HomeMy WebLinkAbout02-0157PETITION FOR PROBATE and GRANT OF LETTERS
Estate of HELEN IRENE METZ No.
also known as To:
Deceased
Social Security No. 084-09-7509
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioners are 18 years of age or older and the Executrices named in the last will of the
above decedent, dated June 9, 1987 and codicil(s) dated [none].
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or
principal residence at 47 Hickorytown Road, Middlesex Township.
Decedent, then 93 years of age, died January 27, 2002, at 47 Hickorytown Road, Carlisle,
Pennsylvania.
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:
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:
$ unestimated
$
$
$
WHEREFORE, petitioners respectfully request the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary thereon. ,~O~ ~}r}, C~Lrcw~' ~~l~O,~,
Marcia M. Branscum
49 Hickorytown Road
Carlisle, PA 17013
(717)2M-3-gbbg ~o $ ~?
?..M.~ Silkett .latlrg3.
8~in Oak Drive
Boiling Springs, PA 17007
(717)243-4093
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
The petitioners above-named swear or affirm that the statements in the foregoing petition are true
and correct to the best of the knowledge and belief of petitioners and that as personal representatives of
the above decedent, petitioners will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed
before me this 11 ti-day of
· February,.~ ,2002 . ,,
Mary J Lewis ' Register~~
Marcia M. Branscum
,3a
Gail M. Colson Silkett
/7'
No. 21-2002-157
Estate of Helen Irene Metz, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
ANDNOW, February 11,2002 .,inconsiderationofthepetitiononthereverseside
hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated June 9, 1987 described therein be admitted to probate and
filed of record as the last will of Helen Irene Metz and Letters Testamentary are hereby granted to Marcia
M. Branscum and Gall M. Colson Silkett.
Will Book #
Page
FEES
Probate, Letters, Etc. $ 2 3 5.0 0__
Short Certificates(2 ) $ 6.0 0
Renunciation $
x-Pages (2) .. $ 6.00
JCP TOTAL $ 5.00
$ 252.00
Register of~ills Mary C. Lewis
John B. Fowler, Esquire (06273)
ATTORNEY (Sup. Ct. I.D. No.)
MARTSON DEARDORFF WILLIAMS & OTTO
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Filed February 11,2002
CALL ATTORNEY WHEN LETTERS ARE READY.
F :~FILESq)ATAF ILE~ESTATES\ 10588-petiti°n-ltr
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 7913948
No.
Local Registrar
JAN 3 0 2002
Date
COMMONWEALTH OF PENNSYLVANIA ,, DEPARTMENT OF HEALTH - VITAL RECORDS
CERTIFICATE OF DEATH
2, a Januar7
place, ~1 b to the eauN(.) and
" ' ................ [2]
[] .o[3
21-2002-157
LAST WILL AND TESTAMENT OF
HELEN IRENE METZ
I, Helen Irene Metz, of Middlesex Township, Cumberland
County, Pennsylvania, declare this to be my Last Will and
Testament and revoke all Wills and Codicils previously made by me.
ITEM I: I direct that all my legally enforceable debts and
funeral expenses, including all expenses of my last illness, shall
be paid from my residuary estate as soon as practicable after my
decease as a part of the expense of the administration of my
estate.
ITEM II: I bequeath my personal effects and other tangible
personal property of like nature (not including cash or
securities) in equal shares to my daughters, Gall M. Colson and
Marcia M. Branscum.
ITEM III: I devise and bequeath the residue of my estate of
every nature and wherever situate in equal shares to my said
daughters, provided that the share of either daughter who
predeceases me shall be added to the share for my other daughter.
Should both of my said daughters predecease me, I devise and
bequeath the residue of my estate of every nature and wherever
situate to my grandson, Brett P. Branscum.
ITEM IV: Ail Federal, State and other death taxes payable
because of my death, with respect to the property forming my gross
estate for tax purposes, whether passing under this Will or
otherwise, including any interest or penalty imposed in connection
with such taxes, shall be considered a part of the expense of the
administration of my estate and shall be paid out of the principal
of my residuary estate without apportionment or right of
reimbursement.
ITEM V: I appoint my said daughters, Gail M. Colson and
Marcia M. Branscum, or the survivor, Executrices of this my last
Will.
