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Home My WebLink About01-0789 PETITION FOR GRANT OF LETTERS Estate of JAMES E. SNELL No. - OlKQ also known as , Deceased Social Security No.193-12-8592 Petitioner(s), who is/are 18 years of age or older, apply)ies) for: (COMPLETE "A" OR "B" BELOW:) GJ A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or Decedent, dated 7/20/01 and codicil(s) dated none named in the Last Will of the 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 incapacitated: o B. Grant of Letters of Administration (c.I.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the 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 314 PITT STREET, ENOLA, PA, EAST PENNSBORO TOWNSHIP (list street, number and municipality) Decedent, then 77 years of age, died JULY 27 ,2001, at 314 PITT ST., ENOLA, PA (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PA All personal property ......................................... (if not domiciled in PA Personal property in Pennsylvania .................... (if not domiciled in PA Personal property in County .............................. Value of real estate in Pennsylvania ........................................................................................ Total ..................................................................................................................... Real Estate situated as follows: 314 PITT STREET, ENOLA, PA Wherefore, Petitioner(s) respectfully requ~s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned/ $ 1 ,000.00 $ $ 74,000.00 $ $ 75,000.00 Typed or printed name and residence MURREL R. WALTERS III ESQ. 54 EAST MAIN STREET MECHANICSBURG PA 17055 RW-1 i 7 - L - i L Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and affirm(s) that the statements in1he foregoing Petition are true and correct to the best of the knowledge and belief of Petitio r( s) and tha~ a per ~ representative( s) of the Decedent, Petitioner(s) will well and truly administer the es te a cor'n 0 w. ;/ Estate of JAMES E. SNELL DECREE OF REGISTER Deceased NO.~ -O'-OIJ~~LJ also known as Social Security No: 193-12-8592 Date of Death: 7/27/01 AND NOW, ~ I Z~ 2DD I, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ TestamentaryC] of Administration are hereby granted to Murrel R. Walters III ESQ. ((c.I.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate) in the above estate and that the instrument(s), if any, datedJuly 20,2001 described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Letters................................... . Short Certificates(s) ............... Renunciation . ......................... Extra Pages ( I ) ............... ................................................ I. T. R....................................... JCP Fee ................................. Inventory ........................ ........ Other..................................... . $ $ $ $ $ $ $ $ l5,CO Signature 0{~O Attomey: MURREL R. WALTERS, III I.D. No: 24849 Address: 54 EAST MAIN STREET MECHANICSBURG Telephone: 717-697-4650 DATE FILED: PA 17055 13i~ CD TOTAL .............................$ ., ~uuiU1y6JL. HI05.805 REV 9186 This is to certify that the information here given is correctly copied from an original certificate of death duly tIled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. p 7618919 ~~~,~ Fee for (his cerriflcate, $2.00 JUL 27 200t No. Date 3 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH UNDER , YEAR - Days SEX I./rlue SToVE 'IlE NUMIE" SOCIAl. SECURITY NUMBER NAME OF DECEDENT IF.... MidclIo. L.., ,. AGE (laslllor1ndoyl ..193 -12 - 8592 DATE Of DERH ,~. 0..,. ..... ..:) 27, 2001 CoIIoge (1.4orS.t WAAlTAl STAruS-_ ---. ~-., ". 5.i..n[}.J.e ,Jc.I2SI...__.. t.a/.J:t ~,o BIRTHPLACE tc<v"" S1aIe 01 fere.grt ~ PlACE OfF DEAfHfCt\ecJI 0f1ty l)f\8 iN 'ntf,ucItOna on 0Ihef ... HOSPITAl.: ,_.....0 E~O 0040 77 Y... 0llUNTY OF DERH /rlech, 'Pa CumbfVUand t.. 314 'Pil:t 5:t., uw1..a, 'Pa WIllI DECEDENT EVER IN DECEDENTS EDUCATION U.S. AAUEOFOIlCES? 'tMKI NoD AACE-__.-._.. .... (Spoc.o,) WhU:e II. DECEDENT'S USUAl OCCUMION I~~"~"::'=:'l' /rl~an.ce AmeA.i..can. Can. Co t1 1" IlECEDENT'SYAlLING_SS(Slr-. ~._.z",c-. SURIIIVING SPOuSE (I........ gIW I\'t8lden ftIllTItI~ 314 'P il:t Sued '" tno1..a, 'Pa 17025 _SNAME(Fir.."""".lall) DECEDENT'S ACTUAl. RESIDENCE ISM_ on 0Ihef 101) ..... ''Ilo. CumbfVUand 17d.o ::...-=:.:::.. MOTHER'S NAME (F... ........ _ Surnamel ,.. /rlWl.1J Jan.e 'Reed 1NF000000'S____SS(Slr-.~ -,Zillc-. 6 /rleadow D/l.. Cam H.LLL 'Pa 17011 PlACE OF DCSPOSITION- Nome..c-o.y, er-y lOCRlON. CilyIIOwn. Slate. Zip~ .. oa... ...... _. 2to. 'Ro.Ll.i..nf; f;/l.een. /rl em 'P wz.I< MAlE AND ADORESS OF FlOClUTY Dc,Su1..liVan. F. H. 51 LICENSE NUM8ER lId. Camp H.LLL, 'Pa N.t.no1..a D/l., tno1..a, 'Pa ORE SIlINEO _.~~ such IS cardiac Of ,..piratory ...r.... Shoek or...... taiIur. . . WIlS CASE REFERRED TO MEDICAl. EXAMlNEAlCOAONER? d 'tM 0 NoJlC' a ,~ PAIlT.: oa.......-_--.gIO_..... :............. naI ~ in.. undIdy6ngc........ in MAT I. .0000000and.... , I I I E WERE AUlOPSY FINDlNGS -..aLE PNOR 10 COMPLImOH Of' CAUSE OF DEATH? 'tM0 _ROFDEATH ~ o o DATE OF INJURY (.........,..,.-1 TIME OF INJURY INJOAY R IM)RK? DESCRIBE HOW INJURY OCCUAAED. -. -- I'oncIng "-'Ion o o o PlACE OF INJURy. A1_.'..m. _",'adaty._ buOdIng. .... I~ _. 'tM 0 NoD -.. NoD - Could niDI be _ennlMd ... / -- leD. -lCNdo....oneJ .CERTIFWGPHYSlClAH(Ph_~~.._ ----'-pronauncod_anaCGlnQlOlOdnem231 T............,knowIedge. .8Ihoccurred.......theC8UM(..... manner.............................................................. n. -PfIONOUNaNG AND CEflTlfYlNQ PHYSICIAN {PhvM:tan boIh Pl'ClflOunClng cJeaf1 and ~ 10 cause of eM...., To........ of my knowleclg.. "III 0CCUf'NdaI....... ate, and~.and...tothec.UMC.)ancI mannllr....aled...................... .MEDlCAL EllAIllNERlCOROHER On the..... of ..amlnatlon and/or tnv."lgation. in my opinion, death OCCUft'N althe time. date, and place, and du. to the cau..(s) and ),.~"""ed....o................. -........................0.................. ....... ...... .............. ..... REGlS"'S SIGNAruRE....ON~ tP? ./ tPI,/ /1 :13. ~4:/~~~~ ~/-O { - Of{~4' LAST WILL AND TESTAMENT OF James E. Snell I. I, James E. Snell, residing at 314 Pitt Street, Enola, P A, being of sound mind and in the contemplation of the certainty of death, do hereby declare this instrument to be my last will and testament. ll. I hereby revoke all previous wills and codicils. III. I give all the rest and residue of my estate to my niece, Kathryn M. Wagner. If my niece, Kathryn M. Wagner, does not survive me, I give all the rest and residue of my estate to Donald F. Wagner. If neither Kathryn M. Wagner nor Donald F. Wagner, survive me, I give all the rest and residue of my estate to my niece's daughter, Donna M. Miller and her husband Clinton Miller. Ifnone of the named heirs survive me, I leave the residue of my estate to my heirs as determined by the laws of the State of Pennsylvania, relating to descent and distribution. IV. I appoint Murrel R. Walters III, 54 E.Main Street, Mechanicsburg, to act as the executor of this will, to serve without bond. I herewith affix my signature to this will on this the d-O -rt, day of Tct 1'( , 20QL at the Holy Spirit Hospital in Camp Hill, P A, in the presence of the following witnesses, who witnessed and subscribed this will at my request, and in my presence. ATTESTATION CLAUSE On the date above written, James E. Snell, well known to us declared to us, and in our presence, that this instrument, is his last will and testament, and James E. Snell, then signed this instrument in our presence, and at James E. Snell's request we now sign this will as witnesses in each other's presence. Further that James E. Snell, appeared to us to be of sound mind and lawful age, and under no undue influence. Wi~ A~ Address: mly f/r/r#&5/I7/~! ~rPS/( ~ Witness: ?" Address: 1tt, ~~ 1/ltl (!CI1tfJ /6//' 41 Witness: ~rVL~ .JL ') Address: 1-~~'~ksr'-hJ;, (lL.nj' tJ), '-14 STATE OF t{ COUNTY OF L \ ''fi\\1..8c..Lf'rl\c> Before me, the undersigned authority authorized to take acknowledgments and administer oaths, personally appeared: JamesE. Snell r &: __2~LAi who after being having dUly sworn or affirmed to tell the truth, stated: 1. That James E. Snell declared this instrument to be his last will and testament to the witnesses. 2. That James E. Snell signed this instrument in their presence. 3. That the witnesses signed as witnesses in the presence of James E. Snell and each other. 4. That James E. Snell is well known to the witnesses, and the witnesses believe James E. Snell to be of lawful age, of sound mind and under no undue influence or constraint. t/;ZOAfI "f ;{'JffU1/J Officer v NOTARIAL SEAL MARY L DEPPEN. Notary Public East Pennsboro Twp., CumberlandC,O ~9omm!ll!lY~, ~~RmJ?,ee 2h~c~ Title of Officer: My Commission Expires: ~ In the Estate of: James E Snell Loan#: 23000000009252 Estate No. 21-2001-789 Date: 9/27/01 CLAIM AGAINST DECEDENT'S ESTATE The claimant certifies that there is due and owing by James E Snell deceased, in accordance with the attached statement of account, the sum of $1.054.08 together with a per diem rate of ~ per day from 7/27/01 until paid and that the account is correct as stated and is unpaid. On behalf of the claimant, I do solemnly declare and affirm under the penalties of perjury that the information and representations made herein are true and correct to the best of my knowledge, information and belief. ----:> allfirst Bank Name of Claimant Signature of claimant 0 make verification on b P.O. Box 17292 on authorized to f of claimant 501-340 Rae Ann James. Sr. Collector Name and Title of Person Signing Claim Baltimore. MD 21203 Address (800) 441-7201 Phone Number This is a true and certified copy sworn and subscribed before me this J r;l/h day of ,2001. ~ My commission expires ~'d ,,~()~ iii allf1rst PO Box 17292 Baltimore, MD 21297 STATEMENT OF ACCOUNT Account#: 23000000009252 Debtor Name/Address: James E Snell 314 Pitt St Enola, PA 17025-2231 DISCLOSURE DETAIL Note Date: 3/23/00 Terms: 120.97@24 mos APR: 13.99% Pmts. Due: Proceeds: Amt. Due: Total: Principal Balance (eff. 7/27/01) Add: Current Interest Late Charges Other: Payoff Balance (eff. 7/27/01) NOTE: Interest accrues at -0- AFFIDAVIT Type: 8/14/01-9/14/01 2,500.00 $1,054.08 $1,029.61 947 15.00 $1.054.08 Personal Unsecured Maturity Date: 4/14/02 High Credit: N/A per day from 7/27/01 forward. D allflrst 20000831430010 DATE 03/23/2000 TRUTH-IN-LENDING DISCLOSURE STATEMENT FIXED INSTAllMENT lOAN Pennsylvania CREDITOR: Allfirst Bank 25 South Charles Street Baltimore, Maryland 21201 TRUTH-iN-LENDING DISCLOSURE STATEMENT ArnaLll'lt Rnanced - The amount of credit provided to or on behalf of Borrower. $ 2,500.00 T ota! of PayrrJefJts - The amount Borrower will have pa)d after making all payments as scheduled. $ 2,903.28 THE PAYMENT > SCHEDULE WILL BE 24 $ $ WHEN PAYMENTS ARE DUE MONTHLY. BEGINNING NUMBER OF PAY~NTS AMOUNTOFPAYUENTS 120.97 05/14/2000 SECURITY Bank has a right to offset property or money in its possession to repay amounts owed by Borrower to Bank. Borrower is giving a security Interest in: LATE CHARGE If any part of the payment is late. a late charge will be imposed of 7% of the delinquent payment, or $15.00. whichever is greater. PREPAYMENT If Borrower pays off early, BorrowerwlD not have to pay a penalty. See the rest of this document and the Simple Interest Installment Note and SecurIty Agreement for additional information about nonpayment, default, and required repayment in full before the scheduled date. any prepayment refunds and penal1ies. ITEMIZATION OF AMOUNT FINANCED $ 1,500.00 Amount given to Borrower directly. $ to public officials for filing fees. $ to insurance company lor preniums. $ __ _ Regis1ra1ion fee. $ 800.00 to HERSHEY MEDICAL CENTER $ 100.00 to DR. HARHIGH $ 100.00 to DR. MYERS $ to =$ 2,500.00 Arnaunt Finanoed ~;;, INSURANCE Procertv Insurance Is TeCllJired for any property that secures this loan and Borrower may obtain Property insurance from anyone that Is reasonably acceptable to Bank. - -- . Credit Ufe insurance is net reauired to o~ credit and will not be provided unless Borrower signs and agrees to pay the additional oost of such insurance. - Type PremIum Bol1'Ower(s) Signatures, Please Sign next to your name. SIngle Credit ute $ Name Signature Joint Credit Ufe $ Name Signature Name Signature Credi1 Disability $ Name Signature My Borrower may apply for credit UIe insurance, and Joint Borrowers may apply for join! credit rife insurance. Joint Borrowers in Maryland and Vlfrjnia. I7lJSt be married to apply for joint aecfit life insurance. The prenium, If any, is Included in the Principal Amount. If the insurance does not become effective or is taminated for any reason, the lnlaI'Iled prerrium will be applied to the unpaid Principal Amount. This will reduce Borrower's total liability but there will be no reduction in the monthly payment until the remaining Principal Amount is pald in fun. Only one Borrower may be insured for Credit DisabiDty. The Insurance is subjecl to acceptance by the Insurer and to the terms of the Notice of Proposed Credft Insurance. Borrowers may cancel such insurance at any time. YS-SOS1J\.9908 ~fl allfirst SIMPLE INTEREST INSTALLMENT NOTE AND SECURITY AGREEMENT FIXED RATE INSTALLMENT NOTE- PAGE 1 OF3 Pennsylvania 20000831430010 DATE 03/23/2000 For value received, the undersigned (herein called "Borrower"), jointly and severally, if more than one, promises to pay to the order of Allfirst Bank, 25 South Charles Street, Baltimore, Maryland 21201 (herein called "Bank") at any of its offices the Amount Rnanced shown in the Truth-in-Lending Disclosure Statement. Borrower also promises -to pay interest on that part of the Amount Rnanced which is unpaid on any day, beginning on the date at this Simple Interest Installment Note And Security Agreement (herein called "Notej The annual rate at interest is the Annual Percentage Rate disclosed in the Truth-in-Lending Disclosure Statement l'ayments: Borrower promises to make payments at the times and in the amounts set forth in the payment schedule on the Truth-in-LendIng Disclosure Statement. If payments are mace early then the total of payments, finance charge, the number of payments and the amount of P'o/lTlents may be less than disclosed. If payments are made late, then the total of payments and finance charge may be more than dIsclosed. Any adjUstment which is necessary because of an early, late or partial payment, will be made at the Bank's option either by adjusting the next payment or by adjusting the final payment. Prior to the due date of the final payment the Bank will notify Borrower of the amount due. All payments will be applIed to interest, principal, fees and insurance premiums as determined solely by the Bank in accordance with applicable law. All principal, interest, fees and expenses not yet paid will be due on the date of the final payment All principal remaining unpaid at maturity wUl continue to accrue Interest at the rate disclosoo. . Security: Borrower is giving a security interest in: Security Agreement: To secure the payment of this Note, all costs and expenses incurred in the collection hereof, and the payment of any other liabilities of Borrower(s) to Bank , whettier joint or several, now existing or hereafter incurred, direct or contingent, mature or unmatured, together with interest on all of the foregoing, Borrower(s) hereby transfers, pledges, grants a security Interest in and delivers to the Bank property (herein collectively' called .Collateral"} listed under "Security", including all proceeds thereof. The surrender at this Note, upon payment or otherwise, shall not affect Bank's right to retain the Collateral as security for any other liabilities of Borrower(s) to Bank, whether joint or several. Bank waives the right to treat any household goods, other than househofd goods purchased with the proceeds of this Note, as security for this Note. Bank's rights and Borrower's duties regaI!Iing the Collateral are set forth in the Protection of Security Interest section below and, if the Collateral is real property. in the Mortgage or Deed of Trust. _ _ Insurance of Collateral: Bank shall require Borrower(s) to maintain hazard insurance, flood insurance, and any other insurance coverage that Bank deems necessary to insure the Collateral, with Bank named as loss payee or mortgagee in any policy for such insurance, until all sums due under this Note and all other liabilities of Borrower(s) to Bank, whether jQint or several, have been paid in full. Borrower may obtain this insurance from any person Borrower chooses who is acceptable to the Bank. If Borrower fails to provide or maintain required insurance, Bank may obtain such insurance and the cost of such Insurance will be either added to the principal amount then remaining or be immediately due and payable, at the Bank's sole discretion. Borrower(s) grants to Bank a security interest in the ~ of all insurance pl?licies insuring the Collateral, as well as a security interest in all unearned or returned premiums for Such insurance. BorrOW'er(s) hereby appoints Bank as Borrower's attorney-in-fact to endorse any draft or check for the proceeds of such insurance, or return of unearned premiums. Protection of Security Interest ar Collateral: Borrower(s) shall not ~ledQe, sell, exchanQe, lease, mortgage. encumber, conceal, remove or otherwise dispose of any Collateral without the prior written consent of BanI<. Borrower(s) Will not create or permit any liens or security interests other than Bank's to attach to any of the CoIJateial after the date of this Note. Borrower(s) shall keep the Collateral in good operating condition and repair, reasonable wear and tear excepted. Borrower(s) shall promptly execute any documents and pay any related fees, necessary to perfect and continue perfected Bank's interest in tile Collateral If Borrower(s) fails to ~rform any covenants and agreements contained in this Note, or in any other document or writing executed by any Borrower(s} in conjunction with this Note, Bank may, at its sole option, make such appearances, disburse such sums, and take such action as IS necessary to protect Bank's Interest in the Collateral, and all such sums so disbursed shall be added to the then unpaid principal balance of this Note, shall be due and payable upon demand, and shall bear interest at the rate herein provided until paid. I Borrower(s) Irrevocably designates aTl)' of Bank's officers, ~lOyees, agents and attorneys (with power of substitution) as Borrower's attomey in I fact to sign Borrower's name to any financing statement, continuation statement, security Interest fiUng statement or other document as Bank may : " request in order to perfect, preserve, maintain or continue the perfection or priority of Bank's security interest in the Collateral. Right of Set Off: Bank shall have the right of set off against all deposits of money of any Borrower(s) now or hereafter in the possession of Bank for the payment of this Note and all other liabilities of the Borrower(s), whether joint or several, which now exist or may hereafter arise in favor of Bank. Late Charge: Borrower(s) shall pay a single late charge of 70/0 of the delinquent payment, or $15.00, whichever is greater, for each payment which is late. Such late charges shall be immediately due and payable. Return Check Charge: Whether or not any payment is overdue and in addition to any late charge, Borrower(s) agrees to pay $15.00 upon second presentment to cover costs incurred by Baril< if Borrower(s) submits any payment by check that is later returned unpaid. Prepayment: Borrower(s) may prepay the prinCipal amount outstanding in whole or In part at aI:1Y time without penalty. Any partial prepayment shall be applied against the princiP81 amount then outstanding and shall not postpone the due date of any subsequent payments or change the amount of such payments, unless the Bank shall otherwise agree in writing. ~ _ - YS-6OSOA-9908 ~0006831430010 SIMPLE INTEREST INSTALLMENT NOTE AND SECURITY AGREEMENT FIXED RATE INSTALlMENT NOTE. PAGE 2 OF 3 Default: Upon the h!lpp8ning of any of the following events, each of which shall constib.lte a default hereunder, aU amounts then remaining unpaid under this Note shall, at the sole option of Bank, without notice to or demand on any Borrower{s} become immediately due and payable: (a) the failure to pay any payment when due; (b) the death or incompetency of any Borrower(s}; (c) the filing of any petition under the Bankruptcy COd'e. or any similar federal or state statute by or against any Borrower{s); (d) any application for the appointment of a receiver or the making of a general assignment for the benefit of creditors by~ or the insolvency of any Borrower(s}; (e) the entry of a Judgment against any Borrower(s}; if} the issuing of any attachment or ~amishment, or the tiling of any lien against any property of any Borrower{s); (g) the taking of ~on of any property of any Borrower(s) at the Instance of a govemment authority; (h) the assignment or sale by any Borrower(s) of any eqUity in any of the Collateral without the prior written consent of BanK; (i) failure to keep the Collateral insured; (j) failure of any Borrower(s~ to observe or perform any other duty or responsibility contained in this Note or in any other document or writing executed by any Borrower(s in conjunction with this Note. Upon the occurrence of any event of default, Borrowei(s), jointly and severally, promises to pay all costs of co laction of this Note, including reasonable attomey's fees. Upon the occurrence of any event of default, Bank shall have the right to take possession of the Collateral, and shall have the right without leoaI process to enter any premises where the Collateral may be found for the purpose of taking possession of the Collateral, provided such entry shal1 be done lawfully. The Borrower(s), jointly and severally, shall be and remain liable for any deficien!?y remaining after applying the proceeds of disposition of the Collateral, first to the reasonable expenses of retaking, holding, preparing fOr sale, selhng the like, including attorney's fees and expenses incurred by Bank, then to the satisfaction of the indebtedness evidenced by this Note. Upon the occurrence of any event of default,Bank may require Borrower{s) to assemble the Collateral and make it available to Bank at a place designated by Bank. Rights and Remedies: Bank or any subsequent holder hereof, shall have all rights and remedies with respect to this Note and the Collateral which are provided for by law or equity. No delay or omission on the part of Bank in exeroising any right hereunder shall operate as a waiver of such right or any other right under this Note, or otherwise, granted to Lender by law or equity. The failure of Bank at any time or times to enforoe its riglits under this Note strictly in accordance with the same shall not in any way be construed as having created a custom or usage contrary to the terms of the Note, or as having in any way or manner modified the same. The procurement of insurance or the payment of taxes or other liens or charges by Bank shall not be a waiver of Bank's riaftt to accelerate the indebtedness evidenced by this Note. Each and fNery party to this Note, either as maker, endorser, surety, guarantor, or otherwIse, hereby waives demand, presentment, notice of dishonor and protest, and assents to any extension or postponement of the time of payment, or any other indulgence, and to any substitution, exchange or release of Collateral granted to any Borrower(s) by Bank. This Note shall be the joint and several obligation of all Borrowers, Co-Signers, and Co-OWners and shall be binding upon them, their heirs, executors, administrators, successors, and assigns. In the event any provision of this Note shall be deemed invalid, the invalidity of such provision shall not effect any other provision of this Note. Governing Law: This Note will be govemed by the laws of the Commonwealth of Pennsylvania, unless federal laws apply. Fair Credit Reporting Act Notice. Borrower(s) has the right to dispute the accuracy of information Bank has reported to a Consumer Reporting AQency. If Borrower(s) wish to do so, write to Bank at the address listed below. Please include Borrower(s) name, address, account number and a bnat description of the problem. In order to improve customer service, Borrower(s) information may be shared among the affiliates of Allfirst Financial Inc. However, Borrower(s) has the right to opt out of this information sharing, other than the sharing of transaction or experience information, by notifying Bank in writing at the address listed below within 30 days of when this notice is given. PlSase include Borrowei"(s) name, address, account number, telephone number and social security number. Each Borrower on a joint account may direct that only his or her information not be shared among affiliates. A1lfirst Bank Customer Information Services Mail Code: 501-120 P.O. Box 1596 Baltimore, Maryland 21203 The following notice applies only if this loan is used to purohase goods or services from a seller which has a business affiliation with the Bank: NOTICE: ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS HEREOF. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER. ACKNOWLEDGMENT: EACH OF THE UNDERSIGNED ACKNOWLEDGES RECEIPT OF A COMPLETED COpy OF THIS NOTE AND ~URESTATEMEm' rE-~ e J?", JI. ESS SO OWER SIGNAiURE J ES E. SNELL . 314 PITT ST ENOLA. PA 17025-2231 (SEAL) 0312312000 DATE (SEAL) WITNESS BORRO~SIGNATURE DATE YS-605OA-9908 ,,;.. . '20000831430010 SIMPLE INTEREST INSTALLMENT NOTE AND SECURITY AGREEMENT FIXED RATE INSTAllMENT NOTE. PAGE 3 OF 3 NonCE TO CO-SIGNER You are being asked to guarantee this debt. ThInk carefully before you do. If the Borrower doesn't pay the debt, you will have to. Be sure you can afford to pay If you have to, and that you want to accept this responsibility. You may have to pay up to the fuD amount of the debt If lite Borrower does not pay. You may also have to pay late fees or collection costs, which increases this amount. The Bank can collect this debt from you without first trying to collect from the Borrower. The Bank can use the same collection methods against you that can be used against the Borrower, such as suing you, ell::. If this debt Is ever In default, that fact may become a part of your credit record. CO-SIGlIJER'S SURETY AGREEMENT: The undersigned "Co-Signer(s)" below, promise to pay to the order of the Bank the principal amount of this Nota, plus interest, fees, insurance premiums and other charges and expenses, as provided in this Note. Co-Signer(s) intend to be legally bound by all the terms of thIs Note, jointly and severally, with the Borrower. Co-Signer(s) are making this promise to Induce the Bank to make the loan to the Borrower, and acknowledge that the proceecls will be used only for the Borrower's benefit Co-Signer(s) agree that the Bank may seek immediate payment from Co-Signer(s) without making any prior demand for payment upon the Borrower. Co-Signer(s) also acknowledge receiving a completed copy of this Note. (Seal) Address . Dale Co-Si{J1er's Signature (Seal) Ada"ass Dale Co-Signer's SIgnature OTHER OWNER OR CO.OWNER'S SECURITY AGREEMENT: You, undersigned, either individually or together with the Borrower, being all of the owners of the Collateral, grant the Bank a security interest in the CoUateral/isted in the "Security" section above. If the Collateral consists of personal property, you agree to the terms regarding the Security Agreement and Collateral contained in this Note. If the Collateral consists of real property, you also agree to execute and be bound by the Mortgage or Deed of Trust You are granting this security interest to induce the Bank to make the loan to the Borrower and to secure the payment of all amounts due under this Note. If, upon default and sale of the Collateral, there remains any amount due on the Note, you wiD not be obligated to pay the Bank that amount unless you are also a Co-Signer. (Seal) Signature Address Date Signature (Seal) Address Dale YS-6OSOA-9908 e. /---- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: James E. Snell Date of Death: July 27,2001 Will No. Admin. No. 21-2001-789 To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on October 25, 2001. Name Address Kathryn M. Wagner 314 Pitt Street Enola, P A 17025 Signature Notice has now been given to all persons entitled thereto under Date: 10/25/01 Name: Murrel R Walters, III, Esquire Address: 54 East Main Street Mechanicsburg,PA 17055 Telephone: 717-697-4650 ... Capacity: _ Personal Representative ----2L. Counsel for personal representative t ,- I ". t~.~..~.~.,~.~ ....~~... -It' fl'~I/ ~ ~ kl ~ ~ t\. ~ ~ (- . ~"'~""""';::l '" '-D . -. ";..~ ......:,..cJ 11J....o ",: ::, "~.,,'..,..a ~~ i"'- ',\ \:~ """-1 ~ 00 f'i':'.-. - ~ :~::--:':~~t:n ~ '.'::":r.;:",",-"'U:~........ J" ' .;'~,""') ~%:.."':.~,- r'~ ;~ \: ,..~ ~J ~ '(~ ~ ".- ,SSY1:J lSUl~ IlU~OS3Ucl ~,~ ----- ~ ~ '" o N ~ N N Cl ~ Rl~ ~ ~ ~ ~ ~ ~ $-( ... 0 0 0 ~ V\ o::l S t+= ~ .:E =roOro ~ o::l p.; o::l ~ \I: - - fa 1:1 ~ ~ ~ i~~ ~J~ ~~~ ~.s " )'i)cJ ~ ,,-'~ ~ - - - c-, ...... cs;, "'- ...... \S'~ ::e:: ::=:. a:: . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: WALTERS MURREL R III 54 E MAIN STREET MECHANICSBURG, PA 17055 ____n_w fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 193-12-8592 FILE NUMBER: 21-2001- 0789 DECEDENT NAME: SNELL JAMES E DATE OF PAYMENT: 12/12/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/27/2001 ACN ASSESSM ENT CONTROL NUMBER 101 TOTAL AMOUNT PAID: REMARKS: KATHRYN M WAGNER C/O MURREL R WALTERS III ESQ CHECK# 614 SEAL INITIALS: DO RECEIVED BY: REV-1162 EX( 11-96) NO. CD 000636 MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS AMOUNT $9,748.21 $9,748.21 itiJ;;=- / -? - c:2 - l,:u COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG. PA 111Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN ReeD! 0,';, Rer; ~:tl:':: of fiBs MURREL R WALTERS III E~QZ 54 E MAIN ST MECHANICSBURG FES -1 P 1 :43 PA 1 'Oitt. Cumbel '2 ii PA 01-29-2002 SNELL 07-27-2001 21 01-0789 CUMBERLAND 101 Allount Rellitted '* REY-15~7 EX AFP 112-001 JAMES E 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-(,i'2=ooY-NoricE--oF-YNHEiiiTANCE-rAX-APPRAisEMENy-,--AL1-owANCE-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SNELL JAMES E FILE NO. 21 01-0789 ACN 101 DATE 01-29-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED 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 ( ) CHANGED (1) (2) (3) (4) (S) (6) (7) 74.400.00 .00 .00 .00 1. 382.14 .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 Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: lS. Allount of Line 14 at Spousal rate (lS) 16. A.ount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: PAYMENT DATE 12-12-2001 NOTE: RECEIPT NUMBER CD000636 DISCOUNT (+) INTEREST/PEN PAID (-) .00 (9) (10) 8,513.00 2.281.05 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 75,782.14 10.794 05 64,988.09 .00 64,988.09 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = .00 X 045 = .00 X 12 = 64,988.09 X 15 = (19)= AMOUNT PAID 9,748.21 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 9,748.21 9,748.21 9,748.21 .00 .00 .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 REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) " () :/ Jr( . ~ . ,. STATUS REPORT UNDER RULE 6.12 Name of Decedent: J arne s E. Sne 11 Date of Death: 7/27/2001 Will No.: 2001-00789 Admin. No.: 21 -01 -0879 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 ~ No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No Ji] 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 p in interest? Yes I!l No 0 c. Copies of receipts, releases, jOin~ ers .~pp~, v . of fO. or informal accounts may be filed' e CI f e. hans' Court and may be attached to this repo. '{ Date: & .1. J' J (----- Signature Murrel R. Walters III Name :C'JIi):) i::;'~) 54 East Main Street Admess Mechanicsburg, PA 17055 so: 6 \! LZ Nnr (0. (717) 697-4650 Telephone No. .':HIj Capacity: 0 Personal Representative ~ Counsel for personal representative " . Cumberland County - Register Of wills Hanover and High Street Carlisle, PA 17013 phone: (717) 240-6345 Date: 6/10/2003 WALTERS MURREL RIll 54 EAST MAIN STREET MECHANICSBURG, PA 17055 RE: Estate of SNELL JAMES E File Number: 2001-00789 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 7/27/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: JFile Counsel Judge REV-1500 EX + (6-00) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT '* COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 OFFICIAL USE ONLY ~. /7- ~.- FILE NUMBER 2 -0 7 8 9 ""CoUNTYCOOE -vEAA- - - NUMBER- - DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURIT'Y NUMBER I- Z W C W U w C SNELL, JAMES E. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) 07/27/2001 06/04/1924 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 1 93- 1 2 - 8 592 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURIT'Y NUMBER w ~ :,:: :$ C/) (.) 0::::,:: W 0.(.) J: 00 " O:::..J ~o.al 0. < [Xl 1. Original Return D 4. Limited Estate [Xl 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy ofTrust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 3. Remainder Return (dale of death poor to 12-13-82) D 5. Federal Estate Tax Return Required 1... 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS MURREL R WALTERS III ESQ FIRM NAME (If Applicable) ~ Z W C Z o 0. C/) w 0::: 0::: o (.) 54 EAST MAIN STREET TELEPHONE NUMBER 717/697-4650 MECHANICSBURG PA 17055 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3_ Closely Held Corporation, Partnership or Sole-Proprietorship (1) (2) (3) (4) (5) 74,48Q:e0 ,.. -..'" =(0 5~ r.1'~1 "j OFFICIAL USE ONLY :0 (l) (") S\ el, ""t', d ..... \" c:J c-J 4. Mortgages & Notes Receivable (Schedule D) .... z o i= <t ..J ::J t: a. <t U W 0::: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) (10) (6) (7) 1 ,~8~.14 l.::) N ::? :::, :::g N o 0'\ (i"; 75,782.14 X _(15) X _(16) X .12 (17) 64,988.09 X .15 (18) 9,748.21 (19) 9,748.21 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o i= <t I- ::J a. :i!: o u ~ I- 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. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (8) 8,513.00 2,281.05 (11) (12) (13) 10,794.05 64,988.09 (14) 64,988.09 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedents omplete Ad ress: STREET ADDRESS 314 PITT STREET CITY I STATE I ZIP ENOLA PA 17025 I C d Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 9,748.21 Total Credits (A + B + C ) (2) 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 9,748.21 9,748.21 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... 0 [ZJ b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 [ZJ c. retain a reversionary interest; or ...................................................................................................... 0 [ZJ d. receive the promise for life of either payments, benefits or care? ............................................................. 0 [ZJ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................................................................... 0 [ZJ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. 0 [ZJ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 [ZJ ADDRESS MURR L R. L TERS III ESQ 54 EAST MAIN STREET, MECHANICSBURG SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE PA 17055 DATE ADDRESS 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. S9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. S9116 (a) (1.1) (ii)]. The statute does not exemDt 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 is 0% [72 P.S. S9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. S9116(1.2) [72 P.S. s9116(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. s9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. :.,.~."." *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER SNELL. JAMES E. 21 01 789 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NUMBER 1. DESCRIPTION REAL ESTATE SITUATE AT 314 PITT ST, ENOLA, PA EAST PENNSBORO TOWNSHIP CUMBERLAND COUNTY ASSESSED VALUE VALUE AT DATE OF DEATH 74,400.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 74 400.00 ~".".,,~ '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF SNELL. JAMES E. FILE NUMBER 21 01 789 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 1990 CHEVROLET CELEBRITY 200.00 FINMANS MOTORCAR VALUATION 178,211 MILES 2 ALLFIRST BANK 602.21 CHECKING #0080307906 3 ALLFIRST BANK 539.42 SAVINGS # 87005332602081 4 CASH 5.61 5 ALLSTATE 34.90 AUTOMOBILE INSURANCE REFUND TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1 382.14 REV-1511EX.. (1-971 , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SNELL. JAMES E. Debts of decedent must be reported on Schedule I. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 01 789 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. SULLIVAN FUNERAL HOME, ENOLA 3,163.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) MURREL R. WALTERS III ESQ 2,600.00 Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 54 EAST MAIN STREET City MECHANICSBURG State PA Zip 17055 Year(s) Commission Paid: 2002 2. Attorney Fees MURREL R. WALTERS III ESQ 2,600.00 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 4. Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 150.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ 8.513.00 (If more space is needed, insert additional sheets of the same size) REV-1512 E~' (1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SNELL. JAMES E. FILE NUMBER 21 01 789 Include unreimbursed medical expenses. ITEM NUMBER 1. 2 3 4 5 6 7 8 9 10 DESCRIPTION AMOUNT 1,129.60 ALLFIRST BANK LOAN PRINCIPAL BALANCE 1054.08 PLUS 75.52 INTEREST MOFFIT HEART AND VASCULAR MEDICAL 85.4 7 WEST SHORE EMERGENCY MEDICAL MEDICAL 74.38 HEAL THSOUTH MEDICAL 29.96 PULMONARY AND CRITICAL CARE MEDICINE MEDICAL 10.42 KUNKEL SURGICAL MEDICAL 28.61 METROPOLITAN MEDICAL TRANSPORT MEDICAL 43.32 QUANTUM IMAGING MEDICAL 10.91 PHYSICIANS OF REHABILITATION MEDICAL 275.93 APRIA BOOTHWYN MEDICAL 592.45 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,281.05 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER ~NEII AME~ E. 21 01 7RQ RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY Do Not List Trustee(s} OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. KATYHRYN M. WAGNER NIECE 100% 314 PITT STREET ENOLA, PA 17025 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, 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 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. 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)