlor Scheduie 0 (Form 1040). You are required to provide the Settlement Agent (named above) with your correct taxpayer identification number. If you do not provide the Settlement Agent with your taxpayer identification number, you may be subject to civil or criminal penalties imposed by law, Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number {Selier} (Seller) Estate of Mildred K, Enck Estate of Mildred K. Enck cOr:H1gbl TbmpeFomls COm 20\13 700. Total Sales/Broker's Commission: based on rice Division of Commission line 700 as foilows 701 Geor e Ebner & Associates - $3 400 702. B&H A enc GMAC Real Estate - $3 350 703 Commission aid at Settlement 704. 800. Items Pa able in Connection with loan 801 Loan Ori inalion Fee 802. Loan Discount 803. A raisal Fee 10 Jack D. Ta lor 804 Credit Re ort 805. Lender's Ins ection Fee 806 Mort a e Insurance A lica1ion Fee 807. Flood Certification fee 10 Landsafe Flood 808 Tax Service Fee to Count ide Tax Service 809. Document Pre ara1ion fee 810. Wire Transfer Fee to Penns Ivania State Bank 811 812. 813. 814. 900. Items Re uired b lender to Be Paid in Advance 901. Interest from 'Juri?~'7<2003' to Jtll<1'\j;!Q()~ 902. Mort a e Insurance Premium for 903, Hazard Insurance Premium for 904_ 905. 1000. Reserves De osited with Lender 1001. Hazard insurance 1002. Mort a e insurance 1003, Cit ro ert taxes 1004 Count ro ert taxes 1005. Annual assessments 1006 School taxes 1007 1008. 1009. A re ate Accounlin Ad'ustment 1100. Title Char es 1101. Settlement/closin fee 1102. Abstract/title search 1103. Title examination 1104. Title insurance binder 1105. Document re aration 1106. Notar fees 1107. Attorne 's fees includes above item numbers 1108. Tille insurance includes above item numbers 1109. Lender's covera e $ 90000 1110. Owner's coverage $112,500 1111. Insured Closin Protection Letter 1112 Title Insurance Endorsements 100 300 8.1 1113 1200. 1201_ 1202. 1203. 1204. 1205. 1206 1300. Additional Settlement Char es 1301. Surve 1302. Pes1 Ins ection 1303 Overni ht fees 1304_ Home Ins ection fee to 1305. 1306. 1307. 1308 1400. Total Settlement Char es This Number Transfers to Lines 103 & 502 Above ::':W!rAt\k:.rn@MiU@i#fl@U@fUtn~;@NMU:m;h.,A \::~~~%f~%J::;~:t\;:cERtltlC-A1JON?(' 11<lbY'm M @ >/ M ~ ':~;~t1t;~~iM~~~~mJ@ (<~, :'. ,'.~ n~~~~~~~n~ift I have carefully reviewed the HUD-1 Settlement Statement and to the best of my k?OWI ge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction, I rther certify tha I have received a copy of the HUD- 1 Settl Statement. ~ Seller Borrower 112500.00 6.00 % Paid from Borrower's Funds at Settlement Paid From Seller's Funds at Settlement 6 750.00 $ f~H7900 er da 59.16 months months ermonth er month er month ermonth ermonth ermonth 87,51 0.00 0.00 151.26 0.00 1224.30 Government Recordin Recordin Cit/count tax/starn s: Statetax/stam s: Transfer tax and Transfer Char es Mort a Release 04 Deed Deed Mort a Mort a 149.50 0.00 0.00 .1125.00 0,00 12S:'Cl6 Estate of Seller Borrower Estate of ~~ed K. Enck Terry W. Barbour bestof ~Y.kn ledge H D~1 ettlement Statement which I have prepared is true and accurate account of the funds which were nd h b r '11 ' d bU(s d y the underSigned as part of thefsetlle~qo.!.t~ transaction. \ . ~.