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HomeMy WebLinkAbout01-1003 '"' \ PETITION FOR PROBATE and GRANT OF LETTERS ~/ -0"- , 003 Estate of GERALDINE E. LOBB also known as No. To: Register of Wills for the Deceased. County of CUMBERLAND in the Social Security No. 1 83 -1 2 - 2 7 9 9 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are IS years of age or older an the executor r ,John E - Labbllamed in the last will of the above decedent, dated D~C'E?mh~r ?1 r ?OOO . ~_ and codicil(s) dated (None) (state relevant circumstances. e.g. renunciation. death of e:l:ecutor, etc.) Decendent was domiciled at death in Cumber land County, Pennsylvania, with hp-r last family or principal residence at 504 Water street, New Cumberland p;n 17070 (list street, number and muncipality) Decendent, then - 80 years of age, died Oct 1 6 . ro 2001 , ~ Came Hill Care Center Except as follows, decedent did not marry, was not 9ivorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as fellows: (I f domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania Of not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situa[~c! as follows: 515,000.00 S 5 S WHEREFORE. petitioner(s) respectfully cequest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters tes tarnen tarv (testamentary; administrallon C.La.: administration d.b.n.c.La.) th~r(1l1. / :., ~ .::: '7 Z :; - ::::: ~ - - - - ~: "" 'f, OATH OF PERSONAL REPRESENTATIVE COMMO~WEALTH OF PENNSYLVANIA 'I ,~ r ::;::; CO L ~TY 0 F CUMBERLAND j Th~ petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are tru~ and correct to the best of the knowledge and belief 9.f p rtioner(s) and that as p .sonal represen- tative\s) of the above decedent p~titjoner(s) will well a~ t }y dminister the est t a ~Jding to law. Sworn to ~r affir,med and subscribed { , Vl before me thiS ~ 31st. day of o:;:_~' Oct. . ~2001 m(1;~ c.. ~'j - ,rnhn R Lobb :; I 1) j) II ( I _~. ..\- Register ~ /1_ jy_ 4i Ku-D, ~ No. 21-01-1003 Estate of GERALDTNF. F. r.mm , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW NOV - ? U2QQL, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated December 21. ? n n n described therein be admitted to probate and flIed of record as the last will of Geraldine E. Lobb and Letters Testrlmpnt;'!ry are hereby granted to JOHN E. LOBB .- 'mal c. ~) Clu- P~IJ~n..t. Register of ~ills I ~ FEES Probate, Letters, Etc. ......... $ 50.00 Short Cenificates( ).......... $ 9.00 Renunciation ................ $ x-pages $18.00 JCP TOTAL _ $ 5.00 NOV. 2 2001 H2.UU Filed ........... I . . . . . . . . . . . . . . . . . . . . . . . BARBARA SUMPLE-SULLIVAN #32317 A TIORNEY (Sup. Ct. to. No.) 549 Bridge st.. New Cumb~rland, PA ADDRESS 17070 (717) 77.:1_1.:145 PHONE In~1d,tv~ic(l~ II -~ -OJ , . This is to cenity that the information here given is correctly copied from an original cenificate of death duly Eled \virh me as Local Registrar The original certificate will be forwarded to the State Vital Records OffIce t~)r permanent tIling. WARNING: It is illegal to duplicate this copy by photostat or photograph, 21-01-1003 ~o. ~7;;;;;-..~ fi(h\ThM pl;:~,- I.?;'~/ ~(1'r,,- !~ ~, - ~ - /~ <::::if '..... \~,''''''':. ~""'~.'''- /.~~" \.".~ f~ ~t ,'. 'i. ,- l:e~ I::: f :r.-!,- j-~ ':::. c...1\ .,.{,;, i '." ",'.l::a. ~ ~ ' , . ~ ~ * ,. ..~" ',' * ~ - A, '.~"""",,,",,'- '.'- ~ ;;;, ~', . - ,,,-,-,,' \",~,~", ,,~... -y;fjj;----{~" ,...- ""~,:!!ENi ~ ",,&- ~'!L!1!!J!-/ ,- ".. ... - - t.."1-t::-~'.~>...:/.,;r (.?:::::: -~?~~.~.~ :::'~ "((' '.""'!_4 :,.-;-"" h'e !(lr this certil-lcate, $2.00 Local Regi\t I'JI' P 7744149 OCT 1 8 200t I )ate 5.:4JAev.2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAME OF DECEDENT (flrsl. Middle. Las, 1. Geraldine E. Lobb SEX .female STATE FILE NUMBER SOCIAL SECURITY NUMBER DAlE OF DEATH IMcnd1. 04.,. .~, >182 -12 -2799 <X:t. 16 2001 DECEDENT'S EDUCATION ade com ad ColIogo (1-401 5.1 =...,10 AGE (Last Bwtt'wJay) UNOER 1 YEAR Month. Oays UNDER 1 OJ<( Houn t.41nu1.... BIRTHPlACE IC.ty ",rod PlACE OF OERH ICt>eck ~y r:N"e -- ..ee ,nSlrUCI.0n'9 on Oft\el SlOe) State 01 fCfeqn COUnl.IV~ HOSPITAL - Inpatient 0 ER/OIAQali.ns 0 ... FACIlIT't' NAME (II not IIlsf'flJll()l"I. give street and numben 80 Yto S. COUNTY OF IlERH WAS DECEDENT EilER IN US. ...."EO FORCES? Yes 0 No f'ff E_nlafy/Secondary 12. r 11.9 {0-121 17.. Slafennsy 1 vania RACE . Amencan IncUn, Slack, Whit., Mc:. I_I ,..whi te _ SURVIVING SPOUSE lit WII.. ~ ma.den 1'1alTl8' 111>. Old - Iiw.... CUmberland _? 17d.D :;"'''"::''.:='01 ..oTHER'S NAME (F.-st. Plltddkt. MCllden Sufname) II. Sarah Fettrow INFORMANT'S ....,UNG AllIlRESS (SIr.... OlV"-'.~. r'P Codel ~.415 Concord Rd. Mechanicsbur PA 17055 PLACE OF DISPOSITION........ 01 c.-..y. c,_ LOCl<rIOll. CitylTown. SIaI_, z., ~ .. au... ..... Rolling Green Cemetery Z1c. NAUE AND AOORESS OF FACILITY ..... 504 Water st. ,..New CUmberland, PA 17070 FRHER'S NAME (First. Middle. lastl 11. George Frazer INFORMANT'S NAUE (T ypelPooQ _. Mary Swartz METHOD OF D1SPOSIT! O -, C'....'iOno _......51...0 llonotion 0lMt ( peofyl . 2t.. SIG citylboro r Allen Twp.,PA17011 LICENSE NU"BER 013163 L LICENse NUMBER .324H.rmelA~. ,laIPtre-L.PA170 .., ~ Dl<rE SIGNED ' - - (Monrl. Day, 'Mal) 23tt. 2~. _ Wl'S CASE REFERRED TO MEDICAL E)(AMINERlCOAONER? ",.0 ...~ 2311. :~8~H..vL. u. ::EPRO;;~OEi'''""~~I)~'11 27. PART I: Enter the diSeases. intyries or compOCation$ which caused lhe dealh 00 nolenter 1M rT'IOdI' of dying, such as cardiac Of reSDiralory arrasl, shock or heart failure list onty ~ caUS41 on each N. lb. c. . WERE AUlOPSY FINDINGS AIoIUlA81E PRIOR 10 COMP\..E1lOH OF CAUSE OF DEATH? :M. I ApptoJcimate :=:.:: I , I PART H: 0tJWw significant condiIions conIrtJuIing to death. but noI resutling in the undaftvinO caUN giwn in PART I. Os1.oo avcjh;, hs Not",.. ~ DATE OF INJURY (Monlh. Day, Year) TIME Of INJURY INJURY /i(f \M)RK? DESCRIBE HOW INJURY OCCURRED. MANNER Of DEATH No'rS(. Y.. 0 NoD Cootd noli be determined o o o ~'CE Of INJURY. AI home. tar~~;"t. factory. office building, etc. ISpecIM _. Yoo 0 NoD Homicide -.or.. Pending kweS\ic;;ation M. :JOe. Suicide o I 28a. :lIb. CERTIFIER (Check onty one, .CERTlfYING PHYSICIAN (PhySICloOln cerllfytng cause c:J cSeatt'l when anOlher phVSICoarl haS ptOl1Ol.1nced dealt\ ana cornpleled lIem 231 To 11M ~t o' my knowledQe. "-ath occ~ due 10 the C.UH(S) and ......nn.r.. stated. . . , , - . . , . . . . . . . . . . . . . . . >t. "PRONOUNCING AND CERTIFYING PHYSICIAN CPh'(SlClan bolt1 O).onounclfl9l.1eaU'l and cenlfytng 10 cause 01 aeart11 To lhe beM ot my knowtltdge. death occurred .,lhtI UIne, date, and pl-=.. and due 10 the uUH(a).nd manner.. staled 'MEDICAL EllAMlNER/CORONER On the b..i, a. examinetlon endlor invesUgation. in my optniOA, death occurred at the lime. date. and place. and due to the cause(s) and manner a. slated....,.,......................... ........................................,."...... 31.. REGISTRAZ::A~"BE~ ~i1 ~I/ { I o 32. DATE FILED (Monltl Day. Yea" 34. OCJ/ LAST WILL AND TESTAMENT OF GERALDINE E. LOBB I, GERALDINE E. LOBB, of Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEM IV of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay my just debts and the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM III: I make the following special bequests: }; C1~ .;t;Lt- 1. To my granddaughter, SHELLY HARTE, my diamond ring with diamonds and one (1) pearl, and the sum of One Thousand Dollars ($1,000.00); 2. To my granddaughter, CAROL ONUFER, my grandfather clock; 3. To my granddaughter, KAREN FULFUR, two (2) single quilted bedspreads and the cedar chest; 4. To my granddaughter, JENNIFER BOLES, the comer cabinet, bird collection, and the sum of One Thousand Dollars ($1,000.00); 5. To my niece, MARY SWARTZ, my piano and mirror over the mantel; 6. To BEVERLY SUNDERLAND, the necklace with the watch, the silver necklace with the jade center, and the sum of Five Hundred Dollars ($500.00); 7. To my nephew, ROBERT FISSEL, the sum of Five Hundred Dollars ($500.00); and 8. To my son, JOHN E. LOBB, I devise and bequeath all the right, title and interest in the real estate located at 504 Water Street, New Cumberland, Pennsylvania. I also devise and bequeath to him the mirror located in the stairway. ITEM IV: I devise and bequeath all the rest, residue and remainder of my estate of whatsoever nature and wherever situate, together with any insurance policies thereon, as follows: 1. In the event I am survived by my son, JOHN E. LOBB, the distribution shall be: (a) One-half (112) to my son, JOHN E. LOBB; 2 ,J, f ,J (b) One-half (112) to my niece, MARY SWARTZ; and (c) I bequeath nothing to my stepson, CARL TON M. LOBB, for reasons of his lack of contact and affection for me after my husband's death. 