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HomeMy WebLinkAbout02-0526~~ Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Marie Rene also known as No. Z~ ~ O L' ~~~ Deceased Social Security No. 175-34-4713 tsrian L;. rimer Petitioner(s), who is/are 78 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW: ) ~X A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut or the Decedent, dated 06~20~01 and codicil(s) dated None named in the last Will of State relevant circumstances, 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 no[ the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration d. b.n.c.t.a; pendente lire; dwante absentia; durance minordate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: or principal residence at Sl S. 36th Street, Hampden Townshi (list street, number, and municipality) ', Decedent, then 79 years of age, died 05/27 .2G 02, at (}olt~ SAtr t-F ~OSoI~AI (Location) I Decedent at death owned property with estimated values as follows: ~, (If domiciled in PA) All personal property $ 7 , 00(~. 00 (If not domiciled in PA) Personal property in Pennsylvania $ ' (If not domiciled in PA) Personal property in County $ '~- Value of real estate in Pennsylvania $ 105 , 00 . 00 situated as follows: 51 S. 36th St., Camp Hill, Hampden Township, Cumberland Co., PA ' 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: ~. St Hill, PA 17011 11-1a1- g Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSyslems, Inc Form R W-f (1991) ta.vinrcc~c uv n~~ cne ~o.r nuocn auuiuunei meets n necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subsc;i6ed before me this 315tday of MAY 2002 ,~ { ._ .u~ For the :qi=ter No. G ~' ~L ~ `7 S~ Estate of Marie C. Reneger Deceased Social Security No: 175-34-4713 Date of Death: 05/27/02 ~`; AND NOW, MAY 31 7007 , 19_, in consideration of [he Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters QX Testamentary ~ Of Administration (c.t.a.; d.b.n.c.t.a.; pendente life; durante absentia; durante minoritate) are hereby granted to Fisher in the above estate and that the instrument(s) dated 06/20/01 ___ described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES $ 235.00 Letters. Short Certificate(s). $ 1 R _ 00 Renunciation. $ Affidavits ( ) - ~ - $ Extra Pages ( ) . $ 15.00 Codicil. $ JCP Fee . g 5.00 Inventory. $ Other $ Attorney: /Jan Dil Telephone: 717 Vti. ~~ ,... Cam..., i ve PA 17019 9666 filed 5-31-2002 mailed to atty on 5-31-2002 273.00 TOTAL. $ Prepared by the Pennsylvania Bar ASSOCialion Copytlghl(c)1996 form software only CPSystems, Inc Form RW-1(1991) I.D. No: 06298 The Wiley Group Address: One S. Baltimore_ St. iLV )i8G ' t s .n Leer !, rna: ne in~orma[ion here given is correcth copied from an original certificate of death duly filed with me ac lucll Regislr i the oliglnal certificate will L-e h>rwarded In the Sruc Viral Records Office for permanent tiling. WARNING: It is illegal to duplicate this copy by photostat or photograph. lee fur 16is certi,icate, ,2.00 nraemxT YERWryF euc..x s ~I P _8428078 ~~;. Q ~!/ Local RNA -F f~,) MAY 29 2002 Dare x'~ 1q "'" z°' COMMONWEALTH OF PENNSVLVANIA• DEPARTMENT OF MEALTM• VRAL RECORDS CERTIFICATE OE DFeru Ni w.(w wmwn'MK w.a uO • .u Kcul lCUerv..WG an v omnx.`.+~ y..,m Marie Catherine Rane ar a Female > 175 _ 34 _ q]33 ""^'. °°°^' re.. wnw cum •Ma 27 2002 ~ •nnw.m ¢...,. vmnr .,....,,.......a,o.,.,n ~ c.n n«+~.ow..ti m ..y. ~..m 29, 192 +.P~ "e"" ^ euowm.,. ^ oo.. ^ ~'a"^.,,, ® ..+.~. ^ n..m ^ o- v.+. «M~r w..nr „ a....mo.... .cam a~..~...w.....M+n w.yy.wmyrw,..uc mwMr ~ .a..r....... . )' 6 ..., u.., ,.Cumberland rE. Pennsboro ..Cam Hill Care Center wr ~~ w,amreop~rens. wc,no-, u.White ~`tlY~ '~"a mun wm~..c wwv +... w "'R•~•~ m.nn.mr....n r•••n••~ r••^'~® ,.LPN-N~ 'a n" i rse ,.Heath Car y ~ mcmwn wi+.+,vr... s...mc.e.i mm a Witlowetl n PA 51 5. 36th Street '~Ea ~~~• "•®•~"°°^ Xampden Township ~. Camp Hill, PA 17011 ~`~ ,m T..h rland '°"""' ^`~~ ,.a T.,w.. w~,n+. w..uw °'°'° v Paul Mundis . wmonm,+vw...m....w, r~..~~ ..w.mxm mwwe uMasie Heildnd s Mrs. Dianne M. Ktall ~~~~Md'°°w~w"~~^Y"m"°°+ ,.~w~.ourq~ a..lll Mum er Lane, Dillsbur PA 17019 mAPP~ ~ ^ °f+I1S1 c...m ^w.......w ^ a..wmr,..n wvr.°.wwro..w...rw...r. ~-~+.r am+av. wr..a w.au. ^ o-r as May 30, 2002 .a Dillsburg Cemetery -Golf as Dillsbur PA 17019 rw.m ,a.w.i iu..e..x. +.`eua.msrnr.cun _ ua FD-013892-L °° n unera ome nc. ,., P. D. Box 424, DS y q' llsbur PA ` y` '"` O , "... ~.:.::+..+e....~.m.~..n.... r... m.... um~eo..e. :. .... s.""w. :M an aa _ Mw ml.•M ~...~m.r~ MmwwM nTw.q.MN wnew.non. •..~ v/YWgIMGtTm~liuaNMPIM1Rwi w LJ Iw® .u v M ~ n Ww ~.y,Nei'µ am.wr.r w..n .. vww.M..w. «+rr .~r.w.r..r.wn> r~r n... " __ ~ n.r d~~~~~~~~...an `L"...`~~r BREAST CARCINOMA ~' ~ mlro Paw.«wlggKl wy ~.:":: ~~ ~i.YY( O.f •OMM.ff.NGTCCCM ae'.a wwp.M wNUly .i 1,MV wKN,[Mw M.IFI000WR-. ~~ ww,3 ® xY. ~~ ^ ..ra.^Ym ^ v~^ ,y^ ••• ^ w ® ~ ^ ro ® Yle. ^ Fe.v uYnrw ^ qq~~~~ uwy, we I...rM~n. en..uy.~a.awp ...~IRRmM,.w MI n. s ~TPx'AI_.... awl c2MxtMp nnacux fPM.d~o~Mwi~ep wm.a..wi.a,~ Tew Wa( P~.`wam.n..e m lts m w P 'tl` saxnrwxammwwxinm iA a oral `.^~.aa..a..N VawM a.ron.•~i..Yl.a~... ~: r.wr_ ~. ~ ~ ` T.'MCNpIXpaa410 CEIfnRMMO.M'ML1M (fT%.IM mY~4.m.w9mr~~tl wMargMasdM1.Nl a,..iwo+w.~~M.a...+........a.....,..»r.....q.l....m.....wa____. ^ wepne, 4xuwoucnxo.ex .D1 ~~~ n .. Os000897L wa 5/~t~2...., mwew a...wa.ea.,,a~>m...ew~.ax~ro w~xan a.a:.....anw am.. e.y.~e q.....m mower.<w.lw "`°b11°----------- wr .m ~o-.eum.roco-numuvweuw "• •w FB~NK A -~-------~ ~-~-~--~-- . DELEO D.O.. ^ 3400 DEBBY 5T HBG PA a,,,,,,,o,,,,,,,x „w ~a 17111 ~ ¢. ,,~ .a~w..,m,..~, a ~ 9 boo WILE OF T4ARI1: C. RANEGAR 021-0. -~~ I, MARIE C. RANEGAR, of Hampden Township, Cumberland County, Pennsylvania, declare this to be my Will and revolze all prior Wills and Codicils. FIRST: Tangible Personal Property. ~I I give all tangible personal property owned by me at my death and all insurance policies on such property as follows: (a) To those individuals who survive me by thirty days who axe designated on a list. or memorandum signed by me which refers to this Will or is found with a copy thereof, the items listed beside their names; provided that no such list or memorandum shall be valid unless it is received by my Executor within sixty days of my Executor's qualilication. (b) The balance (including any item under subparagraph (a) the bequest of which bas lapsed) in as nearly equal shares as is practicable to such of my children as survive me by thirty days. Any disputes concerning the distribution of such property, including the method of allocation, shall be resolved by my Executor, in my Executor's discretion. (c) My Executor shall pay, as an expense of settling my estate, all costs of