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HomeMy WebLinkAbout01-03-06 2921 N. FRONT STREET TEL: 717-236-2109 FAX: 717-236-0100 JOHN J. lrRAFSIG, JR., INC. ATTORNEY-AT_LAW HARRISBURG. PENNSYLVANIA 17110-1281 December 30, 2005 MEMBER PENNSYLVANIA BAR DISTRICT OF COLUMBIA BAR Office of Register of Wills of Cumberland County Cumberland County Courthouse Carlisle, Pennsylvania 17013 In Re: Estate of ARLETTA B. MILLER No. 2005 - 00101 Dear Ladies: Enclosed you will find 6.12, together with the Releases to approve the informal account, the above mentioned Estate. the Status Report Under Rule of all residuary beneficiaries for you to file and close out I am also enclosing an additional copy of the Status Report, which I would appreciate you time stamping and returning to my office in the enclosed self-addressed stamped envelope for my file. Thanking you in advance for your kind assistance in this matter, I am, JJK/slsk C'112J)/~y RJurs, ~ ~ ,~i:~'~r!fii#'j f I Enclosures PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE EST ATE. IF EST A TE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY - UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: ARI.ETTA B. MILLER January 25. 2005 Estate No.: 2005 - 00101 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to complet,ion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: N / A 3. If the answer to No. I is yes, state the following: A. Did the personal representative file a final account with the court? Y9 ~ x B. The separate Orphans' Court No. (if any) for the personal representative's account is: None (Not Applicable in Dauphin County) 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. A copy of the Releases for an informal accounting from all residuary beneficiaries' attached he~eto (dale) Date: December 31, 2005 John J. Krafsig, Jr., Esquire Name (Please type or print) 2921 N. Front Street Harrisburq, Pennsylvania 17110 Address (MAH:nntJAM3) 717-236-2109 Telephone No. Capacity: Personal Representative R.W. - 58 x Counsel for Personal Representative .\1/ IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS ARLETTA B. MILLER Date of Death: 01/25/05/2005: CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2005 - 00101 COMPLETE GENERAL AND INDIVIDUAL RELEASE KNOW ALL PERSONS BY THESE PRESENTS, that I, PATRICIA JANE WOLF, presently of 373 Tulip Tree Lane, Ormond Beach, Florida 32174, as a beneficiary of the above mentioned Estate, hereinafter referred to as the "Releasor," who with the intent to legally bind myself, my respective heirs, representatives, successors, assigns, executors and administrators, do execute this Release in favor of myself as the beneficiary of the ESTATE OF ARLETTA B. MILLER, and individually, and my heirs, executors, administrators and assigns, as follows: (a) I hereby voluntarily and knowingly release and discharge the Executor of the ESTATE OF ARLETTA B. MILLER, her executors, administrators, heirs and assigns from all claim, liability, demands, costs, charges, expenses, actions, causes of action, judgments and execution, past, present and future, known or unknown, asserted or unasserted, at the time of the execution of this Release. (b) As a beneficiary of the within Estate, I further hereby acknowledge and approve the adjusted summary - 1 - of the balance of the Estate, to wit: ASSETS: Stocks and Investments........................$158,815.50 Waypoint Bank, w/interest: Checking Account.........................$ 12,793.18 Checking Account.........................$ 11,975.19 Certificate of Deposit...................$ 26,288.10 Certificate of Deposit...................$ 25,581.51 Miscellaneous dividents and refunds...........$ 4,562.05 Bankers Life Insurance - Death Benefits.......$ 16,585.97 Personal Effects and Property.................$ 345.00* TOTAL AS SET S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 5 6 , 946 . 50 EXPENSES, ADMINISTRATIVE COSTS, ETC.: Costs of Administration & Funeral expenses and Debts of Estate.......................$ Additional misellaneous expenses..............$ Inheri tance Tax............................... $ TOTAL DEB T S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29,619.55 323.00 10,125.39 40,067.94 TOTAL REMAINING ASSETS........................$216,878.56 *Less personal effects and property, as they were donated............................. $ 345 . 00 $216,533.36 Plus Inheritance Tax Refund...................$ 1,202.51 TOTAL ASSETS FOR DISTRIBUTION.................$217,736.07 Note: Less the specific cash bequests which have been paid pursuant to the Will, in the total amount of.................$ 3,800.00 TOTAL RESIDUARY FOR DISTRIBUTION PER WILL.....$213,936.07 (c) The said Executor, James Wolf has agreed to assume the responsiblity to file any Income Taxes for the 2005, both personal and fiduciary and if there are any taxes due, will assume the responsiblity to pay the same. (d) That the within "Releasor" acknowledges the receipt of a copy of the will of said Estate, that I have been fully apprised of the remaining assets, after all expenses and costs of administration have been paid; - 2 - and that the total sum of $64,274.07, is to be received by the "Releasor," as a beneficiary, as payment from the said residuary Estate, pursuant to the said Will, upon receipt of the refund from the Commonwealth of Pennsylvania, Inheritance Tax Division of the over payment. (e) That the "Releasor" further acknowledges of the right of discussion with the Attorney for the Estate of the right to request formal audit and account admistration in closing out the said Estate; and I am fully agreeable to exercise the option to eliminate the completion of formal administration in closing out the Estate by Formal Audit and Account; and to do so, by means of informal administration involving the execution of this Release, pursuant to the terms of the Will of the late ARLETTA B. MILLER. AND WHEREAS, in consideration of the payment of the said bequest, pursuant to the said Will, previously mentioned, the said Executor is released from any and all further respon- sibility, except the filing of final personal and fiduciary income tax returns, to take or make any further formal administration of the Estate and the "Releasor" so acknowledges by consent agrees to the completion of the Estate Administration by means of this informal administration process. IN WITNESS WHEREOF, I, the said "Releasor" intending to be fully and legally bound under the Laws of the Commonwealth of Pennsylvania, and the State or jurisdiction in which I reside - 3 - have set my hand and seal this 2005. ---;/ :'? .-'\.";It-- (,-""':' (,.., /(21<<--c!06day of ~.J~M&A--t 9<1.~~W~AL) patricia Jane Wolf, "Releasor and beneficiary of the Estate of ARLETTA B. MILLER - 4 - IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS ARLETTA B. MILLER Date of Death: 01/25/05/2005: CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2005 - 00101 COMPLETE GENERAL AND INDIVIDUAL RELEASE KNOW ALL PERSONS BY THESE PRESENTS, that I, CINDEE WOLF, presently of P.O. Box 7221, Wilmington, N.C. 28406, as a beneficiary of the above mentioned Estate, hereinafter referred to as the "Releasor," who with the intent to legally bind myself, my respective heirs, representatives, successors, assigns, executors and administrators, do execute this Release in favor of myself as the beneficiary of the ESTATE OF ARLETTA B. MILLER, and individually, and my heirs, executors, administrators and assigns, as follows: (a) I hereby voluntarily and knowingly release and discharge the Executor of the ESTATE OF ARLETTA B. MILLER, her executors, administrators, heirs and assigns from all claim, liability, demands, costs, charges, expenses, actions, causes of action, judgments and execution, past, present and future, known or unknown, asserted or unasserted, at the time of the execution of this Release. (b) As ~ beneficiary of the within Estate, I further hereby acknowledge and approve the adjusted summary - 1 - of the balance of the Estate, to wit: ASSETS: Stocks and Investments........................$158,815.50 Waypoint Bank, w/interest: Checking Account.......... ...............$ 12,793.18 Checking Account.........................$ 11,975.19 Certificate of Deposit...................$ 26,288.10 Certificate of Deposit...................$ 25,581.51 Miscellaneous dividents and refunds...........$ 4,562.05 Bankers Life Insurance - Death Benefits.......$ 16,585.97 Personal Effects and Property.................$ 345.00* TOTAL AS S ET S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2 56 , 946 . 50 EXPENSES, ADMINISTRATIVE COSTS, ETC.: Costs of Administration & Funeral expenses and Debts of Estate.......................$ Additional misellaneous expenses... ......... ..