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OFFICIAL USE ONLY
COMMONV\/EAl TH OF
PENNSYlVANIA
DEPARTMENT OF REVENUE
DEPT. 280801
HARRISBURG, PA 17128-0601
REV-iS00
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
II
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Maurer, Lewis R.
DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
06
COUNTY CODE YEAR
SOCIAL SeCURITY NUMBER
193-28-0858
1121
NUMBER
REGI TER OF WILLS
SOCIAL SECURITY UMBER
4a. Futtn InterMt Compromise (clate of de8th lifter
12-12-62)
7. Decedent Maintained a Living Trust (AIIach
copy of Trust)
10 SPOUSal Pove~ Credit (elate of de8th between
. 12-31-91 end 1-1-95)
D 3. Remainder RetuT\ (elate of death prior to 12-13-62)
D 5. Federal Estate !fax Return
8. Total Number qr Safe De
2. Supplemental Return
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NAME
Michael L. Bangs
FIRM NAME (If appIicebIe)
TELEPHONE NUMBER
7171730-7310
OFFICI
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(8)
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(111)
15. Amount of Line 14 taxable at the spousal tax rate, 149,388.06 x .00 (1~)
z or transfers under Sec. 9116(a)(1.2)
2 0.00 .045 (1~)
... 16.Amount of Line 14 taxable at lineal rate x
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a.. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (11)
s
0
U 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18)
~ x
19. Tax Due (19)
05-05-2006 03-25-1936
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( lAST, FIRST AND MIDDLE INITIAL)
Maurer, Sally R.
[!] 1. Original Return
D 4. Limited Estate
[!J 6. Decedent Died Testate (AIIach
copy of 'MIl)
D 9. Litigation Proceeds Received
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
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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) D Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
429 South 18th Streeti
Camp Hili, PA 17011
(1)
(2)
(3)
(4)
(5)
(6)
(7)
None
None
None
None
154,811.00
None
None
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12. Net Value of Estate (Line 8 minus Line 11)
(9)
(10)
5,143.85
279.09
13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has
not been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
-0
:x:
-
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54,811.00
5,422.94
49,388.06
None
49,388.06
0.00
0.00
0.00
0.00
0.00
20.
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Copyright 2002 fonn software only The Lackner Group, Inc.
ORRSTOWNBANK
A Tradition of Excellence
December 29,2006
To: Bangs Law Office
429 South 18th Street
Camp Hill Pa 17011
From: Traci Shaffer
Orrstown Bank
Customer Service Center
PO BOX 250
Shippensburg, Pa 17257
Re: Estate of Lewis R Maurer
Date of Death May 05,2006
IT IS HERERBY CERTIFIED THAT THE ABOVE NAMED DECEDENT, ON THE
ABOVE DATE. HAD THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK.
CHECKING ACCOUNT
Account # Title of Account
SA VINGS ACCOUNT
Account # Title of Account
706000952 Lewis R Maurer
CERTIFICATE OF DEPOSIT
Account # Title of Account
Date opened Princiole Accrued Interest
Date opened Principle
08/19/99 511.00
Date Ooened Princiole
Accrued Interest
0.33
Accrued Interest
77 East King Street
P. . Box 250
Sh ppensburg, PA 17257
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REV-1111 EX+ (12-81)
*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Maurer, Lewis R.
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
FILE NUMBER
21-06-1121
DESCRIPTION
AM bUNT
FUNERAL EXPENSES:
See continuation schedule(s) attached
2,151.60
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City
Year{s) Commission paid
State Zip
2.
Attomey's Fees
Michael L. Bangs
2,500.00
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
302.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
See continuation schedule(s) attached
190.25
TOTAL (Also enter on line 9, Recapitulation)
5,143.85
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Sche~ule H (Rev. 6-98)
Rev-1S02 EX+ (.....)
'* SCHEDULE H.A
FUNERAL EXPENSES
continued
COIoWClNWEAL.TH OF PENolSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Maurer, Lewis R. 21-06-1121
ITEM
NUMBER DESCRIPTION AMOUNT
1 Auer Memorial Home and Cremation Services, Inc. 2.151.60
Subtotal 2.151.60
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedu eH-A (Rev. 6-98)
Rev 1502 EX+ (....)
-
* SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA continued
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Maurer, Lewis R. 21-06-1121
ITEM DESCRIPTION
NUMBER AMOUNT
1 Cumberland Law Journal - Estate Advertising 75.00
2 The Sentinel - Estate Advertising 115.25
I
Subtotal ! 190.25
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (1-18)
..
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Maurer, Lewis R.
FILE NUMBER
21-06-1121
Include unnllmburMd medfcm expen_.
ITEM
NUMBER DESCRIPTION
1 Borough of Carlisle - Sewer and water (3122106 to 4119106); paid 5123106
VALUE AT DATE
OF DEATH
19.67
2 Borough of Carlisle - Sewer and water (4119106 to 5/18106); paid 6110106
16.18
3 Members 1 st Federal CU - Visa payment
243.24
TOTAL (Also enter on Line 10, Recapitulation)
279.09
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV-1513 EX+ (14)1
'*
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Maurer, Lewis R.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
(tistributions and transfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
1)0 Not u.t TruatMla'
I.
1
Sally R. Maurer
4117 Mountain View Road
Mechanicsburg, PA 17050
Wife
FILE NUMBER
21-06-1121
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
Entire
Total
Enter dollar amounts for distributions shown above on lines 5 through 18, as appropnate, 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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
Copyright (c) 2002 fonn software only The Lackner Group, Inc.
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Fonn PA.1500 ScheduleJ (Rev. 6-98)
0.00
LAST WILL AND TESTAMENT
OF
LEWIS R. MAURER
I, LEWiS R. MAURER, Social Security Number 193-28-0858, of the
Commonwealth of Pennsylvania, declare that this is my LAST WILL AND
TBSTAMENT and I revoke all other wills and codicils previously made by
me.
FIRST: I appoint my Wife, SALLY R. MAURER, as my Personal
Representative concerning this Will. If she is unable or fails to
serve, I then appoint my daughter, ELIZABETH S. HARDING to serve as my
Personal Representative.
a. I request that my Personal Representative be permitted to
serve without bond or surety thereon and without the intervention of
any court, except as required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
my Personal Representative is unable or does not desire to qualify as
ancillary legal representative, I appoint as such ancillary legal
representative such individual or corporation as my Personal
Representative shall designate, in writing.
b. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
in life and custom of living (including a suitable monument or marker
for my grave), and written charitable pledges which I have made. I
grant my Personal Representative the power to extend or renew any debt
for such time as my Personal Representative shall deem appropriate.
c. All estate, inheritance, succession and other death taxes
with respect to all property passing under this my Will shall be paid
from and borne by the principal of my residuary estate, without regard
to reimbursement, as if such taxes were administration expenses. My
Personal Representative may pay such taxes at any time deemed
advisable, whether or not then due and payable.
d. My Personal Representative is requested to settle my
estate as soon after my death as may be practicable, and to payor
deliver every legacy or bequest to my beneficiaries without waiting any
time that may be believed to be customary in probate matters.
~~t.dQ~~~J~" _
PAGE 1 ~ fl~, tJJ?7
OF 5 PAGES ~ ~ ~
e. I have served in the Armed Forces of the United States.
Therefore, I direct my Personal Representative to consult with a Legal
Assistance Attorney at the nearest military installation and with the
Department of Veterans Affairs and the Social Security Administration
to ascertain if there are any benefits to which my family members are
entitled by virtue of my military service.
f. I may leave a letter of intent with the executed copy of
this Will for the purpose of giving guidance to my Personal
Representative concerning the distribution or sale of certain items of
my property. I request, but do not require, that my Personal
Representative honor my wishes therein expressed.
