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HomeMy WebLinkAbout03-0517 PETITION FOR GRANT OF LETTERS Estate of Nora E. McMillan No. ,--~1- D'~ -,,.~lq also known as Edward T. McMillan and Darrell L. McMillan Petitioner(s), who is/are 18 years of age or older, apply)les) for: , Deceased Social Security No. 200283809 (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut ors [ Decedent, dated 12/07/1995 and codicil(s) dated named in the Last Will of the State relevant circun~l, ances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minodtate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 103 North Madder Driver Mechanicsbur~T PA 17050T Silver Sprin~s Township (list street, number and municipality) Decedent, then 87 years of age, died June 12 ,2003 , at Masonic Homesr Elizabethtownr PA Decedent at death own. ed property with estimated values as follows: (Location) (if domiciled in PA All personal property ......................................... $ (if not domiciled in PA Personal property in Pennsylvania .................... $ (if not domiciled in PA Personal property in County .............................. $ Value of real estate in Pennsylvania ........................................................................................ $ Total Real Estate situated as follows: 35~000.00 35r000.00 Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: J Signature Typed or printed name and residence Edward T. McMillan-3 West North Ave~ Enolar PA 17025 Darrell L. McMillan-103 North Madder Dr.~ Mechanicsburg~ PA RW-1 Oath of Personal Representative befo~m~ ~_~' ~ day of Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administeI..t~e estate accord~g to law. ~ .~ Sworn to and affirmed and subscribed EDWARD T. McMILLAN ,.'3 C. ~ / '- ~ ;/~; ~ :i,-~ ~,.,?" ,, , : ::;' DARRELL L. McMILLAN DECREE OF REGISTER Estate of NQra E. MgMillan Deceased also known as Social Security No: 200283809 Date of Death: 0(~ j Iz- j ZOO ~ AND NOW, ~'~',/Am ~_ [~ ~,0o,.% in consideration of the Petition on the reverse side hereon, satisfa~ory proof having been presented before me, IT IS DECREED that Letters I~ Testamentary I~ of Administration ((c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate) are hereby granted to ~ck~o-rc~ -~' ~O._~'(~,l~c~ Ck~ ~~_1~ L J/~qct/YJJlJck~ in the above estate and that the instrument(s), if any, dated V2-- -'1 - ~ ~c~ ~) described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Letters .................................... $ Short Certificates(s) ............... $ Renunciation .......................... $ Extra Pages ( ) ...............$ I.T:R ....................................... $ JCP Fee ................................. $ Inventory ................................ $ Other ...................................... $ -10 ,Ob q .oo \0.0o ~ Register of Wills , d -J- O~ Signature Attorney: Scott W. Morrison I.D. No: 83943 Address: 4 West Main Street~ P. O. Box 232 New Bloomfield Telephone: (717)582-2300 DATE FILED: TOTAL ............................. $ I ~)/' O0 Pa 17068 LAST WILL AND TESTAMENT O_EF NORA E. MCMILLAN I, Nora E. McMillan, of East Pennsboro Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my Estate or by any recipient of any property, shall be paid by my Executor out of the property passing under Item IV of this Will, as an expense and cost of administration of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I hereby acknowledge that the following items of household furniture and furnishings belong to my daughter, Sharon L. Horning, of Mechanicsburg, Pennsylvania, and direct my Executor to return these items to Sharon L. Horning upon my death: dining room set, refrigerator, microwave, living room furniture, drapes and curtains, all wall decorations, table lamps and end tables. ITEM III: I hereby give and bequeath absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, wearing apparel and all other like articles of household or personal use or adornment to my daughters, Sharon L. Horning and Karen L. Zelner, of Balston Spa, New York, to be divided between them as they may agree, or, if they are unable to agree, to be divided between them in as equal shares as possible by my Executor. If either Sharon L. Horning or Karen L. Zelner predeceases me, this gift and bequest shall pass to the survivor. Page 1 of 4 ITEM IV: I give, devise and bequeath unto my children, Edward T. McMillan of Enola, Pennsylvania, Ronald E. McMillan of Milville, New Jersey, Wilbur E. McMillan of Wilkes-Barre, Pennsylvania, James W. McMillan of Landisburg, Pennsylvania, Darrell L. McMillan of Mechanicsburg, Pennsylvania, Sharon L. Homing of Mechanicsburg, Pennsylvania, and Karen L. Zelner of Balston Spa, New York, all of the rest, residue and remainder of my property, real, personal and mixed, in equal shares, per capita. ITEM V: In the settlement of my Estate, my Executor shall possess, among others, the following powers to be executed for the best interest of the beneficiaries: (a) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my Estate, any or all real or personal estate or interest therein, whether owned by me severally or in conjunction with other persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor in this Paragraph V(a) or elsewhere in my Will. (b) To pay all costs, taxes, expenses and charges in connection with the administration of my Estate. My Executor shall pay expenses of my last illness and funeral expenses. (c) To distribute my Estate in kind or in money. Page 2 of 4 If any assets are distributed in kind, they shall be distributed at their respective value(s) on the date(s) of their distribution. (d) To retain any investments I may have at my death so long as my Executor may deem it advisable to my Estate so to do. (e) To vary investments, when deemed desirable by my Executor and to invest in such bonds, stocks, notes, money markets, real estate mortgages or other securities or in such other property, real or personal, as he shall deem wise, without being restricted to so-called "legal investments.,, (f) To mortgage real estate and to make leases of real estate. (g) To borrow money from any party to pay indebtedness of mine or of my Estate, expenses of administration or inheritance, legacy, estate and other taxes. (h) To vote any shares of stock which form a part of the Estate and to otherwise exercise all the powers incident to the ownership of such stock. (i) In the discretion of my Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the Estate. (j) To distribute my personal property directly to the Guardian of the person of any minor beneficiaries hereunder. (k) To elect such settlement options as deemed most appropriate by my Executor with respect to any pension, profit sharing or other retirement plan in which I am a participant. (1) To do all other acts in the judgment of my Executor necessary or desirable for the proper and advantageous management, investment and distribution of Page 3 of 4 my Estate. .ITEM VI: Any person who shall have died at the same time as Testatrix, or in a common disaster with her, or under such circumstances that it is difficult or impossible to determine who died first, or who shall fail to survive Testatrix by ninety (90) days, shall be deemed to have predeceased her. ITEM VII: I nominate, constitute and appoint my sons, Edward T. McMillan of Enola, Pennsylvania and Darrell L. McMillan of Mechanicsburg, Pennsylvania to be my Co-Executors. In the event of the death, resignation, refusal or inability of either of the Co-Executors to serve as my Co-Executor, I nominate, constitute and appoint my son, Ronald E. McMillan, to serve as my successor Co-Executor. My Co-Executors are specifically relieved from the duty or obligation of filing any bond, bonds or other security. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of this page and the preceding three (3) pages, this .~--~-~ day of Nora E. McMillan SIGNED, SEALED, PUBLISHED AND DECLARED by the above- named Testatrix, Nora E. McMillan, as and for her Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses in attestation thereof. Page 4 of 4 COMMONWEALTH OF PENNSYLVANIA : : COUNTY OF DAUPHIN : SS.: I, Nora E. McMillan, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by Nora E. McMillan, the Testatrix, this~ day of~c_~~ , 1995. Nora E. McMillan, Testatrix (SEALt COMMONWEALTH OF PENNSYLVANIA : · SS · COUNTY OF DAUPHIN : Notary Public My Commission Expires: Lisa R. Rowel Notary Pul~ HarrisOn, Dauphin County My Cornmission Expires July !2, 1997 and ~~'~C~ ~ , 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 the Testatrix, sign and execute the instrument as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness, in the hearing and sight of the Testatrix, signed the Will as a witness; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence· Sworn to or affirmed and sgbscribed to before me by ~[i no~ , , ~.~C~ /-7~/~)~ ~ ~ r'- and k~2x~<ck~- ~-L , witnesses this ~ day of C~~ 1995· ' Witnes~ /// Notary Public My Commission Expires: (SEAL) '03 JUN 25 i.