2. In the event I am not survived by my son, JOHN E. LOBB, the distribution shall be as follows: (a) One-half (112) to my daughter-in-law, CHRISTINE LOBB, or in the event she predeceases me, her share shall be paid to her issue, per stirpes; and (b) One-half (112) to my niece, MARY SWARTZ, or in the event she predeceases me, her share shall be paid to her issue, per stirpes. ITEM V: I am aware of the fact that I have a stepson, CARLTON M. LOBB and a stepdaughter, JOAN SOLOMON. I make no provision for them in this Will for reasons well known to them. I had no contact with Joan for many years. Carlton had no meaningful contact or affection for me after my husband's death. ITEM VI: In the settlement of my estate, my Executor shall possess, among others, the following powers: (a) To retain any investments I may have at my death, as long as the Executor may deem it advisable to my estate to do so; (b) To sell either at private or public sale and upon such terms and conditions as the Executor may deem advantageous to the estate, any or all real or personal property or interest therein owned by the estate; 3 II i' r/ (c) To pay all costs, taxes, expenses and charges in connection with the administration of my estate; (d) To compromise controversies; and (e) To do all other acts in the Executor's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate. ITEM VII: Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under circumstance that the order of deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM VIII: I hereby nominate, constitute, and appoint my son, JOHN E. LOBB, to be the Executor of my estate. In the event my said son cannot act or refuses to act as Executor for any reason, I nominate, constitute and appoint my niece, MARY SWARTZ, of Cumberland County, Pennsylvania, to act as Alternate Executrix in his place. Any Executor is specifically relieved from the duty or obligation of filing any bond or other security. 4 he-k) IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding three (3) pages, at the end of each page of which I have also set my initials for greater security and better identification this &d-day of December, 2000. /.l/'vf.O~d.;d' cE: ~M . GERALDINE E. LOBB (SEAL) We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound mind and memory. \j<Jtt ~ Lisa Wasserloos Residing at: 325 Third Street New Cumberland, P A 17070 Residing at: 2670 Conewago Road Dover, PA 17315 5 ACKNOWLEDGMENT COMMONWEAL TH OF PENNSYL VANIA : SS. COUNTY OF CUMBERLAND I, GERALDINE E. LOBB, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ~>At:-,jd~ ~ E: c-d-lJ;. (SEAL) GERALDINE E. LOBB (SEAL) NotarIal Seat Batb!m Sumple-SutIIvm:l. Notary Public New CJ/Jmbertand Bore. Cumberland County 0acnmIssI0n ExpIms November 15, 2003, My Commission Expires: 6 :34 /? r THIS DEED MADE THE (o--1-hday of February, 2001 BETWEEN GERALDINE E. LOBB, individually and as surviving spouse of GEORGE L. LOBB, herein designated as the Grantor, AND GERALDINE E. LOBB and JOHN E. LOBB, tenants in common with rights of survivorship, herein designated as the Grantees; WITNESSETH, that in consideration of the sum of One ($1.00) Dollar, in hand paid, the receipt whereof is acknowledged, Grantor does hereby grant and convey to Grantees, their heirs, successors and assIgns. ALL their certain undivided interest in and to that certain lot of land situate in the Borough of New Cumberland, County of Cumberland, and Commonwealth of Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point on the west side of Water Street, said point being twenty-five (25) feet from the north side of Fifth Street measured along the west side of Water Street; thence westwardly on a line at right angles to Water Street and through the center of the partition wall between house Nos. 502 and 504 Water Street and beyond one hundred fifty (150) feet to a sixteen (16) feet alley; thence northwardly along said sixteen (16) foot alley twenty-four and eight-nine one-hundredths (24.89) feet to Lot No. 44 in the General Plan of the Borough of New Cumberland; thence eastwardly along said Lot No. 44 one hundred fifty (150) feet to Water Street; thence southwardly along the west line of Water Street twenty-four and eighty-nine one-hundredths (24.89) feet to a point, the Place of BEGINNING. Being the northerly portion of Lot No. 43 in the General Plan of the Borough of New Cumberland; having thereon erected a two and one-half story frame dwelling house known as No. 504 Water Street, New Cumberland, Pennsylvania. BEING the same premises which George L. Lobb and Geraldine E. Lobb, his wife, and Paul W. Fissel and Lucille M. Fissel, his wife conveyed to George L. Lobb and Geraldine E. Lobb, his wife, by deed dated October 5, 1955 and recorded October 5, 1955 in the Office for the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book No. T16, Page 178, granted and conveyed unto George L. Lobb and Geraldine E. Lobb, his wife, Grantors herein. Said George L. Lobb died on October 26, 1996 and all rights, title and interest in said property were granted to said Geraldine E. Lobb. THIS IS A TRANSFER FROM PARENT TO PARENT AND CHILD AND IS EXEMPT FROM TAX " _'i:),.: .-.....0 ~ ,J iJ F;'SE 307 TOGETHER with all and singular the buildings, improvements, ways, woods, waters, watercourses, rights, liberties, privileges, hereditaments and appurtenances to the same belonging or in anywise appertaining; and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and of every part and parcel thereof; AND also all the estate, right, title, interest, use, possession, property, claim and demand whatsoever of the Grantor both in law and in equity, of, in and to the premises herein described and every part and parcel thereof with the appurtenances. TO HAVE AND TO HOLD all singular the premises herein described together with the hereditaments and appurtenances unto the Grantees and to Grantees' proper use and benefit forever. AND the Grantor, for her self, her successors and assigns, does covenant, promise and agree, to and with the said Grantees, their heirs, successors and assigns, by these presents, that the said Grantor, her successors and assigns, all and singular the hereditaments and premises hereby granted or mentioned and intended so to be, with the appurtenances, unto the said Grantees, their heirs, successors and assigns, against them, the said Grantor and her successors and assigns, and against all and very person and persons whomsoever lawfully claiming or to claim the same or any part thereof, by, from or under him, her, them or any of them, shall and will SUBJECT as aforesaid, FOREVER SPECIALL Y WARRANT AND DEFEND. In all references herein to any parties, persons, entities or corporations, the use of any particular gender or the plural or singular number is intended to include the appropriate gender or number as the text of the within instrument may require. Wherever in this instrument any party shall be designated or referred to by name or general reference, such designation is intended to and shall have the same effect as if the words "heirs, executors, administrators, personal or legal representatives, successors and assigns" had been inserted after each and every such designation. IN WITNESS WHEREOF, the said Grantor has hereunto set her hand and seal the day and year first above written. Signed, Sealed, and Delivered In the Presence of d~tf~~ WITNESS )!'Ire 11 r7 tlA/>~.&:)-~ ,?