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HomeMy WebLinkAbout04-0105 PETITION FOR PROBATE and GRANT OF LETTERS Estate of .:::rOaM M I (;vi 5 ~d ( ( No. ~- ()L\ - 165 also known as To: Register of Wills for the County of in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age o~older mre execut Or- in the last will of the above decedent, dated :::J n~U A- to J awl.{ and codicil(s) dated ; named ~ ,~ DfJ..eased. Social Security No. ~-3;;-qOrl Decendent was domiciled at death in h e.r last family or principal residence at '_ County, Pennsylvania, with \le- D (list street, number and muncipality) Decendent, the years f agel ~ied JJi/4f<.. , ~ ;)Ool.( , at l td \ ( Except as follows, dece ent did not marry, was not divorced and di 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 in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania \ I situated as follows: - i;l-\. e.$ , cI - hll (0 JOC::>O j (90 f /'10,000 I OD ,. WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters theron. robate of the last will and codicil(s) STCJ P. ~ ~ ... u c:: ... -o~ .- '" "'~ ....... et::~ -00 c: ';:: C'j''::: 3~ ........ 30 t;j c:: co c;) ~~~~ t?" t1~1' frthdlf S- . ~ Av e o/ci,' PA: OATH OF" PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1.- ss COUNTY OF C~\.'CY\h>o\c...'(""\('\ J 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 and truly administer the estate accor ing to law. d subscribed { day of ~.,-- . eglster CI) DQ' ::s l::l - ;: ~ ~ No. 2\- O'-\-\cS Estate of .HiAN 1\1 G11T51-lALL , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~...e.A~AA c{"~ :loaf{. if}_, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated 1-6-2004 described therein be admitted to probate and filed of record as the last will of JOAN M GUTSHALL and Letters TESTAMENTARY are hereby granted to JEFFREY ALAN GUTSHALL ~ FEES I.;> .00 Probate~~s, Etc. ......... $ 9.35. 00 Short Certificates( ).......... $ I 5.00 Renunciation ................ $ 5 . 00 J~"p $ LO .00 TOTAL _ $ :J..11.cO Filed ......z:- J.-.2QO~. . . . . . . . . . . . . . . . . . . . MAILED TO EXEC 2-3-2004 A TIORNEY (Sup. Ct. LD. No.) ADDRESS PHONE RENUNCIATION 2\-0'-\ - '06 In ReEstate of J0/JN # Gvrs/J/9// To the Register of Wills of CUIJ/J:;e /(/,4 A .6 The undersigned j A ttjAt./ K. deceased. County, Pennsylvania. of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters be issued to ~FF/2EY A, Gvfs/J/l// WITNESS ~.L.-- t? # hand this4~y of, 7;,?A/. ~~f' dLruJ'rA lI. /~ . t............-.. Aignatur~ \...,./" INS % ~fYJer ta:d~ J2-'L. (Address) .~~ ~ 3aJ22- (Signature) (Address) (Signature) (Address) NOTARIAl. SEAL DEIM~TARYPU8UC em OF DAlJPtlIN COUrtlY MY .. RES REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS 2.\ - 0,,", - ,os I -:--. .. _ rI ,Zc I. tl-,:-J n T /2 ) ~ R J codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that SHE WAS present and saw the testat R IX , sign the same and that S H F signed as a witness at the request of testat~ in t-ER presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirm~nd subscribed before me his fA day of Om \.19_ -r- ~ 0 Jr);~ (Name) J(~i) b.1j- p~ (~ddress) ~ .J 'f-Ja /70c:l S- (Name) (Address) REGISTER OF W OF OATH OF NON- SCRIBING WIT (each) a subscriber hereto. (each) bein uly qualified according to familiar WI the signature of codicil w~ presente herewith ~dicil the will~ in the hand ", that b~ves the signature '-. "- ............ to the best of Sworn to or affirmed and subscribed before me this day of 19_ ess) Register (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS 2\-O~ - lOS / l;,~4-J!L})EN E ,'-/-c;-6;<LE" y , ! codic' (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that THEY WERF present and saw the testatR I X , sign the same and that THFY signed as a witness at the request of testa~ in h ER presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). ' . A /.(l~~}) ((. 2t,;t) "), (Name) () Sworn to or affir~~nd subscribed before ~i this day of fn;:r:~~6100* ILl::: '-P" ~:~te, ,/. A>~ " .~~~w // ~res~)~ /) - / ~L V" ' (Name) (Address) REGISTER OF WILLS 0 ' COUNTY -SUBSCRIBING WITNESS ./,,/" / /bthe best of Sworn to or affirmed me this (Name) (Address) Register (Name) / (Address) 2, -04-lO5" -~<Yb~ ~~ d.-- ;Loo+ C;. - - ~ram Files\ WillMaker 7\Exported Will.txt Subject: C:\Program Files\ WillMaker 7\Exported Will.txt From: jgjg@concentric.net Date: Mon, 05 Jan 2004 20:32:07 -0500 To: jgjg@concentric.net C:\program Files\WillMaker 7\Exported Will.txt -'ll- 04- \05 ******************************************************************* IMPORTANT INFORMATION FOR USING THIS EXPORTED FILE FROM WILLMAKER 7 This text file may contain several documents: your will, important notes about signing it, an affidavit -- if available in your state -- and a letter for your personal representative. If you exported your documents as a text (ASCII) file, you will probably want to separate these documents and store them as different files so that the page numbering and footers will be correct for each one when you print them. To make separate files, do the following for each document: 1. Select the contents of the document and copy it. 2. Create a new file. 3. Paste the copied text into the new file. 4. Save it with a new file name. See the manual that came with your word processing software if you do not know how to create new files or copy and paste text. Pay careful attention to the page breaks when you print your will. It is important that you insert the line for initials at the bottom of each page. You can copy and then paste the following text into the "footer" of your word processor, if it has one, or into the document as you format it: Page Ini tials: Date: If your word processing software automatically dates or numbers the pages of the document, then insert just the text relating to initialing into the footer. Similarly, the text at the beginning of the will document, "Will of [Your Name]" should be inserted into the "header" of your word processor or manually placed at the top of each page. Read the Read Me First file accompanying