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HomeMy WebLinkAbout01-0209 Estate of Register of Wills of CUmberland County, Pennsylvania PETITION FOR GRANT OF LETTERS ~I-O 1- ;t 0 q No. Maraaret M. Bowen also known as . Deceased Social Security No. 201-18-7732 PeDDoner1*, wno 1~8 years of age or OlOer, appry(les) tor: (COMPLETE 'A' OR 'S' BELOW:) il A. Probate and Grant of Letters Testamentary and aver that Petitioner>>) is~ the exeClJta.!:..-named in the last Will of the Decedent, dated Augll!';t. 10. 1 qqq and codicil(s) dated N/A Harold K. Bowen, first-named Executor, sianed a Renunciation on 2/9/01 in favor of Allfirst Trust Company of Pennsylvania, N.A. (successor to Dauphin Deposit Bank & SlaIa relevant Qrt:u~tances, ..~ renunClal1on. oealn at ueQltor, elC. Tr t C ) us ompany. Except as follows, Decedent did not marry, was not divorced. and did not have a child bom or adopted after execution ot the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent:N/A o B. Grant of Letters of Administration (d..b.n.c.La.; penoenle ll1e; aurante aoserl~; Qurante rnncntale Petitioner(s) after a prope!' search hashlave ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: r Name Relationship Resioence I (COMPLETE IN ALL CASES:) Atladl aadlDonaJ sheets It necessary. Decedent was domiciled at death in Cumberland Meadows of West Shore (list Sll'eet. numoer and munidpamYl 4 County, Pennsylvania. wi~hler '& . .' ~ ~r ;;~;,;:;i;;aJ is:;ida~::a zt Country Decedent, then 91 years of age. died January 25 , OOQL at Holy Spirit Ho!';pitnl, F.n!';~ (Locauon) Pennsboro Twsp. $ 340,000.00 $ $ $ Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in PAl Personal property in Pennsylvania (If not domiciled in PAl Persooal property in County Value of real estate in Pennsylvania sittJated as follows: 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 me appropriate form to me undersigned: 51 "" lvania, N.A. Allfirst Trust Com 2 West High Street s Fonm #RW-1 Page 1 of 2 Prepared by the Pennsylvania Bar Association 1991 d Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well an~trulY ad' e~the cco~:: law. "~. 0" 0 Sworn to or affirmed and subscribed ~----.Z~ ':" ' '--- before me this 21st day of February ~x2001 . p.P1/M~ For the Regis~er MARY C. LEWIS I,:, --' No. 21-2001-209 Estate of Margaret M. Bowen Social Security No: 201-18-7732 AND NOW, February 22nd, Deceased Date of Death: January 25, 2001 , ~x200 1 ,in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters IX) Testamentary 0 Of Administration Cl.ll.n.c.t..a.; ;>enoeme lite; duram" aoo;enua; aU/am" monontale are hereby granted to Allfirst ,prust Company of Pennsylvania. N.A. (successor to Dauphin Deposit Bank & Trust Company) in the above estate and that the instrument(s) dated A~ust 30. 1999 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ..................... $ 101') 00 18.00 5: 00 Short Certificate(s) 6.. $ Renunciation ............ $ Affidavits ( ) ............. $ Extra Pages (3 ) ......... $ Codicil...................... $ JCP Fee ................... $ 1.0. No: 31q79 9.00 Address: 130 State Street. P.O. Box 946 Harrisburq, PA 17108-0946 (717) 236-0781 5.00 Telephone: Inventory .................. $ Other ....................... $ TOTAL............. $ 342.00 Fom1#AW-l Page 2 ot 2 Prepared by the Pennsylvania Bar Association 1991 C^LL EXECUTOR WHEN LETTERS ARE FINISHED H 105.805 REV 9/86 This is to certifY that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. . WARNING: It is illegal to duplicate this copy by photostat or photograph. No. 4?~ /~ ~:Z: ~ .-t...,;.i~P' Local Registrar (/-- Fee for this certificate, $2,00 p 7175496 JAN 2 9 2001 Date 21-2001-209 >.143 A.v_ 2187 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH NAME Of DECEDENT 1~lrSl Mlddkl, Las, .. Margaret M. Bowen SEX 2. female STAlE FilE NUMBER SOCIAL SECURITY NUMBER 3, 201 - 18 AGE (La.. 8H1hoay) UNDER' YEAR MonIhI Days UNDER 1 DAY Houra Minul.. 91 Vro. =..,10 50 COUNTY OF OEAI'H Cumberland Ie. RACe - American "'n. Black, While. Me. (SpKIy\ihi te '0. DECEDENT'S USUAl OCC\JPRION (';;;:=::~"::'::;'J.:f Farmers Market "L Florist ,,"- IlECEDENT'S UAIUNG _sa (So.... c..,no-. Slaoo. Z4>CodeI 275 Shauffnertown Rd. New Cumberland, Pa. 17070 ... FRttER'S NAME (Firsl. Mld<Ie. Last) ... Lloyd L . 1Nf00000000S NAME (TVP*f".., Harold K. Bowen METHOO OF DISPOSITION _ 00 C......,ion 0 __Stal.o au- (Spec SURVIVING SPOUse I.... grve madlIn name>> DECEDENT'S ACTUAL RESIDENCE (SeeIOS8JUCIJOnI on 0Ihet' SK1e) ..... l'1b. Cum berland CiIy-" Bowen _0 'L ::ruW.m:;::E~r . :=-~ item. 23K~ when certifytng ,,:= phpidan ill not......... aClIme o' dealh to . .. ceRIfy cauM 01 dNm. o 2001 LICENSE NUI.I8ER 221>.011248 L a. :ze. I AppIoximaI. . inIemII betnen : onMt and drN<<h I I I ...!) PART.: au-sign___nbutinglO.......but AOI ruuIing in ttM uncIeftytng CAUM given in PNn' I. DUE 10 (OR AS A CONSEOUENCE On I : DUE 10 (OR AS A CONSEOUENCE Ofl WERE AUlOPSY fINDINGS MANNER OF DEATH -'lA8LE PRIOR 10 ~ COMPt.ETION 01' CAUSE 0 OF OEAI'H? ...."'a1 HomiCidl -- 0 Pending &rwesaigalion 0 .... 0 ... "..0 ... 0 Suiado 0 Coukt not t.. determined 0 DATE Of INJURY tUonlh. Day, 'feat) TIMe OF INJURY INJURY 1<1 WORK? DESCRIBE HOW INJURY OCCURRED. .... 0 ...0 211i. 2.. CEllTIFIEA (Check oniy onel -CERTIfYING PHYSICIAN (PhYSICtar' cerWytng cauw ~ death wh8ll anolhef phYSIC... ha$ prOf"lOl.lflCed dealh ana ccmpteted lIem 231 To.... but: of My know""", death occUfNd'" to.... nUN(.) and manner .. .tatHl.. ................ 29. _. PlACE OF lNJUAY. AI home, farm, Sir..', ladOfy. office building. MC. CSpeclly) _. ... ~ ::-!!j II ~ -PRONOUNCING AND CERTIFYING PHYSICIAN (PhVSCIilfl bel" ;.>rOfloUflClO9 oealh and Cef1llytng 10 C~ 01 de.alh\ To the bMI 01 my knowledge, death occurred..... lime. da", and place. and due to the cauMCa) and manner.. s.allld o I I "MEDICAL EXAMINER/CORONER On the b..i. of examin..ton and/or inve.tlgation, in my opinion. death occurred a' the time. date, and place. and due to the uuse(a) and manner.. .t.ted... . . . .. . . .. ............ . . . . ... . . . .. . . . ... .. ...... . . .. . . . . . .... .. . ......... . . . .. 31.. n-IL:;;A~. ~_ ~ I /c;J.,V.( I 30. .."...~. LAST WILL AND TESTAMENT OF MARGARET M. BOWEN I, MARGARET M. BOWEN, ofFairview Township, York County, Pennsylvania, being of sound mind, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void any and all former Wills made by me at any time heretofore. ITEM I: I direct that the expenses of my burial and all my debts be paid as soon after my death as may be convenient to my Executor or Executrix hereinafter named. ITEM II: Death taxes: All federal, state and other death taxes payable on the property forming my gross estate for those purposes, whether or not it passes under this will, shall be paid out of the principal of my probate estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. This provision shall not apply to any property over which I have a general power of appointment for federal estate tax purposes. ITEM III: I appoint as my Executor ofthis Will my my brother, HAROLD K. BOWEN, provided he survives me by more than thirty (30) days. Ifhe fails to qualify or ceases to act for any reason, I appoint Dauphin Deposit Bank and Trust Company as Executor ofthis Will. ITEM IV: All the rest, residue and remainder of my estate I give, devise and bequeath as follows: A. Ten (1 0%) percent to the FAIRVIEWBETHEL CHURCH OF GOD, 800 Old Forge Road, Fairview Township, York County, Pennsylvania; x 7Yl./Y( /11~ B. Ten (10%) percent to BETHESDA MISSION, of Harrisburg, Pennsylvania; C. Sixty (60%) percent to my brother HAROLD K. BOWEN. If HAROLD K. BOWEN does not survive me, this share of my residuary estate shall pass to his children, per stirpes. D. Twenty (20%) percent to my then living nieces and nephews, per capita; provided, however, that ifmynephew DAVID G. BOWEN does not survive me, his share shall go EMILY to his children, SARAH BOWEN and EL-IZA-BBr~ BOWEN. ITEM V: I give to my Executrix, Executor and Trustees all those powers granted by law pursuant to the Pennsylvania Probate, Estates, and Fiduciaries Code. I direct that their authority be construed in the broadest manner consistent with validity and with their duties as fiduciaries hereunder in carrying out and executing my will. ITEM VI: To the extent that such requirements can be legally waived, I direct that my Executrix, Executors and Trustees shall not be required to post any bond or give any security in connection with their duties, hereunder. IN WITNESS WHEREOF, I, MARGARET M. BOWEN, have hereunto set my hand and seal to this, my Last Will and Testament which consists of L typewritten pages, this 3 O~day Of~'1999. I f');J} ~a;u;t7JZ. ~ MARG M. BOWEN \ Signed, sealed, published and declared by MARGARET M. BOWEN, the above-named, Testatrix, as 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 hereunto subscribed our names as witnesses. ;?' !J) ~ ,//7 // .." . . "'1/"~\'t2!t,"!~ / '- ?J::L -~ I - :1J~~ of 7'1/ ~~L ;:l~f dtv' c;~~;I?; / ~7 dJ 4/ / eLl ,=f" er I<d. /VeWCulr)ber/4n(0 Iff /70 70 of Witness ACKNOWLEDGMENT COMMONWEAL TH OF PENNSYL VANIA ) ) ss. COUNTY OF DAUPHIN ) I, MARGARET M. BOWEN, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed this instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. \ 7~WYr/ ~ MAR M. BOWEN Sworn or affirmed to and acknowledged before me, by MARGARET M. BOWEN, the Testatrix, this J&)/1J day of ~SeaI .....A,Harper.~' ~ ....f'~, Da~ -, VUI'n'~ Expires Sept. 1 2001 Member. Pennsvtvania AsSOCiation 01 ~Iot.l.rtes AFFIDA VIT COMMONWEAL TH OF PENNSYL VANIA ) ) ss. COUNTY OF DAUPHIN ) we,7ff~~~ and~~~ ,!hewitnesse, whose names are signed to the attached and foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrLllTIent as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight ofthe Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by these witnesses, this ...3:J>Jf day of ~u;;C , 1999. otary Public I ~~~ J .~~~~~ 1IeInber, P81.18)Mnla As8ocIatfon of ~ Register of Wills of Cumberland County, Pennsylvania RENUNCIA TION Estate of Marqaret M. Bowen No. 21-2001-209 also known as late of Hampden Township , Deceased The undersigned, Harold K. Bowen of 277 Shauffnertown Road. New Cumberland hereby renounces the right to administer the estate and respectfully requests that Letters Testamentarv be issued to Allfirst Trust Company of Pennsvlvania. N.A. (Successor to Dauphin Deposit Bank and Trust Co.) Witness my hand this 9th day of Februarv ,200 1 .~ M~~/I,1:'8P1R1-e~ Harold K. Bowen 277 Shauffnertown Road New Cumberland, PA 17070 Sworn to or affirme~ subscribed before me this 1 day of F-e/;rtLl-{v , 2001. / _~L/~ . Notary Public I Notarial Seal Anne M~rie Beshore, Notary Public Harnsburg, Dauphin County My Commission ExpIres Apr. 5, 2004 Member, Pennsylvania Association otNotanes f - CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Margaret M. Bowen Date of Death: January 25.2001 Will No. 2001-00209 Admin. No. 21-01-0209 To the Register: I certify that notice of 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 March 13. 2001 Name Address Harold K. Bowen. 277 Shauffnertown Road. New Cumberland. PA 17070 David G. Bowen. 275 Shauffnertown Road. New Cumberland. PA 17070 H. Kenneth Bowen. 275 Shauffnertown Road. New Cumberland. PA 17070 Judith C. Lenk. 4241 Nantucket Drive. Mechanicsburg, PA 17055 Arlene B. Peffer. 1327 W. Goodhue Avenue. Anaheim. CA 92802-2136 Velma Weaver. Box 165. East Waterford, PA 17021 Marion Fettro. 210 Herman Avenue. Lemoyne. PA 17043 H. Franklin Baker. 334 Herman Avenue. Lemoyne. PA 17043 Bethesda Mission. 