HomeMy WebLinkAbout06-23-09 (4) 1505607121
REV-1500 EX
06
05
(
-
)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes
PO BOX 280601
INHERITANCE TAX RETURN 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
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
4. Limited Estate
~
4a. Future Interest Compromise (date of
~ prior to 12-13-82)
5. Federal Estate Tax Return Required
death after 12-12-82)
QX 6. 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 TO:
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) _ _ _ __ ~,,,,
J A N L
First line of address
8 4 5 S I R
Second line of address
B R O W N & A S S O C•
T H O M A S C O U R T
S U I T E 1 2
City or Post Office
H A R R I S B U R G
State ZIP Code
REGIST~OF WILLS U~S):-;ONLY
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P A 1 7 1 0 9
Correspondent's a-mail address:JACKIEJLBr7p VERIZON.NET
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, coned 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 DATE
.,
AL~ESS
126 GREENBRIAR DRIVE MARYSVILLE PA 17053
SIGNATURE , F PREPAREF~ OFHER T ANFFjEP SENTATIVE DATE
Z ~~
ADDRESS
845 SI T OMAS COURT, SUITE 12 HARRISBURG PA 17109
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121 1505607121
!~t
I..--..;
J
REV-1500 EX
1505607221
Decedent's Name: M I L D R E D R.
E N S M I N G E R Decedent's Social Security Number
RECAPITULATION 1 9 6 1 4 2 2 5 4
1. Real estate (Schedule A) , . .
............
........... .... 1.
.......
2. Stocks and Bonds (Schedule B)
1 4 0 0. 0 0
8 0
2
3. Closely Held Corporation, Partnership or Sole-Proprietorshi 9 O 6 9 • 6 6
p (Schedule C) , . , , .
3
4. Mortgages & Notes Re
i
ce
vable (Schedule D)
..
..................
4
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)
. , • ..
.. 5.
6. Jointly Owned Property (Schedule F
7. Inter-Vi
R
^
ll
l 2 9 6 4 1. 8 0
equested ......
vos Transfers & Miscellaneous No
. s.
n P ob to Prop
(Schedule G)
e
rty ], 7
8 5 7, 9 4
^ Separate Billing Requested
....... 7,
8. Total Gross Assets (total Lines 1-7)
..
.................
........ s.
9. Funeral Expenses & Administrative Costs (Schedule H) 2 0 4 5 6
9. 4
0
, ,
.......... 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 4 0 0 1 6. 1 0
...........10.
11. Total Deductions (total Lines 9 & 10)
.... 7 2 0, 9 6
.............. ... 11.
12. Net Value of Estate (Line 8 minus Line 11) 4 0 7
3 7 ~ ~ 6
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 12
an election to tax has not been made (Sched
l 1 6 3 8 3
2 ~ 3 4
u
e J)
................13.
14. Net Value Subject to Tax (Line 12 minus Line 13)
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 14
15. Amount of Line 14 taxabl ~' 6 3 8 3 2 •
3 4
e
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0
_
16. Amount of Line 14 taxable ~ ' ~ ~ 15.
at lineal rate X .045 1 6 3 8 3 2
3 4
17 0. 0 0
.
. Amount of Line 14 taxable 16'
at sibling rate X .12 7 3 7 2 . 4 6
18. Amount of Line 14 taxable ~ ~ ~ 0 17
at collateral rate X .15
~ • ~ ~
0 . 0 0 1 s
.
19. Tax Due
......
~ • ~ 0
....
................................... 19.
7 3 7 2. 4 6
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF
AN OVERPAYMENT
L
1505607221
Side 2
1505607221
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENTS NAME
MILDRED R. ENSMINGER
- ------
STREETADDRESS --------- - --------------___-
--
1916 Logan Street
-__
___-
clrY __ _-__--- -
Camp Hill
File Number
21 09 0013
Tax Payments and Credits:
~ • Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit _
B. Prior Payments
___~
STATE - - - ~ ZIP.. - - - -
PA 17011
(1) 7 372.46
C. Discount 7 000.00
368.41
3. InteresUPenalty if applicable Total Credits (A + g + C)
D. Interest
(2)
E. Penalty 7 368.41
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYME
Total InteresUPenalty (D + E)
Fi (3)
NT.
ll in oval on Page 2, Line 20 to request a refund. 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (4) 0.00
A. Enter the interest on the tax due. (5) 4.05
B. Enter the total of Line 5 +SA. This is the BALANCE DUE. (5A)
(56)
Make Check Payable to: REGISTER OF WI 4.05
LLS, AGE NT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "
"
X
IN THE
1. Did decedent make a transfer and: APPROPRIATE BLOCKS
a. retain the use or income of the property transferred;
......
b Yes No
....................................................
