HomeMy WebLinkAbout02-04-101505607120
REV-1500 F,c (06-05) OFFICIAL USE ONLY
PA Department of Revenue county code veer File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN 21 0 9 0 5 8 9
PO 60X.280601
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
181 32 4618 06 15 2009 01 15 1924
Decedent's Last Name Suffix Decedent's First Name M1
UTECH JANNETTE A
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
X^ 1. Original Retum u
4. Limited Estate ~~
~=~ 6. Attach Copy of VYil~te
MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Return ^ 3. Remainder Retum (date of death
prior to 12-13-82)
qa Future Interest Compromise 5. Federal Estate Tax Retum Required
(date of death after 12-12.82) ---
~ Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Trust)
9. Litigation Proceeds Received ~ 1 p, Spousal Poverty Credit (date of death 11,Elecfion to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach SCh. 0)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
SCOTT L. KELLEY, ESQUIRE 717 632 0163
Firm Name (If Applicable)
STONESIFER AND KELLEY, P.C.
First line of address
209 BROADWAY
Second line of address
City or Post Office
HANOVER
State ZIP Code
PA 17331
REGISTER tLS U5EILY
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Correspondent's e-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. DeGaretion of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
Rachel Hollenbaugh
30 Lela Road, Carlisle, PA 17015
iIGNATU F PREMRER OTHER HAN REPRESENTATIVE
Scott L. Kelley, Esquire v2
209 ~ro¢dway, Harf6ver, PA 17331
1505607120
Side 1
1505607120 J
fl~1
PA Inheritance Tax Return
UtechE annette A. I FILE NUMBER I
21-09-0589
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.
Signature of Additional Fiduciaries
Signature #2
Name
Address1
Address2
City, State, tip
Ethan A.
~~~'
340 Yinglln0 Road
Litt~stoam, PA 17340
REV-1500 EX
1505607220
Decedent's Name: .j8nllette A. Utech
RECAPITULATION ~ '
1. Real Estate (Schedule A) .......................................................................................... 1.
2. Stocks ar~cl 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, & 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.
Decedent's Social Security Number
181 32 4618
165,000.00
60.00
289,751.13
17,985.68
7,279.56
480,076.37
25,130.33
49,423.47
74,553.80
405,522.57
405,522.57
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of'Line 14 taxable
at the spousal tax rate, or
transfers uhder Sec. 9116
(a)(1.2) X .00 0 . 0 0 15.
16. Amount of Line 14 taxable
at lineal rate x .045 4 0 5, 5 2 2. 5 7 16.
17. Amount of Line 14 taxable
at sibling rate X .12 0 . 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0 . 0 0 18.
19. Tax Due ..................................................................................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
0.00
18,248.52
0.00
0.00
18,248.52
Side 2
150560722D 1505607220 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-09-0589
DECEDENT'S NAME
Jannette A. Utech
STREET ADDRESS
1650 Pine Road
-----
CITY
Carlisle STATE
PA ZIP
17015
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
16,000.00
842.11
(1) 18,248.52
Total Credits (A +g+C) (2) 16,842.11
3. InterestlPenalty if applicable
p. Interest
E. Penalty
Total Interest/Penalty (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (q)
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1 ,406.41
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) ~ ~ 4 ~ s . 4 ~
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 :.................................... ^ 0
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?......... [] ~x[
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 exemot a transfer to a surviving spouse from tax, and the statutory requirements
for disGosure 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)]. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Itw-7602 Dr+ t+7~
SCHEDULE A
REAL ESTATE
caaeoNwEUrN of rENNSnvnNw
INHERRANCE TAx RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Utech, Jannette A. 27-08-0589
All tar property ownW solely a a a lrnarl! M eonrnon mud be nporbd d falr mntod vdue. F~ market value is defined as the price d which property would be
exchanged between a wAling buyer and a willing seller, neither tiring compNled to buY or sell, both having reasonable krlowleclge of the relevant facts.
Iced pmpsrly vMlleh b toMtlyorrrred vrMh Agtk of arMvastrlp mud W dselossd on talfsdlYS F.
Attach a copy of the settlement sheet if the property has been sold.
Indude a copy of the deed showing decedents interest tf owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
Real estate -situate, lying and being In Penn Towrnihip, Cumberland County, 165.000.00
Pennsyh-anla, having an address of 1650 Pine Road, Carlisle, Pennsyh-anla.
UP163~1~2-2313-074. As sold on 1/15/2070
TOTAL (Also errter on Line 1, Recapituiatlon) I 165.000.00
(H more space is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-7500 Schedule A (Rev. 11-08)
SCHEDULE B
STOCKS ~ BONDS
COMdONWEALTH OF PENNSIIVANIA
INHERRANCE TA7C RETURN
RESIDENT DECEDENT
ESTATE OF (FILE NUMBER
Utech, Jannette A. 21-09x0588
NI piopMty Jolntlyowrnd wMh ApM o1 wnAvonhip nw~e M dbdoad on Seh~dub F.
ITEM
NUMBER CU$tP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
1 6 shares of Cumberland Valley Cooperative 10:00 60.00
Association -preferred stock - 6 shares ~ 110.00 per
share
TOTAL (Also enter on Line 2, Recapitulation) 60.00
(ff more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
lRw-7601 EX* (!i-9!)
SCHEDULE E
CASH, BANK DEPOSITS, 86 MISC.
PERSONAL PROPERTY
COMhK)NVYFALTH of PENNSYWANw
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Utech, Jannette A. 21-09-0588
inca,de the proceeds of ~nigation and the dada the Proceeds were received by the eadate.
PJI WoPMY torntlyowned viAtlr 6ne right of wvivorship mwt be deebsed on aeMduN F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Cash -found at time of death 252.25
2 M ~ T Bank -Interest bearing checking account -account no. 409812. Principal 41,899.10
balance as of date of deaffi of X1,997.28 plus;1.82 accrued Interest
3 M ~ T Bank -Certificate of DeposR -account no. 31003916443995. Principal 2,147.91
balance ~ of date of death of;2,100.29 plus;47.62 accrued Interest
4 Morgan Stanley Smith Barney -Investment Account -Account No. 54J-04378. 140,666.98
Consl~ting of money market account, stock and mutual funds. Principal balance as
of date of death
5 Pennsylvania State Empbyees Federal Credit Union -Account No. 01813224618 37.785.29
consisetting of money market funds/shares
6 Motor Vehicle -2000 Chrysler Sedan - as sold 2.~0•~
7 Motor'Vehicle - 2001 Ford Truck- as sold 4.000.00
8 Personal Property items -sold at public auction on 10/9/2009 4.961.50
9 Personal Property items -two paintingslprints sok! 11/2/2009 -net amount 5.320.00
10 Penzortal Property Items -sold at public auction on 10/22/2009 37,773.50
11 Personal Property items -sold at publk; suction on 10/31/2009 9,177.00
12 Personal Property items -sold at pubik: auction on 12/3/Z009 2,387.00
13 Real Estate -real estate tax proration at settlement 726.60
TOTAL (Also enter on Line S, Recapitulation) I 289,751.13
(N more space is needed, additional pe®es of the same size)
Copyright (c) 2002 form software ony The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
Rav-760! DC+ (6.66)
SCHEDULE F
~THOF~~ANa JOINTLY-0WNED PROPERTY
MlfiERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Utech, Jannette A. 21.09-0589
Man asaat was made pint wMtNn one year d the dscsds~N's dab d death, k nssu ba ngoetsd an seMduN (i.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Rachel Hollelnbaugh 30 Lebo Road Daughter
Carlisle, PA 17015
B. Ethan A. Dingle
340 Yingling Road
Littlestown, PA 17340
Son
C.
JOINTLY OWNED PROPERTY:
ITEM
NUMBER
LETTER
FOR JOINT
TENANT
DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT
NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR
JOINTLY-HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSE u~ OF
DECD~S
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS INTEREST
7 A 10/6/2000 M ~ T Bank Corporetlon -common stock 3.025.28 50.000% 1.512.64
- 64 sham -closing price as of date of
death ;47.27 per share
2 B 10/6/2000 M at T Bank Corporation -common stock 3.025.28 50.000% 1.512.64
- 64 sham - closfng price as of date of
death >~47.27 per share
3 A B 10/311980 Real Estate -situate, lying and being in 44.881.20 33.333% 14.960.40
Penn Township, Cumberland County,
Pennsylvania, containing 15 acres, more
or less, along Plne Road, Carlisle,
Pennsylvania, UPI#31-12-0328-064 -
jolntly owned with Rachel Holienbaugh
and Ethan A. Dtngle. Assessed value of
X35,620.00 time CLR factor of 1.26 equals
fair market value of;r14,881.20
TOTAL (Also enter on Une 6, Recapltulstton) I 17.985.68
(tf more space is needed, additional pages of the same size)
Copyright (c) 2002 form software ony The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98)
Rav-1610 FJ(+ Is•~1
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COAfMONWEALTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF (FILE NUMBER
Utech, Jannette A. 21-09-0589
This schedule must be completed and filed if fhe answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER
INCLUDE MAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH
VALUE OF ASSET "k OF DECD'S
INTEREST EXCLUSION
(IF APPLICABLE) TAXABLE
VALUE
1 Morgan Stanley Smith Barney -Individual 3.283.10 100.000 3,283.10
Retirement Account- Account No. 54J-61035.
Consisting of LMP High Income Fund Class C.
Beneficiaries named on the accoulnt are
daughter, Rachel Holtenbaugh (50°l°), and son,
Ethan A. Dingle (50%)
2 Pennsylvania State Employees Federal Credit 3.996.46 100.000 3,996.46
Union -Individual Retirement Account -Account
No. 01$13224618 consisting of IRA certificate.
Benefidiaries names on the account are
daughter, Rachel Holtenbaugh (50%) and son,
Ethan A. Dingle (50%)
TOTAL (Also enter on Line 7, Recapitulation) ~ 7,279.56
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form sbftware only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98)
Rev-~ ~a~ ex+ I~o.oat
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Utech, Jannette A. _ 21-09-0589
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached
6,467.36
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name(s) of Personal Representative(s)
Rachel Hollenbaugh Ethan A. Dingle
Street Address 30 Lebo Road
city Carlisle state PA zip 17015
Years} Commission paid 0.00
See continuation schedule(s) attached
2, Attorney's Fees Stonesifer and Kelley, P.C. 17,528.61
3, 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
4. I Probate Fees
5. I Accountant's Fees
6. I Tax Return Preparer's Fees
7. Other Administrative Costs 1,134.36
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 25,130.33
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
_- -- T
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Utech, Jannette A. 21-09-0589
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Evergreen Cemetery -burial expenses 550.00
2 Ewing Brothers Funeral Home -funeral expenses 5,667.36
3 Spring Hill Cemetery -burial expenses 250.00
H-A Subtotal 6.467.36
Personal Representative Commissions
4 Ethan A. Dingle - Co-Executor -fee waived ($8,764.31) 0.00
5 Rachel Hollenbaugh - Co-Executrix -fee waived ($8,764.31) 0.00
H-B1 Subtotal 0.00
Other Administrative Costs
6 Clerk of Orphans' Court -filing fee for accounting 400.00
7 Register of Wills Office -filing fee for inheritance tax return and inventory 20.00
8 Stonesifer and Kelley, P.C. -costs advanced for probate fees, one advertising, 410.00
certified mail, and short certificates
9 The Sentinel - estate advertising notice 304.36
H-B~ Subtotal 1,134.36
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
-~ _ -
COM1MONVVEALTH OF PENNSriVANIA
x~M1ERRANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, 8t LIENS
ESTATE OF (FILE NUMBER
Utech, Jannette A. 21-09-0589
Report debts incurred by the decedent prior to death that romained unpaid at the date of death, including unrelmburoed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Alarm Service and Maintenance Co. -electronic security alarm system 2,995.00
2 Chris Alleman -lawn mowing 40.00
3 Chris Alleman -lawn mowing 40.00
4 Chris Alleman -lawn mowing 40.00
5 Chris Alleman -trimmed hedge 60.00
6 Chris Alleman -lawn mowing 40.00
7 Chris Alleman -lawn mowing 40.00
8 Chris Alleman -lawn mowing and spraying 60.00
9 Chris Alleman -lawn mowing 40.00
10 Chris Alleman -lawn mowing 40.00
11 Chris Alleman -lawn mowing and hedge trimming 80.00
12 Chris Alleman -lawn mowing 40.00
13 Chris Alleman -lawn mowing 40.00
14 Chris Alleman -lawn mowing 80.00
15 Countrywide Insurance Company -increase liability 24.00
16 DEP -Sewage repair permit 105.00
Total of Continuation Schedules See attached
pages
TOTAL (Also enter on Line 10, Recapitulation) 49,423.47
(If more space is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-OS)
Rw•7672 E)(+ (8.98)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COhMONWEALTN OF PENNSYLVANIA continued
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Utech, Jannette A. 21-09-0589
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
17 Eby Granite Works -grave marker 828.00
18 Embarq -final telephone bill 15.96
19 Hoovers Plumbing and Heating -repair faucets and leaks at home property 249.23
20 Jan Custer, Pastor -graveside services 100.00