SECOND: I give, devise and bequeath, absolutely and forever, all
of my estate and property of which I may be seized or possessed, or to
which I may be entitled, at the time of my death, wherever situated or
of whatever nature, be it real, personal, or mixed, to my Wife, SALLY
R. MAURER, as her sole and absolute property if she shall survive me.
THIRD: In the event that my Wife, SALLY R. MAURER shall not
survive me, I give, devise and bequeath, absolutely and forever, all of
my estate and property of which I may be seized or possessed, or to
which I may be entitled, at the time of my death, wherever situated or
of whatever nature, be it real, personal, or mixed, to my children,
ELIZABETH S. HARDING and KATHRYN R. MAURER, in shares of substantially
equal value to be divided as they may agree.
a. If any of my children shall not survive me, then the
share of that deceased child shall go to the descendants of that child,
who are to take per stirpes and not per capita. If any of my children
shall not survive me and shall not be survived by any descendants, then
the share of that deceased child shall be distributed to my surviving
child or the descendants of my other child if that child also failed to
survive me, in the manner set forth above.
b. If they are unable to agree, the division among my
children and the descendants of any of my children who fail to survive
me shall be made by my Personal Representative, in that person's sole
and absolute discretion. I empower my Personal Representative to sell
any or all of such property, if such property is not distributed in
kind hereunder, and to distribute the proceeds among my said children
in substantially equal shares. Any determination of my Personal
Representative as to what should pass or be sold under this paragraph
and to whom it should pass or be delivered or at what price it should
be sold shall be conclusive.
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PAGE 2 JU. ''Ii- /),~
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-FOURTH: In the event that none of my children and none of their
descendants shall survive me, I give, devise and bequeath, absolutely
and forever, all of my estate and property of which I may be seized or
possessed, or to which I may be entitled, at the time of my death,
wherever situated or of whatever nature, be it real, personal, or
mixed, to my sisters, JESSICA SANDRA PELLEGRINO and CHERIE D. DADDARIO,
or to the survivor, in shares of substantially equal value, to be
divided as they may agree. If they are unable to agree, the division
shall be made by my Personal Representative, in that person's sole and
absolute discretion. I empower my Personal Representative to sell any
or all of such property, if such property is not distributed in kind
hereunder, and to distribute the proceeds among the persons named in
this paragraph, or the survivor, in substantially equal shares. Any
determination of my Personal Representative as to what should pass or
be sold under this paragraph and to whom it should pass or be delivered
or at what price it should be sold shall be conclusive.
FIFTH: If any beneficiary to any share of my estate which is not
subject to the provisions of any trust which may be created by this
will is at the time of distribution of his or her share, a minor under
the laws of his or her domicile, I direct that the minor's share be
converted into qualifying property and delivered to the minor's
Guardian as Custodian for the minor under the Uniform Gifts to Minors
Act or the Uniform Transfers to Minors Act as may then be in effect in
either the state in which the beneficiary or the Custodian resides, or
any other state of competent jurisdiction.
a. The Uniform Gifts to Minors Act or The Uniform Transfers
to Minors Act, as may then be in effect in the state concerned, is
hereby incorporated by reference. The property affected by the Act
shall be managed, held, and distributed in accordance with the
provisions of the Act.
b. The financial custodian will serve without bond or surety
and without intervention of any court, except as required by law.
c. The receipt by the Custotlian, for the minor, of any
principal or income transferred pursuant to this paragraph shall be a
full acquittance and discharge of my Personal Representative or
Trustee, as applicable, from liability with respect to such transfer
and from further accountability for the principal or income so
transferred.
SIXTH: Except as otherwise provided in this Will, I have
intentionally failed to provide for any other relatives or other
persons, whether claiming to be an heir of mine or not. Insofar as I
have failed to provide in this will for any of my issue now living or
later born or adopted, such failure is intentional and not occasioned
by accident or mistake.
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PAGE 3 .JLtI .n IA tU//
OF 5 PAGES ~ ~ rr--
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SBVBNTB: Any beneficiary who fails to survive until thirty (30)
days after my death shall be deemed to have predeceased me, and the
gift to that beneficiary shall be disposed of accordingly.
EIGHTH: Definitions:
a. The term "children" as used in this Will includes adopted
and afterborn persons. The term "children" as used in this will shall
not include step-children, the natural born or adopted children of a
person's spouse who are not the natural born or adopted children of the
person. A relationship by or through legal adoption shall be treated
the same as a relationship by or through blood for purpose of
succession to property under this Will.
b. The term "descendants" as used in this will means the
immediate and remote lawful, lineal descendants by blood or adoption of
the person referred to who are in being at the time they must be
ascertained in order to give effect to the reference to them.
c. The term "Personal Representative" as used in this Will
means Executor, Executrix, Independent Executor, or any other title of
like import which is used to describe such a fiduciary.
d. The term "per stirpes" as used in this Will means that
whenever a distribution is to be made to the descendants of any person,
the property to be distributed shall be divided into as many shares as
there are (1) living children of the person, and (2) deceased children,
who left descendants who are then living, of the person. Each living
child (if any) shall take one share and the share of each deceased
child shall be divided among his then living descendants in the same
manner.
NINTH: In addition to any powers granted by the laws of the state
in which this Will is probated, I hereby authorize and empower the
fiduciaries named in this Will, to the extent of the discretion herein
granted, to sell, exchange, convey, transfer, assign, mortgage, pledge,
lease or rent the whole or any part of'my real or personal estate, to
invest, reinvest, or retain investments of my estate, to perform all
acts and to execute all documents which my fiduciaries may deem
necessary or proper in regard to my property. If any of my fiduciaries
elect to receive compensation for services, such compensation will be
that allowed by law.
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PAGE 4 &1l.- C\./ / 02A
OF 5 PAGES -r-- ~ ~
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TENTH: If any part of this will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, so far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of carrying out as nearly as may be
possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania,
this 13th day of April, 1995, set my hand and seal to
this my LAST WiLL AND TESTAMENT, consisting of 5 typewritten pages,
each page bearing my handwritten signature.
~~K1Q~
L S R. MADRE
(SEAL)
The foregoing instrument was, at Carlisle Barracks, Pennsylvania,
this 13th day of April, 1995, signed, sealed, published and declared by
LBWXS R. MAURER, the testator, to be his LAST WILL AND TESTAMENT in the
presence of all of us at one time, and at the same time we, at his
request and in his presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses, and we do so
verily believe that the said testator is of sound and disposing mind
and memory at the date hereof.
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COMMONWEALTH OP PENNSYLVANIA
COUNTY OP CUMBERLAND
ACKNOWLEDGMENT
I, LEWIS R. MAURER, testator, whose name is signed to the attached
or foregoing instrument, having been duly qualified according to law,
do hereby acknowledge that I signed and executed the instrument as my
Last Will; that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed.
~,<;,..Q~
LEW R. MAURER
(SEAL)
APPIDAVIT
We, '::ra.<L~: e. L. \\0..\ V--e.l( , ~\Q.,n~ n (' ~ .s , and
",)n~" ",\\tr , the witnesses, sign our names to this
instrument, being duly qualified according to law, do depose and say
that we were present and saw the testator sign and execute the
instrument as his Last Will; that the testator signed willingly and
executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testator signed the will as a witness; and that to the best of our
knowledge the testator was at that time 18 or more years of age, of
sound mind and under no constraint or undue influencilJmU
~~ '. L ~1L ~ 1tk Wit~
Subscribed, sworn to and acknowledged before me by LEWIS R.
MAURER, the testator, and subscribed and sworn to before me by
T n~'. ~ L \\Ct~ t<~ il
j~~t\ ~'\\\Q(
, \:::at \ehe tJ"\ to s
, and
, the witnesses, this 13th day of April, 1995.
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NOT.KR: PUBL ~
Commission E
Nomriai Seal Public
RosaA.~~eountY
Carlisle Borc? a:::,,~ Nov 8 1997
My eommisSlOrl ~'~ ., .
. . Mon of Notanes
Member, PennsylvanlaAssOOS