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HomeMy WebLinkAbout04-26-07 (2) REV-1500 ~X (6-00) . ' OFFICIAl USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ~L COUNlYCODE ~L 0756 ___ YEAR NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ Hunter Janet ~ DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) ~ 7/28/2006 9/26/1918 W (IF APPLICABLE) SURVIVING SPOUSES NAME (LAST, FIRST, AND MIDDLE INITIAL) C I SOCIAL SECURITY NUMBER 372-14-2603 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER W I- ~~rn UO::~ wa..U :J:~ Ua..a1 a.. < [i] 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 3. Remainder Return (date of death prior to 12-13-82) D 4a. Future Interest Compromise (date of death after 12-12-82) D 5. Federal Estate Tax Return Required D 7. Decedent Maintained a Living Trust (Attach copy of Trust) _ 8. Total Number of Safe Deposit Boxes D 10. Spousal POllllrty Credn (date of death between 12-31-91 ar<! 1-1-95) D 11. Election to tax under Sec. 9113(A)(AtlachSchO) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS I- Z w C Z o lL tn W 0:: 0:: o U Crai A. Hatch, Es ire FIRM NAME (If Applicable) Gates, Halbruner & Hatch, P.C. TELEPHONE NUMBER 717-731-9600 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 1. Real Estate (Schedule A) (1) (2) $0.00 $0.00 $0.00 $0.00 $7,416.48 $0.00 OFFCiAL USE ONL '( 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposns & Miscellaneous Personal Property (Schedule E) (5) (-~~l z o i= ~ ::) l- ii: <( (.) W a:: 6. J~ Owned Property (Schedule F) U Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) (6) $0.00 8. Total Gross Assets (total Lines 1-7) (8) $2,211.12 $500.63 $7,416.48 9. Funeral Expenses & Administratillll Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilnies, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (11) $2,711.75 $4,704.73 $0.00 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (12) (13) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) $4,704.73 15. Amount of Line 14 taxable at the spousal tax $0.00 L(15) z rate, or transfers under Sec. 9116 (aX1.2) x .0 0 i= 16. Amount of Line 14 taxable at lineal rate $4,704.72 x .0 ~(16) c( I- ::l SO.OO a.. 17. Amount of Line 14 taxable at sibling rate x.12 (17) ~ 0 $0.00 U 18. Amount of Line 14 taxable at collateral rate x.15 (18) x c( 19. Tax Due (19) I- $0.00 $211. 71 $0.00 $0.00 $211.71 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 3W4645 1.000 (\' vy Decedent's Complete Address: . S1REET ADDRESS 801 North Hanover Street Cumberland CITY I STATE I ZIP Carlisle PA 17013- Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) $211. 71 $0.00 $0.00 $0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C) (2) $0.00 $0.00 $0.00 TotallnterestlPenalty (D + E) (3) $0.00 4. If Une 2 is greater than Une 1 + Une 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) $0.00 5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) $211. 71 A. Enter the interest on the tax due. (5A) $0.00 8. Enter the total of Une 5 + 5A. This is the BALANCE DUE. Make Check Pa able to: REGISTER OF WILLS, AGENT (58) $211. 71 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or ......... . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . 2. If death occurred after December 12. 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. D 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? D 4. Did decedent own an Individual Retirement Account. annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D [j IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury. I declare that I have examined this retum, including accom in schedules and statements. and to the best of my knowledge and belief. it is true, correct and complete. ,nformation of which parer h any knowledge. Yes No D D D D og og og UJ [j ~ SIGNATURE OF PERSON RESPONSIBLE FOR FILlN Timothy S. Strohl ADDRESS 112 Oak Drive SIGNATURE OF PREPARER OTHER THAN REPRESENTA Crai A. Hatch, ADDRESS 1013 Mumma Camp Hill, PA 17011 DATE J11;1/?J /' For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.s. 9 9916 (a) (1.1 )(i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. S 9116 (a) (1.1) (ii)] The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9 