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HomeMy WebLinkAbout01-0166 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of ROBERTJ.MCNAMARA No. oZ/- cJ;- /6 C, also known as , Deceased Social Security No. 179-30-7927 Pe@oner(s), who Is/are 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) CJI A. Probate and Grant of Letters and aver that Petitioner( s) is/are the execut_ named in the Last Will of the Decedent, dated and codicil(s) dated State relevant circumstances, e.g., renunciatiDn, death Df executDr, ele Except as follows, Decedent did not marry. was not divorced. and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: CJI B. Grant of Letters of Administration (c.I.a., d.b.n.c.l.a.: pendente lite; durante absentia; durante minoritate) Petitioner after a proper search has ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence S/6Tl.3fl 13 "{o T/1 E f<, 90 Ege Drive Carlisle, PA 17013 i 303 CL IPPER .. I Margaret E. McNamara Sister (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 90 Eae Drive. Carlisle. Cumberland County. Pennsvlvania (list street, number and municipality) Decedent, then~ years of age, died November 12.2000, at (LocatiDn) Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property ............................................... $ (If not domiciled in PA) Personal property in Pennsylvania. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ (If not domiciled in PA) Personal property in County. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Value of real estate in Pennsylvania ........................................................... $ T ata I ........................................................................... $ Real Estate situated as follows: 10.000.00 10,000.00 Wherefore. Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: I Signature 7~/&JV".yt~r c!'- ')11cYl~~fi~~ I Typed or printed name and residence I Margaret E. McNamara 90 Ege Drive Carlisle, PA 17013 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioners and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. Sworn to and affirmed and subscribed before me this 18th day of APRIL 2001 ~~y (!~H-I<0~h'/'~'e/~~"'7 DECREE OF REGISTER 1./1 ~,; \ / "]/J- IY~~ c.-_ }/t{~ ~""1:'v~ Marg rat E. McNamara . Estate of ROBERTJ.MCNAMARA Deceased No. 2] -0 1-1 hh also known as Social Security No: 179-30-7927 Date of Death: 11/12/00 AND NOW, MAY 22 ,2001, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 0 Testamentary . of Administration (c.I.a.; dbnc.t.; pendente Irte; durante absentia; durante minoritate) are hereby granted to MARGARETE. MCNAMARA in the above estate and that the instrument(s), if any, dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters.......................... . $ 40.00 Short Certificate( s).......... $ 15.00 Renunciation................. . $ 10.00 Affidavit ( )................ . $ Extra Pages ( )........... . $ Codicil.......................... $ JCP Fee........................ $ 5.00 Inventory & Tax Forms... $ Other.... .9.9.PJ~.~............ $ .50 Attorney: 1.0. No: ~&~ 49679 Address: 3401 North Front Street Harrisburo. PA 17110-0950 Telephone: 717-232-5000 DATE FILED: TOTAL........... ..... $ 70.50 :257782_ MAY 1 Register of Wills of Cumberland County, Pennsylvania ' 2001 RENUNCIA TION Estate of ROBERTJ.MCNAMARA No. 21-01-166 also known as , Deceased The undersigned, THOMAS J. MCNAMARA, Brother (Relationship) (Capacity) of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request( s} that Letters be issued to MARGARETE. MCNAMARA Witness mv hand this . /.... 'Y", , 200 1 1069 Hoover Drive, North Brunswick, NJ 08902-3220 (Address) Sworn to or affirm~d subscribed before me this day of ~~ otary Public My Commission Expires: lAURALEJlQa Notafy PubIc State of New Jersey .!i~' C0mmt~b" EXDlre~ Junt'!?~ 'S/' :258246 _1 ~ Register of Wills of Cumberland County, Pennsylvania RENUNCIA TION Estate of ROBERTJ.MCNAMARA No. 21-01-166 also known as I Deceased The undersigned, M. AGNES MCCANN, Sister (Relationship) (Capacity) of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to MARGARET E. MCNAMARA Witness mv hand this 7/f- UO/LA . /6 d:Y10f~' 200 1 }J/ Oy04.;~J ~/~~ (Signature) ~ ""'"'''''''' .Jl&,. ~ELlE I}"" ...~ ~v ..........~~L't.'" ,:; ... .. \T ~ ~ ... ... ~ : : ~OT AI=?~... :. =z: -. __ :.: ;'I'T]. ~ :0. ~~~. (J8L\G.:~.: ., . . ~ ... ..~. ..... ~ ~ .... ... ~"$ " 1;0 ........... ~~ ,'" ~/"II itER CO~ \\,\", ,.~~::.,...,,',' 1303 Clipper Lane. Wilminaton. NC 28405 (Address) !\ i\ to Lcnih rl~Llt (hc intorrrUiio!1 here e,ivet] i" \..11ITl'cd\ lopil'd 11(1111 llllJI Rl'~istrar. The will 'lw t~)t'\\,nd<.'d t,~ dw \Llh \it ll.'1llti(.ltl' \ dl';l'l: \111h tJkd with ill'.I' !~\'\(lI"lb (Will '(l) renlLl tilin~~. WARNING' It is illegal to duplicate this copy by photostat or photograph, tl'l' t;)!" rill\ ,~,;::!"[!tl<..l '!,', '-2 ()() ~;\ ,,~,((~~, DF'pti';'~:)\ i," ~ \.. .', '1' ()~. ,I' .;;::>o.~. , </.Jc "-.:.., /iiJ'~/ r6a..""'~\' ~.~, ,~ v,~ ~~' 7~\ ~ ~ "ij.""" '~~\ '~~.. ,~~~.: ~f! '1 d' , '..~,~ \~ ~ ' ~'> "I \";-.. :tI;;... ~ ,{"r,/ ~~., I MEN1 1)'1; \,,(,,1 ~:.:.'."!~:!!--,..!.!.~~-'_/ tZvk/ ;r~? , ~~ ~,l'''/ ~t /7 " . ..:. />".'..e .-5' , t .::.~.tV<;'~<:r~-!; "'-;::,.:"..--",, , -"'-q-'- l (I', ti p 8920209 NOV 2 () 2000 [ ),1\',' :\ " 2187 COMMONWEALTH OF PENNSVLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH . -,. __ COUNTY OF OERH . t Cu.mbVtlaYl.d ..... CMLL.6le. BoJr.o STillE fILE NUMBER ~--------------------- :Ma!e--h~cUR:~~BER -792;'- BIRTHPLACE ICoIy aroO P1...4CE OF DE1J'H leI-eel< ""'" Me.- """ ,,,,",,':1.0<'" 00 - -~ Slale Of Fcreogn Counllyl HOSPITAL: Inpa".n1 0 ... FACILITY NAME (II IlOlln$/'MIOO, Q've SlIee( and nomllefl 7M:t. CMme.l, PA =1Iy)O NAME OF DECEDENT (f',~SiM"'ddi6~- _u______ 66 Vra UNDER 1 DIIi ,....---:-:-:--- Hou<s I MI(\ul.. I AGE (LaSl BorlhOay) Ie. CaJr.l~~le. Ho~p~tal .... KINO OF BUSINESS/INDUSTRV WAS DECEDENT EilER IN U~S~ ARMED fORCES? Vb 0 No.e:1 RACE . Amenc:an 1ndi8n. 8lac:k, While. .,e; ,Sptd,) Wh~:te. 10. DECEDENT'S USUAl OCCUmtOH .. '~v:on.~.d:c'Io~~~:'i' .. l1a. G.1taph~c. A.1tti~t l1b. Ne.w~papVt OECEDENT'S MAIliNG AOOAESS (SIr.... CIlyITown, Slale. Zip Codel DECEDENT'S 90 Ege. VJr.~ve. ~i1~~lNCE CMl~~le., P A 1701 3 ~~::r::.";"" SURVIIIING SPOUSE (It ....., lllllO. maldell name) 11a. Slat. FA Oicl clecedenl live WI a 1OWnsIlip? 1Wp. ". F1J'HER'S NAME ,Fiest. Mo<\dIe~ Last) 11. Alotj~~u..6 J. McNamMa INFORMANT'S NAME (type/Plln\) M.6. MM gM e:t E. McNamaJr.a loIETHOO OF DISPOSITION BunaI 0 Cremation .lZ1 0Iher ($peclly) 17b. Goun Cu.mbVtiaYl.d cllylbOrO 17013 21C. 171 09 t . u., CorQpIet. rt.ms 23;i-c only wilen cenlly1ng p/lytic;18I1 IS not avarlallle a. lime 01 death to c:eruI't ca.... 01 dealh 171 09 .....ElIIATl CAUSE (FInal doSeaSa 01 eondltoon resullnr.l on Ollalt\)- 21. , Ajlptox....... I inI......_ : .-. ana death I l No~ II..... 24.28 ...... be completed by ~n ",no ptOnOU""'. death PART II: 0lIllIt Sig/lillcanl condlIiona COnIIlbuIing 10 dutll. but not rMUllinQ in IIMr ~ ""... given in PAfIT I. WAS AN AUTOPSY PERFORMED? I: WERE AUlOPSYF~S A""'LAaLE PRIOR 10 COMPLETION Of' CAUSE OF OERH? o ll.. 'n~ \r:" ~ It..1~~ "~r~~ PU~) ~~.~i~ ~P\-\ fJU\L ~~,hv...'\ ) W I~~= _ Ent.. UNDERLYING CAUSE (Ocsease 01 """'~ INl rllIiaIed .- ,-...no "' '-"1 lAST Ves 0 MANNER OF oe1J'H Har",.. ~ HomI<:ide 0 Accident P.ndin9lcw..lillallon 0 Suicide 0 Could not be deI.m\Ined 0 TIME OF INJURY INJURV 1J' WORK? DESCRIBE HOW INJURY OCCURRED. ,. 0 NoD 2... 2ab. CERTIFIER ,eMek oniy onel . CERTIFYING PHYSICIAN 'PhySIC",n ce<blyulg cause 01 dealll when another phvSoCoan has poonounce<l oealh an<l compleled lIem 231 To the beet 01 "'~ knowledve. duth oc:c:_ d..-to \h. ..us.(sland manner.. 11.led. . . . . . . . . . . . . . . . . . . . . . . . . . . . 21. 3,*- PLACE OF INJURY - A.home, larm. s".... taC1CXY, olfiCe buiIdin9, .tc, ,Spec,'y) 3Oe. M. 301:. _0 No~ No~ lOC1J'1ON (Str_. CIlyITown. SlaI.1 o 'PRONOUNCING AND CERTIFYING PHYSICIAN IPhySoCoan bOIh ;JIooouoc,ng oeath and een,fyOt\Q 10 cause 01 dea",\ To !he bHl of my knowledge, dttaltl """....eel al!he tlm., dal.. and pl.ce. and due \0 the u....(.).nd m.nn.,.. .I.Ied 'MEDICAL EXAMINER/CORONER On Ihe buia 0' ."aminallon andlor inve.ligalion, in my opinion, dealh occurrad al.he tlma, dale, and place. and du"lo th. caule(.) and manner .. sfaled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . 11.. REGISTRAR'S SIGNATUR~D NUMBER ~ 13 U::-JtA..:./ ~ .. a.-1~e;'~ J o I~ II~/( I J..~/~ ~~ ./ ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: ROBERT J. MCNAMARA Date of Death: November 12, 2000 File No. 21-01-0166 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 August 30,2001. Name Address Margaret E. McNamara M. Agnes McCann Thomas J. McNamara 90 Ege Drive, Carlisle, PA 17013 1303 Clipper Lane, Wilmington, NC 28405 1069 Hoover Drive, North Brunswick, NJ 08902 Notice has now been given to all persons entitled thereto under Rule 5.6(a) Date: August 30.2001 .. / _ ~1 ///. ._ ///-./-' ~. oj -:7<4} .:Y".c/~ 1" /""------ Signatur~ . Vicky Ann Trimmer. Esquire Name 3401 North Front Street Harrisburq, PA 17110 Address (717) 232-5000 Telephone Capacity: _ Personal Representative ~ Counsel for Personal Representative :270745 1 Register of Wills of Cumberland County, Pennsylvania c:) I. ' ( INVENTORY Estate of ROBERTJ.McNAMARA No. 21-01-0166 also known as Date of Death November 12, 2000 Deceased Social Security No. 179-30-7927 Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. IMie verify that the statements made in this Inventory are true and correct. IMie understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Address 3401 N Front Street, Harrisburg, PA 17110-0950 Personal Representative: Margaret E. McNamara 1r~~/ }J/f~/(~~ Dated: -6 -/0 -0 ) Name of Attorney: Vicky Ann Trimmer, Esquire I.D No: 49679 Telephone: (717) 232-5000 DESCRIPTION VALUE 1. Janus Mutual Fund Acct #200267103 $ 3,931.16 2. Transamerica Ins. Refund $ 966.40 3. Transamerica Ins. Reimbursement $ 434.61 4. QSP Magazine - Subscription Refund $ 20.30 5. Keystone Insurance $ 9.91 TOTAL: $ 5,362.38 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative. include the value of each item, but such figures should not be extended into the total of the Inventory. :268856 _1 if) m > r JJ m S )> JJ ^ (f) .." i2 o z 2J m ~ )> rC/) m $: m-/ m z;l> ,:.:; ~ ~,' ~ -/ ',';; ?ii m ~ ~,O o,,:n Z ~~ ~, ~ ,,-/ ~ _- ;l> -/ 6 z o )> -I m o '11 '~ C~ )> " -. -I ;I -, o o c Z r<~ -0 o en -I S )> .',:D -/\ '.0 :?::; ".,r'm o )> -I m o 11 -.-0 )> -< 's nlm "Z -I r )> -. en ~'.:::..:::' -< ',. - , " "" .., :: :0 '- en ..:::' :JJ m G) C/) - -i m JJ o " ~ r r- oo ~ JJ m o m <: c: m ;-~ 0 .. =:., OJ " -< -j o -j )> r )> s: o c z -j 'lJ )> is ~," ,. '\ .." i2 o I m :IJ m COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT, 280601 HARRISBURG, PA 17128-0601 -- ~'" ."-. ....,.. '__I '\"1 I :n m (") m ~ ~ o ~ ~g~~() :D-o::a-og :D:-Im)>s (i)1\))>JJO ~~c:~Z JJo~m:E p....z~~ -0 COr )> <'l1~ ":j 6:Do I\) C:~'l1 (Xl )>m-o 6 r-zm 0> ;:!cz S ><m~ ~ ~ ~ Z ;; ,'- ',-~~ )> zO(f) O(f) czm)> s-j(f)o OJ]J(f)z moS: JJr~ -j o " " - o - )> r- :D m o m - ." -f Z ::t: m J;J ~~ zm OZ mZ :t>(J) Z< C~ m:t> (J)Z -1- :t>:t> -f m -I :t> >< > s: o c z -j Z o )> )> ...r:=r- -.J (X) o o W :JJ m :: ~ I\) m x <0 ~ RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT MARGARET E MCNAMARA 90 EGE DRIVE CARLISLE, PA 17013 ______n fold ESTATE INFORMATION: SSN: 179-30-7927 FILE NUMBER: 21 - 2001 - 01 66 DECEDENT NAME: MCNAMARA ROBERT J DATE OF PAYMENT: 08/13/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 11/12/2000 NO. CD 000148 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,133.67 I I I I I I I I TOTAL AMOUNT PAID: $2, 133.67 REMARKS: MARGARET E MCNAMARA CHECK# 723 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS 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 TRIMMER VICKY ANN 3401 NORTH FRONT STREET HARRISBURG, PA 17110-0950 n______ fold EST A TE INFORMATION: SSN: 179-30-7927 FILE NUMBER: 21 - 2001 - 01 66 DECEDENT NAME: MCNAMARA ROBERT J DA TE OF PAYMENT: 10/15/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 11/12/2000 NO. CD 000386 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $17.81 I I I I I I I I TOTAL AMOUNT PAID: $17.81 REMARKS: MARGARET E MCNAMARA C/O VICKY ANN TRIMMER ESQUIRE CHECK# 738 SEAL INITIALS: AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS /(p-rJ.O 9.. 7 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 09-24-2001 MCNAMARA 11-12-2000 21 01-0166 CUMBERLAND 101 VICKY ANN TRIMMER ESQ METTE ETAL PO BOX 5950 HBG PA 17110-1102 ~~ REV-1547 EX AFP elZ-DDl ROBERT J Amount Remitted 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 ~ R"fv=is4j-Ex--AFP--fl"2-:oo-r-tio'ficE-oF-YNHEifiTANce-;--AX-XPPRAiSEMENY-,--ALioWANCe-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MCNAMARA ROBERT J FILE NO. 21 01-0166 ACN 101 DATE 09-24-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 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) (S) (6) (7) .00 .00 .00 .00 5,412.38 117,413.03 150,038.30 (8) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 272,863.71 (11) (12) (13) (14) 9.3:77 14 263,536.57 .00 263,536.57 (9) nO) 8,461.43 865.71 NOTE: If an assessment was issued previously~ lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: IS. Amount of Line 14 at Spousal rate (IS) 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 CREDITS: .00 X 00 = .00 .00 X 045 = .00 263,536.57 X 12 = 31,624.39 .00 X 15 = .00 (19)= 31,624.39 PAYMENT RECEIPT I DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-12-2001 AA478003 1,473.68 28,000.00 08-13-2001 CDOOO148 .00 2,133.67 INTEREST IS CHARGED THROUGH 10-09-2001 TOTAL TAX CREDIT 31,607.35 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 17.04 REVERSE SIDE OF THIS FORM INTEREST AND PEN. .77 TOTAL DUE 17.81 * IF PAID AFTER DATE INDICATED, SEE REVERSE 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.) /{~~dOt)' -7 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT ~ t-- o * REV-l607 EX AFP 112-00l Recor ChX} Re\:(~te'- JG of 'In!! s DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-19-2001 MCNAMARA 11-12-2000 21 01-0166 CUMBERLAND 101 ROBERT J VICKY ANN TRIM~ M 26 All :47 METTE ETAL PO BOX 5950 ClerK- _,-/00rt HBG r""m~*Lii~~1Q:O'J PA Amount Remitted 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 form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-" = 16oj-EX--AFP--f rz-:o (iY------...--i NifERiYANC'E-iAX-STAf EMENi-OF-ACCOlii-ff--...--------------- - - - - -- ESTATE OF MCNAMARA ROBERT J FILE NO.21 01-0166 ACN 101 DATE 11-19-2001 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 PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-24-2001 PRINCIPAL TAX DUE: .......................... 31,624.39 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-12-2001 AA478003 1,473.68 28,000.00 08-13-2001 CDOO0148 .00 2,133.67 10-15-2001 CDOO0386 .77- 17.81 TOTAL TAX CREDIT 31,624.39 BALANCE OF TAX DUE .00 INTEREST AND PEN. .03 IE IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .03 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 (}V/ r ~ STATUS REPORT UNDER RULE 6.12 NAME OF DECEDENT: ROBERTJ.MCNAMARA DATE OF DEATH: November 12, 2000 FILE NO: 21-01-00166 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. account is: The separate Orphans' Court No. (if any) for the personal representative's 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 Clerk of the Orphans' Court and may be attached to this report. DATE: / c' /1 '7 /~i -'L (~~4!~ a:.bG~<~~~_ Signature Vicky Ann Trimmer. Esauire 3401 N. Front Street. Harrisbura. PA 17110-0950 (717) 232-5000 Capacity: Personal Representative x Counsel for Personal Representative :308271 _1 Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (71 7) 240 - 6345 Date: 10/08/2002 MARGARET E MCNAMARA 90 EGE DRIVE CARLISLE, PA 17013 RE: Estate of MCNAMARA ROBERT J File Number: 2001-00166 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: 11/12/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, {)~}tJ. t?W~ /,Oi P~,.w,,-, MARY C. LEWIS .~~~ REGISTER OF WILLS cc: v' File Counsel Judge ~ oZ ? \I( I () - '7 - c ,- 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 01 0166 COUNTY CODE YEAR NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER M::Namara, Robert J. 179-30-7927 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 11/12/00 9/16/1934 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 3, Remainder Return CHECK ~' OrIginal Return ~' Supplemental Return 8 (date of death prior to 12-13-82) APPRO- 4, Limited Estate 4a, Future Interest Compromise 5, Federal Estate Tax Return Required (date of deatt1 aHer 12-12-B2) PRIATE 6, Decedent Died Testate 7, Decedent Maintained a living Trust 0 8, Total Number of Safe Deposit Boxes (Attach copy of Will} (Attact1 acopyofTrust) 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) (AttachSch 0) i'fIl$~t@N;MQ$\t;\lltq~p;'iigw~rii~~.@qijflPllfttj~m~JI!!@ijM4TIQj,j$ffl:!Qi;Pj,jI!IlI!lj@(~IlTI:lt NAME COMPLETE MAiliNG ADDRESS COR- Vicky Arm Trill1lEr, Esauire 3401 N. Front Street RE- FIRM NAME (If Applicable) ro Box 5950 SPON DENT Mette, Evans & Woodside Han-isburg , PA 17110-0950 TELEPHONE NUMBER 717-232-5000 NOne OFFICIAL USE ONLY 1, Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) N::>ne 3, Closely Held Corporation, Partnership or SoJe-Proprietorship (3) None 4, Mortgages & Notes Receivable (Schedule 0) (4) NOne 5, Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 5,412.38 6, Joinlly Owned Property (Schedule F) 0 Separate Billing Requested (6) 117,413 .03 RECA- PITULA- 7, Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) 150,038.30 8. Total Gross Assets (total Lines 1-7) (8) 272,863.71 9, FUneral Expenses & Administrative Costs (Schedule H)(9) 8,461.43 10, Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 865.71 "11. Total Deductions (total Lines 9 & 10) (11) 9,327.14 12, Net Value of Estate (Line 8 minus Line 11) (12) 263,536.57 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) 263,536.57 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15, Amount of Line 14taxableatthespousaltax (ate, orlransfElTsunderSec. 9116{aX1.2) X ,0 (15) TAX 16, Amount of Line 14 taxable at lineal rate 0.00 X,O 45 (16) 0.00 - COMPU- 17. Amountof Line 14 taxable at sibling rate 263,536.57 X .12 (17) 31,624.39 TATION 18. Amountof Line 14 taxable at collateral rate 0.00 )( .15 (18) 0.00 19, Tax Due (19) 31,624.39 20, 0 l~qKB$R:e{ifYQ\)iMgag(:iij~li@;"ij~NbPll;ii.#Q,@!R:p.ii.~ijfl . . ....................................;;W;$l$$l)i3ltr.oA!l$~l'\i$QQii\;ltl.o!l$;Ql'!Fi"AtliiF~l'\!lPRiiGB!,(GI<Mi\i'tH,*........................ .. o PA15001 NTF 29755 Copyright 2000 GreatlandlNelco LP- Forms Software Only Estate of: Robert J. McNamara 21-01-0166 SLM>1ARY OF ALIDCATICNS 'TO BThIEFICIARIES Taxable at sibling rate Margaret E. McNamara 263,536.57 PA REV-1500 EX (6-00) Page 2 Decedent's ComDlete Address: STREET ADDRESS 90 Ei:!e Drive CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 31,624.39 28,000.00 l,490.72 Total Credits (A + B + C) (2) 29,490.72 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) 4. If Une 2 is greater than Line 1 + Une 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 Une 20 to request a refund 5. If Line 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT (3) 0.00 (4) (5) 2,1.33.67 (5A) 0.00 (5B) 2,1.33.67 ..'..-.-.....".,'.-,..,_._'.:.,.;............,-.-..,.-:-......-,-.,_.,.,.:...-,._'.-,.....-,-.'.-..'.:.,.-,._'_.,'...-.-.'-',_......-,'.,,'...'.,,-,'_.......,..-.',._,..,...,-.;....-,.....-,-..-...-' ..,'.. ....-.-.._....:'".-':..,:'",:"::,:;:":'",,,:)'::,::;;:,:;:::,;"",::,,:'::,:;;" ':;":':"':':}":':'::"::::';::: "":/:";,;:,;:,,::,::;:,,:,,::,,,:,;,,,,:,:::,:,.;.,.... PI..EASEANSWERTtiEFOI..LOWING QUESTIONS BYPI..ACING AN ")("jN THEAPPROPRiATEBI..OCKS "",:"-";,,,:-:,:,,,;-,,;,:,:,,:,,(:,,::,:,:::,../.-. 1. Did decedent make a transfer and: 8, 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 perjUlY, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and behef, it is true, correct and complete. Declaration of preparer other than the personal representative is based on information of which preparer has anv knowledQe. SIGNATURE OF PERSO ESPONSI E.f.9fllFILlNG RETURN DATE L C; tell<< '9-/0 0 ADDRESS See Schedule attached SIGN~ OF ~~AN REPRESENTATIVE AD6ESS 4- A' ~ 3401 N. Front Street, PO Box 5950, HarriSburg, PA 17110-0950 Yes No ~ I 8 ~ liS o DATE 8-/0- 0/ ..'-,......,-.:-....:.:.:.-,.-:-.....,-... ....:',-,-:-_.,':.....-',.,.-. F~.~...d~'t~'~'.~-f.''d'~~i'h''~;.:~:~'-~~:1~~.:'J::;i:y-.:'1:~'-1994._~'~'d:.:b.~f~~.~.:J~~~.~.~:;:'1':'.:1'9'9{':~.h-~';t~;-;'~t'~:-i-~:p:~'~"~d:';~-'t-r;-'~':.~.~{~~'Y~.~.'~'f"t'~~'~;~;f;~.~:-'t~: ':~:~-:f'~~'th:~:.~~:~;.~-f''th:~.~.~'~i~l:~:9:-~.~~~~:~'-(~':3~i~"'.'. [72 P.$. 9 9118 (al (1.1) (i)J. For dates of death on or after January 1, 1995, the tax rate is imposed on the net \lalue of transfers to or 101 the use of the surviving spouse is 0% [72 P.S. 9 9116 (a) (1.1)(iiJ]. "The statute rlO!!~ not p.xp.mr:Jt a transfer to a surviving spouse from tax, and the statutory requirements for disc.losure of assets and filing a tax return are still app)jcable even if the surviving spollse is the only beneficiary. For dates of death on or aHer July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, ora stepparent of the child isO% [72 P.S.1l9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S.!i 9116(1.2) [72 P.S. II 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)]. A sibling is defined, uflder Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood oradoption. o PA15002 NTF 29756 Copyright 2000 Greatland/Nelco LP - Forms Software Only Estate of: Robert J. M:::Nam3ra 21-01-0166 The following person(s) are signing the return as representative(s) of the estate: Margaret E. M:::Nam3ra 90 Ege Drive Carlisle, PA 17013 REV-150B EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert J. M:::Namara SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-01-0166 Include proceeds of litigation & date proceeds were received by the estate. All prop. Jointly-owned with right 01 survlvorshl must be disclosed on Sch. F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 Janus Mutual F\md Ac=unt #200267103 3,931.16 2 Keystone Ins. - accident insurance refund 9.91 3 'I'raIlSaITerica Ins. - long term care insurance - refund of premium 966.40 4 'I'raIlSaITerica Ins. - tredical reimburserrent 484.61 5 QSP Magazine - refund of subs=iption fee 20.30 TOTAL (Also enter on line 5, Recaoitu\ation) $ (If more space is needed, insert additional sheets 01 the same size) 5,412.38 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 NelcQ, Inc. REV-1509 Ex + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert J. McNamara SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-01-0166 If an asset was made JoInt withIn one year of the decedent's date of death, It must be reported on Schedule G. SURVIVING JOINT TENANTIS) NAME A Margaret E. McNamara ADDRESS RELATIONSHIP TO DECEDENT Sister 90 EJge Drive Carlisle, PA 17013 JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR MADE Include name of financial institution and bank DATE OF DEATH DECD'S VALUE OF JOINT account number or similar identifying number. NO. TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1 A Waypoint Bank Checking Account 27,517.08 50 13,758.54 #20035964 A Interest on above item accrued 49.70 50 24.85 as of decedent's death 2 A Waypoint Bank Checking Account 36,829.54 50 18,414.77 #20036012 A Interest on above item acc:rued 33.26 as of decedent's death 3 A Waypoint Bank Checking Ac=unt 11,395.52 50 5,697.76 #90718040 A Interest on above item accrued 2.09 50 1.04 as of decedent's death 4 A PSECU Checking Account 10,193.41 50 5,096.70 #0191264007 A Interest on above item accU1ed 6.17 50 3.08 as of decedent's death 5 A SUsqueharma Valley Federal 445.29 50 222.64 Credit Ulion Savings Ac=unt 'Ibtal fran continuation paqe (s) 74,160.39 TOTAL (AlSO enter on line 6, Recapitulation) $ 117,413 .03 7 CPA91 NTF 10909 (If more space is needed, insert additional sheets of the same size) Copyright Forms SoHware Only, 1997 Nelco, Inc. Page 2 Estate of: Robert J. M:::Namara Date Item Joint Made No. Tent. Joint 5 A A 6 A A 7 A 21-01-0166 SCEEDULE F Jointly-Owned Property Description Date of Death Value of Asset % of Deed's Interest Date of Death Value of Deed's Int. #1179-40 Interest on above item accrued 1.43 50 0.71 as of decedent's death PSEClJ Savings Account 44.33 50 22.16 #0191264007 Interest on above item a=ued 0.04 50 0.02 as of decedent's death 90 Ege Drive, Carlisle, 148,275.00 50 74,137.50 CUmberland Cbunty, PA (CUmberland Crossings Retirement Herre - total value $148,275.00 'IOI7\L. (Carxy forward to main schedule) . . . . . . 74,160.39 REV-1510 Ex + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert J. McNanara SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER n-01-0166 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 %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 AliErican Express IRA AcCOllllt 29,782.14 #01123916309 7 002 2 American Express IRA AcCOllllt 6,974.30 #01373916309 8 002 3 American Express IRA AcCOllllt 8,194.80 #01383916309 7 002 4 AliErican Express IRA AcCOllllt 10,730.58 #02373916309 7 002 5 AliErican Express IRA AcCOllllt 10,987.17 #02383916309 6 002 6 Fidelity Cbntrafund - 401 (k) 10,712.14 Savings Plan -Patriot News Cb. 7 Fidelity Magellan - 401 (k) Savings 10,180.99 Plan - Patriot News Cb. 8 Fidelity Asset Manager - 401 (k) 8,100.01 Savings Plan - Patriot News Cb. 9 Fidelity Puritan Fund - 401 (k) 7,793.87 Savings Plan - Patriot News Cb. 10 Fidelity Government Incare - 401 (k) 5,624.76 Savings Plan - Patriot News Cb. 11 Janus Venture Fund #201743451 6,177.88 12 American Express Annuity AcCOllllt 23,134.02 #93001907010 9 004 13 AliErican Express Annuity AcCOllllt 11,645.64 #93102007530 1 004 TOTAL (Also enter on line 7, Recapitulation) $ 150,038.30 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 Robert J. McNarrara SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-01-0166 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: AMOUNT See Schedule attached Total fran contirruation page (s) 3,088.35 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: !VEtte, Evans & W:x:xiside 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 5,000.00 0.00 4. Probate Fees 70.50 5. Accountant's Fees 120.00 6. Tax Return Preparer's Fees 0.00 7 Register of Wills - additional short certificates 15.00 8 Register of Wills - filing fee for inheritance tax retmn and inventory 25.00 9 Transportation for Executrix 60.00 10 Medical Chart 82.58 7 CPA11 NTF 10911 Copyright Forms Software Only, 1997 Nelco, Inc. TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 8,461.43 Estate of: Robert J. McNamara SGlEOOLE H, PART A -- Funeral Expenses Item No. Des=iption 1 Cremation Society of PA 2 Tbank You Cards, Postage, Marrorial Board, etc. 3 Hal Y Cards 4 Marrorial Masses 5 M::>rn.nrent - engraving 6 Angel Scent - flowers 7 Obituary 8 Grave opening 9 Ftmeral Mass 10 Flowers' Restaurant - funeral lnncheon 11 Giant & Nell's Market 'IOI'AL. (Carry fo:rward to main schedule) . . . . . . Page 2 21-01-0166 l\m::Junt 1,305.00 126.52 60.00 450.00 58.00 222.60 27.50 210.00 115.00 393.17 120.56 3,088.35 REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert J. M::Namara Include unreimbursed medical expenses. ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-01-0166 DESCRIPTION AMOUNT lOne-half of PSECU Visa Account, a=t is joint with sister. TOtal balance is $440.10. 220.05 2 Ct.urberland Crossings jointly CMIJed with sister. TOtal due is $811.25. 405.63 3 Utility Bills (gas, electric, etc) owed jointly with sister. TOtal amount is $100.72 50.36 4 Alert Phaxmacy - rredications 76.92 5 Sprint Telephone 112.75 7 CPA12 NTF 10912 TOTAL (Also enter on line 10, Recaoitulation) $ (If more space is needed, insert additional sheets of the same size) 865.71 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 Robert J. McNamara No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) RELATIONSHIP TO DECEDENT Do Not list Trustee(s) 1 Mrrgaret E. McNamara 90 Ege Drive Carlisle, PA 17013 Sister 21-01-0166 AMOUNT OR SHARE OF ESTATE 263,536.57 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 N:lne B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS N:lne TOTAL OF PART II -- 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 Nelca, Inc. 0.00 ~ JANUS ~ 100 F!LLMORE SiReST. PO BOX 173375. Oe:NVE!'l. COI...ORAOO S0:1\7.337~ \J -\0 PH: ;;103.3J3-3S63 . http://www.l...n~19.com 't-- February 8, 2001 FE8 t 52001 Vicky Ann Trimmer, Esquire Mette, Evans & Woodside 3401 N Front St PO Box 5950 Harrisburg PA 17110-0950 Reference: 00913061 Janus Venture Fund Account Number 201743451 Inv Fiduciary Trust Cust IRA a/ c Robert J McNamara Dear Ms. Trimmer: We've received your recent request for information on the above referenced account. As of November 12, 2000, the above account held 80.149 shares at $77.08 per share, for a total unaudited account balance of $6,177.88. If you'd like to reregister the account referenced above, we'll require the following documentation: A completed IRA Application from Margaret McNamara, if she chooses to roll the assets into an account in her name. A certified copy of the death certificate for Robert J McNamara dated within the last sixty days. This document must bear an original stamp or seal of the court - A signed letter of instruction bearing the signature guarantee of Margaret McNamara, advising what she would like done with the assets from the above mentioned account. A signature guarantee assures a signature is genuine and protects investors from unauthorized requests. The following financial institutions may guarantee signatures: banks, savings and loan associations, trust companies, credit unions, brokers/dealers, and member firms of a national securities exchange. Call your financial institution to see if they have the ability to guarantee a signature. A notary public can't provide a signature guarantee. I"UNDS DISTRIBUTED BY )A,NUS DISTRIBUTORS. INC. M5MseFl: NAsa. LHG0040537 ~I Way~qi!'Kt LOOK FOR US. WE'LL GET YOU THERE. \~~\\ ,\ DECEMBER 20, 2000 METTE EVANS & WOODSIDE 340\ NORTl-I FRONT 5T HARRISBURG, PA 17110 The infomlation which YOLL requested on the ROBERT MCNAMARA DECEASED (Social Security Number 179-30-7927) is as follows. Accrued Interest 20035964 20036012 90718040 CHECKIlNG CHECKING CHECKING 121895 111495 072491 27517.08 36829.54 11395.52 49.70 66.52 2.09 27566.78 36896.06 11397.61 no no no Account Number(s) Class of Account Date Opened Principal Balance Balance at Date of Death Account Ownership Name of Joint Owner, ifany Date Ownership Was Established MARGART MCNA~oINvIARGARET MC MARGARET MCNAMI4 RI1 N~1\\A('11 121895 111495 072491 PLEASE COMPLETE W-9 Additional Information Requested S~ly, 'PJIt 1atL~ilr!' C i'1I/h7' K3thy L. Yf=<J ' " SEnicx S2rvices Pep. PO. Box 1711. HARRISBURG. PENNSYLVANIA 17105-/711 Toll FrEE 1-866-WAYPOINT (1-866-929-7646) . www.waypointbank.com PSEC~ PENNSYLVANIA STATE EMPLOYEES CREDIT UNION December 19, 2000 Account # 0191264007 TINA L. OTTO C/O METTE EVANS & WOODSIDE 340] NORTH FRONT ST HARRISBURG, PA 17110-0950 Dear MS. OTTO: The following is the status of MARGARET E.. MCNAMARA's account with PSECU as of the date of death of Robert J. McNamara on November 12, 2000. Joint Owner's Name Date Established ROBERT J. MCNAMARA, Joint tenant with right of survivorship 12261989 Share(s) Regular Shares (SI) Checking Shares (S4) Balance $ 44.33 10,193.41 Accrued Dividend $0.04 6.]7 Loan(s) Personal Service Loan (Ll) VISA (L9)' 'PAID Balance $ 0.00 44010 Accrued Interest $0.00 0.00 The dividend earned from January 1,2000 through the date of death was $223.26. We do not have safe deposit boxes for our members. If you have any questions, please call 234-8484 in Harrisburg or our tol1- free numher, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. Sincerely, fJ:- (: ~. .,,1 " /' i ;; ,., . v ~\.Xf):'T Meacie Fair~ Member Service Representative Finance Support Unit Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990' (717) 234.8484' (800) 237-7328 Mailing Address: P.O. Box 67013, Harrisburg, PA 17106-7013' (717) 777-2100 (TOO)' (800) 472-1967 (TOO) www.psecu.com Savings federally insured up to 51 OO,QOO by the National Credit Union Administration. SUSQUEHANNA ~ ~ VALLEY FEDERAL CREDIT UNION January 24, 2001 Tina L. Otto Mette, Evans & Woodside P.O. Box 5950 Harrisburg, PA 17110-0950 Re: Estate of Robert J. McNamara Dear Ms. Otto: The above referenced decedent had a joint share savings account, Number 1179-40, with this Credit Union. The account was opened and titled in this fashion since June 5, 1978. The date of death balance was $445.29 plus accrued interest of $1.43 for a total of $446.72. The joint owner, Margaret McNamara, closed the account on November 21,2000. Sincerely, - / /' b'-;:::: /1' /0; / _;:FL-6ru...---- Larry L. Stoner President/CEO ~. ( ~. .~ 1213 SLATE HILL ROAD' CAMP HILL, PA 17011-8035 LOCAL: (717) 737-4152 TOLL FREE: (800) 948-l454 FAX: (717) 737-0589 i~~ ,~ ~ FRI 11:40 FAX 606 431 0259 --- '-' -. "-- --, - -_.'- -. The Patriot-News Company 401 (k) Savings Plan #BWNFXRL ROBERT MCNAMARA 90 EGE DR CARLISLE, PA 17013-7621 ENV#SM000039 SM 40472 T Your Account Summary Beginning Balance Change in MarKet Value Ending Balance $42,847.22 -435.45 $42,411.77 AddiEionallnformation . Vested Balance . Dividends & Interest $42,411.77 $29.06 Your Persona.l Rate of Return This Period -1 .0% Year fa Date -0.7% Your Personal Rate of Return is oalculat9d with the time.weigh!ed formula. it formula widely usvd by financial analysts to calculate the investment earnings of a portfolio. It r9fleds the results, ot your investment s~lactjons as well as any activity in the aCCOU(l1. There are other Personal Rate of Raturn formulas used that may yield different fesutts. Remember that pa5t perlorrnanc:a is no guarantee of future results. '__ FIDELITY !ill 002 Fidelity" In"estmenls~ Retirement Savings Statement Odober 31 , 2000 . November 12, 2000 Social Sacurtly Number: 179-30-7927 ~ For information virtually 24 hours a day call: 1-800-835-5097 Inlemel Address: hup1lnatbenelits.401 k.com Representatives are available 8:30 AM . 8:00 PM Your Asset Allocation . Slacks 70% . Bonds 28% o Short-term 2% Your account is currently allocated among the asset dasses specHied above. Percentages and totals may not be exact due to rounding. The Additional Fund Information section lists the allocation 01 your blended funds. Market Value of Your Account Displayed in this section is lhg value 01 your account 10r lha sta.tement period, in bQlh shares and dollars. Markel Value o 10/3 000 MarKst Valua on 11/1212000 Inve tm Shst'9S on 0130 000 Shares on Pries on Price on 11/12 00 10/3 /2000 11 2/20 0 ..,........'...".,:...,...,... ,:,,:,;::::,~:,::"i:-":'" '.,.,_ """;;'~;.~i6 81.474 Stl!~1(16~AAIiTi~nt<i... Fidelity Conlratund Fidelify Magellan Ell~~dl!(jFill1<llt\v..h'Mntjr', Fid ASset Manager ... '" ..,. Fidelity Puritan 193.920" ....... 81.474 .,'.,.......,','.'7":..,.'.:,',.:. ~jg,X23 ..... 411.938 :,:',:,:,:: ..;:,"..,....;.::::' ...,,';,...',','- 436.423 411.938 El~jj.~'ln:.\~~Iiii"!lI~'.'.'" Fidelity GOVllncome ;;:;;;"".-. .':<:,'... ".::;';'.., ... . 585.:303 .........:.'.,.. ....>~'\;23~O$ ;..... 10,796.53 10,442.52 ... ....foi$20;!l93.,13 10,712.14 10,180.99 ''''''''''''''''''"",,:.'' :::,:::O:;/::.::;::":i:':':;;:;::, . $55.24 $124.96 .....~\k~~..... $19.03 ., . - :."" ".::;,; :':' ::,,' ~ ",. $18.56 $18.92 'O.$16.1195;jj3; . '8,156.75 . 7,839.18 ...... ....$J;!;"i8l!3,1l.$ 8,100.01 7,793.87 .-,..'...."., ','..$.5;81:3;?~. .... 5,613.24 if:r;2iZ: .'+:'~;!!2q;7.El. 5,624.76 ..:.::,'::" .;.'.:,:,:: .. ,-,:,:;', ';::':,:,:.,:,:: $9:64 $9.61 0039 SM000039 0001 20010215 SM4K PleasliI f9ad lhis statement carefully. Any error must be reported to Fidelity 'nve~mems within 90 days. 179307927 Page 1 at 5 Financial Advisors IDS LIFE INSURANCE COMPANY AMERICAN EXPRESS FUNDS AMERICAN EXPRESS CERTIFICATE COMPANY AMERICAN EXPRESS BROKERAGE 70100 AX? Financial Center Minneapolis, MN 55474 December 22, 2000 DA VID L JOHNSON JR 19 S HANOVER STE 103 - [04 CARLISLE, PA 17013-3307 Deor DAVID L JOHNSON JR: Thank you for your recent inquiry regarding ROBERT J Me NANIARA's accounts. These are the values of the accounts as of 11/12/2000. At _t_he end of this tetter, you will find a list of benetlciaries shown in our initial review of the deceased's accounts. Account Information Mutual Funds Account Number 011239163097002 013739163098002 013839163097002 023139[6309 7 002 023839163096002 Annuities - Post 1985 Account Number 93001907010 9 004 931020075301004 Mutual Funds Account Number 011239163097002 01373916309 8 002 01383916309 7 002 023739163097002 023839163096002 Annuities - Post 1985 Account Number 930019070109004 93102007530 1004 Ownershio IRA ~ beneficiary designated IRA . ben~ficiary designated IRA - benettciary designated [RA - beneticiary de::;ignated IRA. beneticiary designated Ownershio Individual IRA - beneticiary designated Total Valu~ $29782.1~ $6974.3 $8194.8 $10730.58 $10987.17 Total Value $26134.02 $11645.64 # of shares 6371.210 653.636 302.950 [003.796 382.695 Asset Value Per Shure 4.660 10.670 27.050 10.690 28.710 Please note that the values indicated for any Life Insurance product(s) reflect the gross death bene tit at date of death, not the cash value. Insurance and annuities are issued by IDS Life Insurance Company. an Americall Express company