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Home My WebLink About08-03-07 (2) . . --.-J REV -1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 15056041158 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year 21 07 File Number 137 ENTER DECEDENT INFORMATION BELOW 197-62-4552 Date of Death 12/16/2006 Date of Birth Social Security Number 11031966 Decedent's Last Name Suffix Decedent's First Name 111I1 MINAHAN MICHAEL P (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW []] Original Return D 2. Supplemental Return D 3. D Remainder Return (date of death prior to 12-13-82) D IT] o o 4a. Future Interest Compromise (date of death after 12-12-82) Decedent Maintained a Living Trust (Attach Copy of Trust) Spousal Poverty Credit (date of death 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: 6. Decedent Died Testate (Attach Copy of Will) o 11. Election to tax under Sec. 9113(A) 4. Limited Estate 5. Federal Estate Tax Return Required 9. Litigation Proceeds Received o 7. 010. 8. Total Number of Safe Deposit Boxes Name Daytime Telephone Number GATES~ HALBRUNER & HATCH~ P.C. 717-731-9600 () REGISTER OF wiL!- i~SE ONLY ~..~ . =:, r- ::-) \.'4==) CLIFTON R. GUISE~ ESQ. Firm Name (If Applicable) First line of address rn ~::J I W 1013 MUMMA ROAD~ SUITE 100 ~-_...... --0 Second line of address ) :..~~ f'V [> City or Post Office State ZIP Code DATE FILED \.D LEMOYNE PA 17043 Correspondent's e-mail address: C.GUISE@GATESLAWFIRM.COM Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. DATE N AVENUE~ ENOLA~ PA 17025 ~ REPRESENTATIVE DATE MUMMA ROAD~ SUITE 100~ LEMOYNE PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056041158 6M4647 3.000 15056041158 --.-J~ . . Estate of Executors (Page 1) Name Mae T. Minahan Address 90 Queen Avenue Enola, PA 17025- Tax ID 161-36-1975 197-62-4552 l . ---I 15056042159 REV-1500 EX Decedent's NameM I N A H A N RECAPITULATION 1. Real estate (Schedule A) 2. Stocks and Bonds (Schedule B) . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C). 4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E). 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested 8. Total Gross Assets (total Lines 1-7). 9. Funeral Expenses & Administrative Costs (Schedule H) . 10. Debts of Decedent, Mortgage liabilities, & liens (Schedule I). 11. Total Deductions (total Lines 9 & 10). . . . 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) . 14. Net Value Subject to Tax (Line 12 minus Line 13) . Decedent's Social Security Number 197-62-4552 MICHAEL p . 1. 0.00 0.00 0.00 . 2. . 3. .4. 0.00 . 5. 28015.00 0.00 . 6. . 7. 0.00 28015.00 6248.00 . 8. . 9. 10. 7733.00 11. ]13981.00 12. ],4034.00 13. 0.00 14. 14034.00 TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers u~er Sec. 9116 (a)(1.2) X .0_ 0.00 16. Amount of line ~4 taxable at lineal rate X .o---.S 10344 . 00 17. Amount of Line 14 taxable atsiblingrateX.12 3190.00 18. Amount of Line 14 taxable at collateral rate X .15 500.00 19.TAXDUE...... 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 15056042159 6M4648 2.000 15. 0.00 16. 465.00 17. 383.00 18. 75.00 19. 923.00 D 15056042159 ---I . . REV-1500 EX Page 3 Decedent's Complete Address: File Number 137 DECEDENTS NAME MINAHAN MICHAEL P STREET ADDRESS 503 NORTH 21ST STREET CUMBERLAND CITY IrATE I: ZIP CAMP HILL PA 17011- Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 923.00 0.00 0.00 0.00 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 Totallnterest/Penaily (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. 0.00 (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) 923.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 923.00 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes D D o D D D D No [K] [Xl [K] [K] [X] [K] [K] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. F or 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 PS 89116 (al (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. 139116 (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 return are still applicable even if the surviving spouse is the only beneficiary. F or 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 use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 139116(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. 139116(1.2) [72 P.S. 139116(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. S9116(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. 