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HomeMy WebLinkAbout03-0033PETITION FOR PROBATE and GRANT OF LETTERS F~mte of ANNA M. KLINE No. abo known ~. To: Social Security No. Deceased. I 83-! 8-7881 Register of Wills for the County of Cumberland Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who 4s/are 18 years of age or older an the e~L~Q~er so na 1 in the last will of the above decedent, dated Ma rah I 5 and codicil(s) dated in the Represe~ives ,19 94 Patrick E. Kline has renounced his appointment (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cunlberland County, Pennsylvania, with er last family or principal residence at 71 5 ~q~ond Street New Cumberland, (list street, number and muncipality) Decendent, then 82 years of age, died November 5 t 2002 ,19 , at. Messiah Village: Upper Al~n Township, Cumberland County Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 715 ggcon,q P,lmha~l =n~] Pa,,n~-,, Penn_~y!vania WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~o ;'7070 I OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF O...x~--~,- ~ c~_~, c.~. f The petitioner(s) above-named s~vear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this i t~TM day of ANNA M. KLINE Estate of , Deceased DECREE OF PROBATE AND GRANT OF LETTERS ~ , · AND NOW ,.\i-~J~O.L~ I :~ : ~)-_00_:~ jt~' , m co~iderafion of me ~on on · e reverse side hereof, sa~ow proof hav~g b~n pr~ent~ ~fore me, IT IS DEC~ED ~at the ~ment(s) ~ted d~c~b~ therein be a~tt~ to probate ~d ~ of r~ord ~ ~e l~t ~ of ~d Letters ~e hereby ~t~ to Probate, Letters, Etc .......... Short Certificates( ) .......... Renunciation ................ TOTAL Filed .. ! r.i. ,~..-':e% ................... t'" ~?' - ~--rro~a, mY (s-p. ct. LD. ~o.) 3117 ~PPs~n~u~ Svreet Camp J~ll, PA 17011 (7~ v) ~-58oo Register of Wills of CUMBERLAND County, Pennsylvania RENUNCIATION Anna M. Kline Estate of also known as , Deceased No. ,~ The undersigned, Patrick E. Kline, co-Executor (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that tetlers be issued lo Roseann Nebinger and Timothy A. Kline WITNESS hand this ,~.-~ day of November , 2 O 0 2 (Signature) 21772 O'Toole Drive' Haser stownr Maryland (Address) 2174~ (Signature) (Address) (Signalure) Sworn to or alfirmed and subscribed before me this ,~+~1 day Notary~Public My Commission Expires: 7-/-0~ (Signature and ,eal of ~ ~ o~ offidal ~fl~ ~ ~m~ls~ ~. ~ date Fo~-m #RW-4 I:)rep~'ed by Ihe Penn~,lvanie Bar A~odet~o~ IcJgf (Address) CATHY M. VAUGHN NOTARY PUBLIC STATE OF MARYLAND My Commission Expires ~el,]e~l~a~ NOTE: Renunciations executed outside Ihs Office of Register of Wills In some counties are required to be notarized. LAST WILL AND TESTAMENT OF ANNA M. KLINE I, ANNA M. KLINE, a resident of 715 Second Street, Borough of New Cumberland, Cumberland County, Pennsylvania, 17070, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all other Wills and Codicils previously made by me. ITEM I: I direct the payment of all my just debts, expenses of my last illness, funeral expenses, perpetual care of my burial lot, suitable marker for my grave and the costs of administrating my estate from my estate as soon after my death as conveniently may be done. ITEM II: I give and bequeath to ROSEANN NEBINGER, my daughter, all my personal apparel and jewelry. ITEM III: I give, devise and bequeath all of the rest, residue and remainder of my estate, real, personal or mixed, tangible or intangible, of every nature and wheresoever situate, together with all insurance policies thereon, equally unto my three (3) children, namely, ROSEANN NEBINGER, PATRICK E. KLINE and TIMOTHY A. KLINE, absolutely, share and share alike, with the share of any deceased child to go equally to his or her children then living, per stirpes not per capita, and if not survived by children, then equally to my surviving children. ITEM IV: I direct that any and all taxes that may be assessed in consequence of my death, including all Inheritance, Estate and Transfer Taxes imposed upon my estate passing under my Will or otherwise, shall be paid out of the principal of my residuary estate as a part of the expense of the administration of my estate. ITEM V: I authorize and empower my personal representative and/or said Trustee representative to compromise, adjust, release and discharge in such manner as my personal representative may deem proper, all debts and claims owed by or to me or my Estate; to sell, lease or exchange at public or private sale or in such manner, at such prices, and upon such terms of credit oL otherwise, as my personal representative or said Trustee may deem proper, all or any part of my property, real or personal; to execute, acknowledge and deliver instruments of conveyance, including deeds in fee simple; to borrow money for the purpose of paying estate, inheritance or other taxes which are required to be paid and to secure any such loan by pledge or mortgage of all or any part of my property and to execute the necessary instruments to carry out such powers; to distribute my estate in kind or partly in money or partly in kind, and to determine the fair value at which any property so distributed in kind shall be received by the distributees; to conduct any business in which I have an interest at the time of my decease, for such period as my personal representative may deem proper, power to borrow money and pledge assets of the business and the power to do all other acts that I, in my lifetime could have done, to delegate such power to any partner, manager or employee without liability for any loss occurring therein and to organize a corporation to carry on said business as capital to such corporation and accept stock in the corporation in lieu thereof and hold such stock for the uses of this my Will, and to vote said stock or sell the same as to my personal representative may seem best; to retain all stocks, assets, bonds and investments owned by me without being confined to what is known as legal investments; to execute any options to purchase, to apply for stocks, bonds or other investments, to purchase or otherwise acquire real estate and to execute the same powers thereover as hereinbefore provided, to retain indefinitely any part of my assets, real or personal, which is or may become unproductive or to make sale thereof; to pay carrying charges and expenses of the property out of other principal or income of my estate; to invest and reinvest in all forms of property without restriction to investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to the principle of diversification or risk; to exercise any law-given option to treat administrative expenses either as income tax or as estate tax deductions, without regard to whether the expenses were paid from principal or income. The powers herein conferred shall be to my named personal representative and said Trustee and all successors thereto and shall be in addition and not in limitation of other powers conferred on said fiduciaries. ITEM VI: Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable to any beneficiary shall be made upon the sole receipt of the respective beneficiary to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge and free from control by the creditors of any such beneficiary. All shares of principal and income hereby given shall be free from anticipation, assignment, pledge or obligation of the beneficiaries and any of them and shall not be subject to any execution or attachment, levy or sequestration or other claims of the creditors of said beneficiaries or any of them. I?EM VII: I nominate, constitute and appoint my said three (3) children, ROSEANN NEBINGER, PATRICK E. KLINE and TIMOTHY A. KLINE, or the survivor of them, to be the sole Co-Executors of this my Last Will and Testament, to serve without bond. IN WITNESS WHEREOF, I, ANNA M. KLINE, have, to this my Last Will and Testament, set my hand and seal this /~7~f day of /~C,4 , 1994. ANNA M. KLINE (SEAL) Signed, sealed, published and declared by ANNA M. KLINE, the above-named Testatrix, on the I~t ~, day of ~~ , 1994, as and for her Last Will and Testament in the presence of us, who, in her presence and in the presence of each other have, at her request, subscribed our names as witnesses hereto. Nan~e - ~' COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF ) We, the undersigned, the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the Testatrix sign and execute the instrument as her Will, and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of their knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence; and I, the said Testatrix, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. //7 Testatrix [ · . Wftness~ Sworn to and subsc~r~i~bed ~efore me this ~ day of /~;~ , 1994. NOTARY PUbLiC / ~.~,.~.~ I THE LAST WILL AND TESTAMENT OF ANNA M. KLINE DATED: ROBERT E. MYERS ATTORNEY AT LAW 10~ YORK ROAD NEW CUM~EP. LAND, PA 17070 774-3153 Register of Wills and Clerk of the Orphans' Court Hanover and High Streets Carlisle, PA 17013 Re: Estate of Anna M. Kline #21-2003-0033 Enclosed please find a check in the amount of $23,150. as prepaymem of the Pennsylvania inheritance tax for the above referenced estate. Thank you. Timothy A. Kline, co-Personal Representative enclosure cc: Scott M. Dinner, Esquire danuary 27, 2003 S~.OTT ~. DINNER ESQUIRE 31 17 CHESTNUT STREET CAMP' HILL, PA lTOI Register of Wills Cumberland County Hanover & High Streets Carlisle, PA 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 00212O DINNER SCOTT M ESQ 3117 CHESTNUT STREET CAMP HILL, PA 17011 ........ fold ESTATE INFORMATION: SSN: 183-18-7881 FILE NUMBER: 2103- 0033 DECEDENT NAME: KLINE ANNA M DATE OF PAYMENT: 02/03/2003 POSTMARK DATE: 01/31/2003 COUNTY: CUMBERLAND DATE OF DEATH: 1 1/05/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $23,150.00 REMARKS: SCOTT M DINNER ESQ TOTAL AMOUNT PAID: $23,150.00 SEAL CHECK//0091 INITIALS: JA RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS Name of Decedent: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Anna M. Kline Date of Death: 11 ~05~2002 Will No. 200 3 - 0 0 03 3 Admin. No. To the Register: I certify that notice of (beneficial interest) 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 11 /26/200 2 - Name Address Patrick E. Kline 21712 O'Toole Dr. Hagerstown, MD 21742 Timothy A. Kline 3224 No. 2nd St. Harrisburg, PA 17110 Roseann Nebinger 317 11th Street New Cumberland, PA 1-1070 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: 4/25/2003 Capacity: __ Name Address $1.1 ? ~estnut St.~ Telephone ( 71 Y] 7 61 - 5 80 0 Personal Representative xx Counsel for personal representatives REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 21 03 00033 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Kline, Anna M 183-18-7881 z DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) ~ RETURN MU~T B~ FILED IN DUPLICATE ~ THE .o, 11/05/2002 10/05/1920 REGISTER OF WILLS Q IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INmAL) SOCIAL SECURITY NUMBER [] 1. Original Return [] [] n. timitedEstate [] [] 6. Decedent Died Testate (Atta~ copy [] of Will) [] 9. Litigation Proceeds Received [] ~AME Scott M. Dinner :IRM NAME (if applicable) Law Office of Scott M. Dinner tELEPHONE NUMBER 717/761-5800 [] 3. Remainder Ratum (date of deam prior t~ 12-13-82) 2. Supplemental Return 4a. Future Interest Compromise (date of dee~ [] 5. Federal Estate Tax Return Required after 12-12-8~) 7. Decedent Maintained a Living Trust (Attach 0 8. Total Number of Safe Deposit Bo~es copy of Trust) 10. Spousal Poverty Credit (date of (lea~ between [] 11. Election to tax under Sec. 9113(A) (Attach SCh O) COMPLETE MAILING ADDRESS 3117 Chestnut Street Camp Hill, PA 17011 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 102,500.00 None None None 314,579.36 129,001.64 None 11,878.61 3,430.00 3. Closely Held Corporation, Partnemhip or Sote-Propriatorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Pemonal Property (5) (Schedule E) 6. Jointly Owned Properbj (Schedule F) (6) [] Separate Billing Requested 7. Inter-V'~os Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (tota~ Unes 1-7) 9. Funeral F_xpe~ses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Uabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Une 8 minus Une 11) 13. Charitable and GovernmerCtal Bequests/Sec 9113 Trusts for which an election to tax has not bean made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus line 13) OFFICIAL USE ONLY (8) ~ ~46,081.00 (11) 15,308.61 530,772.39 530,772.39 (12) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Une 14 taxable at the spousal tax rate, x .00 or transfers under Sec. 9116(a)(1.2) 16. Amount of Une 14 taxable at lineal rate x .045 17. Amount of Line 14 taxable at sibling rate x .12 18. Amount of Une 14 taxable at collateral rate x .15 19. Tax Due 530,772.39 (15) (16) (17) (18) (19) 23,884.76 23,884.76 Copyright 2000 form software only The Lackner Group, Inc. Form REV-IS00 EX (Rev. 64)0) Decedent's Complete Address: ' I .STREET ADDRESS I CITY STATE PA 715 Second Street New Cumberland Tax Payments and Credits: 1. Tax Due (Page I Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty 23,150.00 1,194.24 17070 (1) Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page t Line 20 to request a refund If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 23,884.76 24,344.24 0.00 459.48 0.00 (4) (5) (SA) (5B) 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 prope~y transferred or its inc,~me; ......................................... c. retain a reversionary interest; or ..................................................................................................................... d. receive the promise for life of either payments, benef~s 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 Indi~:lual R~rement Account, annuity, or other non-pmb~e propaty which co nsaben d ign on? ........................................................................................................................ [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT .aS PART OF THE RETURN. Under penalties of pa~u~, I declare that I have examined this tatum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is tree, correct and complete. Declaration of preparer other than the pamonal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE Timo~ Kline 6 C_,L JUL [ 8 ?.003 SIGNATURE OF PERSO~ RESPONSIBLE FOR FILING RETURN SIGNAT0-RE'OE~REI~ARER OTHER mAN REP~SENTAn~ 3224 North Second Street Harrisburg, PA 17110 ADDRESS DATE 317 llth Street JUL 2 0 2.003 New Cumberland, PA 17070 ADDRESS DATE JUL 1 7 1..003 3117 Chestnut Street Camp Hill, PA 17011 For dates of death on or after July 1, 1994. end before Januery 1, 1995, thetaxrate imposed on the net valueof transfem toor for the use of the surviving spouse is 3% [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 sun~ing spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not ex~rtpt a transfer to a sun~iving spouse from tax, and the statutory requirernents for disclesum 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 twanty-one yeas of age or younger at death to or for the use of a natural parent, an adopth~ parent, or a stepparent of the child is 0% [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 4.5%, excel~ 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 12% [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 bkxid or adoption. COMMOf4AF.~L1H OF PEI4qSYLVAMA IN*~SRITAM:~ TAX RETL,t~ SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Kline, Anna M 21 - 03 - 00033 a~ll ,re~..I prope .r~y own ,~1. solely or as '.a .tpnant in c...qmm, on must be .m..ported at fa!.r m.arket value. Fair m.arket value is defined as the price wnicn.p, ro. peny. would .o.e. excn. ang .ed. oe. tw_een .a wiuing puye. r.a.no, a.w.illi~.'.g seller, ne!th.er o.e!n.g .compelled to ouy or se,, both having reasonaoe Knoweoge oT me mevant ;acts. ~[eal property wmcn m jo,nay-owned wire ngnz or survivomhlp must be disclosed on schedule F. ITEM NUMBER ! DESCRIPTION VALUE AT DATE OF DEATH 102,500.00 appraised value of personal residence located at 715 Second Street, New Cumberland, Cumberland County, Pennsylvania [ see attachment #1 ] TOTAL (Also enter on Une 1, Recapitulation) 102,~00.00 UNIFORM RESIDENTIAL APPRAISAL REPORT F.. No. S212003 pro.ny Aadress 715 Second Street CW New Cumberland S~ate PA Zio Code 17070 LegalDescription De~ed Book 119; Page 220 Cou_n~ Cumberland Assessor*s Parcel No, 25-25-0006-155 Tax Year 2002 R.Ei Taxes $ 1,651.00 SPe~a~ Assess,~e.ts $ NoneKno Sorrower N/A Current Owner Anna M. Kline Occupant Owner Tenanl X Vacanl ~Properly rights appraised X Fee Simple Leasehold Proiect Type PUD Condominium IHUD/VA only) HOA.~ N/A ,Mo_ Neighborhood o~ Project Name New Cumbedand Boro _ Map Reference ADC's 21 B-5 Census Tract 3240-108 Safe Price $N/A Date ot Sa~e N/A Description and $ amount of loan charge-aJconcessions to be pa~d by seller N/A Lender/ClientEstate of Anna M. Kline Address715 Se(;ond Street; New Cumberland, PA 17070 Ap~aiser Mic~h{~el Henniqan Address400 Beacon Hill Road New Cumberland, PA 17070 Location X Urban Suburban Rural ' PredominantSingle family housing Presen! land use % Land use change Marketincjtime Unde~3mos X 3-6mos. .over6mos. 'vac..~t{ove~a%) 100-110 55-65 VcntLnd 10 Neighborhood boundaries and characl, edstics: The subject property is bounded to the N_orth by Third_Street; Rt. 114 to the South; Susquehanna River to the East and Rt. 83 to.the West This New Cuimberland Boro.neighbo[hood.is _con3prised p_ri.m_ arily of properties reflecting similar quality, maintenance, design, appeal and marketab[lity to.th~ ~ub. jeqt.pr_o, ped~y..~vailabjlity for t_h{s Deighborhood. of public serv cos combined with average access to e-mploy~len_tL_s_h_oppin_g._schoPl~ and_ w~orshjp giv_e_$..i[_a_ s_im_ilar appeal to the _marke~t as other nearb, y neighborhoods. No u_n_fa_vorable ~fsc~t_Qrs .were.~bse~e_d .which.__Wo_u_ld_ .adversely afl_act _marketability. There are no foreseeable economic trends which might ~nificanfly influer!~e market condilions in this area. The current mQrtgage market offers a wide v_adety of conventional_ 10aP~..with competitive interest rates. As a result, the terms of financing have little, if any, impact on sale pd_ces. If interest_rates remain reasonable, property values and marketability should be stal~le. iProject Information for PUDs (If applicable) -- Is ~ developer/builder in control of the Home Owlets Association (HOA)? Yes No Dimensions 56' x 140' X 56' X 140' ..... Topography Street Level Site area .18 Acres Co~ler LotYes ~ No S~ze Typical for Area Gas X Curb/gueer Concrete . X .~opa;ent easements Typical Utility Easements Sanitar) sewer X Street lights Mercury Vapor ~(' FEMA Zone C Map Date 2/16177 Storm sewer X_ Alley Asphall FEMA MaD NO 420366 B GENERAL DESCRIPTION EXTERIOR DESCRIPTIOi~ FOUNDATION ISASEMENT No of Units t Foundation Conc BJock Slab No Area Sq Ft 960 No of Stories 1 .~ Exterio~ Walls Stone ~ Crawl Space No 1% Finished 70 Type (DetJAtt) DetachedRoof SurfaceComp Shing~ Basement Full I Ceiling Accoustic Design (Style) 1.5 Story Gutters & Dwnspls. Aluminum ! Sump Pump NO } Walls Panel Existing/Proposed ExistingWindow Type Double Hun ! Damcmess None EvidentJ I=ioo~ Carpet Age (Yrs) 75 Storm/Screens Both ~ Settlement None Evident Outside Entry NO Effective A~ IYrs,) 25 Manufactured House NO / nfestatio~ None Ev dent ROOMS Foyer Living Dining .Kitchen Basement I 0.50 x Level 1 I I iI - 1 0.50 Level 2 ..... 2 1.00 Fin,shed a~ea above ~lrade contains: ~ Rooms; 3 Bedroom{s); 1.50 Bathls); 1 ,§Q0 INTERIORMatcdats/Conditiou HEATING KITCHEN EQUIP.' ATTIC AMENITIES Floo~s Cpt/HW/Vinyl/Avg Type Ht WtrRefrigerator X; None X Fireplace(s) # 1 Walls Plaster/Avg Fuel Oil Range/Oven X Stairs Palio Trim/Finish Wood/Average Conditio~Average DisposalDrop Stair Deck Bain Floo~Vinyl/Average COOL~NG Oishwasher Scuttle Porch Covered Ba~h Wainscot Ceramic tile/Avg Central Ctd Air Fan/Hood Floor Fence Doors Wood/Avg Other Nor)e Mio-owave Heated tNSULATION Root Ceiling Aver X Wails Aver X Floor Aver X None Unknown Den . Famil~ Rm: Rec. Rm.. Bedrooms. # ~aths Laundry . O~er A~ea Sq. FL 96O 96O 64O CAR STORAGE X None Garage 2 #or ca~s Affached X Detached . 2 Carp~l CooditiorAveraqe WasherlDr'/~ Finished Driveway( Additio~al features {special energy elflcient items, etc.): Fireplace in Living Room; 24' x 20' Detached Garage; Stone exterior; ICondilion Of the improvements, depreciation (physical. functional, and external), repairs needed, auahly of constructor1, remodehng/add~t~ons, etc The subject~ is in average condilion on both the interior and exterior. The subject has a standard floor plan and amenities. No I evidence of functional or economic obsolescense was observed. ~ immediate vicinity of the subject prope~ty.No adverse environmental conditons were observed at the time of inspection. ' Freddie Mac Form ?06-93 Fannie Mae Form 1004 (6-93) ATTACHMENT Ivlicha,~ Henniga~ ;q:;praisals UNIFORM RESIDENTIAL APPRAISAL REPORT .~,0~ ~m~S ~ Cost Ap~ (su~ , ~{te va~ue, ~m f~ ~ 3 : . The Ma~h~'.~.[ S~(~t Cp~ ~- ~!d ~ com~n~ ~he c~t ao~ro~ch utii;z:r,g 47.~i0"ave) age~ quaPkA 77,352 ~.~ E~ Rem ~: Urn: ~ _.}~5 .......... 7~5 S~'c~d S~t 801 Ro~n~ Ave~e ~4 Sec~d S[reet 805 Fif~ Stme[ .... -. ' , ~ ~: C,,m~r,d Ne~ C,,,nb~r~'~ : New Cumberland c~ IJ~an~ve~g~.LU~PfSve(~; ' U~an~6v~ra~: ~, Fee :Simae ·12.Asres Recde,~t:al/Avef. : 2 Story/~Xe~ege ~- 1,5,30~ 8ncklA;er~(;le , 4~ .... Ayerage FU:I ~asemeat +2,00~ FWNCt; ~r · 2,03~ S~orm Windcws, Average P~. pa~ oe~, C~vered por~ C0v~'~ Pc~h ~ Wood Oeck ¢an~, ~:, elc. AveragQ : ~Bge i Averts . sames are cons*tiered average ipdi.~Eto?~ of ;:al.4~A~.( w~ighia¢.~[[~ ~r ~he fineL~qncJiiation. Due to numOe~ of sinl;!ar ~:e~ }~ the subj~t.o~h~o~ c~ps v?e~ se,e:sJed (ro~ a wider ra0ge [,nd,:.or cider if, an id~l. cons,dared (r~.~ best a~'Q;)abta fro:zk~[j~mes ind;~_~L8 ~nd S~ N/A ~nsidered o.qiy the~e items tPA:.we~e p~m~!;~j]U~.a;t~hed to ~f,e prope~tA ~s F~', ~i¢n: The mad~et a~2roS~. ~.D~ ~sl aD¢.F~Cb .tOt ~)ia [ype of propeJy.~no the one rcr wbicb I:~e mos~ I ~E] E0~V~TE T~E M~KET VA~UE, ~ OEF~, ~ T~ REN. PR~I~ ~T I~ ~E SCBJEC~ ~.TNI$ RE~MT, A3 OF December (Y~IIC~ I$ THE DATE OF IN$I~C TlO~ll~Ilil. Ili, l,,liCtlw,- U~lll ~.~ TNIS lil,OfOI TO ei~ II 102,5'0.0 cam ~i S:~ e~n:,~.~,. 2032 ~ R~ s~ ~S~ U~Se ~ ~lu Or $ta~ Li~ e 9."1 D,o t',~t j COIdMOf~/~cALTH OF PE)I~SYLVAMA I I~I'ERITN, ICE TAX ~ RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Kline, Anna M 21 - 03 - 00033 Inclu.de the. Droce~.s. of I[t. iga.tion a.nd the .date. t.he.Droceeds were received by the estate. All property jointly-owned with the right of survlvorsnlp must ~e alSClOSe¢l on scneuule i-. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 85,957.89 Fulton Bank certificate of deposit acct. # 522-0065994 [see attachment #2]; includes $34.47 of accrued interest. Citizens Bank certificate of deposit acct. # 00145226 [see attachmem #3]; includes $15.73 of accrued interest. Commerce Ba~rlarrisburg certificate of deposit acct. # 9713 [see attachment ~4] includes $466.90 of accrued interest PNC Bank certificate of deposit acct. # 21001016403 [see attachment #5] includes $63.14 of accrued interest 1979 Cadillac Sedan DeVille vin# 6D69599159311 [average of high and average retail prices per NADA appraisal guide] personal property TOTAL (Aisc enter on Line 5, Recapitulation) 64,213.94 69,964.86 85,805.17 4,787.50 3,850.00 314,579.36 People dedicated to your success,- P.O. BOX 1189 + HARRISBURG, PA 17108 June 20,2003 Scott M. Dinner, Esquire 3117 Chestnut Street , ~ ~,,% %q Camp Hill,' Pa 17011 ~,,~,A~,- ~ ~', .... . _ ' Regarding your leae~out Mrs. ~ine accosts here at Fulton B~, ~e bal~ce as of Noy~er 20~ for the CC~ficate of deposit ~522-0065994 was $85,923.42 M~ ~ interest check ~,was mailed out 11/28/02 for $133.65. ~e ce~ificate was redeemed3/64/03 ~ the mo~t of $85,934.64. ~is accost was ~der no other name and Mrs. ~ine has no other accosts here at Fulton Bank. If you have any questions regarding this or I can be of further help please call me at 255-7674. Sincerely, Customer Service Representative West Shore Office ATTACHMENT #2 CITIZENS BANK 525 William Penn Place Suite 153-2510 Pittsburgh, PA 15219 June 26,2003 SCOTT M. DINNER, ESQUIRE 3117 CHESTNUT STREET CAMP HILL, PA 17011 Estate of ANNA KLINE Date of Death: Nov 05, 2002 SSN: 183-18-7881 Dear Sir/Madam: In accordance with your request, the attached information sheet has been provided in the above decedent's name as of his/her date of death. For IL or LC accounts, contact our Loan Department at 1-800-708-680. For all other inquiries, please call 412.867.2373. Sincerely, Robert Roos Operations Services ATTACHMENT # 3 CITIZENS BANK Account Number 6140697468 Account Title ANNA KLINE Date Opened 04/14/1995 Account Type Time Deposits Principal Balance as of DOD $64198.21 Interest from Last Posting to DOD $15.73 Account Balance as of DOD $64213.94 YTD Interest to DOD $1193.39 Commerce Bank. July 10, 2003 Scott M Dinner, Esquire 3117 Chestnut St Camp Hill, PA 17011 RE: Estate of: Anna M Kline Social Security #: 183-18-7881 Date of Death: November 5, 2002 Dear Sir/Madam: In reference to the letter regarding the above mentioned Estate, we would like to inform you of the information that we have researched and found. Type: Time Deposit Account #: 9713 Date Opened: 12/29/94 Date Closed: 1/29/03 Primary Owner: Anna M Kline Date of Death Balance: $69,964.86 Accrued Interest: $466.90 Principal Balance: $69,497.96 If there are any questions or additional information that is needed, please feel free to contact me at (717) 795-7118 ext. 3151. Sincerely, CIF Team Leader ATTACHMENT #4 --- Commerce Bank / Harrisburg, N.A. P.O. Box 8599 100 Senate Avenue Camp Hill, Pennsylvania 17001-8599 PNCBAN( June 27, 2003 Scott M Dinner Attorney at Law 3117 Chestnut St Camp Hill, PA 17011 SCl> RE: Estate of Anna M Kline (Deceased) $SN: ! 83-1 g.-7881 DOD: I 1-05-2002 D~r Mr. Dirmer: In response to your request for Date of Death balances for the customer noted above, our records show the tbllowing: Certlfleat~ of Deposit Aceount~21001016403 Established 01-05-1995 ANNA M KLINE DOD balance: $85,742.03 + $63.14 accrued interest Please note that thi~ office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any financial transactions or prox4de staternems. If you need assistance with any of these items, please call 1-88g-PNC-BANK (1-888-762-2265) or stop by >'our local PNC Bank branch office. Sincerely, Erica L Schlegel PNC Decedent Reporting Firstside Center 500 First Ave, 4' F1 CIF Pittsburgh PA 15219-3128 1-800.-762-1775 Member FDIC Pago 2 of 2 TOTAL P, 01 ---ATTACHMENT #5 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Kline, Anna M 21 - 03 - 00033 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Timothy A. Kline Son B Roseann Nebinger C Patrick E. Kline 3224 North Second Street Harrisburg, PA 17110 317 11 th Street New Cumberland, PA 17070 21712 O'Toole Drive Hagerstown, MD 21742 Daughter Son JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY ITEM LETTER DATE % OF DATE OF DEATH NUMBER FOR JOINT MADE Include nane of finarmial institution and bank account number or DATE OF DEATH DECD'S VALUEOF TENANT JOINT similar identifying number. Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTERES~I 1 A 01/29/1997 Waypoint Bank ckg. account # 8903000133 [per 6,955.92 50% 3,477.96 information notice] 2 A 02/22/1991 Waypoint Bank ckg. account # 700016944 [per 9,741.21! 50% 4,870.61 ' information notice] I 3 A 02/02/1997 Waypoint Bank cd acct. # 18,645.66 50% 9,322.83 8955306886 [per information notice] 4 A, B, C 06/19/1995 Ferris Baker & Watts brokerage acct. # 48149569 [see 445,320.96 25% 111,330.24 attachment #6] TOTAL (Also enter on line 6, Recapitulation) 129,001.64 COMMONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. LBO601 HARRISBURG, PA 17128-0601 REV-15q3 EX AFP COg-O0) ZNFORHATZON NOTZCE AND TAXPAYER RESPONSE FZLE NO. 21 03-0035 ACN 05107318 DATE 03-10-2003 TIMOTHY A KLINE 322q N 2ND ST HBG PA 17110 EST. OF ANNA M KLINE S.S. NO. 183-18-7881 DATE OF DEATH 11-05-2002 COUNTY CUMBERLAND TYPE OF ACCOUNT []SAVINGS [] CHECKZN( [] TRUST [] CERTTF o REMTT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE· PA 17013 NAYPOINT BANK has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain mritten correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART ! BELOW x x x SEE REVERSE SZDE FOR F~LZNG AND PAYMENT ZNSTRUCTZONS Account No. 8903000133 Date 01-29-1997 Established Account Balance 6 · 955.92 Percent TaxabLe X 5 0.0 0 0 Amount SubSect to Tax 3, q77.96 Tax Rate X . 15 PotentiaI Tax Due 521.69 To insure proper credit to your account, two (Z) copies of this notice must accompany your payment to the Register of Nills. Hake check payable to: "Register of Wills, Agent". NOTE: If tax payments are made within three (3) months of the dacedent's date of death, you cay deduct a SZ discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE A. [] The above information and tax due is correct. 1. You may choose to remit payment ta the Register of Wills wlth two copies of this notice to obtain CHECK a discount or avoid interest, or you may check box "A" and return this notice to the Register of ONE ~ .ills and an official assessment .i1! be issued by the PA Department of Revenue. BLOCK ] B. [] The above asset has been er will be reported and tax paid .ith the Pennsylvania Inheritance Tax return ONLY to be filed by the decedent's representative. C. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART [] and/or PART [] below. PART ~. Zf you /nd/cate a different tax rate· please state your relationship to decedent: RETURN - CONPUTATZON OF TAX ON JOZNT/TRUST ACCOUNTS TAX LTNE 1. Date Established 2. Account Balance $. Percent Taxable ~. Amount Subject to Tax S. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART DATE PAID DEBTS AND DEDUCTZONS CLAZMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line $ of Tax Computation) Under penalties of perSury· I dec/are that the facts T have reported above are true· correct and complete to ~he best of my knowledge and belief. HOME ( ) WORK ( ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-ZS&5 EX AFP (09-00) ZNFORNATZON NOTICE AND TAXPAYER RESPONSE FILE NO. 21 03-0035 ACN 03107316 DATE 03-10-2003 TIMOTHY A KLINE 322q N 2ND ST HBG PA 17110 EST. OF ANNA M KLINE S.S. NO. 183-18-7881 DATE OF DEATH 11-05-2002 COUNTY CUMBERLAND TYPE OF ACCOUNT [] SAVINGS [] CHECKTNG [] TRUST [] CERTTF. REHTT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 #AYPOZNT BANK has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain eritten correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-&3Z7. COMPLETE PART ! BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 7000169qq Date 02-22-1991 Established Account Balance 9,7ql.21 Percent Taxable X 50.000 Amount Subject to Tax q,870.61 Tax Rate X .15 Potential Tax Due 730.59 To insure proper credit to your account, two CZ) copies of this notice lust accompany your payment to the Rag[star of Nills. Make check payable to: "Register of Wills, Agent". NOTE: If tax payments are made within three (3) months of the decedent's date of death, you may deduct a 52 discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE CHECK ONE BLOCK ONLY PART TAX LTNE A. [] The above information and tax due is correct. Z. You may choose to remit payment to the Register of Wills with t,o copies of this notice to obtain a discount or avoid interest, or you may check box "A" and return this notice to the Register of Wills and an official assessment ,ill be issued by the PA Department of Revenue. B. [] The above asset has been or ,ill be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. C. [] The above information is incorrect and/or debts end deductions were paid by you. You must complete PART [] and/or PART [] below. If you indicate a different tax rate, please state your relationship to decedent: RETURN - COMPUTATION OF TAX ON dOZNT/TRUST ACCOUNTS 1. Date Established 2. Account Balance 2 3. Percent Taxable 3 X q. Amount Subject to Tax $. Debts and Deductions 6. Amount Taxable 6 7. Tax Rate 7 8. Tax Due 8 PART DATE PAID DEBTS AND DEDUCTZONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line S of Tax Computation) Under penalties of perjury, Z declare that the facts T have reported above are true, correct and complete to the best of my knowZedge and belief. HOME ( ) WORK ( ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE COMMONi4EALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-lSq5 EX AFP (09-00) INFORMATION NOTICE AND TAXPAYER RESPONSE TIMOTHY KLINE 522q N 2ND ST HBG PA 17110 FILE NO. 21 05-0055 ACN 05107515 DATE 05-10-2005 TYPE OF ACCOUNT EST. OF ANNA M KLINE [] SAVTNSS S.S. NO. 185-18-7881 [] CHECKINE DATE OF DEATH 11-05-2002 [] TRUST COUNTY CUMBER LAND [] CERTIF. REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 #AYPOINT BANK has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this fer~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (7173 787-83Z7. COMPLETE PART ! BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8955506886 Date 02-02-1997 Established Account Balance 18,6q5.66 Percent Taxable X 50.000 Amount Subject to Tax 9,522.85 Tax Rate X .15 Potential Tax Due 1,598.q2 To insure proper credit to your account, two (Z) copies of this notice must accompany your payment to the Register of #ills. Hake check payable to: "Register of Wills, Agent". NOTE: If tax payments are mede within three ($) months of the decedent's date of death, you may deduct a SZ discount of the tax due. Any inheritance tax due wil! become delinquent nine [9) months after the date of death. PART TAXPAYER RESPONSE CHECK ONE BLOCK ONLY A. [] The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. C. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART [] and/or PART [] below. PART If you indicate a different tax rate, please state your [] relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Bate Established I 2. Account Balance 2 3. Percent Taxable 3 ~ q. Amount Subject to Tax q $. Debts and D~ductions S 6. Amount Taxable 6 7. Tax Rate 7 ~ 8. Tax Due 8 PART DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line S of Tax Computation) Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowZedge and bezier. HOME ( WORK ( ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE ESTATE EVALUATION OF dT ACGOUNT fOR Ann& Klino ~ ~ DATE OF DEATH: t1/08/02 \~ ' PREPARED: 11108/02 NO. Pff/CE PER TOTAL 25% VALUE_ t~,~ Duke Ene~ ~. ~ ~K ~1~ S6,~ 3ll.~ Fulton FtM~ ~ ~ff~ ~T IL~ 82~.7~ ~,~0t ~,2~0 Tm~ ~ ~ A ~f~ T~A 14.06~0 S3Sl.~ ~.o~ w,~ ~ 02114~03 wT ~.62~ 621.~o.~ ~,30~6o00 TOTAL ~U~IE$ ~s,~,~o A ~NT TOTAL ~5,~2o.~o JOHN R, HERSHEY fll , SENIOR VIC~ PRESIDENT ', ***PLTTA~F- NOT~, THE INFORMAl*tON HEREIN HAS BF. EN OBTAINED FROM SOURCES BELEtVED TO BE RELiABL.E 9UT I~ NOT OUAI~NTEED t3Y U8 AS 1'O ACCUI~OY OR AUTHF_NI'iCtTV, , ,:: TOTAL_ P. ~2 ATTACHMENT # 6 ESTATE OF Kline, Anna M SCHB3ULE H ~EXPENSES& FILE NUMBER 21 - 03 - 00033 Debts of decedent must be reported on Schedule I. ITEM NUMBER Ao DESCRIPTION FUNERAL EXPENSES: Musselman Funeral Home, Inc. Lemoyne, Pennsylvania Gate of Heaven Cemetery Mechanicsburg, Pennsylvania ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Pemonal Reprasentati~=(s): Stree~ Address City State Zip Year(s) Commission paid Attorney's Fees Scott M. Dinner, Esq. Family ~ion: (If decedent's address is not the same as claimant's, attach explanation) Claimant Stre~ Address City Stae Relationship of Claimant to Decedent Prebate Fees Cumberland County Register of Wills Accountant's Fees Tax Re~um Preparer's Fees Other Adrninistrath~ Casts estate notices - Cumberland Law Journal/The Sentinel appraisal of real estate paid to: Michael Hennigan Appraisals - New Cumberland, Pennsylvania Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) AMOUNT 7,381.50 875.00 1,800.00 400.00 194.21 275.00 952.90 11,878.61 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Schedub H ESTATE OF FILE NUMBER Kline, AnnaM 21 03 - 00033 utilities (sewer, water, phone, oil & electric) for three (3) months house maintenance costs for three (3) months (primarily snow removal) paid to: D J Maintenance - Harrisburg, Pennsylvania 384.82 568.08 Page 2 of Schedule H COIdMOI&NEALTH OF PEM~SYLVAMA REelDEN~ DEC~DENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Kline, Anna M 21 - 03 - 00033 Include unmimbumed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 2 3 real estate taxes - West Shore School District skilled nursing care - Messiah Village [net of Itc insurance reimbursement] prescriptions/medical supplies - Pharmerica TOTAL (Also enter on Line 10, Recapitulation) 1,177.77 1,703.61 548.62 3,430.00 REV-1513 EX+ (900) ~ SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Kline, Anna M 21 - 03 - 00033 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE [. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Roseann Nebinger Daughter one-third of residue 317 11 th Street plus personal property New Cumberland, PA 17070 2 Patrick E. Kline Son one third of residue 21712 O'Toole Drive Hagerstown, MD 21742 3 Timothy A. Kline Son one-third of residue 3224 North Second Street Harrisburg, PA 17110 Enter do#ar amounts for distributions shown abo~ on linas 15 throuoh 18, as appropriate, on R~v 1,500 eo~r sheet II. .O.-Tt0~LE D~Sm~SUT~OnS: n. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR ~ICH AN ELECTION TO TAX IS NOT BEING MADE · B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NOI~TAXABLE DISTRIBUTIONS ON MNE 13 OF REV-1500 COVER SHEET 100 Y02i~. IF T~I$ WiLL IS EEPLAC~3 BY A N~EW LAST WILL AND TESTAMENT OF ANNAM. KLINE I, ANNAM. KLINE, a re~£dent of 715 Second Street, Borough of New Cumberland, Cumberland County, Pennsylvania, 17070, being of soun~ and disposin9 mind, memory and understanding, do hereby make, publish and declare this to Be my Last Will and Testament, hereby revoking all other wills an~ Codicils previously made by me. ~TZ~t I: I direct the payment of all my just debts, expenses of my last illness, funeral expenses, perpetual care of my burial lot, suitable marker for my grave a~d the costs of a4ministrating my estate from my estate as soon after my death as conveniently may be done. ITeM IX: I give and bequeath to R0S~ANN NEBINGER, my daughter, all my personal apparel and jewelry. Z1~gl~ III: I give, devise and bequeath'a~l of the rest, residue and remainder of my estate, real, personal or mixed, tangible or intangible, of every nature and wheresoever situate, together with all insurance policies thereon, equall~ unto my three (3) children, namely, ROSEANN NEBINGER, PATRICK E. KLIN~ and TIMOTHY A. KLINE, absolutely, share and share alike, with the share of any deceased child to go equally to hi~ or her children then living, per stirpes not per capita, add if not survived by children, then equally to my surviving children. ix8 :d 8~SI91:01 : WO~.4 d6£ :i0 ~O~-9~-AON ITI~ 1~/= I direct that any and all taxes that may be assessed in consequence of my death, including all Inheritance, Estate and Transfer Taxes imposed upon my estaCe passing under my Will or otherwise, shall be paid out of the principal of my res£duary estate as a part of the expense o~ the administration of iTEM Vt ! authorize and empower my personal representative and/or said Trustee representative ~o compromise, adjust, release and d£scharg~ in such manner as my personal reprusentative may deem ~roper, all debts and claims owed by or to me or my Estate; tO sell, lease or exchange a~ public or private sake or in such manner, at such prices, an~ upon such terms of credit o= otherwise, as my personal representative or sai~ Trustee may deem proper, all or any part of my property, real or personal: to execute, acknowledge and deliver instruments of conveyance, including deeds in fee simpl~ to borrow money for the purpose of paying estate, inheriCance or o~her taxes which ar= required to be paid and to secure any such loan by pledge or mortgage of all or any part of my property and to execute the necessary ins=ruments to carry out such po~ers; tO ~is~ribute my estate in kind or partly in money or partly in kind, and to determine the fair value at which any property so distributed in kin~ shall be receives by the distr£butee~ to conduct any business in which I have an interest at the time of my decease, for such period as my personal representative may deem proper, power to borrow money and p~eage assets of the business and the power to do all other acts that I, in my lifetime could have done, to delegate such power to any l / £: d 808S 19i: Ol : WO~.~ d6£: AO 8008- 9~ - AON partner, manager or employee without liability for any loss occurring therein and to organize a corporation to carry on said business as capital to such corporation and accept ~tOCk in the aorporation in lieu thereof and hold such stock for the uses of this my Willr and to vote said stock or sell the same as to my personal representative may seem best~ to retain all stocks, assets, bonds and investments owned by me without being confined to what is known as legal investments; to execute any options to purchase, to apply for stouks, bonds or other investments, to purchase or otherwise acquire real estate and to execute the same powers thereover as hereinbefore provided, =o re~ain indefinitely any part of my assets, real or personal, which is or may become unproductive or to make sale thereof; to pay carrying charges and expenses of the property ~ut of other principal or income o~ my estate; to invest and reinvest in all forms of property without restriction to investments authorized for Pennsylvania fiduciaries, as ~hey deem proper, without regard to the principle of diversification or risk; to exercise any law-given option to treat administrative expenses either as income tax or as estate tax deductions, without regard to whether the expenses were paid from principal or income. The powers herein conferred shall be to my named personal representative and said Trustee and all successors thereto and shall be in addition and not in limitation of other powers conferred on said fiduciaries. L~b :c~ 80~I9,L :01 :MO~_-I c~ :£0 ITEN VI: Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable to any beneficiary shall be made upon the sole receipt of the respective beneficiary to whom the payment is made, and fre~ from anticipation, alienation, assignment, attaohment, and pledge and free from control by the creditors of any such beneficiary. All shares of pr£ncipal and i~come hereby given shall be free from anticipation, assignment, pledge or obligation of the beneficiaries and any of them and shall not be subject to any execution or attachment, levy or sequestration or other clalms of the creditors of said beneficiaries or any of them. ITeM VII: I nominate, constitute and appoint my said three (3} children, ROSEANN NEBING~R, PATRICK ~. KLINE and TIMOTHY A. KLINE, or the survivor of them, to be the sole Co-Executors of this my Last Will an~ Testament, to serve without bonfl. IN WITNRSS ~F, I, ANNA M. KLINE, have, to this my Last Will and T~stamen=, set my hand and seal this /%~}~ day of ANNA ~. KLINE (SEAL) Signed, sealed, published an~ declared by ANNA M, KL~NE, the above-named Testatrix, on the ~g T h day of ~__~.~ .__ , 1994, as and for her Last Will and Testament in the pre~ence of us, who, in her presence arid in the presence of each othe= have, at her request, subscribed our names l ~ 9: ~ 800S ] 9t: Ol : WO~A ~ ] b: 10 ~00~- 9 ] - AON COMMONWEALTH OF PENNSYLVANIA COUNTY OF '~ We, the undersigned, SS: the Testatrix and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn and qualified according to law, do hereby declare to the undersigned authority that we were present and saw the Testatrix sign and execute the instrument as her Will, and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of their knowledge the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence; and I, the said Testatrix, do hereby acknowledge that ! ~igned and executed the instrument as my Last Will and Testament, that I signed it willingly, and that ! signed it as my frs= and voluntary act for the purposes therein expressed. lxi :d 8~I9i :01 :WO~.4 d'~t~ :iO 8~8-gI-AON BUREAU OF TNDZVZDUAL TAXES /NHER/TANCE TAX D/VISION DEPT. Z80601 HARR/SBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOT/CE OF ZNHER/TANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-154? EX &FP SCOTT N DINNER S M DINNER LAW OFFICE 5117 CHESTNUT ST CAMP HILL PA 170~ DATE ESTATE OF DATE OF DEATH ~._:FZLE NUMBER ACN 09-09-Z005 KLINE 11-05-2002 Z1 03-0055 CUMBERLAND 101 Amount Remitted ANNA MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGTSTER OF WTLLS CUMBERLAND CO COURT HOUSE CARLTSLE, PA 17013 CUT ALONG TH/S LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF XNHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KLZNE ANNA MFXLE NO. 21 05-0055 ACN 101 DATE 09-09-2005 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATXON CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGXNAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) q. Mortgages/Notes Receivable (Schedule D) (q) 5. Cash/Bank Daposits/Hisc. Personal Property (Schedule E) [5) 6. Jointly Owned Property (Schedule F) [6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expanses/Ada. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule [) (10) 11. Total Deductions 12. Nat Value of Tax Return 1021500.00 O0 O0 O0 $1~579 $6 129~001 6~ O0 (8) 11,878.61 $,~$0.00 (11) (12) 15. 1~. NOTE: ASSESSMENT OF TAX: 15. Amount of Line lq mt SpousmX rate 16. Amount of Line lq taxable at Lineal/Class A rate 17. Amount of Line lq at Sibling rata 18. Aaount of Line lq taxable at Collateral/Class B rata 19. Principal Tax Due TAX CREDITS: PAYMENT R~C~/PT' DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) 01-$1-2005 CD002120 1,19~.2q Charitable/governmental Bequests; Non-elected 911:3 Trusts (Schedule J) (1:5) Nat Value of Estate Subject to Tax (lq) If an assesseent was lssued previously, lines 14, 15 and/or 16, 17, reflect flgures that include the total of ALL returns assessed to date. (is) .00 x O0 = (~6) 550,772.$9 x Oq5= (~?) .00 x 12 = (ia) .00 x 15 = (19)= AMOUNT PAZD 150. O0 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure proper credit to your account, submit the upper portion of this fora with your tax payment. TOTAL TAX CREDIT SALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 546,081.00 l~.]flB.fil 530,77Z.$9 .00 550,772.$9 18 and 19 will ( XF TOTAL DUE XS LESS THAN $1, NO PAYMENT 1S REQUIRED. ZF TOTAL DUE 1S REFLECTED AS A 'CREDIT' (CR)~ YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) 2q,$qq. Zq q59.q8CR .00 qS9.q8CR .00 25,88~.76 .00 .00 Z$,88q.76 RESERVATION: Estates of decedents dying on or ba~ora December 1Z, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class 8 (collateral) beneficiaries of the decedent after the expiration of any estate for life or far years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collataral) rate on any such future interest. PURPOSE OF NOT[CE: PAYHENT: REFUND [CR): OBJECTIONS: ADHZN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S. Section 9140). Detach tho top portion of this Notice and submit with your payment to the Register of Rills printed on the reverse s/dm. --Hake check or money order payable to: REGISTER OF RILES, AGENT A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications ara available at the Office of the Register of Rills, any of the ~ Revenue District Offices, or by calling the special Z4-hour answering service for forms ordering: 1-800-362-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). Any party in interest not satisfied with the appraisement, alloaanca, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17lie-lOll, OR --election to have tho matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should bm addressed in writing to: PA Dmpartasnt of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the dacedant's death, a five percent (BI) discount of the tax paid is allowed. The 152 tax amnesty non-participation penalty is computed on the total of tho tax and interest assessed, and not paid before January 18, 1996, the first day after the and of tho tax amnesty period. This non-participation penalty is appealable in the same manner and in the tho same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at tho rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate am~ouncod by tho PA Department of Revenue. The applicable interest rates for 1982 through Z003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Yaa.~r Rate Factor Yea._..r Rate Factor 1982 ZOZ .000548 1987 92 .000247 1999 7Z .000192 1983 I6Z .000438 1988-1991 112 .000301 2000 82 .000219 1984 Ill .000301 1992 9Z .000247 2001 91 .000247 1985 132 .000356 1993-1994 72 .OOO19Z 2002 62 .000164 1986 102 .000274 1995-1998 92 .000247 2003 52 .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINI~UENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (1S) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLES~ OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION Name of Decedent: Date of Death: Estate No.: STATUS REPORT UNDER RULE 6.12 Anna M. Kline 11-05-2002 21 03-0033 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: State whether administration of the estate is complete: Yes xx No Date: NOV 0 7 2003 (MAH:rmtYAM3) If the answer is No, state when the personal representative reasonably believes that the administration will be complete: (date) If thc answer to No. 1 is yes, state the following: A. Did the personal representative file a final account with the court? Yes No xx B. The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) C. Did the personal representative state an account informally to the parties in interest? Yes xx No D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Sign~e Scott M. Dinner, Esq. Name (Please type or print) 3117 Chestnut Street Camp Hill, PA 17011 Address (717) 761 -5800 Telephone No. R.W. - Capacity: XX Personal Representative Counsel for Personal Representative BUREAU OF 'rNDZV/DUAL TAXES *rNHERTTANCE TAX DTVTSTON DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ZNHERZTANCE TAX STATEMENT OF ACCOUNT REV-160? EX AFP (02-03) SCOTT M DINNER S M DINNER LAW OFFICE 3117 CHESTNUT ST CAMP HILL PA 1701I~ DATE 10-14-2005 ESTATE OF KLINE DATE OF DEATH 11-05-2002 FILE NUMBER 21 03-0033 COUNTY CUMBERLAND ACN 101 I Amoun~ Remi~ed ANNA M MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~ ~o your accoun*, submi~ *he upper pot*ion of ~:hls form wi*h your ~ax payment. CUT ALONG THIS LINE ~'* RETAZN LONER PORTION FOR YOUR RECORDS REV-1607 EX AFP (01-03) ~# ZNHERZTANCE TAX STATEMENT OF ACCOUNT ESTATE OF KLINE ANNA M F'rLE NO. 21 0:5-00:53 ACN 101 DATE 10-14-Z003 THI'S STATEMENT TS PROVIDED TO ADV/SE OF THE CURRENT STATUS OF THE STATED ACN 'rN THE NAMED ESTATE. SHONN BELO# TS A SUMMARY OF THE PRZNC'rPAL TAX DUE., APPL/CAT/ON OF ALL PAYMENTS, THE CURRENT BALANCE., AND., ZF APPL'rCABLE, A PROJECTED INTEREST F/GURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-09-2003 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 23,884.76 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID C- AMOUNT PAID 01-31-2003 09-26-2005 CDOOZ120 REFUND ZF PAID AFTER THIS DATE*, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT ZS REQUIRED. IF TOTAL DUE IS REFLECTED AS A 'CREDIT" 1,194.24 .00 23,150.00 459.48- TOTAL TAX CREDIT BALANCE OF TAX DUE 23,884.76 .00 YOU NAY BE DUE A REFUND. SEE REVERSE SZDE OF THZS FORH FOR ZNSTRUCTZONS. ) INTEREST AND PEN. .00 TOTAL DUE .00 PAYMENT: Detach the top portion of this Notice and submit eith your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGTSTER OF NTLLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: COMMONNEALTH OF PENNSYLVANIA. REFUND mCR]: A refund of a tax credit) mhich ems not requested on the Tax Return, may bm requested by compZeting an "Application for Refund of Pennsylvania Inheritance end Estate Tax" (REV-1315). Applications ara available at the Office of the Register of Hills) any of the g3 Revenue District Offices or from the Oepar~ant's gq-hour answering service for forms ordering: 1-800-361-g050; services for taxpayers with special hearing and / or speaking needs: 1-800-qq7-3020 [TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue) Bureau of Individual Taxes, ATTN: Post Assessment Review Unit) Dept. g80601, Harrisburg, PA [71g8-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decadent's death, a five percent (SI) discount of the tax paid is alZowed. PENALTY: The 1SI 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 and of the tax amnesty period. INTEREST: Interest is charRed beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January l, 1982 boar interest at the rate of six (61) percent per annum calculated at a daily rats of .00016q. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year sith that rate announced by the PA Department of Revenue. The applicable interest rates for 198g through ZOOS are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198g ZOZ .O00Sq8 1987 91 .0002q7 1999 7X .DO0191 1983 161 .000~38 1988-1991 111 .000501 gOO0 8X .000219 198q 112 .OOO~OX 1992 92 .OOOZq7 2001 92 .O00Z~7 1985 15Z .000356 1993-199~ 72 .OO019Z 200g 6Z .00016~ 1986 log .O00Z7q 1995-1998 92 .O00g~7 2003 5g .0001~7 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice) additional interest must be calculated.