HomeMy WebLinkAbout04-0054E~at~ of
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Register of Wills of Cumber land County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Richard E. Gourley
,Deceased Social Sec~d~y No. 202-36-9644
~~ 'A' ~ ~' B~OW:)
~ Pro~le and Grant of LeWem Tes~men~ ~ a~r ~t PeiraeUs) ~ ~e ~ rix n~ b ~ ~ ~1 ~
· .~,~ October 6, 1986 ~~,)~ N/A
Except as follows, Decedent dd not man',/, was not divoroed, and ~d not ham · child ~ or adopted alter exeoJl~on of the dcx:umenl~
offered for probate; was not the vicl~m of · lulling end was nevm. adjudcated incompetent:
B. Grant of Letters of Administration
Petitioner(s) after · prope~ ~earch haUhave asoertaJned Itml Deoeden! left no W',JI and Win lurvived by the following Ipou~e (if any) and
heim:
------------. Re~m~ip Reside~e
(C. OMPLEll~ IN ALL CASES:)
Decedent was domiciled -f death in Cumber land
o, prir~pa~ reside~e mt. 101 Sholl¥ Drive ~ Mechanicsbur~,
Oeced~nt~n 58 year~ofmge, cled December 9 .~.2003, 101 Sholl¥ Dr.~
Decedent mt death owned proper~ ~th es~ma~d v~ues a~ ~: (L~=~
(1! dom.'led in PA) All pemon~l p~pe.y $
(1! not d<x~'led in PA) Pm'~onaJ properly in Pennsylvania $'
(If not dom.'led in PA) Pe~onai property In County $
VaJue of mai e~tate in PennsyIva~,
Courtly, Pennsylvania, w~th hi~Jher last family
PA 17055 (Upper Allen Township)
Mechanicsburg, PA
17055
Wherefore. Peti6oner(s) respectfully request(s) the probate o! the last Will and Codiml(s) presented wil~ this PetY~on and the grant of
let'mm in ~e app~opdate form t~ Ihe under·on·d:
Fo~m eRW*l Page 1 et 2
Prepared by It~ Pennsylv~n~ B~' A~:~d~ia~ lg~1
~ Mechanicsbur~ ~ ~7-~
Oath of Personal Representative
Commonwealth of Pennsylvania
County o! Cumberland
The Petitioner(s) ~-'~ove*named swear(s) or affirm(s) that the statements In the foregoing Petition are true
and correct to the best of the knowledge'and belief o! Petitioner(s) and that, as personal representative(s) of
Sworn to or affirmed and subscribed
Diane~Go~r-ley -- -
For the .~st e r
Estateo! Richard E. Gourley Deceased
e cumyNo: 202,.36-9644 Date of Death: December 9, 2003
AND NOW, ~"'~/~,(~.,.~,~-.~.' e,.Q.~ . ,.~~, in consideration
of the Petition on th~reverse side l~ereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~] Testamentary ~ Of Administration
are hereby granted to Diane Gourle¥
in the above estate and that the Instrument(s) dated October 6 ~ 1986
described in the Petition be admitted to probate and filed of record as the last Wiil of Decedent.
Letters ..................... $
Short Cectificate(s) .... $
Renunciation ............ $
Affidavits ( ) ...........$
Extra Pages ( ) ......... $
Codicil ...................... $
JCP Fee ...................
Inventory ..................
Other ....................... $
TOTAL .............
Attorney: Craig A. Diehl, Esquire
LO. No: 52801
Address:
3464 Trindle Road
Telephone:
Camp Hill, PA 17011-4436
(717) 76:3-7,.61,3, ,,
F-om~eRW-~ P~K~2 of 2
SAIDIS & GUIDO
26 W. High Street
Carlisle, Pa.
LAST WILL AND TESTAMENT
OF
RICHARD E. GOURLEY
I, RICHARD E. GOURLEY, of Upper Allen Township, Cumberland
County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do hereby make, publish and declare this as
and for my Last Will and Testament, hereby revoking all other
Wills and Codicils heretofore made by me.
FIRST
I direct the payment of my debts and expenses of my last
illness and funeral from my estate as soon after my death as
conveniently may be done. If there is no cemetery lot
available for.my interment owned by me at the time of my death,
I authorize my personal representative to purchase such
cemetery lot with a contract for perpetual care, using
therefore funds from my estate in such amount as he shall
consider necessary and desirable, and I authorize my personal
representative to cause title to or ownership of such lot so
purchased to be vested in such person as my personal
representative, shall designate.
Further, I authorize my personal representative to expend
funds from my estate, in such amount as my personal
representative shall consider necessary and desirable for the
purchase, erection and inscription of a suitable marker for my
grave.
SAIDIS & GUIDO
26 W. High Street
Carlisle, Pa.
SECOND
I give, devise and bequeath all the rest, residue and
remainder of my estate to my beloved wife, DIANE GOURLEY,
absolutely and in fee simple, if she survives me by thirty (30)
days.
THIRD
In the event that my wife, DIANE GOURLEY, fails to survive
me by thirty (30) days, then I give, devise and bequeath all
the rest, residue and remainder of my estate to my beloved son,
JUSTIN BARRETT GOURLEY.
FOURTH
In the event that my wife, DIANE GOURLEY, predeceases me,
I appoint my brother and his wife, DONALD GOURLEY and LINDA
GOURLEY, Guardians of the person and property of my minor
child.
FIXTH
I direct that any and all inheritance, estate, and
transfer taxes imposed upon my estate passing under this Will
or otherwise shall be paid out of the principal of my residuary
estate.
SIXTH
In addition to the powers conferred by law, I authorize
any personal representative acting under this instrument, in
his or her absolute discretion:
(a) to retain in the form received, or to sell either
at public or private sale any real or personal property;
- 2 -
SAIDIS & GUIDO
26 W. High Street
Carlisle, Pa.
Testament. Provided, however, that if she is unwilling or
unable to act as Executrix, I direct the duties of Executor be
performed by my brother, DONALD GOURLEY.
EIGHTH
I direct that no personal representative, guardian,
trustee or other fiduciary appointed under this instrument
shall be required to give bond for the faithful performance of
their duties in any jurisdiction.
IN WITNESS WHEREOF, I, RICHARD E. GOURLEY, have hereunto
set my hand and seal to this my Last Will and Testament,
consisting of four typewritten pages, the first three of which
bear my signature in the margin for identification, this ~ ~
SEAL)
Signed, sealed, published and declared by the~bove-named
Testator, RICHARD E. GOURLEY, as and for his, Last Will and
Testament in the presence of us, who have hereunto subscribed
our names at his request as witnesses thereto, in the presence
of said Testator and of each other.
~~/ ' ~ ADDRESS ....
ADDRESS
- 4 -
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :
SAIDIS & GUIDO
26 W. High Street
Carlisle, Pa.
WE, RICHARD E. GOURLEY, EDWARD E. GUIDO, and SUZANNE M.
RUNYON, the Testator and witnesses, respectively whose names
are signed to the foregoing or attached instrument, being first
duly sworn, do hereby declare to the undersigned authority that
the Testator signed and executed the instrument as his Last
Will and Testatment and that he signed willingly and that he
executed as his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and
hearing of the Testator signed the Will as witness and that to
the best of their knowledge the knowledge the Testator was at
the time 18 or more years of age, of sound mind and under no
constraint or undue influence.~/~//
~~G~e s~/
Edwar~ E. Guido/Withess
Suza~ne M.-Runyon, W~t~ess
Subscribed, sworn to and acknowledged before me by RICHARD
GOURLEY the Testator, and subscribed to and sworn or
affirmed to before me by EDWARD E. GUIDO and SUZANNE M. RUNYON
witnesses, this ~- day of O~~ , 1986.
Not
KANDI -~-~I. ENKER, ~ofa~ Pub~
Cariis!e, Cumber]and Co., Pa.
My Commission Expires Feb. 20, 1989
- 5 -
his is to certify that the information here given is correctly copied from an original certificate of death dub, filed with me as
Local Re. gistrar. The original certificate will be forwarded to the State Vital Records Office for permanent fiiing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 994!514
No.
· l ~ Local Registrar '
Date
58 v,.
Cumberland
Richard E. Gourley
Oct 25, 1945
Upper Allen Twp.
very Restaurant
101 Sholly Drive
Mechanicsburg, Pennsylvania
Ellis "Joe" Gourley
Diane M Gourley
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
· Male 202- 36 _ 9644 ,. December 9, 2503
Harrisburg, ,,.~ ~ ~,-~ ~ ~ ~ .~ ~ ~
101 Sholly Drive ~ ~.~
~.~.~- ' White
Married Diane M, Maney
-.. ~,._. Pennsylvania _ ~
Cumberland ~?
~THER'SNAME(Fd. M~,M~n~e) Helen Evans
~. 101 Sholly Drive Mechanicsburg, Pa. 17055
Dec 13, 2003 ~rg, Pa. 17055
FD-014318-L L.. Myers Funera Home, Inc. 37 East Main Slreet Mechan csbur9, Pa 17055
PE FIFORMEO?
DUE ~O (OR AS A CONSEQUENCE 0~:
SlG NAt', ~:~'9 TITLE OF: CERTIFIER
.... -,5
/tc
D~E FILED(M~ Day
CERTIFICATION OF NOTICE UNDER RULE 5.6(aj
Name of Decedent: RICHARD E. GOURLEY
Date of Death: December 9, 2003
Will No. 21-04-0054
Admin. No.
To the Register:
I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served
on or mailed to the following beneficiaries of the above-captioned estate on February 2, 2004 :
Name Address
Diane Gourle
101 Sholl Drive Mechanicsbur PA 17055
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N/A
Date: February 2, 2004
Signature~~' ~'~-a/~
Name Craig A. Diehl, Esquire
Address 3464 Trindle Road
Camp Hill, PA 17011-4436
Telephone (717) 763-7613
Capacity:
· Personal Representative
X Counsel for Personal Representative
COMMONWEALTH OF
PENNSYLVANIA REV-1500
D~°ARTMENT OF REVENUE
DEPT. 280601 INHERITANCE TAX RETURN
HARRISBURG, PA 17128-0601 RESIDENT DECEDENT
DECEOEN S.*ME (LAST, F,RST, AND M,DOLE
GOU~.T.~ ¥ ~ RTCHARD
DATE OF DEATH (MM-DD-YEAR)
12-09-2003
OFFICIAL USE ONLY
FILE NUMSER
2 i --
04 00054
YF-~R NUMBER
SOCIAL SECURITY NUMSE R
202-36-9644
~1 DATE OF BIRTH (MM-DD-YEAR) THIS I~FURN MUST BE FILED IN DUPLICATE WITH THE
UJ
O 10-25-1945 REGISTER OF WILLS
~1~1 IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
~ I ~ 1. Ohginal Return ~ 2. Supplemental Return
O ~.'~'IFilt I 4. Limited Estate [~] 4a. Future Interest Compromise (date of de.th aft,r 1212~2)
:o5
O ~ Ir~] 6 Decedent Died Testate (Attach copy of Will) ~ 7. Decedent Maintained a Living Trust (Attach copy or'rust)
[~ 3. Remainder Return (~a~e of death pdor to 12-13~2)
E~5. Federal Estate Tax Return Required
~9. Litigation Proceeds ReceN~d
10. Spousal Poverty Cradit
~ 8. Total Number of Safe Deposit Boxes
NAME
CRAIG A. DIEHL~ ESQUIP, E~ C.P.A.
FIRM NAME (If Applicable)
LAW OFFICES OF CRAIG A. DIEHL
TELEPHONE NUMBER
(717) 763-7613
5~971.76
COMPLE3E MAILING ADDRESS
3464 TRINDLE ROAD
CAMP HILL, PA 17011-4436
1 Real Estate (ScheduleA) (1) .00~"~
2. Stocks and Bonds (Schedule S) (2) i , 292 . 08
3. Close y He d Corporation. Partnership or Sole-Propedtorship (3) . 00
4. Mortgages & Notes Receivable (Schedule D) (4) .
5. Dash. Bank Deposits & Miscellaneous Personal PropeAy
(Schedule E) (5) 4,679.68
6 Jointly Owned Property (Schedule F)
[~] Separafe (6) . 00.
Billing
Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probata Property (7) . 00
(Schedule G or L)
8 Total Gross Assets (total Lines 1-7) (9)
9. Funeral Expenses & Administrative Costa (Schedule H) (9) 9 t 9B5.13
10. Debts of Decedent. Mortgage Liabilities. & Liens (S~edula l) (10) 2~;053.65
11. Total Deductions (total Lines 9 & 10) (11 )
12 Net Value of Estafe (Line 8 minus Line 11) (12)
13. Charitable and Governmental Bequesta/Sec 9113 Trusta for which an election to tax has not been
made (Schedule J) (13)
14 Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
39~038.78
-33,067.02
.00
(14) -33,067.02
15. Amount of Line 14 taxable at thespousaltax
rate. or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 ta~able at sibling rate
18 Amount of Line 14 taxable at collateral rate
19. Tax Due
.00 x.0 0 (ts) .00
.00 x.0 45 (10) .00
.00 x,12 (17) .00
.00 x.15 (ts) .00
(19) . O0
Decedent's Complete Address:
I MECHANICSBURG
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2, Credits/Payments
A. Spousal Poverty Credit .00
B. Prior Payments .00
C. Discount .00
3. Interest]Penalty if applicable
D. Interest .00
E. Penalty .00
Total Credits (A + B + C) (2)
TotallnteresFPenalty(D + E) (3)
4. if Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page I Line 20 to request a refund
.oo
(4)
.00
.00
.00
.00
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)
.00
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make to: REG,,~ i ~_.~ OF WILLS, AGENT
(5B)
.o0
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 desianation'~
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 an~ complete
101 SHOLLY DRIVE~ MECHANICSBURG~ PA 17055
SIGN,~.~ R E OF PREPARF..~O]~ER ~'~N REPR, ESENTA~]VE DAT
3464 TRI~ RO~, ~ RTT.T,t PA 17011-4436
T~t~ ~:ed on the net ~ue ~ transits to or ~r the use ~ the d~gs siblings is 12% (72 P.8, ~9116{a)(1.3)]. A sibling is d~.~, under S~ion 9102, as an
REV-1503 EX + (6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH Of PENNSYLVANIA
INHERITANCE TAX RETURN
RESID~3~T DECEDENT
ESTATE OF FILE NUMBER
RICHARD E. GOURLEY 21-04-00054
All property jointly.owned with right of survivorship must be disclosed on Schedule F.
VALUE AT DATE
OF DEATH
ITEM
NUMBEF DESCRIP~ON
1. STOCK OPTION DATED 7/1/96 TO PURCHASE 62 SHARES OF YUM! BRANDS
@ $13.74/SHARE - STOCK OPTION EXPIRES 6/30/06. STOCK VALUE @
DATE OF DEATH WAS $34.58/SHARE, THEREFOP, E, DATE OF DEATH VALUE
OF THE STOCK OPTION IS $20.84/SHA~E
TOTAL (Also enter on line 2, Recapitulation)
1,292.08
$ 1~292.08
3w4696 ~ ooo (If more space is needed, inse~ additional sheets ~ the same size)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
RICHARD E. GOURLEY 21-04-00054
Include the proceeds of litigation and the date the proceeds were recei~d by the estate.
All property jolnfly-~wned wlt~ the tight of eurvlvomhlp must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 1,774.68
PNC BANK - CHECKING ACCOUNT NO. 5070060407
DATE ESTABLISHED: 04/14/1989
DATE OF DEATH BALANCE: $1,774.68
ACCRUED INTEHEST: $0.00
1996 GEO PRIZM SEDAN, 140,000 MILES
PA DEPT. OF ~EVENUE - HEFUND FROM 2003 FORM PA-40
SOCIAL SECURITY
2,005.00
3.00
897.00
TOTAL (Aisc enter on line 5, Recapitulation) $ 4 ~ 679.68
3W46AO 1000 (If more space is needed, inser~ additional sheets of the same size)
REV 1511 EX* (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
RICHARD E. GOUP. LEY
21-04-00054
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
5.
6.
7.
8.
9.
DESCRIPTION
FUNERALEXPENSES:
MYERS FUNERA~ HOME, INC. - FUNERAL EXPENSES
MECHANICSBURG CEMETERY - GRAVE OPENING
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City State __ Zip
Year(s) Commission Paid:
Attorney Fees
Family Exemption: (if decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
Cily State__ Zip
Relationship of Claimant to Decedent
Probate Fees
REGISTER OF WILLS, CUMBEP~LAND COUNTY
Accountant's Fees
THE SENTINEL-LEGAL - ESTATE ADVERTISEMENT
LAW OFFICES OF CRAIG A. DIEHL - CERTIFIED MAIL FEE
P. EGISTER OF WILLS, CUMBEPJ~AND COUNTy - FILING FEE FOR
PENNSYLVANIA INHERITANCE TAX P, ETURN
AMOUNT
8,053.40
750.00
900.00
56.00
75.00
136.31
4.42
10.00
TOTAL (Also enter on line 9, Recapitulation) i $ 9,985.13
3W46AG 1 OD0 (If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12~3)
COMMONVVEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
RICHARD E. GOUR.T.~y 21-04-00054
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbumed medical expenses.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
2.
3.
4.
PNC BANK - AUTO LOAN NO. 40-02-8012341655
FIRST NORTH AMERICAN NATIONAL BANK - C~EDIT CARD DEBT
CAPITAL ONE BANK - CREDIT CARD DEBT
PRINCIPAL RESIDENTIAL MORTGAGE, INC. - MORTGAGE ON 508 PORSHA
TERRACE {TOTAL DEBT -- $90,432.52; DECEDENT'S PORTION OF DEBT
= 25%)
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insed additional sheets of the same size)
395.98
5,883.35
166.19
22,608.13
29,053.65
3W46AH 2000
REV-1513 EX+ (9~00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAxX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
RICHARD E. GOUP~LEy
NUMBER
I
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers
under Sec. 9116 (a) (1.2)]
DIANE GOUP~LE y
101 SHOLLY DRIVE
MECHANICSBURG, PA 17055
FILE NUMBER
21-04-00054
RELATIONSHIP TO DECEDENT
Do Not List
SPOUSE
AMOUNT OR SHARE
OFESTATE
100% OF ESTATE
ENTER DOLLAR AMOUNTS FOR DISI~IBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DIS'~IBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - EN1ER TOTAL NON-TAXABLE DISI~IBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
3W46AI 1 000 (If more space is needed, insert additional sheets of the same size)
LAST WILL AND TESTAMENT
OF
RICHARD E. GOURLEY
I, RICHARD E. GOURLEY, of Upper Allen Township, Cumberland
conveniently may be done. If there is
no
cemetery
lot
available for my interment owned by me at the time of my death,
I authorize my personal representative to purchase such
cemetery lot with a contract for perpetual care, using
therefore funds from my estate in such amount as he shall
consider necessary and desirable, and I authorize my personal
representative to cause title to or ownership of such lot so
purchased to be vested in such person as my personal
representative, shall designate.
Further, I authorize my personal representative to expend
funds from my estate, in such amount as my personal
representative shall consider necessary and desirable for the
purchase, erection and inscription of a suitable marker for my
grave.
SAIDIS & GUIDO
26 W. High Street
Carlisle, Pa.
County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do hereby make, publish and declare this as
and for my Last Will and Testament, hereby revoking all other
Wills and Codicils heretofore made by me.
FIRST
I direct the payment of my debts and expenses of my last
illness and funeral from my estate as soon after my death as
SAIDIS & GUIDO
26 W. High Street
Carlisle, Pa.
SECOND
I give, devise and bequeath all the rest, residue and
remainder of my estate to my beloved wife, DIANE GOURLEY,
absolutely and in fee simple, if she survives me by thirty (30)
days.
THIRD
In the event that my wife, DIANE GOURLEY, fails to survive
me by thirty (30) days, then I give, devise and bequeath all
the rest, residue and remainder of my estate to my beloved son,
~JUSTIN BARRETT GOURLEY.
FOURTH
In the event that my wife, DIANE GOURLEY, predeceases me,
I appoint my brother and his wife, DONALD GOURLEY and LINDA
GOURLEY, Guardians of the person and property of my minor
child.
FIXTH
I direct that any and all inheritance, estate, and
transfer taxes imposed upon my estate passing under this Will
or otherwise shall be paid out of the principal of my residuary
estate.
SIXTH
In addition to the powers conferred by law, I authorize
any personal representative acting under this instrument, in
his or her absolute discretion:
(a) to retain in the form received, or to sell either
at public or private sale any real or personal property;
SAIDIS & GUIDO
26 W. High Street
Carlisle, Pa.
(b) to invest and reinvest in all forms of property
without being confined to legal investments and without
regard to the principal of diversification;
(c) to exercise any options to subscribe for stocks,
bonds, or other investments;
(d) to join in any plan of lease, mortgage,
consolidation, exchange, reorganization or foreclosure, of
any corporation in which my estate or any trust may hold
stocks, bonds or other securities;
(e) to sell, transfer, convey, mortgage, pledge,
lease or exchange any property, real or personal, which at
any time may form part of my estate, for the payment of
debts or taxes, or for any purpose of administration or
distribution, for such prices and upon such terms as my
personal representative, in his sole discretion, may deem
wise, and to execute and deliver deeds of conveyance or
transfer thereof;
(f) to make settlements and compromises on such terms
as my personal representative in his sole discretion may
deem wise without the necessity of obtaining any court
approval thereof;
(g) to make distribution hereunder either in cash or
kind, as my personal
deem wise.
representative in his discretion may
SEVENTH
I do hereby nominate, constitute and appoint my wife,
)IANE GOURLEY, to act as Executrix, of this my Last Will and
- 3 -
SAIDIS & GUIDO
26 w. High Street
Carlisle, Pa.
Testament. Provided, however, that if she is unwilling or
unable to act as Executrix, I direct the duties of Executor be
performed by my brother, DONALD GOURLEY.
EIGHTH
I direct that no personal representative, guardian,
trustee or other fiduciary appointed under this instr~ent
shall be required to give bond for the faithful performance of
their duties in any jurisdiction.
IN WI~ESS HEREOF, I, RICHARD E. GOURLEY, have hereunto
set my hand and seal to this my Last Will and Test~ent,
consisting of four typewritten pages, the first three of which
bear my signature in the margin for identification, this ~ ~
day of C~o 1986. ~
. SEAL)
Signed, sealed, publis ed by the above-n~ed
Testator, RICHARD E. GOURLEY, as and for his, Last Will and
Test~ent in the presence of us, who have hereunto subscribed
our names at his request as witnesses thereto, in the presence
of said Testator and of each other.
ADDRESS
SAIDIS & GUIDO
26 w. High Street
Carlisle. Pa.
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :
WE, RICHARD E. GOURLEY, EDWARD E. GUIDO, and SUZANNE M.
RUNYON, the Testator and witnesses, respectively whose names
are signed to the foregoing or attached instrument, being first
duly sworn, do hereby declare to the undersigned authority that
the Testator signed and executed the instrument as his Last
Will and Testatment and that he signed willingly and that he
executed as his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and
hearing of the Testator signed the Will as witness and that to
the best of their knowledge the knowledge the Testator was at
the time 18 or more years of age, of sound mind and under no
constraint or undue influence. _ /
Ed~ar~ E. Guido, ~&tness
Suza~ne E. ' ~unMon, ~itness
Subscribed, s~o=n to and acknowledged he~ore me bM EICH~D
GOURLEY the Testator, and subscribed to and sworn or
affirmed to before me by EDW~ E. GUIDO and SUZ~NE M. RUNYON
witnesses, this ~- day of C~-~k-~ , 1986.
SEAL
I(ANDI ['~ ¢~NI(~R, ~0fa~ Pubtic
Carlisle, Cumbsrlsnd Co., Pa.
M~ Commission Expires Feb. 20, 1989
- 5 -
BUREAU OF INDIVIDUAL TAXES
TNHERTTANCE TAX DZV/STON
DEPT. 180601
HARR/SBURG, PA 17128-n601
COHHONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLO#ANCE OR DZSALLOHANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
CRAIG A DIEHL ESQ
C A DIEHL LAW OFFICES
)q6q TRINDLE RD
CAHP HILL PA 17§~i
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
RE¥-1547 EX AFP
11-08-2004
GOURLEY RICHARD E
12-09-2005
21 04-0054
CUMBERLAND
101
Amount Remitted I
MAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GOURLEY RICHARD E FILE NO. 21 04-0054 ACN 101 DATE 11-08-2004
TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
:5. Closely Held Stock/Partnership /nterest (Schedule C} (:5)
4. Mortgages/Notes Receivable (Schedule D) (4)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jointly O~nad Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.. Costs/Misc. Expanses (Schedule H) (9)
10. Debts/Hortgage Liabilities/Liens (Schedule 1) (10)
11. Total Deductions
12. Nat Value of Tax Return
1~292.08
.00
4z679.68
.00
.00 NOTE: To insure proper
credit to your account,
submit the upper portion
.00 of this fore w~th your
tax payment.
.00
(8)
9,985.1~
1:5.
14.
NOTE:
5,971.76
19,055.65
(11) ~9.0S8.78
(12) $$, 067.02-
Charitable/Governmental Bequests; Non-elected 911:5 Trusts (Schedule J) (13)
Nat Value of Estate Subject to Tax (14)
:;f an assessment ~as lssued previously, lines 14, 15 and/or 16, 17,
reflect flgures that include the total of ALL returns assessed to date.
.O0
$$,067.02-
ASSESSMENT OF TAX:
15. Amoun~ of Line 14 at Spousal rata
16. Amount of Line 1~ taxable at Lineal/Class A rata
17. Amount of Line 14 at Sibling rata
18. Amount of Line 14 taxable a~ Collateral/Class B rate
19. Principal Tax Due
;AX CREDZTS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
18 and 19 will
ZF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT
BALANCE OF TAX DUEI
INTEREST AND PEN.
TOTAL DUE
-°°I
.00
.00
.00
( IF TOTAL DUE ZS LESS THAN $1, NO PAYMENT XS RE~)UZRED.
ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE ~/~
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
AMOUNT PAID
(15) .00 X O0 = .00
(16) .00 X 045: .00
(17) . O0 x 12 : . O0
(lB) .00 X 15 = .00
(19)= . O0
RESERVATION: Estates of decadents dying an or before December 1Z, 19BI -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
Xifa or for years, the Caeeoneealth hereby axprassXy reserves the right to appraise and assess transfer Inheritance Taxes
at tho lamful Class S (colIateraI) rata an any such future interest.
PURPOSE OF
NOTICE:
PAYNENT: --Hake check or money order payable to: REGISTER OF NILLS, AGENT
REFUND (CR): A refund of a tax credit, ahich ems not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1515). Applications are available at the Office
of the Register of Hills, any of the Z5 Revenue District Offices, or by calling the special Z4-hour
ansaering service for fores ordering: 1-800-562-Z050; services for taxpayers Hith special hearing and / or
speaking needs: 1-800-q47-30ZO (TT only).
OBJECTIONS: Any party in interest not satisfied ~ith the appraisement, allowance, or disalloeance of deductions, or assessment
of tax (including discount or interest) as sheen on this Notice must object aithin sixty (60) days of receipt of
this No[ica by:
--aritten protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021,
--election to have the aa[tar da[ermined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section Il40 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (7Z P.S.
Section 9140).
Detach the top portion of this Notice and submit ~ith your payment to the Register of Hills printed on the reverse side.
Factual errors discovered on this assessment should bm addressed in ~riting to: PA Department af Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Raviae Unit, Dept. ge0601, Harrisburg, PA 171Z8-0601
Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
If any tax due is paid ~ithin three (5) calendar months after the dacadant's death, a five percent (BI) discount of
the tax paid is allo~ed.
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same tiaa period as you mould appeal the tax and interest
that has been assessed as indicated on this not(ca.
Interest is charged beginning aith first day of delinquency, or nine (9) months and Dna (1) day from the date of
death, to the date of payment. Taxes ~hich became delinquent before January 1, 198Z bear interest at the rate of
six (6Z) percent par annum calculated at a daily rate of .000164. Al1 taxes ~hich became delinquent on and after
January 1, 198Z ail1 bear interest at a rate ~hich ~ill vary from calendar year to calendar year ~ith that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2004 are:
Interest Daily Interest Daily Interest
Daily
Year Rate Factor Year Rate Factor Year Rate Factor
~ ZOZ .000548 ~'/)'~'8-1991 11Z .000501 ~ 9X .000247
1985 162 .000458 1992 92 .000247 200Z 6Z .000164
1984 112 .000301 1993-1994 7Z .000192 2005 52 .000137
1985 132 .000356 1995-1998 92 .000Z47 ZOOq 42 .000110
1986 102 .000274 1999 7Z .O0019Z
1987 lOX .000Z74 ZOO0 7Z .00019Z
X NUtIBER OF DAYS DELINQUENT X DA/L¥ ZNTEREST FACTOR
--Any Notice issued after the tax becomes delinquent Hill reflect an interest calculation to fifteen (15) days
beyond the data of the assessment. If payment is made after the interest computation date sho~n on the
No[ica, additional interest must be calculated.
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID
OR
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STATUS REPORT UNDER RULE 6.12
Name of Decedent: Richard E. Gourley
Date of Death:
December 9, 2003
Will No.:
21-04-00054
Admin. No.:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes rn No 0
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a Did the personal representative file a final account with the Court?
Yes No 00
b. The separate Orphans' Court No. (if any) for the personal representative's
accountis:~
c. Did the personal representative state an account informally to the parties
in interest? Yes 0 No IK1
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the. Orphans' Court
and may be attached to this report.
Date: 1/24/05 DA~IlIJ:AJ.1
Signa~
Craig A. Diehl, Esquire
Name
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3464 Trindle Road
Camp Hill, PA 17011-4436
Address
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[Xj Counsel for personal representative
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Telephone No.
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