~9 '.01 WIX, WENGER 8 WEIDNER ATTORNEYS AT LAW .508 NORTH SECOND STREET POST OFFICE BOX 84.5 HARRISBURG, PENNSYLVANIA 17108-0845 LAW OFFICES SCOTT W. MORRISON CENTER SQUARE, P.O. BOX 232 NEW BLOOMFIELD, PA 17068 TELEPHONE: 717-582-2300 FAX: 717-582-4220 August 15, 2003 Register of Wills Cumberland County Courthouse Carlisle, PA 17013 Re: Estate of Nora E. McMillan No. 21-03-0517 Attention Donna M. Otto, Register of Wills Dear Ms. Otto: I enclose herewith check no. 2763 payable to Register of Wills, Agent in the amount of $1,000.00 for estimated inheritance tax in the above Estate. Very truly yours, Scott W. Morrison, Esquire SWM:trk Enclosure SCOTT W. MORRISON, ESQUIRE CENTER SQUARE P.O. BOX 232 NEW BLOOMFIELD PA 17068 REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 002917 MORRISON SCOTT W ESQ P O BOX 232 NEW BLOOMFIELD, PA 17068 ........ fold ESTATE INFORMATION: SSN: 200-28-3809 FILE NUMBER: 2103-051 7 DECEDENT NAME: MCMILLAN NORA E DATE OF PAYMENT: 08/19/2003 POSTMARK DATE: 08/1 8/2003 COUNTY: CUMBERLAND DATE OF DEATH: 06/12/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $ 1,000.00 TOTAL AMOUNT PAID: $1,000.00 REMARKS: DARRELL L MCMILLAN C/O SCOTT W MORRISON SEAL CHECK# 2763 INITIALS' JA RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Nora E. McMillan Date of Death: 06/12/2003 SSN: 200-28-3809 Date Letters Granted: 06/25/2003 To the Register: Estate No. 21-03-0517 File No. 2003-00517 Will No. Adm. No. 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 08/06/2003 Name. Address Edward T. McMillan 3 W. North Avenue Enola PA 17025 Ronald E. McMillan 208 E. Bell Avenue Altoona PA 16601 James W. McMillan RR Box 879 Landisburq PA 17040 103 N. Madder Drive Mechanicsburq PA 17050 1650 Shepford Road Mechanicsbur,q PA 17055 219 W. Dauphin Street Enola Darrell L. McMillan Sharon L. Horning Karen L. Zelner PA 17025 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: 09/26/2003 Capacity: Personal Represerrtative X Counsel for Per. al Representative (Signature) Scott W. Morrison, Esquire Name (Please type or print) 4 West Main Street Address P. O. Box 232 New Bloomfield Telephone No. (717)582-2300 PA 17068 uJ ~oo Z uJ Z o rY rY 0 z ~J n, Z COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-060t DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) McMillan, Nora E DATE OF DEATH (MM-DO-Year) REV 1560 / INHERITANCE TAX RETURN RESlDFNT BECEDENT 06/12/2003 I 08/19/1915 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) '~ DATe O.~ BIRTH (MM-DD-Yead N/A [] 1. Original Return ~'"~ 4. Limited Estate r-~6 Decedent Died Testate (Attach copy of WilQ OFFICIAL USE ONLY FILE NUMBER 2 1 -0 3 0 5 1 7 C"~'O~T Y C"~=~' YEAR .... NU MB"---~ R-- -- SOCIAL SECURITY NUMBER 2 0 O- 2 8- 3 8 0 9 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER E~2, Sui:piemental Return [] 4a, Future Interest Compromise(dateofdeathafter12.12.82) E~ 7, Decedent Maintained a Living Trust {Attach¢opyofTrust) E~9. Litigation Proceeds Received Lr~ 10, Spousal Poveqy Credit (dateofdeat/~ be~een 12-31-91 and 1-1.95) THIS SECTION MUST BE COMPLETED; ALL CORRESPOndENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECYe. D TO: NAME COMPLETE MAILING ADDRESS Scott W. Morrison ] 3, Remainder Return (date of 0eath prior to 12-13-82) J'---] 5. Federal Estate Tax Return Require0 O 8. Total Number of Safe Deposit Boxes ~-'-] 11. Election to tax under Sec. 9113(A) (At~ac~ Sch O) FIRM NAME (If Applicable) TELEPHONE NUMBER (717)582-2300 PA 17068 P. O. Box 232 New Bloomfield 1 Real Estate (Schedule A) (1) 2 Stocks and Bonds (Schedule B) (2) 3 Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4 Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Prope~ (Schedule F) (6) [] Separate Billing Requested 7 Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8 Total Gross Assets (total Lines 1-7) 9 Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11~ Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE I~ISTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 0.00 OFFICIAL USE ONLY 12,395.35 19,687.18 (8) 32,082.53 5,541.00 6,446.58 (11) 11,987.58 2O,094.95 (12) (13) (14) 20,094.95 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. [] X .. (15) 20,094.95 X ,.045 (16) X .12 (17) X .15 (18) (19) BE~ ANSWER~ECHECK MATH 904.27 904.27 << Decedent's Complete Address: STREET ADDRESS 103 North Madder Drive CITY Mechanicsburg ISTATE PA 7050 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 1,000.00 47.59 (1) Total Credits ( A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + ~ ) (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) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. ' (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 904.27 1,047.59 143.32 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ........................................ [] [] c. retain a reversionary interest; or ...................................................................................................... [] [] d. receive the promise for life of either payments, benefits o"r care? ....................... ' ...................................... [] [] 2. If death occurred after December 12, 1982, did dece(Jent transfer property within one year of death without receiving adequate consideration? ........... : .................. i ................................................................ [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under pena t es of perjury, declare that have examined this return, nc uding accompanying schedules and statements, and to the pest of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the pemonal representative s based on a nformation ofwh ch preparer has any knowledge. SIGNAZURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ,x ~_, c,~,~ ADDRESS ~.3 West North Avenue, Enola, PA 17025 and //103 North Madder Drive, Mechanicsbur~] PA 17050 SIG,~F~R~ R ~'I~ }~E NTATIV~E ADi~:~tS'~ I I -~/e~t M'~i~l'~6eet, P. O. Box 232 ~,// New Bloordfield PA 17068 For dates of death on or after July 1, 1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995 the tax rate imposed on the net va ue of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from ta~, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent'siineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116{1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1509 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVAN)A INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEI ULE F JOINTLY-OWNED PROPERTY FILE NUMBER McMillan. Nora E 21 03 0217 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME A. Sharon L. Homing B Darrell L. McMillan C 1650 Shep~rd Road Mechanicsburg, PA 17055 103 N. Madder Drive Mechanicsburg, PA 17050 ADDRESS RELATIONSHIP TO DECEDENT Daughter Son JOINTLY-OWNED PROPERTY: U- i ~ ~-~ DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTERES 1. A & B 2101170 PNC Bank checking account #5140110802 8,371.02 33.33333 2,790.34 2. A&B 10/26/00 PNC Bank savings account #5130131124 28,815.02 33.33333 9,605.01 TOTAL (Also enter on line 6, Recapitulation) $ 12,395.3,', ;pace :1, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER McMillan, NQr~ E 21 03 0217 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET ~s/es. DESCRIPTION OF PROPERTY % OF ITEM ~.c,uDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OI= TRANSFER DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE NUMBER ATTACH A COPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST (~F APPUCASLE) 1. Thrivent Financial for Lutherans - Annuity Contract 19,687.18 100. 19,687.1~ Number LC3365449 TOTAL (Also enter on line 7, Recapitulation) $ 19,687.1~ r, insert additional sheets of the same size) REV-1511EX +(1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF McMillan. Nora E Debts of decedent must be reported on Schedule I. ITEM NUMBER 5. 6. 7, FUNERAL EXPENSES: Richardson Funeral Home SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Zip DESCRIPTION ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City. State Year(s) Commission Paid: Attorney Fees Scott W. Morrison Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Donna M. Otto Accountant's Fees State Zip AMOUNT 4,240.00 Tax Retum Preparer's Fees FILE NUMBER ;~1 03 TOTAL (Also enter on line 9, Recapitulation) $ 0517 1,200.00 101.00 (If more space is needed, insert additional sheets of the same size) 5,541 REV-1512 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF McMill@n, Nora E SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES~ & LIENS Include unreimbursed medical expenses. FILE NUMBER 21 03 0517 AMOUNT 4,355.91 ITEM NUMBER DESCRIPTION Masonic Homes - account Cumberland Law Journal - estate advertising The Sentinel - estate advertising West Shore EMS-ALS - account Woodlawn Memorial Gardens - account Robed Knight - funeral expense St. Paul's Willing Workers - funeral meal Funeral expense TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) 75.00 108.95 456.72 850.00 100.00 150.00 350.00 $ 6,446.58 REV-1513 EX + (9-nn~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF McMillan NUMBER II. SCHEDULE J BENEFICIARIES Nora E NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a)(1.2)] Edward T. McMillan 3 West North Avenue Enola, PA 17025 Ronaid E. McMillan 208 E. Bell Avenue Altoona, PA 16601 James W. McMillan RR Box 879 Landisburg, PA 17040 Darrell L. McMillan 103 N. Madder Drive Mechanicsburg, PA 17050 Sharon L. Homing 1650 Shepford Road Mechanicsburg, PA 17055 Karen L. Zelner 219 W. Dauphin Street Enola, PA 17025 Son Son Son Son FILE NUMBER 21 03 RELATIONSHIP TO DECEDENT Daughter Do Not List Trustee(s) 0517 AMOUNT OR SHARE OF ESTATE one-sixth one-sixth one-sixth one-sixth one-sixth Daughter one-sixth ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) PNCBAN August 19, 2003 Scott W. Morrison, Esquire Center Square P.O. Box 232 New Bloomfi. eld, PA 17068 Estate of Nora E. McMilliam, deceased SSN: 200-28-3809 DOD: 6/12/2003 Dear Mr. Morrison: In response to your request for Date of Death balances for the customer noted above, our records show the following: Checkin8 Account Account #5140110802 NORA MCMILLAN SHARON L HORNING DARRELL L MCMILLAN DOD balance: $8,368.73 + $2~.9 accrued interest Established 02/01 /1970 Savings Account Account #5130131124 NORA MCMILLIAN SHARON L HORNING DARRELL L MCMILLAN DOD balance: $28,797.68 + $17.34 accrued interest Established 10/26/2000 Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process uny financial transactions or provide statements, ffyou need assistance with any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch Sincerely, Rachell~ W~lls 1-800-762-1775 P7-PFSC-04-F 500 first Avo. Pittsburgh PA 15219 M~rab~' FDIC TOTAL P~01 ~ Thrivent Financial FieldNet Contract Values and Documents Mutual Fund LisUngs Pm-merger LB Inforce Illustrations (VUL, UL, FA) FIMd News I Technology I CollaborMIon Tools I Resource Unk. I thrlvenf, cm~ Detail for: LC3365449 As Of: 0711112003 Covera[te Information Contract number: Annuitant: Plan: Pension type: Issue date: Maturity date: LC336544~ Nora E McMillan Flexible Premium Deferred Variable Annuit} Nonpensim Annuity 10/25/2000 1012512014 ;Cash/Accumulated Ivalue: ' I $20'422'3~9I' Surrender charge: I $735.21~ Cash surrender $19,687.18I value: Billing Information I lBilling method: ~ No Billingsq IBilling amount: ~ $0.0011 Premium Allocation Information Subaccount name II Premium allocation Growth I 20% High Yield 40% Income Il 40% Subaccount Information Subaccount Name Accumulation Unit. Account Cash Units' Value Value Value Allocation Growth ~ 61.9399 41.778716 $2,587.77 13%' IHighYield ~ 325.7521 23.256669 $7,575.91~ , 37% Income I 363-9469128-1873sSlSlO,258.7111 ,fo% SCOTT W MORRISON SCOTT W MORRfSON ESQUIRE CENTER SQUARE P 0 BOX 232 NEW BLOOMFIELD PA 17068 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FI .N~NCIAL OPERATIONS DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105-8486 July 14, 2003 Re: NORA MCMILLAN SSN: 200-28-3809 Dear Attorney Morrison: Pursuant to your letter dated July 09, 2003, the Department of Public Welfare (DPW), Estate Recovery Program, has reviewed the information you provided regarding the above'referenced individual. It has been determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department,s Estate Recovery Program will not seek any recovery from this estate. If you have any questions, please feel free to contact me. Sincerely, Ronald D. Hill, Manager ' TPL - Casualty Unit (717) 772-6604 (717) 772-6553 FAX LAST WILL AND TESTAM~NT NORA E. I, Nora E. McMillan, of East Peruleboro Township, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to bemyLast Will and Testament, hereby revoking all Wills and Codicils by me at any time made. IT~I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my Estate or by any recipient of any property, shal~ be paid by my Executor out of the property passing under Item IV of this Will, as an expense and cost of administration of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor, even though .on proceeds of insurance or other property not passing under this Will. ~TEM II: I hereby acknowledge that the following items of household furniture and furnishings belong to my daughter, Sharon L. Homing, of Nechanicsburg, Pennsylvania, and direct my Executor to return these items to Sharon L. Homing upon my death= dining room set, refrigerator, microwave, living room furniture, drapes and curtains, all wall decorations, table lamps and end tables. ITEM II~= I hereby give and bequeath absolutely 'and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, wearing apparel and all other like articles of household or personal use or adornment to my daughters, Sharon L. Homing and Karen L. Zelner, of Baleton Spa, New York, to be divided between them as they may agree, or, if they are unable to agree, to be divided between them in as - equal shares as possible by my Executor. If either Sharon L. Homing or Karen L. Zelner predeceases me, this gift and bequest shall pass to the survivor. Page. 1 of 4 I?