the WillMaker program for the latept information. NOTE: if you exported your documents as an RTF (Rich Text Format) file, headers and footers are automatically included. As long as your word processor allows separate headers and footers throughout the file, you will not need to adjust them yourself. ******************************************************************* 10f5 1/5/2004 8:54 PM C:\Program Files\ Will Maker 7\Exported Wil1.txt IMPORTANT NOTES BEFORE YOU SIGN: Read your will carefully. Is everything printed as you intended? Do you understand the meaning of every word? WHILE YOU SIGN: For your will to be valid you must be of sound mind and of the age specified by your state. This is almost always 18. Your will should be witnessed by three witnesses, even though only two are legally required in most states. The witnesses should be in your and each other's presence when you sign the will. The witnesses need not read your will. You must say to the witnesses that you intend this document to be your will. Make sure each page is numbered and dated; then write your initials on one of the blank lines where indicated. On the last page of your will, write in the date, and on the blank line after "at," fill in the city or county and state in which you are signing your will. Repeat this information in the blanks that appear just before the witnesses' signatures. Then sign it in the presence of the witnesses. Use exactly the form of your name printed on the will. The witnesses should state that they realize you intend this to be your will. They should then, in your presence, initial each page, near the line you did, sign the last page in the space indicated for witnesses, and fill in their addresses. AFTER YOU SIGN: Keep your will in a safe place, where it can be readily found. You may make photocopies - for example, to give to your executor. However, only the signed original is legally valid and can be probated. If there are major changes in your life, you should make and sign a new will and have it witnessed. Destroy the original of your old will and all copies. Changes that make it wise for you to make a new will include: having or adopting a child, moving to another state, the death of anyone named in your will, a change of marital status, and a significant change in the property you own. :Keep .:up-to-date: Registered users of WillMaker will receive product upfiat€s, technical support, and a one-year subscription to the Nolo News. Please register by e-mail.using the registration form that was installed with the program. You may use the mail-in registration card if you purchased a boxed copy of the program. If you called Nolo Press directly to order or unlock this program, you are already registered. WillMaker 7.0.1 11/23/98 Copyright 1995-1998 by Nolo Press. Date printed: Sunday, August 17, 2003 Time: 12:39:35 D PERSONAL INFORMATION I, Joan M. Gutshall, a resident of the State of Pennsylvania, Cumberland County, declare that this is my will. My Social Security Number is 206-32-4074. 20f5 1/5/2004 8:54 PM C:\Program Files\ WillMaker 7\Exported Will.txt REVOCATION OF PREVIOUS WILLS I revoke all wills and codicils that I have previously made. CHILDREN I have the following children now living: Jeffrey A. Gutshall and Monica M. Ricci. DISPOSITION OF PROPERTY All beneficiaries must survive me for 45 days to receive property under this will. As used in this will, the phrase survive me means to be alive or in existence as an organization on the 45th day after my death. All personal and real property that I leave in this will shall pass subject to any encumbrances or liens placed on the property as security for the repayment of a loan or debt. If I leave property to be shared by two or more beneficiaries, it shall be shared equally by them unless this will provides otherwise. If I leave property to be shared by two or more beneficiaries, and any of them does not survive me, I leave his or her share to the others equally unless this will provides otherwise for that share. Entire estate means all property I own at my death that is subject to this will. I leave my entire estate to my children Jeffrey A. Gutshall and Monica M. Ricci in equal shares. If Jeffrey A. Gutshall and Monica M. Ricci both do not survive me, I leave my entire estate to Keenan Turns. CUSTODIANSHIP UNDER THE UNIFORM TRANSFERS TO MINORS ACT All property left in this will to Keenan Turns shall be given to Laurie A. Keating (Duttry), to be held until Keenan Turns reaches age 21, as custodian for Keenan Turns under the Pennsylvania Uniform Transfers to Minors Act. If Laurie A. Keating (Duttry) 1S unwilling or unable to serve as custodian of property left to Keenan Turns under this will, Rudy Duttry shall serve instead. PERSONAL REPRESENTATIVES I name Jeffrey A. Gutshall and Monica M. Ricci to serve together as my joint personal representatives. If Jeffrey A. Gutshall or Monica M. Ricci is unwilling or unable to serve as personal representative, the other personal representative shall continue to serve. If Jeffrey A. Gutshall and Monica M. Ricci are both unwilling or unable to serve as personal representative, I name Laurie A. Keating (Duttry) to serve as personal representative. No personal representative shall be required to post bond. PERSONAL REPRESENTATIVE'S POWERS I direct my personal representative to take all actions legally permissible to have the probate of my will done as simply and as free of court supervision as possible under the laws of the state having jurisdiction over this will, including filing a petition in 30f5 1/5/2004 8:54 PM C:\Program Files\WillMaker 7\Exported Wil1.txt the appropriate court for the independent administration of my estate. I grant to my personal representative the following powers, to be exercised as he or she deems to be in the best interests of my estate: 1) To retain property without liability for loss or depreciation. 2) To dispose of property by public or private sale, or exchange, or otherwise, and receive and administer the proceeds as a part of my estate. 