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10-08-09
• Spouse's Socfat Securfiy NtxrTber 219-12-1837 '1'M~ ~T'tN~I MU$T BE FfL~D IN:~R'1~ yYf1'}~ '~t~ REGISTER ~~' 1t~LLS Rtu tN A~r~ anus t=ll~r cam-': 1. tJrf8p1a1 r2egm ..... 2. Sup~erner,rai Rearm , , 3. Ratna~htiar Retu~tr (date of death 4. Limked Estate prkx to 12-13-ti2p . ~> 49. Future Interest ~ (data ~' _.. 5. Ferlerat' Esffite 7itoc iteaxr- Required deatlT aR+eT' 12-12.82) . .. ~% t3. Decedent tiled lbetate 7, itaoedera lNat~efrTed a Living TrtTat 8. 'tbael Ntxnber d Sate Bootee (Attach ~Y of Wij ~ (Aflach t'oin- ~ ~ 9. LiYgatloe- Reoei~rad 1t). Crept (deee o/ death 11. Efec#icn ib tax. under See. 9113(A} between 12-31-81 snd t~1-~) $dT, p) ~ i5ossosio5a .... ~~~•~ s7~~ EX (QB-OS) PA of tiaTaTrTTTe OPFIGAI. U!!~ l~q.Y PoBOx rax~ {NHEI~tANCE TAX R~1'UI~N c~rTgr code Year FlIe Number ~r~~lza,osm REZNCENT DECEDENT q 2. ~ ~ ~ q 2 ! t=om tN~~t'nt~N ~.c~t Sotiaf Y Number Date of Death Date of Birth. 2211-18-1132 09f1{}f2t~J8 04f~4f't925 Decedent's Last Name Suffix Decedent's First Name MI McGuftfn Mr. Martin H ta' 1 ' $Uf1rFWrNj} Spouse's b~fonnafiott 8efow s f~otrse's t.ast t+l~ne Spouse's First Name ~ McGurn Mrs Regina R 'nM~ ~ta'i01`t ttilllT SE c0ilpllTEO. ALL CGTIiR ACID CONFIpENTyTu, fAX Y9PpI1N1A'i~1N ~ t~larrte Mme °'i~feptwne Nutttbr6 CO~eSn M ~:(ineSE'~ltnidt Firm Name {H Appfioabiel Fbst fine of address.. Q2~ Y~tRc~id W WIIY iirTe aF address ~Y ,Post Otltce Petitiotrtafwitle i't?; RElit$1ER 4F YYti.LS USE pNLY C"a N d - t ` ~ - ~'' ~ , i ,~ i ~ - . _~ ~ ~i'l i z .. -. DA~ State 2iP Code " _ --- ' ~ _H ~ . .. : T PA 18074 Ln ~.>>. _ ~ 7 Ckuretspondsnf'a a~maif address; traYmare~c~ncaSt.net UndapsnfMiss of pM}ury, ~ dscbrr That ~ hart-eXarnk-ad sus nHum, Indudinp aopofnparying ecMdulea and stailtrrixds, and To the bast tt le tnTS, cturect and corripTela. Dadaresm of preparer olhw ttan the psntona! rapnu~antatlya ra be~ed on aTi arfartreltlon of wNeb TNlDI 205 Daifrf i Driver Medtariicshtxg, RA f7JtQ TtiFtE of ~ ~ rruva +~sENrarn 2860 Yost Rotu1, Pe~laomenvifie, PA 18074 1505so51o5~ Side 1 -~ f I5o56o51058 O J 15o5fio52a59 itEi~ib~ EX i7eoedemYs Swat Security Number .. o«o~i.nre nber+~ Martin H ItA~utfln 22t~-'C&1132 _.. _ a~.a~. .~_._._.. _...._. _.... _.___ .. .._,--- _~~~. _ , ..,. .~, RECAPtTULATiON ~ w.,. .. ___,_.u ._ _... _.._.. _._.. 1. !teal eafats {Schedcde A} ................. . ........................... 1: 0.00 2. S and Bonds ~ B} ........ , ... ........................ 2. 0.00 3. aoselY Hsid Win, Pasd~ership ar 3oie~P~roprietorehip {3o!'-erhde G} ..... 3. 0.00 4. t~tat~gsa S Notes Recefi~able {edyie t)} .. .. ..................... 4. 0.00 b. Csa«t. Bank S Misoecus Peracnal 'PropsrN {&~redWa E} ........ 5. 0 .00 l 8. .irlir~t Q1Atr1ld i~ropet'ty (SciledUN F} ..tea Sepan~be B~M1~ E~r glapu4D9d ....... B. 1 ! V.~Q 7. Ind Yt~pa Transfers 8 i-8soapaneaus NProbate Propeity~ _ _ {1e 6) ~='Va= Separate Bied........ 7. O.f~ 8. 7YrEN fieoss ~aaebs Lines 1 ~.. .... ...................... 8. 0,00 9. F~ur~erad F.xpen$es S Adrn~iahe~ive Cca~ (8chadule F!} :.................... 9. Q.E~} 10. t)ebbt d Decedent, Lied~ittw, & Liana {Saheduie i}...... , ..... . 10. 0,00 11. TeRai Dedur.biaa~ {baled Lines 9 & 10}. . ....................... 11. 0.00 12. lWt thtw of ~tabe {Line 8 mirn~s Line 11) .:.. ..................... 12. 0.00 13. Ga~rMattte arM Governrt-entat Bequeeta/Sec 9113 Tniste far which en eieckon b0 tax has rrot bean made (3eheduie J} ........................ 13. 0.00 14. Net Wfw i~bjact b Tax (Line t2 minas lane 13} . .................... _... ,_ _ 14. 4.00 ., ., _ t ~,_~,__. ._,.~...., ~ ..... .......... .. ._, .._ _... . TAX 7AT~1- H!It!<'lRtJCT101~1di ice! AP~AiBL6 ltATt~ .. _., ,... .... .._ ._ .... _........ .. _,_.. .......,. 15. Amwnt of Urge 1+t faxabte at tlM spc»raeb tax. refs. or trartsaars unc~r Sec: 9118 {e}(1.2} X .0._„,. ib: 0.00 i8. AmounE of Una 14 taxable at Nneat'rabe X .0 ~ 18. 0.00 17: Amount ~ LMe 14 taxable at srbiktg rate X .12 17. 0.00 18. Amount or Una 14.~xabbe ai cwNateral rate X .15 18. ' 0.00 19. TAX DtlE ......................................................... 19. ft00 20. FIi.L IN THE ~/At IF YOU A1tE EBtttiti A ~ t!F AN OYERPAYNNEtN'T i 505S452fi59 Side 2 ! 545fia5aC159 REV f5fa0 EX Page 3 DACedetl#~S C©f11t~~1~ ~ddlbSB: fee Narnher DECED~T"S SOCIAi. B£G1~2{TY NUM9E'it Martin H McGufFtn 22f)-48-1132 sTrt EErAtx~ss 1305 Apple Drive CITY M ~ b SPATE ~ cC artrp ttrg PA 17055 Tax Peyme»fs at~d C+~edi#s: 1. Tax Qua ('Page 2 the 18} 2. (~re~SlPaeynaerats A Spout ( _ B. Pabr Payrraertis C. Qtsooaarat -` 3. hateresdPeraatty s ~piicabie D. tnlereet E. Tote! c,~e~te{a+ ~ + e ) Total Mtenyst~ar~r (p + E ? 4. ff tine 2 is greaser f#aua t the 1 + the 3, enter ~e dH~rsnoa. TMe k iris WIERPAYM~tIT. FiN ~ owd en Page ~, Lhe ~ h a rM~l. 5. 5 Liaae ! + Line 3 is groatar dean I.he 2, enter the boa, Thk is the TAX tN1E. (1} 0.00 c2} o.a0 t~} 0.00 (4} 0.00 (5} 0.00 A. Erb the iaerest on the tax due. (5A} 0.00 B. Eerier tl~a tots aaf the 5 + 5a. TMs is the B10i,AitCB tll~. {5B} O,t~ Make Cht~k Payable to: R~l3TLR ' WALLS, AGENT PLEASE IkNSWER Tl~ FOL~.I~ ~J~~T'II~NS BY PIA+CIMC AN "X" 1N THE ~RPROPRtATE Blt?CKS 1. Otd deoederri naalw a tranaatier and: Yee No a. -the use or intx~rrue of tlree: paiapergi teeta~red ................................ . ..................... p p b. retain the rtgtri to who ataa5 use the pniperty nerved or its iraaxmre• ..................................... ^ ~ d. reoehre ~ prfor~ eta p~yn~nfs, taers a care? .. ... ......................... 2. M dee~a oaxxan+ed wear #7e~enabeF 1z.1e92, did deoederat t~,edar p,a~ty witlaha one year of deed ................... w reams aae ~...,. ...... ....... .. .............. ... D ~C3 3. Old deo~erri own an "in tram ft>r' or peyote agxata death bsnlc ar~coarrat ar,eeaxsity at ~ or Iter death? ............. ^ Q 4. t)lal deoederri awn an mat »+anerri ar>rx~y, or othera~ortprobate pn~ty wt>icta .............. corrietns a benayora? ...................................................................................................................... 0 IF TFE: MR TE? IU~if t~ Tt~ A~t QtiESTIt~1,S tS 1fES, YOU MUST' COMPLETE-SCHEDULE 6 Ate FN.E !T AS PART t~ THE RENRI!1. For dates of d~a on or aver July 1,1994 and taetore Jarwary 1,1995, the tax rate imposed on flte n~ vMue of trans to or ~ the use td tits sing spaanrs is three Ca) txroent [T2 P.S. §9116 (a) (t.1) C)j• For dates of dead ~ or 1.199,5, the tax rsM imposed on fire net -q~te of tran~ers to or for the uae of the ~ spouse is zero (ti}_pertent (T2 P.S. ~'11t3 (a) (1.1) (f~j. The stxdute a transfar b s sterviving apouee '9ntn tax, and the stagy fa dine of assets and a tax rehan sme +e+ren if tip survivi~ spou~ is ~e only !„eriary. For dates of deaatfir on or afDer,hdy 1, 2000: The tax ease apposed on the net vMue cf tnm~s from a dec~sed did twenty~ne Y~ ~ or YQUnger ffi d~th to ar fa tie use of a naturM perrerat, an ~r a ~ of ~ dxtd ~ zero (0] psra {72 RS. §91 i 6(au1.2y]. The tax re~a imposed on 9re reel v~ue ~ tn:s ~ a for the use of the wt's dries is fan smd one•hatf (4.5y pertwrat, extxpt as noted in 72 P3. ~8111~1:2) [72 RS. §91113(a](1)]. The tax rate imposed on the red tote td ins b or for the use of the deoeder+t's ~ ~ twelve (12} peroeM IM P.S. §9116(x](1.3}]. a is ckdlned, .under Sec9on 9102, ~ era ~ who has at least one parortt in common with the de~ahrat, whether by Mood. ar ~• r LAST WILL AND TESTAMENT OF MARTIN H. NJCGI~'FIN I, MARTIN H. MCGUFFIN, of Mechanicsburg, Cumbearland County, Pennsylvania, being of sound and disposing nand, memory and understanding, do hereby make, publish and declare this as and for my Last Will. and Testament, hereby revoking .and waking void any and all wills by me at any time heretofarex Wanda. 1. I direct that all my debts and funeral eacpenses-be-paid as soon as practical after my death by my Executrix h~eittafter named. I direct that alt takes that may be assessed as s consequence of my death shall be paid ~y ~ as t ofthe ~~€the ~stratian of my estate, ~..~~ , r~sidna std resnaindcr of niy eta, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my wife, R~G1NA R. A~ICGUFFIN, provided she shall survive me by a period of sixty {6A) days. 3. In the event my said wife, R.I;GINA It. MCGUFFIId, should. predecease me ar fail to survive me bythe aforesaid period of sixty (6p}days then in such event, I give, devise and 'bequeath my Estate to my daughter, CQLEEN M. cLINESCHMIDT, 4. In the. event my said daughter, CQLEEN M. CLTNESCH1vBI3T, shall predecease me, I give all the rest, residue: and remainder of my hrst~ate, real, personal and mixed and wheresoever the same may be situate. to ST. JOSEPH'S CATHOLIC CHURCH of Mecl~anicsbur$, Pw~. 5. I hereby nominate, constitute and appoint my wife, REGINA R. MCGUFFIN, as Executrix under.this my Lash Will and Testament. In the,event she should predecease me or fail. uw ~ to qualify, I nominate, constitute .and appoint my daughter, CQI,EEN M. CLINESCHMiDT, as 5t~erouce+~. ~'~"~ '~`" Executrix under this ray Last't~'ll and Testament I further direct that no Executrix appointed . }~ hereunder shall t>e requited to post band to secure the faithful performance of her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. II~T WITNESS WHEREOF, l have hereunto set my hand and seal to this my Last Will and Testa~+~ v~itten on, two: } 1s tl~s 1'l`~ day c~f'Mazch, 2fIf1:2u ~- , ,_,,.~... (SEAL} Martin H. McGuffin• Signed, sealed, published. and declared by MARTIN H. IviCGUFFIN, the Testator above named, as and for his mast Will .and Testament, in our presence,. wh,Q, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. 4 ~ t .- y x ~i ~ '~~-~ ~~ _ ~`r~~ ~ ,~ {~ r jP (sEAL) f .~+ '~ (SEAL} ~~ ~~ ~~ ~ r~, t m ~ ~~ S` ?w ,G~~ f 'T, ;, K. ~~lw ~.g SMEI.BAtfER. ~g , _2_ • ~~ . r,. ~w ~~, e e s~- Testator signed acid executed the instrw~~ a~ liis Lest '~Vlll ''~~eixt and that he had f signed. willingly, ~.d that he executed it as his free a~td v~l~~cy ~~s thexein exgres`aed, and that each of ttze witness, i~ thepresence and herari ~tl~'~estir, signed the '[Jill as ~ritx~:ess and that to the hest of bis or her kaawl~ the Testat<n at that tune eighteen years of age car older, of sound nund and wader no cor~braint ar imdu~ f~flc~. << . _ ~ _ ,._ ~z} . ~ _ r _. . ~'t ~. ~~ ~uhacrbed, sworn to ~d ackxmwked.1 be~t~re me hY M~SRTIN` Vii. MCC#UFFIN, Testator, and. subscribed anti ~var$, to: before me by-~,Ip I~; ~p~, E~QUIl~ and 1ANl~ J. C~QNEY, vritoesses, flue i l ~' day Qf Mareh, ~00~. . ,Lr t f REV-Y5t0 E7C+ (fi.gA) s , COhtMONWEAITH OF PErgV8YL1~gNG4 ' INHERfTANCE TAX itHTURN RESIDENT DECEDENT ~~~ t"~Yt~,S T~4NJt~RS Bit FILE NUMBER Martin H. MCGuffin This sche~ie moat be and lgeB ~ feat b any a! tWe~unsz ~ throupit a ~ t$e nt+wss ekte W tlMa RE1~150ft COM1lER SHEET Is ~, ITEM t~SCRlP11dN ~F PROPERTY N a+cxu~~ww~aFn~.n~+aaru~or~w+~toorrr~wa DATE OFQ~AIFI XQFUEtX3'S EXt~.iJ~uIQH TAXABLE nEa~oFrrrt. nrrxx~~oop+'oFn+~ Fae~te ~A5>~T AVTEREST YALtJE t • IRA - Ttanatarr~e~ti ba Rem R. McGutHn (s~ouae) 2t>48 Amount not>a>~te tr~ec Fedelral Taxi~Mr 19.512.52 0.00 TQTAL (Alga en'ler on line T Racapipr{~,ny # d.tm f8 mrxs b needed, kte6rt addltla~e{ ~ e~ sanr aP~t ~ r