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HomeMy WebLinkAbout03-03-08 (3) _...I ],505b01l],],1I7 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 !\ I , , "h IJj Date of Birth 199 07 9225 12 06 2007 12 31 1914 Dec:edent's Last Name Suffix Decedent's First Name MI BORDNER HARRY E (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 0 2. Supplemental Return 0 3. Remainder Return (date of death prior to 12-13-82) 0 4. Limited Estate 0 4a. Future Interest Compromise 0 5. Federal Estate Tax Return Required (date of death after 12-12-82) [K] 6. Decedent Died Testate 0 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) D 9. Litigation Proceeds Received 0 1 0 Spousal Poverty Credit (date of death 0 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' EARL RICHARD ETZWEILER (717) ~34 5600 Firm Name (If Applicable) ETZWEILER AND ASSOCIATES REGISTER OF WILLS USI= ONLY First: line of address 105 NORTH FRONT STREET Seccmd line of address City ,or Post Office DATE FILED HJ.!.RRI SBURG State PA ZIP Code 17101 Cornespondent's e-mail address:REtzweiler@Comcast.net 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 tnle, correct and complete. Declaration of preparer other than the personal representative is based on all infornnation of which pre parer has any knowledge. ' SIGNATURE F E SONRE SIBtEFO~, '. DATE 7-C .// 2u~~ /C;:;:-J--r Sherwood Witmer, / " ( / ( <' BOle 138, Berrysburg, PA 17005 SIGNATURE OF PREPARER OTHER THAN R.EPRESENTATIVE ---"<:-' _..'~; F.__..,,,,"'/.. -,:: ~._,..,> ....._ ' --:,..-:---- - / DATE ,.../ Earl Richard Etzweiler ADDRESS ,.:,'- . ' i I , 105 North Front Street, Harrisburg, PA 17101 Side 1 L. ],505b01l],],1I7 ],505b01l],],1I7 -.J PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF Bordner, Harry E. FILE NUMBER 21-- Unde,r 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. Signalture #2 Connie Byerly 1300 Park Drive, Apt. 17 Name AddrE~ss1 AddrE!Ss2 City, State, Zip Hummelstown, PA 17036 62 (,';! B ( D ~ Date _J 15056042148 REV-1500 EX Decedent's Name: Harry E. Bordner Decedent's Social Security Number 199 07 9225 RECAPITULATION 1. Real Estate (Schedule A).......................................................................................... 1. 2. Stocks and Bonds (Schedule B)............................................................................... 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)................ 15. Jointly Owned Property (Schedule F) 0 Separate Billing Requested............. 6. '7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested............. 7. 8. Total Gross Assets (total Lines 1-7)....................................................................... 8. B. Funeral Expenses & Administrative Costs (Schedule H)......................................... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)................................ 10. 11. Total Deductions (total Lines 9 & 10)...................................................................... 11. 1L~. Net Value of Estate (Line 8 minus Line 11)............................................................. 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J)................................................. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13)................................................. 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, 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. 0.00 16. 9,860.16 17. 78,881.23 18. 19. Tax Due..... .......... ..... .............. ...................... ..... ................................ ........................ 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L, 15056042148 2. 4,604.40 5. 94,835.98 99,440.38 10,698.99 10,698.99 88,741.39 88,741.39 0.00 0.00 1,183.22 11,832.18 13,015.40 D 15056042148 ~ REV-1500 EX Page 3 DecedlEmt's Complete Address: File Number 21-- DECEDENT'S NAME Harry E. Bordner STREET ADDRESS 1700 Market Street CITY I STATE IZIP 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 ) 12,364.63 650.77 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest 1::. Penalty Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 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. A. Enter the interest on the tax due. 13,015.40 13,015.40 (3) (4) (5) 0.00 (5A) (5B) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PL.EASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 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? ......................... ............ ................................. .................................. .............. ~ 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. 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?...................................................................................................................... Yes o o o o o o No ~ ~ ~ ~ o o For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not 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 01' 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. 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 orfor the use of the decedent's siblings is twelve (12) percent[72 P.S. 99116 (a) (1.3)]. A sibling is de'fined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. LAST WILL AND TESTAMENT OF HARRY E. BORDNER I, HARRY E. BORDNER, of Mechanics burg Post Office, Cumberland County, Pennsylvania, declare this to be my last Will and revoke all Wills and Codicils previously made by me. ITEM 1. I give all my hunting equipment to my nephew, SHERWOOD WITMER. If he fails to survive me, I give all my hunting equipment in as nearly equal portions as practicable to the sons of Sherwood Witmer. Ifhis sons cannot agree as to the division of my hunting equipment, the division shall be made by my Executrix, in her sole discretion, and her decisions shall be final. ITEM 2. I give the rest, residue, and remainder of my estate as follows: (a) One share to KATHALEEN G. SCHAEFFER, DARLENE FERSTER MURPHY, and WAYNE FERSTER, equally; (b) One share to my sister, ARLENE BYERLY; (c) One share to be divided equally between my brother, RALPH BORDNER, and his children, equally; (d) One share to be divided equally between the children of my sister, SARAH WITMER; (e) One share to my niece, DIANA LAVIN; (f) One share to my niece, CONNIE BYERLY; (g) One share to be divided equally among BRIAN SClillL TZ, BRAD SClillLTZ, and SHERRY DAY; (h) One share to be divided equally between my niece, GAY STROH, and her children; and 297994-1 (i) One share to be divided equally between my niece, KIM GUTSHALL, and her children. If ARLENE BYERLY, DIANA LAVIN, and/or CONNIE BYERLY do(es) not survive me, her or their share( s) shall lapse and be divided among the remaining eight or fewer shares set forth in Item 3(a)-(i) above. If any ofthe persons designated by specific name or by description such as "children" in Items 3(a), (c), (d), (g), (h), or (i) do(es) not survive me, his or her share(s) shall be divided equally among the surviving persons who take portions of the respective share (a), (c), (d), (g), (h), or (i), rather than being divided among recipients of other shares. ITEM 3. I direct that all my just debts and the expenses of my illness and burial, including the disposition of my remains, shall be paid from my residuary estate as soon as practicable after my death and as part of the expense of the administration of my estate. ITEM 4. My Executor and Executrix shall have the following powers in addition to those vested in them by law and by other provisions of my Will applicable to all property, whether principal or income, exercisable without court approval, and effective until actual distribution of all property: (a) To retain and invest any and all assets in my estate without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification of risk; (b) To sell at public or private sale, to exchange, or to lease for any period oftime any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper; (c) To allocate receipts and expenses to principal or income or partly to each as they in their sole discretion think proper; (d) To compromise claims; (e) To distribute in cash or kind or partly each; 297994-1 (f) To exercise any law given option to treat administration expenses either as income tax or estate tax deductions, without regard to whether the expenses were paid from principal or income, and without requiring reimbursement; and (g) To disclaim inheritances. ITEM 5. I appoint my niece, CONNIE BYERLY, and my nephew, SHERWOOD WITMER, Co-Executors. If either fails to qualify or ceases to act, I appoint the other as sole Executor. ITEM 6. No bond shall be required of my Personal Representatives, but if bond is nevertheless required, it shall be without surety. ITEM 7. I note to my Executor and Executrix that I have retained the services of Jered L. Hock, Esquire, and the firm of Metzger, Wickersham, Knauss & Erb, P.C., in connection with the writing of this Will. Executed on f c: I? ( - g er ,2004. /{ il ,!, ~.h...~ Harry E. ordner In our presence HARRY E. BORDNER signed this three (3)-page Will and declared it to be his Will and now, at his request, in his presence, and in the presence of each other, we sign as witnesses: ~ ~ .:pit '''\fitness Residence " ~ ~~~-~- ~ /la-f y i ~ 6 f,,{';1' I'Ii- Residence 297994-1 ConunonwellithofPennsylvmna County of _D(QLt.f 11 (~Y) We, HARRY E. BORDNER, and :re ~ L < +-Gck , and 11Ju ^J 9 -s l.,tH K-u'J , the Testator and the witnesses, respectively, whose names are signed to the attached or 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 (or willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of our knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ss. /l~ {? ~~ Testator ~~ Witness ~---. EC... -. . --r===~ -. . / ~ --\:::7 (/ ..~/ ess -------- SWORN to or affirmed and acknowledged before me by the above named Testator and witnesses this Cpt"' day of Fe b V u ~ "V ' 2004. aJ,e. j}? fJtIP,^_ Notary Pu ic My Commission Expires: (SEAL) Notarial Seal .Angela M.. Miller, Notary Public CIty of Ramsburg, Dauphin County My Commission Expires Oct. IS, 2006 297994-1 Rev-1S03 f.J(+ (6-98) *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSY\.VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Bordner, Harry E. ESTATE OF IFILE NUMBER 21-- All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 72 shares of MetLife Insurance Company stock @ 4.604.40 $63.95 per share = $4,604.40 TOTAL (Also enter on Line 2, Recapitulation) 4,604.40 (If more space is needed, additional pages of the same size) Copyright (c) 2002 fonm software only The Lackner Group, Inc. Form PA-1500 Schedule 8 (Rev. 6-98) ~. It ~ of MaIbt.'f/.n:h &hH SymboJ/Klrywtmis: (~ Global ST!l!;imil eoku.[ ......./ ""MAI~~t d~ch Start your fre~JIilil tOQay ,. f~~O' r~ 1"" -Jr~~ r_~ r". IP r'l-'-,~O .. ~r,UW"~'"'')'~''''.:''I....,''''t ,.",_",d..l ""_'1(' r lJf ","l.lo. i" _~.'f'..ll'{',II< ..,...'t.'__r.d....,.l -- , BASIC CHART I INTfRACTlVf CHART "<m.w ..~~ .,'''~,''.v_.h.A~_WC._W~~~ Home I Quotes News i industries 'Markets Historical Quotes BlgReports Iii Ad'v81J!Ctif Tools I Premium Products This Historical Quotes tool allows you to look up a security's exact closing price. Simply type in the symbol and a historical date to view a quote and mini chart for that security. Enter Symbol: MET Enter Date: 12/06/07 Metlife line Thursday, December 06, 2007 Closing Price: Open: High: Low: Volume: 64.10 63.77 64.60 63.30 4,143,000 Go To Charting 'il11~ ~ ~l No Splits 2-Month Daily Chart of Metlife Inc High price of $64.60 + low price of $63.30 = $127.90 divided 2 == $63.95 per share Rev-1508 EX+ (6-98) .* SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Bordner, Harry E. IFILE NUMBER 21-- 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 Halifax National Bank Checking Account #210332210, date of death balance $4,701.36 VALUE AT DATE OF DEATH 4.701.36 2 Highmark - reimburse for medical expenses 41.58 3 Highmark - reimburse for medical expenses 92.25 4 PNC Bank Certificate of Deposit #5004876096, balance of $88,294.99 88.294.99 5 PNC Bank, Checking Account #5004389845, balance of $1,705.80 1.705.80 TOTAL (Also enter on Line 5, Recapitulation) 94.835.98 (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) !:.mID Halifax National Bank December 13, 2007 Etzweiler and Associates Attorneys-At-Law 105 North Front Street Harrisburg PA 17101-1436 Account Number(s) Type of Account Date Opened Principal Balance at date of death Accrued Interest not disbursed as of date of death Maturity Date Primary Owner of Account Name of Joint Owner, if any Beneficiary, if any Date Joint Ownership was Established If within 1 year of death of Decedent could prior Account Be traced into a prior Joint Account in existence over 1 year prior to death of Decedent Re: Harry E Bordner SSN: 199-07-9225 DaD: 12/06/2007 210332210 Checking January 31, 2006 $4,701.36 Harry E Bordner saf'-D~:itBOX(') ~J.Ak~-e~\ 't~ Knstm Beaver Third St., P.O. Box A · Halifax, PA 17032 · Phone: (717) 896-3433 o PNCBAN< PNC Bank. National Association Cashier's Check o o w o ~ HARRY E BORDNER ESTATE ~ Pay to d1e Order of C/O SHERWOOD WITMER ::;; cr; g fuh1y-eight Thousand Two Hundred Ninety-four Dollars And Ninety-nine Cents Non-Negotiable Customer Copy 5004876096 Remitter o PNCBAN< PNC Bank. National Association Cashier's Check o o 10 o ,;, M ~ Pay to the Order of HARRY E BORDNER ESTATE ::;; cr; o u.. w One Thousand Seven Hundred Five Dollars And Eiqhty Cents Non-Negotiable Customer Copy 5004389845 Remitter No. 00940021 Date January 9, 2008 $ 88,294.99 No. 00939981 Date January 9, 2008 $ 1,705.80 REV-1151 EX+ (12-99) *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Bordner, Harry E. Debts of decedent must be reported on Schedule I. I FILE NUMBER 21-- ESTATJ:: OF ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Sherwood Witmer Connie Byerly Social Security Number(s) I EIN Number of Personal Representative(s): Street Address Box 138 City Berrysburg Year(s) Commission paid State PA Zip 17005 4,972.02 2. Attorney's Fees Earl Richard Etzweiler 4,972.02 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 256.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 498.95 TOTAL (Also enter on line 9, Recapitulation) 10,698.99 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-15021::X+ (6-98) SCHEDULE H.87 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAA RETURN RESIDENT DECEDENT Bordner, Harry E. IFILE NUMBER 21-- ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal, advertise Estate 75.00 2 Etzweiler & Associates, postage, photocopies, notary fees, etc. 100.00 3 Register of Wills of Cumberland County, 2 Short Certificates 8.00 4 Register of Wills of Dauphin County, take Oath 20.00 5 West Shore Patriot News, advertise Letters 295.95 Subtotal 498.95 Copyright (c:) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) REV-1513 10)(+ (9-O0) SCHEDULE .. BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMIBER Bordner, Harry E. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] FILE NUMBER 21-- RELATIONSHIP TO DECEDENT 00 Not Ust Trustee{s) SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. Sharon L. Bittle 138 Otto Road Neshanic Station, NJ 08853 Niece 1/54 of Residue of Estate 1,643.35 Kathy Bordner 1165 Mount Pleasant Road Sunbury, PA 17801 Niece 1/54 of Residue of Estate 1,643.35 Michael L Bordner 426 South 4th Street Sunbury, PA 17801 Nephew 1/54 of Residue of Estate 1,643.35 Randy W Bordner 1324 Millers Bottom Road PA 17856 Nephew 1/54 of Residue of Estate 1,643.36 Arlene Byerly 1300 Park Drive, Apt. 17 Palmyra, PA 17078 Sister 1/9 ofthe Residue of Estate 9,860.16 See continuation schedule attached Continuation Total 88,741.39 Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) SCHEDULE .J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Harry E. Bordner 12/06/2007 199-07-9225 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 6 Connie Byerly Niece 1/9 of Residue of 9,860.16 1300 Park Drive, Apt. 17 Estate Palmyra, PA 17078 7 Sherry Day Niece 1/27 of Residue of 3,286.72 2215 SE Stonehaven Road Estate Port Saint Lucie, FL 34952 8 Darlene Ferster Murphy Niece 1/27 of Residue of 3,286.72 11 Tower Lane Estate Lincoln University~ PA 19352 9 Wayne Ferster Nephew 1/27 of Residue of 3,286.72 304 Sunrise Circle Estate Rising Sun, MD 21911 10 Kim Gutshall Niece 1/27 of Residue of 3,286.72 128 West Portland Street #2 Estate Mechanicsburg, PA 17055 11 Pauline Gutshall Niece 1/54 of Residue of 1,643.36 316 North Nyes Road Estate Harrisburg, PA 17112 12 Carla Hagy Niece 1/27 of Residue of 3,286.72 530 Schroney Lane Estate Dauphin, PA 17018 13 Diana Lavin Niece 1/9 of Residue of 9,860.16 203 Whiskey Springs Road Estate Dillsburg, PA 17019 1 SCHEDULE .. BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Harl1' E. Bordner 12/06/2007 199-07-9225 Item Name and Address of Person(s) Share of Estate Amount of Estate Numbl~r Receiving Property Relationship (Words) ($$$) 14 Violet Lewis Niece 1/54 of Residue of 1,643.36 897 Stewart Hill Road Estate Cross Fork, PA 17729 15 Ruth Minnich Niece 1/54 of Residue of 1,643.36 130 Hoffman Road Estate EJizabethville, PA 17023 16 Ralph Munster Nephew 1/54 of Residue of 1,643.35 Aachener Str 237 Estate B-4701 Kettenss, Belgium 17 Lucille Noecker Niece 1/54 of Residue of 1,643.36 2617 Point Township Drive Estate Northumberland, PA 17857 18 Sandra L Ressler Niece 1/54 of Residue of 1,643.35 1165 Mount Pleasant Road Estate Sunbury, PA 17801 19 Kathaleen G. Schaeffer Niece 1/27 of Residue of 3,286.72 117 Castelstone Drive Estate Elkton, MD 21921 20 Brad Schultz Nephew 1/27 of Residue of 3,286.72 97 Vanderlyn Drive Estate Chesapeake City, MD 21915 21 Brian Schultz Nephew 1/27 of Residue of 3,286.72 704 Wheatley Road Estate North East, MD 21901 2 SCHEDULE .. BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Harry E. Bordner 12/06/2007 199-07-9225 Item Name and Address of Person(s) Share of Estate Amount of Estate Numbl~r Receiving Property Relationship (Words) ($$$) 22 Brent Stroh Nephew 1/36 of Residue of 2,465.04 419 Bernheisel Br. Rd Estate Carlisle, PA 17013 23 Gay Stroh Niece 1/36 of Residue of 2,465.04 352 South Front Street Estate Sunbury, PA 17801 24 John Stroh Nephew 1/36 of Residue of 2,465.04 409 Wood haven Drive Estate Monroeville, PA 15146 25 Sammy G. Stroh Nephew 1/36 of Residue of 2,465.04 479 2nd Street Estate Northumberland, PA 17857 26 Kristie Torres Niece 1/27 of Residue of 3,286.72 164 Logan Road, Apt. 2B Estate Dillsburg, PA 17019 27 Sherwood Witmer Nephew 1/54 of Residue of 1,643.36 PO Box 138 Estate Mechanicsburg, PA 17055 28 Stewart Witmer Nephew 1/54 of Residue of 1,643.36 P.O. Box 114 Estate Mechanicsburg, PA 17055 Total 72,307.82 3 ETZWEILER AND ASSOCIATES A TTORNEYS-A T -LAW 105 NORTH FRONT STREET HARRISBURG, PA 17101-1436 Office hours: Mon.-Fri. 8:00 a.m.-5:00 p.m. (717) 234-5600 Earl Richard Etzweiler, Esquire Christian S. Daghir, Esquire HAUFAX UN E (717) 896-3737 Fax Line: (717) 234-5610 Email Address:retzweiler@comcast.net 2 West Main Street Elizabethville, PAl 7023 (717) 362-8395 Office hours: Thurs. 7:00 p.m.-9:.DO p.m. 225 Market Street MilIersburg, P A 17061 (717) 692-2519 Office hours: Tues. and Fri. 4:00 p.m.-8:00 p.m. Sat. 10:00 a.m.-12:00 noon February 29,2008 .~',',) Register of Wills Cumberland County Courthouse Courthouse Square Carlisle, P A 17013 (11 Re: Harry E. Bordner Dear Sir or Madam: Please find enclosed the original and two copies of the Inheritance Tax Return in regard the above matter. One copy does not include the attachments. I am also enclosing the original and one copy of the Inventory together with $30.00 in cash to file both documents. Please time-stamp the copies and return one copy of the Inheritance Tax Return and the Inventory to my office in the enclosed self-addressed postage prepaid envelope. I am also enclosing a check in the amount of $12,364.63 III payment of the inheritance tax due. Please return the receipt in the above envelope. Please contact my office if you need anything further in this matter. V7tru1Y YO/, [ clLAic(j Christian S. Daghir CSD:klp Enclosures H: lEST A TE-DIR\EST A TE\Bordner-Harry\letlCfS. wpd . . . . ~ ooC"')'? \l) 0 t(\l rl~ ()Q \-' rl ..... ..... rt (\l (jl (jlP"",rt \-,01-'(1) (\l ~ ~ rl .. (jl i;;l (\l ~ 0 l"d H1 ,;>,>CflC"'):z:: ~ ~..... r-'\l)~1-" -.jrl\"l'\-' Q(\l'-Cl (jl r-' VJ C"') ~ g. g tll (\l ~ m ~~ ~ tlZ !!1 i~lm ~-n o. .... ' .~.~l~ 1P..w f!l 0 ;~lIfP ~~ \ g ~ m ...... ~ ~ (;;..:J :)- ~ .J g-'- p (..11 ~ ~ ,~~"~ " ' rr:~\i>.' ,,~.;..., ~f)i "'~~~ ,/ ,~.4..' . '-1~li"/ . . .?p ~ .- .... c' .),,1. ~- - ,,;(~ ' , . ..' '._'~I:.l-. ,.,.,.....,.,..~,~.,,':'.'... .~.~,'...".. . .' .,.f 'r'~- \i:~ " " ): Vi"". ., ".... ~ ..1~~ -n _8 ... ~ o ...... Q) en en g e. ...... 7F~:~ 'i\ =; \~" .",.." "0 . 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