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Home My WebLink About80-00747 !tJ:!y *':~:\~'/"'.: .. 11(! I~:, < ~ .~ ; ::::. ".' . '.. ~ ..; . - . ~ "- !;-I ~ 0 rJl ~ !;-I rJl fj rr.l 8 :r: <'; . :? ~ < lil ~ ~ fj :-1 ~ !:> P ~ 0 r-- 0 <'I - '. Cl 0 CQ . ~ ": - -; 1f\ t'( .... M . Uj 0 Z /,.'.' ;. ., . .. ' .' . .' .' .. . LAST WILL AND TESTAMENT OF C. LEE WARNEH I, C. Lf,;E WARNJ~H, widower, of South Middlelon Township, Cumberland Counly, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, horehy revoking and making void any and all Wills by me at anytime heretofore made. 1. 1 direct my hereinafter named Executor to pay all of my just debts and funeral expenses as soon after my death as may be found con- venient to do so. I direct that. my funeral services be conducted by Hoffman-Roth Funeral Home in a manner substantially similar to the arrangements which I made for my wife, Lenore E. Warner, and that my body be interred beside that. of my wife, Lenore E. Warner, on our burial lot located in Westminster Cemetery near Carlisle, Pennsylvania. 2. I give and bequeath the sum of $5, 000. 00 to my nephew, Robert A. Warner, Sr. of South Middleton Township, Cumberland County, Pennsyl- vania, provided he shall survive me by a period of Ninety {90l days. 3. I give and bequeath the sum of $15, 000. 00 to my sister, Betty L. Peace, wife of' Michael Peace, of 501 DeWitt Avenue, Harrisburg, Pennsylvania, provided she shall survive me by a period of Ninety (90l days. 4, I give and bequeath the sum of $10, 000. 00 to my brot.her, Marlin Richard Warner, Sr., of 11214 North Seventeenth Drive, phoeniz, Arizona, provided he shall survive me by a period of Ninet.y (90l days. 5. All the rest, residue and I'emainder of' my est.ate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath t.o my grand-nephew, Marlin Richard Warner III. alklal "Little ,Jim" or James Warner, grandson of my brother, Marlin Richard Warner, Sr., but should he be less than 21 years of age, then in such event I nominate, , '. , I... 'l Page 1 of 2 Pages . \. . " .' .. ." ." . constitute and appoint his grandfather, Marlin Riehard Warner, Sr., as Guardian of his estate, and authori7.c and direct him as such Guardian to receive and to invcst the same, and to pay the income U1'ising therefrom, together with so much of the principal thcreof as, in his opinion, may be necessary or desirable for the proper maintenance, support and education of Marlin Richard Warner III, to or for the benefit of Marlin Richard Warner III, and upon Marlin Richard Warner III attaining 21 years of age, to pay to him the then remaining principal together with any undistributed income. In the event my said brother, Marlin Richard Warner, Sr., should decline to serve as Guardian of the estate of his grandson or desire to cease serving as such, then in that event I nominate, constitute and appoint my sister, Betty L. Peace, as alternate or successor Guardian of his estate. 6. I hereby nominate, constitute and appoint my nephew, Robert A. Warner, Sr., of South Middleton Township, Cumberland County, Pennsyl- vania, as Executor of this my Last Will and Testament, but should he pre- decease me or fail to qualify, then in such event I nominate, constitute and appoint my sister, Betty L. Peace, as alternate or successor Executrix, and I further direct that neither of them shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on two pages this day of 1980. /1 ::' 0J.VC~7l-ft-.~ (... f_./;.;:;.:..:r ._:;l'-~ (SEAL) C. Lee Warner Signed, sealed, published, and declared by C. LEE WARNER, the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presenco, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. /-; "i .' '" ,/-. ,/ i; ,,: ~1!/ ---//.. .. Ii "i '. , {.('...f.- k ,__,.( ...-;-.. 4' .;,,\ ~~- "1"t.t:.\..' Page 2 of2 Pages E:-< Z ~ IS < ~ ~ ~ ;!: ~ Z rn [g ~ < 1=1 II: < . > ~ .J II. -t . ,. ~ , I- . III . @ Ii< ~ "~ . c( III Z ,\ ~ . > Z 0 ~ ,. 0 t-IlJZW <ll fil 0:: z < Do lLI o:::t . o-l fil ", .~ m 0 ~ ~ o-l o-l ol:~!!! .... ~ o:<~~ ~ . U . < E:-< u \; rn '. <ll o-l . . . . '. :. '", .i ' . . . . . OATH m- SUBSCRIBING WITNESS C MONWEAL TH OF PENNSYLVANIA I ss: COUN OFCUMBERLANO This day of before me, Register for the abate of Wills and granting lellcrs of Administration in and for said Co the Commonwealth of Pennsy lia. personally came .0.,1980 , Y of Cumberland. in the subseribing witnesses to the foregoing inst late of resent, and saw and heard the testa according to law. depose and say. that instrument of writing as and for h was of sound and disposing knowledge. observation sign, al. publish, pronounce and declare the said . d memory and understanding, to thc best of belief. and subscribed before Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA l ss: COUNTY OF CUMBERLAND ~ sworn Thursday at or about "I, I ,,- Sworn 26th 19,-.8.0...-, before ~. 71c:lfi ~. Robert A. Warner Sf. being duly says thai as nearly as can be ascertain eo the said decedent C_ Lee Warner died on the 20th November 980 A.D.,I_. day of o' clock, ----L1..M. and subscribed this '/" ./ . . ,",. /' _.>:-Y.~r-'/ 0 C{)d//t. /{-, .ovY. day of November ( Jf~~ Registcr ""-'6 ':.I: , OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND Before me, the Register for thc Probatc of Wills and granting of Lcllcrs of Administration in and for the County of Cumbcrland. pcrsonally camc Robert A. Warner 'r_ who. being duly sworn .do es deposc and say that as ,;;-.;{ '" l ~,t '- . of the last Will and Testament of C _ Lee Warner deceased he will well and truly administcr the goods and chattels, rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Tra~~fer Inhe.i::e~. Sworn a~d subscribed before. me. November 26, A.D., 19~ .... ~;~- .\-:/ x? if) d/~..LA':.-.~. ~d-1 (( ~/~d . RegIster :..; 01 1~ m: : os ell :8 ~j :Ql 1~ U. <1': en: 0 ~t: ~ r-l1 po ..!ll --:r. .-J 1>-1: 8 1-11 i'" .-J ~ <:J' Ql' ,q: ,,: ...... ...... E: - ,,: .~ u: ",: ~ <ll: S :::: l~ : u: CiJ: I'l rJ~ ~ (l): "" .~ 0\ Q ...~ "Cl ~ ",: 00 1': 0 u1 ... 0;0: I Z 0 - u ~" : M .s ~ ~ 11 .,; .5 "Cl os - I'l .~ Ul p., r.x. Z ~ os DECREE Be it rcmembercd that on the 1st day of December J'lO ,A.D.,I!r_. there was probated and recorded the last Will and Testament of C. Lee 'varner latc of South Middleton Township , Cumberland County, Pennsylvania, Deccased. Lellers Testamentary werc granted to Witness my hand and official seal the day and year aforesaid. Robert A. Warner, Sr. , . 9~d7- (:7 ~~ Register "),lo~ '1/~f'(! '7'( y . *- f<<~~ ~,~ "\1:~~~;;:' HEV,45!:i EX. (3.80) COMMONWEALTH OF PENNSVLVANIA DePARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT "'('<\I1..~ :;;: '7 1'1 ':r SCHEDULE "F" STATeMENT OF DEBTS AND DEDUCTIONS Estate 01 C. Lee Narner Date 01 Death 11/20/RO WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: File No. 0...( 1- h '/ </.'/ Clairnan~ Relationsllip to Decedent Claimant's Address at time of Decedent's Death ITEM DATE NAME OF PAVEE REMARKS AMOUNT NO. 1 1/5/B1 The Evening Sentinel IIdvertising letters & sale $ 84.20 2 1/5/81 R & 11 Bendcr, Inc. Refuse Disposal 18.00 3 1/5-4/10 81 p.P.&.L. Electric Bills 57.02 4 2/4/81 U.G.I. Corp. Gas Bi 11 110.69 5 to 4/10/ 1 United Te1cphone Co. Telephone expenses 94.36 6 1/9/81 Hoffman Roth Funeral Home Funeral Exoenses 1.917.40 7 1/9/81 Cumberland Law Journal Advertise letters 18.00 8 2/21/81 Registcr of wills Letters & Short Certificates 36.00 9 3/20/81 Isabell Brownawe11 Repairs 106.00 10 3/23/81 Fav Keck. et a1 C lean up - public Sale 100.00 11 5/1/81 Robert 11. Warner Executors Fee 2,405.00 12 5/1/81 Fishman & Hess. IIttorneys Estate fee 2,405.00 . TOTAL I $7,351.67 I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses of administration submitted to the es~S._:duc~ons for In~eritance Tax urposes. /t- <.....(/ / c.}.. _ , /174- Z 7 /1'1-/ SIGNATURE OF FIDUCIARV DAtE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S 73 Ill, /" 7 . r - /? % TAX RATE AT /~ 2'- .::? 