~ GERALDINE E. LOBB, individually and as survivor of George 1. Lobb 2 Cle' 239 PACE 30B COMMONWEALTH OF PENNSYLVANIA ) )SS. COUNTY OF CUMBERLAND ) On this 19'fh day of February, 2001, before me, a Notary Public, the undersigned officer, personally appeared, to me to be the person whose name is GERALDINE E. LOBB subscribed to the within instrument, and acknowledge that she executed the foregoing DEED in the capacity therein stated and for the purposes therein contained. NESS WHEREOF, I hereunto set my hand and official seal. 'J ~ Seat 8aYbam Sumple-SuI1Ivlm. Notary PubIlc (SEAL) New CJ:mberland Bora. Cumbertand County , .y Commission Expires November 15. 200::) ,~....o.;:.:--~,,~~j~:1~' .*;tiif~ '~~~r~~~~: . i. ;~~~~~;~...;_~~.~ I hereby certify that the precise residence of the Grantee! is: ,~f~~~~=~::::::, '~~.., .~~~: ~v....f'o<' " '" 504 Water Street New Cumberland, PA 17070 ~ ! COMMONWEALTH OF PENNSYLVANIA ) )SS COUNTY OF CUMBERLAND ) C_' , o f--l -r, .,., CD c: ?" ::::J ;::::. l;-;:;J ........., 0 ('""2- ~ 0 C:) ;:::-J"1 :>c::J::;:r '-~l --J 23 :~ ~--: o C> ',' o -', -.:: c ::---- ~ ::: r7; G"J -'rT1;: -( c::J :...:...' I en,v u .!:-- Recorded in the Office for Recording of Deeds in and for _ Q.~\;\().-\~ ~peed BooQ :;<1 ,Page 50'3 , Volume, ~ Witness my hand and Seal of Office thi~ day of ~ c.o ::::> =.3 2001. (Q 1"0 f--l ~~r~~ "'~~. ....'.. ....". i' _ - ,'. ...- ~ ~:':"t _;'l>~'_~";'-~),"'; .. . _ ;-~'.;.,,,,- t~. . . ....::,.,):'. ...~. - -' ~.- ... I ,.,r '''T1'f'.-" I~\. T',: t(t -:'-..);r:."".f..:) ~i ,ill I r~-C'''H l':, 'J ",',:.:3 I. (~ ' q _OJ \ ',I _~5d~~~~\ ~ ... -" ~ i ,l ., ! ,,j ,. .___~~~'~'~~1L.;;~ -.~_~. ~_____.._i 3 800'- 239 PAce 309 LAW OFFICES BARBARA SUMPLE-SULLIVAN 540 BRIDGE STREET NEW CUMBERLAND, PENNSYLVA."<IA 17070-1031 PHONE (717) 774-1445 FAX (717) 774-7059 October 31, 2001 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Geraldine E. Lobb Dear Sir/Madam: Enclosed are the following documents being presented by the Executor, John Lobb, for processing of his mother's estate, Geraldine E. Lobb. They are: 1. Petition for Probate and Grant of Letters; 2. Original and one (1) copy of the Last Will and Testament of Geraldine Lobb; 3. The completed Estate Information Sheet; 4. An original Death Certificate. Please note the Social Security number on the death certain contains a typographic error. Ms. Lobb's appropriate Social Security Number is 183-12-2799. The Executor is in the process of obtaining corrected death certificates. Please note that the Will at Item IU.8., made a specific bequest of all rights of the decedent in real estate at 504 Water Street to her son, John Lobb. Subsequent to her execution of the Will, she deeded said property jointly with her son, John Lobb, with full rights of survivorship. A copy of that deed is included herewith for your file. The real estate is presently passing outside of the estate and no value is being listed on the petition for that reason. Please administer the oath to Mr. Lobb and forward no more than three (3) copies of the Short Certificates to my office in the self-addressed stamped envelope. He has a check for payment of the fees. Should there be any further questions, please do not h~~ra e to contact the undersigned. ki Barbara Sumple-Sullivan BSS/ld Enclosures cc: John Lobb, Executor Estate of Geraldine E. Lobb t:: --- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA Name of decedent: Geraldine E. Lobb Date of death: October 16, 2001 No. 21-01-1003 To the Register: I certify that notice of beneficial interest 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 November 14,2001: Name: Address: See Attached Exhibit. Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: N/A Date: November 14,2001 ( . Barbara umple-Sullivan, Esquire 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 Supreme CT. ID # 32317 l"I 1[":1 Capacity: _ Personal Representative X Counsel for Personal Representative or--'''" =::e \,Q .-- :> CJ Z (.j'l p .;;::) "'- }: ~:.I) =: '" .-I ~...) G BENEFICIARY ADDRESSES Notice was mailed on November 14,2001 to the following beneficiaries: Ms. Shelley M. Harte RD #2, Box 230 I Newport, PA 17074 Ms. Carol A. Onufer 120 Yorkshire Drive Mechanicsburg, P A 17055 Ms. Karen S. Fulfer 609 E. Keller Street Mechanicsburg, PA 17055 Ms. Jennifer A. Kelly (not Boles) 2625 Grandview Avenue York Haven, PA 17370 Ms. Mary E. Swartz 1415 Concord Road Mechanicsburg, P A 17055 Ms. Beverly J. Sutherland 13951 Harrison Parkway Fisher, Indiana 46038 Mr. Robert L. Fissel 621 State Street Lemoyne, PA 17043 Mr. John E. Lobb 550 CartrefRoad Etters, P A 17319 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRIS8URG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SULLIVAN BARBARA SUMPLE 549 BRIDGE STREET NEW CUMBERLAND, PA 17070 ----~--- fold ESTATE INFORMATION: SSN: 183-12-2799 FILE NUMBER: 2101-1003 DECEDENT NAME: LOBB GERALDINE E DATE OF PAYMENT: 07/16/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 10/16/2001 NO. CD 001411 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1/833.38 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JOHN E LOBB C/O BARBARA S SULLIVAN ESQUIRE CHECK# 117 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS $1/833.38 MARY C. LEWIS REGISTER OF WILLS Re';-1500 EX (6-00) . . Rev-1500 OFFICUIL USE ONLY c... I '1- j' B - d '~...................".... ..~;........].......................................... FILE NUMBER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT Number I- Z w o w <..> w o Year ! ~.!!!~ g au .l:20 () a.iii a. <l: 4a. Future Interest Comprise (date of daath after 12.12-82) 5. Federal Estate Tax Return Required 7. Decedent Maintained a Living Trust (Attach a copy of Trust):)}} 8. Total Number of Safe Deposit Boxes 10. Spousal Poverty Credit (date of death between 12-31.91 and 1-1-95) B 11. Election to tax under Sec. 9113(A) ....... ..................... ............................ ......................... ........................ ...................... .................... ................. c: CD -= c: C> =- en ~ C> c:..:> 1. Real Estate (Schedule A) $0.00 ~ (1) (2) (3) (4) (5) (6) OFFICIAL USE ONLY (7) ! ~ ~ 1 ',--, ~ !: "'{ <:..~ -'0':':::::' ~ ~ $5,206.221 ~ f ..:~ ~ -:r- i 1, ~ ,.f\ 1 ~s:. 0 t-- $29,675.00 =.......................................................... ~ 2. Stocks and Bonds (Schedule B) $0.00 ~ I 3. Closely Held Corporation, Partnership or Sole-Proprietorship $0.00 z o ~ <( ....J ::) ~ a.. <( () w a:: 4. Mortgages & Notes Receivable (Schedule D) $0.00 5. Cash, Bank Deposits & Misc. Personal Property (Schedule E) $6,218.80 6. Jointly Owned Property (Schedule F) l::}}mJ Separate Billing Requested 7. Inter-Vivos Transfers & Misc. Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) (10) (8) $6,533.00 $173.19 (11) (12) (13) (14) $34,393.83 $41,100.02 10. Debts of Decedent, Mortgage Liabilities & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) $670619 12. Net Value of Estate (Line 8 minus Line 11) $34,393.83 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) $000 z o i= ~~ ....::l a. ~ o () 14. Net Value Subject to Tax (Line 12 minus Line 13) 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) $0.00 (15) (16) (17) (18) (19) x 16. Amount of line 14 taxable at lineal rate X $1,567.13 17. Amount of line 14 taxable at sibling rate .12 x $0.00 18. Amount of line 14 taxable at collateral rate 19. Tax Due .15 x $266 25 $1,833.38 20. It:l CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT j:j!j!JjMMmfmj:!!j!tj!!!!!!!!j!!j!!j!!jjjjjfjjj!mtt!fftti:it!!j!!t!,*!..t.MIB;tt.jM$.W.h'~'lMa.b...gjmt"$.t_.n~Ib.lj!1MQj!_iji..l.nO~:jitjtjjjjjjtjjjtjjjM!t!!i:i!:!!M!!!!!!!!!!tt!tti:i!!!!!!!!mfj::t: t!!t!::i . Dece~ent's Complete Address: STREET ADDRESS Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) $1,833.38 .:.:.:.;.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:.;.:.:.;.:.:.:.;.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:.:. ........................................................... ........................................................ . ...................................................... ................................................... ::::::::::::::::;:::::::::::::::::::::::::::;:::::;:::::::::::::::::::::::::::::::::.:.:...:..... 3. Total Credits (A + 8 + C) (2) $000 InteresUPenalty if applicable D. Interest E. Penalty .. " ................................... ................................. ...... ............ ........... .................. ......... ......................................... ...................................... .................................... ................................. 4. TotallnteresUPenalty (0 + E) (3) 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) If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) $1,833.38 $0.00 5. A. Enter the interest on the tax due. .................. .................. .................. ....................... ....................... ....................... ....................... ....................... ....................... ....................... ....................... ....................... ....................... ....................... (5A) (58) $1,833.38 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN X IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; b. retain the right to designate who shall use the property transferred or its income; c. retain a revisionary interest; or d. receive the promise for life of either payments, benefits or care? If death occurred after December 12, 1982, did decedent transfer property within on year of death without receiving adequate consideration? Did decedent own an "in trust for" or payable upon death bank account or security at his or her Did decedent own an Individual Retirement Account, annuity, or other non-probate property which Yes No I............. .............. .............. )~{{::::{:: I}}x:} ::=:::::::XX::::::: .............. .............. ::::::)~\:::::::: ))X{{ ............. ............. :::::::::;)(:::::::::: 2. 3. 4. contains a beneficiary designation? [:::1 I)~{{I IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penelties of perjury, I eclare that I have examined this retur . including accompanying schedules and statements, and to the best of my knowledge and belief. it is true. correct, and complete. Declaration of pre arer at . r th n the personal representat've i . on all the information of which preparer has any knowledge. ................. .. ....................... ...................... ....................... ...................... .................................................................................. ................................................................................. .................................................................................. ................................................................................. ..................... ............................................................ ....................... ...................... ....................... ................................................................................................ .............................................................................................. ........................................................................................... ........ ................................................................................ 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. ~9116 (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 parent, 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. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX + (1-97)(1) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF LOBB, GERALDINE E. FILE NUMBER 21-01-1003 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. TOTAL (Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) $6,218.80 FROt'l : F I S~3EL C0t'lPAN'y' ~, ~t.. . ,~" Fissel & Co FA>< ~. 1172384E,34 1>h.)Il<: 717 2~~~ 3207 f;l( 717 238 4634 I2m.\ il F i~!iClco(if"I'ix.n.:1 November 13,2001 E.,tate of Mrs.Lobb 504 Watet. St. New Cum bt.'1"land, Pa. - ESTATE OF MRS. l.OBB Living RooUl \iictorian Table Sofa ti)ur upholster4;ld chairs [lough box Grandfathers clock TV Piano antique piano bench ~ining Room Hutch,t.1ble and four chairs Curio cabinet Towel bar cabinet Kitch,,'n )..11 appliances slay \~ith hOllse Microwave oven Middle bedroom Cedar chest oak rocker .::onage drt:Sser dry sink Bed painccd Front bedroom Empire chest refinished Two twin pineapple beds Mahogany dresser 150,00 $75,00 60.00 25.00 400.00 25.00 300.CO 75.00 200.00 50.00 35.00 20.00 45.00 75.0 45.00 45.00 25.0 100.00 75.00 set 150.00 Nc~.'. 15 2001 1212: 18P~1 P3 ~. 1.l(J2~; Ihlft! Sl "hurg. I'a 17102 FROM : F I S~3EL GJMPAt,rr' PI' . '-"'t Allie two trunks Middle Hall Bookshd f B;lCk Room C~dar Chc~t C..>ttage Dresser Base S,:t of 1920's dishes FA>< ~jIJ, Y'1723:34634 45.110 25,:)0 100.00 45,00 75.0t) set NJ1SC Household items, Posl pans ete $200.00 Total value of Personal Prop..'Tty $2500.00 The Above Items were app~(!ised at guick sale valul:, based on [.Jc,d auction prices. Rob4:rt Fissel - Appraiser ~jm'. 15 2001 D2: 19PM P4 Capital BlueCross Pennsylvania BlueShield HARRISBURG. PA. 17177 CHECK NUMBER 261683 Independenl Licensees 01 the Blue era.. and 81..,. Shift1 Auociation THE ESTATE OF GERALDINE LOBB 504 WATER ST NEW CUMBERLND PA 17070-1953 AGREEMENT NUMBER 183122799 ************************* EXPLANATION OF REFUND ************************* . . PERIOD OF REFUND FROM: 11/01/2001 TO: 01/01/2002 REFUND REASON: CANCELLED DECEASED TYPE OF COVERAGE: REFUND AMOUNT: SECURITY 65 $166.80 TOTAL R D AMOUNT: $166.80 --{) _ ?() "S If c, HI d <J I ",", -/ /.~ , BROCKIE PHARMATECH 209 NORTH BEAVER STREET YORK, PA 17403 PHONE: 717-854-9028 .-., A FINANCE CHARGE OF 1.50 % PER MONTH (AN ANNUAL PERCENTAGE RATE OF 18.90 %) WILL BE CHARGED ON ALL AMOUNTS 30 DAYS OR MORE PAST DUE TATEMENT OF ACCOUNT Td-~VOID FINANCE CH~~~ES,~LEASE PAY BEFORE THE 29TH OF THE FOLLOWING MONTH-- THANK~YOU! ~TEMENT DATE: 1 0 /23 /2901 ] PLEASE DETACH HERE AND RETURN TOP PORTION WITH YOUR PAYMENT LOBB, GERALDINE JOHN LOBB 550 CARTREF ROAD ETTERS LOBBG GRP-CR PAGE 2 AMOUNT PAID PA 17319 ~ ACTIV[TY FOR L~BB.~ERALOINE . . I I i/ll/0.1! 6458727" 151 VIOXX 25 1'16 TAB 0.11 3/11/0.11 6.458728 391 PRINIVIL---10.1'l6_TABi-0.1 Jlll/0.l!.64587291 151 METOPROLOL50.MG T[ 0.1 ~l ~:tL~tt.<'..:~~;R~7 211 ....,1.5 L iY~ O~.X ~5.~ lit .6, 'TA B.~~~'0' ...~ 1 ~l t~:I:0't .. J~~~:?8 .. ,.,~,~9 .... . R!~ 1;Y~4:~;:1.!~m(;.~~"f,;~\1 '!-'l$Z*'!t.f(. ',\$.&~g~~ ..PR ()P!O,:.~j.S0 !'tG "{It t'fi~rii ..~,~~~ \.," ~'.. ...',o.~tJ:i'i{/J~ttJiJt . ....& 8/16101(;'~"4930521 7~'~'~0'POPOXY-~lA~AP'~(~ :'.01 ~,$~~~~if"';"~{~~J~~.~/~3~%i.~I'~~'~~~~Bl'g~~. 5~.~'~ 'T~{~ll ~106101i 64587281 30f PRINIVIL'19"'6 TA~r 0l.J 9/96/9l! 6458727i 15: VIOXX 25 1It6 TAB '1911 ~/0.6/0l 64587291 15! I'IETOPROlOL 591'1G Ti 0.11 9/0.6/0.1 64587281 30.1 PRINIVIl 10.1'16 TAB! 0.1l ~/22/0.1 6466228' 391 PRIlOSEC 291'16 CApt 91! ! I I i * * * . "1~6.;0l :0. OED. YTD MEDI- ~ + ~ + r"""'~1iII~:1 = I ~"~ 48.00 .00 - LEGEND ~\illo.~ _ r"'~'m-] 143.85 299.85 1:L ~~~~ ~ c[3,~ ~ ~ ~ ~~~"'- p~ ~, ". ..;...~ :'.,~.'.. ~,_ _w '.. '. :.. --- ~ --.~ '. . .' -- .:.. --..~' .'. ....... " !'ll . ...c . ERIE INSURANCE GROUP ~ 100 Ene Ins PI . Ene. PA 16530 ERIE~ NOTICE OF PREMIUM REFUND DP164G 1101 DATE MO., DAY[YR. 12 28 01 1..11111..111...1.11111....1.1.1 ESTATE OF GERALDINE LOBB 504 WATER STREET NEW CUMBERLAND PA 17070 REFUND AMOUNT $ 21 . 00 POUCY NUMBER Q07 6603 AGENT NO. AA7999 AGENT'S NAME FLAGSHIP CITY CUST REASON 1 REF. NO. T517497 CHECK NO. 20517497 AA7999 I)taj Ql & ~ ~ iii E 'S en ~ w ::J "'" ~ :.....- 0 0 ...... >- ~ Ql ::.:: ~ z u "'-J <( Ql J: Ol ..J X ;U <( <( I-- ~ I-- I-- U 0 en ..J I-- W <( ~ II> III ..J I-- co ::J <( 0 U en en I-- " - < Ql \.... U ,,- Cii " 0 ~;;:~ ~ ~ \j', ~' Ql E I'll Z ~ o " o " .- Gi<(o ~a..tO _ .N en"" "E~r! --.:,..... ~1l~ ItlE'- ~::Jr::::.. NU ~ Ql Z II> II> Ql -0 " <( Ii ~ I ...w o~ ~ ~ " ~ f'..j , II> ... \J c:: ~ ,2 --- ti '" 2 ~ en x~ .... -= Iii ~ '(3 Ql - ... 0- ';( r:-- en "'I Ql :::l 0 Ql 0 c: 0 0 co Iii III Ql iii 0 0 " a: "iij 0 a.. U w a: I-- z w ::::!: >- <( a.. i:: :::l 0 E <( _CD CD -c: c: 0 0 ~ ~ iii a.. a.. 