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HomeMy WebLinkAbout01-0656 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of also known as Tay K. Tambolas '"JAy If'fNlViTI.f ~<7C~ mJ1U1 ocA ~ No. ~'-OJ - 0 (P5lo , Deceased Social Security No. 176 - 30 - 6558 Ellen D. Tambolas Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) [.KJ A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut r ix named in the last Will of the Decedent, dated 07/10/1979 and codicil(s) dated None none State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: none D B. Grant of Letters of Administration (c.t.a.; d.b.n.c.t.a; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family or principal residence at 104 Orchard Street, Mechanicsburg Borough (list street, number, and municipality) Decedemt, then ~years of age, died 06/16/2001 at Mechanicsburg, PA (Location) DecedEmt at death owned property with estimated values as follows: (If domiciled in PAl All personal property (If not domiciled in PAl Personal property in Pennsylvania (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania $ $ $ $ 2,500.00 situated as follows: none Harrisbur , PA 17109 I . - ~ l \~ ~. H I " ,. /'-- -'" . Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland ThEl 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 re sentative(s) of the Decedent, Petitioner(s) will well and truly administer the estate 0 ding to law. Sworn to or affirmed and subscribed -r.:T~ before me this ~ day of I/~II .::r l-L L '- aj-Ol-DIo5tP No. Estate of Tay K. Tambalas Deceased Social Security No: 176 - 30 - 6558 Date of Death: 06/16/2001 AND NOW, 0U L \.../ II 2001 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [RJ Testamentary 0 Of Administration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Ellen D. Tambalas in the above estate and that the instrument(s) dated 07/10/1979 FEES letters. . . . . . . $ 25.00 Short Certificate(s). $ 6.00 Renunciation. $ Attorney: Donna M. Mullin Affidavits ( $ \.0. No: 30392 JAMES, SMITH, DURKIN & CONNELLY 134 Sipe Avenue Extra PagE!S (5 ). $ /5 cJV Address: Codicil. . $ Hummelstawn, PA 17036 JCP Fee. $ 5.00 Telephone: 717/533 - 3280 Inventory. $ Other $ -$ 51. Or) . 36. ot+- TOTAl. $ Form RW-1 (1991) Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only cPSystems, Inc. HI05.805 REV 9/86 This is to l~ertifY that the information here given is correctly copied from an original certificate of death d~ly filed with me as Local R~gistrar. 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. Fee for rhis certificare, $2.00 p 7387037 No. ~f:.~ Local egistrar 9~' /1; d<t7t1( Date Hl0S 144 RSII_ 1/91 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH (Coroner) TYPE/PRINT IN PERMANENT BLACK INK SEX zMale K Tambolas DATE Of BIRtH (Monlh, Day. YeaT} BIRTHPlACE (City and Stale or ForStgo COIJntry) PlACE OF DEATH (Check only one see lOSttuctions. on other SIde) HOSPITAL: Ma r 15, 1939 F ayelte County, lopalionl D ~ ~ _. P OF DERH FACilITY NAME (II no! ins! utioo. give street and number) =,lyIO RACE. Amdrican tmt..n, 8Mclt, Whir., 4th; tSpoc,~) White UNDER 1 DAY Hour. t..tinutft c eo Cl.\mberland Ie. Mechanicsburg ... KIND OF BUSINfSSJINOUSTAY OECEDENT'S USUAl OCCUPATION {~~~oIa:.~donedur~(~ Ind"ustnar~nglneer 11 , llb. DECEDENt'S MAJl1HG ADDRESS (Street, Cityllown. Stale, Zip Codel 104 Orchard Street Mechanicsburg, Pennsylvania 1705 Engineering DECEDENT'S ACTUAL RESIDENCE (See Instructions ooottl6fsidaJ 8WE FILE NUMBER SOCIAL SECURITY NUMBEl' .. 176 3U 2001 1.. MARITAl STATUS. Married ~ Mallled, Widoftd, '~~rre8 SURVIVING SPOUSE (II wile, g.vemaiden name) Ellen C. Dillon 17b. Coun Did decedent live In a Cumberland township? 17d.r3 ~:t.=~=ol MOTHER'S NAME tF,,~. Middle. Maiden Su<name) Leah Knolton cilylbOfo Medar Tambolas Ellen C, Tambolas ",p Mechanicsburg 1.. INFORMANrs mtNb^fc'll~fd'mt'll'e'ttill~"i~rc'~burg, Pa. 17055 LOCATION. CitylTown, Slale. Zip coo. Schaefferstown, Pa. 17088 D UJ on ::> on <( :J <( 21c. PLAce OF DISPOSITION. Nam. of Cemetery, Crematory '" ""'"' Pfaca Conolite Crematory ld. OR PERSON ACTING AS SUCH LICENSE NUMBER FD-014318-L 22b. , death occurred al the lime, dale and place staled (Signature and Me) DATE PRONOUNCED DEAD ~Moolh, Day, Year) H ertensive Cardiovascular Disease QUE 10 (OR AS A CONSEQUENCE OF): DUE 10 (OR AS A CONSEQUENCE OF): DUE 10 (OR AS A CONSEQUENCE Of): d WERE AUTOPSY FINDINGS A\lAA.A8lE PflIOR 10 COMPLETION OF CAUSE OFOEATH? MANNER Of DEATH DATE OF INJURY (Month, Day, Ye,u) ~ D D NAME AND ADORESS OF fACILITY Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, Pa 17055 UCENSE NUMBER one SIGNED (Month. Day, Veil,) 2:zc. 23b. 23C. ~ CASE REFERRED 10 ME~ EXAtotlNERlCOAONER1 ...~ NoD 21. !::~~~:8fln i onset and death i PART II: Ottl8rsiQniCicanlconditionsconlribulinglOdeaItl,buI. not ruulting In In. undet1ring UUH given in PART I NoD Accident Pending Inve6tigation o [] 3Oa. 3 [] :~~~~'i"~~;t'1 nome, farm, 8UM!, factory, office .... Natunll Homicide v.. 0 NO~ Yea 0 2". a.. CERTIFIER (Check only one) "CERTIFYING PHYSICIAN (PhysiclC:ln carlllYIIlQ cau5tl ol dealh when another physician has pronouoced dealtl and completed ltel n 23) To &he be.t of my know.... dHth occwrad dw 10 _ c~.).nd m.n....... .~ted. . , . . , . . . . . Could oot be determined Suicide 21. ~ o "' irl D ~ UJ " <( Z "POONOUHQHG AND CERTIFYING PHVSJeJAH (PhYSICian both pronouncing death and cerlilying 10 cause 01 ooath) To &he tMst 0' my knowledge, cItIrath OCC"rrM.' the Unle, pt., and piece. and due to tfM caUM(a. and menlM'r.. aa,,'ed.. . "MEDICAL EXAMINERlCORONE:R On the bPI. of examination and/or Inynttg.tlon. In my opinion, d..th occurred at the Ume, date, and place, .nd due to the cau..t.. and mann.........ed...,.,.............."........""......,............,... ..,.."..,..,.................. 31.. AEGlS [;t ,/I.~-ritl INJURY At WORK? "" StGNAl'URE AND T Coroner D ,'b. UCE SE NUMBER DATE StONED (Month. Day, Yea!! D "c. " . June 18, 2uOl =2r,~~~~:tf~~:ei(>t~~~~~~ ~~~~oner 6375 Basehore Road, Suite 81 Mechanicsburg, Pa. 17050 ~ '4. LAST WILL AND TESTAMENT I, Tay Kenneth Tambolas, of the Borough Of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind and understanding and considering the uncertainty of life, do hereby make, publish and declare this to I ; be my Last Will and Testament, hereby revoking any will, wills or\ codicils heretofore made by me, in the manner and form following; ! I that is to say: ; j 1 First: I order and direct that all my just debts and funera~ ~ expenses be fully paid and satisfied as soon as conveniently may be after my decease. Sec9nd: All the rest, residue and remainder of my estate, whether real, personal or mixed, of whatever nature or kind, of wheresoever situate at the time of my decease, I give, devise and bequeath unto my wife Ellen Catherine Dillon Tambolas, absolutely and in fee. Third: In the event that my wife, Ellen, should predecease me, or in the event that we shall die simultaneously, or in the event that she should die within thirty (30) days of the date of my death, or in the event that she and I are no longer husband and wife according to the laws of the jurisdiction under which this Will is first probated, then I give, devise and bequeath the remainder of my estate to my trustee hereinafter named in trust for the benefit of my surviving children. My trustee shall hold the property so given in trust until all.my children have either received a bachelors degree from an accredited college or university or, in the alternative, attained\,~ the age of twenty-five (25) years as hereinafter provided for. After all of my children have either received a bachelors degree or attained the age of twenty-five (25) years, then the remaining property so given in trust, whether it be principal or income, shall be divided a~ong my then living children, absolutely and in fee, share and share alike. If, at the time of my decease, each of my surviving children taking under this Will is at least twenty-five (25) years of age, or in the alternative, in posses- sion of a bachelors degree from an accredited college or univer- sity, then I give, devise, and bequeath the remainder of my es- tate to my surviving children, absolutely, and in fee, share and . share alik:e. I. Trust In conformance ...vi th the Third paragraph herein, my trustee shall use so much of the income and principal for my children's reasonable support, comfort and education as the Trustee, in his discretion, determines to be required for these purposes, with special emphasis upon education as set forth above. The Trustee need not use the income and principal equally for each of the children nor only for those children without a bachelors degree o~ those under the age of twenty-five (25), but may distribute prin- cipal and income as the needs of each of my children require, re- gardless of their education or ages, providing at least one of my children does not have the bachelors degree or is not twenty-five (25) years of age. As aforementioned, after all of my children taking under this Will have either received a bachelors degree or attained the age of twenty-five years, then the remaining propert~ so given in trust whether it be principal or income, shall be -2- ~ I J "' ! I :Idivided among my then living children, absolutely and in fee, 11 share and share al ike. I "I I :1 A. Nei ther the principal II be liable for the debts of any j' 'I lithe same be subject to seizure or attachment by any creditor of il any beneficiary under any writ or proceeding at law Jand II. Terms and Conditions i I i ! I I I j ~ I I I I I I nor the income of this Trust shall I beneficiary hereunder, nor shall I no beneficiary hereunder shall have any power to sell, as- ~ or in equity, I I ~ ~ i i ,1 "principal which he is authorized in this instrument 1 1 : sign, encumber, or in any manner to anticipate or dispose of his I I or her interest in this trust or in the income produced thereby. I i i I I j I , to use for thEt I I benefit of any person, or may pay it over to them or for their us~, ~ to their guardian, or to any person with whom they are residing, I ~ The Trustee shall i ; ~ i I B. The Trustee may either expend directly any income or without responsibility for their expenditure. !l withhold any such income i ] it to the principal. I il I l I i I J '! I A. I 'I iltate, without any duty of diversification, any and ii !Ior other property, real or personal, received from limy Trustee shall not be responsible for any loss by reason of il !I such retention. I ;! " I ,I not so used, and at his discretion add III: My Trustee Shall Have the Followinq Powers: ! i , ! ~ ~ I " es-I I all securities~ my estate, and I 1 i To take and to retain as an investment for the trust B. To invest and reinvest the trust estate in such stocks, I ;i II bonds, :1 ~ r !l mortgages, securities or other property, real or personal, rof, ;; ~ , ~ :i j ;~ :1 iI < ~ -3- as he may believe advisable, without being limited to the classes Of securities or investments in which trustees are authorized by law to invest trust funds. c. To sell any and all real estate received hereunder, at such times, at public or private sale, for such prices and upon such terms as he shall believe advisable, and to make, execute and deliver any deed or deeds therefor, conveying title thereto in fee simple absolute, or for any less estate, freed and dis- charged of any and all trusts hereunder, and without necessity on the part of any purchaser or purchasers, to see to the appli- cation of the purchase money. D. To sell, exchange, lease, encumber, option or otherwise dispose of all or any portion of the trust estate in such manner and upon such terms and conditions as he shall believe adviSable, and to make, execute and deliver deeds, mortgages, leases, as- signments and other documents necessary to effect any of these powers. E. To make distribution of the trust estate to any person entitled thereto in kind, in cash, or partly in kind and partly in caSh, as he shall believe advisable. F. To register or carry without referring to the trust es- ,tate, any securities, investments or other property, held by him ]hereunder in hi s own name or in the name of a nominee or nominees., G. To vote any and all stock held in the trust estate and ;00 participate in any reorganization or merger of companies or ~orporations whose stock is held in the trust estate. -4- J I ;! :! I I 'I I I I I I I ! Fourth: In the eyent that my wife, Ellen, should predecease I me, and that I further die without leaving a surviving child, I I I I I I I I , ! i Fifth: In the event that my wife, Ellen, should predecease I me, and that I further die without leaving any surviving issue, ii' I then give, devise and bequeath the remainder of my estate to my ! I devise and bequeath the remainder of my estate to my !then give, !IChildren' s I issue, absolutely and in fee, share and share alike. surviving nieces and nephews, absolutely and in fee, share and I ! In the event that both named individuals are unable to :1 serve, then I request the court to appoint a responsible 1 I 1 I I I I I ; ! I ! l ! Pittsburgh, Pennsylvania, who shall serve as CO-j ! I un- I able to serve, then I hereby nominate, constitute and appoint the I I I i truste~. I i , I I I I Prancis Tambolas and Joyce Ann Meade Tambolas, his wife, as guar-l dians of the person of any of my minor children taking under this 1 I ,I Will. I ,I In the event that one of the above named guardians is unable, ,\ to serve, then I hereby nominate, cons ti tute and <:lppoin t the othet' 'I named indiv;i,dual to serve as sole guardian. :1 In the event that both named individuals are unable to servel :1 I ilthen I request the court to appoint a responsible guardian(s). I :1 I I -5- I ! I I share alike. Sixth: I hereby nominate, constitute and appoint as trus- tee, under this my Last Will and Testament, my brother Stephen Francis Tambalas and Joyce Ann Meade Tambolas, his wife, of 633 ~mrshall Avenue, i I trustees. i I In the event that one of the above named co-trustees is other named individual to serve as sole trustee. Seventh: , In the event that my wife, Ellen, should pre de- cease me, then I hereby nominate and appoint my brother Stephen Eiqhth: I hereby nominate, constitute and appoint my wife, Ellen, as executrix of this t ffi)" Last Will and Testament. In the event that Ellen predeceases me or we are no longer husband and wife according to the laws of the jurisdiction under which this Will is first probated, I hereby nominate, constitute and appoint my daughter, Teresa, so long as she is twenty-five years of age. In the event that Teresa is unable to serve, then I hereby nominate, constitute and appoint my brother Stephen Fr~1cis Tambolas as executor of this my Last Will and Testament. Ninth: I direct that the Trustee, Guardian, Executor and their alternatives herein named shall not be required to give any bond or security for the faithful performance of their duties. IN vUTNESS WHEREOF, I, Tay Kenneth Tambolas, Testator above named, have hereunto subscribed my name and affixed my seal this 10 day of jv \~ \ . 19 79 . ~ ' -r::~~ Tay ~neth Tambolas Signed, Sealed, Published and Declared by Tay Kenneth Tambolas, Testator above named, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as \1i tn€lsses. c;-:f OJ). ~.. 'nit' ~j),~~~ .u ~ <: !k:~ -6- aJ-OI-LP5l.P REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribi witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s present and saw i / signed as a witness at the d (in the presence o'f each other) (in the presence of the the testat , sign the same an request of testat_ in h other subscribing witness(es)). Register /i Sworn to or affirmed and subscribed before me this day of 19_ / / (Name) (Address) /'\ REGISTER OF WILLS OF LLlVYl B E::'l<-LJ\1.JD COUNTY OATH OF NON-SUBSCRIBING WITNESS Q",~u Namf'T~rV (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ~~ 't. I" ,) familiar with the signature of ~ Y l." ~ 13 ()( A ~ , eodieil - test at '\) "'- of (one of the subscribing witnesses to) the @ presented herewith and redi€il that believes the signature on the~is in the handwriting of to the best of 77\'1 m'-l ~lM4C T/~ ~(J vc.~ <7~ ' &: - - lt3G (Name) I .' Sworn to or affirmed and subscribed before me this 10 T I\- day of ':..- ~~C'~~~~ knowledge and belief._ . - /.J ! ()f0r;c (Address) (Name) (Address) a 1-01- (g 5l.J; REGISTER OF WILLS OF COUNT OATH OF SUBSCRIBING WITNESS ach) being duly qualified according to present and saw codicil (each) a subscribing witness to the will presented herewith, law, depose(s) and say(s) that the testat , sign the same and that request of testat_ in h other subscribing witness(es)). signed as a witness at the d (in the presence of each other) (in the presence of the Sworn to or affirmed and subscri me this (Name) (Address) Register (Name) (Address) REGISTER OF WILLS OF CLlmStRLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS P //c- /I _ j 7drn~~S 'Y (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that r AtY'\ familiar with the signature of TA '-J KE::N N E.. Tit- TArn BOLA::) c~ testat~ of (OB@ af tA~ €YeBerH~iRg witnesses tel the @ presented herewith and cadieil that r believe~ the signature on the (fTIDis in the handwriting of TA \.} l(ENNET1+ ~ fAfY\BC)lA,~ to the best of ~ knowledge and belief. ,. tf; ~ ~4 /oy/l:n."!,:/ &f J1IJd;; ) 70'52:; (Address) (Name) (Address) e- -- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: T A Y KENNETH T AMBOLAS Date of Death: June 16,2001 Will No. Adm. No. 2001-00656 To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on July 1l3,2001. Name Ellen Catherine Dillon Tambolas Address 467 Radcliff Drive Harrisburg, P A 17109 Notice has now been given to all personal entitled thereto under Rule 5.6(a) except Date: (7)0/) 'O'V ( . , Signature~.,.. -:>>!. ~ Name Donna M. Mullin Address 134 Sipe Avenue Hummelstown, P A 17036 Telephone (717) 533-3280 Capacity: Personal Representative x Counsel for Personal Representative j\\II.<..\IIIIIDlRhl..-N((l..-.III\111. I 111011111\ J.S.).( September 5,2001 Mary C. Lewis, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013-3387 ESTATE SECURITY RE: ESTATE OF TAY KENNETH TAMBOLAS, DECEASED NO. 2001-00656 Stephanie L. Gaffey Paralegal slg@jsdlega1.com Dear Ms. Lewis: I am enclosing herewith the Pennsylvania Inheritance Tax return for the above-referenced decedent, which is in triplicate. I am also enclosing the Inventory which is in duplicate. Enclosed is a check made payable to the Register of Wills in the amount of $28.00 representing the filing fees owing. Please file the inheritance tax return and Inventory and return a stamped copy of each to me in the enclosed, self-addressed, stamped envelope. Thank you for your attention in this matter. Sincerely, ~~G~Jv Stephanie L. Gaffe~ ' ( Paralegal :slg Enclosures I ~. 0 I '. . A /lJ--" Cl"lY /) iV/v Jj) (Y- '; . I ..1 ,} V 1-/ J,}/7pY i /{ ,: lJ'V /'2. ,f! P i I f. 1./ 'v . J v r-~'v / ()D ( .I L, <::..~ "k" .c - 134 SIPE AVENUE HUMMELSTOWN, PA 17036 MAILING ADDRESS PO BOX 650 HERSHEY, PA 17033 TOLL FREE 1800.942.3660 TEL 717.533.3280 FAX 717.533.7771 www.jamesestateplan.com Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of Tay K. Tambalas No. 2001- 00656 Date of Death 06/16/2001 also known as ,Deceased Social Security No. 176 - 30- 6558 Ellen Catherine Tambalas, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no I~eal estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this lnvlmtory. I /We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Donna M. Mullin Esq. Signature: Attorney: E I.D. No.: 30392 Signature: Address: 134 Sipe Avenue Address: 104 Orchard Street Hummelstown, PA 17036 Mechanicsburg, PA 17055 Telephone: 717/533-3280 Telephone: 717/697-5348 Dated: ((-(- pO 01 Description Value (See continuation page(s) attached) (Attach additional sheets if necessary) Total: 2,778.46 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Bar Association Copyri9lht (c) 1996 form software only CPSystems, Inc. Form ##RW-7 (1992) INVENTORY Estate of: Date of Death: County: Tay K. Tambalas 06/16/2001 Cumberland STOCKS/LISTED: 34.00 shares TRW Inc - traded on the NYSE, common 1,405.56 33.21 shares TRW Inc - Dividend Reinvestment Shares 1 ,372 . 90 2 , 77 8 . 46 TOTAL RECEIPTS OF PRINCIPAL............... 2,778.46 -1- REV-1S00 EX + (6-00) CAPB HpRL EplO CRAC KOTK ES REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT o E C E o E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG,PA 17128-0601 DECEDENT'S NAME(lAST, FIRST, AND MIDDLE !NITIAl) Tambalas Ta DATE OF DEATH (MM-DD-YEAR) FILE NUMBER / -. , -)/\. C OFFICIAL USE ONLY 21-01-0656 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 176-30-6558 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE COMPLETE MAlUNG ADDRESS NUMBER REGISTER OF WILLS S CIAl ECURITY NUMBER o o None 2,778.46 None None 126,366.72 None 87,954.40 2,350.49 15,292.12 x X X X .0 0 .045 .12 .15 DATE OF BIRTH(MM-DD-YEAR) Tambalas, Ellen X 1. Original Return 4. Limited Estate Catherine 2. 40. 7. Supplemental Return Future Interest Compromise (date of death after 12-12-82) Decedent MaIntained a LIving Trust (Attach copy of Trust) Spousal Poverty Credit (date of death between 12-31-91 and 1-1.95) 3 date of death . Remainder Return prior to 12.13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 91 13(A) (Attach Sch 0) C P o 0 R N R D E E S N T C o M P T U A T X A T I o N X 6. Decedent DIed Testate (Attach copy of Will) D 9. Litigation Proceeds Received 010. NAME Donna M. Mullin Es . FIRM NAME (If Applicable) JAMES, SMITH, DURKIN & CONNELLY, LLP TELEPHONE NUMBER 134 Sipe Avenu.e Humme1stown, PA 17036 33 - 280 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & 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 (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Ex nistrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/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) Copyright (c) 2000 form software only The Lackner Group, Inc. (1) (Z) (3) R E C A P I T U L A T I o N (4) (5) OFFICIAL USE ONLY (a) 217,099.58 (11) 17.642.61 (12) 199,456.97 (13) (14) 199,456.97 (15) (16) (17) (1a) (19) (6) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of LIne 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 199,456.97 0.00 Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 104 Orchard Street CITY I STATE I ZIP Mechanicsburg FA 17055 Tax Payments and Credits: 1. Tax Due (Page I Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits ( A + 8 + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Totallnterest/Penaity ( D + E) (3) 4. If Une 2 is greater than Line 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) S. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (S) A. Enter the interest on the tax due. (SA) B. Enter the total of Line S + SA. This is the BALANCE DUE. (5B) Make Check Payable 10: REGISTER OF WillS, AGENT ""~::::~'~:::::.".".,_,.".,.".""_,.""_:,,,,,.."".,_".",.""..,.".",.""_"",..".",,:,,.,....,.":,:,,.,.,:.,:,.:,:,;.,:,:,;::';;:;;,!I!!:;::::::::'::::,;.::::!!::!!!!!!i!!!!!!!!I!!i!!!!ii!!iii:.,::::,::: ~:::::::::!:::::::!!!!!:!!!!!!!!!!!!!!!!i!!!!ii!ii!!!!!!!!~;:::i::::::::::::':':"::,."".,:,::,:,:::::::;:;;:;::;::::::::::::::::::!i!!!i PLEASE ANSWER THE FollOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No 8. retain the use or income of the property transferred; ~ ~Xi b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or. d. receive the promise for life of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. o o o rn rn rn 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 belle1, It Is true, correct and complete. Declaratron of preparer other than the personal representative Is based on all Information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FlU f1fETURN Ellen Cather ine Tambalas DATE 1 !r. -~~~h~~l~~~~/;'~11:-ii655--------h------h-- 9-1-0/ EPARER OTHER THAN REPRESENTATIVE JAMES, SMITH, DURKIN & CONNELLY, LLF DATE ~ S Avenue ______________h__h___,?- -"'_ 0) 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) (;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 firing a tax return are still applicable even if the survlving 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. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV~ 1503 EX t (1-97) COMMONWEALTH of PENNSYLVANIA INHERITANCETIV< RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Tay K. Tambalas SSff 176-30-6558 06/16/2001 All property jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21-01-0656 ITEM DESCRIPTION VALUE AT DATE NUMBER UNIT VALUE OF DEATH 1 34 shares TRW lnc, CUSIP #872649108 - traded an the 41. 34 1,405.56 NYSE, common 2 33.21 shares TRW Inc, CUSIP #872649108 - Dividend 41. 34 1 , 372 . 90 Reinvestment Shares TOTAL (Also enter on line 2, Recapitulation) 2,778.46 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc, Form REV-1503 EX (Rev. 1-97) REV -1508 EX t (1 -97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Tay K. Tambalas SS# 176-30-6558 06/16/2001 21-01-0656 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 DESCRIPTION Putnam Investments - TRW Employee Stock Ownership and Savings Plan VALUE AT DATE OF DEATH 126,366.72 TOTAL (Also enter on line 5, Recapitulation) $ 126,366.72 (If more space is needed, insert additional sheets of the same size) copyright (c) 1996 form software only CPSystems, Inc. Form REV-15G8 EX (Rev. 1-97) REV-1S1CEX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Tay K. Tambalas SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY SSll 176-30-655B 06/16/2001 FILE NUMBER 21-01-0656 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2. is yes. DESCRIPTION OF PROPERTY % OF ITEM INC~UOE THE NAME OF THE TRANSFEREE THEIR DATE OF DEATH DECD.S EXCLUSION TAXABLE VALUE RELATIO SHIPTO DECEDENT AND THE DATE ot TRANSFER. NUMBER ATTACH ACOPYOFTHE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) 1 Dayton Walther Pension Plan 9,438.58 9,43B.58 - Beneficiary is spouse, Ellen D. Tambalas 2 JPE, Inc. 401 (k) Savings 78,515.82 78,515.82 Plan - Beneficiary is spouse TOTAL (Also enter on line 7, Recapitulation) $ 87,954.40 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1510 EX (Rev. 1-97) REV-1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Tay K. Tambalas Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. 5511 176-30-6558 FILE NUMBER 21-01-0656 06/16/2001 DESCRIPTION AMOUNT FUNERAL EXPENSES' 1. ADMINISTRATIVE COSTS, Personal Representative's Commissions Name of Personal Representatlve(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. 3. Attorney's Fees JAMES, SMITH, DURKIN & CONNELLY, LLP 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 2,000.00 4. Register of Wills 51. 00 Probate Fees S. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Cumberland Law Journal ~ estate notice 75.00 2 Paralegal expense to travel to Cumberland County to meet client and probate Will 25.25 3 Reserve for additional administration expenses 100.00 4 The Patriot News - estate ad 99.24 TOTAL (Also enter on line 9, Recapitulation) $ 2,350.49 (If more space is needed, insert additional sheets of the same si2e) copyright(c) 1996 form software onty CPSystems, Inc. Form REV-1511 EX (Rev. 1-97) Estate of: Tay K. Tambolas Soc Sec #: 176-30-6558 Date of Death: 06/16/2001 Item # Description Continuation of Schedule H-B2 (Attorney's Fees) Amount 1 James, Smith, Durkin & Connelly, LLP - attorney fees 2,000.00 2,000.00 Estate of: Tay K. Tambalas Sac Sec #: 176-30-6558 Date of Death: 06/16/2001 Item # Description Continuation of Schedule H-B4 (Probate Fees) Amount 1 Register of Wills - probate fee 51.00 51.00 REV-1512. EX.., {1-97) COMMONWEALTH OF PENNSYLVANIA \NHERITANCETJ>Y.. RETURN RESIDENT DECEDENT ESTATE OF Tay K. Tambalas SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SSff 176-30-6558 06/16/2001 FILE NUMBER 21-01-0656 Include un reimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION Outstanding loan against Putnam Investments, JPE, Inc. 401 (K) Savings Plan in decedent's name alone AMOUNT 15,292.12 TOTAL (Also enter on line 10, Recapitulation) $ 15,292.12 (If more space is needed, insert additional sheets of the same size) Copyright(c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Tay K. Tambolas 55{1 176-30-6558 06/16/2001 FILE NUMBER 21-01-0656 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [Include outright spousal dIstributions, and transfers under Sec. 9116(a)(1.2)] Ellen D. Tambolas 467 Radcliff Drive Harrisburg, PA 17109 Spouse 100% of residue NUMBER I. ENTER DOLLAR AMTS. FOR OISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON- TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lackner Group, Inc, Form REV-1513 EX (Rev. 9-00) b.::@:'" VI.LL J\'jJ~~ .., 'l,'n:,' ~~_e):m'3tL '1'2.mbal2.s, 0:': tile fl.orOtl'Jh OF Ilech2nicsbt1_r9, CO'..lnL\" o:=~ Cumh8J:-l<.!xt~-' ,.,:",~1 ::::(")T;-~,',,()n_1:JoC~d.1t,L. t::f PennsyJ."=lan5.a, }'Y?::1..nq of SalEH:;! uncI ,~2:L:spo.sinq mind D.nd lEl<:1erst_iJ.n'Jin~? anrJ. eons:L'jel':'ilY" t,he uncertaint.y o:~: lL;:':.:~, ~lo Jni;tJ::C, lJt.:bllsh nnc2 (l<~(:l~,n:'f: th_~\1l "1'.0 be m:,/ T,ast 1:l:Ll]. anet "r'~,~D-tarae:n.:,: l h0.l:"{::~by re-v'olctn9 a!T}! t-.;ill. ~ vI:U.ls or coclicLi."J bt;;r(,,-tD:!~'Or(~' ;.lar3>2 b::,-' rJC'? in t:he maJlrlel~ <:tnd t'O.!:"'),":1 f'ollot';'ing; tJlt:,!t J",~~ to Si:c.\': :;'::'1'5": ~ : o:cdr~!:' <:lnd (1"il~CC-t_ thnt all rTf"; :just debt.s and CT.:pr.,'llses be and :.;nt:1.sf:~i..ed as soon. us cOEven:1.cnt:L~/ .\110\' be 02:' tel:' m:{ deC'eu;~1e ~ ,:hcond: -- ..'\Ll the: r.e,s-t, re,s;LcluE;: ulH; .r.-el:12.in(i.(:3:.!::' of Et} (~stat.e, ~;!hether reQ.~~, pex:'[;~)n2.1 0.1,:' :l1:i.;~e':..~, 0,: 1:J;1a'tev-e,1::" natu:r-e o.!~ j.~~Lnd, 0:1: h']VZ,17C3!':')CVCJ.7 s:1..tua.tG lit; tI-l,~ t1;',I(.' of my' deC::E:cJ.f:ie, :c ~J.i."V(~, oJc:\.ri~)e and !)c:qlJ~~a'.:h tm-t.o m:'{ \"r.:L::e ,GllE,;l Cati'lerinf" Dillon 'I'e.m:bolas, absoJ.uteJ."{ an.d ).1"1 fe8~ '1'ld1.~IJ ~ :J:~.'1 'l:h(" E,7"~:!nt thQ'::' h'..Y 'id.fc ~ lDl)"en, 31101.:1';'_ predeCE:'ase \fi9, Ol~' :1.n tl1'?:- ovent i:hat we sh(-:lll 'J.:l~~ ,simultaneously, 0[' it!, t.1-1e_ c.~yent that ~:;he should (U..e i.-Jithirl -l:hir-L:y (JO) da:,r.s of the r.lale 0:1:: mv death 9 O.!:' in the:: (,vent that t)hc ~Ul(1 I iJ!'e !1-0 longeJ".' I1LH-:;band o.nc1 \",ri:C("~ accordinq .to the-:> lat>J~i 0,': t.hE' jurist1iction unde.t~ ~...liicll .t.h:'L:c', l'!~L1J is f':Lrsl: P.!::'Oho.t:f:~(l" Ule!"2 giVG 1 cl.l:;'!~,ri8e nncI bequo~t:h t~lO reme.inder 0::: my estate t.o IllY trust-2I~~ h<:"r(::i.na:f"cer named in, t,}::,ust for the beneXi t D:,' sur'l~.v:Lnc; chiJ..d.t'(,,!t~ i'1"' t.t'ust~.ee she.ll hel':! C.l1f:! p.,-~opert:y so qi"\!CE 1.i), b:UBt un.lcil 21.1 nv ch:U_d.r.en l'li:;p,":~ e:Ll.:1J8T 1:"2C1:":1.7E:'d a bactJelo!:,E', Cl(~q.1:ee 2ro\i1 Ct~"J c:1CC.:.l:E~(li i:e~ collfJqe OJ.--: "Jl:L'" v,~r.'::n t-." :,,:',1,'(.' :U; 1:hc.~ 0..1 ter~'la t~b~e, atbl:L-lf>(' tl-1E-; r7.::y" e~_: '1;\'I]",'n't:t--::},-:re {;:~1.J) 'r0.':cL!:.~,s uS JH::'re.:!.n2:fte.J::' 1Jl~'oY:Ld~'!tJ. :,,:'el:'4 l,fJc.r:)):' oj,} (yC,' D:J ch:_lr11:'en )-10).',"'2- E~:llbe.~:' J:'r:::l'~,.,!:i."V(~:} iJ. ba(~helo!;,.'C~ c}(:CJ_'::'ee 02::' i':.'.t:t'.n.ined ~~:h_~'! O.f~H::; fy0 t,lo]el~t.,:"-:rj'-;JC' (25) iea.l..~S 1 i:hen 'I;ht':'! rem~dn:Lnq' p!.'operi:~." SO qiven :1.n t.1:"ust, ~"he'the!:' :1J:: b(,Ol principcd o.1:'J,.rlcome ~ ':;~'12lJ l,"! '1';",rij,e:i ~~.,,:l>;'.lq my l.:hE'~!:1 1:1.vin(,J childrra:n, absol1.1'b:'!.1.:.i:' QIH:1 "1, :', ~ , :'".'.. 2_' .> ,;)~'e cl)<lJ:c.. T:::', e t t,he timf.':' of m~ decea.sf~ ~ eac.h of my m__U:'YJ.. c::b:ildren taJ:inq under this ('J:U.} :U., at least -l:;t'l/"<2!1"C....-f":L'\t2 (2:)) '.'l'CcU:~c of: Wire, OJ::' in th"" .::Jterpa1::1.v'21 :Ln PODS8S- slot!. of o. bechelors d29ref1'~o;:' W'" nc~;re"_1j. t,_",! r~('Jllf"'qe 0.'1:' un5.ve.l::'- sitYr then :r 9ive, de~,,'J..se, an':l bequeath t.he remaincler of !:1.y Em- 'i:e.-r.e to my fHU:'v:.i., :l.ng chil'..iren, ab::H)ll1tel~/ ~ 2.nd i_n r:E?c:, ~lli)t'e and s)-:.nx".~, 2,J .'L 1'l:~ In (~c\'.:Cr:l.1:m~'.n:. .~ J.' tih'." 1':'':;'.1'<.,1 j:JdJ:"dql:'aph JJere.Lr\, JTl\T ;:.~:'lH_;'L~pe f5l1al.l.. llse SO :'~1.Udl 0::: the income 2.nd principal :frJl:" nv chi.l 1.;,~"~rl'~; rca;;;on,Gt?:Jl~:: "in} ';',"0.'::-.':;'; \.,,,,;;, ~--,)l:':~ ;;:m,J (";(1:.1,'_:[-1. t:i.r.Jn f_'D tl ~':" ',1::'.'1 U.;;t;:0(."-~ ~ his di:'.~('.:]::,::'LLoI\.l '...:l'c-L.(;::.'D.]_n.e~,i.:o ,)~: ~_~(~qui.!..~ed ~fOL these l~!~l!'pose.s, h1j, L.h spE-,ci,a:~, erilDh,=!..3J.3 up'-:nl c:::i'L,CaL1.0il as sE~-L 1:'orth above.. 'J.'hr~ 'l'rus'i::eo rJ,(::ed not use the .I,Beam,,'; and p.~:::-:Lncici:'~l oqua:'U.y for ea:::,h o~f -I::he chi.1Jrel1 no.'c anIj fo_:c those childr-en "dthout ,:). I)ac1)clors deq~::~"'!r:l CH:' those tmder t:.i'Je aqe of [:vJ('mt:.y-:1:-:Lv'c (;2.C:), b1.It 1~18.y cUstr:Lbute px'in- cipaI and :Lnco1ilc a~l th.e DA:!ods of each of mV chil(h.'(:lrl l_E.;qlUJ':'(",; .!:'F'- ga.'-;-c?h~;3S O~':' 'thei;:, edllccd::Lon 01::' age,;:::, pro1ri.d:Lng G.t L?2.5l: on,E, or m;,~ children doer:.: not ha',.re 1.:h-r:.~ bachc;lors de9ree OJ: .is not: twenty...fi_v-e (25) yenrs of age. As aforer:lent:Lo!'lec1, after.' all of nlY (:~hiJ.(t~~~en t.akinq uxtde.t' t:.h:Ls ~:JiLL ha:v-e either.' J::-eceiv~,6 8 bachelor's degn,~c:~ or a.tta::.ned the c1qcc Q;C: b'J8Yl."t:y-f'iv(~ ye.a.rr,;, t.l1(:":!'. the .l-:,emaininSJ property so :JlilC:B :Ln trus-l", l,fJhc~"t:he.Y.' it be p,1:'1nc:Lp21.1 or :tnccme, ~,;h<dl ~'~e -;2- 'd:L ~<~:LdGd a!:!'!on';1 j)~Y Lh~~'l :!.-.":i.~'Y.l ~~!d.lclJ:'('~r:~ ,:.'.!)s:Jlutel'-.,. r-~,n,? 2.rl :f:'G(;!t sha;::'1? l:'.nc.1 Shf.'..~::'€', :1: :1.J'~C:) 0 _ __ ~ 1~~};1~~~S;.1,2s:.-S:_on.di tions Ae l.jei {:l!e,t" t:h.e prJ.!:,cJ.r}al )1O!.~ the :i.n::;omJ.:~ of t:hi::! 'J.',1::'1JSt: srw..l1 ibe Ltal)lc' ~:'o.t' '[:;1'::8 ":~e})-J:::8 of' a1'!:"l l.)en~:.=;F:lciars' hereunde'!:, nOl::' sl"la1J. the Game Ix; sub:)(,;;ct to sei..zu.!..~s O.1.~ o.t:t:achmer1t by any (':recUtor QF any })erl~.:C!:~:1c__;,u.r.Jt Un.dFJ.t~ o..lJJ VJJ:':~_L 01.- proceecu.nq ai: lal'J or in cquii:::.t, a.nd no lY;~n0:::j.eii'\y.:~." ~l,p,eeu~lde;:' shalJ have a.':1Y POl'fe.': to s9111 i::.~.s- s,:Lgn,2:nc'J.::nbe:c~ or :1..0 any manner to antic:il'Jate or d.ispos(:~ 0 his Q!.' hor: int~~r.est. :L~:'. 'i::,~,-<Lr, b:-ust, or :1.n t..he income pj.:'odu:~ed t11erel)/ ~ B.. Th.e '.L'ru,:::.t:ee rJ.2\J' r~ithQr m~Dend di.!:'eet1.v alT'.! in{.:o,!!e 0)::' prin<:: .:l,p;'"':;.1 t)l:::l".'_~h h0. :L~; ,::l.l.1.thox':Lz,ed in 'l:his :Lnstrument to us('~ "fo.;::- .th(1 'ii bor~'2~5, +:. 0:::' c,ny );181::'S01"1, 0-'..:' Fla~l pe,:,' :L'c o,]"e~'" 't:o them 0.1:' 20r their U!;H~, , to ~::hC!i..r ~:,~)_;::..,::,dian 'I 01.:' to Hny p0.J:I",Ol:. Ir,d, th it/hom .th(~y a!7C r'e~::;icEnq, Wi.1.:.1101.1'1; reS{lons:tblJt t::." :':"OJ~' tl!(~:1.l:~ E'!:::tP(.;j!1{"Ji tUJ:'C ~ 'NH:} T.r'L:st(~e shaLl lJ2. tl)l~old ;lTI>c c,ucl'J 2.:,lcom02 not. 80 used ~ and \?t 1':~:L.'S dir,c!."~~t..iQ.\::r. add it to 'tho ::,~ p:,::,:;.!"~c,:L)~)a:i... I.II ~ !1L...~'!d.1I.f9S7_<~.1 Ha",,,~ELJ:.C?~l.~ P<2Ji9~: A.. TCi .[:i":l.]~:'2- an-::: to .'::'et.:n.tl:' as a.n invest.:ment.f:Q.l.,:, tlw tr.ust, es- ,.. , . t., I 1 ~ 0' l' . , J..' ) !, - -. ,., t: ~ -!! (':'i:;l ,.:e, Cl'J..':lOU',' P.1")\-" ccu ,,:'Y o:c r.J.verS2.7.::l.ca t;1..0n, a.n:i ant. a:":. ~e'.",tL.J. .:.L'c~::'; ~ O!~ other !,,':I.!::'ope.?::"t.:~{~ J:,ea} O.L~ personal, rec:(~ived fl_~()m my '2-state, 8.:;-1(1'; my 'l'r:usb?:,E' ,s),iul1 rlOt~ br.,> respolisibl'"" fo!..~ any loss by reasor: o:i: r,u':.:h 1'~r.'~tent.ion_ .'''j" 'Eo invest lJT.l.c1. ~:e.in'\re!3t t:i')I~: t.!.~us'l':: C!Si:i'),t.e .~~.t, ,?11..:(~h .c..~tocI::::;., bo~')!"hJ ~ !!\O~:::,i,::90.(,7r~~~'3, .sec'Jl,,:,~L!:,:Les or other prnI)er'i:y ~ :real or r.lc!l:'sonal, -3- as he T'ia:' ;:)~~J.j,(~';e C1,::~,~:L;::<JJ)J c'~: h'.LtllfJ?-"l~ })0'.:C !Y' Ji.;Cl:1. te'"_: to thE:.~ classeD 0:';" B~cur:L~~.ie~.~ o.t~ .,-~T ':~.:.~tm(~;J{:S J.rl t,;L::..c' t.'c~unh~~es a,',:-e 2.uthor.ize':J. by J.avJ t:o ::Lr:.~,-"~"'!;:"~: -'c.,~:'-'-;:;l.: ":y-~~~ C.. '1'0 ~,;~~ll any a.nt' nl1 real (o'l S tab::, J~.'ece~:'."ed 1t~:;!'E~\.n,,(jQ~', t,:d~_ .guch tines, f-:d~, p,ublic 01." prl',,!'at.e SE1.I.C; ['-03:' GU:::i7 rl2:'iceG a1<I,:l l-1!]or~ Su::!il i:o]:,mi? as he shall J)c:llev".~ ad'"cisabJ.(?~ an'..: 1:0 !:l,d:.:e, CXfc-'CEt.E;'! and c1(~J.:Lve.i:' any (teed 0::' deeds 'l::l1en::f:o,t~ 1 cOl'Jve:,d.Ilq ti tIE,; th("~rfd;o in feE' .simp10 absolute, or :for a.mi Jc;,ss e8t,a'(~e-, :Fr(~e':2 ,;,lnd di~1- chargoe;, of any and <:1.1::0 trusts hG1.'eunde.t":' 1 ='l.w::,: wi t:!:lO'~;.+: neccssi tv :on -1:.11.'2 p:ari: o:C: any j?l.\.1,:,chn.ser OJ_~ pUI:'chu.ser.s ~ to Bee -cr.1 the clPPJ.:,_- cation of 1:118 p1.u:,cha,se money ~ D.. To I.;;E!ll ~ , lease, 0IF,:::uL?ber, o;.)t:l.on or othe.t'viise disposC':' of all Dr. any pOl':tion of" ~::he t.l,:,usl: es-t:ate 5.n sw;h rnann€.-~r :ancl. upor~ suc:}, t~e.r.ms and GODcEtioIlE; ,2,13 he ,'eihall believe ad'l,risabl;:'~t 'G.,-'lCi to I,,-al:e 1 execEt:e en(\ "lel:1vel;' rJeedf.~, m01..~t';.ra ]'2S, 10.ase.s r as- 'sign11len'1:s and othe.': dOc::tHlIEm-[:.s W~(;e8sary to ef:foct any of these l--)(",JDl':'S.. ;;,~ lJ!o make disb:-:U)tttion ()f t,h-\? trust es'tute1:o dn~/ r)(~.t"s()n 8111:1 tIed there.to i.n lU..nc1, in cash, Ol~ pC'.rtJ..y in l~:Ln(( and part,ly <in cash, as h,e .shall be'lieyp aClvisable.. f". To register or C'cl.1.:."ry Nithout x'(-~:feJ:',~l-nq to th(-o' t~lJr:lt es~' :tEL'te~ any se(",'uri.~.::LeE.;~ ~,.J,'l''i!"estrrmn.ts or other p.t:'ol'1el:,t::/~ hel,3 b.'/ h.:i.IT'. :hereun,c1er. in hi,s 01l;'T1 name O.L~ J_D ~d1,e name, o:~~ a nomip.ee O!,;' nomInees. G. 'I'o vote arl':'/ al1d all st.od: h,:,ld in the t.l.~ll.st f~.'Jt:8.'L,,~ o.u-d ,:t;o p::t.t:'ticipate :Ln any ~::-eorgani:zab.on 01.': nv-?rger' oJ~ (.:omrJ8J."L1J'!F.\ or corporations \"lhose s-tocl:" is hc:Jd in the t,t:,ust':";stat:r::. ~~: T~-- he C;",,~:;:~1.t: !.,), -'.;:; .'-:'~',r \',ri -0,:' 1 ;~1.J.2"), ,'JhouJ.d p.:-e(3.ec:ease 'l:te;: Cl.r:~l t:hlJ:;:: ";:'7.1..1'." 1 ~r.~,"~ d5_'3 i'J,~r_ Ul'~,mt'. :,e;JY:~J:l!1 2. 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'::= ~CC' 98rvo ~ t'll(~;! ..L E'te er:1".'.T:' l:-. 1:0 ~.:\V,1():1.n';~ i;\ ~:':cur,;1:,r.' ',;:~ Seve!lt:.h ~ In .t~hc C:'Iel~1':; tl',10:t: my j;.:i f.' e ~ Bl.l.en i' shoulr] nr-ede- cease l'ile ~ t.:jH~n }:0.':'C:::3)",' llDI,,-3.nac:c' and ~~ppoir~,I. I~l'./ !~:orothe.1:' 3~>8ph:;:~n i ~:',t'a.nc).s 'J:i~mt,'olas G,n:1 ,TO: 'C'" J'tnL' (,j2B.;5(~ 'I'a:r.l}10}as r h~~.G \/'15 :~'e 3 as ~TJ.c:1..::'- J:l.(-~.i.113 0:[ i:-:.!le P2..!:'SI"JU 02 Qfry 0 ;":]"" ;-ni.1"!.or c:]'d l'.1r::"8n ta1:::I.:-1 ~J 1,1!:1(},1;~~.r__ l.:1':,2.13 Will.. j.-r:>. t:h'2 F',rent: 'th,:c-\;::. 0,')8 Q." -the '.:1;:.-::~-..r(,j niJ,mell cP.1i:~..:."li.anB Ls unal,le: -l:o r;v~!:,v(.~., F~E:;:.1 I l!~"-~::'Bl'" ;:l'~)nLnat:0., c:.oDt,'l'.:l.t.,yt,r;;, ~;mL1 :::ppo;'..:'.1l'. tht:; ai:hef,' i.lamed :i.nrl:i..v:L. Ju;:.d_ b:.J s(~r'v'ro, ,;r,c; SOJ.2 qUiJ"r.-d:i_;:m.. II': tll(~ r.:':~lcnt '::liL"(' ':::')i:;h l~(1med individuals are unable 'co S~J~V"~* then T ,--:-',:,ql.'.es"t: [-.he, 'cO',E-:-'l.: b';1 ::q:)po:Ln.t a responsibJ.(~) ~!uc.rdial)( s) ~ -5~w Eiohth: :c ll(::!.1:'r~h,,:" 1:,O!-i!:U'l2::':'_~ cO.l:"Jr;'::::i.b~-l:.~,; e-~n(} appoint, my tlJ.~.'e, ::'::L1 E::H ~ i,:.,~~; p:;~:r,'cv-',~1.: (::' 1:.] ~ ::;,_ f; " ',33~- ',.; -j' ;:In(l, '.2'2S-te..Fl0n+'_~ :1 ';~,'n:' p~:o-"c' '!',i-~.~" EJ.J~-~'.' "':c",:',:lcc'2as,-::-;s l(I~.:~ {)~:' :'..'12 il~-::'C no lonqE;'j,:' hUS'-Y;1Z" 2'_'1 _, k,~,:U 0; fie ~:nr ",j,~, :'\',j \,;..:-, -tlH,~ 10.1,1"0" ofl:,!_lc jur2.sdic'\:ion under wJ'dcI'l t::h5.n i}~1.~_ is 11"S~ r'~ohated, l1erd-:'~: llOD.l~;.il8,tB, cons.titu-b:;:; Gnd appoin_t ?i't:'i da)..l~\l1ter, 'l'el~e~:a? ,gO Jonq e.~ .91'H.~ is t,'i,'Jenty-:C:'i"JCl \,'(:'!ars 0:[' QC(r;" 1'::':', the (Y;i'(~~-d', ~Jlat 'r(,:0,SD. :~G 'L\!.IabJ.c~ to S'.::,C'ire~ 'L:.hen 1:\.or:U_ncl~,:,C ~ cOP.G-L'.:H.::ub-~ LJ.nd appo::i.n-L 1"1~:.{ lJl:'o,t;h(~.c :::>tepI'len t\ra,2,,--::Ls '.I:'n_':lL')o~::~8 ;28 m:eGU~::o.!:' coJ 'chis my I.,ag-~- WiLL cHlC;, 'J:'est1=.lln(:!!lL. li.i.ntll ~ _ "Jil1'(,?Ct: ';;hat the: l'r1..LSteE:t Gut:u-.'diaH, E;":ecutor and t.hei!,:, al;te,::,:,---,~\.:.i~,,::c:'J 1-),;"21"c:it:, namGci 511,:111 no~;; 1)0 requir'.'H.I "b;) qi~,.f(-;! en:';.-' ])CE'"H} 02:' :.i:'Cl.l':" '''11(', X:Q,J,;t.h.ftll peY:'fo!.~mance of t:J.le~:.j,:' duties. ]:1,] ",;:C'_':I'JESS ~'mE:r:'EO:F', It 'l'ay I\0-x1tle-l::11 T'ambolo:;.s, r;>:~~lt<::1.t.OJ::' above nc,mc-,i5, ;')1;.1' 1_1e;,:'e1.:~d;c-' ~'~~.11J:';cr:i.1;!e(! n;' :l:.l!rl€":) ~:"'O'l';), a~'::::::l.:;'c~~d fir/' ser~l tl1;iE; 10 t:;:~:-" or ~L,\V\ . 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'''.r '(' \' \ t ' ),'" I ,I I I I "'''''' 'l ,-' , I ,,\ ! f r /~.*iol " , finance Home - Yahoo! - HelQ More Info: Qt10ltll rhart I News I Profile I gesearcl1l ~EC I Msgs I Insider Historical Quotes NYSE:TRW Month Day Year StartDate:IJun _115101 . End Date: IJun II 115 .101 . @ Daily r Weekly r Monthly r Dividends Ticker Symbol: Itrl'J. Date Open High Low Close Volume Adj. Close* 15-Jun-Ol 40.45 41.37 40.31 40.90 740,600 40.90 Do",nlolld Spreadsheet Format · adjusted for dividends and splits, pleaseseefAQ. Questions or Comments? Copyright@2001 Yahoollnc. All rights reserVed. Privacy p~ - Term~ of Service Historical chart data and daily updates provided by C91'fl.rD-QJmY..$Y.$.JemJ'.L11l.G_.__-'C,$J)' Data and information is provided for informational purposes only, and is not intended for trading purposes. Neither Yahoo nor any of its data or content providers (such as CSI) shall be liable for any errors or delays in the content, or for any actions taken in reliance thereon. http://chart.yahoo.com/t?a=06&b=15&c=01&d=06&e=15&f=0 1 &g=d&s=trw&y=O&z= 6/26/01 Historical Quotes Page I of I <(/', '(t "' I Ii '\'/,'11 ,\/'/() 'rl:li;l~ti . ' 'j 'l , -' )) 1 , , ' ' t '1>"_" FinancElJ:lome - Yahoo! - Hel[l More Info: Quote I Chart I News Il'rofile I Research I SEC I Msgs I Insider Historical Quotes NYSE:TRW Month Day Year Start Date: IJun _118 .101 . End Date: IJun _118 .101 . @ Daily C Weekly C Monthly C Dividends Ticker Symbol: ltry; Date Open High Low Close Volume Adj. Close* 18-Jun-0 1 41.20 42.55 41.10 41.64 332,500 41.64 Download Spreadsheet Format * adjusted for dividends and splits, pleliseseeFAQ. Questions or Comments? Copyright@2001 Yahoo! Inc-:PJI rightsresel1ied. erfvacv p~ . Terms of Service Historical chart data and daily updates provided by G9J[lf!l.QgjtY.$Y$.tE!!rIl_SL1nl;:,JG.$J}. Data and information is provided for infonnational purposes only, and is nat intended for trading purposes. Neither Yahoo nor any of its data or content providers (such as CSt) shall be liable for any errors or delays in the content, or for any actions taken in reliance thereon. http://chart.yahoo.com/t?a=06&b=18&c=01&d=06&e=18&i='0 1 &g=d&s=trw&y=O&z=trw 6/26/01 ,,",C[',,' ,) I~I T "" A ~/ '"'.."Qf, ,,' ,-, - ~ I" '_ ,_ -', -c;:' (J J';vJ ',,''\ ('.:''of ,-, : ~'v, L l : 'J I Putnam Defined (;ontributioD. PllUIS PO eo> 9740 Prow)",,,. R1wd, [.Iand 02940.9740 c PUT NAM INVESTMENTS August 9, 2001 Ellen D. Tambolas 467 Radcliff Dr Harrisburg, PA 17109 Dear Mrs. Tambolas: , Please be advised that the balance in MI. Tambolas' accouilt as of June 17,2001 was S 126,366.72. Please call the Participant Service Center at (800) 859-4567 with any questions regarding this matter. Sincereh" Putnam Investments Plan Administration o S T 1,1 I)C:=-A, 6~?-76;,J-9369 2736 L:' L To firle..v, J~/~ COMPANY FAX' ?17-SJJ.n1, %-1'.;," I From p,,"~ ax DATE OEPT. AOORESS E-MAIL FAX. pHONE RE Number of pages including cover sheet: ~ REGuLAR MAlL: OCPA OVERNIGHT MAIL: PUTNAMINVE5Thi1ENTS (Your Plan Name) 1'.0 &ox 9740 Providence. RI 02940-9740 (Your PI.n N.mo) InvllStors Way Norwood, IJA 02062-9'05 PUT NAM INVESTMENTS CD _ :;"Ii;:, '2:' '21'~t,"~ S~,~,\/ :~IT\.' nn?~ (O'll_'SfJ-Q)(Q , , .)'v; h ';' / I,' ; J 0; PUTNAM INVESTMENTS 7 Shattuck Road Andover. MA 01 B 10 Egx Coversheer Number of Pages Including Cover Sheet: ,;::L Date: ~Ja3JOl To: ;)kphflv-.;~ GCl+..fx,\/ I Phone: Fax: 7(7 S33>-711) Message: -'NO. 2724-P ~ ~ ~..'. ~ 'I ~. T'..' ['",~e.,,\. .If~-.;,_lr-, -0.":;{.0 . '1 ' '. " - ~. '" ~ r.. " tJ ,. I v' ') ,,) 'J J '-~' L" - F.........~... ~~pant vJ.-: VJi.-'UJ..JO ~A~30LAS, ~AY K Da:e: i:-ne ::^ld *'*'"1< .~ DESC,,: PTWl\ ; 0 OPEl~ I!\G BALANCE 18 GAIN !LOSS jQ CLOSING BALA~CE Voucher: Overnde l?nce; VALUE 78,515.82 0.00 78,515,82 j Stalrt 200~0616 Ooopoooeo : o. ooooeo , I: \' SHfRES 4,0If.437 4,0It.437 lie. 2724--' 1 End 20010616 000000000 O.oooeoo COST 64,315.90 64,315.90 I I I \~DI(L() i I I \ I '[ I Act,7-SWd,S-FWd,9-Ait Screen I I I t OrA/ana 011 da-k oIltai. 'fkeys: 3-Exit,4-?rev Act,5-Next Screen PFAS \. /b-OJ-s/8-,y COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DONNA M MULLIN JAMES ETAL 134 SIPE AVE HUMMELSTOWN DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-22-2001 TAMBOLAS 06-16-2001 21 01-0656 CUMBERLAND 101 ESQ '* REV-1547 EX IFP liZ-DOl TAY K Allount Rellitted PA 11,036 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=is'4-i-E3f-AFP-fi'2-':oOY-NO"ficE--OF-YNHEifiTAN-Ci-YAX-XpPRXiSEiiENT~--ALUiwAiicE-OR-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF TAMBOLAS TAY K FILE NO. 21 01-0656 ACN 101 DATE 10-22-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets U) (2) (3) (4) (5) (6) (7) .00 2,778.46 .00 .00 126,366.72 .00 87,954.40 (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) UO) 2,350.49 15.292.12 (11) (2) (3) (4) NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL 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 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 217,099.58 17 .64:7 61 199,456.97 .00 199,456.97 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. 199,456.97 X 00 = .00 X 045= .00 X 12 = .00x 15 = (19)= .00 .00 .00 .00 .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (ot) 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 $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A RFFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) c.. STATUS REPORT UNDER RULE 6.12 Name of Decedent: TA Y KENNETH TAMBOLAS Date of Death: June 16,2001 Will No. Admin. No. 2001-00656 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. Ifthe 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 Orphan's 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 Clerk of the Orphans' Court and may be attached to this report. Date: .-LIJL, -0 I ~7Jt.~- Signature Donna M. Mullin, Esquire JAMES. SMITH. DURKIN & CONNELLY 134 Sipe Avenue Hurnmelstown, PA 17036 (717) 533-3280 Capacity: _ Personal representative _X_Counsel for personal representative