HomeMy WebLinkAbout02-0136PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of 14elen .1. Casey No.
also known as To:
Social Security No. 171 - 28- 463 7
Register of Wills for the
Deceased. County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), whorls/are 18 years of age or older, appk
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
her last family or principal residence at 135 E. North St., Borough of Carlisle
(list street, number and municipality)
Decendent, then 68 years of age, died January 24 , ¥~22002 ,
at 135 E. North St., Borough Of Carlisle
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property $15,000. O0
(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: 135 E. North St,, Car.~isle - $60,000.00
1469 P~ne Rd,, Carlisle, PA - $35,000.00
Petitioners afterapropersearchh~e
the ~llowingspouse(ifany) and heirs:
Name
Don L. Case¥
son
ascertained that decedent left no will and was survived by
Relationship Residence
1471 Pine Rd., Carlisle
Kim L. Casey ~on 840 ~. Pitt St., Carlisle
James M. Casey son
1467 Pine Rd., Carlisle
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration 'in the
appropriate form to the undersigned.
Don L. Casey Kim L. Casey
1/,71 P~no pd 840 M. Pitt St.
C:nrl -i al o PA 1 701 3 l~arlisle. PA 17013
-¥l~mes ~r. 'case'y ~
/1467 Pine Rd. ~
Carlisle, PA 17013
/ 7-9f¢- 7 ,Cleo /7- 9/- 2"
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLYANIA
COUNTY OF
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 above decedent petitioner(s) will well and
truly administer the estate according to law.
SS
before me this ~t~ri ~. day of
No.
Estate of .~L~ J. CASEY
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
?
AND NOW February 7th ×~l~.2.oa~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Don L. Casey, Klm L. Casey and James M. Casey
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Don L. Casey, Kim L. Casey and James ~. Casey
in the estate of Helen J. Casey
FEES
Letters of Administration ..... $ 935~or3
Short Certificates(4) .......... $ 12.00
Renunciation ................ $
JCP $. 5.00
TOTAL ~ $ 252.00
Filed '. February..7.~, 20.O2A.D. l~ww
,ql-ophon R. I.qpenn IQAKq
ATTORNEY (Sup. Ct. I.D. No.)
61 West Louther St., Carlisle. PA
ADDRBSS 17013
(717)249-3929
PHONE
CALL A~fORNEnd 249-3929
his 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 will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 7913903
No.
Local Registrar
JAN 2 8 2002
Date
H10S.I~ R~. ~1 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS
'".,.~ CERTIFICATE OF DEATH
" (Coroner)
&NENT
~ I ~'-- 1 __ v ~ I SOCIAL SECURITY NUMBER I DBTE O~ DEATH OM0,~. Oa~ ~)
~ n=~=n ~ uasey I~.Female ],.171-28-4637 I,. January 24. 2002
.. =". , ~.' ." . ' ,, . : -' : ~ ~, ..
,~.~)~ , Occlusive Coro~isease '
~sion, Remo~e
?0..................................................... = ~//~ ~ ~oroner
' ID~NED~.~~
Mechaniesburg, Pa. ~7050
21-2002-136
CERTIFICATE OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Helen J. Casey
Date of Death: January 24, 2002
Will No.: - -
Admin. No. 21-02-0136
To the Register:
I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
February ~ ,2002:
Name Address
Don L. Casey
Kim L. Casey
James M. Casey
1471 Pine Rd., Carlisle, PA 17013
840 North Pitt St., Carlisle, PA 17013
1467 Pine Rd., Carlisle, PA 17013
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: No
exceptions.
Date: February ~., 2002
· Step~i~n B. Lipson, Es~-
61 West Louther St.
Carlisle, PA 17013
Capacity: Counsel for personal representatives
NOTICE ~?PE~TRATTA~IDN OMI~NI ICsETRATION
THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE
ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE.
Whether you will receive any money or property will be determined
wholly or partly by the decedent's will. If the decedent died
without a will, whether you will receive any money or property
will be determined by the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA
IN RE: Estate of Helen J. Casey, deceased, Estate No. 21-02-0136
TO:
Don L. Casey
1471 Pine Rd.
Carlisle, PA 17013
Kim L. Casey
840 North Pitt St.
Carlisle, PA 17103
James M. Casey
1467 Pine Rd.
Carlisle, PA 17013
Please take notice of the death of decedent and the grant of letters to the personal
representatives named below:
Don L. Casey, Kim L. Casey and James M. Casey
The Decedent, Helen J. Casey, died on the 24t~ day of January, 2002, at 135 East North St.,
Carlisle, Cumberland County, Pennsylvania.
