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HomeMy WebLinkAbout08-14-07 REV. 1100 EX +1&-00) , , , . , I!! ll:c(lI) Uii!ll: wlLg :J:~..J UlLlD lL c( *' OFFICIAL USE ONl v REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEAl1H OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 I- Z W C W U W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Snyder, Jr., John R. FILE NUMBER 21 06 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 171-28-6625 01025 NUMBER THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 3. Remainder Return (date of death prior to 12-13-82) 11 Roadway Drive, Suite B Carlisle, PA 17015 (1 ) None (2) None (3) None (4) None (5) 148,834.91 (6) None (7) None O""FiCIAL USE oht? \' 2 ,..~,~,: :J ':'.:J , .n "j DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) (8) (9) (10) 3,476.87 143,605.82 11/01/2006 06/29/1937 (11 ) (12) 13. Charitable and Govemmental 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) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 20.0 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) Z 1,752.22 .045 (16) 0 16. Amount of Line 14 taxable at lineal rate x ~ :> ... 17.Amount of Line 14 taxable at sibling rate x .12 (17) :E 0 U ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INIT1AL) 1. Original Return 2. Supplemental Return o 4. Limited Estate 0 4a. Future Interest Compromise (date of death after 0 5. Federal Estate Tax Return Required 12-12-82) 181 6. Decedent Died Testate (Attach copy 0 7. Decedent Maintained a Living Trust (Attach 8. Total Number of Safe Deposit Boxes of Will) copy of Trust) o 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit (date of death between 0 11. Election to lax under Sec. 9113(A) (Attach Sch 0) .... ..... ..... ., .... ......... . ............. ...i..'.....,... "i/.. ; ." .....)3:~1.:~.).~, :'fi.IIS.S~cnON';MUST..BECOMRL$TEPi;AU;.CORRI;SPONDI;N AME COMPLETE MAILING ADDRESS Sean M. Shultz, Esquire IRM NAME (If applicable) Knight & Associates, P.C. ELEPHONE NUMBER 717/249-5373 -I- mffi a:C OZ U~ 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) Z o ~ ~ ~ w a: 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. .' .. ).>BE SURE TO ANSWeR' ALL QUESTIONS ON$ERSESlIlE.AND RECHECK MATH<< Copyright 2000 form software only The Lackner Group, Inc. --.~.f ,,"I (.<<; ~..-...: 148,834.91 147,082.69 1,752.22 1,752.22 78.85 78.85 Form REV-1500 EX (Rev. 6-00) Ie; ',k,j:>\ rY' Qecedent's Complete Address: STREET ADDRESS 47 Waterside Drive CITY Carlisle I STATE PA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditS/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 78.85 Total Credits (A + B + C) (2) 0.00 3. InteresVPenalty if applicable D. Interest E. Penalty 1.00 A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) 1.00 (4) (5) 79.85 (5A) (5B) 79.85 TotallnteresVPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 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: 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?.................................................................................................. h _................. 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 No ~ I D ~ D ~ D ~ 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 pe~ury. 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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS Robert M. Snyder DATE 1909 Fryloop Avenue Carlisle, P A 17013 ~/Cj, 07 ADDRESS DATE ADDRESS 11 Roadway Drive}. Suite B Carlisle, PA 170b DATE ~/I?iD7 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. 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 0% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot a transferto 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. 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. 99116 (a) (1.2)1. 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. 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 12% [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. . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEAL 1H OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Snyder, Jr., John R. I FILE NUMBER 21 - 06 - 01025 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 Dickinson College Payroll DESCRIPTION VALUE AT DATE OF DEATH 200.00 2 Rebate from Lowes 29.36 3 Check from Cumberland Valley Endocrinology Center 160.00 4 Sale of2002 Dodge Caravan 8,000.00 5 Rebate from Westminster Cemetary 88.36 6 Gas Rights Income 19.58 7 Eagles Death Benefit 200.00 8 Rebate check from State Farm Auto Insurance 31.64 9 Proceeds from Auction 7,097.27 10 Real Estate situate at 47 Waterside Drive, Carlisle, PA (appraisal letter attached) 130,000.00 11 M&T Checking account #1229575 1,651.76 12 Suburban Oil Refund 1,151.66 13 State Tax Refund 181.00 14 Cico Insurance Refund 24.28 TOTAL (Also enter on LIne 5, Recapitulation) 148,834.91 ~~.~t.~~~j!i!~.iIt~l/~J~~,0.,"~ '.'=~' - -. .." 4::~~_ ',.. ~ ~L 1.4.--1&'"... . ""'........ -~ -',,,"' ;. ..,-~,"!'?"~~_~......!J~'-'''..,r>::''':.:.l'''''''~''''I.';';'~~ -'-<-';_;"'J;J.~:__:.,,,.:;:_~';,,_~.~::_.(.~~;..; B-H Agency Appraisal Services 163 N. Hanover Street CarlIsle, Pa. 17013 (717) 243-1000 Ext. 216 Date: December 6, 2006 Client : Estate of John R. Snyder Jr. and Pearl E. Snyder by Robert M. Snyder, Executor In accordance with your request, I have inspected, as per your instructions, and appraised the property located at : 47 Waterside Drive, Carlisle, Cumberland County, Pa. 17015. As per your instructions, the purpose of this appraisal was to determine "Market Value" in unencumbered fee simple title of ownership, and was done in compliance with and as defined by "USPAP" and the Appraisal Standards Board. This report in it's entirety is intended and valid for the use of the named Client only, and is invalid if photo copied in part or In whole by anyone other than the Client or the State Certified Real Estate Appralser(s) named in the report. It is Intended solely for the Client, and shall not be used by anyone other than the Client without the prior written consent of the Client and the State Certified Real Estate Appraiser(s) conducting the appraisal process. Note: This Is a Summary Appraisal Report, and contains 14 pages (plus the attached addenda), and any single page Is invalid if detached or used separately from the entire report as originally submitted. This report was conducted and prepared with the utmost care and confidentiality and was established with no pre-determined opinion of value. I have determined "Market Value" (as defined by USPAP and contained in the report) for the subject property, to be $130,000.00 as of November 22, 2006. Thank you for choosing B-H Agency Appraisal Services Art Calaman . SCt-EUEH R.N:RAL.EXPENSES& A[J,WSlRATNECOSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX REl1JRN RESIDENT DECEDENT ESTATE OF Snyder, Jr., John R. I FILE NUMBER 21 - 06 - 01025 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT FUNERAL EXPENSES: Hetrick Cremation 55.00 2 Hoffman & Roth 695.80 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Year(s) Commission paid Attorney's Fees to Knight & Associates, P.C. Zip 2. 1,750.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 B&H Agency (Appraisal) 350.00 2 Peck's Septic Service 85.00 Total of Continuation Schedule(s) 541.07 TOTAL (Also enter on line 9, Recapitulation) 3,476.87 . SchecUeH R.rleraI ExpeIraoo & Pdni'M-diwCostsc:orUlJed COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Snyder, Jr., John R. I FILE NUMBER 21 - 06 - 01025 3 Cash (Movers) 300.00 4 Cumberland Law Journal- advertise letters 75.00 5 The Sentinel - advertise letters 166.07 Page 2 of Schedule H . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 21 - 06 - 01025 ESTATE OF Snyder, Jr., John R. Include unrelmbursed medical expenses. ITEM NUMBER 1 DESCRIPTION AMOUNT American General Finance Account No. 1498 13495262 (statement attached) 16,500.00 2 NoIt's Engines 337.81 3 North East Waste 65.84 4 Adams Electric 1,809.98 5 Embarq 77.70 6 Nextel 88.12 7 Mortgage on real estate to M&T Bank 117,000.00 8 Quest Diagnosing 110.30 9 JC Penney (statement attached) 1,403.19 10 Wal-Mart (statement attached) 3,509.39 11 Sears (statement attached) 1,437.87 12 Lowes 92.18 13 Dish Network 149.63 14 Cap Tax 24.19 15 Penn Nationallnsurance 280.00 16 Travelers Flood Insurance 685.00 17 AFNI Embarq Creditor 34.62 TOTAL (Also enter on Line 10, Recapitulation) 143,605.82 Account Statement JOHN R SNYDER JR AMERIG\N I GENERAL FINANCIAL SERVICES ."._~_._-~. :~-: '_ :. --.';r-::-\t~.s,::~q~, ." '~':~.{:2~-~/~~ Please refer questions or requests for money to the address below. Please include your name and account number on any correspondence. Phone: (717) 243-6055. AMERICAN GENERAL FINANCE 6 S HANOVER ST P.O. BOX 417 CARLISLE, PA 17013-0417 Statement Date: November 04, 2006 Regular Payment: $375.00 Account Current Nurnber AmountDue 13495262 375.00 0.00 Total AmountDue 375.00 Pqyment Due Date Nov 20,2006 Account Summary Date Amount Charges or Interest . Principal Balance Previous Balance. . . . . . . . . . Payment Oct 24, 2006 370.74 370.74 16,870.74 16,500.00 ,-'~ .;' DON'T PUT DREAMS ON HOLD BECAUSE YOU DON'T HAVE ENOUGH MONEY. IF YOU DREAM IT, YOU CAN DO IT. JUST CALL YOUR FRIENDS AT AGFS TODAY TO APPLY FOR A LOAN THAT WILL FIT YOUR BUDGET. AS AN ESTABLISHED CUSTOMER, WE CAN PROCESS YOUR LOAN QUICKLY. CALL US AT (717) 243-6055 OR APPLY AT WWW.LOANSFAST.COM. Contact us on the internet at www.LoansFast.com . Pg 1 of 1 All loans are subject to normal credit policy. l' Retain thIs portion for your records .J, Please detach and return this portion with your payment 0002013000002676 OAGD13 CAD06 (03) Iil D12-OO1 DLRP27 '040082* Please stop by our office or use the enclosed envelope to return your payment to the address be/ow. - - - - - ;;;;;;;;;;;;;;; ;;;;;;;;;;;;;;; AMERICAN I GENERAL FINANCIAL SERVICES - _$ _$ 1498 13495262 o CHECK HERE FOR ADDRESS CORRECTION ON BACK. 375.00 r;;~~~2o'~~oo61 I Nov ;:;;006 I I AMERICAN GENERAL FINANCE 6 S HANOVER ST CARLISLE, PA 17013-3306 379.31 Enclosed is my payment for . I D Yes,lwould like additional pash. . ;;;;;;;;;;;;;;; iiiiiiiO + 0002013 000002676 OAGD13 CAD06 (03) JOHN R SNYDER JR 47 WATERSIDE DR CARLISLE, PA 17015-7723 111111111111111111111111111111111111111111111111111111111I1111 AMERICAN GENERAL FINANCE P.O. BOX 417 CARLISLE, PA 17013-0417 111111111111111111111111111111111111111111111111111111111111.1 149813495262000037500000037500000037931001650000 r ! r flowers to fall for it'sallinside: . jcp.com This season, send flowers with your JCPenney card! jcpenneyflowers.com HALLOWEEN. THANKSGIVING, BIRTHDAY, ANNIVERSARY Account Number 086-244-788-5 Minimum Payment Due $143.00 Previous Balance $1 ,403.19 Past Due $70.00 it'sallinside: ..'" (0) Payments & Credits $0.00 Payment Due Date 11/1 8/06 . I I Credit Limit $4,000.00 "'~ (+) Charges $29.00 ~ Available Credit $2,538.00 '" (+) FINANCE CHARGES (NET) $29.11 Billing Date 1 0/1 9/06 New Balance $1,461.30 Days In Billing Period 30 jCp.com - - - - PAGE 01 OF 01 For aooountlnformatlon Call: 1-800:527-3369 Write: P.O. BOX 981131 EL PASO, TX 79998 Online: )cpenney.oom = !!!! - - - - - - - - - - - Tran Date Chargee Payments & Crecfrte 10.19 LATE FEE 29.00 iii - - YOUR ACCOUNT HAS 2 PAYMENTS DUE. PLEASE MAIL THE MINIMUM PAYMENT DUE TODAY. PLEASE DISREGARD IF MINIMUM PAYMENT DUE HAS ALREADY BEEN MADE. - - iiiii iiiii !!! REGULAR E 1417.21 .06847 dally 24.99 - - - - = L Your Balance Computation Method la In,dlcated above. See reverse aide for an explanation. ANNUAL PERCENTAGE RATE FOR THIS BILLING PERIOD 24.990 % TOTAL PERIODIC FINANCE CHARGE 29.11 -F 0.. )( EVERYSODY DESERVES A CUSTOM FIT, JCPENNEY.COM MADE IT EASY AND AFFORDABLE. INTRODUCING JCPENNEY CUSTOM- TAILORED CLOTHING. SELECT SHIRT-PANT FEATURES, COLOR AND FABRIC. ENTER YOUR PERSONAL MEASUREMENTS AND SOON RECEIVE CUSTOM-FIT CLOTHING MADE SPECIFICALL Y FOR YOU. YES, WE HAVE MEN'S BIG & TALL SIZES, WOMEN'S SIZES TOO. EXCLUSIVELY A T JCPENNEY.COMlCUSTOM MONITOR YOUR ACCOUNT 24n. ENROLL IN FREE ESERVICING AT JCP.COM AND TAKE ADVANTAGE OF THE EASY WA Y TO: VIEW RECENT TRANSACTIONS, CHECK YOUR BALANCE, UPDATE PERSONAL INFORMATION AND MUCH MORE. ~() Q- 54 J. - ~C6co . ~1Ch- 5t ~~ sill-{ A-11:V\ p'(pll7~ tv Please note your mailed payment must be received by 5PM or your In-store payment must be received during store hours on the due date. Your payment may be oonverted into an eleotronio debit. See reverse for details. --------------------------------------...------........--.....---------------------------------------------------------------------------------------------------------------------- WAL*MART" Fill in amount completely $ 00000 D New address or email? Check the box at left and print changes on back. 1~~I~~mlll~I~~~~I~~ JOHN R SNYDER 47 WATERSIDE DR CARLISLE PA 17015-7723 12312 1'11111111111111111111111.1111111111111111111111111111.1.11111 00147000015100 . 00 Make Paymenl To: WAL-MART P.O. BOX 530927 ATLANTA, GA 30353-0927 1'111.11.11111111111'11111111111.111111111111111111111.1111111 001470000350939023 6032203132198903 23 ... Make check payable in US Dollars to Wal-Mart. Use blue or blaak ink. Detach and mail this portion with your check to the address above.... ~~co~INmRMA:ll0N~~:~j:2b\:~j~jlli.E;~;~~j~sltii~b\~~S:::~j~;~~~~]j]~~; == Account Number: Statement Date: Payment Due Date: Days In Billing Period Credit Line Cash Advance Limit' Available Credit Available Cash' 60322031 32198903 11106/2006 12101/2006 31 $4,700 $200 $1,190 $200 . See reverse tor cash advance guidelines. -..----...-.-.....-...---....-...-.-.................__...n...._.._....._........._....__.n........._...._.__.....u_......_.___..... :~BA~NCEBDM_R:y:~~~]jj.\:;;::~~;~;~j:~~~:j;j~~;;:~~~3i:~;,~;;;:~:~~~:~~~~&:1 Previous Balance $3,605.40 - ,Payments $151.00 +1- FINANCE CHARGE (net) $54.99 + New Purchases $0.00 + Cash Advances $0.00 +/- Card Security, Insurance, Fees & Debit/Credit Adjustments (net) = New Balance Minimum Payment $0.00 $3,509.39 $147.00 iiii ~ == Description - .---.. .".-.". .-.'.-.. ........,. ...........-. .-. .-......._-- ...-.....,.,...-...-..... ...-. .... '...-...--.................,...__.~.._.__.. .-...,.__.... ._.. .____........~__.__..u... .___ ._...._...._...__.... ..._.......... ....._........ ._...._'.'............. ............. ......._ ...__._.._....._._._........ ~j'j;iAWA'CTIONLSUMMARY:~~~~~~1~i:~\~~;t~1!:~;SS:;E:W:}~;:~~~:j:~t~~]::;~~:ill1~~iJ:;0;]ji~;~~0~~iE~1;S]~,~is%~~~;Jj;::;S:::;~;t~]~f:}~;fi;f:~;:Ii:;~1':~:~1~~t)tSE:jE~~~]~~1&:;1:~;B:~:3i:;:i::: Amount Post Tran Reference Date Date Number ~ 10116 10/16 P9112ooMJ01293FNG 11.106 11106 PAYMENT - THANK YOU 'FINANCE CHARGE' THE PERIODIC RATE SHOWN ON THIS STATEMENT MAY VARY. . -.... ............ .................. .................. .... ... -.......... ........-..-...... .................. ................. ................. = ..FjNAijc.~.cHAijije.aO'iI\IlAijy How Your FINANCE CHARGE Was Calculated Plan T $151.000R $54.99 .... -......... -.... -.............. ................-.._-.............. .-............-........,......... ............. ...-............ ..... ......... FINANCE CHARGE ......--............................................ ...........................................,....... ..................................................... ..... ................. ............................. Computed on Plan Average Daily Type Balance Purchases and Cash Advances ANNUAL PERCENTAGE RATE $3,525.01 18.370% .............. .........-..... .............. ............... ............... .....................................-.. ..........-........... ...................-.....................-.. .........-.......... ...................................... Daily Periodic Rate CorrespondIng Annual Percentage Rate REG .05032% 18.37% Total Periodic FINANCE CHARGE - - - - - - - - - - - - o l.o <z..v'& fJkck. '.2G b ~po~~~q,o --'" 1 '& 0 .. 6 '30 M -~ '1 '"'b 0 -<1.-(1,0 - - THE AMOUNT DUE SHOWN ABOVE INCLUDES A PAST DUE AMOUNT. YOU SHOULD SEND THE ENTIRE AMOUNT DUE NOW. IF PAYMENT HAS BEEN MADE RECENTLY, THANK YOU. - - -= ~ - -= - ~ Average Daily Balence Corresponding ANNUAL PERCENTAGE RATE Periodic Rete D:Day M=Month Periodic FINANCE CHARGE Rates "Rate Varies Balance SEARS REGULAR EXTERNAL REGULAR CASH ACCESS REGULAR Days in Billing Period: 30 .0724%(D)* $0.00 Minimum FINANCE CHARGE: $0.00 - - $1,437.87 $1,390.67 26.40%* - - == .0724%(D)* $30.20 -= -= - - $0.00 $0.00 26.40%* .0724%(D)* $0.00 $0.00 $0.00 26.40%* Effective ANNUAL PERCENTAGE RATE: 26.40% - = -= Sears Prem ier Card~ Account Number: 5049948071352118 1111111111111111111111111111111111111111 Account Balance ( $1,437.87 Payment Due Date Amount Enclosed Total Minimum Due J( J( ) ($ l 10/26/06 $122.30 0180710 D 19 A 06Z71 1 TRS006 FXG 001 7 N 111111111111111111111.111,11111111111,1.11111111,,111111,11111 PEARL K SNYDER 47 WATERSIDE DR CARLISLE PA 17015-7723 1,111111111111,11111111,11,111,111111..11 J ,,111111'"1111111111 Make check payable to SEARS CREDIT CARDS PO BOX 183081 COLUMBUS, OH 43218-3081 Please make address changes on reverse side. 200 5049948071352118 0143787 0012230 0000000 1911 REV-1513 EX+ (9.00) . , *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Snyder, Jr., John R. I FILE NUMBER 21 - 06 - 01025 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Robert M. Snyder son 1/2 residue of estate 1909 Fryloop Avenue Carlisle, P A 17013 2 Pamela J. McKay daughter 1/2 residue of estate 63 Waterside Drive Carlisle, P A 17015 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 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET LAST WILL AND TESTAMENT I, JOHN R. SNYDER, JR., of 47 Waterside Drive, Carlisle, Cumberland County, Pennsylvania 17013, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills heretofore made by me. 1 . I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. 1 direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this Will, shall be paid by my personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My representative is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representative. 3. I give, devise and bequeath all of my estate of whatever nature and wherever situate to my surviving children, share and share alike. 4. I nominate and appoint Robert M. Snyder to be the personal representative of my estate, to serve without bond. If he cannot or does not serve, then 1 appoint Pamela J. McKay to be the substitute personal representative, also without bond. 5. I suggest that my personal representative retain the services of Harold S. Irwin, III, Esquire, in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 30th day of October, 2006. (SEAL) Signed, sealed, published and declared by the above-named person as and for a last will and testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. an~J~~ ACKNOWLEDGMENT AND AFFIDAVIT WE, JOHN R. SNYDER, JR., SARAH A. HARDESTY and RHONDA S. IRWIN, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. COMMONWEALTH OF PENNSYLVANIA :55: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by JOHN R. SNYDER, JR., the testator herein, and subscribed and sworn to before me by SARAH A. HARDESTY and RHONDA S. IRWIN, witnesses, this 30TH day of October, 2006. C MONWEALTIL OF PENNSYLVANIA Notarial Seal Jane Adams, Notary Public Carlisle Boro, Cumberlan~ County My Commission Expires Sept. 6, 20i8 //'(17 ..-Ill AllC 14 PI! I.?: 37 KNIGHT &ASSOCIA~~~~'(~or Attorneys at Law GI)/T. ":J~9!j/7T August 13, 2007 Register of Wills 1 Courthouse Square Carlisle, Pennsylvania 17013 RE: Estate of John R. Snyder, Jr. Estate No. 2006-1025 My File No. 4039.1 Dear Register of Wills: Enclosed for filing please find an original and two copies of an Inheritance Tax Return in the above-referenced estate. Please return a time-stamped copy to my office in the enclosed self- addressed, stamped envelope. I have also enclosed a check in the amount of $15.00 representing the filing fee and a check in the amount of $ 79.85 representing the amount of inheritance tax that is due. Should you have any questions or wish to discuss this matter further, please do not hesitate to contact me. 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