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HomeMy WebLinkAbout01-1072 PETITION FOR PROBATE and GRANT OF LETTERS Estate of BE.. iT Y JA Ai G. ~O v..I Nt fl-N No. .2..1- C J -10 7 p... also known as To: Register of Wills for the Deceased. County of Cumberland in the Social Security No. / ,f1-/q - #D7 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age,,,r plder an the execut o~.s in the last will of the above decedent, dated ~- and codicil(s) dated named ,19-F- (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in C!..t..i h eA. last family or principal residence at , (list street, number and muncipality) years of ag , died No ve m 8 E ~ G. Except as follows, dece ent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: /4 if, c:<oo / ,. Decendent 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 situated as follows: fOOj CiY):- ( SS'I tJIL~oJ $ $"roJ om.'- $ $ .sr., ~A~L~SLEI fA 110/1-3(p31) WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters " ~.sJA 111 E ^,-rft~Y (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. -- ~ '" ~ .. u t:: .. :9~ "'~ ...... c.:" t:: ",,0 ~';:' ~';:' ~.. ~Cl. .. <<- 50 <;; t:: OIl US 'faJJ( ilL f::y/I}:f) ~AM~ 730 /1111 i/- . 1H e ft:,7 ::;I. (!11A.LJ5u:"/?ft '1D('?r Ol5"D~ ~-Z_)~ Yi fr1 s. )3':': ~V 1'1 A-"'" J-I6 5- M,..tIE: 6-R.Ov":::",fl.O 64~J'''cll-~ tlA. >73;2.</ - OATH OF'PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I S8 COUNTY OF CUmberland J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will e and truly ad nist the estate according to law. Register. en ~. :::s ~ - l::: ~ ~ Sworn to or affirmed and before me this ?1 st- ~~ber e.~~ f3k~iS ' /'7-;'(;3..../ subscribed day of KX 2' 01 ~o. 21-2001-1072 Estate of BETrY JANE BOWMAN , Deceased DECREE OF PROBATE A~D GRA~T OF LETTERS AND NOW November 26.tD_I.__ _ ~~~"2001, jn ':l.)r1~icieraliun ( i_-,t.':l!~.,~,r' '1n the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated September 6th, 1975 described therein be admitted to probate and filed of record as the last will of BE'lTY JANE ~ and Letters TESTAMENTARY are hereby granted to JESSICA B. SHAWVER, PAMELA ~ AND TIM S. EONMAN FEES $ 410.00 S 3.00 S $ -0- TOTAL _ $ 5.00 Filed Nav.ember .26th,.200~. .$:U~,OP... Probate, Letters, Etc. ......... Short Certificates( 1) . . . . . . . . . . Renunciation ................ ATTORNEY (Sup. C:. I.D. No.) x-PAGES (0) LTCP ADDRESS PHONE no --- ""',....- -m :3 ,,;; rr ':',' (t" "''1; f!' d - :D ::0 co (On (00 ',' ...'''t :::<.,;~, ~'1~:': ~ <: N - 23 --" '1:) ):> \0 CALL EXECUTRIX JESSICA SHAWVER AND THEN MAIL LE'YIERS TO JESSICA H !()511? REV. 8/8P (fiEE FOR TH!S eEf1 flF!CATE ~? 00) WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMOIllWEALTH OF PENN~;n\i,. ~L~ DEPAFlTMENT OF HEALTH Vlf,\L fIE 0":1>: LOCAL REGISTRAB'S CERTII::IICJ~"\()I~ OF IJE.J!,TH CERT. NO. T 4 9 9 7 4 9 2 ,ii ir,-"';i""Hi,7;;;~ .(.i(oi~~\'llliE!f..t;);c~ 1\:....~ / ',,<fJ'''"c, ,&\~~/~ ..\~\;\ (f~( . '.-. Y'~\ ~ C);' _ ~/.1:~~j ~u, . 'H], Ih~! \. ~\~~,. > */1 ~_ (<);. .~~"r ""-~'.. . .... /.~\,'f ...----~!MENl ti\~:,~\'~ ~hNNU!!j!!..']!J- November 14, 2001 Date of Issue of This Certification 21-2001-1072 Name of Decedent Betty J. Shillito-Bowman First Mfddl..-: Last Social Security No. 184 - 12 - 4407 _ Date of Death November 14, 2001 Sex Female Birthplace Dillsburg, York County, Pennsylvania Date of Birth October 29, 1922 Place of Death 551 Wilson Street Cumberland Carlisle Pennsylvania Fiv:illtv Name COl;nly City Borough or Township Widowed Occupation Decedent's Mailing Address Housewife Armed Forces? (Yes or No) _ No Race Whi t e Marital Status 551 Wilson Street Carlisle PA Number Street City ur TOWIl Slate Informant Mrs. Jessica Bowman Shawver Name and Address of Funeral Establishment Funeral Director Scott D. Brenneman, FD Cocklin Funeral Home,Inc.,30 N. Chestnut Street. Dillsburg, PA 17019 Part I: Immediate Cause Interval Between i Onset and Death (a) Metastatic neuroendocrine tumor of unknown primary (b)_ (c) Part II: (d) Other Significant Conditions Manner of Death Natural aXX Homicide 0 Accident 0 Pending Investigation 0 Suicide 0 Could not be Determined 0 Describe how injury occurred: Name and Title of Certfier A.R. Leal, MD (M.D., D.O., Coroner, ME) Address 5A Sprint Drive, Carlisle, PA 17013 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filin~ -~ .'- ~ "r'.p .G............. 'r~ ~ 67608 Local Registrar of Vital Records District No November 14, 2001 Oi.lt!' flpceived bv Locai Registrar 153 Logan Road, Dillsburg, PA 17019 Street Address Cit"l 8orough. 10wrship Ilast IIItl1 an~ mtstamrnt 21-2001-1072 I, BETTY JANE BOWMAN, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this instrument to be my last will and testament, hereby expressly revoking all wills and codicils hereto- fore made by me. 1. I authorize and empower my executor to sell any realty owned by me at my death, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. My executor is authorized and empowered to continue to engage in any business in which I may be engaged at my death, for such a period as seems expedient to said executor. 2. I devise and bequeath all of my estate of every nature and wherever situate to my husband Earl R. Bowman, Jr.; providing he shall survive me by sixty days. 3. Should the gift in Paragraph No.2 not take effect, I devise and bequeath all of my estate of every nature and wherever situate to my children, share and share alike, the child or children of any de- ceased child taking the share their parent would have taken if living. 4. I nominate and appoint Earl R. Bowman, Jr. to be the executor of this my last will and testament, he is to serve as such without bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Jessica B. Shawver, Pamela Bowman and Tim S. Bowman as substitute executors, also to serve as such without bond, with the same powers as are given herein to my executor. 5. I hereby suggest that my personal representative retain the services of Irwin, Irwin & Irwin as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 6~ day of September, 1975. (SEAL) Signed, sealed, published and declared by Betty Jane Bowman, the testatrix above named, as and for her last will and testament, in the presence of us, who at her request, in her presence and in the pre- sence of each other have subscribe 0 names as witnesses hereto. //". RISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS c icil (each) a subscribing witness to the presented herewith, (each) being law, depose(s) and say(s) that y qualified according to present and saw the testat , sign the same and that request of testat_ in h presence and (in ( other subscribing witness(es)). signed as a witness at the resence of each other) (in the presence of the Sworn to or affirmed and subscribed befo me this Register (Name) (Address) 21-2001-1072 REGISTER OF WILLS OF C-UJf1 Bf:KLJtNtcOUNTY OATH OF NON-SUBSCRIBING WITNESS .n ,.-,"-( eN=- 11 YVl -::s . G3:A(:,\Vl R-"-'. "'-- "--4) AmE' /...f\-~mffN (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that wE A R...E familiar with the signature of ...H:'TN ...:rAN~L0~N test~ of ( wE believe. the signature on th (BETTLI ~A-N~yY1FrN to the best of 0 LLR.... that knowledge and belief. ")' t!;; Sworn to or affirmed and subscribed before .. (~.-b- I~~ ~ me this N I day of (Name) --NQV Ii 0 &ff3~~f!N/LO:~~c ,2t?. 6-A~()N)ZltS. ??t~~/.~ ~"<JY"-<< , ~Ir .<<Ad9'_i J MARY Y LEWIS Register tUlle 4- ~'1#lJ I'1f..d/ ~ )7~~ ',I ./ r (Nam~) . i'J. /' /' 11' t1JtJl.i/UCd,.Ltc:;/1. L 'ILu!ulL} TfL /1();.,} - v{jiJ.J , (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(A) Name of Decedent: Betty Jane Bowman Date of Death: November 14, 2001 Will No. 21-01-1072 Admin. 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 \ 'anUbrt.( ,,-~I ,2002. Name Address Pamela Bowman Jessica Shawver Tim Bowman 44 North East Street, Carlisle, P A 17013 10 Shover Drive, Carlisle, P A 17013 485 Pine Grove Road, Gardners, P A 17324 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none Date: 2 - / - tJQ, ~ L. Thomas E. Flower, Esquire SAIDIS, SHUFF, FLOWER & LINDSAY 2109 Market Street Camp Hill, P A 17011 (717) 737-3405 ....- ( , (I l , ' c. t~:'. o G; we: ex: ,",,' I c.:::J w u.. Capacity: _Personal Representative ~ Counsel for Personal Representative N P - ;.~.