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HomeMy WebLinkAbout04-0302 PETITION FOR PROBATE & GRANT OF LETTERS Estate of_ Marcella M. Waltman No. 21-04- ~-':)~ also known as - To: Register of Wills for the , deceased. County of Cumberland Social Security No. 203-10-3551 Commonwealth of Pennsylvania The Petition of the undersigned respectfully represents that: Your Petitioners, who is/are 18 years of age or older and the Executor/rix named in the Last Will of the above decedent dated March 23, 1994 , and codicils dated none . The Executor named ~none died .. Renunciations for none _ attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 34 Cardinal Drive, Carlisle. Decedent, then 91 years of age, died .March 16~2004, at _home. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the Will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in PA) All personal property (If not domiciled in PA) Personal property in PA (If not domiciled in PA) Personal property in County Value of real estate in Pennsylvania, situated as follows: $205.000.00 $_ WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. Signature(s) and Residence(s) of Petitioner(s): /BeVerlvZ~. Lins - 65 Nel~-n' 6;:i;e .Carlisle, PA 1701,3 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA · COUNTY OF CUMBERLAND i ss The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of the above decedent, petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ~7~-~ day of -~ )~-/~ ,2004. No. 21-04- Estate of Marcella M. Waltman~ deceased. DECREE OF PROBATE & GRANT OF LETTERS AND NOW, ~/,~, ~/9~.4d_~ 2004, in consideration of the Petition on the reverse side hereof, satisfactory proof having deen presented be~;vre me, IT IS DECREED that the instrument(s) dated March 23, 1994 described therein be admitted to probate and filed of record as the Last Will of Marcella M. Waltman; and Letters Testamentary are hereby granted to Beverly D. Lin~s. ' ~ Register of (~'~ills /1~O~,q~LLc ¢ ~'/~.~x,it.~ IRWIN & McKNIGHT FEES Probate, Letters, Ftc ........ $ 270.00 Short Certificates (3) ... $ 9.00 Renunciation(s) ........... $. JCP .................... $ 10.00 Other .... $ 9.00 TOTAL: .... $ 298.00 Filed....~J ~;_~ .o ~ .................. Marcus A. McKni.clht, Esquire, 25476 ATTORNEY (Sup. Ct. I.D. No.) 60 West Pomfret St., Carlisle, PA 17013 ADDRESS 717-249-2353 PHONE 105.8{15 REV 9/86 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as I.tx:al Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 Local Registrar Date 143 Rev. 2187 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH STATE reNAME OF DECEDENT (First, Middle, Lasl) SE~(~ ~ ~ :,,.1. .............. NarD'ella M. Walt:ma~ '"~le "[~tLSEOUR'Z~U'''sE".... '-'[DATEOFDEAYB(Monlh. D.¥,Yaar) nlRTHPLACE (Cily and m I t ~~Dra~?-je~r )~ l_ Stato Or Fo~o,gn Country) . VIVING SPOUSE W~e 15. · Cumberland lg;~h~p? '?d NO. ~d.., liv~d on other skle) l?b County._ .E~ within actual limit$ of  Harry Mo21ella_n Wr~.-~h~- ~Fti~. Middle Ma~den Sumamel -- Otyroo, e. NFORS,~NPSN~E O'ype/PHnt ~ ~ .... ~"~ ~ Rlizaboth ~hell~, ' .c..m.o,D..__. OCAT,ON-0 o.n, Z,, PhY~idanisnmaveil.bJeattimeofdeathto . 24 Hurm~l Ave.~T-~-_mo~ne~PA "'t' r~ resulting in death) ~ a. ~'~ '~ ~ . set and death g~ ART I. ~equentia~y Iisi conditions b. If any, leading to immediate I ~ ~ause. Enter UNDERLYING CAUSE (Disease or injury c. that initiated events ~ resulting o~ death ) LAST Ye$O N°~I YesF~ NoF1 J Suicide ~ Could not bo delermined 0 ''bl "I ......................................... ,,,,,. =~. .. ZDm~;.... 'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both pronouncing death and certifying to cause of dea h) LICENSE ~M%R~ ,~ J DATE SIGNED (Month, Day, Year) To Iha baal of .¥ knowledge, death ...... d al t~; time, date, and pt ...... d due to Ih ....... (e) and ......... toted ...................... r-1 31~. r'~ ) l ~"~ *MEDICAL EXAMINER/CORONERNAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH (Item 27) Type Pd~t On the b&lie of examlnatto~ and/or investigation, in my opinion, death ..... d .' the time, dato, and pi ...... d due to th ....... (s) and..E ~;ll~. ¢:~ ~ ~. e. 33. ~ ' ' DATE FILED (Month. Day, Year) I, MARCELLA M. WALTMAN of SouthMiddleton Township, Cumberland County, Pennsylvama, declare this instrument to be my Last Will and Testament, hereby expressly revoking ail Wills and Co&cds heretofore made by me ONE I direct my Executrix to pay ail of my debts, funerai and admimstratlve expenses as soon as may be done conveniently after my decease TWO I specificaily give, dewse, and bequeath the sum of Five Thousand and no/100 ($5,000 00) Dollars to SHIRLEY B. WALTMAN, promded that she has not remained If said SHIRLEY B. WALTMAN, has remarried, I specifically g~ve, dewse, and bequeath the sum of Two Thousand and no/100 ($2,000 00) Dollars THREE I spemfically gtve, devise and bequeath to my grandchildren the following a To DEBRA J. BISHOP b To KATHRYN L. SIMON c To GEORGE E. WALTMAN, m d To KIM M. PAYNE e To JOItN ANDREW LINS f To ELIZABETH J. LENS g To MICHAEL K. CONKLEN h To STEPHEN G. CONKI_,EN $ 2,000 00, $ 2,000 00, $ 2,000 00, $ 2,000 00, $ 2,OOO 00, $ 2,000 00, $1,000 00, $1,000 00 If any of my above named grandchildren die before my death, then their share will be distributed equally to the issue of smd deceased grandcluld If any of my above named grandcluldren die before my death vathout living issue, then their share will be distributed as part of my residuary bequest in Paragraph FIVE of this my Last Will FOUR I specifically give, dewse, and bequeath to each of my great-grandctuldren who are alive at my death, the sum ofF,ye Hundred and no/100 ($ 500 00) Dollars FIVE All of the rest and rematnder of my estate of every nature and wherever situate to my daughter, BEVERLY D. LINS If she has predeceased me, then all of the rest and remmnder of my estate of every nature and wherever situate will be diwded equally by DEBRA J. BISHOP, KATHRYN L. SLMON, GEORGE E. WALTMAN, 1]][, KIM M. PAYNE, JOHN ANDREW L][NS, and ELIZABETH J. LINS If the aforementioned has predeceased me, their share w~ll be distributed equally to their living issue If one of the aforementioned has predeceased me without living issue, then theft share of my will be equally distributed to those named who have survived me SIX I appoint my daughter, BEVERLY D. LINS to serve as Executrix of this my Last Will If she ~s unable to serve or ceases to serve as Executrix, I appoint MARCUS A. McKNIGHT, I~, to serve as Executor oftlms my Last Will SEVEN My Executrix may, at her d~scretlon, compromise clatms, borrow money, retmn property for such length of time as she may deem proper, lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper, and invest estate property and income w~thout restriction to legal investments EIGHT No Executrix or Executor acting hereunder shall be required to post bond or enter security m tbas or any jurisdiction IN WITNESS WHEREOF, I have hereunto set my hand and seal tlus~ day of March, 1994 (SE ) MARCELLA M. WALTMAN Signed, sealed, pubhshed and declared by MARCELLA M. WALTMAN, the above named Testatrix, as and for her Last Will and Testament, m the presence of us, who, at her request and in her presence and ~n the presence of each other have subscribed our names as witnesses hereto A CKNOWLEDGMENTAND AFFIDAVIT WE, MARCELLA M. WALTMAN, SHARON L. SCHWALM and CHERYL L. CLELAND, the testatrLx and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sown, do hereby declare to the undersigned authority that the testatrix signed and executed the mstmmem as her Last Wdl and that she had signed willingly, and that she executed it as her free and volunta~ act for the purpose herein expressed, and that each of the w~tnesses, in the presence and hearing of the testatrix, signed the Will as a w~tness and hat to the best of their knowledge the testatrix was, at that time, etghteen years of age or older, of sound mind and under no constrmnt or undue influence COMMONWEALTH OF PENNSYLVANIA M~RCELI~ M. WALTMAN SHARON L. SCH~WALM (~R~R~/L. CLELANI~ ~ COUNTY OF CUMBERLAND : SS: Subscribed, sworn to and acknowledged before me by MARCELLA M. WALTMAN, the testatrix herein and subscribed and sworn to before me by SHARON L. SCHWALM and CHERYL L. CLELAND, w~tnesses thts~ day of March, 1994 ---~t~yVublic x_~- -- Be~A Momson, Nota,'y Public C mt~e Boro, Cumbedand County , My Commission Ex]:xr6~ Dec 15,1996 · REV- 1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 REV-1500 INHERITANCE TAX RETURI RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 21-04-0302 COUNTYCODE YEAR NUMBER HARRISBURG, PA 17128-0601 DECEDENT'SNAME(LAST, FIRSI, AND MIDDLE iNiTiAL)waltman Marcella M. DATE OF DEATH (MM-DD-YEAR) J DATE OF BIRTH (MM-DD-YEAR) 03/16/2004 I 07/03/1912 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) cAPB HpRL EpIO cRAC Co. R E C A P I T U L A T I O N 0 M P T U, T I 0  1. Original Return ~ 247! SupplementaIReturn 4. Limited Estate . Future Interest Compromise (date of death after 17-12~82) 6. Decedent Died Testate Decedent Maintained a Living Trust (Attach copy of Will) (Attach copy of Trust) ~ 9. Litigation Proceeds Received r~ 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) SOCIAL SECURITY NUMBER 203 -10-3551 THIS HErURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER (date of death 3. Remainder Return priorto 12-13-82) 5. Federal EstateTax Return Required 8. Total Number of Safe Deposit Boxes ~-~ 11. Election to tax under Sec. 9113(A) (Attach Sch O) NAME Marcus A. McKni~ht Esq. FIRM NAME (If Applicable) IRWIN b McKNIGHT TELEPHONE NUMBER 7i7/249-2353 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or (3) Sole -Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ~-] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) COMPLETE MN LING ADD RESS 60 West Pomfret Street West Pomfret Professional Bldg. Carlisle, PA 17013 119,950;.00 200,826~40 None None 500.00 103,063.75 None (8) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 22,425.65 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 595.07 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (11) (12) (13). (14) OFFICIAL USE ONLY 424,340.15 23,020.72 401,319.43 401,319.43 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax , rate, or transfers under Sec. 9116(aX1.2) 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 0.00 x .o 0 401,319.43 x .o 45 0.00 x 0.00 x .15 (15) (16) (17) (18) (19) ~ 0.00 18,059.37 0.00 0.00 18,059.37 ~ Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV-1502 EX * (1-97) I · I SCHEDULE A I COMMONWEALTH OF PENNSYLVANIA / REAL ESTATE INHERITANCE TAX RETURN I ESTATE OF FILE NUMBER Marcella M. Waltman SS~/ 203-10-3551 03/16/2004 21~04-0302 All real property owned solely or as a tenant Jn 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 knowledc of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 34 Cardinal Drive, South Middleton Township, Carlisle 119,950.00 TOTAL (Also enter on line 1, Recapitulation) 119,950.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1502 EX (Rev. 1-97) REV-1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS FILE NUMBER Marcella M. Waltman SSf/ 203-10-3551 03/16/2004 21-04-0302 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 Series E/EE Savings Bonds - See Attached 51,000.00 Accrued interest on item 1 to date of death 149,826.40 TOTAL (Also enter on line 2, Recapitulation) 200,826.40 (if more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1503 EX (Rev. 1-97) REV- 1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marcella M. Waltman SSJ~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY 203-10-3551 03/16/2004 FILENUMBER 21-04-0302 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 1986 Chevy Celebrity VIN ~/2G1AW19R4G1289725 500.00 TOTAL (Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 500.00 Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97) REV- 1509 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marcella M. Waltman SS~ 203-10- 3551 03/16/2004 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-04-0302 SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A.Beverly D. Lins Daughter Co 65 Nelson Drive Carlisle, PA 17013 JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION Of PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identi~ing numar. DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT Attachde~ forjointly-heldrealestate. VALUE OF ASSET INTEREST DECEDENT'S INTERES 1 Franklin County Teacher's 43,946.31 50.00% 21,973.16 Credit Union - Share Savings Account 71610-01 2 iFranklin County Teacher's 20,082.67 50.00% 10,041.33 Credit Union - Term Share Certificate - 71610-40 3 M & T Bank - Certificate of 20,023.38 50.00% 10,011.69 Deposit 031003913947718 4 M & T Bank - Checking 122,075.13 50.00% 61,037.57 Account - 88687066 TOTAL(Alsoenteronline6, Recapitulation) $ 103,063.75 (If more space is needed insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, inc. Form REV-1509 EX (Rev. 1-97) REV-1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marcella M. Waltman SS~/ SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS 203-10-3551 03/16/2004 FILE NUMBER 21-04-0302 Debts of decedent must be reported on Schedule I. iTEM NUMBER DESCRIPTION FUNERAL EXPENSES: Donation to Church for Use of 2 3 4 1 2 3 4 5 6 Funeral Arrangement - Casket Fellowship Room Hairdresser Musselman Funeral Home & Cremation Services, Inc. Total of Continuation Schedule(s) ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City Year(s) Commission Paid: State Zip Attorney's Fees IRWIN & McENIGh~r 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 Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs Cumberland Law Journal - Estate Notice Giant - Food for Luncheon Register of Wills Filing Fee - Inheritance Tax Return Schrock's Arbor Service - Lawn Maintenance Telephone calls The Sentinel Estate Notice TOTAL (Also enter on line 9, Recapitulation) $ Total of Continuation Schedule(s) (If more space is needed, insert additional sheets of the same size) AMOUNT 50.00 159.00 40.00 3,894.00 215.00 16,500.00 298.00 475.00 75.00 73.61 25.00 478.00 13.84 125.00 4.20 22,425.65 Copyright(c) 1996 form software only CPSystems, lnc. Form REV-1511 EX (Rev. 1-97) Estate of: Marcella M. Waltman Soc Sec #: 203-10-3551 Date of Death: 03/16/2004 Item Description Continuation of Schedule H-A (Funeral Expenses) Amount Pastor Myers Two Readers Rolling Green Cemetery Company 50.00 40.00 125.00 215.00 Estate of: Marcella M. Waltman Soc Sec #: 203-10-3551 Date of Death: 03/16/2004 Continuation of Schedule H-B7 (Other Administrative Costs) Item Description Amount 7 Walmart Guest Book 4.20 4.20 REV-151~ EX * (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marcella M. Waltman SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SS# 203-10-3551 03/16/2004 FILE NUMBER 21-04-0302 Include unreimbursed medical expenses. ITEM NUMBER 1 2 3 4 5 6 DESCRIPTION Carlisle Regional Medical Comcast Cablevision Liberty Mutual Insurance - Med-Ed South Middleton Township Sprint Telephone Center - Medical Homeowners Insurance Municipal Authority Water Bill TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) AMOUNT 100.00 84.81 62.10 220.93 99.00 28.23 $ 595.07 Copyright (c) 1996 form software only CPSystems, Inc. Form REV-151Z EX (Rev. 1-97) RE,V- 151~ EX + (9-00) COUMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marcella M. Waltman SS~/ NUMBER I. I1. SCHEDULE J BENEFICIARIES 203-10-3551 03/16/2004 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116¢)(1.Z)] Christopher Bishop 4311 5th Avenue, N.W. Seattle, WA 98107 Donald Bishop 1660 8A 40th Avenue, N.E. Arlington, WA 98223 Lee Bishop, Jr. 202 Norman Road Camp Hill, PA 17011 Angela Conklin 156 Church Road Shermans Dale, PA 17090 Jason M. Conklin 5 Creekbottom Circle FILE NUMBER 21-04-0302 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Other Other Other Other Other AMOUNT OR SHARE OF ESTATE 500.00 500.00 500.00 500.00 500.00 ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART Il - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) ZOO0 form software only T he Lackner Group, Inc. Form REV-1513 EX (Rev. 9-00) Estate of: Marcella M. Waltman Soc Sec #: 203-10-3551 Date of Death: 03/16/2004 Continuation of Schedule J, Part I (Taxable Bequests) Item Name and Address of Beneficiary Relationship A2n ount or Share of Estate 6 10 11 12 13 14 15 16 Dillsburg, PA 17019 Michael K. Conklin 100 Spangler Road Lewisberry, PA 17339 Stephen G. Conklin 100 spangler Road Lewisberry, PA 17339 Stephen G. Conklin, Jr. 100 Spangler Road Lewisberry, PA 17339 Debra J. Dickhart 212 Hillcrest Drive Carlisle, PA 17013 James Daniel Ford 422 N. Second Street Wormleysburg, PA 17043 Kim M. Henkel 414 "A" Street Carlisle, PA 17013 Beverly D. Lins 65 Nelson Drive Carlisle, PA 17013 Elizabeth J. Lins 65 Nelson Drive Carlisle, PA 17013 Hope Elizabeth Lins P.O. Box 214 Lewisberry, PA 17339 John Andrew Lins P.O. Box 214 Lewisberry, PA 17339 Kathryn Adele Simon 422 N. Second Street Grandson Grandson Other Granddaughter Other Granddaughter Daughter Granddaughter Other Grandson Other 1,000.00 1,000.00 500.00 2,000.00 500.00 2,000.00 Remainder 2,000.00 500.00 2,000.00 500.00 Estate of: Marcella M. Waltman Soc Sec #: 203-10-3551 Date of Death: 03/16/2004 Continuation of Schedule J, Part I (Taxable Bequests) Item Name and Address of Beneficiary Relationship Amount or Share of Estate 17 18 19 20 21 22 Wormleysburg, PA 17043 Kathryn L. Simon 422 N. Second Street Wormleysburg, PA 17043 Austin Waltman 623 Ridge Road Lewisberry, PA 17339 Britteny Waltman 11 Broken Ground Road Concord, NH 03301 George E' Waltman III 623 Ridge Road Lewisberry, PA 17339 Marisa Waltman 11 Broken Ground Road Concord, NH 03301 Shirley B. Waltman 46 N. Tenth Street Lemoyne, PA 17043 Granddaughter Other Other Grandson Other Daughter- in-Law 2,000.00 500.00 500.00 2,000.00 500.00 5,000.00 £ AS T £ AND TE $ TAM ENT I, .~DkRCELLA M. WALTMAN of South Middleton Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking fll Wills and Codicils heretofore made by me. ONE: ! direct my Executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. TWO: I spedfically give, devise, and bequeath the sum of Five Thousand and no/100 ($5,000.00) Do~ars to SHI2RLEY B. WALTMAN, provided that she has not remarried. If said SHIRLEY ]3. WALT_'3t_IAN, has remarried, I specifically give, devise, and bequeath the sum of Two Thousand and no/100 ($2,000.00) Dollars. THREE: I specifically give, devise and bequeath to my grandchildren the following: a. To DEBRA J. BISHOP ' $ 2,000.00; b. To !C4.THRYN L. SLMON ....................... $ 2,000.00; c. To GEORGE E. WALTMAN, III ................. $ 2,000.00; d. To KLM M. PAYNE ............................ $ 2,000.00; e. To JOHN ANDREW LLNS ...................... $ 2,000.00; £ To ELIZABETH J. LLNS ........................ $ 2,000.00; c~ To MICHAEL K. CONKLEN $1,000.00; h. To STEPHEN G. CONKLLN' ..................... $1,000.00. If any of my above named grandchildren die before my death, then their share will be distributed equally to the issue of said deceased grandchild. If any of my above named grandchildren die before my death w:,'thout living issue, then their share will be distributed as part of my residuary bequest in Paragraph FIVE of this my Last Will. FOLrR: I specifically give, devise, and bequeath to each of my great-grandchildren who are alive at my death, the sum of Five Hundred and no/100 ($ 500.00) Dollars. FIVE: Al! of the rest and remainder of my estate of every nature and wherever situate to my daughter, BEvERLy D. LLNS. If she has predeceased me, then all of the rest and remainder of my estate of every nature and wherever situate will be divided equally by DEBRA J. BISItOP, KATItRYN L. SLMON, GEORGE E. WALT,MAN, HI, KE~I M. PAYNE, JOHN ANDREW L~rh'S, ~d ELIZABETH a. LENS. If the aforementioned has predeceased me, their share will be distributed equally to their living issue. If one of the aforementioned has predeceased me without living issue, then their share of my will be equally distributed to those named who have survived me. SLX: ! appoint my daughter, BEvERLY D. LINS to serve as Executrix of this my Last YVill. If she is unable to serve or ceases to serve as Executrix, I appoint MARCUS A. McKNIG!tT, IL!, to serve as Executor of this my Last Will. SEVEN: N:[y Executrix may, at her discretion, compromise claims, borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments. EIGF!T: No Executrix or Executor acting hereunder shall be required to post bond or enter security in t~s or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this~ day of March, 1994. MARCELLA M. WALTSL4,N Signed, sealed, published and declared by I~L4~RCELLA M. WALTMAN, the above named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence and in the presence of each other have subscribed our names as witnesses hereto. A CKNO WLEDG3IENT AND A FFIDA V1T /,FE, XU4,RCELLA M. WALTMAN, SHARON L. SCHWALM and CHERYL L. CLELAND, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sown, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and hat to the best of their knowledge the testatrix was, at-that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. COM,MON'WEALTI~t OF PENNSYLVANIA COUNTY OF CUMBERLAND : SS: Subscribed, sworn to and acknowledged before me by ~L~RCELLA M. WALTMAN, the testatrix herein and subscribed and sworn to before me by SHARON L. SCI:iWALM and CHERYL L. CLELAND, witnesses this~ day of March, 1994. ~otary ~ublic ~ ' Motor Company, Inc. TRUCKS ~1402 lffolly Pike, Carlisle, Pennsylvania 17013 · Telephone 71 7~243-3066 · FzlX 717-2~o_ 7o~ __ 499 Mitchell Road, Millsboro, DE 19966 lVlail Code DE-MB-12 Irwin & McKnight : Attorneys At Law West Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013-3222 Phone(888) 502-4349 Fax (302) 934-2955 March 26,2004 Re: Estate off: Marcella M. Waltman Social Security: 203-10-3551 Date of Death: March 16, 2004 Dear Mr. McKnight: Per your inquiry dated March 24, 2004, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 88687066 Ownership (Names klarcella M Waltman Beverly D Lins S J Conklin, POA Opening Date 06/28/71 Balance on Date of Death $122,068.86 Accrued Interest $ 6.27 Total $122,075.13 Total Calendar Year Interest to Date of Death Type of Account Account Number O,vnership (Names Opening Date Balance on Date of Death A ccrued Interest Total Certificate of Deposit 031003913947718 Beverly D Lins Marcelta M Waltman O L 0 8/O0 $2 O, 000. O0 $ 23. 38 Please be advised there was no safe deposit box found for the above decedent. For further account information, closures and/or reimbursement of funds, etc. please call the Spring Garden Office # 717-240-4525. Sincerely, Franklin County Teachers' Credit Union Working Together to Make the Grade 1156 Kennebec Drive P.O. Box 505 Chambersburg, PA 17201 Phone: 717-264-6506 Toll-Free: 888-968-7828 Fax: 717-264-1441 www. fctcu, org April 1, 2004 Law Offices Irwin & McKnight Attn: Marcus A. McKnight III West Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013 Re: Account information for ~a,,,,eAa M. Waltman Dear Mr. McKnight: The account ofMarcella M. Waltman was a joint account held between Marcella and Beverly Diane Lins. The account is numbered 71610 and was established on December 7, 2001. The account has always been held in the names of the above mentioned individuals. The balance of the Share Savings account, numbered 71610-01, (principal plus accrued interest) as of March 1.6, 2004 was $43,946.31 ($43,777.45 plus $168.86). The accrued interest up to the date of death was $168.86. Mrs. Waltman also maintained a Term Share Certificate with us numbered 71610-40. The balance of this certificate (principal plus accrued interest) as of March 16, 2004 was $20,082.67 ($20,000.00 plus $82.67). The accrued interest up to the date of death was $82.67. Per Mrs. Waltman's agreement, the dividends to the Certificate are payable to the Share Savings account. No accounts have been closed within one year prior to the date of death. Because this is ajoint account, all funds automatically revert to the joint owner. In the event that Beverly wishes to close the account, lr have enclosed an account change card for her to sibm. We ':.'il! also need for you to provide us with a Death Certificate for Mrs. Waltman. If you have any further questions please feel free to contact me. Sincerely, 06/07/200~ 09:29 71-,'/2406-,7~ VIILSON HIDDLE SCHOOL PAGE 82 Pennsylvania law requira~ that all mai estate be valued as of the most recent county-wide reasse&$ment. The last reessessrnent, or tax baas year, wes 2000. Since the last rea.~sessment In 2000, properb'es have been assessed at 100% of Year 2000 value (the 'Pm-Determined Ration). The new tax base yeerwill be the Year 2004, with the new assessed values becoming effective for the 2005 tax year. The Pm-Determined Ratio remains et 100%. Your new assessed value equals your Year 2004 market value. When the new 2004 tax baal Is determined after this reassessment, all taxing dlstrtct~ are requlred by law to lower the millage rate by the eame propo~don that the tax base went up. The law pmvides that In the flrst year etter reasse$&ment (2005), the county end all towllships and boroughs may not increase overall revenue on their existing texbase by mom than five percent (5%) and school districts may not increase overall revenue an their existing texbase by mom then ten percent (10%). The county and the othertaxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up or down by more than those percentages. The essential point ia that an Increase In market ¥IIU~I does not necessarily mean a corresponding Increase in taxes. Individual changes in taxes will depend upon a specific property's change aa compared to the overall change for the taxing dlatrlcL The ESTIMATED impact statement printed below Is our best estimate of change, based on 2004 COUNTY tax figures. THIS ESTIMATE DOES NOT INCLUDE ANY BOROUGH, TOWNSHIP, OR SCHOOL DISTRICT IMPACT. ESTIMATED COUNTY TAX. IMPACT: Currant 2004 County mille - 2.352 Adjusted 2004 County mille - 2.138 $ 281 : 2004 $ 256 : 2004 Co~'.,y Tax ~EFORE Rmasses~ment. Cot~L"y Tax AFTER Re&eaeesment. THIS IS. NOT A TAX BILL .'' Parcel IcLenti£ie=: '' 4.0-24'-0760-0.07. ::i. Lanai 24,000 ' ' 24.,.60~ 24'.,. 600' Butlcllng~ 95,390 95,3~'0 95', 3:5.0 TOTAL 119; 390 119, 9SO. 119,950' .... Buildings ~P~Z~ ~Z~ TOTAL .., C/sen and Gmen values app~ te ~ ~ and ~st land, Such values beams effe~ve only upon ~pll~n and a~pmvaL All m~lved by ~e Assessment Offi~ by 4:30 p;m. on O~o~'15, pmvious/y appmv~ ~r ~ e~d ~ ~ horned ~ ~pp/y. Inventory Report Active Inventory Print Date: 06/04/2004 Bonds: File Pricin¢ Date: I I1~ · I I~,11 I~ I-~C~,Lt~, Issue rext Intereslnal Maturil No. Series Denom Serial Number Date Price Interest Value Rate Yield Date Date Note 1 __E $1,000 M208638945E 04/1979 $750.00 $2,733.60 $3,483.60 4.00% 6.370/0 04/2004 04/2009 2 E 1,000 M208638935E 04/1979 750.00 2,733.60 3,483.60 4.00% 6.37% 04/2004 04/2009 3 E 1,000 M~08638936E 04/1979 750.00 2,733.60 3,483.60 4.00% 6.37% 04/2004 04/2009 4 E 1,000 M208636937E 04/1979 750.00 2,733.60 3,483.60 4.00% 6.37% 04/2004 04/2009 5 EE 1,000 M2296017EE 04/1981 500.00 1,780.00 2,280.00 4.00% 6.86% 04/2004 04/2011 6 EE 1,000 M2296016EE0 04/1981 500.00 1,780.00 2,280.00 4.00% 6.86% 04/2004 04/2011 7 EE 1,000 M3446419EE 09/1982 500.00 1,598.00 2,098.00, 4.00% 6.78% 09/2004 09/2012 8 E-E 1,000 M3446420EE ~9/1982 500.00i 1,598.00' 2,098.00 4.00% 6.78% 09/2004 09/2612 9 EE 1,000 M3446421__ EE 09/1982 500.00 1,598.00 2,098.00 4.00%' 6.78% 09/2004 09/2012 10 EE 1,000 M3446422EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 11 EE 1,000 M344'6423EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 12 EE 1,0~0 M3954551EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78°/, 09/2004 09/2012 13 EE 1,000 M3954553EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 14 EE 1,000 M3954552EE 09/1982 500.00 ' 1,598.60 2,098.00 4.00% 6.78% 09/2004 09/2012 15 EE 1,000 M3954554EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 16 EE 1,000 M3954555EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 17 EE 1,000 M3954556EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 18 EE 1,000 M3954557EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 19 EE 1,000 M3446418EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/200,1 09/2012 20 EE 1,000 M389580EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004- 09/2012 21 EE 1,000 M839849EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 22 EE 1,000 M839848EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 23 E~: 1,000 M839847EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 24 EE 1,000 M839846EE 09/1982 500.00 1,598.00 2,098.00i 4.00% 6.78% 09/2004 09/2012 25 EE 1,000 M839845EE__ 09/1982 500.00; 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 26 EE 1,0~0_0 M839844EE 09/1982 500.00 1,59~00 2,098.00 4.00% 6.78% 09/2004 09/2012 27 EE 1,00OM8398Z~3EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 -- 28 EE 1,000 M839842EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 29 EE 1,000 M839841EE 09/1982 500.00 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 30 EE 1,000 M839840EE__ 09/1982 _500.00. 1,598.00 2,098.00 4.00% 6.78% 09/2004 09/2012 _31 EE 1,000 M3954567EE 12/1982 500.00 1,462.80 1,962.80 4.00% 6.62% 06/2004 12/2012 32 EE 1,000 M3954566EE 12/1982 500.00 1,462.80 1,962.80 4.00% 6.62% 06/2004 12/2012 33 EE 1,000 M3954575EE 1~/1982 500.00 1,462.80 1,962.80 4.00% 6.62% 06/2004 12/2012 34 EE 1,000 M3954574EE 12/1982 500.00 1,462.80 1,962.80 4.00% 6.62% 06/2004 ~2/2012 -- 35 EE 1,000 M3954573EE 12/1982 500.00 1,462.80 1,962.80 4.00% 6.62% 06/20-04 12/201~ 36 EE 1,000 M3954572EI~ 12/1982 500.00 1,462.80 1,962.80 4.00% 6.62% 06/2004 -- 12/2012 -- 37 EE 1,000 M3954571EE 12/1982 500.00 1,462.80 1,962.80 4.00% 6.62% 06/2004 12/2012 38 EE 1,000M39~5_4__568~EE 12/1982 500.00 1,462.80 1,962.80 4.00% 6.62% 06/2004 12/2012 G:\KNoel\Estates\Waltman Marcella\Bonds.sbw Page 1 of 2 Inventory Report Active Inventory Print Date: 06/04/2004 Bonds: File Pricing Date: 03/2004 No. Series~-i ~4° I EE / I41 I EE| / 42 / EE_]_ 43 J EE| 44 I EEl 45/ EEL 46 /EEl- Issue ext Interes£nal Maturit Denom Serial Number Date Price Interest Value Rate Yield Date Date Note $1,000 M3_954570EE 12/1982 $500.00 $1,462.80 $1,962.801 4.00% 6.62% 06/2004 12/2012 1,000 M39~54569EE 12/1982 500.00 1,462.80 1,962.80 4.00°/o~ 6.62% 06/2004 12/2012 10,000 X1890951EE 10/1990 5,000.00 5,576.00! 10,576.00 4.00% 5.85% 04/2004 10/2020 * -- 10,000 X 1890950EE__ 10/1990 5,000.00 5,576.00 10,576.00 4.00% 5.85% 04/2004 10/2020 * 10,000 X28722EE__ 04/1981 5,000.00 17,800.00i 22,800.00 4.00% 6.86% 04/2004 04/2011 10,000 X28723EE 04/1981 5,000.00 17,800.00 22,800.00 4.00% 6.86% 04/2004 04/2011 10,000 X28724EE__ 04/1981 5,000.00 17,800.00 22,800.-00 4.00% 6.86% 04/2004 04/2011 10,000 X28721EE 04/1981 5,000.00 17,800.00 22,800.00 4.00% 6.86% 04/2004 04/2011 Inventow Totals: I B°nds~ Price Interest Value 46 / $51,000.00 $149,826.40 $200,826.40 · CI- bond was Cashed :n · EX - bond was EXchanged for an HH bond · ME - bond is ~4 atured and Exchangeable for an HH bond · MN - bond is Matured and Not exchangeable for an HH bond · NE - bond is Not yet Eligible for payment (it's < 6 months old) · NI - bond has Not yet been :ssued · p5 ~ bond is a Series I or EE, was issued in or after May 1997 and includes a 3-month-interest Penalty until the bond is s years old · * bond is a Series I or EE, was issued in or after January 1990 and may be tax exempt if used for post-secondary education · ( ) bond was Cashed In or EXchanged for an HH bond, but is being priced on a date prior to the cashed or exchanged date G:\KNoel\Estates\Waltman Marcella\Bonds.sbw Page 2 of 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Beverly D. Lins being duly sworn according fo law, deposes and says that she is the Executrix of the Estate of Marcella M. Waltman late of So_u_._t_h_~ M~dd~let_o~_%ownshi_p , Cumberland County, Pa., deceased and that the within is an inventory made by Beverly D. Lins , the said Executrix of the entire estate of said decedent, cons;st;ag of all the personal property and rea~ estate, except rea~ estate outside fha Commonwealth of Pennsylvania, and that the figures opposite each ~tem of the Inventory represent ~t's fe~r value as of the date of decedent's death. Sworn and subscribed before me, this 4th day of June, ]9.2004 / 'r.~..;~;~_~. ~ n uT t'"qm~YLVAhiiA Marina L No~, Na~ FU~c I Member, Pennsylvania As~atlon Of Notaries Date o~ Death 16 ~everly~ [~ns ,~ZE~ecutrix 65 Nelson Drive Carlisle, PA 17013 Address 03 2004 Day Month Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as fo personalty or realty 4. See Arflcle IV, Fiduciaries Act of 1949. , ~ .-.j I.U 0 d Inventory of the real and personal estate of MARCELLA M. WALTMAN deceased 1. 34 Cardinal Drive, South Middleton Township, Carlisle, PA .......... 2. Series E/EE Savings Bonds ~)', ................. 3. 1986 Chevy Celebrity - VIN #2G1AW19R4G1289725 ................ TOTAL ................... 119,950 00 200,826 40 500 00 321,276 40 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 004028 MCKNIGHT MARCUS A III 60 W POMFRET STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 203-10-3551 FILE NUMBER: 2104- 0302 DECEDENT NAME: WALTMAN MARCELLA M DATE OF PAYMENT: 06/09/2004 POSTMARK DATE: 06/09/2004 COUNTY: CUMBERLAND DATE OF DEATH: 03/1 6/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $17,156.40 REMARKS: TOTAL AMOUNT PAID: $17,156.40 SEAL CHECK# 021236 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 07/01/2004 MCKNIGHT MARCUS A III 60 W POMFRET STREET CARLISLE, PA 17013 RE: Estate of WALTMAN MARCELLA M File Number: 2004-00302 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 07/09/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Personal Representative(s) Judge GLENDA FARNER STP~ASBAUGH Clerk of the Orphans' Court Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 07/01/2004 LINS BEVERLY D 65 NELSON DRIVE CARLISLE, PA 17013 RE: Estate of WALTMAN MARCELLA M File Number: 2004-00302 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 07/09/2004 Your prompt attention to this matter will be appreciated. Thank You. CC: File Counsel Judge Sincerely, Clerk of the Orphans' Court CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Estate No.: Marcella M. Waltman March 16, 2004 21-04-0302 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on July 8, 2004 . Name Address Beverly D. Lins Shirley B. Waltman Debra J. Bishop Dickhart Kathryn L. Simon George E. Waltman, IH Kim M. Payne Henkel John Andrew Lins Elizabeth J. Lins Michael K. Conklin Stephen G. Conklin 65 Nelson Drive, Carlisle, PA 17103 46 N. Tenth St., Lemoyne, PA 17043 212 Hillcrest Drive, New Cumberland, PA 17070 422 N. Second Street, Wormleysburg, PA 17043 623 Ridge Road, Lewisberry, PA 17339 414 "A" Street, Carlisle, PA 17013 P.O. Box 214, Lewisberry, PA 17339 65 Nelson Drive, Carlisle, PA 17013 100 Spangler Road, Lewisberry, PA 17339 100 Spangler Road, Lewisberry, PA 17339 Notice has now been given to all persons entitled thereto under RuJ)} 5.6(a) e~ept none . Date: 07/08/04 ~U'~' ~d~ ~.: Signature (~ /xNN~ , , IRWIN & McKNI~ J Name Marcus A. McKnight, III, Esquire Address 60 West Pomfret Street Carlisle, PA 17013 Telephone(717) 249-2353 Capacity: __ Personal Representative X Counsel for Personal Representative STATUS REPORT UNDER RULE 6.12 Name of Decedent: MARCEIJ.A M. WALTMAN Date of Death: MARCH 16, 2004 No. 21-04-0302 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: 1. State whether administration of the estate is complete: X Yes No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: Date: a. Did the personal representative file a final account with the Court? ~ Yes X No b. The separate Orphans' Court No. (if any) for the perso~l!:~epres~tativ6% account is: c. Did the personal representative state an account informally to tl~s~parties. in interest? X Yes No : · Copies of receipts, releases, joinders and approvals of f6rmill ord~aformhl :ii. accounts may be filed with the Cler!~ff Orphan's i~/omn~and-~ v at ' _ ma., be tached to th~s report. 09/21/2004 ~ Signature IRWIN & McI~:~.~HT Marcus A. McKnigh-IT~%gs~re Name (please type or print) 60 West Pomfret Street Address Carlisle, PA 17013 City, State, Zip _. (71% 249-2353 Telephone Number Capacity: X Personal Representative Counsel for Personal Representative BUREAU OF INDIVIDUAL TAXES IHHERITANCE TAX DIVISION DEPT. Z60601 HARRTSRURG, PA 1712&-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-l;47 EX &FP (01-05) MARCUS A MCKNIGHT ESQ IRWIN & MCKNIGHT 60 W POMFRET ST CARLISLE PA 17015 DATE ESTATE OF DATE OF DEATH FXLE NUMBER COUNTY ACN 08-ZS-Z00q WALTMAN 0$-16-Z00q 21 0q-0$0Z CUMBERLAND 101 Aeoun~ ReaLiZed MARCELLA MAKE CHECK PAYABLE AND REMXT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 _C_U_T__A_.L_O_N_G_~?'~Z__S__L___~_____-_~.~'_. RETAIN LOWER PORTTON FOR YOUR RECORDS *~ REV-lSd7 EXi':AFP GD~1-O~ NOTZCE--~-~-~H~:~-Z-~'N'(~-:I'-~' ~'~I~'A-f~:~I'E'I~--~,i'~OWA-N'(~E OR ~ ~ . DISALLOWANCE OF DEDUCTIONS AN]) ASSESSMENT OF TAX ESTATE OFi~iI~RLTMAN ,-,;.~ MARCELLA M FILE NO. 21 0q-0502 ACN 101 DATE ~ , .:~ RETURN ~/AS: (X) ACCEPTED AS FILED ( ) CHANOED M 08-2~-200q RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRATSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~:e~e (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S4:ock/Par~nership In~eres~: (Schedule C) (3) ~. Mor:~gages/No~:es Receivable (Schedule D) (~) 5. Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E) ($) 6. Jointly Owned Propar~y (SchaduZe F) (6) 7. Transfers (Schedule G) (7) 8. To,al Assa~cs APPROVED DEDUCTZONS AND EXEMPTTONS: 9. Funeral Expanses/Ada. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. To*al Deductions 12. Na~ Value of Tax Re~urn 1197950.00 200~826.q0 .00 .00 500.00 1037063.75 .00 (8) 22,q25.65 595.07 NOTE: To insure proper credi~ ~o your account, subai~ ~he upper portion of ~his fora w~h your ~ax payaen~. 15. lq. NOTE: qZq,~qO.15 (11) 2~.020.72 (12) q01,$19 .00 qO1,319.q$ Cheri~able/governaen~al Bequest:s; Non-elected 9113 Trusts (Schedule J) (15) Net Value of Estate Subject to Tax (lq) Zf an assessment was issued previously, 11nas lq, 15 and/er 16, 17, reflect f/gures that include the total o~ ALL returns assessed to date. 18 and 19 ~'il1 (is) .00 x O0 : .00 (16) fiOl,$19.q$ x Off5: 18,059.$7 (17) . O0 x 12 = . O0 (18) .00 x 15 : .00 (19)= 18,059.$7 AMOUNT PAID 17,156.q0 ASSESSMENT OF TAX: 15. Aaoun* of Line lq a~ Spousal ra*e 16. Aaoun~ of Line lfi ~axeble e~ Lineal/Class A ra~e 17. Aeoun~ of Line lq a~ Sibling ra~a 18. Aaoun~ of Line lq ~axable a~ Collateral/Class B ra~e 19. Principal Tax Due TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+} DATE NUMBER INTEREST/PEN PAID (-) 06-09-ZOOq CDOOq028 902.97 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT BALANCE OF TAX DUEI INTEREST AND PEN. TOTAL DUE 18,059.57 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December iZ, 198Z -- if any futura interest in the estate is transferred in possession or enjoyment to Class B (collateral) benaficiar[as of the decedent after tho expiration of any estate for 1ifa or for yaers, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawfut Class B (collateral} rate on any such future interast. PURPOSE OF NOT[CE: PAYRERT: REFUND (CR): OBJECTIONS: ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section 21~0 of the Inheritanca and Estate Tax Act, Act 25 of ZOO0. (Ti P.S. Section 91~0). Detach the top portion of this Not[ce and submit with your payment to the Register of Hills printed on the reverse side. --Rake check or money order payable to: REGISTER OF H/LES, AGENT A refund of a tax credit, which ams not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estata Tax" (REV-1515). Applicatlons ara available at tha Office of the Register of Rills, any of tha Z3 Revenue District Offices, or by calling the special 2fi-hour answering service for forms ordering: 1-800-$BZ-ZOSO; sarv[cas for taxpayars with special hearing and / or speaking needs: 1-800-~47-~0Z0 (TT only). Any party in intarast not satisfied with the appraisement, allowance, or disallo#ance of deductions, ar assessment of tax (including discount or intarest) as shown on this Rot[ce must ob~act eithin sixty (60) days of race[pt of this Notice by: --written protest to the PA Department of Ravenua, Board of Appeals, Dept. ZBIOZi, Harrisburg, PA 171ZB-lOZ1, OR --elaction to have the matter determined at audit of tho account of the personal represantativa, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should bm addressed in writing to: PA Department of Revonue~ Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. lB0601, Harrisburg, PA 171ZB-0601 Phone (717) 787-6505. See page 5 of tho booklet "Instructions for lnharitance Tax Return for a Residant Decedent" (REV-lSD1) for an explanation of administratively correctabla errors. If any tax due is paid within three (5) calendar months after the decadent's death, a five percent (SI} discount of the tax paid is allowed. The 1Si tax amnesty non-participation penalty is computed on the total of the tax and interest assassad~ and not paid before January 18, 1996~ the first day after the and of the tax amnesty period. This non-participation penalty is appaalable in the same manner and in the tho same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of daath, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rata of six (6Z) percent par annum calculated at a daily rate of .00016~. All taxes which became delinquent on and after January 1, 19Bi will hear interest at a rate which will vary from calendar year to calendar year with that rate announced by tha PA Department of Revenue. The applicable interest rates for 19BI through 2004 are: Interest Daily Interest Daily Interest Year Rate Factor Year Rata Factor Year ~'~ 20Z .000548 ~1~"~'8-1991 11Z .000501 ~ 1985 16Z .00045B 199Z 9Z .000Z47 ZOOZ 198~ llZ .000~01 1995-1994 7Z .O0019Z ZOO3 1985 13Z .0003S6 1995-1998 9Z .000247 2004 1986 lOZ .OOOZ7~ 1999 72 .OOOlgZ 1987 lOX .000274 ZOO0 7Z .00019Z --interest is calculated as follows: Daily Rate Factor 9Z .000Z47 6Z .000164 5Z .000157 ~Z .000110 INTEREST = BALANCE OF TAX UNPATD X NUNBER OF DAYS DELINI~UENT X DATLY TNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (IS) days beyond the date of the assessment. If payment is made after the interest computation date shown on tha Notice, additional interest must be calculated. BUREAU OF INDIVlDUIll, JW1L INHERITANCE TAX DIVISIQN PO BOX Z8060 1 HARRISBURG PA 171Z8-06Dl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT 'i"."l- '.' f '( ,.,-/ LUU~ rH~ L PC 12: 40 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-18-2005 WALTMAN 03-16-2004 21 04-0302 CUMBERLAND 101 Ci i-["_'/ ,..t_ ,\ MARCUS A ~ (if 1fT IRWIN a ~NisHT"! 60 W POMFRET ST CARLISLE PA 17013 A.aunt H...1 tted '* REV-1593 EX AFP (03-05) MARCELLA M MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 to your account, subMit the upper portion of this for. with your tax payment. CUT ALONG THIS LINE llW-~~Y.n.AJ!r..TlIr-'lml.... RETAIN LOWER PORTION FOR YOUR RECORDS ... ..~..r~~t1r.fl~.I~IIr.I&~.ttnnff..j(............................. ESTATE OF WALTMAN M FILE NO. 21 04-0302 ACN 101 ADJUSTMENT BASED ON: VALUE OF ESTATE: nVE nON llJ (2J 13J 14J 151 16J 171 .00 200.826.40 .00 .00 500.00 163,038.75 .00 (8J 1. Real Est.t. [Schedule A) 2. Stocks and Bonds (Sche Ie B) 3. Closely Held stock/Part ership Interest (Schedule C) 4. Mortgages/Notes Receive 1. (Schedule DJ S. Cash/Bank Deposits/Hisc. Personal Property (Schedule El 6. Jointly Owned Property Schedule f) 7. Transfers (Schedule G) 8. Total Assets DEDUCTIONS AND EXEMPTIONS 9. Funeral Expenses/Ad.ini trative Costs/ Hiscellaneous Expenses Schedule H) Debts/Hortgage Liabilit as/Liens (Schedule I) Total Daductions Net Value of Tax Ret m Charitabla/Gover~n al Bequests; Non-electad 9113 Trusts Net Value of Estata ubject to Tax 10. 11. 12. 13. 14. TAX: lS. Anount of Line 14 at Sp sal rate 16. ~ount of Line 14 taxab a at Lineal/Class A rat. 17. Amount of Lina 14 at SI ling rata 18. ~ount of Line 14 taxab a at Collataral/Class B rate 19. Principal Tax Dua TAX CREDITS: 19J 1l0J 22,425.65 595.07 llll 112J 113J 114J (Schedule oJ) 115J 116J 1171 llBJ .OOX 00 = 341.344.43 X 045= .OOX 12 = .OOX 15 = 119J DATE 06-09-2004 NUNBER CD004028 INTEREST/PEN PAID (-J 768.02 MOUNT PAID 17,156.40 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE DATE 05-18-2005 364,365.15 23,020.72 341,344.43 .00 341.344.43 .00 15.360.50 .00 .00 15.360.49 17 924.42 2,563.93CR .00 2,563.93CR . IF PAID AFTER DATE INDICATE , SEE REVERSE FOR CALCULATION OF ADDITI L INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REqUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YDU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOHN FOR INSTRUCTIDNS.J ~~<-- REV-1470 EX (6-88) '*' INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME MARCELLA M WALTMAN FILE NUMBER 2104-0302 REVIEWED BY )N ACN SCOTT ELLIS 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES THE JOINTLY OWNED REAL ESTATE HAS BEEN MOVED FROM SCHEDULE A AND TAXED AT 50. . ON SCHEDULE F. A REFUND WILL BE FORTHCOMING. ROW Paqe 1 :;~=of:'~~v.~~~ g\~~0SF _ISIUIlIl PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REV-1607 EX AFP 105-05) 2005 JUL 22 Pt1 2: 10 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-27-2005 WALTMAN 03-16-2004 21 04-0302 CUMBERLAND 101 Mount ...1 u... MARCELLA M CL.ERK OF ORDUt,',!'" '''/'I'RT I I V\! ,; .::; 'Jdu I MARCUS CAJ~HtkHIS~T :eSQPi\ IRWIN a MCKNIGHT 60 W POMFRET ST CARLISLE PA 17013 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insu... pr_r credit to your _t, ....It the _r portion of this fOI"ll with your tax _to CUT ALONS THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ .........~~.................i...........~.~~.........~.~.J!.~............................................ REV-1607 Ex AFP (03-05) ... INH~RITANCE TAX STAT~M~NT OF ACCOUNT ... ESTATE OF WALTMAN MARCELLA M FILE NO.21 04-0302 ACN 101 DATE 06-27-2005 THIS STATEIENT IS PIlOVIDED TO ADVISE OF THE CUUENT STATUS OF THE STATED ACN IN THE NAIlED ESTATE. SIIlIlIN BELlIN IS A SlIlItARY OF TIlE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS. THE CURRENT BALANCE, AND, IF APPLICABLE. A PROJECTED INTEREST FIIIUIE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 05-17-2005 PRINCIPAL TAX DUE, 15.360.49 PAYMENTS (TAX CREDITS), PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-09-2004 CD004028 768.02 17,156.40 06-10-2005 REFUND .00 2,563.93- TOTAL TAX CREDIT 15.360.49 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE .00 SIDE FOIt CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN tl, ND PAYItENT IS REllUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YDU ItA Y BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOItIl FOR INSTRUCTIONS. ) ~,