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HomeMy WebLinkAbout01-0137 PETITION FOR PROBATE and GRANT OF LETTERS Estate of also known as AGNES R. KING No. To: Register of Wills for the , Deceased. County of Cumberland in the Social Security No. 189 09 4095 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or in the last will of the above decedent, dated .T an. 27. 1989 and codicil(s) dated 21-01-137 named , 19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland h er last family or principal residence at 1060 Crains Cumberland County. North Middleton TWD. (list street, number and muncipality) County, Pennsylvani~ with Gap Rd., Carlisle, rA 17013 Decendent, then 93 years of age, died November 23, 2q019 at Good Samarit{ln Hospital, Lebanon, PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the willoffered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 238.500.00 (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: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~ '" --- ... u C ... -0 ~ .- '" '" --- ... ... c.:'" C -00 C": tU ": ~... ~c.. ...... 30 <;j c 00 Cii Ja e F. Burke S11c("o.ccnr t-n l4'~rmpr!:: Onp WP~t High Street Carli~le, FA 17013 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 represen- tative(s) of the above deced~nt petitioner(s) will well and t ulyad i ister the estate according to law. Sworn to or affirmed and subscribed before me this 8 ___ day of ~ JANUARY Ji~ 2001 --;:;;:-~5,'~;'/7/"" SIIC'.l'eRROr to Farmers Trust v / Registe /6 - C:;o 7- /6 ~o. 21-00-137 Estate of AGNES R. KING , Deceased DECREE OF PROBATE A~D GRA~T OF LETTERS AND NOW February 5 1i~ 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 January 27, 1989 described therein be admitted to probate and filed of record as the last will of Agnes R King and Letters Testamentary are hereby granted to M&T BANK. SUCESSOR TO FARMER's TRUST CO ~/<y(J ';;jJ:/// ~L2;hh(C ,/Ak"'7 egisttT of Wills FEES Probate, Letters, Etc. ......... Short Certificates( ) . . . . . . . . . . . .JC-pag.es. KenUnC1atlOn ................ JCP $ $ $ $ 5.00 TOTAL _ $ 293.00 . . .1::9~:-.~Q9.1. . .. . .. . . . . . . . .. . . . . . . 270.00 13.00 3.00 Edward L. Schorpp~ Esquire ATTORNEY (Sup. Ct. !.D. No.) Ten East High Street Carlisle. PA 17013 ADDRESS 717-243-3341 ~j~ Filed ~ c~ Hil'':; y,JI"; lH;'\,' l)'~(, This is lO enld}' riLl! . !HC information here given is correctly copied from an original certificate of death duly filed with me as Lxai f~q.>;istr;lr The ("'i:inal certificate will be forwarded to the State Vital Records Office for permanent filing. \tV,~RNING: It is illegal to duplicate this copy by photostat or photograph. No. a~~~ m.7Lk~ Local Registrar h.' fe"~ d,:., certificate, $2.00 p 6984142 NOV. 2 b 2000 Date 21-01-137 01.143"".2117 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STAll "ILI ~UM8EA NAME OF DECEDENT (f ItSt, Midde, l_~ .. AGE (l... ~ UNOER t Y€AR - Oayo so SOCIAL SECURITY NU~BER female .. 189 _ 09 - 4095 OAt E OF DEATH ,Me... 0.", ',",' .. November 23, 2000 Agnes R. King .. 93 v... BIRTHPlACE tC.1y and PLACE OF OERH fCl>Kk (If'Ity Ilf\e -~ .... ...-,udoQl>t on ()ltoer .-1 3tete 01 fCf8l9" CounII'yt HOSI'ITAt.: Jackson Twp... ...,_0 7. ra.... FACIlITY NAME PI not~. ~ SlrHl..",",,",,*, ::...,0 .. COUNTY OF DEArH .... Lebanon Hospital RACE - Amencan Incbn. SIKtI. Mr.. eIC. -, white ... \foAl DECEDENT EYER W us. ARUfOFOACES7 _ell NoD Pa. Did ...- ...... 1OwnMip? t7d.lJI =~=oI Mverstown MOTHER'S N~ "....~. ...IlIdlInSur"..... It. ~laggie Stewart "'''''MANT3'~AOQI!ESS''''''.~._.1'''''''''''_ t Pa. 17067 . 'j~ w. ~arpenter Ave. r~ers own, PlACE OF llISl'Ol;/TIOH""""""C_""n"'" lOCAhOH.~. 51.... Z9Coc1o ..""*"'- l;UmDer.Lana va ey Carlisle Pa. 17013 Memorial Gardens ' NAUE9~SS&ll~e t~sJ1yel!R!ba .... lICENSE NUUBER ._ /,~[)(./J It 71 c 2S11. Uc. ~ CASE REFERRED TO MEOtCAl EXAMINERlCOAONEA? ~.Jf51( ,..0 NOJL1I. ... ,..atoty .".... shodl Of....... I..". I "",,oatmat. i:=-..:= , I UAAITAl. STATUS. .....n.d ....,., M.rried. WidDwM. -- ... widowed .7c.o '!W.dIcedn"'-din SUlMY1NO SPOUSE l'........ Q"I'ltINldWl ~ NA .... .o. FArMER'S NAME (Fir" Middle. Uti) .~. Lebanon ...- II. "v;ri:Mn'i":r ""'HOD DISO'OSITION O _Kl ~O ~ 0lII00_ ... SIONRUAI! OF John Rhoads PART n: ou..r Sfgniftc:MI c:ontIIioM concribulling 10 dI.lh. but noI rnuI"lnthe~~.,.,.InMAT I. ?(.(.~ A-Id llIlE 10 lOR AS A CONSEOUENCE OF): { : .. WERE AUlOPSY FINDINGS ~EPRlOATO COMPlET1ON OfF CAUSE 01' DERH. DUli1OIOR ASA CONSEOlIENCE Of), DUE 10 lOA AS A CONSEQUENCE OF): MANNER OF DEATH OATE Of INJURY 1_. DIy. _, TiME OF INJURY INJURY AI WOftK7 DESCRIBE HOW INJURY OCCURRED, ........ .Rl o o -- ...... .........Ion Could not be delMnlftId o o o PlACE OF INJURY. At hotN. I."". ..... 1aet0l'y. offtc:. .... -...-"" - .... _ 0 NoD ,..0 NoD -.. - ...d. 'f: ~O(.,. _. ..... CElntFlEIIlOcIl ontr onel -CERTIFYING PHYSICIAN (Ph~ e~ QuSe d Gn1h whet> ~roothef pt'YSIC~ has pronounc:ed des'" ana ~ed '*" 23) Te.......or"'YknowIItcIge......occurr.d........