HomeMy WebLinkAbout10-30-0815056041125
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
Po Box 280601 '' 1 0 8 0 1 4 4
_ Harrisburo PA 17128-0601 RESIDENT DECEDENT `'
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
1 6 0 1 6 1 3 2 0 0 2 0 2 2 0 0 8 0 8 2 1 1 ~9 1 5
Decedent's Last Name Suffix Decedent's First Name MI
R E N S H A W K E T U F; A H L
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW '
Q 1. Original Retum ~ 2. Supplemental Return ~ 3. Remainder Retum (date of death
4. Limited Estate
~
4a. Future Interest Compromise (date of prior to 12-13-82)
Q 5. Federal Estate Tax Return Required
OX
6
De
d
t Di
d T death after 12-12-82)
0
.
ce
en
e
estate
(Attach Copy of Will) ~ 7. Decedent Maintained a Living Trust
Att
h C 8. Total Number of Safe Deposit Boxes
(
ac
opy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
LvKRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone~Number ~~'
J A M E S T B A L D W I N 5 7 0 7 4.^'2 8 -5. 0 -$:'
Firm Name Qf A licabl ~ `- ;
pp e)
B A L D W I N & B A L D W I N
First line of address
4 2 S O U T H F R O N T S T R E E T
Second line of address
City or Post Office
M I L T O N
State ZIP Code
DATE FILED
_ ,~
P A 1 7 8 4 7
Correspondent's e-mail address
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of m know)
it is true, correct and complete. Declaration of preparer other than the personal representatNe is based on all information of which pr arer has any knowledge. lief,
~1 NATURE QF PERSON ~jSPONSIBLE FOR F NG RET N ~~~ DAT
~tbl. ~ ~ ~ r-'! ~~> "v~'~ 1.1.x, / ~ r'~ J; ~ ~ ~ ~U~j~G'
c/o 42 SOUTH FRONT STF~ET ~ MILTON PA 17847
~w urtt car NREPARER OTHER THAN R~ENTATIyE DATE
~~ F+--s"a ~ 0 - p
ESS ~ ~ O t~
42 SOUTH FRONT STREET MILTON PA 17847
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 15056041125 1.5056041125 ~ y
1,
15056042126
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: KETUR.AH L. RENSHAW 1 6 0 1 6 1 3 2 0
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1-
2. stocks and Bonds (Schedule B) ....................... . .. . . . . .... 2. 1 6 1 9 7 7 3 , 0 9
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages 8 Notes Receivable (Schedule D) ................ ........ 4.
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ....... 5. ~ ~ 2 8 3 9 2 . 3 5
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 3 0 0 5 • 8 0
7. Inter-Vnros Transfers 8 Miscellaneous Non-Probate Property
{Schedule G) ~ Separate Billing Requested ....... 7. 0 • 0 0
8. Total Gross Assets (total Lines 1-7) . . . . . . . . . . . ....... . .. 8 2 3 5 1 1 7 1 • 2 4
9. Funeral Expenses & Administrative Costs {Schedule H) .... . . . . . . .. . .. . g, 1 6 1 0 8 1 • 9 6
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .... ........ 10. 1 3 2 2 3 , 2 4
11. Total Deductions (total Lines 9 & 10) .. . . . . . . .. . . ........ ... 11 1 7 4 3 0 5 , 2 0
12. Net Value of Estate (Line 8 minus Line 11) .... . ... . . .. . . ... . ... . . .. 12. 2 1 7 6 8 6 6. 0 4
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) . .... . . . . . . . . ..... 13. 1 1 1 0 0 0 ~ 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) .... . . . . . . . .. . . . . . 14 2 0 6 5 8 6 6. 0 4
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
16. Amount of Line 14 taxable
at lineal rate X .045 0. 0 0 16. 0. 0 0
17. Amount of Line 14 taxable
at sibling rate X .12 0, 0 0 17. 0, 0 0
18. Amount of Line 14 taxable
at collateral rate x .1 S 2 0 6 5 8 6 6. 0
4 18
3 0 9
8 7 9
9
1
.
19. Tax Due ......................................... .......19. 3 0 9 8 7 9. 9 1
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
L 15056042126 15056042126
REV-1500 EX Page 3
decedent's Complete Address:
File Number
21 08 0144
DECEDENT'S NAME
KETURAH L. RENSHAW
STREET ADDRESS
WOODS AT CEDAR RUN, APT. 215, 824 LISBURN ROAD
CITY STATE ZIP
CAMP HILL PA 17011
Tax Payments and Credits:
1_ Tax Due (Page 2 Line f9)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 295.000.00
C. Discount 15.494.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
(1) 309.879.91
Total Credits (A + B + ~C) (2) 310,494.00
Total Interest/Penalty (D + I~ )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(3)
0.00
(4} 614.09
(~ 0.00
(5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00
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:
a. retain the use ar income of the property transferred :.................................................
b. retain the right to designate who shall use the property transferred ar its income : ....................
c. retain a reversionary interest; ar .................
d. receive the promise for life of either payments, benefits ar care? ...........................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate considaration? ...............
