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Home My WebLink About01-0046 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 2001 0046 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURI1Y NUMBER Cassel, Esther E. 206-10-9455 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 01/03/01 10/21/1912 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURI1Y NUMBER 3. Remainder Return CHECK ~' Original Return ~" Supplemental Return B (date of death prior to 12-13-82) APPRO- 4. Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required (dale 01 death afler 12-12-82) PRIATE 6. Decedent Died Testale 7. Decedent Malntamed a living Trust 8. Total Number of Safe Deposit Boxes (Atlach copy of Will) (Attach a copy ot Trusl) BLOCKS 9. Litigation Proceeds Received 10. Spousal Poverty Credit {date 0\ deat\; between 0 11. Elect'lon to lax uncterSec. 9113(A) 12-31-91 and H-95) (Attach Sch 0) jj\i$$jlP't@llMj.!$:tIlI1'q~U!'ftl!iiA'liiqq!llljl$#Qg~j:eQf.lFIQgNitiAliTAlIliiif911MATiQN$HQi,j4\'i~gtilli~TlipTQi NAME COMPLETE MAILING ADDRESS COR- David H. Stone, Esquire 414 Bridge Street RE- FIRM NAME (If Applicable) New CurIDerland, PA 17070 SPON DENT Stone LaFaver & Shekletski TELEPHONE NUMBER (717) 774-7435 OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) None 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held Corporation, Partnership or Sola.Proprietorship (3) None 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 842,37 6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested (6) None RECA- PITULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) 26,923.62 8. Total Gross Assets (total Lines 1-7) (8) 27,765.99 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 7,523.81 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 44,56 11. Total DeductIons (total Lines 9 & 10) (tl) 7,568,37 12. Net Value of Estate (Line 8 minus Line 11) (12) 20,197,62 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax (13) None has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 20,197,62 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, orlransfersunderSsc_ 9116 (a)(1.2) X .0 (15) 20,197,62 - TAX 16. Amount of Line 14 taxable at lineal rale X.O 45 (16) 908.89 0.00 - 0.00 COMPU- 17. Amount of Line 14 taxable alsibling rale X .12 (17) TATION 18. Amount of Line 14 taxable al collaleral rate 0.00 x.15 (1 B) 0.00 19. Tax Due (19) 908.89 20. 0 ~l'I.wiljKiijl$!j~(i1WQl,l'AA~R~4Q.~$jjOO::ij;;'5mlijij$\\i);iN&V!;jBij;i>;~m"1 1f9 -dol-5 [) djf. ;;;;';rr'i\%!ill;~;Tl>'l\l\I$Wa'\4iIMl;iQ~Q1'l$QNl"AG"gANl'iai;Gl'lI$GKMA1Wl@}'..,.,........... o PA15001 NTF 29755 Copyrighl 2000 Grealland/Nelco LP - Forms Software Only PA REV.1500 EX (6.00) D d C I t Add Page 2 ece ent s amPle e ress: STREET ADDRESS 521-A Reno Avenue CITY I STATE I ZIP New Cumberland PA 17070 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 908.89 600.00 31.57 Total Credits (A + 8 + C) (2) 631.57 3. InterestJPenalty it applicable D. Interest E. Penalty (3) 0.00 (4) (5) 277 . 32 (SA) 0.00 (58) 277.32 Total InterestJPenalty (0 + E) 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 5. 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 + 5A. This is the BALANCE DUE. .. MakeGheckPayable to: REGISTER OF WILLS,AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN 1. "X" IN THE APPROPRIATE BLOCKS Yes No ~ I ~ ~ 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, r declare that r 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 preparer other than the personal representative is based on information of which preparer has any knowledge. SIGN ;rUR~ F PERSON SPONSI8L~_EOR Fill R URN DATE ~ ',;? o ~ ~ tached ER OTHER THAN REPRESENTATIVE DATE -Z- () j S Bridge street, New Cumberland, PA 17070 oc [72 P.S. ~ 9116 (a){1.1)(i)l. For dates of death on or after January 1, 1995, the tax rate is imposed on the net value of IransfeJ'$ to or for the use of the surviving spouse is 0% [72 P.S ~ 9116 (a) (1.1) (iiJ] The statute dOA!; not AXAmot a transfer to a surviving spouse lrom tax. <tnd the statutory requirements tor disclosure 01 assets and 1111119 a lax rall.lm are still applicable even it thes\.lrv\\ling spo\.lseis Ihe only oenel1ciary, For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers lrom a deceased child tw9i1ty-one yearn of age or younger at death to or tor 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 transters to or for Ihe use of the decedent's lineal beneficiaries is 4.5%, Ell<.Cept as notoo In 72.P.S. ij 9118(1.2) 172 P.S. %9116(a)(1)]. The tax rate imposed on Ihe net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as al1 individual who has at least one parent in common with the decedent. whether by blood or adoption. o PA 15002 NTF 29756 Copyright 2000 GreatiandlNelco Lp. Fonns Sottware Only Estate of: Esther E. Cassel 21-2001-0046 The following person(s) are signing the retUlll as representative(s) of the estate: Shirley M. Fenste:macher 521-A Reno Avenue New Cumberland, PA 17070 REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Esther E. Cassel SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-2001-0046 Include proceeds of litigation & date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F. ITEM VALUE AT NO. DESCRIPTION DATE OF DEATH 1 United Health Care-refund 361. 64 2 Ecurrenical Ccmnunity-refund 480.73 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 842.37 7 CPA81 NTF 10908 Copyright Fonns So/tware Only, 1997 Nelco, Inc REV.1510 EX + (1.97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Esther E. Cassel SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-2001-0046 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 INCLUDE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECD & DATE OF TRANSFER. ATTACH COPY OFTHE DEED FOR REAL ESTATE. 1 Gift taxes on gifts within 3 years of death %QF EXCLUSION DATE OF DEATH DEeD'S (IF TAXABLE VALUE VALUE OF ASSET INTEREST APPLICABLE) 0.00 3,837.85 100% 3,000.00 837.85 ITEM NO. 2 PNC Bank-Checking Acct. #5000782658 rrade joint 4-17-00 wi Shirley M. Fensterrracher and Robert E. Eagle, Prine. $3,837.27, Int. $.58 3 PNC Bank-Savings Acct. rrade joint 4-17-00 wi Shirley M. Fensterrrachex and Robert E. Eagle, Prine. $29,037.91, Int. $47.86 29,085.77 100% 3,000.00 26,085.77 7 CPAOl NTF 10910 TOTAL (Also enter on line 7, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 26,923.62 Copyright Forms Software Only, 1997 Nelco, Inc. REV-1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Esther E. Cassel SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-0046 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: AMOUNT 1 Myers Funeral Horre-funeral expenses 5,390.00 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 Narre: David H. Stone, Esquire 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 1,688.00 0.00 4, Probate Fees 77.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7 CUmberland law JOUITIal-advertising grant of letters 75.00 8 The Patriot News Co. -advertising grant of letters 93.81 9 Reserve for filing Inheritance Tax Return, Inventory, and closing expenses 200.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 7,523.81 7 CPA11 NTF10911 Copyright FOlTl1s Software Only, 1997 Nelco, Inc. REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Esther E. Cassel Include unreimbursed medical expenses. ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2001-0046 DESCRIPTION AMOUNT 1 Pinnacle Health Serv.-debt of decedent 44.56 . 7 CPA12 NTF 10912 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 44.56 Copyright Forms Software Only, 1997 Nalco, Inc. REV-1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Esther E_ Cassel No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 21-2001-0046 RELATIONSHiP TO DECEDENT AMOUNT OR Do Not List Trustee(s) SHARE OF ESTATE 1 Shirley M. Fenste:macher 521-A Reno Avenue New Cumberland, PA 17070 daughter 10,098.81 2 Robert E. Eagle 4113 M_ Beechwocxi Lane HaITisburg, PA 17112 son 10,098.81 ENTER DOLLAR AMTS. FOR DiSTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARiTABLE AND GOVERNMENTAL DISTRIBUTIONS None TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 7 CPA13 NTF 10913 (If more space is needed, insert additional sheets of the same size) Copyright FOmls Software Only, 1997 Nelco, Inc. LAST WILL AND TESTAMENT OF ESTHER E. CASSEL I, ESTHER E. CASSEL, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I give and bequeath all my jewelry and all of my house- hold goods and personal effects to my daughter, SHIRLEY M. FENSTERMACHER. ITEM II: I devise and bequeath all the rest, residue and remain- der of my estate, of every nature and wherever situate, in equal shares to my daughter, SHIRLEY M. FENSTERMACHER, and ~y son, ROBERT E. EAGLE. Should either my daughter, SHIRLEY M. FENSTERMACHER, or my son, ROBERT E. EAGLE, predecease me, I devise and bequeath the share of such child to his/her issue, per stirpes; and should any such child of mine leave no such issue living at the time of my death, I devise and bequeath the share of such child to my issue, per stirpes, living at the time of my death. ITEM III: I appoint my daughter, SHIRLEY M. FENSTERMACHER, Executrix of this my last will. ITEM IV: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of her duties in any jurisdiction. Page 1 of 2 IN WITNESS WHEREOF, hand and seal this .5'-4 I, ESTHER E. CASSEL, have hereunto set my day of 7-<-.aX:: , 1997. .M~ f2 CLtt.d~ ESTHER E. CASSEL SIGHED, SEALED, PUBLISHED and DECLARED by ESTHER E. CASSEL, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the presence of ~ach other, have subscribed our names as witnesses. ~;r ~~ I/~JJ , W~t ss 0 :t.~:s~//nkjJAA<~.1 R...-. (}c,u Cuf\.,~~ Address ~ . Page 2 of 2 FEB-14-2001 10:52 PNCBANK ClF DEPARTMENT 412 705 0057 P.01/02 Q PNCBA.N( Decedent Reporting Firstside Center P7-PFSC-4-F 500 First Avenue Pittsburgh, PA 15219-3128 /SCP February 14,2001 David H. Stone 414 Bridge Street P.O. Box E New Cumberland, P A 17070 RE: Estate of Esther E. Cassel, Deceased SSN: 206-10-9455 DaD: 1/3/2001 Dear Mr. Stone: Please find the date of death balances you have requested listed below. CHECKING ACCOUNT #5000781658 Established 04/17/2000 ESTHER E CASSEL SHIRLEY M FENSTERMACHER ROBERT E EAGLE DaD Balance; $3,837.27 + $0.58 accrued interest Page I of2 A member of The PNC Financial SelVitts Group PNC Bank NA Pittsbul'9h ~l1l'lsylv3ni3 15265 FEB-14-2001 10:52 PNCBANK ClF DEPARTMENT 412 705 0057 P.02/02 QPNCBAN< SAVING ACCOUNT #5000910242 Established 04/17/2000 ESTHER E CASSEL SHIRLEY M FENSTERMACHER ROBERT E EAGLE DOD Balance: $29,037.91 + $47.86 accrued interest Please note, that the Established Dates listed above are correct. Our office only provides date of death balances for IRA's, CD's, Checking and Savings accounts. We do ~ Financial Transactions or Statement Orden. For Further information please call 1.800-4-BANKER or your local PNC Branch and ask to speak with a Financial Services Representative. Sincerely, . 0{a&1illi ~ Rachelle Sciullo 1-800-762-1775 Page 2 of2 . A member of The PNC Financial Servi~ Group !'Ne B:mlc filA. Pil('i.UUl'Qh PcnnwlvoniOl 1S';'l)!i TOTAL P. 02 Esrare of Esther E. Cassel also kno wn as PETITION FOR PROBATE and GRANT OF LEITEIDS -l-/- (, I - <-/ r, No. To: Register of Wills for the Deceased. COUDty of Cumber land in the Social Security No. 206-10-9455 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/me 18 years of age or older an the execur rix in the last will of the above decedent, dated l\l1gJl~t- S and codicil(s) dated named . 19 97 (Slale relevant circumstances. e.g. renunciation, death of executOr. etC.) Decendent was domiciled at death in Cumber li=lnd County, Pennsylvania, with Iter last family or principal residence at 521-A 'Rpnn Avenue, New Cumberland Borouqh, Cumber land County, Pennsy 1 vania . (list Street. number aad mUDCipaJity) Decendent, then 88 years of age, died .Tannarv 3. 2001 ,~ at Polyclinic HQspital, Harrisburq, Dauohin Countv. Pennsylvania . Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Oecendent at death owned propeny with estimated values as follows: (If domiciled in Pa.) All personal property (If not. domiciled in Pa.) Personal propeny in Pennsylvania (If nOI domiciled in Pa.) Personal propeny in County Value of real estate in Pennsylvania situated as follows: 52-4,000.00 $_-- - S_~- S WHEREFORE, petitioner(s) respectfully request(S) the probate of the last will and codicil(s) presented herewith and the grant of letters testa~nt-ary (tcsl&menwy; administration c.t.a.; administration d.b.n.c.t.a.) theron. - VI "C u c u :=~ on _ !:I _YL~~~, ~~~~ : ~Q.. u_ :: O. ~ c 00 en 521-A Reno Avenue Npw rnmberland. PA 17070 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF ~ The petitioner(s) above-nan!ed swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the be.4: of the knowledge and belief of pctitioner(s) and that as personal represen- tative(s) of the above deer-dent petitioner(s) will well and truly administer the estate according to law. ~/fJo- ~ s~ ~ Fenstennacher -)~. i~= - '?~r7r/F.ftJ~/ 1 -- /& - )())- ~ N 21-01-46 o. Estate of ESTHER E. CASSEL , Deceased -"_ DECREE OF PROBATE AND GRANT OF LETTERS AND NOW JANUARY 10 D 2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated Auqust 5, 1997 described therein be admitted to probate and filed of record as the last will of Esther E. Cassel and Letters Testamentary are hereby granted to Shirley M. Fenstennacher FEES Probate, Letters, Etc. ......... S 60.00 Short Certificates( ~ . . . . . . . . .. S 9.00 ~ .F;~rM .~q~..... S 3.00 JCP $ 5.00 TOTAL _ $ 77.00 Filed . JA~1J~~Y. .1. qt. fP.O.~ . . . . . . . . . . . . . . . '-rrn^O(~ Y'""L c.a,3/;}~~a Q~'.U~ ~J IJl_~~ of Wi~ r David H. Stone #39785 J .. A1TORNEY (Sup. Ct. I.D. No.) 41 4 Bridge st., New Cumberland, PA 17070 ADDRESS (717) 774-7435 PHONE MAILED LETTERS TO ATTORNEY JANUARY 10, 2001 21-01-46 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Rave R. Luckey and David H. stone ~ (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that they \Vere present and saw Esther E. Cassel the testaa;;:ix . sign the same and that they signed as a witness at the request of testal rix in }1 er presence and (in the presence of each other) _ Register "~~OL - '-;1(!, ;?f~ o~ (Name) I4Je R. ~Jk~rland' ~-' (Name) David H. 414 Bridoe st., New Cumberland, (Address) Sworn to or affirmed and subscribed before me this 9 day of January ~ 2001 Y:::<i7(~ k >f? ~ (/ Luckey PA 17070 NOTARrAL SEAL PATRICHIA L YOTER, Notary Public New Cumberland Bora. Cumberland Co. My CommlS!ion Expires Nov. 18, 2002 stone PA 17070 REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of COdicil test at of (one of the s scribing witnesses to) the will presented herewith and codicil that believes the signature on the wiD is in the handwriting of to the best of knowledge and beb . Sworn to or affirmed and subscribed before me this day of 19 (Name) (Address) Register "- "\ (Name) '\., '- (A~) ...._-~ ,.- ~- ~ ~. r--- .- Hl0sxnS~F\'q/X(, 21-01-46 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local R~gistrar. The original certificate will be forwarded to the State Vital Records ()ffice for pernlanent filing, WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~!-;,~""" IIIIIIJ~~\Jl\Jlf PEi----___ l~~ . .....~'4'J'2-:. \\::"':' .... ,;,- !~_..."'.... . ~\ ~ ~ "- . \~~ ~ =~~+ ' 1-::: ~ <.,.)~. ';)i~. ~~ \ *~:: ..c.. .~.'.;-""". ....r- ~/I * ~ 'i 4), . ~- / ~ \~ \.~~ //-$>/' --_ ~1I1il-h--~(. ~~ III ----,,.,}" ENT \\",,'1,111 """",,,,,,,IIIJI ~4 h,A.4h ~ ~ f~4 J)JIb~d;r Local egistrar Q I~ee for this certificate, $2.00 P 7120709 C)~ ~-d()(1 / I Date HI 05. . 43 RAN 2181 COMMONWEALTH Of PENNSVlVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH TYPE/PRINT IN PERMANENT BLACK IHI< lb. Dauphin SEX STAlE FILE NUMIlER SOCiAl SECURITY NUMBER NAME OF DECEDENT tflfSl MlddIe. L.as., I. AGE (LaSl BonMav) UNDER 1 YEAR ~ Days a. Female 3. 206 - 10 - 88 y" BIRTHPlACE (C,ry and PlACE OF DEATH ICt>eck Cf'Iy 0I'e -- __ ,ll$Irucj,()oS on UIhet _I Sial. 00 fct.ogn COUOIIV' HOSPITAl; l~ienC at ERIOu'"a...nc 0 Ie. ""'. g. eel ana number. ~,O 5. COUNTY OF OERH RACE . Amencan Indian, 8aKk. WhIle. eIl;. (~) Ie. 10. 'M1ite SUfMvlNG SPOUSE 1....~..-.1l8flI4lI DECEDENT'S USUAL OCCUPRION (Go". Iund QI WOfk oon. dut::i, motII of WOfIIinIJ lIfeE:~~miner I . n.. 11_. DECEDENT'S MAILING ADOAESS (SIt-. ClIyfbMl. s... Eop Codel 521-A Reno Avenue New Cumberland. Pa. 17070 MARITAL STATUS - Married ru.., Mm*'. WodlMed. ONofcM ISI*Ay) Widowed In.. Cou Did cIKedenI liww... Cumberland--~' "JOwna/lip7 17d.Ei:n..~.:::oI UOTHER'S NAME (fool. ModaIe. MaIdeo Surnama) ... '" fMHER'S NAME (first. Mod<lIe. La", New Cumberland CIIy/bDnl James M. Gilbert z w ~ ~ o ~ ~ z Jan 6, 2001 It. Mary Bryson INFORMANT'S WAILJNQ AOOAESS lStr... ClIyIbMl. ~. rop Codal ZOb. 521-A Reno Avenue New Cumberland Pa. 17070 PlACE OF DISPOSITION. Name 01 C..-.." Cr....ror, lOCATlOH . CityfIOwn. ~., Zlp Code Of Othaf PIIIca ale. Rolling Green Memorial Park 21". Camp Hill, Pennsylvania 17011 II. INFORMANT'S NAME (T vpelPrtnl) 2Oe. METHOO OF DISPOSITION IIuNl oa C,_1On 0 R.movalll"OfII 51... 0 0Ihef CSPec"Y Shirley E. Fenstermacher FD-012662-L NAME AND AOOAESS OF FACILITY nc. M ers Funeral Home Inc. 37 East Main Street Mechanicsbur P 170 5 lICENSE NUMBER DArE SIGNED (McdI. Day. "'-I a3b. no:. -S CASE REfERRED TO :oAl EXAMINERiCOROHER? Hog.---- lICENSE NUMBEA "-- DATE PRONOUNCED DEAD (MOf\Itl. Dav, 'Iilar) a4. P.M. 25. J - 3 - ~ 27. PiUIT I: Enl., lhe diM...., inju,ies Of compIi<:a'_ wIlich caused lhe dealh 00 nol.nl4lf Ihe mode 01 dyiog, such as ca,diac Of respi,alory ."hl, shock 0' tlean ladu,. t... oNI ooe c_ on aac/l_. ~ \.I'l ~ ~ ~ \A ) Y1\vt-- ~ (?,c. ;~mH DUE 10 (OR AS A CONSEQUENC Of): ~. , Approxoma,. : inl...... belwNn 1- and duItI I I PART I: 0tIIer .igIlil\c..... ~ COnIIO.IIing 10 dnlll. _ nul '-*ing in ilia ~ _...... PlUff I I : DUE 10 (OR AS A CONSEQUENCE Of): DUE lO(OAAS A CONSEQUENCE Of): ~ \~ \J~l WERE "'UlOPSY FINDINGS MANNER OF DEATH -'lA8tE PRIOR 10 COYPlETION OF CAUSE 0 0 OF OERH? Hat",.. Homocide Accident 0 P."""'lIIn....sngaliOn 0 0 NoD v.. 0 Ho D Suicide D Could not be del.rm,""" 0 DATE OF INJURY (Morllh Qay. ""'" I TIME OF INJURY INJURY AT 'NOAK7 lJESCRlBE HOW INJURY OCCURRED. Yes 0 NoD :JOe. 3Gta. M. 3Oc. PLACE OF INJURY. AI hom., lilIlII, s"eel.ladory, otlice building. 8lc ISpec~y) ala. 2ab. a. 30.. CERTIFIER ICt-lIClc only onel 'CERTIFYING PHYSICIAN lPhy"",,,,n cer,"'toog cau.. cj aealh w'''''' ..nOl~e' pl1vs.c,an has \l<onounced clealh ana compte'e<ll,em 23} To"'be"ot"'lIltnow~, ....thoccuned.....tolh.uu..(I).nd m.nn.,.. "'.Ied. . ...... ..................... .~~ bZ II p1,l I 'J..J. )Mr .PRONOUNCING ANO CERTIFYING PHYSICIAN (PhySIC...n [Joll1 ;l'onOUIIC'''9 oealh and ""'I"V"'9 10 "ause ollJe"lhl To........' Glmy k_w1e~., delth occur,ed.t.... tlme, d.'e, Ind pl.c.. Ind due '0 Ih. CIUseC.)lnd mlnne, II Italed .MEDICAL EXAMINER/CORONER On 'h. b..i. 0' ...m(n.Uon .nd/o.-ln....Ug.tion.ln my opinion, d..,h occurred lit Ihe 11m., dal., and place. and due 10 'he c.u.e(.).nd m.nn.,.. st.ted.. . . . . . . . , . . . . . . . . . .. . . . . . . .. . . .. . . . . . .. . . . .. . . . . ... ....................................... 1,. REGIST o 34. J Il ~ 0 JQ ~ Y ~ ~ 00 , .-'--.. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Esther E. Cassel Date of Death: January 3, 2001 will No. 2001-46 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 January 12, 2001. Shirley M. Fenstermacher 521-A Reno Avenue New Cumberland, PA 17070 Robert E. Eagle 4113-M Beechwood Lane Harrisburg, PA 17112 Notice has now been given to all Rule 5.6(a). Date: ('/7.('!\ persons,".~titled thereto under ~"\ ') /"- David H. L/Stone'>'~uire 414 Bridge Street New Cumberland, PA 17070 717-774-7435 Capacity: Personal Representative x Counsel for Personal Representative - ........ ""''",.10;'''''.-........"...,$1;.....'.....-. C. /' STATUS REPORT UNDER RULE 6.12 Name of Decedent: Esther E. Cassel Date of Death: January 3, 2000 Will No. 21-01-0046 To the Register: 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 ~ 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. the personal representative's account is: (if any) for N/A (c) Did the personal representative state an account informally to the parties in interest? Yes~ No Date: (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to t~~iS r;~/:~'~6 David @kUire Q 414 Bridge Street O~ New Cumberland, PA 17070 717-774-7435 ~ N P Capacity: Personal Representative ,,:) f; ~ ..; 1'-:: ...J .......... X Counsel for Personal Representative /6 -c2e; I~~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ReCOf(j;..... Regish., or DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-12-2001 CASSEL 01-03-2001 21 01-0046 CUMBERLAND 101 .01 NaV 16 All :51 DAVID H STONE ESQ STONE ETAL 414 BRIDGE ST NEW CUMBERLAND Clerku. _ Cu.nbe;' j '., n", PAl 7 0 7 0 . .......'-, *' REY-1547 EX AFP (12-DD) ESTHER E Allount Rellitted PA MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V = iS4-j-ix--AFP--fi'2---oiii--Ncffici--oF-.rNHiifiTAifcE-,.-Ax-jfPPRA-isiifiNT-;-Ai:l-owAifcE-cfR----------- - -- - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CASSEL ESTHER E FILE NO. 21 01-0046 ACN 101 DATE 11-12-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total D~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 842.37 .00 26,923.62 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 7~523.81 44.56 (11) (12) (13) (14) NOTE: .00 X 00 = 20~197 .62 X 045 = .00 X 12 = .00 X 15 = NOTE: To insure proper credit to your account~ subllit the upper portion of this forll with your tax paYllent. 27~765.99 7.568 37 20~197.62 .00 20~197.62 (19)= .00 908.89 .00 .00 908.89 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-02-2001 AA478228 31.58 600.00 10-03-2001 CDOO0341 .00 277.32 TOTAL TAX CREDIT 908.90 BALANCE OF TAX DUE .0ICR INTEREST AND PEN. .00 TOTAL DUE .0ICR . IF PAID AFTER DATE INDICATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $l~ 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). PAVMENT: 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 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" (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 for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT 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 (60) days of receipt of this Notice by: --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. 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 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 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: Interest is charged beginning with first day of delinquency, or nine (9) 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 Department of Revenue. The applicable interest rates for 1982 through 2001 are: Vear Interest Rate Daily Interest Factor Vear Interest Rate Daily Interest Factor 1982 20% .000548 1992 9% .000247 1983 16% .000438 1993-1994 7% .000192 1984 11% .000301 1995-1998 9% .000247 1985 13% .000356 1999 7% .000192 1986 10% .000274 2000 8% .000219 1987 9% .000247 2001 9% .000247 1988-1991 11% .000301 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER 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. est\rel\casselshirley IN RE: ESTATE OF ESTHER E. CASSEL: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA LATE OF THE BOROUGH OF NEW CUMBERLAND, CUMBERLAND: COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0046 RECEIPT, RELEASE AND WAIVER OF ACCOUNTING KNOW ALL MEN BY THESE PRESENTS, that I, SHIRLEY M. FENSTERMACHER, being one of the beneficiaries under the will of Esther E. Cassel, do hereby acknowledge that I have received all sums of money and property due me by virtue of the death of Esther E. Cassel, in full satisfaction and settlement of all of my rights and claims under her estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Cornmon Pleas having jurisdiction over the same, and I acknowledge that I have had an opportunity to examine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Distribu- tion had been filed in a Court of Cornmon Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. AND THEREFORE, I, SHIRLEY M. FENSTERMACHER, do by these presents, remise, release, quitclaim and forever discharge the ;. Executrix, her heirs, successors and assigns, from the acts of the Executor as aforesaid, and of and from all actions, suits, pay- ments, accounts, reckonings, claims, and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoever, and I do hereby consent to the discharge of the said Executrix. IN WITNESS WHEREOF, I have hereunto set my hand and seal the b day of ~PG~, ' 2002. ~L Wi e s s ~_ ' '--~ ~'1 ~.~~~ SHIR~M. FENSTERMACHER COMMONWEALTH OF PENNSYLVANIA: SS: COUNTY OF CUMBERLAND On this, the ~ 'I--A. day of ma/lAL , 2002, before me a Notary Public, the undersigned officer, personally appeared SHIRLEY M. FENSTERMACHER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and s2al the day and year first above written. ~ /n~ Notary Publl \/~ NOTARIAL SEAL TINA M. BURKEY, Notary Public New Cumberland Bora. Cumberland Co. t ~~~~y C~~~~~_Explres AprIl1?, ~J -2- est\rel\casselesther IN RE: ESTATE OF ESTHER E. CASSEL: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA LATE OF THE BOROUGH OF NEW CUMBERLAND, CUMBERLAND: COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0046 RECEIPT, RELEASE AND WAIVER OF ACCOUNTING KNOW ALL MEN BY THESE PRESENTS, that I, ROBERT E. EAGLE, being one of the beneficiaries under the will of Esther E. Cassel, do hereby acknowledge that I have received all sums of money and property due me by virtue of the death of Esther E. Cassel, in full satisfaction and settlement of all of my rights and claims under her estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Common Pleas having jurisdiction over the same, and I acknowledge that I have had an opportunity to examine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Oistribu- tion had been filed in a Court of Common Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. AND THEREFORE, I, ROBERT E. EAGLE, do by these presents, remise, release, quitclaim and forever discharge the Executrix, her ~'."'~~;~;;'~~""--oi;__"';_~~'''''-'''~~''''~''<i''"' heirs, successors and assigns, from the acts of the Executrix as aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoever, and I do hereby consent to the discharge of the said Executrix. IN WITNESS WHEREOF, I have hereunto set my hand and seal the t; day of \\ A..fv~L..~ ---L- V-\ , 200L. QStCM~~ R:~T~~~: ~€lCc COMMONWEALTH OF PENNSYLVANIA: De.vvp't\;() S S : COUNTY OF~'[) On thi s, the ~ da y 0 f rJ\c,\.V"'cY\ , 2 0 0 2 , before me a Notary Public, the undersigned officer, personally appeared ROBERT E. EAGLE, 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 have hereunto set my hand and seal the day and year first above written. GC /:L NotrJy Public NOTAR~Al SEAL I . C'._'I\r-..~.\~,~,lr-.IF T;\YLOR, t-.1Ctc1f'} Puol;c D ,~.) J' ~"'''l. '\ " ". . '. ".',- \ .' -2- .....-....... ~.... -,.. J tl.....,o - ' -, d f'J -~'.. -...- -'- ;;::t:J 0:) '--1.,) -;.":':'&. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT STONE DAVID HEAN 414 BRIDGE STREET NEW CUMBERLAND, PA 17070 __u____ fold ESTATE INFORMATION: SSN: 206-10-9455 FILE NUMBER: 21-2001- 0046 DECEDENT NAME: CASSEL ESTHER E DATE OF PAYMENT: 10/03/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/03/2001 NO. CD 000341 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $277.32 I I I I I I I I TOTAL AMOUNT PAID: $277.32 REMARKS: SHIRLEY M FENSTERMACHER C/O DAVID H STONE ESQUIRE CHECK# 9 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS ::D m s: )> (f) ::D m ^ )> (f) r ri C"J l;'~ I -"', ~r~ n"\ C1 t...., c: X 7: C r- :#- 1) iT' ~::: -<~ Z ,......, cJ CJ ~..:~ (--; -r,: .,~'., ....._ rr" m 1)-"1 2 C ..-! (;' ;~" (:1.,-. Z 1'7 ~ fl-! wL~ --, ~;~ ~~ ::D m (j) en -i m :0 o " ~ r= tr; ::D m () m <: n~ is ~ ..., -., co L;l :~: -< In ,-{ c: ~ .' i << ':::J \ .~-~~: i'-~" .(:... i..:;" i r \:"; ~ ~ ....."1. " ~ I I r....~ _~ 0 0 "'0 0 Z 'T1 m )> 0 0 )> )> ;= en -i c 00 -i ~ m -i m z -t m m Z 0 -t ~ 0 0 c ::t> 'T1 n -< )> " n fj ~ -I f- ie! ::0 !' 'T1 m t~. 0 ^ ""'0 J,..) 0 4:'-:'- OJ ..... m 3 " '''. )> ~. ....--; m : m )> 0 -< ~..; J 0 :0 Z {:~ -i ttJ C.. )> f~ ~ cn m ';: t....~ " I r; -i m rn 0 0 -';..J m z Cl '" r m :D .4.; '" -I Z r;J r 0 f1J -I ~..~ s:: <:) ~ ' " f"'~ , ::t> '-' -::- ' , -I , C) (n? 0 6 f""~- Cl ,f,_.J .......Mo --i )> c) -rOO f", Z --I ... rn- 0-- ~ ...,; , I rn (of! !fJ i Z 1 " !1J :0 < \ '- (f) 0"- d ! I-> -::) ! ...0 ~. f..;1 U1 ~ ",__~ ".L L.." ~., -i o -f )> r )> s: o c Z -i -0 )> is '-, ~ Cr- (:t <: r.~ ,"-, '- -n o r- o :c m :::0 m I I -~.! Z 1'0 ~ .!> tn ,....., ~''''-f 4> 0 z C:) f!'l n c 3: ttf f1l JJ r~ -.- r-~ 01> (i; < rr!fo.'~ T) Z eJ ul ---1 ::: :rJ rri 01v rl2 ..... if D _. 'l "" (~ "t.,.J <:t I JJ m (") m <: m c ." JJ o ~ t..:;:1 )> Z()~ cOm)> s:Z(f)() roJj(f)z moS: ::Dr~ -i t...): tit 0"- ;--., X --' )> s: o c Z -i (.1 {-,o.-..,. IOaJOO )>mc:mo ::0 ""'O::u""'O 3: ::o~m)>3: ~~~~g cO'>o~~ ::O~"nzm P) z-f)> -0 co!:i )> <"n:r: 6:00 c:!:2" ~m"O r-"zm """'CZ ~mffi m -< en < )> z 5> :1 I\) <Xl 6 0'> S o ." ." - o - )> r- :D m o m - ""tJ -t Z :r: m :D =t )>"'tJ Zm OZ mZ )>cn z< C~ m> cnZ -1- )>> -I m -I )> >< z 9 )> )> ~ '-.J ex> f\.) N (X) ~f m N m x to ~ 'jL v COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND l J 55: Shirley M. Fenstermacher being duly swornaccording to law, deposes and says that g,e is tp~ Execll+-r; yo of the Estate of Esther E. Cassel late of _~YL~_umb.er la.ud_- B-.Or.Qug~_. , Cumberland County, Pa., deceased and that the within is an inventory made by ~h; r] ey M I Fen5t~rT11~("!hpr , the said Executrix of the entire estate of said decedent. consisting of all the personal propc!rty 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. 19 I ~ -; ~_../- / d___ -?J; .--tt~/1Y'~ Shir ley . ew'.cutOt" . "",m;rrir+nr+or Fenstermacher r1X J 521-A Reno Avenue New Cumberland, PA 17070 Address and subscribed before me, Date of Death 03 01 2001 Day Month Year 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. ..c: 01 :;j 0 ~ 0 >- :1 -0 G) .... w s:: ~ >- 0::: .... '" w -< cO cP ~ a. .... r-t ~ u CD 0 V) Q) cP 0 Ul ~ Q 0" >- w 0::: w Q) .., CD ::I: Ul .- a.. co ~ a.. c .... ...J LL '" ~ Z -< 0 u: Q.. 0 LL ...J == i W 0 -< w ::s .;. < 'i > z eX ~I u .. Z 0 c I, Q ~ ~ I ~ V) Z 0 0 eX ~! OJ u z Ii w -< ZI 4IliI' a. (1)' I '""0 j c ..c: '" I 4J' ... i: I CI), 0 cP riI ~ '""0 ~ I cP E .. G) 0 11 '" ~ u: 0 ...J () CD Inventory of the real and personal estate of Esther E. Cassel deceased United Health Care-refund Ecumenical Community-refund ~ .~--' TOTAL 361 64 480 73 $842 37 I II I I ! , f I I I