9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. S 9116(1.2) [72 P.S. S 9116(a)(1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P.S. S 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 3W4646 1.000 REV-1502 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Janet I. Hunter 2106 0756 All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. None DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 1, Recapitulation) $ $0.00 3W46951.000 (If more space is needed, insert additional sheets of the same size) . REV-150~ EX + (6-9Bl COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS FILE NUMBER Janet I. Hunter 21 06 0756 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1, None DESCRIPTION VALUE AT DATE OF DEATH 3W46961,OOO TOTAl (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) $0.00 REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Janet I. Hunter FILE NUMBER 21 06 0756 Include the proceeds of litigation and the date the proceeds were receilled by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Commerce Bank Checking Account Acct. No. 0537050767 $2,861. 44 2 Commerce Bank Savings Account Acct. No. 0626613053 $2,139.53 3 The Church of God Home refund $2,415.51 3W46AD 1.000 TOTAL (Also enter on line 5 Recaoitulationl $ (If more space is needed, insert additional sheets of the same size) $7,416.48 REV.1509 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Janet I. Hunter SCHEDULE F JOINTL V-OWNED PROPERTY FILE NUMBER 2106 0756 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINTTENANT(S) NAME ADDRESS RELAllONSHIP TO DECEDENT A. B. c. JOINTL V-OWNED PROPERTY: lETTER DATE DESCRIPllON OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BAi'I<ACCOUNT DATE OF DEATH DECD'S VALUE OF t-U.18ER DR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR NUMBER TENANT JOINT JOINTL Y-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENrSINTEREST 1. A. NonE TOTAL (Also enter on line 6 Recaoitulationl $ $0.00 3W46AE 1.000 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Janet I. Hunter FILE NUMBER 21 06 0756 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM I~ TI-E NAME OF TJ.E TRANSFEREE, THEIR RELA TIONSHP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBE~ Tl-EDATE OFTRANSiFER ATTACHACOP'f OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST OF APPLICABLE) VALUE 1. None TOTAL (Also enter on line 7, Recapitulation) $ sO.OO (If more space is needed, insert additional sheets of the same size) 3W46AF 1.000 REV-1511 EX + (12-Jj9) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Janet I. Hunter ITEM NUMBER A. B. FUNERAL EXPENSES: 1. None SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. DESCRIPTION Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Claimant Street Address City Relationship of Claimant to Decedent 4. Probate Fees 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions State Zip Street Address City Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3W46AG 1.000 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Cumberland Law Journal publication fee 2 Deluxe Check Printers check fee State Zip Total from continuation schedules . . . . . . . . . FILE NUMBER 21 06 0756 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) AMOUNT $1,800.00 $67.00 $75.00 $9.95 $259.17 $2,211.12 Estate of: Janet I. Hunter 372-14-2603 Schedule H Part 7 (Page 2) 3 Patriot-News publication fee $259.17 Total (Carry forward to main schedule) $259.17 REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Janet I. Hunter SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21 06 0756 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death. including unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Blue Mountain Anesthesia Associates medical bill $19.31 2 Central Penn Mgmt Group medical bill $19.31 3 Continuing Care Rx medical bill $462.01 3W46AH 2.000 TOTAL (Also enter on line 10. Recapitulation) $ (If more space is needed. insert additional sheets of the same size) $500.63 REV-1513 EX+(9'-OO) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Janet I. Hunter NUMBER I 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Leslie B. O'Neil 1203 Mitchell Drive Mechanicsburg, PA 17050 50\ Residue: $2,352.36 2 Laurie S. Strohl 112 Oak Drive Camp Hill, PA 17011 50\ Residue: $2,352.36 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Daughter Daughter FILE NUMBER 2106 0756 AMOUNT OR SHARE OF ESTATE $2,352.36 $2,352.36 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 3W46A11.000 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space IS needed, Insert additional sheets of the same size) $ $0.00 DEA TH CERTIFICATE .. ',11 ~ I ,~ ;-', I!: ;l! r/J UrJ,.;?1..