............................................................
3. Did decedent own an 'in trust for' ar payable upon death bank account ar security at his ar her death?
4. Did decedent own an Individual Retirement Account, annuity, ar other non-probate properly which
contains a beneficiary designation? ......................
...............................................................
Yes No
........... ^ a
........... ^ X^
........... o a
.......... ^ a
.......... o a
......... ^ a
.......... ^ .
0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on ar after July 1, 1994 and before January 1,1995, the tax rate imposed on the net value of transfers G~ ar for the use of the surviving spouse
is three (3} percent [72 P.S. §9116 (a) (1.1) n].
For dates of death on ar after January 1, 1995, the tax rate imposed on the net value of transfers to ar for the use of the survning spouse is zero (0) percent
[72 P.S. §9116 (a} (1.1) (i)]. The statute does not exempt a transfer to a srxvnring spouse from tax, and the statutory requirements far 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 ar after Juty 1,2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age ar younger at death to ar far the use of a natural parent, an
adoptive parent, ar a stepparent of the child is zero (O) percent (l2 P.S. §9116(a)(1.2)j.
The tax rate imposed on the net value of transfers to ar for the use of the decedents lineal beneficiaries is four andone-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) (/2 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to ar for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood ar adoption.
REV-1503 EX + (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
KETURAH L. RENSHAW 21 08 0144
All properly joiMlyowned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1. 29,481.487 shares of Delaware Tax-Free Pennsylvania Fund Class A, in the name of 237
031.16
Keturah L. Renshaw (Valued at $8.04 per share) ,
2. 1,119.183 shares of Delaware Large Cap Value Fund Class A, in the name of 19
406.63
Keturah L. Renshaw (Valued at $17.34 per share} ,
3. 2,960 shares of John Hancock Sovereign Investors Fund, in the name of 51
888.80
Keturah L. Renshaw (Valued at $17.53 per share) ,
4. Pershing LLC Customer Cash account #5LP-073348, in the name of 8
362.83
Keturah L. Renshaw ,
5. 2,891.608 shares of Phoenix Focused Value Fund Class A, in the name of 48
145.27
Keturah L. Renshaw (Valued at $16.65 per share} ,
6. 9,879 shares of PPL Corp Common Stock, in the name of 488
121.39
Keturah L. Renshaw (Valued at $49.41 per share) ,
7, 512 shares of PPL Corporation common stock, Wells Fargo Shareowner Services, 25
242.88
account #3068912330 (Valued at $49.3025 per share) ,
8. 2,174.489 shares of T. Rowe Price Growth stock, in the name of Keturah L. Renshaw 67
191
71
(Valued at $30.90 per share) ,
.
9. 827.585 shares of T. Rowe Price Tax Free Income Fund, in the name of 8
255
74
Keturah L. Renshaw (Valued at $9.9757 per share) ,
.
10. 152.00 shares of Wachovia Corp (NEW) common stock, in the name of Keturah L. 5
891
52
Renshaw (Valued at $38.76 per share) ,
.
11. 45,066.765 shares of Putnam Pennsylvania Tax Exempt Income Fund-A
in the n
,
ame
of Keturah L. Renshaw (Valued at $9.14 per share) 411,910.23
12. 15,136.756 shares of Seligman Pennsylvania Municipal Fund Class A, in the name of 118
823
53
Keturah L. Renshaw (Valued at $7.85 per share) ,
.
13. Series E and EE United States Savings Bonds in the name of Keturah L. Renshaw 39
501
40
( See attached listing) ,
.
14. Series HH Bonds US Savings Bonds in the name of Keturah L. Renshaw, 18 bonds in 90
000
00
t he face amount of $5,000 each ,
.
TOTAL (Also enter on line 2, Recapitulation) ~ S
773.09
REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
KETURAH L. RENSHAW 21 08 0144
Include the proceeds of litigation and the date the proceeds were received by the e~atate.
All property Jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH _
t. U. S. Treasury, Social Security payment for January 964.00
2. State Employees' Retirement System Pension check for February 1 & 2 58.21
3. The Woods at Cedar Run, refund of unused rent for Decedent 1,168.79
4. Verizon, refund from the last month's telephone bill for Decedent 14.10
5. Sovereign Bank, Checking Account #0035071989 97,249.22
in the name of Keturah L. Renshaw
6. Sovereign Bank, Money Market Account #8513075201 577,625.58
in the name of Keturah L. Renshaw
7. Personal property belonging to Decedent in assisted living room 250.00
8. Sovereign Bank, Certifrcate of Deposit #1995543061 51,062.45
in the name of Keturah L. Renshaw
TOTAL (Also enter on line 5, Recapitulation) ~ E 728 392.35
(If more space is needed, insert additional sheets of the same size)
REV-1509 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
KETURAH L. RENSHAW 2'I 08 0144
ff an asset was made joirrt within one year of the decede~'s date of death, it must 6e reported on Schedule G.
SCHEDULE F
JOINTLY-OWNED PROPERTY
SURVMNG JOINT TENANT(S) NAME I ADDRESS (RELATIONSHIP TO DECEDENT
A. Neta S. Schafer
1301 South Glencoe Road
New Smyma Beach, Florida 32168-8438
cousin
e Andrea K. Jeffries
c
JOINTLYAWNED PROPERTY:
6105 Leewood Drive
Alexandria, VA 22310
niece
REM
NUMBER LETTER
FOR JOINT
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
DATE: OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTERESI
1. A. 1/1983 Series EE Savings Bond M2289031EE in the name of 2,299.60 50. 1,149.80
Keturah L. Renshaw or Mrs. Neta S. Schafer
4. B. 2/1984 Series EE Savings Bonds M6244041EE and 3,712.00 50. 1,856.00
M6244042EE in the name of Keturah L. Renshaw or
Andrea K. Jeffries
TOTAL (Also enter on line 6, Recapitulation)
/If mnre enare ie noerieri inenrf arLiifinnal ehen}c of 1ho camo easel
S 3.005.80
REV-1511 EX + (10-06)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES $
IN R SIDENTED ~ DENTRN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
KETURAH L. RENSHAW 21 08 0144
Detrts of decederrt must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
t. Dale E. Ranck Funeral Home 3,412.17
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) Lori Copley Doyle and Lynn F. Sheffer Executrices 56,000.00
Street Address 4516 Crooked Hill Road / 655 Hunters Lane
city Harrisburg / Lewisberry state PA / PA Z;p 17110
Years} Commission Paid: 2008 + 2009
2. Attorney Fees Baldwin 8~ Baldwin, Estate Legal Fees 40,000.00
3. Family Exemption: (If decedents address is not the same as claimants, attach explanation)
Claimant
Street Address
City State Zip _
Relationship of Claimant to Decedent
4• Probate Fees Cumberland County Register of Wills, Probate Will ($1,210.00;) 1,234.00
and 6 short certificates ($24.00)
5 Accountants Fees George J. Geib, C.P.A., Preparation of 2007 Income Tax Returns 500.00
s• Tax Return Preparers Fees Included in Attorney Fees
7. The Patriot-News Co., Advertising cost of legal notice 304
41
8. Cumberland Law Journal, Advertising cost of legal notice .
9.
U. S. Postmaster, registeredMsured mailings 75.00
10.
Funeral luncheon reimbursement to Lori Copley Doyle 28 37
11.
Death Certificate for Annie Barner
co-owner of bond 135.00
12. ,
Death Certificate for Diora H. Trutt, co-owner of bond 12.50
9
00
13. 5 Affidavit of Domicile forms for investments, notary fees .
25
00
14. Woods at Cedar Run, Rent for February .
2
635
00
15. Sue Tobias, Hair dresser ,
.
16.
U. S. Treasury, 2007 Individual Income Tax Due per Form 1040 15.00
17.
Bonnie K. Miller, Treasurer, 2008 Personal Income Tax 53,650.00
18.
Death Certificate for Cleta R. White, Co-Owner of Bond 9 80
12
00
.
Page 1 of 2'. S con's.
(If more space is needed, insert additional sheets of the same size)
_ Continuation of REV-15001nheritance Tax Return Resident Decedent
KETURAH L. RENSHAW 21 08 0144
Decedent's Name Page 1 Fite Number
Schedule H -Funeral Expenses St Administrative Costs - 67.
ITEM
NUMBER DESCRIPTION AMOUNT
19. Neuberger Berman, fees for cost basis data on investments 60.00
20. PA Department of Revenue, 2007 Form PA40 Income Tax Due 1,171.00
21. Evans Memorial, Cemetery marker and engraving 1,168.00
22. Reimbursement to Lynn Sheffer for storage unit and postage 175.71
23. Miscellaneous deduction as allowance for Accountant's fees, Court Approved
Account, and Summary of Estate Escrow Filing fees, etc. 450.00
_ _ TOTAL SCHEDULE H-B7 ~ $161, 081.96
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, ~ LIENS
FILE NUMBER
KETURAH L. RENSHAW 21 08 0144
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
Lori Cogley Doyle, Power of Attorney services ($10,125.00), lost wages ($2',913.24)
2. (Lori Cogley Doyle, Reimbursement for clothing and personal supplies for Decedent
13, 038.24
185.00
TOTAL (Also enter on line 10, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (g_pp~
COA~IAONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
__
ESTATE OF FILE NUMBER
KETURAH L. RENSHAW 21 08 0144
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List T'rustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright sppoousal distributions, and transfers under
Sec. 9116 (a) (1.2)I
1. Lori Cogley Doyle Collateral
4516 Crooked Hill Road One-Eighth equal share
Harrisburg, PA 17110 of Residuary Estate
2. Lynn F. Sheffer Collateral
655 Hunters Lane One-Eighth equal share
Lewisbeny, PA 17339 of Residuary Estate
3. Andrea Jeffries Collateral
6105 Leewood Drive One-Eighth equal share
Alexandria, VA 22310 of Residuary Estate
4. Christine McMillian Collateral
139 Heritage Drive One-Eighth equal share
Portsmouth, RI 02871 of Residuary Estate
5. Robert M. White, Jr. Collateral
P O. Box 0707 One-Eighth equal share
Ellicott City, MD 21041-0707 of Residuary Estate
6. John W. Cogley, Jr. named in the Will as Jay Cogley Collateral
2136 Worthington Avenue One-Eighth equal share
Bethlehem, PA 18017 of Residuary Estate
7. Scott Cogley Collateral
5047 Ravenwood Road One-Eighth equal share
Mechanicsburg, PA 17055 of Residuary Estate
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, O N REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BENNG MADE
1.
0.00
1
2
3
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
Evangelical Community Hospital Building Fund
Development Office, One Hospital Drive
Lewisburg, PA 17837
American Bible Society
Legal Department, 1865 Broadway
New York, NY 10023-9980
Crystal Cathedral Ministries
P. O. Box 100
Garden Grove, CA 92842
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 s¢e)
25,000.00
10,000.00
5,000.00
S 111.000.00
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
KETURAH L. RENSHAW
Decedent's Name Page 2
Schedule J -Beneficiaries -1
21 08 0144
File Number
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP T'0 DECEDENT
Do Not List Trustee(s) AMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
8. Allison O'Brien Collateral
600 Gladstone Avenue One-Eighth equal share
Baltimore, MD 21210 of Residuary Estate
9. Anna M. Stahl Collateral 5,000.00
858 Carpenter Road specific bequest per
Milton, PA 17847 Item Three (i) of Will
10. Betty Herald Collateral 5,000.00
202 Fairview Avenue specific bequest per
Milton, PA 17847 Item Three (j} of Will
11. Neta Schafer Collateral 5,000.00
1301 South Glencoe Road specific bequest per
New Smyma Beach, FL 32168-8438 Item Three (k) of Will
12. Jessica Jeffries Collateral 20,000.00
6161 Edsall Road, Apt. 202 specific bequest per
Alexandria, VA 22304 Item Three (r) of Will
13. Drew Cogley Go Scott Cogley Collateral 20,000.00
5047 Ravenwood Road specific bequest per
Mechanicsburg, PA 17055 Item Three (I) of Will
14. Alex O'Brien Go Allison O'Brien Collateral 20,000.00
600 Gladstone Avenue specific bequest per
Baltimore, MD 21210 Item Three (m} of Will
15. Jacob Jeffries Collateral 20,000.00
6105 Leewood Drive specific bequest per
Alexandria, VA 22310 Item Three (n) of Will
16. Kirsten Sheffer c/o Lynn Sheffer Collateral 20
000.00
655 Hunters Lane ,
specific bequest per
Lewisberry, PA 17339 Item Three (o) of Will
17. Devon Cogley Collateral 20
000.00
5047 Ravenwood Road ,
specific bequest per
Mechanicsburg, PA 17055 Item Three (p) of Will
18. Meghan Cogley Collateral 20
000.00
2136 Worthington Avenue ,
specific bequest per
Bethlehem, PA 18017 Item Three (q) of Will
19. Ashley McMillian Go Christine McMillian Collateral 20
000.00
139 Heritage Drive ,
specific bequest per
Portsmouth, RI 02871 Item Three (s) of Will
20. Cpdy McMillian c/o Christine McMillian Collateral 20
000.00
139 Heritage Drive ,
specific bequest per
Portsmouth, RI 02871 Item Three (t) of Will
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
KETURAH L. RENSHAW 21 08 0144
Decedent's Name Page 3 File Number
Schedule J -Beneficiaries - 26
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
4. March of Dimes 1,000.00
1275 Mamaroneck Avenue
White Plains, NY 10605
5. Lebanon Valley College 25,000.00
101 North College Avenue
Annville, PA 17003-1400
6. St. Andrew's United Methodist Church 25,000.00
102 Lower Market Street
Milton, PA 17847
7. The Salvation Army 10,000.00
Legal Department, 440 West Nyack Road
West Nyack, NY 10994
8. American Red Cross of Upper Northumberland County 10,000.00
560 Mahoning Street
Milton, PA 17847
c~o~~
LAST WILL AND TESTAMENT
I, KETURAH L. RENSHAW, of 200 Fairview Avenue, Milton Borough,
Northumberland County, Pennsylvania, being of sound and disposing mind, memory, and
understanding, do make, publish, and declaze this to be my Last Will and Testament, hereby
revoking any and all Wills and Codicils by me at any time heretofore made.
ITEM ONE
I direct my Executrices, hereinafter named, to pay all my just debts, funeral expenses
(including the costs of a suitable marker and/or the engraving of any existing mazker), costs of
administration, and all inheritance taxes assessed against my Estate as soon after my decease as
possible.
ITEM TWO
I order and direct that all of my personal effects, furnishings, and. family photographs
and heirlooms shall be distributed to my family members by my Executrices and at their
complete and sole discretion. If there aze any disputes regazding the same that can not be
settled by my Executrices, then I order and direct that the Attorney(s) for my Estate aze to
resolve said dispute(s) in a fair and equitable manner, with the decision(s) of said Attorney(s)
to be final and legally binding.
ITEM THREE
I give and bequeath the following sums of money, to wit:
LAW OFFICES OF
BALDWIN & BALDWIN
MILTON, PA
(a) The sum of Ten Thousand ($10,000.00) Dollazs, or; two (2%) percent of the rest,
residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to the American Bible Society, currently of New York, New York, as a charitable
bequest for use in its general purposes. If the said American Bible Society is no longer in
existence at the time of my death, then this bequest is to lapse and become null and void.
(b) The sum of Five Thousand ($5,000.00) Dollars, or one (1%) percent of the rest,
residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to the Crystal Cathedral Ministries, currently of Garden Grove, California, as a
charitable bequest for use in its general purposes. If the said Crystal Cathedral Ministries is no
longer in existence at the time of my death, then this bequest is to lapse and become null and
void.
(c) The sum of Twenty-five Thousand ($25,000.00) Dollars, or five (5%) percent of
the rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable
and binding, to St. Andrew's United Methodist Church, currently of Milton, Pennsylvania, as a
charitable bequest for use in its general purposes. If the said St. Andrew's United Methodist
Church is no longer in existence at the time of my death, then this bequest is to lapse and
become null and void.
LAW OFFICES OF
BALDWIN 6 6ALDWIN
MIL7DN, PA
(d) The sum of One Thousand ($1,000.00) Dollars, or twenty-hundredths (0.20%)
percent of the rest, residue, and remainder of my Estate, with the lesser figure of the two to be
applicable and binding, to the March of Dimes, currently of Harrisburg, Pennsylvania, as a
charitable bequest for use in its general purposes. If the said March of Dimes is no longer in
existence at the time of my death, then this bequest is to lapse and become null and void.
(e} The sum of Twenty-five Thousand ($25,000.00) Dollars, or five (5%) percent of
the rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable
and binding, to the Evangelical Community Hospital Building Fund, currently of Lewisburg,
Pennsylvania, as a charitable bequest for use in its general purposes, and with said bequest to
be specifically designated in memory of my parents, Mr. and Mrs. W. J. Raymond Rein. If the
said Evangelical Community Hospital Building Fund is no longer in existence at the time of my
death, then this bequest is to lapse and become null and void.
(f) The sum of Twenty-five Thousand ($25,000.00) Dollars, or five (5%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to the Lebanon Valley College, currently of Annville, Pennsylvania, as a charitable
bequest for use in its general purposes, and with said bequest to be specifically designated in
memory of my son, Lieutenant U.S.N. Craig H. Renshaw, Class of 1967. If the said Lebanon
Valley College is no longer in existence at the time of my death, then this bequest is to lapse
and become null and void.
(g) The sum of Ten Thousand ($10,000.00) Dollars, or two (2%) percent of the rest,
residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to the Milton, Pennsylvania Division of the Salvation Army, for specific use in the
Borough of Milton, Pennsylvania and in the adjacent townships served by the Milton office, as
a charitable bequest for use in its general purposes in this defined geographic area. If the said
Milton, Pennsylvania Division of the Salvation Army is no longer in existence at the time of my
death, then this bequest is to lapse and become null and void.
(h) The sum of Ten Thousand ($10,000.00) Dollars, or two (2%) percent of the rest,
residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to the American Red Cross of Upper Northumberland County, currently of Milton,
Pennsylvania, for specific use in the Borough of Milton, Pennsylvania and in the adjacent
townships served by the American Red Cross of Upper Northumberland County office, as a
charitable bequest for use in its general purposes in this defined, geographic area. If the said
American Red Cross of Upper Northumberland County is no lc-nger in existence at the time of
my death, then this bequest is to lapse and become null and void.
2
(i) The sum of Five Thousand ($5,000.00) Dollars, or one (1%) percent of the rest,
residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to Anna M. Stahl, currently of Milton, Pennsylvania. If the said Anna M. Stahl should
predecease me, then this bequest is to lapse and become null and void.
LAW OFFICES CF
IALDWIN & BALDWIN
MILTON, PA
(j) The sum of Five Thousand ($5,000.00) Dollars, or one (1%) percent of the rest,
residue, and remainder of my Estate, with the lesser figure of xhe two to be applicable and
binding, to Betty Herald, currently of Milton, Pennsylvania. If'the said Betty Herald should
predecease me, then this bequest is to lapse and become null and void.
(k) The sum of Five Thousand ($5,000.00) Dollars, or one (1 %) percent of the rest,
residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my cousin, Neta Schafer, currently of New Smyrna Beach, Florida. If the said Neta
Schafer should predecease me, then this bequest is to lapse and become null and void.
(1) The sum of Twenty Thousand ($20,000.00) Dollars, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandnephew, Drew Cogley, currently of Camp Hill, Pennsylvania, in the
manner stipulated in Item Five of this, my Will. If the said Drew Cogley should predecease
me, then this bequest is to lapse and become null and void.
(m) The sum of Twenty Thousand ($20,000.00) Dollars, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandnephew, Alex OBrien, currently of Baltimore, Maryland, in the manner
stipulated in Item Five of this, my Will. If the said Alex OBrien should predecease me, then
this bequest is to lapse and become null and void.
(n) The sum of Twenty Thousand ($20,000.00) Dollars;, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandnephew, Jacob Jeffries, currently of Alexandria, Virginia, in the manner
stipulated in Item Five of this, my Will. If the said Jacob Jeffries should predecease me, then
this bequest is to lapse and become null and void.
(o) The sum of Twenty Thousand ($20,000.00) Dollars, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandniece, Kirsten Sheffer, currently of Lewisberry, Pennsylvania, in the
manner stipulated in Item Five of this, my Will. If the said Kirsten Sheffer should predecease
me, then this bequest is to lapse and become null and void.
(p) The sum of Twenty Thousand ($20,000.00) Dollars, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandniece, Devon Cogley, currently of Camp Hill, Pennsylvania, in the manner
stipulated in Item Five of this, my Will. If the said Devon Cogley should predecease me, then
this bequest is to lapse and become null and void.
3
(q) The sum of Twenty Thousand ($20,000.00) Dollazs, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandniece, Meghan Cogley, currently of Allentown, Pennsylvania, in the
manner stipulated in Item Five of this, my Will. If the said Meghan Cogley should predecease
me, then this bequest is to lapse and become null and void.
(r) The sum of Twenty Thousand ($20,000.00) Dollars, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandniece, Jessica Jeffries, currently of Alexandria, Virginia, in the manner
stipulated in Item Five of this, my Will. If the said Jessica. Jeffries should predecease me, then
this bequest is to lapse and become null and void.
(s) The sum of Twenty Thousand ($20,000.00) Dollars, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandniece, Ashley McMillian, currently of Portsmouth, Rhode Island, in the
manner stipulated in Item Five of this, my Will. If the said Ashley McMillian should
predecease me, then this bequest is to lapse and become null and void.
(t) The sum of Twenty Thousand ($20,000.00) Dollars, or four (4%) percent of the
rest, residue, and remainder of my Estate, with the lesser figure of the two to be applicable and
binding, to my grandnephew, Cody McMillian, currently of Portsmouth, Rhode Island, in the
manner stipulated in Item Five of this, my Will. If the said Cody McMillian should predecease
me, then this bequest is to lapse and become null and void.
ITEM FOUR
LAW OFFICES OF
BALDWIN & BALDWIN
MILTON, PA
Under and subject to the directive contained in Item Two and the bequests described in
Item Three of this, my Will, which directive and bequests aze to have priority and be
controlling, I order and direct that the rest, residue, and remainder of my Estate, of whatsoever
kind and nature and wheresoever situate at the time of my death, whether real property,
personal property, or mixed property, is to be converted into cash. I give and bequeath the
resulting net cash proceeds, which figure is to be derived after all costs, fees, expenses,
inheritance taxes, and bills due and owing by my Estate have been fully paid, in equal shazes, to
my niece, Andrea Jeffries, currently of Alexandria, Virginia; my niece, Christine MclVtillian,
currently of Portsmouth, Rhode Island; my nephew, Robert M. White, Jr., currently Ellicott
City, Maryland; my nephew, Jay Cogley, currently of Bethlehem, Pennsylvania; my nephew,
Scott Cogley, currently of Camp Hi11, Pennsylvania; my niece, Lynn F. Sheffer, currently of
Lewisberry, Pennsylvania; my niece, Lori Cogley Doyle, currently of Harrisburg, Pennsylvania;
and my niece, Allison O`Brien, currently of Baltimore, Maryland.
In the event that one or more of my aforesaid eight heir. (s) should predecease me, then
the share of said deceased heir(s) is to go equally to my remaining heir(s) named in this Item
Four of my Will, who must be living at the time of my death in order to inherit hereunder.
4
ITEM FIVE
In the event that any share of my Estate should pass to my heirs, namely, Drew Cogley,
Alex OBrien, Jacob Jeffries, Kirsten Sheffer, Devon Cogley, Meghan Cogley, Jessica Jeffries,
Ashley McMillian, or Cody McMillian, as provided in Item Three (1), (m), (n), (o), (p), (q), (r),
(s), and (t) of this, my Will, and if said heir(s) are under the age of twenty-four (24) years at
the time of their respective inheritance, then and in such event said share(s) must be
transmitted by creating separate and irrevocable, insured, interest bearing Certificates of
Deposit, one for each applicable heir, with any local area Bank. Each Certificate of Deposit
will be in the name of a different heir as qualified above, but all. Certificates of Deposit created
hereunder shall be designated in care of my Estate and held by my Executrices or by my
hereinafter named Attorneys (if applicable). The respective Social Security Numbers of my
aforesaid heirs are to be used for income tax purposes, and all iinterest earned on each of said
Certificates of Deposit must accumulate and be added to the principal of the applicable
Certificate. The entire amount of principal and interest of the (:ertificate in the name of each
applicable heir, as designated in care of my Estate, is to be fully paid to said heir(s) on the date
that he, she, or they reach their twenty-fourth (24th) birthday.
In the event that one or more of my above-referenced heir(s) should die before
attaining the age of twenty-four (24) years, then I give and bequeath the Certificate(s) of
Deposit in the name of said deceased heir(s), together with the entire amount of principal and
accumulated interest, in equal portions, to my remaining heir(s) referenced in Item Three (1)
through (t) inclusive of this, my Will, but subject, however, to the exact terms, conditions, and
restrictions of any Certificate of Deposit which has been previously established herein for him,
her, or them, if applicable.
ITEM SIX
I order and direct that all legacies and all shares and interests in my Estate, whether
principal or income, while in the control of my Executrices or Attorneys for my Estate (if
applicable), shall not be subject to attachment, execution, or sequestration for any debt,
contract, obligation or liability of any legatee or beneficiary, and shall not be subject to pledge,
assignment, conveyance, or anticipation, and the personal receipt of such legatee or beneficiary
shall be the sufficient and only discharge of my Executrices or Attorneys for my Estate (if
applicable).
ITEM SEVEN
LAW DFFICES DF
3ALDWIN S BALDWIN
MILTON, PA
All federal, state, and other death taxes payable because of my death, with respect to
the property forming my gross Estate for tax purposes, whether or not passing under this Will,
including any interest or penalty imposed in connection with such tax, shall be considered a
part of the expense of the administration of my Estate and shall 'be paid from my residuary
Estate without apportionment or right of reimbursement.
ITEM EIGHT
I nominate, constitute, and appoint my niece, Lori Cogley Doyle, currently of 4516
Crooked Hill Road, Harrisburg, Pennsylvania 17710, and my :niece, Lynn F. Sheffer, currently
of 655 Hunters Lane, Lewisberry, Pennsylvania 17339, to be the Executrices of this, my Last
Will and Testament. I direct that my said Executrices shall have full power and authority
granted to fiduciaries under the Acts of Assembly in such case made and provided, and that
they not be required to give Bond for the faithful performance of their duties as Executrices.
In case of vacancy in said office by reason of the death, (or the refusal to serve) of
either of the said Lori Cogley Doyle or Lynn F. Sheffer, then and in that event I appoint the
remaining one of the two of them to serve as Executrix, without the requirement of a Bond.
I further order and direct that my Executrices shall have full and complete discretion in
the settlement of my Estate, but must abide by the terms and conditions set forth in this, my
Will, and that no Order of Court will be required to sell or dispose of any of my assets,
whether real property, personal property, or mixed property.
ITEM NINE
I order and direct that Baldwin & Baldwin, of 42 South Front Street, Milton,
Pennsylvania, shall be employed as Attorneys in all matters in connection with the
administration of my Estate and in carrying out the provisions established by this, my Will.
My Attorneys are very familiar with my wishes, sentiments, and desires in accordance with
said provisions of this Will.