1-5/ DATE GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against hislher taxable estate. In addition to debts incurred by the decedent or estate, other items ore claimable including the cost of administration, otlorney fees, fiduciary fees, funeral and burial expenses including the cost of 0 burial lot, tombstone or grove marker and other related burial expenses. All debts being claimed against on estate ore subject to the approval of the Register of Wills with whom the Inheritance Tax Return is filed. Evidence .to support the decedent's or the estate's liability for the debts being claimed should be attached to this schedule. A family exemption may be claimed by 0 spouse of 0 decedent wno died domiciled in Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is 0 member of the some household con claim the exemption. In the event there is no such spouse or child, the eXlMTption can be claimed by o parent or parents who ore members of the same household os the decedent. The family exemption is allowable only against assets which pass by 0 will or by the Pennsylvania Intestate Lows. NOTE: Compensation paid to on estate representative; namely, on executor or administrator, for services performed in administering an estate is reportable for Pennsylvania Income Tax purposes. This taxable income item should be reported on form PA.4D.lndividuallncome Tax Return. t"" 'tl t:I n >- t"l > :s z > 0 0 " (fl " Cl C"l c:: v -l Z ::: Z ~ t"l t"l :>:: Z ;;:l :>- 9 - 9 z z m -l t"l -l Z 9 -l m - 9 -< (fl (fl \ , z 0 (fl 0 .., 9 ":'l "1 '" " ~ , ;y - f\ 0 "':l c;:> r, Z C 'u"" ,. , 0--- :_, -J .... c::: ;.')c.. \!- ,,' J::- oJ .. :"'=1 r c.. ~. ::::r: :" '. -< C.'~ '" ,.. =-";'-. ~~~ ..... .-J w., >- !:I ~ 0.... e>: -'W .,) ""VI :0:: 'cu <" ~~ 0;0:: .c- t.>- (&:~ ) -< -< WW ~ w:::> r. ~ ~ . t"l t"l ",,'" .-It.> 50 U f > :>- ;;;l ;;;l \ \~ INSTRUCTIONS FOR COMPLETING SCHEOULE "F" 1. If the family exemption is being claimed, indicate the claimant's nome, address and hislher relationship to the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column. 2. Assign consecutive numbers to each item listed. 3. Enter the dote on which each debt was incurred and/or poi d. 4. Enter the names of each payee. 5. Provide 0 brief explanation in the remarks column for eacn debt claimed. 6. Enter the amount of each debt being claimed. 7. The form must be signed by the person who has assumed the responsibility for paying the debts. IF ADDITIONAL SPACE IS NECESSARY USE BW' x 11" SHEETS. I ..-.... -- ~. , >>'{REV.118UX I~~~,i>"" .', COMMONWEALTH OF PENNSYLVANIA ! 4 No,K', 29548 DePARTMeNT OF ReVENue , .,^.', OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ! I...... I ;II I ; 1 II I a I ~ I ~ RECEIVED Robert "",,,FROM 'ADDRESS 128 S. , -- - -- ...... w. .,,----=-=--- TAX AT 6% TAX AT 15% A. warner. Sr. v aa. aq. Hanover S~ree~ TAXAT_% ESTATE TAX carliale. Pa. 17013 '--ESTATE~FORMAT~N~i1c);--io---i98-0---------- DA TE OF DEATH .. DATe OF PAVMENT 21-80-747 May 27. 1981 C. LBB WARNER CUlllber1and m m TOTAL TAX CREDIT 5.696.13 I LESS DISCOUNT PLUS % INTEREST (FROM TO ) 5.696.13 TOTAL AMOUNT PAID FILE NUMBER NAMe OF DECEDENT COUNTY POSTMARK DATe .EMARKS: "PAID ON ACCOUNT" I: I; I' I ( REGISTER OF WILLS 1'--------- --- -- --- ------ ----- ------- I 1 I , I I ! I . , SEAL RECEIVED BV .' /,1 ':" L/ {- ./j:~~ut:d M '/ SIGNATURE ~ C. LeWis Reqister of Will. .' IN TilE COURT OF CQ\IMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA, ORPHJ\NS' COURT DIVISION NO. 21-80-747 ESTATE OF C. LEE WIIRNER, DECEASED LATE OF SOUTH MIDDLETON TOWNSHIP FIRST !\ND FINAL ACCOUNT of Robert A. Warner, Sr., Executor Date of Death: November 20, 1980 Letters Granted: December 1, 1980 Date of Advertisement of Grant of Letters: The Evening Sentinel - December 16, 23, 30, 1980 CUmberland Law Journal - December, 19, 26, 1980, January 2, 1981 Account Stated to June 15, 1981 PRINCIPAL DEBITS The Accountant charges himself as follows: To amount of Inventory and Appraisement filed in the Office of the Register of Wills of Cumberland County, pennsylvania consisting of: REAL ESTATE: ALL that certain tract of land situate in South Middleton Township, Cumberland County, pennsylvania, bounded and described as follows: LOT No. 20 and the Northern 25 foot portion of Lot No. 21, both Block M of the Plan of Lots known as Carlisle Manor Extension as recorded in the Office of the Recorder of Deeds in and for Cumberland County in Plan Book No.3, Page 99, and having a frontage on Valley Street of 75 feet, a depth of 151.22 feet on the North and 151.82 feet on the South and a width in the rear of 75 feet and being subject to building and use restrictions attached to the said deed. BEING the same tract of land which 29th day of May, 1967, granted and husband and wif e. Betty L. Gulick, widow, by her deed bearing date the conveyed unto C. Lee Warner and Lenora E. Warner, SALE PRICE: $39,000.00 TAX PRORATION: 64.29 L1$tr: 99 rAot J19 COMMONWEALTH OF PENNSYLVANIA: :55. COUNTY OF CUMBERLAND Before me, a Notary Public, the undersigned officer, personally appeared Robert A. Warnor Sr., Executor of the Estate of C. Lee Warner, late of South Middleton Township, CUmberland County, pennsylvania, deceased, who being duly sworn according to law, deposes and says that the foregoing Account, both as to items of charge and discharge, is true and correct to the best of their knowledge, information and belief. -~' ./ ~, ~;l./. ~/:;2 ~:vJa Robert A. Warner Sr. w-..a . ' ..... ~... . . &w6!m(tCi'.and subscribed before me "" ..' . /;I~ '~h{~')~,fk;~:';'ay of ~U- , 1981 {:/ . ::~r~~~~,- j'. '/)71 etA d ~. 0 ";..-.:. .....' /'.'. ! 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LETTERS TESTAMENTARY COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND l ss: BY THE TENOR OF THESE PRESENTS I. MARY C. LEI-lIS , Esq., Register for the Probate of Wills and Granting Lellers of Administration in and for the County of Cumberland, in the Commonwealth of Penn- sylvania, do make known unto all men that on the 1ST day of DECEMBER . 19 00 , at Carlisle, before me was proved, appearcd and insinuated, THE LAST WILL AND TESTAMENT OF C. LEE WARNER, LATE OF SOUTH MIDDLETON TOWNSHIP. CUMBERLAND COUNTY , PENNSYLVANIA, DECEASED, (a true copy whereof is to these presents annexed), having whilst HE lived at the time of illS death divers goods and chattels, rights and credits within the Commonwealth. by reason whereof the approbation and insinuation of the said Last Will and Testament, and the committing the Administration of all and singulaT, the goods and challels, rights and credits, which were of the said deceased. also the Auditing the Accounts, and Calculation and Reckoning of the said Administration to me are manifestly known to belong. And that Administration of all and singular, the goods and chattels, rights and credits of the said deceased, and way concerning HIS I,ast Will and Testament, was committed to ROBERT A. WARNER. SR. in the said Testament named EXECUTOR having first been duly qualified will and truly to administer the goods and chattels. right and credits of the deceased, and make a true and perfect Inventory thereof. and exhibit the same into the Register's office, in the borough of Carlisle, within thirty days from this date, and also file a just and true account, calculation and reckoning of HIS administration when lawfully required, and diligently and faithfully to regard, and will and truly comply with the provisions of the law relating to Collateral and Direct Inheritances. Decedent died on the 20TH day of NOVEMBER , 19'3..2.-. according to affidavit properly filed. In Testimony Whereof, I have hereunto set my hand and caused the seal of said office to be hereunto affixed. dated at Carlisle aforesaid, the 1ST day of NOVEMBER EIGHTY in the year of our Lord One Thusand Nine Hundred and );'7 t(.l<l o c.- :;;J'l (L., .' (i /.',., per (L. 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J{1l d,.j \\,I"rJ1't.. .....~... !1l;1 ,Ill ~ild 1,1' Iw 1pss thd:l 21 . ":U'~ of :q!", II . , I ; '~l. I .! I \ ,I I ~ 1 If:l i 11 ~ tll . , I' I,~ I ' f'; _ 1';If-'.t'S REY_U4 EXt (s..1I0) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) 21-80-0747 [!] Original o Supplemental o Remainder Fj I e Number Estate Name c. Lee Warner Dote of Death Noyemb.=-2Q.,....l98JL Social Security Number 174:.Q233~, REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and far tho County of C~ Pennsylvania, do respectfully report that I have appraised the real and personD) properly as ropo;teaTn',hO fo,egoing return at the values set forth opposite each Item in the last column to the right in Schedules IIA", liB", IIC", and "E" , . '\: (,.'..' /1)( ./i'n\' (C' '1 ,,1 '1 , I J <.... ",:-' . /" _ INHERITANCE TAX APP RAISER Dated: AUK\lst 19. 1981 ADJUSTMENTS REMAINOER APPRAISEMENT COOE INVeNTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLV) Real Property (Schedule A) S 00+ 92+ Perlanol Property (Schedul. B) 10+ Jolnt.Held Properly (Schedule e) 20+ Transfer. (Schedule C) 30+ TOTAL GROSS ASSeTS 45-.325. .8L Leu D.bt. and Deductions 40- 93- (SCHeDULe F) CLeAR VALue OF eSTATe o Life Estate RATe FACTOR PRINCI PLe VALUE CODe o Annuity FOR USE OF REGISTeR ONL V Tax on $ ~ COMPUTATION OF TAX S S S S 6'. " Tal( on $ 15% Tal( on $ Tal( on $ Tax an $ S Exemptions Total Estate S S S TDTAL TAX INTEREST FROM BALANCe TO Less Credits DATE OF PAVMENT INTEReST S AMOUNT PAlO DISCOUNT TAX CReOI T = S S + S .. = BALANCE S 5 INTEREST FROM BALANCE Due TO ..j ~ I -~/u . '7 'I '7 AFFIDAVIT OF FIDUCIARY (Instructions on Reverse Side) 'lclL-l.. n-,"t_ REy..UO II-eO) COMMONWEAL TH OF PENNSYLVANIA DePARTMENT OF REvENUE TRANSFER INHERITANCE TAX RESIDENT OECEDENT Estate of c. Lee Warner Do te of Deo th Nov. 20, 1980 Lost Address 26 Valley Street Social Security No. 174-05-3391 Carlisle PII 17013 Bureau File No. (CITY. ISTA TEl Cl.IP) County File No. 21-80-747 1. Decedent died: ( ) Intestate (without 0 will) ( X) Testate (leaving 0 lost will--copy attached) 2. Is the filing of 0 Federal Estate Tax Return required for this estate? 3. Yes_ No x ( x) Executor/Executrix ( ) Administrotorl Administratrix Robert A. Warner, Sr. Nome Address 95 Buckthorn Drive Carlisle, PA 17013 (ClTYI (STATE) (ZIPI 4. All correspondence should be moiled to (x Attorney ) Fiduciary. S. If on ollomey is representing the estate, indicate: Nome Kevin A. Hess, Esquire Address 128 S. Hanover St. Carlisle, PA (CITY) (5TATE) 17013 (ZIP) List 011 safe deposit boxes registered in the decedent's individual nomehor jointly with, or os on agent or deputy of another, or in decedent's individual nome with right of access by onot er os agent or deputy. Include the name and address of t~~. bonk or other institution where the safe deposit box is locoted, the name (s) in which the bax is registered and \he relationship of the joint holders to the decedent. NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX NAME OR NAMES IN WHiCH SAFE DEPOSIT BOX IS REGISTERED RELA TIONSHIP OF JOINT HOLDERS TO DECEDENT Under penalties of perjury, I declare that I hove examined this retllrn, including accompanying schedules and statements, and to the best of my knowledge and belLef it 's true, COllect and complete. 1J~ ~ ..~ / ~ , . , A ~/#-t6:. . / , SIGNATURE OF FIDUCIARV 11"'1001 l 1/)'// . DATE PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file a :eturn: a. The personal representative of the estate of the decedent as to property of the decedent administered by him and such additional property which is or may be subject to laheritance Tax of which he/she shall have or acqui re knowl edge; b. The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute, including a trustee of property transferred in trust, provided that no separate return need be made by the transferee of property included in the return of a personal represenlative. 2. PLACE FOR FILING The relurn is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided. 3. TIME FOR FILING The retlJfn is due nine montlls after the decedent's deatil, unless an ex{ension fur filing has been applied for and grantea by t~e Secretary of Revenue within the nine-month period. 