- ~~-~ =- ..... .. ",",,,.. .....,J ..........; COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INOIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 000849 SHAWVER JESSICA B 10 SHOVER DRIVE CARLISLE, PA 17013-8480 ACN ASSESSMENT CONTROL NUMBER AMOUNT -------- fold 101 $44,261.50 ESTATE INFORMATION: SSN: 184-12-4407 FILE NUMBER: 2101-1072 DECEDENT NAME: BOWMAN BETTY JAN E DATE OF PAYMENT: 02/11/2002 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 11/14/2001 TOTAL AMOUNT PAID: $44,261.50 REMARKS: JESSICA SHAWVER CHECK# 206164 SEAL INITIALS: VZ RECEIVED BY: MARY C. LEWI S REGISTER OF WILLS REGISTER OF WILLS LAW OFFICES JAMES D. FLOWER JOHN E. SLIKE ROBERT C. SAIDIS GEOFFREY S. SHUFF JAMES D. FLOWER JR. CAROL J. LINDSAY JOHNNA J KOPECKY KARL M. LEDEBOHM JOSEPH L. HITCHINGS THOMAS E. FLOWER FORREST N. TROUTMAN, II SAIDIS, SHUFF, FLOWER & LINDSAY A PROFESSIONAL CORPORATION 2109 MARKET STREET CAMP HILL, PENNSYRY:NWA 17011 . .. .. TELEPHONE: (717) 737-3405 - FACSIMILE; (717) 737~:?4D7 EMAIL: attomey@ssf1-1~w~~om . .... '02 liAY -3 P 1 :46 CARLISLE OFFICE: 26 W. HIGH STREET CARLISLE, PA 17013 TELEPHONE: (717)243-6222 FACSIMILE: (717)243-6486 1..>:.. Cl;ly\L REPLY TO CAMP HILL January 14,2002 Register of Wills CUMBERLAND COUNTY COURTHOUSE One Courthouse Square Carlisle, P A 17013 Re: Estate of Betty J. Bowman No. 21-01-1072 Dear SirlMadam: Enclosed please find the original and two copies of an Inheritance Tax Return for the above Estate, a check in the amount of $15.00 for your filing fee and a check in the amount of $4.34 for the tax due. Will you please file the original return, time-stamp a copy and mail the copy back to us in the envelope provided. If you have any questions, please feel free to contact this office. Very truly yours, SAIDIS, SHUFF, FLOWER & LINDSAY ~C!t::~/#~ TEF / sa Enclosures ~ I , .... I,.. I ~~ "'!' '::!, "'''''}'O~'. ..~- '. I '( ro' ":':., ;.~:. \ .~~,. ~.~ t~. I,n .~ ll:\ ,D t;\ is\}j ~~~ l!~~~ \ F;~; I!I i ;:-, \ r:A~~..~. "'4__:',' ....-.~"':- t~;r~\~,. ~' 't~,}\~;; \~~ . i: I~, i \c~~ _1 'I\\i-,. , . ," .' ; I. ::~. ;',! ".~ ,~ " ". / CV1 I -.. , . .~... '.'~ :::.:., '. :<>- oJ' :...-.... ~ ~ ~ ~ \) ~ .... ~ '-'.... ~g ~ ~ '-'.... ~o~~ '2~ Q~Q~~-, '~~~~ ~i ~~~f-. 0\ 0. ~ .'Jf '< 8 ~ :x::1o(J "'u ~ . . o I- W C/) ::) o I I- 0::: ::) o o ~Q) Zm ::)::J o 0" ('t) OC/)...... ~o~l2 =Z::J...... ~::s~<3: 00:::1::0.. . ::J_ -WoQ) -Sa:lOen en '0::::: ._ .- ..:::: Q) "i:: g>::) c co 0:::000 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001144 THOMAS FLOWER ESQUIRE 26 WEST HIGH STREET CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT -------- fold 101 $4.34 ESTATE INFORMATION: SSN: 184-12-4407 FILE NUMBER: 2101-1072 DECEDENT NAME: BOWMAN BETTY JANE DA TE OF PAYMENT: 05/03/2002 POSTMARK DATE: 05/02/2002 COUNTY: CUMBERLAND DATE OF DEATH: 11/14/2001 TOTAL AMOUNT PAID: $4.34 REMARKS: THOMAS FLOWER ESQUIRE CHECK#128 SEAL INITIALS: AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS /-')- .;;23- I '\..- BUREAU OF INDIVIDUAL TAXES 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 THOMAS E FLOWER SAIDIS ETAL 2109 MARKET ST CAMP HILL ESQ 'OZ 21 DATE ESTATE OF DATE OF DEATH FILE NUMBER :1 .ol?OUNTY L ACN 06-17-2002 BOWMAN 11-14-2001 21 01-1072 CUMBERLAND 101 Allount Re.itted L.. PA 170~krL *' REY-1S.7 EX AFP lDl-021 BETTY J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is'4j-E3f-AFP--COY:02Y-NOTicE--OF-YNHEiiiTANCE-TAjfA"PPRA-isEMENT~--Ai.l-owANCE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BOWMAN BETTY J FILE NO. 21 01-1072 ACN 101 DATE 06-17-2002 If an assessment was issued previously, lines 14, IS and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of line 14 at Spousal rate 16. Allount of line 14 taxable at lineal/Class A rate 17. Allount of line 14 at Sibling rate 18. Allount of line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX EDITS: TAX RETURN WAS: [X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate [Schedule A) 2. Stocks and Bonds [Schedule B) 3. Closely Held Stock/Partnership Interest [Schedule C) 4. Mortgages/Notes Receivable [Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property [Schedule E) 6. Jointly Owned Property [Schedule F) 7. Transfers [Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 106.000.00 809.570.59 .00 .00 140.199.23 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses [Schedule H) 10. Debts/Mortgage liabilities/liens [Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Govern.ental Bequests; Non-elected 9113 Trusts [Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 12,459.27 10.445.93 (11) (12) (13) (14) NOTE: (15) .00 X 00 = (16) 1,032,864.60 X 045 = (17) .00 X 12 = (18) .00 X 15 = (19)= + INTEREST/PEN PAID [-) 2,323.95 .00 AMOUNT PAID 44,261. 50 4.34 DATE 02-11-2002 05-02-2002 NUMBER CD000849 CD001144 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax pay.ent. 1,055,769.80 22.905 20 1,032,864.60 .00 1,032.864.60 .00 46,478.91 .00 .00 46,478.91 46,589.79 110.88CR .00 110.88CR . 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.) /'7- ;:<:3- / '\., BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-1U7 EX AFP IBl-DU THOMAS E FLOWER SAIDIS ETAL 2109 MARKET ST CAMP HILL ESQ "0/ 19 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-29-2002 BOWMAN 11-14-2001 21 01-1072 CUMBERLAND 101 BETTY J Allount Rellitted ".., PA 11Ul 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. subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =ic,'ifj-E3f-AFP-('oY=02Y------...--iNHERITANCE-YAX-STAfEHENY-OF-AC-couiif--.-..--------------------- ESTATE OF BOWMAN BETTY J FILE NO. 21 01-1072 ACN 101 DATE 07-29-2002 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: 06-17-2002 PR I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 46.478.91 PAYMENTS (lAX CREDITS) : PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-11-2002 CDOO0849 2.323.95 44.261.50 05-02-2002 CDOO1144 .00 4.34 07-10-2002 REFUND .00 110.88- TOTAL TAX CREDIT 46.478.91 BALANCE OF TAX DUE . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL DUE .00 .00 .00 INTEREST AND PEN. ( 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 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001644 SHAWVER JESSICA B 10 SHOVER DRIVE CARLISLE, PA 17013-8480 ACN ASSESSMENT CONTROL NUMBER AMOUNT ____un fold 101 $2,483.84 ESTATE INFORMATION: SSN: 184-12-4407 FILE NUMBER: 2101-1072 DECEDENT NAME: BOWMAN BETTY JANE DATE OF PAYMENT: 09/24/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 11/14/2001 TOTAL AMOUNT PAID: $2,483.84 REMARKS: JESSICA B SHAWVER CHECK# 01 00 SEAL INITIALS: DO RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS /7-023- / ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-1U7 EX AFP <01-02) " !._, "11 DATE ESTATE OF DATE OF DEATH FILE NUMBER COllNTY ACN 10-21-2002 BOWMAN 11-14-2001 21 01-1072 CUMBERLAND 101 BETTY J THOMAS E FLOWER SAIDIS ETAL 2109 MARKET ST CAMP HILL ESQ Allount Rellitted f' PA 17011,. 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, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=i&O-j-ix--AFP--foY:02Y------...--fNirERITANc'E-YAX--STAfEMENY-O-F'-ACCOLjtff--.-..---------------- -- --- ESTATE OF BOWMAN BETTY J FILE NO.21 01-1072 ACN 101 DATE 10-21-2002 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-22-2002 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 48,809.84 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-11-2002 CDOO0849 2,329.55 44,261.50 05-02-2002 CDOO1144 .00 4.34 07-10-2002 REFUND .00 11 0 . 88- 09-24-2002 CDOO1644 15.64- 2,483.84 TOTAL TAX CREDIT 48,952.71 BALANCE OF TAX DUE 142.87CR INTEREST AND PEN. .00 lIE IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 142.87CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-1547 EX AFP 101-02) THOMAS E FlOWER SAIDIS ETAL 2109 MARKET ST CAMP HILL ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER CoUNTY ACN 10-22-2002 BOWMAN 11-14-2001' 21 01-1072 CUMBERLAND 101 BETTY J ~ ." Allount Rellitted PA 17011' 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 ~ REY=i5'4-j-Ex-AFP--fOY':02Y-NoYicE--oF-YNHEifiTANcE-YAx-jrpPRA-isEifENT~--Aii-owANcE-O-R-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BOWMAN BETTY J FILE NO. 21 01-1072 ACN 101 DATE 10-22-2002 TAX RETURN WAS: [X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate [Schedule A) (1) 2. Stocks and Bonds [Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Hortgages/Notes Receivable [Schedule D) (4) 5. Cash/Bank Deposits/Hisc. Personal Property [Schedule E) (5) 6. Jointly Owned Property [Schedule F) (6) 7. Transfers [Schedule G) (7) 8. Total Assets NO. 01 .00 51.798.36 .00 .00 .00 .00 .00 (8) NOTE: To insure proper credit to your account. subllit the upper portion of this forll with your tax paYllent. 51.798.36 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses [Schedule H) (9) 10. Debts/Hortgage Liabilities/Liens [Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts [Schedule J) 14. Net Value of Estate Subject to Tax .00 .00 (11) (12) (13) (14) 00 51.798.36 .00 1.084.662.96 NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = 1.084.662.96 X 045 = .00 X 12 = .00 X 15 = (19)= .00 48.809.84 .00 .00 48.809.84 DATE 02-11-2002 05-02-2002 07-10-2002 NUHBER CDoo0849 CDoo1144 REFUND + INTEREST/PEN PAID [-) 2.329.55 .00 .00 AHOUNT PAID 44.261.50 4.34 110.88- INTEREST IS CHARGED THROUGH 11-06-2002 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 46.484.51 2.325.33 32.03 2.357.36 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. [ IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" [CR). YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) \. 1';-Q,f3 -c2; ~ 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-1U1 EX AFP 101-021 THOMAS E FlOWER SAIDIS ETAL 2109 MARKET ST CAMP HILL ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-18-2002 BOWMAN 11-14-2001 21 01-1072 CUMBERLAND 101 BETTY J Allount Rellitted PA.17011 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, subllit the upper portion of this forI! with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ifiV':ii.'ifj-EX-AFP--foY:02Y------...--fNHERiYANC'E--TAX-STA-fEMENT-OF'-AC-couiif--.-..--------------------- ESTATE OF BOWMAN BETTY J FILE NO. 21 01-1072 ACN 101 DATE 11-18-2002 THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NA"ED ESTATE. SHOWN BELOW IS A S~"ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-15-2002 PR I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 48,809.84 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) *** SUMMARY OF ~LL 005 PAYMENTS *** 10-30-2002 2,329.55 .00 10-30-2002 15.64- 46,495.93 TOTAL TAX CREDIT 48,809.84 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 II IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. ) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA / ~~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Betty J. Bowman Date of Death: November 14, 2001 Will No. 2001-01072 Admin. No. 21-01-1072 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion ofthe administration ofthe 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. lfthe 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 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: _S ~ G ~ O? ~. czft~.. Signature Name: Thomas E. Flower, Esquire LD. No. 83993 SAIDlS, SHUFF, FLOWER & LINDSAY 2109 Market Street Camp Hill, PA 17011 (717) 737-3405 Capacity: _ Personal Representative ~ Counsel for Personal Representative BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN '* REY-485 EX AFP 101-031 ,,'::6 of \Ni!ls DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-16-2004 BOWMAN 11-14-2001 21 01-1072 CUMBERLAND 201 BETTY J THOMAS E FLQ4,Ei~rfO All:20 SAIDIS ETAL 2109 MARK~2~J ~ GOurt CAMP HILL Ct:mbEl,,~~j l(lO~lPA Allount Rellitted 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, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ....... REV=i;83"-E;'{-A"FP-Tor:.-03i-----.-.-.iioffc'E-OF--iET'ERMiifA"Tiori-iifi-isSESSMEN'T----------------------- -- - -- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF BOWMAN BETTY J FILE NO.21 01-1072 ESTATE TAX DETERMINATION ACN 201 DATE 02-16-2004 1. Credit For State Death Taxes as Verified 26.485.00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 46.480.29 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 46.480.29 5. Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) __.~ of Wills COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 REV-736 EX AFP (01-02) THOMAS E FLOW~ E~~ 20 All :21 SAIDIS ETAL 2109 MARKET (~"!r (;ourt CAMP HILL CwntH~ft,;iojO:!e., PA 02-24-2004 BOWMAN 11-14-2001 21 01-1072 CUMBERLAND 202 BETTY J Allount Rellitted 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, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~ REV =736-Ei{-AFP-Tor:.-o2i-----.-.-N'iffic'E-oFt-DETERMiNATioti-AND-ASSESS-MENy----------------------- ----- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF BOWMAN BETTY J FILE NO.2l 01-1072 ACN 202 DATE 02-24-2004 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified 26,485.00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) 46,480.29 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed 46.480.29 5. Pennsylvania Estate Tax Due .00 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return .00 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-U07 EX AFP (01-03) lINDA A CLOTFELTER ESQ CRAIG A DIEHL lAW OFFIC 3464 TRINDlE RD CAMP HILL '04 PHi 2 Cl DATE ESTATE OF DATE OF DEATH FILE NUMBER :]tJ:OUNTY ACN 04-05-2004 PECK 06-16-2000 21 00-1072 CUMBERLAND 101 ROSA T r~J_> Allount Rellitted \-.,. ~-; PA 170111, 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, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =i6"ifj-Ex-AFP--foY=oiY------...--INHERITANc'E-fA3f-sTA-fEMENf-cfF-Ac-couiif--.-..--------------------- ESTATE OF PECK ROSA T FILE NO.21 00-1072 ACN 101 DATE 04-05-2004 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: 07-02-2001 PR I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 3,047.04 PAYMENTS (TAX CREDITS): INT AT REV PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-16-2001 AA478167 .00 2,080.00 05-18-2001 AA496609 .00 208.37 03-03-2004 CD003659 .00 292.00 EREST IS CHARGED THROUGH 04-20-2004 TOTAL TAX CREDIT 2,580.37 THE RATES APPLICABLE AS OUTLINED ON THE ERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 466.67 INTEREST AND PEN. 148.66 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 615.33 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) AR.- ... REV.l500 EX (&00) '*' COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE . DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT 17 -:- 9)~ - FILE NUMBER 21 - 01 I 1072 COUNTY CODE YEAR NUMBER I- Z LlJ o LlJ U LlJ o DECEDENT'S NAME (LAST, FIRST AND MIDDLE INITIAL) Bowman, Betty Jane DATE OF DEATH MM--DD--YEAR) DATE OF BIRTH (MM-DD-YEAR) 11-14-01 10-29-1922 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 184 12 N/A - 4407 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER UJ f- c::P ~ - w~() 13 ~ g g:Dl D.- c( ~ 1. Original Return D 4. Limited Estate ~ 6. Decedent Died Testate (AllachcopyoIWiII) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (dale of death afler 12.12-82) D 7. Decedent Maintained a Living Trust attach a copyotTrus') o 1 O. Spousal Poverty Credit (da.e 01 death belween 12.31-91 and 1.1-95) o 3. Remainder Return (dale 01 dealh prtor 10 12-13-82) ~ 5. Federal Estate Tax Return Required J 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) attach Sch 00 I- Z UJ o z o D.- rJl UJ c:: c:: o u THIS SECTION MUST BE COMPLETED ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO NAME COMPLETE MAILING ADDRESS Thomas E. Flower, Esq. FIRM NAME: (ir!l9l>li~je) Saldis, :Shun, l' lower & Lindsay TELEPHONE NUMBER 717-737-3405 2109 Market Street Cam Hill, PA 17011 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) 106,000.00 (21 809,570.59 (3) 00 (4) 00 (5) 140,199.23 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) z o i= ~ ....J ~ l- ll. ~ U W 0::: --"'"" ,,'" '.'" '-,' CJ >,.' (6) 00 1 \..Ai 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) 10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule 1) (9) 12,459.27 (10) 10,445.93 11. Total Deductions (total Lines 9 & 10) 12. Net Vatue of Estate (Line 8 minus Line 11) (7) 00 (8) 1,055,769.80 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (11) 22,905.20 (12) 1,032,864.60 (13) 00 (14) 1,032,864.60 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o I- ~ I- :J ll. ~ o () X <( I- 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount M Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 1,032,768.30 x.O_ (15) x.O 45 (16) 46,478.91 x .12 (17) x,15 (18) (19) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 200 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedent's Complete Address: STREETADDRESS CITY 551 Wilson Street Carlisle STATE P A Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 46,478.91 00 44,261.50 2,213.07 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A+ B + C ) (2) 46,474.57 TotallnteresllPenalty ( D + E ) (3) 00 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 I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (S) (SA) 00 A. Enter the interest on the tax due, B. Enter the total of Line S + SA. This is the BALANCE DUE. (513) Make Check Payable to: REGISTER OF WILLS, AGENT ZiP 17013 4.34 4.34 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1 . Did decedent make a transfer and: Yes a. retain the use or income of the property transferred; - - - - - - - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 b. retain the right to designate who shall use the property transferred or its income; _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 c. retain a reversionary interest; or_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 d. receive the promise for life of either payments, benefits or care? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ bJ 3. Did decedent own an "in trust for"cRayable upon death bank account or security at his or her death? _ U 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . 0 No 181 181 ~ 181 181 181 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. DATE rj -J 12002 17011 pmJ j~002 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 to the use of the surviving spouse is 3% [72 P.S. ~9116 (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 exemot 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 an 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 RS. ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.S%, except as noted in 72 RS. ~9116(1.2) [72 RS. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. "~,~"-""'" '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Betty Jane Bowman 21-01-1072 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorshio must be disclosed on Schedule F. ITEM NUMBER I. DESCRIPTION Single-Family Dwelling, Located at 551 Wilson Street, Carlisle, PA Value per attached appraisal VALUE AT DATE OF DEATH $106,000.00 TOTAL (Also enter on line 1, Recapitulation) . $106,000.00 (If more space is needed, insert additional sheets of the same size) REV-1S03 EX -(1-97) (I) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Betty Jane Bowman FILE NUMBER 21-01-1072 All propertyjoinlly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION 10,000 Units Govt. Secs., Income Fund #1 GNMA SER at .025......................................... Accrued Inti div... ..... ........................................... 2 8,057.969 Shares Legg Mason Value Trust at 49.93............................................................. VALUE AT DATE OF DEATH $ 250.00 1.20 402,334.39 5,808.30 62.10 6,624.30 99.30 29,205.90 349.20 29,312.70 296.40 32,091.90 45.00 30,871.80 39.60 272,178.50 3 30 Shares UTS PENN INSD MUN INCM #97MONTHL Y at 193.61................................. Accrued Inti div.............. ..................................... 4 30 Shares UTS PENN INSD MUN INCM #154 MONTHLY at 220.81.............................. Accrued Intldiv.......................................... ........ 5 30 Shares UTS PENN INSD MUD INCM #164 MONTHLY at 973.53............................. Accrued Intldiv.................................................. 6 30 Shares UTS PENN INSD MUN INCM #179 MONTHLY at 977.09............................. Accrued Intldiv............................. ....... ............. 7 30 Shares UTS PENN INSD MUN INCM #194 MONTHLY at 1,069.73........................... Accrued Intldiv............................................ ..... 8 30 Shares UTS PENN INSD MUN INCM #202 MONTHLY at 1,029.06.......................... Accrued Intldiv................................................ 9 4,828 Shares TYCO INTERNATIONAL at 56.375............................................................. TOTAL (Also enter on line 2, Recapitulation) $ 809,570.59 (If more space is needed, inse- additional sheets of the same size) ~.,~""""" *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDElNT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Betty Jane Bowman FILE NUMBER 21-01-1072 . Include the proceeds of litigation and the date the proceeds were received by the estate. All properly jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. 5. 6. DESCRIPTION Cash in Legg Mason Wood Walker investment account .....................................principa1..... Accrued interest ....... Orrstown Bank, Hometown Investment Savings Account #106211352..............principa1..... Accrued interest........ M&T Bank Checking Account #404438............................................................principal...... M&T Bank Savings Account #015004200018411.............................................principa1...... Accrued interest........ Householding Furnishings (attached inventory)................................ ..................................... 1989 Toyota Corolla DLX 4-dr. sedan (attached appraisal)................................................... VALUE AT DATE OF DEATH 35,329.98 28.74 51,753.84 73.73 8,749.23 36,567.44 96.27 6,500.00 1,100.00 TOTAL (Also enter on line 5, Recapitulation) $ 140,199.23 (If more space is needed, insert additional sheets of the same size) """""-,,-",,, '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Betty Jane Bowman Debts of decedent must be reported on Schedule 1. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-01-1072 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Cocklin Funeral Home Professional Services, arrangements and administration.................$2,480.00 Casket................................................................................................3 ,275.00 Outer burial container ...........................................................................930.00 Death Certificates ...... ................. ........ ................................... ................ .24.00 Clergy Honorarium ....................... ................. ..................... ................. .200.00 Transportation ........................................................................................85.00 Ground opening/equipment... .... .......... .... .... ... ... ... ........ ......... ..... .......... ..600.00 Jeffrey's - funeral flowers............................................................................... 128.21 7,722.21 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. Attorney Fees ISaidis, Shuff, Flower & Lindsay (attorney's fees) I 3,500.00 3. Family Exemption: (if decedents address is not the same as claimant s, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 418.00 5. Accountant s Fees 6. Tax Return Preparers Fees Advertisement of Estate (SentineI/Cumb.Law Journal) 162.35 7. Appraisal of real estate (Diversified Appraisal Svcs.) 250.00 Heating Fuel (Shipley Oil) 311.14 Electric (PPL) 50.94 Sewer/water (Boro. of Carlisle) 29.63 Inheritance Tax Return Filing Fee 15.00 819.06 TOTAL (Also enter on line 9, Recapitulation) $ 12,459.27 .. (If more space IS needed, Insert additional sheets of the same size) REV-I 612 EX -(1-971{1) SCHEDULE DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Betty Jane Bowman FILE NUMBER 21-01-1072 Include unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION AMOUNT BETRA In Home Care (nursing services) ........................................................................... $10,306.25 2 PPL (electric bill) .............................................................. ........ ............. .............. ............... 87.01 Borough of Carlisle (sewer/water) ...................................................................................... 26.90 Sprint (phone bill) ............................................................................................................... 25.77 TOTAL (Also enter on line 10, Recapitulation) $ 10,445.93 (If more space is needed, insert additional sheets of the same size) REV.1513 EX. (1-97j (I) COMMONWEAL TH OF PENNSYLVANIA INHERlITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. Jessica B. Shawver daughter 1/3 10 Shover Dr. Carlisle, PA 17013 Ipamela F. Bowman daughter 1/3 144 North East St. Carlisle, P A 17013 Tim S. Bowman son 1/3 485 Pine Grove Carlisle, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET 11. 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 11 - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0 (if more space is needed, insert additional sheets of the same size) Estate of Betty Jane Bowman File No. 21-01-1072 Affidavit and Inventory of Safe Deposit Box Contents During the week immediately following my mother's death, I entered her safe deposit box to retrieve her will, and I removed the remaining items contained in the box. The bank did not question this, as they know me and were used to my conducting my mother's business, under her power of attorney. I was not aware that such unsupervised entry and removal of a decedent's possessions is improper. When I delivered the will to my attorney, he explained the problem with this act, and advised me immediately to make a list of all items contained in the box. The following are the all of the items I found in the box, in addition to my mother's will: Deeds: 551 Wilson Street, Carlisle (to Earl and Betty Bowman); 44 N. East Street, Carlisle (to Pamela F. Bowman); cemetery lots in Dillsburg, PA (to Earl and Betty Bowman). Mort~aqe and Bond: (Earl and Betty Bowman, to Cumberland Valley Savings & Loan). Sewer hook-up / Assessment Notices: 551 Wilson Street; dated 1-7-58,7-1-63,726-64. Automobile title: 1989 Toyota, Betty J. Bowman. Military Service records: Earl R. Bowman. Buriali and Monument records: Earl R. Bowman. Birth Certificates and copies: Earl R. Bowman, Betty J. Shillito, Jessica and Pamela Bowman. Certificate of Marriaqe: Earl and Betty Bowman, 11-22-41. Social Security Cards: Earl, Betty, Jessica, Pamela and Tim Bowman. Wills: Earl, Betty and Pamela Bowman. 