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HomeMy WebLinkAbout04-0422PETITION FOR PROBATE and GRANT OF LETTERS also known as No. ~-~/-t~'- ~/~ To: Register of Wills for the , Deceased. ::. County of ~a,a_~-~dk~ ~.o~0in the Social Security No. / q -~-/¢. - 3~'--~ ' ~ Commonwealth o-f'i:/ennsylv'ania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age gQglde~-t~ ~}~ e~}~t;~_~4_~ named in the last will of the above decedent, dated .~.> ~ ' x ~_ I. ~S43~-~ ~',19 ~ff'q and codicil(s) dated ~)'---- ~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in (' t ~-~,~ ¥ · - ~ .- . . - '---~--~ ~ounty, Fenns lvanla ~ last. famfly or ~incipal residence at L~.~ ~l-- ~ ~-~ ,with (list street, number and muncipality) Decendent, then ~O years of age, died ~ ~] C ~ O~ ~ , ~'~~ at ~ ~ , Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: . /~_~ ~ Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ ,<_~_-.~ Value of real estate in Pennsylvania $ situated as follows: - WHEREFORE, petitioner(s) respectfu~e_quest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters !~.%T~ t)~-tJ7~,qV theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA -I COUNTY OF f as 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 thc knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ~ ~ 27~/ da,, of Estate Of g~ ~-~ ' - ~ ~-L ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~., I ~.~ a} the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated '-~t ~t~c.-/-- /.L~,~. I~t ~/ described therein be admitted to probate ~d filed of record as the last will of ~d Lette~ ~ f' ~ .... ~e her ~r~~ 29/~ in consideration of the petition on Register FEES Probate, Letters, Etc .......... Short_Certificates( ) ...' ....... ~ ................ $_/o.~ $ i~,~c~. Filed ~~- TOTAL $~2 ......... A'FrORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE ERT. NO. Name of Decedent WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH T 5655643 '0~ ~?f~ 29 Margaret g. Re i singer A~p~ril 24, 2004 ba~P"~"~f 4~o, This Certification Female Sex Date of Birth Place of Death Nov. MoS. SocialSecurityNo. 195-16-3920 DateofDeath 5, 1923 Birthplace Ickesburg, PA Hershey~Med. Center Dauphin Derry 4-22-2004 Twp. Pennsylvania White Waitress No Race .......... Occupation :~cm. ed#~dces? (Yes or No) Decedent's Marital Status Divorced Mailing Address Leiby's Parkway, Box 7073 Carlisle Informant Keith E. Murphy Funeral Director James F. Nickel Name and Address of Funeral Establishment Nickel Funeral Home, Loysville, PA 17047 PA 17013 Pad I: Immediate Cause Left (a) (b) (c) Lower LObe Pneumonia Interval Between Onset and Death Part Ih (d) Other Significant Conditions Manner of Death Natural Accident Suicide ~-~] Homicide Pending Investigation Could not be Determined Name and Title of Certfier Describe how injury occurred: Dennis Johnson MoD. Address M.S. Hershey Medical Center, Hershey, PA 17033 (M.D., D.O., Coroner, M.E.) 7his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate wilt be forwarded to the State Vital Records Office for permanent filing. ,~ ,,~ April 24, 2004 1 Barnett St., New Bloomfield, PA 17068 I, MARGARET E. REISINGER, of the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor or Executors, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto my three (3) sons, namely, ROGER L. MURPHY, KEITH E. MURPHY and KENT B. REISINGER, share and share alike, absolutely and in fee simple. LASTLY. I nominate, constitute and appoint my son, namely, KEITH E. MURPHY, to be the Executor of this, my Last Will and Testament, but if for any reason he should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my two (2) sons, namely, ROGER L. MURPHY and KENT B. REISINGER, to be the Executors hereof, each and all to serve without bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOP. T. MAP~AP~T ~ P~?~T~mD hm,,~ Testament which consists of two (2) typewritten pages to each of which~._z.I have affixed my signature this /~l day of~c~.~ A.D., One Thousand Nine Hundred Eighty-nine SEAL ) The preceding instrument, consisting of this and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by MARGARET E. REISINGER, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our nam/~s--~ witnesses hereto. COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, MARGARET E. REISINGER, RICHARD C. SNELBAKER and JANET M. FORRY, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Witness Subscribed, sworn to and acknowledged before me by MARGARET E. REISINGER, the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANET M. FORRY, witnesses, this /~6/~ day of ~~ , 1989. ', COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) REISINGER, MARGARET E · OFFICIAL USE ONLY FILE NUMBER 21 -04 0422 C~TY~E YEA~ NUMBER SOCIAL SECURITY NUMBER 195 - 16 - 3920 Z III DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE LU April 22, 2004 November 5, 1923 REGISTER OF WILLS [U (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Q N/A - - ~]1. Odginal Return 1~4. Limited Estate ~'~6. Decedent Died Testate (A~i~ch copy of Will) []9, Litigation Proceeds Received E~2. Supplemental Return [~4a Future Interest Compromise (da~e of death after 12-12-82) [~7. Decedent Maintained a Living Trust (A'~ch ~op~, of Tr~st) []10. Spousal Poverty Credit {date of death be~een 12~1-91 and 1-1-95) ~]5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes ~111. Election to tax under Sec. 9113(A) (^t~ach Sch O) NAME George W. Porter, Esquire FIRM NAME IIf Applicablel TELEPHONE NUMBER 717-533-7130 COMPLETE MAILING ADDRESS 909 East Chocolate Avenue Hershey, PA 17033 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Padnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Sank Deposits & Miscellaneous Personal Properly (5) (Schedule E) 6, Jointly Owned Property (Schedule F) (6) [~] Separate Billing Requested 7. Inter-Vivce 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) 0 236.61 0 0 (8) 5~490.11 )FFICl/~j (3~E ONLY 1~136.42 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) INSOLVENT ESTATE (11) (12) (13) (14) 236.61 6.626.53 (6,389.92) (6,389.92) SEE INSTRUCTIONS ON REVERSE SlOE FOR APPLICABLE RATES 15. Amount of Line 14 t~xable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) o 16. Amount of Line 14 taxable at lineal rate x .0_ (15) x .0__45 (16) 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate x .12 (17) x 15 (18) 19. Tax Due (19) o 0 0 Decedent's Complete Address: STREETADDRESS Margaret E. Reisinger CITY Lot #40, Leiby's Parkway, Box 7073 Carlisle I STATE PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credita (A + B + C ) (2) 3, Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) (1) 0 o 0 0 0 0 0 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. (5A} B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 'rNJ~i~T.VEHT E STA~E (SB) Make Check Payable to: REGISTER OF WILLS, AGENT i!1 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments-, benefits or care? ...................................................................... [] [] 2. if death occurred after December 12, 1982, did decadent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perju~7, I declare that I have examined this return, including accompanying schedules and statemenL% and to the best of my knowledge and belief, it is tree. con-ed and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. ADDRESS 1633 East Caracas Avenue, Hershey, PA 17033 SIGNATURE OF PREPARER OTHER THAN REPRESENTAT~' ADDRESS ~/ - 909 East Chocolate Avenue, Hershey, PA 17033 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 value of transfers to or for the use of the surviving spouse is 0% [72 P.S. {}9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and tiling 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 steppareat of the child is 0% [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 RS. §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. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS,& MISC. PERSONAL PROPERTY FILE NUMBER ESTATE OF MARGARET E. REISINGER 21-04-0422 Include the proceeds of litigation and the date the proceeds ~vere received by the e~tate. AIl property jointly-owned with the right of su~o~h must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH '1. PNC Bank - checking account #5003633439 Refund - Comcast Mobile Home - sold for $1.00 (See attached letter an( receipt.) Refund - Agway Petroleum Refund - Leiby's Trailer Park, security deposit. TOTAL (Also enter on line 5, Recapitulation 111.06 59.35 1.00 55.20 10.00 $ 236.61 (if more space is needed, inse[t additional sheets of the same size) at Law 909 Eost Ob~colate Aven~e Hershey, Pen~ylvan~ 17033 I.D. ~42752 FAX (717) 533-9209 ESTATE OF MARGARET E. REISINGER File No. Re: Mobile Home - 1968 Beverly Serial 99119 21-04-0422 TO WHOM IT MAY CONCERN: The above-described Mobile Home was purchased March 28, 1968 for $3,709.70. The executor, Keith E. Murphy, having received a quotation of $1,000 due and payable for the removal of the mobile home from the Leiby Trailer Park, transferred the said mobile home to a resident of the said trailer park for $1.00. Copies of the original purchase receipt and the receipt for the disposal of the mobile home are attached hereto. Ge o~r ~g e~.~p c/~t ~n s e 1 for the Estate of Margaret E. Reisinger Date: 4/30/04 Lot #40 Serial #9119 1968 Beverly (12'X44') Keith Eugene Murphy (SELLER) and P.O.A. for the estate of Margaret Resinger, has agreed to sell the above listed mobile home to Cindy Blessing (BUYER) on an "as is" agreement for $1.00 (one dollar), with all the maintenance responsibilities to be hers at,er the sale of the mobile home. /K$ith Eu~en~ Murp~P.O?A. Estate of Margaret Resinger Cind)7l~lessing Used huller ollowunce $ .............................. $ X X X X le~: Bal. owing to $ ............................ $ .............................. ~ h~ce $ ....... ~ .... CONDITIONS 0 It l~ furrY' uade~tood and a~Md~ or such other fonu of ag~ement as may bo Indlcatod on tho front of th~ oeder, REV-1511~ EX+ (12,-99)~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER MARGARET E. REISINGER 21-04-0422 Debts of decedent must be reported on Schedule [. ITEM NUMBER DESCRIPTION AMOUNT FUNERAL EXPENSES: Nickel Funeral Home ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Keith E. Murphy Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State__Zip Year(s) Commission Paid: Attorney Fees : George W. Porter, Esquire Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant N/A Street Address City State __ Zip Relationship of Claimant to Decedent Probate Fees : Cumberland County Register of Wills letters Accountant's Fees N/A Tax Return Preparer's Fees N/A The Sentinel - advertise letters Cumberland Law Journal - advertise letters Cumberland County Register of Wills filing fee $4,970.20 TOTAL (Also enter on line 9, Recapitulation) $ 5,4 9 0.1 I (If more space is needed, insert additional sheets of the same size) 300.00 37.00 97.91 75.00 10.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES,& LIENS ESTATE OF FILE NUMBER MARGARET E. REISINGER 21-04-0422 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 2. 3. 4. 5. PPL Electric Utilities Verizon Silver Spring Ambulance & Rescue M.S. Hershey Medical Center M. S. Hershey Physicians Services TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) 43.91 12.45 152.69 876.00 51.37 $ 1,136.42 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF MARGARET E. REISINGER FII~E NUMBER 21-04-0422 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DO Not List lYuetee(s) OF ESTATE e e I1 1. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec, 9116 (a) (1,2)] Roger L. Murphy East Louther Street, Apt. Carlisle, PA 17013 3 Keith E. Murphy 1633 East Caracas Avenue Hershey, PA 17033 Kent B. Reisinger East Louther Street, Apt. Carlisle, PA 17013 son son son 1/3 residue 1/3 residue 1/3 residue 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 DI~ TOTAL OF PART ]!- 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) I, MARGARET E. REISINGER, of the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor or Executors, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto my three (3) sons, namely, ROGER L. MURPHY, KEITH E. MURPHY and KENT B. REISINGER, share and share alike, absolutely and in fee simple. LASTLY. I nominate, constitute and appoint my son, namely, KEITH E. MURPHY, to be the Executor of this, my Last Will and Testament, but if for any reason he should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my two (2) sons, namely, ROGER L. MURPHY and KENT B. REISINGER, to be the Executors hereof, each and all to serve without bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOF, I, MARGARET E. REISINGER, have hereunto set my hand and seal to this, my Last Will and Testament which consists of two (2) typewritten pages to each of which I have affixed my signature this ~-'Y/~ day~k~,L[~.~-'=~-- of~,~'~ A.D., One Thousand Nine Hundred Eighty-nineS/ The preceding instrument, consisting of this and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by MARGARET E. REISINGER, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our na~ witnesses hereto. -2- COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, MARGARET E. REISINGER, RICHARD C. SNELBAKER and JANET M. FORRY, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Witness Witness Subscribed, sworn to and acknowledged before me by MARGARET E. REISINGER, the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANET M. FORRY, witnesses, Notary Public Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 08/02/2004 MURPHY KEITH E 1633 EAST CARACCAS AVE HERSHEY, PA 17033 RE: Estate of REISINGER MARGD~RET E File Number: 2004-00422 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 08/08/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge Sincerely, Clerk of the Orphans' Court CERTIFICATION OF NOTICE UNDER RULE 5.6{a) Name of Decedent: MARGARET E. REISINGER DateofDeath: April 22, 2004 Will No. 2004-00422 Admin. No. To the Register: I certify that notice of (beneficial interest) 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 : Name Address Roger L. Murphy East Louther Street, Apt. 3, Carlisle, PA 17013 Keith E. Murphy Kent B. Reisinger 1633 East Caracas Avenue, Hershey, PA 17033 East Louther Street, Apt., Carlisle, pA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: August 12, 2004 Capacity: __ Signature Name George W. Porter, Esquire Address 909 East Chocolate Avenue Hershey, PA 17033 Telephone (717 533-7130 Personal Representative X __Counsel for personal representative Name o£Decedent: Date of Death: STATUS REPORTUNDER RULE6.1? MARGARET E. REISINGER April 22, 2004 Will No.: 21-04-0422 Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes No 1--1 If the answer is No, state when the personal representative reasonably believes 3. If the answer to No. 1 is Yes, state the following: 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 Date: Co 10/5/04 Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the. Orphans' Court and may be attached t° this ~tep°rt' f~~ Si n-a // George W. Porter, Esquire Name 909 East Chocolate Avenue ! Capacity: Hershey, PA 17033 Ad&ess 717-533-7130 Telephone No. [-] Personal Representative [-~ Counsel for personal representative BUREAU OF TNDTVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. ~'8060x HARRISBURG, PA 17118-06D! CONNONWEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-I$¢7 EX AFP GEORGE W PORTER ESQ 909 E CHOCOLATE AVE HERSHEY PA 17055 DATE 09-20-200q ESTATE OF REISINGER DATE OF DEATH Oq-2Z-ZO0~ FILE NUNDER 21 Oq-O~ZZ COUNTY CUHBERLAND ACN 101 I Amoun~ Ramified MARGARET E HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA..~7015 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECO~I~i ~ ~, ...................................................................... ..... ........... EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT, OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENTi~DF TAX c~ ESTATE OF REISINGER MARGARET E FILE NO. 21 0~-0q22 ACN 101 -~ DATE 09-20-200~ TAX RETURN WAS: (X) ACCEPTED AS FTLED ( RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks end Bonds (Schedule B) (2) $. Closely Held Stock/Partnership Interest (Schedule C) ($) r~. Hortgeges/Notas RacaAveble (Schedule D) (~) 5. Cash/Bank DaposAts/HAsc. Personal Property (Schedule E) ($) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ada. Costs/Hisc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabi1AtAes/LAens (Schedule 1) (10) 11. Total Deduct ions 12. Nat Value of Tax Return ) CHAN~ED ~.1 ' i:,. ,,:i '.00~NOTE: To Ansure proper .00 credit to your accoun*, .00 subeAt the upper .00 of thAs form wAth your 256.6! tax payment. .00 .00 (B) 256.6! 5,~90.~! Z,!$6.~2 (11) (12) 6,589.92- 15. 1~. NOTE: ASSESSMENT OF TAX.' 15. Amount of LAne 1~ at Spousal rate 16. Amount of LAne 1~ taxable at Lineal/Class A rate 17. Aeount of L/ne 1~ at SAblAng rata 18. Aeount of L/ne 1~ ~axabla at Collateral/Class B rata 19. PrAncApel Tax Due TAX CREDITS: PAYMENT RECEIP1 DTSCOUNT DATE NUHBER TNTEREST/PEN PAID (- CharAtabla/l~overnmental Bequests; Non-elected 911:5 Trusts (Schedule J) (15) . O0 Net Value of Estate Subject to Tax (lr+) 6,~89.92- If an assessment .as issued previously, lines 1~, 15 and/or 16, 17, 18 and 19 reflect figures that include the total of ALL returns assessed to date. (16) .00 x O0 = .00 (lb) .00 x Oq5= .00 (17) .00 x !Z = .00 (18) .00 x 15 = .00 (19)= . O0 AMOUNT PAID ZF PAID AFTER DATE /NDZCATED, SEE REVERSE FOR CALCULATION OF ADD/TZONAL /NTEREST. TOTAL TAX CREDIT BALANCE O; TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any futura interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at tho lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CA): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. [TZ P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Make check or money order payable to: REGIS?ER OF #ILLS, AGENT A refund of a tax credit, which was net requested on the Tax Return, amy be requested by completing an "Application far Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications ara available at the Office of the RegJs*.er of Nills, any of the Z3 Revenue District Offices, or by calling the special Z4-hour ensnaring service for fores ordering: 1-800-36Z-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-30Z0 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Beard of Appeals, Dept. Z810Z1, Harrisburg, PA 171ZS-lOZ1, 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. Z&0601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3} calendar months after the decedent's death, a five percent (SI) discount of the tax paid is allowed. The ISZ 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 period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has bean assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and Dna (1) day fram the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rata of six (SI) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 198Z 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 198Z through 2004 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ lOX .000548 ~'~)'~'8-1991 llZ .OOO301 ~ 9Z .000247 1983 16Z .000438 199Z 9Z .000247 ZOOZ 6Z .000164 1984 112 .000301 1993-1994 7Z .O00/gz 2003 5Z .000137 1985 132 .000356 1995-1998 9Z .000247 ZOO4 4Z .000110 1986 IOZ .000Z74 1999 7Z .00019Z 1987 lOX .000Z74 ZOO0 7Z .O00lgZ --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY 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 calculatad. 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 SHADE WAYNE F 53 WEST POMFRET ST CARLISLE, PA 17013 __nu__ fold ESTATE INFORMATION: SSN: 184-07-4192 FILE NUMBER: 2105-0422 DECEDENT NAME: VIERING ELLENA M DA TE OF PAYMENT: 07/22/2005 POSTMARK DATE: 07/22/2005 COUNTY: CUMBERLAND DATE OF DEATH: 05/01/2005 REMARKS: CHECK# 2728 SEAL ACN ASSESSMENT CONTROL NUMBER 101 TOTAL AMOUNT PAID: INITIALS: JA RECEIVED BY: REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 005603 AMOUNT $3,200.00 $3,200.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS