Loading...
HomeMy WebLinkAbout01-0457 PETITION FOR PROBATE and GRANT OF LETTERS ~-Ol- 1/67 AUDREY 1. PARKS No. To: Estate of also known as Register of Wills for the Deceased. County of Cumberland in the Social Security No. l68-16-fi373 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or in the last will of the above decedent, dated April 1 and codicil(s) dated None named , 19---B.2.- (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland h pr last family or principal residence at 11 ') WP&:T Port J a:oc'1 Mechanicsburg. Cumberland County. Penn!';y1 v::mi:=t (list street, number and muncipality) County, Pennsylvania, with Street. Borough of Decendent, then 71. years of age, died April ':\0, ,:t9: 2001 , at Holy Spirit Hospital, East Pennsboro Township. Cumberland County. 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: None Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ lTnf'RTimQtf'd (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ Nonf' situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters teRtamf'nt :=try (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. '" ~ <1) u C <1) ~3 <1).... co:g -g.g cd "0 ,-,<1) ~~ <1),- ;;0 ~ c bI) CIi ~Q~ Edwarq H. PQrkR 115 West Portla.nd Stnllst Mechanicsburg. PA 17055 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF CUMBERLAND J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. ~j t'~ Edward H. Parks en O:C;. ::s I::l - ;: ~ ~ '" ,.., ~o. 21-2001- 457 Estate of AUDREY 1. PARKS , Deceased DECREE OF PROBATE A~D GRA~T OF LETTERS AND NOW May 8th ~ 2001 in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, lT IS DECREED that the instrument(s) dated April 1, 1982 described therein be admitted to probate and filed of record as the last will of Audrey I. Parks and Letters TestamentRry are hereby granted to Edward H. Parks Probate, Letters, Etc. ......... Short Certificates(2 ) . . . . . . . . . . Renunciation ................ x-Pages (3) JCP $ 40.00 $ 6.00 $ $ 9 . 00 TOTAL _ $ 5.00 . . .May. .8th,. .200~ . . . . . .$ . 60.00. . FEES Filed (717) nQ7-R"i2R PHONE MAILED LETI'ERS TO A'ITORNEY. HI05.805 REV 9f86 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local R?gistrar. The original certificate will be forwarded to the State Vital Records Office for permanent ~ling. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~~ -!?L"-IIl't4 Local RegIstrar Fee for this certificate, $2.00 p 7386350 If( f' ;2 I Joo/ Date 21-2001-457 Hl05.i43Aey 2187 COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH TYPE/PRINT IN PERMANENT BLACK INK Cumberland SEX S"ToIOl F....E NUMBER SOCw. SECURtTV NUMBER >>AYE OF DECEDENT IfltSl'. MIddle. LaII' I. AGE"(LaSl9tf1haayJ 71 Irene Parks UNDER t DAY ttoura i MinutM .. female 2.168 -36 V<e. 5. COU1'tlY Of DERH ... DECEDENT'S USUAl OCCUPAllOH (or.. klIId ClI weft dI:lrIII (lur1llQ mDIt ~~~'-~) booe .~ 11~ DECEDENT'S MAtLING ADORESS 1Str...~. sa... ZrpCodeI 115 W. Portland st. ,..Mechancisburg, PA 17055 FAl'HER'S.NAME tf_Sf. M.odIe. lasll 10. unknown INF.-....T.SNAIoOEtl_ ..f.dward H. Parka METHOOOF o.sPOSlT~ O ~c..........D 00Mt.Ian o.h<< (Speclfyl 21.. SIGNATURE C6 FU"'! SUAVlV1HG SPOuSE III.... iJMIl'NIden 1'IoIme) ... oeCEDlENT'S ACTUAL RESIDENCe -.............,. on""""_ '7A. SQuI PA '11>. Cumber land ""' - .....a _1 17..19 :;..-=.:::::.. Mechanicsburq MOTHER'S NAME IF.st. MIddle, Marden Surt\alTll8J ... Violet unknown Ji5AHws."'P:)'rff~:rsE":ITown~'1tSburg, PA 17055 PlACE OF DISPOSITION. Name of CetMI<<y. C(iMnaUXy lOCRlOtt. CitrfJown, &.l.. Zip Code ",00...-- Mt. Pleasant cemetery - ,- 23b. 23c. MS CASE REfERRED 10 MEDICAl. ElC.M&lHEAlCOAQNER? _ _ of ...0 ..,..... ... t "WWOU'nat. PART M: 0Iber ~ condlIioM conItlbuting 10 dPdI. buC i inIerV. tMItwMn nol.......-g in lha ~CAUSe 9iYen in PART. lonMI and ..... I Uc. UCENSE NUMBER 011667 L NAME AHOAOQRESS OF FAClUTY ..Mal zzi Funeral lICENSE NUMBER ~ '>- t: DUE 10 cOR AS A CQNS(OUENCE Of): ........ ~ o OATE OF lNJUfl,V tUOfllh.O~.'INI1 lIME Of JNJURY INJURY A1 'M)RK1 DESCflfBE HOW lNJURV OCCURRED. WERE AUtOPSY FINDINGS AWIUl.ABLE PfUOA to COMPleTtOH 01 CAUSE OfOERH1 MANNER Of DEATH AcCldenll Parn:llng InveSlIgallOl't o [] o ~E OF INJURY. AI nome. ta',::.... factDfy, OfficA M. ~."C_ISpeclfvl .... .... 0 NoD HC/mICide """ v.. 0 1". 2". CERTlFlE"lCf>eckoniy~ "CERTIFYING PH'tSICtAN IPnySlt:1afl Cflfl""ll'\g cause ~ ooalh wtl8f' ....'OItle' uhy5lC.afl tlctS plOflOUnced Uedltl arl{] campltiled Ilern 231 ro.,.. M.' of 1ft, llnow~. .Am occlU'l'aCt...1O --. c..uu-(t.) and me",", .. .'.'ed. . ~{ I;:LJ ( 11..1 'k-i SIGNATURE AHD TITLE r 31b. lICENSE NU R [] "../"IIDO( 2..0 ez.. G ". . NAME AND ADDRESS OF PERSON WHO COMPt.ETED CAUSE OF DEATH (hem21ITV....P'int J'2-a c;.--u ~,"VJ()N.. ,.....0 [J e,.~ //oJ~t-""'" ef-f- (~j). 32. C. ,t.. L. DATE FIl.ED lMonlh Day. 'Nail No')1l Suicide Could flOC ~ delermlllod LOCATION fStr-. C4v/Towo. SIaIaJ zo. ~ 2 iil c is ~ . Z "PRONOUNCIHQ:AHQCEATlf'tING PHYStC!AN lPhv:ilClafl txllf1 ;.>rUfI(k"x:,ng IJC.lIIl .md..:e.tdvonq,to <.:.JUW 01 ~a\h\ 10 1he ~I 01 my knowtectglt, d.aUl OCCUJJ" alShe Urne, dAle. and place, aM due 10 lhA cauM(a) and mannc, ,IS staled . "MEDICAL EXA."IN~A1COftONEA On the baA.. o'...mlRAtlon andlOt Inveslig..1ion. in my opinion, death occurred at the time, date, and place, and due to Ihe cause(a) and manne' .. SI.t~.. . 11. " r.' \~) LAW OFFICES SNELBAKER. McCALEB 8: ELICKER 'I I I II I I LAST WILL AND TESTAMENT I, AUDREY I, PARKS, of the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funer I expenses be paid by my Executor or Executrix, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my husband, EDWARD H. PARKS, absolutely and in fee simple, if he survives me by as many as sixty (60) days. THIRD. If my husband, EDWARD H. PARKS, does not surVlve me by as many as sixty (60) days, then and in that event, I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoev r situated, in equal shares unto my six children, namely, CAROLYN A. SEELEY, PAULA J. DETWEILER, BETTY J. PARKS, ROGER G. PARKS, RICKY L. PARKS and KEITH E. PARKS, share and share alike, absolutely and in fee simple. If any of my said children should predecease me and leave issue to survive me, I order and direct that the residuary share of each such deceased child shall be distributed unto his or her issue per stirpes by representation and not per capita, subject, however, to the protective provisions as more ~ V\~ \' ,-) ,~ LAW OFFICES SNEL.BAKER. McCAL.EB a EL.lCKER fully set forth in Item Fourth hereinbelow. FOURTH. I order and direct that the distributive share or interest of any beneficiary above who has not attained the age of twenty-one (21) years shall be delivered and paid over unto COMMONWEALTH NATIONAL BANK of Harrisburg, Pennsylvania, as my Testamentary Trustee, IN TRUST, NEVERTHELESS, to hold, manage, invest and reinvest for the use and benefit of such beneficiary until he or she attains the age of twenty-one (21) years, said Trustee to have discretionary power and authority to use, expend and apply from time to time such amounts of both income and principal as said Trustee shall deem necessary and proper for the beneficiary's support, maintenance and education (including college or other post-high school training), and upon the beneficiary's attainment of age twenty-one (21) years, I order and direct that the trust be terminated and the then remaining balance thereof, if any, shall be delivered unto the beneficiary, absolutely. LASTLY. I nominate, constitute and appoint my husband, EDWARD H. PARKS, to be the Executor of this, my Last Will and Testament, but if for any reason he should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my son, namely, ROGER G. PARKS, to be the Executor hereof. If both of the foregoing persons should fail to qualify as my personal representative hereunder or cease so to serve, then and in that ultimate event, I nominate, constitute and appoint my daughter, namely, CAROLYN A. SEELEY, to be the Executrix of this, my Last Will and Testament. I order and direct that no bond or other security shall be required of my Executor or Executrix, as the case may be, LAW OFFICES SNELBAKER. MCCALEB Be ELICKER as a condition of qualification hereunder. IN WITNESS WHEREOF, I, AUDREY I. PARKS, have hereunto set my hand and seal to this, my Last Will and Testament which consists of three (3) typewritten pages to each affixed my signature this /~ day of (q~ of which I have A.D., One Thousand Nine Hundred Eighty-two (1982). A j ~. / [li/-tt~ ~jJ. \.~ (SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by AUDREY I. PARKS, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. ~~~. 171. d ~. ) /' ~ /2 ,~C:lzjla'~xp G, /~<'.&..<;t..n-'<::,,- .. LAW OFFICES SNELBAKER. McCALEB Be ELICKER , CO~1MONWEALTH OF PENNSYLVANIA ) SS COUNTY II I OF CUMBERLAND) We, AUDREY I, PARKS, JANET M. FORRY and CATHARINE E. BOUSUM, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therei expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. 1 0./ J ..~ lu-/~ C__ _ . Testatrix ~1~~ '(II. \01 ~I Wltness . ~:'../ {j;;bl~/u~ (0: /~fl..um-' Witness Subscribed, sworn to and acknowledged before me by AUDREY I, PARKS, the Testatrix, and subscribed and sworn to before me by JANET M. I AU.- FORRY and CATHARINE E. BOUSUM, witnesses, this; day of ~J /1 V , 1982. ~P<i~~ . ~otar Plblic \"I.' FLORENCE B. IOSCHlP. NG!ny Pu0L:C MECHA,r-!!CS.ULiRG n'~:i; "I: ':,H CU:\~EEK~ /.~<D ~}'" ("'r!\'1\::S~'\Q~'J i; 1 O~7 .- J;- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Audrey 1. Parks, Deceased Date of Death: April 30,2001 No. 2001-00457 PA No. 2101-0457 To the Register: I certify that notice of beneficial interest 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 10, 2001: Name Address Edward H. Parks 115 West Portland Street Mechanicsburg, P A 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NONE. Date: May 10, 2001 Ric ard C. Snelbaker, Esquire Snelbaker, Brenneman & Spare, P.C. 44 West Main Street Mechanicsburg, PA 17055-0318 (717) 697 -8528 , REV-1500 EX + (6-00) OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA REV-1500 /6 ,:)~9 9 DEPARTMENT OF REVENUE DEPT. 280601 INHERITANCE TAX RETURN FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 21 2001 0457 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Parks , Audrey I. 168-36-6373 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 04/30/01 01/15/1930 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Parks , Edward H. 3. Remainder Return CHECK ~ ,. Original Return ~' Supplemental Return 8 (date of death prior to 12-13-82) APPRO- 4. Limited Estate 4.. Future Interest Compromise 5. Federal Estate Tax Return Required (date of death after 12-12-82) PRIATE 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach acopyofTrust) BLOCKS 9. Litigation Proceeds Received 10. Spousal Poverty Credit(dateof death between 0 11. Election to tax under Sec. 9113(A) 12-31-91 and 1-1-95) (Attach Sch 0) rtl!$'$~9'tIQf.iMQ$''tal!bbMRU~Q?AWPQfll\~~fi'qg~j:iQfi'fipgtffiAlitA*JI'lF9l!MAt'9N$!l6!iLti~pi!l~c;:tePJ:!~; NAME COMPLETE MAILING ADDRESS COR- Richard c. Snelbaker 44 West Main Street RE- FIRM NAME (If Applicable) Mechanicsburg, PA 17055 SPON Snelbaker, Brenneman & Soare, P.c. DENT TELEPHONE NUMBER 717-697-8528 Or: O~FICIAL USgjlNL Y 1. Real Estate (Schedule A) (1) NOl'O!f(i5 o :oro 2. Stocks and Bonds (Schedule B) (2) No~;c - r(lJ (') 1("J .~ 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None c:::> :.-;~" ?f~ 4. Mortgages & Notes Receivable (Schedule D) (4) Nortl;; C":l 5. Cash, Bank Deposits & Miscellaneous Personal ~' ; ~ ~ Property (Schedule E) (5) 8,500.0D. 6. Jointly Owned Property (Schedule F) ~.. ; --0 D w 0 Separate Billing Requested (6) NonEti , W -. RECA- J."'-' ~ PITULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) None 8. Total Gross Assets (total Lines 1-7) (8) 8,500.00 9. Funeral Expenses & Administrative Costs (Schedule H)(9) 7,520.50 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) None 11. Total Deductions (total Lines 9 & 10) (11) 7,520.50 12. Net Value of Estate (Line 8 minus Line 11) (12) 979.50 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) None has not been made (Schedule J) 14. Net Value Subject to Tax (Une 12 minus Une 13) (14) 979.50 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 979.50 X .0 0 (15) 0.00 TAX 16. Amountof Line 14 taxable at lineal rate 0.00 X .0 45 (16) 0.00 0.00 - 0.00 COMPU- 17. Amount of Line 14taxableatsiblingrate X .12 (17) TATION 18. Amountof Line 14 taxable at collateral rate 0.00 X .15 (18) 0.00 19. Tax Due (19) 0.00 20. 0 I~QKti~)FYPQ\@jj;jflj;jQ!i~$ft~Aij~"plWAfj9j1jjfilpI\YMj;jtffl . '.' ........ '.',. . .. >~,BE.'SUI1E'TO)\NSWER.ALL,QUE8TlON$'ON'PAGE2ANDIlECHECKMAT'H~< o PA15001 NTF 29755 Copyright 2000 Greatland/NelcQ LP - Forms Software Oniy PA R~V-1500 EX (6-00) Decedent's Com lete Address: STREET ADDRESS 115 West Portland Street Page 2 Mechanicsb CITY Mechanics Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATE PA ZIP 17055 (1) 0.00 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty 11 applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) 4. 11 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 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WillS, AGENT (3) 0.00 (4) (5) 0.00 (SA) 0.00 (58) 0.00 ""-,-,,..,-,.:.,-;.;.;.;.;.;-;-,.:.,-:.;.:-:.;.;-:-;.;.;-:.;-:.:.;.;-,.;-:-,.;-:.;.;.;-:.;-;-;-;.:.;.:.:.;.:-";':';':':';':';'::";':':':':"':':"::""":'-':';'-:;':'-:,';:-:,';';:-';';:-:;:;:::;:;'-:,' ;:-:,';:-:-:;'-:-:::-:-:;'-::':'::::;:;;:::':"::;;',:::;'-:-':'-:-';'-:;':'-';';'-:;';;::;';::::"::,:;,:;::;::::;;::;'-.-.;:.:.:. .}}:{t.}:./:{t:}:(:)::::}j::::t:::.'::(:t~:::}}tt:::(?::))))~:::):.(:;:::::):::\},:):}:\::\)::):/t(:::::::)}t~}}::':~:::)::)\)/\t?\::::?:(:>::)::>:::::;:;,:-, i:>LEASEANSWER THE FOLLOwiNG QUESTiONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS ,. 3. 4. Did decedent make a transfer and: a. retain the use or income of the property transferred; b. retain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or. . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Yes No ~ I B ~ 2. o o Under penalties of perjury, I declare that I have examined this return including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other tlian the personal representative is based on information of which preparer has any knowledqe. SIGNATURE OF PERSON RESPONSI8LE FOOl FILING RETURN DATE b\N?~Yt Ii. (j!.~ /,2 / ,g / () I ADDRESS t , See Sche SIGNATUR F ADDRESS 44 West Main Street, NTATIVE DAT / 1~'10/{)/ PA 17055 on on use [72P.S.1i 9116(a)(1.1)(i)]. For dates of death on or after January 1, 1995, the tax rate is imposed on the net value of transfers to orforthe use of the surviving spouse is 0% [72 P.S. Ii 9116 (a)(1.1)(ii)]. The statute nnAI': nnt AI/Amnt 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 child isO% 172 P.S.g9116{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.1i 9116(1.2) [72 P.S.!i 9116(aX1)]. 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. !i 9116(a)(1.3)]. A siblin9 is defined, under Section 9102, as an individual wi10 hasat least one parentin common with the decedent, whether by blood oradoption. o PA15002 NTF 29756 Copyright 2000 GreatlandlNelco LP - Forms Software Only Estate of: Audrey I. Parks 21-2001-0457 The following person(s) are signing the return as representative(s) of the estate: Edward H. Parks 115 West Portland Street Mechanicsburg, PA 17055 REV,150B EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Audrey I. Parks SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-2001-0457 ITEM NO. DESCRIPTION Include proceeds of litigation & date proceeds were received by the estate. All nrop. Jointly-owned with right of survlvorshlc must be disclosed on Sch. F. VALUE AT DATE OF DEATH 1 2000 Ford Focus LX autanobile, appraised value 8,500.00 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 Nelco, Inc. TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 8,500.00 REV.1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Audrey I. Parks SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-0457 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: AMOUNT 1 Malpezzi Funeral Home, funeral services 5,828.50 2 James Gingrich MellDrials, ITBrker 1,322.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address 0.00 City State Zip Year(s) Commission Paid: 2. Attorney Fees Name: Snelbaker, Brenneman & Spare 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 300.00 0.00 4. Probate Fees 60.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7 Register of Wills, CUmberland County, filing fee for Inheritance Tax Return 10.00 7 CPA11 NTF10911 Copyright Forms Software Only, 1997 Nelco, Inc. TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 7,520.50 REVr1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Audrev I. Parks No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) RELATIONSHIP TO DECEDENT Do Not List Trustee(s) 1 Edward H. Parks 115 West Pcrtland Street Mechanicsburg, PA 17055 Surviving spouse 21-2001-0457 AMOUNT OR SHARE OF ESTATE 979.50 ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 7 CPA13 NTF 10913 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. 0.00 ~~._..." ~ ~, LAW OFFICES SNEl.BAKER. McCALEB &: ELICKER LAST WILL AND TESTAMENT I, AUDREY I, PARKS, of the Borough of Mechanicsburg,'County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make"publish and declare this as and for my Last will and, Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor or Executrix, as the case may be, hereinafter named, as soon as conveniently may be done after my ~ 1 decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my.Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my husband, EDWARD H. PARKS, absolutely and in fee simple, if he survives me by as many as sixty (60) days. THIRD. If my husband, EDWARD H. PARKS, does not survive me by as many as sixty (60) days, then and in that event, I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoev 1 situated, in equal shares unto my six children, namely, CAROLYN A. SEELEY, PAULA J. DETWEILER, BETTY J. PARKS, ROGER G. PARKS, RICKY L. PARKS and KEITH E. PARKS, share and share alike, absolutely and in fee simple. If any of my said children should predecease me and leave issue to survive me, I order and direct that the residuary share of each such deceased child shall be distributed unto his or her issue per stirpes by representation and not per capita, subject, however, to the protective provisions as more , ~ ~ LAW OFFICES SNELBAKER. McCALEB a: ELICKER fully set forth in Item Fourth hereinbelow. FOURTH. I order and direct that the distributive share or interest of any beneficiary above who has not attained the age of twenty-one (21) years shall be delivered and paid over unto COMMONWEALTH NATIONAL BANK of Harrisburg, Pennsylvania, as my Testamentary Trustee, IN TRUST, NEVERTHELESS, to hold, manage, invest and reinvest for the use and benefit of such beneficiary until he or she attains the age of twenty-one (21) years, said Trustee to have discretionary power and authority to use, expend and apply from time to time such amounts of both income and principal as said Trustee shall deem necessary and proper for the beneficiary's support, maintenance and education (including college or other post-high school training), and upon the beneficiary's attainment of age twenty-one (21) years, I order and direct that the trust be terminated and the then remaining balance thereof, if any, shall be delivered unto the beneficiary, absolutely. LASTLY. I nominate, constitute and appoint my husband, EDWARD H. PARKS, to be the Executor of this, my Last Will and Testament, but if for any reason he should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my son, namely, ROGER G. PARKS, to be the Executor hereof. If both of the foregoing persons should fail to qualify as my personal representative hereunder , I or cease so to serve, then and in that ultimate event, I nominate, constitute and appoint my daughter, namely, CAROLYN A. SEELEY, to be the Executrix of this, my Last Will and Testament. I order and direct that no bond or other security shall be required of my Executor or Executrix, as the case may be, LAW OFFICES SNELBAKER. McCALEB 8: ELICKER ,,:' :"1 [! I:.; "" as a condition of qualification hereunder. IN WITNESS WHEREOF, I, AUDREY I. PARKS, have hereunto set my hand and seal to this, my Last Will and Testament'which consists of three (3) typewritten affixed my signature this I~ day pages to each of which I have of~~1R A.D., One Thousand Nine Hundred Eighty-two' (1982) . .l"" u", 'Il.~//~ ,.jJ. \~ (SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by AUDREY I. PARKS, the Testatrix therein named, as and for her Last will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. ~~ur /11. ~-7~_ ~? " '. ( '.~, a$"ZbJr'(l ";:f' /&U1Lt.;-1A--/ LAW OPFICES SNELBAKEFt. MCCALEB a ELICKER COMMONWEALTH OF PENNSYLVANIA ) COUNTY : SS OF CUMBERLAND) We, AUDREY I, PARKS, JANET M. FORRY and CATHARINE E. BOUSUM, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being firs~ duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therei expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. /2~d'~ ~ C?~, {~ Testatrlx 9<1,,, ,ot w~~e~ o--t /./ M ,~;/, . ( -a,(;t1dnJu:P 'r" ~1rU.<.n-t-> Witness Subscribed, sworn to and acknowledged before me by AUDREY I, PARKS, the Testatrix, and subscribed and sworn to before me by JANET M. FORRY and CATHARINE E. BOUSUM, witnesses, this /,d.;t- day of .~ , 1982. ~~~G~~ . ,!Qatar P blic \I' FLORENCE B. LOSCHlll, NorA~Y PUBLIC . MECHANICSBURG BOrWIJGH CUMBERLAND COll!HY MY cOMMISSION EXPIRES APR. 6, 1982 \- /6-~.2 9-? COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, AllOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ReC,."dc. Rei; _" D\TE {'JiIl;f.STATE OF DATE OF DEATH FILE NUMBER P 1 C4UNTY ACN 01-29-2002 PARKS 04-30-2001 21 01-0457 CUMBERLAND 101 '02 FEB-1 RICHARD C SNELBAKER SNELBAKER ETAL 44 W MAIN ST MECHANICSBURG '* REY-15~7 EX AFP 112-001 AUDREY I Allount Reid tted Ci&rh,; PA 17055 Cumberc PA 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-EX-AFP--fi'2=oOYNOTicE"-OF-YNHEifiTANCE-YAX-APPRAisEMENT~-Ar.LOiANCE-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF PARKS AUDREY I FILE NO. 21 01-0457 ACN 101 DATE 01-29-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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: 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 Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ll) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 8,500.00 .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) 7,520.50 .00 (11) (12) (13) (14) NOTE: 979.50 X .00 X .00 X .00 X NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 8,500.00 7.57'0 50 979.50 .00 979.50 00 = 045 = 12 = 15 = .00 .00 .00 .00 .00 (19)= TAX CREDITS: PAYMENT REl:UPT 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 ~nR 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 COUNTY OF CUMBERLAND J 55: Edward H. Parks s w.o rn according to law, deposes and says that he il'l thA P.YAr"'IIt.C1r of the Estate of AlIClrp.y T P::!rkl'l late of Mechanicsb.u~-Bor-o~-. , Cumberland County, Pa., deceased and that the within is an inventory made by Edward H. Parks _. the said Execut .or of the entire estate of said decedent, consisting of all the personal propo!rty and real estate, except real estate outside the Commonwealth of Pennsylvania. and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. being duly Sw.o rn ~~(jJ~ . Adm'.'''"", and subscribed before me, May 15, ~J /002 S:C\nc1~~ ~~ Edward H. Parks 115 West P.ortland Street Mechanicsburg, PAl 7055 -..........."-.-. Notarial Seal Sandra K. Showers, Notary Public ~ Boro, Cumberland Coun My CommissTon Expires Nov. 22, 200 Address Member. P~n"~rl\r~",.,j.~ !!-:~~"',"";,""N""\""1:""if ""Jr;"~,v;'_"'.'" Date of Death 30th 2001 April Day Month Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal repres~five. ~( ~i 2. A supplement inventory must be filed within thirty days of discovery of additional as~ts. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. _-' I J: '..j' --' >- -0 CD C"'" I- W ... ~ 0:: l- 'll lJ) W -( 41 ~ Q.. I- U Q) .:r 0 41 Gl 0 (/) 0 O'~ 9 w c:: w :.~ l- I Q.. LL U) Z I- ..J 'll r-i - -( 0 ~ Q.. Q) LL ..J W 0 -( w co' >- s::: > Z c:: (:l., ... CI) Z 0 c ~. 0 ::s . . (/) Z 0 u 0 c:: H U Z w < - '0 Q.. ar -c ~ c: co ~ 'll .!:: - -.: '0 0 0 ::lj Ql ....... C(, ..0 -c ..lit 0:; I CD E ..! 0 I ... ::s 0 'll I ..J () u:: CD . u Inventory of the real and personal estate of AUDREY I. PARKS, Deceased PERSONALTY: 1. 2000 Ford Focus LX Automobile $ 8,500.00 TOTAL PERSONALTY: $ 8,500.00 REAL ESTATE: None $ 0.00 TOTAL PERSONALTY AND REAL ESTATE: $ 8,500.00 Page 1 ()/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Audrey I. Parks Date of Death: April 30. 2001 Will No. 21-01-0457 Admin. No. 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, ~tate 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? Yes - X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be a- 0 this report. / Da te : 5~S/01- "ij !1:J -, Richard C. Sne1baker Name (Please type or print) 44 West Main Street Mechanicsburg, PA 17055 Address l :;;: ' S t ,(\IIA ZOo (717) 697-8528 Tel. No. Capacity: Personal Representative (MAH:rmf/AM3) X Counsel for personal representative LAW OFFICES SNELBAKER. BRENNEMAN & SPARE RECEIPT AND RELEASE .:2/ - 0 I -457 WHEREAS, Audrey I. Parks, late of Mechanicsburg Borough, County of Cumberland and Commonwealth of Pennsylvania, died on April 30, 2001, having first