ITEM VI: I direct that all fiduciaries acting under this
Will, whether or not named herein, shall not be required to give
bond for the faithful performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this ~ day of ~, ~987.
The preceding instrument, consisting of this and one other
typewritten page, each identified by the signature of the
Testatrix, was on the date thereof, signed, published and declared
by Helen Irene Metz, the Testatrix therein named, as and for her
last Will, in the presence of us, who, at her request, in her
presence and in the presence of each other, have subscribed our
names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CUMBERLAND :
We, Helen Irene Metz, John B. Fowler, III, and Mary M. Price,
the Testatrix and the witnesses, respectively, whose names are
signed to the 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 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 witness and that to the best of his/her
knowledge the Testatrix was at that time eighteen years of age or
older, of sound mind and under no constraint or undue influence.
D Testatrix
/ / Witne%s
~J - - Witness
Subscribed, sworn to and acknowledged before me by
Helen Irene Metz, the Testatrix, and subscribed and sworn to
before me by John B. Fowler, III, and Mary M. Price, witnesses,
this ?~-- day of ~7-~ , 1987.
Nota~ ?ublic
BONNIE L. COYLE, Nota~ Public
Mt. Holly Sptin[$, Cum~rland Co. P~
My Commission Expires Oct. 8, 1990
F: \FILES\DATAFILE\ESTATES\ 10558-notice.cer
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: HELEN IRENE METZ
Date of Death:
January 27, 2002
File No. 2002-0157
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 or
about February 19, 2002.
Marcia M. Branscum, 49 Hickorytown Road, Carlisle, PA 17013
Gail M. Colson Silkett, 28 North Pin Oak Drive, Boiling Springs, PA 17007
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: N/A
Date: February 19, 2002 Signature ~ ~o ~
Name /e ~ B. Fowler III, Esquire
~ MARTSON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Personal Representative
REV-1500
OOMMO.~V~^.TH O. P~..SYLVAN,A INHERITANCE TAX RETURN
°~"AR['~"~:°[0~w" uE RESIDENT DECEDENT
HARRISBURG, ....... PA 17128-0~01
I DEcEDI::NT'S NAME (LASTi ~iAST. AND M~bE)LE INITIALi '
~ METZ, HELEN I.
IITATEX~F DEATH (MI~2DD~EAR) DATE Of BIRTR(I~A]~)
01/27/2002 06/06/1908
IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
[]
I OFFICIAL USE ONLY
FILE NUMBER
21 02 00157
COUNTY CODE YEAR NUMBER
SOCIAL SECURITY NUMBER
084-09-7509
THIS RETURN MUST'BE FILE~IN DIJPLI~ATE WiTH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
1. Original Return [] 2. Supplemental Return [] 3. Remainder Return (date oD'~i prior to ]2-T3x~2)
4. Limited Estate I"'1 4a. Future Interest Compromise (date of death
after 12-12-82) E] 5. Federal Estate Tax Return Required
[] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 0 8. Total Number of Safe Deposit Boxes
of Will) copy of Trust)
[] 9. Litigation Proceeds Received Fl 10. Spousal Poverty Credit (date of death between [] 11.Election to tax under Sec, 9113(A) (Attach Sch O)
12-31-91 and 1-1-95)
I AME COMPLETE MAILING ADDRESS
John B. Fowler, III, Esq.
~IRM NAME (If applicable)
. ~ Martson Deardorff Williams & Otto 10 East High Street
Carlisle, PA 17013
YEL-I~PH~UMBER
717/243-3341
1. Real Estate (Schedule A) (1) None-, - OFFICIAL USE ONLY
z
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned 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) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
90.17
None
None
149,179.83
None
None
17,833.92
1,391.17
12. Net Value of Estate (Line 8 minus Line 11 )
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not
been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(6) 149,270.00
(11) 19,225.09
(12) 130,044.91
(13)
(14) 130,044.91
z
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)
x .00 (15)
16. Amount of Line 14 taxable at lineal rate
130,044.91 x .045 (16) 5,852.02
17.Amount of Line 14 taxable at sibling rate
x .12 (17)
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
x .15 (16)
(19) 5,852.02
Copyriglat 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
tSTREET ADDRESS 47 Hickorytown Road
CITY Carlisle
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
292.60
Interest/Penalty if applicable D. Interest
E. Penalty
STATE PA
Total Credits (A + B + C)
Total Interest/Penalty (D + E)
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
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 total of Line 5 + 5A. This is the BALANCE DUE.