4. FAILURE -;0 FILE RETURN Section 791 of the 1961 Statute provides that" . . .any person who willfully fails to file a return or other report required of him. . .shall be personally liable.. .to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritan~e Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife, son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as {a all others. 6. PAYMENTOFTAX The tax assessed on the transfer of property reported in tile return is due 9 months after the decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED. All checks should be made payable to the Register of Wills of the county wherein {he decedent resided and are received subject to the final determination of the Department of Revenue. 7. FAILURE TO PAY The taxes imposed, logether with any interest thereon, are a lien upon real property, which lien remains in effect until the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's estate or against any property belonging to a transferee liable for the tax. 8. FILING OF FALSE RETURN Any persen who willfully makes a false return or report required of him shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding $1,000 or undergo imprisonment not exceeding one year or both. REV.451 0.80) COMMONWEALTH OF PENNSVL VANIA DEPARTMENT OF REVENUF TRANSFER INHERITANCE TAX RESIDENT DECEDENT *' SCHEDULE "B" PERSONAL PROPERTY (InsmlctiollS Oil Rovers!.' Side) Estate of C. Lee Warner - ----==.r.ao. ESTIMATED DEPARTMENT ITEM DESCRIPTION UNIT MARKET VALUATION NO. VALUE VALUE (OFFICIAL USE ONL Yi 1 Cumberland Valley Savings and Loan - savings Account Balance & Balance of Escrow $ 5,714. 90 ./ 2 Commonwealth National - Checking Account No. 181-941549-6 1,068.59 ...- 3 Sale of Personalty - Proceeds, Auction Sale lolarch 25, 1981 2,017.35 ...- 4 U.G.!. overpayment 70.73/ 5 Pa. Comm. of Aging _ Inflation Divident check 95.00 ,/ 6 Proceeds - .Sale of automobile, 1965 Chevrolet 150.00/ TOTAL THIS PAGE $ 9,l1G,57 L //L"57 ~ PEY-.'2. 0.8:11 COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT OECEDENT ESTATE OF_ SCHEDULE "C" TRANSFERS ,.,- * C. Lee I~arncr INSTRUCTIONS: 1. Answer the queslions on reverse side, 2. If the answer to any of the questions on the reverse side is "Yes," provide a description of the prope:ty transferred per Schedules "A," "8," or "E," its estimated marke{ value at date of death, dates of transfer, to whom transferred and relationship of transferees to decedent. Attach a copy of any trust deed or instrument relaling to the transferred property. ITEM NO. DESCRIPTION ESTIMATED I DEPT. VALUATION MARKET VALUE (OFFICIAL USE ONLY) NONE TOTAL THIS PAGE QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within two years of death, make any transfer of any matp.rial pari of his estate without receiving valuable and adequate consideration? (Answer "Yes" or "No".) I h 2. Did decedent, within two years of death, transfer property (rom himself! herself to himself/herself and another party or parties (including a spouse) in joinlownership? (Answer "Yes" or "No".) ~ 3. If the answer to one or two above is "Ves" and the transfers are claimed 10 be nontaxable, provide {he following information: a. Age of decedenl at time of transfer. b. Copy of death certi fi cate. c. Affidavit by Ule attending physician indicating Ihe state of decedent's heallh at lime of transfer. d. All other information supporting nontaxabiIi ly of transfer. 4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was {a take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) tV 0 a. Was there any possibility that the property transferred might return to transferor or his!her eslate or be subjec{ to his/her power of disposition? (Answer "Yes" or "No".) b, What was the transferee's age at time of decedent's death? 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for hislher life or any period which does in fact end before his/her death: a. The possession or enjoyment of or the right 10 income from the property transferred? (Answer "Yes" or "No".) lJ () b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) 6. If the answer to five b. above is "Ves," state whether the right was reserved in decedent alone or others. 