. retain the right to designate who shall use the property transferred or its income; ..............
c. retain a reversionary interest; or ...................
....... ^ ^
X
^
......................................................................
d. receive the promise for life of either payments, benefits or care? ....... ^ ^
................................................
2. If death occurred after December 12, 1982, did decedent transfer propert
withi
ith
...... ^
X
^
y
w
n one year of death
out receiving adequate consideration?
.. .. .......
3. Did decedent own an "in trust for" or payable upon death bank account or securit at his or her death .
4. Did decedent own an Individual Retirement Acc
...
~
...... ~
...
^
0
X
^
ount, 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 P
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of tran ART OF THE RETURN.
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
sfers to or for the use of the surviving spouse
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 zero
[72 P.S. §9116 (a) (1.1) (ii)j. The statute does n~ pt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of
filing a tax return are still applicable even if the surviving spouse is the only beneficiary. (0) Percent
assets and
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
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)j.
parent, an
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, exce t as
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)],
P noted in
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3 . A siblin '
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
)1 g is defined, under
REV-1502 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
.. •.+•.. yr
MILDRED R.
FILE NUMBER
21 09 0013
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real roe which is 'ointl -owned with ri ht of survivorshi must be disclosed on Schedule F.
ITEM
NUMBER
Real property located at 1916 Logan StreE tCCaTmp Hill, Pq 17011
See attached settlement sheet.
T~T~~
(If more space is needed, insert additional sheets of the same s¢e) Ilne 1
SC
HED~/LE A
REAL ESTATE
VALUE AT DATE
OF DEATH
148, 000.00
48
REV-1503 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
EST"T~ ^~
MIL
ED R. ENSMI
FILE NUMBER
71 r1o nn
H~~ property jointly-owned with right of survivorship must be disclosed on Schedule F. v
ITEM
NUMBER
1.
Sovereign Bancorp, Inc. DESCRIPTION
3,160.1602 book entry shares @ $2.87
SCHE
DOLE B
STOCKS & BONDS
VALUE AT DATE
OF DEATH
9, 069.66
TOTAL (Also enter on line 2 Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MILDRED R. ENSMINGER
I. i~wuG uie proceeas or utiganon and the date the proceeds were received by the estate.
All property jointlyowned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1• PNC Bank
Certificate of Deposit # 31900304926
2. PNC Bank
Certificate of Deposit # 31300306113
3. PNC Bank
Certificate of Deposit # 31500328915
4• Series E (15) and Series EE (3) U.S. Savings Bonds (18 total)
See attached Inventory Report
5. 2003 Toyota Echo
sold to willing buyer
6. Highmark; health insurance premium refund
7. Haar's, Inc.; auction proceeds from sale of household goods
8. Donegal Insurance Group; refund of car insurance
9. Reimbursement of county taxes
1916 Logan Street, Camp Hill, PA 17011
10. Reimbursement of school taxes
1916 Logan Street, Camp Hill, PA 17011
11. Reimbursement of sewer and trash
1916 Logan Street, Camp Hill, PA 17011
12. Donegal Insurange Group; refund of house insurance
TOTAL (Also enter on line 5. Recaoitutatinnl e
(If more space is needed, insert additional sheets of the same size)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21 09 nn~~
VALUE AT DATE
OF DEATH
29,641.80
REV-1509 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE F
JOINTLY-OWNED PROPERTY
MILDRED R. ENSMINGER 21~ 09y0013
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS
A. Jill Smeigh 126 Greenbriar Drive
Marysville, PA 17053
13
C
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE.
1. A. 02/70 PNC Bank
Checking Account # 5140110167
2. A. 03/99 PNC Bank
Money Market Account # 5002001595
3. A. 09/99 E-Trade Financial
Certificate of Deposit #2005310863
4. A. 06/01 E-Trade Financial
Money Market Account #2000864153
RELATIONSHIP TO DECEDENT
daughter
DATE OF DEATH DECD'S DATE OF DEATH
VALUE OF ASSET INTEREST DECEDENT'S IONTEREST
3, 665.59 50. 1, 832.80
2,673.351 50.~ 1,336.68
6,574.131 50.~ 3,287.07
22,802.771 50.1 11,401.39
TOTAL (Also enter on line 6, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
1
REV-1511 EX + (1 D-O6)
SCHEDULE
H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
IN RES DENT DECEDENT N ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
MILDRED R. ENSMINGER 21 09 0013
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION
A• FUNERAL EXPENSES:
1• Musselman Funeral Home & Cremation Services, Inc.
2. Rolling Green Cemetery Company, interment and nameplate
3. Clergy Fee
B• ADMINISTRATIVE COSTS:
1 • Personal Representative's Commissions
Name of Personal Representative (s)
Street Address
City State
Zip
Year(s) Commission Paid:
2. Attorney Fees Jan L. Brown & Associates
3. Family Exemption: (If decedents address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
State Zip
Relationship of Claimant to Decedent
4• Probate Fees Register of Wills, Cumberland County
5. I Accountants Fees
6• I Tax Return Preparers 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, cleanin exp. for 1916 Logan Street, Camp Hill, PA
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
AMOUNT
7,099.60
1,600.00
50.00
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
016.1
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
MILDRED R. ENSMINGER
Decedent's Name 21 09 0013
Page 1
File Number
Schedule H -Funeral Expenses ~ Administrative Costs - 67.
ITEM
NUMBER DESCRIPTION
AMOUNT
19. Penn Waste, Inc., trash & recycling
20. Lowe's, cleaning and repair supplies for sale of 1916 Logan Street, Camp Hill, PA 33.75
21. Boyd E. Diller, Inc., dumping fee 66.27
22. Janet L. Miller, Tax Collector, real estate taxes for 1916 Logan Street, Camp Hill, PA 46.05
23. Boones Property Maintenance, scrape & paint at 1916 Logan Street, Camp Hill, PA 789 91
24. Sabolchick Electric, 200 Amp service for 1916 Logan Street, Camp Hill, PA 185.50
25. Martin F. Schlesiger, lawn mowing for 1916 Logan Street, Camp Hill, PA 1,100.00
105.00
SUBTOTAL SCHEDULE H-67 I 2,326.48
REV-1512 EX + (~ 2-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
EST
SCHEDULE /
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ATE 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
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1. Chase Card Services, outstanding credit card bills
2. IHighmark, health insurance premium, cleared after death
3. ~Verizon, phone bill and final bill
511.19
162.95
46.82
TOTAL (Also enter on line 10 Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
96
REV-1513 EX + (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
rerere nr
SCHEDULE J
BENEFICIARIES
MILDRED R. ENSMINGER FILE NUMBER
21 09 001:
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1. Jill Smeigh
126 Greenbriar Drive
Marysville, PA 17053
Lineal
AMOUNT OR SHARE
OF ESTATE
163,832.34
~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 AS APPROPRIATE ON 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
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET I $
(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
Penalty:
A. Settlement Statement ~ ~ - - ---- -
B. T of,toan U.S Department of Housing and Urban Development
i. $IFHA 2. ~FmHA
4
VA 3. OConv. Unins. 6. File Number OMB royal No. 2502-0265 ex Tres t 1/302009 FINy
7 Loan N
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.
5. Cony. Ins.
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Note:
' um
er 8. Mortgage Insurance Case Number
P1009-0050RCS
0096202303
.
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TitleExpress Settlement S
t
D NAME OF BORROWER:
, w
.«,a„o,o
Mary F. Darrenkamp ys
E
Printed 05/27/20pg at 0859 SM
ADDRESS:
E NAME OF SELLER: Mildred R. Ensminger Estate
ADDRESS:
F. NAME OF LENDER: Sovereign Bank, its successors and/or a
i
ss
gns as their
interest may appear
ADDRESS: 1130 Berkshire Boulevard W omissin PA 19610
G PROPERTY ADDRESS: 1916 Logan Street, Camp Hill, PA 17011
Cam Hill Borou h
H. SETTLEMENT AGENT:
PLACE Pinnacle Land Transfer, LLC, Telephone 717-920-3331 Fax: 717.920
3332
OF SETTLEMENT: .
4242 Carlisle Pike Suite 191 Camp Hill, PA 17011
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SUBSWTIrM~aE FORM 1089 SELLER STATEMENT 7ha irdortnalron mrra.ra Mran is mpMrd la% xdonnrgn rq a Dana r,yn„tyd ,o ~,MrrW Ravrxra San~ce d
O 1 eDOVa COrMtdtdas Wa Gras Pr„oc°°os d~It1u Van a tpn s a°m s r°a"rtb to De rarwrt°p ry yy IRS O°ISrmrys ttvl a Ms nol o°°n r
aPOnW TM ConVacl Sa Puncs oa,~aroaplon b a return
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'-' r --.- SELLER(S)SIGNATURE(S{
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SEILER($i PNONE NUMBERS
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* SELLER ASSISTANCE
L.
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U.J. UtPAK I MtN I Ur t1UUSINIi ANU UKtlAN UEVtLUPMtN 1
SETTLEMENT STATEMENT
of
File Number PI009.0050 FINAL
7illeFrnrocc coleo,..,.,., ~.._.__ ... __ PAGE;
PAID FROM PAID FROM
BORROWER'S SELLER'S
FUNDS AT FUNDS AT
SETTLEMENT SETTLEMENT
/1 * SELLER ASSISTANCE
~ ~~Y •rr ~ sn ,r
aa.u cns +wer .
WARNING R IS A CRIME 70 KNOWINGLY MAKE FALSE STATEMENTS TO THE
UNITED STATES ON THIS Oq ANY SN/ILAq FORM PENALTIES UPON CONVICTION
CAN INCLUDE A FINE AND IMPRISONMENT FOR DETAIL S SEE TITLE t8 ma NUD-t SeaNmenl Slatamanl wn~ I nova peperetl s • true btG
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PINNACLE LAND TRANSFER, L~C RE ESCROW AivOUl`~?'
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
696'
Check #: 6969
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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
death. c '
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Article II 2' ~ `
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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 paid 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 within 30 days of
the probate ofmy 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.
Art_
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 ofmy 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 ofmy 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, CHRISTOPHER
PARK FRANK, as successor Executor ofmy 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
shares 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 bylaw, 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 investments,
(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 in, 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.
-~-
IN WITNESS WHEREOF, I, MILDRED R. ENSMINGER, hereby set my hand to this my
Last Will and Testament, on L~ - .~
2008.
MILDRED R. ENSMINGER %~~
In our presence, the above-named MILDRED R. ENSMINGER signed this 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
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Address
845 Sir Thomas Court Harrisbur PA 17109
845 Sir Thomas Court Harrisbur 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 _ I~ -;~ 2008.
~~
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1Nota(ry Public
NOTARW. ftJLL
.u~couEUNe A KEUY
Notory tubuc
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MILDRED R. ENSMINGER'
We, the undersigned witnesses who signed the foregoing instrument, being duly dualified
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 before ~~~~
by '~
and ~c~ ,`~ tl ra -t~ 1-,c'r~cie ,
witnesses, on _ ~- .~ , 2008
~,
Notary Public
JACCUELMIE A KELLY
Notary Pubilc
CITY ~ -URR{SWR6, DAUPHIN COUNTY
My Commiuion Expires Dsc 17, 2011
-5-
.~ ~~ ~ ~
Witness
~l
I
~itness
JAN L. BROWN 8~ ASSOCIATES
ATTORNEYS AND COUNSELORS AT LAW
JAN L. BROWN, ESOUIRE~
~JACOUELINE A. KELLY, ESQUIRE
'ADMITTED IN PA AND DISTRICT OF COLUMBIA
OLDE ENGLISH GAP
H45 SIR THOMAS COURT
SUITE 12
HARRISBURG, PA 17109
EMAIL: 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. WHITE, LEGAL ASSISTANT
JUDITH A. EBERSOLE, ADMINISTRATIVE ASSISTANT
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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 Wil
for the filing fees have also been enclosed, is
Please return atime-stamped copy of each document in the envelope provided. Also,
please forward the receipt of payment to my office.
Sincerely
~~
Christa M. A ~
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