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Home My WebLink About01-0269 , . c.. OFFICIAL USE ONLY REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT /b- O:;)/~ - 9 FILE NUMBER REV~1500 EX + (6-00) CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R 0 E E S N T C o M P T U A T X A T I o N o E C E o E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT,280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Rittle Sr. David E. DATE OF DEATH (MM-DD-YEAR) NUMBER 21-01-269 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 716-09-5304 THIS RETURN MUST BE FILED IN DUPUCATEWlTH THE REGISTER OF WILLS S CIAl ECURlTY N MBER Zennith J. 2. 4a. 7. o 3. ate of death . Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes Ranieri-Rittle, X 1. Original Return 4. Limited Estate Supplemental Return Future Interest Compromise {date of death after 12-12~82) Decedent Maintained a living Trust (Attach copy of Trust) Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 11. Election to tax under Sec. 9113(A) (Attach Sch 0) X 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received o 010. NAME Michael L. Ban FIRM NAME (If Applicable) 302 South 18th Street Camp Hill, PA 17011 TELEPHONE NUME3ER R E C A P I T U L A T I o N 30- 0 Real Estate (Schedule A) (1) 84,315 Stocks and Bonds (Schedule B) (2) N<&e:" Closely Held Corporation, Partnership or (3) N$e' Sole-Proprietorship t:', 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 16,492 .r91 (Schedule E) 6. Jointly Owned Property (Schedule F) (6) Now! . o Separate Billing Requested ),> '~';\ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) None (Schedule G or L) 8. Total Gross Assets (total Lines 1 -7) (8) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 14,414.33 10. Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I) (10) 2,561.24 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 83,833.00 dOFFICIA~ ct -0. (1)n C'.'.i 0 NLY c::l C'? N o ".,~, :'.'., "...~. :b 00 N (Xl 100,808.57 16.975.57 83,833.00 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Une 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. (IS) (16) (17) (18) (19) 0.00 2,514.99 0.00 0.00 2,514.99 x X X X .0 0 045 .12 .15 27,944.33 55,888.67 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-15DD EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 411 North Fifth Street CITY I STATE I ZIP Summer dale PA 17093 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 2,514.99 Total Credits ( A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 ;':";;!! Total Interest/Penalty ( D + E) (3) 4. If Line 2 is greater than Line 1 ... line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line S + SA. This is the BALANCE DUE. (SB) Make Check Pay.blelo: REGISTER OF WillS, AGENT '.i.ii.' :i'!!'!;!!"ii'" e................,.....................................}:'.:.... "';'::!!!!::i!!!!iH.'.."" . ""-",,,"!"'!i'i!i'i;;'-""''''':';i'l'''' ,.".".'.""i'l"'..',,;,;-';,;"':[:H,1:;:. '.......,.,,;!':,i!Fl' Ii''!,iiii;I':'"......... ..... .........,. 1" "" ..,.".,., ''''',',,', ""... ,\i,!' 'ii1!:iJ:iii!:i:';i:," 'n::i!i!i!'iHI!i;::ii!:iUiii'i'" ::i!]Jli! ,:UiiiiiHi!: i!i!:i!iiHiiij!!ii:i!:j'}i :::l::i\.iib:'.:'!!1;i::i::ilili: iim:1i1i!1 !::ii:ii::m:[ii!(':i'''' PLEASE ANSWER THE FOLLOWING GUESTJONS BY PLACING AN "X" IN THE ApPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ~ ~xxx b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or . d. receive the promise for life of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without r$ceiving adequate consideration? . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. 0.00 0.00 2,514.99 0.00 2,514.99 o o o o ~ o Under penalties of perjury, I declare that I have examined this return, Including accompanyIng schedules and statements, and to the best of my knowledge aM belief, It Is true, correct and complete. Declaration of preparer other than the personal representative Is based on all Information of which preparer has any knowledge. Sheryl Stetler _98 Howard Street. Enola, PA DATE 12/19/01 Michael L. Bangs. Esquire DATE 302 South 18th Street ---<5';';'-- -fIlIi- -PA - -no iI- --- - --- ----- --- --- --- --- For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (i)J. For dates of death an or after January 1, 1995, the fax 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) Oi)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a ta): return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use at a natural parent, an adoptive parent, or a stepparent of 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 noted in 72 P.S. 9116(1.2) [72 PS. 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, 9116(aX1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. CopyrIght (cl 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) . REV-1502 EX +(1-97) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHEAITANCETAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER David E. Rittle Sr. SS# 716-09-5304 02/19/2001 21-01-269 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with riaht of survivorship Must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate - 411 North Fifth Street, Summerdale 84,315.66 Sold August 14, 2001, for sale price of $84,000.00; see settlement sheet attached. TOTAL (Also enter on line 1, Recapitulation) S 84,315.66 (If more space is needed, insert additional sheets at the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1-97) , OMS NO. 2502~265 -" A. B. TYPE OF LOAN: U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.0FHA 2.DFmHA 3. [!JCONV. UNINS. 4.0VA 5.DcONv.INS. 6. FilE NUMBER: 17. LOAN NUMBER: SETTLEMENT STATEMENT 106037 BLOSSER 04394627 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form Is furnished to give you" statement of actua' settlement costs. Amounts plIld to and by the settlement agent are shown. Items marked -(POCT were paid outside the closing; they Ire shown here tor Informational purposes and are not Included In the totals. D. NAME AND ADORESS OF BORROWER; E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: JACK I. BLOSSER DAVID EARL RITTLE ESTATE COLUMBIA NATIONAL INCORPORATED SHERYL O. BLOSSER 6 COMMERCE DRIVE 411 FIFTH STREET CRANFORD, NJ 07016 EAST PENNSBORO TVVP.. PA G. PROPERTY LOCATION: H. SETTLEMENT AGENT: I. SETTLEMENT DATE: 411 FIFTH STREET A-1 Abstract Associates, Inc. EAST PENNSBORO TWP., PA August 14, 2001 CUMBERLAND County, PennsylvanIa PLACE OF SETTLEMENT 411 FIFTH STREET 1800 LlnglestO'Nll Rd, Ste 102 EAST PENNSBORO TWP. CUMBERLAND CO., PA Harrisburg, PA 17110-3355 J. SUMMARY OF BORROWER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Prlce 84000,00 401. Contract Sales Prlce 84 000.00 102. Personal Pro e 402. Personal Prooertv 103. Settlement Char es 10 Borrower Line 1400 2872,24 403. 104. 404. 105. 405. Ad'ustments For Items Paid B SeUer in advance Adjustments For Items Paid Bv Seller in advanca 106. C' fTown Taxes to 406. CI fTO'Nll Taxes to 107. Coun Taxes 08115101 to 01101102 115.87 407. Coun Taxes 08115101 to 01101102 115.87 108. School Tax 08115101 to 07101102 1014.50 408. School Tal( 08115101 to 07/01/02 1014,50 109. SEWER 08115101 to 10101/01 25.29 409. SEWER 08/15101 to 10101101 25.29 110. 410. 11" 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 88,027.90 420. GROSS AMOUNT DUE TO SELLER 85,155.66 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 600, REDUCTIONS IN AMOUNT DUE TO SELLER: 201. OMit or earnest mon~ 501. Excess oe;;;;slt See Instructions 202. PrlnClnat Amount or New Loanrs 67200.00 502. Settlement Charrles to Seller (Line 140m 840.00 203. Exlstln loan s taken sub'eclto 503. Existinn loanlsl taken subleclto 204. 504. Payoff of first Mortgage 205. 505. Pa ff of second Mort a e 206. 506. 207. 507. 208. 508. 209. 509. Ad ustments For Items Un aid B SelJer Ad'ustments For Items Un aid B Seller 210. C' fTown Taxes to 5tO. elt fTown Taxes to 211. Cour;t;""Taxes to 511. eoun~ Taxes to 212. School Tax to 5t2. School Tax to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BYIFOR BORROWER 67,200.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 840.00 300. CASH AT SETTLEMENT FROMfTO BORROWER: 600. CASH AT SETTlEMENT TO/FROM SELLER: 301. Gross Amount Due From Borrower Line 120 88 027.90 601. Gross Amount Due To Seller Line 420 85 155.66 302. Less Amount Paid B IFor Borrower Line 220) ( 67,200.00) 602. Less ReductIons Oue Seller (Line 520) ( 840.00 303. CASH ( X FROM) ( TO) BORROWER 20,827.90 603. CASH! X TO)( FROM) SELLER 84,315.66 ..... The undersIgned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein. Ji{;2 Borrower .y'-.V~ ;/ ~ j; ../}ACK l. BLOS'SER '. . /- ,/' '."1 ..X)"-L. ,/ ji hJ"./t.4A?/l SHERY~. BLOSSER Seller r7h (;---_LI' (1 .~..I, .L-tC.C;, DAVID ~RL RITTLE ESTATE / c~~c.-t(~j_ $ L. SETTLEMENT CHARGES '" ... 700. TOTAL COMMISSION Based on Price on 0 omtnlsSlon me 7oo..s oNows; 701. $ to 702. $ to 703. Commission Paid at Settlement 704. Transaction Fee to BOO. ITEMS PAYABLE IN CONNECTION WITH lOAN 801. Loan Or! Inatlon Fee % to 802. loan Discount % to 803. A raisal Fee 10 804. Credit Re rt to 805. Lender's Ins eclion Fee to 806. Mortnane Ins. A . Fee 10 607. Assumption Fee to BOB. 809. FLOOD CE.RTIFICATION 810. DOCUMENT PREPARATION/REVIEW 811. UNDERWRITING FEE 812. TAX RELATED SERVICE FEE 813. COURIER FEE 814. APPLICATION FEE 615. 816. 817. 818. 819. 620. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN AOVANCE 901. Interest From 08/14101 to 09101/01 @ $ 13.070000/day ( 18 days 902. Mort 8 e Insurance Premium (or months to 903. Hazard Insurance Premium for vears to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 3.000 1002. Morinane Insurance 1003. Citvffown Taxes 1004. CountvTaxes 1 DOS. School Tax 1006. 1 7 f 008. A re ale Ad'uslment 1100. TITLE CHARGES f t01. Settlement or Clos~ -F&e 1102. Abstract or Title Search 1103. Till Inati n 1104. Tille Insurance Binder 11OS. Document Preoaratlon 1106. Nota Fees 1107. Attorney's Fees mcludes above Ifem numbers: 1108. Titlli! Insurance (includes above item numbers: 1109. lendets Coverage 1110. Owner's Coverage 1111. Endorsements 100,300,8.1 t 112. Closing Protection letter 1113. Ovemight (Payoffs/Package) 1114. Tax Receipts 1115. INCOMING WIRED FUNDS 1116. 1117. 1118. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordinc Fees: Deed $ 25.50; Mortaaae $ 53.50; 1202. Cltv/Count\' Tal<lStamos: Deed 840.00' Mortgage 1203. Stale Tax/$tam s: Revenue Starn s 840.00; Mort a e 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survev 1302. Pestlnsoectlon 1303. TRASH 8114/01-9130101 1304. ,; ~ 1~. / 1400. TOTAL SETTLEMENT CHARGES Enter on lines 103, Section J and 502, Section K)/ / ey.lgnlngp.g,'oI\hll1tat'm'nt,\h..lgn.lor_..dr.nowIldg.rlO;.lptol'<;ompl.~coptOlP.g'201lhlltwoP'i~ A.1 'r\tIstract Associates, Inc. to COLUMBIA NATIONAL INCORPORATED 10 COLUMBIA NATIONAL INCORPORATED 10 COLUMBIA NATIONAL INCORPORA TED to COLUMBIA NATIONAL INCORPORATED to COLUMBIA NATIONAL INCORPORATED COLUMBIA NATIONAL INCORPORATED 7000 3.000 months months months months months months m Ih months $ $ $ $ $ $ $ 10 to A-1 Abstract Associates Ine, 10 I. I. t. I. CASH MICHAEL BANGS, ESQ to A-1 Abstract Associates Inc. $ 67,200.00 $ 64.000.00 10 A.1 Abstract Associates. Inc. A- f Abstract Associates, Inc. to A.1 Abstract Associates, Inc. A-1 Abstract Associates. Inc. to A-1 Abstracl Associates, Inc. to I. to EAST PENNSBORO AUTH "') ~1 ,33 Per "" pe' 24.85 per 96.43 Per pe, , per month month month month month month mon! month Releases $ SelUement AQent POC 350.00 APPVD A TTY PoUe 956171 -, f'NDFRO", BoRR~S FUNOS.\T SEmEloAENT P/l./OFROI<l SELLER'S FUNOSAT SETll..Et.lENT 13.00 '225.00 21.00 54.00 30.00 235.26 63.99 173.95 289.29 -99.38 95.00 12,00 337.25 300.50 150.00 15.50 5.00 79.00 640 00 840.00 31.88 2,872.24 64000 REV-1508 EX + (1~97) COMMONWEAL1H Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF David E. Rittle Sr. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY SS!! 716 - 09 - 5304 02/19/2001 FILE NUMBER 21-01-269 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jOintly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 A11first Bank DESCRIPTION Statement Savings #87005700321718 VALUE AT DATE OF DEATH 340.97 2 A11first Bank Certificate of Deposit #87008100479429 664.50 3 Waypoint Bank Checking Account #900037805 2,335.13 4 Waypoint Bank - Certificate of Deposit #900003326 6,209.72 5 Waypoint Bank Certificate of Deposit #955313612 5,942.59 6 Proceeds from sale of personal property 1,000.00 TOTAL (Also enter on line 5. Recapitulation) S 16,492.91 (If more space is needed. insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-150B EX (Rev. 1-97) II- ~ - Ifj allflrst March 23, 2001 Allfirst Fina.ncial Center N.A. P.O. Box 900 Millsboro, DE 19966 Michael L. Bangs, Esquire 302 South 18th Street Camp Hill, PA 17011 RE: Estate of Da'l1id E. Rittle, Sr., Deceased Dille of Death: February 19, 2001 Social Security Number: 716-09-5304 Dear Mr. Bangs: In response to your request, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following accounts: 1. Account Type........................... Statement Savings Account Number....................... 87005700321718 Ownership (Names of]............... David E. Rittle Opening Date........................... 10(05(92 Balance on Date of Death..... ..... $340.97 Accrued lnterest........................ .03 Total $341.00 (Int.YTDOD=$.81) 2. Account Type........................... Certificate of Deposit--6 months Account Number................. ...... 87008100479429 Ownership (Namesof]............... David E. Rittle Opening Date........................... 03(09(95 Balance on Date of Death.......... $664.50 Accrued Interest........................ 9.57 Total $674.07 (Int.YTDOD=$9.571 ., , . Page 2 March 23, 2001 This letter does not include any accounts in which the deceased may have been listed as Power of Attorney, Custodian of Uniform Transfers, Representative Payee, or Trustee under a Written Agreement A copy of your letter is being sent to the branch of record noted below for closure of these accounts and reimbursement of funds as you requested, We hope this information is sufficient for your needs. For further questions on these accounts, please contact our branch at 423 Nortli Enola Road, Enola, PA 17025, Telephone #717/255-2261. Sincerely, " ;1. /'Ik- ~ M . ori A. McLean Assistant III (302) 934-2916 cc: Branch 154 (Summerdale Plaza) w/copy of 3/14101 letter from Michael L. Bangs, Esq. requesting closure of accounts and payment of funds to the Estate of David E. Rittle, Sr. sent to Mr. Bangs' office. ,. ~ -. V1Way~qint LOOK FOR US. WE'LL GET YOU THERE. MARCH 20,2001 MICHAEL L BANGS 302 S 18TH ST CAMP HILL PA 17011 The information which you requested on the DAVID E RITTLE SR ESTATE (Social Security Number 716-09-5304) is as follows. Account Ownership Name of Joint Owner, if any 900037805 900003326 955313612 CHECKING CERTIFICATE CERTIFICATE 050898 040599 061897 2335.13 6209.72 5942.59 .15 39.10 37.42 2335.28 6248.82 5980.0 I SOLE SOLE SOLE Account Number(s) Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Date Ownership Was Established 050898 040599 061897 Additional Information Requested PLEASE COMPLETE W-9 skre~ :a~. ~t;n;- Senior Services Rep. P.O. Box 1711. HARRISBURG. PENNSYLVANIA 17105-1711 Toll FrEe I-B66-WAYPOINT (I-B66-929-7646) . www.waypointbank.com ", REV-1511 EX+(1-97) SCHEDULE H FUNERAl EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DeCEDeNT ESTATE OF David E. Rittle Sr. SSfI 716-09-5304 02/19/2001 FILE NUMBER 21-01-269 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES, 1 Expense - Zimmerman-Auer Funeral Home, Inc. 3,401. 34 2 Expense - Rolling Green Cemetery (headstone lettering) 168.00 3 Expense - Summerdale Fire Company 100.00 B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions 5,000.00 Name of Personal Representative(s) Sheryl Stetler Social Security Number(s) I EIN Number 01 Personal Representative(s) Street Address 411 North Fifth Street, P.O. Box 51 City Summerdale State PA Zip 17093 Year(s) Commission Paid: 2001 2. Attorney's Fees Michael L. Bangs, Esquire 5,000.00 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 4. Probate Fees Register of Wills 282.00 5. Accountant's Fees 250.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Expense - Cumberland Law Journal (Advertising) 75.00 2 Expense - Zimmerman Auer Funeral Home 15.00 3 Expense - The Sentinel (advertising) 90.59 4 Expense - Ads for sale of cemetery lot 32.40 TOTAL (Also enter on line 9, Recapitulation) $ 14,414.33 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97) COMMONWEA.L TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF David E. Rittle Sr. ". REV-1512 EX + (1~97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS FILE NUMBER 21-01-269 Include unreimbursed medical expenses. SStf 716-09-5304 02/19/2001 ITEM NUMBER 1 Expense 2 Expense 3 Expense 4 Expense 5 Expense 6 Expense 7 Expense 8 Expense 9 Expense 10 Expense 11 Expense DESCRIPTION Central PA Ear Nose & Throat AMOUNT 111.17 Associated Cardiologists 2.05 Quantum Imaging 49.60 Tax Collector (2001-02 school real estate tax) 1,157.16 Tax Collector (County/township real estate tax) 334.69 Pinnacle Health 93.12 Pinnacle Health 567.88 MBNA Credit Card Payment 20.00 East Pennsboro Township (sewer bill) 49.50 Moffitt Heart & Vascular Group 145 . 77 Holy Spirit Hospital 30.30 TOTAL (Also enter on line 10, Recapitulation) S 2,561.24 (If more space is needed, insert additional sheets of the same size) copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97) .. REV~1513 EX +(1-97) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHEAITANCETAX RETURN AESlDENT DECEDENT ESTATE OF David E. Rittle Sr. 02/19/2001 SSff 716-09-5304 NUMBER I. 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions): Pearl Dormer 656 Beach Drive Lexington, NC 27292 2 Evonne Hoover 235 South Enola Drive Enola, PA 17025 3 Zennith J. Ranieri-Rittle 800 York Road, Lot 112 Dover, PA 17315 4 David J. Rittle, Jr. 1627 Berryhill Street Harrisburg, PA 17111 5 Larry Rittle 1796 Pisgah State Road RELATIONSHIP TO DECEDENT Do Not List Trustoe(s) Daughter Daughter Wife Son Son FILE NUMBER 21-01-269 AMOUNT OR SHARE OF ESTATE one-seventhfre sidue one-seventhfre sidue one-third of estate one-seventh/re sidue one-seventh/re sidue ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 0.00 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S (It more space is needed, insert additional sheets of the same size) copyright (c) 1996 form software only CPsystems, Inc. Form REV-1513 EX (Rev. 1-97) .' ", Estate of: David E. Rittle Sr. Soc Sec #: 716-09-5304 Date of Death: 02/19/2001 Continuation of Schedule J, Part I (Taxable Bequests) Item # Name and Address of Beneficiary Relationship Amount or Share of Estate Shermans Dale, PA 17090 6 Loraine Roll 5094 S. Clarice Drive Hamburg, NY 14075 Daughter one-seventhjre sidue 7 JoAnne Steckline 215 W. Chocolate Avenue, #3P Hershey Plaza Apartments Hershey, PA 17033 Daughter one-seventhjre sidue 8 Sheryl Stetler 98 Howard Street Enola. PA 17025 Daughter one-seventh/re s idue ~ ~ I }:., 1\ I ~ ~ ~ '1 (.~ \::7 /, CWtI! 0/ 0avid~. @(ittle !, DAVID E. RITTLE, of Summerdale, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, and any and all taxes and assessments imposed by any governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II. ! give and bequeath all of my household goods, automobiles, jewelry, and all other articles of household and personal use, equipment and ornament, together with all insurance thereon and relating thereto, to the following persons in the following shares: A. ONE-THIRD (1/3) thereof to my wife, ZENNITH 1. RANIERI- RITTLE, provided she survives my death by thirty (30) days. Ifmy said wife does not survive my death by thirty (30) days, then her 1/3 share shall pass to those of my issue, per stirpes, as survive my death by thirty (30) days; B. Two-thirds (2/3) thereof to those of my issue, per stirpes, as survive my death by thirty (30) days. ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my estate of every nature and wherever situate to the following persons in the following shares: Register of Wills of Cumberland County, Pennsylvania ~v j P fl.; 1 tie.. a ~~TITION FOR GRANT OF LETTERS David [. Rittle ~~ No. d \ - 0\ - ;;&,q Estate of also known as , Deceased Social Security No. 716 - 09 - 5304 Sheryl Stetler Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) [K] A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut r ix named in the last Will of the Decedent, dated 08/28/20Q)and codicil(s) dated None State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: D B. Grant of Letters of Administration (c.t.a.; d.b.n.c.t.a; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence 1 (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family or principal residence at 411 Fifth Street, East Pennsboro Township (list street, number, and municipality) Decedent, then ~years of age, died 02/19/2001 at Harrisburg, PA (Location) 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 20,000.00 $ $ $ $ 95,000.00 situated as follows: 411 Fifth Street, Summerdale, PA Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the a riate form to the undersi ned: Si nature T ed or rinted name and residence Sheryl Stetler, 404 Sixth Street Post Office Box 365, Summerdale, PA 17093 ~ Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. \lo -- 0:>\ ~ - (1 Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumber land The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed x ~jol i Sheryl St:;ttle"r '~1~~' LY J-; a"'1 before me this ~ day of 2001 No. 21 - 01 - 269 f)IJ.",;.a III -1-1 1(. Ci. It '\ Estate of David [. Rittle Sr. Deceased Social Security No: 716-09-5304 Date of Death: 02/19/2001 AND NOW, MARCH 12, 2001 ,in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [Xl Testamentary D Of Administration (c.t.a.; d.b.n.c.t.a.; pendente I~e\ durante ab7sentia; durante minoritate) are hereby granted to Sheryl Stetler in the above estate and that the instrument(s) dated 08/28/2000 :~:~:~bed in the Pet. ion b:::;~tted;: :r~::e and filed alrecard ,a1:S;i1;;~~I/y~ &~ [~. ~ - f{;(f . , Register of Wills Short Certificate(s). {19) $ 30.00 Renunciation. $ Affidavits ( $ Extra Pages ( 4) . 12.00 $ Codicil. . $ JCP Fee. $ 5.00 Inventory. $ Other . . $ TOTAL. $ 282.00 Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Mailed letters to attorney on 3_-1?--01 Form RW-1 (1991) 'iIW'i keY ')/',1, This is to certify that the information here given is correctly copied from an original ce~titl.c~te of death dul~ filed with Local Registrar.' The original cerriflcate will be forwarded to the State Vital Records Office tor permanent hlmg. me as WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~-,.~~ ~lt'\1'~iiF~/PE~~~-~_:.. Il"~'/ ,'4"J'L'""-.. iI' ..;s/ \~ - .~ .~! --, .~'("'.? I>'~ (~ ""=:: c'P=, \-;P":. I~~( .. - \~% \~~\ ,.:A .~~I \\*~: :,;/*,1 ~ 4\.' /....~I" ,~rA~ ./~I\' ~-- ~/;J------_/\\.\.'q\ ~~" (MEN1 \)\ ":'II'\'~ ~~?' &1{/ /"f?Z ~~--(/Z~ /-- rJ'" Fee for this certificate, $2.00 I.oeal Registrar P 7177302 FEB 2 1 2001 D~He 'I.... 2187 COMMONWEALTH Of PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH Vauph.in DECEDENT'S USUAl OCCUPRlOH (~=:.:io "=' '::::'.l:'f . ".. P.i. e. F .i.t:tCUl. 1111. Con~:tJr.ueu.on OlECEOEHT'S MAIlING ADOAESS (SI,.... ClIyllOwn. SlaIll. ZopCode\ DECEDENT'S 411 5th StJte.e.t ~~1.U:-NCE Summvr.da.te., PA 17093 ~~~ \W.S DECEDENT EilER IN U.S, ,\RUED FORCES? YMD No~ SEX 2. Ma.te. STAlE filE NUMBER SOCIAl SECURIT'I' NUMBER ~ 716 09 5304 t1tJ/ NAME OF DECEDENT (f".. Middle. l....' 1. AGE (La.. Borlhdavl Vav.id E. R.i.ttie., Sk. UNOER 1 YEAR Monlha o.~ UNOI:R I ON Houn U....I.. BIRTHPLACE ,C.ty and ~ OF DEATH (Ct>eck llf'/y""" -- __ 'nslrUCloOO9 "" 0Ihe, _I Slale 01 fcreo<}" COOnlfy) HOSPiTAl: 1. L e. bano n , P A :-1"",,, ~ ER/OUIpIII,enl 0 ~ 0 Fl\CllIT'f NAME (II nol,nSl>IIJltOrl, gllle Slreel and numbef. :="YIO 5. 82 COUNT'f Of' DERH Yrs RACE . Arnencan Indian. Black, Whit.. tile (SpeclIy) lit. k. HaJtJt~.i.bWtg ed. KINOOf' BUSINESS/INDUSTRV 10. Wh-ite. 1711. Cou Did ~ Mon. Cumbvr..land -"""1 I1d.O ~-::::=ol MOTHER'S NAME (FoSl, hoIocldle. Malden Su,name) MARITAl STATUS. Uanilod N._ Man*', WodowecI. D'-ClId (Speedy) 14. MaJtJI..i.e.d 1'.Z e.nn.ith 17e.o YM._MdIr> Ecwt Pe.nMboJto SURVIVING SPOUSE III WIle. 9NtI maoOlln name) 12. 13. pe.nn..6l.j.lvan.i.a J. O.-6Wa1.t ___ 17.. Sial. tw: ,.. fRHER'S NAME (FirS!. UoOdle. last) 11. 1Nf000000'S NAME (T ypelP,inI) Cllylbuo- 201. METHOD Of' DISPOSITION lluneI D C'......lion QI lWmoval 110m Sla.. 0 0Ihw (SpeclIy\ EaJt.l J. R.i.We. Ze.nn.ith J. R.ittte. DATE OF DISPOSITION (Uonlh. o.y. 'IlIaf) D 2111. F e.bJtuaJty 25, 2001 E OR PERSON ACTING AS SUCH LICENSE NUMBER } F0013376-L 23b. 23c. Wl\S CASE REFERRED TO UEDICAl EXAMINERlCORONER1 YM~ Fb NoD IIIIISlIATE CAUSE (Fonal _ 01 eondIloon '....-...0 on <Malhl- 21. I Aporoximal. : inl..-..l '*-n ,0..... and_th I I , PART II: 0IhlI. $igfoillcanl c:ondIlions contributing to ~alh. but "'" nMIUlIin9 in \he undetlying ca... given in PART I. ~~= I :b,. _. ~ UNDEALYING CAUSE (00Ma0B 01 .....y 1IaI~_ .-.....g.. -I LAST GAlLo~o~~rc- DUE TO (OR AS A CONSEOUE E Of): cp-iri L- 0- DUE TO (OR AS A CONSEQUENCE Of): r LA- L- f-. t) ).J A- f'- yr ~ V' p~rp~.[ ~', DUE 10 (OR AS A CONSfOUENCE OF): 'NoS AN AUTOPSY PERfORMED? WERE AUlOPSY fINDINGS A\lIUlA8lE PRlOfI 10 COUP\.ETION OF CAUSE OF OER'H1 MANNER OF DEATH DATE OF INJURY (Moolh, Day. 'lViII) TIMe OF INJURY INJVRY AT WORK? DESCRIBE HOW INJURY OCCURRED. AcclClltnl ,lRl D o HomlCicM Pendt"llln"lIliQaUon o o o v. 0 NoD Halural v. D No91 28L 2I0Il. CERTII'IER cCNlck only one) "CERTIFYING ,,"YSlCIAH cPhysoc...... cerWy"'9 ","use oJ oealh when ""OIher phvSlCoan has pronounce<! oealll ana complel"" Item 23) To........t 01 my knowloodg.. dea'" occurred _... the cau..(o) and manner a. 018_. . ' . . . . . . . . . . . . . . . . . . . . . , . . . . . . Y.. 0 NoD $uicirle Could "'" blt dttl.rm,ned 3Od. lOCATION (SU_, CIlyITown. Slal8) 29. .PRONOUNCING ANDCEATIFYING PHYSICIAN (Physoc"", bolh ,,'onOUfl(:'nQ ""ath and cert"V"'910 ca..- 01 oealhl To _ _ of my kno....dQ.. dealll occurred at 1lIe Urn., d.'.. and piau, and du.'o 'M uuM(.' and m.nn.... o'.'ed.. . . . . . . . . .. . "MEDICAL EXAMINER/CORONER On UMt basis of .xaminallon andl<< inveSllgalion. in my opinion, death occurred allhe 11m.. dale. and place. and due 10 Ihe causo(s) and manner.. "ateel.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . 3'.. REG~.R R"55 5 SIGIG'NATU~ AND N~ 33 ~ /?( o/~~d ~ 1~/~1/1 I J., cill. tiIl"e:; / - t== -;:::;. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: DAVID RITTLE, a/k/a DAVID E. RITTLE Date of Death: February 19, 2001 Will No.: 21-01-0269 Admin. No: To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on March 14, 2001 : NAME ADDRESS Loraine Roll 5094 S. Clarice Drive, Hamburg, NY 14075 JoAnne Steckline 215 W. Chocolate Avenue, #3P, Hershey, PA 17033 Pearl Dormer 3943 Firestone Road, Kemersville, NC 27284 David Rittle, Jr. 1627 Berryhill Street, Harrisburg, P A 171_ Larry Rittle Post Office Box 152, Shermansdale, P A 17090 Sheryl Stetler 404 Sixth Street, Summerdale, PA 17093 Evonne Hoover 235 South Enola Drive, Enola, P A 17025 Zennith J. Ranieri-Rittle 411 Fifth Street, Summerdale, P A 17093 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none. Date: I {/lNJ~ 1&/ MICHAEL L. BANGS 302 South 18th Street Camp Hill, PA 17011 (717) 730-7310 Counsel for Personal Representative "" ';) Q ~ <Xl r\ \ (r. ~ <;:( 1 ~ "' A. One-third (1/3) thereofto my wife, ZENNITH J. RANIERI-RITTLE, provided she survives my death by thirty (30) days. If my said wife does not survive my death by thirty (30) days, then her 1/3 share shall pass to those of my issue, per stirpes, as survive my death by thirty (30) days; B. Two-thirds (2/3) thereof to those of my issue, per stirpes, as survive my death by thirty (30) days; C. My wife, ZENNITH J. RANIERI-RITTLE, currently resides in the residence at 411 Fifth Street, Summerdale, Pennsylvania. If my wife continues to reside there at the time of my death, she is to be provided an additional Forty-five (45) days in which to remove herself and her possessions from the residence. She shall be required to pay all utility bills incurred during this Forty-five (45) day period. ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or attachment. ITEM V. I appoint SHERYL STETLER, of Summer dale, Pennsylvania, Executrix of this my last will. ITEM VI. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court approval and until actual distribution of all property: to compromise any claim or controversy; 2 " " to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, or to lease for any period of time. any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITEM VII. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this '?-<( day of a..{~. ,2000, p- rh~l DAVID E. RITTLE /~ )m~ 3 '. " The preceding instrument. consisting of this and THREE other typewritten pages, each identified by the signature of the testator was on the date thereof signed, published, and declared by DAVID E. -RITTLE, the testator therein named, as and for his last will, in the presence of us, who at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. 4 " COMMONWEALTH OF PENNSYLVANIA ) ( SS: ) COUNTY OF CUMBERLAND The undersigned, being the testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. D 9ur~ l~ ,/T;(~, DAVID E. TLE V' HOt Aill>\l ii!!1I!. Y S. CHESilIO, N....'!' Mk AJl.ft Twp., Cutnborioftd County My Commloolon Expirw iNIy 10, 2C03 COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND . ) WE,jv/,ti/."./ L&r-~'" and ~(fU\~ J- ~A1T, the witnesses whose names are signed to the attached l>t foregOIng Instrument, beIng duly qualIfied accordIng to law, do depose and say that we were present and saw the testator sign and execute the instrument as his last will; that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge, the testator was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. "'-'---"'- NOTA SE.4l ~ $. CHfSlRO, NoIary PuIlI< My eoml\Men Twp., Cumbooiand County mlulon bpiroo M<1y 10, 2003 5 ESTATE OF DAVID E. RITTLE Deceased ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYLVANIA ) ) ORPHANS' COURT DIVISION ) ) NO. 21-01-0269 INRE: RECEIPT AND RELEASE I, DAVID E. RITTLE, JR., the undersigned, being a legatee under the Will of DAVID E. RITTLE, deceased, do hereby: 1. State and acknowledge that I am an adult individual; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate~ 3. Acknowledge that I have received or will receive all sums to which I am entitled as an heir of the Estate ofDA VID E. RITTLE under the Will; 4. To the extent of said distribution, release SHERYL STETLER, Executrix, of the Estate of DAVID E. RITTLE, and her heirs and personal representatives, from all liabilities, whether due to her negligence or otherwise, which she may have by reason of her administration of the Estate; 5. Agree to refund to the Estate and to the said SHERYL STETLER, Executrix, any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify her and the Estate for claims made against her and to reimburse her and the Estate all expenses and costs incurred in connection with any such claim; and 6. Declare that this instrument shall be legally binding upon me, my personal representatives, and assigns. ... IN WITNESS WHEREOF, I have hereunto set my hand and seal this / tJ day of ?J12t~ ~ , 2002. flJ <:?: )~ (SEAL) DAVID E. RITTLE, JR. COMMONWEAL TH OF PENNSYLVANIA ) ( SS: COUNTY OF ) On this, the / C; day of ,/7J( t2-Ld , 2002, before me, the undersigned officer, personally appeared DAVID E. RITTLE, JR., known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that (s )he executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. G]~ LLJ# Notary Public L'-'" .... "'. '-- -'--- , .. ~~otarj:;ll Seal ' ,:Jatncla (;. Bell, Notary Public . 0wa1ara ,IWp., Dauphin Count r. r~~~:2:~:!I!:~~C~~l. r~~~ires Mar. 24, ~ooJ3 rv!Er"tf:r, h:',,"'\tdll ',..-7, t' . . , ,,,,,',,,',,Cia Ion ot Nctanes .... .. ESTATE OF DA VrD E. RITTLE Deceased ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYL V ANrA ) ) ORPHANS' COURT DIVISION ) ) NO. 21-01-0269 INRE: RECEIPT AND RELEASE I, JOANNE STECKLINE, the undersigned, being a legatee under the Will of DAVID E. RITTLE, deceased, do hereby: 1. State and acknowledge that I am an adult individual; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received or will receive all sums to which I am entitled as an heir of the Estate of DA VrD E. RITTLE under the Will; 4. To the extent of said distribution, release SHERYL STETLER, Executrix, of the Estate of DA VrD E. RITTLE, and her heirs and personal representatives, from all liabilities, whether due to her negligence or otherwise, which she may have by reason of her administration of the Estate; 5. Agree to refund to the Estate and to the said SHERYL STETLER, Executrix, any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify her and the Estate for claims made against her and to reimburse her and the Estate all expenses and costs incurred in connection with any such claim; and 6. Declare that this instrument shall be legally binding upon me, my personal representatives, and assigns. ~ . . IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ / day of )1J #/<- e H- , 2002. ~~,> (SEAL) ANNE STECKLINE COMMONWEAL TH OF PENNSYLVANIA ) l_et HIv'O AJ ( SS: COUNTY OF ) On this, the c21 day of J?-1 If-lc f!.- If , 2002, before me, the undersigned officer, personally appeared JOANNE STECKLINE, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that (s)he executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. o I_I . /' .;U / \!/fvU.-~~,-L Y -' t.ui.I'-1-i Notary Public Notarial Seal Christine F. Stewart. Notary Public Palmyra Boro, Lebanon County My Commission Expires May 17. 2003 Member, Pennsvlvania Association at Notaries INRE: ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYLVANIA ) ) ORPHANS' COURT DIVISION ) ) NO. 21-01-0269 RECEIPT AND RELEASE ESTATE OF DAVID E. RITTLE. Deceased I, PEARL DORMER, the undersigned, being a legatee under the Will ofDA VID E. RITTLE, deceased, do hereby: 1. State and acknowledge that I am an adult individual; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received or will receive all sums to which I am entitled as an heir of the Estate ofDA VID E. RITTLE under the Will; 4. To the extent of said distribution, release SHERYL STETLER, Executrix, of the Estate of DAVID E. RITTLE, and her heirs and personal representatives, from all liabilities, whether due to her negligence or otherwise, which she may have by reason of her administration of the Estate; 5. Agree to refund to the Estate and to the said SHERYL STETLER, Executrix, any portion of the distribution to which I am ~ot properly entitled, and, to the extent of said distribution, to indemnify her and the Estate for claims nlade against her and to reimburse her and the Estate all expenses and costs incurred in connection with any such claim; and 6. Declare that this instrument shall be legally binding upon me, ~y personal representatives, and assigns. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 2./ day of MA2ctt , 2002. ~-.~ l rr~ PEARL~ DORMER ,~U (SEAL) STATE OF NORTH CAROLINA ) ( SS: ) COUNTY OF Fo~.:s. "i "r'i On this, the .2.. , day of M~4tCH ,2002, before me, the undersigned officer, personally appeared PEARI.$DORMER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that (s )he executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. t2<<~ Notary Public INRE: ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYLVANIA ) ) ORPHANS' COURT DIVISION ) ) NO. 21-01-0269 ESTATE OF DAVID E. RITTLE Deceased RECEIPT AND RELEASE I, ZENNITH J. RANIERI-RITTLE~ the undersigned, being a legatee under the \Vill of DAVID E. RITTLE, deceased, do hereby: 1. State and acknowledge that I am an adult individual; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received or will receive all sums to which I am entitled as an heir of the Estate of DAVID E. RITTLE under the Will; 4. To the extent of said distribution, release SHERYL STETLER, Executrix, of the Estate of DAVID E. RITTLE, and her heirs and personal representatives, from all liabilities, whether due to her negligence or otherwise, which she may have by reason of her administration of the Estate; 5. Agree to refund to the Estate and to the said SHERYL STETLER, Executrix, any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify her and the Estate for claims made against her and to reimburse her and the Estate all expenses and costs incurred in connection with any such claim; and 6. Declare that this instrument shall be legally binding upon me, my personal representatives, and assigns. c~ IN WITNESS WHEREOF, I have hereunto set my hand and seal this I cJ day of A~.J , 2002. ~ COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF ) On this, the /0 L,t.. day of A /L/~.I , 2002, before me, the undersigned officer, personally appeared ZENNtTH 1. RANIERI-RITTLE, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that (s )he executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. 'I ,-0--":' ~1[jv?' jJ/ )f;L<./L"J 1{4'otary Public Notarial Seai Ii Tina M. Robertson, hlotary Public East Pennsboro Cumberland County. My Commi.ssion Nov, 15, 20(1:.1. , ~"_. ,..,.."...,....,_._-~ M';;T>t~('r F'f;ln:,'/'"" ,'iot2J,.:;S INRE: ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYL VANIA ) ) ORPHANS' COURT DIVISION ) ) NO. 21-01-0269 ESTATE OF DAVID E. RITTLE Deceased RECEIPT AND RELEASE I, LORAINE ROLL, the undersigned, being a legatee under the Will ofDA VID E. RITTLE, deceased, do hereby: 1. State and acknowledge that I am an adult individual; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received or will receive all sums to which I am entitled as an heir of the Estate ofDA VID E. RITTLE under the Will; 4. To the extent of said distribution, release SHERYL STETLER, Executrix, of the Estate ofDA VID E. RITTLE, and her heirs and personal representatives, from all liabilities, whether due to her negligence or otherwise, which she may have by reason of her administration of the Estate; 5. Agree to refund to the Estate and to the said SHERYL STETLER, Executrix, any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify her and the Estate for claims made against her and to reimburse her and the Estate all expenses and costs incurred in connection with any such claim; and 6. Declare that this instrument shall be legally binding upon me, my personal representatives, and assigns. . 1~J1 IN WITNESS WHEREOF, I have hereunto set my hand and seal thIS -L1!.- day of f!J ~/ff , 2002. ~~ c: 12a.LtJ (SEAL) LORAINE ROLL --- STATE OF NEW YORK ) ( SS: COUNTY OF E t/C ) On this, the / /3 day of IJ1/JtC'-#' , 2002, before me, the undersigned officer, personally appeared LORAINE ROLL, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that (s)he executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. ; :J '-/ ~ (;( (l/t,~~ NOtary Public GAll L OllV;ERl ~I~t rvlf New York ,u , (''';;. i:i :.~:2 County Iy Coml~i~~ioll Explles Hug. 31t cltJrJ S- ESTATE OF DAVID E. RITTLE Deceased ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYLVANIA ) ) ORPHANS' COURT DIVISION ) ) NO. 21-01-0269 INRE: RECEIPT AND RELEASE I, LARRY RITTLE, the undersigned, being a legatee under the Will of DAVID E. RITTLE, deceased, do hereby: 1. State and acknowledge that I am an adult individual; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received or will receive all sums to which I am entitled as an heir of the Estate of DAVID E. RITTLE under the Will; 4. To the extent of said distribution, release SHERYL STETLER, Executrix, of the Estate of DAVID E. RITTLE, and her heirs and personal representatives, from all liabilities, whether due to her negligence or otherwise, which she may have by reason of her administration of the Estate; 5. Agree to refund to the Estate and to the said SHERYL STETLER, Executrix, any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify her and the Estate for claims made against her and to reimburse her and the Estate all expenses and costs incurred in connection with any such claim; and 6. Declare that this instrument shall be legally binding upon me, my personal representatives, and assigns. .. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ) cr day of m~n>c-H , 2002. if"~~ C~ (SEAL) LARRY LE COMMONWEAL TH OF PENNSYLVANIA ) ( SS: COUNTY OF COUNTY OF CUMBEIMMD ) On this, the /9.l4 day of ;11 f1r..'(<H , 2002, before me, the undersigned officer, personally appeared LARRY RITTLE, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that (s )he executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. (~~-~ Notary Public I I f' ','~' ,'" " ~--l Il''''\/:'')'~'~~: .-' ,~,' -. : , i ~5'~~~~:,~~L.~.~.! "' .... . ..,.. ~ ...._.. :~.~ ~ _,,_ _. j f....~e{r:L"(~~~'. I':' ~J~~r::"':.I~'~V~:~' ~: '1 r.:.-,.:..; ,~.",: ':, ' ': p ~~-."i: .; .. ESTATE OF DAVID E. RITTLE Deceased ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYLVANIA ) ) ORPHANS' COURT DIVISION ) ) NO. 21-01-0269 INRE: RECEIPT AND RELEASE I, SHERYL BLOSSER, the undersigned, being a legatee under the Will of DAVID E. RITTLE, deceased, do hereby: 1. State and acknowledge that I am an adult individual; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received or will receive all sums to which I am entitled as an heir of the Estate of DAVID E. RITTLE under the Will; 4. To the extent of said distributiun, release SHERYL STETLER, Executrix, of the Estate of DAVID E. RITTLE, and her heirs and personal representatives, from all liabilities, whether due to her negligence or otherwise, which she may have by reason of her administration of the Estate; 5. Agree to refund to the Estate and to the said SHERYL STETLER, Executrix, any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify her and the Estate for claims made against her and to reimburse her and the Estate all expenses and costs incurred in connection with any such claim; and 6. Declare that this instrument shall be legally binding upon me, my personal representatives, and assigns. .,. IN WITNESS WHEREOF, I have hereunto set my hand and seal this I q day of ?11 fLLA ~ , 2002. '~~ -<.'J . . --'J..;'t SHE L BLOSSER (SEAL) COMMONWEAL TH OF PENNSYLVANIA ) ( SS: COUNTY OF ~!(.111 ) On this, the JCf+h day of }vi aVLh , 2002, before me, the undersigned officer, personally appeared SHERYL BLOSSER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that (s )he executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. ~--~(//- 1 J. C/(..,/- Not Public NOTARIAL SEAL Megan t McClain, Notary Public City of Harrisburg, Dauphin County My commission expires November 18. 2002 INRE: ) IN THE COURT OF COMMON PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYL VANIA ) ) ORPHANS' COURT DIVISION ) ) NO. 21-01-0269 ESTATE OF DAVID E. RITTLE Deceased RECEIPT AND RELEASE I, EVONNE HOOVER, the undersigned, being a legatee under the Will of DAVID E. RITTLE, deceased, do hereby: 1. State and acknowledge that I am an adult individual; 2. Waive the filing of an Account or Schedule of Distribution by the personal representative of the Estate; 3. Acknowledge that I have received or will receive all sums to which I am entitled as an heir of the Estate ofDA VID E. RITTLE under the Will; 4. To the extent of said distribution, release SHERYL STETLER, Executrix, of the Estate of DAVID E. RITTLE, and her heirs and personal representatives, from all liabilities, whether due to her negligence or otherwise, which she may have by reason of her administration of the Estate; 5. Agree to refund to the Estate and to the said SHERYL STETLER, Executrix, any portion of the distribution to which I am not properly entitled, and, to the extent of said distribution, to indemnify her and the Estate for claims made against her and to reimburse her and the Estate all expenses and costs incurred in connection with any such claim; and 6. Declare that this instrument shall be legally binding upon me, my personal representatives, and assigns. .. }zltt-l,c/[ IN WITNESS WHEREOF, I have hereunto set my hand and seal this /1 day of , 2002. ~;tJtv~ ~'8'(.. EVONNE HOOVER (SEAL) COMMONWEAL TH OF PENNSYL VANIA ) ( SS: COUNTY OF D{\u. \-1 \-\ \ ~ ) On this, the V\ day of ~ , 2002, before me, the undersigned officer, personally appeared EVONNE HOOVER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that (s )he executed same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. ~ ~" ,\,\ ~~~ Notary Public.-- ,_.~. ~.... '-'~-'_H_---~--i . S~ I ; p"n'.",I" i ; ,',}~ary Public i .~~,~~;;~:~~I:;::~%~:~:~~~~;j~:::J Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of David E. Rittle, Sr. No. 21- 01- 0269 Date of Death 02/19/2001 716-09-5304 also known as David Ri tt1e ,Deceased Social Security No. Sheryl Stetler, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I /We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Personal Representative Signature 01 j,):lJ,i. A L~ Sheryl tetler Signature: Name of Michael L. Bangs Attorney: LD. No.: 41263 Address: 302 South 18th Street Camp Hill, PA 17011 Telephone: 717/730-7310 98 Howard Street Address: Enola, PA Telephone: 717/732 - 7081 17025 Dated: Description c") (; - -,.- =('C :$:-; g' (See continuation page(s) attached) (Attach additional sheets if necessary) . Value :0 o :O~ -a cp :;] c:::l c-J N o J:::: CO N -.J Total: 100,808.57 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form IIRW-7 (1992) Estate of: Date of Death: County: #T INVENTORY David E. Rittle, Sr. 02/19/2001 Cumberland CASH: A11first Bank - Statement 340.97 Savings #87005700321718 Allfirst Bank - Certificate of 664.50 Deposit #87008100479429 Waypoint Bank - Checking 2,335.13 Account #900037805 Waypoint Bank - Certificate of 6,209.72 Deposit #900003326 Waypoint Bank - Certificate of 5,942.59 Deposit #955313612 15,492.91 PERSONAL PROPERTY: Proceeds from sale of personal property 1,000.00 1,000.00 REAL ESTATE/PA: Real Estate - 411 North Fifth Street, Summerda1e 84,315.66 84,315.66 TOTAL RECEIPTS OF PRINCIPAL............... 100,808.57 -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 BANGS MICHAEL L 302 S. 18TH STREET CAMP HILL, PA 17011 _u___u fold EST A TE INFORMATION: SSN: 716-09-5304 FILE NUMBER: 21-2001- 0269 DECEDENT NAME: RITTLE DAVID DATE OF PAYMENT: 12/20/2001 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 02/19/2001 NO. CD 000668 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,514.99 I I I I I I I I TOTAL AMOUNT PAID: $2,514.99 REMARKS: MICHAEL BANGS ESQUIRE CHECK# 111 SEAL INITIALS: AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 000874 DUPLICATE BANGS MICHAEL L 302 S. 18TH STREET CAMP HILL, PA 17011 __nnn fold EST ATE INFORMATION: SSN: 716-09-5304 FILE NUMBER: 2101-0269 DECEDENT NAME: RITTLE DAVID DA TE OF PAYMENT: 02/20/2002 POSTMARK DATE: 02/19/2002 COUNTY: CUMBERLAND DATE OF DEATH: 02/19/2001 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $19.26 I I I I I I I I TOTAL AMOUNT PAID: $19.26 REMARKS: MICHAEL L BANGS ESQUIRE CHECK# 4081 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS /6--eJ-lb - 9 COMMONWEALTH OF P~NNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX RE}i DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN MICHAEL L BANGS ESQ"02 302 S 18TH ST CAMP HILL FEB 1 3 ~b,~O :48 02-04-2002 RITTLE 02-19-2001 21 01-0269 CUMBERLAND 101 Allount Rellitted *' ~ REY-1547 EX AFP 02-00) DAVID J P~,~1011 Cum!j;. 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:i54-j-Ex-~U':p--(i2:0('-f-NoTicE--oF-'rtiHiifiTAifcE-TAi-APpiiAisEMENT~--Ar.i-oWANCE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RITTLE DAVID J FILE NO. 21 01-0269 ACN 101 DATE 02-04-2002 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) 84,315.66 .00 .00 .00 16.492.91 .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/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax If an assessment was issued previously, lines 14, 15 and/or 1&, 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. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due (9) (10) NOTE: 14,414.33 2.561.24 (1lJ (12) (13) (14) 27,944.33 X 00 = 55,888.67 X 045 = .00 X 12 = .00 X 15 = NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 100,808.57 16.Q71; 57 83,833.00 .00 83,833.00 (19)= .00 2,514.99 .00 .00 2,514.99 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-20-2001 CDOO0668 .00 2,514.99 BALANCE OF UNPAID INTEREST/PENALTV AS OF 12-21-2001 TOTAL TAX CREDIT 2,514.99 BALANCE OF TAX DUE .00 INTEREST AND PEN. 19.26 TOTAL DUE 19.26 . 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.) \, /b- c2/9- 9 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT * REV-1U7 EX AFP (01-021 MICHAEL L BANGS ESQ 302 S 18TH ST CAMP HILL .02 np!{ -1 DATE ESTATE OF DATE OF DEATH FILE NUMBER :/1 1--3 COUNTY ACN 03-25-2002 RITTLE 02-19-2001 21 01-0269 CUMBERLAND 101 DAVID J Allount Rellitted PA 17Q)~, Cum 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 =ic,"ifj-Ex-AFP--co1-:o21-------...-iNirERIT-ANci--iAx-sTAfEM'ENi-OF-AC-couiif--...---------------- -- --- ESTATE OF RITTLE DAVID J FILE NO. 21 01-0269 ACN 101 DATE 03-25-2002 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: 02-04-2002 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 2,514.99 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-20-2001 CDOO0668 .00 2,514.99 02-19-2002 CDOO0874 19.26- 19.26 TOTAL TAX CREDIT 2,514.99 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 MICHAEL L BANGS ESQ 302 S 18TH ST CAMP HILL CUT ALONG THIS LINE 02-04-2002 RITTLE 02-19-2001 21 01-0269 CUMBERLAND 101 I. Amount Remitted III qltlh MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 RETAIN LOWER PORTION FOR YOUR RECORDS ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT I ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX Fiec:,).. DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN '02 FEB 20 rq D :57 PA 1 '.(J~'1F Cumt:+; ~ ~ " \ .l V * REV-1547 EX AFP (12-00) DAVID J ..... ,.J 1S\ ..... , \ t... ~, 1)._ I:" i1 "'J \S\ ,..) . .. . :.-. - - ;.... - - ... :- - ... . .. - -::" -- - :.- - . ;.... .:- ... ;! _,~ l C, t'-'-, OO~.~ e;~p'() >;:;: (") tT ~ ~Oag., '" ~ ~ g. ~g.6..~ )--go~ .-t/lO~ -J ~ ~ ceo OCf)a~ ~..g ~ ~ e;gg., ~ ~ ~ ~ ,.... t:Tt:::: g t/l ~ -:--- :::::. .~ ;..... '.:.,.... - - '.~ ! ~ ~ ~Cl 'iP"= a ~ \S ~ "d 0 "1...... ~ S. ~ t""l ~ ~ -< e"" ~ S ~. '"d;. r= >- ~'- ....qJ) ~ ~ -J.... I-< Cl~ ~ ~~ rJ) :P -:0<:2 <'I ':-~ C). '- \ o ~ 'Q . '" )r ~ o / REGISTER OF WILLS OF CUMBERLAND COUNTY REPORT OF STATUS OF ADMINIST~TION (For Resident Decedents Dying after July.-I, 1984) ESTATE NO. 21 - 01 - 0269 Name of Decedent: Social Security No.: DAVID E. RITTLE, SR. 716-09-5304 '02 -1 ; ~~,6 Date of Death: 02/19/01 , - \, ,,I, ... ~ (.... , ,Ill Name of Personal Representative: Sheryl Stetler 98 Howard Street Enola, P A 17025 Capacity ( check one) Executor Administrator x Administrator c.t.a. Administrator d.b.n. Is the administration of the estate complete? Yes_ No X If "Yes", how was the administration ended? (check one) By court accounting By account stated to parties in interest Did the parties release the personal representative? Other (explain) Total amount paid to date to creditors and for funeral and $9,565.98 administrati ve expenses Total value of distributions to date to beneficiaries $ If administration is not complete, estimated value of assets $91,494.79 still in administration NOTE: This status report is due no later than the due date for filing of the Pennsylvania inheritance tax return or, if no inheritance tax return is required, nine (9) months after the date of death; if the administration of the estate has not been concluded, a summary report shall be filed annually thereafter until the administration is complete. I certify under penalty of perjury that the foregoing information is correct to the best of my knowledge, information and belief. Date: A r, ;JAf'i,-~( ~;. ~. I t~~te7 hp V.J REGISTER OF WILLS OF CUMBERLAND COUNTY REPORT OF STATUS OF ADMINISTRATION (For Resident Decedents Dying after July 1, 1984) ESTATE NO. 21- 01 - 0269 Name of Decedent: Social Security No.: DAVID E. RITTLE, SR. 716-09-5304 Date of Death: 02/19/01 Name of Personal Representative: Sheryl Stetler 98 Howard Street Enola, P A 1 7025 Capacity (check one) Executor Administrator x Administrator c. t.a. Administrator d. b.n. Is the administration of the estate complete? Yes_X_ No If "Yes", how was the administration ended? (check one) By court accounting By account stated to parties in interest Did the parties release the personal representative? Other (explain) x Yes Total amount paid to date to creditors and for funeral and $20,321.98 administrative expenses Total value of distributions to date to beneficiaries $80,738.79 If administration is not complete, estimated value of assets $0.00 still in administration NOTE: This status report is due no later than the due date for filing of the Pennsylvania inheritance tax return or, if no inheritance tax return is required, nine (9) months after the date of death; if the administration of the estate has not been concluded, a summary report shall be filed annually thereafter until the administration is complete. I certify under penalty of perjury that the foregoing information is correct to the best of my knowledge, information and belief. Date: 1/ L; . / / / i / (, i ,', I.Jl" , i~J~j (/( MICHAEL L. BANGS, uire