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HomeMy WebLinkAbout07-07-10s ~ ~N ~5©~ VET/ T ~'-'s ?-~- T~.~ 15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN tY PO BOX 280601 21 10 0382 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 073-26-0699 06/01 /1915 03/30/2010 Decedent's Last Name Suffix Decedent's First Name MI Maciejewski Irene H (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name full Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW • 1. Origina{ Return 4. Limited Estate • 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Lisa Marie Coyne, Esq. (717) 737-0464 Firm Name (If Applicable) RE~siSTER C7F YafILLS USE Ot~Yy Coyne & Coyne, P.C. ~ ~ _ ea ~ ' First line of address ' '~. ` ' ' . ~ t z ~ 7 ~~ 3901 Market Street ~ ~"~` c ':~ Second line of address ~''~~ ~ ~ ~~~ ~ ~~~; ~ ~ ~ t'. -, ~~ ~ ..~:~ ~ City or Post Office ~ ,': D E:t7 ~..... ~ State ZlP Code ~' N ,-~ f"-an ~ ~ Camp Hill PA 17011 `~' ' ..~~-, ;I Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. N URE O ER N RESPONSIBL ~ FIL~ RETURN DAT , - - - - --- A SS _ _ __ _ - ,/ Delphine .Albert 5265 Meadowbrook Drive, Mechanicsburg PA 17050 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE - - -- _ ADDRESS _ __ -- -- --- PLEASE USE ORIGINAL FORM ONLY 15056051058 Side 1 15056051058 t'`~ i J 15056052059 REV-1500 EX Decedent's Social Security Number Decedent's Name: Irene H Maciejewski 073-26-0699 RECAPITULATION 1. Real estate (Schedule A) . ....................................... ..... 1. 0.00 2. Stocks and Bonds (Schedule B) .................................. ..... 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00 4. Mortgages & Notes Receivable (Schedule D) ........................ ..... 4. 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property {Schedule E} ... ..... 5. 50,252.76 6. Jointly Owned Property (Schedule F) Separate Billing Requested .. ..... 6. 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested... ..... 7. 0.00 8. Total Gross Assets (total Lines 1-7) ............................... ..... 8. 50,252.76 9. Funeral Expenses & Administrative Costs (Schedule H) ................ ..... 9. 35,279.73 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ........... .. . .. 10. 165,456.98 11. Total Deductions (total Lines 9 & 10) .............................. ..... 11. 200,736.71 12. Net Value of Estate (Line 8 minus Line 11) ......................... ..... 12. -150,483.95 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ................... ..... 13. O.C10 14. Net Value Subject to Tax (Line 12 minus Line 13) ................... ..... 14. -150,4$3.95 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0^ 15. 16. Amount of Line 14 taxable at lineal rate X ,0 45 -150,483.95 16. 0.00 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. 0.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVER PAYMENT 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 10 0382 DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER Irene H Maciejewski 073-26-0699 - _ --_ STREETADDRESS - - - _ _ - - _ .-- -- -____ 100 Mt. Allen Drive CITY ~ STATE ZIP Mechanicsburg I PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 0.00 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty _ _- - otal Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.......................................................................................... ^ b. retain the right to designate who shall use the property transferred or its income : ............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Ditl decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)J. 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)J. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX+ {6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Irene H. Maciejewski 21-10-0382 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. (If more space is needed, insert additional sheets of the same size) Checking Accounts: Number: ~ ~ u 1 ~' 3~c~ Date Opened: 1 ~ ' ~ ~ • ~ ~ Balance at Date of Death: Name of Joint if O ff ~ I any: wner, Savings Accounts: Number: Date Opened: Balance at Date of Death: Name of Joint Owner, if any; Certificates of Deposit: Number: ~ ~ ~ t ~ ~ ~ ~ '~ Date Opened: S ~` ~ `~ Name of Joint Owner, if any: ~ ~ J ~ ~ ~_f ~' ~~'`-~ ~ J `, ~ ` ~ J ~~ Balance at Date ~ ~ 3 $ . l~ ~ ~- `~ g 5 0~. -~ !a c~-~G- ~ !~,-~''~~'z5 ,. of Death: , Maturity Date: ~ ~`' ' ~ ~ .- Interest Rate: ~' ~ ~ ~ Interest Paid Quarterly, a ~ ~ Semi-Annual, etc. - ~ Debts: Estate of: Irene H. Maciejewski Datc of Dcath: March 30, 2010 ~° D ~ ~ ~ ~ ~ e~ o N a ~--~ Name of Bank: Adams County National Bank ~ ~, ~- _ Signature of Bank Official t- .. .Barbara Howe .k~F~~~x~'~~~, Surrogate IN THE MATTER OF THE ESTATE OF TILE i~'O. 2007-4646 Edwin M. Przybylski~~ ~~~~ ~«~d l Irene Maciejewski do hereby acknowledgc that Henry Walczak - (game of Lrgal Rc~.-csentative) as the Executor/~~~i~~s~at'~~~~~ of the Esz.atc of Edwin M. Przyb'ylski Town Cheektowaga _ ~ ~- f ~. - _,_....~:1~L~nf,1~ -- _._-- ~ -- - r a3~-~5u-n p , - ccca~z , . 2s q an s~ras ~~::~.~.~..a....:.~._: ~..............~~ __ .._.______ _ . _. . _ ~_. factorily accauntcd to me as legatee, devisee, disrributeP, GXr~ac of said decc2scd for all noncys and prDpcrty hold by said LcQal Representative. . Now, the: eforc, in consideration of the property hereto received by me to wit: and the Burn of $.37, 241.52. dollars, thc~rcccipt whereof is-hereby acknowl~dgct, I do hcrcdy release, exonerate a.~d discharge Henry Walczak (tiams of Legal Re~rescnuti~tJ as Executor/A~,-I~~ti±~~r~r~~~~t~of the Estate of Edwin NI. Prz,ybylski Znd the suscry on the bond given, of and from any and a.Il liability and accountability to me a.nd consenx that a dccrct may be m2dc and erttcrcd dsscharging said 1cg21 rcprescntativc of and from any and all claims, dcrnatxis, liabilit3~ .and accoun- Lability without further accounting. And I do hereby waive the issue and service on me of a citation to attend the judicial settlement of the accounts of said Legal Representative and any other proceedings taken in the Surrogate's Court of said County of Eric, pertaining or relating to the estate of said deceased. ~ L I hereby acknowledgc rcqucsud counsel fcts amounting to S 7 , 900 .00 . 9 299.58 and do further consent to fiduciary com .missions in the amount of S ' . Witness my hand this day of 201.0: ~~ ~~~~~~ ~~~~~~Irene Mace ewsk ~. .-~~ti J STATE OF NEW YORK County .of Eric SS. City of On this day of ~~ 2 010 pcrso-Wally appeared before me Irene Maciejewski to me known to bt the same person described in, and who cxecutrd the foregoing instrument, and severally acknowledged the execution thereof. • REV-1511 EX+ (12-99) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Irene H. Maciejewski 21-10-0382 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t' Feiser Funeral Home 7,571.00 2~ Flowers 35.00 3. Funeral Dress 159.00 4. Reception 300.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 2,000.00 Name of Personal Representative(s) Delphine I. Albert Social Security Number(s)IEIN Number of Personal Representative(s) street address 5265 Meadowbrook Drive city Mechanicsburg .state PA zip 17050 Year(s) Commission Paid: 2010 2. Attorney Fees 3 000.00 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. Probate Fees 75.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 300.00 ~. Cumberland Law Journal -legal advertisement 75.00 $. Patriot News -legal advertisement 137.24 9. Inheritance Tax Filing Fee 15.00 10. DPW Class 3 claim 20, 597.77 11. Postage 14 22 12. Reserves 1,000.00 TOTAL (Also enter on line 9, Recapitulation) $ 35,279.73 (If more space is needed, insert additional sheets of the same size) ~ pennsylvania SCHE[)ULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Irene H. Maciejewski 21-10-0382' Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses, ~ pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Irene H. Maciejewski 21-10-0382 RELATIONSHIP TO DECEDENT AMOUNT OR Sf•IARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2),] 1. Delphine I. Albert daughter 1/3_of residual 2. Diane Clarke daughter 1/3_of residual 3. Joan Gruszecki daughter 1 /3_of residual ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, A S APPROPRIATE, II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, insert additional sheets of the same size. . r REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA. ~. CERTIFICATE OF GRANT OF= LETTERS No . 20 / O- 00332 PA No . 2 / - / 0- 0382 Estate Of : IRENE H MA CIEJEWSKI (First, Midd/e, Last) Late Of: UPPER ALLEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No : 073-26-0699 WHEREAS, on the 9th day of April 2010 an instrument dated March 7th 1995 was admitted to probate as the last will of IRENE H MA CIEJEWSKI (First, Middle, Lastl late of UPPER ALLEN TOWNSH/P, CUMBERLAND County, who died on the 3 0th day of March 2 010 and, WHEREAS, a true copy of the wi I1 as probated i s annexed hereto . THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wi 11 s in and for CUMBERLAND County, in, the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: DEL PHINE ! A L BER T who has duly qualified as EXECUTOR(R/X) and has agreed to administer the estate according to law, all of which fully appears of record in my office a t CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNS YL VANIA. IN TE5TIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 9th day of April 2010. * *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST} ~rttst 3~i1I ~tn~ ~e~Y~zmettY OF IRENE $. MACIEJES~SRI I, Irene H. Macieje~tsk, of Washington Township, York County, Fer~n~~*l.vania, being cif sound and disposing mind, memory and ~1ndQr~tan~ding•, do make, publish and declare the foil_owing as and. fo~-..my Last Will and Testament, hereby revoking and. making void ax~y and al Wills and Testaments, or writings in the nature thereof by me at ahy time heretofore made. S. , I ~re~ct that all expenses of my last illness, including ho~p'ta1 expenses, expenses for medical care, funeral expehses and the cost of a gravemarker, as well as all debts or obligations owed ~- by me at the time of my death, which in the opinion of my Executors. are not subject to either a regal- or equitable defense, sha3.l be paid from my. residuary estate, unless otherwise provided herein, as soon as practicable after my decease, as a part of the expense of the administration of my estate. II. - I give and bequeath all items of tangible personal property whic'h~~ ~I ``~m~y own at the time of my death, including any automobiles which I may own, together with any incur-ante policies thereon in equal shares to my surviving childrE.n, to be divided among them in kir3d as tY~ey may agree. In the event that none of my said children their surviving issue equally and distributed to such issue in kind ~~ per capita. III. I give, devise and bequeath all the rest, residue and remainder~of my estate, real, personal and mixed, of whatever kind or character and wherever situated, which I may own or have the right to dispose of at the time of my death in equal shares to my children, Delphine I. Albert, Joan F. Gruszecki end Diane L. Clarke. In the event that .any of my children predecease me, the share of ~my deceased child shall not lapse but shall instead be distributed among said deceased child's issue, per stirpes. IV. iJty personal representatives and the Trustees of -any trust, created hereunder shall have the following powers 'and authority in addition to, and not fn limitation of, any oth.er.,ri:ghts :.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 es a legal investment by a f-duciary; B. To sell any estate or trust property, .for cash or on credit, at public or private sale; td ex~charg-e any of said property for other property.; to grant options to purchase ox acquire any estate or trust .property; .and to determine the prices and terms of sales,.~ex:changes and options; C. 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 r alter improvements.; to grant easements, giveconsents and make contracts relating to real estate or its use; and to release or dedicate any interest in real estate; 2 '"~.-3 ~-7Ti'"~ - i i"ri""`~'^'"Z'TY'~'~~V1'T37.'G'V1.-7.17i'i"-"'RZ 4'-iZ^'~Z'a-c~--~a~=~.cast-s-ra~-a'a'~`.-rccti'~c-aarrs~s"V"t the Trusts created hereunder; to execute promissory notes or other obligatioins for a~anounts so borrowed; and' to secure the payment of any amounts so borrowed by mortgage or pledge .of any real or personal property; provided, ~:~= however, that said authority may be exercised only to the extent that it is necessary or required in connection with the proper administration of my estate or any of the trusts created hereunder, and shall not be used far the purpose of -making speculative investments or for the purchase of securities on margin; E. 'To take any action with respect to conserving or realizing upon the value of any estate or trust property, a.nd with respect to foreclosures, reorganizations or otherchanges affecting the estate or trust property; to cc~lleet,, pair., 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; ~''. To keep any property in the name of a nominee, . with or without disclosure of any fiduciary relationship; ~G. To employ agents, attorneys, auditors, depositaries and proxies, with or without discretionary powers; Vii. To -give proxies, to deposit securities with and transfer title to .committees representing security holders and to participate in voting trust, reorganizations, ;and other transactions involving the common interest of security holders; I. To exercise any option to subscribe for or purchase any stocks,, bonds, certificates, or other securities which maybe given to it as the holder of ether, stocks, bonds, certificates, or other securities constituting a part of the estate or trust property; J. 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 9 a fiduciary hereunder; ' K. In the event that my spouse survives me, to j oin with my spouse or his personal representative in the f fling of any income or gift tax return for any period prior to my death and without requiring indemnification from my 3 L. 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 Executors are authorized but not required 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; - M. 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 benef iciary' ~s interest in -my estate shall be made by reason +~f the making of such election;: ~ ~-, ~ . -- ~ - - -- - N. 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 ether legal assessments, debts, claims or charges which at any time may be due and owing by, ?ar which may exist against gay estate or any' trust .established h~ere.i~n; O. To charge commissions or compensation for:..their services hereunder, which commissions or compensation in ~he~case of a corporate,fiduciary may be_.charged .against or payable from both principal and income x-eceived on an annual basis at such rates as may be provided in its published fee schedule in effect at the time s-aid services are performed; l P. To make any distributions or division of estate or trust property'in cash or in kind, or both. ~~ . I direct that all state and federal estate, succession, legacy, inheritance.or other transfer taxes, however designated, together with any interest thereon, that shall become payable by reason of m death with res ect to an \ Y p y property which is included in my estate for purposes of computing such taxes and subject to 5 4 .; -- . ,... _~-:., ;, . .,.._. ., .- ,.;;~,..~.~.~.-;.:-~. ...:.;: ,~-~«--~:~~~-,.';~-.rte-~:,:~,;~,..~~.--~..: :. ,. ..,.~~,....,:_>,;.,,.~ . _,,,~<;:r _ -:: ,:;,,,,# my~ residuary-. estate., as an expense of administration and withou apportionment.. 1 ~~ My. Executors shall have no duty or obligation to obtain .reimbursement fnr any such tax paid by them even though o~n proceeds of insurance or other property not passing under this Will. VI. I appoint my daughter, Delphine i. Albert, Executrix of this my Last Will and Testament. In~the event she cannot or does not desire 'to act as such Executrix,°then I appoint my daughter, Diane L. Clarke, Executrix in her place and stead. In the event she cannot or does not desire to act as such Executrix, then I appoint my daughter, Joan F. Gruszecki, Executrix in her place and stead. All shall serve without bond. Any fiduciary who is an individual shall be entitled to receive reasonable compensation for his or her 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 far it:s services hereunder shall be in accordance with its published fee schedule in effect at the time said services are performed. IN WITNESS WHEREOF, I have hereunto set. my hand and seal to this my Will this ~ day of ar~ 1.995. ~~ 7 ~ ~ (SEAL ) Irene H. Mac eje ki, 5 C" 6 .._ - .: ._, - I, Irene H. Maciejewski, the Testatrix,, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed said instrument as my Last Will,; that I signed it willingly; -and -that I .signed it as my free and voluntary act far the purposes therein contained. i Rene H. Maciejew ', Testatrix Sworn or subscribed to and ackn wledged before- /me this ~. y of ~ `a.r~'i 1995. . .~~ . __ ~~ " " ~- Notarial Seal , Lori A. Rodgers, Cdo#ary Public York, l'or4c Lourity ~: ~ . I,`3~re4~~??P VANIA ) -iliember, Perinsyi•~ar;ia7,ssociauon of Notaries ( S S . COUNTY OF ~~ 3~ORK We, the undersignedwitnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do-depose and say that we were present and saw the Testatrix, Irene H. Maciejewski,sign and execute the instrument as her Last Will; that the said Irene Vii. Maciejewski signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix, Irene Vii, Maciejewski, signed the Wiil as witnesses; and that ~to the 3~~st of our knowledge, the Testatrix, Irene H. Maciejewski, was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. itnes ~._ ~(~ Witness Witness Sworn or subscribed to and acknowledged before me this '~ da f Ina ~ ~t 19 9 5 . w ~ ~~ Notary Publi Notarial Seal Lori A. Rodgers Notary Fublic York, York County MY Commissian Expires Sept, y p ~ 99U Member, Fennsyivan)ags - 5ociation of Notaries COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne Jaime L. High Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Dear Madam: 3901 Market Street 717-737-0464 Camp Hill, Pennsylvania Fax: 717-737-5161 17011-4227 t''' ~ {, ~' ~ _ ~ 2010 July 6 C ~ :` L ' ~' , ~ +..~ --, ~" ~ :! ~ rw+~' = -~ ~ 4~ Re: Estate of Irene H. Maciejewski, Deceased No. 21-10-0382 We represent the Estate of the Late Irene H. Maciejewski. Enclosed please find an original and two (2} copies of the Inheritance Tax Return for this Estate. I{indly docket the original Return and return to me a "clocked-in" copy with the enclosed envelope. Also enclosed is the $15.00 Filing fee required for ding this Return. Thank you for your assistance. If you have any questions, please contact me. Very truly yours, LMC/amd Enclosure Cc: Delphine I. Albert, w/encl. COYNE & COYNE, P.C. ~~ Lis Marie Coyne