Loading...
HomeMy WebLinkAbout01-0646 JUl 11 200r tP , INRE: : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY, PENNSYL VANIA ESTATE OF WILLIAM HERBERT CORDES, an Incapacitated Person No. ;L 1- D J - /P tflJJ ORPHANS' COURT DIVISION PRELIMINARY DECREE AND CITATION AND NOW, this /2 rL- day of YA.JI"j~ , 2001, upon consideration of the within Petition for the Adjudication of Incompetency and the Appointment of a Permanent Guardian of the Person and the Estate of an Alleged Incapacitated Person: 57 IT IS ORDER AND DECREED that a hearing thereon is scheduled in Courtroom No. , ofthe Cumberland County Court House, One Courthouse Square, Carlisle, Pennsylvania, on~~the c1$1W dayof !2v,r , 2001, at ]:30 o'clock+.m. v IT IS FURTHER ORDERED AND DECREED that prompt, actual notice of said hearing and the within Petition and Citation shall be given to the alleged incapacitated person by personal service as required by law, and to the proposed Guardian, and to all other persons listed in the Petition as nearest living relatives, and to any other interested party by the U. S. Postal Service, certified mail, return receipt requested. - Dl1illl:~"", ~" appvhm;d LV ll;;l'll;;/)I;;m dll;; dlk5~d :u':'Jll'tlDitattd person III tm/) j-H~en, ""' - /1. IN RE: : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA PERSON OF WILLIAM HERBERT CORDES 2001 ORPHANS COURT DIVISION ORDER SETTING HEARING AND NOW, this day of , 2001, upon consideration of the within Petition for Appointment of Guardian of the Person of an Incapacitated Adult Individual, a hearing thereon is scheduled in Courtroom No. , of the Cumberland County Court House, at o'clock _.m., on the day of , 2001. BY THE COURT: 1. .,,^ IN RE: : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA PERSON OF WILLIAM HERBERT CORDES 2001 ORPHANS COURT DIVISION To: WILLIAM HERBERT CORDES IMPORTANT NOTICE CITATION WITH NOTICE A PETITION HAS BEEN FILED WITH THIS COURT TO HAVE YOU DECLARED AN INCAPACITATED PERSON. IF THE COURT FINDS YOU TO BE AN INCAPACITATED PERSON, YOUR RIGHTS WILL BE AFFECTED, INCLUDING YOUR RIGHT TO MANAGE MONEY AND PROPERTY AND TO MAKE DECISIONS. A copy of the Petition which has been filed by Joan C. Ickier is attached. You are hereby ordered to appear at a hearing to be held in Court Room No. 3-, Cumberland County Court House, One Courthouse Square, Carlisle, Pennsylvania, on _ ~ ,;:l '{ ,2001, at 3 '. e 0 ./2- .M. to tell the Court why it should not nnd you to be an incapacitated person and appoint a guardian to act on your behalf To be an incapacitated person means that you are not able to receive and effectively evaluate information and communicate decisions and that you are unable to manage your money and/or other property, or to make necessary decisions about where you will live, what medical care you will get, or how your money will be spent. At the hearing, you have the right to appear and to be represented by an attorney. If you do not have an attorney, you have the right to request the Court to appoint an attorney to represent you and to have the attorney's fees paid for you if you cannot afford to pay them yourself You also have the right to request that the Court order that an independent evaluation be conducted as to your alleged incapacity. If the Court decides that you are an incapacitated person, the court may appoint a guardian for you, based on the nature of any condition or disability and your capacity to make and communicate decisions. The guardian will be of your person and/or your money and other property and will have either limited or full powers to act for you. ..r'-' If the Court finds you are totally incapacitated, your legal rights will be affected and you will not be able to make a contract or gift of your money or other property. If the Court finds that you are partially incapacitated, your legal rights will also be limited as directed by the Court. If you do not appear at the hearing (either in person or by an attorney representing you) on the C;;:)'i' day of~, 2001, the Court will still hold the hearing in your absence and may appoint the gui~~ested. Date: 7 -1\.1-0 J By: .. , . '. INRE: : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA PERSON OF WILLIAM HERBERT CORDES 2001 ORPHANS COURT DIVISION PETITION FOR THE ADJUDICATION OF INCOMPETENCY AND THE APPOINTMENT OF A GUARDIAN OF THE PERSON OF AN ALLEGED INCAPACITATED PERSON AND NOW COMES Petitioners Walter N. and Joan C. IckIer (hereinafter known as Mr. and Mrs. IckIer), by their attorneys Milspaw & Beshore, and petition this Honorable Court to appoint them as guardian of the person of William Herbert Cordes, and in support thereof states the following: 1. The name of the alleged incompetent individual is William Herbert Cordes (hereinafter known as Mr. Cordes), born July 7, 1945, social security number 142-36-4107, currently residing at 1704 Locust Street, New Cumberland, Cumberland County, Pennsylvania. 2. Petitioners, Walter N. and Joan C. IckIer, are the brother-in-law and sister ofMr. Cordes, residing at 1704 Locust Street, New Cumberland, Cumberland County, Pennsylvania. 3. Other than Joan C. IckIer, the only other adult heir of Mr. Cordes is another sister, Margaret Scahill, who lives in Connecticut. Her address is: 18 Titicus Mountain Road, New Fairfield, CT,06810. 4. Mr. Cordes was severely injured in an automobile accident on May 20, 1966 in the State of New Jersey, and as a result of that accident has suffered since that time from aphasia, seizures and diminished mental capacity. 5. On October 2, 1967, Mr. Cordes was adjudicated mentally incompetent and unable to manage his affairs by the Probate Division of the Camden County Court, Camden County, New Jersey, and Letters of Guardianship were granted to the Camden Trust Company, now PNC Bank, to manage his estate. A copy of the Order is attached hereto as Exhibit A. 6. No Guardian of the Person of Mr. Cordes was ever appointed. The personal care of Mr. Cordes was handled by his parents from the date of the accident for almost two decades at their home, until May 30, 1986, when Mr. Cordes moved into the Petitioner's home along with his parents. Mr. Cordes' father since died and his mother continued his care for another decade or so. However, Mr. 1 .. Cordes'mother, Anna Cordes, is 90 years old and suffering from Senile Dementia Alzheimer's Type and i's no longer able to provide care for her son, nor-does she 'have the comprehension necessary to con'sent to this Petition. She is no longer able to assist in making decisions regarding the care of Mr. Cordes. , . 7. On May 19, 2001, Mr. Cordes suffered difficulty in breathing and had two severe seizures. Mrs. IckIer admitted Mr. Cordes to Harrisburg Hospital, Harrisburg, Dauphin County, Pennsylvania through the emergency room. Mr. Cordes was found to be suffering from pneumonia and diagnostic tests revealed two lesions on his lungs. He was found to have a very severe case of emphasema and is unable to use the breathing equipment without the help of Petitioners. Further diagnostic testing and possible surgery are required for the continued care of Mr. Cordes. An Affidavit of Attending Physician is attached hereto as Exhibit B. 8. The acceptance of the proposed guardians is attached as Exhibit C. The proposed guardians have no interest adverse to Mr. Cordes. 9. Mr. and Mrs. Ickler as the proposed guardians have no control over any money or assets belonging to Mr. Cordes. As stated above, pursuant to an order of the Camden County Court, a Trust Fund exists for that purpose and the Trustee is PNC Bank. 10. The estate ofMr. Cordes consist of the previously mentioned trust which has an approximate value of Six Hundred Four Thousand Six Hundred Thirteen and 00/100 Dollars ($604,613.00). The only other source of income for Mr. Cordes is his monthly Social Security in the amount of Five Hundred Thirty and 00/100 ($530.00) per month. WHEREFORE, Petitioners request that the Court appoint Walter N. and Joan C. Ickler as Guardians of the Person of the incapacitated person, William Herbert Cordes. Respectfully submitted, July 2,2001 ~SPAW&B Luther E. Milspa , Jr., Supreme Court ill # 1922 130 State Street, P.O. Bo 946 Harrisburg, P A 17108-0946 (717) 236-0781; FAX (717) 236-0791 Email: LmilspawlaJmblawfirm.com Attorneys for Petitioner 2 IN RE: : IN THE COURT OF COMMON PLEAS,. . ; CUMBERLAND COUNTY, PENNSYLVANIA PERSON OF WILLIAM HERBERT CORDES 2001 ORPHANS COURT DIVISION VERIFICATION I, the undersigned, hereby verify that the statements made in the foregoing document are true and correct to the best of my knowledge, information and belief I understand that false statements herein are made subject to the penalties of 18 P A. Section 4904 relating to unsworn falsification to authorities. Date: (,/~ /0 / ~p,~Jr"~ JO C. ICKLER \ \ EXHIBIT A ---- PNC PRIVATE BANK January 30, 1997 William H. Cordes #42-43-101-8750463 G. Thomas Miller, Esquire Miller & Miller 105 Locust Street P.O. Box 709 Harrisburg, PAl 71 08-0709 Dear Mr. Miller: Following up the request in your letter to me of January 10, 1997, you will find enclosed a copy of the Order to Show and the Judgement and Appointment which granted Letters of Guardianship for the Estate of William Cordes to our predecessor, Camden Trust Company. You will also find enclosed a copy of the National Service Life Insurance policy on William Cordes' life and a copy of the annual insurance policy statement which I received last July. I have searched our files and find no Prudential Life Insurance policy nor a Will for William Cordes. If I can be of further assistance to you, kindly contact me. Sincerely, Joan A. Ziegler Trust Officer JAZ/dr Enclosure K 69 cc: Mr. and Mrs. Walter Ickier /' ~ WIWAM M. CORDES I CAKW{ cOUt~Tr COURT PRODATE DIVISION Civil AoUon In t.h~ Mnt\el' or ~n all.g.d men'al lnoompot.ot. . ORmR TO StOW CAUSA Thb ma\tt'1' be tnfl opened to 'he Court, on behall. ot ANNA COOtES. rlalnt,1tt. and It arT"'Arlng CI'OfI toll. Oo"p1a;\n\ \ha' t.h. Te'.ran her..ln t. 1nco~re\.n\ to ~n~. hl~ O~ _tt,lr., and th~t the ~ftintltt d~.1re. th.t, "he CAJ1DE2f TRUST C(JtPANJ, OUtd.n, N." ~.nfll1'. bG appo1ft\.d pardiaD ot hle prorert." and The Cour\ m.lnc ..\bfle4 \bat, \.hl. Order .hould b. made, It. l. on \hl. 12th dq ot September, 1967 ORDEHW Uta' ANNA CQU'ES "n4 aU othe.. pl'rU.. 1nt".....'.d 1n ,&14 C_plaint Ihow 'au.. beto... the C~ COOHTr eMT, Probst., D1Yblon, Court. Hou., Cuden, Mw .J.I"", on t.h. 29th dl'.)' ot September19~7 at. 91)0 o'alook in the tOl'enoOft 01' .. IIOOD t.h....- "n..r U ,ounael ean he h.ard, lfto' . Judcmen' .hou1cl not. be entered, (.) Deolar1na WIIJ..IAM H. OORDES \0 be lnoollpe\en\ t.o rn~n~.e hl. own .tta1l'., (t>>) Ap]'J01nt.1ng t.h. CAMDEN TRUST CCIG'ANt, O&lDllen, Nw I..., ~J"l'dbn ot the Ino~t..,nt. Yttt...ran, WILLIAN H. CORDES, (e) Aut-hort.ins Ute guardian \0 eleo\ \0 noel... ,he r......tflr btln4!lf1t ot d.l'l\bUU.7 oOlllreneat.ion bene tit.. on ~ba1t ot t,.... ..lel Inno~~\.nt Y~\~rAR, nnd to w~1Ye t~. dl..bll1ty retirement ~, and (d) AutJ'orla1.rl4 t.he lUardlan to applJ tor 01' to comert, hUonl\l 8if1rvlo. Lit.. InAuJ"'lnoe 1 n behut of ttlCl .dd 1nao~'pctt.n\ mlran, and \l.o to arplJ ro~ .,lver ot pr~~um8 on 'Ql~ lneuranoe. It I, turth~r order-d that. Gopl.. ot thi. Order, .~rtltled , 7 the plAint1tt or "t.\orn"7 .. true oople., "- ..nod petlOnal17 \Iron th. \erlll.tf'4 f'&r\1t. let. torth in the COYllplalnt bJ ."U1ftR 001'10. t.o t.he .ale1 nt..re.t..d ~rtle. to the lA" known .ddr..... b.r ordlnar,r mail at, 1..., prior \0 'he Mum clIlt.. ot 'hi, Ord.r. :, A TrulJivLJudutJ-J ROBmt WEIHm A Master of the Superior Court ot New Jersey- ~o~~ J. C. C. Note: It is not necessary for you to appea in Court on the scheduled date ,unless you have some objection to this proceeding. ~ - .,f -- WILLIAM H. OORDES _. -.;#..- ~ CAMDm COUNTY COURT, ~ tCO)'/PJ PROBATE D~I~ION ". ' '. U C:5 P , · , Civil Aotion' ",' , ...359 : J'UI)(J{mT ' : . , In the Matter of an alleged mental inoompetent It appearing from the Complaint of ANNA CORDES, that she is the mother 01' WILLIAM H. CORDES, an alleged mental inoompetent veteran, and It further appearing that the said WILLIAM B. CORDES is now unable to manage his own affairs, and It further appearing that the estate 01' WILLIAM H. CORDES cons~sts of 41sabilit7 retirement benefits trom the Mllitar,y Service Department in the amount 01' ONE HUNDRED NINETY-SEViN DOLLARS AND TBIRTEnl CENTS ($197.13) monthl7 or in the alternative disabUi't7 compensation bene- tits pqable b7 the United States Veterans Administration under Federal Statutes in the 8IIlount of TWO HUNDRED EIGHTY DOLLARS (.280.00) mont~, and DUE PROOF 01' notice ot this application to the parties entitled thereto having been subnitted to the Court, and the Court having examined into the matter, It 18 on this 29th dq 01' September, 1967 the Judgment of this Court i I I I I j ! i \ 1 i , (a) That WILLIAM B. CORDES is mentalq inoompetent and ble to manage his aftairs; (b) That Letters of Guardianship of the said WILLIAM H. ORDES be granted to the CAMDEN TR~T COMPANY, Camden, New Jersq upon ual1..t)1ng a8 guardian under N..T.S.A. 17,9A-34; (c) That the said guardian i8 authorized to eleot to eceive the greater benetit 01' disablli't7 compensation and to waive isabilit,y retirement par, and (d) The guardian is further authorized to appq tor or to onvert National Servioe LUe Insurance in behalf 01' the said WILLIAM B. RDES and to aplU1' tor waiver ot premiums ,on said insurance. ~-~ ~;W~-;A;;d'V ('7'l:c...'-~ ~~\\(V-"'. ~ --- "-'" ~ I J. C. C. - A TRUE OOPY c7l3~ ..-.--......................... ............. .... ........ -. ---k.----..StJRROOAR ....~.~......... 0EPU1Y SURROGATF. ~ state of jl}elU 3f erse!', } 55. . Qtountp of (:amben. ~ 3J, 31 obn 'Qt. 1Jjeal, ~urrogate of tbe fCountp of ~amben, certify that on the.....~~~.':l.~y..7:~.~.~.~.~..........day of...~.~P..~.~~~~r................in the year of our Lord ,...,,^A"~ r-r--: . ~ f::"~ i.y ~ '? c;- ? (' .., < . < > . ) '- .J ~ ~ L. . '- ..J I ~ '- ... ..J--J L,... .-...J VVvv',V"J'J th d. h d d d ~ s; xty - seven one ousan mne un re an ~r'''''''''''' ....... in accOl'd;;lnce with a:p orderO .of . th~ Camden County court-Probate lV1Slon, Cetillby Ol,J.U~l'll!l' O&tut", dated..?~.P.~~.r:n.l?~r....?~.~h, 1967, Camden Trust Company ................................................................................ ..... .................. ............... of .~.~~~.~:.'. ~....... ............. New Jersey, was appointed.q.':l.?r.q.~.~ry...~r....... .l!; 11 ; am_H.LCordes. an Incompetent. ................................................................................ Witness my hand and seal of office this.............~~.~~.~.y.:~.~.~.':l.~ry.......................dny of September . . . .......... .......................................... .............111 the year of our Lord one thousand nme hundred and ~_.~.rx.~y.~~.~y~n . ..........F91q;:f;. By............................................................................ Deputy Surrogate. By........................................................................... Special Deputy Surrogate. rorm H_I:.I_Il_52_IFH_5916 ~ <L ~ ---- EXHIBIT B .. , IN RE: : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA PERSON OF Wll..LIAM HERBERT CORDES 2001 ORPHANS COURT DIVISION AFFIDAVIT OF ATTENDING PHYSICIAN AND NOW, this I~I-~ /"' day of J Iv. 1-,-<- , 2001, comes the Affiant, who states the following: 1. My name is Mi L~C,~ I I- J3a-e r , M.D. I am a medical doctor at the V.A. Hospital specializing in Fa f\-l i I] medicine. My business address is hoo $"0 Llnwi", A v e Le 0a non () AM (. , Lebanon, P A 17042; telephone (717) 13()' Cf 1'Zl1.. . My curriculum vitae is attached hereto. 2. I am the attending family physician for William Herbert Cordes. I have been Mr. Cordes' family physician since '8/ ~I q ~ . As such, I am very familiar with his medical , , history and his current medical condition. 3. Mr. Cordes suffers from fY'QIAWlQli L ehcerhc/ofd'ij ). It is a~f6gn~ssive . illness for which there is no known cure. He also suffers from .u"ZLl V'~s q~J cop b He is currently taking the following medications as prescribed by me: fJA.e h 0 6 e;.r- b 32 "I' 7),'14"'/,'v- 100, S-e V"e Ue"",-,j- A Iloltfe/'u / tJ )( Cl 7A!'f C W"\ J Vj fIvtu.. j,'~ q q,'~ 4 dq,-) 2- f~lJ hw!