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HomeMy WebLinkAbout02-0064 PETITION FOR GRANT OF LETTERS Estate of .CLIFTON L. WILSON .No. ,2/"OO~'/,,"/ also known as CLIFTON LEE WILSON Petitioner(s), who is/are 18 years of age or older, apply)les) for: , Deceased Social Security No.211-18-1796 (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or Decedent. dated 7/15/94 and codicil(s) dated none :~¢ named in the Last Will of the State relevant circumstances, e.g., renunciation, death of ex~88(d¢ etbI ' Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence ~ ~ 'i~'~llll, (COMPLETE IN ALL CASES:) Attach additional sheets'if necessary. Decedent was domiciled at dea, th in Cumberland~ County, Pennsylvania, with his/her last family or principal residence at 48 Mountain Top Driver Upper Mifflin'To[vnshipr Newburg~ PA 17240 -' (list street, number and municipality) Decedent, then 75' years of age, died january 11 ,2002 , at 48 Mountain Top Drive~ Newbur,q~ PA (Location) Decedent at death owned property with estinlated values as follows: (if domiciled in PA '-. All personal property ......................................... $ (if not domiciled in PA .' Personal property in Pennsylvania .................... $ (if not domiciled in PA ~ Personal property in County .............................. $ Value of real estate in Pennsylvania F'",' ........................... ' ....................................................... $ Total .................................................................................................................. i.. $ Real Estate situated as follows: 48 Mountain Top Drive~ Newbur,q, PA Wherefore, Petitioner(s) respectfully request(s) the probate' of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Signature Typed or printed name and residence 130~000.00 30~000.00 160~000.00 HOMER J. CONAWAY 3204 EARLE STREET HARRISBURG~ PA 17109 .w_, / ?<..¢,y--- & Oath of Personal Representative CommonWealth of Pennsylvania County of Cumberland ' ~ The Petitioner(s) above-named swear(s) and afffirm(s) tl~ai the state, merits in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal.representat ve(s) of the Decedent, Petitioner(s) will well and truly administer the eCate ac. cording to law. Sworn to and affirmed and subscr!bed / " before me this 17th dayof January , ,, 200% DECREE ''' ,o. ' QF R, .F-,,,G;'oTER Estate of CLIFTON L, WlLSQN ' Deceased No. 21-2002-0064 also known as CIJFTON LEE WILSON Social Security No:211-18-1796 Date of Death: January 11,2002 AND NOW,. ' Januazw 18th , 2002 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [~ Testamentary I~ of Administration ((ct.a.d.b.n.c.t; pendente lite; durante absentia; durante minoriate) are hereby granted to Homer J. Conaway in the above estate and that the instrument(s), if any, dated July 15, 1994 described in the Petition be admitted to prob.ate and filed of record as the Last Will of Decedent.. \~.\.,,,~tt!'~ f . 235.00' 15.00 12:00 · 5.00 FEES Letters .................................... $ Short Certificates(s) ..~ ........... $ Renun6iati0n .......................... $ Extra Pages ( 4 ) ............... $ I.T.R .......................... '. ............ $ JCP Fee ................................. $ Inventory ................................ · $ Other ...................................... $ TOTAL' .J..a...n..u..a...rt'....1..8...t~:., .:. $ 20r)2 Address: 54 EAST MAIN STREET MECHANICSBURG PA 17055 Telephone: 717-697-4650 DATE FILED: 5anuary 18th, 2002 ///i' _ _Register of Wills Mary C. Lewis/~J~.~. . ' . ---/ / Signature Attorney: MURREL R. WALTERS, III I.D. No: 24849 PUT LETTERS IN A~fORNEYMURREL R. WALTERS, III FILE 105.805 REV 9/86 ~nf0rmauon~l~ere' thi~ ;5.. ,//'; ,.~, 3, ' ; ,, ,'- ~ . , ', ~;' , ,.,~ ,. .,,,~ . ~ c', o :~:,5.,~ ~, a:~ ,: ~, ;5~ ~ ,>~' :~ :' ~' ; ~. ,~ ~ v ~ " ' 5' ,~ . .-.,...,- " "5 8%5: :~ > .~' .'. .~', ~ '~ DECEO£NI'$USUALOCCUP~ION ' ~ .,,~.r~ouncazn TOp-Drive"., '~ I,~s,~.'c~" ~'~.~; ..... ~ ,, ~ -~,.'~-."~:-;"' .-: . Ne~zlle~ PA. 1'7241 .,',. ~ ~,~.,~,~., 0.'~ '- ~.-~],~,~ ¢,~ ';.,'. ~.~ .~ ~ ~ ~, .-.' ,; ' . ,~.. ;,.'~ ,' .. ¢.~ ::, ,,.:.5. t.; . ~.", ~" q .~ ' '.' ,~,.'i~.c~,~:~'~'~-~ ,~';~. -~-~;; '~d~ ~ t~ ,:~. & ~ ..... %: . . ._ ,,. . ..... . .. . Wal~ H. W~l~n ~ ~ ' .:.',.~.~ ,. '~ ~-<'~' ;Z~:' ,,. ~'< ~ '~.~ ~-.':~ , .~,, ' ,Rez~,.~lle.~P~ · · '. i&? ~:'~ ~3i:~"~,:...~;-> ,.,~9~t'~ ~:¢,Wi.l~,~n~ ~jS5~.~5 ~>~/¢~.5~ty..'~: ~Q201/~Wal~6~l~'~R~d ~Shi~fl~b~g;5~pA.'.-' 17257 :~ ' ~ 0 ,:l~=i: ........ 0.~ 1667-~.~~ , ?'~===.,8~=ket Plaza ,Nay~;5'~c~n~csb~9~ PA.. 17055 21-2002-'0064 LAST WILL AND TESTAMENT OF CLIFTON L. WILSON I, CLIFTON L. WILSON, of the'Township of Hampden, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. me I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. 5 I give, devise and bequeath my apartment property located in the Village of Churchtown, Monroe.Township, Cumberland County, Pennsylvania, consisting of a four (4) unit apartment building and Lot of Ground and presently known and numbered as 1306 High Street, Allen, Pennsylvania, to my daughter, ~RGARET WILSON' LONG. I give and bequeath the balance of the proceeds remaining in my rental account used in renting the apartment units in my apartment building at 1306 High Street, Allen, Pennsylvania, to my daughter, ~IARGARET WILSON LONG. -1- I give and bequeath my 1949 Dodge Sedan automobile to my daughter, I~r~RGARET WILSON LONG. I give and bequeath any cemetery lots which I may own at the time of my decease and the Deeds of ownership thereto, to my daughter, ~RGARET WILSON LONG. 6. I give and bequeath my 1983 Buick Sedan automobile to my~granddaughter, PENNY LANE BANGE. 5 I give and bequeath my 1988 Ford Ranger Pick-up Truck to my granddaughter, PENNY LANE BANGE. 0 I give,~ devise and bequeath my Hunting Camp, which I have named the'Penny Lane Camp, which is lecated in Upper Mifflin Township, Cumberland County, Pennsylvania, off Cowpen Road, being a parcel o£ mountain land and improved with a hunting lodge, having a present address of R. D. Newbu~g,~ Pennsylvania, to my granddaughter, PENNY LANE BANGE. -2- I give, devise and bequeath my family residence, consisting of a parcel of land improved with a single family residential dwelling, located in Hampden Township, Cumberland County, Pennsyl- vania, having a present address of 6615 Wertzville Road, Enola, Pennsylvania, to my granddaughter, PENNY LANE BANGE, and in the event that I have sold said residential property ~during my lifetime, I give and bequeath the proceeds of any agreement of sale or mortgage which may secure the balance due from any purchaser or purchasers of said property, if any, to my granddaughter, PENNY LANE BANGE. 10. I give and bequeath all my tangible personal property, such as my guns, furniture, tools and equipment, to my daughter, MARGARET WILSON LONG, and to my granddaughter, PENNY LANE BANGE, share and share alike. ll. I give and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and wheresoever the same may be situate,~to my daughter MARGARET WILSON L~NG, and to my granddaughter, PEN~YLANE BANGE, share and share alike. LASTLY, I nominate, constitute and appoint my brother~ HOMER J. ~0NAWAY, Executor of this my Last Will and Testament, -3- and direct that he be excused from posting bond or other security for the faithful performance of his duties in any Jurisdiction. IN WITNESS W~EREOF, I have hereunto set my hand and seal this L~ day of July, A. D., 1994. Clifton L. Wilson Signed, sealed, published and declared by the above named, CLIFTON L. WILSON, as and for his Last Will and Testament, in the presence of us, who have subscribed ou~ names hereto.as witnesses, at the request of said testator, in his presence' and in the presence of each other. -4- COMMONWEALTH OF PENNSYLVANIA ) : COUNTY OF CUMBERLAND ) SS. I/ CLIFTON L. WILSON , the testat Or whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me CLIFTON L. WILSON , the testat ol~ , this day of July , A. D., 1994. COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) we, the undersigned, J. ROBERT STAUFFER and ERIKA L. LEVENHAGEN , the witnesses whose names are signed to the attached'or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testat or , CLIFTON L. WILSON , sign and exe- cute the instrument as his~Last Will and Testament; that the said testato~ , CLIFTON L. WILSON , executed it as his/~sE~free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testat O~ , signed the Will as witnesses; and that to the best of our knowledge, the testat O~ was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Clifton L. Wilson Date of Death: January 11, 2002 Will No. 2002-00064 Admin. No. 21-02-0064 To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on May 21, 2002. Name Address Margaret Wilson Long 201 Walnut Dale Road, Shippensburg, PA 17257 Penny Lane Bange 71 Mountain Lane, Newburg, PA/'i7240 Notice has now been given to all persons entitled thereto under RuJ/e 5.6(a) except: Date: May 21, 2002 Murrel R. Walters, III, Esquire 54 East Main Street ~ Mechanicsburg, PA 17055 '.-O. "~ ~ (717) 697-4650 None X Personal Representative _ _ Counsel for personal representative JRD/June~'30; 1992Y17858 1 $ 002- InRe: Estateof Clifton L. Wilson Late of Estate No.: 21- 02-00064 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORP. HANS' COURT RULE PersonalRepresentative: Homer J. Conaway ' Counsel for Personal Representative: Murrel Ri Walters III Date of Grant of Original Letters: danuary ~8, 2002 Date of Delinquency Notice: Apri 1 28, 2002 The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Register of Wills on 4-28,20 02 , and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: Distribution: May 15, 2002 Mary C. Lewis, Register of Wills Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for ~'Z) o~-m~- at /<>~30 ~-/q-lin Courtroom No. 3. If the Certification of Notice is filed prior to the hearing date, the heating Will automatically be cancelled. Geor~ REV-1500 ~4 + (6-00)  COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) REV-1500 INHERITANCE TAX RETURN .... RESIDENT DECEDENT WILSON; CLIFTON L. DATE OF DEATH (MM-DD-Year) IDATE OF BIRTH (MM-DD-Year) 01/11/2002 I 09/18/1926 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY FILE NUMBER 2 t -O 2 6 COUNTY CODE YEAR NUMBER SOCIALSECURITYNUMBER 2 I I - I 8 - I 7 9 6 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIALSECURITYNUMBER r-~l. Odginal Return D4. Limited Estate [~16. Decedent Died Testate (Attach copy of Will) D9. Utigation Proceeds Received r--j 2. Supplemental Return D4a. Future interest Compromise (date of death after 12-12-82) D7. Decedent Maintained a Living Trust (Attach copy of Trust) D10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D3. Remainder Return (date of death pdor te 12-13-82) D5. Federal Estate Tax Return Required I 8. Total Number of Safe Deposit Boxes J--'m11. Election to tax under Sec. 9113(A) (Attach Sch O) THIS' SECTION; MUST BE: COMPLETED~,.AEL.CORRESPONDENCEAND. CONFIDENTIALTAXqN FORMATION; SHeM ED~'BE' DIRECTED TO: COMPLETE MAILING ADDRESS NAME MURREL R. WALTERS III ESQ FIRM NAME (If Applicable) TELEPHONE NUMBER 717-697-4650 ~ 54 EAST MAIN STREET MECHANICSBURG PA 17055 1. Real Estate (Schedule A)" (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D). (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Lien~ (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. 14. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) (8) (11) 451350.00 :,,.~ ~,. 123,843.28 20;191.00 18;193.81 OFFICIAL USE ONLY 169;193.28 38,384.81 (12) (13) 130;808.47 (14) 130~808.47 BEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due.. 20. 130;808.47 X .045 (15) X __ (16) X .12 (17) X .15 (18) (19) 5~886.38 5;886.38 · > BE SURE.TO ANSWER,ALLQUESTIONS ON REVERSE SIDE AND, RECHECK. MATH.,= <:< ~' / D. ece~ent's Complete Address: STREETADDRESS 48 MOUNTAIN TOP DRIVE CITY I STATE I ZIp N EWVI LLE PA 17241 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Pdor Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E ) (1) 5~886.38 (3) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I Line 20 to request a refund (4) If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 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; ........................................................................... [] [] 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? ............................................................................................... [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or secudty at his or her death? ................. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ............................... '. ....................................................................... [] [] 5;886.38 5;886.38 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of 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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETU.{~ DATE ADDRESS HOMER)I. C~/I~W~Y. ~/ ( I 111~NI~T I~EI/~E~/~T.~, I~C HAN~CSB U RG PA 17055 SIGN ATURE OF PR E~(~-IE~H~S EN TAT IVE DATE 1 OI10~02 ADDRESS MURI~ELI~, ~NALTERS III E~SQ 54 EAST MAIN ST/. MECHANICSBURG PA 17055 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. {}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 0% [72 P.S. {}9116 (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 0% [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 4.5%, 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 12% [72 P.S. §9116(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-1502EX~(1-97) ~ · COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER WILSON. CLIFTON L, 21 02 64 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a'willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 48 MOUNTAIN TOP DRIVE, NEWVILLE~ PA .46 ACRES SITUATE IN UPPER MIFFLIN TOWNSHIP, CUMBERLAND COUNTY TAX PARCEL # 44-05-0407-030 PER COUNTY ASSESSMENT TOTAL (Also enter on line 1, Recapitulation) VALUEAT DATE OF DEATH 45~350.00 45;350.00 (If more space is needed, insert additional sheets of the samesize) REV-1508 EX ~ (1-97)o., j~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. - PERSONAL PROPERTY ESTATE OF FILE NUMBER WILSON. CLIFTON L. 21 02 64 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 92,961.40 LINCOLN NATIONAL LIFE INSURANCE ACCOUNT # 270-09647 AMERICAN LEGACY FUNDS PNC BANK CHECKING # 5070029936 WAYPOINT BANK CD # 100306711 5,835.25 25,046.63 TOTAL (Also enter on line 5, Recapitulation) $ 123~843.28 (If more space is needed, insert additional sheets of the same size) EV'1511EX~+ (1'97)~, ,~~ · COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF WILSON. CLIFTON L. Bebts of decedent must be reported on Schedule I. FILE NUMBER 21 02 64 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. MALPEZZI FUNERAL HOME ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) HOMER J. CONAWAY Street Address 111 WEST KELLER ST City MECHANICSBURG State PA Year(s) Commission Paid: 2002 Attorney Fees MGRREL R. WALTERS III ESQ Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Zip 17055 Street Address City State Zip Relationship of Claimant to Decedent Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS Accountant's Fees Tax Return Preparer's Fees TOTAL (Also enter on line 9, Recapitulation 7,231.00 7,760.00 4,900.00 300.00 20~191.00 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGELIABILITIES,& LIENS ESTATE OF WILSON. CLIFTON L. Include unreimbursed medical expenses. FILE NUMBER 21 02 64 ITEM NUMBER DESCRIPTION AMOUNT 1. ADAMS ELECTRIC COOPERATIVE 156.37 2 3 4 CARLISLE MEDICAL CENTER MEDICAL JOSEPH GESBIGLER DDS DENTAL UNITED STATES TREASURY 2001 FEDERAL INCOME TAX PENNSYLVANIA DEPARTMENT OF REVENUE 2001 STATE INCOME TAX ORAL MAXILLOFACIAL, PC DRS. CURRIE & HECHT VERIZON CELLULAR TELEPHONE SERVICE AGWAY HEATING FUEL OIL DREW BANGE PERSONAL CARE 1,997.00 2,000.00 10,537.00 2,001.00 500.00 109.06 293.38 600.00 TOTAL (Also enter on line 10, Recapitulation) $ 18~193.81 (if more space is needed, insert additional sheets of the same size) CC]MMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF WILSON CLIFTON L. FILE NUMBER 21 02 64 NUMBER II. 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a)(1.2)] PENNY LANE BANGE 71 MOUNTAIN LANE NEWBURG~ PA 17240 MARGARET WILSON LONG 201 WALNUT DALE ROAD SHIPPENSBURG~ PA 17257 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) GRANDAUGHTER DAUGHTER AMOUNT OR SHARE OF ESTATE REAL ESTATE 1/2 OF RESIDUE 1/2 OF RESIDUE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET 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 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) LAST WILL AND TEST~v~ENT OF CLIPTON L. WILSON I, CLIFTON L. WILSON, of the Township of Hampden, County of Cumberland and' State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same~can be conveniently donee~ 2~ I give, devise and bequeath my apartment property located in the Village of Churchtown, Monroe TOwnship, Cumberland County, Pennsylvania, consisting of a four (4) unit apartment building and Lot of Ground and presently known and numbered as 1306 High Street, Allen, Pennsylvania, to my daughter, ~RGARET WILSON LONG. 'I give and bequeath the balance of the proceeds remaining in my rental account used in renting the apartment units in my apartment building at 1306 High Street, Allen, Pennsylvania, to my daughter, ~iARGARET WILSON LONG. -1- I give and bequeath my 1949 Dodge sedan automobile to ray daughter, I~kRGARET WILSON LONG. I give and bequeath any cemetery lots which i may own at the time of my decease and the Deeds of ownership thereto, to my daughter, ~RGARET WILSON LONG. 6. I give and bequeath my 1983 Buick Sedan automobile to my granddaughter, PENNY LANE BANGE. I give and bequeath my 1988 Ford Ranger Pick-up Truck to my granddaughter, PENNY LANE BANGE. I give, devise and bequeath my Hunting Camp, which I have named the Penny Lane Camp, which is located in Upper Mifflin Township, Cumberland County, Pennsylvania, off Cowpen Road, being a parcel of mountain land and improved with a hunting lodge, having a present address of R. D. Newburg, Pennsylvania, to my granddaughter, PENI~ZLAt~ BANGE. -2- I give, devise and bequeath my family residence, consisting of a parcel of land improved with a single family residential dwelling, located in Hampden Township, Cumberland County, Pennsyl- vania, having a present address of 661~ Wertzville Road, Enola, Pennsylvania, to my granddaughter, PEN~Y LANE BANGE, and in the event that I have sold said residential property 'during my lifetime, I give and bequeath the proceeds of any agreement of sale or mortgage which may secure the balance due from any purchaser or purchasers of said property, if any, to my granddaughter, PEN~'~Z LANE BANGE. 10. I give and bequeath all my tangible personal property, such as my guns, furniture, tools and equipment, to my daughter, ~RGARET WILSON LONG, and to my granddaughter, PEI~Y LANE BANGE, share and share alike. ll. I give and bequeath all the rest, residue and remainder of my estate, of whatsoever nature and Wheresoever the same may be situate, ~to my daughter MARGARET WILSON LONG, and to my granddaughter, PENI~ LANE BANGE, share and share alike, LASTLY, I nominate, constitute and appoint my brother, H0~¥~ER J. CONAWAT, Executor of this my Last Will and Testament, -3- and direct that he be excused f~om posting bond or other security for the faithful Performance of his duties in any Jurisdiction. IN WITNESS WI{EREOF, I have hereunto set 'my hand and seal this~_j~, day of JulW, A. 0., 1994. Clifton L. Wilson ----( sF~ ) Signed, sealed, published and declared by th'e above named, CLIFTON L. WILSON, as and for his Last Will and Testament, in the presence of us, who have subscribed o~r names hereto as witnesses, at the request of said testator, in his presence' and in the presence of each other. -4- COMMONWEALTH OF PENNSYLVANIA ) : couNTy OF CUMBERLAND ) SS. · I, CLIFTON L. WILSON , the testat or whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, 'do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and volun- tary act and deed, for the purposes therein contained. Sworn and affirmed to and acknowledged before me by7~,~_' CLiFT0i~ L. WILSON , 'the testat oi~ , this /.jJ~ day of July , A. D., 1994. COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We', the undersigned, J- ROB~RT STAIIFF~2LR and ~'~/2~A L. LEnIE~C~AGEN , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the testat O~ , CLIFTON L. WILSON , 'sign and exe- cute the instrument as his/~Last. Will and Testament; that the said testato~ , CLIFTON L. WILSON , executed it as his/~free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight' of the testator signed the Will as witnesses; and that to the best of our knowledgel the testat OF was, at the time, eighteen (18) or more years of age, of sound mind, and under no constraint, duress or undue influence. me this /..~& day of COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-O601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001713 WALTERS MURREL R III 54 E MAIN STREET MECHANICSBURG, PA 17055 ........ fold ESTATE INFORMATION: SSN: 211-18-1796 FILE NUMBER: 2102- 0064 DECEDENT NAME: WILSON CLIFTON L DATE OF PAYMENT: 10/10/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/11/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $5,886.38 TOTAL AMOUNT PAID' $5,886.38 REMARKS: HOMER J CONAWAY C/O MURREL R WALTERS III ESQ SEAL CHECK# 511 INITIALS: SK RECEIVED BY: MARY C. LEWIS REGISTER OF ,WILLS REGISTER OF WILLS ?-°~"r ~ COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE 7AX ~IWISION DEPT. 280601 HARRISBURG, PA 1712s-o6a1 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 EX AFP (01-02) DATE 12-02-2002 ESTATE OF WILSON CLIFTON L DATE OF DEATH 01-11-2002 FILE NUMBER 21 02-0064 %COUNTY CUMBERLAND MURREL R WALTERS III ESQ ACN 101 54 E MAIN ST Amount Remitted MECHANICSBURG PA 17055 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WILSON CLIFTON L FILE N0. 21 02-0064 ACN 101 DATE 12-02-2002 TAX RETURN WAS: (?C) ACCEPTED AS FILED ( ) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate tSchedule A) (1) 45,350.00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) .00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion 4. Mortgages/Notes Receivable (Schedule D) [4) .00 of this form with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 1 23,843.28 tax payment. 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Total assets (g) 169,193.28 APPROVED DEDUCTIONS AND EXEMPTIONS: 20,191.00 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 18,193.81 11. Total Deductions (11) 38.384.81 12. Net Value of Tax Return (12) 130,808.47 13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13l .00 14. Net Value of Estate Subject to Tax (14) 130,808.47 NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) •0 0 X 00 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 130,808.47 X 045 = 5,886.38 17. Amount of Line 14 at Sibling rate (17) .00 X 12 - .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .0 0 X 15 - .00 19. Principal Tax Due [19)= 5,886.38 TIIY f_RFi1TTC_ DATE NUMBER + INTEREST/PEN PAID (-) AMOUNT PAID 10-10-2002 CD001713 .00 5,886.38 TOTAL TAX CREDIT 5,886.38 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT'' (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate lax Act, Act 23 of 2000. (72 P.S. Section 4140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF WILLS, AGENT REFUND (CR): A refund of a tax credit, which was net requested on the Tax Return, may be requested by completing an ^Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-13137. Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services far taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). DBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered an this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet ^Instructions for Inheritance Tax Return for a Resident Decedent" CREV-1501) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participaticn penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6%] percent per annum calculated at a daily rate of ,000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 20% .000548 1992 9% .000247 1983 16% .000438 1993-1994 7% .000192 1984 11% .000301 1995-1998 9% ,000247 1985 13% .000356 1999 7% ,000192 1986 10% .000274 2000 8% .000219 1987 9% .000247 2001 9% ,000247 1988-1991 11% .000301 2002 6% .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. PLEASE FILE THIS REPORT WITHIN TWO yEARs OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION ~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: CLIFTON L. WILSON Date of Death: JANUARY 11, 2002 Estate No.: 21-02-0064 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete: Yes kS No If the answer is No, state when the personal representative reasonably believes that the administration will be complete (date) 3. If the answer A. to No. 1 is yes, state the following: Did the personal representative fil.e~ final account with the court? Yes No Bo The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) C° Date: December 18, 2003 Did the personal representative state an account informally to the parties in interest: Yes 5~. No Copies of receipts, releases, joinders and approvals oS'formalffr/~nformal accounts may be fried with the Clerk of the Orpha~Z~Courtflind may be attached to this report. . l' ~ /,,/~ MURREL R. WALTERS, III, ESQUIRE 54 East Main Street Mechanicsburg, PA 17055 717-697-4650 Capacity: Personal Representative X Counsel for Personal Representative