HomeMy WebLinkAbout03-0600Estate of Margaret S. Hassenplug
a~o known as
Deceased.
Social Security 3fo. ~ 175-26,08'58'
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut or
in the last will of the above decedent, dated November 7, 1995
and codicil(s) dated
PETITION FOR PROBATE and GRANT OF LETTERS
To:
Register of Wills for the
County of Cumherl and in the
Commonwealth of Pennsylvania
named
., 19
(state relevant circumstances, ~.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in Cumhorl mnH
h ~r last family or principal residence at 4837 East Trindle
Hampdan Township
(list street, number and muncipality)
County, Pennsylvania, ~th
Road, Apt 319
Decendent, then 94 years of age, died July 9 ,XlSg. 2003 .,
at 4Rq7 E. Trind]~ Rd, Apt qlg, Hampden Tox, m.~h~p
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:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $
(If not domiciled ia- Pa.) Personal property in Pennsylvania $
(If not domiciled in 'Pa.) Personal property in County . $
Value of real estate in Pennsylvania $
situated as follows:
WHEREFORE, petitioner(s) respectfully r. equ.est(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters, testamentary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
theron.
432 Lamp Post Lane
Camp Hill. PA 17011
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA '~ ss
COUNTY OF
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 represen-
tative(s) of the above decedent petitioner(s) will well ao~d truly administer the estate according to law.
Swo n or
be~e me_ this ~ day of { ~'
/9- 1,5'W- I ~
No. ~,Q/-EP3~ ~a~
Estate of
MARGARET S. HASSENPLUG
.,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW (~'J-J ~9~ ~'~, in consideration of the petition on
the reverse side hereof, satisfa~ctory proof having been presented before me,
IT IS DECREED that the instrument(s) dated November 7. 1995 ·
described therein be admitted to probate and filed of record as the last will of
Margaret S. Hassenplug ;
and Letters T~.~ ~ mm ~n ~ a ry
are hereby granted to NANCY H. BAYLISS
FEES
Probate, Letters, Etc ..........
S.hort.,~Certificates( )'. ......... $ ~,?, .~
-
~h~n~cguon ................ $
~ _ TOTAL
Filed .~. ~ .......
Register of Wills
David H. Radcliff
TrO Y( up. t..ID.
20 ErSor ~ola'~,
Lemoyne, PA 17043
ADDRESS
(717) 236-9318
PHONE
105.805 RFV 9/86
This is to certi ,fy that the information here given is correctly copied from an original certificate of death dui), filed with me as
I,ocal 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
No.
Local Registrar
Date
~3 ~Lev 2/a7 COMMONWEALTH OF PENNSYLVANIA o DEPARTMENT OF HEALTH - VITAL RECORDS
CERTIFICATE OF DEATH
,,. .~e.~ ~,,,. ~.~o. I,,. - I,,. '~'~' ~ I "'~'" ~ I,.. ~ ..... J,,.
4837 E~t TrZ~d~g Road
,.. John D
~.s~,~. '--?-' =~. I~. 432 L~p Post Lane, C~p Hlll, PA 17011
., ~' , -9 ~ I
~= .~ ~ .~ ~. ~.~.~.. ....... ~ .......... ~ ...... Ira. 4100 ~g~.~o~ Road, H~r~sb~g, PA 17109
m immm~m
DU~ TO 83R AS A CONSEQ4JENCE OF):
d
I~MI'E OF INJUflY ITIME O~ INJUflY
AND TITLE OF CERTIFIER
Last W',Jl
of
MARGARET S. HASSENPLUG
I, MARGARET S. HASSENPLUG, of Mechanicsburg, Cumberland County, Pennsylvania,
make this Will and revoke all of my prior wills and codicils.
Article One
My Family
I am not now m~ried.
The name and birth date of my child are:
NANCY H. BAYLISS, born May 8, 1931
All references to my children in my will are to this child, as well as any children
subsequently born to me, or legally adopted by me.
Page 1
Article Two
Distribution of My Property
Section 1. Pour-Over to My Living Trust
All of my property of whatever nature and kind, wherever situated, shall be distributed
to my revocable living trust. The name of my trust is:
MARGARET S. HASSENPLUG, sole Trustee, or her successors in
trust, under the MARGARET S. HASSENPLUG LIVING TRUST,
dated November 7, 1995, and any amendments thereto.
Section 2. Alternate Disposition
If my revocable living trust is not in effect at my death for any reason whatsoever, then
all of my property shall be disposed of under the terms of my revocable living trust as if
it were in full force and effect on the date of my death.
Article Three
Powers of My Personal Representative
My personal representative shall have the power to perform all acts reasonably necessary
to administer my estate, as well as any powers set forth in the statutes in the State of
Pennsylvania relating to the powers of fiduciaries.
Article Four
Payment of Expenses and Taxes
and Tax Elections
Section 1. Cooperating with the Trustee of My Living Trust
I direct my personal representative to consult with the Trustee of my revocable living
trust to determine whether any expense or tax shall be paid from my trust or from my
probate estate.
Section 2. Tax Elections
My personal representative, in its sole and absolute discretion, may exercise any availsble
elections with regard to any state or federal tax laws.
My personal representative shall not be liable to any person for decisions made in good
faith under this Section.
Section 3. Apportionment
All expenses and claims and all estate, inheritance, and death taxes, excluding any
generation-skipping transfer tax, resulting from my death and which are incurred as a
result of property Imssing under the terms of my revocable living trust or through my
probate estate shall be paid without apportionment and without reimbursement from any
person. However, expenses and claims, and all estate, inheritance, and death taxes
assessed with regard to property passing outside of my revocable living trust or outside
of my probate estate, but included in my gross estate for federal estate tax purposes, shall
be chargeable against the persons receiving such property.
Page 3
Article Five
Appointment of My Personal Representative
I appoint NANCY H. BAYLISS to be my personal representative.
If NANCY II. BAYLISS cannot act, or is unwilling to act, I appoint, in the order Named,
the following successor personal representatives:
First, RICHARD BAYLISS; then
Second, MERRILL LYNCH TRUST CO. OF AMERICA, an Illinois corporation.
I direct that my personal representatives not be required to furnish bond, surety, or other
security.
I have initialed all of the pages of this Will, and have signed it on November 7, 1995.
MARGA~T S. HASSENPLUC ~' Y
The foregoing Will was, on the day and year written above, published and declared by
MARGARET S. HASSENPLUG in our presence to be her Will. We, in her presence and
at her request, and in the presence of each other, have attested the same and have signed
our names as attesting witnesses and have initialed each page.
We declare that at the time of our attestation of this Will, MARGARET S. HASSENPLUG
was, according to our best knowledge and belief, of sound mind and memory and under
no undue duress or constraint.
WITNESS ,//
Page 4
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CLrMBERLAND :
I, MARGARET S. HASSEN-PLUG, Testatrix whose name is signed to the attached or foregoing
instrument, having been duly q,,slified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed.
f.
MARGOT S. I-IA SENPLUG'
Sworn and subscribed to before me by MARGARET S. HASSEKPLUG, Testatrix,
of 995.
(SEAL)
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CLrMBE~ :
We, David II. Radcliff and .~.acf,e/ ~ Co~ , the witnesses whose ~mmes are signed to the
attached or foregoing instrument, being duly qualified according to law, do depose and say that we were
present and saw MARGARET S. HASSENPLUG, Testatrix sign and execute the instrument as her last
Will and Testament; that MARGAR2IT S. HASSEN-PLUG, signed willingly and that she executed it as her
free and voluntary act for the purposes therein expressed; that each or us in the hearing and sight of the
Testatrix signed the Will as witnesses, and that to the best of our knowledge the Testator was at the time
18 or more years of age, of sound mind and under no constraint or undue influence.
Sworn to and subscribed before me
Notary Public
My Commission Expires:
(SEAL) [ ~t~qz~ S~
,~luehanna Twp., Dauphin
CERTIFICATION OF NOTICE UNDER RULE 5. 6(a)
Date of Death:
Will No. 00600-2003
To the Register:
Name of Decedent: MARGARET S. HASSENPLUG
July 9, 2003
Admin No.
I certify that the Notice of Estate Administration required by Rule 5.6(a) of the Orphans'
Court Rules was served or mailed to the following beneficiaries of the above-captioned estate on
August 1, 2003.
NAME
NANCY H. BAYLISS
ADDRESS
432 Lamp Post Lane
Camp Hill, PA 17011
Date:
RADCLIFF LAW OFFICE, P.C.
AVID H. RADCLIFF, ESQ. ~'/
20 Erford Road, Suite 300A / /
-/
Lemoyne, PA 17043
(717) 236-931S
Capacity: Personal Representative
X Counsel for Personal Representative
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 28O6O1
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 0O3O79
RADCLIFF LAW OFFICES
20 ERFORD ROAD
LEMOYNE, PA 17043
........ fold
ESTATE INFORMATION: SSN: 175-26-0858
FILE NUMBER: 2103- 0600
DECEDENT NAME: HASSENPLUG MARGARET S
DATE OF PAYMENT: 10/02/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 07/09/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $18,450.00
TOTAL AMOUNT PAID:
$18,450.00
REMARKS: NANCY H BAYLISS C/O
RADCLIFF LAW OFFICES
SEAL
CHECK//1229
INITIALS' SK
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
21 _ 03
00600
COUNTY CODE YEAR NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURI~( NUMBER
I-- HASSENPLUG, MARGARET S.
Z
I'~ DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
LLI 07/09/2003 12/06/1908
~ REGISTER OF WILLS
iii (IFAPPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
-~00
fl.
r~-j 1. Odginal Return [] 2. Supplemental Retum
[] 4. Limited Estate [] 4a. Futura Interast Compromise (date ofdaam after 12-12-82)
r~6. Decedent Died Testate (Altach copy of Will)[~ 7. Decedent Maintained a Living Trust (^,ach cmy of'rrus~)
[~] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (da~ of dam be,~,en 12-31-91 and 1-1-95)
NAME
David H. Radcliff, Esq.
FIRM NAME (IfApplicable)
Radcliff Law Office, P.C.
TELEPHONE NUMBER
(717) 236-9318
]3. Remainder Retum (data of daam pr~ ~o 12-13-82)
]5. Federal Estate Tax Return Requirad
8. Total Number of Safe Deposit Boxes
~11. Election to tax under Sec. 9113(A) (^t~ach sch o)
COMPLETE MAILING ADDRESS
20 Erford Road, Suite 300^
Lemoyne, PA 17043
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 Beposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointiy 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)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)(10)
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)
1,509.41
8,239.97
383,271.~5
(8)
450,799.54
4,740.01
778.97
(11)
5,518.98
(12)
445,280.56
(13)
(14)
445,280.56
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16, Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
x .0_ (15)
445,280.56_ x .0 45 (16)
x .12 (17)
x .15 (18)
(19)
20,037.63
20,037.63
Decedent's Complete Address:
STREET ADDRESS
4837 East Tdndle Road, Apt. 319
CITY ....
MecnanlcsDurg
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
I STATEpA
Interest/Penalty if applicable
D. Interest
E. Penalty
18,450.00
971.05
(1)
Total Credits ( A + B + C ) (2)
Total Interest/Penalty ( D + E )
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
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
ZIP
17050
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
20,037.63
19,421.05
0.00
616.58
616.58
(3)
(4)
(5)
(5A)
(5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; .......................................................................................... [] []
b. retain the right to designate who shall use the property transferred or its income; ............................................ [] []
c. retain a reversionary interest; or .......................................................................................................................... [] []
d. receive the promise for life of either payments, benefits or care? ...................................................................... [] []
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. [] []
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] []
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of pedup/, I declare that I have examined this return, including accoi~pa.ying schedules and statements, and to the best of my knowledge and belief, it is true. correct and complete.
Declaration of p~eparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RE~S.~,ONSIBLE FOR FILING RETURN
ADDRESS
11736 Caravel Circle, Ft, Myers, FL 33908
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
20 Erford Road, Ste 300A,/Lemoyne, PA 17043
DATE
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°1o
[72 P.S. §9116 (a) (1.1)(i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)].
The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 RS. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1503 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MARGARET S. HASSENPLUG
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
21-03-0600
ITEM
NUMBER
1.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
DESCRIPTION
5409.92 shares Vanguard GNMA Fund, Acct #09792154702 (10.68/share)
TOTAL (Also enter on line 2, Recapitulation)
VALUE AT DATE
OF DEATH
57778.61
$ 57,778.61
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
MARGARET S. HASSENPLUG 21-03-00600
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
2.
3.
4.
2003 Federal Income Tax Refund
2003 Pennsylvania Income Tax Refund
Country Meadows - Refund
Comcast - Refund
$ 1070.00
78.00
343.48
17.93
TOTAL (Also enter on line 5, Recapitulation) $ 1509.41
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX+ (6-§8~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Hassenplug, Mar§amt S.
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUMBER
12-03-0600
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A.Nancy H. Bayliss
11736 Caravel Circle
Ft. Myers, FL 33908
Daughter
JOINTLY-OWNED PROPERTY:
L~ a i ~ DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOINl MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER, ATTACH DEED FOR JOINTLY-HELD REAL ESTATE, VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 1/1/78 PNC Bank Acct #5140027312 16479.94 50% 8239.9
TOTAL (Also enter on line 6, Recapitulation)$ 8,239.97
(If more space ~s needed, insert additional sheets of the same size)
REV-1510 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MARGARET S. HASSENPLUG
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21-03-00600
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENTAND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER THE OAT~ OF TRANSFER. A'I'rACHACOPYOFTHEDEEDFORREALESTATE. VALUE OFASSET INTEREST (IFAPPLICA~LE} VALUE
1. Margaret S. Hassenplug Living Trust, 383271.5_~ 100% 383271.~
dated November 7, 1995
TOTAL (Also enter on line 7 Recapitulation) $ 383271.55
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (12-99)~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
MARGARET S. HASSENPLUG 21-03-00600
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
2.
3.
4.
5.
6.
7.
8.
DESCRIPTION
FUNERAL EXPENSES:
Cremation Society of PA
Gingrich Memorials
St. John's Cemetery
Funeral Meal
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Secudty Number(s)/EIN Number of Personal Representative(s)
Street Address
City State
Year(s) Commission Paid:
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
__ Zip
Street Address
City
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Retum Preparer's Fees
Inventory &
Postage
State Zip
Inheritance Return Filing Fee
TOTAL (Also enter on line 9, Recapitulation)
AMOUNT
101.26
95.00
200.00
171.55
4000.00
140.00
25.00
7.20
$ 4740.01
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (6--98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
MARGARET S. HASSENPLUG
FILENUMBER
21-03-00600
ITEM
NUMBER
Links 2 Care
Verizon
West Shore EMS
Include unreimbursed medical expenses.
DESCRIPTION
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
720.31
15.21
43.45
778.97
REV-1513 EX+
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
MARGARET S. HASSENPLUG
FILE NUMBER
~-i -03-00600
NUMBEtq
I
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116(a)(1.2)]
Nancy H. Bayliss
11736 Caravel Circle
Ft. Myers, FL 33908
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Daughter
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
NON-TAXABLE DISTRIBUTIONS:
A. SF~OUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
AMOUNT OR SHARE
OF ESTATE
100%
I, MARGARET S. HASSENPLUG, of Mechanicsburg, Cumberland County, Perm~lv~
make this Will and revoke all of my prior wills and codicils.
Article One
My Family
I am not now m-~ried.
The name and birth date of my child are:
NANCY H. BAYLISS, born May 8, 1931
All references to my children in my will are to this child, as well as any children
subsequently born to me, or legally adopted by me.
Page 1
Article Two
Distribution of My Property
Section 1. Pour-Over to My Living Trust
All of my property of whatever nature and kind, wherever situated, sb_a]l be distributed
to my revocable living trust. The ~me of my trust is:
MARGARET S. HASSENPLUG, sole Trustee, or her successors in
trust, under the ,MARGARET S. HASSENPLUG L!VLNG TRUST,
dated November 7, 1995, and any amendments thereto.
Section 2. Alternate Disposition
If my revocable living trust is not in effect at my death for any reason whatsoever, then
all of my property shall be disposed of under the terms of my revocable living trust as if
it were in full force and effect on the date of my death.
Article Three
Powers of My Personal Representative
My personal representative shall have the power to perform all acts reasonably necessary
to aamlnister my estate, as well as any powers set forth in the statutes in the State of
Pennsylvania relating to the powers of fiduciaries.
Article Four
Payment of Expenses and Taxes
-and Tax Elections
Section 1. Cooperating with the Trustee of My Living Trust
I direct my personal representative to consult with the Trustee of my revocable living
trust to determine whether any expense or tax shall be paid from my trust or from my
probate estate.
Section 2. Tax Elections
My personal representative, in its sole and absolute discretion, may exercise any available
elections with regard to any state or federal tax laws.
My personal representative s.hail not be liable to any person for decisions made in good
faith under this Section.
Section 3. Apportionment
All expenses and claims and all estate, inheritance, and death taxes, excluding any
generation-skipping transfer tax, resulting from my death and which are incurred as a
result of property passing under the terms of my revocable living trust or through my
probate estate shall be paid without apportionment and without reimbursement from any
person. However, expenses and c~.21m.% and all estate, inheritance, and death taxes
assessed with regard to property passing outside of my revocable living trust or outside
of my probate estate, but included in my gross estate for federal estate tax purposes, shall
be chargeable against the persons receiving such property.
Article Five
Appointment of My Personal Representative
I appoint NANCY H. BAYLISS to be my personal representative.
If NANCY II. BAYLISS cannot act, or is unwilling to act, I appoint, in the order named,
the following successor personal representatives:
First, RICHARD BAYLISS; then
Second, MERRILL LYNCH TRUST CO. OF AMERICA, an Illinois corporation.
I direct that my personal representatives not be required to furnish bond, surety, or other
security.
I have initialed all of the pages of this Will, and have signed it on November 7, 1995.
MARGARET S. HASSENPLUG f ~
The foregoing Will was, on the day and year written above, published and declared by
MARGARET S. HASSEN-PLUG in our presence to be her Will. We, in her presence and
at her request, and in the presence of each other, have attested the same and have Signed
our names as attesting witnesses and have initialed each page.
We dec]are that at the time of our attestation of this Will, MARGARET S. HASSENPLUG
was, according to our best knowledge and belief, of sound mind and memory and under
no undue duress or constraint.
WITNESS ,//~//
Page 4
'C~m~UmW~A~Tn OF PENNS~fLVANi-A :
: SS
COUNTY OF CLrMBE~ :
I, MARGARET S. HASSENPLUG, Testatrix whose p~me is signed to the attached or'foregoing
instrument, having been duly q, mli~ed according to law, do hereby acknowledge tlmt I signed and executed
the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free
and voluntary act for the purposes therein expressed.
MARGarET S. HASSENI:)LUG [ (]
Sworn and subscribed to before me by MARGARET S. HASSE1TPLUG, Testatrix,
of 995.
(SEAL)
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CUMBERLAND :
Notary Public
My Commission Exolres' ~'~
/ ~~,~.: ~':'.. ';".i~'~' 20 1997]
/ wc°rnm~' ~ ....... ~ '
We, David H. Radcliff and /'Afafr,et ~ Co~]~ , the witnesses whose l~mes are signed to ~he
attached or foregoing instr-ment, being duly q-alified according to law, do depose and say that we were
present and saw MARGARET S. HASSENPLUG, Testatrix sign and execute the/nstrument as her Last
Will and Testament; that MARGARET S. HASSEArPLUG, signed willingly and that she executed it as her
free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the
Testatrix signed the Will as witnesses, and that to the best of our knowledge the Testator was at the time
18 or more years of age, of sound mlud and under no constraint or undue influence.
Sworn to and subscribed before me
this r'/'~y of ~e.~ ~r.~1995.
Notary Public ///"
My Commission Expires:
,~usquehan~ Twp., Oauph~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
NANCY H. BAYLISS
being duly .~w~Rw according to law, deposes end says that she
of the Estate of Margaret S. Hassenplug
late of Hampden Township_ , Cumberland County, Pa., deceased and that the
within is an inventory made by Nancy H. Bayliss .., the said Executor
of the entire estate of said decedent, ~ons~sfing of all the personal property and real estate, except real estate outside
the Commonwealth of Pen~,sylvanle, and fhaf the figures opposlfe each item of fha Inventory represent it's fair value
as of the date of decedent s death.
<~ and subscribed before me,
NOTARIAL SEAL
Roberta L. Radcliff, Notary Public
Worrnteysburg ~o;ough, County of Cumberland
My Commission Expires Jan. 20, 2005
Dale of Deafh 9th ouly
~/ Executor A/- d~'m~str,tor
Nancy H. Bayliss ~
11736 Caravel Circle
vt~ Myer=: FL ~B908
Addre,,
2003 ·
Day Month Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A suppJement inventory must be filed w~fhin thirty days of discovery of additional assets.
3. Additional sheets may be effached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
Inventory of the real and personal estate of
MARGARET S. HASSENPLUG
deceased
2.
3.
4.
5.
5409.92 shares Vanguard GNMA
2003 Federal Income Tax Refund
2003 Pennsylvania Income Tax Refund
Country Meadows - Refund
Comcast - Refund
57,778 61
1,070 00
78 00
343 48
17 93
59,288 02
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 003769
BAYLISS NANCY H
432 LAMP POST LANE
CAMP HILL, PA 17011
ESTATE INFORMATION: SSN: 175-26-0858
FILE NUMBER: 2103-0600
DECEDENT NAME: HASSENPLUG MARGARET S
DATE OF PAYMENT: 04/06/2004
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 07/09/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $616.58
REMARKS:
....... SEAL
CHECK//1516
TOTAL AMOUNT PAID:
$616.58
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
TNHERTTANCE TAX DTVZSZON
DEPT, 180601
HARRISBURG, PA 17128-0601
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLO#ANCE OR DISALLO#ANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-16~7 EX AFP (01-OS)
DAVID H RADCLIFF ESQ
RADCLIFF LAN OFFICE
20 ERFORD RD STE ~OA ~
LEMOYNE P'~iTOq3
DATE 05-Zq-2OOq
ESTATE OF HASSENPLUG
DATE OF DEATH 07-09-2003
FILE NUMBER 21 05-0600
COUNTY CUMBERLAND
ACN 101
Amount Remitted
MARGARET
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS L/NE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR D~SALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HASSENPLUG MARGARET S FILE NO. 21 05-0600 ACN 101 DATE 05-2q-gooq
TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE [NTEREST- SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
$. Closely Held Stock/Partnership Interest (Schedule C) ($)
q. Mortgages/Notes Receivable (Schedule D) (q)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ada. Costs/Misc. Expanses (Schedule H} (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)
11. To,al Deductions
12. Net Value of Tax Return
.00
57~778.61
.00
.00
lz509 .ql
8z259.97
$85z171.55
(8)
q,7qO.01
778.97
(11)
(12)
15.
lq.
NOTE:
Charitable/6overnmental Bequests; Non-elected 9115 Trusts (Schedule J) (15)
Net Value of Estate Sub,act to Tax (lq)
If an assessment was issued previously, lines 14, 15 and/or 16, 17,
reflect figures that lnclude the total of ALL returns assessed to date.
(is) .00 x O0 =
(16) qq5,280.56 x Oq5=
(17) . O0 x 1Z =
(lB) .00 x 15 =
(19}=
AMOUNT PAID
ASSESSMENT OF TAX: 15. Amount of Line lq at Spousal rata
16. Amount of Line lq taxable at Lineal/Class A rata
17. Amount of Line lq at Sibling rata
18. Amoun~ of Line lq taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECETpT DISCOUNT (+)
DATE NUHBER
10-02-2005 CD005079
0~-06-Z00~ CD005769
INTEREST/PEN PAID (-)
971.05
.00
18,q50.00
616.58
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
qSO,799.5q
5.518.98
qq5,280.56
.0o
qq5,280.56
18 and 19 ~ill
.00
Z0,057.65
.00
.00
20,057.6~
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
Z0,057.65
.00
.00
.00
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. *'
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERVATION:
Estates of decedents dying on or before December 11, 1981 -- if any future interest in the estate is transferred
in possession or enjoyment to Class S (collateral) beneficiaries of the decedent after the expiration of any estate for
1ifa ar for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the 1aclu! Class D (collateral) rate on any such futura interest.
PURPOSE OF
NOTICE:
To fulfill the requirements of Section 1140 of the Inheritance and Estate Tax Act) Act Z$ of 2000. (71 P.S.
Section 9140).
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side.
--Make check or money order payable to: REGISTER OF HILLS, AGENT
A refund of a tax credit, which ems not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications ara available at the Office
of the Register of #ills, any of the Z$ Revenue District Offices, or by calling the special Z4-hour
ansearing service for forms ordering: 1-D00-36Z-Z050~ services for taxpayers eith special hearing and / or
speaking needs: 1-800-q47-3010 (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 sheen on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue) Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1011, OR
--election to have the matter determined at audit of tho account of the personal representative, OR
--appeal 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 Reviae Unit, Dept. 180601, Harrisburg, PA 17118-0601
Phone (717) 787-6505. Sam 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 duo is paid within three (3) calendar months after the dacedant's death, a five percent (5Z) discount of
the tax paid is alloead.
The 15Z tax amnesty non-participation penalty is computed on the tote! of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you mould appeal the tax and interest
that has been assessed as indicated on this notice.
INTEREST:
Interest is charged beginning with first day of delinquency, or nine (9) months and one (13 day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 1981 bear interest at the rate of
six (61) percent per annum caIcuIatad at a daily rate of .000164. Ali taxes which became deIinquant on and after
January 1) 1981 will bear interest at a rate which wi11 vary from caIendar year to calendar year with that rate
announced by the PA Department of Revenue. Tho applicable interest rates for 1981 through ZOO4 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
~ 2OZ .OOOSq8 ~)"~&-1991 111 .000301 ~ 9X .000247
1983 161 .000438 1992 91 .000247 Z002 6Z .000164
1984 111 ,000301 1993-1994 71 .OOOlgZ Z003 51 .000137
1985 132 .000356 1995-1998 92 .000147 Z004 42 .000110
1986 102 .000274 1999 72 .000192
1987 XOZ .000174 2000 7Z .000191
--Interest is calculated as follaes:
ZNTEREST= BALANCE OF TAX UNPAXD X NUPIBER OF DAYS DELZNQUENT X DAZLY ZNTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must ba calculated.
PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF
THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY
COM ,ON
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Date of Death:
Will No.: 00600-2003
MARGARET S. BJkSSENPLUG
July 9~ 2003
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:
Date:
(MAH:rmt/AM3)
R.W. - 27
Did the personal representative file a final account with the court?
Yes No X
The separate Orphans' Court No. (if any) for the personal representative's account
is:
Did the personal representative state an account informally to the parties in
interest? Yes X No
Copies of receipts, releases, joinders and approvals of formal or informal accounts
may be filed with the Clerk of the Orphans' Court and may be attached to this
report.
Name (Please type or print)
.... : ~V,.) 20 Erford Road, Ste 200
'~'~ Lemoyne, PA 17043
Address
(717) 236-9318
Telephone No.
Capacity:
Co
Personal Representative
X
Counsel for Personal Representative
CERTIFICATE OF NOTICE UNDER RULE $.6(a)
Name of Decedent: John A. Porta
Date of Death:
May 3, 2004
Will No. 2004-00600 Adm. No.
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
JulyS, l, 2004.
Nalne
Address
Mrs. Rosemary A. Porta
3613 Horsham Drive
Mechanicsburg, PA 17055
Mr. John E. Porta
Mrs. Annette M. McHugh
Mrs. Carolyn A. Wemer
PNC Bank, N.A., Trustee
8 Jasper Lane
Phoenixville, PA 19460
24 Moonlight Court
Newark, DE 19702
78 Eastfield Drive
Lebanon, PA 17042
ATTN: David A. Brown
4242 Carlisle Pike
P.O. Box 308
Camp Hill, PA 17001-0308
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date: July ~[, 2004 Signature: /'
Name: ~ S~hfEsq '
Address: Rhoads & Sinon LLP
One South Market Square, 12th Floor
P. O. Box 1146
Harrisburg, PA 17108-1146
Telephone: (717) 233-5731
Capacity: Personal Representative
X Counsel for Personal Representative
525794.1