6M4671 1000 . . , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE REV.1502 EX + (6-98) ESTATE OF FILE NUMBER Michael P. Minahan 21 07 137 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 jointlY-<lwned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 . None DESCRIPTION VALUE AT DATE OF DEATH 3W4695 1.000 TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ o 1 REV-1503 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 8 STOCKS & BONDS ESTATE OF FILE NUMBER ~chae1 P. ~nahan 21 07 137 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. None DESCRIPTION VALUE AT DATE OF DEATH 3W4696 1.000 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) o . . REV-1504 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN DE DE EDENT ESTATE OF SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP FILE NUMBER Michael P. Minahan 2107 137 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. None 3W4697 1 000 TOTAL (Also enter on line 3, Recapitulation) <If more space IS needed, Insert additional sheets of the same size) $ o . . REV-1507 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Michael P. Minahan SCHEDULE D MORTGAGES & NOTES RECEIVABLE FILE NUMBER 21 07 137 All property joint/y-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH None TOTAL (Also enter on line 4, Recapitulation) $ o 3W46AC 1.000 (If more space is needed, insert additional sheets of same size) . REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF ~chael P. ~nahan FILE NUMBER 21 07 137 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 2000 Chevrolet 810 Pickup Truck 3,190 2 Used car racing suit and helmet 250 3 Model Cars and Die Cast Cars 300 4 PSECU savinga account number 0197624552 (including accrued interest of $296.00) 24,075 5 Used electric hand tools 200 3W46AD 1.000 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 28,015 . . REV-1509 EX + (5-98) SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEA L TH OF PENNSY LV A NIA INHERfTA NeE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Michael P. Minahan 21 07 137 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SU:<VIVING JOINT TENANT(S) NAME ADDRESS RELA TIONSHIP TO DECEDENT JOINTL Y-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DA TE OF DEATH fTEM F OR JOIN MADE INCLUDE NAME OF FINANCIAl INSTITUTION AND BANK ACCOUNT DA TE OF DEA TH DECOS VALUE OF NUMBER JOINT NUMBER OR SiMIlAR IDENTIFYiNG NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEOB\IT'S INTEREST TENANT JOINTLY-HELD REAL ESTATE. None TOTAL (A1~" "nt"r on line 6 Rp.r.",njtlllation\ !t 0 (~ more space is needed, insert addrtional sheets of the same size) 3W46AE 1 000 . . REV-1510 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~chael P. ~nahan SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21 07 137 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 tl\CLlLE n-E NAME OF n-E TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT nD DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBEF Tl-EOATE OF TRAI'SFER ATTPO-I A COPY OF TI-E DEED FOR REAL ESTATE VAlUE OF ASSET INTEREST f1F APPUCABLE\ VALUE 1. None TOTAL (Also enter on line 7, Recapitulation) $ 0 (If more space is needed, insert additional sheets of the same size) 3W46AF 1.000 REV-1511 EX + (12-99) . . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Michael P. Minahan ITEM NUMBER A. B. 3W46AG 1000 FILE NUMBER 21 07 137 Debts of decedent must be reported on Schedule I. DESCRIPTION 1. FUNERAL EXPENSES: Musselman's Funeral Home-funeral expenses 2 Funeral reception ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Mae T. Minahan Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 90 Queen Avenue City Enola State PA Zip 17025 Year(s) Commission Paid: waived 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as daimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Cumberland County Register of Wills-Miscellaneous photocopies Total from continuation schedules TOTAL (Also enter on line 9. Recapitulation) (If more space is needed. insert additional sheets of the same size) AMOUNT $ 3,079 200 2,500 111 3 355 6,248 . Estate of: ~chael P. ~nahan Schedule H Part 7 (Page 2) 2 Cumberland Law Journal-Publication of Notice to Creditors 3 The Patriot News-Publication of Notice to Creditors Total (Carry forward to main schedule) . 