\ mentAgent \..0 \()l \\U:) Date M&M Settlements, lne WARNING: 11 is.. crime 10 knowingly make false slalemenls 10 th.. Uniled Stales on lhis or any other similar form, Penalties upon conviction can inctude a fine aod imprisonment. For delllilssee:Tille 18 U.S. CodeSeclion 1001 aodSeclion 1010. Copyrigh\ThorpeF"nTIs,oom21103 MAR-05-0j WFO OJ;lR PM FAX NO, p, O?/O? ..~,,~ . ~ M,3:T:Bfl1:l1\: Mi]tl.J.1I:1J Irr;'I': :1. to Ti.-If O;i -n,f.! CUr1p..U:l'. i100 W(~IHI:1 wive. P.:), flfH 76i", BUrl,JII.,;, N'( H2.qo.onJ'1 Dt.:I't::'lbcr :VI, :?fJl)2 II~: F:,~lalj: Sl'arch TJl\) KH~llC Ilf: mlO I)ll)~"lh (1),O,n,) MfLDlu:n KF-,'1CK I ?I5/2002 "[,I \j..rllnrn it Muy COllc,:rn: Irl\'~1 ililkLl. bdcw i:i Lh~ iJ,ceUUrll inlbllll::J.ll(JU n.;qu.:;~ncc. I 1\1&T Ganh ;\l:CQHlH::l in which Ihc (h;cd.:nt's JliVIIlJ u?peafs: .'I,IT-;)unl rYI~I.: i\CCi)'Jnt N\IOlbvr r\':;~I:'Hnl Till" Oponing B",nnh D.O.D. f\.(;.:.n:.ed Interest 13alanc<.> (Include. AceI', lnr.) S9145,51 $,00 r'll!( 26700011311 MILDRED K L:-IC:< 4319 OT'j'.N;"D ~:,j7 ['I) 3100J9111513,') l\ULDRHD K ENe:( 43:9 OI'E~I!D JI:)iJ (':1) :1I00:1qII15lH2 MLilR:'D K ENCiC 4319 O['I,NI':D )/~)! SAV I 5004),00:i<l63 3H lIiilLDllED K fiNCr-;: 4319 ')l'l'N 1'.1) 7/;il ,~^V 1501)/1201lIJ713 K II NUIDRED K ENCK 4319 OPENED 2/'.1;\ CI) 310()J911l511D M1LllRED K.ENCK 4319 Ol'l,Nf1D S/'.lO (,.1) lI1l0)iIII1512S0 M1LDRf:n K.ENCK '1.19 Ol~ENJt.D 3/92 SS7,74-1.0J $184,1J SlZZ,'nJ.:l7 $471.19 $30,072.10 $.~5 $127,74\.05 $121.3 1 S46,147.>F! $150.77 $41.347.42 $100.59 I'll HOOJ911Ijl:ZI 1\!1LLlR,CDKill;CK '1319 (Jl'T:NED .l1~O 2. I.l)~!rlli. M0I1g;,1U';~.I.J[ ulhl.:I l,Iuli;:;MliJI':\ tided in the: &.oudtlni'1i l'~1me ~',~t;II!111t Nl:,nDcl' Amoulit Ov/ed .~n3,61.7.20 S431.00 Account DeSCnplion ,\ S,ll~.: Lh:Pll~lt ftl)){ IItl~ in (l:c 1)\,;iJud,;ljl'S --hlln:'; cx.isrcd a.t I,lUr HIGH ~TREE.T CAl~ LISLE 01ifICF.. The S:.a[l; Dc:posir 00]1; N~II..,hl~r t.~ tZ14, J r yotl h:~I{t.: nllY qUi;;ili,)II~ .ibllliL Iht.: ln~H~H;ldlm ~ruvidi?'d, plcu.'ie CO(jtact our Records Ucpanmcr,t at (716) 53j-40lO c! t-300-724- 1.'ll:l Lllll..)ld~ Mtlw rhIrfl..tu, NY \;uH1ui!, ufCil.. Tl't,Ulk you, ~ ~nc~t L'"ly, M&T il.\NK,COI',I'CiltU1CJN ,./) e'j . . y:'(1~...t .~~~1!;.L. .'.~_('.A,....U;~v~ - Alllhl.;l'ld Sl!rI\:1,tUte "0-1 Il\'. (l.Hj., ..~ -.: ._'L~_o..}. .__......._ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: IRWIN ROGER B E:SQ 60 W POMFRET ST CARLISLE, PA 1 i'013 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssN: 172-of-5o2s FILE NUMBER: 2102-1 163 DECEDENT NAME: ENCK MILDRED K DATE OF PAYMENT: 07/29/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 1 2/05/2002 ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96) N0. CD 002847 AMOUNT 101 ~ 510,522.00 TOTAL AMOUNT PAID: REMARKS: ROGER B IRWIN ESQUIRE CHECK# 020036 INITIALS: JA SEAL RECEIVED BY: 510,522.00 DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS _~,~2 -pia - i ~ BUREAU OF INDIVIDUAL INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA rAxes DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 E% AFP (O1-OS) DATE 09-09-2003 ESTATE OF ENCK MILDRED K DATE OF DEATH 12-05-2002 FILE NUMBER 21 02-1163 ', _ _, - _ `. , :'COUNTY CUMBERLAND ROGER B IRWIN ESQ ACN 101 IRWIN ETAL Amount Remitted 60 W POMFRE-f ST CARLISLE PA 1701 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 (01-031 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ENCK MILDRED K FILE N0. 21 02-1163 ACN 101 DATE 09-09-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED [ ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN SASED ON: ORIGINAL RETURN 1. Real Estate (:Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held :hock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) 116 , 0 0 0 . 0 0 NOTE : To insure proper (21 .00 credit to your account, (31 .00 submit the upper portion (41 .00 of this fora with your (5) 589,634.74 tax payment. (6) .00 c7) .00 (B1 705,634.74 APPROVED DEDUCTIONS AND EXEMPTIONS: 74,777.42 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11 ,163.55 (11) 85.940.97 11. Total Deductions 619,693.77 12. Net Value of Tax Return (121 13. Charitable/Governmental Bequests; Nonelected 9113 Trus ts (Schedule J) (13) 142,529.57 t t T b t t S (141 477,164.20 14. o ax jec a e u Net Value of Es 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: 00 00 .00 15. Amount of Line 14 at Spousal rate (15) • = X 16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 X 045 . .00 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) 477,164.20 X 15 71,574.63 19 Due l T i P i (191= 71,574.63 . ax. nc pa r T T!. . ~ f1/~ VnrY~ ~ V DATE NUMBER + INTEREST/PEN PAID (-) AMOUNT PAID 03-05-2003 CD002252 3,052.63 58,000.00 07-29-2003 CD002847 .00 10,522.00 TOTAL TAX CREDIT 71,574.63 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.) 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 tap 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 HILLS, AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an ^Application for Refund of Pennsylvania Inheritance and Estate Tax" CREV-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 far farms ordering: 1-SOD-362-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (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 (60l days of receipt of this Notice by: --written protest tc 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. ADMIN- ISTRATIVE CORRECTIONS: 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 (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable attars. DISCOUNT: If any tax due is paid within three (37 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. This non-participation penalty is appealable in the sane manner and in the the sane time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine C9) months and one (1) 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 Oepartment 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% .000356 1993-1994 7% .000192 2002 6% .000164 1986 10% .000274 1995-1998 9% .000247 2003 5% .000137 --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 (157 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. d ~'J~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: MILDRED K. ENCK Date of Death: DECEMBER 5, 2002 No. 21-02-1163 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: X Yes No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X No b. The 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? X Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphan's Court and may be attached to this report. Date: 12/ 19/03 Capacity: '2:~-~ '3 . c . Signature IRWIN & IGHT Roger B. Irwin Esquire Name (please type or print) 60 West Pomfret Street Address Carlisle PA 17013 City, State, Zip (717) 249-2353 Telephone Number Personal Representative X Counsel for Personal Representative