~ IV: ! give, devise and bequeath unto my children; Edward ?. McMlllan of Snola, Pennsylvania, Ronald E. Hc~lllan of Milville, New Jersey, #llbur E. Hc~illan of ~ilkes-Barre, Pennsylvania, James #. HcHillan of Landisburg, Pennsylvania, Darrell L. HcHillan of Nechaniceburg, Pennsylvania, Sharon L. Homing of Hechanlcsburg, Pennsylvania, and Karen L. Zelner of Baleton Spa, New York, all of the rest, residue and remainder of my property, real, personal and mixed, in equal shares, per capita. ITE~ V: In the settlement of my Estate, my Executor shall possess, among others, the following powers to be executed for the best interest of the beneficiaries: (a) To sell either at public or private sale and upon such terms and conditions as my Executor may deem advantageous to my Estate, any or all real or personal estate or interest therein, whether owned by me severally or in conjunction with other persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free end clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales~ also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred - upon my Executor in this Paragraph V(a) or elsewhere in (b) To pay all costs, taxes, expenses end charges in connection with the administration of my Estate. My Executor shall pay expenses of my last illness and funeral expenses. (c) ..To distribute my Estate in kind or in money. Page 2 of 4 Page 3 of 4 If any assets are distributed in kind, they she'll be distributed at their respective value(e) on the date(~) of their distribution. (d) To retain any investments ! may have at my death so long as my Executor may deem it advisable to my Estate so to do. (e) To vary investments, when deemed desirable by my Executor and to invest in such bonds, stocks, notes, money markets, real estate mortgages or other securities or in such other property, real or personal, as he shall deem wise, without being restricted to so-called "legal investments.# (f) To mortgage real estate and to make leases of real estate. (g) To borrow money from any party to pay indebtedness of mine or of my Estate, expenses of administration or inheritance, legacy, estate and other. taxes. (h) To vote any shares of stock which form a part of the Estate and to otherwise exercise all the powers incident to the ownership of such stock. (l) In the discretion of my Executor, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of the Estate. (J) To distribute my personal property directly to the Guardian of the person of any minor beneficiaries hereunder. (k) To elect such settlement options as deemed most appropriate by my Executor with respect to any pension, profit sharing or other retirement pla~ in which T am a participant. (1) To'do all other acts in the Judgment of my Executor necessary or desirable for the pro'er and advantageous management, investment and dietrkbution of ' my Estate. ITEHVI: Any person who shall have died at the sams time as Testatrix, or in a common disaster with her, or under such circumstances that it is difficult or impossible to determine who died first, or who shall fail to survive Testatrix by ninety (90) days, shall be deemed to have predeceased her. ITEN¥~I: I nominate, constitute and appoint my cone, Edward T. McMillan of Enola, Pennsylvania and Darrell L. NcMillan of Mechanicsburg, Pennsylvania to be my Co-Executors. In the event of the death, resignation, refusal or inability of either of the Co-Executors to serve as my Co-Executor, I nominate, constitute and appoint my son, Ronald E. McMillan, to serve as my successor Co-Executor. My Co-Executors are specifically relieved from the duty or obligation of filing any bond, bonds or other security. IN WITNESS WHEREOF, I hays hereunto set my hand and seal to this, my Last Will and Testament, co~eisting of this page and the preceding three (3) pages, this.~--~'~ day of Nora E. McMlllan SIGNED, SEALED, PUBLISHED AND DECLARED by the above- named Testatrix, Nora E. McMillan, as and for her Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses in attestation thereof. Page 4 of 4 ~. ' COMMONWF..ALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS.: I, Nora E. McMlllan, the Testatrix whose name ts signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that ! stg~ed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. ........ Swor~.. to_or_a.ff.~rmed an~.a.cknowledgs~ before me by Nora E. ~c~an, ~21e TeS=a=rlx, this '~-~ day offs, 1995. Nora E. McMlllan, Testatrix Notary Public My Commission Ek~0iree: COMMONWEALTH OF PENNSYLVANIA : : SS.: COUNTY OF DAUPHIN _ ,., V,'o~,; and ~-J,c~, %2.. (~-k'~ ~1 , the witnesses whose names are signed to the attached o~foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix, sign and execute the instrument. as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness, in the hearing and sight of the Testatrix, signed the Will as a witness; and that to the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and eubs. cr~bed to before me by ~i:~'~ ~::~. r~ , witnesses, this .F~--~ day of O~ ~-~ 1995. ~ Witnes~ wi~e~s Notary Public My Commission Expires: (SEAL) .......... .,~..