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HomeMy WebLinkAbout09-28-09 15056051058 '-' REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes ~ INHERITANCE TAX RETURN Po Box zsosol 21 06 0005 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 188-20-7560 10/14/2005 11 /04/1927 Decedent's Last Name Suffix Decedent's First Name MI Gill Beverly J (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 prior to 12-13-82) 4. Limited Estate 4a. Future Interest Compromise (date of 5. Federal Estate Tax Return Required death after 12-12-82) • 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 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 Lisa Marie Coyne (717) 737-0464 ~~,, t Firm Name (If Applicable) f REGISTER OFS USE O~J~~ _ Coyne & Coyne, P.C. }: ~ r ' ~ ~I ~ ~ First line of address _ r~ C~ { 3901 Market Street - ~~ Second line of address ' ~"` DArrW FILED City or Post Office ~! State ZIP Code Camp Hill PA 17011-4227 Correspondent's a-mail address: 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. SIGNATU ESPONSIBLE FOR FILING RETURN DATE ~ ~/~ ~_ r~ ~DDRESS __ ___ _ r.jt ~J' Robert L. Gill, 70 Pine Ridge Circle, Enola, PA 17025 -_ ___ _ _ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS Lisa Marie Coyne, 3901 Market Street, Camp Hill, PA 17011-4227 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Social Security Number Beverly J Gill 188-20-7560 Decedent's Name: RECAPITULATION 1. Real estate (Schedule A) . ........................................... . 1. 2. Stocks and Bonds (Schedule B) ...................................... . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3. 4. Mortgages & Notes Receivable (Schedule D) ........................... .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...... .. 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested...... .. 7. 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) .............. .. 10. 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... .. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 15. 16. Amount of Line 14 taxable at lineal rate x .0 45 78,041.87 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 95,900.00 0.00 0.00 0.00 3,329.87 0.00 0.00 99,229.87 18,569.00 2,619.00 21,188.00 78,041.87 0.00 78,041.87 3,511.88 3,511.88 ~': 15056052059 REV-1500 EX Page 3 nPr_a,clpnt'S Complete Address: File Number 21 ' 06 ' 0005 BEVERLY STREET ADDRESS 108 Austin Drive CITY Enola DECEDENT'S SOCIAL SECURITY NUMBER J GILL 188-20-7560 STATE ZIP PA 17025 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 3,511.88 2. Credits/Payments A. Spousal Poverty Credit _ ___ ___ B. Prior Payments 3,454.00 C. Discount 175.59 - - _ Total Credits (A + B + C) (2) 3,629.59 3. Interest/Penalty if applicable D. Interest E. Penalty _ - - - - - -- Total InteresUPenalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 117.71 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 0.00 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. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [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 zero (0) percent [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 zero (0) percent [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 four and one-half (4.5) percent, 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 twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling isdefined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER GILL, BEVERLY J. 21 - 2006 - 0005 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 property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 70% Interest in 108 Austin Drive, Enola, PA 17025 (Assessed Value: $137,000.) 95,900.00 TOTAL (Also enter on Line 1, Recapitulation) ~ 95,900.00 Cumberland County Board of Assessment Appeals Old Courthouse One Courthouse Square (717) 240-6350 Carlisle, PA 17013 (717) 240-6354 (fax) Board of AssessmentAppea/s BONNIE M. MAHONEY Lloyd W. Bucher Chief Assessor R. Fred Hefelfinger Sarah Hughes STEPHEN D. T1LEY Assistanf Solicitor I ©EClSION ORQER MAILING DATE: October 29, 2004 PARCEL NUMBER: 09-15-1288-343. GILL, BEVERLY J & MALCOLM L BLACK 108 AUSTIN DRIVE ENOLA PA 17025 Dear Property Owner: This letter is to officially notify you of the decision of the Cumberland County Board of Assessment Appeals regarding the above-referenced parcel. . `~I ~-:.F" `:t~' ',t=~'+RING s ~ ~ 1 ,'`~0, DATE DECISION RENDERE9/2004 EFFECTIVE FOR TAX YEA 2005 DECISION RENDERED: [ ] Withdrawn By Applicant [ ] Abandoned For Failure To Appear [ ] Denied - No Change [ ] Approved Review Appraiser's Changes [X] Revised Assessment Based on Hearing [ ] Other: TOTAL VALUE FAIR MARKET CLEAN AND GREEN CLEAN AND GREEN STATUS Old Assessed Value: 142,300 NOT New Assessed Value: ~ 137 000~~ APPLICABLE Any narcnn annriavPri by tha prdar of thrv Board Of Assessment may appeal tC the C^Ur t Cf COmmCn r. _,. `. _....,. ~ ~.... _ `... Pleas by filing a petition in the Prothonotary's office on or before November 29, 2004. _ _ _ ~J v ~ r , ~- - -- - , ~ ~,. ' .. { ~~ a r~,~.~ 9 An ~ 1 c 2 ~ T~ Panel No. THIS CORRECTIVE DEED MADE the ~ ~ day of ~~ , in the year two thousand (2000), between LAUREL HILLS DEVELOPMENT CORP., a Pennsylvania corporation, with its principal place of business located at 744 Wertzville Road, Enola (East Pennsboro Township), Cumberland County, Pennsylvania, GRANTOR, GRANTORS AND BEVERLY J. G_"-:LL, Single Person, having an undivided seventy percent (7G%) interest, and M.4LCOL1I~I L. BLACK, Single Person, having an undivided thirty percent (30%) interest, as tenants in common, GRANTEES. WITNESSETH, that the grantor, for and in consideration of One Dollar (51.00) lawful money of the United States of America, to the grantors in hand well and truly paid by the grantees, at or before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged and the grantors being therewith fully satisfied, does by these presents grant, bargain, sell and convey unto the grantees forever, their heirs and assigns: ALL THAT CERTAIN piece or parcel of land situate in the Township of East - Pennsboro, County of Cumberland, Pennsylvania, bounded and described as follows; to wit: BEGINNLVG at a point on the southern right-of--way line of Austin Drive, at the northwest corner of Lot No. 200 on the hereinafter described Preliminary/Final Resubdivision Plan, THENCE along the western line of said Lot No. 200 South 08 degrees, 25 minutes, 00 seconds East a distance of 105.00 feet to a point on the northern line of lands N/F Jarlin Farm; THENCE along the northern line of said Jarlin Farrn lands south 81 degrees, 35 minutes, 00 seconds West a distance of 85.22 feet to a point at the southeast corner of Lot No. 198 on the he-~°inaftP~ des.,:bed PrPliV-tinary!Final I?esubdivision Pl?n; T TE~r+'NCE along the eastern lane of said Lot No. 198 North 00 degrees, 18 minutes, 11 seconds East a distance of 108.27 feet to a point on the southern right-of--way line of Austin Drive; THENCE along the southern right-of- way line of Austin Drive by a curve to the left having a radius of 175.00 feet, an arc length of 26.63 feet to a point; THENCE continuing along the same North 81 degrees, 35 minutes, 00 seconds East a distance of 42.28 feet to a point at the northwest corner of Lot No. 200 on the hereinafter described Preliminary/Final Resubdivision Plan being the point and place of BEGINNING. CONTAINING 8,L1.00 square feet, more or less. BEi~i TG Lot No. 199, Preliminary/Final Resubdivision Plan for Lot #147 of Laurel Hills North, -dated June 21, 1999; revised July 2, 1999, recorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Plan Book 79, Page 96. 1 ~~ a box 21? ~~cE 3~ BEIN G improved with a single family residence known as 108 Austin Drive. SUBJECT TO an Easement for utility installation and maintenance which is reserved on all lots and such other easements, as may be shown in recorded documents, .granted to Public Utility Companies for utility purposes. Electric service will be supplied only from the underground distribution system in accordance with then current PP&L Company Tariff provisions. UNDER AvD SUBJECT, NEVERTHELESS to restrictions, easements, set-back lines and conditions as now appear of record including, but not limited to, Declaration of Covenants and Restrictions applicable to Preliminary/Final Subdivision Plan for Lot #147 of Laurel Hills North, Tory Circle, East Pennsboro Township, Cumberland County, Pennsylvania, dated September ?0, 1999, a:.d recorded in the C!f~ce of the Recorder of Deeds of C?irnberland County, in Miscellaneous Book 6 Z ,Page ~. BEINi G THE SAIZE PREIVIISES WffiCH Laurel Hills Development Corp., by its Deed, dated November 24, 1999 and recorded in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania, in Deed Book~~ Page `113, granted and conveyed unto Beverly J. Gill and Malcolm L. Black, the Grantors herein. THE PURPOSE of this Corrective Deed is to rectify the erroneous interest of seventy- five percent (75%) and twenty-five percent (25%) by which the Grantees previously received in the Deed recorded in Deed Book .~~Page y ~~ The current seventy percent (70%) interest to Beverly J. Gill and thirty percent (30%) interest to Malcolm L. Black contains the correct interests of the respective Grantees. TOGETHER with all and singular the buildings, improvements, ways, woods, waters, watercourses, rights, liberties, privileges, hereditaments and appurtenances to the same belonging or in any way appertaining; and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and of every part. and parcel thereof; AND ALSO all the estate, right, title, interest, use, possession, property, claim and demand whatsoever of the grantor both in law and in equity, of, in and to the premises herein described and every part and parcel thereof with the appurtenances. TO HAVE AND TO HOLD all and singular the premises herein described together with the hereditaments and appurtenances unto the grantees and to the grantees' proper use and benefit forever. AND THE SAID GRANTORS, do hereby warrant specially the property hereby conveyed. 2 BOOK ;~~? PAGF 3~ IN WITNESS WHEREOF, the grantors have hereunto set their hands and seals the day and year first above mentioned. ATTEST: LAUREL HILLS DEVELOPME~~' CORP. ~~~~ ~ ~~ PH P. DOYLE r By: ,~~/~' resident, DON~~ LD W. SHINER 3 ~aox ~~7 sac; 355 COMiY10NWEALTH OF PENNSYLVANIA ss COIJN~Y OF CUMBERLAND On this, the ~~ ~y of 1~.(.~- ~~, before, me, a Notary Public, the undersigned officer, personally appeared DONALD W. SHINER, who acknowledged himself by being the President of LAUREL HII~LS DEVELOPMENT CORP., a Pennsylvania corporation, and that he as such officer, being authorized to do so, executed the foregoing for the purposes therein contained, by signing the name of the corporation by him as President. Lv WITNESS WHEREOF, I have set my hand and official seal. t t;~ NOTARY P IC ~€ :'iZ°""':`` ~Y::~ i~OT,~;~a,e se:~,& 1i~Ei•JiiY ~. C~'rt`t~, y~t~;y ;';:isiic , Har+-~den Twp., Cumfea~~crd C :um;y, ?A M~ Cammiuicn Ez~i~rsa aura 17, ~~?G~' .~+,~ ~~ >>o The undersigned certified that the precise residence and complete post office of the Crra 108 Austin Drive, Enola. PA 17025 ATTORNEY FO GRANTEES RECORDED on this ~_ day of ~q,~e1r, , 2000, in the Recorder's Office of the said County in Deed Book ~ 11 ' Page ~ 3~. Given under my hand and the seal of the said office the day and year aforesaid.. ~ .F.`i - isi o.. ~. t;~~~:;y' ~- 4 ~aox 21~ ~acE 3~6 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER GILL, BEVERLY J. ~ 21 - 2006 - 0005 incwde 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 DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 PNC Bank -- Checking Account 2,829.87 2 Misc. Personalty 500.00 TOTAL (Also enter on Line 5, Recapitulation) I 3,329.87 _~06 17~3~ FNCBANK B PNCBAI~K ' January 25, 2006 M~ i 412 766 3458 P.G1i01 Lisa 1Vlarie Coyne 3901 Market Street Camp Hill, P,a 170 t 1-4227 RE: Estate of Beverly J. Gill, deceased SSN: 1 8 820-75 60 DOD: 10/14/2005 Dear Ms. Coyne' In response to your request for Date of Death balarkees for the customer noted above, our records show the following: CJbeclcing Account Account #5140023397 Established 04/11/1989 BEVERLY J Gl_Lh, DOD balance: S2,829.87 (non-interest bearing) Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any financial transactions or provide statements. If you need assistance with any of these items, please call 1-888-PNC-BANK (1-888-762-2265) or stop by your 1oc31 pNC Bank branch oflxce. Sincerely, ~ ~ } ~ (~ (~ Rachelle Wells 1-$00-752-1775 P7-PFSC-04-F 500 first Ave. Pittsburgh PA ] 5219 Member FDIC TOTAL P.O1 SCHEDULE H FUNERAL D(PENSES & COMMONWEALTH OF PENNSYLVANIA ADIYI~NI~ I r~1 1 V G INHERITANCE TAX RETURN _ __. RESIDENT DECEDENT __.... _ I _. __ _._ _.. _. ESTATE OF _ -_ _ _-. ___.. __ __- - _. _. _._ __ _. __. _-__ __.. ~ FILE NUMBER GILL, BEVERLY J. 21 - 2006 - 0005 Debts of decedent must be reported on Schedule I. ITEM NUMBER __ DESCRIPTION AMOUNT A. --- __._ FUNERAL EXPENSES: _ __ _ _ _. 1 Parthemore Funeral Home 7,262.00 2 Honorarium 250.00 3 Reception 1,034.00 4 Flowers 300.00 5 Headstone Engraving 102.00 6 Grave Openning 300.00 B. ADMINISTRATIVE COSTS: ~ 1. Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address 2. 3. 4. 5. 6. City State Zip Year(s) Commission paid Attorney's Fees Coyne & Coyne Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent Probate Fees Cumberland County Register of Wills Accountant's Fees Tax Return Preparer's Fees 7. Other Administrative Costs 1 Legal Advertising--Patriort News 2 Legal Advertising-- Cumberland Law Journal Total of Continuation Schedule(s) ~, TOTAL (Also enter on line 9, Recapitulation) 6,000.00 248.00 121.00 75.00 2,877.00 18,569.00 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT __ ___ ESTATE OF GILL, BEVERLY J. 3 Postage Schedule H Funeral Eames & Ac~ninistratinne Costs crontinued FILE NUMBER 21 - 2006 - 0005 - _I --- __ 74.00 4 Repayment of SS Benefits 900.00 5 Missed Work for Executor 1,000.00 6 Mileage for Executor @ $.48/mile ~~~ 240.00 7 Recording of Deed ~~ 100.00 8 Long Distance Charges for Executor 63.00 9 Reserves 500.00 Page 2 of Schedule H REV-1513 EX+,Ig-001 SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES ' IN HERITANCE TAX RETURN ~. j RESIDENT DECEDENT 1 ESTATE OF --_ - FILE NUMBER ___-- ---- __ GILL, BEVERLY J. 21 - 2006 - 0005 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT -- AMOUNT OR SHARE -. - _____.. ------- - _.__.. ---- ---._- __--- -- - - -~S1~ot1isl Tmst~efsl--- - OF ESTATE - --- - - __- I~ TAXABLE DISTRIBUTIONS (include outright spousal distributions) I ~ 1 Nolan Gill Grandson 2,000.00 2 LeAnne Gill Granddaughter ~ 2,000.00 3 Jennifer Capers ~ Granddaughter 2,000.00 4 Gordon Moon Grandson i 2,000.00 5 Robert L. Gill, Jr. Grandson 2,000.00 6 Jon Arndt Grandson I 2,000.00 7 Warren Gill ' Son 1/3 of Residual 8 Robert L. Gill Son 1/3 of Residual 9 Jon Gill j Son 1/3 Residual Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet III 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 SHEE RENUNCIATION OF BENEFICIAL INTEREST IN ESTATE OF BEVERLY J. GILL, DECEASED TO THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA: The undersigned, MALCOM L. BLACK, the named beneficiary per Item 7 of the Last Will and Testament of the late Beverly J. Gill, dated February 4, 2004, does hereby disclaim and renunciate and refuse the life estate in the seventy percent (70%) undivided interest owned by the late Beverly J. Gill in the property lrnown as 108 Austin Drive, Enola, East Pennsboro Township, Cumberland County, Pennsylvanian, granted to me by the late Beverly J. Gill per Item 7 of the Last Will and Testament. WITNESS this z_~?~ day of , 2006. M OLM L. BLACK COMMONWEALTH OF PENNSYLVANIA ) ss: COUNTY OF CUMBERLAND ) On this, the ~~ day of , 2006 before me personally appeared MALCOLM L. BLACK, lmown to me (or satisfactorily proven) to be the person described in the foregoing instrument, and aclrnowledged that he executed the same in the capacity therein stated and for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 1 EAL Notary _. _._. c:Ef~oww~a~IH aF.P~NrosY.cwirk-~_. 1VCJTARIA;L SEA1 ~~ ~~ HenFy.F. Coyne. Notary PubhC~`.\ Hempden`Township, Cumberla_r1.d'Gounty My Commission Expires June 17, 2Q12` ~E- i; L1~ST' WILL 1~IV~ ~ST1~Iv~NT' ®F' ~EVE~,Y J. GIIrL I, BEVERLY J. GILL, of the Township of East Pennsboro, County of Cumberland, and (~ Commonwealth of Pennsylvania, declare this to be my Last Will and revoke any will or codicil ~ previously made by me. ITEM L Upon my demise, I direct that my body be cremated and my ashes be buried in Atkinson Mills Cemetery, McV~eyfown, Mifflin County, Pennsylvania. ITEM 2: I direct -that all my just debts and funeral expenses be paid as soon as practical t ~~ 'c J ,..' a `:r~ H .~? ~ ~ . .:J y"' ~~ ~ - ~ ~ ~ ii ~,~__, ~~ wW I~ after my death. ITEM 3: I direct that all taxes and interest and penalties thereon that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my Estate. ITEM4: I give, devise and ~ bequeath my Blue Sapphire Ring to my great niece, 1\~ICOLETTE S'rIMEELY. ITEM $: I give, devise and bequeath all my clothes and remaining jewelry to my daughter- ~n-law, JUDY LAVERTY, who may dispose of those items as she deems appropriate. ITEM 6: I give, devise and bequeath the sum of_ Two_ Thousand Dolla_,-s ~ ~ n :ach of the following named individuals: A• My grandson, Nolan Gill; _'~ ~ J D. Iviy granddaughter, LeAnne Gill; Page 1 of 4 C. My granddaughter, Jennifer Capers; D. My grandson, Robert L. Gill, Jr.; E. Gordon Moon, my step-grandson through my late daughter-in-law, Elizabeth Gill; and F. Jon Arndt, my step-grandson, through my late daughter-in-law, Elizabeth Gill. ITEM 7: I give, devise and bequeath the right to occupy my residence at 108 Austin Drive, Enola, East Pennsboro Township, Cumberland County,. Pennsylvania, using its contents and furnishings which I may own as a life estate to my friend, MALCOLM L. BLACK under the follouring specific collective terms and conditions: .A. Malcolm L. Black physically resides full time at the residence; B. Malcolm L. Black does not co-habit in the residence with another female whether marred or not married, and; C. Malcolm L. Black maintains the property in good repair and pays all utilities, property ~~ '~ `~ a a ~~~ I++~ tR ~ s l =. i t, a~ w- ~.;\r w ~ ~- taxes, assessments, and maintains insurance thereon with proof of payment of said taxes, assessments and msurance provided annually to the Executor of my Estate. _ I further direct that it shall be my Executor's absolute and sole discretion and determination as to ovhether or not Malcolm L. Black complies with all of the conditions set for in this Item 7 of my Last Nill. Upon Malcohn's death or should he fail to comply with all the conditions set forth in this Item 7 of ny Last Will, I direct *.he said Life Estate be terminated and the premises be offered for public or private ~ ale as soon as ossible. ~ p _ _:_. __ _ _- - ~ I'~''t M g: I give, devise and bequeath all the rest, residue and remainder of my estate of every nature and wheresoever situate, together with insurance thereon in equal shares, to my three sons, Jon Gill, per stirpes, Robert L. Gill, per stirpes, and ~darren Gill If my son, Warren Gill predeceases Page'2 of 4 me, I give, devise and bequeath his share to my step-grandsons, Gordon Moon and Jon Arndt, in equal shares, per stirpes. ITEM 9: Until distributed, no gift or beneficial interest shall be subject to anticipation or voluntary or involuntary alienation. ITEM 10: I appoint my son, ROBERT L..GILL, Executor of this my Last Will. Should I my son, ROBERT L. GILL fail to qualify or ceases to act for any reason as my Executor, I appoint my son, WARREN GILL, alternate Executor of this my Last Will. ITEM il: I direct that my personal representatives, or their successors 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 to this, my Last Will and r~ Testament, this f day of % '~ 2004. .~ f BEVERLY J. GIL11' Signed; sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament in our presence, who, at'her request, in her presence and in the presence of each other, lave hereunto subscribed our names as attesting witnesses. f - ----- - -- -- - - - ~f ~//ly_ ~T~ ~ residing at ~~~ ,~i `~~~,~"~~~~"1 C~ residin at ~ ~ ~ ' "/'%;:; .rte ,f.%~ ~ ~ ~~~ Page 3 of 4 We, BEVERLY J. GILL, f ~i~~f; C ~f ~~ f 7~~ and ~- 1 r 1~~ ~ u ~~" n ~ ~ ,the Testatrix and the witnesses respectively, whose names are i signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the ~ undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose 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 or her knowledge, the Testatrix was at the time eighteen (18) years or older, of sound mind and under no constraint or undue influence. f BEVERLY J. GILL ;1' ~~ ~~~ ~~~t~ ~ ~~ Witness ~~ ass ~- ~' -, .Subscribed, sworn and aclrnowledged before me _ ~~ ~~': f ~ ~ ` ~' ~-~ by BEVERLY J. GILL, the Testatrix, and subscribed and sworn to before me by /, f. r f n ( f ~~ F ~i 1R ~ i i~'~ ~ and- f C~, I I i~ ~ s~/~ ~` the witnesses, this ~ ~~ f ~ ~ -~- _ .day- of===--./=~.~i~-f . ~ n ~.~ __ X004.-= - jy~~°~. ~ ~ { "'Ql~' Y "F~C'Y... _ ~~~iP s ~`~'~w ~ .?~ rte' ~~~, ~. t, ~ r - j /t TT E Nntary i l.:blic f V F (y~}ry_ _) Page 4 of 4 OYNE & C OYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne Jaime L. High 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 www.coyneandcoyne.com Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Dear Sir or Madam: September 23, 2009 Re: Estate of Beverly J. Gill Deceased Enclosed are an original and two (2) copies of the Inheritance Tax Return for this Estate. Kindly docket the original and forward the paper-clipped copy to the Dept. of Revenue and return the yellow "clocked-in" copy of this office with the enclosed, stamped envelope. Also enclosed is check no. 4471 which is the filing fee for the Inheritance Tax Return. Kindly issue a receipt for payment of this fee. Thank you for your assistance. Very truly yours, COYNE & COYNE, P.C. Isa Marie Co e LMC/amd n c `~ J -p ~ rT _; j Encls. ~ `° Cc: Mr. Robert L. Gill, Executor (w/encl.) ; _~~? ~ <_~ :~ T T ~~ ~ l ...~ ~ r T ~~ _ D ~ v .- x rv w N ~ '~', ' ~ `.,~,f N ~ ~ ~ N ~ ~f ~ f ~1\ 1 ~,~ u G~ : i ,_',`-- ~ r== ''^' a- Uz~~i ' C..+ l1J ~ ~ w.~ t .,!~ ~ Q~ 0 O U N r a ~wv w gar ~ Quo V wY~ dS ~QJ W per= Z F-oa O ¢~'a U v , 3 r i; ~; i, t t t 1 o 3 ~ o ° ~. ~, U ~ N ~~ bA ~ ~ O O ~ wU ~`-' ~ ~ o ~ o ~ ,~ U U ~ ^.., ~ ~ ~ OUOU 0 ~ ~! 3~ t ~ ~', ~ f ~, I~i , ~ ~ ~ +~ a . a ~ a ~ f` ti~ .,y s .~; i 7c' - e~ ~ h ~'~i-~ _~ ! r4_~ # ~~'~ ~~ it i~~+ . r 1~ ~ id}-9 ~"~ yt }}yy~ ~ { ' S ~ t. ~ p' k ~ ti i, r ~ S, f ~ ~. }} .r 1 ~~ ~ ~ ~ r ~,~ ~~I~ ~ ,. ~ ~ t + ~ '. ~'_' . ~