HomeMy WebLinkAbout95-00526
PETITION I-OR GRANT OF LETTERS OF AI>MINISTRATION C.T.A
Estate III Doroth~ M. Kirkpatrick
alsll knllw" as Dorot y KIrkpatrICK
No. ~- q 6.. 5"~ (,
To:
DI!cf!l1sed.
Sllclal SeCllrlly Nil. 20 1-1 6 -126 1
Register of Wills for Ihe
COUlllY of Cumberland in Ihe
Commonweuhh of Pennsylvuniu
The pelltlon of Ihe undersigned respeelfully represellls Ihul:
Your pelltloner(s), who Isllue 18 yeurs of uge or older, upplies
for lellers of udmlnislrullon
ou Ihe eslale of
(d.b,n.; !'fndel11e Ult'j durRllle bhu~lllla: durnlllc IIllnmltulC)
Ihe above decedelll.
Decendenl was domiciled at deuth in Cumberland County, Pennsylvania, whh
It er last family or nrln,IDal residenceul 325 Wesley Drive, Lower Allen To,wnship
pennsylvania, .17u55 (11'1 .trrt'l, numher DIUI rnunlclpulll)')
Dccendent,lhen 61 years ofnge, died 23 June ,19 95
nt 325 Wesley Drive, Mechanicsburg, PA 170!:i5
Deeendent nl denlh owned properlY with cstlmuled vnlues ns folllows:
(If domiciled In Pa.) All personnl properlY
(If nOI domiciled In Pn.) Personnl properlY In Pennsylvnnin
(If nOI domiciled In Pu.) Personal properlY In County
Vnlue of real eslate In Pennsylvania
sltualed as follows:
$263,000.00
$
$
$
Pelltloner_ afler a proper search h~ ascerlained thaI dccedentleft no will and was survived by
Ihe following spouse (If any) and heirs:
Name Relalionship Residence
Samu~l A. Kirk at rick
III
13714 Bluff ate
San Antonio, TX 76216
Son
C.T.A.
THEREFORE, petltloner(s) respeclfully request(s) Ihe grunt of lellers of admlnislratlon/in the
appropriale form 10 the undersigned.
1 -- '/7 _
~. SAMUEL A. KIR PATRICK, III
..8' 13714 Bluffgate
!J San Antonio, TX 76216
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} ss
The petltloner(.) above. named swear(s) or arnrm(s) I hal Ihe
.talemenls In Ihe foregoing petition are Irue and corrCCllo Ihe besl
of Ihe knowledge and belief of pelilloner(s) and Ihal as personal
represenlatlve(s) of Ihe above decedent pelltioner(.) wi well and
lruly admlnl'ler the estale according 10 law.
Rl
~
~ate ~~DOROTHY M. KIRKPATRICK, a/k/a DOROTH; IfI&'f.~QdRICK
GRANT OF LETTERS OF ADMINISTRATION C.T.A.
Sworn to or arnr,,!!~ hand
before me Ihls t
June
subscribed
day of
1995
~1t
Register
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ATRICK,
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July 12,
AND NOW 1995 , In eonslderallon of Ihe petition on
lhe reverse side hereof, satisfactory proof having been presenled before mek
IT IS DECREED Ihal Samuel A. Kirkpatric , III
Is/are enlltled 10 Lellers of Adminislra1Ibh1~nd In accord with such nndlnll, Lellers of Admlnlstrallon/C.T.A.
21-95-526
lire hereby granled to
Samuel A. K1rkpatr1ck, III
In the estale of Dorothy M. Kirkpatrick, a/k/a Dorothy Kirkpatrick
FEES
Letters of Admlnlslratlon ..... $
Short Cerllncales(1) ... ....... $
Renunciation ................ $
X-Pages (3) __ $
JCP TOTAL395.!Jg
Flied . July . 12tb, . .. .. ... A.D.
270.00
21.00
9.00
5.00
19~
97kvw. e.1~. ~t-,.J,!'/f~
. . -. F H"Illster of WIU[ tlil<p' "7.L
Mary C. Lewis ~ .
George A. Vaughn, III (25650)
ATIORNEY (Sup. Ct. 1.0. No.)
~~~o~ne;2pR f10{it
ADDRESS
(717) 761-5361
PHONE
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LAS T
W ILL
AND
T B S T A H B N T
OF
DOROTHY H. KIRKPATRICK
I, DOROTHY M. KIRKPATRICK, a resident of Fairview Township,
York county, Pennsylvania, being of sound mind and memory, do make,
publish and declare this to be my Last Will and Testament, hereby revoking
all Wills and Codicils heretofore made by me.
ITEM I. I direct that all of my just
debts, funeral expenses, and the cost of administration of my estate be
paid as soon as practicable after my death. I direct that my Executor pay
out of my estate, as a general charge thereon, all inheritances, estate,
succession, and other taxes, together with any interest or penalty thereon
assessed by reason of my death, with regard to all properties and assets
subject to such taxes, whether or not such property and assets pass under
this Will.
ITEM II. I give, devise and bequeath all
the rest, residue and remainder of my property, real, personal or mixed,
tangible or intangible, of whatsoever nature and wheresoever situate, and
all property to which I may be entitled or over which I may have any power
of disposition or appointment, and whether acquired during or after my
lifetime, to my son, SAMUEL A. KIRKPATRICK, III, provided he survives me,
otherwise to his spouse. In the event my son and his wife should
predecease me or fail to survive me by ninety (901 days, or in the event
we should both die as a result of common disaster, then I give, devise and
bequeth all the rest, residue and remainder of my estate to their issue in
equal shares, to share alike if any shall be surviving. In the event no
issue survive, being my grandchildren, then in such event, I give my
entire estate to JOHN WILLIAM MacFARLANE, of 100 Tall Oak Drive, New
Cumberland, pennsylvania.
ITEM III. It is my express wish and desire
that my executor despose of my person by cremation, without any funeral
services or viewIng services. Further, the money that my executor would
have spent for such services, in lieu thereof, shall be given to the Child
Abuse Agency, Harrisburg Office.
~Aiftfd:d
_",,_,~~,.~....,_,.,_~~~,.......,.",..___~~.c.,..,..- _._
ITEM IV. My Executor shall serve without
bond and is hereby authorized and empowered to sell at pUblic or private
sale or sales all of the personal property of which I may die seised and
to likewise sell all real estate of which I may die seised, and to convey
the same by fee simple deed or deeds to the same effect that I could
personally do, if living.
ITEM V.