21 Knisely's -water softener salt 22.25
22 Kough's Oil Company -heating oil 105.75
23 Kough"s Oil Service -heating oii 126.60
24 Mable G. Stitt, Tax Collector - 2009 school taxes on both properties 1.609.75
25 Matthew S. Hurley Auction Co. Inc. -fee for sale of personalty items on 10/9/2009 1,240.38
26 Matthew S. Hurley Auction Co. Inc. -fee for sale of personalty items on 10/22/2009 13,809.62
27 Matthew S. Hurley Auction Co. Inc. -fee for sale of personalty items on 10/31/2009 3,754.80
28 Matthew S. Hurley Auction Co. Inc. -fee for sale of personalty items on 12/3/2009 685.25
29 Mike Swartz -landfill 50.00
30 Oaktree Septic, Sewer 8. Portable Toilets -clean septic tank 269.00
31 Oaktree Septic, Sewer 8~ Portable Toilets -dig open drain line with excavator 418.00
32 Oaktree Septic, Sewer ~ Portable Toilets -snake drain lines and pump lines, clean 1,036.00
tank and replace line
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-9t3)
Rev-1b12 EXf (8-88)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
~~ ~E~AXRETURN~~ continued
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Utech, Jannette A. 21-09-0589
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
33 P.P. ~ L -electric bill 40.30
34 P.P. 8~ L -electric bill 31.88
35 P.P. 8~ L -electric bill 9.31
36 P.P. 8~'L -electric bill 9.31
37 P.P. 8 L -electric bill 9.31
38 P.P. 8< L -electric bill 9.31
39 P.P. 8~ L -electric bill 9.31
40 Pastor Jan Custer -funeral service 150.00
41 Penn Township Fire Company -fire police 150.00
42 Penn Township Fire Company Auxiliary -funeral luncheon 150.00
43 Penn Township Fire Company Auxiliary -estate expense 81.75
44 Rachel Hollenbaugh -reimbursements for u-haul to move items to auction and 182.99
classified ad to sell truck
45 Real Estate - realtor commissions paid at settlement 9,900.00
46 Real Estate -closing costs paid for Buyer at settlement as seller assistance 6.000.00
47 Real Estate -realty transfer tax paid at settlement 1,650.00
48 Real Estate -county/township taxes paid at settlement from 1/1/10 to 1/15/10 11.26
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-7500 Schedule I (Rev. 6-98)
Rsv-1512 EX+ (8.88)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
conMONwEUTN of PENNSnvANw continued
INNERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Udech, Jannette A. 21-09-0589
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98)
reEV•~s~s oc+ I+~-0s1
SCHEDULE J
COMMNHER~ITANCE 7~ RETURNANIA BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
tJtech, Jannetts A. 21-09-05 89
NUMBER NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO
DECEDENT SHARE OF ESTATE
(Words) AMOUNT OF ESTATE
($$$)
Do Not Use s
I
• TAXA LE DISTRIBUTIONS [include outright spousal
distributions and transfers
under Sec. ~116(a)(1.2)]
1 Etha~tn A. Dtngte Son 712 of residue
340 !Yingling Road
Littllastown, PA 17340
2 Rachel Hollenbaugh Daughter 7/2 of residue
30 Ljebo Road
CaNrsle, PA 17015
Total
Enter dollar amounts for distributions shown above on lines 1 5 through 18 on Rev 150 0 cover sheet, as appro priate,
II
• NON-T/~XABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHAf~ITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF P/yRT II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET L 0.00
Copyright (c) 2009 form seDftware only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)
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LAST WILL AND TESTAMENT ~r~
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JANNETTE A. UTECH '~~~ '' ~ ~ -'-'
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a/k/a ~ ~.~ ~.~ i ~>
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JANNETTE A. DINGLE
I, Jannette A. Utech a/k/a 3annette A. Dingle, of Carlisle, Cumberland
County, Pennsylvania, being of sound and disposing mind, do make, publish and
declare this as and for my Last Will and Testament, hereby revoking any and all
Wills by me at any time heretofore made.
-
FIRST: I direct that all expenses of my last illness, including hospital
expenses, expenses for medical care, funeral expenses and the cost of a gravemarker,
i
as well as all debts or obligations owed by me at the time of my death, which in the
opinion of my Executor are not subject to either a legal or equitable defense, shall be
paid from my residuary estate, unless otherwise provided herein, as soon as
~` practicable after my decease as part of the expense of the administration of my estate.
I direct that all state and federal estate, succession, legacy, inheritance or other
transfer taxes, however designated, together v~~ith any interest thereon, that shall
become payable by reason of my death with respect to any property which is included
in my estate for purposes of computing such taxes, shall be paid from my residuary
estate, as an expense of administration and without apportionment.
My Executor shall have no duty or obligation to obtain reimbursement for any
STONESIFER
AND KELLEY
A P.efmisnd Capntiw
ATTORNEYS AT UW
209 Broadway
Hanover, Pennsylvania 17331
717-632-0163
1
such tax paid by him from the residuary estate even though paid on proceeds of
insurance, annuities, jointly-held or other non-testamentary property not passing
under this Will but which passed by virtue of my death.
SECOND: All of the rest, residue and remainder of my estate, real, personal
and mixed, of whatever nature and wheresoever the same may be located, equally,
share and share alike, unto my children, Rachel Hollenbaugh and Ethan A. Dingle,
or to their issue, per stirpes.
f
' THIRD: My personal representative and the Trustee of any trust created
hereunder shall have the following powers and authority in addition to, and not in
+' limitation of, any other rights and powers granted by law:
a) To retain any property transferred, devised or bequeathed to them by me,
or any undivided interest therein, regardless of the character of said property,
or whether it is such as may be authorized by law as a legal investment by a
fiduciary;
b) To invest and reinvest the estate or trust property in any property or
undivided interest therein, wherever located, including but not limited to,
bonds, notes, secured or unsecured, stocks of corporations, real estate or any
interest therein, interests in trust, including common trust funds, and
investments or obligations issued by the Trustee, without being limited by
any statute or rule of law concerning investments;
c) To sell any estate or trust property, for cash or on credit, at public or
private sale; to exchange any of said property for other property; to grant
options to purchase or acquire any estate or trust property; and to determine
the prices and terms of sales, exchanges and options;
d) To execute leases and sub-leases for terms extending beyond the
termination of any Trust established herein; to subdivide or improve real
estate and tear down or alter improvements; to grant easements, give consents
and make contracts relating to real estate or its use; and to release or dedicate
STONESIFER
.AND KELLEY
w t3e~.~.t c.,r.,.ue~
ATTORNEYS AT IAW
209 Broadway
Hanover, Pennsylvania 1733(
717-G32-0163
2
any interest in real estate;
e) To borrow money and to mortgage or pledge any estate or trust property
in connection with the administration of the Trusts created hereunder; to
execute promissory notes or other obligations for amounts so borrowed; and
to secure the payment of any amounts so borrowed by mortgage or pledge of
any real or personal property.
f) To make loans in such amounts, upon such terms and at such rates of
interest, and to such persons, firms, or corporations, as deemed advisable;
g) To take any action with respect to conserving or realizing upon the value
of any estate or trust property, and with respect to foreclosures,
reorganizations or other changes affecting the estate or trust property; to
collect, pay, consent, compromise or'abandon demands of or against the
estate or trust property, wherever situated; and to execute contracts, notes,
conveyances and other instruments, including instruments containing
covenants and warranties binding upon and creating a charge against the
estate or trust property, and containing provisions excluding personal
liability.
h) To keep any property in the name of a nominee, with or without disclosure
of any fiduciary relationship;
i) To employ agents, attorneys, auditors, depositories and proxies, with or
without discretionary powers;
j) To give proxies, to deposit securities with and transfer title to committees
representing security holders and to participate in voting trusts,
reorganizations, and other transactions involving the common interest of
security holders;
k) To exercise any option to subscribe for or purchase any stocks, bonds,
certificates, or other securities which may be given to it as the holder of other
stocks, bonds, certificates, or other securities constituting a part of the estate
or trust property;
1} To purchase stocks, bonds or other property, real or personal, from the
executor or legal representative of my spouse's estate, or any trust established
by my spouse, even though such executor or legal representative is also a
fiduciary hereunder;
STONESIFER
.AND KELLEY
A /iofadmu[ Cor~sraeien
ATTORNEYS AT L1W
209 Broadway
Hanover, Pennsylvania 1733!
717-632-Ot63
!, {.
m) To join with my spouse or her personal representative in the filing of any
income or gift tax return for any period prior to my death and without
requiring indemnification from my spouse or her personal representative for
any liability which may arise from joining in such return;
n) To elect to take administration expenses on either the estate's federal
income tax return or the estate's federal estate tax return in such manner as
to provide the greatest overall tax savings. My Executor is authorized but not
requixed to adjust the interest of any beneficiary detrimentally affected by
such election in order to compensate said beneficiary for any loss due to the
making of such election;
o) To exercise any election provided in the Internal Revenue Code or under
Pennsylvania Inheritance or Estate Tax Laws with respect to the valuation of
property for purpose of such taxes, and the time and manner of payment of
tax, and no adjustment in any beneficiary's interest in my estate shall be made
by reason of the making of such election;
p) To deduct, retain, expend and pay out of any money belonging to the estate
or any trust established herein any and ail necessary and proper expenses in
connection with the operation and conduct of the same, and to pay all taxes,
insurance premiums on any policy constituting part of the trust property, and
any other legal assessments, debts, claims or charges which at any time may
be due and owing by, or which may exist against my estate or any trust
established herein ;
q) To chazge commissions or compensation for their services hereunder,
which commissions or compensation in the case of a corporate fiduciary may
be charged against or payable from both principal and income received on an
annual basis at such rates as may be provided in its published fee schedule in
effect at the time said services are preformed;
r) To make any distributions or division of estate or trust property in cash or
in kind, or both.
s) To continue or carry on any business in which my estate or any trust
created under my Will has an interest by stock ownership, partnership
interest, proprietorship, or otherwise; to incorporate any such business not
previously incorporated or to convert any such business previously
incorporated into a partnership, tenancy in common, or proprietorship; to
acquire any such business and affairs which an individual could take as the
owner of such business; to invest additional capital in, subscribe to additional
STONESIFER
AND KELLEY
ATTORNEYS AT LAW
209 Broadway
Hanover, Pennrylvania 17331
717-632-0IG3
~` ~
stock or securities of, and loan money or credit, with or without security to
such business, out of my estate and/or any such trust; to leave income from
the business at the risk of the business by way of contribution to capital or
' loan subordinate to other creditors; to rely upon the reports of certified
public accountant as to the operations and financial condition of the business,
without independent investigation; to elect and/or beneficially employ and
compensate, as directors, officers, employees, counsel, or agents of such
business any person, including any one or more of the individual
Fiduciaries (notwithstandingthat they are Fiduciaries under my Will) or any
agent of a Fiduciary; to deal with and act for the business in any capacity,
including any banking or trust capacity and the loaning of money out of a
Fiduciary's own funds, and to be compensated therefor; and to sell or
liquidate such business or any part thereof.
t) To exercise any and alI options, rights and privileges contained in or
obtainable in connection with any life insurance policy, annuity or
endowment contract which may become a part of my estate or any trust
created under my Will, issued on the life of any individual, including the right
to leave any sum on deposit with any life insurance company at interest for
any length of time; to allow any automatic loan features of any policy to
operate; to borrow upon the cash value or reserve of any policy; to elect the
automatic non-forfeiture of any policy; to make any compromise or
settlement with respect to any policy; to revoke any optional mode of
settlement; to obtain the cash surrender value; to convert any such policy to
paid-up insurance or extended term insurance; to take out and/or continue in
force and pay the premiums on any life insurance., annuity, or endowment
contract upon the life of any beneficiary of my estate or any trust created
under my Will, or upon the life of any parent, spouse, descendant or spouse
of any descendant of such beneficiary, for any purpose whatsoever. As used
in this Section, life insurance means any type of life insurance policy,
including term, paid-up, whole life, limited payment, split dollar, universal
or any form of life insurance.
AND LASTLY, I do nominate, constitute, and appoint Rachel Hollenbaugh
STONESIFER
AND KELLEY
~~~~~
ATTORNEYS AT LAW
209 Bmadwap
Hanover, Pennsylvania 17331
717-632-0163
and Ethan A. Dingle, as Co-Executors of this, my Last Will and Testament. I direct
my Co-Executors shall serve without bond.
Any fiduciary who is an individual shall be entitled to receive reasonable
compensation for his services hereunder and shall be reimbursed for all expenses
incurred in connection with the administration of my estate or any trusts established
herein. Compensation for any corporate fiduciary for its services hereunder shall be
in accordance with its published fee schedule in effect at the time of said services are
performed.
IN WITNESS WHEREOF, I, Jannette A. Utech afkla Jannette A. Dingle,
have to this my Last Will and Testament, contained on this pa.,ge and the foregoing
five (5) pages, set my hand and seal this _ l ~~`day of ~~ t ~,t ,
2008.
STONESIFER
AND KELLEY
ATTORNEYS AT GAW
209 Broadway
Hanover, Pennsylvania 17331
717.632-OIG3
I, Jannette A. Utech a/k/a Ja~tte A. Dingle ,the testatrix, sign my name to
this instrument this ~3~day of ,(,U ' C !, 2008, and being first duly
sworn, do hereby declaze to the undersigned authority that I signed and executed this
instrument as my will and that I signed it willing (or willingly direct another to sign
for me), that I executed it as my free and voluntary act for the purposes therein
expressed, and that I am eighteen years of age or older, of sound mind, and under no
constraint or undue influence.
.G:~.,,~t°~ /~ • ~~C~.e ~2.~ (SEAL)
~~...,.
Jannette A. Utech alk/a
1, f
~~-C.~.(
. ~~G ~ ~ SEAL)
J ette A. Dingle
We, Scott L. Kelley, Esquire and Rebecca A. Howazd, sign our names to this
instrument, being first duly sworn, and do hereby declare to the undersigned authority
that the testator signs and executes this instrument as his Will and that he signs it
willingly (or directs another to sign for him), and that each of us, in the presence and
`. hearing of the testator, hereby signs this Will as witness to the testator's signing, and
that to the best of our knowledge the testator is eighteen years of age older, of
;sound mind, and under no constraint or undue influence.
Scott L. a ey, Esq e
A. Howard
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF YORK )
Subscribed, sworn to and acknowledged before me by Jannette A. Utech a!k/a
Jannette A. Dingle, the testatrix, and subscribed and sworn to before me bay Scott L.
Kell Esquire and Rebecca A. Howard, witnesses, this ~~' day o€
~;,. , 2008. : ~ ;'
~., ~
STONESIFER ~ Notary Public ''
AND KELLEY ~oT,ar~~A! ScAL
A~~~,.tc.~.,,~r s-~a,crE ~ corm:?sr~~izH
ATTORNEYS AT IAW [`~'JtQf ~ PE;C1iIC
cos spy yiANavEtz ~GRc3JGt•i. ~or~: cour~zv
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717-632-o1G3 Nly ~Qt"nt'~1iSJion Expires Oct 10. ?~
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ADDRESS: 30 Lebo Cal' PA 17015
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102 F~rsonal 402. Fbrsortal
103 Selllernert to baro~ner lire 1 434.70 403.
104. 404.
105. 406.
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106. Lases 406.
107. taxes 407. taxes
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110. 410.
111. 411.
112 412
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205 505.
206. 506. _
207. 507.
208 90e. _
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213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
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499 Mitchell Road, Millsboro, DE 1996b Mait Code DE-MB-l2
Phone (888}502-4349
Fax (302)934-2955
July 9, 2009
Stonesifer and Keltey
Attorneys At Law
209 Broadway
Hanover, Pennsylvania 17331
Re: Estate of.' Jannette A. Utech
Social Security: 181-32-4618
Date of Death: June 1 S, 2009
Dear Sir or Madam:
Per your ingwiry dated July 02, 2009, please be advised that at the time of death, the above-named decedent had on deposit
with this bank, the following:
i. TypeafAccount Checking Account
Account Number 409812
Ownership (Names oj~ JannetteA Utech*
Eugene F Utech*
Opening Date 9/Dl/67 Closed 7/01/09
Balance on Date of Death $ 41, 997.28
Accrued Interest $ 1.82
___
Total $ 41,999.10
2. Type ofAccount Certificate of Deposit
Account Number 31003916443995
Ownership (Names of) JannetieA Utech*
Eugene F Utech*
Opening Date 8/I7/07
Balance on Date of Death $ 2,100.29
Accrued Interest $ 47.62
Total $ 2,147.91
Please be advised, there was no safe deposit box found for the above decedent. * If upon reviewing the information
above, you believe there are additional accounts not referenced, please provide us with an account number and/or
name of any possible joint account holder. For any additional information on the above accounts, including
ownership and any changes, closures and/or reimbursement of funds, etc., please contact our High Street Carlisle
Office # 717-2410-4536.
Sincerely,
Tracie Hare
Adjustment Sepwices
nuu. IU. LUU7 ).)Oren
PSE(~
August 18, 2009
Account # OI8IXXX}DGC
SCOTT L KELLEY ESQUIRE
209 BROADWAY
HANOVER,', PA 17331
Dear MR KELLEY:
Nu. ply r. ~
The following is the status of JANNBTTE A DTNGLB-UTECH's account with PSECU as of the date of death.
Joint Owner'S Name NONE
Date of beat& 06.15.2009
Date of Birth 01.15.1924
Share Desicription Opea date Balance Accrued bivideead
S O1 Regular Shares 03.72.1984 $ 39.98 S 0.01
S 07 Money Market Shares 07.02.2008 37,736.46 8.84
S SO 601~oath IRA Certificate * 09.05.2003 3,996.46 6.76
*Designated YRA Beneficiaries - is THAN A DINGLE , RACHEL D HOLLENBAUGH
The dividend ~eatned £nom January 1, 2009 through the date o#'death was $794.58. The decedent ]aad no loans with
us. we do nolt have safe deposit boxes for our members. If you have any questions, please ca11234-8484 im
Harrisburg or' our toII-free rnnnber, (800) 237-7328. At the menu pronxpt, enter 6 aad then exteasioa 2227.
Sincerely,
J olbin
Member Service Representative
Finance Support Unit
Peneeest-heeania State Employees Credit Union
Main Address: 1 Credit Unlex+ Place, Harrisburg, PA 17110-2990 • 717.234.8484 • 800.237.7328
Melling Addre~: PO. Box 67013, Harrisburg, PA 17)06-7013 • 717.777.2100 (f0D) • 800.472.1967 (TDD)
psecu.com
1i+is aodir union b fedaoUV insured by fl+c Notional Crsd~t Union Administiorion. Equel ppponuniy lender
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Enter Symbol MTB Enter Dar 6!15/2009 r r '
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G':osm4 ~'^~" 47.27
;,ec: 44.80
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F
214 Senare:~~~c
?th Floor
(.'amp Hill. I'A l~U] i
re( 717'301800
tax % I ~ ~' 30 1894
colt Eree 800'_3- 1700
December 30, 2009
SCOTT L. KELLEY, ESQ.
Stonesifer and Kelley
209 B>~oadway
Hanover, PA 17331
RE: Jannette A. Utech Estate
Account #54J-61035-1-3-364
Dear Mr. Kelley:
The value of the above account as of 08/01 /09 is as follows:
MorganStanley
SmithBarney
633.803 shares of LMP High Income Fund Class C at $5.18 per share, total value as of
08/01/49 was $3,283.10. The beneficiaries listed on the accounts are Rachel
Hollenlbaugh (50%) and Ethan A. Dingle (50%).
I have enclosed 2 IRA distribution forms to be signed by the beneficiaries. Do they want
to receive a check or want the assets transferred to another account for the benefit of the
beneficiaries? Thank you for your time in this matter.
Sincerely,
r,
t~
Ann M. Dunkelberger
Senior Client Service Associate to
John J. Fabian, Jr.
/amd
Enclosures
"The information herein has been obtained from sources we believe to be reliable, but do not guarantee its accuracy or completeness."
h1org.m Sr.~nlc~.' ~mirh Bamcv LLC. ~1~~mbrr SIPC.
rage i of i
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Cumberland County PA -Tax Mapper
Find Address Print Search PIN Search Business (
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•
Results
- ~~~ 31-12-0328-064 (1)
- ~.! Parcels (1)
- ~_~__ 31-12-0328-064
CCGIS.$DE. parcels.AREA {CCGIS.SDE.parcels.AREA}
PIN 31-12-0328-064
SUFFIX
OWNER D[NGLE, JANNETTE A ET AL
LOCATION 1650 PINE ROAD
(lEIGHBORHOOD 3140
TYPE v
LAND USE CODE 118
4ANDDESC LAND APPROX 35 ACRES
OEEDEOOK 0029D-00468
PEED ACRE 15
4AND VALUE 35620
BUILDING VALUE 0
tOTAL VALUE 1410
$Q FT 0
$AI.E PRICE 1
$ALE MONTH 30
$ALE DAY 10
$ALE YEAR 1980
http://ccgis.cc~a.net/taxmapper/ 10/21 /2009
Help GIS Tax Mapping
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