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HomeMy WebLinkAbout02-0897 Estate of J( "'+ L..::x" I-l,,-~k;... ,..... also known as PETITION FOR PROBATE and GRANT OF LETTERS .;.,1- 02. - ~ t:rl No. To: Register of Wills for the . Deceased. County of CUMBERLAND in the Social Security No. :2. 0 r - I ~ - {> SJ 7 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s). who is/are 18 years of age or older an the execUl "r~ in the last will of the above decedent, dated -:Ju", ~ OJ and codicil(s) dated named , 19~ ~.......'\ ~l",'( \l.~<!.\(~_ . Fl.' . ~'- 1<1'8'.5"' <,,__ (state relevant circumstances. e.g. renunciation. death of execiJtor. etc.) Decendent was domiciled at death in ell """'he.... ~ ~...J County, PennsYlv~ni~ with he.... last family or principal residence at g- R",,-f(dW"'~ ~,...u... C".......f 1-\";\\, /1"/1 (list street, number and muncipality) years of age, died <;",f'~ ..'" Ie U.r .:J.l! \ ,~:. DC:>~ , at.., .. S A~' . .s~ b ~"- "- "". ~ \;'.... c."v . Except s follows, decedent did not marry, was not divorced and did ot have 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: Roc> 'D..""" }...."""-'!"- ll-.. \.... '1""'- $ tJ. -ys"o"" $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters t...~... ""'... ""-\..." 1 (testamentary; administration c.t.a.; administration d.h.D.c.l.a.) theron. i u = " "0_ '~.e. " - "'" = "00 1::'';:: 0:0'.0 -" ",,0- "~ ~o " = '" in Ro b...,.:~' ~""';'+\..J \ I'! (')"11'. ~~, i V...k I.L."J. 17 3.?O ~;f{"&:><L.~.f/>?;,~ ~...J..\;\:;~~~, --J(, ~ ~~~:~~~~:::,~ii :~~~~ J\.Jti ~. \ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } 58 COUNTY OF t........... <... ILr-\",""d. No. 21-02-0897 Estate of KATHRYN A. HECKMAN , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 4th. 3-ZQ.Q2.... in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated JUNE 4th, 1986 described therein be admitted to probate and filed of record as the last will of KATHRYN A. HECKMAN and Letters TESTAMENTARY are hereby granted to ROBERT SMITH AND THEODORE R. TRIMMER. JR. QrnM1l) lm.rf)jj;. J1y;t ~ or' . (I,ll JI!2.,:LJJJ.Pj Register of Wills FEES Probate, Letters, Etc. ......... $ Short Certificates( 2) . . . . . . . . .. $ ~ EX'l:U.r~S.2... $ JCP $ TOTAL _ $ 4, 2002 235.00 h 00 6.00 5.00 252.00 VICKY ANN TRIMMER, ESQUIRE A TIORNEY (Sup. Ct. J.D. No.) 3401 NORTH FRONT STREET ADDRESS HARRISBURG, PA 17010 717-232-5000 Filed ?~.~~~~~.......................... PHONE MAILED TO ATTORNEY 4, 2002 r~ Hl05J!05 REV9!86 This is to certif).r that the information here given is correctly copied from an original certificate of death duly filed with me as Local R~gistrar. The original cerrificare will be forwarded ro rhe Srare Viral Records Office for permanenr filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. III'III"I"~#~~""", "",~ ,,\.1" O. F p,,i;----, "'~.". "41- I~ .... _'.~.::. ~\ I~.. ,.:_>~ ': ~\ ~_ -0- .. ':;;ell; i::3\ _rf~: ~~ , . , ':. * ' . .... ~ * ~ \&! ,:'-~,"',-.:o...1 ~~ "'.,.,",~ -., ~-\' ~~ " . ~l '-, 1I'1MENT ~\ ~"i""" ...._"'...'''''