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Home My WebLink About10-04-07 (2) 1 I I --.J 15056051047 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 OFFICIAL USE ONLY County Code Year File Number INHERITANCE TAX RETURN RESIDENT DECEDENT Date of Birth Decedent's Last Name Suffix Decedent's First Name MI s (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW _ 1. Original Return c:::> 2. Supplemental Return c:::> 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4. Limited Estate c:::> c:::> c:::> 4a. Future Interest Compromise (date of death after 12-12-82) c:::> 7. Decedent Maintained a Living Trust (Attach Copy of Trust) c:::> 10. Spousal Poverty Credit (date of death c:::> 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 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 1 8. Total Number of Safe Deposit Boxes - c:::> w N y s TRIPO L 'I E Q I R 570(~75 Firm Name (If Applicable) PETE R S AND T R ;.1 P OL I First line of address ~'- 1 6 E A S T MARKET S T R E E T -0 Second line of address C.',) P 0 BOX 1 1 6 City or Post Office State ZIP Code -...J DATE FILED DANVILLE P A 17821 Correspondent's e-mail address:triper5@AOL.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. PONSIBLE FOR FILING RETURN "-' C.O - ~ x: re..ix DATE Ie "/ - -1 ADDRESS P. O. Box 288, White Stone, VA 22578 ~RE OF ~>>>>X~~KlD:person responsible for filing RebJrtlt.TE ~ <;1-. \,..p I A 1 "-'\l C .') - su:....e CLL \-ri X. \0 - 2.. - CJ ~ ADD ESS 229 Ross Road, Richmond, VA 23229 PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056051047 15056051047 --.J l6 t -.J 15056052048 REV-1500 EX Decedent's Social Security Number Decedent's Name Edward S. Hoffman RECAPITULATION 22.0 26 640 8 1. Real estate (Schedule A). . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) . 2. 9 8 2 3 4 9 6 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. 1 5 847 5 8 5 6. Jointly Owned Property (Schedule F) c::::> Separate Billing Requested . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c::::> Separate Billing Requested.. 7. . 8. Total Gross Assets (total Lines 1-7). . ......... . 8. 1 1 4 0 8 2 5 . 3 1 9. Funeral Expenses & Administrative Costs (Schedule H). ............ . 9. 8 1 6 2 6 0 3 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10). . . . . . .......... . . . . . . . . . . . . . . 11. 8 1 6 2 6 0 3 12. Net Value of Estate (Line 8 minus Line 11) .......... . . . . . . . . 12. 1 0 5 9 1 9 9 2 8 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 3 3 0 0 0 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13)". . . . . . . . . . . . . . . . . . . . . . . . 14. 1 0 2 6 1 9 9 . 2 8 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_ . 15. 16. Amount of Line 14 taxable at lineal rate X 0 . 16. . 17. Amount of Line 14 taxable at sibling rate X .12 . 17. . 18. Amount of Line 14 taxable at collateral rate X .15 1 0 2 6 1 9 9 .2 8 18. 1 5 3 9 2 9.8 9 19. TAX DUE. . . . . . .......... . ....... . ............ . . . . . 19. 1 5 3 9 2 9 .8 9 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT c:> Side 2 r> L ~ /2- 15056052048 15056052048 -.J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME File Number 21-07-0500 EDWARD S. HOFFMAN STREET ADDRESS GREEN RIDGE VILLAGE, 210 BIG SPRING ROAD, #307 SWAIM NEWVILLE I STATE I i PA ZIP CITY 17241 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) $153,929.89 $146,000.00 $ 7,684.21 TotaICredits(A+B+C) (2) $153,684.21 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + 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) o 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. $ 245.68 o 245.68 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5) (5A) (5B) $ A. Enter the interest on 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: 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 [XI c. retain a reversionary interest; or.........................................:.'.............................................................................. 0 00 d. receive the promise for life of either paymen~s, benefits or care? ...................................................................... 0 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 00 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................... 0 00 . 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. S9116 (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 PS. S9116 (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. 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 zero (0) percent [72 P.S. s9116(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 PS. S9116(1.2) [72 P.S. s9116(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. REV-1503 Ex. (1-97) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EDWARD S. HOFFMAN FILE NUMBER 21-07-0500 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11 . DESCRIPTION 800 Shares of Energy East Corporation Common Stock - Cert. #EE 062534 - Dated: 12/20/01 - Edward S. Hoffman ($24.43 Per Share) 176 Shares of Energy East Corporation Common Stock - Cert. #EE 68768 - Dated: 7/17/02 - Edward S. Hoffman ($24.43 Per Share) 377 Shares of Wachovia Corporation Common Stock - Cert. #WF 35967 - Dated: 2/6/02 - Edward S. Hoffman ($55.84 Per Share) 337 Shares of Washington Real Estate Investment Trust - Cert. #U 55710 - Dated: 2/7/02 - Edward S. Hoffman ($38.18 Per Share) 216 Shares of Verizon Communications, Inc. Common Stock - Cert. #VZ 384768 - Dated: 2/6/02 - Edward S. Hoffman ($38.09 Per Share) 34,279 Shares of Fulton Financial Corporation Common Stock - Cert. #H 196684 - Dated: 12/21/01 - Edward S. Hoffman ($14.78 Per Share) 8,569 Shares of Fulton Financial Corporation Common Stock - Cert. #H 204396 - Dated: 5/20/02 - Edward S. Hoffman ($14.78 Per Share) 2,142 Shares of Fulton Financial Corporation Common Stock - Cert. #H 214063 - Dated: 5/23/03 - Edward S. Hoffman ($14.78 Per Share) 2,249 Shares of Fulton Financial Corporation Common Stock - Cert. #H 226853 - Dated: 6/4/04 - Edward S. Hoffman ($14.78 Per Share) 11,809 Shares of Fulton Financial Corporation Common Stock - Cert. #H 240626 - Dated: 6/8/05 - Edward S. Hoffman ($14.78 Per Share) 2,952 Shares of Fulton Financial Corporation Common Stock - Cert. #H 254546 - Dated: 6/8/06 - Edward S. Hoffman ($14.78 Per Share) VALUE AT DATE OF DEATH $ 19,544.00 4,299.68 21,051.68 12,866.66 8,227.44 506,643.62 126,649.82 31,658.76 33,240.22 174,537.02 43,630.56 TOTAL (Also enter on line 2, Recapitulation) $ 982, 349 . 46 (If more space is needed, insert additional sheets of the same size) - REV.1508 EX+ (7-83) SCHEDULE "E" CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EDWARD S. HOFFMAN (All property ]ointly-owned with the Right of Survivorship must be disclosed on Schedule "F") FILE NUMBER 21-07-0500 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH $11,981.01 1. 2. 3 . 4 . 5. 6 . 7. 8. 9 . Super Now Account - Adams County National Bank _ Acct. #223-468 - Edward S. Hoffman Super Now Account - Adams County National Bank _ Acct. #221-708 - Edward S. Hoffman 77,028.25 Savings Account - M & T Bank - Acct. #015004200024632 Edward S. Hoffman 64,848.32 1997 Buick - I.D. #LGHCW52K6V4614179 - Edward S. Hoffman 4,000.00 The Patriot News - Refund Check 43.25 Staples - Rebate Check 20.00 Encompass Insurance Company of America - Refund Check 116.00 Presbyterian Homes - Refund Check 19.35 Highmark - Premium Refund Check 419.67 TOTAL (Also enter on line 5, Recapitulation) $158,475.85 (If more space is needed insert additional sheets of same size) REV-1511EX + (1-97) ESTATE OF PAGE 1 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS EDWARD S. HOFFMAN FILE NUMBER 21-07-0500 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. 1. s. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. DESCRIPTION FUNERAL EXPENSES: Visneski Funeral Home, Inc. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Ann Carter Lee Social Security Number(s) / EIN Number of Personal Representative(s) 578 - 4 4 - 6 0 6 5 Street Address P.O. Box 288 City White Stone State VA Zip 22578 Year(s) Commission Paid: 2007 Attorney Fees - Peters and Tripoli 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 Probate Fees - Glenda Farner Strasbaugh, Register of Wills Short Certificates, etc. Accountant's Fees Tax Return Preparer's Fees USAA Savings Bank - Credit Card Payoff Ann Carter Lee - Reimbursement for Flowers, Gas, Food, Lodging, Tips and Boarding Dogs Cumberland Law Journal - Advertising Co-Executrices Notice Continuing Care Rx - Prescriptions The Sentinel - Advertising Co-Executrices Notice Glenda Farner Strasbaugh, Register of Wills - Filing Fees Peters and Tripoli - Reimbursement for Federal Express Fees CONTINUED ON PAGE 2 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) AMOUNT $ 7,526.50 17,908.16 34,224.76 909.00 74.19 2,568.52 75.00 25.30 230.44 15.00 161.00 REV-1511EX + (1-97) PAGE 2 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF EDWARD S. HOFFMAN FILE NUMBER 21-07-0500 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. 1. B. 1. 2. 3. 4. 5. 6. 7. DESCRIPTION FUNERAL EXPENSES: ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Katherine Marsh Lewis Social Security Number(s) I EIN Number of Personal Representative(s) 2 2 0 - 4 6 - 1 3 7 0 Street Address 229 Ross Road City Richmond State VA Zip 23229 Year(s) Commission Paid: 2007 Attorney Fees 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 Probate Fees Accountant's Fees Tax Return Preparer's Fees AMOUNT 17,908.16 TOTAL (Also enter on line 9, Recapitulation) $ 81 , 626 . 03 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (1-97) PAGE 1 SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EDWARD S. HOFFMAN NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. Donald L. Clapp - 1000 Woodland Avenue, Gastonia, NC 28054 2. Lisa Clapp - 279 Salem Church Road, Mechanicsburg, PA 17050 3. Richard Clapp - 7800 SE 168th Lone Oak Loop, The Villages, FL 32162-8353 4. Ann Carter Lee - P. O. Box 288, White Stone, VA 22578 5. Abigail Lewis - 229 Ross Road, Richmond, VA 23229 6. Katherine Lewis - 229 Ross Road, Richmond, VA 23229 7. William Lewis - 229 Ross Road, Richmond, VA 23229 FILE NUMBER 21-07-0500 RELA TIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE Nephew 1/8 Residuary Estate Great Niece 1/8 Residuary Estate Nephew 1/8 Residuary Estate Niece 1/8 Residuary Estate Great Niece 1/8 Residuary Estate Great Niece 1/8 Residuary Estate Great Nephew 1/8 Residuary Estate CONTINUED ON PAGE 2 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, 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 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Williamsport Salvation Army - 437 Market Street, Williamsport, PA 17701 $ 3,000.00 2. Christ Memorial Episcopal Church - 111 Pine Street, Danville, PA 17821 2,000.00 3. St. Paul's Emmanuel United Methodist Church _ Pine & Eas Mahoning Streets, Danville, PA 17821 CONTINUED ON PAGE 2 5,000.00 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) ;=.....5~3 EX. :. '11, PAGE 2 CCMMOfJWEAL TH OF PENNS'L ,~.~M INi-<ERITANCE TAX RETUR~I RESIDENT DECEDENi SCHEDULE J BENEFICIARIES ESTATE OF EDWARD S. HOFFMAN FILE NUMBER 21-07-0500 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTA TE UMBER NAME AND t-ODRESS OF PERSON(S) RECEIVING PROPERTY I . TAXABLE DISTRIBUTiONS (include outright spousal distributions) 8. Ann Carter Marsh - P. O. Box 728, White Stone, VA 22578 Great Niece 1/8 Residuary Estate ENTER DOLL":: ,-,MOLNTS FOR DISTRIBUTIONS SHOW~~ ABCiE ON liNES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DIST=<'iBUTiONS ,A, SPOUSAL DISTR:3UTIONS UNDER SECTION 9113 FOR WHICf-J M~ ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 4. Mahoning Presbyterian Church - 218 Ferry Street, Danville, $ 5,000.00 PA 17821 5. Pine Street Evangelical Lutheran Church - 407 Pine 5,000.00 Street, Danville, PA 17821 6. Big Spring Presbyterian Church - 13 Parsonage Street, 5,000.00 Newville, PA 17241 CONTINUED ON PAGE 3 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) PAGE 3 :E"..1513E...: +.1,7 .~ ~ SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNS'L /.ANiA INf-<ERITANCE TAX RETJF~I RESIDENT DECEDENT ESTATE OF EDWARD S. HOFFMAN UMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) FILE NUMBER 21-07-0500 RELA TIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 1. ENTER DOLLPR AMOUNTS FOR DISTRIBUTIONS SHOWN A5C/E ON LINES 15 THROUGH 17, AS .l,PPROPRIA TE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISn,IBUTIONS: A SPOUSAL DISTR'BUTIONS UNDER SECTION 9113 FOR WHICf-J ,~~~ ELECTION TO TAX IS NOT BEING MADE 1. B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 7. Carlisle Salvation Army - 20 East Pomfret Street, Carlisle, PA 17013 $ 2,000.00 8. Bucknell University - Office of the Annual Fund, Lewisburg, PA 17837-2030 1,000.00 9. Thomas Beaver Free Library - 205 Ferry Street, Danville, PA 17821 5,000.00 TOTAL OF PART II . ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 33, 000 . 00 (If more space is needed, insert additional sheets of the same size) HIPPENSTEEL AUTO RECON Used Cars & Trucks 457 Centerville Road, Newville, Pa. 17241 · Phone 717-776-3305 Date 19_ Purchaser's Name i- i-. ,:. /'/ ' Ln~' '- . ! Address Social Security # Phone Please enter my order for the following Price of Vehicle . r j"" , "[ '-. , -. " - Year Make Accessories Stock# Seriallt (Federal regulations require you to state the odometer mileage upon transfer to ownership. An inaccurate or untruthful statement may make you liable for damages to your transferee, for attorney fees, and for civil or criminal penalties, pursuant to sections 409, 412 and 413 of the , Motor Vehicle Information and Cost Savings Act of 1972 (Pub. L. 92 -513. as amended by Pub. L. ; .~ ! t , : 94-364). J' N(l L.c......(.::: \'c :./L, . - '-fl Hippensteel Auto Recon states that the odometer mileage indicated on the vehicle 1 described above is miles. ., , /: .{.t.' '-h:;-(' I,' Check one box only: Check one box only: k~ )(:.,-,- ... 0(1) I hereby certify that to the best of my 0 (1) I hereby certify that to the odometer of said '- knowledge the odometer reading as stated vehicle was not altered. set back or above reflects the actual mileage of the disconnected while in my possession. and I vehicle described above. have no knowledge of anyone else doing so. o (2) I hereby certify that to the best of my o (2) I hereby certify that the odometer was altered knowledge the odometer reading as stated for repair or replacement purposes while in above reflects the amount of mileage in my possession. and that the mileage excess of designed mechanical odometer limit registered on the repaired or replacement of 99.999 miles/kilometers of the vehicle odometer was identical to that before such described above. service. o (3) I hereby certify that to the best of my 0/3) I hereby certify that the repaired or knowledge the odometer reading as stated replacement odometer was incapable of above is NOT the actual mileage of the vehicle registering the same mileage. that it was reset described above. and should not be relied 10 zero. and that the mileage on the original upon. odometer or the odometer before repair was miles. ~~I q' '. t :~r '~ # i ,I .!,' . Buyer x,1j{~''';/'' . _. ~Z<:'i/ l~' I, .'" , , / Seller X' _, 1'.( ~ j : Li .', JU_V '.tBuyer X Trade-In ,gQ7 1 Year Make Bi); c.k. Serial#J b'/C\A.)5'2KLV 'K.;UiI79 Title# 5") h(, c'le. ! lic# States that the odometer mileage indicated on the vehicle described above is miles. 0 Check one box only: 0 Check one box only: (1) I hereby certify that to the best of my (1) I hereby certify that to the odometer of said knowledge the odometer reading as stated vehicle was not altered. set back or Total Price above reflects the actual mileage of the disconnected while in my possessIon. and I 0 vehicle described above. 0 have no knowledge of anyone else doing so. Trade in Allowance (2) I hereby cert ify that to the best of my (2) I hereby certify that the odometer was altered knowledge the odometer reading as stated for repair Or replacement purposes while In above reflects the amount of mileage In my possession, and that the mileage Cash Difference excess of designed mechanical odometer I,m,t registered on the repaired or replacement of 99.999 miles/kilometers of the vehicle odometer was Identical to that before such Sales Tax 0 described above. D service 131 I hereby certify that to the best of my (3) I hereby cert Ify that the repaired or license. license Transfer knowledge the odometer reading as stated replacement odometer was Incapable of Title & Notarv Fees above is NOT the actual mileage of the vehicle registerrng the same mileage. that it was reset Total described above. and should not be rehed to zero. and that the mileage on the original upon. odometer or the odometer before repair was miles. Cash Down Payment Seller X Buyer X Balance Final Balance of in payments Seller X ,of$ for a period of Purchaser by his execution of this order acknowledges that he has read it's months. 1st payment due terms & conditions and has received a true copy of this order. interest rate Purchaser Ins. Co ~ccepted By Policy II THANK YOU - WE APPRECIATE YOUR BUSINESS .;- \~ \i \.~~.~ .. \. , ~ ,,~ \~ \ \ ~ ::\ ~ \~ >::\~. \~ ,', ,\ -.J \j L/\,\;,:.r OFFICES ::: r:; S ,..,.~y 'T R. i PO l. i!~ ~/\_ST .:"kA.P~kET'~TF<F.ET ;> :2 2,,~:\ 116 -. ' -,-- --~. --- - "-h __~~h. :..>,'-.-' C';OO~'C c;- - ._ _', ~ ~ _._ __~, --" -. '" -". - "'-..0.0'0,-, . ,; LAST WILL AND TESTAMENT t! " H 'I ii II H 11 OF EDWARD S. HOFFMAN II jJ II Ii I, County, Pennsylvania, declare this to be my last will and testament, and hereby II :1 II i; II Ii 'I II II II I I I 'I I, EDW ARD S. HOFFMAN. of 42 Hemlock Circle. Newville, Cumberland revoke all wills and codicils previously made by me. ITEM I: I direct that all my just debts and funeral expenses including my grave marker, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expenses of the administration of my estate. ITEM II: I direct that all my estate and property, real, persona! and mixed, /, II I I i I j , II II /I Ii 11 Ii Ii at whatever time acquired by me and wheresoever situate, be distribut~g as :' .. follows: A. I give and bequeath my antique pine comer cupboard consisting aKa top and bottom section, antique walnut mirror with reeding and primitive scene of a home with a docked sailboat at top of mirror to my great niece, Kathryn Randolph Marsh Lewis, if she survives me. In the event my great niece, Kathryn Randolph Marsh Lewis fails to survive me then I make said bequest to her daughter, and my great, great niece. Abigail Lewis, if she survives me. B. I give and bequeath my 14 carat gold circle pin with matching earrings, and nine china demi-tasse cups and saucers with rose garland pattern to my great ~ ~ \SJ \. ... J , \ \ ''''~ \~, ,~~ r::- , " j , \ \; ~ '\~ I \J Of-FleES r_ -r- ; C. j", > , '''' ,L"'-R..J-::'FT ,STR::ET ""1...'-.-.C, 1 r~E:' "::"OD;O: :5 2-;; ~--'2" :..-,:...~; 57:::; 275.::'550 great niece, Abigail Lewis, if she survives me. In the event my great, great niece, Abigail Lewis fails to survive me then I make said bequest to her mother, my great niece, Kathryn Randolph Marsh Lewis, if she survives me. C. I give and bequeath my antique rosewood steeple clock, antique five- drawer walnut chest with inlay on the apron, large Sheffield footed tray, Sheffield tray monogrammed "LLH" to my great niece, Ann Carter Marsh, if she survives me. D. I give and bequeath two pine side chairs, pine captain's chair, three antique Victorian side chairs, one Ainsley porcelain box and Balliet plated Victorian jewel case to my niece, Ann Carter Lee, if she survives me. In the event my niece, Ann Carter Lee fails to survive me then I make said bequest to my great niece, Ann Carter Marsh, if she survives me. E. I give and bequeath two antique French armchairs and antique inlaid bow Hepplewhite mahogany table, 14 carat gold chase leaf design pin with pearl center to Barbara Flynn Smith, if she survives me. In the event Barbara Flynn Smith fails to survive me then I make said bequest to her daughter, Susan Smith, if she survives me. F. I give and bequeath my father's yellow gold watch displayed in brass case, my white gold Hamilton pocket watch, one (1) mahogany bedside table with -2- \ , Pi \ ~ '\\ ~ ,\~ ~."'\'. .l,'J '., ~- , ~'~ <~ I '-~ \ , \ , r') \ . \j '-'" ~ ~ ~ ~, ~ \ '\ ,~...\" \ .~ " ~\) \ ,. '. I \\ \J ~ C)FfrCES ';- ~ ..:z~ ~~ y- '''.,,'',"f .RS:A COC'~ 5~'C 275 2' ;-/C..;-; S'/'C; ::::75-356C ; KI F-'C' I two (2) drawers, and two (2) mahogany twin beds to my great, great nephew, Vhlliam Carter Lewis, ifhe survives me. In the event my great, great nephew, William Carter Lewis fails to survive me then I make said bequest to his mother, my great niece, Kathryn Randolph Marsh Lewis, if she survives me. G. I give and bequeath my mahogany pie crust shelftop table to Ann Gagen, if she survives me. In the event Ann Gagen fails to survive me then I make II said bequest to her daughter, Kelly Gagen, if she survives me. II il II !! II H Ii II II li /I 'I II 11 i! 'I Ii Ii II I, 'I I: <, II !I iI Ii Ii 1i Ii d \ H. I give and bequeath my Queen Anne drop leaf coffee table to Mary Rae Costabile, if she survives me. In the event Mary Rae Costabile fails to survive me then I make said bequest to her husband, Salvatore Costabile, if he survives me. 1. I give and bequeath my Hepplewhite inlaid ladies' writing desk to Holly Hasman, if she survives me. In the event Holly Hasman fails to survive me I make said bequest to her daughter, Susan Hasman, if she survives me. J. I give and bequeath my primitive oil painting in original frame of a man under a tree to Jeanne Balliet Albright, if she survives me. (Artist was our grandmother, Eleanor Piper Balliet.) K. I give and bequeath my bamboo pattern gold leaf mirror, sheraton card table with reeded legs and secret compartment, walnut \vhatnot shelf and its -3- .\ ~ "~;~ ~ \\ ' ~...". \\ '.j \~ ~ / I \ ,"\ v ., ~. -,J ,~ \ ~'-'\), \"V '. ,J \, \...~ Li"\'W' OFFICES c _ cTCK_S(j" JRPOLi ,;-:,.--" '~C~:: 572 2:;';:-121 i ;::,,,-:~ 57:) 27.5-25-5-::-- contents, antique walnut Victorian chest with three (3) drawers, antique blue and white coffee pot, china coffee pot with pink flowers and gold handle and spout, I: sapphire ring surrounded by diamonds, 14 carat gold bow shape earrings with II :! ; sapphires (snap on), one (1) cut glass bowl, my love seat, upholstered green lounge it il Ji chair and a pair of cloisonne vases to my wife's great niece, Lisa Clapp, if she II II !I ii survIves me. I, jl ,!/ L. I give and bequeath my four (4) drawer antique fruit wood chest to the 'I I, II II II Alumni House of Bloomsburg University which must bear a small brass plaque II ii II inscribed "In memory Eleanor Balliet Clapp Hoffman '32". II M. I give and bequeath the sum of Three Thousand ($3,000.00) Dollars to II Ii Ii the Williamsport Salvation Army in memory ofIrene Balliet Clapp, Blanche and II I, I! II Hadasa Balliet, former residents of the park home. I, I !/ II N. I give and bequeath my gold and pearl necklace to Marjorie Miller II Ii Melamed, if she survives me. II Ii ii O. I give and bequeath any of my costume jewelry which she so desires to II Ii Angeline Ruth Clapp, ifshe survives me, wife of my wife's nephew, Richard Clapp. P. I give and bequeath my love seat, tvv'O Jefferson mahogany candle stands, and upholstered in green lounge chair, and pair of cloisonne vases to my -4- \ I \\ J \~ N \~.'.'.' ~\ .~~ \" \\" '''-,. " C'< \J ,,~ ")- 'i, ;~ \ ~ \ ~~~ \ ~ , \\ \:, '\~\'J L,'\ \)(' 0 FF! C E5 ,- ET=-RS,'-" If;l,.iPOLI ,..-- ~C" 0:..,,, - ~ - - -- -- ~ - -' -' - ::..:::- ,- ::7:) 2'75-2568 = 'Tj<E!~T wife's great niece, Lisa Clapp, if she survives me. Q. I give and bequeath my inlaid Hepplewhite shaving stand with bow :i I: front, mahogany Chippendale wing chair, antique silver plated cannister, antique j; Ii pine bench, dropleafBalliet table of maple with crotch mahogany trim to Richard i, 1: ;: Clapp, if he survives me. H Ii I[ ! " " " R. I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to Ii 11 Christ Episcopal Church, Danville, Pennsylvania, in memory of Mary Hoffman. n ii II I, ii Ii II Ii Ii ,I !/ II " II Ii II ii !I j, II d H !i S. I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to St. Pauls Methodist Church, Danville, Pennsylvania, in memory of Abigail Crosley Lyon, Lillian Lyon Hoffman and Emeline Lyon. T. I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to Mahoning Presbyterian Church, Danville, Pennsylvania, in memory ofIrene Balliet Clapp, Paul Clapp and Mr. and Mrs. Edward Hoffman. U. I give and bequeath the sum Five Thousand ($5,000.00) Dollars to Pine Street Lutheran Church, Danville, Pennsylvania, in memory of Mrs. Charles 11 Morrall, Mrs. Harvey Buck, Mrs. Elmer Peters, Miss Katherine Hoffman and Mr. and Mrs. Edward S. Hoffman. V. I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to Big Spring Presbyterian Church, Newville, Pennsylvania vv'ith the hope that it will -5- ~ , ~ >,,\~ '~> <~T"- \ ~~ ,~ ", \~ i , , , ! ~ ~ \ ' '0 .,. '",,) ,\:, ",-'-.':--i '~'" ~ '\1 \~ L.Ll...\x"- Or-F!CE:S ETE?_S i)-{\' j RIPOLI -,~:o '" -;- ~ ? -:' 0:::_'::: - -'. ..., - - - ;::-/-~: 570 275-::056<:: be used toward the purchase of a grand piano for the sanctuary. , ~ ! W. I give and bequeath an antique walnut picture frame containing a ., 'i portrait of our great, great grandmother and her two children plus two matching ii ~ j I frames containing buildings in Danville, two coin silver spoons bearing the initial 1[ ., " II il "B" and one coin silver teaspoon bearing the name "E. Finney" to Barbara Balliet :! H ii (Mrs. Frank) Furst, if she survives me. (I Ii Ii fI II I' ,I II three drawer chest to my wife's nephew, Donald Clapp, ifhe survives me. II II Ii II II X. I give and bequeath all furniture in den except the pine bench and the Y. I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to the Carlisle Salvation Army. It Ii if II d Z. I give and bequeath the sum of One Thousand ($1,000.00) Dollars to II Bucknell University. Ii Ii Ii II II I, il i ~ II 11 aa. I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to the Thomas E. Beaver Free Library, Danville, Pennsylvania, in memory of my and as long as she was a resident in Danville. bb. All the rest, residue and remainder of my estate and property, real, personal and mixed, at whatever time acquired by me and wheresoever situate, I give, devise and bequeath in equal shares, share and share alike unto the following -6- ~ 'J ", ~\ \~. l\ ~'\ '",~\ ,,' " ',,- ~ \ \ ' '.1', \-' 'l ,', ~ j '\0 ',i '<-~ 'N "'" '\ " '\:;! ,'\ ',\\ " \I L",\X/ OF~JCES ETERS i RiPOLl '~~."'~ -=c-,~ ~,-c"'. - ~ - .-- -.. -' - - - ,-~/ 57C?7~-2560 named persons who survive me: a. Donald L. Clapp, b. Lisa Clapp, c. Richard Clapp, d. Ann Carter Lee (Mrs. Bland Lee), e. Abigail Lewis, f. Kathryn Lewis (Mrs. Thomas Lewis), g. William Lewis, h. Ann Carter Marsh. ITEM III: I direct that my personal representatives, or their successors, hereinafter named, shall serve without bond, surety or security. ITEM IV: All federal, state and other death taxes payable because of my death with respect to the property forming my gross estate for tax purposes, whether or not passing under this will, including any interest or penalty imposed in connection with such tax, shall be considered a part of the expenses of the administration of my estate and shall be paid from my residuary estate. ITEM V: I give my Executors hereinafter named, or their successors, fullest power and authority in all matters and questions and to do all acts which I might or could do if living, including without limitation, complete power and authority to -7- L.A\X/ OFFICES = T =- K S r,": l R: r:> 0 L. J _--::DO: ::~C' ?C'.:c-'2' ~J_); 570 275-'::560 sell (at public or private sale, for cash or credit, with or without security), mortgage, lease and dispose of and distribute in kind, all property, real and I' personal, at such times and upon such terms and conditions as they may determine, l; ii all without court order. I !: :: i; ITEM VI: I hereby appoint Ann Carter Lee and Richard M. Clapp, I' I. !I II I: Executors ofthis my last will. Should Ann Carter Lee fail to qualify or cease to " " H II act as Executrix, I appoint Ann Carter Marsh, Co-Executrix of this my last will. II H II Ii I r Kathryn Marsh Lewis, Co-Executrix of this my last will. It is my desire that the I I I, .1 :, II II 11 Ii I' Ii ! , i ! i l Should Richard M. Clapp fail to qualify or cease to act as Executor, I appoint above named Executors shall serve without fee or compensation in the administration of my estate. ITEM VII: It is my desire that at my death, Arthur M. Peters, Jr., Esquire, be retained as attorney by my Executors for the administration of my estate. IN WITNESS WHEREOF, I, Edward S. Hoffman, the Testator above --") a named, have set my hand and seal this ~:-j day of I\~ll{_ in the year of our Lord two thousand two (20?2J._ .0 // ~ .... .--. /.//// Cj,/,/ ) /7</ ,,=:--- \/ /, //J.C:Jf .,f/' ,dJiU.-tq-- ~. \/l~r[f//.114:'-i (, ,- Edward S. Hoffman . ~T-::' rel -8- l_.A\'</ C!FF!CES .' E T E P,- S c.''\. 1 R I PO L I :: "'?J- '::-:,:,,:: "57::) 0: ~ ';._? r=-J-.;~ 570 27:;::-2560 Subscribed and sealed by the Testator in the presence of us and at the same ,'i time acknowledged by him to us to be his will and subscribed by us in his presence " " :j ? -~-~;::- /-~'.::, - and in the presence of each other this ~~ day of/_~c~/ , 2002. } -. .~, ,:/ - / ~.--' ,,1,';-'" f _)f ~'"r' .I: I Ai /,. /1/ .---:..:.'J//' .do )/.;r' /p'~ .'~".)_ / '_:/..,- " /' .~ fi ,'~// / j:>/_ (~ ?;;'~ . // {.~4 ..'~ I reSl lng at ." r I' ~ ,."I:?-.. .', v -'-..." Lc.- . "'-.' /. -? ... <7 ~ ;, ( " . I :J; :.c. '" /,. ,y v' .' ,- J " II II " H ii II Ii Ii II !I Ii 11 Ii Ii Ii !/ II ij il II IJ II II 'I """-;=-7 ~ ./'/ /-v --~/';"-::~" ~ ~ .. (/..):, 7'1 --- '. , . / f:::'~"--~ Ii ~ ~_/ -? }-;/4 ,,-). ;' .-~_~ /"} t ~.... ( residing at. it "_1 . '.' ; }('G..- /J~.. i;~~.../c:_ ,'"Zj .-1-. ,1 /1 I -9- . LA\X/ OFFiCES :::Tf?-.S i R1DOLi -,- ~_.-=,;)::: =':' 27~-!2 57:: 2.7.::;-'";'53D . COMMO:t\rwEAL TH OF PEN'NSYL VANIA ) ) SS: COUNTY OF MONTOUR ) We, Edward S. Hoffman, A. M. Peters, Jr. and \Vendy S. Tripoli, the Testator and ;j 11 the witnesses, respectively, whose names are signed to the attached or foregoing Ii instrument, being first duly sworn, do hereby declare to the undersigned authority that the n i! Ii Testator signed and executed the instrument as his Last WiII and Testament, and that he ., " 'I ,. ii signed wiIIingly, and that he executed it as his free and voluntary act for the purposes H " ili therein expressed, and that each of the vvitnesses, in the presence a..'1d hearing of the .1 II Testator, signed the will as witness and that to the best of his or her knowledge the iI 11 II Testator was at that time eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. ~. /7 --- ~) /j C I ";'v" ('~~A~~/)/tz I J;~'l' . Testator. (/ [/ . j! ~~/;. .---P: /~~_ ____ /l 4~'6!:# !?~+ Witness T i II II II !I Ii ;1 I, Ii /1 .~ j II C({./C-V1 rL; ^~i. f/\,..-,. ~;(,7_ Iii (fWitness I I ~ II Subscribed, sworn to and acknowledged before me by Edward S. Hoffman, Testator a..'1d II !: subscribed and sworn to before me by A. M. Peters, Jr. and Wendy S. Tripoli, witnessesc i this d 1M day of jJp r if , 20,O~ ,{ / ./ /1' /' I-hULl.;.." J )~"cJU (f },(~~ Public 1-- N0IARlfu.SEAL . . HOUrS GREENL" NaTAffi'rJiLlC OAIII'VlLLEBO?'Q.. MONTO:JR CGUNr! ft(wr:'M:SSlm~ EXPIRES JAN. 9 2004 LAW OFFICES PET E R S o.(>:b. T RIP 0 L I 16 EAST MARKET STREET P. O. BOX 116 DANVILLE, PENNSYLVANIA 17821-0116 AR. THUR M. PETERS, JR. ""EA CODE 570 275-1211 FAX 570 275-35110 WENDY S. TRIPOLI October 3, 2007 Ms. Glenda Farner Strasbaugh Cumberland County Register of Cumberland County Court House 1 Courthouse Square Carlisle, PA 17013 Wills RE: Edward S. Hoffman Estate PA No.: 21-07-0500 Dear Ms. Strasbaugh: Enclosed herein for filing are the original and one (1) copy of the Pennsylvania Inheritance Tax Return along with a copy of the Will and a copy of the car Appraisal for the above referenced estate. Also enclosed is a check made payable to you as Agent in the amount of $245.68 representing the additional inheritance tax due and a check in the amount of $15.00 representing the filing fee. Should you have any questions concerning this matter do not hesitate to contact me. Thank you for your assistance. Sincerely, (WAn ~ ~ r~i I1vv .0 WENDY s. IPOLI c::;,~ (~i .:... " WST:hsg -i I .... Encls. -) ; I (A~ _J t f f i[l >I I: \. '~ ! f i -i <C ...... <C~ CJ ......Z o a:: <::) LI.J ::> ~<::) (S)c::::II I a:: ::)<C ~c::::II ......::z: <C ...... en ~ ""l:I" c:-.. CO? LO >CS) CO? co co CO? c:-.. co co "*~ ::.:: .--I C:::N t- (S) ~1.,~~ II-~M iIC~& i:E t:: <C > I- c:J I CO ,.... 1:>. ~ .::r I1J m LI') CJ :r ru m I'T1 -0 U'J CO 0 I'T1 ..0 m to I1J I'T1 nJ ,-0 ..0 Co CO *r~ ......:;:::> ",. ,/ ~ f i 'is. J ~ J 1/ @ (fJ B ~ 8 ~l UJ .sa ,: l <? ~ -"'" 1: ~O'~ ..... ,. -, ) V -, " ...:) C) (Xl .... OJ C'I/ 8- .. IE! ~g~ IU ~i~ '.0 '.ri ,,_= r g i.E' ~ J -", i ~ it~~ ! '! Cl ~~ '""" l ~,~~ t ~ Jj~i rf :f~~ c( ... !!: .... ." ... U o .., ." .... '" '" .... 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