delivering such tangible personal property, including the costs of pacleaging, delivery and insurance. COND: Specific Gift o{ Real Fstate. I give and devise my real property located at 51 South 36th Street, Camp Hill, Cumberland County, Pennsylvania, to my son, BRIAN G. FISHER, of Camp Hill, Pennsylvania, provided both he and my son, RICHARD C. FISHER, survive me by thirty days. In the event either of my said sons does not survive me by thirty days, this gift shall lapse and pass instead as a part of the residue of my estate. THIRD: I e i ue. p:A~.WORK~W ILLSVGO51601 A. W PD (a) To each of my grandchildren, DAVID KRALL and REBECCA KRALL, of Dillsburg, Pennsylvania, who survive me by thirty days, I give the sum of 2,000.00. (b) I give the remainder of the residue of my estate in equal shares to such of my children as survive me by thirty days; provided that if any child fails so to survive me, but is represented by descendants who so survive me, such descendants shall receive, per stirpes, the share such deceased child would have reoeived had he or she so survived me. FOI RTH: Spendthrift Provision. Until distributed, no gift or beneficial interest shall be subject to anticipation or to voluntary or involuntary alienation. FIFTH: Death Taxes. All death taxes (and interest and penalties thereon) imposed upon any property passing under my Will shall be paid out of my residuary estate. ° IXTH: Administrative Powers. ^L My Executor shall have the following powers in addition to those eonferred by law until all property is distributed: ~~~ (a) 'I'o retain any real or personal property in the form received and to seh it at ~ public or private sale. (b) To manage real estate. (c) To purchase all forms of property without being confined to so-called legal investments and without regard for the principle of diversification. (d) To exercise any option or rights arising from ownership of investments. A:ALWORK~WILL~\G05 L601 A.Cl~PD - 2 _ (e) To compromise claims without order of oourt or consent of any legatee. ({) To distribute in cash or in lxind. (g) To employ accountants, agents, investment counsel, brolxers, banlz or trust company to perform services for and at the expense of my estate and to carry or register investments in the name of the nominee of such agent, brolxer, banlz or trust company. The expenses and charges for such services shall be charged against principal or income or partly against each as my Executor may determine. My Executor is expressly relieved of any liability or responsibility whatsoever for any act or failure to act by, or for following the advice of, such accountants, agents, investment counsel, brolters, banlt or trust company, so long as my Executor exercises due care in their selection. The fact that an Executor may be a member, shareholder or employee of any accounting, investment or brolxerage firm, agent, or banlz or trust company so employed shall not be deemed a conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any manner the amount of or the right of my Executor to receive commissions as a fiduciary. (h) With respect to the interest vesting in a beneficiary who, in the opinion of my Executor, is incapacitated by reason of age (including minority) or illness (mental or physical) when such interest vests in him or her. to hold the interest during his or her incapacity and to invest the interest and all accumulations thereon; to apply so much of the income and principal as my Executor deems advisable for such beneficiary's benefit for any reason without considering other funds available to him or hex; and to deliver the balance of principal and income to the beneficiary at such time as he or she gains capacity. In addition, at any time to pay the entire interest to the guardian of the estate of the incapacitated beneficiary to hold for his or her benefit. The receipt of a guardian or such other person as may be selected by my Executor to receive a distribution under this subparagraph shall be a full and complete discharge to my Executor. ,S .V NTII: Definitions. F:ALWORKPI~ILL6VGOS 1601A.07PD - 3 _ (a) The words "Executor" and "Guardian" when used herein shall include all genders and the singular and plural as the context may require. (b) When distributing residue to the descendants "per stirpes" o{ any individual under this Will, such residue shall be divided into as many equal shares as there are children of such individual then living and such children then deceased represented by descendants then living, and each then living child shall receive one share, and the ehare o~ each deceased child ehall he divided among his or her descendants in the same manner, repeating this pattern with respect to succeeding generations until all shares are determined. (c) Paragraph headings in this Will are ~or reference only and shall not a~fect the meaning, construction or e{{eet of this Will. I HTH: xecutor. I appoint my son, BRIAN G. FISHER, Executor. I~ my said son {ails to quali~y or ceases to act Ior any reason, I appoint my son, GARY L. FISHER, o{ Camp Hill, Pennsylvania, Executor in his place. My Executor shall not be required to post security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this ~ day o~ 2 , 2~~1. MARIE C. NEGAR F~\LWORK\WILLS\G051601A.WPD - 4 _ The preceding instrument, consisting o~ this and our other typewritten payee, each identified by the signature o{the testatrix was on the elate thereo~ signed, published, and. declared by MARIE C. RANEGAR, the testatrix therein named, as and for her last Will, in the presence o~ us, who at her request, in her presence, and in the presence o~ each other, have subscribed our names as witnesses hereto. ~~~~.~ _ G RGE A. VAUGHN, III ~ ~A~ .P ,~~v;~ ~. K,~~~L 0 v ,~ F:\LWORK\WILLS\G051601A.WPD - 5 _ COMMONWEAL"1'H OI~ PENNSYLVANIA ) ( SS.: COUNTY OP CUMBERLAND ) I, MARIE C. RANHGAR, being the testatrix whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby aclznowledge that I signed and executed the foregoing instrument as my last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and aelenowledged before me by the testatrix named above this a~4'-day o~ ~7ir~ , 2001. ,ly ~_ Notary Publi ~~. ~. ~~ MARIE C. NE AR Notarial Seal Diane B. Jenkins, Notary Public Hampden Twp., Cumberland County My Commission Expires May 22, 2004 Member, PennsylvaniaASSOCiationof Notaries COMMONWEALTH OF PENNSYLVANIA ) (SS.: COUNTY OE CUMBERLAND ~ WE, GEORGE A. VAUGHN, III, and .l7~Jyil1 j„ ,~/1/~~.L ,the witnesses whose names are signed to the foregoing instrument, ~eing 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 she signed it willingly; that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the Will as witnesses; and that to the best of our lenowledge, the testatrix was at the time eighteen or more years or age, o f sound mind and under no constraint or undue influence. Sworn or affirmed to and aelznowledged before me this~Q'`-! day of ~ur~P. , 2001. Otdry C.