~##''"1111111 ~'~Al~~ ~~ Local Re . trar Fee for (his certificate, $2.00 P 8606661 ~A ~~e ;;{ ~ ,?i_ B-- IilO~.I43Rolv 2111 COMMONWEALTH 01' PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH HPEJPRlIH " PHI.....I\IEHT BL"'CIl,'MK ......"'EOf'DECEDEtfflF...,_.~ I. Kathr n A. AGf(t...~ tIMlEft,VEM - SW(A..E~ SOCIAl.SECURlTY~ ="',0 90 v.. Heckman IJMllIftlD/llt -l~ ............""- StM.OIf'"9leoo.n.vl JFemale :a. 201 16 I'I..AQ:CWDUtHlC/'cIo """"'" ~O ~O PA COUI\IlVOf'OERM mY. llarri DECEDENT'S EDUCRlOH .......-w..swua....... ,............~ '- -- (1......$+1 ,.. Widowed 17l11.~ _.__... LowPr -"""" (._---- n. 8 Rockaway Drive camp Hill, PA 17011 ,~ .. - ~.. CUmberland """?"..o :r...-=:a:::...- I,I()THl!R.SHAt.lE(F..... "'-."'-&.0_1 ,I. Florence Fetro "'AHrSIlWlMOADIlfIESS~~S..z;peoc..l _ 12 Andes Dri PLACEOf'OISPO$I1'1OH.,.."....-c-r.er-, .-.... Al]pn .. ,.. F,QHER'SHA.IIIEIF..._.lQ9 II. Edwin Kistler (NfOAIUHT'SNAWE(T~irG 2. Patric1a H. Trinmer UE'THOIlOfOlSPOSlTION &wioIl1XI ~O ~_...o or.-l~ l 25 2002 ". Pros Hill Cane KAUEAoNDAllClAU8Of'MClUTY _. Mal zzi 8 _ Pla7a "0""'''-' .. .CiIyfbon,lllMe.n>CoGlo iiJ , ~ , - ...~at"",~,-....,_oc:cumod.""I_."'.and"",,*""'" .ano-.-..\ HI 1'lOSS -....., ......"'- Ill1i'PROMClUNCEDDEAD(Monm.Dty.~ 2 : 1 5 PM. tember 21 2002 Z1.fllMTl: E.......-......._____..._.Oanol_.._o/~.__...,,_c:......,.,IIOIy......_..._""'" UM""""....._......._ V1NCASEREfEAAEDlOMIEOICALEIlAWlHEfIotCClF? _0 ,...0; 2-1 cell Cil.rtil1Orn~ DUElD(OfI.lSACOI\ISEOUE"lCEOf)' I==- :--- , I fllMTlI: on.....-___-..._tour ..............____.......1W'lT1 "-....:.. I: DUElOIOAASACONSEOlIENC(Of)' OUElO(DRA.$ACONSEOUENCEOf) --......... -""""'" ~Of'CAUSE "'~, IlIAHIEflOFDERli .... ~ o o D<lTEOfINJURV 1"""''',Day._l ...."'....., IJrlJURV.oQ"1M)AK1 OESCI'llBEt.:JWINJUR'l'OCCIJARED Homicidoo o o [J PlACEOf'NJURY.A1_._.......lac:lOoY..-..... buoloJng.etcl~1 _. ..,. 0 NoD 'I ~I , .....0 Ng 0 - - P-.u_~Io~ Cc.IIdnooto.do'........... - n. C1ERTIFIlII.n'__.n"..,,,,,,,' .CER'IFYIMCPHYIICIAHIPhysoc;""''''''Wp>C}c;OU..'''<lea1ll'''''....3n\)_ph~.''''''''has..~<lealhaf1<lC'''''pI<Ol<ln.."23) To.._lol....,--..____._c:...Ml~..............'H_.... C c.\ ., 'P1'OftOUHCIMOAl'lDCI!R'IFYlNQptI~IPhrsc""'bOII'lp.-oo"""""'C}<l&Oll1..-".cerol\'<1ll!Ocau...o/<Je<I"') '0.._01....,_-......._-.... lII...._..IIo.anclp...., _d... ...........l.l_m........ ..""-.1,. .MEDICAl UA,IIIMEAlCOfWMER On_b....or...........1on andI... 'n....UgaI;c,... In myoplnlon,d.lOtl.o<:c:u..-.d 1J1_1l...., ","U....d plac.. a nddu.lona.c:au.-(.land ....n.......II1.."".. ". o ~ MEF'lEDl_Da-;._1 1863 Center street Hill PA 17011 bll/l~lll.;zl u. em kL. .;l3 ~Cld~ 21-02-0897 LAST WILL AND TESTAMENT OF KATHRYN HECK1~ I, KATHRYN HECK~~, of 8 Rockaway Drive, Camp Hill, Pennsylvania, being of sound and disposing mind, memory and under- standing, do make, publish and declare this to be my Last will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon as conveniently may be after my decease. 2. All the rest, residue and remainder of my Estate, real, personal, and mixed, whatsoever and wheresoever situate, I give, devise and bequeath in equal shares to my children, Patricia H. Trimmer and Darlene R. Smith. 3. I nominate, constitute and appoint my son-in-law, Robert Smith of York Haven, Pennsylvania and my son-in-law, Theodore R. Trimmer, Jr. of Mechanicsburg, Pennsylvania, to be Co-Executors of this, my Last Will and Testament. 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. 4. I authorize and empower my personal representatives, in their sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized, or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of, or grant options in regard to any or all property of any kind forming a part of my Estate for such terms and such prices as they may deem advisable; to borrow money for any purposes connected with the protection and preservation of my Estate; to mortgage or pledge any real or personal property forming -1- a part of my Estate, or to join in or secure the partition of same; to compromise any claims or demands of my Estate against others or of others against my Estate; to make distribution in kind and to cause any share to be composed of cash, property in undivided fractional shares in property different in kind from any other share; and to execute and deliver such instruments as may be necessary to carry out any of these powers. IN WITNESS ~mEREOF, I have hereunto set my hand and seal this 4/!!i day of fALL , A.D. 19!16. ;J . .. ~!:1/1/~-"~L...L~-L-'1 I (SEAL) Signed, sealed, published and declared by the above-named KATHRYN HECKMk~, 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. (~~';"/i L<&.."LL Cl. ~'" /1 -2- COMMo~mALTH OF PENNSYLVANIA ) ) SS. COUNTY OF CUMBERLAND ) I, KATHRYN HECKMAN , 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 the instrument as my Last Will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. I "'""r /1 'I' J , . ' jj , 1}..""/~~ -l/\.-\ ~~~~n or ~~~frMed ~~ya~~ a~)I~~~~~ged II'~ l{,tJ;d )--.,/ku,t;:{/.' III Notary PublJ.c before me by the above Testat rix , A.D. 1986. NOT,;:\Y PUBliC M'a(;han:cstr!r~~1 FA C,;:T.J.;(a:d CCl~mty My Commission Expires June 20, 1988 COMMON~mALTH OF PENNSYLVANIA ) ) 55. COUNTY OF CUMBERLAND ) Ne, ~l,'11-(. ,::' ,ltt,,'{<>(J- and Elizabeth A. Curll the witness s whose names are sJ.gned to the attached or foregoing instrument~/ being duly qualified according to law, do depose and say that we were present and saw KATHRYN HECKMAN , Testatrix sign and execute the instrument as her Last will; that KATHRYN HECKMA,'q executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of KATHRYN HECKMAN , Testa trix signed the Will as witnesses; and that to the cest of our knowledge, the Testatrix was at that tiMe eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. -ftM2~ p, J.l,'eI.L Sworn or affirmed to and subscribed before me this , A.D. 1986. r:sl,y A.p~1, 0., ~_ y 11/ day of ,:/)., 1/) (' i /. ,...- {/ ;f;til~\b :;: 71;[; [' !;~ Notary Public NOTARY PUBLIC . PA Cumb2r\and C:J~l:1tV Mechamcsburg, J 20 1 saa- My CommissIon bpi reS une I. -. /// . \ Dc9- 1'f7 COMMo~mALTH OF PENNSYLVANIA ) ) SS. COUNTY OF CUMBERLAND ) I, KATHRYN HECKM~N , 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 the instrument as my Last wi1~; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. k'nn:l" I ~ i7-r~___ '"j__', Sworr. this or affirmed LJ!tt. before me by the above Testat r: , A.D. 1986. to and day of ackJ10wledged ,\/1-' ~l'<'.