Executor and Trustee as follows:
I authorize and empower by
(A) to compromise, adjust, release and discharge in such
manner as my Executor and Trustee deem proper, all debts and claims owed
by me or my estate;
(B) to sell, lease or exchange at public or private sale,
or in such manner, at such prices and upon such terms of credit or
otherwise as my Executor and Trustee may deem proper, all or any part of
my property, real or personal or mixed;
(C) to execute, acknowledge and deliver instruments of
conveyance, including deeds in fee simple;
(D) to borrow money for the purpose of paying estate,
inheritance, or other taxes which are required to be paid and to secure
any such loan by pledge or mortgage of all or any part of my property, and
to execute the necessary instruments to carry out such powers;
(E) to distribute my estate in kind, or partly in money and
partly in kind, and to determine the fair value at which any property so
distributed in kind shall be received by the distributees;
(F) to conduct any business in which I have an interest at
the time of my demise for such period as my Executor and Trustee may deem
proper; to borrow money and pledge the assets of the business; to do all
other acts that I, in my lifetime could have done; to delegate such power
to any partner, manager or employee without liability for any loss
occurring therein; to organize a corporation to carryon said business by
itself or jointly with others; to contribute all or part of the said
business as capital to such corporation and accept stock in said
corporation in consideration therefor; to hold such stock for the uses of
this, my Will, and to vote said stock or to sell the same as to my
Executor may seem best;
L4ltftJ.Kot
(G) to retain all stocks, assets, bonds and investments
owned by me without being confined to what is known as legal investments/
(H) to execute any options to purchase/
(I) to apply for stocks, bonds or other investments/
(J) to purchase or otherwise acquire real estate
(K) to retain indefinitely any part of my assets, real or
personal, which is or may become unprOductive or to make sale thereof/ to
pay carrying charges and expenses of the property out of other principal
or income of my estate.
The powers herein conferred shall be to my named Executor
and Trustee and all successors thereto and shall be in addition to and not
in limitation of other powers conferred on said fiduciaries.
IN WITNESS WHEREOF, I have hereunt~ set my hand and seal to
this my Last Will and Testament, consist~of ~ ~ (3) typewritten
pages, each bearing my signature, this V, day of ,2.. ~h <> i- , A.D.,
1966. V
~'Vf/9:if#1eihJi 'SEAL)
witness I
/
STATE OF PENNSYLVANIA )
) 55.
COUNTY OF CUMBERLAND )
On this the '1fL- day of d~.!:6lh.J , 1986, before me,
the undersigned officer, personally appeared?DOROTHY M. KIRKPATRICK known
to me (or satisfactorily proven) to be the person whose name is subscribed
to the Last Will and Testament and acknowledged that she executed the same
for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
~r: /f ~ (SEAL)
~ otary pUblic
JAM It. D.1ISOlI, MOrAllY Pl8.IC
CllY Of YllIlIl, \'ORl( co.. ""
MY ~IS$IOII EXPl1lO APRll.IlI, I"
seal.
REGISTER OF WILLS OF COUNTY
OA Tn OF SUBSCRIBING WITNESS
codicil
(each) a sllbicrlbl", witness to lhe will presented herewith, (
law, depose(s) and S~Y<s).lhal
--..........
the leslal , sign the same and Ih~
,
r<qUesl of leslal In h presence and..!
other subscribing wltness!es)).
Sworn to or affirmed and subscribed be~
me this d of
1_
h) being dUly qualified according to
presenl and saw
signed as a witness at the
the presence of each olher) (In the presence of Ihe
(Name)
----=.
/
/
"
10 the best of the i r knowledge and belief.
SWO, rD to or af/i:med and subscribed before ~ ~. 1} J /;;;.-/
. 10th P oe e. cw
muhls day of 325 Weeley Dr ~l1'e)A 3111
. July 19 95 l'Iechan~csDur IlA 1 55
,~A.r.f!;.~ <uu~/"'-O..!..7J[~ ~d ~
',' Reg~
7. ome r
325 Wesley Drive, Apt.
MechanicBbU~Sdd~) PA
3111
17055
I
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(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
PHOEBE M. RICHTER and WILLIAM A. RICHTER
(each) a subscrlber hereto, (each) being duly qualified according to law, depoSe(s) and say(s) thai
they are familiar with the slgnalure of Dorothy M. Kirkpatric,k
ltltdJlsllc
testalrix of l(_xlIfllllroclttlbsmblnjpclll4uteuecxlIO)c the will
presenled herewith and
lCIIdfllllk
they believe ~ the slgnalure on lhe will Is In Ihe handwrlllng of
Dorothy M. Kirkpatrick
Ihat
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"NUlL J,. AN Ill.
OIO.Oft A.VAUOIIN, OJ
NIt'nAIL L. "ANn.
II. bART paLONa
AND!!!'!, VAUGHN & llANGH
A""OUNUVH A" loAW
nun HUltTII TWKLI'TII HTIIHKT
...n BOX HIli
1.ICMnVNU, I'ltNNHYJ.\'ANIA 170.aa
TBLlrJlOHI
11171 fnl.n:snl
29 June 1995
'AX
"If I 701-14311
Mary C. Lewis, Register of wills
cumberland County Court House
Carlisle, PA 17013
RE: Estate of Dorothy M. Kirkpatrick
Dear Mrs. Lewis:
I have been asked to assist Mr. Samuel A. Kirkpatrick, III,
with the administration of his mother's estate. His mother,
Dorothy M. Kirkpatrick, died on 23 June 1995, a resident of
Cumberland County. since I am not able to be present with
Mr. Kirkpatrick for the probate of his mother's will, I wanted to
take a moment to write this letter so that my client may be able
to begin the probate process in your office.
Mr. Kirkpatrick is producing for you the original and one
copy of his mother's will. Please note that the will does excuse
the posting of bond by the executor in Item IV. Mr. Kirkpatrick
is also supplying to you a death certificate.
Because Mrs. Kirkpatrick's will does not contain a self-
proving affidavit, we will make an effort to locate the
sUbscribing witnesses in order to complete the probate process.
Mr. Kirkpatrick, unfortunately, must return to his home in Texas,
and he will be leaving our area on 30 June 1995.
Mr. Kirkpatrick will be paying to you the filing fee for
these documents at this time. Please provide us with seven (7)
Short Certificates.
Mr. Kirkpatrick is also supplying to you a completed estate
information sheet.
I ask that you accept these documents for filing subject to
completion of the steps necessary for the issuance of Letters
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)1 REMARKS SAMUEL. A KIRKPATRICK I I I
1 C/O GEORGE A VAUGHAN I I I ESe I ';
~ SEAL CHECK" 1006 RECEIVED BY .: /. . .,'
I ~ONA1UIE J .
I MARY C. L.EWIB . .'
1 REGISTER OF WILLS REGISTER OF WIL.L.S ",1/, J ..... .
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ACN
ASSESSMENT P:'
CONTROL iii
NUMBER
RECEIVED FROM.
&
AMOUNT
VAUGHN GEORGE A III Ese
J.vl
.A..I7.:1.c-b
3904 TRINDL.E RonD
CAMP HIL.L., PA 17011
.
ESTATe INfORMATION,
m IMlER
II 21-1993-0326 BSN
ell NAME Of DKEDENT I T) (fiRST)
Gi KIRKPATRICK DOROTHY M
II DATE Of PAYMENT
II POSTMARK DATE
COUNTY
201-18-1281
(Mil
CUMSERL.AND
DATE Of DEATH
m TOTAL AMOUNT PAID
.3,193.26
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
~1
rOR OA1[!i or O[AlIl Allfllll/l111JICHtCII, HERE
IF A SpoU~,Al
.,
.
REV. ,~OO[)( 117.'41
2. Supplementel Relurn
41. Future Interest Compromis.
(for dat.. 01 dealh a"e,12.12.82)
[!] 6. aecedent DIed restate []] 7. Oocedent Maintained II Living Trust
(Attach CD of Will) (Attach a co of Trust)
C p ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
o ft NAME COMPLETE MAILING ADDRESS
i D Ceor e A. Vau hn III
5 ~ TELEPHONE NUMBER
- T 717 975-9102
1. Real Estate (Schedule A) I
2. Slacks and Bond. (Schedull B) (2)
3. CIo.ely Held SlocklPartne"hlp Inter..t (Schedule C) (3)
4. Mortgages and Notes Receivable (Schedule D) (4)
5. Ca.h, Bank Deposhs & MI.cellanaou. Pe"onal P'operty (Sch, E) (5)
&. Jointly Owned Property (Schldule F) (6)
7. Tran.le" (Schedule G) (Schedule L) (7)
8. Total Gross Assets (tolal Lines 1.7)
9. Funeral Expens.s, AdminlslmUvl Costs, Miscellaneous
E,pen... (Schldule H)
10. Dlbts, Mortgage Llabilhle., Lien. (Schedulan
11. Total Deductions (totll Lines 9 & 10)
12. NI' Value 01 Estat. (Line B minus Line It)
13. Charitable and Governmental aequests (Schodule J)
14. Net Value Sub ectto T.. (line 12 mlnu. Line 131
1&. Spousal Transfe" (fa, date. 01 dealh afle, 6.30-94)
Se. Instructions lor Applicable Pe,centage en page 2.
(Include values Irom Schedule K or Schodule M.)
,.. Amount 01 Line 14 taxable at 6.1. rale
(Include values from Schedule K or Schedule M.)
17. Amount of LIne 14 tauble 8t151{. rate
(Include values tram Schedule K or Schedule M.)
lB. Prlnclpalt.. due (Add la, from line 15, 1& and 17,)
19.CreditslSp Povorty Prior Payments Oiscount Inlerest
0.00 + 14 ,000.00 + 736.81, 0.00
20. If line 191. greatllthan line lB, Inler the differenco on line 20, This Is the OVERPAYMENT.
~ 0 Cheek her." aU ar. re uelUn a relund of our Dyer . ment.
21. If Line 18 Is groater than line 19, Inler Iha dHfllenco on Line 21. This Is the TAX DUE.
A. Enter theln,er.st on 'he balance due on LIne 21A.
B. Enllllhltotel 01 Line 21 ond 21/\ on Line 21B, This I. Ihe BALANCE DUE.
Make Check pa able tOl Re later of Willi, A ent
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH · ..
.'penal"a pe1ut'f, KII' I IV"" nll . "Iurn, neudngaccompfonynglC Uti' 11.ltmenll,' tal' .Ia my oaw.dg., .. ,lltrut,
ca"Kt.nd compltl', dtcl.t.ln.I.1I r..I..t.l. hi' betn "potled.1 Uue mltk.1 v.lue. D.el,r.lIan 01 P"P'''t alh"ln.n Ih. plllanal tap'...nl.II....I. b...d on aUlnlatmlllon 01
which pt,p,t,1t h.. I"" knowl~\l"
CAB
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C R C
K 0 K
P 5
FILE NUMBER
71.95.0526
cO"MF~:t.\W\\llJl.lW1iil'~~'NI'
UAnRl5R8~t,~.ffi'211' 0601
NUfr,Aur.n
cnUN1Y(:UIII.
V, All
DECEDENT'S COMPLEtE ADDRESS
325 Wosloy Drlvo
Mochanlcsburg, PA
17055
D
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C
E
D
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DECEDEHl'S NAME (LAST, FIRST.AHD MIDDLE IHITIAL)
Kirk atrlck Doroth M.
SOCIAL SECURITY NUMBER DATE OF DEAlH DAtE OF BIRtH
201.18-1281 06/23/1995 05/16/1914
Remainder Return
liar dll" 01 dlalh prior to 12.13.82)
Federal Estate Tal( Return Required
Total Numb., 01 S,le Oeposlt Bo."
County Cumbor 1 nnd
QF APPLICABlEISURVIVtNQ SPOUSE'S NAME (LAST ,FIRSr AND MIDDLE INitiAL) SOCIAL SECURllY NUMBER
A-.AOUNt RECEtVEO(5EE INSTRUClIDNSI
0.00
X I. O,lginal RalUln
4, Llmitld E.lale
05,
&.
3901,
Carn
Trlnd1e Road
Hill PA 17011
None
None
Nono
None
18,353.58
None
285,953.07
(Bl
30/, ,306.65
R
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C
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p
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T
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T
o
N
(9)
5,371.47
100.17
(10)
5,471.64
298,835.01
Nono
298 835.01
(II)
(12)
(13)
(14)
(15)
0.00 x
0.00
,
(16)
298,835.01 X ,06'
17,930.10
~
(17)
0.00 X ,IS'
0.00
(1&)
17,930.10
C
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M
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T
A
T
o
N
(19)
(20)
14 ,736.81,
0.00
(2t)
(21A)
(21B)
3,193.26
0.00
3,193.26
DATE
LE FOR FILING RETURN
~
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THAN REPRESENTATIVE
!~.m. .I!~~!.~G!'!'.'!...... .......... ...... --.......,..
San Antonio TX 76216
]I 3'~.9'
DAlE
fl}/;ff
39'64' T':indi~'Ro.id'''''''''''''''''''''''''''' -...
Camp Hill, PA 17011
Fotm 1&00 tR~. 7.141
.
RiV.. "01 EX. (Z-17)
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
COt.ltl.m~4\,~,WhYANIA
ESTATE OF
Plva$. Punt or T )0
FILE NUMBER
21-95.0526
Dorothy M. Kirkpatrick SSO 201.18.1281
06/23/1995
olnll -ownod with RI hI ot SurvlYollhl mUlt bl dllclolod on Schodull F)
DESCRIPTION
VALUE AT DATE
OF DEATH
5,000.00
(All 10 I
ITEM
NUMBER
1
10
PNC Bank; Certificata of
Deposit 00473200219563;
principal balance as of date
of death
2
PNC Bank; Certificate of
Deposit 00473200219563;
interest accrued to date of
death
12.33
3
PNC Bank; Certificate of
Deposit 00473200219564;
principal balance as of date
of death
5,000.00
4
PNC Bank; Certificate of
Deposit 00473200219564;
interest accrued to date of
death
12.33
5
PNC Bank; checking sccount;
05140034635; principal
balance as of date of death
2,351.67
6
PNC Bank; chocking account;
05140034635; intereot
accrued to date of death
2.35
7
1985 Subaru 4-door station
wagon; VIN JF1AN43B9F8461007
1,000.00
8
Miscellaneous larger
furniture items
1,115.00
9
Miscellaneous household
furniture, furnishings,
clothing and personal
effects
1,918.00
General Accident; refund of
unearned tenant's insurance
premium
100.00
(see continuation schedule attached)
Total of Continuation Schedu1e(s)
1 841. 90
TOTAL (101.0 Inter on linl S. Riel hulatlonl
(Attach addhional8 112' . II" ,hilts H me,esp,clts ""dld.)
Copyrlghl (c) 1tt4 form IOtlW.... only CPSYltlml,lnc.
S 18 353.58
Form 1500 Scheel. E (Rev. 1..17)
Estate of. Dorothy M. Kirkpatrick
SSH 201-18-1281
06/23/1995
ITEM
H
,
CONTINUATION SCHEDULE
Continuation of Schedule E
DESCRIPTION
VALUE AT OATS
OF DEATH
11
Bethany Village I retirement
home refund
12.90
12
Refund of withheld 1995
federal income tax
1,129,00
13
Pace Saver Electric Scooter
700.00
1,841.90
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"IV. litO EX. ('.17)
CO"'l1.'!ln/!;W{\,_,worANIA
ESTATE OF
SCHEDULE G
TRANSFERS
Please P,lnl or T .
FILl NUMBER
21.95.0526
Doroth M. Kirk atrlck SS 201.18-1281 06 23 1995
THIS SCHEDULE MUST BI COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON PAGE liS YIS.
ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMBER h InclUde NmI 0' th!~~~!:r~;.I!!.~:, OF ASSET ,.INT. DECEDENT INTEREST
.1. I .., n. .to
1 Funded Revocable Trust 285,953.07 285,953.07
^8reement (PNC Bank) dated
March 23. 1989
,
TOTAL (Also Inter on Ilnl 7. RICIDHulollon) Is 285.953.07
(If more .pICI I. neldld. Inson Iddrtlonel .hlll. 0' .Ime .'ZI,)
CopyrIghl ee) 1"4 fOfm soUwu. only CPSY'lellll,Inr:.
Form 1500 Sch-'uf. G (A..... '.'7)
REV.. 1111 DC . (7.")
.
cO"'H.m~{\WJUU.fVhY'NI'
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pl.... Print or T .
FILE NUMBER
21-95-0526
Doroth
ITEM
NUMBER
A.
B.
C.
305.00
52.50
370.00 I
209.01 I
,
60.60
SS 201.18.1281
06 23 1995
DESCRIPTION
1
Fun.r.' Exp.n...,
Musselman Funeral Home,
Inc.j professional funeral
services
AMOUNT
1,030.00
1.
Admlnl.Ir.Uv. Co.'"
P.rsonal R.pr..,ntallv. Convnlsslons
Social S.eurily Numb.r 0' P.r.onal A.p....nt.llva:
V..r Commissions p.1d
0.00
2.
A"ornay F...
3,000.00
3.
F.mily Eumpllon
Claimant
Add..ss 0' Claimant .1 d.e.d.nt'. dOllh
Str..t Add"..
Cily
51.1.
Zip Cod.
Relatlon.hlp
0.00
4.
Probate Fils
1.00
1
MI.e'lI.neeu. Exp.n....
Mary C. Lewis, Register of
Wi11sj probate filing fees
2 Estate Valuations and
Pricing Systems, Inc.j fee
for securities' pricing
3 Bricker's Auctionj
auctioneer's commission of
sale of furniture
4 Shipping, postage, and
miscellaneous supplies
5 Frost Bank; fee for estate
(see continuation schedule attached)
Total of Continuation Schedu1e(s)
. 343.36
TOTAL (AI.o 'nler on IIn. 9. A.e. Itulallon)
(II mar. .p.e.l. n..dad, In..rt Iddlllonll.h..t. oI..m. .1.1.)
Copyrliht{c) 1114 farm IOflw".onI)' CPSYII."",'ne.
. 5 371.47
.. ""~-':/''''r'-\'';;:;!I''~...~t,~ l~<,; ,",' <:~o~ ,,'.....,.,..';Oc.,
Farm 1500Schedul. H(Rh'. 7.18)
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Bstate of. Dorothy M. Kirkpatrick
SSH 201-18-1281
06/23/1995
CONTINUATION SCHBDULB
Continuation of Schedule H-C
ITBM
H
DBSCRIPTION
AMOUNT
account 'checks and estate
account fess
6 Bookstop/ purchase of
reference materials for
estate administration
37.44
7 Local transportation
expenses incurred by
out-of-state executor
12.66
S' Local meal expenses incurred
by out-of-state executor
IS3.26
9 Register of Wills/ reserve
for filing fee for inventory
and inheritance tax return
2S.00
10
Register of Wills/ reserve
for filing fee for receipt
and release
7.00
11
Joyce's Accounting Service/
preparation of 1995 state
and federal income tax
returns
75.00
--......................
343.36
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.
REV. IIl1llC, 1'.11)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
Pl.... P,ln' 01 T .
FILE NUMBER
21.95-0526
Co"r.\l\l~~~wt.%'MhYANIA
ESTATE OF
Dorothy H. Kirkpatrick
SSO 201.18-1281 06/23/1995
ITEM
NUMBER
1
DESCRIPTION
AMOUNT
18.31
PNC Bank; pre-death chock
paid after date of daath
PNC Bank; pre-death check
paid after date of death
58.00
2
3
Bell Atlantic - PA;
telephone service to
dscedent
11. 86
4
PA Departmsnt of Revenue;
1995 personal incOOlS tax
(final)
12.00
TOTAL (Also .nl.r on lin. 10. R.ca hulationl
(II I11OII.pac.1s n..dad.lnian addhlonal.ho.t. ol.amo slz..)
Copyright te) tlt4 lorm softwar. DnIy cPSYlte"",Inc.
$ 100.17
Fafm 1500 Sch~. I (Rev.1-IJ)
,
REV. 151J EX. (2.171
SCHEDULE J
BENEFICIARIES
co..t1.m~4\,~,WhYANIA
ESTATE OF
Doroth
ITEM
NUMBER
ITEM
NUMBER
FILE NUMBER
21.95.0526
M. Kirk atrick
SS 201.18.1281
06 23 1995
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
RELATIONSHIP
1
A. Tluble BlqUlltS:
Samuel A. Kirkpatrick, 111
13714 B1uffgate
Son Antonio, TX 78216
Entire
Son
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
a, Charltabl. .00 Govlrnmental a.quISls:
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also Inter on line 13. Roel hulallon)
(If marl sp.clls nl.d.d, Ins.rt .ddiUonal SheltS 01 same size.)
Copyright Ic) 1114 'Ofm IOflw". onty CPSyalem1,lnc.
.
Form 1500 Schedul. J (Rr.r, 2.17)
0.00
,.. '.'
LAS T
W ILL
T EST A HEN T
AND
OF
DOROTHY H. KIRKPATRICK
I, DOROTHY M. KIRKPATRICK, a resident of Fairview Township,
York county, pennsylvania, being of sound mind and memory, do make,
pUblish and declare this to be my Last Will and Testament, hereby revoking
all Wills and Codicils heretofore made by me.
ITEM I. I direct that all of my just
debts, funeral expenses, and the cost of administration of my estate be
paid as soon as practicable after my death. I direct that my Executor pay
out of my estate, as a general charge thereon, all inheritances, estate,
succession, and other taxes, together with any interest or penalty thereon
assessed by reason of my death, with regard to all properties and assets
subject to such taxes, whether or not such property and assets pass under
this Will.
ITEM II. I give, devise and bequeath all
the rest, residue and remainder of my property, real, personal or mixed,
tangible or intangible, of whatsoever nature and wheresoever situate, and
all property to which I may be entitled or over which I may have any power
of disposition or appointment, and whether acquired during or after my
lifetime, to my son, SAMUEL A. KIRKPATRICK, III, provided he survives me,
otherwise to his spouse. In the event my son and his wife should
predecease me or fail to survive me by ninety (90) days, or in the event
we should both die as a result of common disaster, then I give, devise and
bequeth all the rest, residue and remainder of my estate to their issue in
equal shares, to share alike if any shall be surviving. In the event no
issue survive, being my grandchildren, then in such event, I give my
entire estate to JOHN WILLIAM MaCFARLANE, of 100 Tall Oak Drive, New
Cumberland, Pennsylvania.
ITEM III. It is my express wish and desire
that my executor despose of my person by cremation, without any funeral
services or viewing services. Further, the money that my executor would
have spent for such services, in lieu thereof, shall be given to the Child
Abuse Agency, Harrisburg Office.
~~~~
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....- ....._....~-- ,-~-
.- .'
ITEM IV. My Executor shall serve without
bond and is hereby authorized and empoWered to sell at pUblic or private
sale or sales all of the personal property of which I may die seised and
to likewise sell all real estate of which I may die seised, and to convey
the same by fee Simple deed or deeds to the same effect that I could
personally do, if living.
ITEM V.
Executor and Trustee as follows I
I authorize and empower by
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(A) to compromise, adjust, release and discharge in such
manner as my Executor and Trustee deem proper, all debts and claims owed
by me or my estate/
(8) to sell, lease or exchange at public or private sale,
or in such manner, at such prices and Upon such terms of credit or
otherwise as my Executor and Trustee may deem proper, all or any part of
my property, real or personal or mixed/
(C) to execute, aCknowledge and deliver instruments of
conveyance, including deeds in fee simple/
(D) to borrow money for the purpose of paying estate,
inheritance, or other taxes which are required to be paid and to secure
any such..loan by pledge or mortgage of all or any part of my property, and
to execute the necessary instruments to carry out such powers;
(E) to distribute my estate in kind, or partly in money and
partly in kind, and to determine the fair value at which any property so
distributed in kind shall be received by the distributees/
(F) to conduct any business in which I have an interest at
the time of my demise for such period as my Executor and Trustee may deem
proper; to borrow money and pledge the assets of the business; to do all
other acts that I, in my lifetime could have done; to delegate such power
to any partner, manager or employee without liability for any loss
occurring therein, to organize a corporation to carryon said business by
itself or jointly with others; to contribute all or part of the said
business as capital to such corporation and accept stock in said
corporation in consideration therefor, to hold such stock for the uses of
this, my Will, and to vote said stock or to sell the same as to my
Executor may seem best;
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(G) to retain all stocks, assets, bonds and investments
owned by me without being confined to what is known as legal investments/
(0) to execute any options to purchase/
(I) to apply for stocks, bonds or other investments/
(J) to PUrchase or otherwise acquire real estate
(K) to retain indefinitely any part of my assets, real or
personal, which is or may become unproductive or to make sale thereof/ to
pay carrying charges and expenses of the property out of other principal
or income of my estate.
The powers herein conferred shall be to my named Executor
and Trustee and all SUccessors thereto and shall be in addition to and not.'
in limitation of other powers conferred on said fiduciaries.
IN WITNESS WHEREOF, I have hereunt9 set my hand and seal to
this my Last Will and Testament, consist~ of -fhN.A- (.3) typewritten
pages, each bearing my signature, this $'" day of 0.. ^~. ~7- , A.D.,
1966. V
.
.
. (SEAL)
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STATE OF PENNSYLVANIA
COUNTY OF CUMBERLAND
)
) SS.
)
On this the 'IlL day of c:2~~h -<LJ , 1986, before me,
the undersigned officer, personally appeare~OROTHY M. KIRKPATRICK known
to me (or satisfactorily proven) to be the person whose name is subscribed
to the Last Will and Testament and acknowledged that she executed the same
for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
~/. If ~ (SEAL)
~ otary PUblic
JAYNf 11. D.USOH, NarAR'f PIIBI.IC
CITY Of YOllIl, \'OIlK co.. PA
lI'f COIlIIISSIOH EXPIRES N'RlJ.10, I'"
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FUNDED RBVO~AD~B TRUST-1LQRRSM~HT
THIS AGREEMENT OF TRUST, executed ill duplicate this
,,(J,.J day of ;v1,()..Y(A , ill'_'l , betwoen
Doy-"f/'y ;11 . KI'r~Y-:c~ .-----.. ..-
(hereinafter called Settlor) , and CCNB BANK, N.A. , of New
Cumberland, Cumberland County, Pennsylvania, (hereinafter called
Trustee),
~
FIRST:
Settlor grants, assigns and sets over to
Trustee and its successors, all the property described in
Schedule "A", annexed hereto and said property, together with all
other property, real or personal, that may be added to the Trust
(such property and additions being hereinafter called principal),
shall be held by Trustee, IN TRUST, upon the following terms.
SECOND:
Trustee shall manage all property comprisin~
the principal of this Trust and shall collect the income
therefrom and accretions thereto and shall pay the net income IIII'I
hold and distribute the principal of said Trust as follows:
(A) Trustee shall pay the net income therefrom '"',
Settlor .for and during his or her lifetime, subject to till>
provisions of Item FIFTH, in such periodic installments a:'
Trustee shall find convenient but at least as often as quarter-
annually.
. . ^ ^.^~:...
., .
(8) Upon the death of Settlor, Trustee shall
distribute the then remaining principal and any accumulated or
undistributed income to Settlor's executor or administrator fnr
distribution as a part of his or her estate.
THIRD: The principal and income of this Trust shal J
be free from anticipation, assignment, pledge or obligation of
Settlor and shall not be subject to any execution or attachment
or ~o' voluntary alienation.
FOURTH: Trustee shall have the fOllowing powers ill
addition to those vested in it by law and by other provisions of
this Trust, applicable to all property, whether principal Ot
income, exercisable without court approval, and effective until
actual distribution of all property:
(A) To retain any or all of the assets of this Trust,
real or personal, including stock o~. Trustee, or of its parent
hOlding company, without regard to any principal of
diversification or rislt.
(8) To invest in all forms of property, includinq
stock, common trust funds and mortgage investment funds whether
operated by Trustee, or its parent hOlding company, without
restriction to investments authorized for PennsYlvania
2
.. .
Fiduciaries, as it deems proper, without regard to any principal
of diversification or risk.
(C) To sell at pUblic or private sale, to exchange or
to lease for any period of time, any real or personal property
and to give options for sales, exchanges or leases, for such
prices and upon such terms or conditions as it deems proper.
(D) To allocate receipts and expenses to principal or
income or partly to each as Trustee from time to time thinks
proper in its sole discretion.
. (E) To hold property in the name of Settlor or in its
name without designation of any fiduciary capacity, or in the
name of a nominee or unregistered.
FIFTH: Trustee may apply the net income of this
Trust for the support of Settlor sh~uld he or she by reason of
age, illness or any other cause, in the opinion of the Trustee,
be incapable of disbursing it; and Trustee is further authori::e"
to extend or apply from the principal of this Trust such sums ""
it, in its sole discretion, may, from time to time thinJ~
advisable for the support of Settlor to maintain him or her ill
the station of life to Which he or she is accustomed at the
creation of this Trust, or during illness or emergency.
3
.,
. ~ ~ ;.. _......; ,-,,--.,... .........~.. ...~ ."''- ,-.........-... .~-'-.., .-._.
._' - ..... __... _.-._e....
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SIXTH:
Subject to the approval of Trustee, anyono
may add property I real or personal, to the prinCipal of this
Trust by deed, will or otherwise.
SEVENTH: Trustee shall receive compensation for the
performance of its functions hereunder in accordance with its
standard schedule of fees in effect from time to time during the
period over which its services are performed.
BIGHTH:
Settlor reserves to himself or herself the
right by an instrument in writing intended to take effect during
Settlor's. lifetime signed by Settlor and delivered to Trustee to
revoke or amend this Agreement in whole or in part provided that
the duties, powers and liabilities of Trustee shall not be
sUbstantially changed without its written consent.
NINTH:
The situs of this' Trust for administration
r
I
and accounting purposes shall be in the County of Cumberland and
Commonwealth of PennSYlvania, and all questions pertaining to the
construction or validity of the provisions of this instrument
shall be governed by the laws of that Commonwealth.
"
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COMMONWEALTH OF PENNSYLVANIA
)
)SS:
COUNTY OF CUMBERLAND )
'~":Jfi?
On this the ~~ day of
before me a Notary PUblic, the undersigned Officer, perSonally
.....r..'~l'11() k'.,<J?l11dl'1J]. ~ho .okoo.,..... hi""E to b.
th. ~1121 rn l-':'U:;;t 0RiI-r;?R., . oE
BANK, N.A., a corporation, and that he as such t/$J"6illl t:-
Yn?tecft
,@,
CCNB
lRL5r Or-FiCee
, being authorized to do so, exeCUted
the
foregOing
instrument for the purpose therein Contained by
corporation by himself as Ass)s-hn-l:::
Signing the name of the
ieUB+ o-R7ceR. j
. IN WITNBSS WHBREOF, I have hereunto set my hand and
official seal.
-~._-...._--..
NolA/ill :koJ
010..... L Pall\t, Notaty PubIc
Camp HlIloIv. ClJmbni1cll:<<r1ly
MYCommloclon SlIpl.15.11lGO
Mtm...., P~MIG:Io...,O'Nollrlae
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$150,000.00
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spuna ~ U4pnn^ 'sapuv
a^l~n~uasa~daH Tnuos~ad ~oJ Tasuno~
~n~-~n-^au~o~~V 'III 'U4pnn^ 'V ap~oa~
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:a~na
'auou :~daoxa (n)9'S aTnN
~apun 0~a~a4~ paT~l~ua suos~ad TTn o~ ua^lP uaaq ~ou sn4 aOl~oN
9tZ8L X~ 'oluo~uV uns
a~nD;I:;l:nTa HLtt
III '~OT~~nd~~l~ .V Tanwns
ssaNaav
aWN
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uo e~n~se pauoT~dno-a^oqn e4~ ;1:0 sel~nlolJauaq PUlMOTTO;l: e4~ o~
peTlnw ~o uo pa^~as sn~ saTnH ~~no~ Isun4d~o a4~ JO (n)9'S eTnN
^q pe~Tnbe~ ~sa~a~uT TnToTJauaq JO aOT~ou ~n4~ ^JT~~eo I
:~a~sTPeN aq~ o~
9ZS-S6-tZ :ON 'ulwPV
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IVlg.S ~ HaaNO aOI~ON iO NOI~VOI&I~HaO
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l~t~"~~' ,'1..,....';_ L ,~...: ~-'":t~"; .':..;>r,;'-"'(::,,~. ?~..,:, .,~ . r><, ~t~ I 'j;.~;t"" '~,'\;.~.9
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IN RE. ESTATE OF DOROTHY M.
KIRKPATRICK, Deceased
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 1995-526
RECBIPT AND RBLBASB
I, SAMUBL A. KIRKPATRICK, XII, the undersigned, being the heir of
Dorothy M. Kirkpatrick, deceased, do hereby.
1. State and acknowledge that I am an adult individual having been born
on October 24, 1943/
2. Waive the filing of an Account or Schedule of Distribution by the
personel representative of the Estatel
3. Acknowledge that I have received all sums of money and all property
to which I am entitled as the sole heir of Dorothy M. Kirkpatrick/
4. To the extent of said distribution, release Samuel A. Kirkpatrick,
III, Administrator, of the Estate of Dorothy M. Kirkpatrick, and his heirs and
personal representatives, from all liabilities, whether due to his negligence
or otherwise, which he may have by reason of his administration of the Estate/
5. Agree to refund to the Estate and to the said Samuel A. Kirkpatrick,
III, Administrator, any portion of the distribution to which I am not properly
entitled, and, to ths extent of said distribution, to indemnify him and the
Estate for claims made against him and to reimburse him and the Estate all
expenses and costs incurred in connection with any such claim/ and
6. Declare that this instrument ahall be legally binding upon me, my
personal representatives, and assigns.
-
I have hereunto set my hand and seal this / J day
,1996. -'J
O~~- .~;;> [SEAL)
Samuel A. Kirkpatrick, III
of
~BRBor,
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Inventory of the reel and peraonal estate of
c
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Dnrnt.hy M. Kirkp~t.~i~~
deceased
,.
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See attached Inventory
18,353 56
.
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COMMONWEALTH Of PENNSYLVANIA \,
COUNTY Of CUM'ULAND J
..I
Dr. Samuel A. Kirkpat~, III
b.lnll dulV Rwnrn lCeordlnll to I.w, do po." .nd .av' that h. I R ~hll-
AdmlnlR~ratQr C.'!'.A. 0' tha Estato 0' nnrn~,hy M. KI rkpil~,r1ck
lata 0' ...Milt::llan..i~J.PUrg~_LOw.e.r....J\llen._Townsh i PL-, Cumbarland County. PI., d.cealld Ind that tho
within Is .n Inv.ntory mado bV him ' the said "rim I n I R ~ ra ~.OL.. C.'I
0' Iho .ntlro ..1.11 of saId decedenl, con,htlng 0' all tho personal profl.rty and real ..late. e.cepl real est.le ouhlde
the Commonwealth of Penn.vlvanll, end thai the flgur.. oppo.lte each Item 0' the Invenlory repr"ent It', 'alr value
II of the date 0' decedent', dealh.
~
Ind sub.crlbed before me,
~..~;q:
Encutor . """,'nhtrllor
1Y1000Ch j){)
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19 q(p
13714 B1uffaate
LULe....
San Antonio, TX 76216
Adelr...
Dale 0' O..th
23rd
Day
June
Month
1995
Vu,
INSTRUCTIONS
I. An Inventorv must b. flied within thr.. months after appointment of p.nonal repr"entatlve.
2. A .upplemlnt Inventorv must be flied within thirty dlY. 0' dl.covery of addltlonal lue".
3. Addltlonel .hee" mey be attached.. to personalty or realtv
4. S.e Artlcl. IV, Flduelarl.. Act 0' 1949.
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INVENTORY
Bstate ot.
Date of Death.
County.
Oorothy M. Kirkpatrick
June 23, 1995
Cumberland
-----------------------------------------------------------------------
Cash.
1
PNC Bank/ Certificate of Deposit #0473200219563/
principal balance as of date of death
5,000.00
2
PNC Bank/ Certificate of Deposit #0473200219563/
interest accrued to date of death
12.33
3
PNC Bank/ Certificate of Deposit #0473200219564/
principal balance as of date of death
5,000.00
4
PNC Bank/ Certificate of Deposit #0473200219564/
intereet accrued to date of death
12.33
5
PNC Bank/ Checking account; #5140034635; principal
balance as of date of death
2,351.67
6
PNC Bank; Checking account; #5140034635; interest
accrued to date of death
2.35
7
General Accident; refund of unearned tenant's
insurance premium
100.00
8
Bethany Village; retirement home refund
12.90
9
Refund of withheld 1995 federal income tax
1,129.00
Subtotal
----..-..--......--
13,620.58
Miscellaneous Personal Property.
1985 Subaru 4-door station wagon; VIN
JF1AN43B9FB481007
1,000.00
Miscellaneous larger furniture items
1,115.00
Miscellaneous household furniture, furnishings,
clothing and personal effects
1,918.00
Pace Saver Blectric Scooter
700.00
Subtotal
..--........--..........
4,733.00
-1-
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INVENTORY
Estate ofl
Date of Deathl
County I
Dorothy M. Kirkpatrick
June 23, 1!195
cumberland
-----.---------.--------------------------------------.----.--------...
Total Inventory
18,353 ;58
---
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George A. V nughn, III
Attorney al Law
3904 Trlndle Road
Camp Hili, Pennsylvania 17011
(717) 975-9102
FAX (717) 975.9105
March 22, 1996
HAND DELIVERED
Mary C. Lewis, Register of Wills
Cumberland County Court House
Carlisle, PA 17013
RE: Estate of Dorothy M. Kirkpatrick
1#21-95-0526
Mrs. Lewis:
Enclosed in signed counterparts is the Pennsylvania inheritance tax return for the above-
named decedent. According to the completed relurn, additional tax in the amount of $3,193.26 is
due, and my client's check in that amount is also enclosed. Kindly file the return as a part of this
estate's record and process the tax payment accordingly.
With the tax return, I also enclose an Inventory to complete the cslate's record.
To pay the filing fees for these documents, I enclose my check in the amount of$31.00.
Please let me know if you need anything further at this time.
V cry truly yours,
~c:P$.-L~
~~rgc A.t?:;ughn, III
Attorney at Law
GA V/gav
Enclosures (5)
cc: Dr. Samuel A. Kirkpatrick, III
/
V
REV-1547 EX AFP (12-95~
COKHOHW[ALTH Of PENNSVLVANIA
DEPARTHEHT OF REVENUE
BUREAU OF INDIvIDUAL TAXES
DEPT. U0601
HARRISBURG, PA 111:8.0601
/:::. J/'I. 'I
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR OISALLOWANCE
OF OEDUCTIONS AND ASSESSHENT OF TAM
ACN 101
DATE 01-08-96
06-23-95
FILE NO.
COUNTY
c... (....
CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
GEORGE A VAUGHN III
3904 TRINDLE RD
CAMP HILL PA 11011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
~ A.aunt R..ltt.d
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiifv=i54'"7"EX-AW-n'2=9f;"j-iioT'icE--oF-YtiHEifiTANcPfJix-APPRA'iSEHEii'r;-,H.1."owANci-iiFi-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KIRKPATRICK DOROTHY M FILE NO. 21 95-0526 ACN 101 DATE 01-08-96
TAM RETURN WAS, I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..I Ed.t. C Schedule A) C 1)
2. Stock. and Banda (Schedul. 8) (2)
5. Clo..ly Hald stock/Partnar,hlp Int.r.at (Schedula CJ 15)
4. Hartg.a../Not.. Recalvable (Sch.dule OJ 14.
5. C..h/Bank Dapollta'Hllc, Pa,.lonal Property (Schedul. E) IS)
6. Jointly Owned Proparty (Sch.dule F) (6)
7. Tran.hr. (Sch.dula OJ (7)
IS. Tot.l A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funaral Expan.../Ad.. Ca.t./Hi.c. Expan... (Sch.dul. H)
10. D.bt./Hortg.ga Liabil1ti../Li.n. (Sch.du1. I)
11. Tat.1 D.ductlon.
12. H.t V.lu. of T.x R.turn
15. Charitabl./Govarn..nt.l B.qu..t. (Sch.dul. J)
14. H.t V.lu. of E.t.t. Subj.ct to T.x
NOTE I
191
UDl
I CHANGED
.00
.00
.00
.00
18,353.58
.00
285.953.01
181
5,311.41
100.17
Illl
U2)
IUl
U41
304.306.65
~.471 ~4
298,835.01
.00
298,835.01
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
If 8n assessment was issued previouslY, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAXI
15. A.aunt of Lina 14 .t Spou..l
16. A.ount of Lin. 14 t.x.bl. .t
17. A.ount of Lin. 14 t.xab1a at
18. Principal T.x Du.
TAX CREDITS I
PAYHENT
DATE
09-19-95
03-22-96
rat.
Lin.aI/Cl... A rat.
Coll.tara1/C1a.. Brat.
USl
UbI
U7l
RECEIPT
NUHBER
AA082161
AA1l2653
DISCOUNT 1+1
INTEREST I-I
136.84
.00
.00 M .00.
298.835.01 M' 06.
.00 M .15.
U81
AHOUNT PAID
14.000.00
3.193.26
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
11,930.10
.00
11,930.10
11,930.10
.00
.00
.00
. IF rAIO AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN fl. NO PAYHENT IS REQUIREO.