~.---~ .~.'... BUREAU OF INDIVIDUAL TAXES ZNHERTTANCE TAX DTyTSTON DEPT. 180601 HARRISBURG, PA 17128-0601 SCOTT g MORRISON PO BOX 252 NEW BLOOHFIELD COHNONWEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE ZNHERZTANCE TAX STATEHENT OF ACCOUNT Reco;~':~:~:, ,-;~: of DATE Re~i~i? ,?,,~ ESTATE OF DATE OF DEATH FZLE NUHBER '~ ~AR -5 P3 ~,~OUNTY ACN 02-17-200q MCNILLAN 06-11-2005 21 05-0517 CUNBERLAND 101 Aeoun~ Ree i'l:'l:ed RE¥-1607 EX AFP (02-03) NORA E HAKE CHECK PAYABLE AND REHZT PAYNENT TO: REGISTER OF WILLS CUHBERLAND C0 COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credit: ~o your account) submi~ ~:he upper portion of ~his fore wi~:h your ~ax payment. CUT ALONG THIS L'rNE ~-* RETATN LONER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP (:01-03) ~ ZNHERZTANCE TAX STATENENT OF ACCOUNT ~ ESTATE OF MCMILLAN NORA E F'rLE ND. Z1 05-0517 ACN 101 DATE 02-17-200q THZS STATENENT ZS PROVZDED TO ADVZSE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NAHED ESTATE. SHO#N BELOW ZSA SUHNARY OF THE PRZNCZPAL TAX DUE:, APPLZCATZON OF ALL PAYHENTS, THE CURRENT BALANCE., AND, ZF APPLZCABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSHENT OR RECORD ADJUSTMENT: 01-26-200~ PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYHENTS (:TAX CREDITS): 90~.27 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 08-18-2005 01-26-200q CD002917 REFUND q5.21 .00 1,000.00 lqO.9q- ZF PA/D AFTER THIS DATE, SEE REVERSE SZDE FOR CALCULATION OF ADD/TZONAL INTEREST. ( ~F TOTAL DUE ZS LESS THAN $1, NO PAYNENT IS REQUIRED. ZF TOTAL DUE ~S REFLECTED AS A 'CREDIT" (CR), TOTAL TAX CREDIT 90~.27 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU HAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORN FOR ]'NSTRUCT'rONS. ) PAYMENT: Detach tha top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- Tf RESIDENT DECEDENT make check or money order payable to: REGISTER OF #ILLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COMMON#EALTH OF PENNSYLVANIA. REFUND (CR): A rafund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-I$1$). Applications are available at the Office of the Register of #ills, any of the Z5 Revenue District Offices or from the Department's Iq-hour answering service for fores ordering: 1-800-56Z-2050; services for taxpayers with special hearing and / or spaaking needs: 1-800-Gq7-50ZO (TT only). REPLY TO: Quastions regarding errors contained on this natica should be addressed to: PA Department of Ravenue) Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 17128-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (5) calendar months after the decedent's death) a five percent (SI) discount of the tax paid is allowed. PENALTY: The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty pariod. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (I) day from the date of death, to the date of payaant. Taxes ~hich became delinquent before January l, 198Z bear interest at the rate of six (6Z) percent par annum calculated at a daily rate of .000166. AIl taxes which became dalinquant on and after January I, 19BI wil! bear interest et a rate mhich will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable intarest rates for 1982 through 2003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z ZOZ .000568 1987 9Z .000Z67 1999 7Z .00019Z 1985 16X .000658 1988-1991 ZZZ .000301 ZOO0 8Z .O00ZX9 1986 11Z .000301 199Z 9Z .000267 ZOO! 9Z .000Z67 1985 132 .000556 1995-1996 7X .OOO19Z ZOOZ 6Z .000166 1986 102 .000274 1995-1998 9Z .000267 ZOO5 52 .000157 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELZNI~UENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflact an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculatad. STATUS REPORT UNDER RULE 6.12 BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND , PENNSYLVANIA Name of Decedent: Nora E. McMillan Date of Death: 06/12/2003 File No. 2003-00517 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to the completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: YES X NO __ 2. If the answer is "No", state when the personal representative reasonably believes that the administration will be complete: If the answer to No. I is "Yes", state the following: a. Did the personal representative file a final account with the Court? YES b. The separate Orphan's Court No. (if any) for the personal representative's account is: NO X Date: c. Did the personal representative state an account informally to the parties in interest? YES X NO __ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. 04/08/2004 scS~tt~l~orriso ~ ~ u~~ Name (Please type or print) 4 West Main Street, P. O. Box 232 Address New Bloomfield PA 17068 (717)582-2300 Tel. No. Capacity: __ Personal Representative X Counsel for personal representative BUREAU OF ZNDZV/DUAL TAXES INHERITANCE TAX DIVISION DEPT. ZOO601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTZCE OF ZNHERZTANCE TAX APPRAZSEMENT, ALLO#ANCE OR D/SALLO#ANCE OF DEDUCTZONS AND ASSESSMENT OF TAX REV-15~7 EX AFP CD1-05) SCOTT W MORRISON PO BOX 252 NEW BLOOMFIELD 02-02-200q HCMILLAN NORA E 06-1Z-ZOOS Z1 0:5-0517 CUMBERLAND 101 Amoun'l: ReeL'lc'l:od, I MAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 PA 17068 DATE ESTATE OF DATE OF DEATM FZLE NUMBER COUNTY ACN CUT ALONG THZS LZNE I~ RETAZN LOWER PORTZON FOR YOUR RECORDS ,~ REV-1547 EX AFP (01-03} NOTZCE OF ZNHERZTANCE TAX APPRAZSEMENT, ALLOWANCE OR DZSALLOWANCE OF DEDUCTZONS AND ASSESSMENT OF TAX ESTATE OF MCMILLAN NORA E FZLE NO. 21 03-0517 ACN 101 DATE O2-OZ-200q TAX RETURN NAS: (X) ACCEPTED AS FZLED { ) CHANGED RESERVATZON CONCERNZNG FUTURE INTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) $. Closely Held S~ock/Par~norship In~eros~ (Schedule C) ($) q. Hor~gages/No~es Reco/vabla (Schedule D) E. Cash/Bank Deposits/M/sc. Personal Proper~y (Schedule E) (5) 6. Jo/n~ly Owned Propar~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Asso~s APPROVED DEDUCTZONS AND EXEMPTZONS: 9. Funeral Expensas/Adm. Cos~s/M/sc. Expenses (Schedule H) (9) 10. Dab~s/Mor~gaga Liab/1/~/as/Liens (Schedule 1) (10) 11. To,al Deduc~/ons 12. Na~ Value of Tax Re~urn .00 NOTE: To insure proper .Oo cred/~ ~o your account, .00 subm/~ ~he upper pore/on .Q0 of th/s fore w/~h your tax payment. 1Z~$95.55 19/687. ]~8 (8) 5,5q1.00 15. NOTE: $2,082.55 6,qq6.58 (1~) 11.987.58 (12) 20,09q.95 .00 20,09q.95 Nill (15) .00 x O0 = .00 (x6). ZO,O9q.95 x Oq5= 90q.Z7 ('t7), .00 x 12 : .00 (18) .00 x 15 = .00 (19)= 90q. Z7 Char/~ablo/govarnmen~al Bequas:ks; Non-elac~od 9115 Trusts (Schedule J) (15) Ne~ Value of Es~a~:a SubSec~ to Tax :;f an assesseent Nas issued previously, 11nos lq, 15 and/or 16, 17, 18 and 19 reflect figures that include the total of ALL returns assessed to date. DISGOUNT ZNTEREST/PEN PAZD (-) AMOUNT PAZD ASSESSMENT OF TAX: 15. Amount of L/ne lq a~ Spouse! ra~a 16. Amoun~ of L/ne lq ~axable a~ L/neal/Class A ra~:o 17. Amount: of L/ne lq a~ S/bl/ng ra~e 18. Amount: of L/ne lq ~axable a~ Collateral/Class B ra~o 19. Pr/nc/pal Tax Due TAX CREDZTS: PAYMENT RECE zl' I DATE NUHBER 08-18-2005 CD002917 ZF PAZD AFTER DATE ZNDZCATED, SEE REVERSE FOR CALCULATZON OF ADDZTZONAL ZNTEREST. q5.21 1,000.00 TOTAL TAX CREDZT!I 1,0q5.Z1 BALANCE OF TAXI lqO.9qCR ZNTEREST AND PEN.! .00 TOTAL DUE i lqO.9qCR { ZF TOTAL DUE ZS LESS THAN SZ, NO PAYMENT ZS RE~UZRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT' {CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR ZNSTRUCTZONS.) ~'~ RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND (CR): OBJECTIONS: ADH/N- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or en]oyeent to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commoneaalth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section 21~0 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. [72 P.S. Section 91~0), Detach the top portion of this Notice and submit aith your payment to the Register of Mills printed on the reverse side. --Hake check or money order payable to: REGISTER OF #ILLS, AGENT A refund of a tax credit, which was not requested on tho Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications ara available at the Office of the Register of Nills, any of the ZS Revenue District Offices, or by calling the special Z4-hour answering service for forms ordering: 1-800-562-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-~47-S020 (TT only). Any party in interest not satisfied aith the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three (S} calendar months after the decedent's death, a five percent (52) discount of the tax paid is allowed. The 152 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the sase tiaa period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (62) percent par annum calculated at a daily rate of .00016~. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOOS are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 202 .0005~8 1987 92 .O00Z~7 1999 7Z .000192 1983 162 .000458 1988-1991 112 .OD0301 ZOO0 82 .000219 1984 llZ .000501 1992 9Z .000247 ZOO1 9Z .000247 1985 1SX .000556 1995-199fi 72 .000192 ZOOZ 62 .000164 1986 XOZ .00027q 1995-1998 9Z .0002~? 2003 52 .000157 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELIN;IUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated.