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HomeMy WebLinkAbout01-0223 PETITION FOR PROBATE and GRANT OF LETTERS 204-03-2122 No 21-G. 0\(;)3 To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania Estate of also known as Fay S. Woods Social Security No. The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the executrix in the last will of the above decedent, dated October 21, 1987 and codicil( s) dated Nt A Norman W. Woods died May 8, 2000 named (state relevenatcircumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 801 North Hanover Street, North Middleton Township, Carlislie, Pennsylvaia (list street, number and municipality) Decedent, then 82 years of age, died Feb. 16, 2001 at North Middleton Township, Cumberland County, Pennsylvania Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate~ was not the victim of a killing and was never adjudicated incompetent: No Exceptions Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ unestimated $ $ $ Total: 0.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary~ administration c.t.a.~ administration d.b.n.c.t.a.) thereon. Emily N. Thomas [1~ /fJ ~ 301 E Hillcrest Drive 7 Carlisle PA 17013 UATH U1<' l'J.<.;RSUNAL R~l'RS~NTATl V ~ COMMONWEA TLH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statement in the foregoing peition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ? 1 S T day of FebrUary~~ . ~ Oiv~ . 7J. {. J J-UJ 1J 'Ja~~eWls _ : -- -.- - - n - Register I _ I ['.~ IJtI ~ Estate of No. 21-0. _ 223 Fay S. Woods , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW FEBRUARY 27, 7001 the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated_ October 21,1987 described therein be admitted to probate and filed of record as the last will of Fay S. Woods and Letters Testamentary are hereby granted to Emily N. Thomas FEES $ 80 . 00 $ 3.00 $ 3.00 $ s.oo Total_ $ 91.00 Filed.......... f.~.~g.V!~g.y. ..?.?.? .?9.91 ~Q'~e&lln~. . Register of Wills . MARY CLEWIS Robert~.Frey 6274 ATTORNEY (Sup. Ct. LD. No.) 5 South Hanover Street Carlisle, Pennsylvania 17013 ADDRESS Probate, Letters, Etc. Short Certificates(1 ) Renunciation X-Page JCP (717) 243.5838 PHONE .- ~ ,..? ....~.. Called attorney on 2-27-01 [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. ~~.~~~~ Local Registrar Fee for this certificate, $2.00 p 6948309 FEB 1 9 2001 Date H10S.143Aev.2/87 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH ~INT .. COUNTY OF OE.,fJ'H 82 .........5 DECEDENT EVEA IN u,S. ARMED FORCES? ",.0 No~ SEX 2. F STATI FilE NUMBER SOCIAL SECuRITY NUMBER lENT INK NAME OF DECEDENT (FIrst Midclle. Las) I. Fa S. Woods UNDER' YEAR Months 0..,. ,. 204 03 c. 2/16/2001 UNDER 1 DAY t-tourw Minut" BIRTHPLACE r,C.ty and PlACE OF OEAJH fCt>eck Ol"ty Ol"e.- '"" tt'lSlrucl.ont "" Other Sldel 3ta.. 01 Fcreogtl CaunIl'V} HOSPITAL: Carlisle, PA ,__0 ER/Ovtoo,..nt [j 7. ... FACIlIT"r' NAME (I' no! onSf1\Jtlofl. lflve stree1 anO r\l,Ifnl)eft ~,o DECEDENT'S USUAL OCCUPRtON (~~_~,,=::;':l,:r "L Harerna.ker ".. Her own hare DECEDENT'S MAjUNG AOOAESS (Street Cit'yITown. StaN, ZtpCoo.) DECEDENT'S ACTUAl RESIDENCE <SeeonltAJC1lOn1 onorl'1ef'SldeI 12. MARITAL STRUS. Married N....... Married, Wclowed. -(5pecolyj ,.. Wicbwed RACE. Arn.nean Indian. Black, White. etc. ,_, I.. White SURVMNG SPOuSE (It ....... 9'W IT\8IOIllrl namal ~\ ... Cumber land 178. $Iala PA 17c.~ 'M,dKedenllMdln - 301 Hillcrest Drive ,0. Carlisle, PA 17013 FATHER'S NAME (Firsl. ModdIe. last) II. John H. Morrison INFORMANT'S NAME (T-"''''I 200. Emil N. Tha'ras METHOO OF oeSPOSITION O ...... ~ C'....I"" 0 DoMtion 0... (SpecIyl. "L StGHRURE Of F ,n.Coun ""' -- 1ft... Cumberland -' 11..0 =..'::::'.. MOTHER'S NAME (FlISt Middle. Malden Sufname) Sara E. Hench Cily-' ... INFORMANT'S MAtuNG AOOAESS 1StrHl.. Citylklwn. Slate. Zo Codel .... 301 Hillcrest Drive, Carlisle, PA 17013 PlACE OF OISPOSITlON - Name at Cemetery. CramalOly lOCRtQN . CitylTown. ~.... Lip Code 0l'0I:,*~ 21'L!estminster Mem. Grds. NAME ANQ ADDRESS OF FACILITY 22c. EWlllg Brothers LICENSE NUMBER "..Carlisle, PA 17013 Funeral Hane, Carlisle, PA 17013 /~,lt7e?/ Noia" 'fi ~. DUE1O~EOf)' ... :~-=-n I 0ftMl and dMIl'l ~ PART A: Other signiftcant ~ COl"Ilfibutlng 10 dMtFl. but noI mulling in 1M underIyW'IQ ~ giwen in PART l. t b. C. .. ........ DUE 1O(ClA A$A CONSEQUENCE OF): DUE 10 (OR AS A CONSEOUEHCE Of), WERE AUtoPSY FlNOINGS MANNER Of: DEATH AWU\81.E PRIOA 10 COMPLETtON OF CAUSE Ii( 0 OF 0E.<rH' - Hornicidl ........ 0 Pending InvestigatiOn 0 Y.. 0 No 0 .....,. 0 Coutd noC tilt detarmtned 0 DATE OF INJURY (Monlh. Day, 'lUr) TIME OF INJURY INJURY /fJ WORK? DESCRIBE HON INJURY OCCURRED. ",. 0 No~ - .... CERTWlEfII lCh<<lt only one) aCERTWYlHG PHYStCIAN (PhY'C"" cMlfying eause d death 'II'heft anothet' pt'lvsc.an1\U pt'Of'\OIJnced deall'l ana cornOteled"em 23) 101he bntot",yk~.dellttloceUrrecll"'to""'C.uH(.).ndma~.. atatM.............................. ... 3011. 3Gb. PLACE OF INJURY. AI hOme. farm, 11,..1, lactOfy. otftce buiIdInQ. etC.ISpectfYl 300. M. 3OC. .UEDICAl EXAMINER/COAONEA On the tt.sis of ...min,tlon and/or Investigation. In my opinion, d..n, occurred al th. time. d.le, and place. and due to the c.u..{a} and manner..'taled.....,..........,."...,.,..,........ ,...,..,.,........ ......,.,.,.. ...."."" ......,.,.".... ... 31.. F1EGISTFlAFrs StGNATUFI MSER o "pftOHOUNClNG AND CERTIFYING PHYSICIAH IPhySlClBtl boltl pr~.ng a.8th .nd cendV'1'l9 10 cause of (Ieathl To the ~ 01 my kl"O~fl. deal" occurred althe dine. dal., and p1ac., and due to the uuM(.) ancl ma""" a. .talltd.. I~ h)..d 101 ... DATE FILED (Monltl. ~......I) 34. \~~ I \'\ aC5b \ I 'Y C"t;:, b ~ ", ,y '-,..j ~ ~ \tJ LAST WILL AND TESTAMENT OF FAY S. WOODS I, FAY S. WOODS, of 66 Wilson Street in the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last will and Testament hereby revoking and making void any and all wills by me at anytime heretofore made. 1. I direct my hereinafter named Executor to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. 2. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my husband, Norman W. Woods, his heirs and assigns, to the exclusion of my children, born and unborn, provided my said husband, Norman W. Woods, shall survive me by a period of ninety (90) days. 3. Should my said husband, Norman W. Woods, predecease me or fail to survive me by the aforesaid period of ninety (90) days, then in such event all the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to my five (5) children, their heirs and assigns, the share of any deceased child to pass to his or her issue, per stirpes, and if there be no issue, then such share shall lapse. My said five (5) children being: Robert L. Woods, Joan E. Gitt, Emily N. Thomas, Irene E. Barsh and Mary F. Kipe. 4. Should any person less than eighteen (18) years of age be entitled to distribution from my estate, I direct such share shall be paid to my hereinafter named Executor or Executrix, but if neither of them agrees to serve, then to Farmers Trust Company, and its successors, 1 West High Street, Carlisle, Pennsylvania, in trust, to invest the same and to pay the income arising therefrom together with so much of the principal thereof as in the opinion of said Trustee is necessary or desirable to be expended for the proper maintenance, support and education of such person, to the person having custody of such person, and upon such person attaining eighteen (18) years of age to pay to him or her the then remaining principal together with any undistributed income. 5. I hereby nominate, constitute and appoint my said husband, Norman W. Woods, as Executor of this my Last Will and Testament, but should he predecease me or fail to qualify, then in such event I nominate, constitute and appoint my daughter, Emily N. Thomas, as alternate or successor Executrix, but should she fail to qualify or cease serving as such, then I nominate, constitute and appoint my son, Robert L. Woods, as alternate or successor Executor, and I further direct that neither my said husband nor either of my said two children shall be required to post any bond to secure the faithful performance of his or Page 1 of 2 pages her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto seal to this my Last will and Testament, written this 21st day of October , 1987. set on my hand and two (2) pages ftLL( 1 (J)~ Fa~} S. Woods (SEAL) Signed, sealed, published and declared by Fay S. Woods, the Testatrix above-named, as and for her Last will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~ f.... h~ ;:' $t~L , 71( /tv.-OJ t. () Page 2 of 2 pages 21 - 01 - 22.3 REGISTER OF WILLS OF CUMBER I AND COUNTY OATH OF SUBSCRIBING WITNESS ROBERT M FREY )tXl~m ~)ll'&lX) a subscribing witness to the will presented herewith, OO.OCIX) being duly qualified according to law, depose(s) and say(s) that HE WAS present and saw FAY S WOODS the testat R I X , sign the same and that HE signed as a witness at the request of testaLR1L in h FR presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). tcJ.~ h < 'L, ~ (Name) (Address) (Name) (Address) REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS h) being duly qualified according to law, depose(s) and say(s) that ~miliar with the signature of __ ~ ''''''- testat_ of (one of the sUbscri~i"i1g-.,,~itness 0 the presented herewith and codicil that believes'~ signature on the will is in the handwriting of ................ to the best of affirmed and subscribed before day of 19_ (Address) Register (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Mary E. Gensler ~)( (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that she was present and saw Fay S. Woods the testat rix , sign the same and that .,h~ signed as a witness at the request of testat rix in h 1"1' presence and (in the presence of each otl}.er) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this 26TH 2001 sPA 17007 (Address) (Name) (Address) ..'" . ,;...~ -- REGISTER OF WILLS OF COUNTY._ OATH OF NON-SUBSCRIBING WITNESS each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of \, codici. testat of (one of the III presented herewith and codicil that Ignature on the will is in the handwriting of Sworn to or affirm me this and subscribed before day of 19 (Name) to the best of (Address) Register (Name) (Address) 217 . 07/91/_ U1E3~fl_d REV-1500 EX (6-QO) . REV -1500 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN DEPT. 280601 FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 2 1 - 0 . 0 2 2 3 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER .... Woods, Fav S. 204-03-2122 ~ DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLlCATEWlTH THE Cl W 2/16/2001 1/19/1919 REGISTER OF WILLS lrl (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Cl 204-03-2122 w [8:], DriginaJRelum 02 Supplemental Return o 3. Remainder RllIum (dale 01 death prior to 12-13-82) ~ SOl 04 D4a. Future Interest Compromise (date of death after 12-12-82) 05. Federal Estate Tax Return Required "'0:'" Umited Estate u~u wOO [8]6 07 "o:~ Decedent Died Testate (Altach copy ofWiIJ) Decedent Maintained a living Trust (Attach copy of Trust) _ 8. Total Number of Safe Deposit Boxes u8:~ .. 09 010. SPOU58IPov.rtyCr8d~(dateofd8.lhbetw<o.1l12-31-91Ind1-1-95) 011. Election 10 lax under Sec. 9113(A) (Attach 5ch 0) Uligallon Proceeds Received .... THIS$ECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAI..TAX INFORMATION SHOUI..D'BE'DIRECTIOD Tq,. z NAME COMPLETE MAILING ADDRESS ~ z Robert G. Frev 5 South Hanover Street &: FIRM NAME (If Applicable) Carlisle PA 17013 en w Frev and Tilev a: a: TELEPHONE NUMBER 0 1/717)243-5838 () OFFICIAL. USE ONLY " Real Estate (Schedule A) (1) NONE ;:10 2. Stocks and Bonds (Schedule B) (2) 3i- r::3 ::x:J~ l~,l ' <n <:'J .,..... 3. Closel')' Held Corporation. Partnership or Sole-Proprielorship (3) NONE ~}, '- ,...., ~ :; ::0> Z 4. Mortgages & Notes Receivable (Schedule D) (4) NONE - 5, Cash, Bank Deposits & Miscellaneous Personal Property V1 (Schedule E) (5) 20,722 , . -0 6. Joinlly Owned Property (Schedule f) (6) NONE ~ _.- .., Z o Separate Billing Requested "1-':. N ."'0." 0 ~ ~ 7. Inter-Vivos Transfer & Miscellaneous Non.Probate Property ..J (Schedule G or L) (7) NONE ::> .... a: TOTAL GROSS ASSETS (total Lines 1.7) (8) 20,779 00: 8. 1rl 2,575 a: 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Uabilities, &. Liens (Schedule I) 10) 95 11. TOTAL DEDUCTIONS (total Lines 9 & 10) (11) 2,670 12. NET VALUE OF ESTATE (Line 8 minus Une 11) (12) 18,109 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (13) 0 14. Net Value Subject to Tax (Line 12 minus LJne 13) (14) 18,109 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Une 14 tal/.able at the spousal tax rate ,or transfers under Sec.9116 (a)(1.2) x ,0 (15) 0 Z - 0 >= 16. Amount of Line 14 taxable allineal rate 18,109 x .0 0 (16) 815 00: .... ::> 0- 17. Amount of Line 14 taxable at sibling rate ,12 (17) 0 :;; x 0 () X 18. Amount of Una 14 taxable at collateral rate X .15 (18) 0 <( .... 19. Tax Due (19) 815 200 ~gi[ifil_~fIlmlli!~&'~.tllfiilQE\I&&. ( 1(" - .;:2 I 2:, - ~)v I '- G. >>BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE ANDRECHECK MATH < < 217 204-03-2122 Decedent's Complete Address: STREET ADDRESS 301 East Hillcrest Driw CITY I:TATE \ZIP Carlisle PA 17013 Tax Payments and Credits: ,. 2. Tax Due (f'age 1 Line 19) Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount <'l 815 Total Credits (A + B + C) (2) o 3. Interest/Penalty if applicable D.lnterest E. PenallY 11 4. TOlallnterestJPenalty ( 0 + E ) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 t.o request a refund (3) 11 OF (4) (5) (5A) (5B) AGENT o 826 5. If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + sA. This is the BALANCE DUE. 826 to: PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS ,. Did decedent make a transfer and: Yes No .. retain Ihe use or income of the property tranSferred; 0 [8] b. retain the right to designate wllo shall use the property transferred or its income; 0 [8] c. retain a revef"$ional'f interest, or 0 [8] d. receive the promise for life of either payments, benefits or care? 0 [8] 2. If death occurred after December 12, 1982,did decedent transfer property within one year of death 0 [8] 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? 0 [8] 4. Did decedent own an Individual Retirement Account, annuity or other non-probate property which contains a benefiCiary designation? . o [8] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. DATE 1//)/02 o "<-- 5 South Hanover Street, Carlisle, Pennsylvania 170 '-'><::Hii!mmr ,',;'";h,,, iiiLjinr:W HHlHjiiiiLi jimmUmW;!} ;iiu;W mm;,;; <en i!i!a!i!;iE"""'" """"<"'inn\HH\jL(""i"""" "(;(H;;:;i For dates of death an or after July \, '994 and 'oefore January '\.1995, Iheta)'. rate imposed on Ihe net value of transfers to or far Ihe use ollhe survivJng spouse is 3% [72 P.S. Section 9116 (a)(1, 1)(i)). 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. Section 9116 (a)(1.1)(ii)). The statute does r10t exempt a transfer to a surviving spouse frorn 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 or\ or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one yellrs of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent o~ the child \sO%[72 P.S. ~ctior. 9110(a)\1.2)). The tax rate imposed on the net value of transfers 10 or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P,S. Section 9116(1.2) [72 P.S. Section 9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. Section 9116(a)(1.3)j.A sibling is defined, under Section 9102, es an \mli'J\dua\ who has at least one pOlren\ in common w'llh the decedent, wnether by blood or adoption, AT REV-1503 EX + (1-97) (I) COMMONWEALTH OF PENNSY\..VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Woods, Fay S. All property jointly-owned with right of survivorship must be disclosed on Schedule F. SCHEDULE B STOCKS & BONDS FILE NUMBER 21-01-0223 ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Microsoft, Certificate #MS497021 57 TOTAL (Also enter on iine 2, Raeaoitulalion) $ (If more space is needed, insert additional sheets of the same size) 57 -'WSJ HI~TO_~_~_AL QUOTES !:!fill 6 ~ .conl Illl ,,\ 1.1" !~, <<t I '.\ \ \- WSJ.com Stock Charting for MSFT Date (NASDAQ NM) U.S. Dollar Low . .' Volume . Price 57.31 High 2/16/01 58.25 56.13 33,479,200 No Splits Get another quote any day after 1/2/1970 Symbol: 1/2/1970 Date: 12/16/01 D:~~I ' "c< '~',,,.. Copyright @ 1998-2002 Bi9Charts.com Inc. Historical and current end-at-day data providild by FT Interactive Data. i .-", I.. >- i':\ 1"- '" I ' ~.~' '~. ,/,"'"'""""\ ... .'. ... 'Ill". i, '. ' -r-"--''''--;'r l c',.:.-, ,.--(-. -"r r'-' ,. II 1~lh'.' '.(U" . -.J " -.J ,\.,' I ; '--- ~ .~, 1 ,i ,,_..,' _',,' : I, ,',' 1/9/02 9:43 AM 2 MJnth (Daily) @)BigChar-ts..cOITl /\J\ 'V\ /j/\' ..."'. \ 55 ~r--; 60 Feb Ihl' 1.mQ. 2mo 3mo Sma m ~ fur Click here. Copyright @ 2002 Dow Jones & Company, Inc. All Rights Reserved h II P :lIwww.blgcharts.com/c U sto m/ws II e/ws Ibb-htstoric81.asp1 symb=11'l 9ft 8, 91 d=8630 & cl oae_d8te::2/16/0 1 Page 1 of 1 t ~ o > ~ ~ 1~ I ~. ~~ , m ~~ o c " < i ~ > .,,~ i3 ~ i~ "-.. '<~ o :E CD ~ !. ;:; 5. CD => 00 ~ m u;::] en .._ ~l -;CT ~~ o en ~g, ~;: 0.. ~(J .. 0 cn.a => 0 g~ ~ g" O:u c'< ;a ~ 3: 0 =cP _ Z 0", 0 0 00 '2 c: Ci :a ;t. ;a~ 0 (J} :;:~:Ttn~ CDtO'~Ocn ;-;g,.,,~ na.~.....OJ (II! I>> 5' 0:;; ~: aal en ii" CD a; OJ!; (IlCOO::D:o ~. iii'::J " m ell a)'Q 0 en g (0 t:1 _ 0 ' a. '< .AI "TI 5:0-0.)>-1 !a. ~~ -t ffi "'''0 - () Ui (D c:: 0 a. ~:;. Z s:: c: I>> 0 s:: -<~~. 0 I>> ti' Z. z S. ... en 5".6"; d ~. CD 0 0 ~ a 3 ^ a. ".!l! 0 Q. a c "TI = :0"'0 g CD 0 en ~.; . ~ c ~ ~ ~ CD , => a. ~ 9- '5 ii' o ~ 0' .. .. ...'5 ..... ,0:- oil '" 3' ,= "'.. "':g !!!. 9- '5 .. () o -0 o ~ 0' => .. => a. " <::... flEGISTEREO: ERVICES, L.L.C. couNrERSIGNEDoA~~HAREHOLDER ~ENT AND REGISTRAR CHASEMELl TAANSFER />. ~ z " o :D ." o :D .. g: c: z ~ :D ;! m .... lE "' o ." .... :r m !!l ". .... m o ." :l!i 1;; :r Z ~ o z II f"'l c:: VI H "tIo m. >m lni!"' ...oi; &~~ ..D ,. zm 10-'3' Q:I ~i . ~ MICROSOFT CORPORATION The corporation will furnish to any shareholder upon request and without charge a full statement of the designations, preferences, limitations, and relative rights of the shares of each class authorized to be issued. The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable lows or regulations: TEN COM TEN ENT JT TEN -as tenants in common -os tenants by the entireties -os joint tenants with tight of survivorship and not as tenonts in COmmon UNIF GIFT MIN ACT-.,.. uu__. .Custodian..........._ (Cust) (Minor) under Uniform Gifts to Minors Act.__.._____.... (Stote) Additional abbreviations may aha be used though not in the above list, For Value Received, hereby sell, assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) Shares of the Common Stock represented by the within certificate, and do hereby irrevocably consti. tute and appoint Attorney to transfer the said shares on the books of the within named Corporation with full power of sub. stitution in the prem ises. Dated NOTICE: TttE SIGNATURE lO ltllS ASSIGNMENT MUSl CORRESPOND Wlltl ltlE NAME AS WRITTEN UPON ltlE FAC[ 0' TtlE cnlTlrlCAn IN EVERl PARllCULAR,WllttOUl ALTERAlION OR ENLARGE ME'HORANYC><ANG[W><ATEVER. Signature(s) Guaranteed: By THE SIGNA TURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS. STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED MEDALLION SIGNATURE GUARANTEE PROGRAM) PURSUANT TO S.E.C. RULE 17Ad-15. AT REV-1508 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITA.NCE T.A.X RETURN RESIDENT ECEDENT ESTATE OF Fay S. Woods SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-01-0223 Inch.lde the proceed$ of I~igelion and the date the proceed, we'e received by the estate. ALL PROPERTY JOINTlY-OWNEO WITH THE RIGHT OF SURVIVORSHIP MUST BE DISCLOSED ON SCHEDULE F. ITEM NUMBER 1. 2. 3. DESCRIPTION VALUE AT DATE OF DEATH 20,720 2 o Orrstown Bank, Account #106000393 Accrued Interest to February 16,2001 Investment with "Greater Ministries" TOTAL (Also enter on line 5 Recaoitulationl $ (Jf mnrp c:n~r~ ic;: n,:"""rfaM ineor+ o:lrlrliti,..,.....,.I ~ho."'''''' ,...~ j.1,.,.~ ---- _:_-, 20,722 ~---'_.~' ~ ORRSfOWN BANK TO: Robert M. Frey Frey & Tiley 5 South Hanover Street Carlisle, PA 17013 FROM: ORRSTOWN BANK P.O. BOX 20 SHIPPENSBURG PA 17257-0250 RE: ESTATE OF Fav S. Woods DECEASED DATE OF DEATH: February 16. 2001 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: (1) CHECKING ACCOUNTS DATE OF DEATH ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST 106000393 Fay S. Woods 08-14-98 20,720.00 1.70 (2) SAVINGS ACCOUNTS DATE OF DEATH ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST (3) CERTIFICATES OF DEPOSIT DATE OF DEATH ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST Date: 03-29-01 By: Wendy Bullock PO Box 250. Shippensburg, PA 17257 . (717) 532-6114. (717) 532-4143 Fax. www.orrstown.com NOTES Re: Valuation of Greater Ministries International The Decedent, during his lifetime, made "investments" totaling $4,500.00 in the Faith Promise Program of Greater Ministries International. Those persons who made gifts to Greater Ministries International were promised that in return for the gifts made to the Ministries, they would receive "gifts back" in amounts several times more that their original gift. Due to complaints by various participants, investigations by various government agencies determined that the Faith Promise Program of Greater Ministries International was a fraudulent Ponvi scheme. Attached to the Inheritance Tax Return is a notification from the Pennsylvania Securities Commission dated October 29, 1999, imposing a permanent injunction against Greater Ministries, Inc. Also attached is notification of bankruptcy filing in the Middle District of Florida Bankruptcy Court. Attached also is a letter dated April 18, 2001, from the United States District Court Probation Office explaining certain victims restitution rights of investors as a result of the conviction of one of the principals in Greater Ministries International. Although we have made repeated attempts to determine from the Probation Office of the United States District Court concerning any possible restitution, we have been unable to receive any information other than a recorded message. Finally, attached is notification obtained from the Commonwealth of Pennsylvania web site outlining penalties against Greater Ministries, International and also quoting one of the principals as denying any obligation to refund any money. Below this summary is a copy of an article from the Tampa Tribune, outlining the efforts to locate assets of Greater Ministries, and the limited assets actually located. Based on the foregoing, we have listed the Decedent's "investment" in Greater Ministries International, as having no value. The fact that an investigation has been pursued for two years, having located only one tenth of the estimated investments indicate that there is no reasonable likelihood of any return to the investors. Furthermore, if any return ever would be made, the timing and the amount are so speculative as to have no value at this time. RGF/tl attach. 