The Decedent died intestate (without a Will).
The personal representatives of the decedent are:
Don L. Casey, 1471 Pine Rd., Carlisle, PA 17013, (717)486-8404
Kim L. Casey, 840 North Pitt St., Carlisle, PA 17013 (717)243-6503
James M. Casey, 1467 Pine Rd., Carlisle, PA 17013 (717)486-3157
If the Decedent died testate, the Will has been filed with the Office of the Register of
Wills of Cumberland County, 1 Courthouse Square, Carlisle, Pennsylvania, 17013. Phone no.
(717)240-6345.
If the Decedent died intestate, a Petition for the Grant of Letters of Administration was
filed with the Office of the Register of Wills of Cumberland County, 1 Courthouse Square,
Carlisle, Pennsylvania, 17013. Phone no. (717)240-6345.
A copy of the Will or petition may be obtained by contacting the Register of Wills and
paying for the charges of duplication.
Date: 2/,~/02
Signature:
Name:
Address:
Telephone:
Capacity:
Stephen B. Lipson
61 West Louther St.
Carlisle, PA 17013
717-249-3929
Counsel for Personal Representative
COMMQNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT. 280601
HARRISBUFIG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
CD
REV-1162 EX(11-96)
OO1O9O
LIPSON STEPHEN B
5 HILLTOP DRIVE
MOUNT HOLLY SPRINGS, PA
17065
........ fold
ESTATE INFORMATION: SSN: 171-28-4637
FILE NUMBER: 2102-01 36
DECEDENT NAME: CASEY HELEN J
DATE OF PAYMENT: 04/19/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUM BERLAN D
DATE OF DEATH: 01/24/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $3,000.00
TOTAL AMOUNT PAID:
$3,000.00
REMARKS: DON CASEY
C/O STEPHEN B LIPSON ESQUIRE
SEAL
CHECK#03433
INITIALS: JA
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
/tDMINISTP~TION
PETITION FOR PROBATE and GRANT OF LETTERS C.T.
Estate of Helen J. Casey
also known as
Social Security No. 171-28-4637
No.
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the execut
the last will of the above decedent, dated September 6
and codicil(s) dated N/A
named
, 19 77
in
Executor Marlyn E. Case¥ died January 13, 1992. Substitute executor M&T Bank, successor to Farmers
Trust Co., is submitting a renunciation at the time of the filing of this petition.
(State relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principal residence at 135 E. North St., Borough of Carlisle
(list street, number and municipality)
Decedent, then 68 years of age, died January 24 ,20 02
at 135 E. North St., Borough of Carlisle
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 a victim of a killing and was never adjudicated incompetent:
Decedent 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: 135 E. North St., Carlisle, PA - $60,000.00
1469 Pine Rd., Carlisle, PA - $35,000.00
$ 15,000.00
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and
the grant of letters Administration c.t.a.
thereon.
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
Signature(s) and l~¢~idence(syf Petitioner(s)
Don L. Casey~----~,.. ~..2..~ (.~'~r/
1471 Pine Rd. / 840 N. Pi~ St.
C~lisle, PA 17013 Jmes M. Casev C~lisle, PA 17013
1467 Pine Rd.
C~lisle, PA 17013
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~ER~ ss
KimL.
Casey [7
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 above decedent petitioner(s) will well and truly administer the estate according to law.
Sword to or affirmed and subscribed
_.gt,,_ before me this :27-1-h day of
September~ ' . .lX~X 2002 ~7. z?~7 /¥-
/7.- el-- Fr' o.gao 17-qb rl
No. 21-2002-136
Estate of Helen J. Casey
,Deceased
DECREE OF PROBATE AND GRANT OF LETTERS ADMINISTRATION C.T.A.
