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HomeMy WebLinkAbout05-11-10~/ ~ a' J 15056051047 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number Date of Birth Decedent's First Name MI C E ,¢ Spouse's First Name MI ~~r ~ ° THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ! REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after l2-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) behween 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 T0: Name Daytime Telephone Number Firm Name Correspondent's a-mail address: _, REGISTER S USE O~ ` T-; ~~;-~ '~,. 3 . r r .t ~ 7i __ .1 ) ~ Y ".' {.._ ~ "~ c ' r ' ? Zx = n i ~ `rT Q~~ ~ _~ ~ 37 rn - ~ O ~ p '-'~ G DATE FILED ~ ~ t 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. SIGNAT~2E OF PERSOyt RESP~ftISIBLE FpR FILING RETURN ...rte ADDRESS O PLEASE USE ORIGINAL FORM ONLY Side 1 L 15056051047 REV-1500 EX (O6-OS) PA Department of Revenue Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 15056051047 J~ J a 15056052048 REV-1500 EX Decedent's Social Security Number 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 0 15. 16. Amount of Line 14 taxable at lineal rate X .0 ~ 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 C~ Side 2 15056052048 15056052048 J December 3, 2009 Charles Shields, III Attorney at Law 6 Clauser Road Mechanicsburg, PA 17055 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG, PA 17128-0601 ,GCe.,~ / Z l~yl~'f ~~ ~~1~ Telephone (717)787-3930 FAX (717) 772-0412 Re: Estate of Grace Snyder File Number 2108-0277 Dear Sir or Madam: This is in respmnse to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the retum is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely retum. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before 06/14/10. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. We now offer you the option to request your extenalon request via a-mail. Please use the following e-mail address: BA-InheritancaTaxExt®state.oa.us. We are also able to respond to your extension req}~est via a-mail. Please refer any questions to me concerning your extension. No questions will ble answered from this e-mail address. Sincerely, 1 Claudia Maffei, Supervisory, ' Document Processing Unit Inheritance Tax Division .. 1 xEV•,weEx•.c,en COMMONWEALTH OF PENNSYLVANW INHERITANCE TAX RETURN SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF S,kyDE~2 , G~~CE ~. FILE NUMBER 2/- 09- z~' Include the proceeds of litigation and the deb the proceeds were received by the estate. All properly jofMly-oMmed wkh the riOM of survivorship must be dkcbsed on Schedule F. ITEM VALUE AT DATE NUMBER DESCPoPTION OF DEATH 1. ,If000!/NT1 .~T iNE/~Ildt?~1'S /sT FEA~pgrLi ('.rP~/T ll/v/DA/ /11. Sas-:ads •J~et`. No. !Go/.t3-~o ~ 4P7, 9L ,(~. 1.r t. ~CCr. fi aa!. o. ~ in .Z~Ir~f .1~ . ?.(p C, Cheeki,<q Cdr: /loo. /[o i? 3 -~/ ~ /7 83?. s7 ~. T.~t..~ter. ~ d. v. a! ew Z'fr~r C s~ ~, v6 E. .Znvcst/yt~t ~v~~ ~fiy~ No. /LO/~3- OS f89~ dss 70 F L~i~t. ~~' ~j~leJif Ne . /6 0~.~ 3- ~/o t jio s, ~`f~9, ,3G C-. JTAf /4C~'• 7O d.0•q~ ON ..~ feN4 ~3~./9 l ail ~, G~ See r4/uaCC/'ea 11~/f~/~r nn4l~wt/rca~ 7~oM~~11 /jppJCAr6e~7 /s7`' J `~ ~• Fs~{cr d LriC/J7i~G (.O. - Paf-tia.~ lrcf/J't,~nc/- /y~tc% ~S. ~, ~~~ry0 3. Part;al ~ie~wxd Check mH Mwtlw,) ~ or-~L~a ~:. Co . ~ ~ ~.(o~ Atrial Re-{~.nd ChP.tk ov- IV1ufita1 of ~-rytaka mss. (0' . ~' 30.0 S.. /9~y P~y/ylou~i Sewn , vi~1 1 P3 t31n I rbC o~'~Zo6o~ se/d t /$br•t Conr~( ~r' ~ so. ~ f o~SO• o0 `• ~ressur am.l chair iu~" nutr•sl.-3 die/nc. 9ras- ao (~al~Oh~u- ~7Lr/!iS/ii~S S0~// of ~e elm ~~43C e,•~"r°re t~u~i.~ /-`~u'a .~ l~.wre ,rat! ~,~r~( ~'>St .G~ w..a ~fA~ew au,a,~ rrv~ e+~ ~ ~t d. o. d 7, Re.~.t,na/ /11ufkal ~ OMnha $. /~loA/y Pty~rn~ dNc ,~t.~sK .,1.0.4/. f~?.G7 3z .oo 9 Alec ~' 0'"~""' clot ~f~~ d.o, a/- f~/. ~/ (If more space is needed, insert TOTAL (Also enter on line 5, Recapitulation) I S ~ ~~~ / ~ l ~ 31 sheets of fhe same sizel MEMBERS 1't FEDfiRAL cR~n' [RVION SAVINGS ACCOUNT: Account Number/suffix 160123-00 Date Account Established 07/12/1996 Princpal Balance at Date of Death $887,88 Accrued Interest to Date of Death $,2g Total Principal and Accrued Interest $888,22 Name of Joint Owner None CHECKING ACCOUNT: Account Number/Sufiix 160123-11 Date Account Established 07/iyi ggg Princpal Balance at Date of Death $17,852.57 Accrued Interest to Date of Death $2.Og Total Principal and Acaued Interest $17,854.63 Name of Joint Owner None DIVESTMENT S/~VINGS ACCOUNT• Account Number/Suffuc Date Account Established Prinapai Balance at Date of Death Accrued Interest to Date of Death Total Prinapat and Accxued Interest Name of Joint Owner 180123-05 04/28/1999 $89,855.70 $36.19 $89,891.89 None CERTIFICATE OF DEP031T• Account Number/3uffix 180123-00 Date Account Established 05/16/2008 Principal Balance at Date of Death $102,449.38 Accrued Interest to Date of Death $111.68 Total Principal and Accrued Interest $102,561.02 Name of Joint Owner None ~ rr ~•/ / zlT. ME ~ S 1~ FEDERAL C IT UNION Danielle A. Kline Insurance Services SpeGalist April 23, 2009 Estate of: GRACE A. 3NYDER Date of Daath: 03/'1412008 Social Security Number. 162-22-8114 5000 Louise Drive P.O. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 wwwmemberslst.org REV.15f0 FX • (~ CO(tMdONN~EALTH OF PENNSYLVANIA INHERfTANCE 1AX RETURN FILE ~/~-679- ?77 This schedule must be completed and filed H the answer to arty of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUA~ER DESCRIPTION OF PROPERTY w~.w°ET"Er~°FT~TMe•TU~~nroor~r,wolxew,rEOFlnua~a ~n~cx~ wvranE oe®rox n~ esr~,E. ppTEOFDEATH V UE OF ASSET % OF DECD'S INTEREST EXCLUSION ~aaic~aa TAXABLE VALUE 1. ~A/lu,fl~ # W .~D/ 7Q8 /S e~ We~sft/Yi- cS~t//~CPi~ ~~~ ~SSar~,icce~i ' P f>tIl/i!/i~til~. ' t~o/tact ~ ,fiydtr . c ~tt : ~f~ O~ ~htCG /~.,Sn~.~er " N7'~~ va/ue ~ 35 and ~: 2I ~rjS, AG7.2g /Gb~i ~ -- ~~ ~A~Ka~~ .I~r,~y-off ~~Q~~~~~ ~. /+Anui~y ~ SN O1~F3't3goo-of M, o, a`r, y. /}nnNifttn~ : ~sracE i4. Snydcr ~ayae: ESftt~E ~ Gryce A-.Sny~er It~-or~f' Nalke #9, z9o.bb ~q, 2go,bb q /O~/Ia 1O ~ ~`4 ~1 !/ ~/~. /lf mnra cnana is noaA~i incr3rt SCHEDULE G INTER-VIVOS TRANSFERS ~ MISC. NON•PROBATE PROPERTY TOTAL (Also enter on line 7, Recapitulation) ~ ; chPVtR ~f the carrw ci~al ® WESTERN-SOUTHERN LIFE ASSURANCE COMPANY Premier ACCOUNT STATEMENT A~D~ NINIBER: 904005]991 iBWNCKKY ""3-DIGIT 170 i471ta481024067677i MDG2006 0004470 1 AT 0357 082318 THE INTEREST RATE FOR THIS 't°~i~°r~~~tttr~.~'~~~~~~~~~~~~.r~t.IIuLLIInnIlnu~t~~ STATEMENT PERIOD MAS:0.50Y. ESTATE OF GRACE A 8NYDER 6 CLOUSER RD CAD CHARLES E SHIELD8 III MECHANICSBURG, PA 17055 004470 Summary ofBENEFITS, INTEREST, rand CHECK REDEMPTIONS for tna onra.ur• ..... , Opening glance Credits Interest Debits +~ `~ •~ Other Charg~es~N Closing B I nce 0.00 035,056.04 06.24 i.0• 0.00 035,062.28 05/19/09 05/31/09 INSURANCE PROCEEDS INTEREST PAID 35,056.04 35,056.04 6.24 35,062.28 Western-Southern LHe Premier Account INFORMATION regarding this statement can be obtained by calling TOLL-FREE The Northern Trust Co. 1-800.343.2551 : ~> ::;> ;:s>s> : : ; :; . : >: :z >;>g .....:.:~::.;;: ::.: :.: ;.:;;;:.;:.,<;;:.:.:;: ;:.::<.>EMI .''E`.'•~f11M :: :.::. :::. ::::.:«.>:•:.>:;.........:~15~'::.;;:~;:.;:.; :.;;;:.~;. .;>; ~ ~;.::;;:.;>:><:.: . ....... . ............... . ~ ::•. 2009 56.24 56.24 5 00 The t-elow may he used to make an Address O h:.tpe an your acoant. (DETACH . HERE) Western-Southern Life Premier Account Change of Address Form ~''~~~'' Please complete the Change of Address Form on the reverse side 9040057991 Please rehan this Charge of Address and any outer written correspondence to: Western-Southern Life ~~~`~ ~ Premier Account P.O. BOX 92987 Chicago, il. 60675-2987 vv ~ n r c yr vrCAI.C A JMT1JrK DFLT GENERIC M70 P NNN s s IS ~_ S a_ S :. 1 I r7C VY CJ 1 CRIV /11VU JVU 1 r7tRIV LIrC IIVJURHIVI.C I.VIVI r'MIV i WESTERN-SOUTHERN LIFE ASSURANCE COMPANY emler ACCOUNT STATEMENT ACCOUNT HUMBER: 9040057991 ;BWNCKKY "'3-DIGIT 170 i3417468976932436i MDG200b 0003313 1 AT 0367 092318 I~nl~luill~nn~~~nl/~~~~lu~u~lu~~n~~~~llnulluuh~~ EBTATE OF GRACE A BNYDER 6 CLOUBER RD CJO CHARLEB E 8HIELDB III MECHANIC88URG, PA 17066 003313 THE INTEREST RATE FOR THIS STATEMENT PERIOD NAS:0.50Y. Summary o1 BENEFITS, INTEREST, end CHECK REDEMPTIONS for the ooriiou: /v-rn.ee , ...,... ~..~.._.. _______ __ ''''~''`~ "~ Please complete the Change of Address Form on the reverse aide 9040057991 Please return tltls Gvygs ~ Addrrsss and afy ogwr rrritbrt oorrespoltdertce to: Western-Southern Life ''~-~ Premier Account P.O. BOX 92987 Chicago, II. 60675-2987 ESTATE OF GRACE A BNYDER DFLT GENERIC 3313 P NNN Western-Southern Life Premier Account Change of Address Form ® THE WESTERN AND SOUTHERN LIFE INSURANCE COMPANY WESTERN-SOUTHERN LIFE ASSURANCE COMPANY Premier ACCOUNT STATEMENT A~«~ NUM6ER: iBWNCKKY 14718521024067670# MDG2005 003204b / AB 0360 09231 S ~n~~~~u~~~~on~~~u~~~~~~~u~~o~n~~u~~i~~lnu~~uu~~~~ ESTATE OF GRACE A 8NYDER 6 CLOUSER RD CID CHARLE8 E 8HIELDS 111 MECHANICS$URG, PA 17056 032045 9040057991 THE INTEREST RATE FOR THIS STATEMENT PERIOD NAS:0.50Y. eumniery of OENEFITe, INTEREST, and CHECK REDEMPTIONS ror the osriod: scdre~rco i gun r..e.........~d.~....~.. .._ ____ ............................. '`~'`~`' Please complete the Change of 9 0 4 0 0 5 7 9 91 Address Form on tM rewra side Pleep velum tllif Ctullgs of Address end aly oRlsr written correspenderlp to: .Western-Southern Life ~~~~-~ Premier Account P.O. BOX 92987 Chicago, Ii. 6U675-2987 ESTATE OF GRACE A SNYDER oRr oENERIC 3zo5o P NNN Western-Southern Life Premier Ac~unt Change of Address Form ® 1 r7C YYCJ I CKIV AIVV JVIJ I rICKIV LIrC IIVJIJK/11VVC I.VIVI r'hIV 1 - r ~ / ~•s WESTERN-SOUTHERN LIFE ASSURANCE COMPANY ~P~1riI.P~I ACCOUNT STATEMENT At3;OtIMT NIRIBER: 9040057991 iBNMCKKY "'3-DKa1T 170 i4719611024067671i MDG2006 0004611 1 AT 03b7 082318 EBTATE OF GRACE A BNYDER 5 CLOUBER RD C!O CHARLES E 8HIELD8 III MECHANIC86LIRG, PA 17056 THE INTEREST RATE FOR THIS STATEMENT PERIL MAS:0.50X 004511 tummary o/ BENEFITS, INTEREST, and CHECK REDEMPTIONS for tAe ouiod: u~n~ct , ~..e - - - ---- r.,. ~.vw Op~ing glance Credits Interest Detests Other Charges Closing Balance i35,091.b9 0.00 014.90 0.00 0.00 135,106.49 Oti/31/09 INTEREST PAID 14.90 35,106.49 I a ~_ ~_ S s t;: ;s ». YYestern-Southern Lfh Pramler AcooUM INFORMATION regarding this statement can be obtained by calling TOLL-FREE The Northern Trust Co. . 1-800-343-2651 2009 ~ 514.90 rtn bNow, may be usr•ed to make an Addrss 550.45 on your accark. (DETAC 5.00 WesterrrSouthem Life Premier Account Change of Address Form ~•~~'"" Please complete the Change of 9 0 4 0 0 5 7 9 91 Address Form on the reverse side andand ary Od1ar YYrINMI Of Address OOrreaPOlldalN:e t0: Western-Southern Life t~~•~-~ Premier Account P.O. BOX 92987 Chicago, il. 60675-2987 +•.+.~ v~ vnn..c M JOT VCR DFLT GENERIC •511 P NIYi REV-1S1t EX+ (12-99) SCHEDYLE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF S N yOF/e~ GiCA~(~ /~}, FILE NUMBER o2J -D9-277 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A• FUNERAL EXPENSES: s Kle ~wo~/K y ~ii~ra.J iYerre of ~/ancvtr, /~~ ~sz. ~z a. Alaw /1li%Yer /Ieiil~6pKtnvtrlt a6'v` Alon;t.S •-~ ~e~ Jww-a/ /jtt•1 ~ ~l' ~vrr.~i. X/~3.9f~ e. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) QE ~/ ~/¢ yLDIQ ~, ODO. do Social Security Number(suEIN N umber of Personal Representative(s) ~~ 77 Street Ad d ress /D ~f /~iil Ojk Dhi YC ~ + City CR r•~i SJC State ~_ Zlp /70 / s Year(s) Co m mission Paid: 2. ~~ it c Attorney Fees 1~~i4.r•~e-,S ~, ~h~GlaJs ~ ¢ ~ Z ' ' S D• OD 3. Fatuity Exemption: (M decedent's address is not the same as claimant's, attach explanation) Claimant /Yn brt/G E'L /~/dL E ~~Nf Street Address City State Zlp Relationship of Claimant to Decedent 4. cc Probate Fees 4.Nd 17r1 9-+I~ •iSSUL er Short CGr~~ rj~~s ~ Q 9eS,00 5. Aawuntant's Fees 6 ~Tanaf 8/'~kb;ll H s R i8locJc, Meel~aJn.~~sb~.~ T R ' ~ CU r 33/. •~ . ax eturn Preparer I(0 pls:M. a,y13 /p~fj/ss,(~~•~ s Fees !.' estewt' /O ~ ~' ~eiM6Dt,l4'i'CtYrr~Y. ~ Cha+rlea F, ~-~~.lo1s ~ {ur wi~-rttss f'et ad~a~r-eed ro Wlar~~yn ~T Nee,l4pr X.Zo ao P• Ckm~~l~ L.o.., Sournoti~ ~ar Atdiv~•L'isin~ ~7S,DD 9• ~'arl ~ slG Serl~;nGl far ~¢a//crfsin~ f IHS. o(o /D• ,, a l ~4'•/~I/14~ /A/19.6i11C f ~`s-. DU .See QAr/~h~Q/Ssq d~7tet Q~srlC.~rts/~ (It more space is needed, insert additional sheets of the same size) TOTAL (Also enter on line 9, Recapitulation) I $ ~~~ ~~ ~~ yz 5U' Nom. f~, L'n~~%~ ~.S?. o~ ~NY~Otih, ~~'CE' ~ Fi~~. .ZI•o9_ X77 //. ~air~irfuxt~rf ~ ~~ s E. ~i•tlsa~s IZ ~r to~ aw~Ni.,re:~/ ~ai' adL,1Sone/ dc~el~i ee,ht.%icafts i6 /ij/.%verr. ~u~r~.x/ rY.~ 70,0 /3, ~sf i~ {%'n, ~~-e,1`. 230, o0 [.!l/S. ~ GvJiG~~ tel: ~ a /~ ' 9e:Mb.:~ ~ts k ~ ~:el,~a,~ ~sr /~lvs~~, e~E.~ .~tv~,/",ids, ~J~hcar,~, ct~. (es~r~•) ~/so. eo REV-1$12 EX+ (12-03) COAMADNWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF SNyO~, G~~F ~ FILE NUMBER Report debts incurred by the decedent prior to death which remained unpaid as of the data of death, including unrelmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION nr nr.ri , '~ Alert Phahwtat:y ~. A1ess~4h V~lla~,. 3. C~p:I~I ~ HeglKf ~ass~cs. 'y ~ c ~iartid ~ htaKs rv~{; olt rucr r~/~tn brie d.o.d. ~°ti, ~ti Gltared d~'~trwards~ i~c/%%d,'.tq p~n+l>Iw>~ ~' lur sh.,re ef' inher-l~iuus t~ on ~/.~.siniasee>» e~' JFt Gi. ~3urv,virs~;p /~ 12s~e {r,oat !wr ds~,G~ri ~ls ~osca~ec~sew' ~r-r', pn..d ~' ~tii/ls . ~ 38, S,2 ~i-,osl.sS f /oy~. ,~ ~s~. 03 TOTAL (Also enter on line 10, Recapitulation) ; I ~~p, ~j/Lf~ Z (If more space is needed, insert additional sheets of the same size) REV-1513.EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~,N y0~' G~~c~ ~ FILE NUMBER .2/- O 9--777 NUMBER I ll NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY 4TIONSHIP TO Do Not UatTn OF ESTATE 1. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)1 G/adys R. Bs~r~('ert' 180 DaK N~%/s 1~r, //pt moo! Hanover, ~D/>; /?33/ {Ylar~'/e~ ~/wok o?i7 ~%arla ~/aao~e>r, oi4 / X33/ 1. s i sf'er nee ce ~o yo 30 °~o ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 16, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ~'• ~K./S ~~kbs) U/1l~rruu CIILLY'G~l Or C6riS~ ~(~ ~D Htn~y ~1,trhn4n ,See. Tieas. 2~8b 1~la~.k (c'oc.{z 61d. Ha.r-over, PA ~~331 Sf. ~u/s trl~wbs) Cemcttr~ ~oarc~ 30 ,e . C~ crane aand ad d rrs,s ~ uo. ~~ TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insect addRlonal sheets of the same size) I, GRACE A. SNYDER, an unremarried widow, currently of 351 Mulberry Drive, Mechanicsburg; Cumberland County, Pennsylvania, 17050 being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all Prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. 2. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to my daughter, CAROLYN J. SNYDER, , currently of 351 Mulberry Drive, Mechanicsburg, Cumberland County, Pennsylvania, 17050. 3. In the event that my said daughter predeceases me or dies about the same time as I do, such as in a common disaster or accident, then I direct that the residue of my estate, after the payment of all commissions, foes, debts, charges, death taxes, and the like, be divided and distributed as follows: (A.) Ten (10%) per cent to St. Paul's (Dubs) United Church of Christ, of Manheim Township, York County, Pennsylvania. This gift is conditioned in that it is to be used only for repairs to the church proper or for the purchase of a new church building. An acceptance of this gift shall be deemed a binding acceptance of its conditions as well. (B.) Thirty (30%) per cent to the Cemetery Board of said Church to be used as it deems best for the upkeep and maintenance of said Church Cemetery. (C.) Thirty (30%) per cent to my sister, Gladys R. Bankert, ner stirces. (D J Thirty (30%) per cent to my said sister's daughter, MARILEE KLUNEC, pgL 4. I nominate, constitute and appoint my said daughter, CAROLYN J. SNYDER, to be the Executrix of this my Last Will and Testament. In the event that she is unable or unwilling to act as Executrix, I appoint my daughter's friend, BETH SAYLOR, currently of 104 Pin Oak Drive, Cazliste, Cumberland County, Pennsylvania 17013, to be the Executrix in her place and stead. In the event that she is unable or umvilling to act as Executrix, I appoint MARK EDWARD SAYLOR, currently of 391 Pleasant View Road, New Cumberland, Pennsylvania 17070, to be the Executor in her place and stead. I further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. IN W//ITNESS WHEREOF, I have hereunto set my band and seal this ~y~ day of ,e~'!/ , A.D. 2003. ~/.~< ~ o (SEAL) GRACE A. SNYDER Sigaod, sealed, published and declared by the above-named GRACE A. SNYDER, as and for her Last Will and Testament, in the presence of us, who at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ~~ 9l/a~ri ~-~ac,~-~ o - _ ~ C d ,~ o LLI a E ~ J O N o ~ ~ Q H W -o ~ C G ~ Z~~ V O O Q m - ! ~ N } ~ N W i i ~ -~ ~ ~ M O E ~OV yN ~~ J r _~~ O W o D° ~' /~ V ~UCl1r =_ LL. Q _~ m ~ J = a t3 ~ O OC ~ w ~ U U V w V a o =gym .. ~~~ O ~ ~ ~ ~ w Z moo= D. t U ~ ~ m CHARLES E. SHIELDS, III ATTORNEY-AT-LAW 6 CLOUSER ROAD Corner of Trindle and Clouser Roads MECHANICSBURG, PA 17055 GEORGE M.HOUCK (1912-1991) May 6, 2010 Register of Wills Cumberland Coumty Court House 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Grace A. Snyder No. 21-09-0277 Dear Register of Wills: TELEPHONE (717) 766-0209 FAX (717) 795-7473 Please find enclosed for filing 2 copies of the Inheritance Tax Return for the Estate of Grace A. Snyder as well as Check No. 111, in the amount of $15.00 for the filing fee and Check No. 112, in the amount of $265.00 for additional Probate. The Check for the Inheritance Tax due was sent under separate cover. Thank you for your kind attention to this matter. Very truly yours, ~~ Charles E. Shields, III Attorney-At-Law CES/mjj Enclosures es C~ ° c o L"1 C!7 ~ .~ ~~° c~ 0 ~ a ~~ ~.~ : ~ , r~r°~ ~ 3 .~",_ ~ ' O ~,..Z _r~ .:? <': ::.~ ~,