3) To vote stock, to exercise any option or privilege to convert bonds, notes, stocks or other securities belonging to my estate into other bonds, notes, stocks or other securities, and to exercise all other rights and privileges of a person owning similar property. 4) To lease any real property in my estate. 5) To abandon, adjust, arbitrate, compromise, sue on or defend and otherwise deal with and settle claims in favor of or against my estate. 6) To continue or participate in any business which is a part of my estate, and to incorporate, dissolve or otherwise change the form of organization of the business. The powers, authority and discretion I grant to my personal representative are intended to be in addition to the powers, authority and discretion vested in him or her by operation of law by virtue of his or her office, and may be exercised as often as is deemed necessary or advisable, without application to or approval by any court. PAYMENT OF DEBTS Except for liens and encumbrances placed on property as security for the repayment of a loan or debt, I want all debts and expenses owed by my estate to be paid in the manner provided for by the laws of Pennsylvania. PAYMENT OF TAXES I want all estate and inheritance taxes assessed against property in my estate or against my beneficiaries to be paid in the manner provided for by the laws of Pennsylvania. NO CONTEST PROVISION If any beneficiary under this will contests this will or any of its provisions, any share or interest in my estate given to the contesting beneficiary under this will is revoked and shall be disposed of as if that contesting beneficiary had not survived me. SEVERABILITY If any provision of this will is held invalid, that shall not affect other provisions that can be given effect without the invalid provision. SIGNATURE I, Joan M. Gutshall, the testator, sign my name to this instrument, 40f5 1/5/2004 8:54 PM C:\Program Files\WillMaker 7\Exported Will.txt this bitl day of ~AtJuAR.Y 9CO{, at I declare that I sign and execute this instrument as my last will, that I sign it willingly, and that I execute it as my free and voluntary act. I declare that I am of the age of majority or otherwise legally empowered to make a will, and under no constraint or undue influence. /] '-., .J~ " .' .... . I fI<J. . C ;,t G(./lA- 71, <./ ( J (Si~ed) Residing at: ~('t- fill //d /7/11 Witness #1: '........".,. Wi tness #2: (~d..--~ {I) ~f-/-lr I Il.A~ ) .~3iding at: I;}; ~i..:t. h , !'"""..-IA" A, 1'10:;J.!i' ;Witness #3: / W~ e ~ Residing at: 6g~L elLtAf/actSt: Z>i':,. ;k4e/.5~,(~) 1/1 ;7/// 5-of5 1/512004 8:54 PM v" CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Joan M. Gutshall Date of Death: January 18,2004 Will No. 21-04-0105 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 February 10,2004: Name Address City Jeffrey Allen Gutshall 115 Pepper Avenue Enola, P A 17025 Monica M. Ricci 10540 Summer Ridge Dr. Alpharetta, GA 30022 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date: February 10,2004 ( / /',-J" i' '--..k,.?f: ' / v<.. J /(Signature) ; // Z . ij~/l~v-d,--'- I / I Name: Diane M. Dils, Esquire Address: 1017 North Front Street Harrisburg, PAl 71 02 Telephone: (717) 232-9724 ~" ':'''C1qUl;lQ "0':) OZ: Zld II 833 PO. Capacity: _ Personal Representative X Counsel for Personal Representati ve .1. uel:j '~'dCj():Jetl 0~&0~ ATIORNEYS AT LAW 1017 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102 ARTHUR K. OILS DIANE M. OILS PHONE: (717) 233~8743 FAX (717) 233~2567 April 14, 2004 Register of Wills of Cumberland County Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 RE: Estate of Joan M. Gutshall No. 21-04-0105 ~~': ::":'I .. ~.-"-; d .t:::- = -0 ?:J Dear Sir or Madam: - V1 =q ,....,.1 Enclosed is an Inventory to be filed in your office in the above-captione<b~state. Also, enclosed is a check in the amount of $3,000.00 representing a partial payment in advance towards the inheritance tax in connection with this estate. Thank you for your assistance in this matter. DMD/daf Enclosures V' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT GUTSHALL JEFFREY ALAN 115 PEPPER AVE ENOLA, PA 17025 ____u__ fold ,< ; ESTATE INFORMATION: SSN: 206-32~4074 FILE NUMBER: 2104-0105 DECEDENT NAME: GUTSHALL JOAN M DATE OF PAYMENT: 04/15/2004 POSTMARK DATE: 04/14/2004 COUNTY: CUMBERLAND DATE OF DEATH: 01/18/2004 NO. CD 003823 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3,000.00 I I I I I I I I TOTAL AMOUNT PAID: , REMARKS: CHECK# 110 SEAL INITIALS: JA RECEIVED BY: .', I>.,' REGISTER OF WILLS v' $3,000.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } II: being duly according to law, deposes and says that he of the Estate of Joan M. Gutshall late of ----.Eas..t-Penus.b.cn:o_.Tm.ms.hi p , Cumberland County, Pa., deceased and that the within is an inventory made by "' the said of the entire estate of said decedent, consisting 'of all the personal propl!rty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. c.2D 0 y Exec tor . Administr.tor Diane M. Dils, Esquire, Counsel Representative 1Ul/ North Yront ~treet Harrisburg, PA 17102 (717) 232 972/1 for Personal and subscribed before me, Addre.. Date of Death January 18, 2004 O.Y Month Veer INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal repre&t.fdive. . 2. A supplement inventory must be filed within thirty days of discovery of additional as~ti 5S 3. Additional sheets may be attached as to personalty or realty n ~ ;0 4. See Article IV, Fiduciaries Act of 1949. ,)~, ..... 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'1# ::.J. -4 , ... , COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG, PA 17128-0601 September 27, 2004 Telephone (717) 787-3930 FAX (717) 772-0412 Oils & Oils Attorneys At Law 1017 North Street Harrisburg, PA 17102 0'") ~ :::L l"- I Re: Estate of Joan M. Gutshall File Number 2104-0105 1-- C) c:J . """ Dear S\f1Madam:P " ,-' This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before 03/27/05. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. a;::~L "_ . /, -, ~"<~.