IN WITNESS WHEREOF, I, Keturah L. Renshaw, the Testatrix above-named, have
hereunto set my hand and seal this 29th day of June, 2007.
/( a~.,~~-~-~-~-~~ o~, ~ ~-~ (SEAL)
Signed, sealed, published, and declared by the above Testatrix as and for her Last Will
and Testament in the presence of us, who in the presence of said Testatrix, in the presence of
each other, and at her request, have hereunto signed our names as witnesses.
UW OFFICES OF ~ ~
BALDWIN &BALDWIN ~ ~A~
MILTON, PA f'YS'
6
COMMONWEALTH OF PENNSYLVANIA,
COUNTY OF NORTHUMBERLAND,
ss:
ON this, the 29th day of June, 2007, before me, a Notary Public, the undersigned
LAW OFFICES OF
BALDWIN ~ 6ALDWIN
MILTON, PA
officer, personally appeared Keturah L. Renshaw, known to me (or satisfactorily proven) to be
the person whose name is subscribed to the within instrument and acknowledged that she
executed the same for the purpose therein contained, as and for her Last Will and Testament.
IN WITNESS WHEREOF, I hereunto set my hand and Notarial seal.
'~ L~
COMMONWEALTH OF PENNSYLVANIA
Notarial seal Notary Public
Linda S. frown, Notary Public
Milton Boro, Northumberland County
My Commission Expires June i$,2Q10
Member, Pennsylvania Association of Notaries
7
COMMONWEALTH OF PENNSYLVANIA, )
ss:
COUNTY OF NORTHUMBERLAND, )
We, E. Terry Baldwin and James T. Baldwin, the witnesses whose names are signed to
the attached or foregoing instrument, being duly qualified according to law, do depose and say
that we were present and saw Keturah L. Renshaw, the Testatrix, sign and execute the
instrument as her Last Will and Testament; that the Testatrix signed willingly and 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 Testatrix was at the time eighteen (18) or more years of age, of sound mind, and under no
constraint or undue influence.
Sworn to or affirmed and subscribed to before me by E. Terry Baldwin and James T.
LAW OFFICES OF
ALDWIN S BALDWIN
MIL70N, PA
Baldwin, witnesses, this 29th day of June, 2007.
COMMONWEALTH OP PENNSYLVANIA
Notarial Seal /~
Linda S. Brown, Notary Public ~~'~
Milton Boro, Northumberland County Notary Public
My Commission Expires Jude 18, 2pip
Member, Pennsylvania Association of Notaries
r/wills.r/renshaw
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E. TERRY BALDWIN, ESO.
JAMES T. BALDWIN, ESO.
WM. W. BELFOR D, II
(1947-1998)
RALPH L. BELFOR D, SR.
(1908-1949)
Law ~ffces of
BALDWIN &BALDWIN
42 SOUTH FRONT STREET
MILTON, PA 17847
October 29, 2008
VIA Federal Express (Overnight}
Cumberland County Courthouse
Attention: Glenda Farner Strasbaugh, Register of Wills
One Courthouse Square
Carlisle, PA 17013
PHONE: (570) 742-8508
FAX: (570) 742-4113
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In Re: Estate of Keturah L. Renshaw: Social Security Number 160-16-1320;
Died February 2, 2008; Cumberland County File No. 21-08-0144
Dear Glenda:
You will find enclosed herewith for immediate processing the following items in reference to the
above Estate, to wit:
1. Pennsylvania Inheritance Tax Return (in duplicate original) dated October 9, 2008.
2. Copy of the United States Estate Tax Return Form 706 dated October 9, 2008, which
I understand will be forwarded by your office to the Pennsylvania Department of Revenue in Harrisburg.
3. Cumberland County Inventory dated October 9, 2008 listing the probate assets for this Estate
in the total sum of $2,348,165.44.
4. Baldwin & Baldwin Trust Check #10337 dated October 29, 2008 payable to "Cumberland
County Register of Wills" in the sum of $30.00, representing the filing fees for the Pennsylvania
Inheritance Tax :Return and the Cumberland County Inventory.
I am including with this letter aself-addressed, stamped envelope for you to send me the
following items, to wit:
A. My File Copy of the Pennsylvania Inheritance Tax Return showing the date and time of filing
stamped on the front page.
B. My File Copy of the Cumberland County Inventory showing the date and time of filing
stamped on the front page.
C. A separate receipt for the payment of $30.00 which is described in Item 4 above.
Glenda Farner Strasbaugh, Cumberland County Register of Wills
Page 2
October 29, 2008
Thank you for your expected cooperation in this matter, and please fe:el free to call me if you have
any questions regarding the same.
Very truly yours,
BALDWIN & BALDWIN
~_~
James T. Baldwin
JTB:td
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