made her Last Will and Testament in writing probated before the Register of Wills of said Cumberland County on May 8, 2001, and Letters Testamentary were issued on the same date to Edward H. Parks, the Executor named in the Last Will and Testament of said Decedent; and WHEREAS, said Executor has entered upon and completed his administration of said Decedent's Estate as set forth in his First and Final Account attached hereto, and intends to distribute the net balance of the assets of said Estate to the person named in the Statement of Proposed Distribution also attached hereto, both of said documents being incorporated herein by reference thereto; and NOW KNOW ALL MEN BY THESE PRESENTS, that I, Edward H. Parks, being the principal legatee and distributee named in the Will of said Decedent and the person entitled to share in the residuary distribution of the Estate of said Decedent, do hereby declare and say that I, have examined the attached Account and Statement of Proposed Distribution, and find the same to be true and correct, and in strict accordance with the terms and provisions 1 LAW OFFICES SNELBAKER. BRENNEMAN & SPARE of said Will, and I do hereby acknowledge that I this day have, had and received of and from Edward H. Parks, the Executor of the Estate of Audrey I. Parks, the cash, personalty and/or real estate set opposite my name In the above Statement of Proposed Distribution, in full satisfaction, payment and discharge of all such sum or sums of money, legacies and bequests, share or shares, purports and dividends which were due, owing and payable and belonging to me by any means whatsoever, for or on account of my full share, part or dividend of the Estate of Audrey I. Parks, Deceased. NOW, THEREFORE, I, the said Edward H. Parks, do by these presents, remise, release, quit-claim and forever discharge the said Edward H. Parks, his heirs, executors and administrators, of and from my said shares or dividends of the Estate aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or of any act, matter, cause or thing whatsoever, from the beginning of the world to the day and date of these presents. AND, desiring to avoid the delay and expense of the settlement of said Estate by filing the foregoing Account of said administration in the Office of the Register of Wills of said Cumberland County and by having the balance in the hands of the Executor, as shown by said Account, distributed by the Court of Common Pleas of Cumberland County - Orphans' Court Division, I do hereby agree that the foregoing Account and Statement concerning 2 LAW OFFICES SNELBAKER. BRENNEMAN & SPARE the matter of settlement may be recorded with the same effect upon me as if the same had been reported upon by said Court, In a decree of distribution made on such proposed Statement of Distribution by the said Court of Common Pleas - Orphans' Court Division. AND in consideration of the aforesaid settlement being made without the aid of such Court of Common Pleas - Orphans' Court Division, that I, the said Edward H. Parks, do hereby agree that if any debts or demands other than those included in the above referenced First and Final Account, as hereinbefore set forth, shall be hereafter recovered against the Estate of said Decedent and be legally payable out of the same, that I will return to the said Executor such amounts thereof as may be necessary to pay such debts or demands. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 15th day of 2002. May ~ II (I1rJt Edward H. Parks (SEAL) 3 LAW OFFICES SNELBAKER. BRENNEMAN & SPARE COMMONWEALTH OF PENNSYLVANIA) SS. COUNTY OF CUMBERLAND) On this the 15th day of May 2002, before me, a Notary Public in and for said State and County, the undersigned officer, personally appeared Edward H. Parks, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~anJ~ ~~ Notary Public NO'lariaJ Seal Sandra K. Showers, Notary Public t.4echanicsburg Boro, Cumberland County My Commission Expires Nov. 22, 2003 Member, Penrn::'llll?'1;" ASf'('d.?llN1 01 Notarb"S 4 ESTATE NO. 21-01-0457 FIRST AND FINAL ACCOUNT AND STATEMENT OF PROPOSED DISTRIBUTION OF AND BY EDWARD H. PARKS, EXECUTOR OF THE ESTATE AND UNDER THE LAST WILL AND TESTAMENT OF AUDREY I. PARKS, DECEASED, LATE OF MECHANICSBURG BOROUGH, CUMBERLAND COUNTY, PENNSYLVANIA Edward H. Parks, Executor as aforesaid and Accountant herein, avers as follows: DATE OF DECEDENT'S DEATH: DATE LETTERS TESTAMENTARY ISSUED: April 30, 2001 May 8,2001 DATES EXECUTOR NOTICE ADVERTISED: Cumberland Law Journal Patriot-News N/A N/A FIRST AND FINAL ACCOUNT PERSONALTY - PRINCIPAL ACCOUNT DEBITS he Accountant charges himself with the receipt of the following items of Decedent's Personalty valued as of the date of Decedent's death: 1. 2000 Ford Focus LX Automobile TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS: $ 8,500.00 $ 8,500.00 PERSONALTY - PRINCIPAL ACCOUNT CREDITS he Accountant claims credit for the payment of the following items from Decedent's Personalty Account: 1. Malpezzi Funeral Home, funeral services 2. Gringrich Memorials, monument 3. Register of Wills, filing fee for Inheritance tax return 4. Snelbaker, Brenneman & Spare, P.C., attorney services 5. Snelbaker, Brenneman & Spare, P.C., costs advanced for Probate fee TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS: $ 5,828.50 1,322.00 10.00 300.00 60.00 $ 7,520.50 PERSONALTY - INCOME ACCOUNT DEBITS he Accountant charges himself with the receipt of the following income from the investment of Personalty Principal: TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS: $ NONE $ NONE LAW OFFICES SNELBAKER. BRENNEMAN & SPARE Page 1 PERSONALTY - INCOME ACCOUNT CREDITS The Accountant claims credit for the payment of the following items from the Personalty Principal Account: $ NONE TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS: $ NONE REAL ESTATE - PRINCIPAL ACCOUNT DEBITS he Accountant charges herself with the receipt of Decedent's Real Estate as follows: $ NONE TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, DEBITS: $ NONE REAL ESTATE - PRINCIPAL ACCOUNT CREDITS he Accountant claims credit for the payment of the following items from Real Estate Principal Account: $ NONE TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS: $ NONE REAL ESTATE - INCOME ACCOUNT DEBITS he Accountant charges herself with the receipt of the income from the investment of Real Estate Principal Account: $ NONE TOTAL, REAL ESTATE, INCOME ACCOUNT, DEBITS: $ NONE REAL ESTATE - INCOME ACCOUNT CREDITS he Accountant claims credit for the payment of the following items from the Real Estate Income Account: $ NONE TOTAL, REAL ESTATE, INCOME ACCOUNT, CREDITS: $ NONE LAW OFFICES SNELBAKER. BRENNEMAN Be SPARE Page 2 LAW OFFICES SNELBAKER. BRENNEMAN & SPARE PERSONALTY: PRINCIPAL ACCOUNT: Debits Credits Balance INCOME ACCOUNT: Debits Credits Balance TOTAL PERSONALTY REAL ESTATE: PRINCIPAL ACCOUNT: Debits Credits Balance INCOME ACCOUNT: Debits Credits Balance TOTAL REAL ESTATE: OTAL FOR DISTRIBUTION: RECAPITULATION Page 3 $ 8,500.00 $ 7,520.50 $ NONE $ NONE $ 979.50 $ NONE $ 979.50 $ NONE $ NONE $ NONE $ NONE $ NONE $ NONE $ NONE $ 979.50 LAW OFFICES SNELBAKER. BRENNEMAN & SPARE STATEMENT OF PROPOSED DISTRIBUTION Edward H. Parks, Executor and Accountant herein, proposes to distribute the balance of the Estate of Audrey I. Parks, Deceased, to wit: $979.50 in accordance with the Last Will and Testament of said Decedent as follows: 1. Edward H. Parks 100% of residue $ 979.50 TOTAL FOR DISTRIBUTION: Page 4 $ 979.50 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND Edward H. Parks, being duly sworn according to law deposes and says: that he is the Executor of the Estate and under the Last Will and Testament of Audrey I. Parks, Deceased, and the Accountant herein; that there are no unpaid creditors or claimants of said Estate; that there are no persons interested in the distribution of said Estate other than as stated in the foregoing Statement of Proposed Distribution; and that the facts set forth in the foreqoing First and Final Account and Statement of Proposed Distribution are true and correct to the best of his knowledge, information and belief. ~J(~~ Edward H. Parks Executor and Accountant Sworn to and subscribed before me this 15thdayof May 2002 ~rlcLI0~~ Notary Public ~Seaf Sandra K Showers, Notary PubIfc Macha 80m, CUmbeIfand ! My ~n ExpIres Nov. 22,~ !\:~~m~rrl/' D~r~~~.1'l"'lr:lr<l- I\........"'-.~"'-,\:,.,.".,!..,,, !\J:,"",:t-,"'r~ LAW OFFICES SNELBAKER. BRENNEMAN & SPARE Page 5