~ ~c;,.t~ 2- "71 ~'1 'f-.b kl} 4' j ~"'I)I -t-w;u.- do, ,-~ . -. 4. It is my opinion as his attending family physician that Mr. Cordes is incapable of handling his personal finances, operating a motor vehicle, administering his prescribed medication, attending to his dietary or personal hygiene needs, or performing many of the basic tasks required for his general health and well being. 5. In my expert medical opinion, Mr. Cordes is incapacitated as defined in Chapter 55 of the Pennsylvania Estates and Fiduciaries Code in that his ability to receive and evaluate information effectively and communicate decisions in any way is impaired to such a significant extent that he is partially or totally unable to manage his financial resources or to meet essential requirements for his physical health and safety. Respectfully submitted, ~~_wl~/ ~Y) Date:~ /1/5/02 C:ZJ I Attending Physician " IN RE: : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA PERSON OF WILLIAM HERBERT CORDES 2001 ORPHANS COURT DIVISION VERIFICA TION I, the undersigned, hereby verify that the statements made in the foregoing document are true and correct to the best of my knowledge, information and belief I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. Section 4904 relating to unsworn falsification to authorities. Dated: &, / I sf ,2001 1iu~iwj~,~ Attending Physician ------- EXHIBIT C \ IN RE: : . IN TIJE COURT OF COMMON PLEAS . : CUMBERLAND COUNTY, PENNSYLVANIA PERSON OF WILLIAM HERBERT CORDES 2001 ORPHANS COURT DIVISION ACCEPTANCE BY PROPOSED GUARDIAN We, Joan C. IckIer and Walter N. IckIer, certify that we reside at 1704 Locust Street, New Cumberland, Cumberland County, Pennsylvania, and that We am over twenty-one years of age. Weare retired. We speak, read and write the English language. We am a citizen ofthe United States of America. Weare not the fiduciary nor an officer or employee of any corporate fiduciary of an estate in which the alleged incapacitated adult individual has an interest, nor a surety or an officer or employee of any surety, of such fiduciary. We have no interest adverse to the alleged incapacitated adult individual. We agree to accept the appointment as Guardian of the Person of William Herbert Cordes, an incapacitated adult individual. July 2,2001 Qu,,-),?~~k4~ oo~ C. Ie er ~ :r-cL Walt r N. IckIer July 2,2001 4 . , INRE: : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA PERSON OF WILLIAM HERBERT CORDES NO. 21-01-646 ORPHANS COURT DIVISION AMENDED PETITION FOR THE ADJUDICATION OF INCOMPETENCY AND THE APPOINTMENT OF A GUARDIAN OF THE PERSON OF AN ALLEGED INCAP ACIT ATED PERSON AND NOW COMES Petitioners Walter N. and Joan C. IckIer (hereinafter known as Mr. and Mrs. Ickler), by their attorneys Milspaw & Beshore, and petition this Honorable Court to amend the Petition for the Adjudication of Incompetency and the Appointment of a Guardian of the Person of an Alleged Incapacitated Person ("the Petition") as follows: 1. Paragraph 3 of the Petition shall be deleted in its entirety and in lieu thereof the following new paragraph 3 shall be inserted: 3. Other than Joan C. IckIer, the only other adult heir ofMr. Cordes is another sister, Bonnie Scahill, who lives in Connecticut. Her address is: 18 Titicus Mountain Road, New Fairfield, CT, 06810. 2. Paragraph 4 of the Petition shall be deleted in its entirety and in lieu thereof the following new paragraph 4 shall be inserted: 4. Mr. Cordes was severely injured in an automobile accident on May 20, 1966 in the Commonwealth of Pennsylvania, and as a result of that accident has suffered since that time from aphasia, seizures and diminished mental capacity. 3. Except as hereinabove set forth no other portion of the Petition shall be changed. This Amended Petition shall be incorporated and become a part of the Petition previously filed. 1 WHEREFORE, Petitioners request that the Court amend the Petition for the Adjudication of Incompetency and the Appointment of a Guardian of the Person of an Alleged Incapacitated Person to incorporate the changes made by this Amended Petition and that these changes shall be made a part of the original Petition. Respectfully submitted, July ~, 2001 Luther E. Milspaw, Jr., Esqu' e Supreme Court ill # 19226 130 State Street, P.O. Box 9 6 Harrisburg, PA 17108-0946 (717) 236-0781; FAX (717) 236-0791 Email: Lmilspaw@mblawfirm.com Attorneys for Petitioner 2 n I INRE: : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA PERSON OF WILLIAM HERBERT CORDES : No. 21-01-646 : ORPHANS COURT DIVISION VERIFICATION I, the undersigned, hereby verify that the statements made in the foregoing document are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 P A. Section 4904 relating to unsworn falsification to authorities. July l'f-t;., 2001 -#l--L.JJr-!Ub- JO . . ICKLER 3 IN RE: V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 21-01-646 ORPHANS' COURT PERSON OF WILLIAM HERBERT CORDES ORDER OF COURT AND NOW, July 23, 2001, upon consideration of the within Amended Petition for the Adjudication of Incompetency and the Appointment of a Permanent Guardian of the Person and the Estate of an Alleged Incapacitated person: IT IS ORDERED AND DECREED that a hearing thereon is scheduled in Courtroom NO.3 of the Cumberland County Courthouse, One Courthouse Square, Carlisle, Pennsylvania, on the 28th day of August, 2001, at 3:30 p.m. IT IS FURTHER ORDERED AND DECREED that prompt, actual notice of said hearing and the within Petition and Citation shall be given to the alleged incapacitated person by personal service as required by law, and to the proposed Guardian, and to all other persons listed in the Petition as nearest living relatives, and to any other interested party by the U.S. Postal Service, certified mail, return receipt requested. By the Court, Luther E. Milspaw, Jr., Esquire 130 State Street, PO Box 946 Harrisburg, PA 17108-0946 P.J. ... INRE: WILLIAM HERBERT CORDES IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS ' COURT DIVISION NO. 21-2001-0646 IMPORTANT NOTICE CIT ATION WITH NOTICE A petition has been filed with the Court to have you declared an Incapacitated Person. Ifthe Court finds you to be an Incapacitated Person, your rights will be affected, including our right to manage money and property and to make decisions. A copy of the petition which has been filed by W ALTER N. AND JOAN C ICKLER is attached. You are hereby ordered to appear at a hearing to be held in Court Room No. J., Cumberland County Courthouse, Carlisle, Pennsylvania, on 28TH AUGUST ,2001, at 3:30P M. to tell the Court why is should not find you to be an incapacitated Person and appoint a Guardian to act on your behalf. To be an incapacitated Person means that you are not able to receive and effectively evaluate information and communicate decisions and that you are unable to manage your money and/or other property, or to make necessary decisions about where you will live, what medical care you will get, or how your money will be spent. At the hearing, you have the right to appear, to be represented by an attorney, and to request a jury trial. If you do not have an attorney, you have the right to request the Court to appoint an attorney to represent you and to have the attorney's fees paid for you if you cannot afford to pay them yourself. You also have the right to request that the Court order that an independent evaluation as to your alleged incapacity. If the Court decides that you are an Incapacitated person, the Court may appoint a Guardian for you, based on the nature of any condition or disability and your capacity to '. , make and communicate decisions. The Guardian will be of your person and/or your money and other property and will have either limited of full powers to act for you. If the court finds you are totally incapacitated, your legal rights will be affected and you will not be able to make a contract or gift of your money to other property. If the court finds that you are partially incapacitated, your legal rights will also be limited as directed by the Court. If you do not appear at the hearing (either in person or by an attorney representing you) the court will still hold the hearing in your absence and may appoint the Guardian requested. BYl-/12Utf.,4, 01'/~ ~fl-', t1/l ,~z./f;/J (]$~lh-1 Cler , Orphans' ourt Division /' Cumberland County, Carlisle, P A My Commission Expires 1 st Monday, January, 2001 . . ~ INRE: : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY, PENNSYLVANIA PERSON OF No. 21-01-646 WILLIAM HERBERT CORDES ORPHANS' COURT DIVISION PROOF OF SERVICE I hereby certify that pursuant to 20 Pa.C.S.A. ~ 5501, et seq., on the 17th day of July, 2001, I served the Petition for the Adjudication of Incompetency and the Appointment of a Guardian of the Person of an Alleged Incapacitated Person and on July 23, 2001, I served the Amended Petition for the Adjudication of Incompetency and the Appointment of a Guardian of the Person of an Alleged Incapacitate Person by U.S. Postal Service Certified Mail, return receipt requested, postage prepaid, upon the following persons: Margaret Scahill 18 Titicus Mountain Road New Fairfield, CT 06810 Walter N. and Joan C. IckIer 1704 Locust Street New Cumberland, PA 17070 Michael T. Baer, M.D. 1700 South Lincoln Avenue Lebanon VAMC Lebanon, PA 17042 The original return receipts are attached hereto. I also certify that service was made upon William Herbert Cordes on July 30, 2001, by personal delivery to him of said Petition and the reading of the contents thereof in accordance with the Supreme Court Orphans' Court Rule 14 and Cumberland County Orphans' Court Local Rule 14.2.3. Respectfully submitted, Dated: PIAJ"d (,jcd MILSrI7....f r.;rV1/ ESH.. RE... · Yhj! By : I ~. i; Luth~r Milspaw, Esquir~, PA J.D. #19226 130 State Street, P.O. Box 946 Harrisburg, PA 17108-0946 (717) 236-0781 Attorneys for Petitioner r--~~_u- Se("\liU: 0-\ Pe:bt:rof'\ on J4..-\.Y; V'l, ~eol ',1 NDER CaMPI E H TH'~ ',EeT/ON . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: x. D. Is de very address different from item 1? If YE ,enter delivery address below: o Agent o Addressee DYes ONo Mr. ans Mrs. Walter IckIer 1704 Locust Street New Cum~erland, PA 17070 3. Service Type II. Certified Mail 0 Express Mail 13 Registered ~eturn Receipt - o Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) tJ Yes 2. Article Number (Copy from service label) -,000 0 . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or C?It.the front if space permits. 1. Articl' . ddressed to: (' Mrs. Margaret Scabill 18 Titicus Mountain Rd New Fairfield, CT 06810 ~~, "'- ot: reBtrcr"'\ 01") J...J( 11.~1 3. Service Type btr Certified Mail ti Registered o Insured Mail o Express Mail W"Return Receipt .J o C.O.D. .IL 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Copy from service label) 1000 tJ8~O e;J()~ ~ 0 I Co ~ 5?fj 4{p . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: D. Is el' address different from item 1? If YES, enter delivery address below: o Agent o Addressee DYes o No Micnael T. Baer, M.D. 1700 South Lincoln Ave. Le"oanon VAMC Le~anon, PA 17042 3. Service Type .Certified Mail o Registered o Insured Mail o Express Mail "Return II. o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Copy from service label) -;000; DMO ~~ c9'~8 7qqs- PS Form 3811 , July 1999 Domestic Return Receipt 102595-00-M-0952 r SENDER COMPLE TE THIS SEe T/ON . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so thaI we can return the card to you. . Attach this card to the back of the mailpiece, or on the front if space permits. 1. .A;.1icle Addressed to: Mr. & Mrs. Walter Ickle 1704 Locust St. New Cumberland, PA 1707 2. Article Number (Copy from service label) 7000 0520 0023 0168 8077 ',ENDER COMPL r TE THIS SECTION . Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mail piece, or on the front if space permits. 1. Article Addressed to: Mrs. Bonnie Scahill 18 Titicus Mountain Road New Fairfield, CT 06810 2. Article Number (Copy from service label) 7000 0520 0023 0168 8060 o Agent o Addressee Dyes o No 3. Service Type pq. Certified Mail o Registered o Insured Mail o Express Mail !lit Return Receipt f~. 1.1 o C.O.D. Q' 4. Restricted Delivery? (Extra Fee) Dyes o Agent " 0 Addressee DYes o No 3. ~ice Type ~ Certified Mail o Registered o Insured Mail o Express Mail ~ Return Receipt fel r.L"I.w. .~i~~ o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes Complete items 1. 2. and 3. Also complete item 4 if Restricted Delivery is desired. . Print your name and address on the reverse so that we can return the card to you. . Attach this card to the back of the mailpiece, c: on the front if space permits. 1. Article Addressed to: Michael T. F:aer, M.D. 1700 South LincOln Ave. Lebanon VANC Lebanon, PA 17042 o Agent o Addressee DYes o No 3. Service Type J!I' Certified Mail b Registered o Insured Mail o Express Mail .. Return Receipt r~, '.I~.~I JI o C.O.D. 4. Restricted Delivery? (Extra Fee) DYes 2. Article Number (Copy from service label) 7000 0520 0023 0168 8084 PS Form 3811, July 1999 Domestic Return Receipt 102595.00.M.0952 ~r\ljc..e o~ !\ VV\R...t'\ d...ri. J. f'e-b t:IOfl 011 ::r~ o?~~OCll : CUMBERLAND COUNTY, PENNSYL VANIA PERSON OF WILLIAM HERBERT CORDES : 21-01-646 : ORPHANS COURT DIVISION ~ AND NOW, this14ay of E ,2001, upon consideration of the Petition of Walter N. and Joan C. IckIer, it is hereby ordered and decreed that they are appointed guardian of the person of William Herbert Cordes, an incapacitated adult individual BY THE COURT J. Estate of WILLIAM H. CORDES also known as PETITION FOR GRANT OF LETTERS OF ADMINISTRATION ~ \ - Olo 33 \ ()t-~~~ No. To: Deceased. Register of Wills for the County of CUMBERLAND in the Commonwealth of Pennsylvania Socia! Securi~v No. 142-36-4107 The petition of the undersigned respectfully represents that: Y oLlr petitioner(s), who is/are 18 years of age or older, appliES for letters of administration on the estate of (d.b.n.: pendente lite; durante absentia; durante minoritate) the above decedent. Decedent was domiciled at death in EAST PENNSBORO.CUMBERLAND County, Pennsylvania, with h IS last family or principal residence at 770 POPLAR CHURCH ROn EAST PENNSBORO TWP . (list street. number, Twp. or Boro.) Decedent, then 60 years of age, died 3/16/2006 at WEST SHORE HEATLH& REHAB -770 POPLAR CHURCH RD., CAMP HILL. PA 17011 Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (Ifnot domiciled in Pa.) Personal property in Pennsylvania (Ifnot domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ $ $ $ 50.000.00 0.00 0.00 0.00 Petitioner after a proper search haL- ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence 1704 LOCUST STREET JOAN M. CORDES ICKlER SISTER NEW CUMBERLA PA 17070 18 TITICUS MOUNTAIN ROAD BONNIE J. CORDES SCAHILL SISTER NEW FAIRFIELD CT 06810 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. ~ 0:;- w <= <1J '0 'Vi - <1J ~ 0::'1::' '" '0 <= <= 0 C'J ';: ~.~ '0.0.... ....<-. := 0 ~ .~; (/) ( ~~ .,/ / fL~. iUdLJ P{/CL~u-- AN M. CORDES ICKLER 1704 lOCUST STREET NEW CUMBERLAND PA 17070 OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA COUNTY OF CUMBERLAND } ss 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 ofpetitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or afffidl and subscribed { ~m:_this _J ~r' j.1t; c;:tJj;;d1fA,)VL 'u h '(I Regmer-Ly. U.. J]) fJ~0r k . ( ~/UAftLJ No. d \ - D L~ 9UAJ ');.1 t:~,JV, id<-. C 2 ~ ;: ~ '" co O;;j 3~) O{-~4l:> Estate of WILLIAM H. CORDES , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW .~ 6ft'!. /.1, JOQ;., , in con,ide,"tion of the petition on .. the reverse side hereot,.satisfactory proof having been presented before me, IT IS DECREED that JOAN M. CORDES ICKLER is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administr~tion are hereby granted to JOAN M. CORDES ICKLER in the estate of WILLIAM H. CORDES FEES Letters of Administration. . . $ 90. o-V Short Certi ficates ( )...... $ /;;) 0 D R .. $ 500 enunciatIOn. . . . . "3'i//1I-0$ 1<;;.' () D JOT AL _ $ /J-;)- 00 Filed. . . . Lf/.?J/f? {". . .. A.D. ATTORNEY (Sup. Ct. J.D. No.) 414 BRIDGE STREET NEW CUMBERLAND PA 17070 ADDRESS 717-774-7435 PHONE ~ ~tvlJ;l- /~uj RENUNCIATION Estate of WILLIAM H. CORDES No. ~ \- D~ -33 \ ol...{.,4k> also known as , Deceased The undersigned,BONNIE JOSEPHINE CORDES SCAHILL, SISTER (Relationship) (Capacity) of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters OF ADMINISTRATION Witness M7 be issued to JOAN M. CORDES ICKLER hand this lob- day of ~ / , 2006 . ~~~~~ BONNIE JOSEPHINE CORDES SCAHill 18 TITICUS MOUNTAIN RD., NEW FAIRFIELD, CT 06810 (Address) (Signature) (Address) (Signature) (Address) (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: WILLIAM H. CORDES Date of Death: 3/16/2006 Will No. 2001-00646 Admin. No. 21-01-0646 To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphan's Court Rules wa~ served on or mailed to the following beneficiaries of the above-captioned estate on ;17?t Y I(f. ...)Q' fe, I Name Address 1704 LOCUST STREET NEW CUMBERLAND 18 TITICUS MOUNTAIN ROAD NEW FAIRFIELD PA 17070 JOAN M. CORDES ICKLER BONNIE JOSEPHINE CORDES SCAHILL CT 06810 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date: ./l1(>~1 /(;::,. ~) & j r -~~) Signature Name: GERALD J. SHEKLETSKI Address: 414 BRIDGE STREET NEW CUMBERLAND PA 17070 Telephone(717) -7747435 x Personal Representative Counsel for Personal Representative Capacity: "7 .' . G ~ ~'~',1 .J -) v \; '~'r'o'll'il ,)[ "~/'j"::'-,.. C f= F'Ef"Jf'JSY'L\/ A,r-JIA D \:r ,^ :-''''''~' C~ IT (',C PC', /;:f\11 Ii: T.A>< ES 17112-0601 REV-1162 EX(11-96i C~.ECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT CORDES ICI<LER JOAN M 1704 LOl:UST STREET NEW CUMBERLAND, PA 17070 : EST A TE INFORMATION: SSN: 142-36-4107 i I 2101-0646 I FILE NUMBER: I DECEDENT NAME: CORDES WilLIAM H ,DATE OF PAYMENT: 06/15/2006 , i POSTMARK DATE: 06/15/2006 I i COUNTY: CUMBERLAND i 03/16/2006 I DATE OF DEATH: I NO. CD 006836 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $75,000.00 I I I I I I I I TOTAL AMOUNT PAID: $75,000.00 REMARI<S: JOAN M CORDES CHECI(# 3 INITIALS: CM SEAL RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS IN THE OFFICE OF THE REGISTER OF WillS OF CUMBERLAND COUNTY, PENNSYLVANIA INVENTORY Estate of WilLIAM H. CORDES No.21 01 0646 also known as Date of Death 3/16/2006 Social Security No. 142-36-4107 , Deceased Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney Gerald J. Shekletski, Esq. I.D. No. 40486 f' ')/&" 1:;/7 W~ 'tl - ? I-eL-/ (, -'[.Z.L~ ,I , Address 414 Brid~e St., P.O. Box E New Cumberland Dated 08/28/2006 Joan M. Cordes Ickier, Administratrix PA 17070 Telephone: (717) 774-7435 Description Value PERSONAL PROPERTY 1. PNC Advisors Guardianship Account #35-43-101-8750463 2. Beverly Health and Rehab Services, Inc. Refund Check ("") ~~ ;:~~~o .0 r ;~.-: ~ rn ~.>C;:: "{)- ::g ~<- '- ~ <..:JC'JO (")0"'-1 C)C . ::0 :'tJ--l )> REAL ESTATE NONE Total (Attach Additional Sheets if necessary) 741,510.76 t-..:> = c::::> c:;r. (.I) rr1 -0 I 0" \) :x ~ N z:- 17.85" :,' '....' , --'--- , l U) r i'~~ j ",--; ;~--) "1 r"'i \'1'1 741,528.61 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 COMMONWEALTH OF PENNSYLVANIA OEPARTMENT 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 SHEKLETSKI GERALD J ESQUIRE STONE LAFA VER & SHEI<LETSKI 414 BRIDGE ST PO BOX E NEW CUMBERLAND, PA 17070 ~u____~ fold ESTATE INFORMATION: SSN: 142-36-4107 FILE NUMBER: 2101-0646 DECEDENT NAME: CORDES WILLIAM H DATE OF PAYMENT: 09/06/2006 POSTMARK DATE: 09/06/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 03/16/2006 NO. CD 007174 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4,731.92 I I I I I I I I TOTAL AMOUNT PAID: $4,731.92 REMARI<S: CHECI<# 101 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS REV-1SG0 EX + 16-00) '* COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT CF:IC,i.,:" L.;2C UJLY FILE NUMBER 2 -0 0 6 4 6 ~1~ ---:"E,:,P- - - ~~-- DECEDENT'S NAME ILAST. FIRST. AND MIDDLE INITIA.L) ..... Z W C W U W C Cordes, William H. DATE OF DEATH IWA-CD-Year) DATE OF BIRTH i~,IM-CD-Year! SOCIAL SECLRITY NUI,IBER 42- 3 6 - 4 o 7 03/16/2006 07/07/1945 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS IIF APPLICABLE) SUR'jlvING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUI,IBER w ~ :>:: ~en ua:::>:: w:5U :I:a:::l U~Cll <C [RJ 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate IAtlacrcopyof'N1I,) D 9. Litigation Proceeds Received D 2 Supplemental Return D 4a. Future Interest Compromise ,date cf death after 1;.1;.82) D 7. Decedent Maintained a Living Trust (Attach:o;y 01 Trust' D 10. Spousal Poverty Credit ,dale cf ,jeath telNeen ,;.31.91 and 1.1.95) D 3. Remarnder Return dale cfdeath ;e,er te t2.'3.';: D 5. Federal Estate Tax Return Required Q.. 8. Total Number of Safe DepOSit Boxes D 11. Election to tax under See 9113(A) IAttaer Soh: ~ Z W o Z o ll. en w a:: a:: o u THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Gerald J. Shekletski, Es . 414 Bridge St. FIRM NAME (If Applicable) Stone LaFaver & Shekletski TELEPHONE NUMBER 717 774-7435 P.O. Box E ("") ~O .,.- :IJ CO-u i~r' ~ ("') ,...., = c::> <:ro VJ fT1 -0 New Cumberland, PA 17070 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ..... < ..... ::> a.. :E: o u X < ..... ~5 Amc:J~t of Line 14 taxat!e at the spousal tax rate. cr transfers under Sec. 9116 la)i12) 0.00 X 0.00 X 697,326.40 X 0.00 X 1. Real Estate (Schedule A) (1) (2) (3) (4) (5) ~--;; ::::QFFICI,(]f'\JSE ONLV''-) en ;;:-;:;; , ''', (=') ~"")O -0 . ,.! "';-, nQ --n 3: '.:L) o ' ,--, ::U N 1'1-'] :n -i .. )> N W 2. Stocks and Bonds (Schedule B) ~6 ,~'1'tcunt -cf Line 14 taxat!e at lineal rate 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 741,528.61 z o I- <C ...J ::> !::: a.. < u UJ 0::: 5 Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) (7) 741,528.61 (6) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 44,202.21 10. Debts of Decedent Mortgage Liabilities. & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (8) 17 ,;;mcunt of Lre 14 taxa tie at Sibling rate 1 ^ L 12 Net Value of Estate (line 8 minus line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax i line 12 minus ltne 13) (11) (12) (13) 44,202.21 697,326.40 (14) 697,326.40 .~ 10 : 15) 0.00 116' 0.00 17' 83,679.17 I 'i 2:i 0.00 '.- 83.679.17 " 18. .';,llcunt:f Lre 14 taxatie at :cllateral rate ;:0. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT .......... DC C!IIDt: Tn A"I~\AICD AI I /'"\11I::~Tln"IQl n... De\/CDCe cine At-In DCf""'UC("'1J" 1l"^TU ".... '9 Tax Due o d t' C I t Add ece en s om pIe e ress: STREET ADDRESS 700 Poplar Road CITY I STATE I ZIP Camp Hill PA 17011 Tax Payments and Credits: 1 Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 83,679.17 75,000.00 3,947.25 Total Credits ( A + B + C ) (2) 78,947.25 3. Interest/Penalty If applicable D. Interest E. Penalty Total Interest/Penalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 0.00 4,731.92 4,731.92 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... 0 [Xl b. retain the right to designate who shall use the property transferred or its income; ....................................... 0 [Xl c. retain a reversionary interest; or ...................................................................................................... 0 [Xl d. receive the promise for life of either payments, benefits or care? .............. ................... ............................ 0 [Xl 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................. 0 [Xl 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. 0 [Xl 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ...................................................................................................... 0 [Xl IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalt'es of perjury. I deolare that I have examined this return, including accompanYing schedules and statements, and to the best of my knowledge and bel,ef. ,I,s true, correct and complete. Declaration of preparer other than the personal representative is based on all Information of which preparer has any knowledge. DATE . 1:3 /,)-9/o'{;> SIGN PA 17070 I DAT~_ ' elvl fJ/c'~ ADCRESS Gerald J. 8 e ski, Esq. 414 Bridqe 8t., P.O. Box E, New Cumberland PA 17070 For dates of death cn or after July 1 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse IS 3% [72 PS 99116 la) 11.1) (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 C' , [72 PS S9116 la) (1.1; The statute dees not exempt a transfer to a surviving spouse frem tax. and the statutor; requirements fcr disclesure of assets and filing a tax return are stili applicable ever, If the surviVing spouse is the only beneficiary. For dates cf death en or after July 1. 2000 The tax rate imposed cn the net value of transfers frcm a deceased child t'Nenty-cne years cf age or younger at ,death to cr fer 'he 'use cf a natural parent. a~ adcptive parent cr a stepparent d the child is C~, [72 PS 99116,a:1I 12;]. The tax rate Impcsed on the net value of transfers to or for the use cf the decedent's lineal beneficiaries is 4.5',. except as noted In ;-2 PS 99116(12) [;-2 PS S911c'.a',\ 1 \) The tax rate Impcsed on the net value of transfers to or for the use of tr,e decedent's Siblings is 12~, [72 PS 99116(a)( 1.3)]. A sibling IS defined. under Section 9102. as an _l,.._ 1-__ _'" 1___.. _'-_ _____J.;_ ______ ...:..1,.. 1.1..._ ....l___..J__.. ...1-_"'1-....1-.. 1..1........1 .... _......._.&.;-- ~'/;:'Llt... . < i~ REV-1162 EX' 1196. ~C='/:=:::: FPGr,l PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ::>=~=: ES iC/<lER JOAN M , 7:=c+ ~(J~UST STREET ;.;.:=':/ C:Ufv:BERlAND, PA 17070 --- ES"Ti~ TE i~~FORMA TION: SSN: 142-36-4107 CI. C ~~ U f'v1 BE R : 2101-0646 I "_l_ '=,=(:EDE~jT ~lAME: CORDES WilLIAM H CA-cE OF FA'd,lENT: 06/15/2006 POSTj\lA F,K DATE: 06/1 5/2006 : COUNTY: CUMBERLAND ;........,' TC CF OE/~,TH: 03/16/2006 ,-'. -; , '- -.- -- NO. CD 006836 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $75,000.00 i I : I I I ! I I I I , I I I I ! I I ! I ! TOTAL AMOUNT PAID: ;~E'/:ARi<S: JOAN M CORDES -= H E C !( ti 3 INITIALS: CM RECEIVED BY: T,L,XPA YER $75,000.00 GLENDA FARNER STRASBAUGH REGISTER OF WillS REV-15G8 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Cordes. William H. FILE NUMBER 21 01 Include the proceeds of litigation and the date the proceeds were received by the estate All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0646 ITEM NUMBER 1. DESCRIPTION PNC Advisors Guardianship Account #35-43-101-8750463 VALUE AT DATE OF DEATH 741,510.76 2 Beverly Health and Rehab Services, Inc. Refund Check 17.85 TOTAL (Also enter on line 5. Recapitulation) $ 741,528.61 ..-.- -r----.- ..-----, ..--". --_..._.._. -..--.- -. .".- --...- -'--1 J ur..j- .L:;- C:UUb .L b ; ~lJ ~~_ HUVj~U~~ blH ~L 215 585 8730 P.01/02 o PNCADVlSORS FAX ITO PHONE DATE FROM PHONE , NCLUDING OVER ( ) ;A-~- -- I ~~....-~::,~ /(OS:- FAX 215-585-8730 ':'hj"s :ilX m.ay :on:!.~n ~ri.v:..':eged ar.C:: can~irJent:la_ :':1f::=rmael:Jn ~r:.t:e{;eed cr:ly C-::J~ :;r!e L.:se 0: the addr~sse(sl r.ames ~bQv.. If :~c .esde~ of ~~lg ~53aqe ~s ~c~ :ne intended re~~p.e~': or tr.~ e~p:oye~ or aqe~t r~3pansitle :or d~:~v~=~~q :~e ~e~saq. ~o e~e lnee~ded =ec1pl~~~(s) ~ ~~ecl$e ~c~e t~~: a~y dlB~e~~~~e.o~. ~~S:~~~u~lon or ~o?y~n~ ~f th~~ ;o~un~e~tio~ is ~~riee~y ~rO~~bit~d. ~~ycr.e who ;e~e~ves ~h~~ c~~ur.~=a:~~r: ~.. ...._.......... .......~..~""' _~....l#:.. ,.... :__................1.. ...... _,....,............."".... ........... .........,........ ...'...... ......~....~.......1 _..........-............. .. ..... ....... A me~er o~ Th~ PNC F~nancial Services ~ro~p One ?NC I?laza 249 Fifth Avenue P:;.ttsb~rgh ?enr.sylV<lm..a :5222 2707 www_oncadv~sor~_com 1.E,~30 PHC ADUlSOPS E,1\-1 FL 21':> J'-'''-" 1Ull-1S-2006 \ .... ~~'lIi \ i ~ Q UI N ,.... ~ '" Ii .... .... III ..1 l1> IS' e - -' - , ~\i 0 III -' ... - ~ !:: - -' ... ~\~~ i-! \1\ e. ,... 0 Q 0 Q 0- ..1 \II UI 0\ ,. ... to" VI III ... ... \II to> N '" oJ ~ UI ~ \ \~ ~~~ '" i-! III (ts t-3 ~ III II) ... IP ... \Q P \'>3 Q >4 I '1l Ii 0 U1 III ..1 .I> .. ~. rt" .,o '" ';l Ul N .,o ... ~ tIl !a\ '% ~ .. UI ~ Ul Q III '" .... l<> (J'le;t. Ul '" III \ 0 to> (II ,... ... '" '" ~ Q 0 0 0 ~~1t ~ \II ,. C <;> ... "" III UI ... I/> UlI ~ (II 11> N '2\,...< III CII , e. I (i)~\ll , ld I'" ~UltlI ~ ... '" \ ~\ ta;~ III \Q ~ .... ~ \ ~ " UI \I' \II .,o ~ ~ !' Ul \II ,. III (II' ?: ... Ul UI Ul "" III l1> II) Q \ W ,. t <;> ,. ,... ..., .... 0 .. -l '" ... '" IS' ':' '" . \ ';! ~ ... rP '!' '!' ell ;,. "" f> UI \C <.11 \Il' ~ CD 0 ..J III IS' ~ 111 .,o ..., Q) " ell 0 0' l1> N ... \II Q -l t (II 0 Q 0 Q .0' ~. 0 .0 a 0 N 0 ~\ t" \ \ ~ gl c.., \\ \\ \\ ~~ c ~':l ~~ i\ g \ 0 . ...1-1 '" Ii ~1/1 :~ H I si ~~ '3\ . ,. U'r' ~" ~ \~ ~\ 'e\'t; ~~\ "'~ ~~ II> to \ 'a... \~ 't; , ~ II> "'Q' t ~~ ~ H II> II> \ ... 't}tol '2\~ ~~\ % ~. H ~ ... ~ ~ 1/111> " t} ~ ~ \ III ti~ t\ i-! i' , H d \ .... ~ \ ~ ~ \ , ~ te' \tot4 \ ~ \\ ~ \w 1-1 H ~ ~~ '2\ ... r" ~ HI 0' ':~ Q. ~ 1/1' ~ , Q a 0 c> o,Cla .\ ~~ .:> a ~ .:> Ul UI ul ""'~ .0 Q UI Ul ~ Ul Ul .... .... .... -.' ,.\ III "- .... .... .... ... .,o ... ...' t:\ .... .... ... .,o ... .,o (II "" ~ ... .,o ... (II 11> '" (II l1> (II '" (II Q\ , P. \; . 1lI ~ \ a'" ... \ €a (J'lW ~ \~\ 'f ~\ " .. go ~ I Q i~ 0 \ ... I (II I r' N =% ti N ~ N ... .,o 'j ?'\'!%. 0 N ~ N U' <;> Gl 0 .,o 0 II> Ul ... ...IQ'a l1> ~ ~ \Q '\1. 0 ~ 0 .,o 0 III N 'g \ d 0 . N U\ c:> <:> 0 0 0 c:> 0 0 c:> 0 Q 0 0' c:> 0 Q c;> C c> 0 ... , ... \J\ N .,o t;;, N ~\t\ ~ N ... N -l '!' 0 ... ... ,. '" N IC> ~ 0 ~ UI ~ ~\Q 0 .... -l UI U\ N 0 0 QI .... N ... 0 0 0 0 0 <:> 0 0 Q 01 a \J\ 0 c:> c:> 0 0 0 0 0 0' , c:> 0 0 0 <;I 0 c:> , 0 (:I 0 Q , I I , ... \ \ , .... , ClO IJ) ~\~ oJ ...' ...a ... '" UI ... ~ !' ClO '" ".. ..., III \Q '! CIl ... \CI ..... ... .,o' ~ .. CIl \J\ ~\~';1 ~ . ~ ... N ,. \C 0 N .. I/> ~ \11' Ii> ell in -l ... IJ) N ..., ...' ~ ~ ~ ... '!' ... , ... .. 0 0' i-- ... ... UI Ill' , ... IJ1 '3 \CI "..' ..I' l>> t.) ul '" /;> \Q ..I '" lJ\ CIl '" (III 0 ~ \ \ I , C\ , \ ~ I , , , -- I , ... , \ '.II , I n , \ ~ 0' . , , ~ o' 0\ ~ ~ ~ S t\ \ Co \ t \ ~ t '.IiI \I I ? ~ \ \ ~ ~ \ l \ ~ ~\ ~ i t.a .,o , ;l . iOiHL f' REV-1511 EX + 112-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Cordes. William H. FILE NUMBER 21 01 0646 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 Parthemore Funeral Home & Cremation Services, Inc. 2,974.43 1303 Bridge St., New Cumberland, PA 17070 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees Gerald J. Shekletski, Esq. 27,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's. attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Letters of Administration 122.00 5. Accountant's Fees 6. T ax Return Preparer's Fees - Patriot News - Legal Advertising 116.67 8 Cumberland Law Journal - Legal Advertising 75.00 9 PNC Advisors - Fee to Terminate Guardianship 10,000.00 10 Quantum Imaging 14400 11 Register of Wills - Additional Probate Fee 420.00 12 Overnight Mail Fees 4000 13 Register of Wills - Exemplified Record 48.00 14 South Central EMS 2.000.00 15 EKG Associates 34.47 16 Advanced Recovery Systems 14364 17 Vital Records - Death Certificates 54.00 18 Register of Wills - Personal Inventory Filing Fee 15.00 TOTAL (Aiso enter on line 9. Recapitulation) $ 44,202.21 Ilf more space is needed. Insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Cordes, William H. Decedent's Name Page 1 21 01 0646 File Number Schedule H - Funeral Expenses & Administrative Costs - 87. ITEM NU~,1BER DESCRIPTION AMOUNT 19 20 Register of Wills - Inheritance Tax Return Filing Fee Reserve for Closing Expenses 15.00 500.00 SUBTOTAL SCHEDULE H-B? 515.00 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NW,lBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under See, 9116 (a) (1.2)] 1, Joan M. Cordes Ickier Sibling 1/2 of Residue 1704 Locust St. New Cumberland, PA 17070 2. Bonnie Josephine Cordes Scahill Sibling 1/ 2 of Residue 18 Titicus Mountain Road New Fairfield, CT 06810 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1, B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Cordes William H SCHEDULE J BENEFICIARIES FILE NUMBER 21 01 0646 (If more space IS needed, insert additional sheets of the same size) 10-17-2006 CORDES 03-16-2006 21 01-0646 CUMBERLAND 101 APPEAL DATE: 12-16-2006 ( See reverse side under Objections) Amount Remitted I I 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 4- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX WILLIAM H FILE NO. 21 01-0646 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 C"~~ ,r COMMONWEALTH OF PENNSYLVANIA . ~D~F,'ARTMENT OF REVENUE ,-:[i :. -iitotIh OF INHERITANCE TAX .-APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ,.., rl LL '.-'. \ 0 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN ::~ ,.; , GERALD J SHEKLETSKIC~SQ STONE ETAL PO BOX E NEW CUMBERLAND PA 17070 ESTATE OF CORDES REV-1547 EX AFP (06-05) WILLIAM H TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 10-17-2006 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) .00 .00 .00 .00 741.528.61 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adn. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitab1e/Governnenta1 Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 44,202.21 .00 (11) (12) (13) (14) NOTE: I~ an assessment was issued previOUSly, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Anount of Line 14 at Spousal rate (15) 16. Anount of Line 14 taxable at Lineal/Class A rate (16) 17. Anount of Line 14 at Sibling rate (17) 18. Anount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paynent. 741,528.61 44.202 n 697,326.40 .00 697,326.40 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .OOXOO= .00 X 045 = 697,326.40 X 12 = .00 X 15 = (19)= DATE 06-15-2006 09-06-2006 + INTEREST/PEN PAID (-) 3,947.37 .00 AMOUNT PAID 75,000.00 4,731.92 NUMBER CD006836 CDO 07174 INTEREST IS CHARGED THROUGH 11-01-2006 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 · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 .00 83,679.17 .00 83,679.17 83,679.29 .12CR .00 .12CR ( 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.) ~ est\rel\l-releasesinglespace IN RE: ESTATE OF WILLIAM H. CORDES LATE OF EAST PENNSBORO TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0646 RECEIPT, RELEASE AND WAIVER OF ACCOUNTING STATE OF CONNECTICUT ~~ . - /J . SS:~r;;-~{ COUNTY OF -;:;;;rrf7bfd- ..==: - (/~1 On this, the 0&,,1 day of ~W -:S~b06~ befor-~ me a Notary Public, the undersigned officer, persona~_~:i~ appe~ed -: BONNIE JOSEPHINE CORDES SCAHILL, known to me (or sat~Bfactor&iY proven) to be the person whose name is subscribed to the witHln instrument and acknowledged that she executed the same for the pur- poses therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and and year first above written. KNOW ALL MEN BY THESE PRESENTS, that I, BONNIE JOSEPHINE CORDES SCAHILL, being one of the beneficiaries under the estate of WILLIAM H. CORDES, do hereby acknowledge that I have received all sums of money and property due me by virtue of the death of WILLIAM H. CORDES, in full satisfaction and settlement of all of my rights and claims under his estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Common Pleas having jurisdiction over the same, and I acknowledge that I have had an opportunity to examine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Distribution had been filed in a Court of Common Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. AND THEREFORE, I, BONNIE JOSEPHINE CORDES SCAHILL, do by these presents, remise, release, quitclaim and forever discharge the Administratrix, her heirs, successors and assigns, from the acts of the Administratrix as aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoev- er, and I do hereby consent to the discharge of the said Administratrix. IN WITNESS WHEREOF, I have hereunto set my hand and seal the ~ day of S €>f3 }.gn:.,[ 6c:J-uher, 2006. --JQmuQ JO'ruuj xJ1..~~~ Wi tness JQ~€-J0(vZ:;' BONNIE J EPHINE CORDES s.cAHILL o :5 c~ S3 :;: ~ -0 rr; "- : ~~ c:J 'v..... est\rel\l-releasesinglespace IN RE: ESTATE OF WILLIAM H. CORDES LATE OF EAST PENNSBORO TOWNsHIP, CUMBERLAND COUNTY, PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0646 RECEIPT, RELEASE AND WAIVER OF ACCOUNTING KNOW ALL MEN BY THESE PRESENTS, that I, JOAN M. CORDES ICKLER, being one of the beneficiaries under the estate of WILLIAM H. CORDES, do hereby acknowledge that I have received all sums of money and property due me by virtue of the death of WILLIAM H. CORDES, in full satisfaction and settlement of all of my rights and claims under his estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Common Pleas having jurisdiction over the same, and I acknowledge that I have had an opportunity to examine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Distribution had been filed in a Court of Common Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. AND THEREFORE, I, JOAN M. CORDES ICKLER, do by these presents, remise, release, quitclaim and forever discharge the Administratrix, her heirs, successors and assigns, from the acts of the Administratrix as aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoever, and I do hereby consent to the discharge of the said Administratrix. /-3 IN WITNESS WH~~OFr I have da y 0 f Lh:t-ttlUJ/ hereunto set my hand and seal the , 2006. -fiii<<~, (LLf~ ~..1fk/ J M. CORDES ICKLER Witness COMMONWEALTH OF PENNSYLVANIA: o ~ COUNTY OF CUMBERLAND: ~g ~ On this, the /3A day of ~ }~OO6,Gief6re . me a Notary Public, the undersigned officer, personallr~~eated ,JOAN M. CORDES ICKLER, known to me (or satisfactorily provEm9~J(:to be the ,.:.' person whose name is subscribed to the wi thin instrumeiit:'-I:ind ?;cknow.l<. edged that she executed the same for the purposes the~~1in co~ained? IN WITNESS WHEREOF, I have hereunto set my hand a- seadn eday and year first above written. SS: Notary Public v- COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL GERALD J. SHEKLETSKI, Notary Public New Cumberland Bora. Cumberland Co. Commission Expires Nov. 9. 2006 STATUS REPORT UNDER RULE 6.12 Name of Decedent: WILLIAM H. CORDES Date of Death: March 16, 2006 Will No. 21-01-0646 To the Register: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: l. Yes ~ State whether administration of the estate lS complete: No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes No X (b) The separate Orphans' Court No. (i f any) for the personal representative's account is: N/A (c) Did the personal representative state an account informally to the parties in interest? Yes~ No (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and ma be attached to this report. ///7 he-e)7 Date: Gerald.~~ekletski, Esquire 414 Brldge Street New Cumberland, PA 17070 717-774-7435 Capacity: Personal Repre~ntativ~~ _._~. {-.-." ,9 Counsel for PergOO~ . '. Representa ti ve , " X ~;~ en 0, \. ~ 0PNCAuVlSORS August 2, 2001 William H. Cordes GIl #35-43-101-8750463 Carol M. Pugh, Paralegal Milspaw & Beshore 130 State Street P.O. Box 946 Harrisburg, P A 17108-0946 717-236-0781 Dear Ms. Pugh: Your letter of July 9, 2001 addressed to Joan A. Ziegler, Trust Officer, has been given to me for reply. Ms. Ziegler will be retiring from PNC Bank in August and, therefore, Mr. Cordes' account has been reassigned. ~ Enclosed are statements of transactions of the Guardianship covering the period February 28, 2000 to June 30, 2001 showing receipts and disbursements. The account holdings represent the investment portfolio, market value as of August 2, 2001 at $606,000. As Guardian, the Bank receives monthly VA pension amounting to $2,359. Mr. Cordes receives $1,000 monthly and in addition, the Bank pays for Mr. Cordes' personal care respite at Santiago's. Gross annual income approximates $16,000 from assets of the Guardianship. Upon review of our records, we do not have a recent Court Order evidencing our appointment as Guardian. The information contained in the file is the same as Ms. Ziegler provided previously which is being returned. Sincerely, c(J,~ J2/~ D. Dolores DiSante Assistant Vice President (215) 585-4786 DDD/dr Enclosure A54 cc: Mrs. Joan Ickier A member of The PNC Financial Services Group 1600 Market Street Philadelphia Pennsylvania 19103 \D \D 1.1 0 0 0 0 0 0 O~tD \D \D .... \D \D \D \D \D ~ ~ ~. 1.1 (J VI .... .... .... .... .... 1.1 ~ ~CO) 0 0 CO \D \D \D \D \D .... HH \D VI 0 t-J t-J t-J t-J t-J ~ en ~~ \D 0\ VI CO CO --.l --.l --.l :xl l2:l \D VI VI 0\ 1.1 CO 0\ VI t-J 1-3 .... \D \D 0 ~ 0 t-J 0\ 0 0 --.l CO 0\ .... 0\ ~ 0\ ~ .... O~I.I .... 1.1 r , ~HtD ~ ~~~ ~~~ ~HtD ~entD ~~~ ~~~ ~~~ ~~ H HH ~~ l2:l~ CO) ~~ 1-31-3 #l-3n ~ tlJn r;:;n Cl)n tlJH OHi:i ~t< ....~!;j \D~~ \D~~ t-Jl2:l~ COl2:l~ #~~ #l2:lH ....~g 1-3 ~~~ (J~O o~g VI 0 \DnO \DnO O\~ 0 n l2:ln )on )on Hl"l .... ~~l"l ~~l"l HIOl"l H"lll"l ~"lll"l O\H~ Ox ~ --.lCO)e; ~S~ ~CO)~ ....0 enn~ enl-3~ ~~~ zen ~O n ~~ 1-30 1-3l2:l toitoi 1-3~ ~H l2:l H~ H HI< HO Ht< n~ ~ toiS ~~en 1-3 ~aen ~~en ~ =~ ~"llen :=i;gen ~.~ ~en HO ~~ H:O H ~~ ~ 0:0 Otoi OtIJ l2:l ~~ ~;g ~.~ ~S ~S f;j H:O n :z: t<0 t<:O tit< t<~ ~ toi 0 enH t< toi H 1-3 X toi nH n~ no nl< n "ll t< ~O ~~ ~ ~;g ~~ n tIJ 0 :z: n en en ~ en t< en eno en en:O en 1-3 ~ 1-3 H 0 co :z: --.l VI 0 )0 ~ 0\ n 1.1 H n .... .... .... .... ~ t-J 0 .... --.l 0 0 ~ 0 ~ .... t-J VI t-J 0 0 . . . . . en c:: 1.1 .... \D 0 t-J 0\ 0 2 co 0 t-J 0 t-J ~ 0 :z: ~ .... ~ 0\ 0 ~ 0 0 ~ toi --.l 0 ~ t.) 0 .... co 0 n .... 0 ~ ~ 0 0 0 0\ 0 0 1-3 (g = l2:l 0 en 0 (g ~ t< ~ H .... .... .... .... t< ) t-J en 0 .... --.l 1M 1M ~ ~~ t< ~ .... co VI --.l 0 0 H . l2:l . . . . ~ 1M X .... VI 0 ~ 0> 0 tIJ :z: co tIJ 0 0\ 0 0> --.l 0 8~ ~ .... ~ "'" --.l 0 --.l 0 0 = CO) . ~t< --.l 0 ~ t.) 0 co .... 0 en .... 0 tIJ ~ co 0 .... ~ 0 ~ ~ t-J .... .... ~ 1M 0 ~ ~ 0> \D .... ... . . . . . . 1M t-J ~ t.) \D VI 0\ 0> en co VI --.l 0\ .... (J VI \D ~ ~ .... t-J 1M \D ~ 0 t-J 0\ . . --.l 0 0 1.1 0> \D \D .... 0\ tIJ .... 0 1M --.l 0 0 t.) 0> (J en 0 0 (J co .... t-J VI (J 1M + .... .... .... .... .... .... ~~ .... t-J 0 \D 1.1 .... ~ \D . ;S 0 1.1 ~ VI VI (J .... ~ 0 0 ~ ~ 0\ co 0> VI Htoi 0 0 0 0 0 0 0 0 n tIJ .... .... .... :gtoi~ t-J "'" 0 1.1 0\ \D 1.1 1.1 Cl)i~ ~ 0 \D 0\ 0\ --.l 0\ 0\ l2:l l2:l . . . . . . . ~! 1.1 0 1.1 .... 0\ 0 CD co ....r- 0> 0 ~ (J ~ CD 0\ co ~f;j .... ) ~ .... 0 t-J 1.1 0\ .... --.l \D ....t-J~_ --.l 0 0 0 \D 0 \D \D VI toi ot-J .... 0 .... --.l 0 --.l (J VI .... ... 0 .... 07/19/01 THlT 10:10 FAX 2360791 SP 4-131 (MIll) C:<) - 0/ - ~tfb NOTIFICATION OF MENTAL HEALTH COMMITMENT MILSPAW & BESHORE l::OIllMotMEA1.TH OS: PEliCNS'(LV~ ~003 The Unl\'llm'lFllcannsAel 1q p" e.S.131D5 (1:)(-41 ~ tl'Iatitsllallbe\,ll'1ll,Ml\llroranypelSCJt~lIllan IncI:ImpeIentQrww/'lohlas beeninUgjunwlly=mm1tle.q 10:1 Jl1cn18J ina~ rar inpalient c:aro and ltealtnentunderSGd!Qn 302, 303. ;r:'l04 ~rllltl Mentall1eaIIn PIQ:8ClU"" Aa.ofJmy9. 197e LP....fl'7. No, 143) ID~. UGCl,l1II1nl.lt.ldurll =nll'al. 3d! r:r nnsler 1Inl:itms. ThIs WllIlId Inr:lude ~ r::f inClpoRty D',II5U8Ilt tD 20 PaC,SA 6SS01. Pl.nuant to fie PBl'l"'YlIIBnia Menial Heallh P1DI8!urcs Ac:. Secdc~ 1D9, ~ ~ bI: ~~ lhe P~ia Slide Poll~ by lhl!lJudge. mental neahI'I ~ oI'licarar c:DuI'lly ITlIInQllIaallh and mental RlIatdaliDII adn'llni~ Wi'lIlIn Se:veN Qay&~' lI\a ~1Idk:aIiOl\. mrnmiltncnt (Jt lI'eaIIMnt tit fillil cIa.N 1I1lI111II1tIe PennsJ'IYlIn.. Slate PoIl~. AlIBnllaA: Firearm UIlIt, 18Ol1 am.nDn Avenuo. iian1s~ PA 1711D. NOTE: 11\. .1fVV'opD sllall lie ma~od l4CONfIDENTIAL." . Pla~ an "X; 01'1 $lth!!r InvolulIl.ary Commitment Clr A~udicated Incompersnt INVOLUNTARY COMMITMENT ADJUDICATED INCOMPETENT Dat~ of In"QjuntaJy Commitmcln or AdJudiearei:llnc:ompetent INDIVIDUAL INFORMA T~ON (lNDIIIIDUAL INVOLUNTARILY COMMITTED OR ADJUql~ATED INCOMPETENT) LAST NAMe CORDES FIRST WILT, T AM MIDDLE HERBERT JR.. ETC. n/a MAIDeN MA.ME July 7, 1945 n/a AUAS n/a 142-36-4107 DA l'E OF ElIR"'" SOc;.tAl SECURI'IY NUMBeR SEX Ma Ie ~CE! CaucasianHElGHT5 110. WEIGHT 140 HAIR blono i so EYES very t:.\11n 17070 blue ADDRESS 1704 Locust street, New Cumberland, PA NOTIFICA liON BY (Please print nam", address. area c::gde. and pllc"$ number of agenc:y or caunty Cl:II.IIt.) County Submitting NolificaJ:ion County Mental Health and MenlBl Retlilrdetlon Administrator Call11!;Y Mental Health Review Oftic:gr Ph~sician . H03pitall Faciily PI'D"irlin9 Treatment' Address Judge SIGNATURE OF NOllFYING ClFFlCIAL OATE CQuJt Caso NUmber Cate of court Order .:b4.~.bc:L_J,_.lol."'"""nn~~ __...___..___ n_ l.~ ..__ J. .~~ _J..td.,I,.L~~n~ ----~..,.... NOTIFICATION OF PHYSICJAN"S DETERMINA nON THAT NO SEVERE MENTAL DISABILITY EXISTS The ph~ shan prolrld'a ~ C1a~lion or lha cfds/'mIna~ d II'lC 1a.cJc c1 ~ menl<ll Ol=ebility fallollVlng \he; 1nI11aJ em.minall~11 under SeeQon 3a2(~) Qf ~e Menial Heallh ~ Ad and pur.luanltD .... Urirorm rg-ea/'ll'G: Act. Secsion 6111.1 (11)(3). !\Iallal 6I\a1l be VaMrnln= D'I Ifte p/tr3lcl," Ib !he P~ni=l S!aIB PofJCe tnmuClh flU: c:cunI)' "'l:ntalllealth ,,,d mernal reta~t1an lI11l'llln1511'alor ar menllll heolt/'l telIiew QlIicler. Narne af Ph)'t:iClillln (Please priPt.) SignatlJll:? 01 Ph)'sician Dall!: 08/02/01 TBlT 14:08 FAX 2360791 MILSPAW & BESHORE III 003 u MILSPAW &BESHORF. AITORNEYSATLAW 130 STATE STIU:J:." P.O. BOX 946 HARRlSBURG, l'A 17IOS..0946 LtITHElt F_ M n m>A W. JlL MARVIN BIiSHORE 717-23'-0781 FAX ,t7-2J6-O'19I Imllspaw@nlb!awfir1Jl.com August 2, 2001 DearJ . The Honorable George E. Huffer Orphans' Court of Cumberland County One Courthouse Square Carlisle, P A 17013-33 ~ The undersigned rep er N- and Joan C- IckIer, Petitioners in the proceeding to have William Herbert Cordes declared on incapaJ:;itated person. Pursuant to the requirements of Section 5511(a) (2) of the Probate, Estate and Fiduciaries Code, this letter is formal noti~p. that couu:sd has not been retained to represent the alleged incapacitated person. It is not anticipated that this proceedin.g will be contested_ The Petitioners are the sister and brother-in-law of the alleged in(.apaejtatt:d. The father of the alleged incapacitated is deceased and his mother has severe Alzheimer's Disease. The alleged incapacitated ha.1;! Onp. other sister who lives in ConnectIcut. Although she has much love for her brother, she is grateful that Mrs. Iclder and her husband are willing to continue the care they ha.ve provided fur him over the years. Uiven the situation, I do not feel that counsel is needed to represent the alleged incapacitated person. Sincerely Vours, LEM:cmp 10-17-2006 CORDES 03-16-2006 21 01-0646 CUMBERLAND 101 APPEAL DATE: 12-16-2006 ( See reverse side under Objections) Amount Remitted I I 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:is47-EX-AFP-C03:0si-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEMENT:-ALLOWANCi-oi--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX WILLIAM H FILE NO. 21 01-0646 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEP~RTMENT OF REVENUE .....- r~ I'C,-cF,q\ C;+fj&ticE OF INHERITANCE TAX -, t -AP~ISEMENT. ALLOWANCE OR DISALLOWANCE , ,Of DEDUCTIONS AND ASSESSMENT OF TAX "Lfi"Z, 1.'0" 'j"'), 0' .:,- w' \ : 10 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN GERALD J SHEKLETSKI (lSQ- STONE ETAL PO BOX E NEW CUMBERLAND PA 17070 ESTATE OF CORDES '* REV-1547 EX AFP [06-05) WILLIAM H TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 10-17-2006 I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. A.ount of Line 14 taxable at Lineal/Class A rate (16) 17. A.ount of Line 14 at Sibling rate (17) 18. A.ount of Line 14 taxable at Collateral/Class B rate (18) 19. PrinCipal Tax Due TAX CR D TS: 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 U) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 741.528.61 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/A~. 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 Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) UO) 44,202.21 .00 Ul) (2) (3) (14) NOTE: .00 X .00 X 697,326.40 X .00 X 00 = 045 = 12 = 15 = + AMOUNT PAID 75,000.00 4,731.92 DATE 06-15-2006 09-06-2006 NUMBER CD006836 CD007174 INTEREST/PEN PAID (-) 3,947.37 .00 INTEREST IS CHARGED THROUGH 11-01-2006 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 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure proper credit to your account, sub.it the upper portion of this for. with your tax pay.ent. 741,528.61 44.202 21 697,326.40 .00 697,326.40 (9)= .00 .00 83,679.17 .00 83,679.17 83.679.29 .12CR .00 .12CR 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 Dcc....n 0::1=1= RFUI'RSE SIDE OF THIS FORM FOR INSTRUCTIONS.) '-'