~ ~' ~ _ GE RGE A. UGHN, III ~~, ~~~ .17At/i~l ~ /~.P~~1 Notarial Seal Diane B. Jenkins, Notary Public Hampden Twp., Cumberland County 1y Commission Expires May 22, 2004 F:\LWORK\WILLS\G051601 A. W PD L- CERTIFICATION OF NOTICE ERR TI 5 6~,~ Name of Decedent: Marie Ranegar a/k/a Marie C. Ranegar Date of Death: May 27, 2002 Estate Number: 21-02-0526 To the Register: I certify that notice of beneficial interest 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 July 11, 2002: Name David C. Krall (grandson) Rebecca D. Krall (granddaughter) Gary L. Fisher (son) Scott A. Fisher (son) Richard C. Fisher (son) Donald G. Fisher (son) Dianne M. Krall (daughter) Brian G. Fisher (son) Add 117 Mumper Lane, Dillsburg, PA 117 Mumper Lane, Dillsburg, PA 216 N. 29th St., Camp Hill, PA 1 51 S. 36th St., Camp Hill, PA 17 51 S. 36th St., Camp Hill, PA 17 135 N. School Lane, Lancaster, P 117 Mumper Lane, Dillsburg, PA 51 S. 36th St., Camp Hill, PA 17 17019 17019 7011 011 011 A 17603-2510 17019 011 Notice has now been given to all persons entitl d t under Rule 5.6 (a) except N/A Date: July 15, 2002 Signature , Name: Jan M. Wiley, Esquire Address: One S. Baltimore St. Dillsburg, PA 17019 Telephone: (717) 432-9666 Capacity: Counsel for personal Rep. il . ilJry, ~ / IJ~) . ~ fl:EV.l,gaEX~ll-oGf *' QFf!C\AL USE OilY REV-1500 COWMONWEAlTHD"PENNsmANIA INHERITANCE TAX RETURN FILE NUMBER D"ARi:',,!;'T2~:'~;VENUE RESIDENT DECEDENT 21 02 HARRIS~U_RG, PA ~~1~_~1J.Il_~! .._~____.,_______._ .___._,__....QPUN7Y..Q.QP.5..____YEAR____ DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) u_.._______"_ .-----m-i.sociAi SEcuRlriN"uMBER'- Ranegar. MarieC. , 175-34-4713 -'OATE'Ot=-O'EATH'(MM:OO::VEAR)' -DATE OF BIRTH (MM-DO-YEAR) -------.--~---_.-r--n<<s RET'URNMUSTBE-FtL~E-DIN-'DUP'LICATE-WITH THE ~0~,12_7/2002 03/29/1923_____ _~ SOCIAlSECRURE'TYGIN'~uTM.EBERR()f YVILL,~ (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) I ! 00526 _t'l!)M8JJ~. ~ z w o w u w o , o 3 Remainder Retum (date of deathpliorto-12~13-8i) o 5. Federal Estate Tax Return Required 8. Total Number of Safe DeposIt Boxes o 11.Election to tax under Sec. 9113(A) (Attach Sch 0) .-----r.-.------.~-."-~---- ': 1:81 .... Original Return o 2. Supplemental Return o o o w ~ ~:$rt.I U"'" W~U ~oo u"~ ~.. ~ 4 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living -Trust (Attach copy of iNst) 10. Spousal Poverty Credit (date of death between 12-31+91 and 1+95 -"';1.n~ "_.i'"._''' o 4. Limited Estate 181 o 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received _ COMPLETE MAILING ADDRESS NAME lan M. Wiley, Esq. fiRM NAME (lf~Ppl;~-bje)--'-- i The Wiley Group I ,,--.----.---------.~-.- TELEPHONE NUMBER 717/432-9666 ~ z w o z o ~ I S. Baltimore St. Dillsburg, PA 17019 Of':'!CiM_ USE: DNL.y' (1) 107,969,00 ----_..._---...-- (2) None --------------- (3) None (4) None ------- (5) ~,467.22. (6) None ...---- (7) None 1. Real Es!.le (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole~Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6_ Jointly Owned Property (Schedule F) o Separate Billing Requested 7. lnterNivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8, Total Gross Assets (total1-ines 1~7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10 Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) z o " :"i ~ ~ ~ 4 U w " (8) 116,436.95 (9) 17,581.09 --_.~..__._---_.. (10) 11,053.06 (11) 28,634.15 11. Total Deductions (total Lines 9 & 10) (12) 87,802.80 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14 Net Value Subject to Tax (Line 1.2 minus Line 13) (13) (14) 87,802.80 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) -.,-.~_..- z 87,802.80 .045 (16) 0 16.Amount of Line 14 taxable at lineal rate x " ~ ~ ~ 17.Amount of Line 14 taxable at sibling rate x .12 (17) ~ 0 ----..--,------- u g 18. Amount of Line 14 taxable at collateral rate x .15 (18) --_.._~--_.,- 19. Tax Due (19) 3,951.13 3,951.13 .-----...----- CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT tJ\LI Form REV-1500 EX (Rev. 6-00) Copyright 2000 form software only The Lackner Group. Inc. Decedent's Complete Address: STREET ADDRESS 5\ S. 36th St. CITY ! STATE PA IZIP 1701\ .,_,..",]ill!;._ . 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;.. ........................ ~ I ~. ;::::~ ~~e:~~~i~on~~:~~:r~s~~~ shall use the property tra~..f..rr..~or itsui~CO~..: d. receive the promise for life of either payments, benefits or care?.... . 2. If death occi.iI"fed after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................... ................ D o o Camp Hill Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + 8 + C) 3. Interest/Penalty if applicable D. Interest E. Penalty TotallnteresVPenalty (D + E) 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 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. B. Enter the \olal 01 Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT 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?.. ................. .... (1) 3,951.13 (2) 0.00 (3) 0.00 (4) (5) 3,951.\3 (5A) (58) 3,951.13 "r~ I&l I&l I&l IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. _ ____' _ ______ ._.______~ _.__.._,____..___...____._~____._______~_~_~__._~___".___..~_..___m..___ Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complel..li! Dec\2r2tior\ 01 preparer other than the personal r_ep_~_s.enta\l"e is Oll~d on all ir'llcrrn~\jm..,Of~c\)_Er_~E'~~~~s._~r!.!:I.~I_~_9JL~__ SI~ATURi.O;,:ER:ON RE~ FO~~___ ADDRESS t~/~l\1 S~A~~OI 1___ URE OF PERSON RESP - - LE F'~G-REr-URN- ADDRESS ---AD-DRESS' .......... - 1 S. Baltimore Sl. DiIlsburg, P A 17019 DATE I~_~-n::> _J__~ -----------.,---r5ATE--~ DATE I z.J~L/"~ Fa d es 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 s ving spouse is 3% 172 P.S. S9116 (a) (1.1) (i)J. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% 172 P.S. S9116 (a) (1.1) (ii)J. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicabfe even if the surviving spouse is the only beneficiary. For dales of death on or after July 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P,S. 99116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use ofthe decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 59116 12) [72 P.S. ~9116 (a) (1)). The'tax rateimp6sedon'1he'r;el~alue of transfers to or for the use of the decedent's siblings is 12% In P.S. &9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at feast one parent in common with the decedent, whether by blood or adoption. '- \t , "" ~ WILL OF MARIE C. RANEGAR I, MARIE C. RANEGAR, of Hampden Township, Cumberland County, Pennsylvania, declare this to be my will and revoke all prior wills and Codicils. EIRST: T anf'ible Personal Properly. I give all tangible personal property owned by me at my death and all insurance policies on such property as follows: (a) To those individuals who survive me by thirty days who are designated on a list or memorandum signed by me which refers to this will or is found with a copy thereof, the items listed beside their names; provided that no such list or memorandum shall be valid unless it is received by my Executor within sixty days of my Executor's qualification. , (b) The balance (including any item under subparagraph (a) the bequest of which has lapsed) in as nearly equal shares as is practicable to such of my children as survive me by thirty d.ays. Any disputes concerning the distribution of such property, including the method of allocation, shall be resolved by my Executor, in my Executor's discretion. (c) My Executor shaJJ pay, as an expense of settling my estate, all costs of delivering such tangible personal property, including the costs of packaging, delivery and insurance. ~ SECOND: Specific Gift of Real Estate. ^, , ~3 I give and 'devise my real property located at 51 South'36th Street, Camp Hill, . ~ Cumberland County, Pennsylvania, to my son, BRIAN G. FISHER, of Camp Hill, ~ Pennsylvania, provided both he and my son, RICHARD C. FISHER, survive me by thirty days. In the event either of my said sons does not survive me by thirty days, this gift shall lapse and pass instead as a part of the residue of my estate. THIl<D: Residue. F, \LW()RK\WIl..L8\G06160 l.A.WPD .r (a) To each of my grandchildren, DAVID KRALL and REBECCA KRALL, of Dillsburg, Pennsylvania, who survive me by thirty days, I give the sum of $2,000.00. (b) I give the remainder of the residue of my estate in equal shares to such of my children as survive me by thirty days; provided that if any child fails so to survive me, but is represented by descendants who so survive me, such descendants shall receive, per stirpes, the share such deceased child would have received had he or she so survived me: FOURTH: Spendthrift Provision. Until distributed, no gift or beneficial interest shall be subject to anticipation or to voluntary or involuntary alienation. FIFTH: Death Taxes. All death taxes (and interest and penalties thereon) imposed upon any property ~ passing under my Will shall be paid out of my residuary estate. ~ \ ~ SIXTH: Administrative Powers. .,~ My Executor shall have the following powers in addition to those conferred by law ~ until all property is distributed: ~ ~ \...'-... (a) To retain any real or personal property in the form received and to sell it at . "Dubhe or private sale. \Z.J ' (b) To manage real estate. (c) To purchase all fonus of property without being confined to so-called legal investments and without regard for the principle of diversification. (d) To exercise any option or rights arising from ownership of investments. F "'.L "IT,:JRK\W:LL2,\(JOG 160 lA. \(TFJ) ,.., - L< .. (e) To compromise claims without order of court or consent of any legatee. (f) To distribute in cash or in kind. (g) To employ accountants, agents, investment counsel, brokers, bank or trust company to perform services for and at the expense of my estate and to carry or register investments in the name of the nominee of such agent, broker, bank or trust company. . The expenses and charges for such services shall be charged against principal or income or partly against each as my Executor may determine. My Executor is expressly relieved of any liability or responsibility whatsoever for any act or failure to act by, or for following the advice of, such accountants, agents, investment counsel, brokers, bank or trust company, so long as my Executor exercises due care in their selection. The fact that an Executor may be a member, shareholder or employee of any accounting, investment or brokerage firm, agent, or bank or trust company so employed shall not be deemed a conflict of interest. Any compensation paid pursuant to this subparagraph shall not affect in any manner the amount of or the right of my Executor to receive commissions as a fiduciary . ~ ~ (h) With respect to the interest vesting in a beneficiary who, in t..l:te opinion of my Executor, is incapacitated by reason of age (including minority) or illness (mental or physical) when such interest vests in him or her: to bold the interest during his or her incapacity and to invest the interest and all accumulations thereon; to apply so much of the income and principal as my Executor deems advisable for such beneficiary's benefit for ",_ ny reason without considering other funds available to him or her; and to deliver the balance of principal and income to the beneficiary at such time as he or she gains capacity. In addition, at any time to pay the entire interest to the guardian of the estate of the incapacitated beneficiary to hold for his or her benefit. The receipt of a guardian or such other person as may be selected by my Executor to receive a distribution under this subparagraph shall be a full and complete discharge to my Executor. SEVENTH: Definitions. F: \L WORK\ WILLS\G05160 J.A. WPD - 3 - (a) The words "Executor" and "Guardian" when used herein shall include all genders and the singular and plural as the context may require, (b) When distributing residue to the descendants "per stirpes" of any individual under this will, such residue shall be divided into as many equal shares as there are children of such individual then living and such children then deceased represented by descendants then living, and each then living child shall receive one share, and the share of each deceased child shall be divided among his or her descendants in the Same manner, repeating this pattem with respect to succeeding generations until all shares are determined. (c) Paragraph headings in this will are for reference only and shall not affect the meaning, cons'lruction or effect of this Will. EIGHTH: Executor. I appoint my son, BRIAN G. FISHER, Executor. If my said son fails to qualify or ceases to act for any reason, I appoint my son, GARY L. FISHER, of Camp Hill, Pennsylvania, Executor in his place. lVIy Executor shall not be required to post security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this ~ day of Lf"",Q , 2001. F, IL WORKI WILLS\G05160 lA. WPD - 4 - The preceding instrument, oonsisting of this and four other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by MARIE C. RANEOAR, the testatrix therein named, as and for her last Will, in the presenoe of us, who at her request, in her presenoe, and in the presence of each other, have subscribed our names as witnesses hereto. ---... ~ _\ -.,. ,,~ ") ',...3 ElL WQ RKIWILLS\005 I 60 lAWPD - 5 - d'~ .