__ j ()jf~k-~M C. ~d~2~_7!L Notary Public NOTARY PUBLIC Mechanicsburg, PA CurnoiJr:'and' CO!lnty My Commission Expires JUlie 20, 198.3 COMMON\'lEALTH OF PENNSYLVANIA ) ) SS. COUNTY OF CUMBERLAND ) l'le, /,,--,4.~~'-t;;;lo'- ana Elizabeth A. Curll , the witnes~s w ose names are s~gned to the attached or foregoing instrument, being duly qualified according to' law, do depose and say that we were present and sa'~ KATHRYN HECkMAN , Testatrix sign and execute the instrument as herLa~t will; that KATHRYN . , .,!' HECKMAN executed ~t as her fr~e",and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of KATHRYN HECKMAN , Testa trix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. \ fA<<' p. Ji,'RI.4v !;;l?" h-,~L t2. ~. Sworn or. affirmed to and subscrihedbefore me this ~/ir ,~ , A.D. 1986. . \/{1/1/1.( day of , " , /;/L' . / I " " C ,,/ /., - .- r...: ';{.([ + (~J/ c,' 7' "/L.{: kJ.( {.-0!!L Notary Public NOTARY PUBLIC Cumberland CO~\1ty Mechanicsburg, PA .' J ne 20 1.')33- My Commission ~pHes u, I \,~,-~, d) CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Kathrvn Heckman Date of Death: 9/21/02 Will No. 21-02-0897 Admin. No. To the Register: I certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 10/22/02: Name Address Patricia Trimmer 12 Andes Drive MechanicsburlZ. P A 17055 Darlene Smith 10 Oak Road York Haven. PA 17370 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NONE. Date: October 23. 2002 ~//~ Signatur;-- Vickv Ann Trimmer. Esauire Name 3401 North Front Street HarrisburlZ. PA 17110 Address :- (717) 232-5000 Telephone Capacity: _ Personal Representative " :::j --1L. Counsel for Personal Representative :308755_1 6 REV-1500 EX + (6-00) OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA REV-1500 ~ DEPARTMENT OF REVENUE /7- q~- DEPT. 280601 INHERITANCE TAX RETURN FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT '2.., 01. 0897 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER \-lee-\< M GlA.l) I<~ -\::; h l" ~ IV 20 I - [ b- 0$"17 DECE- DATE OF DEATH (MM-DD-YEAR) T DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 0"1- "l.\ - <-00 1.- '-{, 27,- 1411.- WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER tv o,,;.~ 8 3. Remainder Return CHECK ~' Original Return ~' ..,"~_ "~m (date of death prior to 12-13-82) APPRO- 4. Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required <8"'te 01 dea.th a1ter 12-12-82} PRIATE 6. Decedent Died Testate 7. ecedent Maintained a living Trus1 1 8. Total Number of Safe Deposit Boxes (Attach copy of Will) Attach acopyof Trust) BLOCKS 9. Litigation Proceeds Received 10. ~pousal Poverty Creditjdate of death betwelln 011. ElectiontotaxunderSec.9113(A} 12-31-91 and 1-1-95) (Attach Sch 0) THIS Se.CTIOIlMl)$TSe..CP""I'~ETED. ALL CO~RESPONOe.NCE &CONF1OENTIALTAXINFO~MATI9N$l'IOULDSEIlIREQTEDTO: NAME -- COMPLETE MAILING ADDRESS . {: COR- ,Ii c 1<" A,.J,.., lV"i""",,,,,,<e.r "3'1<>1 N, fro ,.A. .t"trc"'<it: RE- FIRM NAME (If Applicable) 'VI,) a <>,. S"I SL> SPON DENT M.,.tt" 'i..\J,q,,.Js + Wcl.,Jl)~j G \-h,d;.! b""J . GJ-'\ n II()-CI 'i SI.:> TELEPHONE NUMBER 711- "l. '30 '-.- so 0 <> . . 10"1. OFFICIAL USE ONLY ,. Real Estate (Schedule A) (1) :So 0 00 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 9~ () 9 'I. ..J,r 6. Jointly Owned Property (Schedule F) o Separate Billing Requested (6) 1'1-, 01'<.."\7 RECA- PITULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) 8. Total Gross Assets (total Lines 1-7) (8) "2.-/.)", "07. 3J~ 9. Funeral Expenses & Administrative Costs (Schedule H)(9) 't>, 6w.l.{o 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) (10) (, &-'1. (7 11. Total Deductions (total Lines 9 & 10) (11) q, S7) l{. S'7 12. Net Value of Estate (Line 8 minus line 11) (12) ?-O(.. , 10 z.. 7.J? 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) ,., has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 2D6.ICL-.. 71 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of line 14 taxable at the spousal tax rate, or transfers under Sec. !l116(a}(1.2) X .0 (15) - "/. TAX 16. Amountof line 14 taxable at lineal rate 7-0/, , 101.. 1i' X.O ~ (16) l..7 7' ~ :1 COMPU- 17. Amountof line 14tal(able at sibling rate X .12 (17) TATION 18. Amountof Line 14taxabJe atcoltateral rate X .15 (18) 19. Tax Due (19) 20. 0 ICHEcI<HE~E!FY()1) ARE REQUESTING A REFUND OF AN OVERPAYMENT I >> BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND RECHECK MATH<< o PAl5001 NT!' 29755 Copyright 2000 Great!andfNelco LP~ Forms Software Only PA REV-1500 EX (6-00) Decedent's Complete Address: Page 2 STREET ADDRESS '0 I< Dc..\c::..."" 4'" V..,.,; <.J CITY C.A""", I~I\ I STATE p~ I ZIP ItOIl Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) OJ. Z,7Y. '3 '1(,:1.73 Total Credits (A + 8 + C) (2) 'T~.7. 73 3. Interest/Penalty if applicable D. Interest E. Penalty 5. Totallnterest/Penally (D + E) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund if Line 1 + Line 3 is greater than Une 2, enter the difference. This is the TAX. DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + sA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT (3) 4. (4) (5) (5A) (58) 7, i'"~(). 90 1. Did decedent make a transfer and: a. retain the use or income of the property transferred; ................ b. retain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or. . . d. receive the promise for life of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary 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. 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 information of which preparer has any knowledqe. SIGNATURE OF PERSON R ONSI8LE FOR ~~~. ADDRESS 11.. 1.\...1... D......r (\fLt!"~...,;&..J'to",,.~. ~4 "on~ SIGNATUR 0 REP ER OTH THAN REPRESENTATIVE PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS i t 8 tI r( D ~ DATE IL~dc)L.. fA (, S 10 ADDRESS '3'1"'\ N. DATE 11..!'''/Ol.- Cl.'-IA....J.... WOD.QS01.l", n. -Po G.... S"'iSb ~s \'..r1 9" 17110 _o"lS"D For dates of death on Of after July 1, 1994 ann beiore January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S.19116(aJ(1.1)(i)]. FOf dates of death on or a.fter January 1, 1995, the tax rate is imposed on the net value of transfers to or for the use of the surviving spouse is 0% (72 P.S. 9 9116 (a) (1.1)(iil]. The statute doeslJ..Q1...exernpt a transfer to a surviving spouse from talC, 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 isO%[72 P.S.!91Hl(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 4.5%, except as noted in 72.P.S.! 9116(1,2) 172 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. 9 9116(a)(1.3)]. A sibling is defined, under Section 9102. as an individual who has at least one parent in common with the decedent, whether by blood or adoption. o PA15002 NTF 2975!l Copyright 2000 Greatland/Nelco LP - Forms Software Only REV-1502 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER 1<,"'\:.\..t':J"> t\1Z;c..\'-""'''''''' '-I-en.. -08<:;7 All real property owned solely Qr as a tenant In common must be reported at 1air market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is jolnUy-owned with right of survivorship must be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NO. 1. DESCRIPTION 12e",.\ -pt'.(:'....~ 10 c.", tu<;\ ~ ~ 1<.,~\c.,.........:J \)~. V\3, C"'''''''\,...I-"I....ll U..,A-') ;t'oiN,...S, l\J~",,'\4 . \1-t..~- OOL,-- I"S. VALUE AT DATE OF DEATH 10"1, mo. 00 Ct>r~f \~\\ I \o.,."'7t:l~<-Ci1 J.h. 'S",\" -r....c..z Sc< A-l+I'IJ..~ ~.lc\lD -\ TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) I D~. 5'00 0'0 o PA15021 NTF33299 Copyright 2000 Greatland/Nelco LP - Forms Softwarll Only 1r/26/2002 17'49 FAX 717 761 4072 CAP REG LAND TR Ii!J 002/003 ...... , B NO. 2502-0265 ..... Pc B. l'YPEi OF" LOAN: U.s. DEPARTMENT OJ:: HOUSING & lJJf:BAN Dl!VELOPMEtIT 1.nFHA 2.Dl=mHA 3.0CONV_ UNINS. 4.Dv... 5_ [glCONV. TNS. 6. FILE NUMBER.; I 7. LO..... NUMBER' SETTLEMENT STATEMENT 02118CAP B. MORTGAGE INS CASE NUMBE~; C_ NOTE.: This fonn Is fum~ed to g;VfI you a mtemsnl 01 actulJI uttlflmffflt co. Amounts paid to and by the S9tJ/emenf tJQ""'t are $hown. 1/8n'111 marked "(POOr wef10l paid OIJ~ ths ~;ng; they:tlt'EI MOwn he,." tOr InfomJtJUon.1 purposos end il19 /'KIt InclUd9d ifJ thtJ t~l.. 1.1) 3IA fT1'J!118CAP.~11eCAP"41 0_ NAME AND AOCRW;;SS OF BORROWER: E. NAME AND ADDReSS OF' S~l..LER: F. NAME AND AODRESS OF LENDER: JEFFREY T. HOFFMAN ESTATE;: OF KATHRYN HECKMAN The WashinglQn Savings e~nk KELl,YM. HOFFMAN G. PROPERTY LOCATION: H. SETt"LEM'E.NT AGENT: 25-1722090 I. SETTLEMENT DATE= e Rockaway OliVe Capital Region Land Transfer. Inc. Camp Hill. PA 17011 November 28. 2002 Cum.b$tl8rld COUr\l)i. Pennsylval'Jla PLACEOFS~MENT 3310 lVfiilrket Sb"..1 Camp HUI. PA 17011 J. SUMMAR OF BOA~OWER'$ TRANSACTION K. SUMMARY OF=" 8 R'S TRAN roN 10 . GROSS AMOUNT D FROM BORROWER: 40 . GROSS AMOUNT DUE TO SELLI!R: 101. CQl"ltracf:Sa!es PrIoe 109 SOO_OO 401. Col"ltract S.les Price 109500.00 102. Persol'l.aI P 402. PenlQnal Pro 103. SeWement Ch .8 to Borrow (' Un~ 1400) <4 OSS.OB 403. 104. 404. 10(1, 406. Ad;u.stnHill2U1 Far Items P.ld B SQ//er In edvanae Ad ustmQI1t.:l For ltQR18 Paid B Se/t8r in odlt~ce 106. Clt T..... to 4OS. C- T..... to 107. Caul'll "Taxes 11125102 to 01/01103 39.38 407. Cou Taxes 11126J02 to 01/01103 39.38 108. Scheol T;llIq8 11126102 to 07101103 620.04 408_ 5011001 T*X88 11/28/02 La 01101103 e20.04 1 De. Sewer/1'r;lllsh 11/2SJ02 to 01/011Oa 26_41 409. Se'NerlTrasl'l 11126102 tel 01/01103 211.41 110_ 410. 