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Home My WebLink About05-11-07 r ..J 15056051058 REV-1500 EX (06-05) PA Department of Revenue *' Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 ~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number Ill_a, DyQO Date of Birth 200-24-1721 OS/22/2006 06/06/1932 Decedent's Last Name Suffix Decedent's First Name MI Zerance Patricia J (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI NONE Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW . 1. Original Return 2. Supplemental Retum 3. Remainder Retum (date of death prior to 12-13-82) 5. Federal Estete Tax Retum Required 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number 7_) o g (717) 232-9~O -i ~:~. - 7J ::r: . I ~.,~ "";"'J. REGISTER' OF~ USE 9Mt.y ", >C;..:.; - _..._J ::;;:;: 4. Limited Estate 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received o 8. Total Number of Safe Deposit Boxes 1400 North Second Street -C'l FFI C> ,---\ '""'1-=\ -J i' -:.;-_.~ "-.-) Diane M. Oils, Esquire Firm Name (If Applicable) Oils & Oils First line of address 1"'..) Second line of address , ~; First Floor, Front City or Post Office Harrisburg en Q.) State ZIP Code DATE FILED PA 17102 Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this retum, including accompenying schedules and stetements, and to the best of my knowledge and beHef, . correct and complete. Declaration of preparer other than the personal representative Is based on all information of which preperer has any knowledge. E OF PERS SIB FOR FILING RETURN DATE - f1'()? DRESS 1400 North Second Street, First Floor Front, Harrisburg, PA 17102 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 1400 North Second Street, First Floor Front, Harrisburg, PA PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056051058 15056051058 .....I 0X -.J 15056052059 REV-1500 EX Decedent's Name: RECAPITULATION Patricia J Zerance 1. Real estate (Schedule A). . .. . . .. .. . .. . . . .. .. . .. .. . .. . . . . .. . . . .. . .. ... 1. 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 3. Closely Held Corporation. Partnership or Sole-Proprietorship (Schedule C) .. . .. 3. 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . " 9. 10. Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I). . . . . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10).. . . . .. . .. .. . .. . . . ... . .. .. . . . .. . .. . 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) .. . . . . . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2)X .0_ 16. Amount of Line 14 taxable at lineal rate X.O 45 44,174.17 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X. 15 15. 16. 17. 18. 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052059 Side 2 200-24-1721 Decedent's Social Security Number 25,000.00 0.00 0.00 0.00 13,219.00 48,421.96 0.00 86,640.96 7,016.86 35,449.93 42,466.79 44,174.17 0.00 44,174.17 0.00 1,987.84 0.00 0.00 1,987.84 15056052059 .....I REV.1500 EX Page 3 Decedent's Complete Address: File Number DECEDENrs NAME DECEDENrS SOCIAL SECURITY NUMBER Patricia J Zerance 200-24-1721 STREET ADDRESS 347 North Second Street CITY I STATE I ZIP Wormleysburg PA 17043 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditS/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 1,987.74 3,718.26 Total Credits (A + B + C ) (2) 3,718.26 3. Interest/Penalty if applicable D. Interest E. Penalty TotallnterestlPenalty ( 0 + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 1,730.52 0.00 0.00 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 ~ b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~ c. retain a reversionary interest; or.......................................................................................................................... 0 I5(j d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 I5(j 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 I5(j 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 three (3) percent [72 P.S. 99116 (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 zero (0) percent [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemDt 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 ofthe child is zero (0) percent [72 P.S. 99116(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 four and one-half (4.5) percent, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)). The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116(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. REV-1502 EX+ (6-9. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF Patricia J. Zerance FILE NUMBER 2106 0490 All real property owned solely or II a tenant In common mUlt be reported at fair market value. Fair market value is defined al 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 II jolntly-owned with right of lurvlvorshlp mUlt be eIl.cloud on Schedule F. ITEM NUMBER 1. DESCRIPTION Oyster Mill Road, East Pennsboro Township, Cumberland County, PA VALUE AT DATE OF DEATH 25,000.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 25,000.00 REV-1503 EX+ (6-98. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Patricia J. Zerance FILE NUMBER 2106-0490 All property jolntly-owned with right of survivorship mUlt be dlacloncl on Schedule F. ITEM NUMBER 1. NONE DESCRIPTION VALUE AT DATE OF DEATH 0.00 0.00 0.00 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheela of the same size) 0.00 REV-1507 EX+ (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT leNIDULI D MORTGAGES & NOTES RECEIVABLE ESTATE OF Patricia J. Zerance FILE NUMBER 21060490 All property Jolntly-owned with right of Iurvlvorshlp mUlt be dlsclOHd on Schtdule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH NONE TOTAL (Also enter on line 4, Recapitulation) $ (If more space il needed, insert additionallheels of the lame size) 0.00 REV-1508 EX+ (6-98) .- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHIDULI I CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Patricia J. Zerance FILE NUMBER 2106 0490 Include the proceeds of litigation and the date the proceeds were received by the estate. All property JoIntly-owned with right of survlvorIhlp mUlt be dlsc:loucI on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1988 Chevrolet Cavalier 475.00 12,131.00 613.00 PSECU Credit Union Account Personal Property (See Attached Inventory) TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 13,219.00 Page 1 of2 Estate ofP.l4- :"'.1. z......- IrNellloI y::: e-y IiiIIg ..... 8yrs okI. or older. Uving room: 1 couch 1 chair 2 lamps 1lV 1AC persoIl8I items. Pictures etc. Total VakJe.. $65.00 Dining R__ 1 dining__ 1 compuIIr personal iIIII-..... c:IiiIa cabnet etc.) TaIBI".... ,.... KiIIchen: 1 stove 1._...... 1 miav. .. 1 ....1IIIIft table penIOIl8I.... (~J 11 ef....... eIc..) TaIBI..... S 10..00 LaundIy 100III: Washer & dIyer Total Value $40.00 Basement: couch & dIIiii" de~j 2 tables 2 lamps personal iIems (wet VIDIUIII *-) TGIIIv-. , 25.110 Bed fOOI'II..:.... .... ~ 1 ~... 2 lamps 1AC 1lV pelIOIWII__1tIDC*1'8J,eID. T ~eIc..) Talllv-.S ....00 Bed room R (1IIf bed RJaIII) This Roo. ..... CJI ....,.. personal belongings in it Bed Roo._ 1 Sewing I&.:: 2 lamps 1 racIo peISOIl8I _( _ - - 1 JI - UIIl, CIII1I!I. CIiIIlIIIliIIII *.~ -- --- SIIi. Hall CIosI!I: Various lali . . -"- r rlr. . - 1'- etc.. TaIBI Value $20.00 Friday, August 11, 2006 America Online: Btrinket56 Page 2 of2 Allie: Various ..... doIhe6. 0..._ iIems. window fan ate. Total Va*Ie $20.00 Qnge: v.ious .... tools. lawn chaiIs. lawn melliei' etc. Total Va*Ie $28..00 Talal = $613.00 Friday, August 11, 2006 America Online: Btrinket56 REV-1509 EX+ (6-98* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF Patricia J. Zerance FILE NUMBER 2106-0490 If an alNt was mad. joint within on. y.ar of the decadent's data of death, It must be raportad on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Barbara J. Horanic 626 Enola Road, West Fairview, PA 17025 Daughter B. C. JOINTLY -OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY lIOF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DEWS VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINn Y.HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 1980 PNC Checking Account #5140257679 3,073.91 50% 1,536.96 1992 347 N. Second Street, Wormleysburg, PA 17043 93,770.00 50% 46,885.00 TOTAL (Also enter on line 6, Recapitulation) $ 48,421.96 (If more space is needed, insert additional sheets of the same size) REV-1510 EX+ (6-98. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON.PROBATE PROPERTY ESTATE OF Patricia J. Zerance FILE NUMBER 2106 0490 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 tlClUllE _ _ OF THE llWlSFEREE. THEIR RElAT10NSHIP TO DECEDENT AI<<) DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COf'r OF THE DEED FOR REAl. ESTATE. VALUE OF ASSET INTEREST (IF APPlICAlll.El VALUE 1. NONE 0.00 TOTAL (Also enter on line 7 Recapitulation) $ 0.00 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHIDULI H FUNERAL EXPENSES & ADMINISTRA11VE COSTS ESTATE OF Patricia J. Zerance FILE NUMBER 21060490 DebtI of decedent mUlt be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: John Sullivan Funeral Home 1,285.00 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Barbara J. Horanic Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 626 Enola Road City West Fairview Year(s) Commission Paid: 2007 4,332.05 Stale PA Zip 17025 2. Attorney Fees 1,000.