-;t;- ROE A. VAUGHN, rrr J:\~ .~ .~AALQ Di)!lhJ e. K~4LL- . , COMMONWEALTH OF PENNSYLVANiA COUNTY OF CUMBERLAND ) ( SS.: ) I, MARIE C. RANEGAR, being the testatrix whose name is signed to the foregoing instrument, having been duly qualified aooording to law, do hereby aoknowledge that I signed and exeouted the foregoing instrument as my last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. v;!l(Mil.. ~~ MARIE Co NE. R Swom or affirmed to and aolmowledged before me by the testatrix named above this d~ay of "<;.-:;;C;;we.. ,2001. dt~ &'~~?J/ Notary public' Notarial Seal Diana B. Jenkins, Notary Public Hampden Twp., Cumberland County My Commission Expires May 22, 2004 Member, PennsylvamaAssoclationotNotar\ea COMMONWEALTH OF PENNSYLVANIA ( ~,C; . /-',....,.. COUNTY OF CUMBERLAND ) WE, GEORGE A. VAUGHN, III, and j')4[1)4 C, k';f4t.L ,the wi.~He$ses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and exeoute the instrument as her last will; that she signed it willingly; that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of Our knowledge, the testatrix was at the time eighteen or ore years or age, of sound mind, and under no constraint or undue influence. c:;;ld:~ RGE AV UGHN, III J)"'3~ t. ~ \ JIll ~ .J)/Wi[) 8, !.c)YJ.Ll Sworn or affirmed to and acknowledged before me this ~ day of ~ faaf'. , 2001. Notarial Seat Diane B. Jenkins, Notary Public Hampden Twp., Cumberland County y Commission Expires May 22, 2004 Member, PennsylVania A$sOCiationof Notaries F:\L WORK\WILLS\GOS1601A.WPD *' SCHEDULE A REAL ESTATE COM~~~NT~EOJ:~~~t~l~ANlA. I _~=~I.~~DEC~_~~ __ ________ _ _I__~____.__~~__~.~_______~______..__,_ "___________ E5TAiE-oF~-- -.--------~-.- ..---------~--I FILE NUM-SER----- Ranegar, Marie C. ' u___.__ .____u_ I 21 - 02 - 00526____ All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wnnng selier, neither being compelied to buy or seli, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTiON VALUE AT DATE OF DEATH 107,969.00 Real estate situate at 51 S. 36th St., Camp Hill, Hampden Township, Cumberland County, P A: TOTAL (Also enter on Line 1, Recapitulation) 107,969.00 R,ty.183 EX (6-961 RECORDER'S USE ONLY . 51al$ Tax Paid .....:;. l". REALTY TRANSFER TAX Sook Nllno,b1!I( COMMONWEALTH OF PENNSYtVANIA STATEMENT OF VALUE D!:PARTMENT Of REVENUE fagf\ Number BUREAU OF INDIVIDUAL TAXES PEPT. 280603- See Reverse for Instructions Datil ft$cQrde:d HARRISBURG, PA 17128.0603 Complele Eloen section and file in duplicate with Recorder of Oeeds when (l) the full value/consideration is nof set forth in the d~ed, (21 when the deed is withOlJf consideration, or by gift, or (3) a tax exemption is claimed. A Statement of Value is not required if the transfer is whoHy oxempt from tox based on: 01 family relationsl1ip or (2\ public v1ility ea:;,ement. If more :;,pace is needed, ottach additional sheet{sJ. A CORRESPONDENT - All inquiries may be directed to the following person: Telephone Number: Area Code i ..., ., Stote +. B TRANSFER DATA GrOl'ltor(s)flM$Or{1) ~. s+. A Ac eptance of Document C '30~ \\-. f\ PROPERTY LOCATION +h 3-1 + State PA Zip Code '01/ 51 6 Counfy Q u. VY\b~. lU\ D VALUATION DATA Tax Parcel Number -0J.15- It;,- 1. Actual Cosh Ccmsiderofion 2. Other Consideration 3. Total Con~ideration 4J 00 6. Fair Markst Volue -PItt>) 4. County Assessed Vo ue + .ob 5. Common Level Ratio Foctor E lole .00 EXEMPT!ON DATA x \0\ ..,. 10, ~ 10. Amounf of Exemption Claimed D t'1 c> 2. Check Appropria1e Box Below for Exemption Claimed Will or intestate succession Na.X\e.. Ro.~~~'lr alkla.. (Nome of $C lint) }Xl o o o o lVbrH~_~. enCle;9.or jl-D:;/ -05~~. (Es File Number) Transfer to Industrial Development Agency. Transfer to a trust. (Attach complete copy of trust agreemenf identifying all beneficiaries.) Transfer between principal and agent. (AUach complete copy of agency/strow party agreement.) Transfers to the Commonwealth, the United Stotes and Instrumentalities by gift, dedication, condemnation "Or in lieu of condemnation, {If condemnation or in lieu of condemnaticn, attach copy of feso\u1ion.} . o Transfer from mortgagor to 0 holder of 0 mortgage in default. Mortgage Book Number , Page Number o Correcf,ive or confirmatory deed. {Attach complete copy of the prior deed being corrected or confirmed.} o Statutory corporate consolidation, merger or division. (Attach copY of articles.) o Other (Please explain exemption claimed, jf other than listed above.) Under penalties of law t I decla.re that I hav4!: examined this StQtement, including accompanying inrormation, and to the best of my knowledge and belief, it 1$ true, correct and complete. Signuture of Con~llIipondfjlnt or Responsible Party - ., (A) . -~-----IOO'; -; t;~~-;:--l FAILURE TO COMPLETE THIS FORM PROPERLY OR ATTACH APPLICABLE tlOCUMENTATION MAY RESULT IN THE RECORDER'S REFUSAL TO RECORD THE DEED. f-:::iJ *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY _________L_______.________.___..._______ . -~--_._~.__._-_.-~-~-_.._---~.~-~----------------- i FILE NUMBER I 21 _ 02 - 00526 COMMON\Ne.I\.LTKOf PENNS.'<LI/ANI/I. INHERITANCE TAX RETURN RESIDENT DECEDENT L ---_._------,-..-------_._-,--_..~-_._- --..----.---- ESTATE OF Ranegar, Marie C. Include the proceeds 01 litigation and the date the proceeds were received by the estate. All property jointly-owned with the right 01 survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH ----- -_._---,---_._..~._-_.._--- ,-----.-- 3,010.00 Personal Property: . 2 1975 Plymouth Coupe: 100.00 3 Members 1 st Savings Account #207031-00: 4,473.32 4 Members 1st Checking Account #207031-11: 884.63 TOTAL (Also enter on Line 5, Recapitulation) 8,467,95 APPRAISAL Personal Property of M.1/<.-.11: RAM c ;;-4-tZ Appraised by Chuck E. Bricker AUD94-L Sf S, 3Ul{ SI/6f\HP j1fcL(J4, I )tJ)) Date 5 - ! J-~() 1 ITEM VALUE ITEM VALUE "S f.,:::TIOfJ ItL SoFA /6/),bIJ :swd/6t-. 1Z 0 q!.e:1- (,d cJ u KE-CUf./ef!... xrJ,ltt> j C () /'1..JJ t:/l- tJJ{/fr AJD T5 /"0 f1[ I ;LfJ,()D CQLO~POfl...1 T1I (,tJ, do - 1ZJ, S7'bbL 'S T1/Jc;( 26~D - A- JJr;q..uc STA,k.JA t.f;j, oj) W IXJLo/J sTAr/) l~,t>l> 8L4'J U\MP 16t),'tlb bAK. i-IUI/'J.{ 31.l6.:\c; /),4- \( (7 L46) jZ- r, 'lAg it 3Dtl tD if JAIL ra#t!Z s 1/\ A ,00 E'-:A- C:/16t.i J 6,tiD - - tJ /;( lA/JP jI.d ,e)'\) Cite JZ.lv /(v/c,I, 360,bll Dl2..up Lf ,A-A {..6 t,{J 0" 7'/#1" c>lt3r/Jcr / .$lJ { ()O -; fie /)/lv'Errc ::ser 5ZJ,6i D6/v/IJ9 TV;/ /'I/C/IE 12 9,00 SeT 13.R-6W)J J))SHt!S ':;?6, Of) - SLAg D6t1f: S IfAA c lf6 Df> /llc 3t)~) BC:A pjl, 5U)775 ;]6 t'),O~ ,u/j SH /3 bI.~ L Set RtJ,OD l<6c: ,'Icd 01 B If./Er /D,~0 C c eM f. r'+( c,,;-r X'0,(1) hApL6 Cuc.":5T -i-- Di2...r:-:S5t'f /Sll,Di> PiJ}Jcr( p., OWL "SCI 5l>,6iJ :') Cf1f.Jtl Lt. sno'-<:; :26 I Ob / ,1$ 86/6 db_ -r () (;q L A-f',fJhI5A-L -;::::::--- (0 t", 'In 'E' ?\:S" ., ibQ.. -- _ AL-1'_ ~ iv>> '1 tf-T I I - I -f--- - --.---...........---- I . =-- i___,______.__,~___.__ _ fJ 0 \if' {\' ~ d ~\J ~ ~\:F "vi Cj /\(~ MemberslST FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 1-800-283-2328 or (717) 697-1161 July 19, 2002 Jan M. Wiley The Wiley Group 1 S. Baltimore Street Dillsburg, PA 17019 RE: Estate of Marie C. Ranegar SSIN 175-34-4713 Dear Mr. Wiley, Enclosed is the information requested in your letter of June 25, 2002 regarding the accounts held with Members 1S\ by Marie Ranegar. Please be advised that the 2nd mortgage loan does not carry credit life insurance coverage. I have enclosed a computer printout indicating the present balance, due date and payment amount. We request that payments be kept current until such time this loan can be paid in full. You may contact me at 795-5131 or anders@members1st.orq should you have any questions or require additional information. vCr~ truly yours,.-, I \ I~Jr;df-6 Denise A. Anders Insurance Products Supervisor / ---.--... Enclosure MemberslST FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive p, 0, Box 40 Mechanicsburg, P A 17055 1-800.283-2328 or (717) 697-1161 REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner 207031 -00 07/07/2001 $4,467.78 $5.54 $4,473.32 None CHECKING ACCOUNT: Account Number/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner 207031 -11 07/07/2001 $884.63 $.00 $884.63 None 2nd MORTGAGE LOAN ACCOUNT: Account Number/Suffix Date OT Lbar, DIsbLirsernent Principal Balance at Date of Death Daily Interest Accrual Name of Co-Maker Collateral Secured 207031 -01 07/31/200 I $9,395.57 1.97106 None Property: 51 S. 36'h Street Camp Hill, PA 17011 Contractual Pledge of Shares M~,!,\ E~S 1ST,F, EgE /::)CREDIT UNION ALJ%4f.'T. 'De~is; A. Anders Insurance Products Supervisor July 19, 2002 Estate of: MARIE C. RANEGAR Date of Death: OS/27/2002 Social Security Number: 175-34-4713 *' COMMONWEAL TK OF PEI'lNS'1'LVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCI-EDU.E H FUNERAL EXPENSES & ADI\IIINISTRA1lVE COSTS ESTATE OF Ranegar, Marie C. Debts of decedent must be reported on Schedule i. DESCRIPTION AMOUNT ITEM NUMBER A. FUNERAL EXPENSES: Cocklin Funeral Home: FILE NUMBER ____'--_. 31=-0~: 00526 i ^^_______,.._____..._.____,.._,_____.___________w_____.f-~--- 1. 6,618.54 150.00 856.00 5,800.00 3,500.00 273.00 5 Accountant's Fees 6 Tax Return Preparer's Fees 7 Other Administrative Costs I Cumberland Law Journal: 75.00 2 The Sentinel: 103.55 Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State ~ lip 2. Attorney's Fees Wiley, Lenox, Colgan, & Marzzacco, P.c. State PA 17011 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Brian G. Fisher Street Address 51 S. 36th St. City Camp Bill 2 Monaghan Church (funeral meal): Zip 205.00 17,581.09 3 Baughman Memorial Works, Inc.: B. ADMiNISTRATIVE COSTS: Personal Representative's Commissions Year(s} Commission paid 3. 4. Probate Fees Register of Wills: Relationship of Claimant to Decedent son Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) T '. Schedule H Funeral EJCpenses & Administratille Costs continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 - 02 - 00526 ESTATE OF Ranegar, Marie C. 30.50 3 Recorder of Deeds: 4 Tri-County Abstract: 124.50 5 Filing Fee: 25.00 6 Members 1st Federal Credit Union (bank charge): 25.00 Page 2 of Schedule H ESTATE OF *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWE:AL 1'rl Of I'EHl~5'flVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Ranegar, Marie C. Include unreimbursed medical expenses. ITEM NUMBER I 2 3 4 5 6 7 DESCRIPTION Members 1st Federal Credit Union (Outstanding mortgage): PP&L (electric): PAWC (water): UGI (fuel oil): ZAlC (homeowners insurance): V erizon (phone): Kathryn W. Fetrow, Tax Collector: : FILE NUMBER 21 - 02 - 00526 TQTAL (Als(l enter on Line 10, Recapitulation) AMOUNT 9,395.57 140.38 79.19 286.05 52.00 54.49 1,045.38 11,053.06 MemberslST FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffix Date Accourlt Opened Principal Balarlce at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner ---- ----------- r-- 2nd MORTGAGE LOAN ACCOUNT: Account Number/Suffix Date Of Loan Disbursement Principal Balance at Date of Death Daily Interest Accrual Name of Co-Maker Collateral Secured --.....---'-----~.~--".,-~..~-~~.._~-----_._-~- Estate of: MARIE C. RANEGAR Date of Death: OS/27/2002 Social Security Number: 175-34-4713 INSURANCE DEPARTMENT 5000 Louise Drive P_ 0_ Box 40 Mechanicsburg, P A 17055 1-800-283-2328 or (717) 697--116-1 207031 -00 07/07/2001 $4,467.78 $5.54 $4,473.32 None 207031 -11 07/07/2001 $884.63 $.00 $884.63 None --~ ~----"'-------.,~~, ~"\ 207031 -01 07/31/200 i $9,395.57 1.97106 None Property: 51 S. 36th Street Camp Hill, P A 17011 Contractual Pledge of Shares IA BERS 1ST FE E AbCREDIT UNION \ ;'. / - - / L "- ~;1'i' c~ ------. "Denise A. Anders Insurance Products Supervisor July 19, 2002 , , SCHEDULE J I BENEFICIARIES I ~ ~__~_______~~~__~_____~_.~__J_.______~__~_ FILE NUMBER 21 - 02 - 00526 REV.1513 EX+(9.00) . COMMONWEALTH OF P'ENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ranegar, Marie C. NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT .. _JJo...NtrtLlaLTnlsw(sL I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Brian G. Fisher 51 S. 36th St. CampHiIl,PA 17011 , , ',Son I 2 Dianne M. Krall 117 Mumper Lane DiIlsburg, PA 17019 IdaUghter 3 Donald G. Fisher 135 N. School Lane i Lancaster, PA 17603-2510 I, Ison , , , IsDn i 4 Richard C. Fisher 51 S. 36th St. Camp HilL PA 170]] See Continuation Schedule(s) attached ; Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet 1 II. INON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT ! BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS I TOTAL OF PART" - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET __ __.__~_ _____ __________~ ..__ ..__...~__ m__.___ ..1 ~ AMOUNT OR SHARE OF ESTATE 100% of real estate & 1/6 of residuary estate. 1/6 of residuary estate 1/6 of residuary estate 1/6 of residuary estate ESTATE OF NUMBER I. *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE tAX RETURN RESIDENT DECEDENT Ranegar, Marie C. SCHEDULE J BENEFICIARIES continued NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY 5 TAXABLE DISTRIBUTIONS Scott A. Fisher 51 S. 36th SI. Camp Hill, PA 17011 6 Gary L. Fisher 216 N. 29th SI. Camp Hill, P A 17011 7 Rebecca D. Krall 117 Mumper Lane Dillsburg, P A 17019 8 David C. Krall 1 17 Mumper Lane DilIsburg, PA 17019 tindude~o-utr(ght-spousai distributioos, and traflsiers under Sec. 9116(a){1.2)J I FILE NUMBER 21 - 02 - 00526 -------,..._--~- RELATIONSHIP TO DECEDENT Do Not Ust Tru.t8e(~)__ I Ison Ison I I , !granddaughter I i i Igrandson I \ , AMOUNT OR SHARE OF ESTATE 1/6 of residuary estate 1/6 of residuary estate 2,000.00 2,000.00 Page 2 of Schedule J V'. ~ ~ 1- 1 /` / THE WILh:Y GROUP Atrorncys !~L Law 13( W. Church Street, Suilc 100 DiJlsl ur_, Pn 17010 1Y): Register of Dills Cumberland County Courthous One Courthouse Square Carlisle, PA 17013 ' z~-oz-52i~ SUMMARY SHEET/ESTATE OF MARIE C. RANEGAR DATED: DECEMBER 22, 2003 ASSETS: 1. Real Estate (See Schedule A Attached): $107,969.00 2. Cash, Bank Deposits, Misc. Persona] Property (See Schedule E Attached): $ 8,467.95 TOTAL ASSETS: $116,436.95 DEBTS & DEDUCTIONS• L Funeral Expenses & Administration Costs (See Schedule H Attached): $ 17,58L09 2. Debts of Decedent (See Schedule I Attached): $ 11,053.06 TOTAL DEBTS & DEDUCTIONS• $ 28,634.15 Net Value of Estate Subiect to Tax• (Assets less debts & deductionsZ $ 87.802.80 'TAX DUE AT 4.5%: $ 3,951.13 Checks to write: 1. Register of WIlIs, Agent (tax due): $ 3 956 4] 2. The Wiley Group (Attorney Fee): $ , . 5 80 3. The Wiley Group (costs advanced reimbursement): , 0.00 4. Register of Wills (filing Fee: $ 606.55 5. Dianne M. Kral] (reimbursement): $ $ 25.00 1 125 00 6. Cocklin Funeral Home: $ , . 1 565 7. Rebecca D. Kral] (specific bequest in Will): $ , .68 2 000 00 8. David C. Kral] (specific bequest in Will}: $ , . 2 000 00 9. Baughman Memorial: $ , . 8 56.00 TO TAL: $17,934.64 **E XECUTOR FEE WAIVED** $ 5,800.00 SUMMARY SHEET/MARIE C. RANEGAR ESTATE (CONTINUED) THIS ESTATE'S MAIN ASSET WAS THE REAL ESTATE, WHICH BY THE LAST WILL & TESTAMENT OF MARIE C. RANEGAR, WAS TRANSFERRED TO BRIAN FISHER. THEREFORE, THERE IS NOT CASH FUNDS AVAILABLE TO PAY THE DEBTS OF THE ESTATE. DAVID & DIANNE M. KRALL HAVE AGREED TO LOAN BRIAN G. FISHER THE SUM OF $20,000.00, WHICH IS COVERED BY A MORTGAGE AND NOTE, DATF;D DECEMBER 22, 2003, TO COVER THE COSTS OF THE ESTATE. I COMMONWEALTH OF PENNSYLVANN ': INHERITgNCE Tq%RETURN RESIDENT DECEDENT I __ _ -_. ESTATE OF Ranegar, Marie C. SCHEDULE A REAL ESTATE _-- -_ -, FILE NUMBER ZI 02 All real roe y __ _ at h hichp ro arty w 9uld be elxc an ed between PwillP g buyer end a waling Sedller net ea being compelaled to b y o 00 II both ha nai reasonable knowled a of the re avant facts. Real ro art which is 'ointl ~he price sc edule F. 1 y-owned with nght of survivorship must I ITEM ---------------- NUMBER DESCRIPTION 1 Real estate situate at S 1 S. 36th St., Camp Hill, Hampden Township, Cumberland County, PA: -. _-- VALUE ATDATE OF DE TH ] 0,969.00 TOTAL (Also enter on Line 1, Recapitulation) 107 SCHEDULE E CASH, BApNK DEPOSITS, 8~ MISC. LOMMONWEALiH OF PENNSYLVNNIA PERJONA ~ INHEkITANCE TA%RETUgN - L PROPERT Y RESIDENT DECEDENT - i -.._ _. _ ESTATE OF -~-- - -- - --- - _ _ _ __ -_ Ranegar, Marie C. FILE NUMBER - _ _- -- -- - li 21 - 02 - 00526 --- Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with the right of survivorship must be disclosed on schedule F. -- --- ITEM ----- _. . ..NUMBER DESCRIPTION ~ VALUE AT DATE OF - - ~ DE~TH -- --- ] Personal Property. ~- -- - --- _.._ 2 11975 Plymouth Coupe: 3 ~ Members Ist Savings Account #207031-00: 4 ~ Members 1st Checking Account #207031-11: 100.00 73.32 884.63 - -- -- -_ - _ TOTAL (Also enter on Line 5, Recapitulation) 8,467.95 ~t ~~.St~C~H~ E~D(U~LE~~H ~p p COMMONWEq:TH OF PENNSYLVANIA ~~~~r~V/V~CIN7G.~Q{ INMERITgNLE Tq%RETURN /~ ryraA1~w~ RESIDENT pECEOENT i PILJIYa'W 1IV"~ _ ____ _. ATE OF -- - - ------- Ranegar, Marie C. Debts of decedent must be reportedon Schedule I. ITEM - ___._ _-_.------------------ NUMBER ' DESCRIPTION A. FUNERAL EXPENSES: - -- --~- 1 ~ Cocklin Funeral Home: 2 Monaghan Church (funeral meal): 3 i Baughman Memorial Works, Inc.: B. I, ADMINISTRATIVE COSTS: ~I 1. Personal Representative's Commissions I Social Security Number(s) / EIN Number of Personal Representative(s): ~~ ' Street Address ~i Iii I City State Zip Year(s) Commission paid 2. Attorney's Fees Wiley, Lenox, Colgan, & Marzzaccq P.C. ' 5,800 0 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) ~ 3,500 0~ Claimant Brian G. Fisher i, Street Address 5 ] S. 36th St Cify Camp Hill State PA Zip 17011 Relationship of Claimant to Decedent son I ', a. Probate Fees Register of Wills: 273.( 5. Accountant's Fees ~, i 6. Tax Return Preparer's Fees ~i~ i 7. Other Administrative Costs ~' ~I 1 Cumberland Law Journal: ~, 75.00 2 The Sentinel ' ~' 103.5 i Total of Continuation Schedule(s) 205.00 - TOTAL (Also enter on line 9, Recapitulation) ! r~ 17nRt o . S,~chedule H COMMONWEALTH OF PENNSYLVANIA ! FUhe1N E>q~el~es $, i INHERITANCE TAX RETURN ^~;~M~Y~ i, RESIDENT DECEDENT /WI'll a.V11W1 ' ESTATE OF _. -.:_. ._._ __ -. - - -- Ranegar, Marie C. ~ FILE NUMBER __ ---- 21 - 02 - 00526 Recorder ofDeeds: - -- - _ -- --- 4 ~ Tri-County Abstract: 5 ~ Filing Fee: 6 Members 1st Federal Credit Onion (bank charge): 30.50 121.50 2.00 2$.00 I SCHEDULEI DEBTS OF DECEDENT, MORTGAGE °DMM°NWEALT"°F RE"NSYLVANIA LIABILITIES, & LIENS INHERITANCE iqX REiIIRN RESIDENT DECEDENT ~ ESTATE OF _- -_---- - --- _ Ranegar, Marie C. '~ FILE NUMBER ___- __ - -_--- 21 - 02 - 00526 Include unreimbursed medical expenses. ITEM ------ ~-- NUMBER DESCRIPTION 1 Members lst FederalCredit Union (Outstanding mortgage): 2 PP&L (electric): 3 PAWC(water): 4 UGI (fuel oil): 5 ZAIC (homeowners insurance): 6 Verizon (phone): 7 Kathryn W. Fetrow, Tax Collector: TOTAL(glso enter on Line 1Q,Recapitulation) 140.38 79.19 286.OS 52.00 54.49 045.38 11,053.06 Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Ranegar, Mazie C. No. 21 - 02 - 00526 - --- also known as Ranegar, Mazie Date of Death 5/27/2002 ,Deceased Social Security No. 175-34-4713 Brian G. Fisher _._ _ -- ---- ------ -- The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the. Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that ~ which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true ~i and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Attorney: Jan M. Wiley, E: I.D. No.: 06298 Address: 1 S. Baltimore St. Dillsburg PA 17019 Personal Repre Signature: Signature: Signature: Address: 51 S. 36th St. Camp Hill, PA 1701 ] Telephone: 717/432-9666 Telephone: 717-761-3685 Dated: Personal Property Personal Property: 1975 Plymouth Coupe: Members 1st Savings Account #207031-00: Members 1st Checking Account #207031-] 1: 3,010.00 100.00 4,473.32 884.63 Total Personal Property $8,467.95 (Attach additional sheets if necessary) Total Personal Pro a p rty and Real Estate $116,436.95 Register of Wills of Cumberland County, Pennsylvania INVENTORY continued Estate of Ranegar, Marie C. No. 21 - 02 - 00526 _. __ also known as Ranegar, Marie Date of Death 5/27/2002 _ ------- Deceased Social Security No. _ 175-34-4713 Real Estate Real estate situate at 51 S. 36th St., Camp Hill, Hampden Township, Cumberland County, PA: 107,969.00 Total Real Estate $107,969.00 Z ~O~C STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: S~d7'~~p0~ J Will No.