HomeMy WebLinkAbout03-0947Estate of
also known as
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Martha C. Ratcliff No. ,~ i - ~) ~) -- q ~ -7
C. Michael Ratcliff
Petitioner, who is18 years o~ age or older, aplY~(ies) for:
, Deceased Social Security No. 173-38-5910
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of the
~ Decedent, dated June 1, 1989 and codicil(s) dated October 1, 1999
Stale relevant cifcumnt~nces, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the documents offered for probate;
was not the victim of a killing and was never adjudicated incompetent:
NO EXCEPTIONS
B. Grant of Letters of Administration
(d.b.n.c.t.a.: pendente lite; durante ab~entJa; durante miaont ate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and
heirs:
Name Relationship Residence I
(COMPLP_ I P_ IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or
1139 Country Club Road, Camp Hill, East Pennsboro Township, Cumberland County, Pennsylvania
(list street, number and municipality)
Decedent, then 90 years of age, died October 27, 2003, at Holy Spidt Hospital, Camp Hill, Pennsylvania
(Location)
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 Pennsylvania ..................................................................... $
(If not domiciled in PA) Personal property in County ............................................................................... $
Value of real estate in Pennsylvania ............................................................................................................................ $
Total ................................................................................................................... $
Real Estate situated as follows:
principal residence at
500,000.00
Wherefore, Petitioner respectfully requests the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the
undersigned:
Typed or pdnted name and residence
v/
Signature
C. Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Form RW*I Page 1 of 2 (Dauphin County) - Rev. 9/92
494894.1
Oath of Personal Representative
Commonwealth of Pennsylvania
County of
The Petitioner above-named swears and affirms that the statements in the foregoing P~tition are true and correct to
the best of the knowledge and belief of Petitioner and that, as personal representative of theJ:~dent Pet tioner will well and
truly administer the estate according to law. ,~
/
Sworn to and affirmed and subscribed '~//r~'~1~ .~~
before me this !~ ~ day of C. Michael Ratcliff
2003
No. o,~1- 0,,.,~ -
Estateof ~'~.(~.~_~_o~ ~_~ [~O~CL~j~ Deceased
Social Secudty No: ~,~° '~.- ~jo~ ~O Date of Death:
AND NOW, ~ke~- ~,~-,L,-~-. i q ,20 O_0_~, in consideration of the Petition on the
reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters [] Testamentary [] of Administration
d.b.n.c.t.; pendente lite; durante absentia; durante minoritate
are hereby granted to ~.. ~"'~.£~~ "~,,c~ c.),j~,
in the above estate and that the instrument(s) dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ...........................
Short Certificate(s) .......... $
Renunciation .................. $
Affidavit ( ) ................. $
Extra Pages ( ) ............ $
Codicil .......................... $
JCP Fee ........................ $
Inventory ....................... $.
Other ............................ $.
C~.~ P ~. ~- L~..,,~-~ ~ IS', 00"~-"1 ~z~ .~
TOTAL ................
Form RVV-1 Page 2 of 2 (Dauphin County) - Rev. 9/92
Attomey: Stanley A. Smith
I.D. No: 33782
Address: Rhoads & Sinon LLP1 PO Box 1146
1 South Market Square, Hardsbur.q, PA 17108-1146
Tale. phone: 717-233-5731
Register of Wills of Dauphin County, Pennsylvania
OATH OF SUBSCRIBING WITNESS
Estate of ~Ou"~~
t) U
also known as
, Deceased
(each) a subscribing witness to the '~codicil(s) ~lvvill(s) presented herewith, (each) being duly qualified according
to law depose(s) and say(s) that she/he/they was/were present and saw the above Testator(rix) sign the same and
that she/he/they signed as a witness at the request of Testator(rix) in his/her/their presence and [ I in the presence
of each other [] in the presence of the other subscribing witness(es).
Sworn to or affirmed and subscribed
before me this Io~~J~ day of
lic (-J
(Signature) F -
(Signature)
(Address)
NOTE:
To be taken by officer authorized to administer oaths.
Please have present the original or copy of Instrument(s)
at time of notarization.
RW-11
Register of Wills of'Battl~in County, Pennsylvania
OATH OF SUBSCRIBING WITNESS
also known as
, Deceased
(each) a subscribing witness to the [~i codicil(s) ~will(s) presented herewith, (each) being duly qualified according
to law depose(s) and say(s) that shffZ~lthe~ere present and saw the above Testator(rix) sign the same and
that she~[hey signed as a witness at the request of Testato~.~_~. in hi~)/their presence and ~iJ in the presence
of each other Bin the presence of the other subscribing witness(es).
Sworn to or affirmed and subscribed
before me this /'~/'/2 ~ _ day of
(Signature)
(Address)
To be taken by officer authorized to administer oaths.
Please have present the original or copy of Instrument(s)
at time of notarization.
RW-11
also known as
Register of Wills of Dauphin County, Pennsylvania
OATH OF NON-SUBSCRIBING WITNESS
., Deceased
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that she/he/they
codicil
was/were familiar with the signature of I"IC~CL,'dd~::~ ~--_~. ~c3.~._'~)_~13 , testator(rix)of the~
codicil
presented herewith, and that such subscriber(s) believes the signature on the ~ is in the handwriting of
~~~. ~. ~ 0 to the best of such subscriber's knowledge and belief.
t, ,~,u.ature, ~ ~ ~ ,
(Signature) '
Sworn to or affirmed and subscribed
before me this } ~ ~ day of
For~e Register
(Address)
RW-12
Estate of Martha C. Ratcliff
also known as
Register of Wills of Cumberland County, Pennsylvania
OATH OF NON-SUBSCRIBING WITNESS
, Deceased
Henry W. Rhoads
a subscriber hereto, being duly qualified according to law, depose and say that he was familiar with the signature of
Martha C. Ratcliff, testatrix of the codicil presented herewith, and that such subscribers believe the signature on the
codicil is in the handwriting of Martha C. Rat~ff, to the best of such subscriber's knowledge and belief.
Mechanicsburg, PA 1~Q§5
Sworn to or affirmed and subscribed
before me this /c~ dayof
Form RW-12 (Dauphin County. Rev.
495051.1
I05112 REV. 8/88
(FEE FOR THIS
CERTIFICATE $2.0011
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. T 5512631
October 31, 2003
Date of Issue of This Certification
Name of Decedent Martha
First
Ce
Ratcliff
Middle
Last
Sex. Female Social Security No. 173-38-5910
Date of Birth March 19, 1913Birthplace Williamsport,
Place of Death Holy Spirit ~-ospital Cumberland
Facility Name County
PA
Date of Death
E.Pennsboro
City, I~k~rough or Township
10-27-2003
T~. Pennsylvania
Race.
Marital Status
Informant H.
White Occupation Homemaker
Decedent's
Married Mailing Address
Chalfant Ratcliff
1139 Country
Number
Name and Address of
Funeral Establishment
Funeral Director
David Myers Funeral Home,
Armed Forces? (YesorNo)
Club Rd. Camp Hill
Street ~ty or Town
Sally A. Myers
Newport, PA 17074
No
PA 17011
State
Part h
Part I1:
Immediate Cause
(a) Pulmonary Edema
(b) Congestive Heart Failure
(c)
(d)
Other Significant Conditions
Interval Between
Onset and Death
Manner of Death
Natural [~[X
Accident []
Suicide []
Homicide []
Pending Investigation []
Could not be Determined []
Describe how injury occurred:
Name and Title of Certfier
Eric J. Binder
M.D.
Address
Camp Hill, PA 17011
(M.D., D.O., Coroner, M.E.)
This is to certify that the information here given is correctly copied from an original certificate
of death duly filed with me as Local Registrar. The original certificate will be forwarded to the
State Vital Records Office for permanent filing..,,~ __ _
1~/ /al ~e~,strar of Vital Records District NO
October 31, 2003 01 Barnett St., New Bloomfield, PA
Date Received by Local Registrar Street Address City, Borough, Township
17068
CODICIL TO THE WILL
OF
MARTHA C. RATCLIFF
I, MARTHA C. RATCLIFF, of Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do
hereby make, publish and declare this to be a Codicil to my Last
Will and Testament dated June 1, 1989.
I hereby delete ITEM X of my Will and replace said ITEM
with the following provision:
"ITEM X: I appoint my son C.
MICHAEL RATCLIFF as Executor of my Estate."
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this Codicil to my Last Will and Testament, consisting of
this page, this /~ day of ~~j , 1999.
Martha C. Ratci'iff~
SEAL )
313005.1
We, the undersigned, hereby certify that the foregoing
Codicil was signed, sealed, published and declared by the above-
named Testatrix as and for her Codicil to 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 hereunto set our
hands and seals the day and year above written, and we certify
that at the time of the execution thereof, the said Testatrix was
of sound and disposing mind and memory.
SEAL)
SEAL)
~sLding at: ~./3~- ~/~L~¥~ ~/
Residing at:
CODICIL
MARTHA C. RATCLIFF
ATTORNEYS AT LAW
ONE SOUTH MARKET SQUARE
P.O. BOX 1146
HARRISBURG, PA 17108-1146
LE~/Will Disk #6/May 24, 1989/bl~/RatcliffM.wil/#1
LAST WILL AND TESTAMENT
OF
MARTHA C. RATCLIFF
I, MARTHA C. RATCLIFF, of Camp Hill, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do
make, publish and declare this to be my Last Will and Testament,
hereby revoking all Wills and Codicils by me at any time
previously made.
ITEM I: All inheritance, estate and
similar taxes becoming due by reason of my death ("Death Taxes"),
whether such Death Taxes shall be payable by my estate or by any
recipient of any property, shall be paid by my Executor out of
the property passing under ITEM V of this Will as an expense and
cost of administration of my estate. My Executor shall have no
duty or obligation to obtain reimbursement for any Death Taxes
paid by my Executor, even though paid with respect to proceeds of
insurance or other property not passing under this Will.
ITEM II: I hereby exercise all powers
of appointment which I may have at the time of my death in favor
of my Executor, and all property subject to all such powers of
appointment shall be included in my estate and be governed by the
provisions of this Will.
Page 1 of 6 pages
ITEM III: I give and bequeath all of my
jewelry to my issue living at my death, per stirpes, in such
shares as they shall select and agree between themselves. I may
leave with this Will a separate unsigned list of such jewelry and
the issue to which I desire such items to be distributed, which
shall not be binding on my Executor. If my issue cannot reach an
agreement as to the distribution of such items, I give such items
to my husband, H. CHALFANT RATCLIFF ("My Husband"), if he
survives me; or, if he does not survive me, such items shall be
sold and the proceeds thereof shall be distributed as part of my
residuary estate.
ITEM IV: I give and bequeath all of my
household furniture and furnishings, automobiles, books,
pictures, china, crystal, appliances, silverware, wearing apparel
and all other like articles of household or personal use or
adornment, not disposed of in the preceding portions of this
Will, to My Husband, if he survives me. If My Husband does not
survive me, I give such articles to my issue living at my death,
per stirpes, in as nearly equal shares as they shall select under
the supervision of my Executor. If any such articles cannot be
fairly divided or distributed in kind in the opinion of my
Executor, such articles shall be sold and the proceeds thereof
shall pass as a part of my residuary estate.
Page 2 of 6 pages
ITEM V: I give, devise and bequeath
all the rest and residue of my property, real, personal and
mixed, not disposed of in the preceding portions of this Will, to
My Husband, if he survives me; or, if he does not survive me, to
my issue living at my death, per stirpes.
ITEM VI: No interest in income or
principal of my estate shall be subject to attachment, levy or
seizure by any creditor, spouse, assignee or trustee or receiver
in bankruptcy of any beneficiary of my estate prior to the
beneficiary's actual receipt thereof. My Executor shall pay over
the net income and the principal to the beneficiaries herein
designated, as their interests may appear, without regard to any
attempted anticipation (except as may be specifically provided
herein), pledging or assignment by any beneficiary of my estate
and without regard to any claim thereto or attempted levy,
attachment, seizure or other process against said beneficiary.
ITEM VII: Any person, who shall have
died at the same time as I or under such circumstances that it is
difficult or impossible to determine who shall have died first,
shall be deemed to have predeceased me.
ITEM VIII: In the settlement of my
estate, my Executor shall possess, among others, the following
powers to be exercised for the best interests of the
beneficiaries:
Page 3 of 6 pages
(a) To retain any investments I may have at my
death so long as my Executor may deem it advisable to
my estate so to do.
(b) To vary investments, when deemed desirable by
my Executor, and to invest in such bonds, stocks,
notes, real estate mortgages or other securities or in
such other real or personal property as my Executor
shall deem wise, without being restricted to so-called
"legal investments.,,
(c) In order to effect a division of the
principal of my estate or for any other purpose,
including any final distribution of my estate, my
Executor is authorized to make said divisions or
distributions of the personalty and realty partly or
wholly in kind. If such division or distribution is
made in kind, said assets shall be divided or
distributed at their respective values on the date or
dates of their division or distribution. In making any
division or distribution in kind, my Executor shall
divide or distribute said assets in a manner which will
fairly allocate any unrealized appreciation among the
beneficiaries.
(d) To sell either at public or private sale and
upon such terms and conditions as my Executor may deem
advantageous to my estate, any or all real or personal
estate or interest therein owned by my estate severally
or in conjunction with other persons or acquired after
my death by my Executor, and to consummate said sale or
sales by sufficient deeds or other instruments to the
purchaser or purchasers, conveying a fee simple title,
free and clear of all trust and without obligation or
liability of the purchaser or purchasers to see to the
application of the purchase money or to make inquiry
into the validity of said sale or sales; also, to make,
execute, acknowledge and deliver any and all deeds,
assignments, options or other writings which may be
necessary or desirable in carrying out any of the
powers conferred upon my Executor in this paragraph or
elsewhere in this Will.
(e) To mortgage real estate and to make leases of
real estate for any term.
(f) To borrow money from any party, including my
Executor, to pay indebtedness of mine or of my estate,
expenses of administration, Death Taxes or other taxes.
Page 4 of 6 pages
(g) To pay all costs, Death Taxes or other taxes,
expenses and charges in connection with the administra-
tion of my estate, and my Executor shall pay the
expenses of my last illness and funeral expenses.
(h) To vote any shares of stock which form a part
of my estate and to otherwise exercise all the powers
incident to the ownership of such stock and to actively
manage and operate any unincorporated business,
including any joint ventures and partnerships, with all
the rights and powers of any owner thereof.
(i) In the discretion of my Executor to unite
with any other owners of similar property in carrying
out any plans for the reorganization of any corporation
or company whose securities form a part of my estate.
(j) To assign to and hold in my estate an
undivided portion of any asset.
(k) To hold investments in the name of a nominee.
(1) To compromise controversies.
ITEM IX: If at any time any minor shall
be entitled to receive any assets free of trust hereunder, I give
such minor's share to my surviving son, as Custodian for such
minor under the Pennsylvania Uniform Gifts to Minors Act; or, if
neither of my sons is then living, to the minor's surviving
natural parent, as such Custodian for the minor.
ITEM X: I hereby appoint My Husband as
Executor of this Will. If for any reason he should fail or cease
to act, I appoint my son, C. MICHAEL RATCLIFF, as Executor. If
for any reason my son, C. Michael Ratcliff, should fail or cease
to act, I appoint my son, H. CHALFANT RATCLIFF, JR., as Executor.
Page 5 of 6 pages
Ail references in this Will to my "Executor" shall refer to my
originally appointed Executor or to my successor Executor, as the
case may be. My Executor shall qualify and serve without the
duty or obligation of filing any bond or other security. If
either of my sons serves as Executor, he shall serve without
compensation.
IN WITNESS WHEREOF, I have set my hand and seal to
this, my Last Will and Testament, consisting of this and the
preceding five (5) pages, this ~'~,~£~--day of ~!~.~-~ ~ .... ,
1989.
Page 6 of 6 pages
Martha C. Ra~-cllff .~.~
We, the undersigned, hereby certify that the foregoing
Will was signed, sealed, published and declared by 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 hereunto set our hands and seals
the day and year ~ove written, and we certify that at the time
of the execution thereof, the said Testatrix was of sound and
di~p lng mi a ory.
~\~t\l~,~~ ~~h(SEAL) Residing at:
(SEAL) Residing at:
LAST WILL AND TESTAMENT
OF
MARTHA C. RATCLIFF
ATTO~NIEYS AT LAW
410 NORTH THIRD STREET
P. O. BOX 1146
HARRISBURG, PA 17108-1146
I
CERTIFICATE OF NOTICE UNDER RULE 5.6(a)
Martha C. Ratcliff
October 27, 2003
Adm. No.
Name of Decedent:
Date of Death:
Will No. 2003-00947
To the Register:
I certify that notice of 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
November 24, 2003.
Name
Mr. H. Chalfant Ratcliff
Mr. Hugh Chalfant Ratcliff, Jr.
Address
1139 Country Club Road
Camp Hill, PA 17011
329 S. Lee Street
Alexandria, VA 22314
38 Sunfire Avenue
Camp Hill, PA 17011
Mr. C. Michael Ratcliff
Date: November~, 2003
Signature:
Name:
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
NO EXCEPTIONS ....... ~
Telephone:
Rhoads & Sinon LLP
One South Market Square, 12th Floor
P. O. Box 1146
Harrisburg, PA 17108-1146
(717) 233-5731
Capacity: Personal Representative
X Counsel for Personal Representative
495875.1
I=V- 15OO EX (0-(30)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
__~- 03-=0947
COUNTY CODE YEAR
NUMBER
Z
0
A.
0
Z
Z
0
DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
Ratcliff Martha
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DO-YEAR)
10/27/2003 03/19/1913
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
~. Chalfant Ratcliff
I x I 1. Original Return I I 2, Supplemental Return
SOCIAL SECURITY NUMBER
C 173-38-5910
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
172-24-8334
----] 3. Remainder Return (date of death prior to 12-13-8
I-'"-] 4. Limited Estate
~--~0. Decedent Died Testate (Attach copy of Will)
[~9. Litigation Proceeds Received
~'] 4a. Future Interest Compromise (date of death after 12-12-82) ~] 5. Federal Estate Tax Return Required
--]7. Decedent Maintained a Living Trust (Attach copy of Trust) 0 8. Total Number of Safe Depoelt Boxes
~'-] 10. Spousal Poverty Credit (date of death be~w)e. 12-31-91 and 1-1-95] I--'] 1 1. Election to tax under Sec. 91 13(A)iA.ach Sch
:THIS: SECTION MUST: BE COM~D: ~ CORRESPONDENCE AND :CONFiDENTIAE TAX INFORMATION SHOULD SE DtRECTED TO:
NAME
~tanley A. Smith, Esquire
FIRM NAME (If ApplicaB~)
Rhoads & Sinon, LLP
TELEPHONE NUMBER
717-233-5731
COMPLETE MAILING ADDRESS
P.O. Box 1146
Harrisburg, PA 17108-1146
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
(Schedule E) (5)
0. Jointly Owned Property (Schedule F) (§)
[-~ ~parate Billing Requested
7.Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross As~ts (total Lines 1-7)
9. Funeral Expeneas & Administrath/e Costs (schedule H) (9)
10. Debtsof Decedent, Mortgage Liabilities, & Liens (Schedule l) (10)
11. Total Deductione (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)
0.00
474,293.95
0.00
0.00
151,501.91
0.00
0.00
30,061.30
0.00
(11)
(12)
(13)
OFFICIAL USE ONLY
625,795.86
30,061.30
595,734.56
0.00
14. Net Value Subjeet to Tax (Line 12 minus Line 13)
(14)
595,734.56
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9110 (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.
580,899.56 x.O 0.00(15)
14,835.00 x.O45
0.00 x.lZ (17)
0. 00 x.15 (18)
(19)
0.00
667.58
0.00
0.00
667.58
> > BE SURETO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
HASPXXNUMBER
Estate"of Martha C Ratcliff 173-38-5910
Name
Address
Tax ID
Executors (Page 1)
C. Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011-
173-38-5972
Decedent's Complete Address:
STREET ADDRESS
~139 Country Club Road
Cumberland
Camp Hill
ISTATE
IZIP
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Interest/Penalty if applicable D. Interest
E. Penalty
0.00
634.20
33.38
0.00
0.00
(1)
Total Credits (A + B + C) (2)
Total Interest/Penalty (D + E) (3)
17011-
667.58
667.58
0.00
0.00
0.00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
(4)
5. 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) 0.00
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SB) 0.00
Make Check Payable to: REG/STER 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 security at his or her death7 ~ ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ................................ E~ ~
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 end statements, and to the best of my knowledge and belief, it is true. correct and complete.
Declaration of preparer other then the personal representative ~jed on all information of which preparer has any knowledge.
'SIGNATURE OF,~ERSQN, RES,PONSIB{.E FOR FILING~ET~R~
C/O Rhoa= ' /"7 LLP ~ ~ ~B~
~,~-~_ ~ ~n .... ox 1146 Harrisburg,
SIGNATURE OF ~AR~T~ T~AN~R~ENTATIVE
Rhoads ~ 8inon, hhp, P.0. Box ~146
PA
DATE
17108-1146
DATE
Harrisburg, PA 17108-1146
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. § 9916 (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. § 911§ (a) ( 1.1 ) (ii)]
Jrhe 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 surviwng spouse is the only beneficiary.
~=or 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. § 911 §(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 )].
n he 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
dividual who has at least one parent in common with the decedent, whether by blood or adoption,
HASPXXNUMBER
REV-1503 EX * (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
Martha C. Ratcliff
21-03-0947
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1.
4
300 Shares
Air Prods & Chems Inc
Common
New York Stock Exchange
CUSIP: 009158106
Dividend accrued on 10/27/2003
300 Shares
Allete Inc
Common
New York Stock Exchange
CUSIP: 018522102
528 Shares
Bp P L C
Adr Sponsored
New York Stock Exchange
CUSIP: 055622104
7,000 Shares
CAT Ser S 0.00 081508
CUSIP: 156884E61
500 Shares
Conagra Foods Inc
Common
New York Stock Exchange
CUSIP: 205887102
200 Shares
Consolidated Edison Inc
Common
New York Stock Exchange
CUSIP: 209115104
10,000 Shares
Cranberry PA 5.00 120125
CUSIP: 224288EF3
Dividend accrued on 10/27/2003
Total from continuation pages
TOTAL (Also enter on line 2, Recapitulation)
VALUE AT DATE
OF DEATH
13,944.00
69.00
8,734.50
22,368.72
5,949.06
11,955.00
8,165.00
10,119.80
202.78
392,786.09
$ 474,293.95
HASPXXNUMBER (If more space is needed, insert additional sheets of the same size)
Schedule B (Page 2)
Estate of: Martha C. Ratcliff
Item
No. Description
10,000 Shares
Cumberland PA 3.75 111514
CUSIP: 230822NA2
Dividend accrued on 10/27/2003
10,000 Shares
Delaware River PA 6.00 011510
CUSIP: 246361AX7
10
Dividend accrued on 10/27/2003
200 Shares
Dominion Res Inc Va New
Common
New York Stock Exchange
CUSIP: 25746U109
11
10,000 Shares
Erie PA 5.00 120120
CUSIP: 295533KM4
12
Dividend accrued on 10/27/2003
30,000 Par
FHLMC 14-1079 8.00 020117
CUSIP: 31340B-FU
13
25,000 Par
GNMA 02116 7.00 112025
CUSIP: 36202C-K5
14
Interest accrued to 10/27/2003
75,000 Shares
GNMA 09110 8.50 011506
15
51,333 Par
GNMA 09661 8.00 081506
CUSIP: 362035-WW
16
Interest accrued to 10/27/2003
70,000 Par
GNMA 207023 8.50 041517
CUSIP: 36217X-4G
Interest accrued to 10/27/2003
Value at Date
of Death
9,809.80
168.75
11,373.70
170.00
12,159.00
10,371.00
202.78
6,962.73
3,240.55
15.46
511.72
448.82
2.45
4,057.71
22.58
Total (Carry forward to main schedule) 59,517.05
Schedule B (Page 3)
Estate of: Martha C. Ratcliff
Item
No. Description
17
30,000 Par
GNMA 221130 7.00 101517
CUSIP: 36218F-ST
18
Interest accrued to 10/27/2003
25,000 Par
GNMA 272072 8.50 111521
CUSIP: 36220A-FM
19
Interest accrued to 10/27/2003
25,000 Shares
GNMA 317734 7.50 031522
20
100,000 Shares
GNMA 325146 7.50 051522
21
75,000 Shares
GNMA 325162 7.50 061522
22
25,000 Shares
GNMA 379225 7.00 021524
23
25,000 Par
GNMA 391555 8.00 071524
CUSIP: 36205H-5Q
24
Interest accrued to 10/27/2003
45,000 Par
GNMA II 1655 7.00 042024
CUSIP: 36202B-ZU
25
Interest accrued to 10/27/2003
10,000 Shares
Lackawanna PA 5.10 100119
CUSIP: 505480VR1
26
Dividend accrued on 10/27/2003
15,000 Units
Lancaster PA 4.50 050128
CUSIP: 514282-KP
Interest accrued to 10/27/2003
Value at Date
of Death
7,237.90
34.29
482.69
2.69
1,904.70
4,880.81
3,763.39
6,249.41
3,220.10
17.13
5,463.66
26.03
10,504.00
36.83
14,151.15
330.00
Total (Carry forward to main schedule) 58,304.78
Schedule B (Page 4)
Estate of: Martha C. Ratcliff
Item
No. Description
27
5,000 Units
Loyalsock PA 4.30 110117
CUSIP: 549050-DU
Interest accrued to 10/27/2003
28
10,000 Units
Nanty Glo PA 3.00 090106
CUSIP: 630200-BN
Interest accrued to 10/27/2003
29
25,000 Units
PA ST 4.75 010122
CUSIP: 709141-ZQ
Interest accrued to 10/27/2003
30
10,000 Units
PA ST HI ED 5.00 061524
CUSIP: 70917N-GC
Interest accrued to 10/27/2003
31
10,000 Units
PA ST Turnpike 5.00 120121
CUSIP: 709223-NK
Interest accrued to 10/27/2003
32
10,000 Units
Phil PA SD 4.50 040123
CUSIP: 717880-Z3
Interest accrued to 10/27/2003
33
10,000 Units
Pitts PA NPHA 5.125 120105
CUSIP: 725242-JT
Interest accrued to 10/27/2003
34
5,000 Units
Pittsbrg PA 5.05 090125
CUSIP: 725304-JW
Interest accrued to 10/27/2003
Value at Date
of Death
5,034.65
101.11
10,383.60
46.67
25 165.25
382.64
10,203.10
183.33
10,364.30
202.78
9 697.00
32.50
10,699.10
207.85
5 061.35
39.28
Total (Carry forward to main schedule) 87,804.51
Schedule B (Page 5)
Estate of: Martha C. Ratcliff
Item
No. Description
35
5,000 Units
Swarthmore PA 5.00-091512
CUSIP: 870000-FA
Interest accrued to 10/27/2003
36
1,000 Par
United States Svgs Bds Serhh
12/1/87-12/1/97
Us Savings Bonds Hh
CUSIP: 912550DZ0
37
10,000 Par
United States Svgs Bds Serhh
12/1/87-12/1/97
Us Savings Bonds Hh
CUSIP: 912550DZ0
38
500 Par
United States Svgs Bds Serhh
12/1/87-12/1/97
Us Savings Bonds Hh
CUSIP: 912550DZ0
39
40,000 Par
UST Bond 6.00 021526
CUSIP: 912810-EW
Interest accrued to 10/27/2003
40
50,000 Par
UST Inflt 3.00 071512
CUSIP: 912828-AF
Interest accrued to 10/27/2003
41
50,000 Par
UST Note 5.50 051509
CUSIP: 912827-5G
Interest accrued to 10/27/2003
42
50,000 Par
UST Strip 0.00 111526
CUSIP: 912833-PB
Value at Date
of Death
5,513.30
29.17
1,000.00
10,000.00
500.00
44,012.50
476.09
54,703.13
423.91
55,578.13
1,233.02
13,690.50
Total (Carry forward to main schedule) 187,159.75
REV-~ 508 EX * (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
Martha C. Ratcliff 21-03-0947
Include the )roceeds 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 ~he4~i~
ITEM
NUMBEFI
1. Alliance
DESCRIPTION
Gov't Reserves MMKT
Jewelry
See attached appraised
7,648.59 Par
PNC Bank Certificate of
Deposit No.: 31300212927
VALUE AT DATE
OF DEATH
128,313.47
14,835.00
8,353.44
$ 151,501.91
TOTAL (Also enter on line 5, Recapitulation)
HASPXXNUMBER (If more sPaCe is needed, insert additional shee~ of the same size)
V'~'(~'e~) I SCHEDULE H
/ COMMONVVEALTH OF PENNSYLVANIA FUNERAL .
/ ~NHER~TANCE TAX RETURN EXPENSES &
FILE NUMBER
21-03-0947
1
ITEM
NUMBER
FUNERAL EXPENSES:
DESCRIPTION
'David W. Myers Funeral Home
Funeral
Rolling Green Cemetary
Grave Marker
COSTS:
Personal Representative's Commissions
Nameof Personal Representative(s) C. Michael Ratcliff
Social Security Number(s) / EIN Number of Personal Represantative(s
StreetAddress 38 Sunfire Avenue
Qty Camp ~Iill
State PA 7ip 17011
Year(a) Commission Paid: 2004
A.omey F~ Rhoads & Sinon, LLP
Family Exemption: (If decedent"a address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decadent
Probate Fees
Accountant's Fees
State _ Zip
Tax Return Preparer'a Fees
AMOUNT
728.54
2,624.00
12,000.00
12,000.00
396.50
Cumberland Law Journal
Legal Advertisement of Letters
Testamentary
Dauphin County Register of
Wills - Oath of Executor
75.00
15.00
Total from continuation pages
1,222.26
IBER
TOTAL(Also enter on line 9, Recapitulation
(If more space is needed, insert additional sheets of same size)
$ 30,061.30
Schedule H part 2 (Page 2)
Estate of: Martha C. Ratcliff
Item
No. Description
Amount
Joseph A. Rosi Jewelers
Jewelery Appraisal
RESERVES: Rhoads & Sinon, LLP
Out-of-pocket expenses to
include:
Telephone - $1.27; Postage
$8.50; Fax - $4.00; Fee to
file inventory - $34.00;
RESERVES: Miscellaneous -
$100.00.
RESERVES: Souder Tax Service
Preparation of income tax
return
The Patriot News
Legal Advertisement of Letters
Testamentary
795.00
147.77
150.00
129.49
Total (Carry forward to main schedule) 1,222.26
REV-1513 EX+(9-O0)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Martha C. Ratcliff
NUMBER
II.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLEDiS/HiBUTiONS[includeoutdghtspouseldistdbuflons, andtmnsfers
underSac. 9116(a)(1.2)]
C. Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Specific Bequest of Jewelry
under Item III of the Will:
7,417.50
H. Chalfant Ratcliff
329 S. Lee Street
Alexandria, VA 22314
100% Residue: 580,899.56
Total from continuation pages
AMOUNT OR SHARE
OF ESTATE
21-03-0947
RELATIONSHIP TO DECEDENT
Do Not Ust
;on
;urviving Spouse
7,417.50
580,899.56
7,417.50
=.NTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHFFT
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-TAXAm?_ DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
$
HASPXXNUMBER (If more space is needed, insert additiOnal sheets of the same size)
Schedule J part 1 (Page 2)
Estate of: Martha C. Ratcliff
Item
No. Description
Relation
A~nount
Hugh Chalfant Ratcliff, Jr.
329 S. Lee Street
Alexandria, VA 22314
Specific Bequest of Jewelry
under Item III of the Will:
7,417.50
Son
7,417.50
Total (Carry forward to main schedule) 0.00
INDEX
ESTATE OF MARTHA C. RATCLIFF
SSN: 173-38-5910
DOD: 1027/2003
PENNSYLVANIA INHERITANCE TAX RETURN
INDEX TO EXHIBITS
Document
Last Will and Testament and Codicil
Jewelry Appraisal
Return Reference
Page 1, Line 6
Schedule E, Item 2
502704.1
1
LAST WILL AND TESTAMENT
0_EF
MARTHA C. RATCLIFF
I, MARTMA C. RATCLIFF, of Camp Hill, Cumberland County,
Pennsylvania, being of sound and disposing mind an4 memory, do
make, publish and declare this to be my Last Will and Testament,
hereby revoking all Wills and Codicils by me at any time
previously made.
I__T~: All inheritance, estate and
similar taxes becoming due by reason of my death ("Death Taxes"),
whether such Death Taxes shall be payable by my estate or by any
recipient of any property, shall be paid by my Executor out of
the Property passing under ITEM V of this Will as an expense and
cost of administration of my estate. My Executor shall have no
duty or obligation to obtain reimbursement for any Death Taxes
paid by my Executor, even though paid with respect to proceeds of
insurance or other property not passing under this Will.
/~: I hereby exercise all powers
of appointment which I may have at the time of my death in favor
of my Executor, and all property subject to all such powers of
appointment shall be included in my estate and be governed by the
provisions of this Will.
Page 1 of 6 pages
E~: I give and bequeath all of my
jewelry to my issue living at my death, per stirpes, in such
shares as they shall select and agree between themselves. I may
leave with this Will a separate unsigned list of such jewelry and
the issue to which I desire such items to be distributed, which
shall not be binding on my Executor. If my issue cannot reach an
agreement as to the distribution of such items, I give such items
to my husband, H. CHALFANT RATCLIFF ("My Husband,,), if he
survives me; or, if he does not survive me, such items shall be
sold and the proceeds thereof shall be distributed as part of my
residuary estate.
/L~: I give and bequeath all of my
household furniture and furnishings, automobiles, books,
pictures, china, crystal, appliances, silverware, wearing apparel
and all other like articles of household or personal use or
adornment, not disposed of in the preceding portions of this
Will, to My Husband, if he survives me. If My Husband does not
survive me, I give such articles to my issue living at my death,
per stirpes, in as nearly equal shares as they shall select under
the supervision of my Executor. If any such articles cannot be
fairly divided or distributed in kind in the opinion of my
Executor, such articles shall be sold and the proceeds thereof
shall pass as a part of my residuary estate.
Page 2 of 6 pages
~: I give, devise and bequeath
all the rest and residue of my property, real, personal and
mixed, not disposed of in the preceding portions of this Will, to
My Husband, if he survives me; or, if he does not survive me, to
my issue living at my death, per stirpes. '-
~: No interest in income or
principal.of my estate shall be subject to attachment, levy or
seizure by any creditor, spouse, assignee or trustee or receiver
in bankruptcy of any beneficiary of my estate prior to the
beneficiary,s actual receipt thereof. My Executor shall pay over
the net income and the principal to the beneficiaries herein
designated, as their interests may appear, without regard to any
attempted anticipation (except as may be specifically provided
herein), pledging or assignment by any beneficiary of my estate
and without regard to any claim thereto or attempted levy,
attachment, seizure or other process against said beneficiary.
~: Any person, who shall have
died at the same time as I or under such circumstances that it is
difficult or impossible to determine who shall have died first,
shall be deemed to have predeceased me.
~: In the settlement of my
estate, my Executor shall possess, among others, the following
powers to be exercised for the best interests of the
beneficiaries:
Page 3 of 6 pages
(a) To retain any investments I may have at my
death so long as my Executor may deem it advisable to
my estate so to do.
(b) To vary investments, when deemed desirable by
my Executor, and to invest in such bonds, stocks,
notes, real estate mortgages or other securities or in
such other real
or personal property as m
shall deem wise w~ ..... . Y Executor
· , ~vu= ~elng restricted to
"legal investments., so-called
(c) In order to effect a division of the
principal of my estate or for any other purpose,
including any final distribution of my estate, my
Executor is authorized to make said divisions or
distributions of the personalty and rea
wholly in kind. ~ .... ~ ~_ . . lty partly or
ade in kind, o .di t ibution is
aistribute . ~ ~,~zz oe azvide~ or
d at their respective values on the date or
dates of their division or distribution. In making any
division or distribution in kind,
my Executor shall
divide or distribute said assets in a manner which will
fairly allocate any unrealized appreciation among the
beneficiaries.
(d) To sell either at public or private sale and
upon such terms and conditions
as my Executor may deem
advantageous to my estate, any or all real or personal
~, uvn]unc=zon wl~ other persons or acquired after
my death by my Executor,
sales by su~-= ..... and to consummate said -~]- ~-
n,,~k.-i_ _~uP~ aeeas or other in~,---~--~i-~r ~
free and clear of all trus+ --~ -~ f~e slmple tztle,
~ =,,u wz=nou= obligation or
liability of the purchaser or purchasers to see to the
application of the purchase money or to make inquiry
into the validity of said sale or sales~ also, to make,
execute, acknowledge and deliver any and all deeds,
assignments, options or other writings which may be
necessary or desirable in carrying out any of the
powers conferred upon my Executor in this paragraph or
elsewhere in this Will.
(e) To mortgage real estate and to make leases of
real estate for any term.
(f) To borrow money from any party, including my
Executor, to pay indebtedness of mine or of my estate,
expenses of administration, Death Taxes or other taxes.
Page 4 of 6 pages
(g) To pay all costs, Death Taxes or other taxes,
expenses and charges in connection with the administra-
tion of my estate, and my Executor shall pay the
expenses of my last illness and funeral expenses.
(h) To vote any shares of stock which form a part
of my estate and to otherwise exercise all the powers
incident to the ownership of such stock and to actively
manage and operate any unincorporated business,
including any joint ventures and partnerships, with all
the rights and powers of any owner thereof.
(i) In the discretion of my Executor to unite
with any other owners of similar property in carrying
out any plans for the reorganization of any corporation
or company whose securities form a part of my estate.
(J) To assign to and hold in my estate an
undivided portion of any asset.
(k) To hold investments in the name of a nominee.
(1) To compromise controversies.
" ~: If at any time any minor shall
be entitled to receive any assets free of trust hereunder, I ive
such minor,s share to my survivi - g
ng son, as Cust!dian for such
minor under the Pen?sylvania Uniform Gifts to M nors Act; or, if
neither of my sons ls then living, to the minor s surviving
natural parent, as Such Custodian for the minor.
~: I hereby appoint My Husband as
Executor of this Will. If for any reason he should fail or cease
to act, I appoint my son, C. MICHAEL RATCLIFF, as Executor. If
for any reason my son, C. Michael Ratcliff, should fail or cease
to act, I appoint my son, H. CHALFANT RATCLIFF, JR., as Executor.
Page 5 of 6 pages
Ail referenc~ in this Will to my "Executor,, shall refer to my
°riginally~appointed Executor or to my successor Executor, as the
case may be. My Executor shall qualify and serve without the
duty or obligation of filing any bond or other security. If
either of my sons serves as Executor, he shall serve without
compensation.
IN WITNESS WHEREOF, I have set my hand and seal to
this, my Last Will and Testament, consisting of this and the
preceding five (5) pages, this~ =_~~day of .~.I~.~.~ ~ ,
1989.
Page 6 of 6 pages
Martha C. Rat-cliff
We, the undersigned, hereby certify that the foregoing
Will was signed, sealed, published and declared by 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 hereunto set our hands and seals
the day and year ~bove written, and we ce '
?.f the execution ~hereof the .--~ - - r~.lfy that at the time
/l~j ~. - _.,~ ,~Q "; ~esiaing at:
lit/!t .,. .... :. '-
(SEAL) Residing at-
CODICIL TO THE WILL
OF
MARTHA C. RATCLIFF
I,'NARTHA C. RATCLIFF, of Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do
hereby make, publish and declare this to be a Codicil to my Last
Will and Testament dated June 1, 1989.
I hereby delete ITEM X of my Will and replace said ITEM
with the following provision:
"ITEM X: I appoint my son C.
MICHAEL RATCLIFF as Executor of my Estate."
IN W~TNESS WHEREOF, I have hereunto set my hand and
seal to this Codicil to my 'Last Will and Testament, consisting of
this page, this ~ day of ~, 1999.
Martha C. Ratctiff~
(SEAL
313005.1
We, the undersigned, hereby certify that the foregoing
Codicil was signed, sealed, published and declared by the above-
named Testatrix as and for her Codicil to 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 hereunto set our
hands and seals the day and year above written, and we certify
that at the time of the execution thereof, the said Testatrix was
of sound and disposing mind and memory.
(SEAL)
2
01/[4/04
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Dear Mr. Ratcliff:
4636 Jonestown Road
Harrisburg, Pennsylvania 17109
Phone (717) 652-8477 · Fax (717) 652-9245
Joseph A. Rosi, Jr., CGA
President
This appraisal is being issued by a Certified Gemologist
Appraiser of the American Gem Society, an elite group of
gelologically-trained professional jewelers who subscribe to
a strict code of ethics. Great care has been taken to
provide you with complete descriptions of your jewelery and
accurate estimated ESTATE VALUE.
Unless specifically stated, mounting are assumed to be
mass produced rather than handmade, and in good repair.
Most mountings will not permit us to examine and measure
every detail, therefore the appraisal values are based only
on estimated quality, weights and measurements of the items,
unless otherwise stated.
It should be understood by our appraisal clientele that an
appraisal is not an all inclusive document, but, rather, that
there are many specific types of appraisals suited for
specific needs. To avoid misunderstanding, the enclosed
appraisal is report number 000877.
The total ESTATE VALUE for the jewelry listed is
$14,835.00.
Sincerely~, ~
Certified Gemologist Appraiser,
American Gem Society
l-$ FA I-E Ob MAI'~ i' HA RATCLIFF
000~77B
000e77C
8.5 fA I E OF MAP, FHA RATCLIFF
000877G
000877H
OOO8771
OOO877,/
ES FA fF__ Ur MAM i MA ~ i'L;LIFF
O00~?TO
O00~??P
t-"'b IA ib UP MAI'Cfi'dA I'-~.~ i'ULit'::'F
00087'/'$
r'o i/A I i- ~Jr iVI/AI~ I rl/A ~ I L.,LII-I-
Appraisal Number: 000877
Date: 01/14/04
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items List
Coin Necklace
Gold Plated Silver Dollar with a Gold Plated Cooin
Holder and a 14K Yellow Gold French Rope Chain
measuring approximately 22 inches in length and 2.5
am% in width. The Chain weighs approximately 13.0
grams.
ESTAT~ VALUE:
160.00
Charm Bracelet w/Crest Disc
Gold Filled Single Link Bracelet measuring
approximately 7 inches in length with one Diamond
Shape Gold Filled Locket with Sardonyx on front and
hand-engraved on back with a swivel type hinge
securing Locket to Bracelet.
ESTAT~VALUE:
100.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 2
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Gold Filled Tube Bracelet
Ladies Gold Filled Tube Bracelet with Spring Loaded
Top fashioned with Flower and Vase embossed on Top of
disc and stamped on back "PAT. DEC.16.1879"
ESTATE VALUE:
14K Filli~ree Pin
Ladies 14K White Gold Filligree Bar Pin Containing
one European Cut Diamond (.05 carat) set in Box
Illusion Head with one Square Cut Synthetic Sapphire
on either end of pin in set in Box Head. The Pin
measures approximately 2.5 inches and weighs
approximately 3.9 grams.
ESTA~'EVALIIE:
Appraisal continued on next page.
Appraisal Number: 000877
Page: 3
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies Sapphire Rina
Ladies 14K Yellow Gold Sapphire and Diamond Ring
containing one Genuine Cabochen Cut Blue Sapphire set
in 4-prong Head surrounded by eight (8) Round Single
Cut Diamonds set in bead prongs on 14K White Gold
plate and three (3) Square Cut Genuine Blue Sapphires
on each shoulder at top of shank set in Cheannel. The
Ring weighs approximately 2.6 grams.
CENTER STONE GRADING:
Type ................. Genuine Sapphire
Shape ................ Round Cabochen
Size ................. 8.0 x 4.60 n~n
Weight ............... 3.06 carat
Color ................ Med/Med Dark Blue
Clarity .............. VS
SIDE STONE GRADING:
Type ................. Diamonds/Sapphires
Shape ................ Round Single Cut/Square Cut
Size ................. 8-1.7LtU~L / 6-1.75 X 1.75m~
Weight ................ 30 carat/ .16 carat total
Color ................ Near Colorless (G) /
Med Dark Blue
Clarity .............. VS 1 / VS
ESTATE VALUE:
450.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 4
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
~adies Watch
Ladies 14K White Gold "Movado" Diamond Watch
containing 2 Round Brilliant Cut Diamonds one on 12
and one on 6 position set in prongs. The Watch
measures approximately 15t~L in diameter 14K WHite
Gold Case # G47350 with 17 Jewel manual wind movement
caliber # 103 and having a Black Rope watchband.
GEMSTONE GRADING REPORT:
Type ......................... Diamonds (2)
Shape ........................ Round Brilliant Cut
Size ......................... 2-3.0 mm each
Weight ........................ 20 carat total
Color ........................ Near Colorless (H)
Clarity ...................... VS I
400.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 5
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies Pearl Bracelet
Ladies 18K Yellow Gold Cultured Pearl Bracelet
containing ten (10) 5mm Cultured Pearls with five (5)
18K Yellow Gold Black Enamel 0val Beads and five (5)
8mm Open Rope Design Round Balls. The Bracelet
measures approximately 7 inches in length.
ESTATE VALUe:
200.00
14K Yellow Gold Charm Bracelet
14 Yellow Gold Triple Link Charm Bracelet measuring
approximately 7 1/2 inches in length with box catch
and figure "8" salty. Attached is a 14K Yellow Gold
Baseball Diamond Shape Fraturnity type charm
measuring approximately 3/4 inch square with an
embossed enameled crest on a Black Onyx background
and hand engraved on back. The weight of the entire
bracelet including charm is approximately 31.7 grams.
ESTATE VALU~:
475.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 6
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Round CharmonChain
14K Yellow Gold disc measuring approximately 27 ~uL~
with fancy design embossed on front with 14K Yellow
Gold open Link Rope Chain measuring approximately 24
inches in length and 2.25 mm in width. The entire
necklace weighs approximately 19.3 grams.
ESTATE VALUe;
235.00
14K Yellow Gold Bracelet
14K Yellow Gold Large Link Bracelet containing five
full oval hollow links and five half oval hollow
links intermingled into Bracelet. The Bracelet
measures approximately 8 inches in length and weighs
approximately 45.3 grams.
ESTATE VALUE:
550.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 7
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies Mesh Bracelet
Ladies 14K Yellow Gold Mesh Bracelet with Box catch
and figure "8"salty with a weave design measuring
approximately 7 inches in length and 12 mm in width
and weighing approximately 23.5 grams.
~STATE VALUE:
Ladies Mesh and Ro~e Bracelet
Ladies 14K Yellow Gold Mesh Bracelet with Rope
Borders. The Bracelet measures approximately 9
in width and 7 inches in length and weighs
approximately 19.5 grams.
ESTA~'E VALUE:
235.00
Ladies Fancy_ Link Bracelet
Ladies 14K Yellow gold Fancy Link Bracelet containing
hand engraved section links in a Baseball Diamond
pattern. The Bracelet measures approximately 10 mm
in width and 7 inches in length and weighs 27.8
grams.
ESTATE VALUE:
335.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 8
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
~erringbone Chain
14K Yellow Gold Herringbone Chain measuring
approximately 18 inches in length and 6mm in width
and weighing approximately 26.8 grams. The Chain has
a Box Catch and figure "8" safty.
ESTATE
325.00
Pearl Circle Pin
14K Yellow Gold Cultured Pearl Circle Pin containing
twenty (20) 3.5 mm Cultured Pearls set in post on a
14K Yellow Gold Circle Pin measuring approximately
1 inch in diameter. The Pin has a 14K hinge and bar
with a safty clasp.
ESTATE VALUE:
375.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 9
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
L~dies ~m~raldan~DiamondRino
Ladies 14K Yellow Gold Diamond and Emerald Round
Cluster Ring containing one Center Round Brilliant
Cut Diamond surrounded by six Round Brilliant Cut
Genuine Emeralds and intermingled with six additional
Diamonds and six additional Emeralds. The Ring is a
four teir Round Cluster with Center Diamond. The Ring
weighs approximately 4.2 grams.
GEMSTONE GRADING REPORT:
Type ..................... Diamonds/Emeralds
Shape .................... Round Brilliant Cut
Size ..................... 1-3.Smm, 6-2.5rm~/12-3.0tmL~
Weight .................... 93 carat total
Color .................... Near Colorless (G)/
Med./Med, Dark Green
Clarity .................. VS 1/VS
ESTATE VALUE:
800.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 10
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies Emerald/DiamondRin~
Ladies 14K Yellow Gold Emerlad and Diamond Ring
containing one Oval Cut Genuine Emerald surrounded by
ten (10) Round Brilliant Cut Diamonds all set in
prongs. The Ring is 14K Yellow Gold weighing
approximately 3.4 grams.
CENTER STONE GRADING:
Type ..................... Genuine Emerald
Shape .................... 0val Cut
Size ..................... 5.00 x 3.60 x 2.90 L~,~
Weight .................... 30 carat
Color .................... Med/Med Dark Yellow-Green
Clarity .................. Cloudy
SIDE STONE GRADING:
Type ...................... Diamonds (10)
Shape ..................... Round Brilliant Cut
Size ...................... 10-2.4 mm each
Weight .............. ~ ...... 50 carat total
Color ..................... Near Colorless (H)
Clarity ................... SI 1
ESTATE VALUE:
500.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 11
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies Enaaaemmmt Rina
Ladies 14K White Gold Diamond Engagement Ring
containing one Marquise Cut Diamond set in 14K WHite
Gold 6-prong Solitare Head on a 14K White Gold Band.
The Ring has a spring inside ring ~uard soldered to
bottom of shank and measures approximately 1.5 mm and
weighs approximately 3.3 grams.
GEMSTONE GRADING REPORT:
Type ......................... Diamond
Shape ........................ Marquise Cut
Size ......................... 7.70 x 4.95 x 2.70
Weight ........................ 58 carat
Color ........................ Near Colorless (G)
Clarity ...................... VVS 2
ESTATE VALUE: 1.650.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 12
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies 14K Yellow Gold Diamond Engagement Ring
containing one Round European Cut Diamond set in a
14K Yellow Gold Box Head with two Round Single Cut
Diamonds set in "Flush Set" Bezels on either side of
Center Diamond on a 14K Yellow Gold Band. The Ring
weighs approximately 2.1 grams.
CENTER STONE GRADING:
Type ....................... Diamond
Shape ...................... European Cut
Size ....................... 6.45-6.50 x 4.50 mm
Weight ..................... 1.16 carat
Color ...................... Slightly Yellow (J)
Clarity .................... VS 1
SIDE STONE GRADING:
Type ....................... Diamonds (4)
Shape ...................... Single Cut
Size ..................... ..4-1.3 mm each
Weight ............... . ....... 04 carat total
Color ...................... Near Colorless (H)
Clarity .................... VS 1
ESTATE
Appraisal continued on next page.
Appraisal Number: 000877
Page: 13
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies 14K White Gold Diamond WeddingRing containing
ten (10) Round Single Cut Diamonds set in Bead Prongs
on a 14K White Gold Band. The Ring has a spring
loaded ring guard soldered to the bottom of shank and
measures approximately 1.8 mm and weighs
approximately 2.4 grams.
GEMSTONE GRADING REPORT:
Type ....................... Diamonds (10)
Shape ...................... Round Single Cut
Size ....................... 10-1.3 mm each
Weight ...................... 10 carat total
Color ...................... Near Colorless (G)
Clarity .................... SI 1
ESTATE VALUE:
400.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 14
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies 14K Yellow GOld Sapphire and Diamond Wedding
Ring containing six (6) Genuine Blue Emerald Cut
Sapphires alternating with five rows of two Round
Brilliant Cut Diamonds set in prongs. The Ring
measures approximately 3.6 n~n at shoulders and tapers
to 2.2 t,u~ at bottom of shank and weighs approximately
2.9 grams.
GEMSTONE GRADING REPORT:
Type .................. Sapphires(6)/Diamonds (10)
Shape ................. Emerald Cut/Brilliant Cut
Size .................. 6-3.75 x 2.20 x 1.70 mm
10-1.7 mm each
Weight ................. 66carat + .20 carat
Color ................. Med/Med Dark Blue
Near Colorless (H)
Clarity ............... VS/VS I
ESTATRVALUR:
Appraisal continued on next page.
Appraisal Number: 000877
Page: 15
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies Diamond Necklace
Ladies 14K Yellow Gold Round Diamond Cluster Pendent
containing one Round Brilliant Cut Diamond surrounded
by six Round Brilliant Cut Diamonds set in 14K White
Gold pronged plate and mounted on a 14K Yellow Gold
frame. The Chain is a 14K Yellow Gold "French Rope"
style measuring approximately 1.5 tm~ in width and 16
inches in length weighing approximately 5.6 grams.
GEMSTONE GRADING REPORT:
Type ....................... Diamonds (7)
Shape ..................... Round Brilliant Cut
Size ...................... 1-2.Sf~f,, 6-2.5 n~n
Weight ..................... 44 carat total
Color ..................... Near Colorless (I)
Clarity ................... SI 2
Appraisal continued on next page.
Appraisal Number: 000877
Page: 16
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Baroque Pearl Pendent
Ladies 14K Yellow Gold "Biwa" Cultured Pearl and
Diamond Pendent containing four (4) Biwa Pearls
measuring approximately 6 x 5 mm each and one Round
Brilliant Cut Diamond measuring approximately 2.0 ~f~L
(.03 carat) set in freeform pattern on a 14K Yellow
Gold wire type pendent. The Pearls are 1/2 drilled
and mounted on posts. The Diamond is set in a 4-prong
Head and soldered to the pendent.
ESTATE VALUE:
100.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 17
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
17 inch Strand Cultured Pearl~
Single Graduated Strand of Cultured Pearls (78)
measuring approximately 17 inches in length and 3 1/2
to 7 t~=~t in diameter with a 14K White Gold Filligree
Pearl Clasp.
Type ................... CUltured
Roundness .............. Slightly Out of Round
Size ................... 3 1/3- 7 mm
Color .................. Cream
Overtone ............... Rose
Orient ................. Moderate
Luster ................. Medium
Blemish ................ Light
Nacre Thickness ........ Moderate
Match .................. Good
ESTATE VALUE:
Appraisal continued on next page.
Appraisal Number: 000877
Page: 18
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
20 inch Strand Cultured Pearls
Single Strand of Graduated Cultured Pearls (89)
measuring approximately 20 inches in length and 3 to
7 1/2 ~u~t in diameter with a 14K White Gold Filligree
Clasp.
Type ................... Cultured
Roundness .............. Slightly Out of Round
Size ................... 3-7 1/2 ~%~%~
Color .................. Silver
Overtone ............... Rose
Orient ................. Good
Luster ................. Moderate
· Blemish ................ Light
Nacre Thickness ........ Moderate
Match .................. Good
ESTATE VALUe:
400.00
Appraisal continued on next page.
Appraisal Number: 000877
Page: 19
Property of:
MiChael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Single Strand of Uniform Cultured Pearls (44) knotted
measuring approximately 16 inches in length and 7au.
in Diameter. The Catch is 14K Yellow Gold in the
shape of a Flower with a 6 1/4 ah. Cultured Pearl and
a Box Catch.
Type ................... Cultured
Roundness .............. Slightly Out of Round
Size ................... 44-7 n~neach
Color .................. Cream
Overtone ............... Rose
Orient ................. Moderate
LuSter ................. Good
Blemish ................ Light
Nacre Thickness ........ Thin
Match .................. Good
RST~TR VALUR:
Appraisal continued on next page.
Appraisal Number: 000877
Page: 20
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
Ladies 14K Yellow Gold "Mobe" Cultured Pearl Stud
Earrings containing one "Mobe" Pearl measuring
approximately 12uaa set in a "Crown Head" pronged
setting with twisted wire surrounding the Pearl in
'each of two Earrings. the Earrings have 14K Yellow
Gold Friction Back posts.
400.00
14K Pearl Pierced P. arr~nas
14K Yellow Gold Pearl Pierced Stud Earrings
containing one 8 1/2 uRu Cultured Pearl set in a 14K
Yellow Gold 6-prong Stud setting with 14K Yellow Gold
Friction Back post. The Pearls are 3/4 Round.
Appraisal continued on next page.
Appraisal Number: 000877
Page: 21
Property of:
Michael Ratcliff
38 Sunfire Avenue
Camp Hill, PA 17011
Items list
~dies ~u~Bracelet
14K Yellow Gold Single Link Charm Bracelet with
Spring Ring catch and the following charms attached
and soldered:
14K Disc Monogramed CAC
14K Canastas
14K Dipolma
14K Pivoting Fish
14K Money Bag
Jade Elephant
Gold Filled 1/2 Locket
14K House
14K Disc
'Moonwalk Coin and Coin Holder
14K Fraturnity Pin
14K Pineapple
14K Cow Bell
14K Roller Skate
14K Rooster
14K Disc monogramed LCB
This is to certify that we are engaged in the business of
buying and selling items made from precious metals and precious
and semi-precious stones. We certify that the item(s) on this
appraisal were appraised using a 10 power gemscope and other
gemological equipment in accordance with industry standard
procedures. This is not an offer to buy. It represents our
evaluation of the replacement value at the time of inspection.
Josep_~'~.. Ro~, Jr., C.G.A.
Certffied G~mologist Appraiser,
American Gem Society
Register of Wills of Cumberland County, Pennsylvania
Estate of Martha C. Ratcliff
also known as
INVENTORY
No. 00947 of 2003
Date of Death October 27, 2003
, Deceased Social Security No. 173-38-5910
I, C. Michael Ratcliff,
Personal Represer,;.a~e of the above E$ia[~, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the mai estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned
no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inventory are true and correct. I understand that false statements herein are made subject to
the penalties of 18 Pa. C.S. Section 4904 relating to unswom falsification to authorities.
Name of
Attomey: Stanley A. Smith, Esquire
I.D. No.: 33782
Address: Rhoads & Sinon LLP, P.O. Box 1146
Harrisburg, PA 17108-1146
Telephone: (717) 233-5731
Personal Representative:
C.'Mich~el Ratcliff '
See attachment
Description
(Attach Additional Sheets if necessary)
Dated:
Value
$625,795.86
Total: $625,795.86
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the
value of each item, but such figures should not be extended into the total of the Inventory.
Fora1 RW-7 (Dauphin County - Rev. 9/92)
502041.1
Estate of Martha C. Ratcliff
Estate Inventory
Valued as of Date of Death
7,648.59
No. of
Shares
3OO
300
528
5OO
200
20O
Par
Value
7,000
1,000
Cash & Cash Equivalents
Alliance Gov't Reserves MMKT
PNC Bank Certificate of
Deposit No.: 31300212927
Total Cash & Cash Equivalents
Stocks
Air Prods & Chems Inc
Common
New York Stock Exchange
Dividend at Date of Death
Allete Inc
Common
New York Stock Exchange
Bp P L C
Adr Sponsored
New York Stock Exchange
Conagra Foods Inc
Common
New York Stock Exchange
Consolidated Edison Inc
Common
New York Stock Exchange
Dominion Res Inc Va New
Common
New York Stock Exchange
Total Stocks
Bonds, Debentures & T-Bills
CAT Ser S 0.00 081508
United States Svgs Bds Serhh
12/1/87-12/1/97
Us Savings Bonds Hh
128,313.47
8,353.44
13,944.00
69.00
8,734.50
22,368.72
11,955.00
8,165.00
12,159.00
5,949.06
1,000.00
136,666.91
77,395.22
Page 1 (1)
Estate Inventory
Par
Value
10,000
5OO
40,000
50,000
50,000
50,000
Bonds, Debentures & T-Bills
United States Svgs Bds Serhh
12/1/87-12/1/97
Us Savings Bonds Hh
United States Svgs Bds Serhh
12/1/87-12/1/97
Us Savings Bonds Hh
UST Bond 6.00 021526
Interest at Date of Death
UST Inflt 3.00 071512
Interest at Date of Death
UST Note 5.50 051509
Interest at Date of Death
UST Strip 0.00 111526
Total Bonds, Debentures & T-Bills
10,000.00
500.00
44,012.50
476.09
54,703.13
423.91
55,578.13
1,233.02
13,690.50
187,566.34
No. of
Units
10,000
10,000
10,000
10,000
Tangible Pemonal Property
Jewelry
See attached appraised
Total Tangible Personal Property
Mutual Funds
Cranberry PA 5.00 120125
Interest at Date of Death
Cumberland PA 3.75 111514
Interest at Date of Death
Delaware River PA 6.00 011510
Interest at Date of Death
Erie PA 5.00 120120
Interest at Date of Death
14,835.00
10,119.80
202.78
9,809.80
168.75
11,373.70
170.00
10,371.00
202.78
14,835.00
Page 2 (2)
Estate Inventory
Par
Value
30,000
25,000
75,000
51,333
70,000
30,000
25,000
25,000
100,000
75,000
25,000
25,000
45,000
10,000
15,000
5,000
10,000
Mutual Funds
FHLMC 14-1079 8.00 020117
GNMA 02116 7.00 112025
Interest at Date of Death
GNMA 09110 8.50 011506
GNMA 09661 8.00 081506
Interest at Date of Death
GNMA 207023 8.50 041517
Interest at Date of Death
GNMA 221130 7.00 101517
Interest at Date of Death
GNMA 272072 8.50 111521
Interest at Date of Death
GNMA 317734 7.50 031522
GNMA 325146 7.50 051522
GNMA 325162 7.50 061522
GNMA 379225 7.00 021524
GNMA 391555 8.00 071524
Interest at Date of Death
GNMA II 1655 7.00 042024
Interest at Date of Death
Lackawanna PA 5.10 100119
Interest at Date of Death
Lancaster PA 4.50 050128
Interest at Date of Death
Loyalsock PA 4.30 110117
Interest at Date of Death
Nanty Glo PA 3.00 090106
Interest at Date of Death
6,962.73
3,240.55
15.46
511.72
448.82
2.45
4,057.71
22.58
7,237.90
34.29
482.69
2.69
1,904.70
4,880.81
3,763.39
6,249.41
3,220.10
17.13
5,463.66
26.03
10,504.00
36.83
14,151.15
330.00
5,034.65
101.11
10,383.60
46.67
Page 3 (3)
Estate Inventory
No. of
Units
25,O0O
10,000
10,000
10,000
10,000
5,000
5,000
Mutual Funds
PA ST 4.75 010122
Interest at Date of Death
PA ST HI ED 5.00 061524
Interest at Date of Death
PA ST Turnpike 5.00 120121
Interest at Date of Death
Phil PA SD 4.50 040123
Interest at Date of Death
Pitts PA NPHA 5.125 120105
Interest at Date of Death
?ittsbrg PA 5.05 090125
Interest at Date of Death
Swarthmore PA 5.00-091512
Interest at Date of Death
Total Mutual Funds
Total Inventory
25,165.25
382.64
10,203.10
183.33
10,364.30
202.78
9,697.00
32.50
10,699.10
207.85
5,061.35
39.28
5,513.30
29.17
209,332.39
625,795.86
Page 4 (4)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 003481
SMITH STANLEY A
P O BOX 1146
HARRISBURG, PA 17108-1146
........ fold
ESTATE INFORMATION: SSN: 173-38-5910
FILE NUMBER: 2103-0947
DECEDENT NAME: RATCLIFF MARTHA C
DATE OF PAYMENT: 01/27/2004
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 10/27/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $634.2O
REMARKS:
TOTAL AMOUNT PAID:
$634.20
SEAL
CHECK# 104
INITIALS- JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
& SINON LLP
Kimberly A. Meals
ph (717) 231-6671
fx (717) 232-1459
kmeals~rhoads-sinon.com
FILE NO: 3067/02
March 25, 2004
Re: Estate of Martha Ratcliff
Ms. Glenda Famer-Strasbaugh
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Dear Ms. ~:
Enclosed for filing please find an Approval of Accoum Release and Indemnification in
the above matter. Also enclosed is our Firm's check in the amount of $22.00 representing the
fee to file the Approval. Please time stamp the fi:ont cover of the extra Approval of Account
Release and Indemnification along with a copy of our letter and return the same to me in the
enclosed self-addressed postage prepaid envelope.
Thank you for your kind cooperation in this matter
Very truly yours,
Enclosures
RHOADS & SINON LLP
Kimberly A. Meals
Paralegal
511323.1
Rhoads & Sinon LLP · Attorneys at Law · Twelfth Floor · One South Market Square · EO. Box 1146
Harrisburg, PA 17108-1146 ° ph (717) 233-5731 ° fx (717) 232-1459 ° www. rhoads-sinon.com
IN RE:
ESTATE OF MARTHA C. RATCLIFF
Deceased
IN THE ORPHANS' COURT DIVISION
OF THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
NO. 00947 of 2003
APPROVAL OF ACCOUNT
RELEASE AND INDEMNIFICATION
WHEREAS, Martha C. Ratcliff (the "Decedent") died testate on October 27, 2003,
leaving a Will and Codicil which were duly probated by the Register of Wills of Cumberland
County, Pennsylvania on November 14, 2003; and
WltEREAS, Decedent was survived by her husband, H. Chalfant Ratcliff and her
to sons, C. Michael Ratcliffand Hugh Chalfant Ratcliff, Jr.; and
WHEREAS, the Decedent's Will appoints Decedent's son, C. Michael Ratcliff, as
Executor of Decedent's estate (the "Executor") and Letters Testamentary were duly granted to C.
Michael Ratcliff on November 14, 2003; and
WHEREAS, Decedent's Will bequeaths all of Decedent's jewelry to her issue, C.
Michael Ratcliff and Hugh Chalfant Ratcliff, Jr., her household and personal property to her
husband H. Chalfant Ratcliff and the rest, residue and remainder of Decedent's Estate to her
husband, H. Chalfant Ratcliff; and
WHEREAS, the Pennsylvania Inheritance Tax and Federal Estate Tax returns have
been filed and administration of the estate is nearly cOmplete~%0th the exception of the receipt of
approval letter from the Pennsylvania I~lxul~en~)~i~vq~.e and the filing final income tax
returns; and
506739.1
WHEREAS, the Beneficiaries desire that the Estate be concluded without the
expense and formality of a court accounting; and
WHEREAS, the Executor is willing to consent to such a conclusion of the Estate
upon receipt of a proper approval of account, release and indemnification, which it is the purpose of
this Agreement to provide.
NOW, THEREFORE, the undersigned, jointly, separately and severally, for
themselves, their heirs, administrators, and assigns:
(1) State that they have examined the First and Final Account of the
administration of Decedent's Estate, which is attached hereto as Exhibit "A" (the "Account"), and
approve the transactions and distributions set forth or proposed therein as though they had been
confirmed absolutely by the Court having jurisdiction over the Estate.
(2) State that they have examined the Statement of Proposed Distribution
attached to the Account and they approve the distributions proposed therein as though they were
ordered by the Court having jurisdiction over the Estate.
(3) Waive the filing and auditing of the Account by any Court and agree that
having jurisdiction over the Estate may confirm the Account and the Proposed
any Court
Distribution.
(4) Acknowledge receipt from the Executor of the assets shown as distributed or
distributable to them in the said Account or Statement of Proposed Distribution in absolute
payment of full satisfaction of the bequest to them under Decedem's Will.
(5) Do hereby absolutely and irrevocably release, remise, quitclaim and forever
discharge the said Executor, his heirs and personal representatives, of and from all actions, suits,
payments, accounts, reckonings, claims and demands whatsoever relating to the Estate of the said
Decedent.
(6)
Account, Petition
Do hereby absolutely and irrevocably release the Executor from filing any
for Distribution or other document with the Court of Common Pleas of
Cumberland County, Pennsylvania, or in any other jurisdiction in connection with the Estate of the
Decedent.
(7) Hereby agree that if, at any time in the future, the said Executor receives any
demand or claim for any amount claimed to be due and owing from him, as Executor, and approves
said demand or claim, they shall, at the request of the said Executor, pay to the said Executor the
amount of any such demand or claim, or if it has been paid by the said Executor, then reimburse
him for the amount paid by him, provided that the amount of such requested payment or
reimbursement shall not exceed the total of the assets paid or distributed by said Executor to the
Beneficiaries as set forth in the attached Account.
(8) Hereby agree to indemnify the Executor and hold him harmless, to the
extent of the Estate assets received by them, from and against any and all claims, loss, liability or
damage (including legal fees and costs) which they may suffer or to which he may be subjected by
reason of the administration of the Estate or the distribution of the assets of the estate without
having formal approval of the Court of Common Pleas, Orphans' Court Division, of Cumberland
County, Pennsylvania, or any other jurisdiction.
(9) Do hereby agree that this Agreement may be signed and acknowledged by
the parties hereto in counterparts and a complete set of executed counterparts, containing the
signatures of all parties, shall constitute an original and complete instrument.
This instrument shall be legally binding on each of the undersigned and their
personal represematives, heirs and assigns.
IN WITNESS WHEREOF, each of the undersigned has executed this Agreement
on the ~ day of -~/~4 ,2004.
Wi~~~~~_~
r. ~ (SEAL)
RHOI A T'\S _->>----..-.-...._
fi.L..J .~~~"'.....<...- -<--..- --",_.v,
& SINON LLP
Shawn D. Funk
Phone (717) 231-6671
Fax (717) 232-1459
sfun k@rhoads-sinon.com
FILE NO 3067/03
C3.. 0(--)<+ 7
January 25,2006
Re: Estate of Martha C. Ratcliff
Glenda Farner-Strasbaugh
Register of Wills of Cumberland County
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013-3387
Dear Ms. Famer-Strasbaugh:
Please prepare a short certificate for the Estate of Martha C. Ratcliff, File No. 2003-
200947. Enclosed is a check in the amount of$4.00 for payment of said certificate.
Please return the certificate and the receipt for payment in the enclosed envelope.
If you have any questions or require additional information, please do not hesitate to
contact our office.
Very truly yours,
Enclosures
il S ::.~ II.l
.., ...,J
0".-, 7 '." c,,,
"" I' (
~.J ~. . l .J
594044_1
Rhoads &: Sinon LLP . Attorneys at Law. Twelfth Floor. One South Market Square. P.O. Box 1146
Harrisburg, PA 17108-1146 . ph (717) 233-5731 . fx (717) 232-1459 . www.rhoads-sinon.com
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF .3.~.L6fl hr'/3 i SS:
On this, the~V~d~y ofCCP, 2004, before me, a Notary Public, in and for the
Commonwealth of Pennsylvania, the undersigned officer, personally appeared H. CHALFANT
RATCLIFF, known to me (or satisfactorily proven) to be the person whose name is subscribed to
the within Agreement and acknowledged that he executed the same for the purposes therein
contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Ngt,~ P~blic ~/
'~~~Y (SEAL)
My Commission Expires:
(SEAL)
Notarial Seal
Kimberly A. Meals, Notary Public
City of Harrisburg, Dauphin County
My Commission Expires Mar. 11, 2007
Member, Pennsylvania Association of Notaries
COMMONWEALTH OF PENNSYLVANIA:
~t ' .ss:
COUNTY OF 'i,~L '~ ~ ·
On~i~, ~a~of%~, 200~, ~fo,~m~,~So~b~i~, in ~ fo,~
Commonwealth of Pennsylvania, the undersigned officer, personally appeared C. MICHAEL
RATCLIFF, known to me (or satisfactorily proven) to be the person whose name is subscribed to
the within Agreement and acknowledged that he executed the same for the purposes therein
contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
NO/tary bt~blic -
(SEAL)
My Commission Expires:
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
Kimberly A. Meals, Notary Public
City of Harrisburg, Dauphin County
My Commission Expires Mar. 11, 2007
Member, Pennsylvania Association of Notaries
STATE OF
COUNTY OF
· SS:
On this, the ~'day of
Commonwealth of Pennsylvania,
P/~[(4/~, 2004, before me, a Notary Public, in and for the
the undersigned officer, personally appeared HUGH
CHALFANT RATCLIFF, JR., known to me (or satisfactorily proven) to be the person whose name
is subscribed to the within Agreement and acknowledged that he executed the same for the
purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
My Commission Expires: ~5//~ydSt~
(SEAL)
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Martha C. Ratcliff
Date of Death:
October 27, 2003
Will No. 2003-00947 Admin. No.
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:
Yes X 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:
ao
Yes No
Did the personal representative file a final account with the Court?
X
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
parties in interest? Yes
Did the personal representative state an account informally to the
X No
d. Copies of receipts, releases, j0i~ders and approvals of formal or
informal accounts may be filed with the Clerk of t~-Cxourt and may be attached to this
report.
~{'
St~ley ~h
Name (Please type or prim)
Rhoads & Sinon LLP
One South Market Square, 12th Floor
Harrisburg, PA 17101
Address
(717) 233-5731
Tel. No.
Capacity: Personal Representative
X Counsel for personal
representative
520803.1
BUREAU OF INDIVIDUAL TAXES
ZNHERTTANCE TAX DTVTSTON
DEPT. 180601
HARRTSBURG, PA 17118-0601
COHNONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLO#ANCE OR DZSALLONANCE
OF DEDUCTZONS AND ASSESSMENT OF TAX
R[¥-lGd7 EX AFP (01-05)
12
STANLEY A SNITH ESQ'
RHOADS &SINON LLP
PO BOX 11~6 ~:
HARRISBURG ~rT~A~7108
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-15-200q
RATCLIFF
10-27-2005
Z1 05-09q7
CUMBERLAND
101
Amoun'l: Ree/'l:~:ed
MARTHA C
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF ZNHER]:TANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCT:ZONS AND ASSESSMENT OF TAX
ESTATE OF RATCLIFF NARTHA C FILE NO. 21 0:3-09~7 ACH 101 DATE 05-15-200~
TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVAT]:ON CONCERNING FUTURE ]:NTEREST - SEE REVERSE
APPRA/SED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. S*ocks and Bonds (Schedule B) (2)
$. Closely Held Stock/Partnership In~eres* (Schedule C) (3)
q. Hor~gegos/No~es Receivable (Schedule D) (q)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jo/ntly Owned Proper~y (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. To,al Asse~s
APPROVED DEDUCTIONS AND EXEHPTZONS:
9. Funeral Expenses/Adm. Costs/H/sc. Expanses (Schedule H) (9)
10. Debts/Hot,gage L/ab/1/~/as/L/ans (Schedule I) (10)
11. To,al Doduc~/ons
Na~ Value of Tax Ra~urn
15.
lq.
Char/~able/governmon~al Bequests; Non-elected 9115 Trusts (Schedule J)
Ne~ Value of Es~a~e Sub~ec~ ~o Tax
q7q~295.95
.00
151~501.91
.00
.00 NOTE: To /nsura proper
credit ~o your account,
sub~/~ ~ha upper port/on
.00 of ~his fore w/~h your
tax payment.
.0O
(8)
30,061.30
.00
NOTE:
625,795.86
(11) 30.0~].. 30
(12) 595,75q.58
(1:3) . O0
(1,~) 595,75q. 56
Z~ an assessment Has issued previously, lines 14, 15 and/or 16, 17,
reflect figures that include the total of ALL returns assessed to date.
ASSESSHENT OF TAX:
15. A.oun~ of L/ne 1~ a~ Spousal ra~e
16. Amoun~ of L/ne lq ~axable a~ Lineal/Class A ra~e
17. Amoun~ of L/ne lq a~c S/bl/ng ra~e
18. Amoun~ of L/ne lq ~axabla a~ Collateral/Class B ra~a
19. Pr/nc/pal Tax Due
TAX CREDTTS:
PAYMENT RECETP1 DT$COUNT
DATE NUMBER INTEREST/PEN PAID (-)
01-27-200q CDOOSq81 33.38
18 and 19 #ill
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
(15) 580,899.56 x O0 = .00
(lb) lq,835.00 x Oq5= 667.58
(17) .00 x 12 = .00
(lB) .00 X 15 = .00
(19)= 667.58
AMOUNT PAID
65q.20
TOTAL TAX CREDIT I 667.58
BALANCE OF TAX DUEl .00
INTEREST AND PEN. .00
TOTAL DUE .00
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. 0~/'~\
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERVATION:
PURPOSE OF
NOTICE:
PAYHENT:
REFUND (CR):
OBJECTIONS:
ADNIN-
ISTRAT[VE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December ZZ, 1982 -- if any futura interest [n the estate is transferred
[n possess[on or enjoyment to Class B (collateral) beneficiaries of the decadent 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.
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of ZOO0. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit mith your payment to the Register of #ills printed on the reverse side.
--Hake check or money order payable to: REGISTER OF HILLS, AGENT
A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office
of the Register of Nills, any of the 23 Revenue District Offices, or by calling the special Z4-hour
answering service for forms ordering: 1-800-562-2050; services for taxpayers with special hearing and / or
speaking needs: 1-800-447-5020 (TT only).
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 aithin 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 datera[nsd at audit of the account of the personal representative, OR
--appeaI to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Revise Un[t, 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" (REV-1501) for an explanation of administratively correctable errors.
If any tax due [s paid within three (5) calendar months after the decedent's death, a five percent (52) discount of
the tax paid is allowed.
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end 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 is charged beginning eith first day of delinquency, ar 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 (62) 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 Z004 ara:
Interest Daily Interest Dally
Year Rate Factor Year Rate Factor
~ 2OZ .000548 ~)T~- X991 XXZ .000.~01
1985 162 .000458 X992 92 .000247
1984 117. .000501 1995-1994 72 .0D0192
1985 157. .000556 1995-1998 92 .000247
1986 IOZ .000274 1999 72 .000192
I987 IOZ .000274 2000 77. .000192
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID
Interest Dally
Year Rate Factor
~'~ 92 .000247
2002 62 .000164
2005 57. .000137
2004 42 .OOOllO
X NUllBER 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 data sheen on the
Notice, additional interest must be calculated.