1 /, Jessica B. Shawver, hereby certify that the statements made in the foregoing Inventory of Safe Deposit Box Contents are true and correct to the best of my information, knowledge and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Date: C;Jt~d Jam} cADO~ By: J 2 I I I I I I I I I I I I I I I I I I I I (717) 249-275, Fax (717) 258-470 Diversified Appraisal Services Real Estate Appraisers and Consultants LARRY E. FOOTE _ Certified General Appraiser 35 East High Street Suite 10: Carlisle, PA 17013-301/ APPRAISAL REPORT 551 WILSON STREET CARLISLE, PENNSYLVANIA Diversified Appraisal Services Real Estate Appraisers and Consultants I I I I I I I I I I I I I I II I II i I II APPRAISAL REPORT OF A SINGLE~F AMlLY DWELLING LOCATED AT 551 WILSON STREET CARLISLE; PENNSYLVANIA PREPARED FOR . THE ESTATE OF BETTY J. BOWMAN AS.OF NOVEMBER. 14, 2001 BY LARRY E. FOOTE DIVERSIFIED APPRAISAL SERVICES EAST IllQH STREET, SUITE 101 CARLISLE, PENNSYLVANIA 17013-3052 (717) 249-2758 I I I I I I I I I I I I I I I I I I I APPRAISAL CERTIFICATION I hereby certify that upon application for valuation by: THE ESTATE OF BETTY J. BOWMAN the undersigned personally inspected the following described property: All that certain piece or parcel of land situate in the Third Ward of the Borough of Carlisle, CurtlberlandCounty, Pennsylvania, bounded and described as follows: Beginning at a point On the East side of Wilson Street, which point . is in the' dividing line between Lots 52 and 53; thence along said dividing line, South 76 degrees 58 minutes East 130{eet to a point in the dividing line between Lot 53 and Lot 57; thence along said dividing line~South 13 degrees 02 minutes West'136.53 feet to a point on the North side of Noble Boulevard; thence by a curve to the right haVing a radius of 100 feet and adec1ination of 56 degrees 20 minutes, a distanceof98.32 feetto a point; thence by a curve to the left having a radius of 45.9Sfeet and a declination of16degrees 7 minutes, a distance of 12.93 feet; thence byaicurve to the right having a radius of lot 76 feet and a declination of 49 degrees 47 nnnll1tes, a distance of 93.63. feet to the place of beginning. To the best of my knowledge and belief the statements contained in this report are true and ,correct, and that neither'the employment to make this appraisal nor the compensation is contingent upon the value reported, and 'that in my opinion the Market Value as of November 14,2001 is: .. ONE HUNDRED AND. SIXTHOUSANl) DOLLARS $106,000" The property was appraised as a whole, subject to the contingent and . limiting . conditions outlined herein. . ~ ' '.:,..=..\ ~i.~,~ ': ~:: ~:.~.~ :tt~ . . tt ~'t 'f ), "'. r . 'f"P \ \~ "-f ''')' '0..... ~,' r ) ", ~ ~.:~~1/', \,\'\ I~,' ~\}~) '() \.r': ' ~~,~ j) ,. " : '~" (~fi' ;;!C' \ . ,Ii;.>' ,r' I:. ~I~~,I\\; . / Nit.'l'> \,Jj/ ) l..\?r? ".) .\)\ \ \..<'/ .r . .Jfh <;'/1 ,\1 ~..;.., ) ':"~!!HmHH1.\'" ~ 3 ..,', } ~ 1 ~ . I I I I I II I I I I I I I I I I PURPOSE,"OF THE APPRAISAL The purpose of this appraisal is to estimate the Market Value of the subject property as of November 14,2001. . Market Value, as defined by the courts, isthe most probable price estimated in terms of money which a property will' bring if exposed for sale in the open market, allowing' a reasonable time finding a purch~ser who buys with knowledge of all the uses to which it is adapted and forwhich it is capable of being used. Frequently, 'it is referred to as the price at which a willing seller would sell and' a willing buyer would buy, neither being under abrtormal pressUre. IDGHEST AND nEST USE Highest and Best Use is defined by the Appraisal Terminology and Handbook, published' by the Appraisal Institute, as "the most profit,able likely use towmch a property can be put". The opinion of such use may be based on the highest and most profitablecontlnuous use to which the property is adapted arid needed, or likely to be in demand, in the (easonable near future. ' However, elements affecting value that depend upon events or a combination of occtirrenceswhich, while within the realm of possibility, are notfaiily shown to be reasonably probable; shol11d be excluded :from consideration. Also, if the intended use is dependent on an uncertain act Of another person, the intention cannot'be considered. Based on the above definition and after seeing the site, neighborhood, and area, it is my . opinion that the present use of the subject is its Highest and Best Use. 4 I' I I I I I I I I I I' I I I I I I' . - I I SITE DATA ADDRESS: 551 Wilson Street BOROUGH: Carlisle COUNTY: Cumberland STATE: Pennsylvania LOT SIZE: 205.18' x 136.53' (pie-shaped) SEWERS: Public utility. W A TERPublic utility. ELECTRICITY: PP&L LANDSCAPING: Typicalfor the area, with a sodded lawn, trees and shrubs. ZONING: Low Density Residential District. DETRIMENTAL INFLUENCES None. Pride of ownership is evident throughout the neighborhood. DESCRIPTION OF IMPROVEMENTS GENERAL' DESCRIPTION: One-story detached single-family dwelling contammg approximately 1,149 square feet of gross living area above grade, with an attached one-"car garage. CONDITION: , Exterior:' Average Interior: Average ROOMS: First Floor: Living rOOm, eat-in kitchen, three bedrooms and a full bathroom. Basement: Full, with a recreation room and a batItroom. 5 I I I I I I I I I I I I I I I I I I I EXTERIOR: Foundation: Walls: Sash: Gutters: Roof: Storm units: Concrete block. Brick W ood~ double-hung. Aluminum, painted. Asphalt shingles. Combination throughout. INTERIOR, PRINCIPAL ROOMS: Flooring: Walls: Ceilings: Trim:. Carpet and hardwood. Plaster plaster Wood, painted. KITCHEN: BATHROOM: Cabinets: Counters: Walls: Flooring: Sink: Knotty pine, natural finish. Vinyl Plaster, painted. Vinyl Double-bowl, stainless steel. Flooring: Vinyl Walls: Ceramic tile and painted plaster. Bathtub: Built-in, with shower. Lavatory: Vanity Water closet: Two-piece. Medicine cabinet: Built-in CONSTRUCTION: Joists: Beams: Columns: . Plumbing: HEATING: COOLING: HOT WATER: ELECTRIC: Wood Wood . Wood Iron and copper. Oil-fired forced hot air. Central air conditioning; 50-gallon electric water heater. Circuit breaker system, 200-ampere. OTHER: Attached to the dwelling is an enclosed front.porcb, enclosed rear porch and a brick patio. Located in the liVing room is a brick fireplace. GENERAL CONDITION: The improvements are considered to be in average condition on the inlterior and on the exterior, with mechanical systems appearing to be adequate and functioning properly. 6 , I I I I I I I I I I I I I I I I I I THE COST APPROACH The Cost Approach to value is based on the principle of substitution, which proposes that mt wormed buyer will pay nO more than the cost of providing a substitute property with similar utility. , 111 estimating the cost of providing a substitute, the following functions are completed. The tostof the improvements, as if new, is ,estimated. Loss of value due to physical deterioration, functional obsolesc~nce and external depreciation, if applicable, is deducted to , represent the cost of a substitute depreciated. The land and the value of depreciated sit~ improvements is added to obtaitJ. a value indication of the real estate. The cost new of the improvements was estimated vsing" information from Marshall Valuation Service, adjusted to the local area and verified with local- contractors. Dwelling: 1,149 sq. ft.@ $63:78 = Basement: 1,149 sq; ft.@ $16.18 = ' Porches, patios, etc.: Fireplace: Garage: 350 sq. ft. @ $21.45 = Total Estimated Cost New: Depreciation: , Depreciated Cost ofImprovemertts: Misc. ,Site Improvements "as is": Estimated Site Value: $ 73,283 18,591 8,640 2,500 ' 7.508 $110,522 -27.631 $ 82,891 5,000 30.000 Indicated Value by Cost Approach: $117,891 Rounded to: $118;000 7 , ! I I I I I , SALES COMPARISON APPROACH In arriving at this c'onclusi'on 'of the value 'of the subject property, the appraiser made a surVey 'of properties that haves'old in the area 'of the subject property. C'onsiderati'on was given and adjustments were made 'on each c'omparable sale as t'o time 'of sale, size, l'ocati'on, as well as all 'other fact'ors that might affect value. A resume 'of S'ome 'of the salesc'onsidered by the appraiser is as f'oll'ows: SALE NO. 1: Locati'on: Date 'of Sale: Sale Price: Size: Unit Price: SALE NO.2: L'ocati'on: Date 'of Sale: Sale Price: Size: Unit Price: SALp NO.3: L'ocati'on: Date 'of Sale: Sale Price: Size: Unit Price: 501 Belvedere Street, Carlisle. August 14,2000. $139,900 1,566 square feet.. $89.34 per square f'o'ot. 102 S.. Orange Street, Carlisle. DeCember 29,2000. $102,000 1,040 square feet. $98.08 per square f'o'ot. 808 Hamilt'on Street, Carlisle. April 30, 2001. $101,000 1,232 square feet. $81.98 pet square f'o'ot. The appraiser, in additi'on t'o the sales listed, alS'o c'onsidered several additi'onal sales in arriving at his final 'opini'on 'of value. On the Sales C'omparis'on Analysis f'orm that f'oII'oWS this page! are d'ollar adjustments reflecting market reacti'on t'o th'ose items 'of significant variati'on between the subject and c'omparable properties. If a significant item in the c'omparable property is superi'or t'o, 'or m'ore fav'orable than, the subject pr'operty, a minus (-) adjustment is made, thus reducing the indicated value 'of the subject; if a significant item in the c'omparable is inferi'or t'o, 'or less fav'orable than, the subject property, a plus (+) adjustment is made, thus increasing the indicated value 'of the subject. . After making all 'of the necessary adjustments, it is the appraiser's c'onsidered 'opini'on that the indicated value 'of the subject property by the SalesC'omparis'on Approach is $106,000. 8 I SALES COMPARISON ANALYSIS I I ITEM SUBJECT COMPARABLE #1 COMPARABLE #2 COMPARABLE #3 551 Wilson Street 501 Belvedere Street 102 S. Orange Street 808 Hamilton Street Address Carlisle Carlisle Carlisle Carlisle ~. Proximity to Subject . Sale Price n.a. $139,900 $102,000 $101,000 n.a. . $89.34 1t}\@mII~@\I:m:mlm\~ti $98.08 bMWt~~Hmmlmmmm~ $81",98. bl[l~~\MII@~\%l\JIltf~~ Price I Sq. FLGLA Data Source InspeCtion Central PennML8~Penn MLS Central Penn MLS . . LoCation DESCRIPTION DESCRIPTION $ Adjust. DESCRIPTION $ Adjust. DESCRIPTION $ Adjust. Sales or Financing ::::::::-;;:::;::::;~:;::;:;::;:::;:;;;::::::-=::::::::::;:;:::;:::::::;;:::::::: . ::::::;:::;::::;::::~::::::::::::::::::::::::::::::::::::;:;:;:::::;::::::::::::: .. COncessions :::::::::::::::::'::::::::--:~:::;::::::::~:::::::::::::::::;::::::::::::::::::::: None None FHA -2,000 ......,-.................-.-...............-.............-...-..,................. ..,..v...-.-.............-.................-.................................... ~~~Ji~~~~~~~~?~i~i~~f:;~ilfI~i~ii~i{~f:~~ii~~iIf~~~~~i~ h. ............. n.n....__... ........ Date of Sale I Time As of 11-14-01 &14-00 . 12-29-00 4-30-01 LoCation Good Similar Similar Inferior +10,100 . Site.! View .. 205 xJ36 pie-sltaped 125' x.l29' 58' ic 180' 65' x 146' Design and .Appeal One-story detached. Similar Similar Similar . Construction Brick . Brick and aluminum . +2,000 Brick .. Brick and aluminum +2,000 Age 51 years 41 years . 46}'eaB 50 years Condition Average Superior -14,000 Similar Superior -10,100 Above Grade Tot. I Bed. I Bath Tot. I Bed. I Bath Tot. I Bed. I Bath Tot. I Bed. 1 Bath Room CouJIt .. 5 13 I 1 7 1.3 I 1'12 -5,000 5. I 3 I 1 5 I 3 I 1 Gtqss Living Area 1,149 square feet . 1,566 square feet -12,500 1,040 squarefeet +3;300 1,232squarefeet -2,500 Basement &FinisI1ed Full basement. with Full basement, with Full basement, with Full basement, with Rooms Below Grade I rec.room and bath. rec: room. +500 rec.room. +500 rec.room. +500 Functional Utility Average Sinillar Similar . Sinillar Heating I Cooling . Oil FHA w/CA Similar Similar Similar . Garage f Carport l-c;1I" garage. Similar Similar None . . +3,000 . Porches, Patios Two enc!. porches, Porch, screened 2 porches, pirtio, Pools, etc. , patio. porch. + 1,000 enclosed pOrch. . Porch + 1~500 Special Energy Typical fur the . EfficientItems relrion. Similar Similar Similar Fireplace( s) . Fireplace Similar Coalburniri2 stove. None + 1,000 Other (e.g. kitchen . equip., remodeling) Buih-ins. Similar Similar Similar Net Adi. (total) . .............................. ........ -28,000 +3,800 ::::::;:;:::;:::;:::;:;:::::::::;:::::;:::::::::::;:;:::::::::::;:::;:::::;::::: +3,500 ........................................ ................................................................................ Indicated Value of Subject $111,900 $105,800 $104,500 I I I FINAL INDICATED VALUE OF SUBJECT PROPERTY: $106,000 9 I, l ~ ~ ~' ~ ~ ~ ~ ~, ~ J ~ I ~" ~ ~ I ~ I CORRELATION Correlation maybe defined as "the bringing together'ofparts in a proper relationship." , The parts of this appraisal report are the following approaches to value your appraiser used: Value Indicated by Cost Approach Value Indicated by S~es Comparison Approach ' $118,000 $106,000 These approaches are representative of the market value of the subject property. I have carefully 'reexamined each step iIi each method, amJ I believe the conclusions accurately reflect the attitude of typical purchasers of this tYPe property in this neighborhood. It is my belief that this reexamination ,has confirmed the original conclusions. The Cost Approach will result in an excellent estiniate if all elements are" figured accurately, ,because no prudent person will pay more for a property'than the cost to,produce a substitute property with equal desirability and utility. Purchasers of the type of dwelling typical of the subject property are more ,concerned with amenities than with hypothetical replacement of the property. The value of the cost approach isoot disreg8.rded~but given less weigltt because more errors in judgment can be made in this approach. ' The Sales Comparison Approach wa,sbased on several recent sales of prpperties similar , to that of the subject, all of which are located in the same general area. The adjusted' sales , prices are most consistent under comparison. This approach is.the most reliable because it reflects the reactions of typical buyers and sellers in the market. Therefore; as 'a" result, of this appraisal and analysis, it' is thi~ appraiser's, considered ,judgment and opinion that the Market Value of the subject property, as of November 14,2001, IS: oNE HUNDRED AND SIX THOUSAND DOLLARS $106,000 10 r ~ ~ ~ r l ~ l l I I I UNDERLYING ASSUMPTIONS AND LIMITING CONDITIONS SUBJECT TO THIS APPRAISAL 1. I assume no responsibility for matters legal' in, nature, nor do I render any opinion ,as to the'title, which IS assumed to be marketable. The property is appraised as thoughundet responsible ownership. 2. ' The legal description used herein is correct. 3.' 1 have made no survey of the property, and the boundaries are taken from records believed to be reliable. , , ' 4. I assume' that, there are no hidden or unapparent conditions of the property,' subsoil or structures which would, render it more or less valuable. I assume' no responsibility for such conditions or for engineering which might be required to discover such factors. ' 5. The, information, ,estimates, and 'opinions furnished' to me' and contained in this report were obtained from sources considered reliable' and believed to be true and correct. However, no responsibility for accuracy can be assumed by me. 6. This report is to be used in its entirety and- only for the purpose for which it was rendered. 7. 'Neither all nor any part of the contents of this report (especially any conclusions as to value, the identity of the appraiser or the firm with, wmchhe is connected) shall be reproduced, published, or disseminated to the public through advertising media, public relations media, news media, sales media, or any other public means ofcommqnication, without the priotwrittenconsent at;ldapproval of the appraiser. 8. This appraisal waspreparedforthe exclusive use of the client identified in thisappr~sal report. The information and opinions contaiIledin this appraisal set forth the appraiser's best judgment in light of the information available at the time of the preparation of this report. Any use'ofthis appraisal by any other person or entity, or any reliance or decisions based on this apprai,sal are the sole responsibility and at the sole risk of the third party. The appraiser accepts no responsibility for damages suffered by any third party as a result" of reliance on or decisions made or actions taken based on this report. 11 ~ I I CERTIFICATE OF APPRAISAL Y our appraiser hereby certifies that: I 1. The statements of fact contained in this report are true and correct. I I I ~ ~ ~ ~ ~, ' ~' ~ 2. The reported analyses,. opinions, and conclusionsd are limited only by the reported assumptions and limiting conditions, and are my ,personal, impartial, and unbiased professional' analyses, opinions, and conclusions. 3. I have no present of prospective interest in the property that is the subject of this report, and no personal interest with respect to the parties in"olv~d.' , 4: I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. 5. My engagement in this assignment was not contingent upon developing or reporting predetermined results. ' 6. My compensation for completing this assignment is not contingent upon the development or reporting' of a predetermined value or direction in vallie that favors, the cause of th~ client~ the amount of the value, opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. 7. To the best of my knowledge and belief, the statements of fact contained in this appraisal report, upon which the analyses, opinions, and' conclusions' expressed herein are based, are true and correct. 