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E. lOhb . / :5 50-0 cO , Sf n ~e.V'e ( ~ REV-l509 EX + (1-97)(1) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF LOBB, GERALDINE E. FILE NUMBER 21-01-1003 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. ADDRESS RELATIONSHIP TO DECEDENT JOINTLY-OWNED PROPERTY: ITEM NUMBER DESCRIPTION OF PROPERTY Include name of financial Institution and bank account number or similar identifying number Attach deed for JOintly-held real estate TOTAL (Also enter on line 6, Recapitulation) (If more space is needed, insert additional sheets of the same size) $5,206.22 REV-1510 EX + (1-97)(1) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF LOBB, GERALDINE E. FILE NUMBER 21-01-1003 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER 1. DESCRIPTION OF PROPERTY INCLUOE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE TOTAL (Also enter on line 7, Recapitulation) (If more space is needed, insert additional sheets of the same size) . . .-.~ :34 /? f THIS DEED MADE THE (o-thday of February, 2001 BETWEEN GERALDINE E. LOBB, individually and as surviving spouse of GEORGE L. LOBB, herein designated as the Grantor, AND GERALDINE E. LOBB and JOHN E. LOBE, tenants in common with rights of survivorship, herein designated as the Grantees; WITNESSETH, that in consideration of the sum of One ($1.00) Dollar, in hand paid, the receipt whereof is acknowledged, Grantor does hereby grant and convey to Grantees, their heirs, successors and assigns. ALL their certain undivided interest in and to that certain lot of land situate in the Borough of New Cumberland, County of Cumberland, and Commonwealth of Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point on the west side of Water Street, said point being twenty-five (25) feet from the north side of Fifth Street measured along the west side of Water Street; thence westwardly on a line at right angles to Water Street and through the center of the partition wall between house Nos. 502 and 504 Water Street and beyond one hundred fifty (150) feet to a sixteen (16) feet alley; thence northwardly along said sixteen (16) foot alley twenty-four and eight-nine one-hundredths (24.89) feet to Lot No. 44 in the General Plan of the Borough of New Cumberland; thence eastwardly along said Lot No. 44 one hundred fifty (150) feet to Water Street; thence southwardly along the west line of Water Street twenty-four and eighty-nine one-hundredths (24.89) feet to a point, the Place of BEGINNING. Being the northerly portion of Lot No. 43 in the General Plan of the Borough of New Cumberland; having thereon erected a two and one-half story frame dwelling house known as No. 504 Water Street, New Cumberland, Pennsylvania. BEING the same premises which George L. Lobb and Geraldine E. Lobb, his wife, and Paul W. Fissel and Lucille M. Fissel, his wife conveyed to George L. Lobb and Geraldine E. Lobb, his wife, by deed dated October 5, 1955 and recorded October 5, 1955 in the Office for the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book No. T16, Page 178, granted and conveyed unto George L. Lobb and Geraldine E. Lobb, his wife, Grantors herein. Said George L. Lobb died on October 26, 1996 and all rights, title and interest in said property were granted to said Geraldine E. Lobb. THIS IS A TRANSFER FROM PARENT TO PARENT AND CHILD AND IS EXEMPT FROM TAX :) .}G,..~ ')19 p'r- ,... ,..v tii;t d07 -.aIlo: TOGETHER with all and singular the buildings, improvements, ways, woods, waters, watercourses, rights, liberties, privileges, hereditaments and appurtenances to the same belonging or in anywise appertaining; and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and of every part and parcel thereof; AND also all the estate, right, title, interest, use, possession, property, claim and demand whatsoever of the Grantor both in law and in equity, of, in and to the premises herein described and every part and parcel thereof with the appurtenances. TO HAVE AND TO HOLD all singular the premises herein described together with the hereditaments and appurtenances unto the Grantees and to Grantees' proper use and benefit forever. AND the Grantor, for her self, her successors and assigns, does covenant, promise and agree, to and with the said Grantees, their heirs, successors and assigns, by these presents, that the said Grantor, her successors and assigns, all and singular the hereditaments and premises hereby granted or mentioned and intended so to be, with the appurtenances, unto the said Grantees, their heirs, successors and assigns, against them, the said Grantor and her successors and assigns, and against all and very person and persons whomsoever lawfully claiming or to claim the same or any part thereof, by, from or under him, her, them or any of them, shall and will SUBJECT as aforesaid, FOREVER SPECIALLY WARRANT AND DEFEND. In all references herein to any parties, persons, entities or corporations, the use of any particular gender or the plural or singular number is intended to include the appropriate gender or number as the text of the within instrument may require. Wherever in this instrument any party shall be designated or referred to by name or general reference, such designation is intended to and shall have the same effect as if the words "heirs, executors, administrators, personal or legal representatives, successors and assigns" had been inserted after each and every such designation. IN WITNESS WHEREOF, the said Grantor has hereunto set her hand and seal the day and year first above written. Signed, Sealed, and Delivered In the Presence of d~~~ WITNESS ~17()ljA/l~~ o<'~ GERALDINE E. LOBB, individually and as survivor of George 1. Lobb 2 aoar 239 PACE 308 . . ~; COMMONWEALTH OF PENNSYL VANIA ) ) SSe COUNTY OF CUMBERLAND ) On this (9 +h day of February, 2001, before me, a Notary Public, the undersigned officer, personally appeared, to me to be the person whose name is GERALDINE E. LOBB subscribed to the within instrument, and acknowledge that she executed the foregoing DEED in the capacity therein stated and for the purposes therein contained. NESS WHEREOF, I hereunto set my hand and official seal. 504 Water Street New Cumberland, P A 17070 ~. ~~ .,':'Y:' ':.:/ ,.' .:.::'::..... <'::. ,,' - ,~.....:/..':\lo~~~<< - ... i..~,:~fu:'iflP,t~a<<: ., --~.:=.~..,.._ '~'_.It. .~:_~~......_'... -- '-, ,,?;~:~~~ ~~,~',~~;:: .- ~'.-"'~'" ,,~~ - - '.... .~f,~~~%"~~~. . . ",.,' :~,",/,,~:P~:~J.~~,. ' ",~....~~1J..'.....,.,.A" . ~- ~.~;~~::;,(:;..~~~~..~'i';7-~ tary My commission expires: NorI1aI Seal Bmbam 8umpIe-SuUIY8R. NafBry PublIc (SEAL) fM CJ.imbef1and Bora. Cumberland County CornmlssIon expires November 16. 20031 ~ I hereby certify that the precise residence of the Grantee! is: COMMONWEALTH OF PENNSYLVANIA ) )SS COUNTY OF CUMBERLAND ) Recorded in the Office for Recording of Deeds in and for _ ~~~ lbDDeed BOO~, Page SOJ , Volume '. ~ Witness my hand and Seal of Office thi~ day of ~ .. 0 a c ~ 3: ;;:0 -r, co r>1 .:D 00 r"T1 m w c::o ::::JO ,::::JrTJ :!>o~ CD z r., -I '=7 ::0 -- . ::n 0 C> N ::3 0 -"1 - C 0 m <.D Zrr,0 2001. -irr,1 N -< 0 rTl ..-... I CJ);o -u J> ~~rct?' ~ I ! ~ ' \1-- --0i 1 ~s~h()b~~1 I s...:,;.,,:.....'.' ; ~_ ~_~-1 REf;.'STESED SY T:-{E "'r.~,C:'L:r ~-i 0: . -, 'J (:tj~~~B['. ;t;y~~1:~~~;~11~:~r~:....,~., '~J~~~;i'i;' ? ,~~~~!~ - '.-~;::~. ~ >:i:;1'-' . ~~;']4~~~~;-::; --7:-....,... ,'." '~~ . ,.. ,.~.~;,l~~~~~"'. " - · '~:t.""<Ji'..~:;J:i~-:- ,"';: ~:.c' ~/-,~~""f"~..t;~ ~~ :t- ,- 1 -'" ~ ~ -~~ ~~{::. ./~1..:*~.~~,:g.:.: 3 BOOK 239 PAGC 309 Facetwin Screen Print for public, from "CAMA-Login" 7/15/02 2:30:54 PM CUMBERLAND COUNTY ASSESSMENT OFFICE 25000358 CONTROL # DISTRICT: 25 - NEW CUMBERLAND 1ST WD SD: 9 PARCEL: 25-24-0813-024. I SPEC ID: LOT: E & JOHN I Tback: Short Name : LOBB, GERALDINE E I I LAST NAME : LOBB PROPERTY TYPE: R FIRST NAME GERALDINE E & JOHN E C/O NAME : SALES ADDRESS1 506 WATER STREET DEED BK/PG.....00239-00307 ADDRESS2 DATE OF SALE...02/09/2001 POST OFFICE: NEW CUMBERLAND SELLING PRICE: 1 STATE & ZIP: PA 17070-1953 Situs: 504 WATER STREET J CURRENT VALUES Market L prop Descrip.: Assessed Fai r LAND USE TYPE: 101 I FMV - 62350 L - 13130 NEIGHBORHOOD: 25 C&G - B - 49220 DEEDED ACRES: .09 approved? -> T - 62350 Screen 1 Enter Selection> Record: 49005 Number -Switch Screens, X -Exit, J -Jump Mode, F -Forms, I -Image Down Arrow -Next Entry, Up Arrow -previous Entry, ? -Screens, B -Browse IF TAXES AFiE IN ESCROW, fORWARD THiS TAX NOTICE TO YOUR MORTGAGE COMPANY. TAXPAYER COPY Bill No: PAYABLE TO: Control No: 025 - 000358 Assessed Land Values 13,130 COUNTY OF CUM.BERLAND Rates .00204600 COUNTY R/E 26.86 Rates .00010300 COUNTY LIB 1.35 MAP NO: 25-24-0813-024 BOROUGH OF NEW CUMBERLAND 504 WATER STREET Rates .00150000 .00150000 ACRES .090 DEED 00239/ 00307 MONIC. R/E 19.70 73.83 . _ J. . r TAX AMOUNT DUE -> Residential With Buildings JJ ~ cn~ RESIDENTIAL J ~ -. 