-. ~l:'.V') /' " ./' .-:: ,........-' ~ :,/_,i,:!~t:)_,,::~,/~'~; ".'/' ..~ ....::..i._.._ // p 12626600 P U'G e (,J ',;nn[; i\ ,l II 'J d!U.i I, HEM # Ilf+/~/ :31-iCHJL"D REA~D 1\5 FC1Ll;()\\!~~: I If - /,i.,1 -D ,; (,L, 1;-'7") I <;,- - /vt .5'.:;;!. ;, / I<>A/- .S;'I.'.. S c': aY'~ I?~J 'IV/~ .:,; ............ /// />" If.,;... -' .J7l~"" ,~ .. ...~-'.,.I-..... - ,.~/'k' ---.. !V.011Q6 NT IN lENT INK 1 Name 01 Decedent (First. middle, ~1sl) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER 87 9-26-7918 3. Social Securtty NurTtler 4. Dale or Death (Monlh, day, yeal) La.uJlmm, Ml 8a PlaceofOealh Chackon one Hospital o In alieni 0 ER/Oul lien\ 9, Other o DQA XJ Nursin Home Was Decedent 01 Hispanic Origin? I1l No 0 Yes (II yes. specify Cuban, Mexican, Puerto Rican,ele,) July 28, 2006 Jane.t: l. Hun.t:eA . 372 - 14 v" 7. DaleolSinh Month,da . B. Birlh lace C' andslaleorlof 5 Age (Last bir1hday) 8b. Counlyo/Death o Residence 0 OIlier - S ci 10 Race: American tndian, Btack. While. ale. (Specify) C umbeAlartd Ca.Jr.l-0.Jle. Whde. nnst of workin life; do nol slate lehled Kind of Businessllnduslry Ho~ew~ e Dome~~e 16 Decedent's Mailing Address (Slree!. eilyllown. slale.lip code) 801 NOkt:h Han.ove.k Stke.e.t: Ca.Jr.l-0.Jle., PA 17013 12 13. Decedent's Education S ed ElemenlarylSecondary (0-12) 12 Pe.n.M!!lvan.~a Cumb eAlartd hi hesl radeca Ieted r:nllfloP. {1.4 nr!'i+) 14 Maril3t SlaJus: Married. Never mamed, 15. Surviving Spouse (tf wile, give maiden Immel WldoW*t, DivorcP.rl (.'>flRCify) Ma.Jr.k~ed Ro B. Hun.t:e.k 17a. State Did Decedent Uveina T ownsh~? 17c. 0 Yes,Oecedenlllvedin__.___.___._~~_ Twp 17b. Counly 17d J(I ~;~~:~;~~il/edwithin~(J Crty!8oro 18. Falher's Name (~lrsl, middle, tasl) t9 Mother's Name (Firs!. nVddle, maiden surname) R~eha.Jr.d MMgan. El~zabe.t:h Dun.lolQ 2Oa. Inlormanl's Name (Type/prinl) 2Ob. Informanl's Mailing Address (Slreel, cityll.own, stale, zip code) Le.4l~e. B. O'Ne.~l o Rerr(wal trom Slate o Donation 1203 M~t:ehe.ll Dk~ve, Me.ehan~e~bUkg, PA 17050 21a. Method 01 Disposilon o BUrial rl! Clemalion o Olher .Speci >2a :"Ignalu,p unera! Se~lCe Llce~~e /or Ptlfsun acllng as such) /...... c-/. _ FD013376L ~~23;~O ty when certlfyrng 23a To the besl ofmy knowledge dealhoccurredaJthelme dale end place slatad (Slgnalur9andtdlll) lhysician is not av"ilabls at time 01 dealh 10 'f!rtify cause 01 death 21c. Place of Disposition (Name 01 cemetery, cremalory or olher place) 21d. LOOJliofl (Cilyltown, slate, lip code) 2006 ke.ma~on. SOe~e.:t;.rd__~ftJA Ckema..t:~ y Ha.Jr.k~~bUkg....JA 09 22c, N,me,"" "",,,,,,olF',,'., AUeA Me.moki.a.f Homr Ii Cl1emat'.wY[ Sekv.tc.e-:\ lne 4700 Jon.e.-:\t:own. Road, Hakk~~bUkg, PA 17109 23b. License NufT'ber 2:Jc. UateSigned (Monlh.day, year) 0,-'28-- 20() fJ .K.t~,r...".) 25 Dalo Pronounced D.ead (Monlh:r.~y" y~) o -, ~ .~ ob CAUSE OF DEATH (See Instructions and examplesl tern 27. Pan I: Enler the chain or evenls - niseases. injuries, or complicalions -Ihal dilectly caused the dealh. DO NOT enter tanninal evenls such as caldiac arrest p..'ipiralnrv arrest. or venlricular hbnflalion without Showing the etiology. DO NOT abblev' Ie. Enter only one cause on a line. MME~IATE C~U~E (Final disease or ...... ~ I i"\ _ ondlllOn resultlngIn doath) --7 a \ ~ " '- j2JJ JI./ !,9'5 S L lP.fT1S 24-26 mll.~1 bp. compleled by person vhopronouncesdealh 01-'1...~-,-(jO(o 26. Was Case Relerred to a Medical Examiner/Coroner? .m Yes 0 No JL : ApproximaleinlelVal' : onsel10 dealh Pan II: Enter olher sianirlcanl condkkms contr~utino 10 dealh, bul not resulting in the underlying cause given in Part I. 28. Did Tobaeco Use Contribule 10 Death? ~ 'j;.s 0 Probably ...2'No 0 Unknown ;equentially list cond~ions, if any, 1ading 10 the cause listed on Line a -nler the UNDERLYING CAUSE jisease or infUry thaI iniliated the vents resuMing indealhl LAST Oa. Was an Autopsy Performed? :J2b. Describe how Injury Occurred: 29 UFemale o Nolpregnanlwithinpaslyear o PrAgnanlatlimeoldealh o Nol pregnant. bul pregnanl wilhin 42 days of death o Nol pregnant. bul pregnanl 43 days 10 I yeaf belorp.dealh o Unknownifplegnanlwithinlhepaslyp.<lr 32c. Place uf lnjUlY HtluMl, Farm, Streel. Factory. Office Building, otc. (Specify) Due to (Of as a consequence oQ; Due to (or as a conseqUence oQ DYes P'No :lOh Wprp, Autopsy Findings Available Prior 10 CofT1)letion 0/CauseofDe3th'l o y" YNO 31. Mannef or Death ?"'Nalural 0 HOmICide o Acu1enl 0 Pl!nding Inl/esligalion o Suicide 0 Could Not 8e Determined 323. Dale 01 Injury (Monlh,day, yeaf) /J-O' 32d-Timr.ol Injury 321. 32y. Lucation(Streel,cilyllown. slale) M 3a. Certllier(checkonlyone) CertIfying phy~lcl3n (PhY~ici.1n certifying C<lU::;O o! dealh when anolher phYSICian has prOf)(juoced dealh and culT'flltill1d Ile1ll23) To the hest 01 my knowledge, death occurred due 10 the cause(s) and manner as staled..._......_ ........................0 Pronouncing and certifying physician (Physician bolh pronouncing death and certifying 10 cause or dea/h) To the bl'!sl 01 my knowledge. death occurred sllhe lime, dale, and place. and due to the cauSu(S)ilnd manner as slaled ........0 Medical examiner/coroner On lhe basis 01 examination and/or investlgalion, In my opinion, death occurred at the time, date, and place, and due to the cause(s! and manner as stated... ....0 0010+-(5- - L 33d. Dale Si ned (Montlk~, YAm) '~ z- D (0(; 34 Name and Address of Person Who Completed Cause of Dealh (!lem 27) Type/Prinl () ~"I --.. 1~1t'1~1/( (See instructions and examples on reverse) IS HI!<listraf~ignalUfe ana OlSltlCl NUrrtlel ~21'n", ~$;; .,," ,.,., LAST WILL AND TESTAMENT OF JANET I. HUNTER LAST WILL AND TESTAMENT I, Janet I. Hunter of Cumberland County, make this will, hereby revoking all my former wills and codicils. PAYMENT OF DEBTS CLAUSE FIRST: I direct the payment of my just debts and funeral expenses, the expenses of my last illness and the expenses of administering my estate. LEGACY BEQUESTS SECOND: Each bequest to a beneficiary who does not survive me shall be distributed to such beneficiary's issue, per stirpes, who survive me. DISTRIBUTION OF PERSONAL PROPERTY THIRD: I bequeath all my tangible personal and real property to my husband Roy B. Hunter, if he survives me. If my husband does not survive me, I bequeath such property to my daughters Laurie S. Strohl and Leslie B. O'Neil in equal shares, the executor representing minors in such division. If any of my children do not survive me, then that portion shall be distributed to the existing grandchildren of that child. Any such property to which a minor would otherwise become entitled but which the executor thinks unsuitable for such minor shall be held in safekeeping by the guardian or I " /1 . I ',.(/ /-1 initials )'; shall be sold and the proceeds thereof shall be distributed to the guardian of the estate of such minor thereinafter named, without bond, and the receipt of such guardian shall be a complete release of the executor. Any such property to which a minor thus becomes entitled may be delivered to the guardian named herein, without bond, and the receipt of such person shall be a complete release of the executor. In case of disagreement among my beneficiaries, the executor is authorized to make the division having due regard for the personal preferences of my beneficiaries, but _.~ _ 1_ ~ __ _ 1IIcl. J\..L 11\.;:j slich division in as _ _ - _, __ _ _.. _ , _1- _ _ _ _ _ _ ....1-_ llCa..L.J..:t cy,ua..J.. ~l1a..LC~ a.~ l..l1C executor deems practical. I direct that the expense of packing, shipping, insuring and delivering any such property to a beneficiary entitled thereto shall be paid by the executor as an administrative expense of my estate. In addition, to the extent practical in the executor's sole discretion, I bequeath any policy of insurance on such property to the beneficiary to whom such property is bequeathed. RESIDUARY CLAUSE FOURTH: I devise and bequeath all the residue of my estate, real and personal, to my husband Roy B. Hunter, if he survives me. If my said husband does not survive me, I devise and bequeath such residue to my daughters in equal shares, if they survive me, or to the existing grandchildren of that child. 2 /1 I i! II ,r.;:::>....... .' - -y {j / J /...j. / . . i-. 1 ~n~_~a~s If I shall have no issues who survive me, such property shall be distributed to the person or persons who would be entitled thereto if I had died intestate and unmarried, seized, and possessed thereof, and domiciled in the Commonwealth of Pennsylvania. FINANCIAL GUARDIANSHIP CLAUSE FIFTH: If any beneficiary of my estate is under the age of twenty-five years at the time at which distribution of any property devised and bequeathed by this will would otherwise be made to such beneficiary, the person designated as Executor of this will shall serve as financial guardian of the estate of such beneficiary hereinafter named. The guardian shall hold, manage, invest and reinvest the property, shall collect the income thereof, and shall apply so much of the net income and, if the net income is insufficient, so much of the principal of the property held for such beneficiary as the guardian shall deem necessary or advisable for such beneficiary's health, maintenance, support and complete education. The guardian shall accumulate any surplus net income annually and add the same to the principal of the property held for such beneficiary. No interest income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. 3 '':'i ",.fi. I-/-' initials './1 When such beneficiary attains the age of twenty- five years, the guardian shall distribute to such beneficiary all property held by the guardian for such beneficiary. If such beneficiary dies before attaining the age of twenty-five years, the guardian shall distribute to the personal representative of such beneficiary's estate all property held by the guardian for such beneficiary, unless otherwise provided for in this Will. EXECUTOR AND SUCCESSOR SIXTH: I appoint my husband, Roy B. Hunter, as executor of this will. If Roy B. Hunter is unable or unwilling to act or continue as executor, for any reason whatsoever and whether before or after my death, I appoint Timothy Strohl, or in the alternative, Ronald O'Neil, Jr. as successor executor. POWERS CLAUSE SEVENTH: No fiduciary under this will shall be required to give bond or other security for the faithful performance of the fiduciary's duties. Any such fiduciary shall have the following powers, in addition to those given by law: To invest in, accept and retain any real or personal property, including stock of a corporate fiduciary or its holding company, without restriction to legal investments; , _/ /'.,L initials < I 4 To sell, exchange, partition or lease for any period of time any real or personal property and to give options therefore for cash or credit, with or without security; To borrow money from any person including any fiduciary acting hereunder, and to mortgage or pledge any real or personal property; To hold shares of stock or other securities in nominee registration form, including that of a clearing corporation or depository, or in book entry form or unregistered or in such other form as will pass by delivery; To engage in litigation and compromise, arbitrate or abandon claims; To make distributions in cash! or in kind at current values, or partly in each, allocating specific assets to particular distributees on a non-pro rata basis, and for such purposes to make reasonable determinations of current values; To make elections, decisions, concessions and settlements in connection with all income, estate, inheritance, gift or other tax returns and the payment of such taxes, without obligation to adjust the distributive share of income or principal of any person affected thereby; To payoff any loans I may have taken against any life insurance policies owned by me that remain unpaid at the time of my death; and To retain uninvested cash, in such amounts and for such period of time as the fiduciary shall deem advisable for the proper administration of the property. PROVISION FOR TAXES EIGHTH: All estate taxes, inheritance taxes, transfer taxes and other taxes of similar nature