ZIP 17013
(1) 5,852.02
(2) 292.60
(3) 0.00
(4)
(5) 5,559.42
(5A)
(5B) 5,559'42
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: 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 decedent 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 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 complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
DATE
'~rh ~ ~0. I~)Y~ a~q~ 49 Hickorvtown Road
Carlisle, FA 17013
SIGNATURE oFrpERSON RESPONSIBLE FOR FILING RETURN ~ ' ADDRESS DATE
,No e,noak ,w
Boiling Springs, PA 17007
SIGNATI~ O,~ PREPARER OTHER THAN RE_.PRESENTATIVE ADDRESS
,~,,.4. ':~ ~ ~. ~ 10 East Hi.h Street ,'/ .,./
aeatn 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
surv~wng 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 exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116
1.2) [72 P.S. §9116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
EsT~,TE OF
SCHEDULE B
STOCKS & BONDS
iFILE NUMBER
~ 21 - 02- 00157
METZ, HELEN I.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
l
4 shares Potomac Electric (737679100)
DESCRIPTION
UNIT VALUE
22.5425
VALUE AT DATE
OF DEATH
9o.D
TOTAL (Also enter on line 2, Recapitulation) 90.]7
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
METZ, HELEN I. FILE NUMBER
21 - 02- 00157
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
1
DESCRIPTION
M&T Bank Checking Account No. 611352
M&T Bank Savings Account No. 15004200943056
Sprint, refund of overpayment credit
Household furnishings and personal property, appraised value
TOTAL (Also enter on Line 5, Recapitulation)
VALUE AT DATE
OF DEATH
- 25~i38.09
123,723.34
18.40
300.00
149,179.83
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATNE COSTS
FILE NUMBER
21 - 02- 00157
METZ, HELEN I.
Debts of decedent must be reported on Schedule I.
ITEM
DESCRIPTION
NUN1BER
A.
1
Bo
2
3 ,
FUNERAL EXPENSES:
Ewing Brothers Funeral Home, Carlisle, PA
Monument engraving
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State Zip
Year(s) Commission paid
Attorney's Fees Martson Deardorff Williams & Otto (estimated)
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
Probate Fees Register of Wills
State Zip
AMOUNT
9,497.00
85.00
7,720.00
252.00
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
Register of Wills, filing fee, inheritance tax return
Clarke American, checkbook charges
M&T Bank, fees
Total of Continuation Schedule(s)
TOTAl_ {Also enter on line 9, Recapitulation) 7,833.92
15.00
9.92
5.00
250.00
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Schedule H
FILE NUMBER
21 - 02 - 00157
METZ, HELEN I.
4
Reserved for miscellaneous filing fees and closing costs
250.00
Page 2 of Schedule H
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
I FILE NUMBER
METZ, HELEN I.
21-02-00157
Include unreimbursed medical expenses.
ITEM
NUMBER
]
2
3
4
5
6
'7
8
9
10
DESCRIPTION
M&T Bank, Accoun #611352, outstanding checks not cleared on date of death: #482-$4.14; #483-9.64;
AMOUNT
TOTAL (Also enter on Line 10, Recapitulation)
~484-34.72; #485-15.62; g486-151.25
Carlisle Pathology
SmartMed Inc.
Central Penn Medical Group
Carlisle Regional Medical Center
Belvedere Medical Corp.
Sprint
Critical Care Services
Apria Healthcare
Note: The above medicals are not reimbursible by insurance
215.37
8.56
11.08
38.78
735.76
273.55
56.53
35.00
16.54
1,391.17
COMMONWEALTH OF PENNSYLVANIA
INHERITANCETAXRETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULEJ
BENEFICIARIES
METZ, HELEN I.
FILE NUMBER
21 - 02- 00157
RELATIONSHIP TO
NUMBER
I.
1
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
!Marcia M. Branscum
49 Hickorytown Road
Carlisle, PA 17013
Gail M. Colson Silkett
28 North Pin Oak Drive
Boiling Springs, PA 17007
DECEDENT
Do Not List Trustee(s)
Daughter
Daughter
AMOUNT OR SHARE
OF ESTATE
il/2 estate residue
1/2 estate residue
II.
'Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover sheet
,
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
M&T
March 19, 2002
Estate Search
The Estate of:
Date of Death (D.O.D.)
To Whom It May Concern:
HELEN I METZ
1/27/2002
Identified below is the account reformation requested.
1. M&T Bank accounts in which the decedent's name appears:
Account Account Number Account Title Opening Branch D.O.D. Accrued Interest
Type Balances
(Includes Accr.
Int.)
CHK 611352 HELEN I METZ 4344 $25,138.09 $.42
OPENED 10/81
SAV 15004200943056 HELEN I METZ 4344 $123,723.34 $I 1.73
OPENED 6/82
2. Loans, Mortgages, or other obligations titled m the decedent's name
Account Number Amount Owed
Account Description
No Safe Deposit Box titled in the Decedent's name existed at our office.
If you have any questions about the reformation provided, please contact our Records Department at (716) 635-4010 or 1-800-724-
2440 outside of the Buffalo, NY calling area. Thank you.
Sincerely,
M&T BANK CORPORATION
AuthoriZed Signature
Manufacturers and Traders Trust Company · 1100 Wehrte Drive, RO, Box 767, Buffalo, NY 14240-0767
LAST WILL AND TESTAMENT OF
HELEN IRENE METZ
I, Helen Irene Metz, of Middlesex Township, Cumberland
County, Pennsylvania, declare this to be my Last Will and
Testament and revoke all Wills and Codicils previously made by me.
I!?EM I: I direct that all my legally enforceable debts and
funeral expenses, including all expenses of my last illness, shall
be paid from my residuary estate as soon as practicable after my
decease as a part of the expense of the administration of my
estate.
ITEM II: I bequeath my personal effects and other tangible
personal property of like nature (not including cash or
securities) in equal shares to my daughters, Gail M. Colson and
Marcia M. Branscum.
ITEM III: I devise and bequeath the residue of my estate of
every nature and wherever situate in equal shares to my said
daughters, provided that the share of either daughter who
predeceases me shall be added to the share for my other daughter.
Should both of my said daughters predecease me, I devise and
bequeath the residue of my estate of every nature and wherever
situate to my grandson, Brett P. Branscum.
ITEM IV: All Federal, State and other death taxes payable
because of my death, with respect to the property forming my gross
estate for tax purposes, whether passing under this Will or
otherwise, including any interest or penalty imposed in connection
with such taxes, shall be considered a part of the expense of the
administration of my estate and shall be paid out of the principal
of my residuary estate without apportionment or right of
reimbursement.
ITEM V: I appoint my said daughters, Gail M. Colson and
Marcia M. Branscum, or the survivor, Executrices of this my last
Will.
ITEM VI: I direct that all fiduciaries acting under this
Will, whether or not named herein, shall not be required to give
bond for the faithful performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this ~ day of ~ , 1987.
The preceding instrument, consisting of this and one other
typewritten page, each identified by the signature of the
Testatrix, was on the date thereof, signed, published and declared
by Helen Irene Metz, the Testatrix therein named, as and for her
last Will, in the presence of us, who, at her request, in her
presence and in the presence of each other, have subscribed our
names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA :
: SS
COUNTY OF CUMBERLAND :
We, Helen Irene Metz, John B. Fowler, III, and Mary M. Price,
the Testatrix and the witnesses, respectively, whose names are
signed to the 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 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 witness and that to the best of his/her
knowledge the Testatrix was at that time eighteen years of age or
older, of sound mind and under no constraint or undue influence.
- Testatrix ~
~~~/ ~' ~~ness
Subscribed, sworn to and acknowledged before me by
Helen Irene Metz, the Testatrix, and subscribed and sworn to
before me by John B. Fowler, III, and Mary M. Price, witnesses,
this ?~i-- day of ~-~ , 1987.
