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FAMILY SETTLEMENT AND FINAL RELEASE
ESTATE OF RICHARD L. HADFIELD .,._
KNOW ALL MEN BY THESE PRESENTS, that Richard L. Hadfield,;late ofahe
Borough of Carlisle, Cumberland County, Pennsylvania, deceased, died testate on
February 1, 2008, having first made his Last Will and Testament, which was duly
executed on July 31, 2001 and probated in the Office of the Register of Wills of
Cumberland County, on February 8, 2008 as No. 2008-00134.
WHEREAS, the said Richard L. Hadfield, by the aforesaid Last ~'Vill and
Testament, named Valerie A. Rasnake as Executrix of said Last Will and Testament;
WHEREAS, Letters Testamentary on the Estate of the said decedent were duly
issued by the Register of Wills of Cumberland County, Pennsylvania, to the said
Executrix, hereinafter called personal representative;
WHEREAS, the personal representative has gathered the assets of the E=state of
the said decedent and the assets consist of personal and real property with the total
value of $30,634.19 as set forth in Exhibit "A", which is a copy of the Pennsylvania
Inheritance Tax Return filed and approved by said personal representative, and which is
attached hereto and made a part hereof, and marked Exhibit "A";
WHEREAS, the debts and deductions, including the payment of inheritance tax
in the said Estate, which have now been paid, leave a balance for distribution of
$17,054.02, also as set forth in the statement of said personal representative, which is
attached hereto and marked Exhibit "B";
WHEREAS, the balance for distribution as shown in the said statement marked
Exhibit "B" has been reduced to cash and has been distributed as herein indicated in
accordance with the terms of the Last Will and Testament of the said Decedent;
NOW, THEREFORE, the undersigned, being all of the heirs under the Last Will
and Testament of the said decedent, and being those persons entitled to inherit under
said Last Will and Testament, do hereby each of us acknowledge that we have this day
had and received from the aforesaid personal representative, in full satisfaction and
payment of all sums of money, legacies, bequests, and devises as are given, devised
and bequeathed to each of us respectively by the said Last Will and Testament, the
a
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. ~
amounts due us under said Last Will and Testament, which amounts we have received
this day or prior to this day; and, each of us do hereby stipulate that in order to avoid the
expense and time involved in the filing of a formal account and schedule of distribution,
we each agree that no account is necessary and we do hereby agree that we do
consent to distribution being made without the filing of an account and schedule of
distribution, the same to be with the same force and effect as if they had been filed and
confirmed by the Orphan's Court Division of the Court of Common Pleas of Cumberland
County, Pennsylvania.
THEREFORE, we and each of us, do hereby rernise, release, quitclaim and
forever discharge the said personal representative, Valerie A. Rasnake, her heirs,
executors, administrators and assigned, of and from thie said estate and from all
actions, suits, payments, accounts, reckonings, claims, and demands whatsoever for or
by reason thereof, or for any other use, matter, cause or thing whatsoever, touching
upon the Estate of the said decedent, and each of us do further hereby covenant and
agree that should any liability come due to the estate of the said decedent after the
signing of this Agreement, we and each of us do hereby covenant and agree with each
other and the aforesaid personal representative, that wE~ will contribute pro-rata our
share of the Estate to satisfy any and all claims, demands, suits or causes of action
which may be successfully prosecuted against the said Estate or the aforesaid personal
representative after the signing, sealing and delivery of this Family Settlement
Agreement and Final Release.
IN WITNESS WHEREOF, we have hereunto set our hands and seals the day
and year noted below. '
,~
-~ , r, ~
~ ~ ~ ,.
Date Witness alerie A. R snake
r .z .7 ." .~ ~~
~ ~ ...• ~ ,
,. ''l .
~. ~ mss. ~ ~ :~f ~ l ~~`~;~``~`---__,.. ~Y" ~~~., ~: ,, ~.
Date Witte ~~ Matthew L. ~ a field
~ ~ ,i
~~ 7 _
ate itnes ~, i ~ "J. Luke Hadfie
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
JAMES M ROBINSON
TURD LAW OFFICES
28 S PITT ST
CARLISLE PA 17013
REV-1547 EX AFP (06-05)
DATE 07-28-2008
ESTATE OF HADFIELD RICHARD L
DATE OF DEATH 02-01-2008
FILE NUMBEF: 21 08-0134
COUNTY CUMBERLAND
ACN 101
APPS.AL DATE: 09-26-2008
(See reverse side under Objections)
Amount Remitted---
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 (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HADFIELD RICHARD L FILE N0. 21 08-0134 ACN 1D1 DATE 07-28-2D08
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) _ .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) _ ,00 credit to your account,
.00 submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) _ of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) _ .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) _ 30,634.19
6. Jointly Owned Property (Schedule F) (6) _ .00
7. Transfers (:Schedule G) (7) _ .00
8. Total Assets (g) 30,634.19
APPROVED DEDUCTIONS AND EXEMPTIONS: 9,658.4D
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) _
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) _ 3,118.18
11. Total Deductions (11) 12,776.58
12. Net Value of Tax Return (12) 17,857.61
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 17,857.61
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSME!~T OF TAX:
15. Amount of !_ine 14 at Spousal rate C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 17,857.61 X 045 = 803.59
17. Amount of Line 14 at Sibling rate (17) 00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •00 X 15 = .00
19. Principal Tax Due (19)= 803.59
IAA I.RtLlIJ:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
04-28-2008 CD009625 40.18 763.41
a EXHIBIT TOTAN_ TAX CREDIT 803.59
w kl „ BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
a TOTAL DUE .DO
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION DF 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.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
15056041147
RG V -1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO 80X280601 2 1 0$ (~ 0 1 3 4
Harrisburg, PP. 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
196264039 02012008 01191!336
Decedent's Last Name Suffix Decedent's f=irst Name MI
HADFIELD RICHARD L
(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 ^ 2. Supplemental Return ^ 3. Remainder Return (date of death
prior t0 12-13-82)
4. Limited Estate ^ qa Future Interest Compromise ^ 5. Federal Estate Tax Return Required
^ (daie of death after 12-12-82)
6 Decedent Gied Tes[ate ^ ~ Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes
® (Attach Copy of Will) (Attach Copy of Trust)
^ 9. Liti ation Proceeds Received 1 p Spousal Poverty Credit (date of death ^ 11. Election to tax under Sec. 9113(A)
9 ^ between 12-31-91 and 1-1-95) (Attach SCh- O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
JAMES M ROBINSON 7172459688
Firm Name (If Applicable)
TURO LAW OFFICES
First line of address
28 SOUTH PITT STREET
Second line of address
City or Post Office
CARLISLE
State ZIP Code
PA 17013
Correspondent's a-mail address: ~ r' o b i ri s O ri@ t; Li r O 1 a w. C O m
REGISTER OF'Uy1LLS USE'ONLY
- , v7
-DATE FILED'a'
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 bellet,
it is true, rect and complete. Decl lion of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SIGN RE OF PERSON g/`}SPONSI E OR.~iJ_ING RET N ~ CATE €
t .~ ~!
{ (iT ! z r i
V i'~`;~uT v~ - ~~ ~ ~`~i ~~ yalerie A. Rasr9ake =a r r i ~x -- -
AdDRESS
1604 Bulls Run, Joppa, MD 21085
SIG TURE OF PREPAR ER OT R TH REPRESENTATIVE DATE
~,,,,,,~ ~~ f~~'~~a.•-g--~--c-'°--- James M Robinson ~ .~ ~' ~ C°7 !~
~ `DURESS
2J18 South Pit Street, Carlisle, PA 17013 ____~ -
Side 1
'!5056041147 15®56041147 _ ~
J 15056042148
REV-1500 EX Decedent's Social Security Number
oe~ede~rSName HADFIELD, RICHARD LEE 1 9 62 6 4 0 3 9
RECAPITULATION
1. Real Estate (Schedule A) ......................................................................................... 1.
2. Stocks and Bonds (Schedule B) .............................................................................. 2.
3. Closely Hefd Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3.
4. Mortgages & Notes Receivable (Schedule D) .......................................................... 4.
30,634.19
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .............. 5.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6.
7 Inter-Vivos Transfers & Miscellaneous Non-Probate Property
. (Schedule G) ^ Separate Billing Requested ............. 7.
8 3 0, 6 3 4 1 9
g. Total Gross Assets (total Lines 1-7) ....................................................................... . --- - --
9,658.40
9. Funeral Expenses & Administrative Costs (Schedule H) ......................................... 9.
3,118.18
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10.
12 , 7 7 6 . 5 8
11. Total Deductions (total Lines 9 & 10) ..................................................................... . 11.
12 Net Value of Estate (Line 8 minus Line 11) ............................................................ . 12. 1 7 , 8 5 7.61
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J)......_ ......................................... 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ................................................ . 14. 1 7 , 8 5 '7 6 1
TA X COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
15.
(a)(1.2) X .00
16. Amount of Line 14 taxable
8 5 7.61
1 7
1E' $ 0 3 5 9
,
at lineal rate X .045
17 . Amount of Line 14 taxable
1 ~
at sibling rate X .12
18 . Amount of Line 14 taxable
1 £;
at collateral rate X .15
19 . Tax Due ....................................................._......._._.........._......... _..............._ .. .. 19. 8 0 3 5 9
20 FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMEN"f.
Side 2
15055042148 15056042148
REV-1500 EX Page 3
Decedent's Complete Address:
Hadfield, Richard Lee
- - ---
STREET ADDRESS
261 E Street
CITY
Carlisle
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments _ _ ____ ___
C. Discount 40.18
3. Interest/Penalty if applicable
p. Interest
E. Penal±y
File Number 21 - 08 - 00134
ESTATE --- --SIP ----
PA ', 17013
_
(1)
Total Credits (A + B + C)
Total Interest/PE:nalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Chectc 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.
g. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
803.59
(2) 40.18
(3) 0.00
(4)
(5) 763.41
(5A)
(5B) 7 6 3.41
Make Check Payable to: REGISTER OF 1WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
P Y
b. retain the right to des gn to who shalltuse the property transferred or its income;_._ ................_......._.... !,I~ ~I xJ
c. retain a reversionary interest: or ..........................._...._................................._.............._......_...__.....__ i ,L X_
d. receive the promise for life of either payments, benefits or care?.._..........._...__ ............................_...... ~i - x l'
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without I _
receiving adequate consideration?..........._...__ .............._......................._.......... ....... _. .... ........_......_.. j I x_I
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ...__ I x ~I
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which i _ _ _.
x',
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 iax rate imposed cn the net value of transfers to or for the use of the
surviving spouse is three (3) percenf [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 transfer to a surviving spouse from tax, and the statutory requirements
for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a
natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. g9'I 16 (a) (t2)J.
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 i2 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)] A
sibling is defined urn:ler Section 9102, as an individual who has at least one parent in common ~^rith the decedent, whether by blood or adoption.
SCHEDULE E
~~ CASH, BANK DEPOSITS, & MISC. II,
COMMONWEALTH OF PENNSY, VANIA PERSONAL PROPERTY
INHERITANCE TAX RETUP.N
RESIDENT DECEDENT I
_-- -_-- - - - ---- - ~- FILE NUMBER
ESTATE OF Hadfield, Richard Lee 21 - 08 - 00134
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 DESCRIPTION VALUE AT DATE OF
NUMBER DEATH
---- ---- ---------------- -----
1 M & T Bank 4,906.23
2 Orrstown Bank 8,094.86
3 Commerce Bank -Checking Acct. No. 0513320788 1,633.10
4 12006 Dodge Dakota Truck - at sale price ~ 16,000.00
TGTAL (Aiso enter on Line 5, Recapituiationj 3U,634.1y
SCHEDULE H
~~ FUNERAL EXPENSES & II
COMMONWEALTH OF PENNSYLVANIA ~'N~~..~ T ~~
INHERITANCE TAX RE?URN ~~ "VC
I
RESIDENT DECEDENT
-__. - _- _. __..
- -. ____.-._-_.'--
-- - -- -- -----.__ --_._ -_._-__ ______..-
FILE NUMBER
ESTATE OF Hadfield, Richard Lee ~, 21 - 08 - 00134
--- ---..
Debts of decedent must be reported on Schedule L
__ ___
__ --- --
_
DESCRIPTION
I AMOUNT
~
NUM ER
FUNERAL EXPENSES: ~'- -- --------
-
A. 1 Hoffman-Roth Funeral Home 3,538.48
2 ~ Carlisle Moase Family Center -Post-Memorial Service Gathering ', 509.25
3 I L & D Catering Inc. -Post-Memorial Service Food 3,430.05
4 ,George's Flowers
~ 112.63
I
B. I ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative{s): I
~
Street Address '
City State Zip
Year(s) Commission paid
2. Attorney's Fees Turo Law Offices j 1,531.71
3. ' Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
', City State Zip
Relationship of Claimant to Decedent
4. I Probate Fees Register of Wills i 202.00
Cumberland Law Journal 75.00
The Sentinel -Legal 199.92
5. Accountant's Fees
I
6. Tax Return Preparer's Fees ~
7. ', Other Administrative Costs
1 I A.C. Moore -Frames for Memorial Board 59.36
TOTAL (Also enter on line 9, Recapitulation) 9,658.40
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Hadfield, Richard Lee
Include unreimbursed medical expenses.
ITEM DESCRIPTION
NUMBER
1 UGI
2 Kinetic Imaging
3 PPL Electric Utilities
4 Verizon Wireless
5 Spring Road Family Practice
6 The Computer Barn
7 U.S. Treasury - 2007 Income Taxes
8 Capital Tax Collection Bureau - 2007 Local Income Taxes
9 Carlisle Cardiology Associates
10 Carlisle Regional Medical Center
11 Alexander Spasic, M.D.
SCHEDULEI
~I DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
rFILE NUMBER
~ 21 - 08 - 00134
AMOUNT
101.25
131.78
47.90
92.27
210.79
102.03
2,134.00
68.00
20.66
204.80
4.70
j TuTAL (Also enter on Lline iu, Kecapituiationj I :i,'11$.'ItS
EXHIBIT "B"
GROSS ESTATE NET OF TAX
LIABILITIES
A. Hoffman-Roth Funeral Home
B. Carlisle Moose Family Center
C. L & D Catering, Inc.
D. George's Flowers
E. Turo Law Offices
F. Register of Wills
G. Cumberland Law Journal
H. The Sentinel -Legal
I. A.C. Moore
J. UGI
K. PPL Electric Utilities
L. Kinetic Imaging
M. Verizon Wireless
N. Spring Road Family Practice
O. The Computer Barn
P. U.S. Treasury - 2007 Income Taxes
Q. Capital Tax Collection Bureau
R. Carlisle Cardiology Associates
S. Carlisle Regional Medical Center
T. Alexander Spasic, M.D.
TOTAL LIABILITIES
AMOUNT REMAINING TO BE DISTRIBUTED
DISTRIBUTIONS:
Valerie A. Rasnake
Matthew L. Hadfield
J. Luke Hadfield
TOTAL DISTRIBUTIONS
$ 29,830.60
$ 3,538.48
509.25
3,430.05
112.63
1,531.71
202.00
75.00
199.92
59.36
101.25
47.90
131.78
92.27
210.79
102.03
2,134.00
68.00
20.66
204.80
4.70
$ 12,776.58
$ 17,054.02
$ 5,684.68
5,684.67
5.684.67
$ 17,054.02