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Husband 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. The Carlisle Sentinel Cumberland Law Journal State PA . Zip 166.00 158.81 75.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, Insert additional sheets of the seme size) 7,016.86 REV-I512 EX+ (12-03) *' leNIDULI I DEBTS OF DECEDENT, MORTGAGE UABIUTIES, & UENS COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Patricia J. Zerance FILE NUMBER 21060490 Report debts Incurrtd by the decedent prior to duth which remllned unpllcI I' of the dill of death, Including unrelmburaed medical expenll'. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Corncast 95.62 Verizon 69.86 Water 55.00 PPL 62.28 UGI 28.42 PSECU Visa 26.06 Trash & Sewer 115.00 GMAC Mortgage ($50,047.10 total- Joint Names) 25,023.59 PSECU Visa Loan 9,974.10 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, Insert additional sheets of 1he seme size) 35,449.93 REV.1513 EX+ (9-00) *' SCHEDULE ,J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Patricia J. Zerance FILE NUMBER 2106 0490 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Lilt TrustM(I) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Barbara J. Horanic, 626 Enola Road, West Fairview, PA 17025 Daughter 100 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-l500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 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) ., 1fiast ~i1l mID 'illestament of PATRICIA JANE ZERANCE I, PATRICIA JANE ZERANCE, of 64 Rolo Court, Mechanicsburg, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my debts and expenses of my ~ last illness and funeral from my estate as soon after my .~ demise as may conveniently be done. I direct that my body be ~cremated and that the ashes be placed in a suitable container and thereafter be disposed of as my Personal Representative chooses. SECOND I give, devise and bequeath my entire estate, whether the same be real, personal or mixed and wheresoever situate unto BARBARA JEAN HORANIC, my daughter, of 64 Rolo Court, Mechancisburg, Pennsylvania. If the said Barbara Jean Horanic fails to survive me by at least sixty days, I give, devise and bequeath my entire estate to PATRICIA JANE McNELLEY, my - daughter, of 411 Brian Court, Mechanicsburg, Pennsylvania. -1- IJ ~ .~ .~ ~ 8 THIRD In addition to the powers conferred by law, I authorize my personal representative, in his or her absolute discretion: A. To retain in the form received and to sell either at public or private sale, any real or personal property; and B. To manage real estate; and C. To invest and reinvest in all forms of property without being confined to legal investments and without regard to the principal of diversification; and D. To exercise any option or rights arising from ownership of investments; and E. To compromise claims without court approval and without the consent of any beneficiary, but not limited to claims by the Commonwealth of Pennsylvania with respect to inheritance taxes on any future interest passing under this will. F. To continue the operation of any business that I may own at the time of my death for the period of time and in the manner that he, she or it considers advisable and to be in the best interest of my estate, or to sell, or to liquidate the business at the time and on the terms and conditions that he, she, or it considers advisable and in the best interests of my estate. FOURTH All shares of principal and income herein given shall -2- , ,. be free from anticipation, assignment, pledge or obligation of any beneficiary and shall not be subject to any execution or attachment. FIFTH I direct that any and all inheritance, estate and transfer taxes imposed upon my estate passing under my Will or otherwise, shall be paid out of the principal of my residuary estate. SIXTH I willfully and voluntarily make it my desire that my life shall not be artificially prolonged under the circumstances set forth below and do hereby declare: A. If at any time I should have an incurable injury, disease or illness certified to be a terminal condition by two physicians, and where the use or application by any person of artificial, extraordinary, extreme or radical medical or surgical means or procedures calculated to prolong my life would serve only to artificially prolong the moment of death and where my physician determines that my death is imminent, whether or not life-sustaining procedures are utilized, I direct that such procedures be withheld or withdrawn, and that I be permitted to die naturally and with dignity. B. In the absence of my ability to give directions regarding the use of such life-sustaining procedures, it is my intention that this directive be honored by my family and -3- i : physicians as the final expression of my legal right to refuse medical or surgical treatment and accept the consequences of such refusal. C. I execute this directive with the understanding that any person, hospital or medical institute which acts or refrains from acting in reliance on and in compliance with this directive shall be immune from liability otherwise arising out of such failure to use or apply artificial, extraordinary, extreme or radical medical or surgical means or procedures calculated to prolong my life. D. I understand the full import of this directive and lam emotionally and mentally competent to make this directive. . SEVENTH I nominate, constitute and appoint BARBARA JEAN HORANIC, my daughter, as personal representative of this my Last Will and Testament. In the event of the renunciation, death, resignation or inability to act for any reason whatsoever of Barbara Jean Horanic, I nominate, constitute and appoint Patricia Jane McNelley, my daughter, as personal representative of this my Last Will and Testament. I hereby relieve my personal representative from the necessity of posting security in connection with duties as such in any -4- . . . jurisdiction in which my personal representative shall be called upon to act insofar as I am able by law to do so. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament, consisting of 5 typewritten pages, the first 4 of which bear my signature in the margin for the purpose of identification this ;--) 9~ day of '-7ryvu~/) ( , 19-*-.. ~&&;-<0~~ PATRICIA JANE ZERANCE SIGNED, SEALED, PUBLISHED AND DECLARED BY THE ABOVE NAMED TESTATRIX, Patricia Jane Zerance, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. ~ r?!-.~::-.J (..: .;{.--.;::~ l c~ of (~f;' (-::; i: ,'. p~. .,'...,"" -...., 'i__' 1-.) (., '; eA- ! 7'2, 7<. 'f-Li~in/V ~t:JLnJ of ;[),i~b(/r~ ?JJ /7171'7 r-71 -5- . of ',.. . . COMMONWEAL~~L~~PENNSYLVANIA COUNTY OF 'tj.~,,- SS I, Patricia Jane Zerance, the Testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed this instrument as my Last Will and Testament; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by the Testatrix, this c:.2'1~day of -n7tLAeI~ 19 9~ NOTAl\! 1\1,. ~Ja~ MARV 0 v,~MAGl, WQT~V 'Ui~IC 'AIRvtEW r~p. YORK COUNTY MY COMMISSIQN EXPIRES MAY ,. 199Q Notary COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~. : S5 We, S\"6Prrf0 Ie. ~~"",-l0 and IJ~ R! ){/i/7Y~4J , the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the aforesaid Testatrix sign and execute the instrument as her Last Will and Testament; that she signed willingly and that she 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 witnesses; and that to the best of our knowledge, the Testatrix was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Sworn or this ~ H~ day affirmed to and subscribed to before me, of LyyJ.?1C~ .-/' , 1 9 ..'; t1 . w~jfJ:, ..~ lc (~~J /' n2/J V,~~~L.be Witness . !//. ,Y: L f--/ :&-,. G--- .. /</OTM<IAl SEA' r'lAR~ ;). 'iU,f:AGF. ~IOTA ~~JcY F.lllIlV![W T'tIP. YORi< COUNTY ~ CO~:~HSS:O'j EXPIRES MAY 7, 1990 --...~---_.- -6- 0@&0@ ATTORNEYS AT LAW 1400 NORTH SECOND STREET (FIRST FLOOR FRONT) HARRISBURG. PENNSYLVANIA 17102 ARTHUR K. OILS DIANE M. OILS May 10,2007 Cumberland County Register of Wills A TTN: Kris Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 RE: Estate of Patricia J. Zerance Dear Kris: o ~o '.. ::IJ :-0 ;-r'O "X'o::'n ~-=-r5~ -- ~~:~3 S~ -35 -l PHONE: (717) 233-8743 FAX: (717) 233-2567 ,-.;) = <= --.t ::::!5: :::~ --< -0 f'V U1 -J Enclosed is an original and two copies of an Inheritance Tax Return to be filed in your office. Also enclosed is my check #2438 in the amount of $15.00 which I believe are the costs for the same. Would you please return one clocked in copy to me in the enclosed self addressed stamped envelope? Thank you for your assistance in this matter. DMD/dmh Enclosures -'l,:"~ en ...... ~ +-' Il) Il) ~ +-' r/l '"'0 !::: o +-' U !::: Il) 0 r/) ~ ...c::~ ..... ~ !=: 2 ,- ; I '" ~ .... ., o '" ... " E 0 '" ..c "@) ~ ., 0" e<: U1;; € 0 g.", ;:S 3 t/)- o 0 ll) 0 U u~~ "tI "tI 0 ~"E ~ "E ;:: ti~"Eg~ E "".0 UOi "Bs,,;,:: u<88d