payable by 5 /1 I '. / ..J' r/" , J/ A7' . initials reason of my death to any government or subdivision thereof upon with respect to any property subject to any tax, and any penalties thereon, shall be paid by the executor out of the principal of that portion of my estate disposed of by any ARTICLE of this will, and all interest with respect to any such taxes shall be paid by the executor out of the income or principal or partly out of the income and partly out of the principal of such portion of my estate, in the absolute discretion of the executor, without reimbursement from apportionment among the beneficiaries, recipients or owners of such property for any such taxes, penalties or interest; provided, however, that the executor shall not pay any such taxes, penalties or interest attributable to any property included in my estate solely because of a power of appointment thereover which I possess but have not exercised or any transfer subject to generation-skipping transfer tax. INTERCHANGEABILITY OF LANGUAGE AND HEADINGS NINTH: Any term used in the singular or plural, or in the masculine, feminine or neuter form, shall be singular or plural, or masculine, feminine or neuter as a proper reading of this will may require. The headings used in the various paragraphs of this will are included for convenience only and shall have no legal significance. GOVERNING LAW TENTH: Questions pertaining to the validity, construction and powers created under this will shall be 6 q \ / I..,,) ini tial s 01 " determined in accordance with the Laws of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF I have hereunto set my hand and seal this my will comprised of seven pages this ) { day of &]-, '1, a~ 2 4 , 1995. ('"v.t ), IjOllj~ .' - ANET I. HUNTER (SEAL) Signed, sealed, published and declared by the above- named Janet I. Hunter, as and for her last will, in the presence of us and each of us, who, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto the day \and year last above w~itten. 1/' .". ' ,I J ~ '-tJ7 I i;/ ~. . .-,1 _or / , ,Y.,., / /. ,,~c7/ 1./1/ / _ f / / /, /?c,C-" 7' I / v' /IJ.. . ~ '-'_ . /1 residlng at. 1 )/" /' "I ' Ii \_ L (,{/ 7 x .1\ ,:/ ' ~. f \/ / I /-t-. . v /" initials COMBINED ACKNOWLEDGMENT AND AFFIDAVIT Commonwealth of Pennsylvania County of Cumberland . . ss: , the ing (a) that I, the testatrix, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b) that we, the witnesses, were present and saw the testatrix sign and execute the instrument as her last will, that she signed it willingly and executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as a witness and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ----~ .L.... .-.", -I' .-- r...."..' ,.....'1\ .. Thcn:?:-:' M"I:'I'.~,;iii '.:, ,,0" C"l~J\.! r (:'.1""1';:;1 ....U',,'.I...'.... .'._' L _~...._l,\.. :~r.-,I '..:)li.r~. . t,. CTPIT........"..n ...,-:... .:... ,--,.. ....J M(;r~-i~;;~~;<.i~:;;i~~;;illa fi::;-,~:\i.i,:i~0n;;iilii(;~ ' Ik<-.-l'.[/t'!-) (Seal and official capacity of officer or state of admission of attorney) 8 CL 1'./. 1+ y initials (/ -~ PA REV-1500 SCHEDULE E CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY COtnnJerce "Bank JANET I HUNTER CHURCH OF GOD HOME 801 N HANOVER ST CARLISLE PA 17013 Commerce Bank/Harrisburg N.A. 3801 Paxton Street Harrisburg PA 17111 888-937 -0004 Page 1 of 2 -J L/;r) .1.5' 2.. .- / STATEMENT DATE ACCOUNT NO. 6 *** CHECKING "'** ~u PLUS CLUB ACCOUNT NUMBER 0537050767 PREVIOUS STATEMENT BALANCE AS OF 06/23/06 ... .... ................. PLUS 3 DEPOSITS AND OTHER CREDITS .. ..... ... ......... LESS 10 CHECKS AND OTHER DEBITS ................. ..... CURRENT STATEMENT BALANCE AS OF 07/24/06 .... ... .................. NUMBER OF DAYS IN THIS STATEMENT PERIOD 31 CYCLE-017 3,657.14 6,414.42 7,410.12 2,861.44 ----------------------------------------------------------------------------------- *** CHECK TRANSACTIONS *** SERIAL DATE 197 06/26 198 06/26 1995 06/28 AMOUNT 10.07 11.89 752.09 SERIAL 200 201 202 DATE 06/28 06/29 07/19 AMOUNT 146.77 5,880.00 194.55 ----------------------------------------------------------------------------------- *** CHECKING ACCOUNT TRANSACTIONS *** DATE DESCRIPTION 06/26 WTHDRL DDA 2366 06/25 09:42 6520 CARLISLE PIKE MECHANIC PA 06/27 DEPOSIT 06/30 WTHDRL DDA 8261 06/30 10:30 714 W MAIN ST MECHANICSBURG PA 07/03 AC-US TREASURY 310 -SOC SEC 07/07 WTHDRL DDA 3559 07/07 10:38 5032 SIMPSON FERRY RD MECHA PA 07/18 WTHDRL DDA 5204 07/18 11:38 6520 CARLISLE PIKE MECHANIC PA 07/24 INTEREST PAYMENT DEBITS CREDITS 101.50 5,000.00 101. 