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HomeMy WebLinkAbout01-0986 PETITION FOR GRANT OF LETTERS Estate of William G. Foster No. 21-01-986 also known as William G. Foster , Deceased Social Security No. 160-28-7639 Janice A. Foster Petitioner(s), who is/are 18 years of age or older, apply)ies) for: (COMPLETE "A" OR "B" BELOW:) Gl A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix Decedent, dated 08/15/2000 and codicil(s) dated named in the Last Will of the Slate 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.l.a.: pendente lite, durante absentia; durante minorilate) 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: Name Relationship Residence (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 26 West Main Street, Shiremanstown, PA 17011 (list street, number and municipality) Decedent, then 67 years of age, died August 31 ,2000 ,at Harrisburg Hospital, Harrisburg, 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 ..................................................................................................................... $ 17,000.00 17,000.00 Real Estate situated as follows: Wherefore, Petitioner(s) respectfully request(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: Typed or printed name and residence Janice A. Foster 26 West Main Street Shiremanstown PA 17011 /7- /'7- / Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and 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 representative(s) of the Decedent, Petitioner(s) will well and truly administecpestat;/JafJ1;fJ!::.' Sworn to and affirmed and subscribed J M~IZ before me this 25th day of OCTOBER ~'7?f'(" ;;:-.Jft J.4( Estate of William G Foster DECREE OF REGISTER Deceased 21-01-986 also known as No. Social Security No: 160-28-7639 Date of Death: 08/31/2000 AND NOW,_ ~NOVEMBER 6TH 2001, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters /XI Testamentary 0 of Administration are hereby granted to Janice A. Foster ((c.I.a., d.b.n.c.l.; pendente lite; durante absentia; durante minoriate) in the above estate and that the instrument(s), if any, dated AUQust 15, 2000 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.T.R....................................... JCP Fee ................................. Inventory ................................ Other..................................... . TOTAL .............................$ $ 50.00 7~7 (J~ !;:i.~<~"~Av-Q-.y eglster of s $ $ $ $ $ $ $ $ 6.00 9.00 Signature 5.00 Attorney: --L1} r ; e.J (~ t=:' l--{ t1 a.." I.D.No: fJ;g()()-3 Address: f('-I~. S;/ Tf"')fYI~r; C,/1A-; ,,'IT 9 !1-ari'( ~ bU'fj i/A (?(oq Telephone: /7/7) 5;'1/ - S ')-)n t- ./ DATE FILED: /0 -~ to / ~~~~ 70.00 HI05.905 REV.(09/00) This is to certifY that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~~s.~/<r. Robert S.~erman, Jr., MPH Secretary of Health ~)/~ Charles Hardester State Registrar 1174715 No. SEP 1 9 2000 Date 21-01-986 H105.143 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH TYPE/PAlNT IN PERMANENT BLACK INK ~tt . COUNTY OF DEAI1f . IlL <::J)1L4 ~Q: ,.:) DECeDENTS USUAL OCCUFWlOH 'C~ ~':=:~~~:f STAfE "1lE NUMBER SOOAL SECURITY NUMBER .. 1<..0 2'8 i&J? - _. fil on :> ~ :> "'" ~ ~ ~ ~ 23ft. 23c. MS CASE AEFERRED 10 MEDtCAl EXAMlNERICOAONER? 'No 0 ...13-"' ... I AppozirMre .inIeNaI~ : onMt and dnIh I i MRT n: Ott_ signil\canI condIiona oonmbuting 10 death. buf notl'MUlllngin...undertyingcauM~infWn'l. {b. c. d. DUE: 10 (00 AS ACONSEOUENCE OF): WERE AUlOPSY F1NCMNGS MANNER OF DEATH ,lMULASlE PRIOR 10 ~ COMPLE11ON OF CAUSE 0 OF 0ERH1 "-" - Accident 0 Ptnding lnNstigaCion 0 ...0 ... 0 $uic_ 0 Coutd not be determen.d 0 DATE OF INJURY (Man.... Day. --I TIME OF INJURY INJURY fJ 'NORf(1 DESCRIBE HOW INJURY OCCURRED. 'No 0 ...0 2.... CERTIFIER (Check oniv oneI OCERTIFYWC PHYSICIAN (Ph'(SlClaf' ~ caused dNrh whef' ~ DhvSlCoarl has pt'ClnOlJA:ed dealtl ana comDleteCl""" 23) To...... or my kno...... de..,. OCCunwd due to ItIe cMlM(sJ and man",.r.. ........ . . . . . >t. . 3Gb..... PlACE OF INJURY. AI ~. 1atm.IlnNIlI, lactofy. omc. tMIidInQ. Me. ISpectM _. L1111~1 / ~I l::ll\) (lh \70\ I- Z .. fil ~ c ... c .. :> < z .PRONOUNCING AND CERTIFYING PHYSICIAN IPhVSCliln 00lt! :.>fooouroC:ng OHlt! dnd cC!f'bfy"'91O cause of dealtll To the be.- of my knowfedge. .ath occurred a. the lime, dal.. and plac.. and due to.... caUHCs) and ma""ef''' .'aled ~MEOtCAL EXAMINER/CORONER On the balal. of examin"lon and/or Investigation. in my Opinion, d..th occurred at the time, date, and pJace, and due to the clluse(s) and rnan,ner.. .lated.. . . . . . . . . . . . . . . . . . . . . . . . , . _ . . . . .. ...,. _ . . . . . . . . . . , . . . , . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . , , _ . . .. . . . 3111. REGlST DATE FllED1""onIh_ 0...,.. ......., 34. :Se. 000 21-01-986 LAST WILL AND TESTAMENT OF WILLIAM G. FOSTER I, WILLIAM G. FOSTER, of Shiremanstown, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last will and Testament, hereby revoking all other wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, unto my wife, JANICE A. FOSTER, provided she survives me by sixty (60) days. SECOND: Should my wife, JANICE A. FOSTER, predecease me or die on or before the sixty-first (61st) day following my death, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance pOlicies thereon, as follows: (A) One-third (1/3) thereof to my daughter, KATHERINE F. SHOEMAKER, provided, however, that should she predecease me, then to her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath her share to my son, WILLIAM G. FOSTER, JR. (B) One-third (1/3) thereof to my son, WILLIAM G. FOSTER, JR., provided, however, that should he predecease me, then to his issue per stirpes by representation, and if there be a failure of same, then I give and bequeath his share to my daughter, KATHERINE F. SHOEMAKER. (C) One-third (1/3) thereof, in equal shares, to my wife's brothers, ROBERT J. FERRANTI, RONALD J. FERRANTI and JAMES FERRANTI, provided, however, that should ROBERT J. FERRANTI, RONALD J. FERRANTI or JAMES FERRANTI predecease me, then to their issue per stirpes by representation. THIRD: In addition to all powers granted to them by ~ ~ 1 law and by other prov1s1ons of this Will, 1 give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (e) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (1) To select a mode of payment under any qualified 2 retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the. principal of my residuary estate. FIFTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SIXTH: I nominate and appoint my wife, JANICE A. FOSTER, Executrix of this, my Last will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said JANICE A. FOSTER, I nominate and appoint WILLIAM G. FOSTER, JR., Executor of this, my Last will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this 16- day of (}N~ t 2000. ~~' , !~~;?!~~~~:::~~~ ~~~ - ~ ~. WILLIAM G. FOSTER NOTARIAL SEAl Jlu.: M. 8A1lEY. NotaIY PubIC HaJTlsburg. DauphIn CounlY My Commission Expires Sept 3. 2001 3 (SEAL) Signed, sealed, published and declared by the above- named Testator as and for his Last will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Cv~)~. ~ ~,?fQ fJ~~{;7~ & ~~~ ~ ~~~~IOQ) Address ~ rtLo +\~ > Address 4 ach) being duly qualified according to present and saw REGISTER OF WILLS OF COU OATH OF SUBSCRIBING WITNESS ''''''~,~ codicil (each) a subscribing witness ~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)). / / Sworn to or affirmed and subscribed b9<>'re me this~y of / A9_ / / " signed as a witness at the In the presence of each other) (in the presence of the ~ ~ (Name) 21-2001-0986 (Address) ..f Register ./' / / / i REGISTER OF WILLS OF ~j, COUNTY OATH OF NON-SUBSCRIBING WITNESS ~ (eac ~~-(each) being duly qualified ac or ng to.l~w, depose(s) and say(s) that {j} f3 t~ familiar with the signature of <<i/ U 11114 (; RJSTEX. c~ testat~ of (~<<~~ the ~ presented herewith and __ codicil that W.f-: believet the signature on th@s in the handwriting of J!JLI LL j /I- Mr;. FiJ S 70<- OU~ knowledge and belief. Sworn to or affirmed and subscribed before me this J/J/IJ/f!E A- pO~7E . ~ o ~jJiiS; 2 Sf! I E a ressi6[tt/ PI/17o II JOAJJAJf\ s~ . to the best of , (Name) O. . 3S-02 ~~LY G1 '{YI(-ch'\ ltU lo!:D (Address) BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA INVENTORY , Deceased No. 2001 00986 Date of Death 08/31/2000 Social Security No. 160287639 Estate of Foster, William G also known as 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 real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: Marielle F Hazen I.D. No.: 68003 Janice A Foster Address: 845 Sir Thomas Court Suite 12 Harrisburq Telephone: 717-541-5550 Dated 11/22/02 PA 17109 Description Vanguard Federal Money Market Fund Account No. 9844458107 Custodian IRA, Estate is beneficiary Value 17,783.97 ~ Total 17,783.97 (Attach Additional Sheets if necessary) 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. RW-4 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 I- Z W C W () W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Foster William G DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) 08/31/2000 10/25/1932 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Foster Janice A w ~ ~ ~U) oa::~ wo.o J: 00 0a::...J D.al 0. c( lRJ 1. Original Return o 4. Limited Estate lRJ 6. DecedentDied Testate (Attach copy 01 Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date 01 death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy oITrust) o 10. Spousal Poverty Credit (date 01 death between 12-31-91 and 1-1-95) OFFICIAL USE ONLY /) ../ (/V 2 1 -01 0 9 8 6 ""'C'Ou'N'rY'CoiiE -y~ - - NuMaER-- SOCIAL SECURITY NUMBER 1 60- 2 8 - 7 6 3 9 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (date oldealh pnorlo 12-13-82) o 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) COMPLETE MAILING ADDRESS ~ z w c z o 0. U) W a:: a:: o o NAME Marielle F Hazen FIRM NAME (If Applicable) Jan L Brown & Associates TELEPHONE NUMBER 717 -541-5550 Harrisbur 845 Sir Thomas Court Suite 12 PA 17109 z o i= :5 ::::> ~ D- c( () w 0:: 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 (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) (1) (2) (3) (4) (5) (6) (7) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o i= ~ ::::> D- :E o () S 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 8.97 X ~ (15) X _(16) X .12 (17) X .15 (18) 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 OFFICIAL USE ONLY 17,783.97 ~ 17,783.97 16,788.97 0.00 (19) 0.00 Decedent's Com lete Address: STREET ADDRESS 26 W Main Street Shiremanstown Borou h CITY Shiremanstown STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 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 0.00 0.00 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 IX] b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 IX] c. retain a reversionary interest; or ...................................................................................................... 0 IX] d. receive the promise for life of either payments, benefits or care? ............................................................. 0 IX] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................. 0 IX] 3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? ................. 0 IX] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 IX] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. It PA 84 Sir Tliomas Court Suite 12 Harrisburq PA 17109 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. 99116 (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. 99116 (a) (1.1) (ii)]. The statute does not exempt 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 p:::rent, or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(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. 99116(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 SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Foster William G FILE NUMBER 21 01 0986 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 Vanguard Federal Money Market Fund Account No. 9844458107 Custodian IRA, Estate is beneficiary VALUE AT DATE OF DEATH 17,783.97 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 17 783.97 -""~.,,., . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Foster William G FILE NUMBER 21 01 0986 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attomey Fees Jan L Brown & Associates 905.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills, Cumberland County 70.00 5. Accountanfs Fees 6. Tax Return Prepare(s Fees 7. Register of Wills, Inventory and Inh~ritance Tax Return filing fee 20.00 TOTAL (Also enter on line 9, Recapitulation) $ 995.00 (If more space is needed, insert additional sheets of the same size) ,,,,.,,,, '" <'* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES Fn~tAr ~ FILE NUMBER ?1 01 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) OARR AMOUNT OR SHARE OF ESTATE NUMBER I. 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Janice A Foster 26 W Main Street Shiremanstown, PA 17011 spouse 100% residue 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) ~ ~ ~) \ , , ~ ~ .~ ) '. 21-01-986 LAST WILL AND TESTAMENT OF WILLIAM G. FOSTER I,-WILLIAM G. FOSTER, of Shiremanstown, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, unto my wife, JANICE A. FOSTER, provided she survives me by sixty (60) days. SECOND: Should my wife, JANICE A. FOSTER, predecease me or die on or before the sixty-first (6lst) day following my death, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, as follows: (A) One-third (1/3) thereof to my daughter, KATHERINE F. SHOEMAKER, provided, however, that should she predecease me, then to her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath her share to my son, WILLIAM G. FOSTER, JR. (B) One-third (1/3) thereof to my son, WILLIAM G. FOSTER, JR., provideQ, however, that should he predecease me, then to his issue per stirpes by representation, and if there be a failure of same, then I give and bequeath his share to my daughter, KATHERINE F. SHOEMAKER. (C) One-third (1/3) thereof, in equal shares, to my wife's brothers, ROBERT J. FERRANTI, RONALD J. FERRANTI and JAMES FERRANTI, provided, however, that should ROBERT J. FERRANTI, RONALD J. FERRANTI or JAMES FERRANTI predecease me, then to their issue per stirpes by representation. THIRD: In addition to all powers granted to them by i.., I retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. FIFTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SIXTH: I nominate and appoint my wife, JANICE A. FOSTER, Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said JANICE A. FOSTER, I nominate and appoint WILLIAM G. FOSTER, JR., Executor of this, my Last Will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last will and Testament, this 16- day of /1,. t 2000. l1IUf/uJ' .. . ~~1.~:'~~~~~F:~~~ ~~~- j[~~' WILLIAM G. FOSTER ( SEAL) NotARIAL SEAL JIll M. BAl\.fY. Notary Pub\1t Harrtsburg, DauphIn County M'/ CommissIon Expires Sept 3. 2001 3 , I II'fl " I, I:;) 1:"",1 ~I::I':: gW III u ,,-.f'<-~ ill' ~ ~ t\~l ~ '&. tj.... '~ "Cl ~ ~ to ~ '<I' <( <:7~11N1l II:::::) :2 . +: I:!!.:! ,::1' '"'' +: ""'" -91:YJ S C<. ~ ~ rI.l ~ ... ~ r>:l eo U) .... D .- r-- ~ .... 0 ~ ~ ;:!l ::r: E-t rI.l:t;;;;l ~ P::: -< :58 Dr>:l i..:l OP::: ~ Eo. ~ CI\ ... t.l1Cl; "(~~~ DC"') ~ E-oZ u)~Or-t =~~~~ ~E-tU)O ~Z l' HDli:1..... e~~ ~ ~OU) t.lD ="(11) = J:>.. 01Cl; ~ ~ ~ OA::r:p., ZE-t " P:::1Cl;P:::r>:l r>:l~D~ E-tP:::0U) eo u)r>:lt.lH ~ Ha:l ~ (!)~r>:lP::: r>:lDZICl; P:::t.l0t.l 0 Eo- JAN L. BROWN & ASSOCIATES ATTORNEYS AND COUNSELORS AT LAW OLOE ENGLISH GAP 845 SIR THOMAS COURT SUITE 12 HARRISBURG, PA 17109 EMAIL: jlbassoc@ptd.net ~ "CERTIFIED ELDER LAW ATTORNEY BY THE NATIONAL ELDER LAW FOUNDATION TELEPHONE (717) 541-5550 FACSIMILE (717) 541-9223 *AOMITTED IN PA AND DISTRICT OF COLUMBIA JAN L. BROWN. MARIELLE F. HAZEN"" November 27,2002 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of William G. Foster Social Security No. 160-28-7639 File No. 2001-00986 Gentlemen or Ladies: Enclosed please find the following items for filing with the Register of Wills: 1. Inventory together with Check 2648 in the amount of $10 to cover the filing fee. 2. An original and one copy of the Inheritance Tax Return together with Check 2642 in the amount of $10 to cover the filing fee. This is a spousal return. Please time stamp and return our file copies of these documents. A return envelope is provided. If you have any questions, feel free to contact this office. Sincerely, ~UJ2d~ t ~od Brenda F. Kephart Legal Assistant bfk Enclosure cc: Janice A. Foster f --- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: WILLIAM G FOSTER Date of Death: 08/31/2001 Estate No. 2001-00986 SSN: 160-28-7639 File No. 21-01-0986 Date Letters Granted: 11/06/2001 Will or Administration No. To the Register: I certify that Notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 12/04/2001 Name Janice A Foster Address 26 West Main Street Shiremanstown PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: 12/04/2001 ~71 Q)U~fjb V 1Io/flf/) II ~~~ S,gnatllre # Marielle F Hazen Name (Please type or print) Jan L Brown & Associates Address 845 Sir Thomas Court. Suite 9 Capacity: __ Personal Representative X Counsel for Personal Representative (V') '0 p .~ Cl.. Harrisburg PA 17109 .-- 6: (1) \0 I c...J c:::J ;'2 co I,,:: .. ill .:,. ..0 "C ~ 4>= 0u Telephone No. 717-541-5550 0"'-;':" U a; <DO:: 0: p / '7 - / /) - I BUREAU OF INDIVIDUAL TAXES 'v INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FII-E NUMBER - CoUNTY ACN 01-28-2003 FOSTER 08-31-2000 21 01-0986 CUMBERLAND 101 -, \~ ,)' i MARIELLE F HAZEN JAN L BROWN 8 ASSOCS 845 SIR THOMAS CT 12 HBG PA 17109', '* REY-1547 EX AFP 100-OS> WILLIAM G Allount Rellitted ) CHANGED (1) (2) (3) (4) Oi) (G) (7) .00 .00 .00 .00 17 J 783.97 .00 .00 (8) 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=i5'4j-EX-AFP-(cff':03Y-NO':ficE--OF-YNHEiiiTANCi-TAirA' PPRA-isEifENT-,--AL1-oWANci-oli------------ ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FOSTER WILLIAM G FILE NO. 21 01-0986 ACN 101 DATE 01-28-2003 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) G. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets 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. Charitab1e/Governllenta1 Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax I~ an assessment was issued previously, lines 14, 15 and/or 1&, 17, 18 and 19 will re~lect ~igures that include the total o~ ~ returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due NOTE: (9) (10) 995.00 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 17,783.97 991i 00 16,788.97 .00 16,788.97 00 = 045 = 12 = 15 = .00 .00 .00 .00 .00 .00 (11) (12) (13) (14) 16,788.97 X .00 X .00 X .00 X (19)= TAX CREDITS: n.. "IOn I+J 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 REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) STATUS REPORT UNDER RULE 6.12 '''hZ U'\ V/ Name of Decedent: William G Foster Date of Death: 08/31/2000 Will No. 2001-00986 Admin. No. Pursuant to Rule 6. 12 of the Supreme Court Orphans I Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1 . State whether administration of the estate IS complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete : 3 . If the answer to No. 1 is Yes, state the following: a. account with the Court? Did the personal representative file a final Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is : c . Did the personal representative state an account informally to the parties in interest? Yes 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: / / I v% -v' / CJe.~1U~ Janice A Foster Name (Please type or print) 26 W Main Street Shiremanstown PA 17011 Address ( 717 ) 7634872 Tel. No . Capacity : X Personal Representative Counsel for personal representative