197-62-4552 75 280 355 . . REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA I Nf-ERITANCE TAX REruRN RESIDENT DECEDENT ESTATE OF Michael P. Minahan SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21 07 137 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Pinnacle Health 293 2 Mobile X-Ray Services 6 3 Internists of Central PA 31 4 Central Pennsylvania Transplant Associates 84 5 Riverside Anesthesia 60 6 Moffitt Heart & Vascular 71 7 Penn Rehab 10 8 Hershey Kidney Specialists 24 9 Urology of Central PA 14 10 PharmaCare 1,033 11 Consumer Credit 21 12 PSECU-Visa Loan repayment 6,086 3W46AH 2.000 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 7,733 . . REV-1513 EX+(9-00) COMMONWEALTH OF PENNSYL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Michael P Minahan FILE NUMBER 21 07 137 1 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [indude outright spousal distributions. and transfers under Sec. 9116 (a) (1.2)] Gail W. Hicks 1704 Brill Street Philadelphia, PA 19124-1231 - Model Cars and Die Cast Cars RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE NUMBER I Aunt 300 2 Warren F. Kone 832 Lisburn ROad Carlisle, PA 17013 - Used small electric tools None 200 3 Joseph Minahan 3735 Buck Island Road Charlottesville, VA 22902 - Used racing suit & helmet Father 250 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 B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 3W46AI 1.000 TOTAL OF PART II. 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) $ o . Estate of: ~chael P. ~nahan Item No. 4 5 Schedule J Part 1 (Page 2) Description Kathleen ~nahan 813 Rancocas Avenue Riverside, NJ 08075 - 2000 Chevroler S10 Truck (Book Value $3,190) Sister Mae T. ~nahan 90 Queen Avenue Enola, PA 17025 Mother . 197-62-4552 Relation Amount 3,190 10,094 . . Estate of Michael P. Minahan Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT A Copy of the Certified Death Certificate of the Decedent ! l; Ii ii.,; ,;: i"::i~':C.it'h::;~\i", ", (i !-,jil'__'t: ~. J : \ i .,.".,.",...<.,.- \,' : _ J'. : ~_ "\ ! ~ : l " ~_ I '. -; i ~_~ :~ l ~ ii { ! f..' ~ ;: L' I, '" j ~ ,II ::(._\...'Uj'tL n L i -!. ~ L_ \'V/~~_qr~~~\~(:~:, ~.:, ~f:-- t~} ::iUT.d~ca~e tt-~ ~;:~ r.r,,~--,.( ...- ...< !'--~ l' ~"\. ~"" .~" t' ..~,.-..::,. ...~. t ~~j/(, 1-..J''I.....~i'..;.1\' ~"', ~ "'.f ~ ~'n i 1 j ( H; /7 -fA/l ~ / /~ ~A r/r/ "1- '~'''.~ J....~-. f..,A/rVT(...- r <: /CL/~'f-,"",,_ -~--~-'--'., ',-- -----,--------i' ___n_ \led: p 1"'!')Q'i'?5Q9 .::::..uLf,---~ u IJ P" 1 r' 'Ju['nR ~ l..-..,J ~..- .J L l.j;..) L)~l; l EV.02/2000 'RINTIN "'ENT KINK 1. Name 01 Decedent (FlISt, middle, lasl, suffIX) COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Nov.3,1966 7. Birthplace Ci cn:lslaleorlo . Dec.16,2006 5 Age (Last ""May) 40 v~, 6. Dale of Birth Mcnitt, d Ft. Dix, NJ DR...,..." D Other ' Spedfy' 10. Rcce: American Indian. Black, While, ete (S_I white Bd. Facii~ N"", Iii noII1sliluOOn, gNu '!ree' and 0IJnlberj Haccisburg Harrisburg Hospital 11 Decedents lnual tIon Kind 01 WQ(k. done durin most 01 worIdn Itfe, Do not 81ale rellred.) Kind of Work Kind of Business I Industry Decedant's ActualResidence 17a.Stale 17b.County Pennsylvania Cumberland 17C.txlYes,OecedenlliYedInRrl~t ppnn~h()rn 17d. D ~~::':i<ed- Two City/Soro Joseph Patrick Minahan 19. Mother's Name (First. middle, maiden 9(lmame) Mae Weise 201.1. ~lrumanl's MaRing Address (~treeL cIIy I bm, slate, zip lXlde) 90 Queen Ave., Enola, PA 17025 21b. Dale of Disposition (Month, day, year) 21c. Place of Disposition (Name of cemeteJy:mmatmy or oIher place) 21d localion (City Ilown. stale, zip rode) Evans Crernati'oriService Leola,PA17540 22c. Name and Addmss of Faclity FH&CS,324"P/,ummel Ave., Lemoyne, PAl 7043 23<3 To the beGl of my knowledge, dealh 0CCUfT8d atlha time, dale and pIaal staled. (SlgrlalJlum.m title) (;J tJ' CY').. dC~ /' tvL~ 25. Dale PI'OllOUlll:ed Dead (Month, day, year) 1,)-16-06 23b, llcer!!le Number CanP te Items 23a-c ordy when certifying physician is not available allima of dealh 10 . cettifycBugeoldeeth. l~ 24-26 must be completed by persoo . who pronounces deatl1. OiJ"CC' Z}j 6 Lf L 23c. Dam Signed (Month, day. )'8a'"l ;2- 16 ,of, 26. Was Case Referred 10 Medical ExEminef' Coroner for a Re8SlJn Other lhan Cremation or Donalu17 Dv" ~NO CAUSE OF DEATH (Se8 Instructions and 8xamples) Item 'Zl. PART l: Enler!he~. diseases, l1;Ulills, Of compicalions -lhat cflrecUy caused the dealh, DO NOT eolar 18rm1nal evenlS such as cardiac arrest, rBSpi'mry arrest, Of ventricular fitNillatioo wittloul !lhowng the elidogy. UsI only one cause on each file =~~~;J~=dige~ : Approximale interval: : Onsal to Death Part It: EnIef other slo1lilicanl mndilinns cnnlrihlltim 10 dP.alh buI not resulling in the underlying catJSS given in Part!. 2B. Od T obac:co Use Contribute to Death? D V" D Prob"'. o ~lo 0 Unknown 29. tfFemale: o 1>101 pregnanl within past year o :Iregnanlaltimeofdeath o ~ot Pffignant, DullX'Elgnant wlthtn 42 ds}'5 ,)Idea(h o '\101 plBQnanl, but pregnant 43 days 10 1 year I)fdeatl1 o Unknown il pregnant within the past year 32t. P1ac:e 01 Injury: Home, Farm, Slreel. Fadery, Office BulldifYJ, etc_ (Speclfyj DYes ~NO D v" 0 No 31 Manner of Death ~Natural 0 Homicide o Acddenl 0 Pending Invesligaliorl o Suicide 0 Could Nol be DetermIned 32d. TlmeoflrllX'Y 32g_ Location 01 lnjlf'y (81ree!. city Ilown. S!8m) Due to (or as a l:Onsequenre 01') Sequelllially list oonditions, iI any, ~1: ~se:~I~~C~~SE ldisease or injury lhal inilialed lhe events resulting III death ) LAST . Due 10 (or as a conSllQuence of) OUl'llo lor as a conSeqUe.nC8 of) JOa. Was an Autopsy Performed? 3Ob. Were Autopsy Noongs AvaKabIe PriOlto Completion of Cause of Death? 321'. II Transportation Injury (Spec;fy} o Driver J Operalof 0 Passenger 0 Pedestrian D O~", Specify, 33a, Certifier (check only one) 3~3b, Signature and T~lJec.f,\.vtqCertifier ~.fv~b Certlfying physician (Physician certifying cause of dealh when another physician has plOllOUnced death and camp/eled lIem 23) . To the best or my knowledge, death occurred dUG to tho caus9(s) and manner as 5181&9_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _...D ~~O;~U:;~~t~~ ~~~:~~~.hJ:~~~B:d:~:i~ ::l==,n:n~e~~c:~~:rtiZ~;t~t~u::u:~:r~~d manner as Slat!<L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _..D 33c. Ucanse Number ~~~:~~:,n;:;:::~~~~~~~ .nd I 0' In,..Ug.tio,,'" my op""on, deo'h ",c"",d "th. Um" dat., .nd pl.ce, ,nd"" to the ,"".ef'f end menn".. "at!"- _ nO;) - W"; 1.(6 L( L 35. Regislrar'sSignalUrea islriclNumber ~/ vc:----''/a' A A A ,hf ~. "d...ndAdt~u~~,~'.',utr't(ar~~.~;h;iiU20TypeiPrim ( '- l I> /C_/UJ.<UiA/<-" I JI/, ~I/I! I r+.U(~S 6JeB Gipyr,h~ Ctec'fV(,j!)UfC) Pit . . Estate of Michael P. Minahan Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT B Copy of the Last Will and Testament of Michael P. Minahan Dated November 11,2004 . . . d, \ - D -l- ()\31. RECORDED OFFICE OF REGISTER OF \V'ILLS 2007 FEB 9 PM 3:31 CLERK OF ORPI'L\NS' COURT CU},ffiERL\ND CO., PA Last Will and Testament BE IT KNOWN that I, if} I e Ii fl E L ;J , a resident of 'ie' CitICEA) t1 lip, E.{{'~ H State of ;:';k:t>t/j f d/ft-;[ j/J- I IlJ / /U/l /I r9 A / [Name ofTestator], j1jC/ , County of t:[I"fJ;JntL r7'A~in the , being of sound and disposing mind and memory and over the age of eighteen (18) years, and not being actuated by any duress, menace, fraud, mistake or undue influence, do make, publish and declare this to be my last Will and Testament, hereby revoking all my prior Wills and Codicils at any time made. I. MARRIAGE AND CHILDREN: I am married to IV j f.t [husband or wife] are references to Name: Name: Name: Name: 1 , and all references in this Will to my [him or her]. I have the following children: Date of Bi rth: Date of Birth: Date of Birth: Date of Birth: II. EXECUTOR: I appoint f~551eA 5/1A17ZJ of J~~A1Y 6r HfJ.{f.'/36 j/.r~';; / jJ If ,as Executor of this my Last W~II and ~stament and provide that if this Executor is unable 0/ unwilling to serve then I appoint ;/'litE 11;/,.t(f /1'4 AI of fp t;t/1Ta.J #i/R.} ELft'L/9, ;0.4 -' as alternate Executor. My Executor shall be authorized to carry out all provisions of this Will and pay my just debts, obligations and funeral expenses. I further provide my Executor shall not be required to post surety bond in this or any other jurisdiction, and direct that no expert appraisal be made of my estate unless required by law. III. GUARDIAN: In the event I shall die as the sole parent of minor children, then I appoint AI /f./- . as Guardian of said minor children. If this named Guardian is unable or unwilling to serve, then I appoint as alternate Guardian. IV. BEQUESTS: I direct that after payment of all my just debts, my property be bequeathed in the manner following: Name: ;]o/;;:(~ JI i17;/),/JJfd.4) Relatio~ship: ~/f77lE--< ~ h ,L.-- ?l~/ ..;tJ ........,..-- '" I - /'-r/li-L.J:.1 __ (,Vf/../. ///4:::" /l/ ,/ Address: C'/( ffftO T5 JljZLE: VA Property: /f/7-e/.~ G.,~ "f-/( Name: mt1E 41;;1/:1///<1/ Relationship: ff/ 'il-F /1/4/19 :5 7/./fre /::- //lA: I') jl!'ES , rc~ tJA&Ed /J/e, ,.- 10/ /l P. /.l ',"', "L'- Address: .c .&P/-/7 /1 / /c'J.;; Property: 619.1//( . #r;C'..?>,j/,j'/-rS fl,1f/!1,7T /U~~ A) Page 1 WWW50crates.com @ 2004, Socrates Media, LLC . . -'cECORDED OFFICE OF REGISTER OF ~nLLS 2007 FEB 9 PM 3:31 CLERK OF ORPHANS' COURT CU~IBERL-\ND CO., P.-\ La t Will and Testament ............... ................................................................................... ...................................,.................." }vI A [Name ofTestator], a resident of , County of , in the State of being of so d and disposing mind and memory and over the age of eighteen (18) years, d not being actuated by any duress, menace, f. ud, mistake or undue influence, do make, publish and declare this to be my last . I and Testament, hereby revoking all my rior Wills and Codicils at any time made. I am married to [husband or wife] are references to Name: Name: Name: Name: , and all references in this Will to my . I have the following children: Date of Birth: Date of Bi rth: Date of Birth: Date of Birth: II. EXECUTOR: I appoint of , as Executor of his my Last Will and Test ent and provide that if this Executor is unable or unwilling to serve then I appoint of ' as alternate Executor. My Executor shall be uthorized to carry out all provisions of thl Will and pay my just debts, obligations and funeral expenses. I further provide my ecutor shall not be required to post surety bo direct that no expert appraisal be ma e of my estate unless required by law. 111. GUARDIAN: / In the event I shall die as the sole parent of minor children, then I appoint as Guardian of said minor children. If this named Guardia unwilling to serve, then I appoint as alternate Guardian. IV. BEQUESTS: I}bDI/,o/lJ{ Tp r4:Jt? Ja:A/cI~ /"6eruesis Name: If 0'6~/ tt..Jp?5e 7iL Relationship: If ./) C L e I direct that after payment of all my just debts, my property be bequeathed in the manner following: 1'lt/!/5/-/4aJt7 S;r: Address: y:' II/l.../J-J) !?2.,/J!/~. ;x1 A Property: eA~ . , Ld 1/~ r ,_ ,{/(_ Page 1 www.socrates.com @ 2004, :;ocrates Media. LLC I F:n::;.. Rpv 1),1/04 . &C,OKUtLJ Vi" .~~ -- ~rr;.lSTER OF \'V1LLS ',- I FEB 9 PM 3;31 CLERK OF ORPI-L\NS' COURT CUMBERL\ND CO., p",," IX. OPTIONAL PROVISIONS: I have placed my initials next to the provisions below that I adopt as part of this Will. Any unmarked provision is not adopted by me and is not part of this Will. If any beneficiary to this Will is indebted to me at the time of my death, and the beneficiary evidences this debt by a valid Promissory Note payable to me, then such person's portion of my estate shall be diminished by the amount of such debt. /.1 PrY! Any and all debts of my estate shall first be paid from my residuary estate. Any debts on any real property be- queathed in this Will shall be assumed by the person to receive such real property and not paid by my Executor. JI1f)f1' j I direct that my remains be cremated and that the ashes be disposed of according to the wishes of my Executor. I direct that my remains be cremated and that the ashes be disposed of in the following manner: I desire to be buried in the cemetery in County, X. SEVERABILITY AND SURVIVAL If any part of this Will is declared invalid, illegal or inoperative for any reason, it is my intent that the remaining parts shall be effective and fully operative, and that any Court so interpreting this Will and any provision in it construe in favor of survival r' Te~fo~ Initials ~ P fI~ Execute and attest before a notary. Caution: Louisiana residents should consult an attorney before preparing a will. r71 .1~~~ IN WITNESS W~EREOF, I have hereunto set my hand this /1 day of -it? ley. ' oZ ITTJ 1 (year), to this my Last Will and Testament. ;F Testator Signature: ffI~ f ~!k.i XI. WITNESSED: The testator has signed this will at the end and on each other separate page, and has declared or signified in our pres- ence that it is his/her last will and testament, and in the presence of the testator and each other we have hereunto subscribed our names this 1/ en day of ,#(/t~'f-r'J<..-UJ ,20 of . ~ I~. C7Qfj Page 3 WWVII.SQcrates.com @ 2004 Socrates Media. lLC . . Estate of Michael P. Minahan Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT C Copy of the Short Certificate Letters Testamentary issued on 2/28/2007 . . STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND SHORT CERTIFICATE I, GLENDA FARNER STRASBAUGH Register for the Probate of wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on the 28th day of February, Two Thousand and Seven, Letters TESTAMENTARY estate of MICHAEL P MINAHAN in common form wel-e gran ted by the Regi s ter of said County, on the , late of EAST PENNSBORO TOWNSHIP (Fir.;;.'. Mirlrllp. '~~t) in said county, deceased, to MAE T MINAHAN IFirst, Middle, Last) and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 28th day of February Two Thousand and Seven. File No. 2007-00137 PA File No. 21-07-0137 Da te of Dea th 12/16/2006 S. s. # 197-62-4552 d& '~ M' VI ~ . . . , J ., ;l:i4 _. ..U~tafJ/m~ Register t11!:f bO fj tUe &A Dep NOT Vll.LID fA!ITHOUT ORIGINll.L SIGN.~TURE .~ND IMPRESSED SE.~L . . Estate of Michael P. Minahan Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT D Documentation of Assets 07/1 0/2007 08 12 FAX 717 30.50 PROVIDER RELATIONS . ~ 002/002 ! PSE(iIa _Ln. " ",... .-.--." .-.--...........- .. .-..1"" .. "'- ----......"' -----... ..".-. - ....--. ...... ...........- ..... ....-..,. ,.-...... ..,", l July 3, 2007 Ms Mae T Minahan 90 Queen Ave. Enola, PA 17025-2337 Re: Michael p, Minahant Deceased. PSECU Account # 0197624552 Dear Ms. Minahan: The account was opened on February 04, 1994. The Share accounts were held solely by Michael P. Minahan. The Visa Loan was held individually by Michael P. Minahan. The following are the Date of Death Balances for Mr. Minahan's account with PSECU: Account Date of Dea.th Balances lnterest Savings Checking (S1) (S4) $ 23,779.46 $ $0,00 $ 296.00 $ 0.1 5 Loans: V isa Loan (L9) $ 6,085.94 If you have any questions, please contact me at (717) 234-8484 or toll-free at (800) 237-7328, then press 6, extension 3120. :f;~ ') jNJ Roxann Myers 1;J Servi~e Advisor PSECU , I penn,ylvanjg State Employ..s Cr.dit Union I Main Addrsss; 1 Credit Union Pla~e, Horrisbvrg, PA 17110-2990 . 717,234,8464 . 600237.7328 ;j,..clo ....... ." .. ... ..... u U ....u M~!lin.g Addr':5~,:.P.O'H~9.~,67013!H,?~~is_bvrg<~A l71.06-7Q13 . 717.,777:219D(!DQ) . 6p0,472:1.96!JTP.D.)I" ",II ,reail Jmon "fBderally 'n$~r.d by the NaTional <:,odl1 Vnlon Adrn,n''''Olion E~~~I Opponcnirv LBnder S f , WWW.p ecu,c;om KeNey BIlle all THE TRUSTED RESOIJRCE. ..<<.....-......-. kbb.Clllll . advertisement Search Used Car Listings Lis Quick Dealer Price Quote 2000 Chevrolet 510 Pickup Short Bed COMPARE CARS REVIEWS & RATINGS CLASSIFIEDS flNANel BLUE .BOOK'B TRADE~IN VALUE, More Photos NEXT STEPS: USED CARS Home > Use~:LCQcs > PickuD > Chevrolet> 510 PickuD > 2000 > Short Bed> Equipment SELL YOUR IJSED CAR on Blue Book Classitieds™ Reach millions of shoppers on kbb.com, Cars.com, and other popular sites. Find out more, Click BUY A USED CAR on Blue Book Classifieds™ Chevrolet 510 Pickup 30 Miles or less ZIP Code f17025 To View Ads, Click FIND THE R1GHT CAR Compare Used vs. New Under $5,000 Both New and Used Pickup Condition Value Trade-In Value Private Party Value Suggested Retail Value Photo Gallery Compare Vehicles NElli! 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Mileage: Engine: Transmission: Drivetrain: 46,000 4-Cyl. 2.2 Liter 5 Speed Manual 2WD Selected Equipment Change Equipment Standard Power Steering AM/FM Stereo Dual Front Air Bags ABS (4-Wheel) Blue Book Trade-In Value Trade-in Value is what consumers can expect to receive from a dealer for a trade-in vehicle assuming an accurate appraisal of condition. This value will likely be less than the Private Party Value because the reselling dealer incurs the cost of safety inspections, reconditioning and other costs of doing business. Vehicle Condition Ratings Check Vehicle Title History Excellent rJ'tDOC $3,525 "Excellent" condition means that the vehicle looks new, is in excellent mechanical condition and needs no reconditioning. This vehicle has never had any paint or bOdy work and is free of rust. The vehicle has a clean title history and will pass a smog and safety inspection. The engine compartment is clean, witll no fluid leaks and is free of any wear or visible defects. The vehicle also has complete and verifiable service records. Less than 5% of all used vehicles fall into this category. Good 0000 $3,190 "Good" condition means that the vehicle is free of any major defects. This vehicle has a clean title history, the paint, body and interior have only minor (if any) blemishes, and there are no major mechanical problems. There should be little or no rust on this vehicle. The tires match and have substantial tread wear left. A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. Fair 1ill"~!l'It'.,,.