75 1,414.00 150.00 61.50 .42 ----------------------------------------------------------------------------------- *** BA~~CE BY DATE *** 06/23 3,857.14 06/26 06/29 1,954.82 06/30 07/18 3,055.57 07/19 3,733.68 1,853.07 2,861. 02 06/27 07/03 07/24 8,733.68 06/28 7,834.82 3,267.07 07/07 3,117.07 2,861. 44 - D{)/J i/tU'(J_e_ 23-2324730 9.17 PAYER FEDERAL ID NUMBER INTEREST PAID YEAR TO DATE ---------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD DAYS IN PERIOD ......................... INTEREST EARNED........ ........ ..... ... ANNUAL PERCENTAGE YIELD EARNED (APY).... *** 31 .42 0.15% ---------------------------------------------------- NOTE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION Member FDIC COl11merce ::t.Bank //f: ,:-- iX .',..' \ ~. 'J \ Commerce Bank/Harris, J N.A. 3801 Paxton Street Harrisburg, PA 17111 888-937-0004 STATEMENT DATE JANET I HUNTER CHURCH OF GOD HOME 801 N HANOVER ST CARLISLE PA 17013 07/31/06 0626613053 ACCOUNT NO. REGE SNAPSHOT *** SAVINGS *** STATEMENT SAVINGS BEGINNING RATE ACCOUNT NUMBER 0626613053 PREVIOUS STATEMENT BALANCE AS OF 06/30/06 ........................ PLUS 1 DEPOSITS AND OTHER CREDITS................... LESS 2 WITHDRAWALS AND OTHER DEBITS ................ CURRENT STATEMENT BALANCE AS OF 07/31/06 ......................... NUMBER OF DAYS IN THIS STATEMENT PERIOD 31 0.25000 8,281.28 1. 45 6,141.75 2,140.98 ----------------------------------------------------------------------------------- *** SAVINGS ACCOUNT TRANSACTIONS *** DATE DESCRIPTION 07/13 WTHDRL SAV 2405 07/13 16:06 2175 BUMBLEBEE HOLLOW MECHA PA 07/25 WITHDRAWAL 07/31 INTEREST PAYMENT DEBITS 141. 75 6,000.00 CREDITS 1.45 ----------------------------------------------------------------------------------- *** BALANCE BY DATE *** 06/30 8,281.28 07/13 ,A t) 0 J')J oJ. W 8,139.53 07/25 2,139.53 07/31 2,140.98 PAYER FEDERAL ID NUMBER INTEREST PAID YEAR TO DATE 23-2324730 20.97 ---------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD DAYS IN PERIOD......................... INTEREST EARNED............... ..... .... ANNUAL PERr.ENTAGE YIELD EJ1.P..NED {ArY).... *** 31 1. 45 n ""r-n u.~.;,)"'O ---------------------------------------------------- NOTE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS CUMBERLAND LA W JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, P A 17013 October 13,2006 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Craig A. Hatch, ESQUIRE Janet 1. Hunter, ESTATE RE: Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. --------------------------------------------------------------------- -------------------------------------------------------- Advertisement inserted on following dates: September 29, October 6, & 13, 2006 Advertising Cost 75.00 $ 0.00 $ 0.00 $ 75.00 ------------- Proof of Publication Second Proof Request Payment received Total Amount Due $ 00.00 -------- --------- Becky H. Morgenthal, Executive Director I ([be patriot-News Now you know Order Confirmation Customer GATES, HALBRUNER & HATCH, P.C. Orderer Account Number 41052 Payer Payer Account Number 41052 Ad Order Number 0001579342 Sales Rep. rholton Order Taker rholton Order Source Fax Special Pricinq None GATES, HALBRUNER & HATCH, P.C. ATTN: TRACI L SEPKOVIC,1013 MUMMA ROAD,SUITE 100 Lemoyne PA 17043 USA PO Number ESTATE OF HUNTER TRACI Ordered By Customer Fax Customer EMail Customer Phone 717 -731-9600 Payer Phone 717 -731-9600 Tear Sheets o Proofs o Affidavits 1 Blind Box Promo Type Invoice Text Materials Total Ad Cost $259.17 Payment Amount $0.00 Payment Method Amount Due $259.17 Ad Number Ad Type 0001579342-0' Legal Liners Ad Size : 1.0X 19 Li Color <NONE> Production Method Production Notes Ad Booker Product Information Classification # Inserts Run Dates PNCO: :Full Run 806-Estate Notices 3 9/28/2006, 10/5/2006, 10/12/2006 Run Schedule Invoice Text LETTERS TESTAMENTARY, for the Estate of JANET I. HUNTER, decease 10/12/2006 8:43:23AM PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS t.; [.m:r;~lllr'III~Jr.fiiTi'illillil~i(:rm1r'iil"l.. EI~ ~dlt ~~\'" Fsf.-'OrltE'~ IO(lI:~ tj~t!:. ..J ..J ~ l.~Sedl(h jJF.3Volltes '..l.~ .:.J.. J --~~~mif~i;t?:itili:L:,~)~;:~,::','.~':'~',,::, >~ -tJ ~ "':;I~ ..~, A'Jdl ~-.;:; ':=:.:../ hHP~,:i.ir.-, I o:onlln"'. m...rf.!:....r~; l::t .(11 ')/' .r'~rtt"t:; ~nllrllliAo:('-HJI)I.:-,lIIT'fll.'tI.;.. V~,.,.d Jr,',.~,]~ p. ESTATE OF IANET l-IUmER TIMOTHY 5 5TROl IL LXECDTOR 1l20AK DRIVE CAMP HILI.. p^ 1:'ll1l-8.'l~ 711.711:13Jb ~=I 103 r""Fllk~~...l~~ ~ ~ 1$~21# l .. '1~~~':-a~~J(%~~._ . n. -1 MHlBrRSl' AUj#fucCG I: 2 n ~a nUl: na 2Hq lint:,,". ot r.hf~Ct-_: r;: ~-.J c:J I . u ~ i!s!l: y,,1( ,,2 ~~f\I ~~~Ollf~ '" \Dt;cr: OZN.,~iii ",0,...0 0 I Uirt) t:;".... ~5;;;c~:: ~>N~~.... ~~~II..- 't I- '101' ~HS.3S [HOUI '300.~/OU It 1(~3Ii::1(\1J'3 .~ I d 2'3 .~20.' >16n.::cr::;,,~ 01lLOI6>l'~'16 t:h",I_'r,,~1 r r~~d l)iI r=.JIJL El'rr .LlB "'l[Hd-a.~j OI'COO!}Jl',;I) '?1Jtv.: rD.? r .,IjO<;L61! 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ME\lBER!i l' ~!~~spWI ,:2H1821ldl: n.82'l2Cl mu.~ trJ =-__ ~l~~ Back of chect-:.: u. ;:J o .a 6 - ~-<<l ~ 5'\2 It> lii I;;:'ffi ~ Z ~"~ S Oo.z... ~UJoz~ J W '"- Ii:- n- 0-' ~o( ,0: ~:}Srf;6=;7~)! t f:?-QC /Q(;;:~;~;: ; ~ -.-::....'-' '~. ',- ..':"; I':\'~~:':r( """:'11 ~Y'~"TlJ P:<1J?!"2 .is,o(i,"1 ~~e.r ~:l. ~.I~~ H LI711E:,/[[tr() , ~ < :t.i ['on-:- ~ l!IlmliI:'IIInIlI_..I~lillmr.:l'ToT:]iI::r.mIIJ'.. tile- ~d1t ~W Flivonte$ look ~ :M ..) .iJ ::il. ~ Sea,ch ~~fi~K~~IJ3j%;~;;:' i.,~". A,1dreS$ ESTATE OF J ANE.T HUN1ER TIMOTHY S STROH1. EXEClfTOR JllOAk DRIVE CAMP Hn.L'A I"'JI-4'!l2 1I1:TJT.:"'<fJ -:;:Q lOB "^.'2~~Z5;~ ! ~'Y!fIJl.ti~~~~.// ~S:$1'3'3'. I ~2'L~~-!Y~~ .~..... ~ ;d.- I n.-'1~MEl1BEllSr ~4~~~$ ~;Z. 1:23UBnl,~l: BB2Q2QOblga o~oa ~~ Back of Check: jg s. () ....0. ~~- o~~ ....<:s~ -Q", 0....., fiE:: ~~: ~~Q'" o 1: 4.FfI "If: f! :-. ; -: ::-~.::t':.[....~-~ GL. ~ :::.;.~:""]~~:;.::~~:z co 8'1 I" ~~.f ~ _ 'i:'ce~};1 ~~;;::.- .~~ .....,:~::-.. .oJ ~=~d ~~r=J~L .S~':L~3 -.:> 1;/11Hd-I3C1.; Ol1lJllt'IOH;/) I . 91Jo~coc:r ijVVHLG:p"r8r r... i m~'Il) Lm,:-;~,;,!w I N c-. ~ .::'..:' '" ~.1 ,~ -0 - U:...:' . - b @j[<one 'i ,;:-- .dQJ2!J ... j., j} j l~t.,,;.; :/ *** END OF ATTACHMENTS *** LAW OFFICES OF GATES, HALBRUNER &-HATCH, P.C. 1013 MUMMA ROAD' SUITE 100 . LEMOYNE, PENNSYLVANIA 17043 (717) 731-9600' FAX: (717) 731-9627 April 25, 2007 BRANCH OFFICE: 3 WEST MONUMENT SQUARE, SUITE 304 LEWISTOWN, PA 17044 (717) 248-6909 WEB SITE: www.GalesLawFirm.com CORRESPONDENCE ADDRESS: Lemoyne Office STACEY L. NACE Paralegal/Office Manager TRACI L. SEPKOVIC Paralegal VALERIE LONG Paralegal LOWELL R. GATES, LL. M. LL. M. in Taxation Also Admitted to Massachusetts Bar MARK E. HALBRUNER CRAIG A. HATCH, CELA Certified as an Elder Law Attorney by the National Elder Law Foundation CLIFTON R. GUISE Also Admitted to practice before the U.S. Patent & Trademark Office SARAH E. McCARROLL Cumberland County Courthouse Office of the Register of Wills One Courthouse Square Carlisle, P A 17013 RE: Estate of Janet I. Hunter File No. 21-06-0756 Dear Register of Wills: Enclosed for filing are the Pennsylvania inheritance tax return and Inventory for the Estate of Janet 1. Hunter. A check in the amount of$211.71 is enclosed as payment of the inheritance tax, and a second check in the amount of$30.00 is enclosed as the filing fees for both documents. Please time-stamp the photocopy of each document and return them to our office in the enclosed envelope. Thank you for your assistance in this matter. Sincerely, & t:0</;( ~~~ '- L--- Traci L. Sepkovic Paralegal Enclosures cc: Timothy Strohl, Executor r' '::::) .......-.! M~'lt<<. ...... .. l'- L.J"') ~ ~ ~ -:t co ~ c::J [5 ~~ ~~ ~ UI ~ ~ III ~ u.J C" :'.':: 0.. 'L , ..~ c:::; ~; ~ \.0 N 0:::: 22 ..- c::r ~ ,<."l c.;(~- I- . CCr., --, ~. l.'-O( 00Q ~ CJ) ~:" ~~-" O:L c.. er: " 0:"; U cJ ~ ~ ~ ~ C5~ ;~ ~.~ :S ~ ~ (f) 8~ ........ ~$ 5z ~~ ~~ a:Z <Z :a:~ :a: - ;:)w :a:Z (f)~ ....:a: Ow ......./ CI.l ..:l ..:l ~~ =~ 00 ~~ 5~~ C.)~~M ~ C,!) O'....t ~CI.l~ rz::l....t Orz::lCl.l< C..)~5p.. e~~rzr <ol:;)..:l ;~OCl.l rz::lc')c')1-l ~E~~ C.)00c.) ~ )