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HomeMy WebLinkAbout06-23-09 15D5607121 06 05 REV-1500 Ex ( - ) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 County Code Year File Number Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 0 9 0 0 1 3 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 9 6 1 4 2 2 5 4 1 2 2 7 2 0 0 8 1 0 1 7 1 9 2 5 Decedent's Last Name Suffix Decedent's First Name MI E N S M I N G E R M I L D R E D R (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL INAPPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS Q 1.Original Return ~ 2. Supplemental Return ~ 3. Remainder Retum (date of death pnor to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required death after 12-12-82) © 8. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number J A C Q U E L I N E A K E L L Y 7 1 7 5 4 1 5 5 5 0 Firm Name (If Applicable) REGIST~OF WILLS ONLY J A N L- B R O W N & A S S 0 C ~ -=~ '° ~? First line of address , , ~ ..~ n lY_, e? ~ N (~7"1 8 4 5 S I R T H O M A S C 0 U R T ._ ~,, ~ ~a _.a Second line of address ~ C7 -s~ C'r"-~ r~~ S U I T E 1 2 ~ ~~~ a N ~`i ~"x't City or Post Office State ZIP Code ~-____.__ ~. FILED ~ e:.a~ ~----- O H A R R I S B U R G P A 1 7 1 0 9 Correspondent's e-mail address: JACKIEJLBCcD.VERIZON.NET Under permattles of perjury, I dedare that I have examined this return, inducting aooompanying schedules and statements, and to the best of my knowledge and belief it b true, Domed and oxrmpk~te. Dedaration 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 DATE A~es~s " 126 GREENBRIAR DF SIGNATURE F, PREPARER OFFiER MARYSV 845 SIR THOMAS COURT, SIUITE 12 HARRISBURG PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505607121 PA 17053 DAT CeI zz o 9 PA 17109 1505607121 ~ n n REV-1502 EX + (8-98) scH~oviti~ a COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER MILDRED R. ENSMINGER 21 09 0013 All real properly owned sokty or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing sailer, neitlier being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Real property located at 1916 Logan Street, Camp Hill, PA 17011 148,000.00 See attached settlement sheet. TOTAL (Also enter on line 1, Recapitulation) ~ S 148.000.00 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) SCHEDULE E COMNDNWEALTH OF PENNSYLVANW CASH, BANK DEPOSITS, & MISC. IN RES DAENTEDECEDEN RN PERSONAL p~tOPERTY ESTATE OF FEE NUMBER MILDRED R. ENSMINGER 21 09 0013 Include the proceeds of Migation and the date the proceeds were received by the estate. An property jolMly-owned with right of sunrhora lp must bs dlscbaed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PNC Bank 7,109.40 Certificate of Deposit # 31900304926 2. PNC Bank 7,863.07 Certificate of Deposit # 31300306113 3. PNC Bank 5,062.14 Certificate of Deposit # 31500328915 4. Series E (15) and Series EE (3) U.S. Savings Bonds (18 total) 2,064.13 See attached Inventory Report 5. 2003 Toyota Echo 5,600.00 sold to willing buyer 6. Highmark; health insurance premium refund 178.69 7. Haar s, Inc.; auction proceeds from sale of household goods 813.20 8. Donegal Insurance Group; refund of car insurance 111.00 9. Reimbursement of county taxes 473.94 1916 Logan Street, Camp Hill, PA 17011 10. Reimbursement of school taxes 156.20 1916 Logan Street, Camp Hill, PA 17011 11. Reimbursement of sewer and trash 24.03 1916 Logan Street, Camp Hill, PA 17011 12. Donegal Insurange Group; refund of house insurance ~ 186.00 TOTAL (Also enter on line 5, Recapitulation)I ~ S (If more space is needed, insert additional sheets of the same size) 29.641 REV-1511 EX + (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF SCHEDULE H FUNERAL EXPENSES 8 ADMINISTRATIVE COSTS FILE MILDRED R. ENSMINGER 21 09 0013 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Musselman Funeral Home & Cremation Services, Inc. 7,099.60 2. Rolling Green Cemetery Company, interment and nameplate 1,600.00 3. Clergy Fee 50.00 B. I ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commissan Paid: 2, Attorney Fees Jan L. Brown & Associates 3, Family Exemption: (If decedents address is not the same as daimants, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4• probate Faes Register of Wills, Cumberland County 5. I Accounhdnts Fees 6. ~ Tax Return Preparer's Fees Parks & Company, fiduciary returns 7. Cumberland Law Journal, legal advertising 8. The Sentinel, legal advertising 9. Register of Wills, Inheritance Tax Return and Inventory fees 10. PNC Bank, estate check fee 11. Borough of Camp Hill Sewer 12. The Patriot News, obituary 13. The Patriot News, newspaper ad to sell 2003 Toyota Echo 14. Gas and battery for sale of 2003 Toyota Echo 15. Pennsylvania American Water, utilities 16. PPL Electric Utilities 17. Closing costs for real property at 1916 Logan Street, Camp Hill, PA 17011 18. Boones Property Maintenance, cleaning exp. for 1916 Logan Street. Camp Hill. PA 8,182.78 310.00 250.00 75.00 150.64 30.00 16.99 125.00 110.92 36.80 107.26 88.35 175.20 19,094.36 186.72 TOTAL (Also enter on line 9, Recapitulation)' I ; 1 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 InheritartCe Tax Return Resident Decedent MILDRED R. ENSMINGER 21 09 0013 Decedents Name Page 1 File Number Schedule H -Funeral Expenses & Administrative Costs - B7. ITEM NUMBER DESCRIPTION AMOUNT 19. Penn Waste, Inc., trash & recycling 33.75 20. Lowe's, cleaning and repair supplies for sale of 1916 Logan Street, Camp Hill, PA 66.27 21. Boyd E. Diller, Inc., dumping fee 46.05 22. Janet L. Miller, Tax Collector, real estate taxes for 1916 Logan Street, Camp Hill, PA 789.91 23. Boones Property Maintenance, scrape & paint at 1916 Logan Street, Camp Hill, PA 185.50 24. Sabolchick Electric, 200 Amp service for 1916 Logan Street, Camp Hill, PA 1,100.00 25. Martin F. Schlesiger, lawn mowing for 1916 Logan Street, Camp Hill, PA 105.00 SUBTOTAL SCHEDULE H-B7 ~ 2,326.48 REV-1512 EX + (12-03) COA~AONWEALTH OF PENNSYLVANW INHERITANCE TAX RETURN SCHED~JLE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8~ LIENS ESTATE OF FILE NUMBER MILDRED R. ENSMINGER 21 09 0013 Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Chase Card Services, outstanding credit card bills 511.19 2. ~Highmark, health insurance premium, cleared after death 3. ~Verizon, phone bill and final bill TOTAL (Also enter on line 10, Recapitulation) I S (If more space is needed, insert additional sheets of the same size) 162.95 46.82 REV-1513 EX + (9.00) COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER MILDRED R. ENSMINGER 21 09 0013 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not Lfat Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS [indude outriq ~ spousal d~tributions, and transfers under Sac.9116 a 1. 1. Jill Smeigh Lineal 163,832.34 126 Greenbrier Drive Marysville, PA 17053 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ' ~ S (If more space is needed, insert additional sheets of the same size) REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedent's date of death: 7,000.00 Discount: 368.41 Interest Table Year Days Delinquent this time period Balance Due this year Interest this period Before 1981 1982 1983 1984 1985 1986 1987 1988 throu h 1991 1992 1893 throw h 1994 1985 throw h 1998 _ 1999 2000 2001 2002 2003 2004 2005 __ __ 2006 2007 2008 2009 TOTALS Penalty Calculation If the decedent's date of death was on or before March 31, 1993, insert the applicable amount: Total Balance Due on January 17, 1996: Penalty: A. Settlement Statement U.S. Department of Housing and Urban Development B. Tvoe OL.Oan OM9 Aeeroval Nn ~Sfl~.MRS l..nlrw ~ t nnnnnn~ nu ~! _._ _ ____ ____ _.. ..__ ..._~____ ......r 1. aIFHA 2. ^FmHA 3. OConv. Unins. 6. File Number 7. t.oan Number B. Mortgage Insurance Case Number 4. VA 5. Cony. ins. CS 0096202303 C. Note: Mm.1n.w.a'v.u.a. Y wn PaiO aai0. ur dornp: IMyMan Mown Mn br irlamw'ai wve«~ rw n na +rJ~/ew n ur law. TItleEIIPreSS SCltlBnlent Sy51em WARy11Nf:: x r • a:na b krowhply nurta Iwa MwMnw • b 1M UiYbO S1MM m tlti~ arany oUM. NnYr bm1. PMWNS Lyon oom+ceon un.+a,da a fns ano ~ c« enaw w. ra +e u s coa. Sagan t00t ane Sanian Toro Printed 05/27!2009 at 08:59 SMM D. NAME OF BORROWER: Mary F. Darrer-kamp ADDRESS: E. NAME OF SELLER Mildred R. Ensminger Estate ADDRESS: F. NAME OF LENDER: Sovereign Bank, ks successors andlw assigns as their interest may appear ADDRESS: 1130 Berkshire Boulward W missin PA 19610 G. PROPERTY ADDRESS: 1916 Logan Street, Camp Hill, PA 17011 Cam Hill Boro h H. SETTLEMENT AGENT: Plnnscie Land Transfer, LLC, Telephtxte 717-920-3331 Fax: 717.920.3332 PLACE OF SETTLEMENT: 4242 Carlisle Piks Suite 191 Cam Hill PA 17011 I. SETTLEMENT DATE: OSI27J2009 J. U N A I N: U T N AC I N: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO LLER t01. Contract sabs 118 000.00 401. Contras sales 148 000.00 102. Personal 402. Personal 103. Senlerrlent 575.00 403. 104. 404. 105. 405. tments for items aid b selbr in advance Ad'ustmenb for b sslbr in sdvanoe 106. C' flownt 406. taxes t07. Cou taxes 1 1109 473.91 407. C es 05!27 to12/31109 473.94 108. Assessmen 408. is t09. SewerBTr OSf27109to06f30109 4.03 409. Trash 0 7 24.03 110. ShcoolT 05127109to06f30109 #',16.20 410. T es 156.20 111. 411. 112. 