7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Yes" or "No".) /) '-' 8. Did decedent, at any time, transfer property, the bmeficial enjoyment of l'Alich was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" or "No".) :.)0 9. If the answer to eight above is "Yes," was the power to aller, amend or revoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Yes" or "No".) N / {I OR'EV-453 EX.. (3,801 COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF ReVENue TRANSFER INHERITANCE TAX RESIDENT DECEDeNT SCHEDULE "0" BENEFICIARIES ." (Instructions on Reve's(~ Side) Estate of C. Lee Warnc r BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BeNEFICIARY DEceDENT IlIRTH Robert A. Warner, Sr. Nephcw Yes $ 5,000.00 95 Buckthorn Drive Carlisle, PA 17013 Betty L. Peale Sister Yes 15,000.00 501 Dewitt Avenue Rarrisburg, PA Marlin Richard Warner, Sr. Brother Yes 10,000.00 11214 N. 17th Drive Phoenix, AZ Marlin Richard Warner, II Grandnephew No Residuary P. O. Box 1210 Bullhead city, AZ 86430 I . ... --- -------.- I The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH .' , REV0454 <<1.80) COMMCNWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY .. (Instructions on Reverse Side) Estate of C. Lee Warner P TOTAL E VALUE OF DEPARTMENT ITEM R DESCRIPTION MARKET CE DECEDENT'S VALUATION NO. VALUE N INTEREST (Officio' Use Only) T NONE - -- TOTAL THIS PAGE ::Jl1,Y"LU I I ,j I , INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all property, real and personal, owned by the decedent jointly with another party or parties as joint tenants with right of survivorship. Both tangible and intangible property are to be included. List real estate first. 1. Describe all real property as indicated in the instructions for Schedule "A". Describe all personal property as indicated in the instructions for Schedule "B". Include the name, address and relatiOl;ship to the decedent of the co-owner (sl and the date the joint ownership was established. 2. Indicate the total market value of the jointly owned property. 3. Indicate the percentage of the decedent's interest. 4. Indicate the market value of the decedent's interest. - "0 0 n >- '" ;.. ~ z >- 0 0 " tr. V Cl n c: ;:) -l Z ... Z t"' t"l >- 9 - 9 t"' '" ;>:: z ;;:l Z z ..... 9 z ~ -l t"l r.1 - 9 -< (fl (fl z 0 (fl 0 -l 9 ":1 .." '" ~ ;.. 0 -l ." - ::l 0 z 0 :>- t'" c: (fl '" 0 Z t'" -< -< -< ~ m m > > ;::: ;::: Ie C'.'. loJ. :J'. ~:':~ - ....- .....c 01.' , 6c.~ r' .. WL' e.. ~ 0>- >-- L'_. ,,:tf> = c' :c..-, " 0-- ~-:~~ <.:I'" ...,W r~. : a:a: - 11:;.::, p c.; REV""!I7 EX. (7otOI COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFeR INHeRITANCe TAX ReSIDeNT DEceDENT ~~~ r-~~~\- . , 'rlII. -.' - "~~' ;..~".~~"y.;;... '~.".'i.~(:-.:h':""'''' INHERITANCE TAX APPRAISEMENT IiJORIGINAL o SUPPLEMENTAL File No. 21-80-0747 Estate of c. Lee Warner Coun ty Dote of Death Nnvember 20, ]980 numherlRnd In the eveont that any futuro Interest In this estate Is transferrod In possession ar enjoyment ta collateral hel,. of the decadent after the expiration of any estate for IIfo or for yea,., the Commonwealth horeby expressly reservos the right to appro Iso and assess transfer Inheritance taxes at the lawful collateral rote on any such futuro Intorest. PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH ASSET SUMMARY DEPARTMENT'S APPRAISED VALUE Total Real Property - 5CH. "A". . . . .. $ Total Personal Property - 5CH. "B". . . . $ Total Jointly Owned Property - 5tH. "E" $ Total Transler. - 5CH. "C". . .'. . . .. $ 36.209.29 9. 116.<;? 36,209.29 9.116.57 None None None None Unreported $ Unreported 5 Unreported 5 Unreported $ $ $ $ $ $ 45.325.86 DLIFE ESTATE DANNUITY TOT AL GROSS ASSETS DREMAINDER TOTAL VALUE $ I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day with the Register of Wills. . --, ( l' ( . JIJ/!a ~II;' 6 CJ\ 0',;2./ I { 08/19/81 APPRAISER DATE RECORn;'~ r REG" _ '81 Ail" 20 1" :(./ CLli\(, ";', .:..., . CUI'it!" ri; _',~ :"; .