$ Inheri tance Tax............................... $ TOTAL DEB T S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29,619.55 323.00 10,125.39 40,067.94 TOTAL REMAINING ASSETS............. ....... ....$216,878.56 *Less personal effects and property, as they were dona ted. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 345 . 00 $216,533.36 Plus Inheritance Tax Refund...................$ 1,202.51 TOTAL ASSETS FOR DISTRIBUTION.................$217,736.07 Note: Less the specific cash bequests which have been paid pursuant to the Will, in the total amount of......................$ 3,800.00 TOTAL RESIDUARY FOR DISTRIBUTION PER WILL.....$213,936.07 (c) The said Executor, James Wolf has agreed to assume the responsiblity to file any Income Taxes for the 2005, both personal and fiduciary and if there are any taxes due, will assume the responsiblity to pay the same. (d) That the within "Releasor" acknowledges the receipt of a copy of the will of said Estate, that I have been fully apprised of the remaining assets, after all expenses and costs of administration have been paid; - 2 - and that the total sum of $17,139.75, is to be received by the "Releasor," as a beneficiary, as payment from the said residuary Estate, pursuant to the said Will, upon receipt of the refund from the Commonwealth of Pennsylvania, Inheritance Tax Division of the over payment. (e) That the "Releasor" further acknowledges of the right of discussion with the Attorney for the Estate of the right to request formal audit and account admistration in closing out the said Estate; and I am fully agreeable to exercise the option to eliminate the completion of formal administration in closing out the Estate by Formal Audit and Account; and to do so, by means of informal administration involving the execution of this Release, pursuant to the terms of the Will of the late ARLETTA B. MILLER. AND WHEREAS, in consideration of the payment of the said bequest, pursuant to the said Will, previously mentioned, the said Executor is released from any and all further respon- sibility, except the filing of final personal and fiduciary income tax returns, to take or make any further formal administration of the Estate and the "Releasor" so acknowledges by consent agrees to the completion of the Estate Administration by means of this informal administration process. IN WITNESS WHEREOF, I, the said "Releasor" intending to be fully and legally bound under the Laws of the Commonwealth of Pennsylvania, and the State or jurisdiction in which I reside - 3 - have set my hand and seal this .2011\ day of ~b~ 2005. /2/Go/OS ~-:lf'~ ;, ,: w1\ Cindee Wolf, , ~ "Releasor and beneficiary of the Estate of ARLETTA B. MILLER (SEAL) - 4 - IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS ARLETTA B. MILLER Date of Death: 01/25/05/2005: CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2005 - 00101 COMPLETE GENERAL AND INDIVIDUAL RELEASE KNOW ALL PERSONS BY THESE PRESENTS, that I, ALLISON WOLF, presently of 9 Beaver Road, Camp Hill, Pa. 17011, as a beneficiary of the above mentioned Estate, hereinafter referred to as the "Releasor," who with the intent to legally bind myself, my respective heirs, representatives, successors, assigns, executors and administrators, do execute this Release in favor of myself as the beneficiary of the ESTATE OF ARLETTA B. MILLER, and individually, and my heirs, executors, administrators and assigns, as follows: (a) I hereby voluntarily and knowingly release and discharge the Executor of the ESTATE OF ARLETTA B. MILLER, her executors, administrators, heirs and assigns from all claim, liability, demands, costs, charges, expenses, actions, causes of action, judgments and execution, past, present and future, known or unknown, asserted or unasserted, at the time of the execution of this Release. (b) As a beneficiary of the within Estate, I further hereby acknowledge and approve the adjusted summary - 1 - of the balance of the Estate, to wit: ASSETS: Stocks and Investments......... ........ ..... ..$158,815.50 Waypoint Bank, w/interest: Checking Account.............. ........ ...$ 12,793.18 Checking Account........... ...... ...... ..$ 11,975.19 Certificate of Deposit...................$ 26,288.10 Certificate of Deposit...................$ 25,581.51 Miscellaneous dividents and refunds...........$ 4,562.05 Bankers Life Insurance - Death Benefits.......$ 16,585.97 Personal Effects and Property.................$ 345.00* TOTAL ASSETS............................ .$256,946.50 EXPENSES, ADMINISTRATIVE COSTS, ETC.: Costs of Administration & Funeral expenses and Debts of Estate.......................$ Additional misellaneous expenses..............$ Inheri tance Tax............................... $ TOTAL DEB T S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29,619.55 323.00 10,125.39 40,067.94 TOTAL REMAINING ASSETS...... ..... ......... ... .$216,878.56 *Less personal effects and property, as they were donated............................. $ 345 .00 $216,533.36 Plus Inheritance Tax Refund...................$ 1,202.51 TOTAL ASSETS FOR DISTRIBUTION.................$217,736.07 Note: Less the specific cash bequests which have been paid pursuant to the Will, in the total amount of......................$ 3,800.00 TOTAL RESIDUARY FOR DISTRIBUTION PER WILL.....$213,936.07 (c) The said Executor, James Wolf has agreed to assume the responsiblity to file any Income Taxes for the 2005, both personal and fiduciary and if there are any taxes due, will assume the responsiblity to pay the same. (d) That the within "Releasor" acknowledges the receipt of a copy of the Will of said Estate, that I have been fully apprised of the remaining assets, after all expenses and costs of administration have been paid; - 2 - and that the total sum of $8,569.88, is to be received by the "Releasor," as a beneficiary, as payment from the said residuary Estate, pursuant to the said Will, upon receipt of the refund from the Commonwealth of Pennsylvania, Inheritance Tax Division of the over payment. (e) That the "Releasor" further acknowledges of the right of discussion with the Attorney for the Estate of the right to request formal audit and account admistration in closing out the said Estate; and I am fully agreeable to exercise the option to eliminate the completion of formal administration in closing out the Estate by Formal Audit and Account; and to do so, by means of informal adminis- tration involving the execution of this Release, pursuant to the terms of the Will of the late ARLETTA B. MILLER. AND WHEREAS, in consideration of the payment of the said bequest, pursuant to the said Will, previously mentioned, the said Executor is released from any and all further respon- sibility, except the filing of final personal and fiduciary income tax returns, to take or make any further formal administration of the Estate and the "Releasor" so acknowledges by consent agrees to the completion of the Estate Administration by means of this informal administration process. IN WITNESS WHEREOF, I, the said "Releasor" intending to be fully and legally bound under the Laws of the Commonwealth of Pennsylvania, and the State or jurisdiction in which I reside - 3 - have set my hand and seal this 2005. l~ bL:~n( Of( , day of A1i~u:Uof- (SEAL) "Releasor and beneficiary of the Estate of ARLETTA B. MILLER - 4 - IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS ARLETTA B. MILLER Date of Death: 01/25/05/2005: CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2005 - 00101 COMPLETE GENERAL AND INDIVIDUAL RELEASE KNOW ALL PERSONS BY THESE PRESENTS, that I, LaVONNE WATERS, presently of P.O. Box 23033, Jacksonville, FL. 32241, as a beneficiary of the above mentioned Estate, hereinafter referred to as the "Releasor," who with the intent to legally bind myself, my respective heirs, representatives, successors, assigns, executors and administrators, do execute this Release in favor of myself as the beneficiary of the ESTATE OF ARLETTA B. MILLER, and individually, and my heirs, executors, administra- tors and assigns, as follows: (a) I hereby voluntarily and knowingly release and discharge the Executor of the ESTATE OF ARLETTA B. MILLER, her executors, administrators, heirs and assigns from all claim, liability, demands, costs, charges, expenses, actions, causes of action, judgments and execution, past, present and future, known or unknown, asserted or unasserted, at the time of the execution of this Release. (b) As a beneficiary of the within Estate, I further hereby acknowledge and approve the adjusted summary - 1 - of the balance of the Estate, to wit: ASSETS: Stocks and Investments........................$158,815.50 Waypoint Bank, w/interest: Checking Account.........................$ 12,793.18 Checking Account... ......... ........ .....$ 11,975.19 Certificate of Deposit...................$ 26,288.10 Certificate of Deposit...................$ 25,581.51 Miscellaneous dividents and refunds...........$ 4,562.05 Bankers Life Insurance - Death Benefits.......$ 16,585.97 Personal Effects and Property.................$ 345.00* TOTAL ASSETS............................. $256,946.50 EXPENSES, ADMINISTRATIVE COSTS, ETC.: Costs of Administration & Funeral expenses and Debts of Estate.......................$ Additional misellaneous expenses..............$ Inheri tance Tax............................... $ TOTAL DEBTS.............................. $ 29,619.55 323.00 10,125.39 40,067.94 TOTAL REMAINING ASSETS........................$216,878.56 *Less personal effects and property, as they were donated............................. $ 345 . 00 $216,533.36 plus Inheritance Tax Refund...................$ 1,202.51 TOTAL ASSETS FOR DISTRIBUTION.................$217,736.07 Note: Less the specific cash bequests which have been paid pursuant to the Will, in the total amount of......................$ 3,800.00 TOTAL RESIDUARY FOR DISTRIBUTION PER WILL.....$213,936.07 (c) The said Executor, James Wolf has agreed to assume the responsiblity to file any Income Taxes for the 2005, both personal and fiduciary and if there are any taxes due, will assume the responsiblity to pay the same. (d) That the within "Releasor" acknowledges the receipt of a copy of the will of said Estate, that I have been fully apprised of the remaining assets, after all expenses and costs of administration have been paid; - 2 - and that the total sum of $38,564.44, is to be received by the "Releasor," as a beneficiary, as payment from the said residuary Estate, pursuant to the said Will, upon receipt of the refund from the Commonwealth of Pennsylvania, Inheritance Tax Division of the over payment. (e) That the "Releasor" further acknowledges of the right of discussion with the Attorney for the Estate of the right to request formal audit and account admistration in closing out the said Estate; and I am fully agreeable to exercise the option to eliminate the completion of formal administration in closing out the Estate by Formal Audit and Account; and to do so, by means of informal adminis- tration involving the execution of this Release, pursuant to the terms of the will of the late ARLETTA B. MILLER. AND WHEREAS, in consideration of the payment of the said bequest, pursuant to the said Will, previously mentioned, the said Executor is released from any and all further respon- sibility, except the filing of final personal and fiduciary income tax returns, to take or make any further formal administration of the Estate and the "Releasor" so acknowledges by consent agrees to the completion of the Estate Administration by means of this informal administration process. IN WITNESS WHEREOF, I, the said "Releasor" intending to be fully and legally bound under the Laws of the Commonwealth of Pennsylvania, and the State or jurisdiction in which I reside - 3 - ~\ day of \)ec...eCY\b~, have set my hand and seal this 2005. (SEAL) LaVonne Waters, "Releasor and beneficiary of the Estate of ARLETTA B. MILLER - 4 - Dee 28 05 04:31p . .~'.._: ___w ~.~. w_ f. . Waters Bros Ent Inc .... --...-.-- - 2005. have set my hand and seal this "... 9042213835 p. 1 ~\ day of t)ec..eMbfl ~ r ./I ~Pr\) (J\\Jy~ ('!t. \/J G ~vk;, (SEAL) LaVonne Waters. -Releasor and beneficiary of the Estate of ARLBTTA B. MILLBR / - 4 - IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS ARLETTA B. MILLER Date of Death: 01/25/05/2005: CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2005 - 00101 COMPLETE GENERAL AND INDIVIDUAL RELEASE KNOW ALL PERSONS BY THESE PRESENTS, that I, DEREK WOLF I presently of 1831 Elm Street, New Cumberland, Pa. 17070, as a beneficiary of the above mentioned Estate, hereinafter re- ferred to as the "Releasor," who with the intent to legally bind myself, my respective heirs, representatives, successors, assigns, executors and administrators, do execute this Release in favor of myself as the beneficiary of the ESTATE OF ARLETTA B. MILLER, and individually, and my heirs, executors, administra- tors and assigns, as follows: (a) I hereby voluntarily and knowingly release and discharge the Executor of the ESTATE OF ARLETTA B. MILLER, her executors, administrators, heirs and assigns from all claim, liability, demands, costs, charges, expenses, actions, causes of action, judgments and execution, past, present and future, known or unknown, asserted or unasserted, at the time of the execution of this Release. (b) As a beneficiary of the within Estate, I further hereby acknowledge and approve the adjusted summary - 1 - of the balance of the Estate, to wit: ASSETS: Stocks and Investments........................