120. GROSS _ ' DUE FROM BORROWER 200. AMOUNTS Y OR ON BEHALF OF BOR 149' .17 R 41 . 420. GR .AMOUNT :. 148 854.17 500. RE 8 IN ~ TO tot. ' « eameal 3000.00 SOt. Excess see h 202. amount new bans 142 820.00 502. Settlement b 1400 19156.86 203. s taken to Ex' ' bans t 204. 504. P d Fust 205. 505. 207. Refund oflock Fee 500.00 507. 208. 506. 209. 509. Ad ustmertts for kerns un ald ssiler Ad ustmetlts ftsms un kf seller 210. C' Rown taxes 510. Aortrtl taxes 211. taxes 511. Cou taxes 212. Assessments 512. Assessments 213. 13. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 21 . 19. 220. TOTAL PAID BYIFOR BORROWER 146 320.00 300. CASH AT SETTLEMENT FROM OR TO BORROWER 520. TOTAL REDUCTION AMOU DUE SELLER 800. CASH AT SETTLEMENT TO OR FROM SELLE 19156.86 R 1. rat kne 1 149 229.17 1. rn I 4 148 654.17 302. amounts Ifor borrower line 220 116 320.00 602. less reduction amount due sel line 20 19156.86 303. CASH FROM BORROWER 2909.17 603. CASH TO SELLER 129 497.31 UnBapS~TpI~TVTE~y a8r aanaion wi1TEME~~ ~rlorm~lion mnlaiwr0r~ W W ~r~ an01M~IR3~0Nwmn~~11WµM~i rwwl Dw~ ~W Rh~nM S~viw E you a~ npurW b 8b a rMUm. i.v l01 wieo.. oonaoMas Br crow Prooaaaa a Mw traMallan nparba. Thla coraraa SMaa Pna aaausa0 an You ara nwb M Iw b Pmrloa Wa aaoMnwa wM+ (F W Tu x) No'. I?•163JiYe) wlh you/ aonat7 gtww saraiFealion numoar. Y you w nol piaoajyav oonau laa-ayo ioraf~aUOn numbr, you may M ~ b aN ar aNV W OK~Mws impo~oo Sy Vw UMY O~NwM d M~F+Y. I prl/y tlW Mr runEw Mqw~ en M wlrMrM is wW ConW WotwYM idrM/cYion nu~Wwr TW / SELLER(S) SICiNATUREIS). / SELLER(S)NEW MARNIG ADDRESS _ SELLER(81 PHONE NUMBERS _ (NI * SELLER ASSISTANCE U S. UtF'Alt I MtN 1 OF t1UU51N6 ANU UhttfAN UtVtLUF'MtN f SETTLEMENT STATEMENT File Number PI009.0050 FINAL PAGE 2 TilleExoress Settlement System Primed OS/27r2009 at r1R 59 SMY L. SETTLEMENT CHARGES PAID FROM PAID FROM 700. TOTAL §ALESBROKER'S COMMISSION based on rice 5148 000.00 6.000 = 8 880.00 BORROWER'S SELLER'S rJivision of ConiRlissi011 line 700 as follows: FUNDS AT FUNDS AT lot. 5205.00 to Cetltu 21 Pl8ci0neri SETTLEMENT SETTLEMENT 702. 3 675.00 to Keller Williams of Central Pa 703. Commission ~ Settlement g 880.00 704. Transaction Fee to C21 A ent 225.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan 'nation Fee % 802. Loan Discount % 803. A sisal Fee to SW Barrett Real Estate b A ralssl Service * 350,00 804. Credit Re to CBC Com vies 19.00 805. Lender's Ins Fee to Soverei n Bank L * 150.00 806. UnderwKdi Fee to Soverei n Bank L * 350.00 807. Fee to Soverei n Bsnk P.O.C. 299.00 Bu r 806. Doc De6v fee Io Soverei n Bsnk L * 3,50 809. Food Certification to FIS Flood Services L * 7.50 810. MERS titration Fee to MERS L~2 * 6.95 et t. PMI Premium to Soverei n Bank L * 2 499.35 900. ITEMS ~. • • BE PAI N ADVANCE 901. Interest. M 06/0112009 19.8361 Ida 5 Da s * 99.18 902. MoR once Premium fa to 903. Hazard ce Premium for to 904. : : . _. .. 905. . ; 1000. RESE LENDER FOR 1001. Hazard ~ 3 27.92 Imo 83.76 1002. rants mo 85.021mo 1003. CA Pr Tax mo. Imo 1004. Can ~ Tax 4 mo. .66.87 hrlo "' * 266.68 1005. Annual' is Imo t 006. School ,' ~ " " 12 ' 137.08 Imo * 1644.96 1009. A " n Ad ustment to Soverei n Bank 0.00 * •350.40 1100. TITLE CHARGES 1101. Settlement a dosi fee t i02. Abstract or title search 1103. Title examination 1104. Title insurance binder 1105. Document Pr anon to Pinnacle Land Transfer LLC * ~ ~ 1106. Not Fees to Pinnacle Land Transfer LLC 1000 1107. Attome 's tees indudes atlove items No: 1106. Tire Insurance to Pinnacle Land Transfer LLC * 988 88 irldudes abov Hems No: t 109. Lender's P ' 142 820.00 - i 1 t0. Owners Pd~ 148 000.00 •988.68 t 11 t. End 100 End 300 End 900 to Pinnacle Land Transfer LLC * 150.00 1112. 1113. C ~ vav to Pinnacle Land Transfer LLC * 35.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Rena ' Fees Dead 38.50 54.50 ~ Release * 93.00 1202. Cif (Count tax/stam Deed 1460.00 ~ Mort 1203. State Tax/st 1480.00 Mort 1204• Tax Parch Certification to Pinnacle Land Transfer LLC 1205. * 1480.00 1 ~ ~ * 20 00 1300. ADDRIONAL SETTLEMENT CHARGES 1301. Irlcom Wire to Pinnacle Land Tran fer LLC 1302. Fed Ex tArl Sever Assist to Pinnacle Land Transfer LLC 1303. Tax Certification to Pinnacle Land Transfer LLC 1304. Home Warrant to American Home Shield 1305. Sewer Fees 411-fi~0 to Cam Hill Borou h 1306. 2009 Co/Tw .Taxes to Janet Miller TC P.O.C. 789.91 Seller * 1000 * ~ ~ 5 ~ 495.00 62 50 1307. -09 School 7 es t Janet Miller TC P.O.C. 1 629.01 Seller 1306. ah lastwr t ts2o 1400. TOTAL SETTLEMENT CHARGES enter on lines 103 Section J and 502 Section K s7s.oo 575.00 22.00 19158.86 nuu bcn nr R1A I A/N IN MUYEN AND SELLER I luN unAyly rwww~y p» NUD• 1 SMI WnMN $INNINM MW b 11y l»N d mY Iu~owNOp~ tins ONa11. A o ~ trW Ntl N%vN~ NMSmVN d ~tl I~CMpIa ma OnlburaNnNlla mApa an my account or m• n tIw hnaWCn 1 ivlMr Iy If1N I luq racamaG • copy d tM HUD-1 $NINmmM $INamawM / ~ * SELLER ASSISTANCE WARNpK3 fT IS A CRMAE TO KNOW WGLY YAKS FAISE STATEMENTS TO THE TM NUO-t SMNmNN SWNn~nl WwUt 11rv~ prprW yy ~ yw arW ~pAN~ ~N N yy UNnED STATES ON THIS OR ANY SN1SM FORM PENALTIES UPON CONVICTION Vansacaon I ~ tawW rc yMl rauaa M rynpa b W GiapvaaC ~ at~/Oarlta witll p~ NNMrNM CAN INCLUDE A FINE AND IMPRISONMENT FOrt DETAILS SEE TITLE 1$ U S CODE BECTON 1001 AND SECTION tOtO •- - !'"- - ~ SETTLEMENT AGENT naTC-~Ir1 NV 1 U.S. DEPARTMENT Of HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT File Number: PI009.0050 FINAL PAGE 3 TitleFzrvaee Sntllnrtwnf Svelnm Prinrarl(15Y)7/NY10 ~r M So curl IT M TI HU LINE 1308 1500. SCHEDULE OF DISBURSEMENTS BUYER SELLER 1501. 1502. Transaction Fee to Keller Willliame 225.00 1503. Fee / Seger Assist to Pinnacle Land Trartsfsr LLC * 22,00 1504. Home I •.8otRh C PA Home Ina 350.00 1505. 1506. 1507. . 1508. 1509. 1510. 1571. 1512. 1513. 1514. 1515. 1516. 1517. 1518. 1519. 1520. TOTAL HUD LINE 1306 EXPENSE: 575,00 22,00 * SEL~.ER ASSISTANCE ~n # 350•x,0 + 19•n0 + t5n•nn + 35n•n0 + 3.50 + 7.50 + 6.95 + 2+499.35 + 99.18 + 83.76 + 2^F •68 + 1 wfr:4.96 + 5n•00 + 9~ x'3.98 + t5n•n0 + 35•n0 + 93.00 + 1 r4$(1•nn + ~fl • nn + tn•n0 + 20•nn + ,P•x0 + 7 r ,~~9.36 '1•'10 t 35n•cxl + 19•!ln + 15n•xn + 35n•n0 + 3•Sn + 7.5n + 6.95 + ?.49.35 + °9•~8 + 83.76 + ?_.'•68 + 7 rB%4.96 + 5n•^0 + 9`:''•s38 + TSx•n0 + i5•nn + 93•n0 + 1 r41&~•7n + 2n•~x3 + 1 ~ •')0 + en•nn + 22•n0 + 7, ~d39.36 ~•rxl tir "p~•nn + 0.64 ~,.~,~ PINNACLE LAND TRANSFER, LLC RE ESCROW ACCOUNT Date: 05/27/09 Amount: 129,559.81 File Number: PI009-0050RCS Pay to: Jill Smeigh, Executrix, Estate of Mildred R. Ensminger Buyer: Mary F. Darrenkamp Seller: Mildred R. Ensminger Estate Property: 1916 Logan Street, Camp Hill, PA 17011 129,497.31 Cash from Closing 62.50 Reimburse sewer fees 6969 Check #: 6969 'L a C C rn~ N N N ~_ ~ O ca m Q ~ c° c ~~ as m LL O C C Q v C 0 m ~ ~ Z ~. ' ~ ao ao rn rn rn rn rn rn rn rn rn rn rn a> o o o o + + m a o O O O O O 0 O 0 0 0 O 0 O 0 O 0 O 0 ~ O 0 r- 0 ~ 0 ~- 0 .- 0 .. ~~0 o ~ N o ~ o ~ ~ o ~ N o N M ~I ~ N tn N (D N 1~ N C~ N O) N O ~V ~ N N N r- ~V M ~V sf N ~A ~ ~ o o o o o o o o o ~ ~ r- o o o o ~~ ao ao rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn a~ 0/ m O 0 O 0 O 0 oo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ ~ N ~ ~V N N N M N ~V ~V N ~ N ~ N ~ N ~ N i N ~ N ~ N M ~V N ~ f ~ 0 0 0 to 0 ~~pp 0 0 f 0 c O 0 0 n 0 pp ~~ 0 ~ - 0 0 ~ 0 t 0 ~ ~ ~ Z 0 c 0 \ 0 \ 0 \ 0 \ 0 \ 0 \ 0 0 0 0 0 0 0 0 0 0 ~ M M (O ~ ~ ~ O ~ ~ ~ ~ ~ I~ f~ e- M M 1~ df O) O) O) O O O O 0 ~ O O O ~ ~A O M to O O ~O ~O (O (O ~O ~D ~O (D (D CO cfl t0 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ 0 ~ ~ 0 ~ 0 ~ 0 ~ 0 ~ m ~,. O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O ~ ~ ~' ~t sr sT ~t Q ~f ~ ~ ~ ~ ~ V ~ ~ 1~ 1~ t0 ~O (O <O O) ~ M M M M M M ~f op oD ~ N N ~ ~ ~ ~ ~ M M M M M M N ~ ~ f~ ~ o 0 E p ~ p t p ~ p 1~ ~ ~ ~ O ~ ~ 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O ~ > ~ N N ~- e- r r ~ O DO OD OO OD 00 OD O) 0p Op et ~,, ~n ~ v v v. d; v c~ ~ a ~n ~n ~ ~ v ~ r- ti O) ~ 1~ I~ 1~ h CO OD CO (D ~O CO f~ I~ Il') r .- N CO OD GD OD 00 OD OD OD CO 00 OD Op Op OO OD M M M • ~ ~ wr C to tA tp ll') tn 1A ~A 1A ~ ~ O O O ~A ~A O O O I~ t~ f~ f~ f~ 1~ 1~ I~ I~ f~ 1~ f~ I~ I~ I~ O O O m ao ao ao ao cti ao 0o ao ao ao a~ ao 0o ao o~ ui ~i u~i Ci r r r .- r ~ ~ ~ ~ ~ ~ ~ ~ ~- r- N N N .~ ~ a 00 00 0) O> O) 0 0) O) 0 0) 0 0 0) O> 0 0 0 0 d/ m 1~ 1~ 1~ f~ 1~ h 1~ 1~ 1~ t~ f~ h h 1~ 0~ 0O 00 00 ~++ O) o 0) o 0) O) o 0) O) O> W O) O) O~ O) o 0) O) ~~ r r ~ ~ ~ ~ ~ ~ r ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ N C~ ~ N M ~ ~ ~~p ~ O~D ~ O ~ f~ ~ M d~' ~ ~ ~ 0 0 0 ~ 0 0 0 0 0 ~ ~ ~ 0 0 0 0 r. ~ w w w w w w w w w w w w w w w ; M !Cj M M O tA O) CO M O ~N~pp ~ _O ~- ~ ~NpQ ~- ~ ~ ~ M 1~ O aa~o r- O 0) ~ N O Q O CD O C) t W o O Z _ ef' N tA f~ M O 0~ O f~ ~0 N i~ 0) N O ~ M ~O I~ M N ~ O et M tp !A e~ tn -~ f~ f~ O O 0) Imo. f~ M to tn M ~ 0 O 0 ti ~ Z O N f~ N O M O M f~ M 00 M 0~ M M O ~ O 1~ st 1~ ~- 0> ~- o M 0) ~ aD O) ~ pNp O m M M M M M M M M M M M M M M M ~ N ~ y ('1 C1 ~1 Cl C1 C~l Q C1 C~1 C1 CJ C1 up C3 C1 C1 ~ ~ ~ ~n ~n ~n ~n ~ ~n u~ ~n ~n ~ .n ~n ~n ~ ~ o o o ~ Nt,A N N N N N N N N N N N N N N O o 0 C D ~ w w w w w w w w w w w w w w w w w w Z ~ N C7 ~ tp (O I~ C~ O ~ ~ r eM- ~ ~ r r ~ M m N 7 ~ 0 ~o ~, O ~ ~ C N m M V ~ a 0 H o~ ~ C QO ~ O ~ cm a .o ~o ~~c~ ~o~ ~~~~ ~ y O C O C ~ t U Z m N ~ y L ~ ~ O ~ +:' y -O C C ~ N ~'Oy 'O ~ ~a~ C ~ ~ ` $Z~,ON _ ~ a y o CCOyl~0 lpN~=.C .. a v~tE°•' a~aw~v C w O l6 ~ Exc ~~_`~ m~ x ~ ~ W.OIy~ y 11J N ~ 'C ~a~~Ea co~~y ~Z~ ~.a ~ N ~ ~ H K ~ ~ ~ ~ W ~ p~ ~ •~OZ` ~- f6 'C ' T3 C ~Z~~~ ~• ~~_ L ~~ y l0 l0 C cc¢¢ W UV1000 to ~ C C r- 3w~ ~ C ~ C ~~ 7 C O,CMy~ U~33W • C W W C ~ O O ~ ~ y V1 fL/1 O N N m ~ ~_ 'c U Q ~(n y ~ ~ W 3 y N y ~ C 000'Q 1 v Qa. ~ • .• r O N O N ~. y d N '~ C O m N rn C .~ (~ O C .~ C LU H 2 W J U w w 'm Y v t0 3 LAST WILL AND TESTAMENT OF MILDRED R. ENSMINGER I, MILDRED R. ENSMINGER, now domiciled in Cumberland County, Pennsylvania, declare this to be my Last Will and Testament. I revoke all other wills and codicils that I may have previously made. Article. I My just debts and expenses of my last illness, funeral, and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after m~ n d c o ~ am - -: death. ~ z, c .. ;__: ~ : - -' rn a ; _,: - : ~ -; , Article II c `~~ '--~ ~ , All inheritance, estate, and succession taxes (including interest and penalties thereon, but not including any generation skipping tax) payable by reason of my death shall be paidi out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath in accordance with any memorandum which I have either handwritten or signed, located with my will or with my valuable papers and found wilthin 30 days of the probate of my will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to my daughter, JILL SMEIGH, of Perry County, Pennsylvania. In the event that JILL SMEIGH predeceases me or fails to survive me by thirty (30) days, then I give, devise and bequeath the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate to my grandson, CHRISTOPHER PARK FRANK, of Cumberland County, Pennsylvania. Article V I nominate, constitute, and appoint my daughter, JILL SMEIGH as Executrix of my Last Will and Testament. In the event of the renunciation, death, or inability to act, for any reason whatsoever of my Executrix, I nominate, constitute and appoint my grandson, CHRIISTOPHER PARK FRANK, as successor Executor of my Last Will and Testament. I direct that my Executrix or successor Executor be permitted to serve without bond and in addition to those powers granted by law, I grant them power to distribute in cash or in kind in like or 'in unlike shazes and to file any qualified disclaimer I could have filed if living. My Executrix or successor Executor shall receive reasonable compensation for services rendered to my estate. -2- Article VI In addition to the powers conferred by law, I authorize my Executrix or successor Executor, in his/her absolute discretion: (a) to retain in the form received and to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investment, (e) to compromise claims without court approval and without consent of any beneficiary, (f) to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind, or in both, and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged iri, or have an interest in at time of my death, and (j) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. -3- IN WITNESS WHEREOF, I, MILDRED R. ENSMINGER, hereby set my hand to this my Last Will and Testament, on ("~ 2008. -, ~ MILDRED R. ENSMINGER E In our presence, the above-named MILDRED R. ENSMINGER signed thi$ and declared this to be her Last Will and Testament and now at her request, in her presence, and in the presence of each other, we sign as witnesses. Name .