HomeMy WebLinkAbout01-28-08
-...I
15[]5b[]41147
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 2 1 0 7
0952
Date of Birth
211226581
10022007
11051929
Decedent's Last Name
Suffix
Decedent's First Name
BENDER
HELEN
MI
C
(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 OVALS BELOW
[!] 1. Original Return
4. Limited Estate
o
o
o
o
4a. Future Interest Compromise
(date of death after 12-12-82)
2. Supplemental Return
o
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
o
[KJ
o
6. Decedent Died Testate
(Attach Copy of Will)
7 Decedent Maintained a Living Trust
. (Attach Copy of Trust)
8. Total Number of Safe Deposit Boxes
9. Litigation Proceeds Received
10 Spousal Poverty Credit (date of death
. betvveen 12-31-91 and 1-1-95)
o
11.Election to tax under Sec. 9113(A)
(Attach Sch. 0)
~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number
MICHAEL L. BANGS 7177307310
Finn Name (If Applicable)
429 SOUTH 18TH STREET
REGISTER OF WILLS USE ON!. Y
C) ,--,
c; C) co
,;,~~ ~
C)
-.~.,
First line of address
City or Post Office
CAMP HILL
State
PA
ZIP Code
17011
'--: ~-'-'-',
Second line of address
CO"; ,__..
r :'~~~~~ :~"l
-r~
Correspondent's e-mail address:
Under penaHies of ~rjury, 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.
SIGNATU Of PE SON RE ONSIBL OR FI G RETURN DATE
Timothy J. Fuhrman -- 0 7
9632 Carriagehouse Lane, Sandy, UT 84092-2549
S~NATURE OF P1EPAR, ERpTHER THAN NTATlVE
V'v{Jt/~ 11 / '. Michael L. Bangs
ADDRESS
/
429 South 18th Street, Camp Hill, PA 17011
Side 1
L
15[]5b041147
15[]5b[]41147
-...I
~V'
--I
15056042148
REV-1500 EX
Decedent's Name: Helen C. Bender
Decedent's Social Security Number
211226581
RECAPITULATION
1. Real Estate (Schedule A)........................................................................................... 1.
2. Stocks and Bonds (Schedule B)................................................................................. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).............. 3.
4. Mortgages & Notes Receivable (Schedule D)............................................................ 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E).................... 5.
6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested.............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) [] Separate Billing Requested.............. 7.
8. Total Gross Assets (total Lines 1-7)........................................................................ 8.
9. Funeral Expenses & Administrative Costs (Schedule H)............................................ 9.
10. Debts of Decedent, Mortgage Liabilities, 8, Liens (Schedule I)................................... 10.
11. Total Deductions (total Lines 9 & 10)....................................................................... 11.
12. Net Value of Estate (Line 8 minus Line 11 ).............................................................. 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J).................................................... 13.
14. Net Value Subject to Tax (Line 12 minus Line 13)................................................... 14.
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
(a)(1.2) X ~
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
0.00
15.
138,282.82
16.
0.00
17.
0.00
18.
19. Tax Due
.......................................................................................................................
19.
20. Fill IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
L
Side 2
15IJ56IJ42148
149,770.48
8,930.72
158,701.20
18,992.97
1,425.41
20,418.38
138,282.82
138,282.82
0.00
6,222.73
0.00
0.00
6,222.73
[!]
15IJ5bIJ42148
--I
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-07 -0952
DECEDENT'S NAME
Helen C. Bender
STREET ADDRESS
770 Poplar Church Road
CITY I STATE -\ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
6,222.73
6,ClOO.OO
311.14
Total Credits (A + B + C)
(2)
6,311.14
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the dif'ference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Une 2, enter the dif'ference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3)
(4)
(5)
(5A)
(5B)
88.41
Make Check Payable to: REGISTER OF WILLS, AGENT
'0' . .. '. ' l~ . " 1 __ '. . .' "i. 1 . .' j <, " . rJjt]1 +~:i .~ 1\1"'''' :f..:L .;r'"";'~l;;;:.i::.s.t.~ ~="
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 transl'erred;..................................................................................... 0 D
b. retain the right to designate who shall use the property transferred or its income;......................................... 0 0
c. retain a reversionary interest; or......... ........................ ............ ..... ... .... ........... ................. ............ ...... .............. 0 0
d. receive the promise for life of E!ither payments, benefits or care?................................................................. 0 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?... ...... .............. ... ... .................... ................. ........ ........ ......... ....... .............. .... ...... 0 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?............... 0 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?... .......... ............... ........... ................ ......... ...... ....... ....................... .., ...... .......... 0 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
,', ::.~-; {,' ::.,-,,;',;;",,:1," ".....: ,'.' ,',.f.- -- .:, ,"~.:tc ,~I I "~ .~l;;.' ^':,Llc.~:J~'~.. "O,I~':,,~+-d~'.::':t:".I;;;,tjL::..,";;..~ J,'::~"",JJ ',:. :H: 'l"op::'.;+
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. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax ICIte imposed on the net value of transfers to or for the use of the surviving spouse is zero
(0) percent [72 P .S. 99116 (a) (1.1) (ii)]. The statute does not exemot 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.5. 99116 (a) (1 .2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent,
except as noted in 72 P.S. 99116 1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116 (a) (1.3)]. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Rev-1!508 EX'" (6-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMOMNEALTH OF PE~SYLVANIA
IrfiERITANCE TAX RE'TURN
RESIDENT DECEDENT
Bender, Helen C.
IFILE NUMBER
I 21-07-0952
ESTATE OF
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 DESCRIPTION
1 Members 1 st Federal Credit Union - Regular Savings Account
VALUE AT DATE
OF DEATH
500.30
2 New Cumberland Federal Credit Union - Account #13288-Checking Account
52.984.57
3 New Cumberland Federal Credit Union - Account #13288 - Savings Account
17.221.25
4 New Cumberland Federal Credit Union - Account #13288-Certificate of Deposit
77.274.94
5 Refund from Beverly Rehab
1.789.42
TOTAL (Also enter on Line 5, Recapitulation)
149.770.48
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
Rev-H110 EX+ (6-98)
'*
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEAlTH OF Pe.NSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Bender, Helen C.
IFILE NUMBER
21-07 -0952
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.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1 Members 1 st Federal Credit Union - IRA 8.930.72 100.000 8.930.72
Certificate of Deposit. The beneficiary of this
account was Richard Bender.
TOTAL (Also enter on Line 7, Recapitulation) 8.930.72
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule G (Rev. 6-98)
REV-1151 EX+ (12-99)
.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Bender, Helen C.
Debts of decedent must be reported on Schedule I.
I FILE NUMBER
21-07 -0952
ESTATE OF
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 10,659.42
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s} Commission paid
2. Attorney's Fees Michael L. Bangs 5,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 310.00
5. Accountant's Fees 500.00
6. Tax Return Preparer's Fees
7. Other Administrative Costs 2,523.55
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 18,992.97
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DeceDENT
Bender, Helen C.
FILE NUMBER
21-07 -0952
ESTATE OF
ITEM
NUMBER DESCRIPTION
1 Parthemore Funeral Home
AMOUNT
10.659.42
Subtotal
10.659.42
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
.
SCHEDULE H-87
OTHER
ADMINISTRATIVE COSTS
continued
COMMOHl/VEAL TM OF P~SYL VANIA
IMiERITANCE TAX RETURN
RESIDENT DeCEDENT
ESTATE OF
Bender, Helen C.
FILE NUMBER
21-07 -0952
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Cumberland Law Journal
75.00
2
The Sentinel
115.00
3
Timothy J. Fuhrman - Timothy J. Fuhrman resides in Utah. These administrative
costs are reimbursement for his out of pocket expenses including travel costs and
work loss reimbursement for his duties as executor of the estate.
2.333.55
Subtotal
2.523.55
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE: liABiliTIES, & liENS
COMMONWEAL Tli OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Bender, Helen C.
I FILE NUMBER
21"{)7 "{)952
ESTATE OF
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 Golden Ventures - Nursing home final charges.
VALUE AT DATE
OF DEATH
254.11
2 Phannerica
1.135.30
3 Quantum Imaging
36.00
TOTAL (Also enter on Line 10, Recapitulation)
1 ,425.41
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV 1513 EX+ (9-00)
.
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Bender, Helen C.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
CJistributions, and transfers
under Sec. 9116(a)(1.2)]
FILE NUMBER
21-07 -0952
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
1
Timothy J. Fuhrman
9632 Carriagehouse Lane
Sandy,UT 84092
Nephew
Entire
Total
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
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
@
MEMBERS 1st
FEDERAL CREDIT UNION
REGULAR SAVINGS ACCOUNT:
Account Number/ Suffix
Date Account Established
Principal Balance at Date of Death
Accrued I nterest to Date of Death
Total Principal and Accrued Interest
Interest Earned 01/01/01 through 09/30/2007
Name of Joint Owner
50794-00
12/05/1973
$500.30
$.01
$500.31
$3.30
None
IRA CERTIFICATES OF DEPOSIT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Interest Earned 01/01/01 through 09/30/2007
Name of Joint Owner
50794-15
05/19/2000
$8,930.72
$1.02
$8,931.74
$248.74
None
tEE . BERS 15,T FEDERAL 9~DIT UNION
\')1 r\~ 1\. \~~\~
anielle'A.1'<1i::
Insurance Services Specialist
November 5, 2007
Estate of: HELEN C. BENDER
Date of Death: October 2,2007
Social Security Number: 211-22-6581
5000 Louise Drive · PO. Box 40 · Mechanicsburg, Pennsylvania 17055 · (800) 283-2328 · ,v,,~v.I11eI11berslst.org
NCFCU
New Cumberland Federal Credit Union
Your Community Credit Union
P.O. Box 658, New Cumberland, PA 17070-0658
Phone: (717) 774-7706. 1-800-716-2328 · Fax: (717) 774-7996. Web: www.ncfcuonline.org
November 23, 2007
Bangs Law Office
429 South 18th Street
Camp Hill, P A 17011
RE: Estate of Helen C. Bender
SSN # 211-22-6581
DearMr. Bangs,
Pursuant to your letter dated October 25, 2007, pertaining to the above referenced
member the inforolation that you requested is as follows:
Dividends as of 9/30/07
Dividends as of ] 0/31/07
13288
Helen C. Bender
12/21/1987
SI (Savings) $17,221.25
S4 (Checking) 52,984.57
CD 77,274.94
2.666.96
3.030.69
Account Number:
Owner(s) on Account.:
Date acct opened:
Date of Death Balances:
If you need anything additional in regards to this infornlation. please fed free to
contact me directly.
Sincerel~: (1
~~Pl/.\(t-
Barb:~~~
Branch Manager
last lmil mw ~t$lamtnt
OF
HELEN CAROLE BENDER
I, HELEN CAROLE BENDER, domiciled in Cumberland County in the State of
Pennsylvania, being of lawful age and of sound mind and memory, and not acting under
duress, menace, fraud, or undue influence of any person whatsoever, do make, publish
and declare this to be my Last Will and Testament.
I hereby revoke any and all former Wills and Codicils to any Wills hereto-
fore by me made, and I hereby declare this to be my only true existing Will and
Testament.
I hereby direct that all my just debts, including the expenses reasonably
incurred in the administration of my estate and the expenses of last illness, fun-
eral and burial, inlcuding a suitable grave site and grave marker, be paid out of
my gross estate, in such amount as my Executor, hereinafter named, may deem proper
and without regard to any limitation in accordance with the priority of payments
set forth in the applicable law.
I direct that all estate, inheritance, legacy, succession or transfer
taxes, imposed by any law with respect to all property taxable under this my Last
Will and Testament, and whether such taxes shall be payable by my estate or by the
recipient of any such property, shall be paid by my Executor, hereinafter named,
out of my gross estate with no right of reimbursement from any recipient.
This Will and every part thereof is made with reference to the presently
existing laws of the State of Pennsylvania relating to Wills and estates and trusts
and trust with distribution by Will, and without regard to the laws and regulations
of any state or county where I may happen to be at the time of decease, or where
any portion of my estat e may be si.tuated.
I therefore direct that, to any extent permissible by law, this Will and
every part thereof shall be construed and interpreted and its validity and effect
determined, with reference to the law of the State of Pennsylvania, no matter in
what jurisdiction my Will may be probated.
I hereby appoint TIMOTHY J. FUHRMAN, my nephew, to be the Executor of this
my Last Will and Testament. The Executor shall have such powers, rights and duties
as set forth hereinafter.
The Executor shall not be liable for any loss or damage which may result to
my estate by reason of the exercise of any discretionary powers conferred upon such
Executor, except in the case of willful default or bad faith.
The said Executor shall serve without bond being required and without comp-
ensation except for expenses or costs reasonably incurred within the scope of his
duty as Executor.
In the event that any provisions of this Will should be held invalid, the
invalidity of such provision or provi.sions shall not affect any of the other provision
hereof, it being my. intention that each of the provisions shall be independent of
each of the others, so that all valid provisions shall be strictly enforced, irre-
spective of the invalidity of any of the others.
It is my express intent that any beneficiary not specifically provided for
in this Will shall be excluded herefrom.
All of my property both real, personal and mixed, wherever situated, of
which I may die seised or possessed or in which I may in any way entitled, or in
which I have any interest at the time of my death, including property over which I
have power of appointment, I grant, give, devise and bequeath to my sister, ANNE C.
BENDER, absolutely and in fee simple.
If ANNE C. BENDER shall not: be alive at the time of my death, then all of
my property shall pass to the Executor to be distributed in his sole discretion.
My Executor, while in POssE!ssion and control of my estate during administra
tion is hereby authorized to retain, hold, sell, encumber, convey, lease, invest,
reinvest, and keep invested according to his sole discretion in such securities or
other properties, personal or real, and upon such terms and for such length of time,
as to him shall seem advisable, without any limitation upon his power or authority to,
do so, either by statute or rule of law. I further authorize and empower my Executor I
in the distribution of my estate, in his sole discretion to make division or distri- ,
bution in kind or partly in kind or in money. 1
I, HELEN CAROLE BENDER, donliciled in Cumberland County, State of Pennsylvan a,
do hereby make, publish and declare this 8S and for my Last Will and Testament, here-
by revoking any and all former Wills and Codicils at any time heretofore made by me.
- 3 -
IN WITNESS WHEREOF, I have hereunto subscribed my name this
day of
J~ . i)
',-,'J,e.'! c, 7y...H, (:...1
, 1981.
'.J" ,-, /
F-"U.(~.'t t-L Ci'alid (z ...-{> (, I I d (. r: )
HELEN CAROLE BENDER
(SEAL)
The foregoing instrument was on this
-t'
day of
,,-.ii (' 'c c .~.,-..I,. r . /
1981, subscribed at the end thereof by HELEN CAROLE BENDER, the above named Testator,
and by her signed, sealed, published, and declared to be her Last Will and Testament,
in the presence of us and each of us, who thereupon at her request, in her presence,
and in the presence of each other, have hereunto subscribed our names as attesting
witnesses thereto.
,. /' ,.
.~ ~~'(). ~ 1.(, t\/ l':~"{ [i",i\.
WI'rNES S
/1
( / ;'vl", "r' ,/ <{j (. ( . I (,.
. " . AD;RESS
\....2J./ f',l. ') 1 ;.
. _ c \ tl .1,,' .i_ ,
'WITNESS
/-i.A: ,(~ <'~.
, 1./
I /
\'" :)1, .1,xh ( C (
ADDRESS
d.
!. ,.' \/
/ \ (l l.t, l:t' Ie')
WITNESS
/'{fY [.U0:. z.d.':'.
: iI i(
'. ..
- 4 -
STATE OF PENNSYLVANIA
COUNTY OF
/ /. ;:' if <'
(. .((,'1'Vt.P,Cc.l:.'''i;.,-..,.(
Before me, the undersigned Notary Public in and for the State and County
aforesaid, on this day personally appeared HELEN CAROLE BENDER,
/,'1 . (
/.... .-1:"(" (; ,."t ~
~ '" (',.....t. .-",,/
",;.,_1;.<, LA.Lt... J~ l.~ii._/ "F.- /):':~:.'I,~r.r~..
I ,)" I
{,'
known to me to be the Testator and the witnesses, respectively, whose names are
, and
,I.
/~i. L.i:'.ll.."
'~/;. !. , "';e..{,
signed to the attacbed or foregoing instrument and, all of these persons being by me
first duly sworn, HELEN CAROLE BENDER, the Testator, declared to me, and to the
witnesses in my presence, that said instrument is her Last Will and Testament and
that she had willingly signed the same, and executed it in the presence of said
witnesses as her free and voluntary act for the purposes therein expressed; that
said witnesses stated before me that the foregoing Will was executed and acknowledged
by the Testator as her Last Will and Testament in the presence of said witnesses,
who, in her presence, and at her request, and in the presence of each other, did
subscribe their names thereto as attesting witnesses on the day of the date of said
Will, and that the Testator, at the time of the execution of said Will, was over the
age of eighteen (18) years, and of sound and disposing mind and memory.
.Ie ,/ ,) ../": 1. ,/~.; '_.. , ,r
I '~'{,Cf:'/L. LiZ l(.d( /' t '~LL{( ({ j.'
HELEN CAROLE BENbER
(SEAL)
a1b
' .. v\;v( , /<
'-.. WITNE S
f
, I
(SEAL)
)f'
" :.. ,'f :i /;"/ i-' .,' c .'
)(>..1.( i ,( ~..l tv k ~'-.
. wIymss
..( ("
"
I
,r~ C~ ('I :1-/
. '( i
(SEAL)
>r{~i~i/j/i;:7j<':.~2{':\"//l :;?//
WITNESS '
(SEAL)
Subscribed, sworn and acknowledged before me by HELEN CAROLE BENDER, the
Testator; and subscribed and sworn before me by
'~~"'('~':')'/""'" I ..' ...,....//.. ,,"'.'.,; . ~ ~
,.....-... _ ~- '~' ~l':' .:.,~.t ti..lt;.
,L'~':"""L '1" {.(' /",,7,1 c/':
'},'\"",,<".('-cJ
. t/
, and
/7::;.. t.( t"'_' ~:'J ,,__,.,LJ;;cO'L,:.,- i:<: J (,.J_'__~
, the
witness~s, this ~ day of
{} Jt.,.. c;~,-lLc~,;
, 1981.
My Commission Expires:
,~. -J , '.
1).;..<":1..; .[ .jJ'(/A,_,.'
NOTARY PUBLIC;'
RUiH RYAN, NOTf.lRY PU13L1C
My Commission Expires OK HI. Hll;l
Cnmll Hill, PA Cumberland Co'
BAN6S LAW OFFICE
429 SOUTH 18TH STREET
CAMP HILL, P A 17011
E-mail: mikebangslWverizon.net
PHONE: 717-730-7310
FAJ{: 717-730-7374
MICHAEL L. BANGS, Attorney-at-Law
WENDY K. STRAUB, Paralegal
WILLIAM E. MILLER, JR.
Of Counsel
January 25, 2008
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PAl 7013
RE: Estate of Helen C. Bender
File No. 21-07-0952
Dear Mrs. Strasbaugh:
Enclosed for filing as a part of the above-referenced estate you find the following:
1. The original and one copy of an inheritance tax return;
2. The original inventory; and
3. A check in the amount of$30.00 to pay the filing fee.
According to the returns, the estate is due a refUnd in the amount of $88.41.
Kindly return a paid receipt to me in the enclosed, stamped, pre-addressed envelope. If you
require anything further, please contact me.
V\i~l:~~'
Michael L. Bangs
wks
Enclosures
cc: Mr. Timothy J. Fuhrman