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HomeMy WebLinkAbout02-1171PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Pamela T. Gamber also known as Social Sectes'i1y Nn. 186-50-7562 Deceased. No. cam!- O~ - /JT / To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(i~, who is/3[~e 18 years of age or older, applies for letters of administration on the estate of (d.b.n.; pendente litr, durance absentia; durance minorilate) the above decedent. Decedent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at _57 Walnut Dale Road, Shippensbure Southampton Twp. (list street, nu-nber, Twp. or Boro.) Decedent, then 46 years of age, died November 9 ,xpg 2002_, at Holy Spirit Hospital, Camp Hill, PA. Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 13 ,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 $ situated as follows: None - Petitioner-- after a proper search ham ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: i~ame Kelationship Residence David J. Gamber S ouse 57 Walnut Dale Road Shi THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. ,.. -~ / ,- ~~ z~` ~ H n David J.~Gamber ~o 0 c '._ ~ •a ~v ha ~~ ~ o m c 00 57 Walnut Dale Road Shippensburg, PA 17257 ppensburg, PA 17257 7 ///- 6 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF CUMBERLAND J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. ~~ ? Sworn to or affirmed ai:d subscribed re me this o~~'TM day of acx7a. _ ~ ~,J ~J ~~~ Registe l Estate of Pamela T. Gamber ,Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW -ce-r~b~-,- 3a ~?~aZ, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that David J . Gamber is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to David J . Gamber in the estate of Pamela T. Gamber __ No. ~ !- o~ - t ~ 7 / H David a m v~ Registei of Wills~u,/~/ FEES Letters of Administration .... . Short Certificates( ) .... Renunciation ................ J e,P TOTAL Filed . ~ ........... A $~c'O- $~C7~- $ lp.oo D. ~~• Thomas L Bright, Esquire 4i 30066 ATTORNEY (Sup. Ct. I.D. No.) WEIGLE & ASSOCIATES, P.C. 126 East King,~,tr Pt _ ADDRESS Shippensburg, PA 17257 (717) 532-7388 PHONE IN RE: ESTATE OF PAMELA T. GAMBER, late of the Township of Southampton, Cumberland County, Pennsylvania, deceased IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NUMBER 21- CERTIFICATION OF NOTICE UNDER RULE 5 6 (a) Name of Decedent: Pamela T. Gamber Date of Death: November 9, 2002 Will No. 21-02-1171 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 beneficiary of the above- captioned estate on January 6, 2003: David J. Gamber 57 Walnut Dale Road Shippensburg, PA 17257 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE. January 6, 2003 Signature f~-dw--~,~ ~~ ~ ~,~~ Name: Thomas L. Bright, Esquire Address: Weigle & Associates, P.C. 126 East King Street Shippensburg, PA 17257 Telephone: (717) 532-7388 Capacity: Personal Representative X Counsel for Personal Representative WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 i7-///-~ ~/ REV-1500 EX + (6-00) OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA REV-1500 DEPARTMENT OF REVENUE DEPT, 280601 INHERITANCE TAX RETURN FilE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DeCEDENT 21 2002 1171 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Gamber, parrela T. 186-50-7562 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPUCATE DENT 11/09/01. 01/16/1956 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Gamber, David J. 3, Remainder Return CHECK ~ ,. O~,~ ._. ~. Supplemental Return B (date of death prior to 12-13-82) APPRO- 4. Limited Estate 4a, Future lnteres'\ Compromise 5, Federal Estate Tax Return Required ~ate of death after 12-12-82) PRIATE 6. Decedent Died Testate 7, Beedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (AttachcopyofWill) (Attach a copy of Trust) BLOCKS 9. Litigation Proceeds Received 10, Spousal Poverty Credit(date of death between 0 11, Election to tax under Sec. 9113(A) 12-31-91 and 1-1-95) (Attach Sch 0) !fflill'i~ijMllllTj!i!!l_ii\'IltlWilijgqQllII_._'.;q!\!l,\fiQBiAlii!till'I!if!i:lI!MA_Jij~jijil~:itl:fQ; NAME COMPLETE MAILING ADDRESS COR- Thcmas L. Briqht, ESQUire 126 East King Street RE- FIRM NAME (11 Applicable) ShippensbL1rg , PA 17257 SPON DENT Weiqle & Ass=iates, P.c. TELEPHONE NUMBER (717) 532-7388 NOne OFFICIAL USE ONLY 1, Real Estate (Schedule A) (1) 2, Stocks and Bonds (Schedule B) (2) None 3, Closely Held corporation, Partnership or 5ole-Proprietofsnip (3} N~, c:i 4, Mortgages & Notes Receivable (Schedule 0) (4) Ndihe VJ 5. Cash, Bank Deposits & Miscellaneous Personal " (' 13,865 i57 '- Property (Schedule E) (5) c:: ~ 6, Jointly Owned Property (Schedule F) ~ 0 Separate Billing Requested (6) None co RECA- ~ PITULA- 7, Inter-Vivos Transfers & Miscellaneous ;'"J TION Non-Probate Property (Schedule G or l) (7) O.,Q(') N " "-' 8, Tolal Gross Assets (total Lines 1-7) (8) 13,865.57 9, Funeral Expenses & Administrative Costs (Schedule H){9) 10,271.06 10, Debts of Decedent, Mortgage Liabllities, &. Liens (Schedule t) (10) 313 .60 11. Total Deductions (total Lines 9 & 10) (11) 10,584.66 12, Net Value of Estate (Line 8 minus Line 11) (12) 3,280.91 13, Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) None has not been made (Schedule J) 14, Net Value Subject to Tax (Une 12 minus Line 13} (14) 3,280.91 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 3,280.91 X ,0 0 (15) 0.00 16. Amount of Line 14 taxable at lineal rate 0.00 X,O 45 (16) 0.00 TAX 0.00 - COMPU- 17, Amount of Line 14 taxable at sibling rate )( .12 (17) 0.00 TATION 18. Amount of Lin!l14 tal/able at collateral rate 0.00 X .15 (16) 0.00 19. Tax Due (19) 0.00 20, 0 fQ~KI1~iF'YQUii@!~.B~~ij!i,~O!@j;ij~ijij'j:jf;.#!t~!\ijA~!liii1 .................'.'......".."m'.. ....................,...t'..;/...!ij:.it.11i.aa$pf\&T~Am;welil::l\I$}:;iUe$'QQNi;tQtieA(;;lelljANI1::BePliIiGIiMilitHi%/............. o PA15001 NTF 29755 Copyright 2000 GreatlandfNelco LP - Forms Software Only PA REV-1500 EX (6-00) Page 2 Decedent's ComDlete Address: STREET ADDRESS 57 walnut Dale Road CITY I STATE I ZIP shi PA 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2, Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 0.00 Total Credits (A + 8 + C) (2) 0.00 3. InterestJPenalty if appllcabie D. Interest E. Penalty 5. Total Interest/Penalty (0 + E) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box. on Page 1 Une 20 to request a refund 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 Une 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ::::~:::::. "..,...:;.....'.. -:.: : : : : : : :: .:~:.~:.~:.~:.~:.~:.- ~..:::.!:.;:.:.':.:..::.:.:.:.:.:.i.'.:..::.'.:...'::...'; . . . . . .. ".' .'. '. - .'.' .....", ":':' :.:. :.: .:.:. :.:.::=::; :::;: ::::::::::::::::::: ...... :;~:. ........ . . : ~.: .. . w . :.:.:.:. :.:...... :.:.:::::,:,:::,::,::,::::::':::':::: ,:::::.:, ::;.:., ..,... :.:~.~..~..:.:i...:~..:.....'~~. ...:~.:..::.~..:~. ~:~{:~:~:~r:~t:~,)~:}~:~:::t: ... .;..... ...., ::'::;:, :;:"::;::::::': :.:.:.:.:. ...., rr:':.: .:::i:::!:!:::!::~::!:::::;~:1):::::::::!::'::. ............ .. ... .... .... '::::':':.:.:.:.:.:.:.:.::.:.:.:.:.:.;:::':'y,:::,:::::::::::':r:,...:.:.:.~~~;~~i~;~:;~:~:~:/;i:;ii:;~\K. .:::::::::;::,..:.:.:.:.:.,.:.:.:.,.:::::::::::,-..:::::.,.:.: "::::::::::::::':::':;:;:':';~:::\~".: . , .. ... :.:':.::.:':':':':':':':'.;.::'."'.::'.;.'':-.:: )::~t~\~(:.~ '.:."::'.:::;:;.'.;.": ;:~. ::.Z,.: :~:.:.,.. PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATe sLocks (3) 0.00 (4) (5) 0.00 (5A) 0.00 (5B) 0.00 4. :;:::;::.., ";'::':'::: 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; ....................................... b. retain the right to designate who shall use the property transferred or its income; ................. c. retain a reversionary interest; or. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , 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. 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 be~ef, it is true, correct and complete. Declaration 0 preparer other than the personal representative is based on information of which preparer has any knowledae. SIG~TURE OF P. RS N R PONSIBLE FOR FILING RETURN DATE ~ ~ /7 i{;l)tJ3 ADDRESS See Schedule attached SI TU E OF PREPARER OTHER THAN REPRESENTATIVE .~ Yes No ~ I B ~ o DATE ~-n.-o3 Street, 8hi , PA 17257 on (72 P.S. & 9116 (a)(1.1)(iI1. For dates of death on or after January 1, 1995. the tal< rate is imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. Ii 9116 (a) (1.1) (U)l. The statute lin",,, nnt Ay..mnt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and fi(lng 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. taxratg imposed on the net value oi tri'lnstersircm a deceased child ,\wen1y-one years of csge 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.1i9116(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%, exceptas noted in 72.P.S.& 9116(1.2} {72 P.5.1!.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. Ii 9116(a)(1.3)J. 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. o PA16002 NTF 29756 Copyright 2000 Greatland/Nelco LP- Forms Software Only Estate of: parrela T. Gamber 21-2002-1171 'The following person(s) are signing the return as representative(s) of the estate: David J. Gamber 57 Walnut Dale Road Shippensburg, PA 17257 REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF parrela T. Gamber SCHEDULE E CASH, BANK DEPOSITS. & MISC. PERSONAL PROPERTY FILE NUMBER 21-2002-1171 Include proceeds of litigation & date proceeds were received by the estate. All prOD. lolntlv-owned with rlaht of survivorship must be disclosed on 5ch. F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 Travelers Checks - 9 - $50 450.00 2 'The Bank of Landisl:m:g Checking Account #3631311 3 Charles Schwab Brokerage Account #1112-2073 10,999.88 415.69 4 1997 Mercury Cougar Autarobile 2,000.00 TOTAL (Also enter on line 5, RecaDitulationl $ (If more space is needed, insert additional sheets of the same size) 13,865.57 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 Nelco, Inc. ~tCE\'Jt.D tltl: The ~'!,?~ ~I~~",n~,!~~urs _ ~ 1\\~ ESTABLISHED 1903 Dec. 5-2002 Weigle & Assoc. Attorneys-at-Law 126 East King Street Shippensburg~ Pa. 17527 Re: Pamela T. Gamber Estate Sir: The information you requested reg~rding Estate of Pamela T. Gamber is as follows: Regular Checking Account No. 3631311, opened 8/17/84, sole owner, balance as of datecof death-$10,999.88, non- interest bearing account. / Thank you ,/ ~~~/~ J~n Smoker, Customer Service C(J~ LANDISBURG - 717-789-3213 . 8LAIN - 536-3118 . SHERMANS DALE - 582-8511 - - ~~~_.. ,~,"1:,7_~-:;,,-;--'---- 62-261311 Sank One Chicaao, minOl. Pay........... FCC Noli_ Bank Wilmington. Delaware ;'i;~'-' ,.:'<,.':-'~rj.-.lt;.i:'\. ;""."'.' 'l'tiiA...:,'-' -.'<'''''. ' "'.': ."',,-,,,:..:.' "t.\j~:':' "'~""~. '.''''S:*'';:~~'~''~~~.'. > ~.'~~. ~,>:,..; ,,,,,>,;,;;"~"'f~,:~~!;~:">~,,,,:?,"'-:t~',~,~:. ....<'::-~,:-~"'~"",;r.' ~~'- :..;.;...;.a~f,' ".:-r,c;:,,:--, ';;c,f.{"""",,,,'W ~:>~V,""" ';;:'l'l ,''J,..::,J~,'lii'''''''\'J: "~,~' Date:'JANUARY 29 2003" y...,,,,..,.. <<Jc.' ,':;';' :';t".~, ,(;OW"',:,," ,i,;;~~~~ck:'t.'~~}~~\"Ol~"~~~~~~!-;r;;';(,,; ( . ",' t;~~~~'f" 5~ljff~~,-!, _.,~>.'-<: ~~"t~~\;t. PAY, ,,;:FOd~ .roNoFrED;F,FTi€NM~~$iXW';';fiic~~~";,:V" ",.,;,l{it>>,;;". i., M~,'''',' "..c;J,~,:t.#', ..~~" '~';;t~",>tW3a;a,',,~ '.'."""l\i'i'>,ti";", !:'( -,."', ~T:f.~r!-':,,-' ";~'~,'I" ""J:r4-Tt)t':;,i- , _~. ,~.:_~,.:';iJ;'."A::~E~_t'f,f.~,~/. ,;'- TO TH.e" ;"," EST",TE Of I:'AMELA TGAM.B~.',',. . :;....,;.~, ",',. .111,~', 1itl,.~!i-',,;ii'.f;" 8~O~~" CIO WEIGLE & ASSOCIAT~S,:!,c~",';' "".;J~.; -,~~ < ,~ ,,'OJ..'. ~.' "'. .t2!lEA.$T..~~G S.TREET ~"':;':~~', ".': ""'j....:::;, ".....~ " ..{...-:~"..,^/r~MIPPENbouAG PA"';r\",':<1no7..,yr '':/''~' "'"w~...;;_~,x, ~ >'/ ,"'<-'\i~~~~,:""",,,,\,<;,..f;)?~~~~,~:?~3;~ >r:~',V:$r:' . . ~< "/c' ,<",,:,.1J~-1)'i:-t,,:,~,;, ~ :,>.,,J<~-_~-r;;:~''<'~~~: ' '. '." ,;.;.,-, .' ,il' .... 'N'" .'. '. ,-, ,i.;,Il'i<,.p: .. '.., .':'."-.r'lS,f',,,\. ,... : ,!!i.' ";. "'~~ ";'/ift.'iIt'.ii,'~.'\I" ~Joi},~ '0 }L~~,L',\,~ ';-'""j<>i"", ;~, n:::.r~~c.~Il'~';:':;:'/. ,~"""'.~ ~r~::_) ;','. '.;,-.,:""~ ~\.,!~~~~~;:5}~4}\~e San~CeiIfomia1M1ot ,,,'.... ." ~,.:, \,,:._;?,~:,,1,~,~~;:,",,> ~r~",~~',~ ~t-.- Check: :87195193 I ~;'.;1/~ :1 , ' . ..! $ ............415.69.... CHECK VOID AFTER 180 DAVS Only one $lgnCllure required lor cheCkS less man $5.000 I . . ~a?q5~q3~ ~03~~002a3~ Oq ~0232~ ACCOUNT NUMBER 01/29/03 ESTATE SETTLEMENT $415,69 PAID AS AUTHORIZED TO: ESTATE OF PAMELA T GAMBER C/O WEIGLE & ASSOCIATES PC 126 EAST KING STREET SHIPPENSBURG PA 17257 OS15 CHECK NUMBER 8795193 L 31:J3H 1:J\t31...J THE ATTACHED CHECK IS IN PAYMENT OF ITEM DESCRIBED BELOW, IF NOT CORRECT PLEASE NOTIFY US IMMEDIATELY Charles Schwab & CO" lnc. 101 Montgomery Street San Francisico, Califomia 94104 .' " 19251! ODllIt7 INTERSTATE FORD INC. 196 Walnut Bottom Road SHIPPENSBURG, PA 17257 Telephone 717-532-8888 To whom it may concern, My appraisal on one 97 Mercury Cougar VIN (IMELM6240VH625378) is $2000.00. i;:li: ~V~;OViC~ 0 Sales Manag~ REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF parrela T. Gamber SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-2002-1171 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET Is yes. DESCRIPTION OF PROPERTY %0 OF EXCLUSION ITEM INCLUDE NAME OF THE TRANSFEREE, THEIR DATE OF DEATH DECO'S (IF TAXABLE VALUE RELATIONSHIP TO DECO & DATE OF TRANSFER. NO, ATTACH COpy OF THE DEED FOR REAL ESTATE, VALUE OF ASSET INTEREST APPLICABLE' 1 Sprint - retirerrent benefit payable 0.00 0,00 to David J. Gamber, spouse, beneficiary - $4,059.77 - non-taxable 2 Fidelity Investrrents 401 (k) - 0.00 0.00 payable to David J. Gamber, spouse , beneficiary - $10,201.45 - non-taxable TOTAL (Also enter on line 7, RecacituJation) $ 0.00 7 CPA01 NTF 10910 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. REV-1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF parrela T. Gamber SCHEDU LE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2002-1171 Debts 01 decedent must be renorted on Schedule I. ITEM NO. A. FUNERAL EXPENSES: DESCRIPTION AMOUNT 1 David M. Myers Funeral Ha:ne. 5,063.20 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address City State 0.00 Zip Year(s) Commission Paid: 2. Attorney Fees Name: Weigle & Associates, P. C . 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant David J. Gamber Street Address 57 Walnut Dale Road City Shippensburq State PA Zip 17257 Relationship of Claimant to Decedent St::x:>use 1,406.34 3,500.00 4. Probate Fees 69.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7 Cl.lttIDedand Law Journal - advertising Letters of Administration 75.00 8 News Chronicle - advertising Letters of Administration 67.52 9 Register of Wills, Cl.lttIDedand County - filing PA Inheritance Tax Return 15.00 10 Register of Wills, Cl.lttIDerland County - filing Family Settlement Agreement 75.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 10,271. 06 7 CPA11 NTF 10911 Copyright Forms Software Only, 1997 Nelco, Inc. REV-1512 EX + (1"97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Pamela T. Gamber Include unreimbursed medical exoenses. ITEM NO. DESCRIPTION SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER 21-2002-1171 AMOUNT 1 TIle Bank of Lanclisburg Checking Account #3631311 - check outstanding at date of death 120.78 2 Verizon Wireless 20.14 3 Fleet Mastercard 172 . 68 7 CPA12 NTF 10912 TOTAL (Also enter on line 10, Recapitulation) $ (11 more space is needed, insert additional sheets of the same size) 313 .60 Copyright Forms Software Only, 1997 Nelco, Inc. REV-1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Pamela T. Gamber No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) RELATIONSHIP TO DECEDENT Do Not Ust Trustee(s) 1 David J. Gamber 57 Walnut Dale Road Shippensburg, PA 17257 SUrviving spouse 21-2002-1171 AMOUNT OR SHARE OF ESTATE 3,280.91 ~NTER DOLLAR AMTS. FOR DISTRIBS. SHOWN AROVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None TOTAL OF PART \I -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 7 CPA13 NTF 10913 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. 0.00 /~ i~~- ~ BUREAU of INDIVIDUAL TAXES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (O1-OS) DATE 07-28-2003 ESTATE OF GAMBER PAMELA T DATE OF DEATH 11-09-2002 FILE NUMBER 21 02-1171 THOMAS L BRIGHT ESQ ~O~ ~'J~ ~~'~ ',,4r0UN'TY CUMBERLAND ACN- 101 WEIGLE & ASSOCS 126 E KING ST Amount Remitted l,: , SHIPPENSBURG PA 17257 ~°~ ,: 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 APPRAISEMEWT, ALLOWANCE OR - DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GAMBER PAMELA T FILE N0. 21 02-1171 ACN 101 DATE 07-28-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) .00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) .00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this fora with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)__ 13,865.57 tax payment. 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Totai Assets (g) 13,865.57 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10,271.06 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 313.60 11. Total Deductions (11) 7 0 , q84 66 12. Net Value of Tax Return (12) 3,280.91 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 3,280.91 NOTE: if an assessment was issued previously, lines reflect figures that include the t t l f 14, 15 andior 16, 17, 18 and 19 will o a o ALL returns assess ed to date. ASSESS MENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 3,280.91 X 00 _ .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 X 045 - .00 17. Amount of Line 14 at Sibling rate (171 .00 X 12 - .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 15 - 00 19. Principal Tax Due X . 00 TAX CREfliTS• (19)= . DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID • IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ( 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 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. --Hake 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 ^Applicaticn 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 Dffices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and / or speaking needs: 1-SDO-447-3020 CTT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax [including discount or interest) as shown on this Notice must object within sixty C60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Oept. 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 avenue, 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 Oecedent^ (REV-15017 for an explanation of administratively correctable errors. 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. This non-participation penalty is appealable in the sane 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: Interest is charged beginning with first day of delinquency, or nine (9) months and one C1l 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 far 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 NUlIBER 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. ESTATE OF PAMELA T. GAMBER File No. 21-02-1171 FAMILY SETTLEMENT AGREEMENT THIS AGREEMENT made this ~ day of "t, , 2003, BETWEEN: DAVID J. GAMBER, being the heir-at-law of Pamela T. Gamber, late of Shippensburg, the Township of Southampton, Cumberland County, Pennsylvania; AND DAVID J. GAMBER, Administrator of the Estate of Pamela T. Gamber, deceased; WHEREAS, Pamela T. Gamber died November 9, 2002, intestate; and WHEREAS, Letters of Administration were granted to David J. Gamber on December 30, 2002, by the Register of Wills of Cumberland County, Pennsylvania; and WHEREAS, all assets of the late Pamela T. Gamber have been liquidated or distributed and all her debts paid in full, and further the period of four months having been terminated since the first advertisement of the issuance of Letters to the said Administrator, the said party hereto desires to waive the duty of the Administrator to file a First and Final Account with Proposed Schedule of Distribution for purposes of confirmation by the Court of Common Pleas of Cumberland County, Orphan's Court Division, AND FURTHER desires that a Family Settlement Agreement be executed, which Family Settlement will be duly recorded among the deed records in and for Cumberland County. WEIGLE & ASSOCIATES, P.G. -ATTORNEYS AT LAW - 1Z6 EAST KING STREET - SHIPPENSBURG. PA 77257-1397 NOW, THEREFORE, WITNESSETH, that the party hereto, in consideration of the premises above stated, and of the Accounting and Proposed Schedule of Distribution attached hereto and made a part hereof, and the receipt of his distributive share as therein shown, does mutually bind himself to the said Distribution and Accounting as set forth and further releases David J. Gamber, Administrator, from all claims and demands whatsoever arising out of settlement of the Estate of Pamela T. Gamber. The party hereto does further agree that should any liability come due to the estate of the said decedent after the signing of this agreement, I do hereby covenant and agree with the aforesaid personal representative that I will contribute pro rata my share of the estate to satisfy any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the said estate or the aforesaid personal representative after the signing, sealing and delivery of this family settlement agreement and final release. IN WITNESS WHEREOF, the party has hereunto set his hand and seal the day and year first above written. WITNESS: c EAL) David J. Gamber WEIGLE & F\SSOCIATES, P. C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 77257-7397 COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND On this, the ST day of ~~ 2003, before me„ the undersigned officer, personally appeared AVID J. GAMBER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. NOTARIAL SEAL Thomas L. Bright, Notary Public Shippensburg Twp., County of Cumberland My Commission Expires Nov. 5, 2004 WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - t26 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 ADMINISTRATOR'S ACCOUNT FIRST AND FINAL ACCOUNT OF DAVID J. GAMBER, ADMINISTRATOR FOR ESTATE OF PAMELA T. GAMBER, DECEASED Date of Death: Date of Administrator's Appointment: Dates of Advertisement of Letters: News Chronicle Cumberland Law Journal Accounting for the Period: November 9, 2002 December 30, 2002 January 10, 17, 24, 2002 January 17, 24, 31, 2002 December 30, 2002, to August 6, 2003 Purpose oi.' Account: David J. Gamber, Administrator, offers this account to acquaint interested :parties with the transactions that have occurred during his administration. The account also indicates the proposed distribution of the estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Jerry A. Weigle, Esquire Weigle & Associates, P.C. 126 East King Street Shippensburg, PA 17257 717-532-7388 WEIGLE Sc ASSOCIATES, P. C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 SUMMARY OF ACCOUNT Estate of Pamela T. Gamber For Period 11/09/01 Through 8/6/03 Proposed Distribution to Beneficiaries Principal Receipts Net Gain (or Loss) on Sales or Other Dispositions Other Receipts Less Disbursements: Acfiiinistration E~q~enses (Prin) Fees and Commissions (Prin) Funeral E~exlses (Prin) Other Exper~ses (Prin) Balance before Distributions Distributions t:o Beneficiaries Principal Balance on Hand Income Receipts Less Disbursements Balance before Distributions Distributions t:o Beneficiaries Income Balance on Hand Combined Balance on Hand Fiduciary Acquisition Page Value 5 $ 1,053.73 1 $28,319.61 0.00 0.00 $28,319.61 2 $3,771.52 2 1,406.34 2 5,063.20 2 313.60 10,554.66 $17,764.95 3 16,711.22 4 $ 1,053.73 $ 0.00 0.00 $ 0.00 0.00 $ 0.00 $ 1,053.73 RECEIPTS OF PRINCIPAL Estate of Pamela T. Camber As of 8/6/03 Assets Listed 1T1 Inventory (Valued as of date of death) Cash on Hand Travelers Checks - 9 - $50 Checking Accounts The Bank of Landisburg Checking Account #3631311 Money Market Accounts Charles Schwab Brokerage Account #1112-2073 Misc. Personal Property 1997 Mercury Cougar Automobile Miscellaneous Property Sprint - retirement benefit payable to David J. Camber, spouse, beneficiary Fidelity Investments 401 (k) - payable to David J. Camber, spouse, beneficiary Contribution from David J. Camber for payment of debts of decedent TOTAL Il~1VIIV'IbRY $ 4,059.77 10,201.45 192.82 Page 1 Fiduciary Acquisition Value $ 450.00 10,999.88 415.69 2,000.00 14,454.04 $ 28,319.61 DISBURSEMENTS OF PRINCIPAL Estate of Pamela T. Camber For Period 11/09/01 'I'Yirough 8/6/03 Administration Expe..nses (Prin) 12/30/02 Register of Wills, Cumberland County - Letters of Ac~ninistration and Short Certificates 01/14/03 Cumberland Law Journal - advertising Letters of Administration 03/04/03 News Chrronicle - advertising Letters of Administration 06/11/03 David J„ Camber - Family Exemption 06/11/03 Register- of Wills, Cumberland County - filing PA Inhex°itance Tax Return 08/06/03 Weigle b~ Associates, P.C. - reserve for filing F'am_ily Settlement Agreement with Register of Wills, Cumberland County Fees and Cannissior.~.s (Prin) 06/11/03 Weigle &: Associates, P.C. - attorney fee Funeral Expenses (F'rin) 01/14/03 David M. Myers Funeral Home Other Expenses (Prin) 11/22/02 Verizon Wireless 11/22/02 Fleet Mastercard 01/07/03 The Bank of Landisburg Checking Account #3631311 - check outstanding at date of death 'TOTAL DISBURSE~ITS OF PRINCIPAL $ 69.00 75.00 67.52 3,500.00 10.00 50.00 $ 20.14 172.68 120.78 Page 2 $ 3,771.52 1,406.34 5,063.20 313.60 $ 10,554.66 DISTRIBUTIONS OF PRINCIPAL 'IO BENEFICIARIES Estate of Pamela T. Gamber For Period 11/09/01 Through 8/6/03 To: David J. Camber 1997 Mercury Cougar Automobile 01/30/03 199'7 Mercury Cougar Automobile To: David J. C~~er Travelers Checks - 9 - $50 each 01/30/03 Cash To : David J . C,amk~er Sprint retirement benefit 03/18/03 Sprint - retirement benefit To: David J. Gamk~er Fidelity Investments 401 (k) proceeds 06/06/03 Fidelity Investments - 401 (k) $ 2,000.00 450.00 4,059.77 10,201.45 Page 3 Total for David J. Gamber $ 16,711.22 TCUI'AL DISTRIBUTICNS OF PRINCIPAL TO BENEFICIARIES $ 16,711.22 PRINCIPAL BALANCE ON HAND Estate of Pamela T. Camber As of 8/6/03 Checking Accounts Estate Checking Account (IOLTA) PRINCIPAL BALANCE ON HAND Page 4 Current Carrying Value Value $ -- 1,053.73 --------- $ 1,053.73 $ 1,053.73 -- $ --------- 1,053.73 PROFOSID DISTRIBUTIONS TO BENEFICIARIES Estate of Pamela T. Camber For Period 11/09/01 Through 8/6/03 To: David J. Camber Cash 08/06/03 The beneficiary will receive a 1000 interest in the estate's residue, representing a portion of the following assets: Cash Total TOTAL PROPOSID DISTRIBUTIONS T17 BENEFICIARIES Page 5 $ 1,053.73 $ 1,053.73 $ 1,053.73 DAVID J. GAMBER, Administrator of the Estate of Pamela T. Gamber, deceased, hereby declares under oath (penalties of perjury) that he has fully and faithfully discharged the duties of his office; that the foregoing First and Final Account is true and correct anal fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to his knowledge, there are no claims now outstanding against the estate; and that all taxes presently clue from the estate have been paid. David J. Gamber, inistrator Subscribed and sworn to by DAVID J. AMBER, before me this ~~r day of ____~ , , 2003. r r ~~ R!07ARIAL SEAL Yhomas L. Bright, Notary Public ShipFlensbu~g Tarp., Gourty cat GumbFarland M,d Commission Expires Nov. 5, 2004 WEIGLE & .4550CIATES, P.C. -ATTORNEYS AT LAW - t26 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 vJ~ tl REGISTER OF WILLS, CUI~ERLAND COUNTY STATUS REPORT UNDER RULE 6.12 Name of Decedent : Pamela T. Gamber Date of Death: November 9, 2002 Will No. Admin. No. 21-02-1171 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report, Date. r Ll' ~~5 ~ ~, 1 ~ignatur Thomas L. B i ht, Esquire Name (Please type or print) WEIGLE & ASSOCIATES, P.C. 126 East King Street Address Shippensburg, PA 17257 ( 717) 532-7388 Tel. No. Capacity: Personal Representative (MAH:rmf/AM3) X Counsel for personal representative