8. This appraisal report sets forth all of the limiting conditions (imposed by the terms 'of my assignment or by the undersigned) affecting the analyses, opinions, and conclusions contained in this report. ~ 9. This appraisal report has been made in conformity with the Uniform Standards of professional . Appraisal Practice adopted by' the Appraisal . Standards Board of the Appraisal Foundation, and is subject to the requirements of the Code of Professional ' Ethics and Standards' of Professional Conduct of the National Association of Realtors Appraisal Section. I - I 12 I ,.. l I 10. No one other than the undersigned prepared the analyses, conclusions, and opinions concerning real estate that are set forth in this appraisal report. ~ Larry E. Foote Certified General Appraiser GA-000014-L 13 I 'LARRY E. FOOTE REAL ESTATE APPRAISER I EXPERIENCE: 1979-Present: Chief Apprais~r,' Diversified Appraisal Services, Carlisle, Pa. Principal Broker, LaRue Development Company, Carlisle, Pa. 1976-1979: Associate Broker, Colonial Realty, Carlisle,Pa:. 1972.:1976: , Re3.ItorAssociate, Ja(;:k Gaughen Realtor, Carlisle, Pa. Appraisal experience included undeveloped land, farms, building lots, single-family dwellings, mobile home parks, medical centers, nursing homes, 'motels, apartment buildings and complexes, office buildi1!l.gs, service stations, veteriDary clinics, rehabilitation centers, retail buildings, daycare centers, warehouses, and nianufacturing facilities. I I I EDUCATION: Bachelor of Business 1\dmiillstration, Pennsylvania State University, 1976. Associate Bachelor of Business Admit1istration, Harrisburg Area Community College, 1974. " ' Diploma, Carlisle Semor High Sphool, 1965. Certificate, Pennsylvahia Realtors Institute, GRI I, GRI II, GRI .ill. , Certificate, Realtors National Marketii1g Institute, CI 101, CI 102, CI 103; CI 104, CI105. Standards ofProfessionalPraetice, American Institute of Real ,Estate Appraisers. Real Estate Appraisal Principles, American InstitUte of RealE state Appraisers. Residential Valuation, American InstitUte of Real Estate Appraisers. Appraisal Procedures, Appraisal htstitute. Principles ofIncol11e Property Appraising~ Appraisal Institute, Case Studies ijt Real Estate Valuation, Appraisallnstitute. Report Writing and Valuation Analysis, Appraisal Institute. I I. I I I I PROFESSIONAL ,LICENSES: General Appraiser #GA-000014-L, Commonwealth of Pennsylvania. Real Estate Broker #RB-029729-A, Commonwealth of PeI1IlSylvania. I , PROFESSIONAL.DESIGNATIONS: GRI:Graduate of the Pennsylvania Realtors Institute; awarded by the Pennsyl- ,vania Association of Realtors. ' CR5: Certified ResidentialSpeciaIist, awarded by the Realtors National Market- ,'ing Institute of the National Association of Realtors, CCIM: Certified Cownercial Investment Mefi1ber, awarded by the Realtors National Marketing Institute of the National Association of Realtors. I I I I I PROFESSIONAL' ORGANIZATION AFFILIATIONS: National Association of Realtors Appraisal Section. CarliSle Association of Realtors. Pennsylvania Association of Realtors. National Association of Realtors. Realtors National Marketing Institute. 14 PAST CLIENTS: Borougb ofCarIisle. .... .' 'K~ysto~eFjJ1"n~4lI .M~ttg~e "'~orilerstoJleFede$l''C1"ed1tUnion PenD$ylvania$til.teBatlk . CUhmterce'iBank. ......' .... . '.' . ..,.. ..' .' CumberJand"V:~nY A,ss9Cia#ol! for Retarded Citizens ' CadisleSilbutban,l\uthol1)Y.. . . ;M~h~~,l~'~e(itmilC.teilitlJnion P.. '.' ".1 'a ""'t"h nalcB........ eJWSy~.~,~o '. .,91U\. .' '~V3.l:lSiF.iJmnciatC()l-potatiqQ. .' Gr~~~CqmP@Y.,€P{\ . Suriili~s 'fiaHsCer COlporation. . ' e~lisle"Depatrm~ 'orp~l<S and Recreation .~~~;t "MeS$itih'1if6w~.1ri~rpptated" . ...J$R.J\~tJt:g~o~,~erY:ides . !e~Ylv~ia'1.'utdpikeJ~~sSi()p.., ..' ~has~lfqmC~p~e'C(;)ql9ffi*i~n., . .' >>~em;e.i\Cti~e$'ll~ral~tr.qitUrnori." I?e~ylv~ii.State!:~ploy~ CteQitUnioD' ..=t~\ll'.'.. .. ~ati9lWCityMoitiageCoipotatiori '. '. 'Yas~gtQJ1Mutual1:I9tlxe~.~c; , . PtudentiaJReJocittionSetyices .', ' ~et'sCn2iCe. '., . ' ...,....... ' .Matlc~tIntel1igen<:e;IriC9tP,ora~ . . .', ..... .. UPit~1'~lqjhoneErnPJoyee$ Fe4erW, (:teditJ.J.robjl,', , C~b~Ial1dCoutity~oltUtMs$ion~l's" .....'... " .' JA11~ltE-ll,teipri~esMbrtgage~<<?rpOhl.tion,_.,' .~~c~on(Jb~~e ' . ....'..,' ......."'. ',' , , "PP~htdilstril(S'~~rBQrated . . 'GettYsb~CoJ1.e~ .......,. ',....... '.. .' ........ . '.' 'Red~el0PWtmt Auth()tityqfCtimb~rlaJtdc' C6lti1ty ttepQtdD~taApph1is~ S~i'vices,mcOrpof9~e<t. F.. .Ji!.'. stUllite~lFederal Sayiiigs As.. sOcl."att."<m . '. ..' '. '. 1" li......:.l_ '. ., ".". . . . FUfton~ UnftedSfafes~sha1i:Servi~ . . GNtACMottgage Corporation ". 'I ".' '. '. . . " OilstownBank . " .... .Le*rkennyFedetaI CtediiU1)jon ..' Bai)cPlusMortgageCorpOtatiOh Co~wel1BankerReloCati,oit Servi(;e~,fucorporated Central Pennsylvania Savings Bank , Mellonllank ProYid~1it Home Mortg'lge Corporation Various lawnnns and individuals 15 PHOTOGRAPHS OF THE SUBJECT IMPROVEMENTS 16 OE-< rilZ 0 0 "" PH 0 0 N "" 0 0 "" L{) ~"- 0 ...... M 0 1.0 r- U> N ffi 1.0 ...... UH N ffi "" ffi L{) ffi CD N ~Q ...... 1.0 ffi M N "" M N m ...... 0 0 m 0 r- M N M 0 0 0 0 L{) CD r- M >-0 0 0 m r- m CD m E-< "" M M CD r- 0\ "" H 0 M L{) N ...... ...... r- m 0 N ...... ~ riI 0 M CD "" 0 ...... <Y\ r- ...... N 0 0\ pe; P ::> 0 N N M 0 CD M U H 0 N CD 1.0 m m N .n "" ... riI riI ~ L{) 0 ..; N 0 r- "" ... P'l Cfl > N "" L{) N N M M N M CD <Xl Z riI > 0 Z Z Z ::r: M 1.0 u8~ E-< ...... ...... 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ZN E-< H ",; '" t') 0 ~ Z'" Z""" Z Z Z Z Z E-< > H ~ riI"" riI* riI* riI* 1>1* 1>1"" H H ~ Ul E-< '" '" '" '" '" '" ~ H U E-< Z t') Cfl :<: :<: :<: :<: Z :<: 0 ::r: p ",; Ul H U t') P Ul U Ul U Ul U UlU r.fl U Ul U U 0 Cfl U E-< riI Z Z riI pe; E-< Z E-< Z E-< Z E-<Z E-< Z E-< Z >-0 E-< .0: riI 0 0 :::> H H E-< :::> H :::> H ::> H ::>H :::> H ::> H E-< H U Cfl E-< m 1.0 '" Ul <>:: 0 riI ",; 0 r- OO <>:: '" 0 L{) N .0: 0 00 ::r: <>:: 0 0 0 0 0 0 0 Ul 0 ...... 00 M (Y) M M M (Y) "" March 13,2002 RE: Estate Search The Estate of: Date of Death (D.O.D.) BETTY J BOWMAN 11/14/2001 To Whom It May Concern: Identified below is the account information requested. 1. M&T Bank accounts in which the decedent's name appears: Account Type Account Number Account Title Opening Branch D.G.D. Balances (Includes Accr. Int. ) $8749.23 $36,663.71 Accrued Interest CHK SAY 404438 15004200018411 BETTY J BOWMAN BETTY J BOWMAN 4334 4334 $.00 $96.27 2. Loans, Mortgages, or other obligations titled in the decedent's name Account Number Amount Owed Account Description No Safe Deposit Box titled in the Decedent's name existed at our office. If you have any questions about the information provided, please contact our Records Department at (716) 635-4010 or 1-800-724- 2440 outside of the Buffalo, NY calling area. Thank you. Sincerely, M&T BANK CORPORATION BY: 1j~~ Authorized Signature DATE: ~~ / '-( ~ 0 J- Manufacturers and Traders Trust Company · 1100 Wehrle Drive, PO. Box 767, Buffalo, NY 14240-0767 Orrstown Bank 22 S. Hanover St. Carlisle, P A 17013 Re: Estate of Betty Jane Bowman Date of Death: November 14,2001 Social Security No. 184 - 12 - 4407 The following is a complete record of the above decedent's accounts as of November 14, 2001 decedent's date of death. If the decedent had a safe deposit box, indicate number cit..;) Balance on Date of Death Account No. Type of Principal Accrued Names on Date Account Interest Account (All Opened Owners) \CL'/d \ \ ~~A \b-N..: ~n. 51. lS~~~ 7~7~ ~-\-\1 J \~~ q - J5 ..Q8' \<\\. 'iE><"~'\- .~'-~. .~ Signature of Official Date: \-n -GiJ- Title: G. '~;'s\('n"{'r ~\'( \.c (? C}~.-c';~- \ Wi[[ow 7liew Auto Center Inc. 1118 Harrisburg Pike · Carlisle, PA 17013 (717) 249-6888 · Fax (717) 249-4647 l ~. ~ ~~ Cot\(; , \0 ~~ ;y>< J: J -:JDtfN ~~::r~. sA ~\I\ J.. ~ff,eo,"sC"/!. dt U> ~~\ov.) U\~VJ 1\,*0 ~ :t;"c. ,'l~/1~~~i~I7(.i~ f;lLe I C~e.L\sLe, flJ. /701'3. ~ff~3;~ ,q ~q ~()yof~ CO/(t>J/d DLX 4.0 SJ~. S-eR4J:. ;rTd.AtJ/~e.4K3~7'1'Jo to ~ (;1, t,'1l{ m;les r ~ ti v~~d~ COw::ll'+~()tf). ~ wcuOJ pJ tw. vd2v,e a9 -}M~s COJ~ ~..1- S ()O d4 1,'00, p/;U/IJ/ 1""I+G ~~.dR. b~ €>elI'j :}. r?owW\~V\, <rb\A /1, ,fhJII \C. 'd.J>-'. ~/vw .:1(l1 ':aJ... . 'lT1 ;!Il'Zo (- '/ -5()~ I Wi{{ow o/iew Auto Sales, Inc. 1118 Harrisburg Pike Carlisle. PA 17013 (717) 249-6888 - Fax (717) 249-4647 John Kazor, Jr. Betty Jane Bowman - File no. 21-01-4072 Attachment to SCHEDULE E Inventory of household property: 1. Living room: Upright piano/bench Console T.V. Desk Loveseats (2) Chair Marble-top side table Side chair Blanket chest 2. Hallway: Pine comer cupboard 3. Kitchen: Drop-leaf table Dry sink Book cases (2) Kitchen table Kitchen chairs (6) 4. Porch: Table Wicker chairs (6) 5. Bedroom 1: Single bed Chests of drawers (3) Small tables (2) Hanging mirror 6. Bedroom 2: Double Bed Bedside tables (2) Chest of drawers 7. Bedroom 3: Twin beds (2) Children's chests of drawers (3) Hanging mirror 8. Basement: Trunks (2) Bookcase Workbench and tools Step ladder Extension ladder Estimated value: $3,500 - $6,500. ilnst RIill nub mrstamtnt I, BE'Il'J.'Y ,JANE B(>i~rIAN, of the Borough of CaY'lisle, Cumberland County, Pennsylvania, declare this instrument to be my last will and testament, hereby expressly revoking all wills and codicils hereto- fore made by me. 1. I authorize and empower my executor to sell any realty owned by me at my death, at either public or private sale, and to give good and Gufi'le1ent c.eeds tncrefor, in fee simple, as I could do if living. My executor is authorized and empowered to continue to engage in any business in which I may be engaged at my death, for such a period as seems expedient to said executor. 2. I devise and bequeath all of my estate of every nature and wherever situate to my husband Earl R. Bowman, Jr.; providing he shall survive me by sixty days. 3. Should the gift in Paragraph No.2 not take effect, I devise and bequeath all of my estate of every nature and wherever situate to my children, share and share alike, the child or children of any de- ceased child taking the share their parent would have taken if liVing. 4. I nominate and appoint Earl R. Bowman, Jr. to be the executor of this my last will and testament, he is to serve as such without bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Jessica B. Shawver, Pamela Bowman and Tim S. Bowman as substitute executors, also to serve as such without bond, with the same powers as are given herein to my executor. 5. I hereby suggest that my personal representative retain the services of Irwin, Irwin & Irwin as attorneys in tile ~ettlement of my estate. ' IN WITNESS WHEREOF, I have hereunto set my hand and seal this 6fJ day of September, 1975. .-.') ,f- -p) }"t <'C:"-'/./ (SEAL) Signed, sealed, published and declared by Betty Jane Bowman, the testatrix above named, as and for her last will and testament, in the presence of us, who at her request, in her presence and in the pre- sence of each other have subscr~b_~ nam:s a~, witnesses hereto. '. - ,f?1"---' ') ~("~ (I )1- /-, "-. 'r~ "/.. _.. v{J'Y"--?- ,/; --__./ REV-1500 EX (&00) '* COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE . DEPT. 280601 HARRISBURG, PA 17128-0601 v REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER -:l { ......0/- 107 iJ---. COUNTY COOE YEAR NUMBER I- Z W o W () W o DECEDENT'S NAME (LAST, FIRST AND MIDDLE INITIAL) Bowman, Be Jane DATE OF DEATH MM--DD--YEAR) SOCIAL SECURITY NUMBER 184 12 - 4407 DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 11 - 14 - 2001 10/29/1922 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) W I- (j34:,. _ w!!;() :r:ll.O U~~ ll. ll. .. D 1. Original Return D 4. Limited Estate ~ 6. Decedent Died Testate (Allach copy otWill) D 9. Litigation Proceeds Received /A SOCIAL SECURITY NUMBER ~ 2. Supplemental Return D 4a. Future Interest Compromise (dale of death after 12.12.821 D 7. Decedent Maintained a Living Trust attach a copy ofTrust) D 1 O. Spousal Poverty Credit (date otdeath between 12.31.91 and 1-1-951 D 3. Remainder Return (date 01 death poor to 12-13-82) D 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) attach Sch 00 f- Z W Cl Z o Q. II) w Ir Ir o () THIS SECTION MUST BE COMPLETED ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO NAME COMPLETE MAILING ADDRESS Thomas E. Flower, Esq. FI~M NAM~(il Aill>li~Je) . Saldls, Shun, 1'lower & Lmdsay TELEPHONE NUMBER 717-737-3405 2109 Market Street Cam Hill, PA 17011 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) (2) 51,798.36 (3) (4) (5) 4. Mortgages & Notes Receivable (Schedule D) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) z o ~ ~ ...J :J I- a.. ~ () ill 0:: 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (6) (7) 18) 51,798.36 (9) (10) (11) (12) 51,798.36 (13) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (14) 51,798.36 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o l- e:( I- :J a.. ~ o () X e:( I- 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20 D > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < X.a _ (15) x.aA5 (16) 2,330.93 x .12 (17) x,15 (18) (19) 2,330.93 51,798.36 CHECK HERE IF YOU ARE REOUESTING A REFUND OF AN OVERPAYMENT " Decedent's Complete Address: STREETADDRESS 551 Wilson Street CITY Carlisle STATE P A Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 2,330.93 00 00 00 Total Credits (A+ B + C ) (2) 00 3. Interest/Penalty if applicable D. Interest E. Penalty 152.91 TotallnteresUPenalty (D + E) (3) 152.91 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 I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 2,330.93 A. Enter the interest on the tax due, (5A) (513) 2,483.84 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ZIP 17013 152.91 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1 . Did decedent make a transfer and: Yes a. retain the use or income of the property transferred; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - D b. retain the right to designate who shall use the property transferred or its income; - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D c. retain a reversionary interest; or - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B d. receive the promise for life of either payments, benefits or care? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ l:J 3. Did decedent own an "in trust for"d?ayable upon death bank account or security at his or her death? _ U 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . D No ~ ~ ~ ~ ~ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. DATE /23/2002 17011 DATE /13 /2002 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 to 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 exemot 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 RS. 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 RS. 99116(1.2) [72 RS. 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 B STOCKS & BONDS ESTATE OF Betty Jane Bowman FILE NUMBER 21-01-1072 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 DESCRIPTION 3,488.105 Shares Van Kampen Invest - US Gov Fund-A at 14.85 VALUE AT DATE OF DEATH $ 51,798.36 TOTAL (Also enter on line 2, Recapitulation) (If more space is needed, inse- additional sheets of the same size) $ 51,798.36 , Historical Prices Page 1 of 1 YJI;HoO!FlNANCE W!1l Search -Finance Home - y:ahoo! - HelD Historical Prices - VKMGX (Van Kampen US Government Fund) As of Nov-14-01 More Info: Quote I Chart I Profile Start:~ 2001 @ Daily o Weekly o Monthly o Dividends Arenr l life's Utile ~1oments ( Ticker Symbol: Ivkmgx I ~ffi.tc Fmm. i..!.. ~ len', h 1;- .tl :l{l ho~Hr Nov-14-01 14.49 15.21 14.49 14.49 o 14.49 0:: ("'- 1"1( }.\ )(,.,", & \is'~:di::~\ 'MV'^W~.. z/- . . .\ '~: :-~~:'&:'-:-,\... . . . . . . . . . . . . . . . . . ...1 '':''l . . ;II l~' ". . . 'I \' . . . . . . . . . . . . . . . . . . .'f , , . . . . . .. II '" . . . . . . . . . . . . . . . . . . . ., .. ....... 1\;.. ...... ',-#'",.J .......................................,. ..... . . ."\ ...... .. . ._';..';,.~ ". . . . . . . . . . . . . . . . . ., , -. :.:-:.:'\ .'Ylo'~~ '-:':-:1 U.{&':I( IO'){C ~:':-:'I .....-...:.~ IJ 11= IJ IJ' UJr " If I . ~ . 1= I. : ~~~::::\ ,-.-;.: .::::;:::::d:::: ~::: ~::: ~: :: ~: :: ~: :: ::::::: t:~::::: :~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Date Open High Low Close Volume Adj. Close* Download Spreadsheet Format * adjusted for dividends and splits please see FAQ. ~~ClM-. V cz2l.AQ / + t <? S Questions or Comments? Copyright@2002 Yahoo! Inc. All rights reserved. Privacy Policy -Terms of Service Historical chart data and daily updates provided byCommodity Systems Inc. (CSI). Data and information is provided for informational purposes only, and is notintended for trading purposes. Neither Yahoo nor any of its data or content providers (suchas CSI) shall be liable for any errors or delays in the content, or for any actions taken in reliance thereon. http://table.finance.yahoo.com/d?a=10&b=14&c=2001 &d=l 0&e=14&f=200 1 &g=d&s=v... 09/23/2002 Legg Mason Wood Walker, Incorporated 419 Stonehedge Drive, Suite 1, Carlisle, PA 17013.9128 717.258.4363 Member New York Stock Exchange, Inc/Member SIPC September 19, 2002 Tom Flower Saidis Shuff Flower & Lindsay 2109 Market St. Camp Hill, P A. 17011 RE: Estate of Betty J. Bowman Dear Tom, As per your request, below is the alternate date of death value for the VanKampen Government Bond Fund held by Betty Bowman in certificate form. Quantity Security 3,488.105 High Extended Value Low Mean Van Kampen Invest- 14.41 US Gov Fund-A $ 50,263.60 14.41 14.41 If you have any questions, please give me a call. ,/Sine~elY, ( i \ :;J . \",:~J-/ J 1/ii}! A. Ferrari llifiancial Advisor r;t.IS c;~1;~vd: WQ{.1r~ k ~ &ztf~700 ~tMlI\. J ~ 0r-~~ ~~ JJ(U) ~f fLu>- J& J6~-~vJ~ Wfi4- J 'I, '6~ /0fCWl CUd ~ ~ ~ ~cLJl~~