-'*" tJ~=,fW $2,620 "Fair" condition means that the vehicle has some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. This vehicle has a clean title history, the paint, body and/or interior need work performed by a professional. The tires may need to be replaced. There may be some repairable rust damage. Poor ~ lS NfA Finar Get a Nev 6.19% AF Get a Pre 6.65% AF Your Cree Get a Frel a . .,poor" condition means that the vehicle has severe mechanical and/or cosmetic defects and is in poor running condition. The vehicle may have problems that cannot be readily fixed such as a damaged frame or a rusted-through body. A vehicle with a branded title (salvage, flood, etc.) or unsubstantiated mileage is considered "poor." A vehicle in poor condition may require an independent appraisal to determine its value. Kelley Blue Book does not attempt to report a value on a "poor" vehicle because the value of cars in this category varies greatly. * Pennsylvania 7/20/2007 Accurate Condition Appraisal Change Condition Accurately appraising the condition of a vehicle is an important aspect in determining its Blue Book value. Taking our 16 question condition quiz will ensure you know the correct condition rating. NEXT STEPS: Get Pricing on New Vehicles Sell Your Pickup @ 2007 Kelley Blue Book Co., Inc. All rights reserved. May-Aug 2007 Edition. The specific information required to determine the value for this particular vehicle was supplied by tile person generating this report. Vehicle valuations are opinions and may vary from vehicle to vehicle. Actual valuations will vary based upon market conditions, specifications, vehicle condition or other particular circumstances pertinent to this particular vehicle or the transaction or the parties to the transaction. This report is intended for the individual use of the person generating this report only and shall not be sold or transmitted to another party. Kelley Blue Book assumes no responsibility for errors or omissions. (v.07075) Email This Page RSS .;j"i:j~ ,.,_~~<m=,~=.""='''''_'''H<<;;"",,,'''''''<'::''-'''-=''''''>I~-.-mfllj<>l~''~~~=<<'''<-;~_<<>nw_.;"'~''''=i'==>$M!iZ-;J<~~===<''='='''_'=l,,~O!_,'~''~<W~''Aj''9'.'''',,--""""' Careers F".Q rv1ecila Center Advertisinq l:;uy the Book About Us Contact Us Site t~ap Privacy Policy Copyright & Trademarks @ 1995-2007 Kelley Blue Book Co., Inc. 07/24/2007 15.51 FAX EstsbllshfJd 1895 Srlan G, Musselman, f,D, Supsrvi6IJf Wllliam G, Pagan, F.D. p.O. Box 137 324 Hummel Avenue Lemoyne. PA i 7043-0131 (717) 763-7440 Fa~; T\ 7-73Q-9798 www.musselman1uneral."om 1 ab~d 717 30.50 PROVIDER RELATIONS To Funaral ExP~nSCIS 01 MICHAEL P. MINAHAN Mae Minahan 90 Queen ~"'e. Enola, PA 17025 2006 Dee. 19 SERVICES FOR CREMATION & M~MO~IAL Transfer hray Sheet. ll'I.U,l urn c~sh ~dvance Items: Vaae of flowere Copies of death certificate Ne~spaper de~th notice Minis~Qrts qratuity Crern~tion authorization TOTAL FOR APPOlNTl.\ENT PHONE'm.7S307.40 96L60(LLH . ~ 002/002 De .19,2006 $2.550.00 150.00 125.00 $53.00 ~6.00 69.90 50.00 25.00 $2,623.00 $253.90 $3,078.90 dLO:ZO LOOt'vZ 1nt . . RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Rece~pt Date: Rece~pt Time: Recelpt No.: :2/22/2007 08:14:11 1047407 MINAHAN MICHAEL P Estate File No. : Paid By Remarks: 2007-00137 GATES HALBRUNER & HATCH PC AJW ------------------------ Receipt Distribution ------------------------ Fee/Tax Description PHOTOCOPIES Check# 9304 Total Received......... Payment Amount 3.00 Payee Name CUMBERLAND COUNTY GENERAL FUN $3.00 $3.00 . EXPENSES - ESTATE OF MICHAEL MINAHAN FUNERAL -... Musselman's Funeral Home '" Food & Beverages TOTAL MEDICAL _"Pinnacle Health Mobile X-Ray Services " Internists of Central PA ~ Central Pennsylvania Transplant Assoc ~ Riverside Anesthesia " Moffitt Heart & Vascular -....... Penn Rehab -.--..... Hershey Kidney Specialists '- Urology of Central PA "" PharmaCare ~ COf\sl,/rner Credit (delinquent medical bill) TOTAL Resister of Wills Gates, Halbruner & Hatch. TOTAL '"Final bill still need to be prepared? . 3078.90 200.00 3278.90 293.34 5.52 31.36 84.06 59.68 70.78 9.98 24.41 13.97 1032.61 21.21 1646.92 111.00 1360.45 6397.27 . I f-.----..-~loe:ll12_04--..--------.- i ! ; I I i I I I , .. I I 0 I U-I I I : ~ U-I ~ OJ -v OJ -v . . 