~. ~ ~ ~ ~ M <( .. Z '" ~ " 0 :>- ;... " ~ ! ~ .. 'tl '" en " ;:l al ...l M " ~ <( M " U ~ at 1 M 0 N Z M \0 - 0 > M I"- 0 I"- ~ , \0 0 0 N ~ ~ ~ 0 I:. ~ 0 '" 0 z 0 '" '" >- ~ 0 - '" z ~ ~ ~ w z Z ...l 0 - d ~ ~ z :.: w ;:;: Cl ;:l U (.:l W ...l Z Z Z - ~ '" ~ 8 0 <( :::: '" Cl "- :J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANce TAX AsseSSMeNT *' COUNTY FILe NO: , ; /./ "/ DATE //I,.-;".f 1/ /11'1 TO: .," "'.;/ /) j J'~(~IU ; '/ (.' / _/ '. .( ",'/'"., --/ j , "'/~.. .J_.;" ',' ESTATE / " I ," i _f 1__ _,,','/,(..;1. '/.~.,/ .' .d "-'-:'./' " ./.: I, ,.-' j.. '< " ,- .'._.- FILE NO. .' 1- /)- ?,../ 7 .t. (_(&i./),' _~l-- /1/' /j,./ -' "",' ./'r( / /,,'/5 COUNTY ./././ ,',' , DATe OF OEATH . : / J.., /de d // ......~-/.n_.(~~-(/~Cl /./ , Appraised Value of Estate: Real Estate G,.~& /,:,,/ .// Personal Property + , , / / I r ./-j , Jointly Held PropertylTransfers --.-_.._------ + Total Gross Estate $ ';' -:-. ~. '/ ";- .?/~ Total Approved Deductions ~.::'/, /' , Clear Value of Estate G / :' '1':/ /1 , Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax G -;/ ;;;./ ,/ 'I Amount Taxabla @ 6% Rate G tax due $ Amount Taxable @ 15% Rate d/ /'/'/ F/ tax due ~./ (; It /3 , TOTAL PENNSYLVANIA INHeRITANCe TAX DUE G ~-i: 9{ /3 ,.. 'It ,.. ,.. ,.. * A five percent discount totaling $ will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PA VMENT - - 7 /) ....,/' - ;/'/ AMOUNT PAID DISCOUNT INTeREST TAX CREDIT S '/;: tIC /':;' + G S = S -:: ~~ '11.- // .J .' , + = + = Interest accrues at the rate of six (6) percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by is BALANCe OF PENNSYLVANIA INHERITANce TAX DUE s _,-': ,'Ii//:. . ~I '-h} ../>~t' ~--'-- Assessed by: " / / /;t,';, I (~ See InformiUion on Reverse Side Agen~f~.~ttu'Con;.7wel~ I' '. -', V'.} lr.L-.1 . 1 ,L 1'1 /~-'''' / ".j . .( C-' , I )1~~ljt~ , INFORMATION To insure proper credit to your account, lho Ililmc of thu estato and fde number should be clearly print- ed on the check or money order, This assossment is mado in accordance with Section 70B of the Inheritance and Estate Tax Act of 1961 (72 P.5. ~ 2485-708). To the extent that inheritance tax is paId within three (3) months after the death of the decedent. a discount of rive (5) percent is allowed 172 P.5. S 2485-716). Inheritance Tax, other than tax on a future interest, IS due at the dale of the decedent's death and becomes delinquent at tho expiration of nine (9) months after the decedent's dealh (72 P.S. S 2485.711). Inheritance Tax on a futuro interest is payable within three (3) months after the Hansfer lakes effect in possession and enjoyment and is delinquent thereafter (72 P.S. ~ 2485- 7121. Calculate interest from the delinQuenl dale shown on the face of this form to the date of actual payment using the following interest tablE': --------------------- ------------ - ------------- - - --- - --- -------- ---- -- - ---- 1 month .005 4 months .020 7 months .035 10 months .050 2 months .Q10 5 months .025 8 months .040 11 months .055 3 months .Q15 6 months .030 9 mOlllhs .045 12 months .060 1 davs .00017 11 days .00186 21 days .00352 2 davs .00034 12 days .00203 22 days .00369 3 days .00051 13 days .00220 23 days .00386 4 davs .00068 14 days .00237 24 days .00403 5 davs .00085 15 days .00250 25 days .00420 6 davs .00101 16 days .00267 26 days .00437 7 davs .00118 17 days .00284 27 days .00454 8 days .00135 18 days .00301 28 days .00471 9 davs .00152 19 days .00318 29 days .00488 10 davs .00169 20 days .00335 30 days .00500 - - --- ---------------- -- - - - -- - ---- -- - - ---- --- --- --- - - - - - --------- ------ Any party in interest. including the Commonwealttl and the personal representative. not satisfied with the assessment may object thereto within sixty (GO) days after receipt of this Notice as provided by Section 1001 of .he Inheritance and Estate Tax Act of 1961 172 P.5. ~ 2485-1001). Make check or money order payable to: "Register of Wills, Agent" Mail to the address listed below: