HomeMy WebLinkAbout06-13-08' ~ 15056051058
REV-1500 EX (06-05)
OFFICIAL USE ONLY
PA Department of Revenue
County Code Year File Number
Bureau of Individual Taxes
Poeox2aosol INHERITANCE TAX RETURN \~{
-
~1 ~'~
Harrisburg, PA 17128-0601 RESIDENT DECEDENT U
t~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
204-26-7721 09/19/2007 06/24/1936
Decedent's Last Name Suffix Decedent's First Name MI
HaH ': Mr Gerald N
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Hall Mrs Robie L !.
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
19a-2s-7633 REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
r;~:' 1. Original Return ;~,:::~ 2. Supplemental Return ~.. .-. 3. Remainder Return (date of death
prior to 12-13-82)
__ . 4. Limited Estate „:°~°{ 4a. Future Interest Compromise (date ofr',~' 5. Federal Estate Tax Return Required
death after 12-12-82)
cwt°o. 6. Decedent Died Testate Y;:".:~ 7. Decedent Maintained a Living Trust __. 8. Total Number of Safe Deposit Boxes
(Attach Copy of Wi{I) (Attach Copy of Trust)
~._ 9. Litigation Proceeds Received ,.~~, 10. Spousal Poverty Credit (date of death ,.";~~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTU\L TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
Ronald M. Katzman, Esq. ; (717) 234-4161
Firm Name (If Applicable) __~._ _. __,__ .. .__..._ ~~,.
REGISTER OF WILLS USE ONLY i
Goldberg Katzman, P.C. `''
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First line of address ~
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320 Market Street ;--~ ~:~ C
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Second line of address Wiz. r--' ~. _ )
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P.O. Box 1268 _v- ~~
:- -7 r-ti ~, ~'^'
City Or Post Office State ZIP Code _ ~E-k1LED ~ ws
Harrisburg PA ' 17108-1268 -~ ~~' ~~
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Correspondent's a-mail address: rmk@gOldbergkatzman.COm
Under penalties of perjury,) declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, aorced and complete. Declaration of preparer other than the personal representative is based on alt information of which preparer has any knowledge.
SIGNAT>
~ OF ERSONPONSIBLE F~ ILING RETURN
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309 Fields
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e Road, Cam Hill, PA 17011
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SIGNATURE
EPARE,f2 OTHE RESENTATIVE
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P.O. Box 1268, Harrisburg, PA 'T~108-1268
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051058 15056051058
.
15056052059
REV-1500 EX
Decedent's Social Security Number
decedent's Name: Gerald N Hall 204-26-7721
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. 25,000.00
4. Mortgages & Notes Receivable (Schedule D) .......................... ... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... ... 5. 204,605.04
6. Jointly Owned Property (Schedule F) ~~.`:"~". Separate Billing Requested .... ... 6.
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
{Schedule G) k..:_.:3 Separate Billing Requested..... ... 7.
8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 229,605.04
9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. 8,635.32
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule t) ............. ... 10.
11. Total Deductions (total Lines 9 & 10) ................................ ... 11. 8,635.32
12. Net Value of Estate {Line 8 minus Line 11) ........................... ... 12. 220,969.72
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ..................... ... 13.
14.
_...
. Net Vafue Subject to Tax (Line 12 minus line 13) .....................
_
_
_
. ... 14. 220,969.72
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__._
_.._....~
_.._ __._~___.____.-._.__~~.m__.__.____ _~_....__.~ . _.._._~. ~__~__
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES ~,_,._...Y__._.... _..__..._._,.,..._...__. ,._~_~.._._.._~.~._,,.._._~._... ~.___.___._._._
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_ i 15. ' 0.00
16. Amount of Line 14 taxable
at lineal rate X .0 ! 16. 0.00 ',
17. Amount of Line 14 taxable
at sibling rate X .12 17. 0.00
18. Amount of Line 14 taxable
at collateral rate X .15 ' 1 g. 0.00
19. TAX DUE ...................................................... ...19. 0.00'
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059 Side 2
15056052059
RLV-1500 EX Page 3
n......~I.....4~~. r.,w.r,lefn Arllrtracc•
File Number
.~..~~~.._.._- -----r---- - ----
DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER
Gerald N Hall 204-26-7721
STREET ADDRESS
309 Fieldstone Road
CITY STATE ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit i
B. Prior Payments -
C. Discount
3. InterestlPenalty if applicable
D. Interest
E Penalty
(1)
Total Credits (A + B + C) {2}
Total InterestlPenalty (D + E )
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.
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.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3)
(4)
(5}
(5A)
(58)
o.oo
0.00
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 :...................................... ......
c. retain a reversionary interest; or ................................................................................................................... ....... ^
^
d. receive the promise for fife of either payments, benefits or care? ............................................................... .......
If death occurred after December 12, 1982, did decedent transfer property within one year of death
2
.
without receiving adequate consideration? ....................................................................................................... ....... ^
^
0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ....... .......
Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
4
.
contains a beneficiary designation? ................................................................................................................. ....... ^
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. §9116 (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. §9116 (a) (1.1} (ii)]. The statute does not exempt a Vansfer 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 ftom 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. §9116(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. §9116(1.2) (72 P.S. §9116(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. §9116(a)(1.3)]. Asibling is del+ned, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
RE\1-1504 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE C
CLOSELY-HELD CORPORATION,
PARTNERSHIP OR
SOLE-PROPRIETORSHIP
ESTATE OF FILE NUMBER
Hall, Gerald N. 2007-00897
Schedule C-1 or C-2 (including ail supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a
sole-proprietorship. See instructions for the supporting information to be submitted forsole-proprietorships.
(If more space is needed, insert additional sheets of the same size)
13
,Schedule K-1
65117
~ n n 7 ~ Final K-1 ~ Amended K-1 OMB No. 1545-0099
(Form 1055) ~.. v v ^
Forp{endaryear2007, orrax
Department of the Treasury year beginning ~ -- -
?>~'~.t~~~1>€ Partner s Share of Current Year Income,
Deductions Credits and Other Items
Internal Revenue Service ending
Partner's Share of Income, Deductions, 1 Ordinary business income (loss)
0 . 15 Credits
Credits, etC. 2 Net yenta! teal estate income {loss)
- 5ee se orate instructions. 2 , 15 3 . 16 Foreign transactions
>~~ta< Information About the Partne
shi 30ther net rental income (loss)
r
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A Partnership's employer identification number 0.Guaranteed payments
52-1182876
B Partnership's name, address, city, state, and ZIP code 5lnterest income
557.
CABLE HOUSE ASSOCIATES 6a0rdinarydividends
ONE CHARLES RIVER PLACE, 63 KENDRICK ST 17 Alternative min tax(AMT)items
NEEDHAM, MA 0 2 4 9 4 6b Qua{ified dividends
C {RS Center where partnership filed return
OGDEN UT 7 Royalties
18 Tax-exempt income and
D ~ Check'rf this is a publicly traded partnership (PTP} SNet short-term capital gain (loss) nondeductible expenses
"'""'
`:ri~i~f Information About the Partner 9a Net long-term capital gain (loss)
...................
E Partner's identifying number 9b Collectibles {2&%} gain (loss) 19 Distributions
2 0 4 -2 6 - 7 7 21 9c Unrecaptured sec 1250 gain
F Partner's name, address, city, state, and ZIP code 20 Other information
10 Net section 1231 gain (lass) 5 5 7 .
GERALD HALL
309 FIELDSTONE ROAD 110therincome(loss}
CAMP HILL, PA 17011
G ~ General partner or LLC ~ Limited partner or other LLC
member-manager member
H [~X Domestic partner 0 Foreign partner 12 Section 179 deduction
I .What type of entity is this partner? INDIVIDUAL
130ther deductions
J Partner's share of profit, loss, and capital:
Beginning Ending
Profit 4.5000000% 4.5000000%
Loss 4 .5 0 0 0 0 0 0 °/° 4.5 0 0 0 0 0 0% 14Self-employment earnings {loss)
Capita- 4 .5000000°~°
~ 4.5000000°~°
0 , _
K Partner's share of liabilities at year end:
Nonrecourse ................................................ $ *See attached statement for additional information.
qualified nonrecourse financing ,,,,,,,,,,,,,,,,,,,,,,,, $ 10 $ , 212 .
Recourse ................ $ 0 .
L Partner's capital account analysis:
Beginning capital account .............................. $ -9 6 , 10 4 .
Capital contributed during the year ,,,,,,,,,,,,,,,,,, $
Current year increase (decrease) .................... $ 2 , 710.
Withdrawals 8 distributions .............................. ${ )
Ending capital account .............................. .. $ -93 394.
.... r
~X Tax basis ~ GAAP 0 Section 704(b} book
0 Other ex lain ~.
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JWA Far Paperwork Reduction Act Notice, see instructions for Form 1065.
li~zst
12-31-07
5590318 804600 CABLEHOUSE 2007.05020 CABLE HOUSE ASSOCIATES
Schedule K-1 (Form 1065} 2007
13
CART t vn~
GABLE HOUSE ASSOCIATES 52-1182$76
SCHEDULE K-1 CURRENT YEAR INCREASES (llECK~'ASES)
DESCRIPTION
RENTAL REAL ESTATE INCOME (LOSS)
INTEREST INCOME
SCHEDULE K-1 INCOME SUBTOTAL
AMOUNT TOTALS
2,153.
557.
TOTAL TO SCHEDULE K-1, ITEM L
2,710.
2,710.
PARTNER NUMBER 13
15590318 804600 CABLEHOUSE 2007.05020 CABLE HOUSE ASSOCIATES CABLEHOI
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, SANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
2007-00897
Include the proceeds of litigation and the date the proceeds were received by the estate.
All orooerty jointly-owned with right of survivorship must be disclosed on Schedule F.
(If more space is needed, insert additional sheets of the same size)
REU-1511 EX+ (12-99)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hall, Gerald N. 2007-0897
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
L
Myers- Harver Funeral Home
Mso. Raners, vuralist, It~l
e. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: {If decedent's address is not the same as claimant's, attach explanation)
Claimant Robie L Hall
street address 309 Fieldstone Road
City Camp Hill State PA _Zip 17011
Relationship of Claimant to Decedent Wife
4. Probate Fees
5. Accountant's Fees
6. Tax Retum Preparer's Fees
7. Patriot News -Obituary Notices
TOTAL (Also enter on line 9, Recapitulation) I $
(If more space is needed, insen additional sheets of the same size)
Zip
2,895.00
526.32
0.00
1,000.00
3,500.00
314.00
400.00
8,635.32
REV;1513 EXf (9.00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Hall, Gerald N. 2007-00897
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PER50N(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2))
Robie L. Hall, spouse ~ ~ 100%
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 I) -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $
(If more space is needed, insert additional sheets of the same size)
LAST WILL AND TESTAMENT
OF
GERALD N. HALL
_ ; ~ ~:
I, GERALD N. HALL, of Camp Hill, Cumberland County, Pennsylvania, beipg o~ound
and disposing mind, do hereby make, publish, and declare this to be my Last Will and Testament,
hereby revoking and making null and void all prior Wills and Codicils made by_rr-e at auy time
r~
heretofore. ~=
ITEM I. I direct that all my legally valid debts, funeral and administrative expenses,
and debts incurred or payable because of my death, shall be paid by my Executor, hereinafter named,
from my residuary estate as soon after my death as practicable. All death taxes, including federal,
state, and other death taxes, payable 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 thereon,
shall be considered an expense of administration of my estate, and shall be paid out of the residue.
ITEM II. I give and bequeath certain items of tangible personal property that are solely
owned by me at the time of my death and that are identified in any separate writing directing
distribution thereof after my death which is dated and is signed by me at the end thereof, to those
persons designated in such separate writing who survive me. If any item of tangible personal
property is identified in more than one separate writing, I direct that, unless stated to the contrary,
the separate writing bearing the last date shall govern the disposition of such item.
ITEM III. A. I acknowledge that all tangible personal property in any home in
which 1 reside with my Wife, ROBIE L. HALL, is titled in us as tenants by the entirety, so that all
tangible personal property therein not otherwise identified as being solely awned by me, shall not
pass under this Will, but shall pass by operation of law in the event I predecease her.
B. I bequeath my household and personal effects, jewelry, automobiles, and
other tangible personalty of like nature owned solely by me, and not included on the list referenced
above, to my Wife, R~JBIE L. HALL (hereinafter my "Wife") if she survives me by thirty (30) days.
If she does not so survive me, I make said bequest to my then living children as they shall agree.
Should there be no agreement, each child shall select, in order of ages of the children, one item at a
time. Any items not so selected shall be sold, and the proceeds of said sale shall be divided evenly
among my said children.
ITEM IV. I give and bequeath all of the rest, residue and remainder of my estate,
wherever situate, to my Wife, ROBIE L. HALL, if she survives me by thirty (3Q) days. In the event
my wife fails to so survive me, I give, devise and bequeath all the rest, residue and remainder of my
estate to such of my children, KELLY TICE, JULIE GLUCKSMAN and GERALD N. HALL, JR.,
as maybe living on the 31 S` day after my death, and to the issue then living of such of my children as
may then be dead, per stirpes.
ITEM V. I hereby appoint my Wife, ROBIE L. HALL, as Executor of this, my Last
Wiil and Testament. In the event of her refusal or inability to serve, I then appoint my daughter,
KELLY TICE, to serve as Executor.
ITEM VI. If at any time any minor child shall be entitled to receive any assets hereunder,
PNC Bank, N.A. shall act as Guardian of the assets payable to such child. Such Guardian may
receive and administer all assets authorized by law, and shall have full authority to use such funds in
any manner it shall deem advisable for the best interests of such child. Said Guardian shall have atl
the rights and privileges as to the Guardianship(s) and its assets as are herein granted to the Executor
2
as to my estate and the assets therein.
ITEM VII. I direct that no person serving as my Executor or Guardian shall be required
to give bond or post any other security for the faithful performance of their duties in any jurisdiction.
ITEM VIII. My Executor and Guardian shall have the following powers in addition to
those invested in them by law and by other provisions of my Will applicable to all property, whether
principal of income, exercisable without Court approval, and effective until distribution of all
property:
A. To retain any investments I may have at my death so long as they may
deem it advisable to do so.
B. To vary investments, when deemed desirable by them, and to invest
in such bonds, common trust funds controlled by them, stocks, notes, real estate
mortgages, or other securities or in such other property, real or personal, as they
deem wise, without being restricted to so-called legal investments.
C. In order to effect a division of the principal of my Estate or for any
other purpose, including any final distribution, my Executor is authorized to make
said divisions or distributions of the personalty and realty partly or wholly in kind. If
such division or distribution is made in kind, said assets are required to be divided or
distributed at their respective values on the date or dates of their division or
distribution.
3
D. To sell either at public or private sale and upon such terms and
conditions as they may deem advantageous, any or all real or personal estate or
interests therein owned severally or in conjunction with other persons or acquired
after my death, and to consummate said sale or sales by sufficient deeds or other
instruments to the purchaser or purchasers, conveying a fee simple title, free and
clear of all trust and without obligation or liability of the purchaser or purchasers to
see to the application of the purchase money or to make inquiry into the validity of
said sale or sales; also, to make, execute, acknowledge, and deliver any and all deeds,
assignments, options, or other writings which may be necessary or desirable, in
carrying out any of the powers conferred upon them in this paragraph or elsewhere in
my Will.
E. To mortgage real estate, and to make leases of real estate for any
period of time as is deemed reasonable by them.
F. To vote any shares of stock which they may own, and to otherwise
exercise all the powers incident to the ownership of such stock.
G. In their discretion, to unite with other owners of similar property in
carrying out any plans for the reorganization of any corporation or company.
H. To compromise claims and to abandon any property which, in their
opinion, is of little or no value.
I. To manage or continue any business that I may own or be entitled to
so act in such capacity.
4
ITEM IX. Any person who shall have died at the same time as me, or in a common
disaster with me, or under such circumstances that it is difficult or impossible to determine who died
first, shall be deemed to have predeceased me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and
Testament, consisting of five (5) typewritten pages, this ~ day of November, 2006.
~~~7~/(. /~l`~S (SEAL)
GERALD N. HALL
We, the undersigned, hereby certify that the foregoing Will was signed, sealed, published
and declared by the above-named Testator, GERALD N. HALL, as and for his Last Will and
Testament, in the presence of us, who at his request and in his presence and in the presence of each
other, have hereunto set our hands and seals the day and year above written, and we certify that at
the time of the execution thereof, the said Testator was of sound and disposing mind and memory.
S~-~-~.~~r.t ~,/.~~. ';~,~ -, residing at
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' ~ ;~ -C1` F:~,t_: ,~, .~~.t t.t1,N t'~.'! U residing at
i ( '.( •_.e°~ (-off
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COMMONWEALTH OF PENNSYLVANIA
SS.:
COUNTY OF DAUPHIN
We, GF~RALD N. HALL, the Testator, and . ~'~~~~~~~~~- ~u~~-{TGi/' ,and
1,,(~;~1~ ~ t~,~( ~'(,t,'~(,. ,the 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 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 ofhis/her knowledge the Testator was at that time eighteen years of age or older, of sound mind
and under no constraint or undue influence.
Z~~~ ~~~
GERALD
N. HALL
f
f/
Witness ~~
////
Witness
Subscribed, sworn to and acknowledge efore me by the Tyestator, GERALD N. HALL,
and subscribed and sworn to before me by i't '~`;, ^Ct ~t~ {~'; ~-t~~C~/~"r<I(~ and
1,
S'~ ,( ;;l X ~~~(,l (. k (ill ; L ,witnesses, this ~~ ,Z~ay of November, 2006,
139955.1
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COMMCi?vvvi:.lr~f,-+.`r YGtv7M'SY~_`/AtV:A
IdoTARIA.L SEAT. j
{ JENNIFER L. BOLTZ, Notary ~ub(ic i
I City of Harrisburr~, Dauphin County F
_ &4y Comrnissior F~gir25 rv'a~; `?r, ?C0y _._.,i
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Afull-service law firm.
June 12, 2008
Register of Wills
Cumberland County Courthouse
Hanover and High Streets
Carlisle PA 17013
Re: Estate of Gerald N. Hall
File: 2007-00897
,.
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arnui;i !i. i;~,~„n
't3r.~thrr .. !',ttei t?t~
To the Register of Wills:
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We enclose herewith an original and one copy of the Inventory to be filed
in the above Estate, along with an original and two copies of the Pennsylvania
Inheritance Tax Return. Please stamp and return one copy of each in the enclosed
envelope.
In addition, we enclose a check payable to the Register of Wills, Agent, in
the amount of $30.00 to cover filing fees.
If there are any questions, please do not hesitate to contact me.
Very truly yours,
~) ' /
,~
Ronald M. Katzman
RMK/j lb
Enclosures
ODMA I PCDOCS IDOCS11591681 /
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INVENTORY
REGISTER OF WILLS OF
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA ~ SS
COUNTY OF CUMBERLAND
COUNTY, PENNSYLVANIA
File Number 2007-00897
Personal Representative(s) of the Estate of Gera 1 d N . H a 11
deceased, deposes} and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the
Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- R o b i e L. H a 11
tory are true and correct. I understand that false state- ,.
ments herein are made subject to the penalties of •~ ~' ~~~~
18 Pa.C.S. § 4904 relating to unsworn falsification to ~ ~ /~ -
authorities.
Attorney -- (Name) Rona 1 d M . Katzman (,Supreme Court LD. No.) 0 719 8
(Address) Goldberg Katzman, P.C., P.O. Box 1268, Harrisburg, PA 17108-
(Tetephone) ~ 717) 2 3 4 - 4161 12 r7 cs
DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. NO.
09/19!2007 309 Fieldstone Road, Camp Hill, PA 204-26-7721
FIGURES MUST BE TOTALED
Cable House Associates,
a Partnership -estimated value
Wachovia Securities
Investment Account #2791-6549
Miscellaneous Personal Items
Rolex watch and j ewelry
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(Attach additional sheets as needed)
$25,000.00
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$ 9,605.04.,
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$x,004 pG)`
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C.31
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TOTAL: $229,605.04
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa C.S. § 3301(6))
Form RW-09 rev. IOJ3.06
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