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HomeMy WebLinkAbout01-0371 PETITION FOR PROBATE and GRANT OF LETTERS EstateojJ')Sci).h ..J. ~~AA.J'k No. ~/-OI-37/ also known as ' To: Deceased. / 7(, -,~k ,c1<-1~3 Register O~lls for the County 0 'rn bc.~/ A .-..) l ( in the Commonwealth of Pennsylvania Social Security No. The petition of the undersigned respectfully represents that: . Your peti~ioner(s), who is/are 18 years of age or o~n the e?,ecutrf? I,X . In the last wIll of the above decedent, dated -1 c td; /'7? b <..:...,1:=>.- ICj) I q Cj' / and codicil(s) dated named , 19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decenden , then at I;.:l..-+ ~ (:- c.. I ( (, - Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: , '~~GC') / , 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: $ /-:-*'--'C) $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Tes tamen ta ry (testamentary; administration c.La.; administration d.b.n.c.La.) theron. .-- In 0' u c v -0 .-- ,_ In In '-' V'- oq~ -00 c';: <<1.= 3~ v,- 30 ~ C tlIl (:jj f) 2;, ~ ~A~It> ~(4 bk?A~~'3/Cti.~I'V 0/9 //5 /~: A' '" 7o/.:"1' ~-' ./ .//' OATH OF'PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1- ss COUNTY OF Cumber' Ann J The petitioner(s) above-named swear(s) or affirm(s) that the st~tements in the foregoing petition are true and correct to the best of the knowledge and belief of p~ er(s) and tha 'personal represen- tative(s) of the above decedent petitioner(s) will we~1 and ~ydmi~.e tate accor~ing to law. Sworn to or affirmed and subscribed ' <-.<=A /~ / . .~ L C1l~"--"'-/C- Cf) before me this 9 t h day of ~. ? ~ s:: ~ ~ No. 21-2001-371 Estate of Joseph J. Stefanik , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW April 10th l~x 20Q1h consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated December 19th.1991 described therein be admitted to probate and filed of record as the last will of Joseph J. Stefanik and Letters Testamentary are hereby granted to Ruth A. Stefanik FEES 91/#711 ~/H~~PV~ Register Wills Ma y C. Lewis ~ II f. Probate, Letters, Etc. ......... Short Certificates( 2) . . . . . . . . . . Renunciation ................ x-Pages (2) JCP $ 25.00 $ 6.00 $ $ 6.00 TOTAL _ $ ,.00 . .~I),:r; .i.1. .l O.tb".2 O.Q l. . $~2...00. . A TIORNEY (Sup. Ct. 1.0. No.) ADDRESS Filed PHONE MkILErr. LETTERS AND ORDER TO EXECUTRIX : 1 [, j, 'f", th,lt the information here (~iven is correctly copted from an original certific~te of death dl~Y filed with is to cert! , < "] 'fi " t' willl)c forw'lrded ro (he Srate Vital Records Office for permanent 1 mg. Registrar. The ongma cern led <- vv < WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ 'n' ~.~ me as P 7353328 -;fiIti-;;;;;; /0 ,#{~\~)i[)Elf~~ ~II#/ ~~~~ If~J 1Ib.~"'" \~\ (~ ~/ ~ \? '::. ~ ~( ,,:~ ;I~% ! St , .:~' _ . ./A ~ ("~'."/*i ~ a' '- ~ . ,~i \. ~" /~ II ~ ~p'~_____<\.\.'r/I ",-"flMEN1 ~\ ",,1"/ 1'-""'''/1/ /lllIlI,I' ", 4f. 'n" , "i.~ 'L:~, {~'I.wd ,\~,~ ,~.:..,:,., - ''''':';~, " Fee ttlr rhis certificate, $2.00 Local Registrar APR 0 ;S 2001 No. Dare 21-2001-371 Hl05.144 Rev. 1/91 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH (Coroner) TYPE/PRINT IN PERMANENT BLACK INK ?J SEX 2. Male STATE FILE NUMBER SOCiAl SECURITY NUMBER 3. 176-28-9433 DATE OF DEATH (Mon\l1, Day, Year) 4, March 30. 2001 g~ily)D 12. 17..State Pennsvlvania Did dececlent live in a Cumberland lownsh.p? 17d.o ~~;':~~t:~\i~~OI MOTHER'S NAME (Firsl M,ddle. Ma>den Surname) 19, Florence Tatarawicz INFORMANT'S MAILING ADDRESS (Street. CilylTown, Slale, Zip COde) 2~.1424 Bradley Dr., Apt 314, Carlisle, PA 17013 PLACE OF DISPOSITION. Name or Cemetery, Crematory LOCATION. CitylTown, Slalo. Zip Code Ch~;I~S Evans Crematory 21c, MARITAL STATUS. Married Never Married, Widowed, Divorcod (Spec,ly) 14.Married 17c.~ Ves,docedenllivedin North RACE - American Indian, Btack, White, ete (Spec,ly) 10. wHITe SURVIVING SPOUSE (It Wife, give maiden name) WAS DECEDENT EVER IN U.S. ARMED FORCES? Vo. iii No 0 A, Martin twp. 17b. Counl city/boro LICENSE NUMBER 22b. 013364-L To the best of my knowledge, death occurred at the time, date and place staled (S,gnalure and nle) 23b. 23<<:. WAS CASE REFERRED TO MED9L EXAMINER/CORONER? Ve.~ NnD 28. !~r;~i:~een PART II: ~~~:~I~~~~;:r:=~:::=i~~~~ ~~~t i onset and death 22c. 24. M. 25. 27. PART I: Enter the diseases, injurtes Or comphcahons whtch caused the death. 00 not enter the mode of dying, such as cardiac or respirator; arrest, shock OJ heart failure LIst only one CIIuse on each line. prx. DATE PRONOUNCED DEAD (Monlh, Day, Year) March 30. 2001 H ertensive Cardiovascular Disease DUE TO (OR AS A CONSEOUENCE OF): DUE TO (OR AS A CONSEOUENCE OF): DUE TO (OR AS A CONSEOUENCE OF): d. WERE AUTOPSV FINDINGS AVAILABLE PRIOR TO COMPLETION OF CAUSE OF DEATH? Homicide Coroner MANNER OF DEATH Natural ~ o o DATE OF INJURV (Mon\l1, Day, Year) TIME OF INJURV INJURV AT WORK? Vo.D No 0 Accident Pending Investigation Could not be determined 210. 28b. CERTIFIER (Check only one) 'CERTIFYING PHYSICIAN (PhYSoCian certt'y'"9 causo of death wilen another physicran ha. pronounced death and completed Item 23) Tothe_tolmyknowleclga._thoc:cvnMI_lothecllUM(.'OIIdmon.........Ied........................ ............... Suictde 29. .... Z w o UJ U w o ~ w ~ < Z 'MEDICAl EXAMINER/CORONER On tile bule of examination ettdIor Inveatlgellon, In my opinion. deeth occurred etthe time. date. end piece, end due to the c.u.e(.) .nd _.....ted................................................................................................. . 31.. REGISTRAR'S SIGNAfURE AND NUMBER 10 P IOIJ\rT DATE SIGNED (Month, DaX Year) 31c. 31d. March 3u. 2001 NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (Item 27) Type or Print Michael L. Norris, Coroner ~ 6375 Basehore Road, Suite H1 ~ n Mechanicsburg. Pa, 17050 DATE FILED (Month. Day, Year) 'PRONOUNCING AND CERTIFYING PHVSIClAN (Physrcran bolh prOOOUf1C'ng death and cerllfy,ng to cause of death) Tolhe_to'myknowleclga._occunMIellhe_,_,.ndp_..ncIduetolhec.o-<.I.IId_'...teled........,........ . 34. 01 .. -. LAW OFFICES OF STEPHEN J. HOGG 401 E. LOUTHER STREET CARLISLE, PA 17013 WILL OF JOSEPH J. STEFANIK 21-2001-371 I, JOSEPH J. STEFANIK, of Carlisle, Cumberland County, Pennsylvania, declare this to be my last Will and hereby revoke all prior wills and codicils. 1. I direct that all my just debts, funeral expenses, grave- marker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, success- ion and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my entire estate be distributed as follows: A. I leave my entire estate of whatever nature and wherever situate to my wife, Ruth A. Stefanik, should she survive me. B. Should my spouse predecease me, I then give all of my estate to be divided equally among my sister, Joyce Geiger, and my three brothers, Eugene Stefanick, David Stefanik, and Michael Stefanik. C. Should my sister or any of my brothers predecease me, then that share shall pass to his or her children equally. 4. I appoint my wife, Ruth A. Stefanik, as Executrix of this my last Will. If she should predecease me or cease to act in such capacity, I name my sister, Joyce Geiger to so serve. 5. The Executrix of this Will shall have the power to distri- bute my estate in kind or in cash, or partly in either. 6. I direct that no Executrix acting under this Will shall be required to enter bond in any jurisdiction. of (\IN .WITN,ESS WHEREOF, I have hereunto set my hand this 19dday tJ:gf'l ~.. 'YYl.~'1.. , 1991. ~~~ '.! A) , J S PH . STE IK ctcf: S/llf2- " . LAW OFFICES OF ,TEPHEN J. HOGG 401 E. LOUTHER STREET CARLISLE, PA 17013 , "- The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and declared by JOSEPH J. STEFANIK, 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. &h~A) c<~ u /) dJa-1'l ;77, Oa/1>t-.e'L. LAW OFFICES OF STEPHEN J. HOGG 401 E. LOUTHER STREET CARLISLE, PA 17013 ". ACKNOWLEDGEMENT Commonwealth of Pennsylvania ss County of Cumberland I, JOSEPH J. STEFANIK, the testator whose name is signed to the attached or foregoing instrument, having been duly qualified accord- ing to law, do hereby acknowledge that I signed and executed the in- strument as my last Will; that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before STEFANIK, the testator, this J9.:d:-. day of .~(' ? / AFFIDAVIT Commonwealth of Pennsylvania ss County of Cumberland c' fJJ Co We, FREDa/a s- LEIss; and '- )(A,..SCI/J ' 4ru~r, the witnesses whose names are signed to the attached or foregoing in- strument, 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 the testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the Will as a witness; 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. t '-'1". -11, /.) A .1 h__.P'. /L ~~dCt4L / C<^-,vvv witnesses, this ~ CERTIFICATION OF NOTICE UNDER RULE 5.6iill Name of Decedent: J 0 s e p h J. S t e fan i k Date of Death: Mar c h 30, 200 1 Will No. Admin. No. 200 1 - 0037 1 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 07 / 2 0 / 0 1 Name Address Joyce Geiger 219 Pennsylvania Ave., Reading, PA 19606 David Stefanik 220 Columbia Ave., Reading, PA 19605 Michael Stefanik 1841 S. Mountain Drive, Sinking Springs, PA 19608 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Tho mas S t e fan i k , Stephanie Stefanik and Cindy Runge - addresses unknown . Signature Date: 07/20/01 -J ~/ Name Stephen J. ,Hogg, Esquire Ad,dress 19 S. H a n 0 v e r S t r e e t, S t e. 1 0 1 Carlisle, PA 17013 Telephone (7 1 Y 245-2698 Capacity: _ Personal Representative ~~unsel for personal representative INVENTORY Estate of Joseph J. Stefanik No.21 01 0371 Joseph J. Stefanik , Deceased Date of Death 03/30/2001 Social Security No. 176-28-9433 also known as 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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. l!We verify that the statements made in this inventory are true and correct. l!We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: Stephen J. HOQQ, Esquire Ruth A. Stefanik 1.0. No.: 36812 Address: 19 S. Hanover Street, Suite 101 Carlisle Dated 08/17/01 PA 17013 Telephone: 7172452698 Description TD Waterhouse Acct.#: 438-29536-1-2 Value 6,203.47 Total (Attach Additional Sheets if necessary) 6,203.47 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. RW-4 'l:EV"1; 'EX + (':-OO) . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFfCIAL USE ONLY <~ Ii }V /h~0;18- ~ FILE NUMBER 21-010371 e&;::jiy"Cciiif -YENl.- - - iiiiER-- I- Z W C W U W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Stefanik Jose h J. DATE OF DEATH (MM.DD-YeCl") DATE OF BIRTH (MM.DD-Year) 03/30/2001 04/20/1936 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (lAST, FIRST, AND MIDDLE INITIAL) socw. SECURITY NUMBER 176-28-9433 THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REGISTER OF WILLS SOQAL SECURITY NUMBER W I- ,,!!.. u"''' w~g "'",... uo-.. ~ 00 1. Original Return o 4. Limited Estate o 6. Decedent Died Testate (AlIachcopyof'Val) o 9. Litigation Proceeds Received o 2 Supplemental Return o 4a. Future Interest Compromise (date of deatt1 aftef 12-12-82) o 7. Decedent Maintained a Living Trust (AlIach copy ofT/ust) o 10. Spousal Poverty Credit (dale ~ dealh b<<ween 12-31-91 and 1-1-95) o 3. Remainder RetlJrn (dale ofdealh prior to 12-1J..82) o 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (AlIachSchO) ni$$SC11QNlIililti'ilECO~m~atiRI!_~NfiAijtAitIiii~t16i\I~Ill!fblilEll!ili!OTOi? NAME COMPLETE MAILING ADORESS Ste hen J. Ho Es uire 19 S. Hanover Street, Ste. 101 FIRM NAME I' App""''') I- Z W o z o 0- .. W '" '" o u z o 1= =:5 ::;) l- e: c:( u w a: TELEPHONE NUMBER 7172452698 Carlisle 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3 Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule OJ (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6 JOintly Owned Property (Schedule FI (61 D Separate Billing Requested 7. Inter-Vlvos Transfers & Miscellaneous Non-~robate Property (7) (Schedule G or L) 8. Total Gross Assets {total Lines 1-7} 15. Amount of line 14 taxable at the spousal ta" rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due PA 17013 I OFFICIAL USE ONLY 6,203.471 , 72,568.43 0.00 I V\ t\\ ~, ~ g. Funeral Expenses & Administrative Costs (3chedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) (8) 6,203.47 6,904.07 14. Net Value Subject to Tax (line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSl SIDE FOR APPLICABLE RATES z o 1= ~ ::;) a. :!: o U ~ x 0_ (15) X 0_ (16) X 12 (17) X 15 (18) (19) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (11) (12) (13) 6,904.07 0.00 (14) 0.00 20 D """"""" ''''.'''''',.,,,,,ili'li(.,,SI!!SURE?FO,ANSWERi'AIili',QUESTtONSrONJ ~evJ!1fl!lli:tSIDl!!'Il\ID'RECHeeK:,MAl'f[i,<iin?,"""..' D ecedent's Complete Address: STREET ADDRESS . , 1424 Bradlev Drive #0-314 . aT'! I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1 Tax Due (page 1 Une 19) 2. CredilslPaymenls A. Spousal Poverty Credit B. Prior Paymenls C. Discount (1) 0.00 Total Credils (A + B + C) (2) 3. InterestlPenalty if applicable D.lnterest E. Penalty TotallnteresUPenalty (0 + E ) (3) 4. If Une 21s !1eater than Une 1 + Une 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. Irline 1 oj. Une 3 is QTeater than line 2. enter the difference. This is the TAA DUE. (5) A. Enter the Interest on the tax due. (5A) B. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (58) Make Check 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 No a. retain the use or income of the property transferred;. ............................................ 0 l&J b. retain the right to designate who shall use the property transferred or ils Income;......... ............................ 0 l&J c. retain a reversionaryinterest;.or........ ..................... ................. ............ 0 l&J d. receive the promise for life of either payments. benefits or care?........ ..................... .................. .. 0 l&J 2. If death occurred after Decernber 12, 1982. did decedent transfer property within one yoar of death without receiving adequate consideration?.. ........ 0 l&J 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death2.. 0 l&J 4. Did decedent own an Individual Retirement Account. annuity. or other non.probate property which contains a beneficiary designation?. ............... ................................. ............................ l&J 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. this retum, incudin9 accomp~ng schedules and statements, lI'ld to the best of my knowedge and beief, rt is true, correct and comple1e. latiw is based on aU mforma;tion of v.tIich preparer has any kr'lowSdge. OR FILING RETURN D TE - -,;J.<1" () / SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 1 g S. Hanover Slreel, Sle. 101 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)]. 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 apeuse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exernet a transfer to a surviving apeuse from tax, and the statutory requirements for disclosure of assets and fifing a tax return are still applicable even if the surviving apouse 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 al death to or for the use of a natural parent. an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(I)]. The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has alleast one parent in common with the decedent, whether by blood or adoption. ~~m'''97j'.. COMMONWEALTH OF PENNSYLVANIA INHERITANCETAJ( RETURN T ENT SCHEDULE B STOCKS & BONDS ESTATE OF Stefanik Joseoh J All property jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21 01 0371 ITEM NUMBER 1. DESCRIPTION TO Waterhouse Acct.#: 438-29536-1-2 VALUE AT DATE OF DEATH 6,203.47 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is neeced, insert additional sheets of the same size) 6203.47 ~1~~'(1,".. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY -OWNED PROPERTY ESTATE OF Stefanik. Joseoh J. If an asset was made johrt: within one year of the decedenfs date of death, It must be reported on Schedule G. FIlE NUMBER 21 01 0371 SURVIVING JOJNTTENANT(S) NAME RELATIONSHIP TO DECEDENT ADDRESS A. Ruth A. Stefanik B c 1424 Bradley Drive #D-314 Carlisle. PA 17013-1267 Cumberland County - Deed #: 33R/947 . Spouse JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %DF DATE OF DEATH ITEM FOR JOINT MADE InclJde name of fll"lanc:ialinstitution 1M bfW'\k account number or simi'w iderrtif)ing number. Atta::n DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT deed fOfjointtpr-hek:l rea/estate. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. Real Estate - 1424 Bradley Drive #D-314 52,760.00 50. 26,380.00 Carlisle, PA 17013-1267 Cumberland County - Deed #: 33R/947 A. Vanguard High-Yield Corporate Fund 23,929.74 50. 11,964.87 Acct.#9875965672 A. American Century 12,781.46 50. 6,390.73 Acct.#970-032302066 A. Quick & Reilly 2,842.29 50. 1,421.15 Acct.#219-20236-18 PB 584 A. Treasury Direct 5,146.88 50. 2,573.44 Accl.#4800-101-3193 A. Vanguard Prime Money Market Fund 40,188.92 50. 20.094.46 Acct.#9843033921 A. M&T Bank 1,476.67 50. 738.34 Checking Accl.#882070 A. 1996 Saturn SL2 5,000.00 50. 2,500.00 A. Social Security Death Benefit 255.00 50. 127.50 A. Social Security Burial Allowance 100.00 50. 50.00 TOTAl (Also enter on line 6, Recapitulation) S 72 568.43 (If more space is needed. insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Stefanik, Joseph J. 21 01 0371 Page 1 Schedule F-2 - Jointly-Owned Property LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF 08\TH ITEM FOR JOINT MADE !ncl.lde name of fina"lCial institution and bank aa:;:ount number or similar identifying number_ Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deedforjoint~-hel:l real estate VALUE OF ASSET INTEREST DECEDENT'S INTERES A. First Catholic Slovak Ladies Association 655.87 50. 327.94 Death Benefit SUBTOTAL SCHEDULE F.2 327.94 GRAND TOTAL SCHEDULE F-2 $ 72,568.43 T ~":"~-('.".. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX. RETURN RESIDENT DECEDENT SCHEDULE G INTER.VlVOS TRANSFERS & MISC. NON.PROBATE PROPERTY ESTATE OF Stefanik Joseoh J. FILE NUMBER 21 01 0371 This schedule must be completed and filed jf the answer to any of questions 11hrough 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM NCl.UDEiTHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODfCEDEHT~TlEDATEOFTIWlSFER. DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE NUMBER ATTACHACOPYQfTl-EDEEOFORREALESTATf. VALUE OF ASSET INTEREST (lFAPPI.ICAIlLE) 1. Ruth Stefanik - spouse 12,781.46 50. 0.00 American Century Acct.#970-032302066 2. Ruth Stefanik - spouse 2,842.29 50. 0,00 Quick & Reilly Acct.#219-20236-18 PB 584 3, Ruth Stefanik - spouse 5,146.88 50. 0.00 Treasury Direct Acct.#4800-101-3193 4. Ruth Stefanik - spouse 40,188,92 50. 0.00 Vanguard Prime Money Market Fund Acct.#9843033921 5. Ruth Stefanik - spouse 23,929.74 50, 0,00 Vanguard High- Yield Corporate Fund AccI.#9875965672 TOTAl (Also enter on line 7, Recapitulation) $ 0.00 _"."".".n.. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER 21 01 0371 Stefanik. Joseoh J Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Gallman-Sonoski Funeral Home, Inc. 2,403.00 . B. ADMINISTRATIVE COSTS: 1. Personal Representativ,"s Commissions Name of Personal Representative (s) Ruth A. Stefanik 300.00 Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 1424 Bradley Drive, #0-314 City Carlisle Slale PA Zip 17013 Year(s) Commission Paid 2. Attorney Fees Stephen J. Hogg, Esquire 500.00 3. Family Exemption: (If decedent's address is 1'101 the same as cfaimanfs, attach explanation) 3,500.00 ClaImant Ruth A. Stefanik Street Address 1424 Bradley Drive, #D-314 City Carlisle State PA Zip 17013 Relationship of Claimant to Decedent Spouse 4. Probate Fees 42.00 5. Accountant's Fees 52.00 6. Tax Return Preparer's Fees 7. Mailing Fees 28.07 8. Auto Title Transfer 54.00 9. Inventory and Tax Return 25.00 TOTAL (Also enter on line 9, Recapitulation) $ 6 904.07 (II more space is needed, insert additional sheets of the same size) LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 IN RE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF JOSEPH J. STEFANIK ORPHAN'S COURT DIVISION NO.: 21-01-0371 FIRST AND FINAL ACCOUNTING Of the Estate of Joseph J. Stefanik, Deceased, Late of, Cumberland County, Pennsylvania. Filed on behalf of Ruth A. Stefanik, Executrix Date of Death: Letters Testamentary Granted: March 30, 2001 April 1 0, 2001 Letters Advertised: Cumberland County Law Journal: 11/02/01, 11/09/01, 11/16/01 Sentinel: 10/29/01, 11/06/01, 11/12/01 Accounting filed: ACCOUNT FINAL AS OF: December 31, 2001 LAW OFFICES OF STEPHEN]. HOGG 19S.HANOVERSTREET SUITE 101 CARLISLE. PA 17013 IN RE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF JOSEPH J. STEFANIK ORPHAN'S COURT DIVISION NO.: 21-01-0371 Purpose of the Account: Ruth A. Stefanik Executrix of this Estate files this Accounting to acquaint interested parties with the transactions that have occurred during his execution. The Account also indicates the proposed distribution of the estate. It is important for the Account to be carefully examined. Requests for additional information or questions or objections can be discussed with the undersigned Attorney for the Estate. Stephen J. Hogg, Esquire 19 S. Hanover Street, Suite 101 Carlisle, PA 17013 (717) 245-2698 Attorney for Estate LAW OFFICES OF STEPHEN}. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 RECEIPTS OF PRINCIPAL STOCKS & BONDS TD Waterhouse Acct.#: 438-29536-1-2 TOTAL GROSS ASSETS $ 6,203.47 $ 6,203.47 LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 DISBURSEMENTS OF PRINCIPAL ADMINISTRATIVE EXPENSES Gallman-Sonoski Funeral Home, Inc. $ 2,403.00 Personal Representative $ 300.00 Attorney fees $ 500.00 Family Exemption $ 3,500.00 Probate fees $ 42.00 Advertisement: The Sentinel $ 90.59 Cumberland Law Journal $ 75.00 Accounting (Est.) $ 52.00 Mailing Fees $ 28.07 Auto Title Transfer $ 54.00 Inventory and Tax Return $ 25.00 TOTAL EXPENSES AND DISBURSEMENTS $ 7,069.66 TOTAL GROSS ASSETS $ 6,203.47 NET ESTATE AMOUNT FOR DISBURSEMENT $ 0.00 LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 VERIFICA TION I Ruth A. Stefanik, do hereby verify that I am the Petitioner herein, and that the facts set forth in the aforegoing Petition to Settle an Estate are true to the best of my knowledge, information and belief, upon information supplied. I understand that false statements herein are subject to the penalties of 18 Pa. C.S.A. ~4904, relating to unsworn falsifications to authorities. Date: 1-09-u~ ~~ Sworn to or affirmed and subscribed to before me by witnesses, this 91l-t day of j ~f'u.A.I d ' 2002. \Cj~t~Q - R~ Notary Public; My Commission Expires: G. -_.....~~..-."....-_.. Notarial Seal Oebra E. Flyte. Notary Public North Middleton Twp., Cumberland County M~~:r~';on Exp;res June 17, 2002 Memtlw. f'81.f1sj'!\fanla Association ot Notaries LAW OFFICES OF STEPHEN]. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 CONSENT TO DISTRIBUTION I, the undersigned party in interest in the Estate of Joseph J. Stefanik, aver I have received and read a copy of the attached First and Final Accounting with a proposed final distribution schedule. I understand the proposed distribution and have no objection thereto. Date: I-OCJ-o~ LAW OFFICES OF STEPHEN J. HOGG 19S.HANOVERSTREET SUITE 101 CARLISLE. PA 17013 CONSENT TO DISTRIBUTION I, the undersigned party in interest in the Estate of Joseph J. Stefanik, aver I have received and read a copy of the attached First and Final Accounting with a proposed final distribution schedule. I understand the proposed distribution and have no objection thereto. I ~ I' - 02 Date: t7 Df2~J~ LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 CONSENT TO DISTRIBUTION I, the undersigned party in interest in the Estate of Joseph J. Stefanik, aver I have received and read a copy of the attached First and Final Accounting with a proposed final distribution schedule. I understand the proposed distribution and have no objection thereto. Date: h . _ ~lCHAEL STEFANI / LAW OFFICES OF STEPHEN J. HOGG 19S.HANOVERSTREET SUITE 101 CARLISLE, PA 17013 c CONSENT TO DISTRIBUTION I, the undersigned party in interest in the Estate of Joseph J. Stefanik, aver I have received and read a copy of the attached First and Final Accounting with a proposed final distribution schedule. 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No. 21-01-00371 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. state whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representati ve reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: A. Did the personal representative file a final account with the Court? Yes X No B. The separate Orphans' Court No. (if any) for the personal representative's Account is: C. Did the personal representative state an ~c~~nt informally to the parties in interest? YesY~~_ D. Copies of receipts, releases, joinders ahd approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: 08/14/02 /' Si,g atur1 /' , Stephen J. ~qq, Esquire Name (Please type or print) 19 S. HanOVer St., Ste. 101, Address Carlisle, PA 17013 ( ) Telephone Number Capacity: Personal Representative X Counsel for personal representative RW-23 .(