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':lSU:J S!I{l u~ l]lloJ :lI{l hq uO!lnlilS:ll p:lplUMU :llU nOh lU:lA:l :lI{l U[ lOOl 'Sl l!ldy l:l81ld FORMBIO '01I1ci.1 Fonn 10"9/97) UNITED STATES BANKRUPTCY COURT PROOF OF CLAIM MIDDLE DISTRICT OF FLORIDA, TAMPA DIVISION Name of Dehtor Case Number: GREATER MINISTRIES JNTERNATlONAL 99-13967-8Bl Note: This form should not be used to make a claim for an administrative expense arising after the commencement of the case. A "request II for payment of an administrative expense may be filed nursUOllt to II U.S.C.S 503. Name of Creditor (The person or other entity to whom the o Check box if you are aware that debtor owes money or property): anyone else has filed a proof of claim relating to your claim. --------------- -~ ,\ttach copy of statement giving Name and address where notices should be sent: particulars. o Check box if you have never received any notices from the bonkroptcy court in this case. o Check box if the address differs from the address on the envelope Telerhone Number. sent to you by the court. l'HlsSPACE1SFGRCOmT UlEONLv Account or other number by which creditor identifies debtor: Check here if Clreplaces this claim Clameuds a previously filed claim, dated 1. Basi. for Claim Cl Retiree benefits as defined in II U.S.e. ~1l14(a) Cl Goods Sold Cl Wages, salaries, and compeusation (fill out below) Cl Services Perfonued Your SS #: Cl Money Loaned --- Unpaid Compeusation for Services Perforrued Cl Personal injmy/wrongful death from to Cl Taxes (date) (date) Cl Other 2. Dail> debt ....Incurred: 3. If court judgment, date abtalned: 4. Total Amount of Claim at 11me Case Flied: S If aU or part of your claim is secured oreutitled to priority, also complete Item 5 or 6 below. Cl Check ibis box if ;e...incIUdeS interest or other charges in addition to the principal amount of the claim. AlIBch itemized s1atement of aU interest or additional c . 5. Secured Claim. 6. Unsecured Priority Claim. Cl Cbeck tbi>; box if your claim is secured by collateral (including ClCheck Ibis box if you have an UIlSeoured priority claim o right of setoft). AmotUlI entitled to prionty $ - Brief Description of Collateral: SpecifY the priority of the claim: Cl Real Es1ale ClMolor Vehicle ClWages, salaries, or conmUssions (up 10 $4(00), . earned within 90 days Cl Other ~~. before filing of the bankruptcy petition or oessation of the debtor's business, whichever is earber - IIUS.C. * 507(aX3). Value of Collateral: $ ClContributions to an employee benefit plan - ]] U.S.c. *507(aX4). ClUp to $ 1,800' of deposits toward purchase, lease, or rental of property or services for peI>OIIll!. family, or household use - 11 U.S.e. * 507(aX6). CJAlimony, maintenance, or support owed to a spouse, tonner spouse, or child - I I U.S.e. * 507(aX7). Amount of arrearage and other charges at time case filed ClTaxes or penalties owed to govemmenlal units - 11 U.S.c. * 507(aX8). Ulcluded in seoured claim. if any: $ ClOlher - SpeciJ). applicable paragrnph of 11 u.s.e. * 507(0)(_). *Amou,,/~' are suhject /0 atyusfment on 4/1/98 and evelY 3 years therea.fter with reSfJPct 10 cases commenced on or afler the dale viwJ;uatmenJ. Date Sign and print the name and title, if any, of the creditor or other person authorized to file ibis Dm SPACF IS rr;R COl"T USE OHLY claim (oltach copy of power of attorney, if any): Cloim#: PenaltyjOr presenting.li'audulentclaim: Fine of up to $500,000 or imprisorurn:nt for up to 5 years, oc hoth 18 U.S.C. ** 152 and 3571. 006721 FORM BIO (Official Form IOV9/97\ INSTRUCTIONS FOR PROOF OF CLAIM FORM The instrrJctions and definjJjQns be/ow are general explanations of the Jaw. In partjcular types of cases or circllmstances, such as bankruptcy cases thaJ are nO/filed voluntarl{v hy a debtor there may be exceptions to these general rules. ----- DEFINITIONS ----- DelNDr The person, corpocation, or other entity 1I1at has filed a bankruptcy case is called the debtor. CretIiIor A creditor is any person, C01p<41ltion, or other entity to whom the debtor owed a debt on the date that !be hankruptcy case was filed Proof of Claim A form telling the hankruptcy court how much the debtor owed a creditor at the time the bankruptcy case was filed (the amount of the creditor's claim). This form must he filed with the clerk of the bankluptcY court where the bankruptcy case was filed. Secured Gaim UM8CJIt'etl Claim A claim is a secured claim to !be extent that the creditor has a lien on property of the debtor (collateral) that gives !be creditor tha right to be paid from that property before creditors who do not have liens on the property. If a claim is not a secured claim it is an nnsecnred claim. A claim may be partly secured and partly UDseCured if the property on which a creditor has a lien i, not worth enough to pay the creditor in full UM8CJIt'etl Priority Claim Examples of lien, are a morl!;ilge on real estate and a security interest in a car, truck, boa~ televi,ion se~ or other item of property. A lien may have been obtained through a court proceeding before the bankluptcY case he!;ilfi; in some states a court jndgment is a nen. In addition, to the extent a creditor also owes money to the debtor (has a right of ,etoll), the creditor's claim may be a secured claim. (See also Unsecured Claim.) Certain types of nnsecnred claims are given priority, so !bey are to be paid in bankruptcy cases befOre most other unsecured claims (if there is sufficient money or property available to pay these claims). The most common types of priority claims are listed on the proof of claim form. Unsecured claims that are not specifically given priority status by the bankruptcy laws are classified as Unsecured Nonpricrily Claims. Items to be completed in Proof of Claim form (if not already nJ/ed in). Court, Nam. of Debtor, and Cas. Number: 4. Total Amount of Claim at 'IbM Ca.. FOod: Fill in the mme of the federal judicial district where the Fill in the total amount of the entire claim. If interest or other bankruptcY case was filed (for example, CentruI District of charges in addition to the priucipal amount of the claim are included, California1the name of the debtor in the bankruptcY case, and check the appropriate pbsce on the form and attad111l1 itemilation of the bankrupb;y case munber. If you received a notice of the case the interest and charges. from the court, all of this infannation is near lit. top of the notice. Information about Cro_r: Complete !be section giving the name, address, and telephone number of !be creditor, to whom the debtor owes money or property, and the debtor's acocunt number, if any. If anyone else has alreody filed a proof of claim relating to this deb~ if you never received notices from the baokruptcy court about this case, if your address differs from that tn which !be court sent notice, or if this proof of claim replaces or changes a proof of claim that was already tiled, check the appropriate box on the fo1lll. J.llaolsforClalm: Check the type of debt for which !be proof of claim is being tiled. If the type of debt is not listed, check "Other" and brie1!y describe the type of debt. If you were an employee of the debtor, fill in your social security number and the dales of work for which you were not paid. 1. Date Debt ....urrod: Fill in the dale when the debt first was owed bY the debtor. 3, Court JudllD'ORls: If you have a court judgment for this de~ ,tate the date the court entered the jUdgment. 5. Secured Claim: Check the apprcpriale place if !be claim is a secured claim. You must state !be type and value of property 1hat is collateral for the claim, attach copies of the docwnenlation of your lien, and slate the amount past due 00 the claim as of the date the bankruptcy case was filed. A claim may be partly secured and partly unsecured. (See DEF1NITIONS, ahove). 6. Un_ured Priority Claim: Check !be appropriate place if you have an unsecured priority claim, and state the amoWlt entitled to priority. (See DEFlNITiONS, above). A claim may he partly priority and partly nonpriority if, for example, !be claim is form"", 1han the amonnt given priority by the law. Check the appropriate place to .peciJY the type of priority claim. 7. Credits: By signing this prcof of claim, you are stating under oath 1hat in calculating !be amount of your claim you have given the debtoc credit for all payments received from the debtor. 8. SupportlngDocumonts: You must attach to this proof of claim form copies of documents that show the debtor owes the debt claimed or, if the documents are too lengthy, a slllIUIlaI)' of those documents. If docwnents are not available, you must attach an explanation of why they are not available. OO672t 36706006735034 FORM B9F(AII1 (Chanter 11 Cornoration/Partnershin Asset Case) (9/97\ Case Number 99-13967-881 UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA, TAMP A DIVISION Notice of Chapter 11 Bankruptcy Case, Meeting of Creditors, & Deadlines A chapter 11 bankruptcy case concerning the debtor cOlporation listed below was filed on August 26, 1'!99. Yau may be a creditor of the debtor. This notice lists important deadlines. Yeu may want to consult an attorney to protect your rights. All documents filed in the case may be inspected at the bankruptcy clerk's office at the address listed below. NOTE: The staff of the bankruntcv clerk's office cannot Pive I~aal advice. See Reverse Side For Important Explanations Debtor (name(s) and address): GREATER MINISTRlES INTERNATIONAL, INC. 505 SOtrfH F1.AGLER DRIVE WEST PALM BEACH, FL 3340] Case Number: I Taxpayer ill Nos.: 99-1396/-8B 1 ~ Meeting of Creditors: Date: October 18, 1999 Time: 10:00A.M. Location: Tampa Convention Center, Ballroom D 333 South Franklin Street Tamoa. FL 33602 Deadlines to File a Proof of Claim: Proof of Claim must be received by the bankruptcy clerk's office by the fallowing deadline: Notice of that Date will be sent at a later time. Creditors May Not Take Certain Actions: ...... The filing of the bankruptcy case automatically stays certain collection and other actions against the debtor and the debtor's' property. If you attempt to collect a debt or take other action in violation of the Bankruptcy Code, you may be penalized. Address of the Bankruptcy Clerk's Office: For the Court: U.S. &nkruptcy Court Clerk of the Bankruptcy Court: 801 N. Florida Ave Tampa, FL 33602-3899 Carl R Stewart Hours Open: Monday - hiday, 9:00 a.m. to 4:30 p.m. Date: September 23, ] 999 (neent federal hoUda~' 006721 The following debtor names and aliases are a matter of record for case 99-13967: Debtor: GRRATBR MINISTRIES INTERNATIONAL, INC. dba J.3529 FLETCHER REGENCY, ETC. dba BANNER MANAGEMENT THREE dba BANNER MANAGEMENT TWO dba BAHNlIR /IWlAGBMENT ONE dba BAHNlIR SBRVICES dba BBNBVOLENT EQUIPMENT FUND dba BETHESDA CHRISTIAN FELLOWSHIP dba CARPBNTER' S GRllATBR RANCH dba CHEYENNE CROSS AKA CHEYENNE CROSS MINIST dba CHJn'ENNE CROSS FELLOWSHIP dba CHRISTIAN COURIER SERVICE dba EAGLE WINGS COURIER SREVICE dba EAGLES WINGS MINISTRIES dba EXBCUTIVE INN RIVERMONT(OF otlBNSBORO, KY) dba FEDERATION OF INDEPENDENT CHURCHES dba FELLOWSHIP OF INDEPENDENT CHURCHES dba GERALD PAYNB, AS TRUSTBE dba GLOBAL MANAGBMENT dba GMI/BRM dba GMI AFRICAN FOUNDATION dba GOOD SHEPHERD MINISTRIES dba GOOD SHEPHERD COURIER SERVICE dba GOOD TIDINGS FELLOwSHIP dba GRACI COVENANT FlLLOliSHIP dba GRANADA CHURCH OF FAITH, A MINISTRY dba GRBATER MANAGBMBNT TRUST BNT. dba GRBATER MINISTRIES AFRICA FOUNDATION dba GR.8ATER TRUST dba GRBATER GOLD MINING aka GRBATBR MINISTRIBS INTERNATIONAL CHURCH dba GRBATER MINISTRIES RANCH dba GRBATER MINISTRIES INTERNATIONAL dba GRBATER MINISTRIES INTERNATIONAL,GRIlNADA dba GRBATER MINISTRIES INTERNATIONAL AND AFF dba GREATER BOTEL MANAGEMENT DBA EXECUTIVE I dba GRBATBR CllRISTIAN OUTRBACH TRUST dba GRBATBR ASSURANCE TRUST dba GR-BATER MANAGBMBN'I' TRUST ENTERPRISES dba GREATBR MINISTRIES INTI. CHURCH/JACKSONVI dba GRBATER LANDS FUND dba GREATER JOY COURIER SIRVICB dba GRBATER JOY MINISTRIES dba GRBATBR INTBRNATIONAL !lANK dba GRBATER HERITAGB COvENANT dba GRBATER LANDS AKA GRBATBR LANDS FUND dba GRBATER MINISTRIES MBDICAL MISSION dba GRBATER MINISTRIES NURSERY dba GRIlATER MINISTRIBS INTI. OF CAYMAN ISLAND dba GUATER MINISTRIES THRIFT STORE dba GREATER MINISTRIES LIBERIA FOUNDATION dba GREATER INTERNATIONAL BANK OF NAURU dba GRBATER MISSIONS TO INDIA dba GREATER MEDICAL MISSION dba GRBATER WELLNIlSS CENTER dba GREATER MINISTRIES SHARE RANCH, pASCO dba GRBATER FAITH nLL01fSHIP 006721 36706006735016 Filing of Chapter 11 A bankruptcy case Wlder chapter II of the Bankruptcy Code (title II, United States Code) has been Bankruptcy Case filed in this court by or against the debtor listed on the front side, and an order for relief has been entered. Chapter II allows a debtor to reorganize or liquidate pw-suant to a plan. A plan is not effective tmless confirmed by the court. You may be sent a copy of the plan and a disclosure statement telling you about the plan, and you might have the opportunity to vote on the plan. You will be sent notice of the date of the confinnation hearing, and you may object to Confirmation of the plan and attend the confirmation hearing. Unless a trustee is serving, the debtor will remain in possession of the debtors property and may continue to operate any business. Creditors May Not Take Prohibited collection actions are listed in Bankruptcy Code ~362 Common examples of prohibited Certain Actions actions include contacting the debtor by telephone, mail or otherwise to demand repayment; taking actions to collect money or obtain property from the debtor; repossessing the debtor's property; starting or continuing lawsuits or foreclosures. Meeting of Creditors A meeting of creditors is scheduled for the date, time and location listed on the front side. The debtor's representative must be present at the meeting to be questioned under oath by the trustee and by creditors. Creditors are welcome to attend, but are not required to do so. The meeting may be continued and concluded at a later date without further notice. Claims A Proof of Claim is a signed statement describing a creditor's claim. If a Proof of Claim form is not included with this notice, you can obtain one at any bankruptcy clerk's office. You may look at the schedules that have been or will be filed at the bankruptcy clerk's office. If your claim is scheduled and is not listed as disputed, contingent, or Wlliquidated, it will be allowed in the amount scheduled tmless you file a Proof of Claim or you are sent further notice about the claim. Whether or not your claim is scheduled, you are permitted to file a Proof of Claim. If your claim is not listed at all or if your claim is listed as disputed, contingent, or tmliquidated, then you must file a Proof of Claim by the "Deadline to File a Proof of Claim" listed on the front side, or you might not be paid any money on your claim against the debtor in the bankruptcy case. Discharge of Debts Confirmation of a chapter II plan may result in a discharge of debts, which may include all or part of your debt. See Bankruptcy Code ~1141(d). A discharge means that you may never try to collect the debt from the debtor, except as provided in the plan. Bankruptcy Clerk's Office Any paper that you file in this bankruptcy case should be filed at the bankruptcy clerk's office at the address listed on the front side. You may inspect all papers filed, including the list of the debtor's property and debts, at the bankrupt")' clerk's office Legal Advice The staff of the bankruptcy clerk's office cannot give legal advice. You may want to consult an attorney to protect your rights. -Refer to Other Side For Important Deadlines and Notices- EXPLANATIONS FORM B9F(AIt)(9197) 006721 36706006735025 dba GRBATBR DOMBSTIC MISSIONS dba GREATER HARVBST dba GREATERLIlNDS dba HARVIlST INTERNATIONAL MINISTRY dba HERBAL RBSI!A.RCH CENTER dba HERITAGB SISTERS COURIIlR SIlRVICE dba HERITAGE CHRISTIAN FELLOWSHIP dba HONTIlRS FUND dba ISrJlNDBR RESOURCES dba J.W. WATFORD FARM IVALDOSTA, QA) dba JUBILEE BREAKTHROUGH dba KITCHEN KORNER OF GREATER MINISTRIES dba LEAGUE OF MERCY dba LIVING WATERS COURIER SERVICE dba LOBI (MONROVIA, LIBERIA) dba LYNN FOUNDATION dba MANNA TRuST dba MEANS TRUST dba NEW BEGINNINGS MINISTRIES OF TAMPA dba OAKHAVEN MINISTRIES dba OUTREACH MINISTRIES dba PEACEMAKBRS INTBRNATIONAL aka R & R COURIBR SBRVICE AKA R & R MINISTRI dba SAMARITAN CHRISTIAN FELLOWSHIP dba SAMARITAN COURIER SERVICB dba SERVCO dba SERVeO OF KENTUCKY dba SERVCO DEVELOPMENT dba SHARB TIM!! RBllABILITATION dba SHARE TIM!! MINISTRIBS dba SHIBLD OF FAITH FELLOWSHIP dba SOLID FOUNDATION MINISTRIES dba SUNRISE HILL FBLLOWSHIP{DIV OF GREATER dba TAMPA FREEDOM CENTRE. DIVISION GMIdba THE ANGEL CONNBCTION dba THE ANGEL COURIER SERVICE dba THE GREATER BANK (LIBERIA) dba VOLUNTEER TRUST dba W R & ELSIE GOOD LIVING TRUST dba WARRIOR CHRISTIAN SERVANT dba WORLD & DOMBSTIC MISSIONS 006721 9'}-13967-8111113A-8(2358)#06. U.S. BANKRUPTCY COURT 801 N. FLORIDA AVE. TAMPA, FL 33602-3899 006721 67211 AT 0.261 17013 26 2358-1-6721 1",111",111"",,11,,11,,1.,1..,.111.,..1,.,.,.,.....,...... WOODS, NORMAN W 770 S HANOVER ST BOX 4 CARLISLE, PA 17013 006721 36706006735043 Greater Ministries International, Inc. Fined $6.4 Million Due to Securities Violations and Contempt Charges Harrisburg, PA, March 2, 1999 -- Commonwealth Court Senior Judge Eunice Ross issued a Final Order and Decree in the case of The Commonwealth v. Greater Ministries International, Inc., et ai, on March 1,1999. Judge Ross imposed more than $6.4 million in civil penalties and costs under the Pennsylvania Securities Act and the Consumer Protection Law against the Florida-based corporation, its founders, Gerald Payne and Donald Hall, Payne's wife Betty, and Hall's wife Brenda for violating a court order enjoining Greater Ministries from offering and selling its securities in Pennsylvania. Judge Ross also imposed a continuing contempt fine of $2000 a day against the defendants until they comply with her previous order to stop selling securities in the Commonwealth, to provide a list of all Pennsylvania investors and an audited accounting of funds Greater Ministries received from them, the dates of the investments, a refund of the funds invested by Pennsylvanians after the injunction, and the mailing lists used in three mass mailings after November 2, 1998. On November 2, 1998, the Commonwealth, through the Securities Commission and the Bureau of Consumer Protection, obtained a preliminary injunction to stop ongoing fraudulent solicitation and sales of unregistered securities, i.e., interests in Greater Ministries' Faith Promises Program or gifting program. The programs promise to double a person's investment to Greater Ministries in 17 months. Payne has claimed that Greater invests in and owns gold, silver, diamond and platinum mines and engages in international money market trading. On January 20, 1999, Judge Ross found Greater Ministries and Payne, et ai, in contempt of the November 2, 1998 Order, and at that time ordered Payne to appear in court on March I. However, Payne did not appear and instead provided an affidavit in which he stated he cannot obey the Court, that he can only obey God. Payne also said his religious beliefs and the First Amendment protected him from having to refund any money or pay any penalties or fines. Commission Counsel Luci Jankowski McClure, said in Court that "The Defendants' religious beliefs or status as a church does not immunize them from having to obey valid and neutral laws such as the Securities Act or the Consumer Protection Law. The First Amendment does not give any person or any religious group the right to defraud." 12/5/99 -- 12:13 AM They gave, and it was not given unto them By MICHAEL FECHTER of The Tampa Tribune ------------------------------------------------------------------------ TAMP A - Tom Krebs roams the rabbit warren of offices inside Greater Ministries International and points out the important areas. Computers and shredders pack rooms where people tracked the money in this former bank building offInterstate 275 south of the Tampa Greyhound Track. Greater Ministries exploded from modest beginnings in the early 1990s into an international financial enterprise when it marketed a money-doubling investment program catering to Christian fundamentalists. Now, seven people who created and pushed the program await trial in federal court in Tampa on charges offraud, money laundering and conspiracy. The trial had been scheduled for this month, but was postponed when the group's lawyer bailed out in a conflict, delaying the case well into next year. In the meantime, thousands of people across the nation wait to see if their money is gone and their faith misplaced in a ministry that preached God and wealth could go hand in hand. The pitch: Jesus wants his people to prosper, and Greater Ministries founder Gerald Payne discovered a way to double their money through divine intervention. What really happened to the money is in the hands of Krebs. He took control of Greater Ministries' headquarters following an August court order that evicted the church's officials on behalf of securities regulators from Ohio and Alabama. It's Krebs' job to work with a court-ordered receiver and bankruptcy trustee to find out where the money went and return as much as possible to investors. He came to the case through William Smith, an Alabama resident who lost $80,000 after buying Greater Ministries' pitch. The way Greater Ministries used religious beliefs incenses Krebs, once described by the Wall Street Journal as the nation's toughest securities cop. "When they say that to separate people from their life savings, encourage people to max out their credit cards and mortgage their homes, then I want them," Krebs says. "This is a nest of thieves I want cleaned out." To do that, Krebs and securities regulators from across the country have scoured Greater Ministries' headquarters looking for the money and evidence to bring additional charges. In addition, the receiver and bankruptcy trustee have urged everyone who lost money in Greater Ministries to file claims. Krebs and his fellow investigators fear most of the money is gone: stashed in overseas accounts, buried or otherwise impossible to trace through the church's shoddy bookkeeping. So far, the biggest Greater Ministries' asset seized and liquidated for return to investors is the Executive Inn, in Owensboro, Ky., the state's second-largest hotel. Greater Ministries bought it in 1997. The bankruptcy court sold it for $5.5 million. That's just a tiny fraction of the nearly $500 million Greater Ministries is estimated to have taken in. The hotel is one of the few examples that the group engaged in any genuine investment. In August, when Krebs first entered Greater Ministries' headquarters, he expected to see clear evidence of where the money went. He didn't. Where witnesses described stacks of cash and gold inside vaults, Krebs found little of value. But Krebs found something that convinced him the court's takeover of the headquarters came just in time. About to flee Spanish language instructional videos and computer disks were scattered throughout the building. "These people are getting ready to bolt," Krebs thought. He figured they had planned a tropical getaway. Greater Ministries publicly offered investors a piece of their proposed independent "ecclesiastical domain" outside the reach of the law. They bid on Bahamian islands. They negotiated for an island off Liberia. They explored a Honduran island about a week after the federal indictment was issued in March. Krebs also found letters from investors pleading for their money back. Some risk losing homes; others lost retirement savings. One man needed help covering his mother's funeral expenses. Individual losses run from hundreds to tens of thousands of dollars. Some people went deep into debt to invest, accepting Greater Ministries' repeated boasts that money with them was safer than in a bank. The group also encouraged people to borrow money to invest, telling them that 18 percent interest payments on credit cards mean little when Greater Ministries could return 100 percent. Ohio resident Deborah Thrapp wrote a desperate letter in March asking for the return of $240,000 she and her husband invested with Greater Ministries. The two sold their business and property to get in. They got $34,000 back. " We can't pay rent any longer and can not afford to buy a place as our sources of income have disappeared," she wrote. "We worked hard for our life savings and I hope you can help us with this problem. My husband just cries for hours and weeps over our situation- and I'm concerned he'll end up in a more terrible condition if you can't help." Greater Ministries denies conning anyone. Sign-up sheets clearly say any money sent in is a gift to the ministry with no guarantee of return. Despite the disclaimer, the church's claim of divine money- making lured the faithful to invest in $250 increments. Just last week, investigators placed the total take at $476 million. In the beginning Such numbers make it hard to believe co-founders Gerald Payne and Don Hall struggled to make ends meet just a decade ago. Hall has been a preacher his entire adult life and styles a big hairdo resembling white cotton candy. Sometimes his work is church rooted. Sometimes tent revivals. It's not clear how he met Payne, a working man with a past. Payne tells people he used to work for the mob. He served five weeks in jail in 1979 after pleading guilty to lying to a federal grand jury investigating a bankruptcy fraud. Payne and Hall formed a church named Greater Ministries Outreach about a decade ago. Volunteers cooked meals for poor and homeless families and counseled alcoholics. At first, money didn't seem to be the focus. Then, in the early 1990s, Payne introduced what he called the ABC Gold Plan. The plan boasted that a $60 investment became $1,600 in 12 to 18 months. Payne created a company called" I John 4:4, Greater Inc.," described as a financial advising company. His partner, James Maher, was coming off five years' probation in Hillsborough County for running a Ponzi scheme. As more people got in, the program took to the road. The money grew larger and in less time. Religion and money I John later gave way to Greater Ministries. Passages in Luke, II Corinthians and Malachi were offered as evidence that doubling someone's money in 17 months or less was God's plan. "Give and it shall be given unto you" from Luke 6:38 became the program's mantra. It's an interpretation most Christians disagree with. Surrounding passages in Luke put 6:38 in the context of mercy and compassion, not wealth, they say. Greater Ministries mixed services with money talk. Explanations of the new "Double Your Money" program followed gospel singing and charismatic preaching. People accepted the story, partly because they were believers and partly because the program's early success provided a number of people who could stand up and describe- even show - enve lopes stutfed with cash that showed up like clockwork each month. Greater Ministries leaders talked of investments in 200 mining operations globally and of international deals that could generate 30 percent and 40 percent returns. But, investigators say, those early successes weren't real. Greater Ministries simply used money from new investors to pay old investors, a classic grift known as a Ponzi scheme. Just where the money went is hard to know, because so much business was done in cash and so little was recorded. What records were found show that millions of dollars went to commissions, dubbed " gas money" by insiders, for church officers who brought in more investments. Investigations begin Greater Ministries continued to rake in money from investors despite state and federal investigations begun in 1994 when some would-be investors, skeptical of an offer that sounded too good, alerted Florida securities regulators. Florida investigators brought their findings to the U.S. attorney's office. None of it slowed Greater Ministries. The church appealed Florida's action, changed the money- doubling program's name to Faith Promises, and added a disclaimer saying that the program is faith- based with no guarantees. While fighting in court, Greater Ministries toured the country rounding up new investors. Meetings in restaurants and hotel ballrooms drew hundreds of people mesmerized by firsthand accounts of cash tucked into their mailboxes each month. Greater outgrew banks, Payne told investors. It offered its own Greater International Bank of Nauru Visa debit card program for people to draw their money from. The problem was, money sent to the Bank of Nauru really went to BestBank, a small state bank in Colorado. A badly managed small state bank. When state regulators declared the bank insolvent in July 1998, deposits above $100,000 were lost. For Greater Ministries, $18 million disappeared into an FDIC receivership. Payments to investors lasted a couple of months, then stopped cold. The group that claimed hundreds of millions of dollars in assets and 200 gold and silver mines collapsed. Blaming government Church leaders blamed the failure on a government conspiracy. Regulations and criminal probes didn't work, so the government just took our money, Payne said. Jack-booted government thuggery repeatedly has been cited by Greater Ministries as the root of its problem. Greater Ministries blamed the IRS for an unsolved robbery that the church reported four years ago at its Tampa headquarters. The church claimed that anywhere from $500,000 to $3.5 million was taken. Police found little evidence to support the robbery report. Blaming the government reached new heights when Colorado bank regulators and the FDIC seized BestBank, where the church kept most of its money. Betty Payne accused Colorado Banking Commissioner Richard Fulkerson of conspiring "to destroy our Christian church through fraudulently transferring our bank funds" to the Federal Deposit Insurance Corp. "We have suffered major damages to our ministry over the last two weeks." The church played it cool with the public and investors. "I just told them that was our petty cash fund," John Krishak told his fellow elders. But even the elders grew squeamish and wondered whether they should keep their money in the program. Payne chastised them during a September 1998 meeting. He called them Judases and urged them to repent before God and himself. "You're going to have to leave out of here with the best sales attitude you ever had," he ordered. That's what Payne, Hall and others brought to Pennsylvania in November 1998. Pennsylvania is the state from which investors sent the most money to Greater Ministries. A meeting with I ,000 followers at the Lebanon County Expo Hall was all sunshine. The group's Liberian mining operation sat 15 feet above Africa's greatest untapped gold reserves, they reported. Billions were there for the asking. Money continued to come in, despite the legal and financial trouble. Virginia chiropractor Keith Jassy invested $40,000 after the bank collapse. He told investigators he "would not have participated if it were not for the church's representation that I would receive double my money back." He had it in writing. " We can double money every 10 to 16 months," an accompanying fact sheet said. Greater was' 'so big that now we can handle $100 million in the morning and $100 million in the evening." He heard about Greater Ministries through a client and spoke to church representatives who bragged about "huge profits the church's diamond mine was earning," Jassy said in a sworn state ment. Greater did invest in an African mining operation, but it didn't reap any profit. As much as $11 million went to civil war-plagued Liberia in West Africa. An internal budget shows more than $7 million went to equipment and work associated with the group's mining effort. A letter from the National Bank of Liberia confirms a $4 million payment for permission to open a bank. Greater Ministries had a building in Liberia's capital, Monrovia, but the bank never opened. Investments in Liberia may be recoverable, but the receiver and bankruptcy trustee must decide if it's worth trying. While the search for Greater Ministries' investments continues, victim claim forms trickle in, about 50 to 75 per week. Some people fear personal repercussions from the IRS if they file claims. Others remain faithful, and hope Greater Ministries prevails in court, resumes operations and makes good on their money. The group still enjoys support from a large segment of the religious faithful who lost money. Many continue to blame Greater Ministries' troubles on a government and media conspIracy. But that support falters more easily these days as Krebs and other investigators uncover more evidence of a church scam. Krebs tells them he's found no evidence of the mines or other assets Greater Ministries claimed to own. And he offers proof that elders received huge cash commissions that investors never knew about. Slowly, '"they come to realize that they have been lied to," Krebs says. AT REV.1511 EX+ (1.gr) (1) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER 21-0Hl223 Fay S. Woods Debts of decedent must be reoorted on Schedule L ITEM NUMBER OESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Ewing Brothers Funeral Home 14 2. Sl. Paul's Evangelical Lutheran Church 200 3. Irene Barsh, Flowers 177 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (1$) Emily Thomas Social Security Number(s) J E1N Number of Personal Representative(s) Street Address City State 2002 Zip Year(s) Commission Paid: 1,039 2. Attorney Fees 1,039 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant \0 Decedent 0 4. Probate Fees 91 5. Accountant's Fees 0 6. Tax Return Preparer's Fees 0 7. Register of Wills, Filing Fee 15 8. TOTAL (Also enter on line 9, Recanitulatlon\ $ 2,575 (If more space is needed, Insert additionai sheets of the same size) AT REV.1512 EX oj. (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Fav S. Woods SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER 21-01-0223 Include unreimbursed medical eXDenses. ITEM NUMBER 1. 2. 3. DESCRIPTION AMOUNT Brockie Pharmalech, Medical Carlisle Imaging Association, Medical Church of God Home, Nursing Home 10 12 73 TOTAL (Also enter on line 10 Recanitulation\1 $ (If more space is needed, inserl additional sheets of the same size) 95 217 REV-1737-7 EX + (9.00) REVERSE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN NONRESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Fav S. Woods FILE NUMBER 21-01-0223 When fiat rate method is elected, list the beneficiaries of the Pennsylvania property. When proportionate method is elected, list ali beneficiaries. RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON'SI RECEIVING PROPERTY Do Not list Trustee/s\ OF ESTATE I. TAXABLE DISTRIBUTIONS nnclude outright spousal distributions, and transfers under Sec. 9116 (a)(1.2}l 1. Emiiy Thomas Daughter 20% of residue 301 E. Hillcrest Drive Carlisle PA 17013 2 Irene Barsh Daughter 20% of residue 374 South 950 West Orem UT 84058 3 Joan Gill Daughter 20% of residue 433 Chestnut Mt Holly Springs PA 17065 4 Mary Kipe Daughter 20% of residue 13339 Smithsburg Pike Smlthsburg MD 21783 5 Robert Woods Son 20% of residue 35 Woodshire Drive Easton PA 18042 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON REV~1737 COVER SHEET OR THE PROPORTIONATE METHOD WORKSHEET ON THE REVERSe: SIDE OF REV-1737 COVER SHEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE ,. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ,. TOTAL OF PART" ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON UNE 13 OF REV.1737 COVER SHEET $ 0 (If more space is needed, insert additionai sheets of the same size) ~I , ....'1'1, ...'J \i LAST WILL AND TESTAMENT OF FAY S. WOODS I, FAY S. WOODS, of 66 Wilson Street in the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hureby revoking and making void any and all wills by me at anytime heretofore made. of my as may 1. I direct my .hereinafter named just debts and funeral expenses as be found convenient to do so. Executor to pay all soon after my death 2. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my husband, Norman W. Woods, his heirs and assigns, to the exclusion of my children, born and unborn, provided my said husband, Norman W. Woods, shall survive me by a period of ninety (90) days. 3. Should my said husband, Norman W. Woods, predecease me or fail to survive me by the aforesaid period of ninety (90) days, then in such' event all the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to my five (5) children, their heirs and assigns, the share of any deceased child to pass to his or her issue, per stirpes, and if there be no issue, then such share shall lapse. My said five (5) children being: Robert L. Woods, Joan E. Gitt, Emily N. Thomas, Irene E. Barsh and Mary F. Kipe. " .I, 4. Should any person less than eighteen ('18) years of age be entitled to distribution from my estate, r direct such share shall be paid to my hereinafter named Executor or Executrix, but if neither of them agrees to serve, then to Farmers Trust Company, and its successors, 1 West aigh Street, Carlisle, Pennsylvania, in trust, to invest the same and to pay the income arising therefrom together with so much of the principal thereof as in the opinion of said Trustee is necessary or desirable to be expended for the proper maintenance, support and education of such person, to the person having custody of such person, and upon such person attaining eighteen (18) years of age to pay to him or her the then remaining principal together with any undistributed income. .....,) ",. - 5. I hereby nominate, constitute and appoint my said husband, Norman W. Woods, as Executor of this my Last Will and Testament, but should he predecease me or fail to qualify I then in such event I nominate, constitute and appoint my daughter, Emily N. Thomas, as alternate or successor Executrix, but should she fail to qualify or cease serviri"g as such, then I nominate, constitute and appoint my son, Robert L. Woods, as alternate or successor Executor, and I further direct that neither my said husband nor either of my said two children shall be required to post any bond to secure the faithful performance of his or Page 1 of 2 pages her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. seal this IN to this 21st WITNESS my Last day of WHEREOF, Will and october I have hereunto set my hand and Testament, written on two (2) pages , 1987. ft:u.( FariS. (I 'I' t .\ fl,",\-C:<L<.\ Woods (SEAL) Signed, sealed, published and declared by Fay S. Woods, the Testatrix above-named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. f'~/.-, n') /; t:d';<d'kc. ' 71/;),"1 tf t! Page 2 of 2 pages ~EV.1500 EX 16.00) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COUNTY CODE YEAR NUMBER I SOCIAL SECURITY NUMBER OFFICIAL USE ONLY c- (./ cOMMONWEALTH OF --"...-.,., ""'" , '-l"',"",-~r.:':n I FILe ~U~B_ER u o 2 '" .) DEPARTMENT OF REVENUE DEPT 280601 ".........,........, ,.......... ...... .~....^ ^...^> l(ru."~I"'uvl'\u,r,.., I; ,..:,:.;-vvv, I i)Fr.Ff'1F1\lT'_~ l\JAME" (LAST F!RST A!\ID IVUDDLE !NITIAU I- m Q w <.> w Q Woods, Fav S. DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) 211612001 1/1911919 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) REGISTER OF WILLS SOCIAL SECURJTY NUMBER 204-03-2122 THIS RETURN MUST BE FIl.EO I~l DUPLICATE ~\~rH TIll!: W ... "'''' x:"'" U~U Woo ""'~ Ull:" ~ 01. Original Returr. [g]2. Supplemental Return 03. Remainder Retum (date 01 death pliorlo 12.fJ.82) o 4. Limited Estate D4a. Future Inlerest Compromise (date of death after '2-'2.-82.) 05. Feoetal Estate Tax Return Required o 6. Decedent Died Testate (Attach copy of Will) 0 7. Decedent Maintain$d a Living Trust (Attach copy of Trust) _ 8. Tota! Number of Safe Deposit Boxes D 9. Litigation Proceeds Received D 10. SpoI.IIIa' Pov8fly Credit (dale of death between 12.31-91 and 1-1-95) 011. Ejection to tax under Sec. 9113(A) (Attach Scll 0) }",THISSE~[I(jl\fjM4S:rElg~ltIMI1"-SrgOf~~1.!~2RRI5~1l15N9I5AN[)!~2~~,lf!15III'1:IAI!i1t~IN~jj~M',I\:!'lPNi~l!g!1l;IIil!!;]!I~E~EmtcQl!i:~i NAME I- ;Z ~ ;Z ~ 13 '" '" o u Robert M. Frev FIRM NAME <If Applicable) Frev and Tilev TELEPHONE NUMBER COMPLETE MAIUNG ADDRESS 5 South Hanover Street Carlisle PA 17013 717-243-5838 1. Real Estate (Schedule A) (1) NONE (2) NONE ~, ;:..,..1 .~ "' , :' . OFFICIA~SE ONLY d N 2. Slocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) NONE ,..-' 4. Mortgages & No1es Receivable (Schedule D) (4) NONE 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) NONE 6. Jointly Owned Property (Schedule f) (6) NONE % o Separate Billing Requested 0 ~ 7. Inter~Vi\los Transfer 8. Miscellaneous Non-Probate Property ...J (Schedule G or l) (7) ::> l- ii: 8. TOTAL GROSS ASSETS (total Lines 1-7) <<: ~ (9) NONE '" 9. Funeral Expenses & Administrative Costs (Schedule H) I "'" -"J J_,' ;-.:.~ I..C 50,917 (8) 50,917 10. Deb1s of Decedent, Mortgage UabiJilies, & Liens (Schedule I) 10) NONE 11. TOTAL DEDUCTIONS (total Lines 9 & 10) o 50,917 o 50,917 (11) (12) 12. NET VALUE OF ESTATE (Line 8 minus Line 11) 13. Charitable and Go\'ernmental Bequests/See 9113 Trusts for which an elecllon to tax has not been made (Schedule J) (13) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) see INSTRUCTIONS ON REVeRSE SIDE FOR APPLICABLE RATES 15. Amoun1 of Line 14 taxable a1 the spousal tax rale ,or transfers under Sec.9116 (a)(1.2) X .0 - (15) '" 0 ~ 16. Amount of Line 14 taxable at lineal rate 50,917 X .045 (16) I- ::> ll. 17. Amount of Line 14 taxable at sibling rale .12 (17) ::;; X 0 <.> >< 18. Amount of Line 14 taxable al collateral rate X .15 (18) <<: I- 19. Tax Due (19) o 2,291 o o 2,291 20~ .~__U" " ~~~~~-t;-I~~e:~~!lf-':I-B~a1.~e:~1iP-mm:::~~MF=1iJ=m :> ;>..ElE' SI1REr9:AN.s1l\lER.AL:I::Ql.Il;~mQNs.9N.'RE\lI;R.SE:sll:1.i;'ANRjRI;~1:!1;gK.M.AT.tt'S_~.:. ..-..".............-....."".-,- ~..:::,,:.:~7,:~,2:,:: ece en s omplete ress: STREET ADDRESS 301 East Hillcrest Drive CITY I:TATE IZIP Carlisle PA 17013 217 lil/OOOS, ray o. D' d t' C Add Tax Payments and Credits: ,. Tax Due (Page 1 Line 19) (1) 2. CreditsiPaymenis A. Spousal Poverty Credit 6. Pdor Paymenls C. Discount Tolal Credits (A + e + C) (2) 204-03-2122 2,291 o 3. Interest/Penalty if applicable O. lnte~est ::. Penalty 51 4. Total Interest/Penalty (D + E) IfUne 2 is grealerthan Une 1 + line 3. anler the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (3) 51 5. If line 1 + line 3 is greater than line 2, enter the difference. This istha TAX DUE. A. Enter the interest on the lax dUe. 8. Enter the total of liTle 5 + SA. This is the BALANCE DUE. (4) (S) (SA) (58) AGENT o 2,342 Make Check to: REGISTER OF 2,342 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS ,. Did decedent make a transfer and: a. relain the use or income of the property transferred; b. relain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or u. r.seelve the promise for life of either payments. benefits or care? If deattl occurred after December 12.1982,did decedent transfer property within one year of death without receiving adequate COllside~ation? . Did decedent own-an."irt.trusl! for" or-payable upon. death bank account or, security at his orher death? Ves o o o o D o 2. 3. 4. Did decedenl own an Individual Retirement Account, annuity or other non~probate property which contains a beneficiary'designation.? . o [~L IF THE ANSWER TO ANY OF THEA80VEQUESTlrJNSIS'Yes; YOlI MUSTCOMPt.ETE SCHEDULEG AND. FilE IT ASPARTOFTliE RETURN, No o o o o o o DATE Under \lenalties af perjury, 'r-declare that I have examined this l&turn, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, ;:md com lete. Ded::lraticn of re :lrer ether ttl:::n the er!::cn:::l re fe5enbtive is ca:;ed OM :llr infcrm:::tion cf whiCh re ;:Irer h::l$ :::n' knC'.".II..,d:::e. SIGNATURE OF PERSON ReSPONSIBLE FOR FILING RETURN [~, m A~ ADDRESS J 301 E. Hillcrest Drive, Carlisle, Penns Ivania 17013 SIGNATURE OF P~ER OT13THAN REPRESENTATIVE (cA.~ hr.. "f-..~ DATE ADORES$ 5 South Hanover Street, Carlisle, Pennsylvania 17013 if/oJ... 'I/o-v Far dates-of >jeath 01\ or <lfteT July 1,1994 and before January 1,1995, the tax rate imposed on the netvall.lB of transfers to Of for the use aftha surviving spouse i$ 3% [72 P.S. Section 9116 (a)(1.1)(1)]. For dates of death on or after Januarv 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. Section 9118 (a)(1.1)(II)). The statute does not exempt a transfer to a surviving spouse fram tax, and the statutory fel:luilamM'lts for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the anfy beneficiary For dates of death on or after July 1, 2000. The tax rate imposed on the net value of transfers from a deceased child twenty.one years of age or younger at death to or for the use of a natufat parent, an adoptive \laren!, 1T a step,Darent arms ChllQ IS U'ff:oil~ P.5. ::;;ecuon ~11t1(aJ(1.211 The tax rate imposed on the net value of transfers (0 or for the use of the decedent$lineal benefic\alies is 4.5%, except as noted in 72 P.S. Section 9116(1.2) [72 P.S. Section 9116(a)(1)) The tax rate imposed on the net value af transfers to or for the use 01 the decedenrs siblings is 12% [72 P.S. Section 9116(a}(1,3}] .A sibling is defined, under S8l;tion 9102. as an individual who has at least ane parent in common with the decedent, whether by blood or adootiGHl 'AT REV-1510 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Fay S. Woods FILE NUMBER 21-01-0223 This schedule must be completed and filed if the answer 10 any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY % OF DECD'S ITEM INCLUOCT11ENAldEOFT11l$lRANSFEI'l5E,lliEIIlREU,nOlolSHIPTOOECEOENTANDlrIEDATEOFTRANSFEI'l. DATE OF DEATH INTEREST EXCLUSION TAXABLE VALUE NUMBER ATTACI<ACOf'YOFTliEDEEClFORRI!IILESTATE VALUE OF ASSET IF/lI'PLlCAAIF\ 1. Orrstown Trust Investment Services, Nonman W. & Fay S. Woods 0 Microsoft Corp, #594918104 5,731 100.00% 5,731 Federated Fund 851, #60934N625 270 100.00% 270 Vanguard Admiral 8fT, #921932208 12,136 100.00% 12,136 Vanguard Wellington, #9219354102 8,844 100.00% 8,844 Vanguard GNMA, #922031307 23,936 100.00% 23,936 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL (Also enter on line 7 Recaoitulation) $ 50,917 (If more space is needed, insert additional sheets of the same size) SENT,;Y: QRRSTOWN 8ANK; SlITPPENSBURG OFf'ICE 77 E. K[1o.f(, Sr.. SHI?Pli!'I~Ul iKl. ?}\ 17257 (717) .i3f}<2605 . fA...X (717i .i.12...,):142 717E~~9~4~; ).I\.t'l~TIW8"f'/). '~ ' . .~ ff, ., INVESTMENT 'r1~; SED' TTCES i:~j?\' ""~J I\... V 1 \.~I! INVESlMENT AGENCY (Discretionary) Nonnan W. and Fay S. Woods CARLISLE OFFICE 427 S I'(}Nl-J-If:JlCiR DR.. C\l{USI.I" PA 1701) (7 J7i 24(J-0803 'I'A)( (17) 240-(J~04 YAR-~~-02 9:~5: PAGE 2 P.(\.B'y\ 'l.m SliII'l't":'\nlrRti, r..\ I ~2~7 (;flA/,mERSBURG Orf[CE ()25 !'.hw.I ,'I,I-{rJ Av'F... C1i^M;.Ljl::)m'Jl'~(i, VA \72\)1 1.717) 202.+2&8' fAX I) 17) 2fi2.el284 SENT. BY: OHRSTOWN BAf1K; 7175~29342; MAR-22-02 9:35; PAGE 3/7 THIS AGREEMENT made this 17th day of March ~,by and bel\vee'1 Norman W Woods and Fay S. Woods of 1 Alliance Dr Act 105 Carlisle. PA 17013-4133 hereinafter referred to as Principai AND ORRSTOWN BANK, a Slate Banking Corporation organized and existing under the iaws of the .commonwealth of Pennsylvania, having its Trust Office at 77 Ea51 King Street, Shippensburg, Cumberland County. Pennsylvania. hereinafter referred to as AGENT. WHEREAS, Principal desires to employ Agent for the purpose of maintaining custody of certain cash and securities, to provide investment services. and to maintain proper records of such services and to account therefore to Princip2I, WHEREAS, Principal has delivered to, and Agent acknowledges receipt of, certain cash and securities, as shown by the attached Schedule "N, NOW THEREFORE, the parties do hereby agree as follows: I. CUSTODY OF CASH AND SECURITIES All securities that are depository eligible will be held in book entry form at the custody Bank empioyed by the Agent for the purpose of depository availability. Any other ~ecYritie~ re!;juired to be regi$tered shall be resistered in the Agent'e Nominee, IJn'e~ tht:l unique nature of an asset dictates otherwise, in which case that security will be registered in the name of the Principal addressed to the Agent. Agent will maintain the annual finanCial statements received relating to securities held in this aceount. Proxies will be voted in favor of existing management by the Agent unless instructed otherwise by Principal. II. INVESTMENTS As the Principal has conferred unto the Agent total investment authority, the Agent will operate under its awn discretion, and v..ithin the objectives established for the account by the Principal, when making purchases and sales for the account The .A.gent may purchase for the account: equities and fixed income securities, to include deposit accounts at Orrstown Bank, as well as any securities that the Principal may direct, in writing, the Agent to purchase for the a=unt SEN~ BV: ORRSTOWN BANK; 7175329342; MAR.22.0~ 9:36; PAGE 4/7 Agent is obligated to iake v.tlatever action It determines is advisable in regards to stock dividends, warrants, rights 10 subscribe, plans for reorganization or recapitalization, or plans for the exchange of securities. Ill. COLLECTION OF INCOME AND PRINCIPAL Ag"nt is to collect interest, dividends and all other forms of income from any securities, proceeds from matured, rEldaemed or sold securities and reinvest the same in such a manner as to fulfill the objectives of the account as elltablished by the Principal. IV. DISTRI8UTIONS OF PRINCIPAL Agent Sl'Iall pay over to, or on behalf of, Principal such cash and/or securities, in such form or manner as Principal shall from time to time direct. V. RECORDS OF ACCOUNT Agent vvill keep 8CCl.Jrate records of the receipt and disbursement of all cash and securities held by agent for Principal's account. Principal has the right to receive confirmation of security trades according to Regulation H of the Federal Reserve Bank, but waives this right. In addition to the regular quarterly statements, Agent shall fumish Principal vvith an annual tax report showing a summary of receipts, disbursements and investment changes, all coded for taxability or deductibility. SPECIAL POWER OF ATTORNEY Principal confers onto Agent, 'htlen acting on behalf of Principal, or upon instructions from Principal, a Special Power of Attorney allowing Agent to affix Principal's signature to checks, security orders, proxies, stock certificates and stock powers and all other documents requiring Principal's signature necessary to effect Agenfs duties and responsibilities under this agreement. MISCELLANEOUS PROVISIONS Principal agrees to reimburse, indemnify and hold harmless Agent from and against any and all liability, loss, claim, damage or expense (except for gross negligence or fraud on It'le part of the Agent) resulting from the exercise by Agent of any authority, expressed or implied, granted to it hereunder, or from the claims of their parties, or from any taxes or other govemmental cnarges, and any expenses related thereto, lMlich may be imposed or assessed in respect to this agreement or any part hereof. SENT. BY: ORRSTOWfI BANK; 7175329342; MAA-22-02 9:36; PAGE 5/7 Agent shall receive compensation for its services as shall be established under an adopted schedule of fees in effect at the time the services were rendered and such compensation becomes payable The schedule of fees In effect at the time this account 'WaS : established is attached. The Agent may deduct Its fees directly from the cash balal1ces of the account This agreement may be terminated upon thiny (30) days 'Mitten notice by either party delivered to the other. If the Principals of this agreement are tv.o or more persons, the Agent may act upon 'MIttan or verbal instructions received by anyone of the individuals. IN WITNESS WHEREOF, the parties hereunto set their hands and seals this 17th day of March , 1999 178-'16-4611 Social Security Number 03128/1917 Date of Birth 7~7t:/'-'~~ , 204-03-2122 Social Security Number 01/19/1919 Date of Birth :1"J ,I {L-1,~ ACCEPTED ORRSTOWN BANK By~~JZ:'D Title Vice President and Trust Officer SE~jT. BY: ORMTOVlN BANK; 71753~934~; MAR.~~-O~ 9:36; PAGE 6/7 TRUSTS AND INVESThlENT MANAGEMENT AGENCY (With or Without Investment Responsibility) The fallowing schedule of fees applies to Agency accounts with or without investment discretion/responsibility delegated to Agent. PRINCIPAL: Annual fee based on the quarterly market value or appraisal value of the assets at 0075 on the first $200,000 and .0065 on the amOl.lnt over $200,000. Minimum annual fes $400;00. PLUS Additional fees will be charged. as appropriate, for preparation of Federal and/or State Income Tax Relums or Fiduciary returns. ,SeNT. BY: DRRSTOW~J 8MIK; 7176329342; W\A.22.02 9:37; PAGE: 717 TO Orrsto'Ml Bank FROM: Nonnan and Fay Woods DATE: March 12,1999 I am the beneficial owner of certain stocks and/or bonds held for me by the Orrst()lM'J Bank Trust Department. As a beneficial O'M'ler I have the right to receive proxies, annual reports, corporate mailings. and other mailings related to the OIM1ership of these shares. It is my decision: not \0 object to the release of my name and address to requesting parties seeking to provic:.kl me with such mailings. X- to object to the release Of my name and address to requesting parties seeking to provide me with suCh mailings. 'l;'_ ." "'/'..... 2 -- "." /-/:'1 ; 4#,}.;7?7a.7l .,7(,?/ ~0 t-.a.6~~ c._f ,;-:~"t1 1./ ?/ ," I. / ~~') [/./ 1;-lF""Zl.-.<J \, /6-c2/6-6 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z8D6Dl HARRISBURG, PA 171Z8-D601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT * REY-1U7 EX AFP I Dl-D21 ROBERT G FREY FREY S TILEY 5 S HANOVER ST CARLISLE Rec: DATE ESTATE OF DATE OF DEATH FILE NUMBER '02 liAR -8 P 1 :1 t$OUNTY ACN 03-04-2002 WOODS 02-16-2001 21 01-0223 CUMBERLAND 101 FAY S Allount Rellitted C:;;(1 PA 170fiwnb. MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE: To insure proper credit to your account. subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i61fj-ix-AFP--loY:02Y------...--iNiifRiYANCi--YAX--sT'AfEMENY-OF'-Accouiif--ii..------------------ --- ESTATE OF WOODS FAY S FILE NO. 21 01-0223 ACN 101 DATE 03-04-2002 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARV OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAVHENTS. THE CURRENT BALANCE. AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-26-2002 PR I NCI PAL TAX DUE: .............................................-...................-...........-...................................................................-............................................................. 815.00 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-15-2002 CDOO0746 11.00- 826.00 TOTAL TAX CREDIT 815.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .06 If IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE .06 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1. NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). un" OlAV R~ nll~ A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) \, /6 -e2/,3- {;; COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX '02 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-20-2002 WOODS 02-16-2001 21 01-0223 CUMBERLAND 101 l'lif( 24 ROBERT M FREY FREY 8 TILEY 5 S HANOVER ST CARLISLE '* REV-15~7 EX iFP 101-02) FAY s L'. PA 19hi13 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-j-EX--AFP--COY=OZY-NO;--icE--OF-YtiHEifiTANCE-YAX-A-PPRXisEHENT~--ALi-oWANCE-OR------------ ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WOODS FAY S FILE NO. 21 01-0223 ACN 101 DATE 05-20-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due .00 X 00 = .00 69,026.00 X 045 = 3,106.00 .00 X 12 = .00 .00 X 15 = .00 (19)= 3,106.00 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. "ortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/"isc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets RETURN (1) (2) (3) (4) (5) (6) (7) NO. 01 .00 .00 .00 .00 .00 .00 50,917.00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adn. Costs/"isc. Expenses (Schedule H) (9) 10. Debts/"ortgage Liabilities/Liens (Schedule Il (10) 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 .00 .00 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 50,917.00 .00 50,917.00 .00 69,026.00 TAX CREDITS: n~_~.. l+J A"OUNT PAID DATE N~BER INTEREST/PEN PAID (-) 01-15-2002 CDOO0746 .00 826.00 04-04-2002 CDOOI035 62.00- 2,342.00 BALANCE OF UNPAID INTEREST/PENALTY AS OF 04-05-2002 TOTAL TAX CREDIT 3,106.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. 9.70 TOTAL DUE 9.70 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A DHIINn. SH REVERSE SIDE OF THIS FO~ FOR INSTRUCTIONS.) s --- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Fay S. Woods Date of Death: February 16, 2001 Will No. Admin.No. 21-01-0223 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: June 13, 2001 Name Address Emily Thomas Irene Barsh Joan Gitt Mary Kipe Robert Woods 301 E. Hillcrest Drive, Carlisle PA 17013 374 South 950 West, Orem UT 84058 433 Chestnut, Mt. Holly Springs PA 17065 13339 Smithsburg Pike, Smithsburg MD 21783 35 Woodshire Drive, Easton PA 18042 Notice has now been given to all persons entitled thereto under Rule 5.6)a) except NO EXCEPTIONS Date: June 13, 2001 ~~,r Signature (- Name: Robert M. Frey Address: 5 South Hanover Street Carlisle P A 17013 Capacity:_ Personal Representative ~ Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 28D601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ROBERT M FREY ESQUIRE FREY & TILEY 5 SOUTH HANOVER STREET CARLISLE, PA 17013 ______n fold ESTATE INFORMATION: SSN: 204-03-2122 FILE NUMBER: 21-2001- 0223 DECEDENT NAME: WOODS FAYS DATE OF PAYMENT: 01/15/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/16/2001 NO. CD 000746 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $826.00 I I I I I I I I TOTAL AMOUNT PAID: $826.00 REMARKS: EMILY N THOMAS C/O ROBERT M FREY ESQUIRE CHECK#10 SEAL INITIALS: SK RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGIS'IER OF WILLS /&--02/3.. 6 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER All :2 COUNTY ACN 02-26-2002 WOODS 02-16-2001 21 01-0223 CUMBERLAND 101 ROBERT G FREY FREY & TILEY 5 S HANOVER ST CARLISLE .02 MAR-1 C/* REY-15~7 EX AFP (Dl-021 FAY S Clefr PA 1701~l!mbt,; 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'4j-E3f-i.Fii-foY:02Y-NOT"icE--OF-YtiHEifiTANCE-7fAX-A-PPRAisEiiENT~--i.Ll-owAifcE-oR------------ ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WOODS FAY S FILE NO. 21 01-0223 ACN 101 DATE 02-26-2002 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) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 57.00 .00 .00 20,722.00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 2,575.00 95.00 NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your account, submit the upper portion of this forll with your tax paYllent. 20,779.00 (11) (12) (13) (14) 2.670 00 18,109.00 .00 18,109.00 14, IS and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = 18,109.00 X 045= .00 X 12 = .00xI5= (19)= .00 815.00 .00 .00 815.00 ~..._n. l+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 03-13-2002 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 815.00 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 18.68 TOTAL DUE 833.68 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A 1l~~IlNn ~~~ Il~U~Il~~ ~Tn~ n~ THT~ ~nllM ~nll TN~Tllllr-TTnN~ 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FREY ROBERT M 5 S HANOVER STREET CARLISLE, PA 17013 ___n___ fold ESTATE INFORMATION: SSN: 204-03-2122 FILE NUMBER: 2101-0223 DECEDENT NAME: WOODS FAYS DATE OF PAYMENT: 04/04/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/16/2001 NO. CD 001035 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,342.00 I I I I I I I I TOTAL AMOUNT PAID: $2,342.00 REMARKS: ROBERT M FREY ESQUIRE CHECK# 8 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS /6 -~/c8- ? ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-1607 EX AFP (01-02) .02 [IPI< 29 F:. :19 ROBERT G FREY FREY & TILEY 5 S HANOVER S1 ':. CARLISLE Crrnif"A 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-22-2002 WOODS 02-16-2001 21 01-0223 CUMBERLAND 101 FAY S Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv=i'6'fj-Ex-AFP--coY:02Y------...--iNirERITANc'E--fA3f-STAfEM'E-rif-'(fF'-Accouiff--.-i.------------------ --- ESTATE OF WOODS FAY S FILE NO.21 01-0223 ACN 101 DATE 04-22-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-26-2002 P R I N C I PAL TAX DUE: H...H...HHH.HH........HH.H.............HHHHHH.H.H..H.............H.H...HH.................HHHHH...H...............HHH.HH..........H.......H...H..HHH........H..HHH.H......HH 815.00 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-15-2002 CDOO0746 11 .00- 826.00 04-04-2002 CD001035 .06- 2,342.00 TOTAL TAX CREDIT 3,156.94 BALANCE OF TAX DUE 2,341.94CR INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 2,341. 94CR . SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, VOU MAV RF DUF A RFFUND_ SFF RFVFRSF SIDF OF THIS FORM FOR INSTRUCTIONS_ 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FREY & TILEY A TTYS 5 S HANOVER STREET CARLlSLEr PA 17013 -------- fold ESTATE INFORMATION: SSN: 204-03-2122 FILE NUMBER: 2101-0223 DECEDENT NAME: WOODS FAYS DATE OF PAYMENT: OS/28/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/16/2001 NO. CD 001218 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $9.70 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: EMILY N THOMAS C/O FREY & TILEY A TTYS CHECK#15 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS $9.70 MARY C. LEWIS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 /h -d.13 -~OMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX (r\ cc N DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-20-2002 WOODS 02-16-2001 21 01-0223 CUMBERLAND 101 >- ROBERT M ~EY ;..:~- FREY & TILEY 5 S.. HANOVE!l ST CARLISLE . '* ~ V REV-1547 EX AFP 101-021 FAY S .,.... Allount Rellitted ..... ~ I" >.>. ,"'P.A 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is4":.riY-AFP--foY:02Y-NoYici--OF-YNHEifiTAifci-YAX-A-PPRAisEi"-ENT~--ALi-oWAi'-ci-OR------------ ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WOODS FAY S FILE NO. 21 01-0223 ACN 101 DATE 05-20-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 69,026.00 X 045 = 3,106.00 .00 X 12 = .00 .00 X 15 = .00 (19)= 3,106.00 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. "ortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/"isc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 .00 .00 .00 .00 .00 .00 50.917.00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/"isc. Expenses (Schedule H) (9) 10. Debts/"ortgage Liabilities/Liens (Schedule I) (10) 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 .00 .00 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 50,917.00 00 50,917.00 .00 69,026.00 KC\.C.LI" I l+J A"OUNT PAID DATE NU"BER INTEREST/PEN PAID (-) 01-15-2002 CDOO0746 .00 826.00 04-04-2002 CDOOI035 62.00- 2,342.00 BALANCE OF UNPAID INTEREST/PENALTY AS OF 04-05-2002 TOTAL TAX CREDIT 3,106.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. 9.70 TOTAL DUE 9.70 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A DCCII..n c:.C'C' DCtlCDc:.C' t:.TnC' nc TUTt:. I:'na.. enD T..~TDII,...'TTn...ro , /6 - 021,3- b COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* BUREAU OF INDIVIDUAL TAXES ~ INHERITANCE TAX DIVISION \,.'DEPT. 280601 HARRISBURG, PA 17128-0601 REY-U07 EX AFP (01-02l '(]2 -.JUL -1 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-24-2002 WOODS 02-16-2001 21 01-0223 CUMBERLAND 101 FAY S ROBERT M FREY FREY & TILEY 5 S HANOVER ST CARLISLE Allount Rellitted i~_~_ P A Il~li~: MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i6ifj-E3f-AFP--cOl-:02Y------...--iNHERITANc'E--TA3f-Si'jrfEME-NT-cfF'-ACCouiff--...---------------- ----- ESTATE OF WOODS FAY S FILE NO.21 01-0223 ACN 101 DATE 06-24-2002 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-20-2002 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 3,106.00 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-15-2002 CDOO0746 .00 826.00 04-04-2002 CDOOI035 62.00- 2,342.00 05-28-2002 CDOO1218 9.70- 9.70 TOTAL TAX CREDIT 3,106.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 !II IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) 6;K Name of Decedent: STATUS REPORT UNDER RULE 6.12 FAY S. WOODS Date of Death: February 16, 2001 Admin. No. 21-01-0223 Will 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 if complete: Yes (X ) No ( ) 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes ( ) No ( X). (b) The separate Orphans' Court no. (if any) for the personal representative's account is: (c) Did the personal representative state an account informally to the parties in interest? Yes ( X) No ( ) (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: January 7,2003 ~-~. 'r- Signature ~ Robert M. Frey Name (Please type or print) 5 South Hanover Street Address (717) 243-5838 Telephone No. Capacity: ( ) Personal Representative ( X) Counsel for personal representative Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 1/06/2003 FREY ROBERT M 5 S HANOVER STREET CARLISLE, PA 17013 RE: Estate of WOODS FAY S File Number: 2001-00223 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 2/16/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~In~ 1~J:?rrjf;; DONNA M. OTTO ~~ """'7 DEPUTY REGISTER OF WILLS cc: File Jpersonal Representative(s) Judge