~~_ ~a..p~,ja~ Admin. No. Court RulesrsIareportRthe followinghwithprespectuto completion o~ the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes /' No 2. If the answer is No, state when the personal representative reasonably believes that the administration will complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No ~/ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes / No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date:~~ (Please t e o prin Address -"`~ Tel. No. Capacity: Personal Representative Counsel for personal (MAH:rmf/AM3) representative COMMONWEALTH OF PENNBVLVANIA DEPARTMENT OF REVENUE REV-1162 EXli t-961 BUREAU OF INDIVIDUAL TA%ES DEPT. 280601 HARRISBURG. PA 1 ] 1280601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 003364 WILEY JAN M 1 S BALTIMORE STREET DILLSBURG, PA 17019 fale ESTATE INFORMATION: ssrv: ne-34-a~1a FILE NUMBER: 2102-0526 DECEDENT NAME: RANEGAR MARIE DATE OF PAYMENT: 12/23/2003 POSTMARK DATE: 12/22/2003 COUNTY: CUMBERLAND DATE OF DEATH: 05/27/2002 REMARKS: JAN WILEY ESQUIRE CHECK#1537 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 53,956.41 TOTAL AMOUNT PAID: INITIALS: VZ RECEIVED BY: REGISTER OF WILLS 53,956.41 DONNA M. OTTO DEPUTY REGISTER OF WILLS _, COMMONW EARTH OF PENNSYLVANIA REV-1162 EXI11-961 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUA~TAXES DEPT. 280601 HARRISBURG, PA 1 ]128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 003710 WILEY JAN M 1 S BALTIMORE STREET DILLSBURG, PA 17019 mle ESTATE INFORMATION: SSN: n5-3a-a7t3 FILE NUMBER: 2102-0526 DECEDENT NAME: RANEGAR MARIE DATE OF PAYMENT: 03/23/2004 POSTMARK DATE: 03/22/2004 COUNTY: CUMBERLAND DATE OF DEATH: 05/27/2002 'R'EMARKS: CHECK#116 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ S 156.03 TOTAL AMOUNT PAID: S 156.03 GLENDA EARNER STRASBAUGH REGISTER OF WILLS INITIALS: JA RECEIVED BY: REGISTER OF WILLS C7 ~~~ ~ G ~ l~ ~' ~ ~ `! - '' n h7 O ~ !J W = v ti /', C ~ ~ ~ y W ~ G `~ L ~ N O C n O C N 0 o~ ~ C ~~ s a~ in ~ C 0 :.(7 -r. ,. n 0 oa 3~ a~ ti N r d m O n x trl "o~ R~ s '~ F O r~ ti b ` u~ * 1 1~ -. -~ ,~i iC~ (J PaY ~. ` ~ 3 '!8 G r ~,.~ ~ m o~ v , Tn Q '^ a'~ ~ `a ~ mm v .~ U I o rri I m ¢i 1 ~~ ~, a~ . it ~f rv O G c_, ~o lo.. P. ~.. BUREAU OF INDIVIDUAL TAXES /NHERITANCE TAX DIVISTON DEPTo 280601 HARRISBURG, PA 17128-0601 JAN H WILEY ESQ WILEY GROUP Z S BALTIHORE ST DILLSBURG COHNONNEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE NOT/CE OF ZNHER/TANCE TAX APPRA/SENENT, ALLONANCE OR D/SALLONANCE OF DEDUCTIONS AND ASSESSNENT OF TAX ' ' ~F~i~ DATE ESTATE OF DATE OF DEATH '0~ FE~ 13 ?3:29 FTLE NUNBER l._CULnb~i~i~d/,~ CO., PA PA 02-16-2004 RANEGAR 05-27-2002 21 02-0526 COUNTY CUHBERLAND ACH 101 Amoun~ ReeA~ed REV-I$¢7 EX &FP (01-0S} MARIE HAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGISTER OF HILLS CUH~ERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLO#ANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSNENT OF TAX ESTATE OF RANEGAR HARIE FILE NO. 21 02-0526 ACN 101 DATE 02-16-2004 TAX RETURN NAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATION CONCERNING FUTURE ZNI~KEST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) 2. S4:ocks and Bonds (Schedule B) (2) $. Closely Held S4:ock/Par4:nership Zn4:eres4: (Schedule C) {$) ~. Nor4:gages/No4:es Receivable (Schedule D) (~} 5. Cash/Bank Deposi4:s/Hisc. Personal Proper4:y (Schedule E) ($) 6. Join4:ly O~ned Proper4:y (Schedule F) (6) 7. Transfers (Schedule O) (7) 8. To4:a! Asse4:s APPROVED DEDUCTIONS AND EXENPTZONS: 9. Funeral Expenses/Adm. Cos4:s/Nisc. Expenses (Schedule H) (9) 10. Deb4:s/Nor4:gage Liabili4:ies/Liens (Schedule I) (10) 11. To4:a! Deduc4:ions Ne4: Value of Tax Re4:urn 107~969.00 .00 .00 .0O 8~467.95 .00 .00 (8) 17,581.09 NOTE: To insure proper credi4:4:0 your accoun4:) submi4: 4:he upper por4:ion of 4:his fore wi4:h your 15. lq. NOTE: 116,436.95 11~053.06 (~) 28.~34.15 (~2) 87,802.80 Chari4:able/governvaen4:al Beques4:s; Non-elec4:ed 911:5 Trus4:s (Schedule J) (13) Ne4: Value of Es4:a4:e Subjec4:4:0 Tax :Kf an assessment ~as lssued previously, 11nes 14, 15 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. ASSESSNENT OF TAX: 15. Amoun~ of L~ne 1~ a4: Spouse! ra4:e (15) 16. A.oun4: of Line 1~ 4:axable a4: Lineal/Class A ra4:e (16). 17. Amoun4: of Line 1~ a4: Sibllng ra4:e (17) 18. Amoun4: of L/ne 1~ 4:axable a4: Colla4:eral/Class B ra4:e (lB). =al Tax Due D/SCOUNT-(+J INTEREST/PEN PAID (-) 19. Pr/nc/ TAX CREDITS PAYHENT DATE 12-22-2003 RECE/PT NUHBER CD003364 .00 87,802.80 18 and 19 w111 3,956.41 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ZF PAID AFTER DATE ZND/CATED, SEE REVERSE FOR CALCULAT[ON OF ADDITIONAL INTEREST. 3,951.13 .00 156.03 156.03 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT IS REK)UZRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.) ~I~ BALANCE OF UNPAID INTEREST/PENALTY AS OF 12-23-2003 5.28- ANOUNT PAID · O0 x O0 = . O0 87,802.80 x 045= 3,951.13 · O0 x 12 = . O0 . O0 x 15 = . O0 (~9)= 3,951.13 BUREAU OF TNDZVZDUAL TAXES INHERITANCE TAX Dzv'rszoN DEPT. 28D601 HARRISBURG,, PA 17128-0601 CONHONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (01-D3) JAN M WILEY ESQ WILEY GROUP I S BALTIMORE ST DILLSBURG MARIE APR 26 r'1'~4 DATE 0~-19-2004 ESTATE OF RANEGAR DATE OF DEATH 05-27-2002 FILE NUMBER 21 02-0526 COUNTY CUMBERLAND ACN 101 I Amoun~ Remi~ed HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND C0 COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credi~ ~o your account, subm/~ ~he upper por~ion of ~hAs for. wi~:h your ~ax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORT'rON FOR YOUR RECORDS -~ ESTATE OF RANEGAR MARIE F'rLE NO. 21 02-0526 ACN 101 DATE 04-19-2004 THTS STATEMENT TS PROVTDED TO ADVTSE OF THE CURRENT STATUS OF THE STATED ACM TN THE NAMED ESTATE. SHONN BELO# TS A SUNHARY OF THE pRTNCTPAL TAX DUE, APPLTCAT/ON OF ALL PAYHENTS, THE CURRENT BALANCE, AND., TF APpLTCABLE, A PROJECTED TNTEREST FTGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTHENT: 02-16-200~ PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 3,951.13 PAYHENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID ¢-) 5.28- 1Z-II-ZOO3 03-22-2004 CD003364 CD003710 156.03- 3,956.41 156.03 ZF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN 91, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), TOTAL TAX CREDIT 3,951.13 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FeRN FOR INSTRUCTIONS.