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Home My WebLink About01-0454 PETITION FOR PROBATE and GRANT OF LETTERS Estate of SHIRLEY A. DARHOWER also known as 198 - 3D -;2}S.3 Deceased Social Security No. No. To: 21-01-454 Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner is 18 years of age or older and the Executor named in the last will ofthe above decedent, dated January 26,1999 and codicil(s) dated [none]. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 453 North Pitt Street, Borough of Carlisle. Decedent, then 65 years of age, died April 23, 2001, at Carlisle Hospital, Carlisle, Pennsylvania. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 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 Val ue of real estate in Pennsy lvania situated as follows: Borough of Carlisle, Cumberland County, P A $ unestimated $ $ $ unestimated WHEREFORE, petitioner respectfully requests the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary thereon. ~c. &40"~ ard E. Darhower 204 Hunters Road Newville, P A 17241 (717) 776-6674 --------------------------------------------------------------------- --------------------------------------------------------------------- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) The petitioner above-named swears or affirms that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner and that as personal representative of the above decedent, petitioner will well and truly administer the estate according to law. Sworn to or affirmed and subscribed ~~ C ~~~ before me this 7 th day of ( Baril. Darhower \ MAY_, --2001 . ~q r~~<n~-j&J~h A~,.u-""<-d , RegIster / " No. 21-01-454 Estate of Shirley A. Darhower, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW, MAY 8, 2001 , in consideration ofthe petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated January 26, 1999 described therein be admitted to probate and filed of record as the last will of Shirley A. Darhower and Letters Testamentary are hereby granted to Bard E. Darhower. Will Book # 2001 Page 454 TOTAL $ 70.00 $ 3.00 $ 6 . 00 $ 5 . 00 $ 84.00 -s;;i*~ ~ Register 0 Wills ~~ Edward L. Schorpp, 174 5 ATTORNEY (Sup. Ct. I.D. No.) MARTS ON DEARDORFF WILLIAMS & OTTO 10 East High Street Carlisle, P A 17013 (717) 243-3341 FEES Probate, Letters, Etc. Short Certificates( ) ~-..RftR~~ion JCP Filed MAY 7, 2001 FIFlLESIDA T AFILEIEST A TESII 0348-petition.ltr H 1 0"'.80) REV 1)IS6 This is to certify that the information here given is correctly copied fro~ an original certificate of death dul~ ftled with me as Local Registrar. The original certificate will be. forwarded to the State Vital Records Office for permanent ftlmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~~.~~~~~ Local Registrar . Fee for this certificate, $2.00 p 7248478 APR 2 6 2001 Date 21-01-454 H105.144 Rev. 1/91 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (Coroner) ;n>I\IHl IN AANENT CKINK C sex 2. Female .. P\.ACE Of DEATH {Check only one see insuuctiOns on o(her side) HOSPITAL: ,_....0 ~ h. FACILITY NAME (II noc instilution, give street and number) ST,qe FILe NUMBER SOCIAL SECURITY NUMeEA 198-30-2153 O,;fe Of DEATH (Mon1h. Day. \'ear) April 23, 2001 A UNDER 1 DAY Hour. Minut.. BIRTHPlACE (Cdy and Stale or Foreign Country) :;',:.,,0 White Ie. 10. oeceoeNT'S USUAL OCCUMrION (Give kind 01 work done duri~ rnosl Un~~"'T~workedl Unable To work 11 11~ DECEDENT'S MAIliNG AOORESS (StJeet CityfToffn. S\a\e, ZiP Code) DECEDENT'S ACTUAL RESIDENCE (SeeinstrucliorlS on OCher Side) MARITAL STATUS. Marriecl Never Mam.ct. Widowed. -(Spec;Iy1 ,.Never Married SURVIV1NG SPOUSE (U~. giWl maiden name) 11b. 0;0 _I I/Yeina Cumberland lownshlp? 1?.l9 :;..~.=Ol MOTHER'S NAME (First, Middle, Maiden Surname) 10. Sarah 1. Bitner INl'DR~"rjS'~lt~~ei~~:;""easr1ipm, PA 17013 ~~~~SPOSITION. Name of Cem".ry, Crematory lOCAftON. CityITo*n. Stale, Zip Code ./ Westminster Mem. Grds. Carlisle, PA 17013 1c 21d. NAME ",",0 ADDRESS QF fACILITY 1 ~J.ng Browers Funera Hare, Carlisle, PA 17013 LICENSE NUMBER 17C.O ,,",~Ilvedl" twp. 17a. Slate Carlisle c. Iboro. Sr. DATE StONED (Month. Day, Year) DIiTE PRONOUNCED DEAO (Month. Day. 'lUr) 2'. P. M. 21. April 23, 2001 27. PART I: Enter the dIMueI, injurin or compIlca1ioM which caused the death. 00 not_. the mode 01 dying, such .. cardiac or respiratory am., snoctc. Of heart failura, UstantyOMeauMon eachliMl. 23b. 23c:. WAS CASE REFERRED 10 MEOtCAl EXAMINERlCORQNER? ....JC1 NoD Hyperkalemia DUE 10 (OR AS A CONSEOuENCE Of): IApproxlmat. : Interval between loneet and death ! PART U: CM.hef ~nt condIl\onti c:ontnbUttng to death. but not ....uning In lhe undMtyIng calM gtven in PART I. b. DUE 10 (OR AS A CONSEQUENCE Of): DUE 10 (OR AS A CONSEOUENCE OF): . WERE AUlOPSY FINDINGS _LA8tE PRIOR 10 COMPLETION OF CAUSE OF DERH? MANNER OF DEATH DATE OF INJU~Y (..-. Ooy. -I TIME OF INJURY INJURY AI" WORK? DESCRIBE HOW INJURY OCCURRED. Natural }It o o Homlc;do .... 0 NojQ .... .... ClRTIFt€R{CheCkonl'1one) .CERTIFYING PHYSICIAN (Physician certifying cause 01 cte8th when another phySician has pronounced death and completed "em 23) TothebettOfmyknowtedge,cttathoccurntdduetothac~.)andmanner...uted................",...................".... . No 0 Pending Investigation o o .Gb M. o =~~~t'hotne.1arrf'l,llree1, factory,offlCe -. .... 0 NoD "",0 Acckltlnt Oc. Sulc;do ... Coulcl not ~ determined Coroner o .MEDlCAL EXAMINER/CORONER On the bdIa of examination Ind/or Inveetigatlon,ln my opinion. death occurred at the Um., date, Ind place..nd due to the CauH(I) and manner..etated.........".."........................."..."...................................................... . :11_. REGISTRAR'SSIGNRUAEANO~ . ~ t..... 33. ~ ~. ,~CX\ ~11~llol DATE SfQNED (Month, Day, 'rMr) o .... .... April 24, 2001 NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (Item 27) Typo or Print Michael L. Norris, Coroner M 6375 Basehore Road, Suite #1 "n. Mechanicsburg, Pa. 17050 DATE FILED (Month, Day, Veer) 14 \-\\:J,~ a,()O \ 34. "PRONOUNCING AND CERTIFYING PHYSICIAN (Physician bolh pronouncing deelh and certilying 10 cause of death) TottMbHtofmy~.deathoccurnd...theum.,ch.t.,.nd~,anddUetotheceuM(.).ndman,*a.atated.........""............ , 21-01-454 LAST WILL AND TEST AMENT OF SHIRLEY A. DARHOWER I, Shirley A. Darhower, a legal resident of the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. TIDRD: I devise and bequeath the residue of my estate, of every nature and wherever situate, to my brother, Bard E. Darhower, provided he shall survive me. Should Bard E. Darhower predecease me, I devise and bequeath the residue of my estate to my sister, Lana Stevens. FOURTH: I nominate, constitute and appoint my brother, Bard E. Darhower, Executor, of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability to act for any reason whatsoever of the said Bard E. Darhower, I nominate, constitute, and appoint my sister, Lana Stevens, Executrix, of this, my Last Will and Testament. I hereby relieve my Executor or his successor from the necessity of posting security in connection with their duties as such in any jurisdiction in which they may be called upon to act, insofar as I am able by law so to do. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will fh' and Testament, consisting of one typewritten page, each of which bears my initials, this d<~ ~~ day of c:::r,.q..vtYr/.-ey , 1999. ~SEAL) Signed, sealed, published, and declared by the above-named Testatrix, Shirley A. Darhower, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~~ (Y!4id0 fJ ,1(~AfI1 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, Shirley A. Darhower, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the 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. Sworn or affi this J< (0 ~day of e to and acknowl dged before me by Shirley A. Darhower, the Testatrix, ,1999. J~~ a. D~1n"~ /' Testatrix, . y A. Darhower ~~* Notary Public \------ No;;riH! Seal \ Sl!san K. Guxer, Notary Public ! Carlisle Bora, l;umberland County \ My Commission Expires Sept. 4, 1999 T\r18mller. penm;yl\lania/\Il!lOciatiOn 0 otanes AFFIDAVIT COMMONWEAL TH OF PENNSYL VANIA ) SS. COUNTY OF CUMBERLAND ) We, Edward L. Schorpp and l, ND<', N 'K'0NcYl , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that Shirley A. Darhower signed willingly and that she executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen or more years of age, of sound mind, and under no constraint or undue influence. Sworn or affirmed and subscribed to before me by Edwar ktND!Q A, 'RoNiYl , witnesses, this .i44;b.- day of - ,1999. ~~(SEAL) Witness, Edward L. Schorpp 'I . (~Jrk. /l.??::r!/ /Y7 (SEAL t . '- WItness ~ ~ ~ (SEALt Notary Public OCr - ~'~____"'_'~'.___'~_"'-~"',"_~n_~'" , Nota~ia: Seal : Susan K. GUter, Notary Public : CarlislH Bore Cumberland County , My CommiSSion ::;;cc'res Sept. 4,1999 \f~i;;h~11:P8firISv(~"ii;;;a';"ssocialiQn of Notar es F: IFILESIDA T AFILEIEST A TES\ 10348-notice.cer ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: SHIRLEY A. DARHOWER Date of Death: April 23, 2001 File No. 21-01-0454 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 or about May 16, 2001. Bard E. Darhower, 204 Hunters Road, Newville, P A 17241 Lana Stevens, 371 Burgners Road, Carlisle, P A 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: N/A Date: May 16,2001 Signature Name j~~- ~ Edward L. chorpp, ~e MARTSON DEARDORFF WILLIAMS & OTTO Ten East High Street Carlisle, P A 17013 (717) 243-3341 Attorneys for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SCHORPP EDWARD L 10 EAST HIGH STREET CARLISLE, PA 17013 ____un fold ESTATE INFORMATION: SSN: 198-30-2153 FILE NUMBER: 21-2001- 0454 DECEDENT NAME: DARHOWER SHIRLEY A DA TE OF PAYMENT: 01/18/2002 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 04/23/2001 NO. CD 000768 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,788.43 I I I I I I I I TOTAL AMOUNT PAID: $2,788.43 REMARKS: BRAD E DARHOWER CIOM EDWARD L SCHORPP ESQUIRE CHECK#1019 SEAL INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS ! G,..J~ ..l ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX Rec;:;,,,;," DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-26-2002 DARHOWER 04-23-2001 21 01-0454 CUMBERLAND 101 EDWARD L SCHORPP MARTSON ETAL 10 E HIGH ST CARLISLE '02 MAR-1 All :22 v,* REY-1547 EX AFP '01-021 SHIRLEY A (;;E..~rh Allount Rellitted PA Ifl1l115bf;; MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-Y-:is4j-Ex-AFP--foY--02Y-NoTicE--oF-YNHEifiTAi.fcE-YA;rA-PPRA-isEi'-ENT~--Ai:l-owAifcE-ifR------------ ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DARHOWER SHIRLEY A FILE NO. 21 01-0454 ACN 101 DATE 02-26-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: I~ an assessment was issued previously, lines 14, IS and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 .00 X 045 = .00 23,236.94 X 12 = 2,788.43 .00 X 15 = .00 (19)= 2,788.43 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) 34.900.00 .00 .00 .00 1.433.50 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 10,629.82 2.466.74 (11) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this forll with your tax paYllent. 36,333.50 13 .096 56 23,236.94 .00 23,236.94 ... n~_~6' . I+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 03-13-2002 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,788.43 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 22.41 TOTAL DUE 2,810.84 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A RI':FUND _ SFF RFUFIl<::.F <::'Tn~ n~ Tln~ ~nDM O:'nD T".,TDI'..TT...... , llIev.l$OHJl.(toOlI) !z w Q w U w Q *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 ~-DECEDENrs NAME (LAST, FiRST, AND MIDDLE INITIAL) 'DARHOWER, SHIRLEY A. ~A;;;;/200 I I ~A~~;~;'~~H3(;M-OU-YOAK) <IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) REV.1500 INHERITANCE TAX RETURN RESIDENT DECEDENT IllI ,. Ori'glnal Retum 0 2. Supplemental Retum w ... 0 4. Limited Estate 0 4a. Future Interest Compromise (date of death ~:!!:CIl U~" afler12-12-82) w~g IllI 6. Decedent Died Testate (Attach copy 0 7. Decedent Maintained a Living Trust (Attach zi...l u~.. of Will) copy of Trust) ~ 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (dale of death between ~ 0 12-31-91 and 1-1-95 (0 OFFICIAL USE ONLY r:9C2 f0 cO FILE NUMBER , 21 01 00454 ..1_ COUNTY CODE YEAR _. __~~R SOCIAL SECURITY NUMBER 198-30-2153 PQ 34,900.0g. -------ro Nonf:l None None 1,433.50 None None (9) (10) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER I o 3. Hemaln<fer Retum'{t1ate Oftlealtl pn6fto 12-13-62) o 5. Federal Estate Tax Retum Required o 8. Total Number of Safe Deposit Boxes o 11.Election to tax under Sec. 9113(A) (Attach Sch 0) 10,629.82 2,466.74 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES -~I --I 10 East High Street Carlisle, P A 17013 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subjectto Tax (Line 12 minus Line 13) Copyright 2000 form software only The Lackner Group, Inc. .!z illw ~Q ~z 82 NAME i Edward L. Schorpp , IRK,lNAME(lfapplicable) -." Martson Deardorff Williams & Otto (1) (2) (3) (4) (5) (6) (7) :ll :IJ<!l OFFICIJ(t:t;I~..;()NL y . . t- ~ .... 0::> ;::3 '.:::;I N -J ~;- ElEPHONE NUMBER 717/243-3341 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) z Q ~ => Ii: 1l w ~ 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mort9ages & Notes Receivable (Schedule D) 5. Cash. Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) x .00 x .045 23,236.94 x .12 x .15 20. 0 CHECK HERE (F YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (8) 36,333.50 10. Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) z Q g ~ '" Q U S 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 (11) 13,096.56 23,236.94 19. Tax Due (12) (13) (14) 23,236.94 (15) (16) (17) 2,788.43 (18) (19) 2,788.43 Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 453 North Pitt Street CITY Carlisle ISTATE PA IZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 2,788.43 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Totai Interest/Penalty (D + EJ 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 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (3) 0.00 (4) (5) 2,788.43 (SA) (5B) 2,788.43 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;............................................................................. 0 181 b. retain the right to designate who shall use the property transferred or its Income;................................ 0 181 C. retain a reversionary interest; or............................................................................................................ 0 t8:I d. receive the promise for life of either payments, benefits or care?.......................................................... 0 t8:I 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............ ...... ............. ... .......... .................... ..:............................. .......... ..... 0 0 3. Did decedent own an "in trust to.... or payable upon death bank account or security at his or her death?..... 0 I8J 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?...... ... ................... ... .......... .......... ... ....... ... ....... ... ...... ................ ... ...... ..... 0 t8:I IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. lliider penalties of perjury, I dectare that I have examined this return, including accompanying schedules and statements, and to the best of mY-knowledge and belief, it is INe, correct arldcomplete --- Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS - - . . DATE --. -: c.~ ~...A.. ~ 204 Hunters Road Newville, PA 17241 /-/~-o~ - UAII; . ~-- AUURI;::i:S SfGn AUUfoU::SS ---nuFU- to East High Street Carlisle, P A 17013 I /G-o ';;< 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 (aJ (1.1) (i)l. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent. an adoptive parent, or a stepparent of the chiid is 0% [72 P.S. ~9116 (aJ (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 1.2J [72 P.S. ~9116 (aJ (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 .8. ~9116 (a) (1.3)]. 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. *' SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER I 21 - 01 - 00454 ESTATE OF DARHOWER, SHIRLEY A. All real prollerty 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 properly would tie 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 wl1lch Is Jolntly-owned wltn right of survivorship must 6e disclosed on schedule F. .- ---- ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH --'T Residence situate at 453 North Pitt Street, Borough of Carlisle, Cumberland County, P A, designated as 0 34,900.00 Parcel No. 06-20-1798-298 and being more particularly described in Deed dated February 17, 1979, recorded in Cumberland County, PA, Deed Book "H", Volume 28, Page 371. (Copy of Deed attached) Value per appraisal attached. - - -- TOTAL (Also enter on Line 1, Recapitulation) 34,900.00 COM~6:: ~~~NE~~~ANIA i RESIDENT DECEDENT I ESTATE OF DARHOWER, SHIRLEY A. SCHEDULE E ~ CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY I FILE NUMBER 21 - 01 - 00454 *' Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jolntly-owned with the right of survivorshIp must be disclosed on schedule F. ITEM NUMBER r'd M&T Bank, Checking Account No. 550469 VALUE AT DATE OF DEATH 1,036.37 DESCRIPTION 2 Sprint, refund 29.71 3 Patriot News, refund 2.40 4 Corncast, refund 34.69 5 Commonwealth of Pennsylvania, 2000 property tax rebate 130.33 6 Household furnishings 200.00 -.._--1-- TOTAL (Also enter on Line 5, Recapitulation) ---.-- 1,433.50 . _L__ SCHEDULEH FI.J'aW.. EXPENSES & ADMNISTRAl1VE COSTS I COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEOENT ESTATE OF DARHOWER, SHIRLEY A. I FILE NUMBER 21 - 01 - 00454 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. -j DESCRIPTION AMOUNT FUNERAL EXPENSES: Ewing Brothers Funeral Home, Carlisle, P A 5,232.00 2 Westminster Cemetery, grave opening 815.00 3 Westminster Cemetery, grave marker 862.50 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Martson DeardorffWilliarns & Otto (estimated) 2. 1,800.00 3. Family Exemption: (If decedenfs address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees State Zip 4. 84.00 5. I Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs I Cumberland Law Journal, advertising Letters Testamentary 2 ! Tbe Sentinel, advertising Letters Testamentary 3 Register of Wills, filing fee, Inheritance Tax Return 75.00 93.83 15.00 Total of Continuation Schedule(s) 1,652.49 TOTAL (Also enter on line 9, Recapitulation) 10,629.82 *' Sc:heWIe H FlnlIiII E"Plfls B S & AdJ. lil;bc6.eCoslsoontnJed COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF DARHOWER, SHIRLEY A. I FILE NUMBER ! 21 -01-00454 4 UGI, gas service during administration 5 6 7 8 9 PPL, electric service during administration Carlisle Borough, water/sewer service during administration Darlene L. Moyer, school real estate taxes during administration Donegal Mutual Insurance Co., homeowner's insurance during administration Reserved for additional probate, filing fees for Account and other miscellaneous expenses _L T I Page 2 of Schedule H 570.00 190.00 150.00 368.49 124.00 250.00 *' I SCHEDULEr l DEBTS OF DECEDENT, MORTGAGE . . LIABILITIES, & LIENS COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ~ I FILE NUMBER 21 - 01 - 00454 ESTATE OF DARHOWER, SHIRLEY A. Include unreimbursed medical expenses. _"~.--_ -"-'0 ITEM NUMBER I UGr; account payable DESCRIPTION AMOUNT 86.00 2 Comcast, account payable 35.85 3 Borough of Carlisle, account payable 13.49 4 Sprint, account payable 40.52 5 PPL, account payable 31.64 6 Cumberland County, P A, Grant Agreement dated 4/11/97: Principal amount of grant $11,296.00; forgiveness to date of death: $188.27 per month x 45 months = $9,036.76. (See attached Grant Agreement) 2,259.24 2,466.74 TOTAL (Also enter on Line 10, Recapitulation) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER 21 - 01 - 00454 RELATIONSHIP TO I AMOUNT OR SHARE DECEDENT OF ESTATE _ Do Not L1.tTrnst..,s) DARHOWER, SHIRLEY A. NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outMght spousal distributions) Bard E. Darhower 204 Hunters Road Newville, PA 17241 Brother Entire Residue ! Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover she t II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE T FROM W0LFE SHEARER FAX NO. Jan. 10 2002 02:28PM P2 Ray "Buz" Wone, CRS Broker/Partner WOLFE & SHEARER REALTORS William L. Shearer, Jr., CRS BrokerlPartner -. ..... ) 33 South Pitt Street Carrisle, PA 17013 717.243.1551 800377.3027 fax 717 .243.047~ www.wotfeshearer.com RESIDENTIAl . COMMERCIAL . APPRAISALS . INDUSTRIAl.. . CONSULTING INVESTMENTS January 10,2002 Ed Schorpp Martson, Deardorff, Williams & Otto 10 E. High Street Carlisle, P A 17013 Re: Shirley Darhower Property @ 453 N. Pitt Street, Carlisle Dear Ed: Having met Bard Darhower at the above described property and inspected same on Thursday, January 3, 2002, I found the home to contain the following: A 2-story aluminum-sided semi-detached home with a living room, kitchen and bath on the first floor and 2 bedrooms and a partial bath on the second floor. The property contains an asphalt shingled and rubber roof, gas hot-air heat, side/rear yard and off-street parking. The property is in fair to good condition. Based upon my inspection and comparing the property to other similar homes that have sold recently, it is my opinion and suggestion that the market value and list price as of January 9, 2002 is $34,900. If you have any questions, feel free to call me at my office SCHEDULE "A" f Item 1 "~.T_n..",_~...uto,'. l/"d... P...., h, WUl n....,.,lJ.II.I"...I"dl.hft.P.. ~bi;Z Jwbentuttt MADE THE i ~ MY 01 February on~ th()tJ/faM niM hundred and seventy-nine (1979) in the year of our Lord BETWEEN Edmund F. Stevens E:reC'l.lt or of the tc.Bt W,U mu! Testa.mem 01 George E. Darhower 14u of Lower Frankford Township. Cumberland Co.. Pa. and. Shirley Ann Darhower. spectric 01 the first part, a,nd Shirley Ann Darhcwer devisee under the Last Will and Testa- ment or Ceorse E. Dar~ower. parties / party of the eecond part: WHEREAS. tM ,o.id George E. Darhower lrll his laat WiU mad Tutam.ent, dtdll proved and recorded in the Register's ojfiu of Cumberland County, Pennsylvania, devised the hereinafter described property to Shirley Ann Darhower. party of the second part. and appointed Edmund F. Stevens as his executor; .,.. ~ w x ~W~ ~~~~ ~o~:: ~~.-.~ ~""::~ ....--:a: *g~~ a-ux.... O~~ ';:""'u ~ x: ~ m C> ..... ~ ~ ~ .:::: NOW THIS INDENTURE WITNESSETH. ~hat the said part ies of tlu first part, bv virtue of the power aM authori~lI aforesaid, in Ittid Will contained. and in con6idt:ration of ~he .wum of --------------------------one and no/lOa ($1.00)------------------_ Dolla"" to thempaid bv ~h.e said pa.rt ies of the ,econd part, at and bel(Jre the emea.ling and delivertj of these prese?l.t,. th" reeeipt whenof ill hereby acknowledged, have granted, bargained, ,old and conveyed. and do hereby grant, bargain, sell and convey lo the s~d Shirley Ann Darhower her Heirs and Cl8signs forever, all .tha t certain piece (Jr parcel of land 8itua~e in the Dorough of Carlisle ,Countyof Cumberland and State of Pennsylvani4, bQ1ml[ecl and M.ried <t& follow~, to--wit: and being known as QS3 North Pitt Street, Carlisle, Pennsylvania On the West by North Pitt Street; on the North by property, now or formerly of John Humes; on the East by a 16 foot Alley; and .on the South by property formerly of said Ada S. Rlnesmith. Containing Thirty feet In front on North Pitt Street and extending 1n depth One hundred thirty-eight feet, more or less to said Alley on the East. Having thereon erected a two story frame dwelling to use and other improvements. l)C;I!W the same property which Ada S. Rinesmith, single woman, granted and conveyed to George ~. Darhower and Sarah T. Darhower. h1s wife. by deed dated January 10, 1953, ar.d recorded In the Office of' the Recorder of Deeds for Cumberland Cour;ty, Pennsylvania in Deed Book "0", Volume 15. Page 520. Sarah I. Darhower died on January II, 196~, thereby vesting f'ull title in George. E. Darhower. George E. Darhower died on March 30, 1978 whereuport E.dmuna F. Stevens..l.~~5: duly appointed his executor and continues to act as such. atli*28 rMt 371 SCHEDULE "A", Item 1 ! ! I TOGETHER with aU and singular the rights, liberties. privileou, hereditamenta' and appurtenance. whatsoever thereunto belonging or in anvwise apperl4ining, and the reversioN' and remainders. rentB, issues and profil' thereof, and all the estate, "ght, title, interest, properlv. claim. and demu.nG whatal)8Ver of the"id George E. Darhowe r. beff)'f8 tke time of his the.ame: at and immediatdil dect:tU'8, in taw or equity OT otherwise how,oev6r, of. ift., to Of" out 0: TO HA VE AND TO HOLD the .aid "ranted premise" to the said party of the second part, her k~r. a.M Geaio'nI fOT'e:lJtr. And the Mid parties of the first part do covenant, promise. (Inlnt a.1Id agree, to a.nd wW. the 8Cid party of the second part. her heir. end usig1'13. 011 (hue FUenU, thcLt they the Hid parties of the first part not dons, committed or knowinglll or willinglJ/ tJUf!ered to be dofte, any lICt, m4lter, or thing wh41~ ltOeVff, whtTeby the premise. aforuai4, or any 114rt thertrof. ii, are, ,1a4U or mczJl' be cM1'oed or iltCWmbered, in title, CMToe or utate, or mherwise MWSoe11e-r. IN WITNESS WHEREOF, the MIid. parties of the first part have hereunto.tIt their h4nc6s and.eats the da.V o.M V<!l4T <<bo1te: written.. ESTATE OF GEORGE E. DARHOWER 71 -:: :~~...... )4d~~':{~1.f.~'l~~-:itr-~ -,,:..~ ~ , -4rr~jY~~'t!~-...-----..~ ....__...._...._m_...__m_._._.__._____) _._....__._._.....__m._...._.m_..._.._..........._........~ State 01 PENNSYLVANIA }... do:V pI Feb ruary , 1979 , belore me, CountJl of CUMBERLAND On tM.., tM 17' the ll:ntUrnoned officer, per.omdlJl appeared Edmund F. Stevens J executor of the Estate of George E. Darhower, and Shirley Ann Darhower of the State of Pennsylvania C01t'1ltJl of Cumberland , known to me (or 84t4/gctorilv provtm) to be the p6'rson.giucribed in the foregrAno iMtncment. o.M a.cknowf- edged that ~e ~zecuted tke same i?l- tM capa.citv therein. aWed CLM for UI.. opurpoaeB therein con. t4(aed.,"r,-' r'''-''; '. /, -' . . /~l.:,' ! l>>:.~~ ~efe(Jf, 1 hereunto .et '"-11 htmtt;f.1Jd of/i.cUU seal. ~ ~~'~.,:. . ~,: :;o;--~~~:.~~-~.. S.: ;/" _.Ro-k~~..ii-.;]:.I, .;-,;;~\~~1iii;t:.--.._..--.-._-- m..;.._m..._~ . ,_,:: >',,"" CARUSl(BORO; H.C.1.:[lE~LANDCOUNTY . -.... ,~. , ,.' ~ v MY COMMlSSICl1t-CXMIlt'S"QCT:-3:'"I9llO"----.-m.--.-m.--....m........... .:'.~(-.)"' <: \, . Title ()f Offtur. Stak 0/ }... ,19 . be/ore me, Countv of On this, the do.7/ of the underrigned offu;er. per.on4Uv 4fJ1Jeared of the St4te 01 County of . knoum to me (or saliBftutorilv pnwen) to floe the peTB07I ducribed in the ffn'eDrn7l{f instnmunt, 41td lUlmowl- edged tMt he ezccuted th.e ~e in lM co.pacity therein .tated 4M for the purpo.u tM-rein con--- tamed. I" wttnu. whenol. I .\e1'eImto nt my .\Q.M aM offi.cW .eaL. --_._---------_._-_.__.__..~ -....----.--------.-.-.---..-'---.-- Title of OtJiotr. &O~8 rm 372 SCHEDULE "A"" Item 1 CERTIFICATE OF RESIDENCE I tW ~eb1l cfJ7'tify that the pNlcise re8iden.ce and complete pod ofliee tuldred of the within 71C1med grantee is ofs J ,(/ /'uI j"/. C~k.G h I )o,;') February "1-0 1979 Jlt-U,I,J rl-f-W.....J .!:.u.vv-,j (" ,(~ '3. d<w..... =~.~==..~=~~!~:;.:~-~:~=:~::=~~-==~ ~ 0 "'"' ~ o v Cfl vb<) " ~ ~ ,",0 0: 0: Z0 V '"' '"' H>o /j ,'" :< :< 0 :<v "' o. 0 o:c ~ zr.-, 12 '" f-o H~ '"'0 0: 0 CJ :> 0: 0: ~" W<U'OCl 0 '" ~ " ~ m ~~@2: '" ZO: Z U H " Z ,- :< VI . " '0: 0: (J:.l 0: "- ..w~ H w>< >< >< Cl<U~W '" z.r::o....J HI Z ::>.j.).r::1J:: "' W H, :s t;H H :< Clc.-.cU::I:: '" 0: WOClrfJ "' H ~::Z~~::.<::::ZZ~L~ -=:> RECORDED on thg ._nd.t2......'~ day of ....C!'..=r~(~ A. D. Z.,:rf.'n the R",wd,,', Ojfi" of ,aid Coonty, in Dud Book U ~ vo.di., Page ...cE.//u. . Given under my h.a.nd a:n.d, th.e seet of the sa.id Gffiee, the date above written. !O~ r.le, 373 .~,:~:\~~~. R"~d,,. SCHEDULE "A", Item 1 1 \ I I I i I I I I I I. I [ r-*, IV!&! tla11K ACCOUNT NO. ACCOUNT TYPE STATEMENT PERIOD PAGE -- --- D HAR.24-APR.23~2001 1 Of 2 - 550469 CLASSIC CHECKING 00 7 04319H M 021 205 SHIRLEY A DARHOWER 453 N PITT ST CARLISLE PA 17013-1946 HIGH STREET-CARLISLE BEGINNING DEPOSITS & OTNER CURRENT . ENDING BALANCE OTHER AOOITIONS CHECKS PAID SUBTRACTIONS INTERESt PO BALANCE NO. I A_ NO. I AIlOUNT NO. I AIlOUNT 1...401.32 11 756.00 71 247.95 8 873.00 0.00 1,036.37 ACCOUNT SUMMARY POSTII$ . DEPOSITS, INTEREST .. .CHECKS lOTHER DAILY DATE TRANSACtIOIl DEsCRIPTIOIl leTHER ADDITIONS SUBTRACTIONS BALANCE 03-24-01 BEGINNING BALANCE $1,401.32 03-26-01 CHECK ~BER 2560 32.12 1,369.20 03-27-01 M&T ATM CASH WITHDRAWAL ON 03/27 300.00 SPRING GARD,lDO S SPRING GARDEN ST,CARlISLE,PA 1...069.20 03-29-01 CHECK NUMRER 2561. 86.00 983.20 I 04-03-01Ius TREASURY 303 see SEC 756.00 I 04-03-u~ HI f<< 1.25 04-03-01 EfT fEE 1.25 04-03-01 AT" CASH WITHDRAWAL ON 0Ct/03 201. 00 WEISS MARKET .95 CARLISLE PA 04-03-01 Ant CASH WITHDRAWAL ON 04/03 101.00 WEISS MARKET .95 CARLISLE PA 1,434.70 04-04-01 CHECK NUHBER 2562 37.59 1,397.11 04-09-01 CHECK NUHBER 2563 39.06 04-09-01 CONTL GEN INS CO INS PREH 66 . 2.5 1...291.80 04-12-01 CHECK NUHBER 2566 13.49 1,278.31 04-16-01 CHECK NUHBER 2565 34.69 04-16-01 CHECK NUHBER 2564 5.00 1...238.62 04-17-01 EfT fEE 1.25 04-17-01 AT" CASH WITHDRAWAL 011 14/17 201. 00 WEISS HARKET .95 CARLISLE PA 1,036.37 ENDING BALANCE ~'D36.3-;) \ - --- ACCOUNT ACTIVITY "=- CHECKS PAID SUNMARY 2560 2563 2566 03-26-01 04-09-01 04-12-01 32.12 39.06 13.49 2561 2564 03- 29- 01 04-16- 01 86.00 5.00 2562 04-04-01 2565 04-16-01 37.59 34.69 ,-'_"J~fl_ ' I SCHEDULE "E", Item 1 ',~. ("1/ /, -- Co '{, It Q D.:' ~ :-:::.:L:\i- F. ~:!(:Gt ~:\ :::.',.:r)f..[J:'t-~ 0F D~f:.DS ,':/'\i".:lLAiIO COUtlT~-;':. ',."I}:',u( r\ vr ut. eu,:;. 1;))M:?EHLMIO COLiNTY-Pt. '97 f'lflY S Pf'l ~ 00 GRANT AGREEMENT THI$'l<flmEt$NItI'lnli\:les.lld entered into this J J th day of April, J 997 between Shirley A, Darhawer of 453 N Pill Slreet. Carlisle PA hereinafter called Owner, and the Borough of Carlisle , a municipal corporation of the State of Pennsylvania, hereinafter called Municipality, and WHEREAS, the Housing and Community Development Act of 1974 provides funds for rehabilitation in federally assisted Community Development Projects, and Owner desires to use the benefits of the 1974 Housing and Community Development Act for the purpose of rehabilitating Owner's properly located at 453 N. Pill Street. Carlisle, PA and has entered into an Agreement with RB's Construction of even date herewith, for said rehabilitation; and WHEREAS, the Municipality in accordance with the said Act of 1974, adopted cerlain regulations and conditions with respect to grants made under the Act of 1974, and has appointed the Redevelopment Authority of Cumberland County its agent for the administration of such grant program with authority to execute any and all documents necessary to implement said program; and WHEREAS, the Municipality pursuant to Resolution and the regulations and conditions adopted by the Municipality has issued to said Owner a grant in the amount of$11.296.00 for said rehabilitation. NOW, THEREFORE, in said consideration of said grant Owner covenants and agrees that the grant shall be refunded it title to the properly at 453 N Pill Street, Carlisle, PA is sold, transferred, conveyed, or equitable interest is extinguished within a period of five (5) years from the date of the grant agreement according to the following lien forgiveness formula, The grant amount shall be forgiven by one-sixtieth (1/60) of the original sum after the first monthly anniversary date of the grant agreement and by one-sixtieth (1/60) on each subsequent monthly anniversary date thereafter if the grantee(s) continue to reside in the property as their principal residence, The grantee's principal residence shall be considered to be other than the property identified above ifthe grantee is a resident in a nursing home rehabilitation center, or personal care facility for a period longer than six consecutive months. In the event the property is conveyed or otherwise disposed of, or the grantee ceases to ultHze the property as their principal place of residence, the entire obligation which has not been forgiven as per the above formula shall be due and payable. In the case of the grantee's death, the properly ceases to be their principal place of residence on the date of death, and the forgiveness of the grant shall cease as of the date of death, The entire grant amount such amount as has not been forgiven shall be due and payable upon conveyance of the properly unless: a lineal descendant becomes the Owner of the residence until the entire obligation is forgiven pursuant to the above formula. The Municipality's interest in the property shall be secured with the filing of appropriate documents in the County's Recorder of Deeds andlor Prothonotary Office. The Municipality's interest shall be for the full cost of repairs made at the time of the application and any and all repairs to correct BOOK 5,.Ir; r,\ct 95.9 SCHEDULE "I", Item 6 :."" subsequent unrectified code violations. However, at its discretion the Municipality may drop this requirement at any time. "~ WITNESS our hands and seals, the day and year aforesaid. WITNESS OWNER(S) /~~ )~ -J't,,\,~~ (A. ~ cJl;",~ Shirley A. rhower \ <J BOOK 54(; P^~[ UfjO SCHEDULE "I", Item 6 .y " '-" ~~,~d REDEVELOPMENT AUTHORITY F UMBE ND Y Exec tive Director ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: SS COUNTY OF CUMUERLAND On this, the 11th day of April, 1997, before mc, Ihe undersigned officer, personally appeared Shirley A. Darhower known to me (or satisfactorily proven) 10 be the person(s) whose name(s) in/are subscribed to the within instrument and acknowledged that she executed same for the h. t' d l~""U.III"', purposes t eeem con ame . ~_..;1..,,,'~'., {! n "11'0. .......""--.0\ fr! -'. IN WITNESS WHEREOF, I hereunto set my hand and official seal. t.- ~;:.;\~~iiXi~:;,,:-!:~ it .,P , : -,...., 't 0:,', ~ . do-J ~ ~.f:)~~o "...i~: ~ ., Notary Public I ' "":~.- :...~:....~ :.l~ Nototla\ Seal :'~":;:'7"'\ ~_...:~" Sharon l. Feeser, Nolary Pub!lc l) ~: ~ " Carll,l. Boro, Cumberland Countyo"" ,- My Commission ExpIreD Mav 17. 1999 Member, Pennsytvanlo Assoclallon 01 Nolarl.. COMMONWEALTH OF PENNSYLVANIA: : SS COUNTY OF CUMBERLAND On this, the 11th day of April, 1997, before me, the undersigned officer, personally appeared Christopher Gulotta, who acknowledged himself to be the Executive Director of the Redevelopment Authority of the County of Cumberland, a corporation, and that he as such Executive Dlirector, being authorized to do so, executed the foregoing instrument for the purpose therein contained by signing the name of the corporation by himself as Executive Director. IN WITNESS WHEREOF, I hereunto set my hand and official seal. . ,,,...... ~.~ \\\1'\1 -It,...(.,.a- ,.~~~-""\~.~~.:rld~:' 4. 'r/~I~S~:,~.:o""'tit LI//lf../ . r.:~..-:::..'" Notary PubljC ~n:;:c ...--'..:lG~~..p~~ -. .. . I . -',.. . - . \'::\..'0:.._':.."", ~':"t;J_~ Nolarlsl Seal" ...~~;.:;C.....,\,.~...... - ...? .. ....~..~ ~ Sharon L. Feeser. NOlary PbbJ~.(:: ~ . ,~. Carlisle Boro. Cumberlllnd CQJJ .~" ,.' My Commission Explro8 May 11: i g Member. Panneyl'll'anlo AssoclaUon 01 Nolarles ,. , bOOK 54 fi f^tt mH SCHEDULE "I II , Item 1 ~ (Q) LAST WILL AND TESTAMENT OF SHIRLEY A. DARHOWER I, Shirley A. Darhower, a legal resident of the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SECOND: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. THIRD: I devise and bequeath the residue of my estate, of every nature and wherever situate, to my brother, Bard E. Darhower, provided he shall survive me. Should Bard E. Darhower predecease me, I devise and bequeath the residue of my estate to my sister, Lana Stevens. FOURTH: I nominate, constitute and appoint my brother, Bard E. Darhower, Executor, ofthis, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability to act for any reason whatsoever of the said Bard E. Darhower, I nominate, constitute, and appoint my sister, Lana Stevens, Executrix, ofthis, my Last Will and Testament. I hereby relieve my Executor or his successor from the necessity of posting security in connection with their duties as such in any jurisdiction in which they may be called upon to act, insofar as I am able by law so to do. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will "'" and Testament, consisting of one typewritten page, each of which bears my initials, this P?~ ~. day of .;::;r"qA./G/r;1,RY , 1999. a.(:) Shirley A. Dar ower, Testatrix Signed, sealed, published, and declared by the above-named Testatrix, Shirley A. Darhower, as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~~~--- Y!47d", Il.;;(,rhffj ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) I, Shirley A. Darhower, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the 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. Sworn or affi this .;1lo ~day of e to and acknowl dged before me by Shirley A. Darhower, the Testatrix, ,1999. J~~ (l. &~\JThI-<h /' TeS"tatrix, . y A. Darhower N~~~~ r-~---'-'N~~'~~I Seal i Susan K. Guxer, Notary Public I Carlisle Boro, Cumberland County ~ My Commission Expires Sept. 4,1999 'MBrnlJOlr, PQnnsylvanil\ AlUiOoll1tlon ota &S AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) We, Edward L. Schorpp and _h.I ND~ A 'K"Nrrl , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that Shirley A. Darhower signed willingly and that she executed it as her free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen or more years of age, of sound mind, and under no constraint or undue influence. Sworn or affirmed and subscribed to before me by Edwar hmo~ A, 'R.owm , witnesses, this ~ '!:h- day of ,1999. ..-/~~~---(SEAL) Witness, Edward L. Schorpp '~db Witness /l~rt /Y? '- (SEALt ~1\~, Notary Public ' '" (SEALt j__'_.___~._.T. , Notarial Seal ! Susan K. Guyer, Notary Public ~ Carlisle Bora, Cumberland CQunty : My Comlllission ~n:..;ras Sept. 4. 1999 I'M.._ ilJl;::mlll;,T, PerlnSvlva'lila~A-\ii;oCjatian of 0 es Rev."ooe~'{e.oo) w ... ",<<", uii:lI:: w~U ~OO U"~ ~.. ~ << REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT <':.. j tv ~F~ALUSE:Y Lc ALE NUMBER 21 01 00454 COUNTY CODE YEAR SOCIAL SECURITY NUMBEFf 198-30-2153 6. Decedent Died Testate (Attach copy of Will) 9 Litigation Proceeds Received Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95 o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes NUMBER - ..--- THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ---+=LSE:U~~~U~~~ OF WILLS ------ --- ..~ 0 3. Remainder Keturn (da1eoraealli pnor to 1;.!-13-e2) ----- .... "'z ::!w ,,0 OZ u~ AME Edward L. Schorpp *' COMMONW'EAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 --- -.~-T"(jECE5ENT'S NAME (LAST:F"IRST.AND MIDDLE INITIAL) ~ ~Ao~~;;t~~.~~~:Y A. pATE OF B'H'H tMM.DD.VOAH, ~ 104/23/2001 . 10/29/1935 ~ t{tF APPUCABLEfsURVIVING SPOUSE'S NAMEdCAST, FIRST AND MIDDLE INITIAL) , .+o,-:O"9;nat.Re,um 4. Limited Estate II 2. Supplemental Return o 4a. o 11.EJection to tax under Sec. 9113{A) (Attach Sch 0) 10 East High Street Carlisle, PA 17013 (1) (2) (3) (4) (5) (6) (7) No ~,";' '..::.;,;f\_ _ _ N'Om.t:i None None 426.60 None: Non'e IRM NAME (If applicable) Martson Deardorff Williams & Otto ElEPHONE NUMBER 717/243-3341 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) z o ;= :l " ... ;;: << u w " 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule 0) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Bilting Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) I 11. Total Deductions (total Lines 9 & 10) (9) (10) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ~ Net Value Subject to Tax (Line 12 minus Line 13) I SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, x .00 or transfers under Sec. 9116{a)(1.2) __. I 119. Tax Due 20. 0 , !iIl!ll1!,R,IIRlil!!mI!t'l1I/~~_~~~11lllll 12. Net Value of Estate (Line 8 minus Line 11) z o ~ " ~ " o u ~ 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 x .045 426.60 x .12 x .15 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Copyright 2000 form software only The Lackner Group, Inc. OFFICiAL USE ONLY -:~ (-r ~.~: ~ =-~ ~. ~ -~ "":"... .,:" ~ (8) 426.60 (11) (12) 426.60 (13) (14) 426.60 (15) (16) (17) 51.19 (18) (19) 51.19 Form REV-1500 EX (Rev. 6.QO) Decedent's Complete Address: STREET ADDRESS 453 North Pitt Street CITY I STATE i PA I ZIP 17013 Carlisle Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 51.19 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (3) 0.00 .--- (4) (5) 51.19 (SA) (5B) 51.19 TotallnteresVPenalty (0 + E) 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 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Make Check Payable to: REGISTER OF WILLS, AGENT D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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? ......... ..... ...... ... ... ......... ... ...... ........ ... .... .... ......... ... ....... ......................... .... 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 0 b. retain the right to designate who shall use the property transferred or its income;................................ 0 0 c. retain a reversionary interest; or............................................................................................................ 0 0 d. receive the promise for life of either payments, benefits or care?.......................................................... 0 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.................................... ..........................,... .................. ........................ 0 0 D D D under penafties of perjury, I declare that I have"examined this return. including accompanying schedules and statements, and 10 the best of my knOWleage and belfi( it is true, correct and complete. Declaration of prepare( other than the personal representative is based on all information of whicl1 prepare( has any knowledge. SiGNATlJRE OF PERSON RESPONSIBLE FOR FILING RETURN - -------';:OORESS OATE -3//</107- 204 Hunters Road Newville. PA 17241 AUUKI:;:S:S ------oli:rE~"m-~_."- -5//5/0 2. 'AUUKI:;~~ UA.,=- 10 East High Street Carlisle, PA 17013 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 on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (iin. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenlywone years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. S9116 (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. 99116 1.2) [72 P.S. ~9116 (a) (1 )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. S9116 (a) (1.3)]. 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. *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMOf'M'EAl TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECeDENT I FILE NUMBER ~~~ ~ - -~~ 2] - 0] - 00454 ESTATE OF DARHOWER, SH]RLEY A. 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. VALUE AT DATE OF DEATH 426:60 - ITEM NUMBER -r---Prudential Financial, cash payment to previoUs owner of life insurance policy due to conversion to stock company DESCRIPTION TOTAL {Also enter on Line 5, Recapitulation} 426.60 " /6 -c2c29- b f BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-06Dl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-1U7 EX AFP 101-021 EDWARD L SCHORPP MARTSON ETAL 10 E HIGH ST CARLISLE '02 t'iAR 18 P 2 : 1 6 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-11-2002 DARHOWER 04-23-2001 21 01-0454 CUMBERLAND 101 Allount R_i Hed SHIRLEY A C;b PACllflti3 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=i6"ifj-E3f-AFP--foY:02Y------...--iNHERITANc'E--fA3f-STAfEH'E-Nf-'()j:-ACCouiif--...---------------- ----- ESTATE OF DARHOWER SHIRLEY A FILE NO.21 01-0454 ACN 101 DATE 03-11-2002 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: 03-05-2002 P R I NC I PAL TAX DU E : ......................-..-............................................................................................................................................................................................... 2.788.43 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-18-2002 CDOO0768 .00 2.788.43 TOTAL TAX CREDIT 2.788.43 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. 1 \ Ib - c{),.;)9 - 6 ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX EDWARD L SCHORPP MARTSON ETAL 10 E HIGH ST CARLISLE '02 (liW iO DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-06-2002 DARHOWER 04-23-2001 21 01-0454 CUMBERLAND 101 U :\,4 '* REV-1S47 EX AFP 101-02) SHIRLEY A Allount Rellitted c p~e~llPl~ 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 :iS4j-i3f-AFi'--(oY:02T-NOYici--OF-YNHiifi;:Ai,rCE-'~fAX-APPRA-isii'-ENT~-ALi-owAi,rcE-ifR-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DARHOWER SHIRLEY A FILE NO. 21 01-0454 ACN 101 DATE 05-06-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: IS. Allount of Line 14 at Spousal rate (IS) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS. .00 X 00 = .00 .00 X 045 = .00 23,663.54 X 12 = 2,839.62 .00 X 15 = .00 (19)= 2,839.62 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Mortgages/Notes Receivable (Schedule D) (4) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (S) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 .00 .00 .00 .00 426.60 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax .00 .00 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 426.60 00 426.60 .00 23,663.54 . . ... ...... I ".......n . (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 01-18-2002 CDOO0768 .00 2,788.43 03-19-2002 CDOO0971 .00 51.19 TOTAL TAX CREDIT 2,839.62 BALANCE OF TAX DUE .00 INTEREST AND PEN. .46 TOTAL DUE .46 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SCHORPP EDWARD L 10 EAST HIGH STREET CARLISLE, PA 17013 ____un fold ESTATE INFORMATION: SSN: 198-30-2153 FILE NUMBER: 2101-0454 DECEDENT NAME: DARHOWER SHIRLEY A DATE OF PAYMENT: 03/19/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/23/2001 NO. CD 000971 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $51.19 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: BARB E DARHOWER C/O EDWARD L SCHORPP ESQUIRE CHECK# 1023 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS $51.19 MARY C. LEWIS REGISTER OF WILLS J ~.-/;)d 9,/ C, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT Rer::: BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 '02 liAR 1 8 I)ATE ESTATE OF DATE OF DEATH f) 7J!~ NUMBER , <'-COuNTY ACN 03-06-2002 DARHOWER 04-23-2001 21 01-0454 CUMBERLAND 101 EDWARD L SCHORPP MARTS ON ETAL 10 E HIGH ST CARLISLE C:c (' ..' ..lan,:\; Allount Rellitted PA 17013 *t./ REV-1SU EX AFP 112-DDl SHIRLEY A 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=is9j-EX-i.FP--li'2-=ooY-----.-i-iifHERYfi.NC-E-TA-i-R'E-CORD-i.ii:,-USTMENT--i.------------------------ ----- ESTATE OF DARHOWER SHIRLEY A FILE NO. 21 01-0454 ACN 101 ADJUSTHENT BASED ON: VALUE OF ESTATE: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets DEDUCTIONS AND EXEMPTIONS: ADMINISTRATIVE CORRECTION (1) (2) (3) (4) (5) (6) (7) 34,900.00 .00 .00 .00 1.433.50 .00 .00 (8) 9. Funeral Expenses/Adllinistrative Costs/ Hiscellaneous Expenses (Schedule H) Debts/Hortgage Liabilities/Liens (Schedule I) Total Deductions Net Value of Tax Return Charitable/Governmental Bequests; Non-elected 9113 Trusts Net Value of Estate Subject to Tax 10. 11. 12. 13. 14. TAX: 15. Allount of Line 14 at Spousal rate 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: (9) (10) 10,629.82 2,466.74 (11) (12) (13) (14) (Schedule J) .OOX 00 = .OOX 045= 23,236.94X 12 = .00 X 15 = (19) (15) (16) (17J (18) DATE 03-06-2002 36,333.50 13,096.56 23,236.94 .00 23,236.94 .00 .00 2.788.43 .00 2.788.43 II l+ J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 01-18-2002 CDOO0768 .00 2,788.43 TOTAL TAX CREDIT 2.788.43 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) REV-1470 EX (6-88) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME DARHOWER, SHIRLEY A REVIEWED BY Bryan Rondon ITEM SCHEDULE NO. INHERITANCE TAX EXPLANATION OF CHANGES EXPLANATION OF CHANGES Receipt# CD000768 applied to the estate. ROW FILE NUMBER ACN 2101-0454 101 Paqe 1 ((0' ( t./'"" LY ()( V REGISTER OF WILLS OF CUMBERLAND COUNTY STATUS REPORT UNDER RULE 6.12 (For Resident Decedents Dying After July 1, 1992) Name of Decedent: Shirley A. Darhower Date of Death: April 23, 2001 File No.: 21-01-454 Social Security No.: 198-30-2153 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Executor is sole beneficiary so no accounting is necessary. d. Copies of receipts, releases, joinders and approvals offormal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: February 14,2003 Signature: Name: Address: ~~~, Edward L. Schorpp, Esquire MARTSON DEARDORFF WILLIAMS & OTTO Ten East High Street Carlisle, P A 17013 (717) 243-3341 Counsel for personal representative F\FILES\DA T AFILE\EST A TES\FORMSlsrep