AND NOW October 1st, 20 02 , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated September 6, 1977
described therein be admitted to probate and filed of record as the last will of Helen J. Casey
and Letters
are hereby granted to Don L. Casey, Kim L. Casey and James M. Casey
FEES
Revoked Letters
Probate, Letters, Etc ................ $ 25.00
Short Certificates ( ) ................ $ -0-
Renunciation .... .1. .................. $ 5.00
x-Pages (2) $ 6.00
JCP No Charge -0-
TOTAL $ 36.00
Filed ................... '~ . ..... '
-'l}.egister of Wills - / -
Donna M. Otto, 1st Deputy
Stephen B. Lipson 19453
ATTORNEY (Sup. Ct. I.D. No.)
61 W. Louther St., Carlisle, PA 17013
ADDRESS
249-3929
PHONE
Call Attorney first, then put letters in Prothonotary 10/1/02
RENUNCIATION
21-2002-136
In Re Estate of Helen J. Casey
deceased.
To the Register of Wills of Climber] and
County, Pennsylvania.
The undersigned M r~ T Bank: ~qnh~n~ ~.Y~]]]-~r of
thc above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
be issuedto Dc~n_ r._ C'n~y;. l~m T.: C'n~c~y aDC] ._-tomes M_ Casey
WITNESS my hand this [~ day of ~Z~'~/~Lt4,A~ ~002 -
(Signature)
Jane F. Burke, Vice-President,
M & T Bank, successor to Farmers
(Address)
Trust Co.
1415 Ritner Hwy.
(Signature)
Carlisle, PA 17013
(Address)
(Signature)
(Address)
LAST WILL AND TESTAMENT OF HELEN J. CASEY 21-2d~2'Z3~
I, HELEN J. CASEY, of the Borough of Carlisle, Cumberland
County, Pennsylvania, declare this instrument to be my Last Will
and Testament, in manner and form following:
1. I hereby expressly revoke all Wills and Codicils hereto-
fore made by me.
2. I hereby direct my Executor to pay all my just debts,
funeral and administrative expenses out of my estate, as soon as
practicable after my death.
3. Should my husband, Marlyn E. Casey, survive me for a
period of thirty days following my death, I devise and bequeath
the remainder of my estate to Marlyn E. Casey.
4. Should my husband, Marlyn E. Casey, predecease me or die
on or before the thirtieth day following my death, I devise and
bequeath the remainder of my estate to my issue living on the
thirty-first day following my death, per stirpes. I direct that
my Executor shall distribute as much of my estate in kind,
particularly any gun collection inherited from my husband, as
possible.
5. I nominate and appoint my brother and his wife, Herman
F. Spitz and Shelba J. Spitz, or the survivor of them, as
guardians of the person of any of my minor children, in the event
my said husband does not survive me.
6. I nominate and appoint Farmers Trust Company, Carlisle,
Pennsylvania, Trustee of the share of any beneficiary who may be
a minor. The income and/or principal of said trust may be
accumulated or expended for the maintenance, education and support
of such beneficiary as my Trustee in its sole discretion may
determine; and my Trustee, in the expenditure of income and/or
principal for such purposes, may, at its discretion, apply the
"same directly without the intervention of a guardian or pay the
same to any person having the care or control of said beneficiary
or with whom the beneficiary resides, without duty on the part of
the Trustee to supervise or inquire into the application of the
funds by any person to whom any payment is so made. The balance
of such income and/or principal shall be paid to such beneficiary
upon reaching majority or to such beneficiary's estate in the
event of death prior thereto.
7. I nominate and appoint my husband, Marlyn E. Casey, as
(Executor of this my Last Will and Testament; and as substitute
Executor I nominate and appoint Farmers Trust Company, Carlisle,
~~Pennsylvania.
8. I direct that my personal representative and Trustee,
as well as their successors, shall not be required to file bond
or security in any jurisdiction.
IN WITNESS WHEREOFt I have hereunto set my hand and seal
this ~ ~~ day of September, 1977.
•~ (SEAL)
Helen J Casey
WITNESS:
.---
~~ 1~.. ~ ~~~~
r
_ a _
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
I~ HELEN J. CASEY, Testatrix, whose name is signed to the'
attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will; 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 acknowledged before me, by Helen J.
Casey, Testatrix, this L`~~ day of September, 1977
`1 ~~ `~. -~'^--'
Testatri
_,
_ ~ '
--- ~
-.~3E..f4 ~.~~ ~.,' <- ~~~' ~~ -
~,
_ ~79
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND .
We, Roger M. Morgenthal and Bonnie W. Brough, the witnesses
whose names are signed to the attached or foregoing instrument,
'being duly qualified according to law, do depose and say that we
were present and saw Testatrix, Helen J. Casey, sign and execute
the instrument as her Last Will; that she signed willingly and that
'she executed it as her free and voluntary act for the purposes
therein expressed; that both 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 that time 18 or more years of
age, of sound mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by Roger M.
Morgenthal and Bonnie W. Brough, witnesses, this ~~,.~ day of
September, 1977.
~~~ ~f~I
' Witness ~~
Witness
ti
__ -
,.,
--' ~ ~
~_
-- r
_~ ~ ~
. _. ~~~ f
y,
- 3 -
Helen J. Casey '
Deceased '
Register of Wills
Cumberland County
Pennsylvania
Estate No. 21-2002-0136
ORDER TO REVOKE LETERS OF ADMINISTRATION
AND NOW, this 1st day of October 2002, Letters of Administration dated February 7th,
2002 and issued to Don L. Casey, Kim L. Casey and James M. Casey as administrators
for the Estate of Helen J. Casey, Late of Carlisle Borough, Cumberland County,
deceased, are hereby revoked. A will has been found and admitted for Probate and new
Letters Administration C.T.A. are being issued to Don L. Casey, Kim L. Casey and
James M. Casey.
~;nna M. Otto, i~t DePUty ..... ~
Register of Wills
REV-1500 EX
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
NUMBER
COUNTY CODE YEAR
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
Y H E/_.-£w ,..77 /7/ - -
Z
UJ DATE Of DEATH (MM-DD-YEAR) -") DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
ILl / -- ~ ~ -- (~ c~ ///-- O'-'- ~,~-.~ REGISTER OF WILLS
LEI SOCIAL SECURITY NUMBER
I-
Z
Z
o
UJ
o
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
[~1. Original Return
~--~4. Limited Estate
J~6. Decedent Died Testate (Attach copy of Will)
r~9. Litigation Proceeds Received
F-~2. Supplemental Return
F-~ 4a. Future Interest Compromise (date of death after 12-12~2)
F~7. Decedent Maintained a Living Trust (A~ch copy of Trust)
~---~ 10. Spousal Poverty Credit (date of death belween 12-31-91 and 1-1-95)
r~3. Remainder Return (date of death prior to 12-13-82)
[~5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
~--~ 11. Election to tax under Sec. 9113(A) (Attach Sch O)
NAME ~ / /
FIRM NAME (If Appli~ble)
COMPLETE MAILING ADDRESS
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closety Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
--]Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13.
14.
_.pFFICIAL USE ONLY
?/7 2', 7'7'
Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
Net Value Subject to Tax (Line 12 minus Line 13)
(11) ~' ~:~) ¢o ~--~
(13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
x .o_ (15)
x .0 ,('/~--~ (16)
x .12 (17)
x .15 (18)
(19)
20. []
zffi~
~m
m m m m
Z ~ Z ~
REV. I$O~ EX+
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please Print or Type
FILE NUMBER
(All prG~,e~
ITEM
NUMBER
/,
jointly-owned with the Right of Survivorship must be disclosed on Schedule F)
DESCRIPTION
VALUE AT
DATE OF DEATH
If. ce.
~/.:--m__. O er
X/
/~'/-//~,//,/~'~ TOTAL (Also enter on line 5, Recapitulation
(Attach additional 8i,~" x 11' sheets if more space is needed.)
s I?..<->m, 7~
REV-1510 EX+ (2-87) ~ ~.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
ESTATE OF FILE NUMBER
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
EXCLUSION
ITEM J
DESCRIPTION OF PROPERTY
Include nome of the transferee, their relationship to decedent, date of transfer.
TOTAL VALUE
OF ASSET
DECD.
%
INT.
TOTAL (Also enter on line 7, Recapitulation)
(If more space is needed, insert additional sheets of same size.)
DOLLAR VALUE
OF DECEDENT'S
INTEREST
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ITEM
NUMBER
ke
C.
1.
2.
3.
4.
5.
6.
7.