<:../ Claudia Maffei, Supe~~) Document Processing uhIf Inheritance Tax Division 51 --,~ ,'-- ,.,: C'"", ~:,,' \ \. ,. , f': r .... p,' .., , ~.;;;. ~...~. ~-" -',("") ''-'''-- '\, F~" 1 ~ , 'Ii . ... 1.. .-. .( ," , t>N ~O ~ ~ r:/]r- ~ ~ ~ 2-< I-I.o. ~...<:: eO .- 1:::: ;.... Q 0 ;:l <>8Z~ r- .... r.fJ ....... :...... :-;:;0";:: Q~...... i~~ilill - \ J~ ." "~;: . .: J-' ~ 1i o ;:l ... 0 E """ en 1: .51 ;5 ~ ~ u @ >-. >.. 5-('"f") 'E I::C/lo = =~r- o 0 if'1...... U U;:l -0 -00-< s ~'€~ ~" .........;::::1"' t:::: l-< 0 ~ 0) 0) u- .Dtf.l.D ~ E - EO)... ;::::l:-;::: = ~ ro u~uou , \ 1"'1'17 t" \ ~~ tl r i'i ("\1 I,; . -. ". ,,- JJ l'~'- ~,"t"'"'-_:~'_~..:"-+~~_""'_C:~::;'~'~_,"".~._"...._~, c.-';--" ,~ ~ ..."",........... . __:.~c ~""'" .11Pi'lWfl"rf~~",.':i!."""_~,,,,,_~ ~-.::n. ,'\..-~,l^, ~ 9 x 12 -""",. """"'''''''~'.-.!" -\. 0~&0~ ATTORNEYS AT LAW 1017 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102 ARTHUR K. OILS DIANE M. OILS PHONE: (717) 233-8743 FAX: (717) 233-2567 March 25, 2005 Cumberland County Register of Wills ATTN: Jackie Cumberland County Courthouse One Courthouse Square Carlisle, PAl 70 13 "".'; C,'i RE: Estate of Joan M. Gutshall No. 2004-0105 f"v Dear Jackie: Enclosed are an original and two copies of an Inheritance Tax Return regarding the above-captioned estate for filing. I have enclosed my check in the amount of $15.00 to cover the filing fee. Also enclosed is a check in the amount of $5,917.05 to cover the estate tax. Please time stamp the copies and return a clocked in copy to me in the enclosed, self-addressed, stamped envelope. Your prompt attention to this matter is greatly appreciated. V~~truly yours, \ DMD/daf Enclosures COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96} RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT GUTSHALL JEFFREY ALAN 115 PEPPER AVE ENOLA, PA 17025 _n_n__ fOld ESTATE INFORMATION: SSN: 206-32-4074 FILE NUMBER: 2104-0105 DECEDENT NAME: GUTSHALL JOAN M DATE OF PAYMENT: 03/28/2005 POSTMARK DATE: 03/28/2005 COUNTY: CUMBERLAND DATE OF DEATH: 01/18/2004 NO. CD 005127 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $5,917.05 I I I I I I I I TOTAL AMOUNT PAID: $5,917.05 REMARKS: CHECK# 302 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS REV-I500EXi6-001 *" COMMONWEALTH OF PENNSYLVANIA . .'i1ll!. DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 I- Z W C W U W C DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) Gutshall, Joan M. ~" ni(.....,!;""\ \--'~>-...e_ 0'-' '--' . ._J__ -Pei &"3 '5 -C!\:J A ~ S$.O[) REV-1500d INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 04 0105 DATE OF DEATH (MM-DD-YEAR) 01/18/2004 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 206-32-4074 , DATE OF BIRTH (MM-DD-YEAR) 08/26/1942 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) w '" ::,:::S:Ul u"'''' w"-u ",00 u"'~ "-'" "- " ~ 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate (Attach copy ofW,II) D 9. litigation Proceeds Received SOCIAL SECURITY NUMBER D2,SupplementalReturn D 4a. Future Interest Compromise (dale of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy oJ Trust) D 10, Spousal Poverty Credit (date of death between 12.31-S1 and 1.1 .95) D 3. Remainder Return (date of death prior to 12.13.B2) D 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: '" z w c z o "- '" w '" '" o u NAME Qiane~-,[)iIS.Esgui.re__ FIRM NAME (If Applicable) Dils & Dils TELEPHONE NUMBER (717) 232-9724 COMPLETE MAILING ADDRESS 1017 North Front Street Harrisburg. PA 17102 r",,~? (1) (2) (3) (4) (5) 190.040_00 0_00 0.00 0_00 17.510_68 1. Real Estate (Schedule A) 2. Slacks and Bonds (Schedule B) 4. Mortgages & Notes Receivable (Schedule D) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 5, Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) z o ~ ..J ::l l- e:: <l: u W 0:: :11 0_00 G~" (6) 6. Jointly Owned Property (Schedule F) DSeparateBillingRequested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G orL) 0.00 (7) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11 Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (8) 3,604.49 2.456_35 (11) (12) (131 207,550.68 13 Charitable and Governrnental Bequests/Sec 9113 Trusts for which an election to tax has not been made (ScheduleJ) 14 Net Value Subject to Tax (Line 12 minus Line 13) (9) (10) 6,060.84 201,489_84 0.00 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) 201,489.84 z o !;;: I- ::l a. ::!: o U X ~ 15 Arnount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18 Amount of Line 14 taxable at collateral rate 19 Tax Due 20.0 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < x 0 (15) x 045 (16) x .12 (17) 9.067_05 x 15 (18) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (19) 9,067.05 Decedent's Complete Address: STREET ADDRESS 115 Pepper Road CITY Enola STATE PA ZIP 17025 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit S. Prior Payments C. Discount (1) 9,067.05 3,00000 150.00 Total Credits ( A + B + C ) (2) 3,150.00 3. InleresVPenally if applicable D.lnterest E. Penalty TotallnteresVPenalty ( D + E ) (3) 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. 5,917.05 B. Enler the lolal of Line 5 + 5A. This is the BALANCE DUE. (5) (5A) (5B) A. Enter the interest on the tax due. 5,917.05 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;.. D [i.J b. retain the right to designate who shall use the property transferred or its income; ......... . ..............."..."..."... D (iJ c. retain a reversionary interest; Dr... . ......... ........................ ........ D [KJ d. receive the promise for life of either payments, benefits or care? ..... ..... .. . ....................................... .... ...... D [KJ 2. If death occurred after December 12, 1982, did decedent transfer properly within one year of death without receiving adequate consideration?.. ....... ........... D [iJ 3 Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ....... ..... D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . , ..... ............... D [iJ 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 j have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true. correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNA~URE SON R( PONS LE F ~I~ yeTURN ~ e)<au~r ADDR , / 115 Pepper Avenue, Enola, PA 17025 SIG TUflI OF PREPA~~~c.