Nota~ ?ublic
BONNIE L. COY!.E, Notary Public
Mt. Holly Sf)rinE$ Cumberland Co. P9
My Commission i:xp~res Oct. I1, 1990
/BUREAU OF INDIVIDUAL TAXES
ZNHERTTANCE TAX DTVTSTON
DEPT. 180601
HARRISBURG, PA 17128-0601
JOHN B FOWLER III ES~~~
J~
10 E HIGH ST ~,:,.:
CARLISLE PK~Q13
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOT/CE OF INHERITANCE TAX
APPRAZSEHENT, ALLO#ANCE OR DZSALLO#ANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE 06-0q-2002
ESTATE OF HETZ
DATE OF DEATH 01-27-2002
FILE NUHBER 11 02-0157
COUNTY CUHBERLAND
ACH 101
Amount Remitted
REV-15q7 EX AFP (01-02)
HELEN
HAKE CHECK PAYABLE AND REMIT PAYHENT TO:
REGTSTER OF WILLS
CUHRERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~'~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-15q7 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR
DTSALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF HETZ HELEN ! FILE NO. 21 02-0157 ACN 101 DATE 06-0q-2002
TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
$. Closely HaZd Stock/Partnership Znterast (ScheduZa C) ($)
q. Mortgages/Notes Receivable (Schedule D) (q)
$. Cash/Bank Deposits~Misc. Personal Property (Schedule E) (5)
6. Jo/ntly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. TotaZ Assets
APPROVED DEDUCTIONS AND EXEHPTZONS:
9. Funeral Expanses/Ada. Costs/N/sc. Expanses (Schedule H) (9)
10. Debts/Mortgage L/abil/t/as/Liens (Schedule Z) (10)
11. Total Deduct/ohs
12. Nat Value of Tax Return
90.17
lq9~179.85
.00
.00 NOTE: To /nsura proper
crad/t to your account,
.00 subm/t the upper port/on
.00 of this fore w/th your
tax payaant.
.00
(8)
17,833.92
15.
lq.
NOTE:
ASSESSHENT OF TAX:
16. Amount of L/ne lq at Spouse1 rata (15)
16. Amount of L/ne lq taxable at Linaal/CZass A rata (16)
17. Amount of L/ne lq at Sibl/ng rata (17)
18. Amount of L/ne 1~ taxable at Collateral/Class B rata (18).
19. Pr/ncipal Tax Due
TAX CREDITS:
PAYMENT
DATE
0~-26-2002
lq9,170.00
· O0 X O0 = . O0
150,0qq.91 x Oq5= 5,852.02
· 00 x 12 = .00
· 00 x 15 = . O0
(19)= 5,852.02
ZF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
DISCOUNT
INTEREST/PEN PAID (-)
ANOUNT PAID
RECE~P1
NUMBER
CD001118
192.60
5,559 .q2
· ALANCE OF TAX DUE .00
ZNTEREST AND PEN. .00
TOTAL DUE .00
( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A "CREDZT" (CR), YOU NAY BE DUE
A REFUND. SEE REVERSE SZDE OF THIS FORM FOR ZNSTRUCTZONS.)
Char/tabla/Govarneantal Bequests; Non-elected 911:5 Trusts (Schedule J) (1:5) . O0
Net Value of Estate Sub~ect to Tax (lq) 1~50,0qq.91
If an assesseent was issued previously, lines lq, 15 and/or 16, 17, 18 and 19
reflect figures that include the total of ALL returns assessed to date.
1~$91.17
(11) 19.22;.09
(12) 150,0qq.91
RESERVATION:
Estates of decadents dying on or before December ZZ, 198Z -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of tho decedent after the expiration af any estate far
life ar for years, tho Commonwealth hereby expressly reserves tho right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such futura interest.
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section ZlqO cf the Inheritance and Estate Tax Act, Act Z$ of gOOO. (TI P.S.
Section 91qO).
Detach the top portion of this Notice and submit aith your payment to the Register of Hills printed on the reverse side.
--Make check ar money order payable to: REGISTER OF #ILLS, AGENT
A refund of a tax credit, which ams not requested on the Tax Return, say 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 Hills, any of the ZS Revenue District Offices, or by calling the special lq-hour
answering service for fores ordering: 1-BOO-56Z-ZO50; services for taxpayers aith special hearing and / or
speaking needs: X-BOO-qq7-3OgO (TT only).
Any party in interest not satisfied with the appraisement, allowance, or d[selloeanco of deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBIOZ1, Harrisburg, PA 171ZB-lOZ1, OR
--election to have the latter 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 [n writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17198-0601
Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
If any tax due is paid within three (5) calendar months after the dacedant's death, a five percent (SI) discount of
the tax paid is allowed.
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the and of the tax amnesty period. This non-participation
penalty is appealable in the sale manner and in the the same time period as you tould appeal the tax and interest
that has been assessed as indicated on this notice.
[nterast is charged beginning with first day of delinquency, ar nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of
six (6Z) percent par annum calculated at a daily rate of .O0016q. All taxes ehich became delinquent on and after
January 1, 198Z mill bear interest at a rate ihich mill vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 19aZ through ZOO2 are:
Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor
1982 20Z .000548 199Z 9Z .000247
1985 16Z .000458 1993-1994 7X .O0019Z
1984 11Z .000501 1995-1998 9Z .000Z47
1985 13Z .000556 1999 7Z .O0019Z
1986 lOX .000274 ZOO0 8Z .000Z19
1987 9Z .000247 ZOO1 9Z .000Z47
1988-1991 11Z .000501 200Z 6Z .000164
--Interest is calculated as follows:
ZNTERBST= BALANCE OF TAX UNPAZD X NUIIBER OF DAYS DELZNQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to flfteen CIg) days
beyond the date of the assessment. If payment is made after the interest computation date shown on tho
Notice, additional interest must be calculated.
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 001118
FOWLER JOHN B III
10 E HIGH STREET
CARLISLE, PA 17013
........ fold
ESTATE INFORMATION: SSN: 084-09-7509
FILE NUMBER: 2102-0157
DECEDENT NAME: METZ HELEN IRENE
DATE! OF PAYMENT: 04/26/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE! OF DEATH: 01/27/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $5,559.42
TOTAL AMOUNT PAID:
$5,559.42
REMARKS: MARCIAPBRANSCUM
C/O JOHN B FOWLER III ESQ
SEAL
CHECK//106
INITIALS: SK
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
REGISTER OF WILLS OF CUMBERLAND COUNTY
STATUS REPORT UNDER RULE 6.12
(For Resident Decedents Dying After July 1, 1992)
Name of Decedent: Helen I. Metz
Date of Death:
January 27, 2002
File No.' 21-02-157
Social Security No.: 084-09-7509
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:
State whether administration of the estate is complete:
Yes X No
2. If the answer is No, state when the personal representative reasonably believes that the
administration will be complete:
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 X
The separate Orphans' Court No. (if any)for the personal
representative's account is:
Did the personal representative state an account informally to the parties in
interest?
Yes X No
Date:
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts
may be filed with the Clerk of the ~ourt and may be attached to this report.
October25,2002 Signature: f f'~~ ~'~~i
Name: Jo ~F. owler, III, Esquire
Address: M/~[i~SON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, PA 17013
~:~ ~..., :i;~!i 'i (7t'7) 243-3341
Counsel for personal representative
F:\FI LES\DATAFILE\ESTATES\FORMSXsrep
ESTATE OF PAULINE N. RIFE
DECEASED
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-2001-157
IN RE APPEAL OF LINDA LOU HURLEY
ORDER
AND NOW, this 31:1 day of February, 2005, having failed to appear at
the hearing set by this Court for Thursday, February 3,2005 at 9:30 p.m. in
Courtroom No.4, Cumberland County Courthouse, Appellee Pennsylvania
Department of Revenue, Bureau of Individual Taxes is ordered hereby to refund
to Appellant Linda Lou Hur1ey the sum of $3372.54 which represents inheritance
tax in the amount of $2907.94 plus interest and penalty paid by her to the
Cumberland County Register of Wills by check dated October 27,2004 plus
appropriate interest.
BY THE COURT,
cc: Kathleen K. Shaulis, Esquire for Appellant
44 South Hanover Street
Car1isle, PA 17013
"')
John Murphy, Chief, Inheritance Tax
Pennsylvania Department of Revenue
Bureau of Individual Taxes
Harrisburg, PA 17128-0601
Sharon Paxton, Esquire, for the Estate
MacNees, Wallace and Nurick LLC
P. O. Box 1166
Harrisburg, PA 17108-1166
Linda Lou Hurley
851 Willow Grove Road
Car1isle, PA 17013
Co~ ~~
2-1.l-DS
~\
Cumberland County Register of Wills
i-',
ct:.J