8.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or Type
FILE NUMBER
DESCRIPTION
Funeral Expenses:
Administrative Costs:
Personal Representative Commissions /~ C -
Social Security Number of Personal Representative:
Year Commissions paid
Attorney Fees
Family Exemption
Claimant
Address of Claimant at decedent's death
Street Address
Relationship
AMOUNT
City State __ Zip Code
Probate Fees/~ .... / ~ .~- /
Miscelloneous
Expenses:
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of same size.)
s 7/77.
REV 1512 EX * (1 97) ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION ~ AMOUNT
TOTAL (Also enter on line 10, Recapitulation)
(if more space is needed, inser[ additional sheets of the same size)
REV-1513 EX+ (2~87)
COMMONWEALTH OF P~NNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
ITEM AMOUNT OR
NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP SHARE OF ESTATE
A. Taxable Bequests:
I ?1
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequests:
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $
(If more space is needed, insert additional sheets of same size)
LAST WILL AND TESTAMENT OF HELEN J. CASEY
I, BELEN J. CASEY, of the Borough of Carlisle, Cumberland
County, Pennsylvania, declare this instrument to be my Last Will
and Testament, in manner and form following:
1. I hereby expressly revoke all Wills and Codicils hereto-
fore made by me.
2. I hereby direct my Executor to pay all my just debts,
funeral and administrative expenses out of my estate, as soon as
practicable after my death.
3. Should my husband, Marlyn E. Casey, survive me for a
period of thirty days following my death, I devise and bequeath
the remainder of my estate to Marlyn E. Casey.
4. Should my husband, Marlyn E. Casey, predecease me or die
~ on or before the thirtieth day following my death, I devise and
bequeath the remainder of my estate to my issue living on the
thirty-first day following my death, per stirpes I direct that
-
my Executor shall distribute as much of my estate in kind,
particularly any gun collection inherited from my husband, as
possible.
5. I nominate and appoint my brother and his wife, Herman
F. Spitz and Shelba J. Spitz, or the survivor of them, as
guardians of the person of any of my minor children, in the event
my said husband does not survive me.
6. I nominate and appoint Farmers Trust Company, Carlisle,
Pennsylvania, Trustee of the share of any beneficiary who may be
a minor. The income and/or principal of said trust may be
accumulated or expended for the maintenance, education and support
of such beneficiary as my Trustee in its sole discretion may
determine~ and my Trustee, in the expenditure of income and/or
principal for such purposes, may, at its discretion, apply the
same directly without the intervention of a guardian or pay the
same to any person having the care or control of said beneficiary
or with whom the beneficiary resides, without duty on the part of
the Trustee to supervise or inquire into the application of the
funds by any ~erson to whom any payment is so made. The balance
of such income and/or principal shall be paid to such beneficiary
upon reaching majority or to such beneficiary's estate in the
event of death prior thereto.
7. I nominate and appoint my husband, Marlyn E. Casey, as
Executor of this my Last Will and Testament: and as substitute
~Executor I nominate and appoint Farmers Trust Company, Carlisle,
.iPennsylvania-
8. I direct that my personal representative and Trustee,
as well as their successors, shall not be required to file bond
or security in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this ~ day of September, 1977.
(SEAL)
COMMONWEALTH OF PENNSYLVANIA :
· SS
COUNTY OF CUMBE~ :
I, HELEN J. CASEY, Testatrix, whose name is signed to the'
attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and.
executed the instrument as my Last Will: 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 acknowledged before me, by Helen J.
Casey, Testatrix, this ~.~ day of September, 1977.
JANIC~iE. HERTZLER, NOTARY PUBLIC
Cumberl-snd County Csrlisle, Pa,
My Co~rmssion Expires January 27, 1979
Tes tatr%~
JANICE E.
Cumberh
My Commis
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :
We, Roger M. Morgenthal and Bonnie W. Brough, the witnesses
whose names are signed to the attached or foregoing instrument,
'being duly qualified according to law, do depose and say that we
were present and saw Testatrix, Helen J. Casey, sign and execute
the instrument as her Last Will~ that she signed willingly and th~
she executed it as her free and voluntary act for the purposes
therein expressed~ that both of us in the hearing and sight of
the Testatrix signed the Will as witnesses~ and that to the best
our knowledge the Testatrix was at that time 18 or more years of
age, of sound mind and under no constraint or undue influence.
Sworn or affirmed to and subscribed to before me by Roger M.
Morgenthal and Bonnie W. Brough, witnesses this ~ day of
September, 1977. '
Witness
IERTZLER, NOTARY PUBLIC
~d County Carlisle, Pa.
;ion Expires January 27, 1979
- 3 -
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2806O1
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(I 1-96)
CD 00176O
STEPHEN B LIPSON ESQUIRE
5 HILLTOP DRIVE
MT HOLLY SPRINGS, PA 17065-18
........ fold
ESTATE INFORMATION: SSN: 171-28-4637
FILE NUMBER: 2102-0136
DECEDENT NAME: CASEY HELEN J
DATE OF PAYMENT: 10/22/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 01/24/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 92,274.45
REMARKS:
TOTAL AMOUNT PAID:
DON L CASEY
C/O STEPHEN B LIPSON ESQUIRE
92,274.45
SEAL
CHECK# 102
INITIALS: SK
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF iNDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 001939
LIPSON STEPHEN B ESQUIRE
61 W LOUTHER STREET
CARLISLE, PA 17013
........ fold
ESTATE INFORMATION: SSN: 171-28-4637
FILE NUMBER: 2102-01 36
DECEDENT NAME: CASEY HELEN J
DATE OF PAYMENT: 12/12/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 01/24/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $11.37
REMARKS:
TOTAL AMOUNT PAID'
STEPHEN B LIPSON ESQUIRE
$11.37
SEAL
CHECK# 2436
INITIALS: JA
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
I?- Vo -?
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRTSBURG, PA 17128-0601
COHNONWEALTH OF PENNSYLVANIA
DEPARTNENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAZSENENT, ALLO#ANCE OR DZSALLO#ANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
REV-l;47 EX &FP ¢;1-D2)
STEPHEN B LIPSON
61W LOUTHER ST
CARLISLE
PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
~COUNTY
ACN
12-10-2002
CASEY
01-24-2002
21 02-0136
CUHBERLAND
101
Aeoun.t Raei.t.ted
HELEN d
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS L/NE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-02} NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX
ESTATE OF CASEY HELEN J FILE NO. 21 02-0156 ACN 101 DATE 12-10-Z002
TAX RETURN NAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Es~a.te (Schedule A) (1)
2. S.tocks end Bonds (Schedule B) (2)
3. Closely Held S.tock/Par.tnership Zn.teres~ (Schedule C) (3)
~. Nor.tgages/No.tes Receivable (Schedule D)
5. Cash/Bank Daposi.ts/Nisc. Personal Proper~y (Schedule E) (E)
6. Join.tly Owned Proper.ty (Schedule F) (6)
7. Transfers (Schedule O) (7)
8. To.tel
APPROVED DEDUCTIONS AND EXEHPTTONS:
9. Funeral Expenses/Ada. Cos.ts/Nisc. Expenses (Schedule H) (9)
10. Deb.ts/Nor.tgage Liabili.tias/Liens (Schedule Z] (10)
11. To.tel Daduc.tions
12. Ne.t Value of Tax Re.turn
113/000.00
.00
.00
.00
17~525.75
.00
250.00
(8)
9,177.99
626.91
(11)
(12)
NOTE: To insure proper
cred/.t .to your accoun.t,
sube/.t .the upper por.tion
of ~his form wi.th your
~ax payeen.t.
130,773.73
9.80~.90
120,968.85
13.
1~.
NOTE:
Chari.table/Governeen.tal Beques.ts; Non-elec.ted 9113 Trusts (Schedule J) (13)
Ne.t VaXua of Es.ta.te Sub~ec.t 'to Tax (1~)
Zf an assessment ~as issued previously, lines 1~, 15 and/or 16, 17,
reflect flgures that lnclude the total of ALL returns assessed to date.
ASSESSHENT OF TAX:
15. Aeoun.t of Line 1~ a.t Spouse/ ra~e (15) . O0 X O0 =
16. Aeoun.t of L/ne 1~ .taxable a.t L/neaX/Cless A ra.te (16) 120,968.86 X 045 =
17. Aeoun.t of Line l~t a.t S/bling ra.te (17) . O0 X 12 =
18. Aeoun* of Line lq .taxabXe a.t Colla.teral/Class B ra.te (18) .00 X 15 =
19. Principal Tax Due (19)=
TAX CREDITS:
PAYHENT | RECEIP1 DISCOUNT (+)
DATE I NUHBER INTEREST/PEN PAID (-) ANOUNT PAID
04-19-2002 CDO01090 157.89
10-22-2002 CD001760 . O0
INTEREST IS CHARGED THROUGH 12-25-2002 TOTAL TAX CREDIT
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUEl
REVERSE SIDE OF THTS FORH INTEREST AND PEN.