~:~TIVE S 17 North Front Street, Harrisburg, PA 17102 DATE 03-~S -(}ODs- 3 - ;2S:C'S-- 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% [72 PS 99116 (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. 99116 (a) (1.1) (iill. The statute does not exemDt 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. 99116(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. 99116(1.2} [72 P,S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(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. COMMONWEALTH OF SCHEDULE A PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. 115 Pepper Road $118,040.00 Enola, P A 17025 2. 3.7908 acres in Driftwood, Cameron County, $30,000.00 P A (appraisal) 3. Vacant lot in Eno1a, Cumberland County, PA $42,000.00 (appraisal) TOTAL (Also enter on line I, Recapitulation) $190,040.00 (If more space is needed, insert additional sheets of same size.) COMMONWEALTH OF SCHEDULE B PENNSYLVANIA STOCKS AND BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 (All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH None 0 TOTAL (Also enter on line 2, Recapitulation) 0 (If more space is needed, insert additional sheets of same size.) COMMONWEALTH OF SCHEDULE C PENNSYLVANIA CLOSELY HELD STOCK INHERITANCE TAX RETURN PARTNERSHIP AND PROPRIETORSHIP RESIDENT DECEDENT ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 Schedule C-! or C-2 must e attached for each business interest of the decedent, other than a proprietorship. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH None 0 TOTAL (Also enter on line 3, Recapitulation) 0 (lfmore space is needed, insert additional sheets of same size.) COMMONWEALTH OF SCHEDULE D PENNSYLVANIA MORTGAGES AND NOTES INHERITANCE TAX RETURN RESIDENT DECEDENT RECEIVABLE ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 (All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH None 0 TOTAL (Also enter on line 4, Recapitulation) 0 (If more space is needed, insert additional sheets of same size.) COMMONWEALTH OF SCHEDULE E PENNSYLVANIA CASH, BANK DEPOSITS INHERITANCE TAX RETURN RESIDENT DECEDENT AND MISCELLANEOUS PERSONAL PROPERTY ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 (All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Bank deposits $10,260.06 2. 1994 Suzuki Sidekick $2,500.00 3. 1990 Chevy S 1 0 Blazer $1,000.00 4. Refunds, utilities, insurance $225.00 5. Interest on account $25.62 6. Household furnishings $3,500.00 TOTAL (Also enter on line 5, Recapitulation) $17,510.68 (If more space is needed, insert additional sheets of same size.) COMMONWEALTH OF SCHEDULE F PENNSYLVANIA JOINTLY-OWNED INHERITANCE TAX RETURN RESIDENT DECEDENT PROPERTY ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 Ifan asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT ADDRESS RELATIONSHIP TO TENANT(S) NAME DECEDENT None JOINTLY-OWNED PROPERTY ITEM LETTER DATE DESCRIPTION OF PROPERTY DATE OF DEATH %OF DATE OF NUMBER FOR MADE Include name of financial institution and V AWE OF DECD'S DEATH JOINT JOINT bank account number or similar ASSET INTEREST VAWEOF TENANT identifying number. Attach deed for DECEDENT'S iointlv.held real estate. INTEREST TOTAL (Also enter on line 6, Recapitulation) $ -0- (If more space is needed, insert additional sheets ofthe same size.) COMMONWEALTH OF SCHEDULE G PENNSYLVANIA TRANSFERS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES. ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL DECD DOLLAR NUMBER Include name of the transferee, their VALUE OF % VALUE OF relationship to decedent, date of ASSET INT. DECEDENT'S transfer INTEREST None TOTAL (Also enter on line 7, Recapitulation) -0- (If more space is needed, insert additional sheets of same size.) OCOMMONWEAL TH OF SCHEDULE H PENNSYLVANIA INHERITANCE FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND TAX RETURN MISCELLANEOUS EXPENSES RESIDENT DECEDENT ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 ITEM NUMBER DESCRIPTION AMOUNT A. Funeral Expenses: $ 1. John Sullivan $2,325.40 Gingrich Memorials $605.40 B. Administrative Costs: 1. Personal Representative Commissions (waived) -0- Name of Personal Representative: Social Security Number of Personal Representative: Street Address: Year Commissions paid: 2. Attorneys Fees: Diane M. Dils, Esquire $500.00 3. Family Exemption Claimant: Relationship: Address of Claimant at Decedent's death Street Address: City: State: Zip Code: 4. Probate Fees 5. Accountant's fees: None C. Miscellaneous Expenses: 1. Cumberland Law Journal $75.00 2. The Cariisle Sentinel $98.69 TOTAL (Also enter on line 10, Recapitulation $3,604.49 (If more space IS needed, insert additional sheets of the same size.) COMMONWEALTH OF SCHEDULE I PENNSYLVANIA DEBTS OF DECEDENT INHERITANCE TAX RETURN RESIDENT DECEDENT MORTGAGE LIABILITIES & LIENS ESTATE OF: JOAN M. GUTSHALL FILE NUMBER: 21-04-0105 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. Timothy A. Clark, M.D. $177.80 2. Internists of Central P A $140.29 3. Andrews & Patel Assoc. $31.94 4. George Shahinian, M.D. $6.49 5. Gates, Halbruner & Hutch $160.00 6. Quantum Imaging $99.97 7. Holy Spirit Hospital $905.20 8. Internists of Central P A $32.16 9. Mary Roell, appraisal, personal belongings $250.00 10. Service charge - estate account $5.00 11. Bill Lake - real estate appraisal $325.00 12. Robert Jones Appraisal $200.00 13. James D. Boger, Esquire $122.50 TOTAL (Also enter on line 10. Recapitnlation) $2,456.35 (If more space IS needed. lnsert additional sheets of same size.) COMMONWEALTH OF SCHEDULE J PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JOAN M. GUTSHALL 21-04-0105 ITEM DESCRIPTION RELATIONSHIP AMOUNT OR SHARE NUMBER OF ESTATE 1. Jeffrey A. Gutshall Son 60% 115 Pepper Avenue Enola, PA 17025 Monica M. Ricci Daughter 40% 2. 10540 Summer Ridge Drive Alpharetta, GA 30022 ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE NUMBER OF ESTATE B. Charitable and Governmental Bequests: TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) -0- (If more space is needed, insert additional sheets of same size.) ::\Pr~gr~rn files\\ViIEvlakef 7\E.x:pc!!!c:d \A/ilj_txt =->l~()l<LL\I\'l' NUT!:";::' BEFORE YOU SIGN: Read your will carefully. Is everything prinred ciS you intended? Do you understand the meaning of every word? WHILE YOU SIGN: For your will to be valid you must be of sound mind and of the age specified by your state. This is almost always 18. Your will should be witnessed by three witnesses, even though only two are legally required in most states. The witnesses should be in . your and each other's presence when you sign the will. The witnesses need not read your will. You must say to the witnesses that you intend this document,to be your will. Make sure each page is numbered and dated; then write your initials on one of the blank lines where indicated. On the last page of your will, write in the date, and on the blank line after "at," fill in the city or county and state in which you are signing your will. Repeat this information in the blanks that appear just before the witnesses' signatures. Then sign it in the presence of the witnesses. Use exactly the form of your name printed on the will. The witnesses should state that they realize you intend this to be your will. They should then, in your presence, initial each page, near the line you did, sign the last page in the space indicated for witnesses, and fill in their addresses. AFTER YOU SIGN: Keep your will in a safe place, where it can be readily found. You may make photocopies - for example, to give to your executor. However, only the signed original is legally valid and can be probated. If there are major changes in your life, you should make and sign a new will and have it witnessed. Destroy the original of your old will and all copies. Changes that make it wise for you to make a new will include: having or adopting a child, moving to another state, the death of anyone named in your will, a change of marital status, and a significant change in the property you own. '~eep ~-to-date: Registered users of WillMaker will receive product updat€S, technical support, and a one-year subscription to the Nolo News. Please register by e-mail.using the registration form that was installed with the program. You may use the mail-in registration card if you purchased a boxed copy of the program. If you called Nolo Press directly to order or unlock this program, you are already registered. WillMaker 7.0.1 11/23/98 CODvriaht 1995-1998 by Nolo Press. Date printed: Sunday, August 17, 2003 Time: 12:39:35 0 PERSONAL INFORMATION I, Joan M. Gutshall, a resident of the State of Pennsylvania, Cumberland County, declare that this is my will. My Social Security Number is 206-32-4074. 11~n()()A Q',A PM '='\PrC?To-m File~\\~JiE~.10J:"!"~ 7\E,::~n'*!~~ '.1/;11 t"':! ?EVOC.A.TION OF PREVIOUS WILLS I ~evoke all wills and codicils that I have previouslv made. ChILDREN I have the followinQ children now livinq: Jeffrey A. Gutshall and "..-!"'.,...,r,r"' TfTlTrn,l r"Ir. ~~,()I:S?,TY All beneficiaries must survive me for 45 days to receive property unaer tnls Wl.ll. As used In this will, the phrasE:: survive rde m8Cins to be alive or in existence as an organization on the 4~th day ;:Jf"+-P'r mv dpath. A~l pe~sonal and real property that I leave in thl.~ will ~nall pass subject to any encuu~rances or liens placed on the property as security for the repaymenL of a loan or debt. If I leave property to be shared by two or more beneficiaries, it shall be shared equally by them unless this will provides otherwise. If I leave property to be shared by two or more beneficiaries, and any of them does not survive me, I leave his or her share to the others equally unless this will provides otherwise for that share. Entire estate means all property I own at my death that is subject to this will. I leave my entire estate to my children Jeffrey A. Gutshall and Monica M. Ricci in equal shares. If Jeffrey A. Gutshall and Monica M. Ricci both do not survive me, I leave my entir~ estate to Keenan Turns. CUSTODIANSHIP UNDER THE UNIFORM TRANSFERS TO MINORS ACT All property left in this will to Keenan Turns shall be given to Laurie A. Keating (Duttry), to be held until Keenan Turns reaches age 21, as custodian for Keenan Turns under the Pennsylvania Uniform Transfers to Minors Act. If Laurie A. Keating (Duttry) is unwilling or unable to serve as custodian of property left to Keenan Turns under this will, Rudy Duttry shall serve instead. PERSONAL REPRESENTATIVES I name Jeffrey A. Gutshall and Monica M. Ricci to serve together as my joint personal representatives. If Jeffrey A. Gutshall or Monica M. Ricci is unwilling or unable to serve as personal representative, the other personal representative shall continue to serve. If Jeffrey A. Gutshall and Monica M. Ricci are both unwilling or unable to serve as personal representative, I name Laurie A. Keating (Duttry) to serve as personal representative. No personal representative shall be required to post bond. PERSONAL REPRESENTATIVE'S POWERS I direct my personal representative to take all actions legally permissible to have the probate of my will done as simply and as free of court supervision as possible under the laws of the state having jurisdiction over this will, including filing a petition in ^"" 1/,l')l1l1d Q',d PM -, ".- "-,:\.r'TOQTam tUeS\W111lV13Ker 11t',xnonf':n \:VI11 nn Lite dl....n...JL'opriai:.e courc for cne independent administration or mv ~=::at.e. I grane cO my personai represeneaeive ene followlng powers, cO be exercised as he or she deems to be in the best interests of my esca'Ce: 11 To retain property without liabilitv for loss or depreciation. 21 To dispose of property by public or private sale, or exchango, 0+:!:t:;!"bri se, 2n.o. !'~C'ei ':.7'e 2!'!.d 2d.!!"_i!'!.iste!:" the p!:"oceeds as a p2Yt of "".1 ~_.l-_.l-,... ~..;J\....U'-~. ~; lU vuLe ~tock, Lu exercise any option or privilege to converc Donds, notes, stocks or other securltles belonglng to my estate into other bonds, notes, stocks or other securities, and to exercise all other rights and privileges of a person owning similar property. 4) To lease any real property in my estate. 5) To abandon, adjust, arbitrate, compromise, sue on or defend and otherwise deal with and settle claims in favor of or against my estate. 6) To continue or participate in any business which is a part of my estate, and to incorporate, dissolve or otherwise change the form of organization of the business. The powers, authority and discretion I grant to my personal representative are intended to be in addition to the powers, authority and discretion vested in him or her by operation of law by virtue of his or her office, and may be exercised as often as is deemed necessary or advisable, without application to or approval by any court. PAYMENT OF DEBTS Except for liens and encumbrances placed on property as security for the repayment of a loan or debt, I want all debts and expenses owed by my estate to be paid in the manner provided for by the laws of Pennsylvania. PAYMENT OF TAXES I want all estate and inheritance taxes assessed against property in my estate or against my beneficiaries to be paid in the manner provided for by the laws of Pennsylvania. NO CONTEST PROVISION If any beneficiary under this will contests this will or any of its provisions, any share or interest in my estate given to the contesting beneficiary under this will is revoked and shall be disposed of as if that contesting beneficiary had not survived me. SEVERABILITY If any provision of this will is held invalid, that shall not affect other provisions that can be given effect without the invalid provision. SIGNATURE I, Joan M. Gutshall, the testator, sign my name to this instrument, this 6Ni day of 3AtJuARy 9C01., at I declare that I sign and execute this instrument as my last will, that I sign it willingly, and that I execute it as my free and voluntary act. I declare that I am of the age of majority or otherwise legally empowered to make a will, and under no constraint or undue influence. /l.~~",- In, /kf:L/~cJrL (Siq,ried) .--~- Witness #1: ':A..1L,{Jj' ,~~----..... /~_\ '~I Residing at: -:.("'" /1/ WITNESSES We, the witnesses, sign our names to this instrument, and declare that the testator willingly signed and executed this instrument as the testator's last will. In the presence of the testator, and in the presence of each other, we sign this will as witnesses to the testator's signing. To the best of our knowledge, the testator is of the age of majority or otherwise legally empowered to make a will, is mentally competent and under no constraint or undue influence. We declare under pen~ty of perjury t~~~ th~ foregoing is true and correct, J<his ; day of ~ft(JV-46Y , ~ ,at Cd-/I1{JIJ/ I~ PevJ""ylvMt/1a . I /1 C / vI.:' .&ju C re-i;'?2 / .:'J - ,,/ .. i'" -, // '- '/ . ~'1 J"':J&_ /)' 14 /7/11 .'/ .7 '.-1.1 Witness #2: [6..--'.... f !} .~h\,-.;-,~.) ?es::.ding at: 1-:; ;::;,,.j,," ,if ~( / .~ . _ . ,_ /:-/.~. . 0 'if-P../.' i: - 't~, ~ ,..-., '_" '_" ::t ~ . .", ,/ f i.;) fl.,i. .~ ,~- r/ I ;.- .I~L:,..L..-'" ""__"'___ ,,_'I /-.___~-L--.....-~{,............... ,--", ~ J~l...//: ~ , . ,ij', ~O~!;,!, {,2.(:;?l (I/ir';t:,,;./[UiE 7); d;-f;q::/:,Ait~ ; J 8--"'1 ,,-f /t. 'P", ;-1 c;;;. 5' /1. ~-" ',/-1/; / ~_ / /11 1:5:'::J04 ~:s..l 11\/ 06-20-2005 GUTSHALL 01-18-2004 21 04-0105 CUMBERLAND 101 APPEAL DATE: 08-19-2005 ( See reverse side under Objections) AmDunt Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- REy:is47-Ex-AFP-io3:osi-NOTICE-OF-INHERITANCE-TAX-APPRAISEMENT:-ALLOWANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JOAN M FILE NO. 21 04-0105 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DR DISALLOWANCE DF DEDUCTIONS AND ASSESSMENT OF TAX ~ , , . I. C:~j , . v DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN O_EFi< ORPHN'{S CO: DIANE I!'J~JLS 'ESlI DILS & DILS 1017 N FRONT ST HBG :DT /"j PA 17102 ESTATE OF GUTSHALL *' REV-1547 EX AFP (06-05) JOAN M TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 06-20-2005 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds [Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) ~. Mortgages/Notes Receivable {Schedule DJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule Gl 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 190,040.00 .00 .00 .00 17.510.68 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule Hl 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 3,604.49 2.456.35 Ill) (12) (13) (14) NOTE: I~ an asses~ent was issued previDusly, lines re~lect ~igures that include the total ~ abb ASSESSMENT OF TAX: 15. ~unt of line 14 at Spousal rate (15) 16. AMount of line 14 taxable at lineal/Class A rate (16) 17. Amount of line 14 at Sibling rate (17) 18. Amount of line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Du. ITS: NOTE: To insure proper credit to your account~ subll! t the upper portion of this for. with your tax paYMent. 207,550.68 6.060 84 201,489.84 .00 201,489.84 14, IS and/Dr 16, 17, 18 and 19 will returns assessed tD date. .00 X 00 = 201,489.84 X 045 = .00 X 12 = .00 X 15 = (19)= + INTEREST/PEN PAID (-) 157.89 7.89- AMDUNT PAID 3,000.00 5,917.05 DATE 04-14-2004 03-28-2005 NUMBER CD003823 CD005127 '4 BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-29-2005 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. .00 9,067.05 .00 .00 9,067.05 9,067.05 .00 110.64 110.64 IF TOTAL DUE IS LESS THAN $1, ND PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) , ~ \ \ ~_ l t \ \, ' \ '\ \ \ \. \ . \ \ . ' \ "" " \ ' ' ~ 1 \ \ ----- * ~-5><1> ......:)(/) o ro :) .....00 <1> (/) ,- cnro"t .- .... :) ~(j) 0 ~ cr:c>O~ -:;,Z;'c,Z;'O"C'i -:;croc(j)~ ~6u-6?hg =oroo:)~ :::::-0-0-00...- =c~S€......O- _ro_w :: - /1'1 -:) ~ _....'-".... 0 <1> :::::<1>..<1>/"\- :: .0 -7 .0 '-" <n == E t: E <1> :.c -:;:)\-::)cro ~O4.000 '~'\ .' '_ ..-,1 " c. ,c ~/ 1 ' :;",,:, _ ;0.',' t - " <:,,,',',--,/ . \i.~ ~ 'Gi ~ ~ CS1 '" o ;:. w"" Ul~ o::Z t;n<( '3 'Z,... Ocfl o::Z u-Z ~~ ~ci 00:: z=> ....co ....cfl 0- ....~ <!. ~ 'I "or , 'J UN'1Ii...t{'() ''\O~ s.N'v'Ho;:O 0) )\H31~ 3 ~ cfl ?ij ~ o I- ~ 92 :Z\ ',j Z \ lOr SOUl - .- - - -- -- .f.-l i.'} i':1 VI , \ i') .l.... () f'" '1"" COMMONWEALTH OF PENNSYLVANIA p~ j1~CEfv J...:.i DEPARTMENT OF REVENUE BY J~ ~~~~,~ NOTICE OF JNHER1T..\~f::rA,X,/v- f.,r APPRAISEMENT, ALLOWANCE' .ORiJ) $1J1jI.JUI~~E OF DEDUCTIONS AN~ AS$~~~~~ ~'n~ 2005 ~~~ ~~ 12: 2~~~~~~~~05 DATE OF DEATH 01-18-2004 Ftl!R~UjBER 21 04-0105 O~lfS-COURT CUMBERLAND CUM~~__M\JD CO.. P'\ 101 APPEAL DATE: 08-19-2005 (See reverse side under Objections) Amount Remitted I ~ // () , & Y I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ~~!_~~9~~_!~}~_~}~~_______1___~~!~!~_~9~~~_~2~!!2~_~2~_Y9~~_~~~2~~~__~-------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JOAN M FILE NO. 21 04-0105 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX ZII0601 HARRISBURG PA 171Z8-0601 ESQ DIANE M DILS DILS & DILS 1017 N FRONT ST HBG PA 17102 ESTATE OF GUTSHALL TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) ct. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedula F) 7. Transfers (Schedule G) 8. Total Assets ) CHANGED (1) (2) (3) ('t) (5) (6) (7) 190,040.00 .00 .00 .00 17.510.68 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) l't. Net Value of Estate Subject to Tax NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ~ ASSESSMENT OF TAX: 15. Amount of Line l't at Spousal rate (15) 16. Amount of Line l't taxable at Lineal/Class A rate (16) 17. Amount of Line l't at Sibling rate (17) 18. Amount of Line l't taxable at Collateral/Class B rate (18) 19. Principal Tax Due D DATE 04-14-2004 03-28-2005 NUMBER CD003823 CD005127 INTEREST/PEN PAID (-) 157.89 7.89- 3,604.49 2.456.35 (11) (12) (13) (1't ) (9) (10) REV-1547 EX AFP (06-05) JOAN M DATE 06-20-2005 NOTE: To insure proper credit to your account, submit the upper portion of this forn with your tax payment. 207,550.68 6.060 84 201,489.84 .00 201,489.84 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = 201,489.84 X 045= .00 X 12 = .00 X 15 = (19)= AMOUNT PAID 3,000.00 5,917.05 BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-29-2005 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 9,067.05 .00 .00 9,067.05 9,067.05 .00 110.64 110.64 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU I1AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORI1 FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005547 OILS DIANE M 1017 N FRONT ST HARRISBURG, PA 17102 ACN ASSESSMENT CONTROL NUMBER AMOUNT ____u__ fold 101 $110.64 ESTATE INFORMATION: SSN: 206-32-4074 FILE NUMBER: 2104-0105 DECEDENT NAME: GUTSHALL JOAN M DA TE OF PAYMENT: 07/12/2005 POSTMARK DATE: 07/11/2005 COUNTY: CUMBERLAND DATE OF DEATH: 01/18/2004 TOTAL AMOUNT PAID: $ 1 1 0.64 REMARKS: CHECK# 305 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS r--'--nr-""'r:::.r-fj .....r-r-,r-- r- BUREAU OF INDIVIlJUllI;:iT~;I'~G i i""'".c . ii, INHERITANCE TAX DIVISION-, .: c_ " - ~ PO BOX 280601 HARRISBURG PA 17128-0601' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE J:NHERJ:TANCE TAX STATEMENT OF ACCOUNT '* REY~1607 EX AFP (03-05) G}~}"'!< C': nr-<r-, "'i' DIANE MC~ILS ESQ DILS & DILS 1017 N FRONT ST HBG '-" -'I DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-08-2005 GUTSHALL 01-18-2004 21 04-0105 CUMBERLAND 101 AIJount R_itt.d JOAN H O~,1S r!!re I'" P:~ I'. 07 Ll"...., ""...'J L. I I, PA 17102 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, sub.it the upper portion of this for. with your tax pay.ent. CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS - REV-1607 EX AFP (03-05) --------------------------------------------------------------------------- *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF GUTSHALL JOAN M FILE NO.21 04-0105 ACN 101 DATE 08-08-2005 THIS STATEMENT IS PROVIDED TO ADVISE DF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUHHARY DF THE PRINCIPAL TAX DUE, APPLICATIDN OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-20-2005 PRINCIPAL TAX DUE: 9,067.05 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-14-2004 CD003823 157.89 3,000.00 03-28-2005 CD005127 7.89- 5,917.05 07-11-2005 CD005547 110.64- 11 0 .64 TOTAL TAX CREDIT 9,067.05 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 . SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS TMAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOHN FOR INSTRUCTIONS. I <:i?'>J- cumberland County - Register Of wills One Courthouse Squar? Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/16/2005 GUTSHALL JEFFREY ALAN 115 PEPPER AVE ENOLA1 PA 17025 RE: Estate of GUTSHALL JOAN M File Number: 2004-00105 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the ~~ENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 1/18/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, Ai-' ,dLL~AJ ~ , I GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File counsel Judge ~ ~..~..<jJ'II';'1' t'....,- \~~":).. /~! ~ ~\ ':;'f.,''\>~ \~ ~J ~ ":r":) _ ~ _."_._.-,r. ~,-'~"":'rr.r!.i1l1 _ _ L: r.'1.....,____:1.... __....,:; _...,_...:i! ..1"""_...,...,-,~_ K{e~..!1.:3li,..(t:::lr {Vi 'ij~ lUi..!L~ OJ!. ~IULllJ.J.ilu.j)C:J.i.-ll.alUl..U v\;,j.H,Ull.i.lllLY Name of Decedent: STATUS REPORT rn\luER RlJLE 6.12 :JOdI" MCl-r ~e.. Gvt-shd-ll Date of Death: _ ~V\ua-,,'t I ~ I dDDL( I Estate No.: dOOY - Dol OS . 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 ~ No 0 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: a. Did the personal representative file a final accou..tlt with the Court? . Yes ~ No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the pa..'1:ies in interest? Yes 0 No J8l c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be f11ed with the Clerk of the Orphans' Court and may be attached to this report. ~:'l [~l~/. II /;%d:t,I(~ @eO/colL Sigfi~e / / :re.~\e.{ lh b1+s h 4 I \ Name Date: () (-II- ,}04 i -) {." -> lIS- r~fu- Ave. E"V1t{ ell [;.4 no~ Address (01 '1) 13;f- - ~ q 03 'Telepho11e 1\To. f...._.J,:- f Capaciti: ~ P ei..sorral P...epreseTJ.tati-ve o C':ol.lIlsel fOT persoT1al represer.!.tative \f}~