611 Reily Street. Harrisburg. PA 17102 Fairview Bethel Church of God. 800 Old Forge Road. New Cumberland. PA 17070 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NONE Date: March ~, 2001 in Na Marvin Beshore. Esq. #31979 Address: 130 State Street. P.O. Box 946 Harrisburg. PA 17108-0946 Telephone: (717) 236-0781 Capacity: _ Personal Representative -L Counsel for Personal Representative Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of Margaret M. Bowen No. 2001- 00209 also known as Date of Death 01/25/2001 , Deceased Social Security No. 201-18- 7732 Allfirst Trust Company of PA, NA, 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. I /We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. 31979 Signatur Name of Attorney: Marvin Beshore, Esquire 1.0. No.: Signature: Address: 130 State St. PO Box 946 Address: 8 West High Street Harrisburg, PA 17108-0946 Carlisle, PA 17013 Telephone: 717/236-0781 Telephone: 717/240 - 6707 Dated: Description Value (See continuation page(s) attached) (Attach additional sheets if necessary) Total: 351,251.19 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. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form1lRW-7 (1992) Estate of: Date of Death: County: INVENTORY Margaret M. Bowen 01/25/2001 Cumberland CASH: $1,012.85 Allfirst Bank Certificate of Deposit 5.100% due 8/17/01 Accrued Interest 1,012.85 9.91 $1,025.73 Allfirst Bank Certificate of Deposit 5.100% due 6/20/01 Accrued Interest 1,025.73 5.31 $10,105.77 PNC Bank Certificate of Deposit #31200156118 Accrued Interest 10,105.77 46.49 $10,000 Allfirst Bank Certificate of Deposit 4.910% due 5/09/01 Accrued Interest 10,000.00 22.87 $10,322.68 Allfirst Bank Certificate of Deposit 6.350% due 6/24/01 Accrued Interest 10,322.68 113.14 $10,000 Allfirst Bank Certificate of Deposit 6.390% due 3/29/02 Accrued Interest 10,000.00 101.54 $10,161.46 Allfirst Bank Certificate of Deposit 6.490% due 11/24/01 Accrued Interest 10,161.46 3.61 $10,000.00 Allfirst Bank Certificate of Deposit 6.490% due 11/26/01 Accrued Interest 10,000.00 163.59 $100.26 Members First Federal Credit Union Certificate of Deposit #199194-00 Accrued Interest 100.26 0.19 1 Estate of: Date of Death: County: Margaret M. Bowen 01/25/2001 Cumberland $10,208.99 PNC Bank Certificate of Deposit #31200199051 Accrued Interest $20,191.57 PNC Bank Certificate of Deposit #31600178102 Accrued Interest $30,000.00 Members First Federal Credit Union Certificate of Deposit #199194-40 Accrued Interest $5,000 Allfirst Bank Certificate of Deposit 6.350% due 8/27/01 Accrued Interest $60,000.00 Allfirst Bank Certificate of Deposit 6.490% due 11/26/01 Accrued Interest $62,131.64 Allfirst Bank Certificate of Deposit 7.540% due 9/03/01 Accrued Interest Allfirst Bank MFA Account #0098176323 - Date of Death Value Accrued Interest Allfirst Bank Checking Account #0016760433 Accrued Interest Country Meadow Associates - Resident Refund First Union Checking Account #3083366655087 Accrued Interest Proceeds from 1,431 units Charter Municipal Mortgage Acceptance Co. Accrued Interest 2 10,208.99 32.79 20,191. 57 54.52 30,000.00 135.72 5,000.00 79.16 60,000.00 981. 50 62,131.64 1,093.44 6,820.00 15.35 1,821.38 0.63 2,255.89 23,310.61 25.87 5,782.00 393.53 Estate of: Date of Death: County: Margaret M. Bowen 01/25/2001 Cumberland Proceeds of Evergreen US Government Portfolio Money Market Accrued Interest Waypoint Bank Checking Account #1055311901 Accrued Interest BONDS: $10,000 Dauphin County PA Bond 6.15% due 8/1/09 Accrued Interest $10,000 Cumberland County Presbyterian Homes Bond 6% due 12/1/26 Accrued Interest $100 U.S. Savings Bond Series EE dated 04/30/1984 $100 U.S. Savings Bond Series EE dated 04/30/1984 $100 U.S. Savings Bond Series EE dated OS/25/1984 $100 U.S. Savings Bond Series EE dated OS/25/1984 $100 U.S. Savings Bond Series EE dated 08/28/1984 $100 U.S. Savings Bond Series EE dated 08/03/1983 $100 U.S. Savings Bond Series EE dated 08/03/1983 $100 U.S. Savings Bond Series EE dated 06/18/1984 $100 U.S. Savings Bond Series EE dated 05/06/1985 $100 U.S. Savings Bond Series EE dated 05/06/1985 3 11,132.61 13.85 5,039.26 15.54 10,075.08 297.25 10,181.38 90.00 141. 40 141.40 138.72 138.72 135.12 147.64 147.64 138. 72 129.88 129.88 309,731.25 Estate of: Margaret M. Bowen Date of Death: 01/25/2001 County: Cumberland $100 U.S. Savings Bond Series EE dated 09/25/1984 $100 U.S. Savings Bond Series EE dated 09/25/1984 $100 U.S. Savings Bond Series EE dated 03/28/1985 $100 U.S. Savings Bond Series EE dated 03/28/1985 $100 U.S. Savings Bond Series EE dated 06/18/1984 $100 U.S. Savings Bond Series EE dated 08/28/1984 $100 U.S. Savings Bond Series EE dated 08/27/1985 $100 U.S. Savings Bond Series EE dated 08/27/1985 $100 U.S. Savings Bond Series EE dated 10/10/1984 $100 U.S. Savings Bond Series EE dated 10/10/1984 $100 U.S. Savings Bond Series EE dated 10/11/1983 135.12 135.12 129.88 129.88 138.72 135.12 127.32 127.32 135.12 135.12 147.64 $100 U.S. Savings Bond Series EE dated 10/11/1983 147.64 $10,000 York County Hospital Authority Bond 6.4% due 4/1/15 Accrued Interest 10,132.72 202.67 $2,000 U.S. Savings Bonds Series HH dated 01/90 2,000.00 $5,000 Butler Co. PA Hospital Authority Bonds 8% due 2/1/22 Accrued Interest 5,031.11 193.33 $50 U.S. Savings Bond Series EE dated 06/13/1983 75.82 4 Estate of: Date of Death: County: Margaret M. Bowen 01/25/2001 Cumberland $50 U.S. Savings Bond Series EE dated 06/13/1983 $50 U.S. Savings Bond Series EE dated 06/13/1983 $50 U.S. Savings Bond Series EE dated 06/13/1983 75.82 75.82 75.82 TOTAL RECEIPTS OF PRINCIPAL..... .......... 5 41,519.94 351,251.19 ---------------- ---------------- 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 ALLFIRST TRUST CO OF PA N A 2 WEST HIGH STREET CARLISLE, PA 17013-2922 ____u__ fold ESTATE INFORMATION: SSN: 201-18-7732 FILE NUMBER: 21-2001- 0209 DECEDENT NAME: BOWEN MARGARET M DATE OF PAYMENT: 10/22/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/25/2001 NO. CD 000420 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $11,192.27 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: ALLFIRST TRUST COMPANY CHECK# 20249920 SEAL INITIALS: AC RECEIVED BY: $11,192.27 MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX Recorded Ofhce of Register of Wills '\ /, -.::J/~-~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 1)1 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN Ole -7 All :34 THOMAS MORKIN ALLFIRST TR CO 8 W HIGH ST CARLISLE OF PA ~rk-C _ C;ourt PA ~erland Co., PA 12-03-2001 BOWEN 01-25-2001 21 01-0209 CUMBERLAND 101 '* REY-1547 EX AFP 112-001 MARGARET M Allount Rellitted 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 ~ REV=is"4-i-ix-AFP--fi2-::00Y-NOTici--OF-YNHiififANCE-TAX-A-PPRA-isEMiNT~--Aii-oWANCE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BOWEN MARGARET M FILE NO. 21 01-0209 ACN 101 DATE 12-03-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 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 ll) (2) (3) (4) (5) (6) (7) .00 41,519.94 .00 .00 309,731.25 9,931.59 78,352.01 (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/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) llO) 39,063.74 183.67 (11) ll2) ll3) ll4) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 439,534.79 39.247 41 400,287.38 62,400.76 337,886.62 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: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due .00 X 00 = .00 .00 X 045 = .00 274,251. 94 X 12 = 32,910.23 63,634.68 X 15 = 9,545.20 ll9)= 42,455.43 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-18-2001 AA478287 1,563.16 29,700.00 10-22-2001 CDOO0420 .00 11,192.27 TOTAL TAX CREDIT 42,455.43 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . 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 HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) 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IE <<: t-O) a: 0 lZ' , 0: , ! \ <I-;; C!5 0 ..... 0)..... f2 0 ~% weD ~8 W xlO wzu.....a: ~~08ffi 1&1 u. U:i..J Z a:N @~ ::z- CD ~tU t.J \ ~ ..J 30:: _ w' ?(...... 0, E w....... <i. L ~a:~~S12 1&1 J <t w ell.... 00 0..4' :lo::O :J 0.... en \ ~ ~ UI \ ~~~~~ g <t NtJ I- ::Ztu ~CD ~ ~O \L. ~ en <(~ ::z 0 W:::lW< a: L w W t> z W OOIllOX tn~ ~ ~ ::l ~ :E I ~ 0 0 UI \ w wu: z 0 0.. 0 0 ex: I :x: I ~ 1 I \ \ IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA ORPHANS' COURT DIVISION ESTATE OF NO. 2001-00209 MARGARET M. BOWEN NOTICE TO PARTIES IN INTEREST OF THE FILING OF A FIRST AND FINAL ACCOUNT AND CALL FOR AUDIT YOU ARE HEREBY GIVEN NOTICE pursuant to Pennsylvania Orphans' Court Rule 6.3 and Cumberland County Local Rule 6.3-1 that a First and Final Account for the Estate of Margaret M. Bowen, deceased, was filed on May 17, 2002, with the Clerk of the Orphans' Court in Cumberland County, Pennsylvania. This First and Final Account will be scheduled to be called for audit before the Court at 9:00 a.m. on Tuesday, June 18, 2002, at the Cumberland County Courthouse, Hanover and High Streets, Carlisle, Pennsylvania. Any person who objects to transactions shown in the account must file written objections with the Clerk by 9:00 a.m. on Tuesday June 18, 2002 or the Court may otherwise assume that no objections exist or that any objections have been waived. The First and Final Account contains a proposed Schedule of Distribution which will be presented by the Estate to the Court for determination. Any objections to the transactions shown in the proposed Schedule of Distribution shall be filed in writing with the Clerk by 9:00 a.m. on Tuesday, June 18, 2002. Otherwise, the Court may assume that no objections exist to the proposed Schedule of Distribution or that any objections thereto have been waived. Attached are copies of the First and Final Account and Schedule of Proposed Distribution which was filed on May 17, 2002. ", s.-) B:jA~,~ M in Beshore, Jr., Esquire #31979 130 State Street, P.O. Box 946 Harrisburg, P A 17108-0946 (717) 236-0781 Attorney for Estate of Margaret M. Bowen Date: 05/,;2:11/02 CERTIFICATE OF SERVICE I hereby certify that I have this 21 st day of May, 2002, served a true and correct copy of the foregoing Notice to Parties of Interest of the Filing of a First and Final Account and Call for Audit via the United States Postal Service, first class postage prepaid, properly addressed to the following: H. Franklin Baker 334 Herman Avenue Lemoyne, P A 17043 David G. Bowen 275 Shauffnertown Road New Cumberland, P A 17070 H. Kenneth Bowen 275 Shauffnertown Road New Cumberland, P A 17070 Marion Fettro 210 Herman Avenue Lemoyne, P A 17043 Judith C. Lenk 4241 Nantucket Drive Mechanicsburg, P A 17055 Arlene B. Peffer 1327 W. Goodhue Avenue Anaheim, CA 92802 Velma Weaver Box 165 East Waterford, P A 17021 Harold K. Bowen 277 Shauffnertown Road New Cumberland, P A 17070 Fairview Bethel Church of God 878 Moore's Mountain Road Lewisberry, P A 17339 Bethesda Missio nof Harrisburg, Inc. P.O. Box 3041 Harrisburg, PAl 71 05 "" fit~ ~ Marvin Beshore, Esquire Attorney for Estate of Margaret M. Bowen IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF NO. 2001-00209 MARGARET M. BOWEN ATTORNEY'S CERTIFICATION I hereby certify that the requirements of Supreme Court Rule 6.3 and Cumberland County Orphans' Court Local Rule 6.3-1 with respect to notice to parties in interest of the filing of a First and Final Account and call for audit have been met. This 21 stday of May , 2002. in Beshore, squire, ill #31979 130 tate Street, P.O. Box 946 Harrisburg, P A 17108-0946 (717) 236-0781 Attorney for Estate of Margaret M. Bowen !'.: 1'......1 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: J el4d E ~-;Z/4 biLl) jl/;oj:fjs Will No. "--20- ~I-.J 02-,^OCJ tJ7.- Date of Death: 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 Name Address /tlpAJ( y L~iL' I1l.1s.p(/1 J-!rL/l'~S' C.O!Mr-l.J . (/ f/I. !I~ JI Il s J; I~ C. ({ 0 (14 We II ,V y-; (/ "- /iLl} j, / p. C.t 7t /1' &.$"1 t:k. i!JA/;' · #LSI . IIJ- 17 () /9 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: Signal",e 11 4 ;{ ~ lI>>Jnl J),t/d Name IJ fL 7/1 bu., J'fl )liL/? ~J' rlte'%-I (J Address ~ y $- ;;;~/C: 19 a i (l d..-- {!d.-rlt-s> /e/ 1/1. /?d/O Telephone <1/1 62 Sit ~ b:.7 S- l-- r 1'- Capacity: ~ersonal Representative r-, ,I P _Counsel for personal representative ),)0 ~ (}CJ I --' 00;{ 01. COMMONWEALTH OF PENNSYLVANIA OFFICE OF ATTORNEY GENERAL May 29, 2002 MIKE FISHER ATTORNEY GENERAL Charitable Trusts and Organizations Section 14111 Floor, Strawberry Sq. Harrisburg, PA 17120 Telephone: (717) 783-2853 Facsimile: (717) 787-1190 Marvin Beshore, Esquire MILSPAW & BESHORE 130 State Street P.O. Box 946 Harrisburg, PA 17108-0946 Re: Estate of Margaret M. Bowen / Dear Mr. Beshore: This will acknowledge receipt of your notice pursuant to Supreme Court Orphans' Court Rule 5.5, regarding the above-captioned matter. Based upon the documents provided, I have no objection to the First and Final Account. Please be advised that the above review was conducted pursuant to the parens patriae function of this Office and has no bearing on any matter unrelated to that function. It should be noted that this Office's approval of the current accounting should not be interpreted as approval of the practice of charging trustee fees according to a corporate fiduciary's fee schedule, and this Office will, of course, have the right in reviewing any future accounts, to object to any and all fees deemed excessive or inappropriate. Please forward a copy of the Order or Confirmation when entered so that we may complete our file. Very truly yours, ?~ J. 1/~--.d-- Heather J. Vance-Rittman Deputy Attorney General COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2 0 0 1 - 0 02 0 9 ESTATE OF MARGARET M. BOWEN, DECEASED FIRST AND FINAL ACCOUNT OF Allfirst Trust Company of Pennsylvania, NA, Executor ================================================================================ Date of Death: January 25, 2001 Date of Executor's Appointment: February 22, 2001 Date of First Advertisement of Letters: March 20, 2001 Accounting for the period: January 25, 2001 to May 14, 2002 ================================================================================ ("-/ Purpose of Account: Allfirst Trust Company of Pennsylvania, NA, Executor, offers this account to acquaint interested parties with the transactions that have occurred during this administration. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Allfirst Trust Company of Pennsylvania, NA 8 W. High Street Carlisle, PA 17013-2923 (717) 240-6707 Or Marvin Beshore, Esquire Milspaw & Beshore 130 State Street Harrisburg, PA 17108-0946 SUMMARY OF ACCOUNT Estate of Margaret M. Bowen, Deceased For Period of 01/25/2001 through 05/14/2002 Page Current Value Proposed Distributions to Beneficiaries 32-33 293,404.46 PRINCIPAL Receipts: Per Inventory Filed 3-8 This Account 8 Net Gain (or Loss) on Sales or Other Disposition 9-14 Less Disbursements: Debts of Decedent 15 Funeral Expenses 15 Administration Expenses 16 Federal and State Taxes 16 Reserves 16 458.67 5,118.00 649.74 40,892.27 33,500.00 Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand 17 For Information: Investments Made Changes in Investment Holdings 18-25 INCOME Receipts: This Account 26-29 Net Gain (or Loss) on Sales or Other Disposition Less Disbursements 30 Balance Before Distribution Distributions to Beneficiaries Income Balance on Hand 31 Investments Made Changes in Investment Holdings COMBINED BALANCE ON HAND 2 Fiduciary Acquisition Value 293,404.46 --------------- --------------- 351,251.19 40.00 11,256.76 362,547.95 80,618.68 281,929.27 0.00 281,929.27 15,884.47 0.00 15,884.47 4,409.28 11,475.19 0.00 11,475.19 293,404.46 RECEIPTS OF PRINCIPAL AS PER INVENTORY AS FILED: CASH: 01/25/01 $1,025.73 Allfirst Bank Certificate of Deposit 5.1% due 6/20/01 01/25/01 $1,025.73 Allfirst Bank Certificate of Deposit 5.1% due 6/20/01 - Accrued Interest 01/25/01 $1,012.85 Allfirst Bank Certificate of Deposit 5.1% due 8/17/01 01/25/01 $1,012.85 Allfirst Bank Certificate of Deposit 5.1% due 8/17/01 - Accrued Interest 01/25/01 $10,000 Allfirst Bank Certificate of Deposit 6.49% due 11/26/01 01/25/01 $10,000 Allfirst Bank Certificate of Deposit 6.49% due 11/26/01 - Accrued Interest 01/25/01 $10,161.46 Allfirst Bank Certificate of Deposit 6.49% due 11/24/01 01/25/01 $10,161.46 Allfirst Bank Certificate of Deposit 6.49% due 11/24/01 - Accrued Interest 01/25/01 $10,000 Allfirst Bank Certificate of Deposit 6.39% due 3/29/02 01/25/01 $10,000 Allfirst Bank Certificate of Deposit 6.39% due 3/29/02 - Accrued Interest 01/25/01 $10,000 Allfirst Bank Certificate of Deposit 4.91% due 5/9/01 01/25/01 $10,000 Allfirst Bank Certificate of Deposit 4.91% due 5/9/01 - Accrued Interest 3 1,025.73 5.31 1,012.85 9.91 10,000.00 163.59 10,161.46 3.61 10,000.00 101. 54 10,000.00 22.87 Fiduciary Acquisition Value 01/25/01 $10,322.68 Allfirst Bank 10,322.68 Certificate of Deposit 6.3S% due 6/24/01 01/25/01 $10,322.68 Allfirst Bank 113.14 Certificate of Deposit 6.35% due 6/24/01 - Accrued Interest 01/25/01 $10,000 Cumberland County 90.00 Presbyterian Homes Bond 6% due 12/1/26 - Accrued Interest 01/25/01 $10,000 Dauphin County PA Bond 297.25 6.15% due 8/1/09 - Accrued Interest 01/25/01 $100.26 Members First Federal 100.26 Credit Union Certificate of Deposit #199194-00 01/25/01 $100.26 Members First Federal 0.19 Credit Union Certificate of Deposit #199194-00 - Accrued Interest 01/25/01 $10,105.77 PNC Bank 10,105.77 Certificate of Deposit #31200156118 01/25/01 $10,105.77 PNC Bank 46.49 Certificate of Deposit #31200156118 - Accrued Interest 01/25/01 $10,208.99 PNC Bank 10,208.99 Certificate of Deposit #31200199051 01/25/01 $10,208.99 PNC Bank 32.79 Certificate of Deposit #31200199051 - Accrued Interest 01/25/01 $10,000 York County Hospital 202.67 Authority Bond 6.4% due 4/1/15 - Accrued Interest 01/25/01 $20,191.57 PNC Bank 20,191.57 Certificate of Deposit #31600178102 01/25/01 $20,191.57 PNC Bank 54.52 Certificate of Deposit #31600178102 - Accrued Interest 4 01/25/01 $30,000 Members First Federal 30,000.00 Credit union Certificate of Deposit #199194-40 01/25/01 $30,000 Members First Federal 135.72 Credit Union Certificate of Deposit #199194-40 - Accrued Interest 01/25/01 $5,000 Allfirst Bank 5,000.00 Certificate of Deposit 6.35% due 8/27/01 01/25/01 $5,000 Allfirst Bank 79.16 Certificate of Deposit 6.35% due 8/27/01 - Accrued Interest 01/25/01 $5,000 Butler Co PA Hosp 193.33 Authority Bonds 8% due 2/1/22 - Accrued Interest 01/25/01 $60,000 Allfirst Bank 60,000.00 Certificate of Deposit 6.49% due 11/26/01 01/25/01 $60,000 Allfirst Bank 981.50 Certificate of Deposit 6.49% due 11/26/01 - Accrued Interest 01/25/01 $62,131.64 Allfirst Bank 62,131.64 Certificate of Deposit 7.54% due 9/3/01 01/25/01 $62,131.64 Allfirst Bank 1,093.44 Certificate of Deposit 7.54% due 9/3/01 - Accrued Interest 01/25/01 Allfirst Bank Checking Account 1,821.38 #0016760433 01/25/01 Allfirst Bank Checking Account 0.63 #0016760433 - Accrued Interest 01/25/01 Allfirst Bank MFA Account 6,820.00 #0098176323 - Date of Death Value 01/25/01 Allfirst Bank MFA Account 15.35 #0098176323 - Accrued Interest 01/25/01 Country Meadows Associates - 2,255.89 Resident Refund 01/25/01 First Union Checking Account 23,310.61 #3083366655087 5 01/25/01 First Union Checking Account #3083366655087 - Accrued Interest 01/25/01 Proceeds of Evergreen US Government Money Market 01/25/01 Proceeds of Evergreen US Government Money Market - Accrued Interest 01/25/01 Waypoint Bank Checking Account #1055311901 01/25/01 Waypoint Bank Checking Account #1055311901 - Accrued Interest BONDS: 01/25/01 $10,000 Cumberland County Presbyterian Homes Bond 6% due 12/1/26 01/25/01 $10,000 Dauphin County PA Bond 6.15% due 8/1/09 01/25/01 $100 US Savings Bond Series EE dated 10/10/1984 01/25/01 $100 US Savings Bond Series EE dated 10/10/1984 01/25/01 $100 US Savings Bond Series EE dated 10/11/1983 01/25/01 $100 US Savings Bond Series EE dated 10/11/1983 01/25/01 $100 U S Savings Bond Series EE dated 3/28/1985 01/25/01 $100 U S Savings Bond Series EE dated 3/28/1985 01/25/01 $100 U S Savings Bond Series EE dated 4/30/1984 01/25/01 $100 U S Savings Bond Series EE dated 4/30/1984 01/25/01 $100 U S Savings Bond Series EE dated 5/6/1985 01/25/01 $100 U S Savings Bond Series EE dated 5/6/1985 6 25.87 11,132.61 13.85 5,039.26 15.54 10,181. 38 10,075.08 13 5.12 135.12 147.64 147.64 129.88 129.88 141.40 141. 40 129.88 129.88 304,338.97 01/25/01 $100 U S Savings Bond Series EE dated 5/25/1984 01/25/01 $100 U S Savings Bond Series EE dated 5/25/1984 01/25/01 $100 U S Savings Bond Series EE dated 6/18/1984 01/25/01 $100 U S Savings Bond Series EE dated 6/18/1984 01/25/01 $100 U S Savings Bond Series EE dated 8/3/1983 01/25/01 $100 U S Savings Bond Series EE dated 8/3/1983 01/25/01 $100 US Savings Bond Series EE dated 8/27/1985 01/25/01 $100 US Savings Bond Series EE dated 8/27/1985 01/25/01 $100 U S Savings Bond Series EE dated 8/28/1984 01/25/01 $100 U S Savings Bond Series EE dated 8/28/1984 01/25/01 $100 U S Savings Bond Series EE dated 9/25/1984 01/25/01 $100 U S Savings Bond Series EE dated 9/25/1984 01/25/01 $10,000 York County Hospital Authority Bond 6.4% due 4/1/15 01/25/01 $2,000 US Savings Bonds Series HH dated 1/90 01/25/01 $5,000 Butler Co PA Hosp Authority Bonds 8% due 2/1/22 01/25/01 $50 US Savings Bond Series EE dated 6/13/1983 01/25/01 $50 US Savings Bond Series EE dated 6/13/1983 01/25/01 $50 US Savings Bond Series EE dated 6/13/1983 7 13 8.72 138.72 138.72 138.72 147.64 147.64 127.32 127.32 135.12 13 5.12 135.12 13 5.12 10,132.72 2,000.00 5,031.11 75.82 75.82 75.82 01/25/01 01/25/01 01/25/01 08/23/01 $50 US Savings Bond Series EE dated 6/13/1983 1,431 units Charter Municipal Mortgage Acceptance Co. Charter Municipal Mortgage Acceptance Co. - Accrued Income Distribution CASH SUBSEQUENT TO INVENTORY: $2,000 US Savings Bonds Series HH dated 1/90 - Per Federal Reserve Savings Bond Miscellaneous Payment 75.82 5,782.00 393.53 40.00 TOTAL RECEIPTS OF PRINCIPAL............... 8 46,912.22 40.00 351,291.19 GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS - PRINCIPAL Gain Loss 03/01/01 $100 US Savings Bond Series EE dated 10/10/1984 Net Proceeds 135.12 Fid. Acq. Value 135.12 0.00 03/01/01 $100 US Savings Bond Series EE dated 10/10/1984 Net Proceeds 135.12 Fid. Acq. Value 135.12 0.00 03/01/01 $100 US Savings Bond Series EE dated 10/11/1983 Net Proceeds 14 7.64 Fid. Acq. Value 14 7.64 0.00 03/01/01 $100 US Savings Bond Series EE dated 10/11/1983 Net Proceeds 14 7.64 Fid. Acq. Value 147.64 0.00 03/01/01 $100 U S Savings Bond Series EE dated 3/28/1985 Net Proceeds 129.88 Fid. Acq. Value 129.88 0.00 03/01/01 $100 U S Savings Bond Series EE dated 3/28/1985 Net Proceeds 129.88 Fid. Acq. Value 129.88 0.00 03/01/01 $100 U S Savings Bond Series EE dated 4/30/1984 Net Proceeds 141. 40 Fid. Acq. Value 141. 40 0.00 03/01/01 $100 U S Savings Bond Series EE dated 4/30/1984 Net Proceeds 141. 40 Fid. Acq. Value 141.40 0.00 9 03/01/01 $100 U S Savings Bond Series EE dated 5/6/1985 Net Proceeds 129.88 Fid. Acq. Value 129.88 0.00 03/01/01 $100 U S Savings Bond Series EE dated 5/6/1985 Net Proceeds 129.88 Fid. Acq. Value 129.88 0.00 03/01/01 $100 U S Savings Bond Series EE dated 5/25/1984 Net Proceeds 13 8.72 Fid. Acq. Value 13 8.72 0.00 03/01/01 $100 U S Savings Bond Series EE dated 5/25/1984 Net Proceeds 13 8.72 Fid. Acq. Value 13 8.72 0.00 03/01/01 $100 U S Savings Bond Series EE dated 6/18/1984 Net Proceeds 138.72 Fid. Acq. Value 138.72 0.00 03/01/01 $100 U S Savings Bond Series EE dated 6/18/1984 Net Proceeds 138.72 Fid. Acq. Value 138.72 0.00 03/01/01 $100 U S Savings Bond Series EE dated 8/3/1983 Net Proceeds 147.64 Fid. Acq. Value 147.64 0.00 03/01/01 $100 U S Savings Bond Series EE dated 8/3/1983 Net Proceeds 147.64 Fid. Acq. Value 147.64 0.00 03/01/01 $100 US Savings Bond Series EE dated 8/27/1985 Net Proceeds 127.32 Fid. Acq. Value 127.32 0.00 10 03/01/01 $100 US Savings Bond Series EE dated 8/27/1985 Net Proceeds Fid. Acq. Value 03/01/01 127.32 127.32 0.00 $100 U S Savings Bond Series EE dated 8/28/1984 Net Proceeds Fid. Acq. Value 03/01/01 135.12 135.12 0.00 $100 U S Savings Bond Series EE dated 8/28/1984 Net Proceeds Fid. Acq. Value 03/01/01 135.12 13 5.12 0.00 $100 U S Savings Bond Series EE dated 9/25/1984 Net Proceeds Fid. Acq. Value 03/01/01 135.12 13 5.12 0.00 $100 U S Savings Bond Series EE dated 9/25/1984 Net Proceeds Fid. Acq. Value 03/01/01 13 5.12 13 5.12 0.00 $50 US Savings Bond Series EE dated 6/13/1983 Net Proceeds Fid. Acq. Value 03/01/01 75.82 75.82 0.00 $50 US Savings Bond Series EE dated 6/13/1983 Net Proceeds Fid. Acq. Value 03/01/01 75.82 75.82 0.00 $50 US Savings Bond Series EE dated 6/13/1983 Net Proceeds Fid. Acq. Value 03/01/01 75.82 75.82 0.00 $50 US Savings Bond Series EE dated 6/13/1983 Net Proceeds Fid. Acq. Value 75.82 75.82 0.00 11 03/29/01 $10,105.77 PNC Bank Certificate of Deposit #31200156118 Net Proceeds Fid. Acq. Value 03/29/01 $10,208.99 PNC Bank Certificate of Deposit #31200199051 Net Proceeds Fid. Acq. Value 03/29/01 $20,191.57 PNC Bank Certificate of Deposit #31600178102 Net Proceeds Fid. Acq. Value 10,105.77 10,105.77 0.00 10,208.99 10,208.99 0.00 20,191. 57 20,191. 57 0.00 03/30/01 $100.26 Members First Federal Credit Union Certificate of Deposit #199194-00 Net Proceeds Fid. Acq. Value 03/30/01 100.26 100.26 0.00 $30,000 Members First Federal Credit Union Certificate of Deposit #199194-40 Net Proceeds Fid. Acq. Value 30,000.00 30,000.00 0.00 05/10/01 $10,000 Allfirst Bank Certificate of Deposit 4.91% due 5/9/01 Net Proceeds Fid. Acq. Value 10,000.00 10,000.00 0.00 OS/22/01 $10,000 Dauphin County PA Bond 6.15% due 8/1/09 Net Proceeds Fid. Acq. Value OS/22/01 9,600.00 10,075.08 475.08 $5,000 Butler Co PA Hosp Authority Bonds 8% due 2/1/22 Net Proceeds Fid. Acq. Value 4,750.00 5,031.11 281.11 12 OS/22/01 OS/23/01 OS/23/01 06/22/01 06/26/01 08/03/01 08/20/01 08/29/01 1,431 units Charter Municipal Mortgage Acceptance Co. Net Proceeds Fid. Acq. Value 20,244.05 5,782.00 $10,000 Cumberland County Presbyterian Homes Bond 6% due 12/1/26 Net Proceeds Fid. Acq. Value 8,790.00 10,181. 38 $10,000 York County Hospital Authority Bond 6.4% due 4/1/15 Net Proceeds Fid. Acq. Value 9,075.00 10,132.72 $1,025.73 Allfirst Bank Certificate of Deposit 5.1% due 6/20/01 Net Proceeds Fid. Acq. Value 1,025.73 1,025.73 $10,322.68 Allfirst Bank Certificate of Deposit 6.35% due 6/24/01 Net Proceeds Fid. Acq. Value 10,322.68 10,322.68 $2,000 US Savings Bonds Series HH dated 1/90 Net Proceeds Fid. Acq. Value 2,000.00 2,000.00 $1,012.85 Allfirst Bank Certificate of Deposit 5.1% due 8/17/01 Net Proceeds Fid. Acq. Value 1,012.85 1,012.85 $5,000 Allfirst Bank Certificate of Deposit 6.35% due 8/27/01 Net Proceeds Fid. Acq. Value 5,000.00 5,000.00 13 14,462.05 0.00 0.00 0.00 0.00 0.00 1,391.38 1,057.72 09/06/01 11/28/01 11/28/01 11/28/01 04/18/02 $62,131.64 Allfirst Bank Certificate of Deposit 7.54% due 9/3/01 Net Proceeds Fid. Acq. Value 62,131. 64 62,131. 64 $10,000 Allfirst Bank Certificate of Deposit 6.49% due 11/26/01 Net Proceeds Fid. Acq. Value 10,000.00 10,000.00 $10,161.46 Allfirst Bank Certificate of Deposit 6.49% due 11/24/01 Net Proceeds Fid. Acq. Value 10,161. 46 10,161. 46 $60,000 Allfirst Bank Certificate of Deposit 6.49% due 11/26/01 Net Proceeds Fid. Acq. Value 60,000.00 60,000.00 $10,000 Allfirst Bank Certificate of Deposit 6.39% due 3/29/02 Net Proceeds Fid. Acq. Value 10,000.00 10,000.00 TOTAL GAINS AND LOSSES/PRINCIPAL. . . . . . . . . . . LESS LOSS............................. NET GAIN OR LOSS. . . . . . . . . . . . . . . . . . . . . . . . . . . 14 0.00 0.00 0.00 0.00 0.00 14,462.05 3,205.29 11,256.76 3,205.29 03/26/01 03/27/01 04/12/01 04/25/01 08/01/01 04/09/02 03/22/01 03/23/01 06/14/01 DISBURSEMENTS OF PRINCIPAL DEBTS OF DECEDENT Allfirst Bank - 16.00 Safe Deposit Box Rental Country Meadows Associates - 37.81 Pharmaceuticals Harold K. Bowen - 221.00 Reimbursement of Preparation and Payment of 2000 Income Tax Return for Margaret M. Bowen Corner, Rich, Kearney, Torchia Associates - 100.00 Medical Expense Mobile X-Ray Imaging Inc. - 29.86 Medical Expense Pennsylvania Dept of Revenue - 54.00 2001 Personal Income Tax Balance Due TOTAL DEBTS OF DECEDENT............................. FUNERAL EXPENSES Harold K. Bowen - Reimbursement of Expenses for Funeral Expense of Margaret M. Bowen 225.00 Musselman Funeral Home, Inc. - Funeral Expense 4,818.00 James Gingrich Memorials - Inscription Work 75.00 TOTAL FUNERAL EXPENSES.............................. 15 458.67 5,118.00 03/02/01 03/15/01 03/22/01 10/18/01 04/10/02 04/16/01 10/18/01 ADMINISTRATION EXPENSES U S Post Office - Carlisle - Postage for Notification to Dept of Public Welfare Cumberland County Register of wills - 3 Short Certificates Milspaw & Beshore - Reimbursement for petition for Letters, Short Certificate and Cost of Advertising and Proof of Publication Cumberland County Law Journal Cumberland County Register of wills - Filing PA Inheritance Tax Return and Inventory Larry B. Shoop, CPA - Professional Services for Final Income Tax Return 3.74 9.00 412.00 40.00 185.00 TOTAL ADMINISTRATION EXPENSES....................... FEDERAL AND STATE TAXES Cumberland County Register of wills - Payment on State Inheritance Tax Cumberland County Register of wills - State Inheritance Tax Balance Due 29,700.00 11,192.27 TOTAL FEDERAL AND STATE TAXES....................... RESERVES Allfirst Trust Company of PA, NA - Executor's Fee Cumberland County Register of wills - Filing Fee Milspaw & Beshore - Attorney's Fee 16,500.00 500.00 16,500.00 TOTAL RESERVES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL DISBURSEMENTS OF PRINCIPAL................ .... 16 649.74 40,892.27 33,500.00 80,618.68 PRINCIPAL BALANCE ON HAND Description Current Value Fiduciary Acquisition or as Noted Value ARK Money Market Portfolio 281,929.27 281,929.27 281,929.27 281,929.27 17 CHANGES IN INVESTMENT HOLDINGS - PRINCIPAL $1,025.73 Allfirst Bank Certificate of Deposit 5.1% due 6/20/01 01/25/01 06/22/01 inventoried sold $1,012.85 Allfirst Bank Certificate of Deposit 5.1% due 8/17/01 01/25/01 08/20/01 inventoried sold $10,000 Allfirst Bank Certificate of Deposit 6.49% due 11/26/01 01/25/01 11/28/01 inventoried sold $10,161.46 Allfirst Bank Certificate of Deposit 6.49% due 11/24/01 01/25/01 11/28/01 inventoried sold $10,000 Allfirst Bank Certificate of Deposit 6.39% due 3/29/02 01/25/01 04/18/02 inventoried sold 18 Cost 1,025.73 (1,025.73) 0.00 -------------- -------------- 1,012.85 (1,012.85) 0.00 -------------- -------------- 10,000.00 (10,000.00) 0.00 -------------- -------------- 10,161. 46 (10,161.46) 0.00 10,000.00 (10,000.00) 0.00 -------------- -------------- $10,000 Allfirst Bank Certificate of Deposit 4.91% due 5/9/01 01/25/01 05/10/01 inventoried sold $10,322.68 Allfirst Bank Certificate of Deposit 6.35% due 6/24/01 01/25/01 06/26/01 inventoried sold $10,000 Cumberland County Presbyterian Homes Bond 6% due 12/1/26 01/25/01 OS/23/01 inventoried sold $10,000 Dauphin County PA Bond 6.15% due 8/1/09 01/25/01 OS/22/01 inventoried sold $100.26 Members First Federal Credit Union Certificate of Deposit #199194-00 01/25/01 03/30/01 inventoried sold $10,105.77 PNC Bank Certificate of Deposit #31200156118 01/25/01 03/29/01 inventoried sold 10,000.00 (10,000.00) 0.00 10,322.68 (10,322.68) 0.00 10,181. 38 (10,181.38) 0.00 -------------- -------------- 10,075.08 (10,075.08) 0.00 -------------- -------------- 100.26 (100.26) 0.00 10,105.77 (10,105.77) 0.00 19 $10,208.99 PNC Bank Certificate of Deposit #31200199051 01/25/01 03/29/01 inventoried sold 10,208.99 (10,208.99) 0.00 -------------- -------------- $100 US Savings Bond Series EE dated 10/10/1984 01/25/01 03/01/01 inventoried sold 135.12 (135.12) 0.00 -------------- -------------- $100 US Savings Bond Series EE dated 10/10/1984 01/25/01 03/01/01 inventoried sold 13 5.12 (135.12) 0.00 -------------- -------------- $100 US Savings Bond Series EE dated 10/11/1983 01/25/01 03/01/01 inventoried sold 147.64 (147.64) 0.00 $100 US Savings Bond Series EE dated 10/11/1983 01/25/01 03/01/01 inventoried sold 147.64 (147.64) 0.00 $100 U S Savings Bond Series EE dated 3/28/1985 01/25/01 03/01/01 inventoried sold 129.88 (129.88) 0.00 20 $100 U S Savings Bond Series EE dated 3/28/1985 01/25/01 03/01/01 inventoried sold 129.88 (129.88) 0.00 $100 U S Savings Bond Series EE dated 4/30/1984 01/25/01 03/01/01 inventoried sold 141. 40 (141.40) 0.00 $100 U S Savings Bond Series EE dated 4/30/1984 01/25/01 03/01/01 inventoried sold 141. 40 (141.40) 0.00 $100 U S Savings Bond Series EE dated 5/6/1985 01/25/01 03/01/01 inventoried sold 129.88 (129.88) 0.00 $100 U S Savings Bond Series EE dated 5/6/1985 01/25/01 03/01/01 inventoried sold 129.88 (129.88) 0.00 $100 U S Savings Bond Series EE dated 5/25/1984 01/25/01 03/01/01 inventoried sold 138.72 (138.72) 0.00 21 $100 U S Savings Bond Series EE dated 5/25/1984 01/25/01 03/01/01 inventoried sold 138.72 (138.72) 0.00 -------------- -------------- $100 U S Savings Bond Series EE dated 6/18/1984 01/25/01 03/01/01 inventoried sold 138.72 (138.72) 0.00 -------------- -------------- $100 U S Savings Bond Series EE dated 6/18/1984 01/25/01 03/01/01 inventoried sold 138.72 (138.72) 0.00 $100 U S Savings Bond Series EE dated 8/3/1983 01/25/01 03/01/01 inventoried sold 147.64 (147.64) 0.00 -------------- -------------- $100 U S Savings Bond Series EE dated 8/3/1983 01/25/01 03/01/01 inventoried sold 147.64 (147.64) 0.00 -------------- -------------- $100 US Savings Bond Series EE dated 8/27/1985 01/25/01 03/01/01 inventoried sold 127.32 (127.32) 0.00 -------------- -------------- 22 $100 US Savings Bond Series EE dated 8/27/1985 01/25/01 03/01/01 inventoried sold 127.32 (127.32) 0.00 $100 U S Savings Bond Series EE dated 8/28/1984 01/25/01 03/01/01 inventoried sold 135.12 (135.12) 0.00 $100 U S Savings Bond Series EE dated 8/28/1984 01/25/01 03/01/01 inventoried sold 13 5.12 (135.12) 0.00 $100 U S Savings Bond Series EE dated 9/25/1984 01/25/01 03/01/01 inventoried sold 135.12 (135.12) 0.00 $100 U S Savings Bond Series EE dated 9/25/1984 01/25/01 03/01/01 inventoried sold 135.12 (135.12) 0.00 -------------- -------------- $10,000 York County Hospital Authority Bond 6.4% due 4/1/15 01/25/01 OS/23/01 inventoried sold 10,132.72 (10,132.72) 0.00 23 $2,000 US Savings Bonds Series HH dated 1/90 01/25/01 08/03/01 inventoried sold 2,000.00 (2,000.00) 0.00 $20,191.57 PNC Bank Certificate of Deposit #31600178102 01/25/01 03/29/01 inventoried sold 20,191.57 (20, 191.57) 0.00 $30,000 Members First Federal Credit Union Certificate of Deposit #199194-40 01/25/01 03/30/01 inventoried sold 30,000.00 (30,000.00) 0.00 $5,000 Allfirst Bank Certificate of Deposit 6.35% due 8/27/01 01/25/01 08/29/01 inventoried sold 5,000.00 (5,000.00) 0.00 -------------- -------------- $5,000 Butler Co PA Hosp Authority Bonds 8% due 2/1/22 01/25/01 OS/22/01 inventoried sold 5,031.11 (5,031.11) 0.00 $50 US Savings Bond Series EE dated 6/13/1983 01/25/01 03/01/01 inventoried sold 75.82 (75.82) 0.00 24 $50 US Savings Bond Series EE dated 6/13/1983 01/25/01 03/01/01 inventoried sold 75.82 (75.82) 0.00 $50 US Savings Bond Series EE dated 6/13/1983 01/25/01 03/01/01 inventoried sold 75.82 (75.82) 0.00 $50 US Savings Bond Series EE dated 6/13/1983 01/25/01 03/01/01 inventoried sold 75.82 (75.82) 0.00 $60,000 Allfirst Bank Certificate of Deposit 6.49% due 11/26/01 01/25/01 11/28/01 inventoried sold 60,000.00 (60,000.00) 0.00 $62,131.64 Allfirst Bank Certificate of Deposit 7.54% due 9/3/01 01/25/01 09/06/01 inventoried sold 62,131.64 (62,131.64) 0.00 Charter Municipal Mortgage Acceptance Co. 01/25/01 OS/22/01 1,431 units inventoried (l,431)units sold 5,782.00 (5,782.00) o 0.00 25 RECEIPTS OF INCOME INTEREST $1,025.73 Allfirst Bank Certificate of Deposit 5.1% due 6/20/01 06/22/01 20.94 $1,012.85 Allfirst Bank Certificate of Deposit 5.1% due 8/17/01 08/20/01 08/20/01 13.02 16.20 29.22 $10,000 Allfirst Bank Certificate of Deposit 6.49% due 11/26/01 11/28/01 560.16 $10,161.46 Allfirst Bank Certificate of Deposit 6.49% due 11/24/01 11/28/01 557.61 $10,000 Allfirst Bank Certificate of Deposit 6.39% due 3/29/02 03/07/01 OS/29/01 08/29/01 11/29/01 03/29/02 57.78 157.56 163.60 166.24 235.98 781.16 $10,000 Allfirst Bank Certificate of Deposit 4.91% due 5/9/01 03/23/01 05/10/01 79.37 60.54 139.91 $10,322.68 Allfirst Bank Certificate of Deposit 6.35% due 6/24/01 06/26/01 06/26/01 108.83 165.22 274.05 26 $10,000 Cumberland County Presbyterian Homes Bond 6% due 12/1/26 07/05/01 $10,000 Dauphin County PA Bond 6.15% due 8/1/09 07/05/01 $100.26 Members First Federal Credit Union Certificate of Deposit #199194-00 03/07/01 03/30/01 $10,105.77 PNC Bank Certificate of Deposit #31200156118 03/29/01 $10,208.99 PNC Bank Certificate of Deposit #31200199051 03/29/01 $10,000 York County Hospital Authority Bond 6.4% due 4/1/15 07/05/01 $20,191.57 PNC Bank Certificate of Deposit #31600178102 03/29/01 $30,000 Members First Federal Credit union Certificate of Deposit #199194-40 03/01/01 03/30/01 $5,000 Allfirst Bank Certificate of Deposit 6.35% due 8/27/01 03/23/01 08/29/01 206.67 205.00 158.33 0.48 158.81 90.04 93.35 220.44 173.77 175.30 11.30 186.60 80.03 107.83 187.86 27 $5,000 Butler Co PA Hosp Authority Bonds 8% due 2/1/22 07/05/01 07/05/01 126.67 6.67 $60,000 Allfirst Bank Certificate of Deposit 6.49% due 11/26/01 11/28/01 $62,131.64 Allfirst Bank Certificate of Deposit 7.54% due 9/3/01 09/06/01 Allfirst Bank Checking Account #0016760433 03/26/01 Allfirst Bank MFA Account #0098176323 03/23/01 ARK Money Market Portfolio 04/02/01 05/01/01 06/01/01 07/02/01 08/01/01 09/04/01 10/01/01 11/01/01 12/03/01 01/02/02 02/01/02 03/01/02 04/01/02 05/01/02 44.80 288.76 319.41 418.02 533.26 518.80 601. 42 521.55 429.41 535.27 513.56 450.64 467.74 457.70 Charter Municipal Mortgage Acceptance Co. 07/05/01 Evergreen US Government Money Market 07/05/01 28 133.34 3,361.01 1,672.33 2.36 17.10 6,100.34 393.53 183.23 First Union Checking Account #3083366655087 05/02/01 Waypoint Bank Checking Account #1055311901 03/27/01 TOTAL INTEREST INCOME..................... OTHER INCOME Closing Interest on Sale of Various U S Savings Bonds Series EE 03/01/01 TOTAL OTHER INCOME........................ TOTAL RECEIPTS OF INCOME.................. 29 70.60 39.52 15,858.95 -------------- -------------- 25.52 25.52 -------------- -------------- 15,884.47 -------------- -------------- 04/09/02 04/09/02 05/14/02 DISBURSEMENTS OF INCOME Internal Revenue Service - Fiduciary Income Tax Balance Due 3,199.00 Pennsylvania Dept of Revenue - Fiduciary Income Tax Balance Due 451.00 Allfirst Trust Company of PA, NA - Commission on Income 759.28 TOTAL DISBURSEMENTS OF INCOME.................. 30 4,409.28 Description INCOME BALANCE ON HAND Current Value or as Noted ARK Money Market Portfolio 11,475.19 11,475.19 11,475.19 11,475.19 31 Fiduciary Acquisition Value PROPOSED DISTRIBUTIONS TO BENEFICIARIES H. Franklin Baker Principal and Income Cash - as per Item IV D of the Last will and Testament of Margaret M. Bowen, Deceased, 1/7 of 20% of Residue Bethesda Mission Principal and Income Cash - as per Item IV B of the Last will and Testament of Margaret M. Bowen, Deceased, 10% of Residue David G. Bowen Principal and Income Cash - as per Item IV D of the Last will and Testament of Margaret M. Bowen, Deceased, 1/7 of 20% of Residue Harold K. Bowen Principal and Income Cash - as per Item IV C of the Last will and Testament of Margaret M. Bowen, Deceased, 60% of Residue H. Kenneth Bowen Principal and Income Cash - as per Item IV D of the Last will and Testament of Margaret M. Bowen, Deceased, 1/7 of 20% of Residue 32 Current Value or as Noted 8,382.98 8,382.98 29,340.45 29,340.45 8,382.98 8,382.98 176,042.68 176,042.68 8,382.98 8,382.98 Fiduciary Acquisition Value 8,382.98 8,382.98 29,340.45 29,340.45 8,382.98 8,382.98 176,042.68 176,042.68 8,382.98 8,382.98 Fairview Bethel Church of God Principal and Income Cash - as per Item IV A of the Last will and Testament of Margaret M. Bowen, Deceased, 10% of Residue 29,340.45 29,340.45 29,340.45 29,340.45 Marion Fettro Principal and Income Cash - as per Item IV D of the Last will and Testament of Margaret M. Bowen, Deceased, 1/7 of 20% of Residue 8,382.98 8,382.98 8,382.98 8,382.98 Judith C. Lenk Principal and Income Cash - as per Item IV D of the Last will and Testament of Margaret M. Bowen, Deceased, 1/7 of 20% of Residue 8,382.98 8,382.98 8,382.98 8,382.98 Arlene B. Peffer Principal and Income Cash - as per Item IV D of the Last will and Testament of Margaret M. Bowen, Deceased, 1/7 of 20% of Residue 8,382.99 8,382.99 8,382.99 8,382.99 Velma Weaver Principal and Income Cash - as per Item IV D of the Last will and Testament of Margaret M. Bowen, Deceased, 1/7 of 20% of Residue 8,382.99 8,382.99 8,382.99 8,382.99 293,404.46 293,404.46 -------------- -------------- 33 AFFIDAVIT Allfirst Trust Company of Pennsylvania, NA, Executor under the Last Will and Testament of MARGARET M. BOWEN, deceased, hereby declares under oath that it has fully and faithfully discharged the duties of its office; that the foregoing Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to its knowledge, there are no claims now outstanding against the Estate; that all taxes presently due from the estate have been paid; and that more than four months have elapsed since the first complete advertisement of the granting of letters in this estate. Allfirst Trust Company of Pennsylvania, NA, Executor By, 4;uL~ Doris L~ Trostle, Trust Officer Subscribed and sworn to J)or;s L. T~os>H'€- 17 before me this of ~a~ 2002. ~~ 2,k~ Nota~ Public day Notarial Seal Gwendolyn E. Killian, Notary Public Cartlsle Boro, Cumberland County My Commission Expires Nov. 22, 2004 Member, Pennsylvania Association of Notaries 34 0V D\f-. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Margaret A. Bowen Date of Death: 2001-~~ January 25, 2001 Will No. 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 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 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 d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and maYJjbe ~attaChe~ t~o thi~report. Date: 12/17/02 11./t~ ..4LL--- S '-gn ~re ,. .-- Marvin Beshore, Esquire Name (Please type or print) 130 State Street, Harrisburg PA 17101 Address (717) 236-0781 Te 1. No. !)~ /f 0 't-- ~ (MAH:rmf/AM3) Capacity: Personal Representative xx Counsel for personal representative JRD/June 30, 1992/17858 In Re: Estate of Margaret M. Bowen Late of Hampden Township ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-2001-0209 NO. 21-2001-0209 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Counsel for Personal Representative: Marvin Beshore, Esquire Date of Decedent's Death: 01-25-2001 Date of Delinquency Notice: 12-06-2002 The undersigned Donna M. Otto, Register of Wills, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on 12-06-, 2002, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 02-03-2003 ~ I. Donna M. Otto, Register of Wills Distribution: Personal Representative Counsel for Personal Representative Estate File 3---.;& -03 7:3 p A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to the hearing date, the hearing will automatically be canc .~-tl~ GOOf ~?r^~ C\--- Cumberland County - Register Of Wills Hanover and High Street Carlislel PA 17013 Phone: (717) 240-6345 Date: 12/06/2002 ALLFIRST TRUST CO OF PA N A 2 WEST HIGH STREET CARLISLE I PA 17013-2922 RE: Estate of BOWEN MARGARET M File Number: 2001-00209 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 I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 1/25/2003 Your prompt attention to this matter will be appreciated. Thank You. SincerelYI ~lJ/fJ:6/d))d/~ MARY C. LEWIS ~~~J)~~ REGISTER OF WILLS ~;r cc: .j File Counsel Judge 02/10/03 ION 09:51 FAX 2360791 I LSPAW & BESHORE I I4J 003 '--' :'-__0" ~. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Margaret A. Bowen Date of Death: January 25~ 2001 Will No. 2001-0029 Admin. No. Pursuant to Rule Court Rules, I report the the administration of th~ . . 6.12 qf the Supreme Court Orphans' follo~ing wi~h respect to completion of above~captioned estate: . . . . . . . . , . . . . 1. State whether adm+nistra~ion of the estate is complete: Yes x No . , , 2. If the answer is ~o, representative reasonably belietes complete: state when the personal that the administration will be . ! 3. If the answer to ~o. 1 i~ Yes, state the following: i i a. Did the pers~nal representative file a final account with the Court? yes X! No . : , i .: . I : b. The s'epara te ! OrphanS.' Court No. (i f any) for the personal representative's a~count ~s: . I . . . : 'l . I . I c. Did the pers~nal representative state an account informally to the parti~s in interest? Yes No . ! : d. Copi~s of re~eipt5, !releases, joinders and approvals of formal or informaliaccoun~s may be filed with the ::::.Of 1:::7:::hans. Court and raY~~~::~ ~rt. Mt'llrvi n Beshore.l Esquire Name (Please type or print) ljO State Street, Harrisburg PA 17101 AddrElss i7l?} 236-0781 Te 1 . ! No - Capacity: i I I [ Personal Representative xx Counsel for personal representative (MAH:x-mf/AM3) 02/10/03 MON 09:51 FAX 2360791 M~LSPAW & ~ESHORE III 004 ',-.' " " --~ . . . . MARVI~ BESHORE . Atto~ey at Law ' 130 STATE STREET, P.O.iBOX 946 HARRISBURp, PA 17H)S-0946 Email: mbc.'ihllh:@mbluwfirm.<::om Telephone~ (717) 236-0781 Fax: (717) 23~791 i I ! Decem~ 16, 200~ , , Ms. Mary C. Lewis Register of Wills Cumberland County Hanover and High Street Carlisle, PA 17013 Re: , Margaret A. Bowen, ~ed File No.: 2001 ~00209 i ! Dear Ms. Lewis, ; i I . I . . I I Enclosed is the Status Report .pursuant ito Rule 6.12 for the Estate of Margaret A. Bowen. 1 . Thank you for your assistance. . i ; 1 i i ! i ! I I I MB.ch I ., - . I . i Enclosure . I i cc: Thomas E. Morkin, Vice President Allflrst Trust :~o. of P NNA (w/encl) . I .! . , . , . · . I i I I I I I I . , , . ; i , f . ! 02/10/03 MON 09:51 FAX 2360791 MILSPAW & BESHORE Cuml.'-....rland County - Regi1ter Of -'7ills '-_ Hanover and High Street,--./ carlisle!, PA 17013 Phone: (7tL 7) 240':'6345 ! : 141 002 Date: 12/06/2002 BESHORE MARVIN ESQ 130 STATE ST POBOX 946 HARRISBURG, PA 17108-0946 , ; , i , I i I I I I I i i I It has come to my atteqtion ~hat you have not filed the Status Report by Personal Representativei (Rule 6 .12) in the above captioned estate. ' I ~s per the AMENDMENTS TO SUPREME CdURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NOi, 1, fci~, decedents dying on or after July 1, 1992, the personal repres~ntativ~ or his counsel, within two (2) years of the decedent I s deathl, shall; file with the Register of Wills a Status Report of complete~ or un~ompleted administration. I '; This filing will become delihquenton: 1/25/2003 Your prompt attention t~ thi~ matter will be apprecip.ted. RE: Estate of BOWEN MARGARET.M File Number: 2001-00209 Dear Sir/Madam: Thcirik You. 9incerely, ~JJ/.th-~ MARY C. LEWIS :aEGISTER OF WILLS cc: ,File VPersonal Representative(s) Judge . i , ; ~,ENDER: COMPLETE THIS SECTION f . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: 1r~. &9I4tL ~" /t30.~ .P..LfY!:- Vi /t2~ ~5/~' /;;~/I/LuJ~1 P?0 (/' 17 /tf.qlf~ 2. Article Number (rransfer from service label) PS Form 3811, August 2001 B. Received by ( Prijted f'1ame) tJi2 V IN '6u!11AY D. Is delivery address different fro i If YES, enter delivery address be 3. Serv~e Type ld"6ertified Mail D Registered D Insured Mail D Express Mail D Return Receipt for Merchandise DC.a.D. 4. Restricted Delivery? (Extra Fee) DYes 7001 2510 0006 5862 2061 102595.02.M.0835 Domestic Return Receipt U.S. Postal Service CERTIFIED MAIL RECEIPT ..fDomestic Mail Only; No Insurance Coverage Provided) ...-"l ~ a ru ru ~ cO Lf'J Postage $ Certified Fee ~ Cl Cl Cl Return Receipt Fee (Endorsernent Required) Restricted Deiivery Fee (Endorsernent Required) a ...-"l Lf'J ru Total Postage & Fees $ ...-"l a a ('- Postmark Here REV-1500 EX + (6-00) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER D E C E D E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME(LAST, FIRST, AND MIDDLE INITIAL) Bowen Mar aret M. DATE OF DEATH (MM-DD-YEAR) COUNTY CODE YEAR SOCIAL SECURITYNUMBER 201-18-7732 THIS RETURN MUST BE ALEDIN DUPLICATE WITH THE 01/25 2001 04/14 1909 IF APPLICABLE SURVIVING SPOUSE'S NAME LAST, FIRST, AND MIDDLE INITIAL OFFICIAL USE ONLY 2001-00209 NUMBER REGISTER OF WILLS SOCIAL SECURITY NUMBER X 1. Original Return 2. Supplemental Return CAPB 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) HpRL X 6. Decedent Died Testate 7. Decedent Maintained a Living Trust EplO CRAC (Attach copy of Will) (Attach copy of Trust) KOTK 09. 010. ES litigation Proceeds Received Spousal Poverty Credit 3 date of death . Remainder Return prior to 12~ 13-82) 5. Federal Estate Tax Return Required 1 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) P NAME COMPLETE MAILING ADDRESS C 0 0 Thomas Morkin R N FIRM NAME (If Applicable) R D 8 West High Street E E A11first Trust Com an of PA, NA Carlisle, PA 17013 S N T TELEPHONE NUMBER R E C A P I T U L A T I o N 240-6 0 Real Estate (Schedule A) Stocks and Bonds (SChedule B) Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) OFFICIAL USE ONLY (8) 439,534.79 (11) 39.247.41 (12) 400,287.38 (13) 62.400.76 (14) 337,886.62 (15) (16) (17) (18) (19) 0.00 0.00 32,910.23 9.545.20 42,455.43 (1) (2) (3) None 41,519.94 None (4) (5) None 309,731.25 (6) 9,931.59 78,352.01 39,063.74 183.67 C o M P T U A T X A T I o N SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116{a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 0.00 0.00 274,251. 94 63,634.68 x X X X .0 0 045 .12 .15 Copyright (c) 2000 form software only The Lackner Group, Inc. FormREV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 275 Shauffnertown Road CITY I STATE I ZIP New Cumberland PA 17070 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 42,455.43 0.00 29,700.00 1,563.16 Total Credos ( A + B + C) (2) 31,263.16 3. Interest/Penalty if applicable D. Interest E. Penalty n!,"" Total Interest/Penalty ( D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA This is the BALANCE DUE. (5B) Make Check Payable to: .. REGISTER OF WILLS, AGENT . . .,'. i!!!!!i! !:!::':':.,.. :" :!!!!!:!!:!!i!i!!i!:!i!iIi:i!i!!i!i!!!:i:!i: :n:i~;], :! '!!!!ji!1!imj]ii!i]!i!!!!!!!!!!:!!:!~H~iijj:!,: : :.':':"~'::;~;,;::;!;:::r;i!!11i:i::::i:ii !!i::!!i1 ,fj!!i!!!!!!:!!::::::::::::::::::::::::;;::;Jimm:::mmm:::,;i:::!i:::: _ :::::i:::i;::,;::::::imi!;,::::;mwiii!iiih:I!!!i!iiW!i!!:::::: PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ~ ~Xi b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or. . . d. receive the promise 10r life 01 either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .' , . . . . . 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . , IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 0.00 0.00 11,192.27 0.00 11,192.27 Jmfilllll o o o rn rn rn Under penaltIes 01 perjury, I detlare that I have examined thIs return, including accompanying schedules and statements, and to the best of my knowledge and belief, It is true, e. eciaration of preparer other than the rsonal representilltlve Is based on all information of which preparer has any knowledge. PER ON S FOR FILING RUN A11first Trust Company of PA, NA _ _ _~ _ \l~_s_t: _ !l}}~I1_ _s.t:~~_"-t: _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ _ - - - - - - -. -- Carlisle, PA 17013 DATE /0/;</10 J DA.TE ----------------------------------------------------- For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (iJ]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) om, The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or atter July 1, 2000: The tax rate imposed on the net value of trans1ers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)1. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) (72 P.S. 9116(aXl)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(aX1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright {c}ZOOO form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV-1502 EX t (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Margaret M. Bowen SS# 201-18-7732 01/25/2001 2001-00209 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or seU, both having reasonable knowledae of the relevant facts. Real property which is iointly-owned with riaht of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH SCHEDULE A REAL ESTATE TOTAL (Also enter on line 1, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1-97) REV~ 1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Margaret M. Bowen SSfj 201-18-7732 01/25/2001 2001-00209 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE NUMBER OF DEATH 1 $10,000 Dauphin County PA Bond 6.15% due 8/1/09 10,075.08 Accrued Interest 297.25 2 $10,000 Cumberland County Presbyterian Homes Bond 6% 10,181. 38 due 12/1/26 Accrued Interest 90.00 3 $100 U.S. Savings Bond Series EE dated 04/30/1984 141. 40 4 $100 U.S. Savings Bond Series EE dated 04/30/1984 141. 40 5 $100 U.S. Savings Bond Series EE dated OS/25/1984 138.72 6 $100 U.S. Savings Bond Series EE dated OS/25/1984 138.72 7 $100 U.S. Savings Bond Series EE dated 08/28/1984 135.12 8 $100 U.S. Savings Bond Series EE dated 08/03/1983 147.64 9 $100 U.S. Savings Bond Series EE dated 08/03/1983 147.64 10 $100 U.S. Savings Bond Series EE dated 06/18/1984 138.72 11 $100 U.S. Savings Bond Series EE dated 05/06/1985 129.88 12 $100 U.S. Savings Bond Series EE dated 05/06/1985 129.88 13 $100 U.S. Savings Bond Series EE dated 09/25/1984 135.12 14 $100 U.S. Savings Bond Series EE dated 09/25/1984 135.12 15 $100 U.S. Savings Bond Series EE dated 03/28/1985 129.88 16 $100 U.S. Savings Bond Series EE dated 03/28/1985 129.88 17 $100 U.S. Savings Bond Series EE dated 06/18/1984 138.72 18 $100 U.S. Savings Bond Series EE dated 08/28/1984 135.12 19 $100 U.S. Savings Bond Series EE dated 08/27/1985 127.32 20 $100 U.S. Savings Bond Series EE dated 08/27/1985 127.32 Total of Continuation Schedu1e(s) 18,428.63 TOTAL (Also enter on line 2, Recapitulation) 41,519.94 (If more space is needed, insert additional sheets of the same size) CopyrIght (c) 1996 form software only CPSystems, Inc. Form REV-1503 EX (Rev. 1-97) Estate of: Margaret M. Bowen Soc Sec #: 201-18-7732 Date of Death: 01/25/2001 Continuation of Schedule B (Stocks and Bonds) Item 11 Description Unit Value Value at Date of Death 21 $100 U.S. Savings Bond Series EE dated 10/10/1984 22 $100 U.S. Savings Bond Series EE dated 10/10/1984 23 $100 U.S. Savings Bond Series EE dated 10/11/1983 24 $100 U.S. Savings Bond Series EE dated 10/11/1983 25 $10,000 York County Hospital Authority Bond 6.4% due 4/1/15 Accrued Interest 26 $2,000 U.S. Savings Bonds Series HH dated 01/90 27 $5,000 Butler Co. PA Hospital Authority Bonds 8% due 2/1/22 Accrued Interest 28 $50 U.S. Savings Bond Series EE dated 06/13/1983 29 $50 U.S. Savings Bond Series EE dated 06/13/1983 30 $50 U.S. Savings Bond Series EE dated 06/13/1983 31 $50 U.S. Savings Bond Series EE dated 06/13/1983 135.12 135.12 147.64 147.64 10,132.72 202.67 2,000.00 5,031.11 193.33 75.82 75.82 75.82 75.82 18,428.63 REV-1504 EX.. (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Margaret M. Bowen SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP or SOLE-PROPRIETORSHIP 55f! 201-18-7732 01/25/2001 FILE NUMBER 2001-00209 Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sOle-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 3, Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1504 EX (Rev. 1-97) REV-1507 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mar~aret M. Bowen SCHEDULE D MORTGAGES & NOTES RECEIVABLE SSff 201-18-7732 01/25/2001 FILE NUMBER 2001-00209 All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 4, Recapitulation) SO. 00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1507 EX (Rev, 1-97) REV-1508 EX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Margaret M. Bowen SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY SSff 201-18- 7732 FILE NUMBER 2001-00209 01/25/2001 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 10 11 12 13 DESCRIPTION $1,012.85 A11first Bank Certificate of Deposit 5.100% due 8/17/01 Accrued Interest VALUE AT DATE OF DEATH 1,012.85 9.91 2 $1,025.73 A1lfirst Bank Certificate of Deposit 5.100% due 6/20/01 Accrued Interest 1,025.73 5.31 3 $10,105.77 PNC Bank Certificate of Deposit #31200156118 Accrued Interest 10,105.77 46.49 4 $10,000 A1lfirst Bank Certificate of Deposit 4.910% due 5/09/01 Accrued Interest 10,000.00 22.87 5 $10,322.68 Al1first Bank Certificate of Deposit 6.350% due 6/24/01 Accrued Interest 113.14 10,322.68 6 $10,000 A11first Bank Certificate of Deposit 6.390% due 3/29/02 Accrued Interest 10,000.00 101. 54 7 $10,161.46 Al1first Bank Certificate of Deposit 6.490% due 11/24/01 Accrued Interest 10,161. 46 3.61 8 $10,000.00 A1lfirst Bank Certificate of Deposit 6.490% due 11/26/01 Accrued Interest 10,000.00 163.59 9 $100.26 Members First Federal Credit Union Certificate of Deposit ff199194-00 Accrued Interest 100.26 0.19 $10,208.99 PNC Bank Certificate of Deposit #31200199051 Accrued Interest 10,208.99 32.79 $20,191.57 PNC Bank Certificate of Deposit #31600178102 Accrued Interest 20,191.57 54.52 $30,000 Members First Federal Credit Union Certificate of Deposit #199194-40 Accrued Interest 30,000.00 135.72 $5,000 Allfirst Bank Certificate of Deposit 6.350% due 8/27/01 Accrued Interest 5,000.00 79.16 Total of Continuation Schedule(s) 180,833.10 TOTAL (Also enler on line 5. Recapnulalion) S 309,731.25 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-15G8 EX (Rev. 1-97) Estate of: Margaret M. Bowen Soc See #: 201-18-7732 Date of Death: 01/25/2001 Item If Continuation of Schedule E (Cash, Bank Deposits & Miscellaneous Personal Property) Description Value at Date of Death 14 $60,000.00 A11first Bank Certificate of Deposit 6.490% due 11/26/01 Accrued Interest 981. 50 60,000.00 15 $62,131.64 A11first Bank Certificate of Deposit 7.540% due 9/03/01 Accrued Interest 62,131. 64 1,093.44 16 A11first Bank MFA Account #0098176323 - Date of Death Value Accrued Interest 6,820.00 15.35 17 A11first Bank Checking Account #0016760433 Accrued Interest 1,821.38 0.63 18 Country Meadow Associates - Resident Refund 2,255.89 19 First Union Checking Account #3083366655087 Accrued Interest 23,310.61 25.87 20 Proceeds from 1,431 units Charter Municipal Mortgage Acceptance Co. Accrued Interest 5,782.00 393.53 21 Proceeds of Evergreen US Government Portfolio Money Market Accrued Interest 11,132.61 13.85 22 Waypoint Bank Checking Account #1055311901 Accrued Interest 5,039.26 15.54 180,833.10 REV~ 1509 EX .. (1.97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Margaret M. Bowen SCHEDULE F JOINTL V-OWNED PROPERTY SSfl 201-18-7732 01/25/2001 FILE NUMBER 2001-00209 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 TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Harold K. Bowen 277 Shauffnertown Road Brother New Cumberland, PA 17070 B. H. Franklin Baker 334 Herman Avenue Nephew Lemoyne, PA 17043 c. H. Kenneth Bowen 275 Shauffnertown Road Nephew New Cumberland, PA 17070 JOINTLY-OWNED PROPERTY, LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial Institution and bank DATE OF DEATH DECD'S VALUE OF account number or sImilar Identifying number. NUMBER TENANT JOINT Attach deed for Jointly~held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1 A 12/16/99 $10,209.05 PNC Bank 10,209.05 50.00% 5,104.52 Certificate of Deposit p1000197940 Accrued Interest 12.08 50.00% 6.04 2 A 11/05/84 $100 U.S. Savings 132.48 50.00% 66.24 Bond Series EE dated 11/05/1984 3 A 11/05/84 $100 U. S. Savings 132.48 50.00% 66.24 Bond Series EE dated 11/05/1984 4 B 07/27/83 $100 U.S. Savings 151.64 50.00% 75.82 Bond Series EE dated 07/27/1983 5 B 07/27/83 $100 U.S. Savings 151.64 50.00% 75.82 Bond Series EE dated 07/27/1983 Tot' 1 of Contim ation Schedu1e(s) 4 536.91 TOTAL (Also enter on line 6, Recapitulation) S 9,931.59 (If more space is needed insert additional sheets of the same size) Copyrlght(c) 1996 form software only CPSystems, Inc. Form REV-1S09 EX (Rev. 1-97) Estate of: Margaret M. Bowen Sac See 11: 201-18-7732 Date of Death: 01/25/2001 Continuation of Schedule F (Jointly Owned Property) Item Ltr for Date Description of property Total Val Deeds Dollar Val of 11 Jt Ten Joint of Asset % Int Deeds Interest 6 D 10/22/85 $100 u.S. Savings Bond 127.32 50.00% 63.66 Series EE dated 10/22/1985 7 D 10/22/85 $100 U.S. Savings Bond 127.32 50.00% 63.66 Series EE dated 10/22/1985 8 D 06/18/85 $100 u.S. Savings Bond 129.88 50.00% 64.94 Series EE dated 06/18/1985 9 D 06/18/85 $100 U.S. Savings Bond 129.88 50.00% 64.94 Series EE dated 06/18/1985 10 A 04/26/83 $100 U.S. Savings Bond 155.80 50.00% 77 .90 Series EE dated 04/26/1983 11 A 04/26/83 $100 U.S. Savings Bond 155.80 50.00% 77 .90 Series EE dated 04/26/1983 12 A 12/17/84 $100 U.S. Savings Bond 132.48 50.00% 66.24 Series EE dated 12/17/1984 13 A 12/17/84 $100 U.S. Savings Bond 132.48 50.00% 66.24 Series EE dated 12/17/1984 14 C 05/16/83 $100 U.S. Savings Bond 151.64 50.00% 75.82 Series EE dated 05/16/1983 15 C 05/16/83 $100 U.S. Savings Bond 151. 64 50.00% 75.82 Series EE dated 05/16/1983 16 A 11/27/85 $100 U.S. Savings Bond 127.32 50.00% 63.66 Series EE dated 11/27/1985 17 A 11/27/85 $100 U.S. Savings Bond 127.32 50.00% 63.66 Series EE dated 11/27/1985 18 A 05/13/85 $100 U.S. Savings Bond 129.88 50.00% 64.94 Series EE dated 05/13/1985 19 A 05/13/85 $100 U.S. Savings Bond 129.88 50.00% 64.94 Series EE dated 05/13/1985 20 C 07/09/85 $100 U.S. Savings Bond 129.88 50.00% 64.94 Series EE dated 07/09/1985 Estate of: Margaret M. Bowen Soc See #: 201-18-7732 Date of Death: 01/25/2001 Continuation of Schedule F (Jointly Owned Property) Item Ltr for Date Description of property # Jt Ten Joint Total Val of Asset Deeds Dollar Val of % Int Deeds Interest 21 C 07/09/85 $100 U.S. Savings Bond 129.88 50.00% 64.94 Series EE dated 07/09/1985 22 A 01/14/85 $100 U.S. Savings Bond 132.48 50.00% 66.24 Series EE dated 01/14/1985 23 A 01/14/85 $100 U.S. Savings Bond 132.48 50.00% 66.24 Series EE dated 01/14/1985 24 D 02/28/85 $100 U.S. Savings Bond 129.88 50.00% 64.94 Series EE dated 02/28/1985 25 D 02/28/85 $100 U.S. Savings Bond 129.88 50.00% 64.94 Series EE dated 02/28/1985 26 A 12/16/85 $100 U.S. Savings Bond 127.32 50.00% 63.66 Series EE dated 12/16/1985 27 A 12/16/85 $100 U.S. Savings Bond 127.32 50.00% 63.66 Series EE dated 12/16/1985 28 D 07/10/84 $100 U.S. Savings Bond 138.72 50.00% 69.36 Series EE dated 07/10/1984 29 D 07/10/84 $100 U.S. Savings Bond 138.72 50.00% 69.36 Series EE dated 07/10/1984 30 D 09/25/85 $100 U.S. Savings Bond 127.32 50.00% 63.66 Series EE dated 09/25/1985 31 D 09/25/85 $100 U.S. Savings Bond 127.32 50.00% 63.66 Series EE dated 09/25/1985 32 C 09/12/83 $200 U.S. Savings Bond 295.28 50.00% 147.64 Series EE dated 09/12/1983 33 A 01/11/01 $5,280.26 Waypoint Bank 5,280.26 50.00% 2,640.13 Certificate of Deposit 11700003103 Accrued Interest 18.44 50.00% 9.22 -----------._- 4,536.91 CONTINUATION OF SCHEDULE F IOINTI.. Y -OWNED PROPERTY SURVIVING JOINT TENAi'IT(S)NAME ADDRESS D. David G. Bowen 275 Shaufli:1ertown Rd. New Cumberland. P A 17070 ~ RELATIONSHIP Nephew -.' .:~ REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Margaret M. Bowen SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY SS# 201-18-7732 01/25/2001 FILE NUMBER 2001-00209 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. DESCRIPTION OF PROPERTY %OF ITEM RELA~~8~~~I~ ~~ 'b~~~B~~TT~~J~~~~A;.~EJF 1-~~~SFER. DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE NUMBER ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) Joint Ownership with Harold K. Bowen: 1 $10,161.49 PNC Bank 10,161.49 3,000.00 7,161.49 Certificate of Deposit 1131000198960 Accrued Interest 26.40 26.40 Date opened: 10/10/2000 2 $10,067.23 First Union Bank 10,067.23 10,067.23 Certificate of Deposit #247412041040668 due 08/03/2001 Accrued Interest 25.53 25.53 Date opened: 2/3/2000 3 $10,101.51 First Union Bank 10,101.51 10,101. 51 Certificate of Deposit #247412041040674 due 08/03/2001 Accrued Interest 38.65 38.65 Dated opened: 2/3/2000 4 $50,791.87 First Union Bank 50,791.87 50,791. 87 Certificate of Deposit #247412041346955 Accrued Interest 139.33 139.33 Date opened: 10/10/2000 TOTAL (Also enter on line 7, Recapitulation) $ 78,352.01 (If more space is needed, insert additional sheets of the same size) Copyrlght(c) 1996 form software only CPSystems, Inc. Form REV-1510 EX (Rev. 1-97) REV~1511 EX +(1~97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Margaret M. Bowen Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. SSff 201-18-7732 01/25/2001 FILE NUMBER 2001-00209 DESCRIPTION AMOUNT 1 FUNERAL EXPENSES, Harold K. Bowen Reimbursement of Funeral Expenses 225.00 2 James Gingrich Memorials - Inscription on Monument 75.00 3 Musselman Funeral Home Inc. - Funeral Expense 4,818.00 1. ADMINISTRATIVE COSTS, Personal Representative's Commissions Name of Personal Representative(s) Allfirst Trust Company of PA, NA Social Security Number{s) I EIN Number of Personal Representative(s) Street Address 8 West High Street City Carlisle State PA Zip 17013 16,500.00 Year(s) Commission Paid: 2. 3. Attorney's Fees Milspaw & Beshore Family E)(.emption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 16,500.00 City Relationship of Claimant to Decedent State Zip 4. Probate Fees Register of Wills 412.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Cumberland County Register of Wills - Cost of Three Short Certificates 9.00 2 Harold K. Bowen - Reimbursement of Preparation and Payment of 2000 Income Tax Return 221. 00 3 U.S. Post Office - Carlisle Postage for Notification to Department of Public Welfare 3.74 4 Reserve for Cost of Filing 300.00 TOTAL (Also enter on line 9, Recaoitulation) S 39,063.74 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1~97) Estate of: Margaret M. Bowen Soc Sec #: 201-18-7732 Date of Death: 01/25/2001 Continuation of Schedule H-B4 (Probate Fees) Item If Description Amount 1 Mi1spaw & Beshore - Reimbursement for Petition for Letters, Short Certificats and Advertisement of Letters in the Cumberland Law Journal 412.00 412.00 AEV-1S12 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHEAITANCETAX RETURN RESIDENT DECEDENT ESTATE OF Margaret M. Bowen SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SS!! 201-18-7732 01/25/2001 FILE NUMBER 2001-00209 Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION Allfirst Bank - Safe Deposit Box Rental AMOUNT 16.00 2 Conner-Rich-Kearney-Torchia Associates - Medical Expense 100.00 3 Country Meadow Associates Pharmaceuticals 37.81 4 Mobile X-Ray Imaging Inc. Medical Expense 29.86 TOTAL (Also enter on line 10, Recapitulation) $ 183.67 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97) REV-1513 EX t{9-00) ESTATE OF Mar2aret M. Bowen COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES SSfl 201-18 - 7732 01/2512001 FILE NUMBER 2001-00209 RELATIONSHIP IO uECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(aX1.2)] 1 H. Franklin Baker 334 Herman Avenue Lemoyne, PA 17043 Nephew 1/7 of 20% share of Residue 2 David G. Bowen 275 Shauffnertown Road New Cumberland, PA 17070 Nephew 1/7 of 20% share of Residue 3 H. Kenneth Bowen 275 Shauffnertown Road New Cumberland, PA 17070 Nephew 1/7 of 20% share of Residue ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON- TAXABLE DISTRIBUTIONS, A, SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1 B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS Fairview Bethel Church of God 878 Moore's Mountain Road Lewisberry, PA 17339 10% share of Residue 31,200.38 2 Bethesda Mission of Harrisburg, Inc. PO Box 3041 Harrisburg, PA 17105 10% share of Residue 31,200.38 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyrlght{c) 2000 form software only The Lackner Group, Inc. 62,400.76 Form REV-1513 EX (Rev. 9-00) Estate of: Margaret M. Bowen Sac Sec #: 201-18-7732 Date of Death: 01/25/2001 Item # Continuation of Schedule J, Part I (Taxable Bequests) Name and Address of Beneficiary Relationship Amount or Share of Estate 4 Harold K. Bowen 277 Shauffnertown Road New Cumberland, PA 17070 Brother 5 Marion Fettro 210 Herman Avenue Lemoyne, PA 17043 Niece 6 Judith C. Lenk 4241 Nantucket Drive Mechanicsburg, PA 17055 Niece 7 Arlene B. Peffer 1327 W. Goodhue Avenue Anaheim, CA 92802 Niece 8 Velma Weaver Box 165 East Waterford, PA 17021 Niece 60% share of Residue and J oint Property and Transfers 1/7 of 20% share of Residue 1/7 of 20% share of Residue 1/7 of 20% share of Residue 1/7 of 20% share of Res idue ". . REV-1514 EX t (9-00) SCHEDULE K LIFE ESTATE, ANNUITY & TERM CERTAIN Check Box 4 on Rev-1500 Cover Sheet ESTATE OF FILE NUMBER Margaret M. Bowen SS# 201-18-7732 01/25/2001 2001-00209 This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Copy #1 o Will o Intervivos Deed of Trust o Other NAME(S) OF LIFE TENANT(S) NEAREST AGE AT DATE OF BIRTH DATE OF DEATH TERM OF YEARS LIFE ESTATE IS PAYABLE Term of Years Term of Years Term of Years Term of Years 1. Value of fund from which life estate is payable 2. Actuarial factor per appropriate table Interest table rate - D 3 1/2% D 6% D 10% 3. Value ollile estate (Line 1 multiplied by Line 2) $ 0.00 0.00000 D Variable Rate 0.0 % $ 0.00 NAME(S) OF ANNUITANT(S) DATE OF BIRTH TERM OF YEARS ANNUITY IS PAYABLE Term of Years Term of Years Term of Years Term of Years 1. Value of fund from which annuity is payable 2. Check appropriate block below and enter corresponding (number) Frequency of payout - D Weekly (52) D Bi-weekly (26) o Quarterly (4) 0 Semi-annually (2) 0 Annually (1) 3. Amount of payout per period 4. Aggregate annual payment, Line 2 multiplied by Line 3 5. Annuity Factor (see instructions) Interest table rate - D 3 1/2% D 6% D 10% D Variable Rate 6. Adjustment Factor (see instructions) 7. Value of annuity - If using 3 1/2%, 6%, 10%, or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3 0.00 o o Monthly (12) o Other ( ) 0.00 0.00 0.0 % 0.0000 0.0000 0.00 0.00 NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13, 15, 16, 17 and 18. (If more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lackner Group. inc. Form REV-1514 EX (Rev. 9-00) REV.1514 EX + (9-00) SCHEDULE K LIFE ESTATE, ANNUITY & TERM CERTAIN Check Box 4 on Rev-1500 Cover Sheet ESTATE OF FilE NUMBER MarRaret M. Bowen SS# 201-18-7732 01/25/2001 2001-00209 This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Copy {12 o Will o Intervivos Deed of Trust o Other NAME(S) OF LIFE TENANT( S) NEAREST AGE AT DATE OF BIRTH DATE OF DEATH TERM OF YEARS LIFE ESTATE IS PAYABLE Term of Years Term of Years Term of Years Term of Years 1. Value of fund from which life estate is payable 2. Actuarial factor per appropriate table Interest table rate - D 3 1/2% D 6% D 10% 3. Value of life estate (Line 1 multiplied by Line 2) $ 0.00 0.00000 D Variable Rate 0.0 % $ 0.00 NAME(S) OF ANNUITANT(S) NEAREST AGE AT DATE OF BIRTH DATE OF DEATH TERM OF YEARS ANNUITY IS PAYABLE Term of Years Term of Years Term of Years Term of Years 1. Value of fund from which annuity is payable 2. Check appropriate block below and enter corresponding (number) Frequency of payout - 0 Weekly (52) 0 Bi-weekly (26) o Quarterly (4) 0 Semi-annually (2) 0 Annualiy(1) 3. Amount of payout per period 4. Aggregate annual payment, Line 2 multiplied by Line 3 5. Annuity Factor (see instructions) Interest table rate - D 3 1/2% D 6% D 10% D Variable Rate 6. Adjustment Factor (see instructions) 7. Value of annuity - If using 3 1/2%, 6%, 10%, or jf variable rate and period payout is at end of period, calculation is: Line 4 x line 5 x Line 6 If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x line 5 x Line 6) + Line 3 0.00 o Monthly (12) OOthe,( ) o 0.00 0.00 0.0 % 0.0000 0.0000 0.00 0.00 NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13, 15, 16, 17 and 18. (It more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lack:ner Group, tnc. Form REV-1514 EX (Rev. 9-00) REV~ 1514 EX + (9-00) SCHEDULE K LIFE ESTATE, ANNUITY & TERM CERTAIN Check Box 4 on Rev-1500 Cover Sheet ESTATE OF FILE NUMBER Margaret M. Bowen SS# 201-18-7732 01/25/2001 2001-00209 This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Copy #3 o Will o Intervivos Deed of Trust o Other NAME(S) OF LIFE TENANT(S) DATE OF BIRTH TERM OF YEARS LIFE ESTATE IS PAYABLE Term of Years Term of Years Term of Years Term of Years 1. Value of fund from which life estate is payable 2. Actuarial factor per appropriate table Interest table rate - D 3 1/2% D 6% D 10% 3. Value of life estate (Line 1 multiplied by Line 2) $ 0.00 0.00000 D Variable Rate 0.0 % $ 0.00 NAME(S) OF ANNUITANT(S) NEAREST AGE AT DATE OF BIRTH DATE OF DEATH TERM OF YEARS ANNUITY IS PAYABLE Term of Years Term of Years Term of Years Term of Years 1. Value of fund from which annuity is payable 2. Check appropriate block below and enter corresponding (number) Frequency of payout - D Weekly (52) D Bi-weekly (26) o Quarterly (4) 0 Semi-annually (2) 0 Annually (1) 3. Amount of payout per period 4. Aggregate annual payment, Line 2 multiplied by Line 3 5. Annuity Factor (see instructions) Interest table rate - D 3 1/2% D 6% D 10% D Variable Rate 6. Adjustment Factor (see instructions) 7. Value of annuity - If using 3 1/2%,6%, 10%, or if variable rate and period payout is at end of period, calculation is: Line 4 x Line 5 x Line 6 If using variable rate and period payout is at beginning of period, calculation is: (Line 4 x Line 5 x Line 6) + Line 3 0.00 o o Monthly (12) o Other ( ) 0.00 0.00 0.0 % 0.0000 0.0000 0.00 0.00 NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest{s) should be reported at the appropriate tax rate on Lines 13, 15, 16, 17 and 18. (If more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1514 EX (Rev. 9~00) REV-1647 EX t (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE M FUTURE INTEREST COMPROMISE (Check Box 4a on Rev-1SOO Cover Sheet) ESTATE OF Margaret M. Bowen SS# 201-18-7732 01/25/2001 This schedule is appropriate only for estates of decedents dying after December 12, 1982. This schedule is to be used for all future interests where the rate of tax which will be applicable when the future interest vests in possession and enjoyment cannot be established with certainty. Indicate below the type of instrument which created the future interest and attach a copy to the tax return. FILE NUMBER 2001-00209 nWiII nTrust nOther I. Beneficiaries NAME OF AGE TO BENEFICIARY RELATIONSHIP DATE OF BIRTH NEAREST BIRTHDAY 1. 2. 3. 4. 5. II. For decedents dying on or after July 1, 1994, if a surviving spouse exercised or intends to exercise a right of withdrawal within 9 months of the decedent's death, check the appropriate block and attach a copy of the document in which the surviving spouse exercises such withdrawal right. n Limited right of withdrawal n Unlimited right of withdrawal III. Explanation of Compromise Offer: IV. Summary of Compromise Offer: 1. Amount of Future Interest. . . . . . . .. . . . S 0.00 2. Value of Line 1 exempt from tax as amount passing to charities, etc. (also include as part of total shown on Line 13 of Cover Sheet) . . . .$ 0.00 3. Value of line 1 passing to spouse at appropriate tax rate Check One 06%, 03%, 00% .$ 0.00 (also include as part of total shown on line 15 of Cover Sheet) 4. Value of line 1 taxable at lineal rate Check One 06%, 04.5% . . . . .$ 0.00 (also include as part of total shown on Line 16 of Cover Sheet) 5. Value of line 1 taxable at sibling rate (12%) (also include as part of total shown on line 17 of Cover Sheet) . . . .$ 0.00 6. Value of line 1 taxable at collateral rate (15%) (also include as part of total shown on line 18 of Cover Sheet) . .. . .$ 0.00 7. Total Value of Future Interest (sum of lines 2 thru 6 must equal line 1) .. . . . S 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lack.ner Group. Inc. Form REV-1647 EX (Rev. 9-00) REV - 1648 EX (9-00) SCHEDULE N SPOUSAL POVERTY CREDIT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX DIVISION (AVAilABLE FOR DECEDENTS DYING AFTER 12131191) ESTATE OF Margaret M. FilE NUMBER Bowen SS# 201-18-7732 01/25/2001 2001-00209 This schedule must be completed and filed if you checked the spousal poverty credit box on the cover sheet. 1. Taxable Assets total from line 8 (cover sheet) 1. 439,534.79 2. Insurance Proceeds on Life of Decedent. 2. 0.00 3. Retirement Benefits . 3. 0.00 4. Joint Assets with Spouse 4. 0.00 5. PA Lottery Winnings. . 6a. Other Nontaxable Assets: List (Attach schedule if necessary). 6a. 0.00 6b. 6c. 6d. 6. SUBTOTAL (Lines 6.. b, C, d). 6. 0.00 7. Total Gross Assets (Add lines 1 thru 6~ 7. 439,534.79 8. Total Actual Liabilities. . 9. Net Value of Estate (Subtract line 8 from line 7) . If line 9 is greater than $200,000 - STOP. The estate is not eligible to claim the credit. If not, continue to Part II. 8. 0.00 9. 439,534.79 Income: a. Spouse b. Decedent. c. Joint.. d. Tax Exempt Income. e. Other Income not listed above. f. Total. 4. Average Joint Exemption Income Calculation 4a. Add Joint Exemption Income from above: (11) 0.00 1. TAX YEAR' 191998 2. TAX YEAR' 191999 3. TAX YEAR, 192000 1.. 0.00 2.. 0.00 3.. 0.00 lb. 0.00 2b. 0.00 3b. 0.00 Ie. 0.00 2c. 0.00 3c. 0.00 ld. 0.00 2d. 0.00 3d. 0.00 Ie. 0.00 2e. 0.00 3e. 0.00 11. 0.00 21. 0.00 31. 0.00 + (21) 0.00 +(31) 0.00 4b. Average Joint Exemption Income. If line 4(b) is greater than $40,000 - STOP. The estate is not eligible to claim the credit. If not, continue to Part Ill. 0.00 ..,.. 3 ) 0.00 1. Insert amount of taxable transfers to spouse or $100,000, whichever is less. 1. 2. Multiply by credit percentage (see instructions) . . 3. This is the amount of the Resident Spousal Poverty Credit. Include this figure in the calculation of total credits on line 2A on Page 2. . . 4. For Nonresidents, enter the ratio of the decedent's gross estate in PA to the value of the decedent's gross estate. . 5. Multiply line 3 by line 4 and enter the total here. This is the amount of the Nonresident Spousal Poverty Credit. Include this figure in the calculation of total credits on line 2A on Page 2. Copyright (c) 2000 form software only The Lackner Group, Inc. 2. 3. 4. 5. Schedule (Rev. 9-00) REV-1649 EX + (1/97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 0 ELECTION UNDER SEC. 9113(A) (SPOUSAL DISTRIBUTIONS) ESTATE OF FILE NUMBER Mar~aret M. Bowen SS# 201-18-7732 01/25/2001 2001-00209 Do not complete this schedule unless the estate is making the election to tax assets under Section 9113{A) of the Inheritance & Estate Tax Act. If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the Trust III Trust (marital, residual A, B, By-pass, Unified Credit, etc.). If a trust or similar arrangement meets the requirement of Section 9113(A), and: a. The trust or similar arrangement is listed on Schedule 0, and b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0, then the transferor's personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the election to have such trust or similar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property is included as a taxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal to the total value of the trust or similar arrangement. PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's surviving spouse under a Section 9113 (A) trust or similar arran ement. DESCRIPTION VALUE Part A Total PART B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is bein DESCRIPTION 0.00 made. VALUE Part B Total 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. FormREV-1649 EX (Rev. 1-97) REV-1649 EX + (1/97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 0 ELECTION UNDER SEC. 9113(A) (SPOUSAL DISTRIBUTIONS) ESTATE OF FILE NUMBER Margaret M. Bowen SS# 201-18-7732 01/25/2001 2001-00209 Do not complete this schedule unless the estate is making the election to tax assets under Section 9113(A} of the Inheritance & Estate Tax Act. If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies to the Trust 112 Trust (marital, residual A, B, By-pass, Unified Credit, etc.). If a trust or similar arrangement meets the requirement of Section 9113(A), and: a. The trust or similar arrangement is listed on Schedule 0, and b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0, then the transferor's personal representative may specifically identify the trust (all or a fractional portion or percentage) to be included in the election to have such trust or similar property treated as a taxable transfer in this estate. If less than the entire value of the trust or similar property is included as a taxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal to the total value of the trust or similar arrangement. PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's surviving spouse under a Section 9113 (A) trust or similar arran ement. DESCRIPTION VALUE Part A Total PART B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is bein DESCRIPTION 0.00 made. VALUE Part B Total 0.00 (It more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Fo,mREV-1649 EX (Rev. 1-97) REV-1649EX + {1J91) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 0 ELECTION UNDER SEC. 9113(A) (SPOUSAL DISTRIBUTIONS) ESTATE OF FILE NUMBER Margaret M. Bowen SS# 201-18-7732 01/25/2001 2001-00209 Do not complete this schedule unless the estate is making the election to tax assets under Section 9113{A) of the Inheritance & Estate Tax Act. If the election applies to more than one trust or similar arrangement, a separate torm must be filed tor each trust. This election applies to the Trust 1/3 Trust (marital, residual A, B, By-pass, Unified Credit, etc.). If a trust or similar arrangement meets the requirement of Section 9113(A), and: a. The trust or similar arrangement is listed on Schedule 0, and b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0, then the transferor's personal representative may specifically identify the trust (aU or a fractional portion or percentage) to be included in the election to have such trust or similar property treated as a taxable transfer in this estate. If Jess than the entire value of the trust or similar property is included as a taxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arrangement included as a taxable asset on Schedule O. The denominator is equal to the total value of the trust or similar arrangement. PART A: Enter the description and value of a\l interests, both taxable and non-taxable, regardless of location, which pass to the decedent's surviving spouse under a Section 9113 (A) trust or similar arran ement. DESCRIPTION VALUE Part A. Total PART B: Enter the description and value of all interests included in Part A for which the Section 9113 (A) election to tax is bein DESCRIPTION 0.00 made. VALUE Part B Total 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. FormREV-1649 EX (Aev.1-97)