I
TOTAL DUE
~ ZF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
.00
120,968.83
18 and 19 will
.00
5,445.60
.00
.00
5,445.60
5,432.34
11.26
.11
11.37
3,000.00
2,274.45
( ZF TOTAL DUE IS LESS THAN $1, NO PAYNENT IS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.)
RESERVATION:
Estates of decedents dying on or before December 12, 198Z -- if any futura interest in the estate is transferred
in possession or enjoyment to Class 8 (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Coamonaealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the taafu! Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section Zl~O af the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit aith your payment to the Register of #ills printed on the reverse side.
--Make check or money order payable to: REG/STER OF HILLS, AGENT
A refund of a tax credit, ahich was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office
of the Register of Wills, any of the Z3 Revenue District Offices, or by calling the special lq-hour
ansaering service for forms ordering: 1-800-36Z-ZOSO; services for taxpayers aith special hearing and / or
speaking needs: 1-800-~q7-30ZO [TT only).
Any party in interest not satisfied aith the appraisement, alloaance, 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:
--aritten protest to the PA Department of Revenue, Board of Appeals, Dept. ZBIOZ1, 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 ariting to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Reviea Unit, Dept. 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6S05. See page S 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 decadent's death, a five percent (SI) discount of
the tax paid is alloaed.
The lex tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and net
paid before January IB, 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 mould appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning aith first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes which became deIinquent before January l, 198Z bear interest at the rate of
six (SI) percent per annum calculated at a daily rate of .00016q. Ail 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 aith that rate
announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO2 are:
Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor
1982 ZOZ .O00S~8 1992 92 .OOOZq7
1983 16Z .000~38 1993-1994 7Z .000192
198~ llX .000301 1995-1998 9Z .0002fi7
1985 13Z .000356 1999 7Z .00019Z
1986 IOZ .OOOZ7~ ZOOO 8Z .000Z19
1987 9Z .O00Z~7 2001 9Z .O00Z~7
1988-1991 llZ .000301 200Z 62 .00016~
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAXLY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (1S) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
REV-1470 EX (6-88)
INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA EXPLANATION
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF CHANGES
DEPT. 280601
HARRISBURGl PA 17128-0601
DECEDENTS NAME
Helen J. Casey FILE NUMBER
2102-0136
REVIEVVED BY
Sheila Megonnell ACN
101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
G IRA's are fully taxable with no exclusions.
ROW Page 1
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Date of Death:
Will No.:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the admioistration of the above-captioned estate:
1. State whether administration of the estate is complete:
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete: --
3. If the answer to No. 1 is Yes, state the following:
Did the personal representative file a final account with the Court?
Yes _ No
b. The sepazate Orphans' Court No. (if any) for the personal representative's
account is: ,O, ~j
c. Did the personal representative state an account informally to the parties
in interest? Yes ~ No
Date:
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 to this report.
Signature
Name
Address
Telephone No.
Capacity: [-] Personal Representative
~r-Counsel for personal representative
~/ BUREAU OF ZNDZVZDUAL TAXES
I*NHERTTANCE TAX DTVZSTON
DEPT. 280601
HARRISBURG,, PA 17118-0601
STEPHEN B LZPSON
61N LOUTHER ST
CARLISLE
PA 171015
COHHONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
ZNHERZTANCE TAX
STATEMENT OF ACCOUNT
DATE 01-21-2005
ESTATE OF CASEY
DATE OF DEATH 01-2q-2002
FILE NUHBER 11 02-0156
· ~COUNTY CUMBERLAND
ACN 101
Amount Remitted
REV-I~O? EX AFP
HELEN
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF MILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
NOTE: To insure proper credit to your account, submit the upper port/on of this form frith your tax payment.
CUT ALONG THIS LINE ~* RETAIN LONER PORT]:ON FOR YOUR RECORDS ~.~
REV-1607 EX AFP (01-03) ~ ZNHERTTANCE TAX STATEHENT OF ACCOUNT
ESTATE OF CASEY HELEN J F'rLE NO. ZZ 02-0156 ACN 101 DATE 01-Z1-ZO0$
TH'rS STATEHENT 'rS PROV'rDED TO ADV'rSE OF THE CURRENT STATUS OF THE STATED ACN ]'N THE NAMED ESTATE. SHONN BELON
1S A SUMMARY OF THE PR/NCZPAL TAX DUE, APPL.rCAT.rON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, 'rF APPL/CABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT: 12-10-2002
PRINCIPAL TAX DUE:
PAYMENTS
5,q~$.60
(TAX CREDITS):
PAYMENT
DATE
0q-19-2002
10-22-2002
12-12-2002
RECEIPT
NUMBER
CDO01090
CD001760
CD001959
ZF PAID AFTER THZS DATE, SEE REVERSE
SZDE FOR CALCULATZON OF ADDZTZONAL INTEREST.
( ZF TOTAL DUE ZS LESS THAN $1,
NO PAYMENT ZS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A "CRED.rT" (CR),
DISCOUNT (+)
INTEREST/PEN PAID (-
157.89
.00
.09-
) AMOUNT PAID
$,000.00
2,27q.q5
11.57
TOTAL TAX CREDZT
BALANCE OF TAX DUE
ZNTEREST AND PEN.
5,qq$.62
.02CR
.00
TOTAL DUE .02CR
YOU MAY BE DUE A REFUND. SEE REVERSE S.rDE OF TH/S FORM FOR TNSTRUCTI'ONS. )
PAYMENT:
Detach the top portion of this Notice and submit with your payment made payable to the name and address
printed on the reverse side.
-- [f RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT.
-- If NON-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA.
REFUND (CR3:
REPLY TO:
DZSCOUNT:
PENALTY:
A refund of a tax credit, which was not requested on the Tax Return, may bm requested by completing an
"Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1515). Applications are available at
the Office of the Register of Hills, any of the 25 Revenue District Offices or from the Department's AG-hour
answering service for forms ordering: 1-eOO-56Z-Z050; services for taxpayers with special hearing and / or
speaking needs: I-eOO-667-50ZO (TT only}.
Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. ZeO60I, Harrisburg, PA 17128-0601, phone
(717) 787-6808.
If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (SI) discount
of tho tax paid is allowed.
The lex tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January i8, 1996, the first day after the end of the tax amnesty period.
INTEREST:
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes ahich became delinquent before January 1, 198Z bear interest at the rate of
six (GZ) percent per annum calculated at a daily rate of .000166. A11 taxes which became delinquent on and after
January 1, 198Z will bear interest at a rate mhich will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The appllcable interest rates for 198Z through ZOO5 are:
Interest Daily interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20Z .000568 1987 92 .000Z67 1999 7Z .00019Z
1985 lGZ .000658 1988-1991 llZ .000501 ZOO0 82 .O00Z19
1986 llZ .000501 199Z 92 .000267 ZOOl 92 .O00267
1985 15Z .000556 1995-1996 7Z .00019Z ZOO2 6Z .000166
1986 102 .000Z76 1995-1998 92 .000267 2003 52 .000157
--Interest is calculated as follows:
ZNTEREST= BALANCE OF TAX UNPAZD X NUI'IBER OF DAYS DELZNQUENT X DAZLY ZNTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (IS) days
beyond the date of the assessment. If payment is made after tho interest computation date sbo~n on the
Notice, additional interest must be calculated.
mO
cO
m m m m
~ o o ~
Z ~ Z ~
-- ~ ~
GEORGE L. EBENER & ASSOCIATES
REALTORS
Resldon(lal, Commercial & Farms
Appraisals · Sale, · Renlals
139 we~t High ${reeL Cnntslo. PA 17013-2991
Phone (717) 243-6195 - Fax (717) 24S-O69g
April 19, 2002
To Whom It Iv'my Concern:
The 18a' of April, 2002 1 completed a walk thru inspection of the cabin at 1473 Pine
Road, Carlisle, PA 17013. The purpose of the inspection is to determine thc value of the
cabin for the estate of Helen Casey.
Througl~ the market analysis process I have determined the value of the property to be
SLxty Thousand Dollars ($60,000.00.)
I do not have -any interest m the property except to determine the market value.
GF/mac
ftflflrL~TI
~o~