~.tand~..................,.......................................... . ... 'PRONOUNCING AND CE"'WYINQ PHYSICIAN IPhyslaan boIh uronounc.ng death ~ certtl'fl"Cj to cause of Math) -....... of my ..no..... ..... OCCUfrM .,IIM..... .,.. end pIKe. and due 10 the caUM(.) and m."".,.. ".leeI.. 'MEDICAL EXAMINERlCOAONEA On 11M bill'. o,.......".tlon .nd/or fnv...It.'kln.1n my optnlon. de.th occurred at ttM tlm.. da'e,.nd place,.nd due t. the CMI..(s).nd ,t..m............"...........................,.......,..................,.....,.................................... . REGI RAA'S StGHATUAE AND NUM8f,R " / J' tJ /' J :-)1.s=-~31 S';G I ,'\.VtNNY\.C~ r . ~'-~.\,().A'~/L '" /~ WILL 21-01-137 I, Agnes R. King, of 1060 Crains Gap Road, Carlisle, Cumberland County, Pennsylvania, being of sound disposing mind and memory, and fully appreciating the nature of my worldly estate and the natural objects of my bounty, do make, publish, and declare this as my last will and testament, and I hereby revoke any and all will sand codic il s to' will s by me heret of ore made. FIRST: (a). I give my gold ring wi th three diamonds mounted on it to my sister, Verna M. Miller, of 353 West Carpenter Street, Myerstown, Pennsylvania. (b). I give Two Thousand Dollars ($2,000.00) to Grace United Methodist Church of Carlisle, Pennsylvania. (c). I give Two Thousand Five Hundred Dollars ($2,500.00), each, to Lewis Eugene Walters and Sharon Swann Walters of 1061 Crains Gap Road, Carlisle, Pennsylvania. SECOND~ I give the remainder of my estate as follows: 1. One-third to Malcolm Seager of Myerstown, PA, John Seager of Myerstown, PA, and Diane Seager Reid of Geneva, New York, children of my sister, Anna I. Seager. If any of them do not survive me I give the share of such deceased person to the other children of Anna I. Seager. 2. One-third to Alfred Edwin Rhoads, brother of R.D. #1, Fredericksburg, Pennsylvania. 3. One-third to Verna M. Miller, sister, of Myerstown, Pennsylvania. THIRD: If Alfred E. Rhoads or Verna M. Miller do not survive me I give his or her share to his or her children, if any survive me. Otherwise, I give the share to the other of those two named persons. FOURTH: I direot that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid by my personal representative as an expense of the administration of my estate. FIFTH: I appoint Farmers Trust Company of Carlisle, Pennsylvania, executor to settle my estate. My executor shall serve without the necessity of filing bond, and I direct that the services of Marion R. Lower, Attorney at Law, of Carlisle, Pennsylvania, be used in the settlement of my estate. sr~ :1.'7 1989 (, f) \ 1 CI: rl\ J../\ \\ . A~es' R'. King :J VI". ::: J.S E A L ) /r 1. . Signed, published and declared by Agnes R. King, the testatrix herein named, as and for her las~ 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 thereto. r^1~ 7P- A~ 2. 21-01-137 -I ' ~ l-&()/ \~:f~M..- REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS //// ../ // ,/ ~ (each) a subscribing witness to the will presented herewith, (each) bei law, depose(s) and say(s) that duly qualified according to present and saw the testat , sign the same and that reqUest of testat in h presence and (in other subscribing witness(es)). signed as a witness at the e presence of each other) (in the presence of the Sworn to or affirmed and subscribed be me this ay of 19_ (Name) (Address) Register .,,/ (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS David C. Gority and Lois K. VanOrden (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of Agnes R. King cftic:il will testa~ ix of ~XBkxNxx~H~XKkR~~~) the presented herewith and codicil believes the signature on the will is in the handwriting of that they Agnes R. King to the best of .their _ knowledge and belief. Sworn to or affirmed and subscribed before me this 8th day of David C. Gority (Name) ?y(;. _ ~ 2001"0,, ne West High St., Carlisle, , ?r,p;/.nj,!P )~~ . i,!:{tressi . RegISter" \1L (. rAL-1 ./ . Lois K. VanOrder(Name) One West High St., Carlisle, PA 17013 PA 17013 (Address) 21-01-137 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS ~ (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat in 11 presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19_ (Name) (Address) Register (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS David C. Gority -and 1~L K. Vu.uO_deR (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of Agnes R. King cak:il will of ~xBii::xDbelasll~xwitJ'lasssllS{~) the presented herewith and codicil believes the signature on the will is in the handwriting of testaJ:'ix that they Agnes R. King to the best of their knowledge and belief. Sworn to or affirmed and subscribed before me this 5th day of Da id C. Gori (Na z) . February . ~~ One West High St., Carlisle, PA 17013 //7'///(?~///L!//LJjll) ~~~~ (Address) (-;/ RegISter Lois K. VanOrder(Name) One West High St., Carlisle, PA 17013 (Address) r 0'\ C ~ 'ltri .~.Q 0'\ ;5 . ~ . ~a ~ :j ~ Ilrot o S ~ 1-1 ~ co 00 . . 00 co 00 .. .. 00 NN *** .. .... ell .. ~ 41 'I"l .. 8]~ 1:1 Iol 0 I-I~E-l " ~ fOOl =~ E-li' 41 fOOl UN !a IlO ~~ 41 i ~ ~: I+ol "l:I 0 41 ~ 41 !~ ~,: r&l 6U!I!Sodea eJoles 40elea eseeld .. C/ rI M&I' Investment Group Register of Wills One Courthouse Square Carlisle, P A 17013 CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: AGNES R. KING Date of Death: November 23,2000 Will No. : 21-01-0137 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration 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 February 12, 2001. John Seager 609 South Railroad St. Myerstown, P A 17067 Diane Seager Reid 136 Hillcrest A venue Geneva, NY 14456 Sandra James Linda Myer 1086 Richland Road Box 411 Stouchsburg, P A 17087 Schaefferstown, P A 17088 John C. Rhoads, Sr. 10 1 Rhoads Lane Myerstown, PA 17067 Vema M. Miller 353 West Carpenter St. Myerstown, P A 17067 Grace United Methodist Church 45 South West Street Carlisle, PA 17013 Lewis Eugene Walters 1061 Crains Gap Road Carlisle, P A 17013 Sharon Swann Walters 1061 Crains Gap Road Carlisle, PA 17013 Notice 1= now boon givon to 011 p",o", ontitlod lboreto nude' Rulo 5.6(a~~i>L Oat" Fob"""" 12, 2001 Signature t::- Name Jan F. Burke Address Manufacturers and Traders Trust Company One West High Street Carlisle, P A 17013 717-240-4504 Capacity: Personal Representative cc: Edward L. S.@horpp, Esq. ~_...- .:'"~. ':.: r ~ ~ I I I ~~ I w I iii CI: I ti w ~~ :c I 9 r 0 i u.. ! ,~ I 2 (> ~ ! '-' c. Cl I I . . 0 I 0 0 c> ~ I f- e 0 I ~ Z => 0 C. I [ 0 0 " " I r ::2: 0 Co I en <( ru ru to I t"- lfI l:R ...J I .....J I ~ ,..... I I <( I I <( .... I r d 0 I I ..., 0 I z f- <i: r m--'a: c.. I 0 I z::2:a:UJ f- I OCl)f-lD Z r >< <(CI)z::2: => I <C UJo=> 0 I ~ ~oz ::2: I .... <( Q. <( I w --' I .... - ;:: I S~ w 0 I f- (f) I zen 0 -l I J <cW W -l I I >0 a: ~ I ..Jz LL I ><C ...J ~ 0 I en I zw <t a: I I zO - w I wZ 0 . 111 l- f D..<C 0 0- (f) - I .... u. u 0 CJ it u. . ..:t W I 0::: I a: w 0 f- Ct. r ~ 0 I z (J) ! i=' cr 0- (J) t w CD a: 0 f- ..... ~ I <r W fl"J a: w..... z I <( fo- IrO m (.t- I z ;-1' W C) <( ~ [J)..... (T) r > en t() ..J >- W [J) I .... I (J) x 0 a:: t!J<t ['.. _D:: 0 ZWe( I Z:J.... CD W .....ll. ('I) .... ..... 0 Z WZ.J ro cc: :r " 0 .... en 0) ...... C- O 0 c..UJe( N ~W I u..>~ r::. :l!i :J i= 0 0 0 Z 0 :# I oUJe I- I-W i Z 0 0 <r 0 .- :i I a:_ <( J:u..::: <( 0 U u1.J :iE ...... ....l!) OJ 0 .....J ru u I I ~oe c.. a: <I woo a: 0 tIi<r ....'-. " Ct:: ''''. w I <(.... ~ - LL tIio ~tIi~g~ U. 3H 0 ("' 0 ~o W J: P1 J: C -' I w ::J .....J ~a:11J UJe) ::2: ru <(0 m .... C'J U I Z::2:~OIll > Z wcr ~z ~" 0". r 11i-, --' [ otI:e(~~ iii _ UJ I 0..... ~....., CI) <( , ~<(w~a: <I Z<I w lll~.. c..ru a: .....' :J 0..... ~ w 1 0 ~ ou l-::2:ru l:>~ u.. <( ~u ~-- a: CI) .1 c..a::c..a: w <(:J 0 ::2: OW~UJ<( a: L I-Z UJ UJ .... Z UJ <( I OOlDOJ: U)~ ::2: .... (J) :J .... ::2: I w <( <( 0 0 <( UJ I CI: wu:: Z 0 c.. 0 0 a: I w :c I '3 [ f2 I 1 r I COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss: Jane F. Burke Vice President, Manufacturers & Traders Trust Co. being duly sworn . according to 'aw, deposes and says that she is .. Executor of the Estate of Agnes R. King late of ~rt.h. Middl~tQ1l..J;'QWJ.lQhip___~_ , Cumberland County, Pa., deceased and that the within is an inventory made by Manufacturers & Traders Tru'st Co. , the said Executor of the entire estate of said decedent, consisting of all the personal prop~rty and real estate, except rea' 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, ~J-&J& . Executor - Administrator :x;~u;qGM: w ~=I Manufacturers & Traders Trust Co. P.O. Box 220 Carlisle, PA 17013 Address Date of Death _' Notarial Seal Kathy J. Lear, Notary Public Carlisle Boro, Cumberland Cour y My Commission Expires July 26, 2004 23 Member, Pennsylvania Association 01 NotariNuv emb e r Day Month 2000 Y..r INSTRucnONS , .AR inv9r.~~ry,must be filed within three months after appointment c:if 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 persona'tyor realty 4. See Article IV, Fiduciaries Act of 1949. 0- .~ ..c: Ul Cll ~ H .~ 0 ,; ~ >- E-i .. ..... w ... Ul ~ c: ..... I=l ~ ~ ~ w ~ 0 .. Q.. +J U .. 0 V) Cll .. . 0- C 0 w w ~ r-i C u- p.. >- ~ a::: "l:l og H .. I- Q.. Q.. c: to- ..J LL .~ "l:l 0 .. c z -< 0 ~ .~ ~ ..c: 0 u. ..J ::E:. Q.. U ~ W < w ~ > 0 c: ~I .;. U) Z ..c: .... Z 0 +J c: . 0 H :I H 0 V) Z ~ 0 0 c: 0 Z w -< Z - "l:l Q.. ." H c: Cll ~ ~ I - 0: "l:l 0 . ~ . I ..a ." ..M , GI E 0 .... ..! I ~ :I 0 I -' 0 u: ID Inventory of the real and personal estate of AGBES R. DlfG deceased - 9771.227 shs. Vision Interaediate Ter.Bond Pond '123 - Dividend for Vision Inte:raediate Ter. Bond Fund '123 - 2015.406 shs. OppenheiBer Strai;egic IncCUle Fund Class A - Dividend for Oppenhe:iaer Strategic IncOllle Fund Class A - 2.5H par US Tr~ Bote 5.625% 2-28-01 - Interest to DOD on. US Treasury Rote - Inco.e to DOD Agnes R. King, Power of Attorney - Principal Cash Agnes R. King, Power of Attorney - . - Blue Cross/Blue Shield PreJliua Refund - If&THank, Checking Account '421863 - USG ADnuity Contract US062811 ....... ,;or: 91,165 55 471 95 8,101 93 68 53 24,957 06 332 04 9,471 84 84,854 37 162 40 19,340 94 11,526 77 I t If I - 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 MANUFACTURERS & TRADERS TR.CO. ONE WEST HIGH STREET CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 189-09-4095 FILE NUMBER: 21-2001- 0137 DECEDENT NAME: KING AGNES R DATE OF PAYMENT: 08/01/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 11/23/2000 NO. CD 000102 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $10,159.22 I I I I I I I I TOTAL AMOUNT PAID: $10,159.22 REMARKS: M & T COMPANY CHECK#1016389 INITIALS: VZ RECEIVED BY: SEAL REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS - \, /b- 0207-/0 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 ~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-01-2001 KING 11-23-2000 21 01-0137 CUMBERLAND 101 MANUFACTURERS & 1415 RITNER HWY PO BOX 220 CARLISLE TRDER 'tR *' IEY-1547 EX AFP <12-001 AGNES R Amount R_iUed PA 17013 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 ~ REY=is'4-j-E3f-AFP--fi'2-:iioY-NCfficE--OF-YNHEifiTANCrTAX-APPRifisEifENT~--Ar.rOWANCE-oii----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KING AGNES R FILE NO. 21 01-0137 ACN 101 DATE 10-01-2001 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and reflect figures that include the total ~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. AMount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due, TAX CR~DITS: f'AynENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-20-2001 AA478040 1,052.63 20,000.00 08-01-2001 CDOOOI02 .00 10,159.22 INTEREST IS CHARGED THROUGH 10-16-2001 TOTAL TAX CREDIT 31,211.85 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 490.00 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 6.54 TOTAL DUE 496.54 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) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets Cl) (2) (3) (4) (5) (6) (7) .00 125,097.06 .00 .00 125,356.32 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Govern.ental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) ClO) 22,348.76 20.00 (11) Cl2) Cl3) (14) NOTE: .00 .00 73,694.88 152,389.74 X 00 = X 045 = X 12 = X 15 = · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 250,453.38 ~2 .368 U. 228,084.62 2,000.00 226,084.62 19 will (19)= .00 .00 8,843.39 22,858.46 31,701.85 ( IF TOTAL DUE IS LESS THAN $1, 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.) REV.147D EX (6-88) '* INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDMDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENrS NAME , FILE NUMBER AGNES R KING REVIEWED BY ACN 2101-0137 101 John Kealy ITEM SCHEDULE NO. H B-3 EXPLANATION OF CHANGES The claim for the family exemption has been disallowed. The claimant must be a spouse or if no spouse, a parent or child living in the same household as the decedent as of the date of death. ROW Page 1 REV-1162 EX(11-96) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INDIVIOUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 000455 RECEIVED FROM: M & T INVESTMENT GROUP ONE WEST HIGH STREET CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT -------- fold 101 $496.54 ESTATE INFORMATION: SSN: 189-09-4095 FILE NUMBER: 21-2001- 0137 DECEDENT NAME: KING AGNES R DATE OF PAYMENT: 10/29/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 11/23/2000 TOTAL AMOUNT PAID: $496.54 REMARKS: M & T INVESTMENT GROUP CHECK# 754092 INITIALS: DO RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS SEAL REGISTER OF WILLS r "1 ~ 4 "'" !- '" ., 1 ~ . J " ~ ~o -L....1~ =~ SCU ~ ~ Z ~( s~ ~...... ~ _ 0 I ~ ~BI ~RI " . f t ,- I \ o 17) - I! ...... . C,.) a p' \.,,' f == .. .. .. --= = .. ...... .. -= - .. .. .. -= .. - .. - ""': .. .. - - .... ~ .. == .. .. .. .. .. - - .] II!II'II!I';. -= -= ff o ". ~., ~ ", ... ", .... o ,.. ..... -. " r < H Z < >111 ....=>> >-Z (1)111 Z> ZIII IIID:: D. 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S 1-"" Ii llil:.... l.. CI)::::)o 0 ...JO..... ... ...JU.... III 1-1 ... 3:0 .&. U4 +' LL Q..... OJ::! 0 Z .. llil:4UJ ~ UJ ...J...J ... I- llil: CI) +' CI) UJ 1-1 l.. I-ICQ...J 0 (!) 2: llil: Q. UJ::::) 4 l.. llil:UU II Q. Q. ::l II .&. +' UJ CI) ::::) o ::J: +' C II Ii ~ III Q. )( III +' , +' ... Ii .0 ::l III (I) A D:: o U III D:: D::' =>> o > D:: o I&. Z o H I- D:: o D. D:: III 3 o .... .. +' C ::l o U U III Z H < I- III D:: l.. ::l o ~ o +' i ! II l.. U l.. II Q. f .~ Q. H II ...., l.. ::l III C ... o I- (I) H :c I- m Z o .... < l- =>> U .. III l- e z I I I I i m M&I' Investment Group Trust Operations One M & T Plaza - 8th Floor Buffalo NY 14203 Recoraed of Register 01 'iViIIs 12/4/01 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 '01 Die -7 All :30 Clerk- C C',umbetlanCi Co., PA No. 200010135 KING, AGNES R. ESTATE 119544609 12/4/01 OFFICER 0075 JANE F. BURKE REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 o INCOME ~ PRINCIPAL $1.57 20 FILE # 21-01-0137 BALANCE PA INHERITANCE TAX " TRSCHKTRCHKl IOO:i DETACH-& RETAIN FOR YOUR RECORDS " COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: M & T INVESTMENT GROUP ONE WEST HIGH STREET CARLISLE, PA 17013 _n__n_ fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 189-09-4095 FILE NUMBER: 21-2001- 0137 DECEDENT NAME: KING AGNES R DA TE OF PAYMENT: 12/07/2001 POSTMARK DATE: 12/05/2001 COUNTY: CUMBERLAND DATE OF DEATH: 11/23/2000 ACN ASSESSMENT CONTROL NUMBER 101 TOTAL AMOUNT PAID: REMARKS: M & T INVESTMENT GROUP CHECK# 200010135 SEAL INITIALS: PB RECEIVED BY: REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 000615 MARY C. LEWIS REGISTER OF WILLS AMOUNT $1.57 $1.57 C/~ .. STATUS REPORT UNDER FULE 6.12 Name of Decedent: Agnes R. King Date of Death: November 23,2000 Will No. 2101-0137 Admin. No. 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 ofthe estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties In interest? Yes No X Copies of receipts, releases, joiners and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: October 15,2002 ~~~, Si ature Jane F. Burke, Trust Officer M and T Investment Group 1415 Ritner Highway P.O. Box 220 Carlisle, PA 17013 717-240-4504 .. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/08/2002 MANUFACTURERS & TRADERS TR.CO. ONE WEST HIGH STREET CARLISLE, PA 17013 RE: Estate of KING AGNES R File Number: 2001-00137 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 11/23/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~ 7Jt!J1t# I~ MARY C. LEWIS REGISTER OF WILLS cc: .v'File Counsel Judge /b-do7r'/CJ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT st* REV-I6D7 EX AFP liZ-DOl AecoraedOfflce of Register of Wills DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-26-2001 KING 11-23-2000 21 01-0137 CUMBERLAND 101 AGNES R MANUFACTURERS 8 1415 RITNER HWY PO BOX 220 CARLISLE TRDER .q~ NaY 30 P 3 :20 Allount Rellitted Qerk-C\ .. s Court PA QI1\Derland Co., PA MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i6ifj-i3r-AFP-fi'2-:ooy------...--iNifiiITANcE--TA3r-STA-fEME-tiT-O-F'-ACCoui.ff--...--------------------- ESTATE OF KING AGNES R FILE NO. 21 01-0137 ACN 101 DATE 11-26-2001 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PRO~ECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-01-2001 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 31,701.85 PAYMENTS (TAX CREDITS): BAL PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-20-2001 AA478040 1,052.63 20,000.00 08-01-2001 CDOOOI02 .00 10,159.22 10-29-2001 CDOO0455 6.54- 496.54 ANCE OF UNPAID INTEREST/PENALTY AS OF 10-30-2001 TOTAL TAX CREDIT 31,701.85 BALANCE OF TAX DUE .00 INTEREST AND PEN. 1.57 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 1.57 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, 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. ) /(;-c2tJ 7- /0 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *It BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z8D6Dl HARRISBURG, PA 171Z8-D6Dl REV-ln7 EX AFP (12-01> MANUFACTURERS & 1415 RITNER HWY PO BOX 220 CARLISLE TRDER TR .02 JAN 25 ,,~C~~TE OF "'''liATE OF DEATH FILE NUMBER P 2 ~~NTY 01-22-2002 KING 11-23-2000 21 01-0137 CUMBERLAND 101 AGNES R ReC011>~ Re~J1Ec~ Clerk. ; PA 17013 C'A,mberla',J iO Allount Rellitted I.,. . (; "-_.-\..-" ',-, ! ~ PA MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE: To insure proper credit to your account. submit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV :i6""O-j-E3f-AFP-fi2:ooY------...--iNirEii'i~fANcE--TA3f-sT'A-fEME-tiT-""o-F-Accouiff--...--------------------- ESTATE OF KING AGNES R FILE NO.21 01-0137 ACN 101 DATE 01-22-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYMENTS. THE CURRENT BALANCE. AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-01-2001 PR I NC I PAL TAX DUE: ..................._..................................................................................................................................................................................................... 31.701. 85 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-20-2001 AA478040 1.052.63 20.000.00 08-01-2001 CDOO0102 .00 10.159.22 10-29-2001 CDOO0455 6.54- 496.54 12-05-2001 CDOO0615 1. 57- 1.57 TOTAL TAX CREDIT 31.701.85 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 if IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl. YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l RElJ..1SOOEX,{6.OO) I!! ~~~ ufu Woo Gfil ~ REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEAlTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 1712B-<l601 I- Z W Q W U W Q DECEDENT'S NAME (lAST, FIRST AND MIDDLE INiTIAl) KilIG, AGNES R. DATE OF DEATH (MM-DIJ-YEAR) DATE OF BIRTH (MM-llD-YEAR) 11/23/2000 08/30/1907 (IF APPlICABlE) SURVMNG SPOUSE'S NAME (lAST, FIRST, AND MIODLE INiTIAl) ~ 1. Original Retum o 4. Umited Estate Q 6.lJecedent Died Testate __"'Will o 9.litigatioo ProceeOs Received o 2. Supplemen/lll Retum o 43. Future Interest Compromise {dale d d8eDJ . 12-12.a2} o 7. ClecedentMaintainedal.MngTrusl__"'T"",! D 10. Spousal Poverty Credit (del8ddeafl blllween 12-31-91 ard 1-1.95) OFFICIAL USE ONLY ~ __ II..c ~ ;2..0'7 - } () FILE NUMBER L L - ...ILL _...ILl. .....3 -1 _ COOffflCOOE YEAA 1UI8ER SOCIAl SECURITY NUMBER 189 - 09 4095 THIS RETURN MUST BE RLED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAl SECURITY NUMBER o 3. Remainder RebJm (dIM ddellh pdar D 12-13-82) o 5. Federal Estate Tax Return Required 8. Total Numbet of Safe lJeposil Boxes o 11. EJection to lax under Sac. 911;J(A) (-. "" 0) ... z w c z o .. '" ::! II: o U COMPlETE MAIUNG ADDRESS P.O. Box 220 1415 Ritner Highway carliSle. PA 17013 TElEPHONE NUMBER 717-240-4504 z o ~ ::J l- ii: ~ w a: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporallon, Par1nersl1lp or SoIe-ProprielOlsh/p 4. Mor1gages & Noles Receivable (Schedule OJ 5. Cash, _ 0ep0si1s & MisalI1aneous Personal Property (Schedule E) 6. JoinUy Owned Property (Schedule F) o 5epanl1e Biling Requested 7. Inter-VIVOS Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total GI'OII_ (total Unes 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts ofDeoe<lent, Mortgage liabilities, & Uens (Schedule I) 11. TolaI DeductIons (lOIal Unes 9 & 10) 12. Net VBlueofEstsle (line B rrinus Unell) 13. Charilable and Govemmenlal8equestslSec 9113 Trusts lor whicl\ an election to lax has lIO\ been made (Schedule J) (1) (2) (3) (4) (5) OFFICIAL USE ONLY no 125,097..-06 .00 .00 l?IiJ"lIli';' '1.? (6) (7) .00 .00 (9) (10) (S) 250,453.38 25.848.76 14. Net VBIue SubjottIoTax (Une 12 minus Unel3) z o !;( I-' ::J a. :E o u ~ SEE INSTRUClIONS ON REVERSE SIDE FOR APPLlCABLE RATES 15. Amount of Uno 14laxable alll1e spousal lax rate. or transfers under Sec. 911B (.)(1.2) x.O_ (15) 16. Amounlof Uno 14laxable allineal rate x.O_ (16) 72.528.21 150,056.41 x .12 (17) x .15 (18) {19} 17. Amount of Line 14_ at sibling ..Ie lB. Amount of Uno 14laxable.t collatarol Illte 19. Tax Due 20.0 CHECK HERE IF Y0U ARE REQUESTING A REFUND QF AN OVERPAYMENT :"!;j;\}':-'~'~:'-: . :1(' "ll'''..llfi'. ;<~;~','lf:~:;""; _"\:'0 ,-.." ,,,: ,n nn (11) (12) (13) 25.868.76 224,584.62 2.000.00 (14) 222,584.62 .00 .00 8,701.19 22.508.46 31.211.85 ,:i(" -,,~~, -"C,".' "~-:(f-)Y(~;JR":~A~::t~;~f(~ ,)';\~. Decedent's Complete Address: STREET ADDRESS 353 West Carnenter Street CITY I STATE I liP PA 17067 Tax Payments and Credits: 1. Tax Due (Page Wne 19) 2. CreditslPayments A. Spousal PolIefty Credn B. Prior Payments C. Discount (1) 1].1]].8'i nQ :>0,000 00 l,O'i1.63 TotaICredils(A+B+C) (2) 21.052.63 3. Interest/l'enalty ~ applicab/e D. fntelllSt . E. Penalty Totalln_enalty ( D + E ) (3) 4. ~ Une 2 is greater than Una 1 + Una 3, enter the d'rtference. This is the OVERPAYMENT. CI1eclI box on Page 1 line 20 to request. I8fund (4) 5. ~ Una 1 + Una 3 is greater than Line 2, enter the difference. This Is the TAX DUE. (5) .00 10,159.22 A. Enter the interest on the tax due. (SA) (5B) B. Enter the total of Una 5 + SA This Is the BALANCE DUE. 10.159.22 Make Check Payable to: REGISTER OF WILLS, AGENT p:~~ fil Jif f'-ILl "'JJ~J\'m--- un f~l._f]i' l:Bfi J;,..t:l~ ~_LL..JlIiIIl PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN .X.'N THE APPROPRIATE BLOCKS 1. Did decedent make a I1ansfer and; Yes No a. retain the use or income of the property transfenred;.......................................................................................... D Ii] b. retain !he right fn designate who shaH use the property I1ansferred Qr iIs income; ............................................ 0 Ii] c. retain a reversionaJ)' interes~ or.......................................................................................................................... 0 Ii] d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 Ii] 2. ~ death 0CCUITBd after December 12, 1982, did decedent bansfer property within one year of death without receiving adequate conSideration? .............................................................................................................. 0 IiJ 3. Did decedent own an rill trust 101' or payable upon death bank account or security at his or her death? .............. D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 I!J 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 peq..y. I declare that I have examined this retum,iocIuding ~ SChedules and statements, aOO 10 !he best of my knowledge and bel'18f. it is true, correct and complete. Oecfaration ofprepal1ll'o#letlflan!tle personaIrepresentafM! i$based.oo.af informalion ofwf1ich f)l8fJMN hasanyllnowledge. IGNATU 0 ERS RESPONSIBLE FOR FILING RETURN DATE Vice President, Manufacturers & Traders Trust COIIlpany DRESS P.O. Box 220. 1415 Ritner Highway, Carlisle. PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS L l_ ~ _ rl1_ilim~ :W~I!~ J - J l _ For dales of death on or after July 1, 1994 and beIcre January 1, 1995, the tax rate imposed on the net value of I1ansfers to or for the use of the suMving spouse is 3% [72 P.S. ~9116 (a) (1.1) Q)]' For dates of death on or after January 1, 1995, the tax rate imposed on the net value of I1ansfers In Qr for the use of the sulViving spouse is 0% [72 P.S. ~9116 (a) (1.1) Qi)]. The statute does not exemot a bansfer to a surviving spouse from tax, and the .statutory mquirements for disclosure of assets and filing a tax return are stili applicable even II 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 chUd lwenty-Qne 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. ~116(al(1.2)]. The tax rate imposed on the net value 01 transfers to Qr for the use of the decedenfs lineal beneficiaries is 4.5%, except as nolad in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)J. The tax rate imposed on the net value oIbansfWs fn Qr for !he use of !he decedenfs siblings is 12% [72 P.S. ~116{a)(1.3)]. A sibIlng is defined, under Section 9102, as an individual who has at least one parent in common with the deceden~ whether by blood or adoption. FlEY-ISI3EX.lt.an ESTATE OF '*' SCHEDULE B STOCKS & BONDS COMllONWEALTIl Of PENNSYl.VANA INHERfTAHCC TAX RE11JRN Rl;S1 DENT FI.E IlUIIBER 21 01 0137 AGI!IES R. KIIIG All property jolnlly.-.edwllb rlglltol_lp _ be_ OIl __ F. ITEM NUMBER 1. 2. 3. 4. 5. 6. VAlUE AT DATE OF DEATH $ 91,165.55 471. 95 DESCRIPTION 9171.227 Shs. Vision Intermediate Tera Bond Fund #123 Div. Itea 1 2015.406 Shs. Oppenheilller Strategic InClJIIe Fund Class A 8,101~93 68.53 Div. It:ea 3 25K par US Treasury Note 5.625% 2-28-01 24,957.06 Int:erest to DOD Item 5 332.04 ....... TOTAl. (Also enteron line 2, RecapiluIaIIon) $ 125,097.06 (" more space is needed, insert addI1ioOaI sheets of the same size) REV.l!!llBex+(f-91) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMl/ONWEAlTH OF f'ENNSYl.VANIA INHERIT ANCl: TAX RETURN RESIDENT DE ESTATE OF AGHES R. nIlG FILE NUMBER 21 01 0137 IncIud.!he proceeds of litigation and Il1e da1e Il1e proceeds were received by Ihe _ AI "",polly jaintIy-owned wiIb Il1e right oIsurvfvo...hip must be d_ on Schsdtdo F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF OEA TH 1. Incmae to OOD Agnes R. King, Power of Attorney 9,471.84 2. Principal Cash Agnes R. King, Power of Attorney Blue Cross/Blue Shield, PreaiUlll Refund 84,854.37 162.40 3. 4. K&T Bank, Checking Account #421863 19.340.94 5. USG Annuity Contract US062811 11,526.77 '.~ TOTAL (Also enter on IIn. 5, Recapitulation) $ (n more space Is needed, insert additional sheets of tile same size) 125.356.32 m1M&rBank April 20, 200 I RE: Estate Search The Estate of: Date of Death (0.0.0.) AGNES R KING 11/23/2000 To Whom It May Concern: Identified below is the account infonnation requested. I. M&T Bank accounts in which the decedent's name appears: Account Type Account Number Account Title apening Branch D.a.D. Accrued Interest Balances (Includes Accr. Int.) $19,340.94 $.00 CHK 421863 AGNESRKING cia VERNA M MILLER 4319 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount awed Account Description NO. Safe Deposit Box titled in the Decedent's name existed at our office. I f you have any questions about the infonnation provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 2440 outside of the Buffalo, NY calling area. Thank you. Sincerely, M&T BANK CaRPaRA naN BY: ~~~ .~ Authorized Signature DATE: 4~20-ol Manufacturers and Traders Trust Company' 1100 Wehrle Drive, Po. Box 7fil. Buffalo, NY 14240.0767 ... David A. langan Case Manager Wienken & Associates Financial Selvices 214 Senate Avenue, Su~e 303, Camp Hill, PA 1 7011 717-763-7365 FAX 717-763-7684 PalrIcia S. Langan Markeflng Project Manager Undo S, ShanK Certified Pcralegal Client Services Robert J. langan, CFS Investment Adviser Representaflve Christens McNuNy Certified Pcralegai, PcraPlanner June 28, 2001 M & T Investment Group Attn: Jane Burke POBox 220 Carlisle, PA 17013 RE: ESTATE OF AGNES R. KING USG ANNUITY CONTRACT # US062811 Dear Miss Burke: The value of the above referenced annuity contract as of November 23,2000 was $11 ,526.77. If you need any further information, please contact my office. Robert J. Langan, CFS, CSA RJUcmm Estate, Re1Irement, Business and Personal Financial SeMces . Employee Benefits PennsylVania offices in Harrtsburg . Philadelphia . state College Robert J. l-angan offers investment Advsorv Senilces through Wlenken & Associates RIA, Ltd. Wlenken.& Associates RIA, Ltd. Is not a subsidiary or afflliafe of MML Investors Services inc. Robert J. l-angan off"", Secu<Ilies 1hrough MML Investors ServIces Inc. Supervisory OtfIce: 214 Senate Avenue, Camp Hili, PA 17011 . 717_763-7365 JUL 0 2 2D01 AE\I.1511 EX+- (12-99) . *' COMMONWEALTH OF .PENNSYLVANIA INHERITANCE TAX REl1JRN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF AGNES R. KDIG filE NUMBER 21 01 0137 ~~~mmM~~~~L ITEM NUMBER . DESCRIPTION AMOUNr A. FUNERAL EXPENSES: I. GROSE FDNEllAL BOHE, INC. 5,390.00 B. ADMINISTRATIVE COSTS: 1. PelSOO8l Representative's Commissions Name 01 PelSOO8I Represenlative(s) Manufacturers and Traders Trust Com>anv 10,765.17 Social Seeulily Nue1ber(s)/EIN N\lmber ot P....... RepI1lSeflIaliVes) SIIeet Address 1415 Ritner Rild1vav, P.O. Box 220 City Carlisle S1ateJ>.\....Zip 17013 Yeel{s) Commissial Paid: . 2. Attorney Fe..~rtson, Deardorff, Williams & Otto 5,382.59 3. Family Exemption: (n _enrs address is not tile same as ~s, attach expIanaIlOn) Claimant Verna Hiller 3,500.00 SIIeet Address City SIale_ Zip AeI8l1onship 01 Claimant 10 Decedent Sister 4. Probele_ 5. Accounlanfs Fe.. 6. Tax Retum Preparefs _ 7. Register of Wills, Letters Testamentary 293.00 Recorder of Deeds, Filing Releases 18.00 Closing and Filing Costs 500.00 " .,y:. - TOTAL (Also enter on line 9, Recapitulation) $ 25,848.76 Qf more space is needed. insert addiliooal sheels ollM same size) -"I5f2ex.cr.f1J . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS CO....OIlWE.UHOF__VAHIA IllHEmTAHCC TAX RElIJRN RE IlECSlEHT ESTATE OF AGRI!S R. IlBG FILE NUMBER 21 01 0137 Include unrelmbumd _leal oxpensa. ITEM NUMBER DESCRIPTION AMOUNT 1. Check presented after OOD to It&T Bank Checking Account 1421863 20.00 -~. TOTAL(Alsoenleronline10,RecapituJatfon) $ 20.00 (If mae space is needed. insert additional sheetS QI\t1e same sI%e) A>V'~""""O'. CQMMOHWEALTH OF PENNSYLVANIA INliERITANCE TAX RETURN RESlIlE>IT OECEOE>IT SCHEDULE J BENEFICIARIES ESTATE OF AGIIES 11. KDIG FIlE NUMBER 21 01 0137 RElATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not UstTrustee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY L TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. VERlIA H. MTU .n 353 West Carpenter Street Hyerstown, PA 17067 2. JOHN SEAGER 609 South llailroad Street Hyerstown, PA 17067 Sister 1/3 of Residue Nephew 1/6 of Residue 3. DIAlIE SEAGER REID 136 Hillcrest Avenue Geneva, NY 14456 Niece 1/6 of Residue 4. SANDRA JAMES 1086 Ilichland Road Stouchsburg, PA 17087 Niece 1/9 of !led-due 5. LlllIlA IlYEIl Box 411 Schaefferstown, PA 17088 Niece 1/9 of Residue (additional sheet attached) ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE. ON REV 1500 COVER SHEET Il. NON-TAXABLE DISTRIBUTIONS: . A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. GRACE UNITED METHODIST CHUR.CII 2,000.00 TOTAL OF PART Jb,ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $2,000.00 (If more space IS needed, msert additional sheets of the same size) SCHEDULE J BEHEFICIARII!S (Coned') l!Iumber NaIIe and Address of Person REceiving Property 6 JOHN C. RHOADS. SR. 101 Ilhoads Lane Kyerstown. PA 11067 1. LEWIS EUGERE WALTERS 1061 Crains Gap Road Carlisle. PA 11013 8. SHARON SWAD WALTERS 1061 Crains Gap Road Carlisle. PA 11013 --;~ Re1ationship AIoount of SbaJ Nephew 1/9 of Residue Friend $2.500.00 Friend 2.500.00 " 1 WILL . II vr I, Agnes R. King, of 1060 Crains Gap Road, Carlisle, Cumberland County, Pennsylvania, being of sound disposing mind and memory, and fully appreciating the nature of my worldly estate and the natural objects of my bounty, do make, publish, and declare this as my last will and testament, and I hereby revoke any and all wills and codicils to wills by me heretofore made. FIRST: (al. I give my gold ring with three diamonds mounted on it to my sister, Verna M. Miller, of 353 West Carpenter Street, Myerstown, Pennsylvania. (b). I give Two Thousand Dollars ($2,000.00) to Grace United Methodist Church of Carlisle, Pennsylvania. (c). I give Two Thousand Five Hundred Dollars ($2,500.00), each, to Lewis Eugene Walters and Sharon Swann Walters of 1061 Crains Gap Road, Carlisle, Pennsylvania. SECOND. I give the remainder of my estate as follows: 1. One-third to Malcolm Seager of Myerstown, PA, John Seager of Myerstown, PA, and Diane Seager Reid of Geneva, New York, children of my sister, Anna I. Seager. If any of them do not survive me I give the share of such deceased person to the other chilaren of Anna I. Seager. 2. One-third to Alfred Edwin Rhoads, brother of R.D. 111, Fredericksburg, Pennsylvania. 3. One-third to Verna M. Miller, sister, of Myerstown, Pennsylvania. THIRD: If Alfred E. Rhoads or Verna M. Miller do not survive me I give his or her share to his or her children, if any survive me. Otherwise, I give the share to the other of those two nameu persons. FOURTH: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid by my personal representative as an expense of the administration of my estate. FIFTH: I appoint Farmers Trust Company of Carlisle, Pennsylvania, executor to settle my estate. My executor shall serve without the necessity of filing bond, and I direct that the services of Marion R. Lower, Attorney at Law, of Carlisle, Pennsylvania, be used in the settlement of my estate. 1~~ I~' ;:>f;1-~ Aog-l'fes R. King .2'7 1989 ", )..SEAL) r 1. .' I Signed, published and declared by Agnes R. King, the testatrix herein 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 thereto. t:;r.tA.J7f2~ v t^1~ ?P- A~ 2.