~~~ C ~~~ ~~ ~~ C ~k~-i ~~ i ~' Address 845 Sir Thomas Court Harrisby~r~, PA 17109 845 Sir Thomas Court Harrisbgr~, PA 17109 -4- I, MILDRED R. ENSMINGER, Testatrix, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by MILDRED R. ENSMINGER, the Testatrix on ~ - ~ 2008. . Y C ~ -~,~ (Not Public .~ 1 .-, .. _ . ~L~.;~--C~~1.L e~ l ~. ~l.- :~..v1-Y-r~-:may =~_~ MILDRED R. ENSMINGER`~- r NO?A~IAt liAt ~coun~e ~ r~ur No1a~ -ubNc or ~. o Mir conwnhNo„ Expl[~ o.a 17. ZOt 1 We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute this instrument as her Will; that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing signed the Will as' witnesses, and that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and subscribed to befor me ~~ ~~_= by ~ ~Jr~x~.- and ucc ~`i'h ra -r b~rscie , witnesses, on ~- ~ , 2008 l~lota~y Public Nowwu >~ .urcarlau~E ~ uEUr ~n cm of nn~+:wrt~, aurna+ co ~MII Comrnltslon Expires Orc 17, ZOl 1 ~~~~~L~,~~~~ Witness fitness -5- T JAN L. BROWN ~ ASSOCIATES ATTORNEYS AND COUNSELORS AT LAW JAN L. BROWN, ESQUIRE` JACQUELINE A. KELLY, ESQUIRE 'ADMITTED IN PA AND DISTRICT OF COLUM&A OLDE ENGLISH GAP H45 SIR THOMAS COURT SURE 12 HARRISeuRG, PA 17109 EMaL: jlbassoc@verizon.net www. janbrownlaw.com TELEPHONE (717) 541-5550 FACSIMILE (717) 541-9223 June 22, 2009 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Mildred R. Ensminger Estate No. 2009-00013 PA No. 21-09-0013 Executrix: Jill Smeigh To Whom It May Concern: BRENDA F. KEPHART, LEGAL ASSISTANT PAULA K. WHRE, LEGAL ASSISTANT JuoITH A. EeERS(DLE, ADMINISTRATNE ASSISTANT r~ r., C ~. ~ °i ~.eo v, ~r , . r~, ~7' C /5 W Py"~ .~_.~ . x .x r~-~ °f._ -.:, c~ . 0 Enclosed for filing are an original and two copies of the Inheritance Tax Return and an original and one copy of the Inventory for the Estate of Mildred R. Ensminger. A check in the amount of $4.05 made payable to the Register of Wills, Agent, for payment of Pennsylvania Inheritance Tax due, and a check in the amount of $30.00 made payable to the Register of Wills for the filing fees have also been enclosed. Please return atime-stamped copy of each document in the envelope providbd. Also, please forward the receipt of payment to my office. Sincerely C 'sta M. Aplin Enclosures I p rnrn I ;~Ao° °m ~ N 7 W ~ N O 11~`Qz~ .o~a ~o v LL. a~ a~ ~ ~-O1w 1 ~ O J ~S031Mn o o ~ r ~~ ~ '~ ,~; Jo ~~ ~~ ~~ W~ W.~ ~~z WD n ~Q~ ~~ •W ~~8 a C 9G c~ N p N 1 N N V V a n ~~: ,~ V~~ ~~.'~,< ~` ~. U y ~ ~ V 3 ~ ~ ~ ~a S o ~ v~ o G ~ a U .a U ~ ~~~Z 0 ~ ~ ~ o ~~ ~ ° ~ ~a 3°~~W ~ ~ o ~ 3~~ ~, ~ sn p ~~~ ~ s. ~ o ~~U ~ .~~ ~~ U a~ ~ ~UO p A -"7 ~ I - ~ ~~ E'~~ ~~ ~$ ~ ~ ~~~ o~ ~ ~ ~~~ ~~ ~ ~ ~~ a ~~~ ~ k ~~ N "S 41 ~ ~ p« 3