71 - If Paid On or After 3/01/2002 ~ ROBI If Paid On or Before 4/30/2002 6/30/2002 - NOT PAID BY 12/31/2002 THIS BILL WILL BE RETURNED TO TAX LOBB, ~~1'.. .~~".A :;- JOHN E TAX COLLEC ':)p CLAIM BUREAU FOR COLLECTION AND FILING OF A LIEN AGAINST 504 WATER STREET YOUR PROPERTY. NEW CUMBERLAND PA 17070 2002 Statement of Real Estate Taxes Improvement Mineral 49,220 0 ROBIN GASPERETTI, TAX COLLECTOR 1113 BRIDGE STREET NEW CUMBERLAND, PA 17070-1634 .00204600 100.70 .00010300 5.07 Discount 2 'I; 125.01 2 'I; 6.29 DESC: 2'1; 91. 66 $222.96 TAX PAYER MAY 2 2 2002 OFF:r.;;E HOURS: P Ai U TUES,WED,THURS 7:30-11 :30AM ALSO 0 CASH 0 I~HECK TUES 2-6PM WED 2-4PM "" MONTHS OF MAY,SEPT,DEC,JAN,FEB TUES 8-11AM ONLY 717-774-7424 Return Bill with Payment. For a Receipt, Enclose Self Addressed Stamped Envelope. ~ 1614 127.56 6.42 10 'I; 102.88 $250.26 7/01/2002 REV-1511 EX+(1-97)(1) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF LOBB, GERALDINE E. FILE NUMBER 21-01-1003 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. 1. 2. 3. 4. 5. 6. TOTAL (Also enter on line g, Recapitulation) (If more space is needed, insert additional sheets of the same size) $6,533.00 0 0 0 0 0 0 0 M 0 M M .- CO N M 0 .. 0 0 M N ~ o::r ~ .. r-- ~ 0 000 0 000 . . . 0 0'\-.:;1'0 0 lJ)NlJ) CO .- .. M ~ ~ \0 ~ ~ I 0'\ . .- 'OM ..oO:;~ ..os ~ .ce l-l~ -1-1 ~atll c:: ~ ..c::O-l-l OlJ)-I-I t-'JlJ)~ o N l-l .8 .- 0 0-1-1 ~8 15 en ~ c: Q> Q. >< u.J n; Q; c: ::> u... o ~ ~ ~, 1 ~ ~~ ~ ~ .::c f:3 H E-t H H H ~ ~ .. ! ~ H ~ . ~ !f ~ ~ ~ ~ ~ +J H Q) ~ ~ ..c::: tIl a Q) +J to C) -.-I 4-l -.-I +J l-l >. Q)-I-I C) -.-I ;::l :5"lij ~~ "0 tIl 4-l- o l-l tIl Q) l-ltll+J OJ Q) tIl 3:-.-1-.-1 oo.c:: ~8~ = .". .". r- f2 ";- r- ;::: ...... :z o ~ ~ -- :z ...... ::E -- :z i5 ~ ~ <C a: o L.L.. <~,-,,;':~:'~ :'-::~i- "".::" .~;~~ " Y.- "'~"_'.'.;.. . ~~~!( <ro*:'~~~'~'?i 4~ ,~; -.~.. ~;.::: ~-;b\i&:*~.i\~~'> '~'''.....r:''f~ ;y:.:--;}t-:;;'-~. ~ .'::""",. ;"~~ ~.....~ :;..:.;,.t.~~,,~~... J ' \; ~*'.:.t; &-~;."~ ')l:~~,;t", .t~;z~,'~ . :;-~ "J.~~ ,.' tr/(.~tI:,,' ,'. " ~"... ~ ," 'l-.Or . _' ~ ...... '.f..,.,..... ...... '. ~_."" ~'.." '............<...... .; '.r.'"._ ~.,' 0,;,,'" ci u: ~ ClC - r: <<S E Q) en en ~~ II) 0 c..;j-~ E c: Cb ~ -~ g. coU) ~ "1:;) CI) .J:::: -~ :Q ~ (C. ~ ci u: ...... M c; Q>' ::>M c:.". Q>O >......0 <t:.-.". r--<t:"" MQ>a........ ~ E -M xEQ>(O o ::> ~...... CD:I:o_ ".". E';::: ~NQ>...... c.: M ...J _ r: <<S Cl Q> a.. ;;;:\6~ <\ Co. \30-:). '(\. ~l S\- ~,(":~'o,-,r~ \ 9~ \l..\<Jd- .-(~. 'd'b<:6- ~dO'l ~\. Fr:::'IJ~l : F I ~::;EL ()Jr'l~ ':'ri" _'~ FA: t,ji_l. ~'1 ~--- _ : I' _ (' .i..::.b4f~34 ~7" ' , .. ,f1 : tl~S(; Ordc\' ,~1 - ,.j I ii,,: . ~ . -. . : , ". .' I,"Y''': ~-.,.,)~.~r 'y "t':)-',~.r'~'''':''' "f"; '.;:"::,~:~1 :.r~:'-;i';~~S1'tJ!lJ~W~~'~;(> ~;,} .:':~'\/ ;, I~..'-:.';~''''':--::'':..;~.. :.;'i" ."..,,:" .' :..'''.i ":""-'" f~rL-' ,~"t>dp" lFISSEL .& CO. 1302 N. ~lrd Stred Ih:rrisburg" PA 17hY~ ~" H\' ,. ~L,j.. 1"'lt..'. :-:. .-~~..... ~ ... .n _ -- -'~~~) -_..- ~' .....~ -- ..~\.;;:-~...'~ ~~ ,~---~.- ." . n -.;.. ......_....__.4._..--:~_...._.__._- :;,~,:,_ -.:....--- r::-:~~' ,::';~-;-0 :;-'" "0.'" -.' ... -. - .,..... ,- -' -" ",', .... -- -. .- .,'"" ..... ;'.. ,..:." ....-...... I ';'...': ..... .--- ---_....- ....-- -.... _. ..-.... . ..- .".. ~ ~ .~~~ -- ~. ......--' -- \C"- ...... - ~. _ ...n ..--' . . ,."- -- ..,'. . . __'-0-'- ,..'. - __ _40-- .....- ---- ---~.-.... ,--_._~". - --.--' ~ ,:,-,~.=.l'l~,€~~;~,~,: ,::",::'~- _. . _ _:. :::. .:>/~~ :'.'~ ~;:'.'Et~~~ :i~l ~' .. ~.. ------ ." "~.. :,,' ;~':-._. .._: ::":' ". .. 1 'C' ,,..t:,,... ':' ~ ~:..'.':: :.:....:."" ;. .,....I...._.C'., .....". ._,--- .-.... - _.--- ."_ _.....1"--- - ..,....---w . _- - it I I -' \" ..It ,. .~'. r.j,:.' 15 2CiCH C12: 1 ::::Pl1 P2 I I I :1 i II; ~ " r "I !: , i: ~ " i, d :; II . r I I ; i . [ [I :; If 1: :. I " ! ill .1 -----;.~~---~ ---.-.---- .." ,.~;,;;-;;"'.', ,..;;"'.i~","",,:r..:,.:.~K ""'~:.i;:"..u.:.,.. .... ..' .,",,'" -'" "",~"'o:&.",_;Jf.i........." "~" lV"- l<.<.<o - . . - ' . ...,. .' . .. ~.' -:.r.;, ~-I;~~,,\o.': ~"~;,1.:~~i.'~:"~~n7Jri:;~~.:,~1';~~:"~~~i~~~~~","~:.f':'~.....r~~ ~'!B"!",~,"''TI''.I;~''~;''(~''~"f''''''''~\~.n''''''f .... '\ ("p.\"+:",< ~ ....~l::~..,.-~\;;7~-...:- ~~':.'V ~~;;'" :,.t;'r~:~'~_. 'V'~~~;",'.'_~ ....r:..-~..1.-ri-,.:~:.~..1.::~'4;.. ,I,:' '~:"':<,.' ',:S:-:: :.>:,': :~~/.~.:;.'::."~'~~':/'~~~ ,~.';,. .'::~' / ,::~",' '\', :~" ;",.. -::, .", :, \'~".,;~:::~ '~,' ,:: ,":: :~~:/:' ~ ':> "'~'~': ~- ;,:,' .:;': >.~. .~.~..' '. ~~. "',. ' :: '~.{ ;..:~.-::.::::~>,:. 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ITEM NUMBER TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) $173.19 BEAUTY SHOP C~~RGES RESID"ENTS NlL\!E: dM/~~tJdj v APT. i ~J(J DATE OF SERVICE: SERVICE PERFOR....>fED: COST: -v + + I?O + + + + TOTAL DUE BY 10TH OF THE MONTH: IF YOU HAVE ANY QUESTIONS, PLEASE CALL ME AT (717) 901-6311, TOESDAY THRU FRIDAY BETWEEN THE HOURS OF 8:30AM - 2: 00 PM. ~ J I MAKE CHECKS PAYABLE TO: SOE TOBIAS (( flh ) 0 ~ MAIL YOUR PAYMENT TO: ()" THE WOODS AT CEDAR RUN 824 LISBURN ROAD CAMP "HILL, PA 17011 ATTN: SUE TOBIAS, BEAUTICIAN THANK YOU. (PLEASE RETURN BOTTOM PORTION WITH PAYMENT) ----------------------------~---------------- . . ... ,1 PPL Electric Utilities \ I I \ , I I ' ,"...1, P~p""Il~: . ", " no ~. "'w Page 3 .: :'::':.::::j:.:..Y~'BillA~Ni.Wbei 84420-80004 EI ectri c Service Total from Last Bill $ 21.64 Billing Details Amount You Still Owe as of Nov 6, 2001 $ 21.64 For: GERALDINE 1< tHB 504 WATEH ST NEW CUMBERLD I'A J7ol0 Final BiD Account Balance $ 21.64 PPL Eledl'ic lJlililil"S Customel' St'ni,:t, 827 Hausman Rd. Allentown, PA _ 1 -- 1-800-342-5775 \~'.~N,Bpl" <-D:t'Oiil #r- dJ. . ' &11 t.tlPAJ General \\\\' I j:' . Generation prices and charges are set by the electric generation supplier nlormatlon you have chosen. The Pubric Utility Commission reg!llates distrioution prices ~nq servi,ces. The Feqeral Energy Regulatory -Commission regulates transmission prIces and services. PPL Electric Utilities uses about $2,14 of this bill toyay state taxes. In addition, about $0.95 of this bill pays the PA Gross Receipts Tax. We app'reciate the opportunity to have served you. Because you have paid your btlls within 30 days over the Jlast year, Y9U have established an excellent payment record with PPL Electric Utilities. Heating your home is the biggest part of your winter energy needs. Check y~)Ur heating system fil.ter(s) montl1ly. cr~an or change finers as needed. You can save money smce your system wtll use less energy. PPL Electric Utilities' new, free on-line Energy Audit shows how your heating system, water heater, refrigerator, lighting, and level of insulation add to your home's energy bIlls. See where your energy dollar is going _ and how you can save energy. For a free report, go to h up:/ / audi t. pplweb. com! energy audi t. OJ. i//ltf re, M I JDU ~~'~';'!r'\';i}~'t\~~~~tsi;?E;tli~~i~"'2;-"~:,<~f~{l:S')'fr!~f,~~rf}if' :.1.. :..">.:)::~',>::.~'.:. :',>.:J Customer Account Information Billing Summary .':::- ".- ~--_.. .::~;~?~:~:;t?~:L/t.( \I~:A For Service To: ~o~O~~ter 5t ~:~ ~::~~~/e--- ~.' $11. 95 Account Number: 24-0623605-5 Payments prior to Nov 08, 2001. Thanks! -11 .95 Premise Number: 24-0368687 Total prior balance, Nov 08, 2001 .00 -Current Water Charges- ------- Service Charge 6 . 17 Water Volume ($.004864 x 100) .49 State Tax Surchg Water -0.43% - .03 DSI - Charge 2.55% . 17 Total water charges, Nov 08, 2001 6.80 Billing Period & Meter Information Billing Date: Nov 08,2001 Billing Period: Oct 03 to Oct 22 (19 days) Next reading onfabout: Dee 04, 2001 Rate Type: Residential Meter readings in current billing period: Meter Number N037426706 is a 5f8-ineh meter. Present-actual 2011 00 Last-actual 201000 Gallons used 100 -AMOUNT DUE-- $6.801 Water Usage Comparison Monthly usage in hundred gallons. b II 2 o o o NDJFMAMJ ~~~g~r;~ J A SON 2 uuecoO I 9 P t v 0 1 J ~ Messages to you from Pennsylvania - American This is your Rnal Bill for service. It has been a pleasure serving you and we hope we may again have the opportunity in the future. · A VOID COSTL Y SERVICE LINE REPAIRS... To learn how you can protect yourself against unexpected and costly service line repairs, call (800) 565-7292, and ask about the Water Line Protection Program. Your peace of mind is worth it. · Pennsylvania-American Water Company is a proud recipient of the Governor's Award for Environmental Excellence. · Effective October 1, 2001, the Distribution System Improvement Charge (DSIC) has increased from 1.76% to 2.55%. This charge funds replacement of water distribution facilities. . A safety reminder: All PAWC service persons wear uniforms and have identification badges. Should a person come to your door and claim to be from the water company, please take the following precautions to be sure: 1) Ask to see their ID and proof of their purpose. 2) Examine the photo 10 to make sure it's authentic. 3) Do not open your door to anyone who cannot provide proper identification. If you're still unsure about the person's identity, ask the person to wait outside m~e you call PAWC's customer sennce center st (800) 565-7292 to verify If sn employee hss been -"Pci'"; JO;;-so ) J .) ) . ~ . ; . J ) . ; Customer Service: 1-800-565-7292 (24 Hours) l Emergencies: HlOO-565-7292 (24 Hours) Visit us on the INTERNET: www.pawc.com I, __ _ ._~.~ A1M 20923 f :~I ,J t ',< <<'::">'.'~","',,'."",.'..l. ~. "<'.' --'-.' . . ,". . '.~'. '. . '. '. " ". ...... ~ . . . ~. :[ .1- Ii f~ l~ :~ ( ~ ! t. t ~. t. l I I ~ 0 1~~ '" ~~ m C'l '. ""- 0 z ... Z ~ ~~ c: m C 0 ~ S:W m z S ~i ~w :2 :>: ::u U'1 I'TI ~ m ~ -r"'tlX (I) '" ~~ '" "I )> -;:+ en -I~ '"'l ~am ~ m 0 \!\ ~~ - VI ::c -I ~ "1- Ql < ~g "I ;:g ~ ::u - ) ~ ~z<o (') r "\. ~"'en w Z (5' S. m "0 .- ~ ~ ~ 'l\ g U):E <D (') ) ~ w rs ::u (X) m ~ 1] ;0 ~ ' j '''\\......~ <0 W:2 -I ~ 0 ~ )>CJ -4 (J) ~ i\ Z r.l ~a. m ,,)> ::c ).) ~ )> ~.~~ ~ ~ ~g N ~~o ~ ~\~ ~ ~ ~~ ';t ~ !Il 8 il!!." 2,3;: ~ -< C'l~n ~ ~~ CJ> ~ ,.... ~ lii :i ~ ;U ~ ~;-~; :> C ~ Z C> i~ ~~;3i~i:~ ~ C/l -i n:1 m AI -..J ! ~ 2:~l!.!!>fO~ -i 0 C ~ Z 0 :E z "U ~ ',- t> t'\ illif~ (') ?; Z CJ> 1i\ \)~ r~ r "U 0 ~ ~ (j) m z ~-" il- Z (j) 0 '-" r-~ _::r>> 0 s: (j) m :::I 0 ~~ 2~Fg - 0 "U z OIl:! g;l m - 'Ji( ~ ~J ~~ '- " ;;0 I -- .......... 5"!.~~3 " ::::, ~ il=2:='2.i 0 , ~ 0 '" 1)\ 1I~ll-Ul ~ '" m ~ ~ 2, - lr~ I ~ I( 't en l~ "'~~-3~ @ f\ 0 .il!!. ~~;I- \\ * ;!! I~ 5'Q.i:>.olr ~ - ~ 0 I\) ~~ :a.a: r -l C ~ ~ 1] ~ '" o~.. ': -l m jg 5 ~ :>i 0 ~ !:I3::JCJg - ~ G) 6 0 m Z 1 ~ - \ ~ m '" ~ ~m " 'ClIl.g_"_ - ~. <:) 0 Z Z Z 2.1h.-lli~ r- r= c: c: \) -::: 0 !: !: ~::b: 50'2.1 :3 '\ 0 '" '" ~ ~ ii CI \ ~ ~ 11 m m ~" ~ ~[~3"'~ ;-1' '" %l "' ~ ~ ~" II 0 iiU:!i- OJ .f~s:~~. ~ ~ 0 0 )) g~ini ;Ii; \J ,,-Ill 0 ='8 - ~ lD. .. ~ / \) ~~~~!~ d d '-...... V Q ~~ "5 ~ ~ ~ d ~ ,.... ~~ m ~ ~ CJ> ~ ~ ~ .. -l :> ~ G\~ ~~ ~ ~ ....m ~ 0 n:1 ~ ~ N'" c: ~ ~ Y> AI ~~ '" W ~ ~ CJ> '............ m ~~ 'C Z 0 0 m c r- C> G) ;:c ...e 0 t N I:)q c() N ~ \,~ ~ I~ )> ~ e- N s: W 0") ~ N \) 0 ...c ~ en "- c ~ I~ ~ ~ ~ ~ ~ Z -l " " - " if: ~, "r ~; ~l H ~i !l ~ '< 'I '" " ."f ..'. ...... . ~~--_-.:._~..- ~:.-~.>--~,"'---~~-:.:....~~~~~ - PRESORTED FIRST CLASS MAIL US POSTAGE PAID NEW CUMBERLAND. PA. PERMIT NO. 22 SEND TO ; GEMJ)UE LOBB & JlHI LOBB , l 504 WATER STREET " , PA 17878 ',,- DISTRICT # 248368687 ACCOUNH 141575 BILL DATE 11/88/81 THIS IS YOUR RECEIPT REV-1513 EX + (9-00)) . . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF LOBB, GERALDINE E. FILE NUMBER 21-01-1003 NUMBER RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE TOTAL OF PART 11- 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) $0.00 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: File No.: Geraldine E. Lobb October 16, 2001 21-01-1003 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 the administration is complete: Yes~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Not applicable. 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_X_ b. The separate Orphan's Court No. (If any) for the personal representative's account is: Not applicable. c. Did the personal representative state an account informally to the parties in interest? Yes ~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date 10/ ;S'/oV " , Attached are the original Approval of Account, Release by the beneficiaries in this estate. t' Signature Barbara Sumple-Sullivan, Esquire Name 549 Bridge Street Address New Cumberland, PA 17070 (717) 774-1445. Supreme Ct #32317 Telephone No. Capacity: Personal Representative x Counsel for Personal Representative / ,j ()v---- ~/ APPROVAL OF ACCOUNT, RELEASE AND INDEMNIFICATION FOR THE ESTATE OF GERALDINE E. LOBB DECEASED The undersigned is one of the beneficiaries of the Estate of GERALDINE E. LOBB, Deceased, and desires that the Estate be distributed without the fOlmality of a court accounting. The Executor ofthe Estate is willing to consent to such distribution upon receipt of a proper release and indemnification, which it is the purpose of this document to provide. In consideration of the willingness of the Executor to make distribution without the formality of a court accounting and agreeing to be legally bound hereby, the undersigned individually and on behalf ofthe undersigned's heirs, personal representative, successors and assigns does hereby: 1. Waive the filing of an account of the administration of the estate in any court; 2. Declare that the undersigned has examined the attached informal account (and statement/schedule of Distribution) ofthe Executor and counsel dated September 20,2002, find it to be true and correct in all particulars; accept and approve it with the same force and effect as ifit had been prepared and filed with, audited, adjudicated and confirmed absolutely by a court of competent jurisdiction; and as if the balance of principal and income had been awarded by the Court in accordance with the statement/schedule of distribution; 3. Warrant that the beneficiaries named in the informal account and statement/schedule of distribution are the sole parties in interest in the estate and entitled to receive the entire distribution thereof in accordance with the informal account and statement/schedule of distribution; 4. Warrant that the undersigned knows of no outstanding and unsatisfied claims against the estate and approves the distribution of the balance of principal and income shown in the informal account and statement/schedule of distribution to the persons set forth therein; 5. Absolutely and irrevocable release and discharge the Executor, and his heirs, personal representative, successors and assigns of and from any and all actions, liabilities, claims and demands relating in any way to the administration of the estate and distribution in accordance and without a court accounting and adjudication; 6. Agree to indemnify and hold harmless, the Executor and his heirs, personal representative, successors and assigns, from and against any claims, liabilities, loss or expense (including costs and counsel fees) arising from any cause whatsoever, which the Executor may incur as a result of the administration of the estate and its distribution in accordance with this document including, but not limited to, any liability of any federal estate tax, Pennsylvania Inheritance tax or any other death taxes, and any federal or Pennsylvania income taxes, and Pennsylvania personal property taxes, together with any interest, penalties and costs incidental thereto, relating in any way to the estate and also including, but not limited to, any assets received or payments or distributions made by reason of any negligence or mistake of law or fact. Dated o/)'~ P(j{l6'.;l COMMONWEAL TH OF PENNSYLVANIA : SS. COUNTY OF On this, the 2(; day of ~I ' 2002 before me, a Notary Public, the undersigned officer, personally appeared J HN E. LOBB known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he e uted the foregoing Approval of Account, Release and Indemnification for the purposes o ained therein. -<:: NOTARY PUBLIC My Commission Expires: -.----1 I ! ! r\j '/.l, ! L~e~lb\;!Je~,n;;,ytv:~iJi0(<;;:~(::~2(;;~0\i4Dt&.i"Gs (SEAL) 2 ACKNOWLEDGMENT OF RECEIPT " r, ~, i ~C rc.it'r/i , am the named beneficiary in the Last Will and TestamenVof-Gerald' e Lobb. I was t eceive the following special bequest: i/ ", .' (yj.(y/(, ?J~J. }}) c' j (i-f) (- f!z{>tLl i (j / " t,~ l( ; /1' /. -c t~ ( L . .. ...... I r-i'L ({I' ...' ,\ .:~eC, _,'ce.,,) )') r acknowledge receipt of the aforementioned bequest this )CP day of ", n,i'll//J~ L 200 1 and hereby release, remise, and quitclaim the Executor of the Estate of any further obligations regarding my interest in the estate. ;' ~ . ~ {' ~1A."~t/.' .~ i -... /J'"?// 1: ,.. j ~- /, (..../ ACKNOWLEDGMENT OF RECEIPT I /1./ ' ) , am the named beneficiary in the Last W ill and as to receive the following special bequest: 2, .J< ;;l ?~,:)bc~ J~c!f2; {'~~ / /(c ('{tl.--' Cj'~"'--:- .") I acknowledge receipt of the aforementioned bequest this d.0ay of :!,t?7,:;IJ .i/~ '.~ 2001 and hereby release, remise, and quitclaim the Executor of the Estate of any' further obligations regarding my interest in the estate. . l \ I , .. '"-. /) '-:=JJ, C{ { \ J \ .I '"-_/ ACKNOWLEDGMENT OF RECEIPT I,,-~1}~cl4i &tlk'~- , am the named beneficiary in the Last Will and Testament of Geralj!i}'l.e Lobb. I was to receive the following special bequest: /' '''/, (' " ;"}; 'y' ""'{'-Ll h;: l/O~'/ / ~<- Y <-- j/ c \> to r lo" <.~ I acknowledge receipt of the aforementioned bequest this day of 200 1 and hereby release, remise, and quitclaim the Executor of the Estate of any further obligations regarding my interest in the estate. " . t\ _A~ L~ I)'vl' ~(\Lr,-< ACKNOWLEDGMENT OF RECEIPT I acknowledge receipt of the aforementioned bequest this ~tJuday of IJ/f!. 200 I and hereby release, remise, and quitclaim the Executor of the Estate of any' further obligations regarding my interest in the estate. ~}~ ;Sd)w~ / ACKNOWLEDGMENT OF RECEIPT J~i: 1- ---f D /" 1, 1\' , .I?:/LL ~~-t... the ilamed beneficiary in the Last Will and Testament of LJc?)ome Lobb. I was to r~eive thl10110Wmg)specl~1 beque;;t: / ~ i ~'YYl (~ J.AJ'G 'j{L(;VL(;l~c,l_ (~{tU{/~) . " I acknowledge receipt of the aforementioned bequest this ~t day of Ija 2001 and 'hereby release, remise, and quitclaim the Executor of the Estate of any further obligations regarding my interest in the estate. ~ ~ - --1..:u; ACKNOWLEDGMENT OF RECEIPT (' ), l' C. ' , ') I, .0 -16': c - .. "< I ul co I \ am the named beneficiary in the Last Will and Testament of Geraldine Lobb. I was to receive the following special bequest: ~J1a vlLLj(LdU L-/ cJ(c-J<-- l . I acknowledge receipt. of the afo~eme?tioned bequest this ~ day of 9/J1Ul~ 200 land hereby release, remIse, and qmtclmm the Executor of the Estate of any fd.riiher . obligations regarding my interest in the estate. (6~~i -- '\., /?-/?- ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REY-1607 EX AFP (01-02) BARBARA SUMPLE SULLIVAN 549 BRIDGE ST NEW CUMBERLAND PA 17070 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-26-2002 LOBS 10-16-2001 21 01-1003 CUMBERLAND 101 GERALDINE E Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV; 16'ifj-Ex--AFP--f oY=02Y------...--i NifERiYANcE--TAY-sTA -fEJ;iE-NT-'ifF'-AC-couiff--.-i.---------------- - - --- ESTATE OF LOBB GERALDINE E FILE NO.21 01-1003 ACN 101 DATE 08-26-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-26-2002 P R I NC I PAL TAX DUE: .................................................................................... 3,069.47 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-16-2002 CDOOI411 .00 1,833.38 EREST IS CHARGED THROUGH 09-10-2002 TOTAL TAX CREDIT 1,833.38 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 1,236.09 INTEREST AND PEN. 11.35 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 1,247.44 II SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J BUREAU OF INDIVIDUAL TAXES INHERITANCE TA~ DIVISIu~ 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 FILE NUMBER COUNTY ACN BARBARA SUMPLE SULr!VAN 549 BRIDGE ST NEW CUMBERLAND PA 17070 NOTE: 08-26-2002 LOBB 10-16-2001 21 01-1003 CUMBERLAND 101 '* REV-1547 EX AFP (D1-D2) GERALDINE E Amount Remitted el) (2) (3) (4) [.5) (6) (7) .00 .00 .00 .00 6,218.80 5,206.22 59,350.00 (8) UlJ (2) (3) (4) (19)= NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 70,775.02 6.706 19 64,068.83 .00 64,068.83 .00 2,803.22 .00 266.25 3,069.47 I< "'.. ,,:.. r l+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 09-10-2002 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 3,069.47 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 28.19 TOTAL DUE 3,097.66 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 = iStrj-Ex--AFP--foY:02Y-NoT-icE--oF-YNHER-iTANcE-TA;tAPPRAisEMENT-;-AL.i.-owAifcE-oli------------ - - --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF LOBB GERALDINE E FILE NO. 21 01-1003 ACN 101 DATE 08-26-2002 TAX RETURN WAS: [ ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE 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) .5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property [Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses [Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 1.5. Amount of Line 14 at Spousal rate [1.5) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (9) UO) 6,533.00 173.19 ( 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 RF'II='IINn C:J:C DI:UI:'DIt"r- .........r- -- _.._~ ----- .00 62,293.83 .00 1,775.00 X 00 = X 045 = X 12 = X 15 = REV-1470 EX (6-88) '* INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME Geraldine E Lobb FILE NUMBER REVIEWED BY Deborah Washington ACN 2101-1003 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES G The value of the estate has been adjusted as the result of the correction of an error in arithmetic. Increased to 100% less 1 (one) exclusion, transfer was made within one year of date of death ROW Page 1 t .,~ ~,n c:::t' 't'1' ~~-::; '~ ~ ~-. ~ ('J~- ('J \ \ ~\ \ ...o~"" "'O....,.-I~e.,.-I ('J~\ ~~ \O~,.-I~~ ~~,.-I('J $. ~~ ~Ul U-c:at Ou-a,. ulO~~ ul~ul~~~ "",,,,,,~,",O~ 1.~c:a\).(,) ~ Ii . to ~ ~ ~ ~ 'li ~ 0;; ~ ~ \,)1 ~ ~ ~ d. ~ (.!) u.' IJ'I "::) ~ ~ o ?\ ~ ."., 7- __~ 10 <~,.-I 10- .^"::)~ 0 V' 0 r- ~ ~.,,.-I \/I ~"" ... ~o ~ ud. IJ.o 0. ~ o~ ft 0 <::t\,)1 ~ ~~~ ."., """~\~ 't IJ'I.... ~ 0 ~~(l(, ~ ~'::)<::t 10- ~uu \ ~ . ~ ~ ."., ~ ~ d. ~ ~ ~ul ';) ...'i, ~ 0 ~\Il r ~ \~ u1 do o.\). ~ u. \).0 d. 0 o~ r \"'" $.Q ~ ~ ~~ Ul $ 4. ~ .,:. Ul ~4 ~~ ~~ i, c:a r s Ul ~ 1ft ~ 4t .... ... -.i~ ~ aV. \ ';:4'" ~ ?~ ... \04':> ';. ~ -A ... ~... 0- 'r-'2." ~~~'& !i.o'::l ~.....~ :oit.~ .... ~ ~'O.~ ~~~~ ~ '"7 ~ ~ ~ ~ u.l P ~~~ 0., lJ'I ~ Su.l~ 1J'I(.!)u.l p~ d.~~ ~~u ~O'~ <::t4~ ~\t\ ~ ~ r- ,.-I d. 0. ft ~ 3 ~ 'A 10- ~ ?\ 2- ~ ."., '0 . 10- I> 10- . t 10- ~ . ~ f.. o .... .' ~ 'Q ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU DF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BARBARA SUMPLE SULLIVAN ESQ. 549 BRIDGE STREET NEW CUMBERLAND, PA 17070 ----~--- fold ESTATE INFORMATION: SSN: 183-12-2799 FILE NUMBER: 2101-1003 DECEDENT NAME: LOBB GERALDINE E DATE OF PAYMENT: 09/04/2002 POSTMARK DATE: 09/03/2002 COUNTY: CUMBERLAND DATE OF DEATH: 10/16/2001 NO. CD 001588 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,247.44 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: BARBARA SUMPLE-SULLlV AN ESQ CHECK# 119 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $1,247.44 MARY C. LEWIS REGISTER OF WILLS LAW OFFICES BARBARA SUMPLE-SULLIVAN 549 BRIDGE STREET NEW CUMBERLAND, PENNSYLVANIA 17070-1931 PHONE (717) 774-1445 FAX (71 7) 774-7059 September 3,2002 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, P A 17013 Re: Estate of Geraldine E. Lobb No. 21-01-1003 Dear Sir/Madam: Enclosed please find Statement of Account for the above referenced Estate. I have enclosed a check in the amount of $1,247.44 which represents the monies due on the above referenced Estate. Should you have any questions please contact my office. BSS/ld Enclosures cc: John Lobb, Executor Estate of Geraldine E. Lobb 'w ~,\ \'\\\\\ -% :;..-:. ';. ~ ~ ~. /;. ....-:. ';. ~ ...-;:. ....::;:. , " ... ~;. %. ... ,-' ,-:;. ... ... 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