IF TOTAL OUE IS REflECTED AS A "CREDIT" ICR). YOU HAY aE DUE
A REFUNO. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. I
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RESERVATIONI E,tet.. of decadent. d_lna on or bafar. Dlc..b.r 12. 1912 .. If any future lnt.t..t In thl ..tat. 'I 'ran'fattad
In pa.....lon or ,"ja~ant to Cia.. I CeoISa,.ttl) bln,t.cla,I.. of thl dlcadant a,t., thl ..pltatlon of any ..t.ta for
11" or for y.at., thl coaaonw..lth hat.by l.pr..llv r...tv.. thl rIght to appral.. and ...... tran.,.r t~rltanc' ,....
at the lawful el... . (colll,.r.l) r.t. on anY .uch future Int.r..t.
PURPOSE OF
HOTICEI To fulfill thl reqult...ntl of Saetlan 21~D of thl Inh.rltanc. and E,tata tlX Act, Act It 0' 1991. 72 P.S.
Saction 21"0.
Uttlch thl top portion of thl_ Hot Ie. and ,ubalt wIth your ply..nt to thl RlgSlt.r of Wille prlntad on thl ,.y.r.. ,Id..
.."Ik. ch.ck or .on.y ard.r p.y.bl. tal REGISTER OF MILLS, AGENT
All p.y.ent. r.c.lv.d ,h.l1 flr.t b. .ppll.d to any Int.r..t which ..y b. dua with anv r...lnd.r Ippllld to t~ tlX.
REFUND (CA)I A r.fund of . tl. cr.dlt, which WI' not r.quI.t.d an the T.. R.turn, ..v b. rlqu..t.d bv ca~l.tlng .n "APpllc.tlan
far R.fund of p.nn.vlv.nl. Inh.rlt.ncl .nd E.t.t. T.." (REY-l!l!). Appllc.tlon, .r. .v.llabl. .t the OffiCI
of the R.al.t.r of Will., any of thl 2! R.v.nu. Dl.trlct Offlc.., or bv c.lllna the ,p.cl.1 2~.hour
an.w.rlna ..rvlc. nueb.r. far for.' ordarlnQI In P.nn.vlvanl. 1-100-562-2050, out.ld. p.nn'Vlv.nl. and
within 1ac.l Harrl'bura .r.. (717) 717.109~, TOOl (7171 772-2252 (H..rlna IIP.lr.d Onlv).
PA...KENTI
OBJECTIONS, Any party In Int.r..t not ..tl.fl.d with thl .ppr.I....nt, .llawance or dl..llaw~c' of d.ductlon., or ..,..,.ent
of t.. (Includl"g dltcount or Int.,..U .. .hawn on thl. Hotlc. .u.t obJ.ct within .bty (60) d'vI of reulpt of
thh Hotlca bYI
--writt.n prot..t to the PA D.part..nt of R.vlnul, Board of APP..I., D.pt. 281021, Harrl.burg, PA 17121-1021, OR
--.I.ctlon to have the .att.r d.t.r.ln.d It .udlt of the Iccount of the p.r.onal rapr"lntativa, OR
--app.al to the Orphan.' Court.
ADHIN
ISTRATIYE
CORRECTIONSI
FactuII .rror. dl.cov.r.d on thl. ........nt .hould b. .ddr....d In wrltl"g tal PA D.p.rt..nt of R.v.nu.,
Bur.au of Indlvldu.1 TIM", ATTHI Po.t A.......nt R.vl.w Unit, D.pt. 210601, Harrl.bUrg, PA 17128-0601
Phonl (717) 717-6505. S.. p.gl ! of the bookl.t "Inltruetlo". fer Inhlrltanc. T.. R.turn for. R..ld."t
D.c.dlnt" (REY-IS01) far an I.pl.n.tian of ad.lnl.trltlv.1y carrlctlbl. .rrar..
If any t.. due I. paid within thr.' ()) c.l.nd.r .onth. Ift.r the d.c.d.nt'. d..th, . flv. p.rc.nt (SX) dl.count of
the tl. p.ld I. .llow.d.
DtsCDUNTI
PENALTY I
Th. 15X t.. lan..ty non-p.rtlclp.tlon p.naltv I. ceaput.d on the totll of the ta. Ind intlr..t .......d, .nd not
paid blfor. Janu.ry II, 1996, the flr.t day .ft.r thl .nd of the t.. .an..ty p.rlod. Thl. non-p.rtlclp.tlon
pen.lty I. app..llbl. itl the .... ..nn.r .nd In the tho .... tl.. p.rlod .. you would app..1 the tlM .nd Inter..t
that ha. b..n .......d .. Indlc.t.d on thl. notlc..
IHf[RUh
Int.r..t I. charg.d bealnnlng with flr.t d8Y of d.llnqu.ncv, er nln. (9) lanth. end on. (I) d.y frol the d.ta of
daath, to the det. of pav..nt. Ta... which b'c..' dallnquant bafor. J.nu.ry I, 1912 ba.r Int.r..t .t thl rat. of
al. (6~J p.rcant p.r annu. c.lcul.t.d .t . d.lly r.ta ef .000164. All t.M.' which b.c.., d.llnqu.nt on and .ft.r
Janu.ry 1, 1912 will b..r inter..t at . rat. which wlll v.ry fro. c.l.ndar y.ar to c.l.ndar y..r with thlt r.t.
announc.d by t~ PA D.par...nt of R.v.nue. Th. .ppllcable Int.r..t r.t.. fer 1912 through 1996 .r'l
~ Int.r..t Ret. D.llv Int.r..t Factor X!!! Intere.t R.ta Dallv Inter..t FlIctor
1912 ..X .000541 1917 .. .0002~7
1915 16X .OOOUI 1911-1991 11~ .00UOl
191~ IlX .DOUOl 199Z .. .0002~7
1915 \IX .000n6 199).199~ 7X .000192
1916 lOX .000274 1995-1996 OX .0002~7
--Inter..t h calcul.tad .. follows'
INTEREST . BALANCE OF TAX UNPAIO X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..Any Notlcl I..ued .ft.r tha tl. bacol" d.llnqulnt will r.fl.ct an lnter..t cllcul.tlon to flft.an .15) day.
b.yond thl d.ta ef the ........nt. If p.y.ant I. .adl aft.r thl Inter..t co.put.tlon d.te .hown on the
Notice, addltlon.1 Intere.t BU.t b. c.lculet.d.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Dorothy M. Kirkpatrick
Date of Death: June 23, 1995
Will No.
21-1995-526
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes X No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. 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. (if any) for
the personal representative's account is,
c. Did the personal representative state an
account informally to the parties in interest? Yes No X
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
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Signat.ure <::7
George A. Vaughn, III
Name (Please type or print)
3904 Trindle Road
Camp Hill, PA 17011
Address
Date:
July 31, 1997
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Tel. No.
Capacity:
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Personal Representative
Counsel for personal
representative
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