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Home My WebLink About01-0240 PETITION FOR PROBATE and GRANT OF LETTERS Estate oj '1!I--~1z Ic73124M;:;: No. 21-01-240 also known as //v'f-h !:-,q.--rt-J-.t.t:/E/C/ 7-3/2Qlv1t.:? To: , Register of Wills for the County of in the Commonwealth of Pennsylvania . Deceased. Social Security No. I (C; - I C) -- :3 I ~r The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executl"> .....s in the last will of the above decedent, dated I (p - 3 / - q ::> and codicil(s) dated named ,19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in CC--r-n.6rt'J.-o'~n'/ h '€ j,- last family or principal residence at ~ ~ /1 ~ c; I~ ~I € ~,.J-, t:1 ,N ( ~ '" ,t; U v&:f . /~. r (list street, number and muncipality) Decendent, then ___~years of age, died F-e. by ~C/ -'1 z.. 2-- , ~ LOO I, at '3 e~ d /~ ~\4?(,~lY2 t!/ t..-, ell f I~ '7;7 ~ -/4/ i /Vle..chp "1 ?S b v~., .' P,4 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; ~as not the vict\m of a killing and was never adjudicated incompetent: ,A/CJA/e &~ P-rc o+;".e'- r?1 ""-' ../, e., ~c1 . County, pennsylvania, with \ ~~Pr~ 1(5.a.1d I-e.. Mlf>~Cw'a I) Decendent 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: $ 4v. tPcc. CD $ , $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters (testamentary; administration c.La.; administration d.b.n.c.La.) theron. c/O v h J;ltnD~~~~~ o::~ -00 co,=: roo.:: Z~ II) '- ~o ~ ::: ell Vi .2.~:: ~><~~VI- ~..,~~~~~~ t1{,t) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I s~ COUNTY OF' CUMBERLAND J ~ The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to ~r affirmed and SUbscribed* ~~~ Co before me thIS 2nd day of (~___- ~. . MARC~ 1'9'2001 !? 7</?r:.~~'-/'7".:t,,//l/ ~ . ~ -/ Register ~ // ._~/~. ,~7 /0 ,~ ~o. 21-01-240 Estate of RUTH K BRAME , Deceased DECREE OF PROBATE A~D GRA~T OF LETTERS AND NOW MARCH 5 JIJ2001 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated OCTOBER 31, 1995 described therein be admitted to probate and filed of record as the last will of RUTH K BRAME aka RUTH KATHLEEN BRAME and Letters TESTAMENTARY are hereby granted to JOHN ALFRED BRAME AND ROBERT EDWARD BRAME 'L2 ,-, / '. ~? '" /' '. / .., j -;tf 7I1uyG."#U-4'-:.?,62fU LQs ~~~/ 6 RJster of Wi Is f FEES Probate, Letters, Etc. ......... $ 80.00 Short Certificates( ).......... $ 24.00 x-pag~s. 3.00 RenuncIatIOn ................ $ JCP __ $ 5.00 TOTAL _ $ 112.00 Filed .. .~~~.~. ?'" .~Q9.1. . . . . . . . . . . . . . . . . ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE 21-01-240 REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat_ in h presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19_ (Name) (Address) Register (Name). (Address) REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS 12 bJ'v -f- ;:;. 1l12AK-~e }k 'A ~'YY\J.- (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of RUTH K BRAME codicil testat~ of ~~~nntXw~~ntltingx~sesxxca) the will presented herewith and codicil that they believes the signature on the will is in the handwriting of RUTH K BRAME to the best of their knowledge and belief. Sworn to or affirmed and subscribed before ~ me this 2nd day of (Nam~et \ MARCH ., ~ ~2001 .,;207-C? C-Vl"11 C1- ~rj,-'(t;,b'-'I/V/~ 17/t c) ~pyf;fifu<o j~"'< /;,,<Je /'.o/"L~ (Address) Register }~ tJ f3J-(.l/'YY\S)- (Name) He, 7 ~'(~ R Of (VJLJv1j-cJ.A/Yn~vr-dcfcc (Address) 1'10? () ! h I' is to eenifv that the information here given is correcdy copied from an original eertitlc:lte of death du!~ flIed with me as Iou: Registrar.' The original certifIcate will be forwarded to the State Vital Records Oftlee tor permanent hllIlg. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ,,,,;tJ,'''/lH/''h~ /.'iijf~' "\.'\\ OF Pl';;':~ 'II,..\.' l" --t:lf;l,-~' Ii ~'// "~ 'Tn-=:: 1/ ~,' ~v~~ }~~/ ~ \<L.-:';'~ Ii :!iE";" \~~ ~ ~ I '~# " : - ~ ~c.,.)\, ,.'j-~'-:f'" t/h.~ \\* ".' ~",'/*~~ \a\~<' . ,~l ~~". . /.~.'\' ~- ~.-9-......---- /~\.r\\'~ ~--:.", IMENT \\\ ""IJ.!~/ ,.....or. 'I"'/"" "J"F""",,/,#/~ ~? ~ .-!f. ./ ~-! /J1J?,~ LC~ll 'R~~-1?'/)~-'~-? ~ j,./ (/ h~e for this certitlcate. $2.00 P 7177440 ren t t~ l..~ ') ,.. <.. .) 2001 Dare 21-01-240 I RlIV. 2187 COMMONWEALTH OF PENNSYLVANIA · OEPARTMENT OF HEALTH · VITAL RECOROS CERTIFICATE OF DEATH DATE OF DISPOSITION (Monln. Day. 'tlIar1 000wIiDn D D . 21L 21bFe SlGHAfURE OF FUNERAl SERVICE lICENSEE OR PERSON ACTING AS SUCH ~~ ....,.~"a;~ ~..... ~only..... cenllying ._~. noIavailallle at \line 0/ dNth 10 ="!!! C*1lIy _ 01 dNlIl. ....;__ 24-2I_11e completed by '_'--' who pronouncM dNth. 5. COUNT'( OF DeRH 9 Y.... t:.~..".b~".Jc.,.,cI [);d - live.. a _ahip? lWp. In.. 17d.1M ::....oe:=:::oI M-.cJ.c..." cilylboro 1llllE000TE CAUSE (Fonal _ or c:oncMoon _'-*>0"-)- ':~... a>ndiliona ...::Iii..." ...,;ng 10 _a ~_ ~ UNOeALYINO __ CAUII! (ou.. or ....Y ....lhaI~_ .-,-...no.. -) LAST . *5 AN AUlOPSY WERE AUlOPSY FINOINGS =",~D1 ~l.A8l.E PRIOR 10 _ COMPlETION OF CAUSE - OF DeRH? I : DUE 10 DATE Of INJURY (Moo"'. Day. \\rar) INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. _0 No.~ V_ 0 NoD .......a1 ~ Homoc:lde 0 Ao:ctdrlnl 0 P.ndmg Investigalion 0 Suicide 0 Could ""'lie det.rm...... 0 _ 0 NoD =. 2M. :lib. CUlfIFJEA ICheclc only one) -CERTIFYING PHYSICIAN (PhtSICtraO CeftJf)109 cause d dealh whefl another phvStC10ifl has plQnOuflCe(j dealh ana completed Ilem 23) To_bnt o'",y knowledge, d..lhoc:c;unedduelolhe caUH(S)and mann.ra..tat........................... ............. 29. 3Oe. JOlr. PLACE OF INJURY. AI home. tarm. II"NIC. lactory. olllea 1luIlclinQ. .Ie. tSpec.,v) 3Oe. M. 301:. REG.~ I R'S SIGNATURE AND NUMBER 13 C/"I<,...w/ /!'? ~ j.;(v ~I/I I\' - o~ ~ a ~~ "PfIONOlJNCIHG AND ceRTlfVING PHYSICIAN IPh_ boIh ",onoufOC:'''9 Oealh and certolYlRQlO cause 01 oealhl To _1lHl 01 my knowledge, dealll occurred a._ _, da.a. and placa. and dualo 'ha cauM(aland manner.. .'ated.. . . . . . . . . . . . . .MEDICAl EXAMINER/CORONER ~ ~:i:t::=.~~~~t.l~~ .a.~or. ~~~a~t~~~t.~~:~. ":.Y. ~~'.n.i~~: ~~~~~ ~~~~~~~ ~~ ~~~ ~'~~..~~t~: ~~~.~I~~~: ~~.~~~ ~~ ~~~ ~~~~~~~l.~~~' 0 3'a. 34. 'd 0:;..5- ~ 0 0 / -' 21-01-240 LAST WILL AND TESTAMENT OF RUTH K. BRAME I, RUTH KATIaEEN BRAME, of the city of Harrisburg, Dauphin County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void any and all wills and codicils by me at any time heretofore made. ITEM I. I direct that all of my lawful debts and funeral expenses be paid by my Co- executors, hereafter named, as soon after my decease as practicable. ITEM II.. All the rest, residue and remainder of my estate, real, personal and mixed, of whatever nature and wheresoever the same may be situated, which I own or have the right to dispose of at the time of my decease, I give, devise and bequeath to my children, ELEANOR LOUISE GAUMER, LILLIAN ANNE STEPHENSON, JOHN ALFRED BRAME, and ROBERT EDWARD BRAME, absolutely and in fee simple, provided that they survive me by thirty (30) days. ITEM III. I hereby nominate, constitute and appoint my sons, JOHN ALFRED BRAME and ROBERT EDWARD BRAME, to be my Co-executors of this my Last Will and Testament. ITEM IV. In the event that any of my aforesaid children shall not be living at the time of my death, then the share herein given to him or her is given to his or her children, in equal shares. In event that such deceased child shall leave no children, his or her share shall be given to his or her surviving brothers and sisters, in equal shares, absolutely and in fee simple. ITEM V. In the event that one of my sons, JOHN ALFRED BRAME and ROBERT EDWARD BRAME , does not survive me, or for any reason fails to qualify as Co-executor, the surviving or qualifying son shall serve alone as Executor of this my Last Will and Testament. IN WITNESS WHEREOF, I, RUTH KATHLEEN BRAME, the Testator, have to this, my Will, hereunto set my hand and seal this j J day of / D - /fAt; , A. D., 1995. ~ f< f> /'1-/( /)'VU'j (SEAL) SIGNED, SEALED, PUBLISHED AND DECLARED by the above name, RUTH KATHLEEN BRAME, as and for her Last Will and Testament, in the presence of us who have hereunto subscribed our names at the request as witnesses thereto, in the presence of said Testator and each other. E~ CL. Jtj~~ /} 1/ /,) . ~~ f- ~ ~ fl' / A' ~~ 2 ..... ~ ~~ /' CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of DecedentaUTH K. BRAME Date of Death: February 22, 2001 Will No. 2001-90240 Admin. No. PA No. 21=01=0240 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 J un e 1 3, 200 1 Name Address Eleanor L. Gaumer 656 Gaumer Road, New Cumberland. PA 17070 Lillian A. Stephenson 2064 Gramercy Place, Hummelstown, PA 17036 John A. Brame 467 Old York Road, New Cumberland, PA 17070 Robert E. Brame POBox 6801, Harrisburq, PA 17106 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: June 13. 2001 Signature ~R~ Name John A. Brame Address 467 Old York Road New Cum.berl <:111(1, PA 17070 Telephone (711 938 - 3 5 2 3 Capacity: ~ Personal Representative _Counsel for personal representative 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 ROBERT EDWARD BRAME 2029 COVEY CT HARRISBURG, PA 17110 _d_____ fold ESTATE INFORMATION: SSN: 179-10-3188 FILE NUMBER: 21-2001- 0240 DECEDENT NAME: BRAME RUTH K DA TE OF PAYMENT: 09/10/2001 POSTMARK DATE: 09/08/2001 COUNTY: CUMBERLAND DATE OF DEATH: 02/22/2001 NO. CD 000247 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01130161 I $225.28 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: ROBERT E. BRAME CHECK# 1134 SEAL INITIALS: SK RECEIVED BY: REGIS1"ER OF WILLS $225.28 MARY C. LEWIS REGISTER OF WILLS 'v / t ~ ;2/ .y -- ;p COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTION~~ AND ASSESS KENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP el2-DD) ROBERT E BRAME PO BOX 60801 HBG PA 17106 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-05-2001 BRAME 02-22-2001 21 01-0240 CUMBERLAND 179-10-3188 01130161 RUTH K Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V=is4-i-ix--AFP--fi1f:ooi------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS~ AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-05-2001 ESTATE OF BRAME RUTH K DATE OF DEATH 02-22-2001 COUNTY CUMBERLAND FILE NO. 21 01-0240 TAX RETURN WAS: S.S/D.C. NO. 179-10-3188 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01130161 FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 256256351 TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (~ TIME CERTIFICATE DATE ESTABLISHED 11-14-1994 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 3~003.78 0.500 1~501.89 .00 1~501.89 .15 225.28 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT~ SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS~ AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 09-08-2001 CDOO0247 .00 225.28 TOTAL TAX CREDIT 225.28 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 · IF PAID AFTER THIS DATE~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR)~ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ''\ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE , /~-~e2/-~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX HARRY L BRICKER JR 407 N FRONT ST HBG PA 17101 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-27-2001 PARK 02-09-2001 21 01-0340 CUMBERLAND 101 *' REY-lS47 EX AFP el2-00> JAMES D 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 ~ iffv=is'4j-E"x-iFP-ci'2=o(ir-No'TicE--OF-YNHEiiiiiiicE-TAX-APPRAisEMENT-,--iil-oWAN-CE-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF PARK JAMES D FILE NO. 21 01-0340 ACN 101 DATE 08-27-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED 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 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. ~ointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 2.830.26 .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 Bequests; Non-elected 9113 Trusts (Schedule ~) 14. Net Value of Estate SUbject to Tax (9) (10) 159,920.67 .00 (11) (12) (13) (14) NOTE: (15) (16) (17) (18) .00 X .00 X .00 X .00 X NOTE: To insure proper credit to your account, subllit the upper portion of this for.. with your tax payment. 2,830.26 ] SQ Q20 67 157,090.41- .00 157,090.41- 00 = 045 = 12 = 15 = .00 .00 .00 .00 .00 (19)= PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN,. .00 ,- TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO'PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) '\. / h - c:;,/ J./ -- C/ t? COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE 5/ c' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JOHN A BRAME 467 OLD YORK RD NEW CUMBERLAND DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-02-2001 BRAME 02-22-2001 21 01-0240 CUMBERLAND 101 REV-1547 EX AFP <12-00) RUTH K Amount Remitted PA 17070 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V-=is4-j-Ex--AFP--fi"2=ool--NoTicE--oF-.rNHERiTAifcE-TAX-APPRA-isEifENT~--A[l-oWAifcE-oR------------- ---- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BRAME RUTH K FILE NO. 21 01-0240 ACN 101 DATE 07-02-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: I~ an assessmen~ was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lec~ ~igures ~hat include ~he ~otal o~ ALL returns assessed ~o da~e. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 37,512.47 X 045 = 1,688.06 .00 X 12 = .00 .00 X 15 = .00 (19)= 1,688.06 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 38,629.69 .00 .00 6.552.09 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) nO) 7,669.31 .00 (11) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 45,181.78 7.669 31 37,512.47 .00 37,512.47 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-22-2001 AA496630 84.40 1,603.66 TOTAL TAX CREDIT 1,688..06 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: I T IJ!'.fl\j r~f !)f:<(\;"~E= ~~.. c.~ U [3 L c' .; 1) ,::> {:-l 1"1 L ;~. /~. ~.'t CJ t_ L) \l (.1 ;~~ ~( F,~ (J t-:. :::'l ~'<j F~ L',~ C~~ LJ :-'~1 [1 r~~ t:.~ t., (.; t~! L>. l.:\ l\ FOLD HERE ESTATE INFORMATION: FILE NUMBER \~.~. 1 . i:~ <-' ~~~l "' (f :~:~ l~ () NAME OF DECEDENT (LAST) E~ ;~. ?', f-'"'! E~ F,; ~_.; ~-~ ~. DATE OF PAYMENT :_~; ..-' r':.~ '.~: ~,~ (j t~> POSTMARK DATE ~-l / i-J :.2 C~. I,) ) '- COUNTY \~'., "-.._.l ."At E~ L. f-,~ ~_ {~~ l\i I:; DATE OF DEATH '-.. REMARKS En':,:(\['\C '';'' , 'H SEAL PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER 1 ~.?('cl~!() ~~; :~..l :..j :1"7 (? ..~. .l () -... ::J 1 f=~ F:i (FIRST) (MI) TOTAL AMOUNT PAID F~:;r~) B L'~ ;'~: "I~ ~~: r. '~.l:~ rv~ E:: RECEIVED BY r") ('~R Y :~.: !_.~" L"! I REGISTER OF WILLS No.AA 496630 REV-1162 EX (11-96) 1. () >1 ,\ ." . ' ~?L~~~~);( AMOUNT "'1-. f . J~:) (} :~J . c) t: FOLD HERE .~ 'I>~ .. ~ # -: III> .::"t:! . .: ~ r.~;' .., ...- " ,/ <-J;> . 'x/il (. , J :2-/, }..'~...... /,1' / I -f - it ,'j/{,J--::lL,J s( )_, "1'-4-;- , /.,;::>-,,;/..;..-(, i.;j-- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 /GJ J-/Lf % INFORMATION NOTICE AND TAXPAYER RESPONSE rl/ ) FILE NO. 21 01-0240 ACN 01130161 DATE 06-20-2001 REV-1S43 EX AFP (09-00> EST. OF RUTH K BRAME S.S. NO. 179-10-3188 DATE OF DEATH 02-22-2001 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS D CHECKING D TRUST [KJ CERTIF . ROBERT E BRAME PO BOX 60801 HBG PA 17~06 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 WAYPOINT BANK has provided the Departlllent with the inforlllation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction frolll the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COlllmonwealth of PennSYlvania. Questions lIlay be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 256256351 Date 11-14-1994 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 3,003.78 50.000 1,501.89 .15 225.28 RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". x NOTE: If tax payments are made within three (3) months of the decedent"s date of death, YOU may deduct a 5Z discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. Tax PART [}] iiiiiil!~I.!iii~~iiii_;::;;;::.. ''''''''';m:m!ts~i~iIfOT1ICEi:i~:. .....-.....................'.........-.....-...........................-.......-.......-. ....................................-.............-...-.....-...........................- .....-...........-.-.-...........-...-.......-.........................-...-.-.-.....-... . . -.. . .....-.. . ..- [CHECK ] ONE BLOCK ONLY A. ~he above information and tax due is correct. ~ 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent"s representative. C. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax S. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF 1 2 3 4 S 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line S of Tax Computation) perjury, I declare that the facts I and belief. I $ TAXPA have reported above are true, correct and HOME ( 17) 5/1rF36.s WORK ( (7) f'"77-7Y/U TELEPHONE NUMBER 9. 'F; ~/ A E ,~-Ji.~,-"".. ~'!~~I ",," 4<" , l.~' ~t" .. \ , ' G~ \ \' , ~ ~ \ ~ ~ ~~~ V\ ~ ~ ~ ~ ~ ~\ \ '-.J ~~ -p--- 8 --\-. (-l, ".'. C~___') . . t:, ~ .':) -4- -- ~ ~ ~ --- ,~ - ~ ~ ~ ........... ~ \'- '- ~ ~ ~~ ~~ ~~ ~ -- 'CJ ~ ~ \ ~ ~ ~ '- "'" ~ \\.;, '" ~ ~ ~ ~ ~ ~ ~ ~~ ~ .~ ~ ~ ~ ~ ~ ~ ~ ~~~ -:;::::. .--;. ..- ~ ~- -:. ..~ ....;;. .-:. ..-=== ..;. -::. .- ~ -:;::.:. -:. ,..:::. .,rt '''\ t... \t) it) -.... ,'-,\ .,.,1 \.) \'"'. 'f'" J. I - 0 (- .J.. 40 ~ - '\ RECEIPT AND RELEASE AGREEMENT This Agreement is made between John A. Brame and Robert E. Brame,Executors of the Estate of Ruth K. Brame, hereafter referred to "Executors" and John A. Brame and Robert E. Brame, cash beneficiaries, hereaft~r referred to as "Cash Beneficiary'~ In accordance with their desire that the administration of the Estate of Ruth K. Brame be terminated as soon as possible without the expense and further delay of a court accounting, the parties hereto, in consideration of the mutual covenants herein expressed, and intending to be legally bound hereby agree that: 1. The Estate of Ruth K. Brame, who died on February 22, 2001 is now in the process of administration, Letters Testamentary having been duly granted to John A. Brame and Robert E. Brame by the Register of Wills of Cumberland County, Pennsylvania on March 5, 2001 at will book No. 0240 Year of 2001. 2. The necessary Inheritance Tax Returns were timely filed, with the Pennsylvania Department of Revenue and thereafter, following audit, the Department approved the payment of the claims, debts and administration fees and costs, as reported and issued a Notice of Appraisement. 3. Under provisions of the Decedent's Last Will dated October 31, 1995, the Decedent made a bequest that all remaining funds be divided equally between the four children. 4. Upon execution of this Receipt and Release Agreement and the filing thereof with the Cumberland County Court of Common Pleas - Orphans' Court Division, the Executors shall make distribution-to the Beneficiaries as follows: a. Eleanor L. Gaumer the sum of $$8,972.60 b. Lillian A. Stephenson the sum of $8,972.60 c. John A. Brame the sum of $8,972.60 d. Robert E. Brame the sum of $8,972.61. 5. The parties hereto acknowledge that they have received the full amount of any bequest to which they are entitled under the terms of the Last Will & Testament of Ruth K. Brame dated October 31, 1995. 6. The parties hereto acknowledge that they have been advised that this Receipt and Release Agreement shall be filed with the Court of Common Pleas of Cumberland County, Pennsylvania to reflect the matters related herein. 7. This Agreement may be executed in multiple counterparts and, when so executed by all parties hereto, shall be binding upon all parties, and their respective heirs. The parties have hereunto set their hands and seals on the dates hereafter set forth Dated: 13~ii&~ 2 , 2001 ~ 1113 411'\\ 2 ohn A. Brame Executor I /~~ 2001 ~ Robert E. Brame Executor Datedy~ /3 . 2001 ~ A ~Q - John A. Brame Beneficiary 7. This Agreement may be executed in multiple counterparts and, when so executed by all parties hereto, shall be binding upon all parties, and their respective heirs. The parties have hereunto set their hands and seals on the dates hereafter set forth Dated: , 2001 ~j\~~ ~ ohn A: Brame Executor , 2001 ~~ Robert E. Brame Executor Dated: /3~ , 2001 Robert E. Brame Beneficiary . 7. This Agreement may be executed in multiple counterparts and, when so executed by all parties hereto, shall be binding upon all parties, and their respective heirs. The parties have hereunto set their hands and seals on the dates hereafter set forth. Dated: ~, 2001 ~ If, 2001 ~~ Robert E. Brame Executor Dated: ~ntb&0 t L, 2001 ~\'~~'nM)CL~ Lillian A. Stephens Beneficiary 7. This agreement may be executed in multiple counterparts and, when so executed by all parties hereto, shall be binding upon all parties, and their respective heirs. The parties have hereunto set their hands and seals on the dates hereafter sit forth. I ~<I.M~ ~ ,2001 J~JB~ Executor Dated: /3~, 2001 .~ Robert E. Brame Executor Dated: /9~~2001 ~~ Beneficiary John A. Brame Robert E. Brame 467 Old York Road New Cumberland, P A 17070 717-938-3523 November 22,2001 Register Of Wills Cumberland County Court House Carlisle, PA 17013 Dear Registrar: a/- tJ/-.:2'1G Attached are the final distribution documents and a reconciliatiop-iRlREV -1500 to the final settlement for the Estate of Ruth K Brame, File Number 21-01-liI*l( If there is anything else required please let us know so that we can file what is appropriate. The distribution was $35,890.41. It was divided into three shares of $8,972.60 and one of$8,972.61. Following is the fmal breakdown by beneficiary: Eleanor L. Gaumer - $8,972.60 Lillian A. Stephenson - $8,972.60 John A. Brame - $8,972.60 Robert E Brame - $8,972.61 If you have any questions or additional information please contact John A. Brame or Robert E. Brame, co-executors. Sincerely, ~~k R~.. rt E. Brame /~~. :~.l500EX(~J.. w ,.., ~~U) ,,"'>< W"" ,,00 ,,"'.... .... .. " lie. - 01/4 - l( REV-1500 OFFICIAL USE ONLY E'..- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER .2. !.- - 0 ~ <0 0 ~ ':Lv_ COUNTY CODE 'EAR NUMBER I- Z W C W (,,) W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) HG "If k, DATE OF DEATH (MM-D .YEAR) m.~~ - Lool SOCIAL SECURITY NUMBER /7'1 - 10 31fr DATE OF BIRTH (MM-DD-YEAR) 0"3-0$- ''1,1--- (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAS~tD MIDDLE INITIAL) ~ 1. Original Retum o 4. limited Estate 06. Decedent Died Testate (AlIachcopyotWIIl) o 9. litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (dale otdeath after 12.12-82) o 7. Decedent Maintained a Living Trust (Aliachcopy otTrusl) o 10. Spousal Poverty Credit (dale of death between 12-31-91 and 1-1-95) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (dale of death prior 10 12-13-82) o 5. Federal Estate Tax Retum Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (AlIach SchO) .... z w o z o .. " w '" '" o " NAMEi .,)" ~ CI-, FIRM NAME ('App<-l h ....-t- b.\3v"""'.... N/A-- COMPLETE MAILING ADDRESS rJ ~b7 tPL-?/ ,/,Oe.f.:::: f~""i> lVi',,", Cv~...~'t!v(cp<d / ~ /7070 TELEPHONE NUMBER "'7("7- 3 - ?52..3 '.--, ,~ OFFICIAL USE ONLY (1) (2) (3) (4) (5) /Vfr i :3 ~ ~ 2 q. "" <} ,11//4- Nth- . $ (.., 5"5"2-.0"1 . ;. (8) $'75": I~l 78' z o ~ ::::l l- ii: <( (,,) W 0:: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash. Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (line 8 minus Line 11) 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) (11) (12) (13) :t 7, (",,, 9. 31 .(' ~71 ~/L.' '+7 ,,1//4- .$ 37 s-n. '-17 (6) ,A/J;.- 1Vt- (14) (19) $ I 1.f?!r.Ob J IV /4-- A/lfr J " 1c8"f'. 01" (7) (9) :J 7.'- "''f.~1 /V/~ , (10) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;( I-' ::::l II.. :E o (,,) ~ 15. Amount of Une 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) tf '77 f 5""7 47 '.0_ (15) ,.O~ (16) 16. Amount of Line 14 taxable at lineal rate 17. Amount of line 14 taxable at sibling rate , .12 (17) , .15 (18) 18. Amount of Une 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUNO OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS 1-1'- "Bef2."" S'+_......,A.. C p,..... -.. a;c-{"<... U'JVc;;t...""'~~ ~ <;; <.-,.1 e.\ k-e....."'.../ 1'--" S. CITY M-tl..e,. \......0:....., c:....~'nVl/~ I STATE \/A- I ZIP 1,0 lO<;" , (3) /V /4- , (4) ~ (5) 1>1(" t?3,ft:,l. , (SA) --. (58) j, /, (p 03. (p b Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credils/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) /V;4. A//4- ,flf. 'I t) (2) Total Credils (A< 8 < C) 3. InteresVPenalty If applicable D. Inleresl E. Penalty /VIA- A/M- . 4. TotallnteresVPenalty ( 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 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 < SA. This is the 8ALANCE DUE, 1r;r::,,f"rf';l.J(, ,f'i./. <10 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.......................................................................................... 0 b. retain the right to designale who shall use the property transferred or its income; ............................................ 0 c. retain a reversionary interest; or.......................................................................................................................... 0 d. receive the promise for life of either paymenls, benefils or care? ...................................................................... 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 3. Old decedent own an 'in trust fo~ or payable upon death bank acoount or secunty at his or her death? .............. 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 No ff [3" [J" [6 0' @ c;;r IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. Under pena/lies of perjury, I declare that I have examined this return, including accompanying schedules aOd statements, and to the besl of my knowledge and belief, it Is !rue, correct and complete. Declaration of preparer othef ItIan the personal representative Is based on an information of v.tlich preparer has any knowledge. SiGNATURE OF P N RESPONSI8LE FOR FILING RETURN DATE ADDRESS A _ ~&, ~ &-t?~/ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ;..kv,,",...bvvc,. ? A- /7/0tb-o,f'ol I '::>~I'/zOOI DATE' , ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse Is 3% [72 P.S. ~9116 (a) (11) (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. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requiremenls for disclosure of assels and filing a tax return are s<<ll applicable even IT the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on lhe nel value of lransfers from a deceased child twenty.()ne years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent o!the child is 0% [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noled in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rale imposed on the net value of transfers to or for the use .of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the deceden~ whether by blood or adoption. REV""'''''I'''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATEO~ ~vlj, k. 73/44-MC SCHEDULE B STOCKS & BONDS FilE NUMBER 2.../-01- 002'10 All property jolntly-owned wilh right of sUlYlvolShlp must be disclosed on Schedule F. ITEM NUMBER 1. .elVr DESCRIPTION t!./'I",.ou.....1T - 37~ Sf",...",," -P....e.{~......<:,f~PAIIi! $2..5". ~11..> MfW-/c",,-f 6-:>'3~-t-1,,5':1.")/.a. ~$Z-~"k9' l'o 37> VALUE AT DATE OF DEATH f9 H- y-3 .7) / z. b eOV<j,q 70,",,"'- c.,..",J.j. Toy _ 300 ,;1",1."', _"P.<+,._{-vJ~5.375 ""f1.vt::~.... {fz.5':''"L+f'2-.'t.'iu)!2- -:=~'2..S-,o/ i< ~oo 17,5c;3op -3. ;:::;;~ D M D -he ... !!.o. C.4-P - 2-D" '9l..a .,,> _ P. "'..(,.." ..4 - Va - .s z.r, Ou lL--tA a.k:...,...-t {} ,.(". if 0 .f-1>24. >u Vi-- ;:: 12.l..,'" S- t S330.0iJ . j 2.. L(.().o..ff , $1<(. (7~1... 50 If (}12.c.t+STO;.A= 6......... TR <;;:e-I2.c. _ql .S'ka.-es~.ek~"fMm"'2..>-:-", MC,.k-e..+ (,(-z'l. ';'S-..,-t.2.i.K''$Yz.. ::=~.2-fi-. lOr:;.. ?I s. ht7'?, j;=,.,-evq'1 c;.,./j? -S-ClO sl.,~",s --L:c""""""'..... P""",?,-y...,o M.A.z.lce+(f2-!f'.'fo +1-2..7''''/)/2-:: kii'.IOS- Ift...L l--'I..a.~ "f2A.+-e5 OIV --0,,+... et- "\).......<.k. vV"'v< <;;_(/(',,-<,./ 1::>4: / A L... J e""",t_.c. s. ----::. ..... (j v "I -. M".q"~ G.j..,.~ k1 'l:::><,,,~ \{) .H-....... tit _,~ ___.J~.J .___... _,.j,.j"'A~~1 ~l-._~,~ _t...,~ ~___ ~,__, TOTAl(AJsoenterooline2,Recapilulationj $ 38; &2"f. ~g>- ""'.,"'''',..".. COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DEe DENT ESTATE OF ;.;2.1~ k 731?/'J-M<3- SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER :2 / -t:>!- ct?~t9 Indude the proceeds of litigation and the date the proceeds were received by the eslate. AK PfOperty joinlly-owned with the right 01 survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DElI TH (:.. 552-. o<j .!A/.4y;CJtNH + /.3q/V~ TOTAL(Alsoenleronline5,Recapilulation) $ (P552. 0<; (~more space is needed, insert additional sheets of the same sire) REV-1511 EX+ (12-99) . .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTA~F ~.ji, Ie '11'J:/'/1-"-1G FILE NUMBER .:2/-t?1 ~ 002-.-,.'0 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Urt:/,q, "" FI/"<<,,,",,,,J P<r 7) <? <:<=.",,>___01. - B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) J,,{,,~ A ,q.,....l) V.oloe-+-E.I3/lAn."" 1. 7~O. 0 () Social Security Number(s)/EIN Number of Personal Representative{s) J,,"'n'" 12..olo?.c""'+-E. t'l5'-3)..-'-5I-Y Street Address "/t> 7 <f;/C/ Y'e>,",k /Z-? 1:> City /!/,qd/ f!:-./_Q....~~"'d' Stale~Zip /7070 Year(s) Commission Paid: .;2 00 I 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State _ Zip Relationship of Claimant to Decedent 1> /2, Iu-'/~ /'3vo_ ...:- 112-. 00 4. Probate Fees - /z'6",/f t?YQrn~ t /.:;7l. tJ ,;) 5. Accountant's Fees - 6. Tax Return Preparer's Fees ;::?"., r1 Q'(;,/~ Ikc';..f-/...... -/III/v'?rn, 1.4_-<. $~r?""'S<=- .rP &:3 53. 06 7. I ~ .:rt' "7"("",,,, ",+ v<'aK ;" t /at/;'ZS R..",.6,...y<.~ /1<Y1tIlVI4/S - 47) P 7)" f", +e! h~ca,( ;5'';;'.,,,,,. J(!)/r... G,od 5'O~ - 'DC'h -/;$7'- D"...I,.I Evfl iu4fo~~ I)..fv~ '7/"'00/<... i; 'rSoo .r.3<",,1c c../' ",,,1:-> 'T Co- r'4f IF> -hv.f", /8, lis b 3. <no tV <l'( 1"" '-' 7- - $ J04" .4- ,(3v-aH'O!.. - h.- P"'~,",~I"- ":?vh.<a-f<~" o+V",,,./<.+c- 121..,0'0 'DJ-h f,,-> TOTAL (Also enter on line 9, Recapitulation) $ 7, b0'f'. 3/ (If more space is needed. insert additional sheets of the same size) '~:""'."'n.. COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF tJ d4. /::. 1:3/2A-U 6 NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) Joh,v "f. ?31U~CI tft.1 C>t-]:J 7'<>ItK /2M~ tUtt.<... t:!,,_h~~/o~"".,A FILE HUMBER ..2.1- c?/- 002-'/0 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Hot List Trustee(s) OF ESTATE 1.. /Z?h.ej~7!J~-~ .2-0L<; Cove'1 c.",",vt; IIzz..v' $ b ,,'"'} , ;::'4 Sa,v ;Z5% q?> 7f'.;7:- 25"'/. q J lY' I I ;z. :>"'1. 9' ?>73:tl- 1. 50>-'" .3 .J..,11"7~ /I. ~+..e.p1.""..oAI, 2-064 G,tzh""l~<1 PI. H""''''~1. -fow~ (;:7,4 :S "fE-/' 1/.4<-'"....'5n.. L/, p/.ekl,,/It1- ,L. bQI/l1'e'l &~(,c.lU/,/rlr..~ ;l/e,w C,w", bev (q.,,,,, ~4 5 rG-P J?-1'u ioN'7CJL ~s% 9 ?J7f'J'V _*7> do h6f'" IHc./....If!.- ~ A< a b~t/e- 4!~C /.,.t. I) (I J I --r +r:.-.<,,-r- dwd ;Ill'll TCI" SC~ .- .{ AJtt",rcJ#/a ......J,./V'" . "(J;ad--;r~;r .1 (7"'. 1 f ~.{ J?v -4.. ," I"" (. Too"- #~~,#I~ Q ~ __,1 #~_ ~-e~ t:/c'-"...." q' . '7iii< a~h,,'e..l,p...... 4' -. J> JT::7:SI2.<f7 ( ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTiON 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. }//4" B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. vJr TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ ~:?:~ ~ ('1' (If more space is needed, insert additional sheets of Ihe same size) ",,"C>~ WHEREAS, on the 5th dated October 31st 1995 was admitted to probate as the last will of BRAME RUTH K (Ll\::;'1', r 11(::;'1', J.Vl1lJlJL~) .....-.1'!'l't1tr1'J;,;;:;, ~f~ -r< 41",;%," ..~'i" ).~......<.,~J 0' :''&11, .',' ~"" L~.,r'l.)j ., ":1' ,<" ., ""'7[" '"l$' 'l"""' 'f", '.. '-1L <,...,'\..... '~', ',.,-', !ii" ' "l' ,'1' . . ."'~ ',' """ .. "';t 'ft-N'j. '~~.: . ~\, iI1~. ~tf :" ~1~7i~ ;" ~.. """",C' .. .'n1/J't(j",..~ .... \" ",." ",11;;"\,\ '>t." ~, ." ';$ ) ""It"ft~" ~';:;.~ :, 1'1 ,) \\ ~ ...... dill Register of Wills of CUMBERLAND County, Penns Certificate of Grant of Letters No. 2001-00240 PA No. 21-01-0240 ESTATE OF BRAME RUTH K (Ll\::iT, r 11(::;'1', l'l1lJlJL~) a/k/a Late of BRAME RUTH KATHLEEN MECHANICSBURG BOROUGH l;UJ.VlJ:S~KLl\NlJ l;UUN'1'Y, , Deceased Social Security No. 179-10-3188 day of March 2001 an instrl' a/k/a BRAME RUTH KATHLEEN late of MECHANICSBURG BOROUGH CUMBERLAND County, who died on the 22nd day of February 2001 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and fo the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to JOHN ALFRED BRAME and ROBERT EDWARD BRAME who have duly qualified as Executor(rix) and have agreed to administer the estate according to law, appears of record in my Office at CUMBERLAND COUNTY COURT CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 5th day of March all of which fully HOUSE, 2001. 'l>,//(l ~/htif/n(4{/fJ~'d</ - egis r 0 LL I **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) .....~~~~~~~i'1!t~-::~~.c.~... 21-01-240 LAST WILL AND TESTAMENT OF RUTH K. BRAME 1, RUTII KATHLEEN BRAME, of the city of Harrisburg, Dauphin County. Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void any and all wills and codicils by me at any time heretofore made. ITEM 1. I direct that all of my lawful debts and funeral expenses be paid by my Co- executors, hereafter named, as soon after my decease as practicable. ITEM 11. All the rest, residue and remainder of my estate, real, personal and mixed, of whatever nature and wheresoever the same may he situated, which I own or have the right to dispose of at the time of my decease, I give, devise and bequeath to my children, ELEANOR LOUISE GAUMER, LILLIAN ANNE STEPHENSON, JOHN ALFRED BRAME, and ROBERT EDWARD BRAME, absolutely and in fee simple, provided that they survive me by thirty (30) days. :-, ITEM m. I hereby nominate, constitute and appoint my sons, JOHN ALFRED BRAME + ,llj ~-~ and ROBERT EDWARD BRAME, to be my Co-executors of this my Last Will and Testament. .. -! ITEM N. In the event that any of my aforesaid children shall not be living at the time of my death, then the share herein given to him or her is given to his or her children, in equal shares. In event that r of" such deceased child shall leave no children, his or her share shall be given to his or her surviving brothers and sisters, in equal shares. absolutely and in fee simple. ~,.,. - ..- ;,.."'.""....c.. .". .~....,~.,", ['! ~ ITEM V. In the event that one of my sons. JOHN ALFRED BRAME and ROBERT EDWARD BRAME . does not survive me. or for any reason fails to qualifY as Co-executor. the surviving or I !..~c qualifYing son shall serve alone as Executor of this my Last Will and Testament. IN WITNESS WHEREOF, I, Rum KATHLEEN BRAME, the Testator. have to this, my Wil~ hereunto set my hand and seal this .5/ day of f 0- M t? . A. D., 1995. ,''-' i?, if .J<t> fLn /)'Y( n (SEAL) r C.~_ I~; :iJ~- itl,_ -Fl. tt '." ~U -,~.. . ......:" ~f; SIGNED. SEALED, PUBLISHED AND DECLARED by the above name, RUTH KATHLEEN BRAME, as and for her Last Will and Testament, in the presence of us who have hereunto subscribed our names at the request as witnesses thereto, in the presence of said Testator and each other. ~.,." ~ 5;; (l,.cn~ iJ_..L(!-. i/.//JL~ 2 .. MAIN OFFICE, WAYPOINT BANK 235 N 2ND STREET HARRISBURG, PA 17101 OWNERSHIP OF ACCOUNT - PERSONAL PURPOSE o INDIVIDUAL 1QI ESTATE o JOINT - WITH SURVIVORSHIP land not as tenants In commonl D JOINT - NO SURVIVORSHIP las tenants 1n common) D TRUST - SEPARATE AGREEMENT: o REVOCABLE TRUST DESIGNATION AS DEFINED IN THIS AGREEMENT Name and Address of Beneficiaries: OWNERSHIP OF ACCOUNT - BUSINESS PURPOSE o SOLE PROPRIETORSHIP o CORPORATION: 0 FOR PROFIT 0 NOT FOR PROFIT o PARTNERSHIP o BUSINESS: COUNTY Be STATE OF ORGANIZATION: AUTHORIZA liON DATED: DATE OPENED 4/04/2001 BY BURGESKT INITIAL DEPOSIT' 6,552.09 o CASH }[E CHECK 0 HOME TELEPHONE' 717-938-3523 BUSINESS PHONE' DRIVER'S LICENSE' EMPLOYER MOTHER'S MAIDEN NAME Name and address of someone who will always know your Joeation: _ BACKUP WITHHOLDING CERTIFICATIONS TIN: 25-6766261 I&k TAXPAYER 1.0. NUMBER - The Taxpayer Identification Number shown above (TIN) is my correct taxpayer identification number. I&lc BACKUP WITHHOLDING - I em not subject to beckup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends. or the Internal Revenue Service has notified me that I am no longer subject to backup withholding. o EXEMPT RECIPIENTS . I am an exempt recipient under the Internal Revenue Service Regulations. SIGNATURE: I certify under penalties of perjury the statements checked In this .ection. x 4/04/2001 Datel Cl1992 Benkers Systems, Inc., St. Cloud. MN Form MPSC-LAZ-PA 3/3/99 ACCOUNT NUMBER 100170299 ACCOUNT OWNER(SJ NAME & ADDRESS RUTH K BRAME ESTATE 467 OLD YORK RD NEW CUMBERLAND PA 17070-0000 LOW MIN INTEREST CBECKING I&lcNEW 0 EXISTING TYPE OF I&lcCHECKING 0 SAVINGS ACCOUNT 0 MONEY MARKET 0 CERTIFICATE OF DEPOSIT o NOW 0 This is your (check onel: (KkPermanent 0 Temporary account agreement. Number of signatures required for withdrawal FACSIMILE SIGNATUREIS) ALLOWED? 0 YES 2 o NO L ] SIGNATURE(S) - THE UNDERSIGNED AGREE(S) TO THE TERMS STATED ON PAGES 1 AND 2 OF THIS FORM. AND ACKNOWLEDGE(S) RECEIPT DF A COMPLETED COPY ON TODA Y'S DATE, THE UNDERSIGNED ALSO ACKNOWLEDGEIS) RECEIPT OF A COPY OF AND AGREEIS) TO THE TERMS OF THE FOLLOWING DISCLOSURE(S): lK)cDeposit Account Disclosure J(XI Funds Availability Disclosure I&kElectronic Funds Transfer Disclosure n TIS Disclosure o 111: L ROBERT E BRAME 1.0. # 000-00-0000 /CO-EXECUTOR D.D.B. 0/00/0000 ] 121: L ] JOHN A BRAME /CO-EXECUTOR I.D. # 000-00-0000 D.D.B. 0/00/0000 131: L ] I.D.# O.O.B. 141: L ] 1.0. # 0.0.8. o Authorized Signer (Individual Accounts Only) L ] 1.0.# D.D.B. BSIPAAP /PAMPSCZ2/APtMPftlf11f. 2)