$158,815.50 Waypoint Bank, w/interest: Checking Account............. ......... ...$ 12,793.18 Checking Account............... ..........$ 11,975.19 Certificate of Deposit...................$ 26,288.10 Certificate of Deposit...................$ 25,581.51 Miscellaneous dividents and refunds...........$ 4,562.05 Bankers Life Insurance - Death Benefits.......$ 16,585.97 Personal Effects and Property.................$ 345.00* TOTAL ASSETS............................ .$256,946.50 EXPENSES, ADMINISTRATIVE COSTS, ETC.: Costs of Administration & Funeral expenses and Debts of Estate.......................$ Additional misellaneous expenses..............$ Inheri tance Tax............................... $ TOTAL DEB T S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29,619.55 323.00 10,125.39 40,067.94 TOTAL REMAINING ASSETS......... ............ ...$216,878.56 *Less personal effects and property, as they were donated............................. $ 345 .00 $216,533.36 plus Inheritance Tax Refund...................$ 1,202.51 TOTAL ASSETS FOR DISTRIBUTION.................$217,736.07 Note: Less the specific cash bequests which have been paid pursuant to the Will, in the total amount of......................$ 3,800.00 TOTAL RESIDUARY FOR DISTRIBUTION PER WILL.....$213,936.07 (c) The said Executor, James Wolf has agreed to assume the responsiblity to file any Income Taxes for the 2005, both personal and fiduciary and if there are any taxes due, will assume the responsiblity to pay the same. (d) That the within "Releasor" acknowledges the receipt of a copy of the will of said Estate, that I have been fully apprised of the remaining assets, after all expenses and costs of administration have been paid; - 2 - and that the total sum of $8,569.88, is to be received by the "Releasor," as a beneficiary, as payment from the said residuary Estate, pursuant to the said Will, upon receipt of the refund from the Commonwealth of Pennsylvania, Inheritance Tax Division of the over payment. (e) That the "Releasor" further acknowledges of the right of discussion with the Attorney for the Estate of the right to request formal audit and account admistration ln closing out the said Estate; and I am fully agreeable to exercise the option to eliminate the completion of formal administration in closing out the Estate by Formal Audit and Account; and to do so, by means of informal adminis- tration involving the execution of this Release, pursuant to the terms of the will of the late ARLETTA B. MILLER. AND WHEREAS, in consideration of the payment of the said bequest, pursuant to the said Will, previously mentioned, the said Executor is released from any and all further respon- sibility, except the filing of final personal and fiduciary income tax returns, to take or make any further formal administration of the Estate and the "Releasor" so acknowledges by consent agrees to the completion of the Estate Administration by means of this informal administration process. IN WITNESS WHEREOF, I, the said "Releasor" intending to be fully and legally bound under the Laws of the Commonwealth of Pennsylvania, and the State or jurisdiction in which I reside - 3 - have set my hand and seal this 2005. /? fA day of j,.'Je.Cf(f\ b (r, - 4 - cD -Wl, v1,; ~ Derek Wolf, . "Releasor and beneficiary of the Estate of ARLETTA B. MILLER (SEAL) IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS ARLETTA B. MILLER Date of Death: 01/25/05/2005: CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2005 - 00101 COMPLETE GENERAL AND INDIVIDUAL RELEASE KNOW ALL PERSONS BY THESE PRESENTS, that I, MARCHELLE SHELTON, presently of 199 Blue Mountain Dr., Lewistown, Pa. 17044, as a beneficiary of the above mentioned Estate, hereinafter referred to as the "Releasor," who with the intent to legally bind myself, my respective heirs, representatives, successors, assigns, executors and administrators, do execute this Release in favor of myself as the beneficiary of the ESTATE OF ARLETTA B. MILLER, and individually, and my heirs, executors, administra- tors and assigns, as follows: (a) I hereby voluntarily and knowingly release and discharge the Executor of the ESTATE OF ARLETTA B. MILLER, her executors, administrators, heirs and assigns from all claim, liability, demands, costs, charges, expenses, actions, causes of action, judgments and execution, past, present and future, known or unknown, asserted or unasserted, at the time of the execution of this Release. (b) As a beneficiary of the within Estate, I further hereby acknowledge and approve the adjusted summary - 1 - of the balance of the Estate, to wit: ASSETS: Stocks and Investments........................$158,815.50 Waypoint Bank, w/interest: Checking Account.........................$ 12,793.18 Checking Account........... ....... .... ...$ 11,975.19 Certificate of Deposit...................$ 26,288.10 Certificate of Deposit...................$ 25,581.51 Miscellaneous dividents and refunds...........$ 4,562.05 Bankers Life Insurance - Death Benefits.......$ 16,585.97 Personal Effects and Property................. $ 345.00* TOTAL ASSETS............................. $ 2 56 ,946 .50 EXPENSES, ADMINISTRATIVE COSTS, ETC.: Costs of Administration & Funeral expenses and Debts of Estate.......................$ Additional misellaneous expenses..............$ Inheri tance Tax............................... $ TOTAL DEB T S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29,619.55 323.00 10,125.39 40,067.94 TOTAL REMAINING ASSETS........................$216,878.56 *Less personal effects and property, as they were donated............................. $ 345. 00 $216,533.36 Plus Inheritance Tax Refund...................$ 1,202.51 TOTAL ASSETS FOR DISTRIBUTION.................$217,736.07 Note: Less the specific cash bequests which have been paid pursuant to the Will, in the total amount of......................$ 3,800.00 TOTAL RESIDUARY FOR DISTRIBUTION PER WILL.....$213,936.07 (c) The said Executor, James Wolf has agreed to assume the responsiblity to file any Income Taxes for the 2005, both personal and fiduciary and if there are any taxes due, will assume the responsiblity to pay the same. (d) That the within "Releasor" acknowledges the receipt of a copy of the Will of said Estate, that I have been fully apprised of the remaining assets, after all expenses and costs of administration have been paid; - 2 - and that the total sum of $38,564.44, is to be received by the "Releasor," as a beneficiary, as payment from the said residuary Estate, pursuant to the said Will, upon receipt of the refund from the Commonwealth of Pennsylvania, Inheritance Tax Division of the over payment. (e) That the "Releasor" further acknowledges of the right of discussion with the Attorney for the Estate of the right to request formal audit and account admistration in closing out the said Estate; and I am fully agreeable to exercise the option to eliminate the completion of formal administration in closing out the Estate by Formal Audit and Account; and to do so, by means of informal adminis- tration involving the execution of this Release, pursuant to the terms of the will of the late ARLETTA B. MILLER. AND WHEREAS, in consideration of the payment of the said bequest, pursuant to the said Will, previously mentioned, the said Executor is released from any and all further respon- sibility, except the filing of final personal and fiduciary income tax returns, to take or make any further formal administration of the Estate and the "Releasor" so acknowledges by consent agrees to the completion of the Estate Administration by means of this informal administration process. IN WITNESS WHEREOF, I, the said "Releasor" intending to be fully and legally bound under the Laws of the Commonwealth of Pennsylvania, and the State or jurisdiction in which I reside - 3 - have set my hand and seal this Ie) / I day of 1 i-I;~ c e ~{j.-, 2005. LfllaAcLil:~ Marchelle Sh "Releasor and the Estate of 1 In--' (SEAL) ton, beneficiary of ARLETTA B. MILLER - 4 - IN RE: ESTATE OF IN THE COURT OF COMMON PLEAS ARLETTA B. MILLER Date of Death: 01/25/05/2005: CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2005 - 00101 COMPLETE GENERAL AND INDIVIDUAL RELEASE KNOW ALL PERSONS BY THESE PRESENTS, that I, DENISE THOMAS FOX, presently of 116 Allendale Way, Camp Hill, Pa. 17011, as a beneficiary of the above mentioned Estate, hereinafter referred to as the "Releasor," who with the intent to legally bind myself, my respective heirs, representatives, successors, assigns, executors and administrators, do execute this Release in favor of myself as the beneficiary of the ESTATE OF ARLETTA B. MILLER, and individually, and my heirs, executors, administra- tors and assigns, as follows: (a) I hereby voluntarily and knowingly release and discharge the Executor of the ESTATE OF ARLETTA B. MILLER, her executors, administrators, heirs and assigns from all claim, liability, demands, costs, charges, expenses, actions, causes of action, judgments and execution, past, present and future, known or unknown, asserted or unasserted, at the time of the execution of this Release. (b) As a beneficiary of the within Estate, I further hereby acknowledge and approve the adjusted summary - 1 - of the balance of the Estate, to wit: ASSETS: Stocks and Investments... ........ .............$158,815.50 Waypoint Bank, w/interest: Checking Account. ...... ........ ..... .....$ 12,793.18 Checking Account.........................$ 11,975.19 Certificate of Deposit...................$ 26,288.10 Certificate of Deposit...................$ 25,581.51 Miscellaneous dividents and refunds...........$ 4,562.05 Bankers Life Insurance - Death Benefits.......$ 16,585.97 Personal Effects and Property.................$ 345.00* TOTAL ASSETS............................. $ 2 5 6,946.50 EXPENSES, ADMINISTRATIVE COSTS, ETC.: Costs of Administration & Funeral expenses and Debts of Estate............... ........$ Additional misellaneous expenses....... .......$ Inher i tance Tax............................... $ TOTAL DEB T S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29,619.55 323.00 10,125.39 40,067.94 TOTAL REMAINING ASSETS........ ....... ........ .$216,878.56 *Less personal effects and property, as they were donated............................. $ 345.00 $216,533.36 Plus Inheritance Tax Refund...................$ 1,202.51 TOTAL ASSETS FOR DISTRIBUTION.................$217,736.07 Note: Less the specific cash bequests which have been paid pursuant to the Will, in the total amount of......................$ 3,800.00 TOTAL RESIDUARY FOR DISTRIBUTION PER WILL.....$213,936.07 (c) The said Executor, James Wolf has agreed to assume the responsiblity to file any Income Taxes for the 2005, both personal and fiduciary and if there are any taxes due, will assume the responsiblity to pay the same. (d) That the within "Releasor" acknowledges the receipt of a copy of the will of said Estate, that I have been fully apprised of the remaining assets, after all expenses and costs of administration have been paid; - 2 - and that the total sum of $38,564.44, is to be received by the "Releasor," as a beneficiary, as payment from the said residuary Estate, pursuant to the said Will, upon receipt of the refund from the Commonwealth of Pennsylvania, Inheritance Tax Division of the over payment. (e) That the "Releasor" further acknowledges of the right of discussion with the Attorney for the Estate of the right to request formal audit and account admistration in closing out the said Estate; and I am fully agreeable to exercise the option to eliminate the completion of formal administration in closing out the Estate by Formal Audit and Account; and to do so, by means of informal adminis- tration involving the execution of this Release, pursuant to the terms of the Will of the late ARLETTA B. MILLER. AND WHEREAS, in consideration of the payment of the said bequest, pursuant to the said Will, previously mentioned, the said Executor is released from any and all further respon- sibility, except the filing of final personal and fiduciary income tax returns, to take or make any further formal administration of the Estate and the "Releasor" so acknowledges by consent agrees to the completion of the Estate Administration by means of this informal administration process. IN WITNESS WHEREOF, I, the said "Releasor" intending to be fully and legally bound under the Laws of the Commonwealth of Pennsylvania, and the State or jurisdiction in which I reside - 3 - have set my hand and seal this 2005. 1.APJJ- JA tJ tn/t<l dv~ De ise Thomas <L eleasor and the Estate of ) () v, - 4 - day of > t Lc'mffr ~. , (SEAL) Fox, beneficiary of ARLETTA B. MILLER