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"t:l :0 ... o' r> ::J () )>- ~z ",,,-1 ~;!;~ ",r:JJ ....,r- 'i"~:! ~)>al w~)> ....,z S'" )> ~ o c Z -I ...., :J (J1 C5 g o' <D )> 3 o c: a ..... - .... o 0 ;;::; ?:i o m o ..... 10 ;;r CD o "'" )> 3 ...., 0 01 c: 52 a <D CD 01 <D CD: I 011 .. -- ([be llatriot -l\fws Now you know ;:.~~ Order Confirmation Customer GATES, HALBRUNER & HATCH, P.C. Orderer Account Number 41052 Ad Order Number 0001714310 Payer Payer Account Number 41052 Sales Rep. kkline Order Taker kkline Order Source Phone Special Pricinq None GATES, HALBRUNER & HATCH, P.C. A TTN: TRACI L. SEPKOVIC,1 013 MUMMA ROAD,SUITE 100 Lemoyne PA 17043 USA PO Number Ordered By Clifton Customer Fax Customer EMail Customer Phone 717-731-9600 I For Any Questions, Please Call 717-255-8459 I Payer Phone 717 -731-9600 Tear Sheets o Proofs o Affidavits 1 Blind Box Promo Type Invoice Text Materials Total Ad Cost $279.90 Payment Amount $0.00 Payment Method Amount Due $279.90 Ad Number Ad Type 0001714310-0' Legal Liners Ad Size : 1.0 X 20 Li Color <NONE> Production Method Production Notes Ad Booker Product Information Classification # Inserts Run Dates Online: :Full Run 806-Estate Notices 3 7/11/2007,7/18/2007,7/25/2007 Run Schedule Invoice Text ESTATE NOTICE LETTERS TESTAMENTARY for the Estate of MICHAEL P. fYJiIJah411 7/25/2007 8:34:32AM --" . . THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Conunonwealth of Pennsylvania, County of Dauphin} ss Joseph A. Dennison, being duly sworn according to law, deposes and says: That he is the Assistant Controller of The Patriot News Co., a corporation organized and existing under the laws ofthe Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot- News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever slllce; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared in the 11 th, 18th and 25th day(s) of July 2007. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COpy ~- GATES, HALBRUNER & HATCH, P.c. ATTN: TRACI L. SEPKOVIC 1013 MUMMA ROAD, SUITE 100 LEMOYNE, P A. 17043 ',. .- > ~) ---- roc c:. '.-.,/ LU \\ c/ -- -- C> N N <;: au f- a: o ~ 0") I c..!) =:. ".-:x: r-- ~ i'"7l C') ) (__. ~ c,--: ffi~> uc-;:_ G::: '. . OS U M 0'<1" 00 .....t- w~ 1-- -z :J<( en.> O....J <(>- Oen a::~ <(w :Ec.. :E . :JW :E~ MO .....:E Ow .........J Q),S;. WC) +-':::l :::l .9- 0 ~ Q) ,s;. en Ut::m ~ Q) :::l ~ m 0::::000 :::l cO I cr' !::; >- ID Cf) Cf') oJ +-' C Q5S~wQ)O tV m_ WI'- u..0u..=:::l~ ~Om~o<( .- "'0 "'0 - :5 a.. m ceo .... ~~Q)""EQ) as ID <9 "* 0 .~ I.j: .0 .. ._ Q) .... :eE....g'cm Q) :::l ....<( 0:::: 0 0 00 LAW OFFICES OF GATES, HALBRUNER &-HATCH, P.C. 1013 MUMMA ROAD. SUITE 100 . LEMOYNE, PENNSYLVANIA 17043 (717) 731-9600. FAX: (717) 731-9627 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 August 2007 BRANCH OFFICE: 3 WEST MONUME~IT SQUARE, SUITE 304 LEWISTOWN, PA 17044 (717) 248-6909 WEB SITE: www.GatesLawFirm.com CORRESPONDENCE ADDRESS: Lemoyne Office STACEY L. NACE Paralegal/~ Manager Q TRACI L. SE~VIC l "'; 0 Paralegal -..J :;'VALERIE LOJI& ::g F~alegal '...-- -::: r-- G") --.rn t -".. W -'0 Certified Mail - Return Receipt Requested Cumberland County Courthouse ATT: Glenda Farner-Strasbaugh, Register of Wills One Courthouse Square Carlisle, P A 17013 f'V RE: Estate of Michael P. Minahan Form REV-1500 - Pennsylvania Inheritance Tax Return 0:> Dear Ms. Strasbaugh: I am writing with further reference to the estate of Michael P. Minahan, who died on December 16, 2006. Enclosed please find the following: 1. Two (2) original copies and one (1) photocopy of the Form REV-1500 and all accompanying schedules. Please date-stamp the copy of the Form REV-I500 and Inventory and return same to our office in the envelope which is also enclosed 2. The following exhibits to Form REV-1500: . Copy of the Death Certificate . Copy of the Will of the Decedent dated November 11, 2004 . Copy of the Short Certificate Letters Testamentary . Documentation of Assets . Documentation of paid expenses. 3. Inventory of Assets filed in duplicate and one photocopy. 4. Check in the amount of$923.00 payable to the Register of Will in payment of the PA Inheritance Tax 5. Check in the amount of$30.00 in payment of the filing fees for the Form REV-1500 and Inventory of Assets. If anything further is required, please give my office a call. Thank you for your assistance. CRG:vl:Encl. Cc: Mae T. Minahan ~~