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HomeMy WebLinkAbout01-0456 Estate of R. also known as PETITION FOR PROBATE and GRANT OF LETTERS ~\ - 0\- 4-Sl,a Russell Drane No. To: Register of Wills fpr the Deceased. County of Cumber .land in the Social Security No. 492 -1 2 - 6 6 8 6 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(X), who isia:ec18 years of age or older an the execut rix in the last will of the above decedent, dated October 6 ~g~~A9~d named , 19~ (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland his last family: or l'rincifal residence at 1 297 Townshi Cumber and Count PA Decendent, then 80 years of age, died A pr i I 2 7 ~~ 2001, ~ Harrisburg Hospital, Harrisburg, PA Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: no exceptions 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: 17,000.00 $ $ $ $ WHEREFORE, petitioneIt;) respectfully request(s) the probate of the last will am4xooJii:cii(x) presented herewith and the grant ofletters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~ '" Q) u I:: '" "O~ .- '" '" '-' '" .... ~~ -g.g cu.;:: 3~ "''"" :;0 ~ I:: OJ) <Zi )L~ J. ou rane 1297 Kelton Road Camp Hill, PA 17011 ~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I ss COUNTY OF CUMBERLAND J The petitioner(Slabove-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner{f;) and that as personal represen- tative(]Q of the above decedent petitioner(sJ will well and truly administer the estate according to law. ~J~~~~~ . I ~ ;:s l::l - ;:: ~ ~ ...... --;"\ ~ ~o. 21 - 01 - 456 Estate of R RUSSELL DRANE , Deceased DECREE OF PROBATE A~D GRA~T OF LETTERS AND NOW MA Y 8, x~ 2001 in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated OCTOBER 6, 1998 described therein be admitted to probate and filed of record as the last will of R RUSSELL DRANE TESTAMENTARY J LOU DRANE and Letters are hereby granted to FEES $ 50.00 $ 3.00 : 18.00 5.00 TOTAL _ $ 76.00 Filed.... ~.J\X. ?'" .~99.1.................. Probate, Letters, Etc. ......... Short Certificates(1 ) . . . . . . . . . . Renunciation ................ X-Pages JCP Called attorney on 5-8-01 MARY CLEWIS JAMES D DAY AlTORNEY (Sup. Ct. I.D. No.) ~401 NORTH FRONT STRFFT SlJ TTE 100 ADDRESS HARRISBURG PA 17110 PHONE (717) 230-0622 H10).H05 REV 9/86 This is to ct'rtify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. P 7297436 11,,11/""""''''''''' IIIIIII~~\.'\\ OF PEi;----__ ll~~~"\. !~... ...... .. \~\ ~:l!:'I." . . \~~ ~C=... ~., I-~ !. c.,..)~>i-:iJ', )::z:. ~ ~ * ~,:< .- '-," -~'-' ,')/ * ~ \~ . -:. ".. ~~l ~~~"'-~\\' ~--_-!lMEN1 \\\ ~\;;.IIII'\ """",,,,,,,,,,,JJilJ,,J /J ~.~., -. ~ tL-,(.A(.;-' /'..... .":/'a.-k~ Local Registrar Fee for this certificate, $2.00 MAY 0 1 Z001 No. Date . i43 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT (flrSl. MKde, Lasz) 1. AGE (LasI &r1hd8vl UNDER 1 YeAR __ Doys R. Russell Drane UNDER 1 OM HounI I ........ SEX 2. Male STATE FILE NUMBER SOCIAL SECURITY NUMBER 3. 492 12 - 6686 DRE OF DEAfH .-.oIl. Dov. '-1 4. April 27, 2001 ). .. Dauphin DECEDENT'S USUAL 0CCtJI'Ill00H (G!Yo lundal_k___ t1n~~"1ter"od) Life 11 11~ DECEDENT'S MAILING ADOREsa (SIt.... c.ty/1Own.~. Zop~l 1297 Kelton Road Camp Hill, PA 17011 11. FRHER'S NAME (1'..1. MKldIe. LasI) ...Harrisburg City Id. KIND OF BUSlNES8IINOUSTRY IIIRTHPlACE (CoIy.... SIal. 01' fore.gn Counbyl PlACE OF DEAfH ~ only one _ _UChOffl on _ oooOt HOSP'_: OTHER: I~_ eg ER/OuqlaI_ 0 !lOA 0 :::::0 0 :=""1 0 80 v... Harrisburg, ~ 1. FACIUTV NAME (If noIlf\5tlUlOO. QN'8 slrNt and numbefl .. COUNlY OF DEAfH Insurance DECEDENT'S ACTUAL RESIDENCE 1See- on 0Ihef SIde) Harrisburg Hospital WI\S DECEDENT EVER IN DECEDENT'S EllUCRlON U.S. ARMEDFOIlCES? ...~ NoD ~ (().12) CaIogo (,-4 or 5+) C;... 14. I1cH..__.. IUoRmu.SWUS._ No___ ~~ Married RACE. American....... sa.ck. whit.-. etc. (SpayI . White 5URVMNG SPOUSE Itt.....gMI__ 13. Nicholson ",._ Ppnm:::y'",;m; ~ DId - ...in. Cunberland -......? 11_.0 ::;;.,.--:::.-.:::.. IotOTHER'S NAME (F.... ModdIo. _ Sumamo) ~ 111>. Cou ~, Thanas E. Drane Irene Elliot J. Lou Drane 1903 Mkt St, CH~ PA 17011 ORE SIGNED " (Mcnr\. Dov. -I 230. WI\S CASE REFERRED 10 MEDICAL EXAMINERICORONER'I _0 oWOl 11. INfORMANT'S NAME (TypolPr..) D1POe1TION O ......x:s ~ 0 _lIh..._D _ Oohof (Spoc; 21L SlOHIlJIJRE OF FUNERAL SER lICENSE NULI8ER 22b. 012755-L the but of my knowtedgll. death oa:urred allhe bme. date and ptace stated. (5ignoIuro _ Tolle) 230. TIME OF DERH .. PART.: Oohof~_--.a.._.bul" not ruuIlng in..... undIftytng~ g;v.n in PART I. 24. 27. MIlT I: Enter the di....... injuries Of c:ompIicahona which caUMd lhe death. Do UIt onty one caUMt on each line. l : _. WERE AUlOPSY FINlllNGS -.....alE PIItOR 10 COMP\.ET1ON OF CAUSE OF DEAfH? DUE 10 (OR AS A cONseauENCE OF), MANNER OF DEATH DREOFINJURY (Monlh. Day, 'Mar) lIME OF INUURV INUURV R WORK? DESCRIBE HOW INJURY OCCURRED. Accident Pending lnvesligation o o o PlACE OF INJURV . AI homo. farm. _.1_. _ M. building. Me. tSpecllvl _. ... 0 NoD - [l{ o o Hom;cido NatUlal 'MEDlCAL EXAMINER/CORONER On Ute basi. of ...mina1lon and/or Iny.eUs..lon, in my opinion. de.th occurr.d at the lime, d.... and place. .nd due to the C8uH(e) and ............. ...ted.. . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . .. ..,..................... ...................................... :a,.. REGIST SKlNATU/,!~ ~I / Pl/l' I ~'/JI.P ~r117d'f .l .....0 NoD Could noc be delermined ... 2.. CEJI1IF11R ICheck oniy onel eCERTWVlNG PHYSICIAN IPhySCliln cerllfylOg cause of death wtler another phvSlCIiln has p10n0unced deilltl ana Complt!led Item 231 To the..... of my know"'.. de.... occurred due to the cauu(s).nd manner .. ...ted. . . . . . . . .. ............. 21. "PRONOUNClNG AND CERT&fY'*1 PHYSICIAN (PhySICian both j.)fOf1OUfoCing oealh clod Cef1dV10910 cause of deattl) To"" bHI of my knowledge, dealhOCCurrM.t the Ume. ute. and place. anei due to ....cau....)and manner.. .tated.............. 34. LAST WILL AND TESTAMENT ill: R. RUSSELL DRANE I, R. RUSSELL DRANE, now of Camp Hill, Cumberland County, Pennsylvania, do hereby declare this to be my Last ~\Vill and Testament and hereby revoke all prior Wills and Codicils made by me. ITEM I. I direct that all of my just debts and funeral expenses, including the cost of my gravemarker, if any, shall be paid from my residuary estate as soon as practical after my decease as a part of the administrative expenses of my estate. ITEM II. I give and devise all of my estate of every nature and wherever situate to my wife, 1. LOU DRANE. ITEM III. Should my wife, J. LOU DRANE, predecease me or die on or before the thirtieth (30th) day following my death, I give and devise all of my estate as follows: A. I give three (3%) percent of my net estate, before inheritance and/or estate taxes, unto the MARKET SQUARE PRESBYTERIAN CHURCH, Harrisburg, Pennsylvania. B. I give two (2%) percent of my net estate, before inheritance and/or estate taxes, unto ALPHA GAMMA RHO FRATERNITY, UNIVERSITY OF MISSOURI, Columbia Missouri. /Z.~r~.~ R. Russell Drane C. I give and devise all of the rest, residue and remainder of my estate of every nature and wherever situate in equal shares to my brothers and sisters and my wife, J. Lou Drane's, brothers and sisters, or their issue, per stirpes. ITEM IV. GUARDIAN OF MINORS' EST ATE: If any income or principal shall be payable to any person who shall be under the age of twenty-one (21) or who shall be incapacitated for any reason, my personal representative, as trustee, shall hold such income and principal for such beneficiary until the age of twenty-one (21) or during incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of , such person without the appointment of any guardian or committee or any authority of court, and shall be entitled to make direct application hereunder or to make application by payment thereof to the parent or other person in charge of such person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be paid and distributed to such person upon attaining the age of twenty-one (21) or upon the termination of incapacity. ITEM V. I appoint my wife, J. LOU DRANE, Executrix of this my Last Will and Testament. Should she fail to qualify or cease to act in such capacity, I then appoint JAMES D. DAY, Gardners, Pennsylvania, First Contingent Executor of this my Last Will and Testament. Should he fail to qualify or cease to act in such capacity, I then appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, Second Contingent Executor of this my Last will and Testament. No bond shall be required by my personal representative(s) in any jurisdiction. Should James D. Day be my personal representative, I direct that he be ;)~ ~ I ~o ~p ! ..-JL-f? -1' sell Drane 2 compensated for his services as such on the same basis as a corporate fiduciary would be compensated. ITEM VI. In addition to the powers given by law to my personal representa- tive( s) and trustee( s) [hereinafter fiduciaries] in the administration of my estate and of any trust(s) created herein, they shall have the following discretionary powers applicable to all real and personal property held by them, including property held for minors, effective without court order until actual distribution. A. To retain any property owned by me at my death and to invest any funds held by them in any stocks, bonds, notes or other securities or property, real or personal, including common trust funds, mutual funds and money market deposit accounts operated or offered by my corporate trustee, if any, or any affiliate of it. B. To sell or otherwise dispose of any property, real or personal, at any time forming a part of my estate or the trust estate, for cash or upon credit, in such manner and on such terms as they see fit, and no one dealing with the fiduciaries shall be bound to see to the application of any monies paid. c. To manage, operate, repair, improve, mortgage or lease for any term [even if beyond the duration of the trust( s)] any real estate at any time held or owned by them as fiduciaries. D. To hold investments in the name of a nominee and exercise and dispose of warrants. R &Wb-!f ~ R. Ru ell Drane 3 E. To engage in litigation and compromise, arbitrate or abandon claims and property . F. To conduct any business in which I am engaged or in which I have an interest at the time of my death for such period as the fiduciaries deem advisable, with the power to borrow money and to pledge the assets of the business and to do all other acts which I, in my lifetime, could have done, or to delegate such powers to a partner, manager or employee without liability for any loss occurring therein. G. To allocate items of receipt or disbursement between principal and income as the fiduciaries deem equitable regardless of the character given such items by law; to distribute in cash or kind or partly in each at valuations fixed by the fiduciaries. H. To borrow money, including the right to borrow from any corporate trustee, if any, and to mortgage or pledge as security or to hold its own stock if a corporate trustee. I. To join in any merger, reorganization, voting trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto. J. Should the principal of any trust herein provided for be or become too small in trustee's opinion so as to make establishment or continuance of the trust inadvisable, my trustee(s) may make immediate distribution of the then remaining principal and any accumulated or undistributed income outright to the person or persons and in the proportion they are then entitled to income. Upon such termination, the rights of all beneficiary(ies) who might otherwise have an interest as succeeding income beneficiary(ies) or in remainder shall cease. ~ f.~~ R. :f{ug5ell Drane 4 K. In general, to exercise all powers in the management of the assets of my estate or the trust estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as the fiduciaries may deem best, and to execute and deliver all instruments and to do all acts which the fiduciaries may deem necessary or proper to carry out the purposes of this will or any trust(s) created herein. 1. To apply income or principal to which any beneficiary is entitled, directly for his or her comfort, maintenance and support, should the fiduciaries deem such beneficiary incapable of receiving the same by reason of age, illness, infirmity or incapacity, or to pay the same to such person or persons as the fiduciaries select to disburse it, whose receipt shall be a complete acquittance therefore without the intervention of any guardian. M. To assume continuance of the status of any beneficiary with reference to death, marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liability for disbursements made on such assumptions. N. All principal and income shall, until actual distribution to any beneficiary, be free of the debts, contracts, alienations and anticipations of any beneficiary, and the same may not be liable for any levy, attachment, execution or sequestration while in the hands of any fiduciaries. Provided, however, any beneficiary may assign any part or all of the beneficiary's interest in my estate or the trust(s) to anyone or more of the beneficiaries or my descendants. ~ IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of (9 ~)~J>998, ~'~~/~ R. Rus ell Drane 5 The preceding instrument, consisting of this and five other pages, identified by the signature of the testator, was on the day and date thereof signed, published and declared by R. Russell Drane the testator therein named, as and for his last Will, in the presence of us, who, at his request, in his presence, i ~/ e of each other, subscribed our names as witnesses hereto. dlJO/V 3<ic:? Jf;~If/j~rtlly/~ ..::::>c= .-LJ~!ift..~ r-t...... ...--' ~ -------.;~ '-- ~c.~-5, .' ,- ~ 0---' 6 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: : SS. COUNTY OF DAUPHIN I, R. RUSSELL DRANE, testator 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. l~. ,,<It/' D~ R. Ru sell Drane Sworn or aW.~_ed to and acknowledged before me, by R. Russell Drane, testator, this /..; -In day of Jl en 1H t' , 1998. ~ ..>D Ku:i Notary Pubhc My Commissio .. NOTARIAL SEAL HOllY S. KIRK, Notary Public Harrisburg, Dauphin County My Commission Expires Feb. 15,1999 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: : SS. COUNTY OF DAUPHIN We, (Lchaul " Pia Gu.j Gn~ Wi U,CtY1 K WU-j,hi- , the witnesses whose names are signed to the attached or foregoing instrument, being uly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the Will as witnesses; and that to the best of our know e the testator was at that time 18 or more years of age, of sound mind and underJlO cons mt od~ nce. .-.-.' --- '- Sworn to and subscribed before me this lj--Iry day of Oc-fofxt' ,1998. NOTARIAL SEAL HOllY s. KIRK, Not~ Public Harrisburg, Dauphin County My Commission Exp. ~ Commission Expires Feb. 15, 1999 E -- Date of Death: CERTIFCATION OF NOTICE UNDER RULE 5.6(A) R t{ 55.e II /?, 1ran~ #fr(' / (J. 7 ~ a~( AdminN<;>..: ;'!-CJI-O~S-6 Name of Decedent: Will No.: 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 Name Address 1: J C) f.L bf"d,z.p i;?cr? f(-€/~ f(~ (eL,)/,/ t?~/70// Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: ~ 0tY&!!J(' ~&/7- gnature J;",.e 5 j) ,~~ Name '-I J- 3 I G r II .; /.p IiltJ Address G tt r/rt #,~ / #-) ~"3;1 Y ~ 17- ~5J'6 -') >f/~ Telephone Capacity: .B-Personal Representative o Counsel for personal representative /6-~9~'? COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCT~ONS AND ASSESSMENT OF TAX RecorC'0[~ \i\1;li,~1 ReclI':)':: ,. H..., DATE ~ ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 om NO~ 16 f\n:51 JAMES D DAY NEW YORK LIFE 3401 N FRONT ST HBG rPlerk.< \..:0.. PA 1~;F,'Yl~~rlanG 11-12-2001 DRANE 04-27-2001 21 01-0456 CUMBERLAND 101 '* REV-1547 EX AFP 112-001 R R Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ifEV'=iS'4,-ix-AFP--n"2':ooY"NoT"ici--OF-YtiHiiiiTANCE-TA"X-APPRAisiif€NT~--AL1-oWANCE-(fR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DRANE R R FILE NO. 21 01-0456 ACN 101 DATE 11-12-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 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. AlIOunt 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 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) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly ONned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets NOTE: (1) (2) (3) (4) (5) (6) (7) .00 22,516.12 .00 .00 .00 .00 .00 (8) NOTE: To insure proper credit to your account~ subllit the upper portion of this forll Nith your tax paYllent. 22,516.12 (11) (12) (13) (14) 11 .556 00 10,960.12 .00 10~960.12 (9) (10) lL556.00 .00 00 = 045 = 12 = 15 = .00 .00 .00 .00 .00 10~960.12 X .00 X .00 X .00 X (19)= TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) s'L Rec()rn;-'r~ of RegI~;i'~ ' REGISTER OF WILLS OF CUMBERLAND COUNTY STATUS REPORT UNDER RULE 6.12 (For Resident Decedents Dying After July 1, 1992) '01 0 Jell P 1 :29 Name of Decedent: R Russell Drane Date of Death: 4/27/2001 Clerk.. Cumbe; -- .....~. ,.J. i PA File No. : 21-2001-456 Social Security No.: 492-12-6686 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representativejile ajinal account with the Court? Yes_ No ~ , b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No$ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may befiled with the Clerk of the Orphans' Court and may be attached to this report. Date:/J- /&~-O I Signature: Name: Address: REV-1500EX(6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 ~{Q-~q- ~ REV-1500 w "' ::.::~(I) ,,"':< w~g "'",-- "..", .. " I- Z W C W () W C INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (lAST, FIRST, AND MIDDLE INITIAL) <? DATE OF BIRTH (MM-DD-YEAR) ('(fl DATE OF DEATH (MM-DD-YEAR) (9 Ii - ? - ,;)<9& I () 5" - I (IF APPLICABLE) SURVIVING SPOUSE'S NAME (lAST, FIRST, AND MIDDLE INITIAL) D('Cl n e.. j, 19 "L o <)1- c./ OFFICIAL USE ONLY ----",.,""--------~----------,.- FILE NUMBER !il-L-~.1 CQUNTYCQDE YEAR c2CJ!iS-C NUMBER ~1.0riginaIReturn o 4. Limited Estate J:8[ 6. Decedent Died Testate (iI.\\2cr. Cop'j III V'liII) D 9. Litigation Proceeds Received D 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-62) D 7. Decedent Maintained a Living Trust (Anach oopy 01 Tlust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1.1.95) SOCIAL SECURITY NUMBER '-If /J- 6G$ r THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER - o 3. Remainder Return (date of death priOI to 12-13-82) D 5. Federal Estate Tax Return Required 8. To\al Number 01 Safe Deposit Boxes o 11. Election 10 tax under Sec. 9113(A} (il.ttachSch OJ t- Z W " Z o .. '" l:! '" o " COMPLETE MAILING ADDRESS (I.. -.L-.,L 7'1(')( iV. ,/'OY/-I :5// 5!e 100 H<et"Y'/56to;Y1 fJ/l- /'7//0 (1) OFFICIAL USE ONLY (2) 'l~ ~/ b. /:2 (3) (4) (5) (6) (7) (B) ;};), 'JI{,.I;).. I~ ?'F c... .tfJo I (9) (10) 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) z o !;;: ..J :J l- ii: <( () W 0:: 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule DJ 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jolntly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule Gross Assets (total Lines 1-7) (11) (12) (13) II,Jyt:J?C90 , 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Uens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;;: I-' :J a.. ::ii: o () g 15_ Amount of Line 14 taxable at the spousal tax /(9 C?~{fJ,12 rate, or transfers under Sec. 9116 (a)(1.2) I x,O_ (15) 16_ Amount of Line 14 taxable at lineal rate x.O_ (16) 17_ Amount of Line 14 taxable at sibling rale x .12 (17) 18_ Amount of Line 14 taxable at collateral rate x .15 (18) 19_ Tax Due (19) 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (14) cQ. C90 to. 6'-0 Decedent's Complete Address: STREET ADDRESS CITY Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0,c90 Total Credits (A + B + C ) (2) 3. InteresUPenalty if applicable D.lnterest E. Penalty TotallnteresUPenalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SA) (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.......................... ............................................................... D b. retain the rightto designate who shall use the property transferred or its income;........ .................................. D c. retain a reversionary interest; or.... ................................ ... ................................................................................ D d. receive the promise for life of either payments, benefits or care? ...................... ............................................... D 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 3. Did decedent own an "in trust fo( or payable upon death bank account or security at his or her death? .............. D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...... . ...................... ................................................................... ................... 0 No ~ g ,B )a jgJ ,0 B IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements. and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which pre parer has any knowledge. SIGNATU~~SON RESPONSIBLE FOR FILING RETURN 3- \R~ ~ k ... - - n - ADDR S c<( DATE lA7k V-/ -~rY&1 6/& DATE f2/. /Ct'? f/"'N'-;,hu"f' P#- /7//1"J 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 dales 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 jf 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 child is 0% [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(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. REV-'S11 EX. <'2-99) . . '*' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF R. R U:>.5 ell [)rQ/7€-. FILE NUMBER ~<9 1- (JJ(!)<l5' 6 ITEM . .'C'.'C' t1UMBER . .. DESCRIPTION . AMOUNT A. FUNERAL EXPENSES: ,. .:z;, ,4rn/11~/7 T ?'C?- ). -e #i>r1,1t I' if Go ()1at-lSC? /-€.<l.m 3/~~? Flc> vv-e y";; /-.6Jr:!) C a<;;{el t C /<'I'J Y !J. "f $"0 run""!..&( ( I '3, ;;Z '1~ Va5e L{tJc:J B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Aepresentalive(sl Street Address CIIy Stale _Zip Year(s) Commission Paid: 2. Attorney Fees 1'10 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address Cily State ~ Zip Relationship of Claimant to Decedent 4. Probate Fees 76 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. TOTAL (Also enter on line 9, Recapilulation) $ 1/, Y~0 Debts 01 decedent must be reported on Schedule 1. (It more space is needed. insert additiOl'lal sheets of the same size) MV-_Ill'(l-17) . COM~_ DTATII CIl' /I ._ _ ___B_~22-e ty 411.- 8TOC1C8 . IIOrIDe Dr/vI-€> .....- - ;)/6)J_--=-c2s2'12b AII,....'plr.YjoIIAI) __I......rfllltaf_f'h...~.........~ rat "011--"'- .. F. ITEM _. VALUE AT DAlE N\JL1UI\ DESaIIPTIOtl UNfTVAlUE ---:-- OF DEATH - -- --- I ()1cllnS~ frl C{ fu~ ( funcl - /9t!lJ ()~S/t,/). Vq / Pl-e UrtJ B -Ii '?r'iT 3 '762'6 - TOTALC_ _.......z. I ():~j'5/~, 1.-2 C._....NHecI._....1 "'_"'''__1 ,-. ,_RaY-f_a_.1_17l , CIIIJlJrtIM(c)1_,..,...n-....~ 1 MainStay . ::Jment Management LLC MainStav Shareholder Services P.O. Box 8<1.01 Boston. MA 02:66-3401 800 MainStay 300624-6782 July 20, 2001 JAMES D DAY NYLIFE SECURITIES INC 3401 NORTH FRONT ST 1ST FLOOR HARRISBURG PA 17110-1462 REFERENCE: 01015263 MAINSTAY VALUE FUND B ACCOUNT NUMBER 79837686 (CLOSED) R RUSSELL DRANE Dear Mr. Day: I am contacting you concerning the request for information about the above referenced MainStay account registered to R. Russell Drane. The information provided in the table below represents the date of death values as of April 27, 2001. I Account Number I I 41-7837686 I Total Shares 1 154.673 Net Asset Value I Total $ Amount I $19.50 I $22 516.12 I The value of the account can be determined by multiplying the total number of shares by the NAV. Fluctuations in the value of your account will occur based on the fluctuation in the net asset value of the Fund. If you have any questions, please contact MainStay Shareholder Services by calling 1-800-MAINSTAY. A representative will be happy to assist you. Sincerely, ~~ Nancy Jurgrau Correspondent CC: J LOU DRANE MainSl">, Shilfenoldar Services is a diVision of NYLlM Smvlce C'lflpdllY, .1 R~g'SI~rp.d Transfer Agent ,3nd affili,lla 01 New York life Investmflnl MaJ1;)(J""lOJnt LLC WHEREAS, on the 8th dated October 6th 1998 was admitted to probate as the last will of DRANE R RUSSELL (LA~l, rlK~l, M1UUL~) late of LOWER ALLEN TOWNSHIP CUMBERLAND County, who died on the 27th day of April 2001 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to J LOU DRANE who has duly qualified as Executor (rix) and has agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 8th day of May 2001. OPy Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters No. 2001-00456 PA No. 21-01-0456 ESTATE OF DRANE R RUSSELL \LA~l, rlK~l, MiUUL~i Late of LOWER ALLEN TOWNSHIP CUM~~KLANU CUUNIY, Deceased Social day Security of May 2001 an instrument No. 492-12-6686 * *NOTE* * ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) " LAST WILl, AND TESTAMENT ID'. R. RUSSELL DRANE I, R. RUSSELL DRANE, now of Camp Hill, Cumberland County, Pennsylvania, do hereby declare this to be my Last Will and Testament and hereby revoke all prior Wills and Codicils made by me. ITEM I. I direct that all of my just debts and funeral expenses, including the cost of my gravemarker, if any, shall be paid from my residuary estate as soon as practical after my decease as a part of the administrative expenses of my estate. ITEM II. I give and devise all of my estate of every nature and wherever situate to my wife, J. LOU DRANE. ITEM III. Should my wife, 1. LOU DRANE, predecease me or die on or before the thirtieth (30th) day following my death, I give and devise all of my estate as follows: A. I give three (3%) percent of my net estate, before inheritance and/or estate taxes, unto the MARKET SQUARE PRESBYTERIAN CHURCH, Harrisburg, Pennsylvania. B. I give two (2%) percent of my net estate, before inheritance and/or estate taxes, unto ALPHA GAMMA RHO FRATERNITY, UNIVERSITY OF MISSOURI, Columbia Missouri. (J ) ,\ . /).i.-t-U-J'( lj)iL.~ R. Russell Drane C. I give and devise all of the rest, residue and remainder of my estate of every nature and wherever situate in equal shares to my brothers and sisters and my wife, J. Lou Drane's, brothers and sisters, or their issue, per stirpes. ITEM IV. GUARDIAN OF MINORS' ESTATE: If any income or principal shall be payable to any person who shall be under the age of twenty-one (21) or who shall be incapacitated for any reason, my personal representative, as trustee, shall hold such income and principal for such beneficiary until the age of twenty-one (21) or during incapacity and shall be entitled to apply such income and principal to the health, maintenance, support and education of such person without the appointment of any guardian or committee or any authority of court, and shall be entitled to make direct application hereunder or to make application by payment thereof to the parent or other person in charge of such person, or to his or her guardian or to a custodian under the Uniform Transfers to Minors Act. Any remaining income and principal to which such person shall be entitled shall be paid and distributed to such person upon attaining the age of twenty-one (21) or upon the termination of incapacity. ITEM V. 1 appoint my wife, J. LOU DRANE, Executrix of this my Last Will and Testament. Should she fail to qualify or cease to act in such capacity, I then appoint JAMES D. DAY, Gardners, Pennsylvania, First Contingent Executor of this my Last Will and Testament. Should he fail to qualify or cease to act in such capacity, I then appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, Secpnd Contingent Executor of this my Last will and Testament. No bond shall be required by my personal representative(s) in any jurisdiction. Should James D. Day be my personal representative, I direct that he be ) -1~~s~IID:~eCL~'fi-k 2 compensated for his services as such on the same basis as a corporate fiduciary would be compensated. ITEM VI. In addition to the powers given by law to my personal representa- tive(s) and trustee(s) [hereinafter fiduciaries] in the administration of my estate and of any trust( s) created herein, they shall have the following discretionary powers applicable to all real and personal property held by them, including property held for minors, effective without court order until actual distribution. A. To retain any property owned by me at my death and to invest any funds held by them in any stocks, bonds, notes or other securities or property, real or personal, including common trust funds, mutual funds and money market deposit accounts operated or offered by my corporate trustee, if any, or any affiliate of it. B. To sell or otherwise dispose of any property, real or personal, at any time forming a part of my estate or the trust estate, for cash or upon credit, in such manner and on such terms as they see fit, and no one dealing with the fiduciaries shall be bound to see to the application of any monies paid. C. To manage, operate, repair, improve, mortgage or lease for any term [even if beyond the duration of the trust(s)j any real estate at any time held or owned by them as fiduciaries. D. To hold investments in the name of a nominee and exercise and dispose of warrants. R &uw-Pf QA.~ R. Ru ell Drane 3 E. To engage in litigation and compromise, arbitrate or abandon claims and property . F. To conduct any business in which I am engaged or in which I have an interest at the time of my death for such period as the fiduciaries deem advisable, with the power to borrow money and to pledge the assets of the business and to do all other acts which I, in my lifetime, could have done, or to delegate such powers to a partner, manager or employee without liability for any loss occurring therein. G. To allocate items of receipt or disbursement between principal and income as the fiduciaries deem equitable regardless of the character given such items by law; to distribute in cash or kind or partly in each at valuations fixed by the fiduciaries. H. To borrow money, including the right to borrow from any corporate trustee, if any, and to mortgage or pledge as security or to hold its own stock if a corporate trustee. 1. To join in any merger, reorganization, voting trust plan or other concerted action of security holders, and to delegate discr~tionary duties with respect thereto. J. Should the principal of any trust herein provided for be or become too small in trustee's opinion so as to make establishment or continuance of the trust inadvisable, my trustee(s) may make immediate distribution of the then remaining principal and any accumulated or undistributed income outright to the person or persons and in the proportion they are then entitled to income. Upon such termination, the rights of all beneficiary(ies) who might otherwise have an interest as succeeding income beneficiary(ies) or in remainder shall cease. I) /) 7\ i , L..J..dI eLA1V' R)Rursell Drane 4 K. In general, to exercise all powers in the management of the assets of my estate or the trust estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as the fiduciaries may deem best, and to execute and deliver all instruments and to do all acts which the fiduciaries may deem necessary or proper to carry out the purposes of this will or any trust(s) created herein. L. To apply income or principal to which any beneficiary is entitled, directly for his or her comfort, maintenance and support, should the fiduciaries deem such beneficiary incapable of receiving the same by reason of age, illness, infirmity or incapacity, or to pay the same to such person or persons as the fiduciaries select to disburse it, whose receipt shall be a complete acquittance therefore without the intervention of any guardian. M. To assume continuance of the status of any beneficiary with reference to death, marriage, divorce, illness, incapacity or other change in the absence of information deemed reliable without liability for disbursements made on such assumptions. N. All principal and income shall, until actual distribution to any beneficiary, be free of the debts, contracts, alienations and anticipations of any beneficiary, and the same may not be liable for any levy, attachment, execution or sequestration while in the hands of any fiduciaries. Provided, however, any beneficiary may assign any part or all of the beneficiary's interest in my estate or the trust(s) to anyone or more ofthe beneficiaries or my descend~ , IN WITNESS WHEREOF, I have hereunto set my band and seal this C- day of {~c.~,J>>1, J>998. ~. ~"'Jf~\-~ R. Rus ell Drane 5 ,."., The preceding instrument, consisting of this and five other pages, identified by the signature of the testator, was on the day and date thereof signed, published and declared by R. Russell Drane the testator therein named, as and for his last Will, in the presence of us, who, at his request, in his presence, i ~e p~nre of each other, subscribed our names as witnesses hereto. /~ . .~I ~ ~O o/v ?IA(!J Jf;~If/1r.rt{//'rr 6 ..;JcO;(J7~fI.fr .~~r1...... .. . '--' ,,--'., -~ --?--- ---~~' -- ~ < . 6 . ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: : SS. COUNTY OF DAUPHIN I, R. RUSSELL DRANE, testator 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. R .lOA.-!i' (~ R.~UAsell Dnane this ["In Sworn or affirmed to and acknowledged before me, by R. Russell Drane, testator, day of ( )c tv /).(/ , 1998. ~_ ~ KuJ I Notary Public My Commissio NOTARIAL SEAL HOLLY s. KIRK, Notart Public Harrisburg, Dauphin County My Commission expires feb. 15, 1999 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: : SS. COUNTY OF DAUPHIN We, L,churd L f/q' 6(),4 WiLuCrn;< '.A..I" ,the witnesses whose names are signed to the attached or foregoing instrument, being uly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the Will as witnesses; and that to the best of our knowl e the testator was at that time 18 or more years of age, of sound mind and under no cons nt 0 d~u~nce. / c::::::'" <;? ~/.:~ -- ----.- ~ - ~ ~ Sworn to and subscribed before me this uP, day of Qcfolx/ ,1998. NOTARIAL SEAL HOllY S. KIRK, Notwy Public Harrisburg, Dauphin County My Commission Exp' ~Commlssion Expires Feb. 15,1999