111. 411. 11.<. 412_ 120_ GROSS AMOUNT ClUE FROM BORROWER 114.271.89 420.. GROSSAMOUN"f Due TO SELLER 110,185_83 100. NTS PAID BY OR BEHALF 0 BORRO Eft: O. Rmu ONS IN AMOUNT UI! TO Sr:U.ER: 201. Ce sIt or eamesttr'lOne 2.000.00 !:I01. Eixwn De osit Be. Jn15bucUol'ls 02. Prlncl I Amount of N....... Loan s 104,000_00 502. S.u,\emenl Ch es to Seller Un. 1400 8172.9!'i1 203. Extstln loan s taken liluDiect 10 503_ Exlstina JOM(:':} btken sub .ct to 204. ~04. PlIYOtf' offtrst Mo ge 200. ei05. of "dM . e 20ft 506, 207. 507. D sil ell.b. as "",...,,. 208. 508. 209_ Crec:tit for ntdon mill !ion 690_00 509. Credit for radon ml - BUon B~.OO Ad. ustrnents For 110m. Un aid a Se//"r Ad uatments FO(' Items Un aid S Selle. 210_ Cit: Taxes to 510. Cl T..... to 211. CoulUVlax8S to 511. Coun T..... to 212. School Taxes to 5'~. School Taltes to ~13. 813. 214. 514. 215. 515. 216. 516. 217. 517_ 2.18. 518_ 219. 519_ 220. roTAL. PAID avlFOR BORROWER 106.690.00 520. TOTAL REDUCTION AMOUNT DUE SEUER 8.862.99 301;1. CASH AT S EMENT F~OMITO SORI{ , 600, CASH AT SE"nLEMENT T SELlJ=R: 301. Gll"OS8 Amount Cue From Borrnw9I" ine 120 11&.2.71.89 601. Gross Amount Cue To eller ne 420 11011S0.83 302. L68S Amount Paid BylFor BOiTQ:W'er (Une 220 ( 106,690.00 602_ Leas Reduction. DUe Seils.. (Une 520) ( 6.862.99 303. CASU ( X FROM) ( TO) BORROWER 7,681.89 603- CASH ( X TO) ( FROM) SELLER 101.322.84 OM The unc:fer9igned.hsreby acknowledge receipt of a completed ~py of pages 1&2 cfthis statement 8. any ilIt1z1chments referred too heroin. Bo",,_, ~.~ 1~1l\.ML Y T FFMA .121.$H#e..lil<<tr-- Seifer ESTATE OF KATHRYN ~ BY'# /~.E.. . "f'PV ~~~~. t,.".... 700. TOTAL COMMIS8JON Bu.d on Price Oivi:rion 0 1fVt1i$&Ion'l! fJ TOP if" fows: 01. $ 3,310,00 to E N T, I . 2. S 3,260,00 to H HANNA 0 EI R R 703. comrhlSs n aid lilt Settlement 704. TraMa on fee to "00. JTEMS PAYABLE IN CONNIiC110N wrr.. LOAN SO . Loan rnatlon Fee % to IE- LQan OlllCOunt % to .AmqbW~e ~ _ reditR art to 605. Len 8r'Si In$~ ee to 806. Underwrttln .,. to The Wastlin ton Savin s Bank 607_ iUIO.~fee tel_Chase . m""IPrep.Fl5e to e uh Ion Savin 809. Roo ce c;atiQn . to T . Federal ress to The W. ~n a n III ~nk . C3 on tn We n ton vfn s Bank 9OD. rrEMS REQUIRED I!IV LANDER. TO BE PAID IN ADVANC~ 901.lntBl'Q8tFram 11/26/02 to 12101102 t?n $ 16.740000/d~ ( 2. Mo a e In:lurar'\lCle Premium for months 10 903. HinaTd Insurance Premium for 1_0 ilnI to Erie InsUl'Ilnce 904. 905. 1000. Rl!$ERVES DEPOSITED WITH L.E!NDER 1001. H.a:al.rd Insuranca 3.000 10OZ..Mort In.ulWlce 2.000 1003_ Taxes 1004. COUI"I liIIXS. '005. Scheol TaxElS . CAP REG LAND TR L. SETTLEMENT CHARGES 1 09.500_00 ~ 6_0000 % IS 670.00 Ii!I 003/003 p.,9"':I ~ ~d"Q/"ll"'O<lo 1""50 FAX 717 761 4072 PAID "ROM 00...."..,.. ~NDBAj ~ p"",,,,,,,,, ~ FtJlliO$AT """'"""="'" . .00 .0 -NRT. Inc. 7lS.00 n 2 e_oo >2.00 .00 3 .00 ISd~ %1 83.70 279.00 o 11.000 5.000 month.. ... monlhs months mOl'littus: rTl()nths $ $ $ $ @ $ 23.2" 67.60 .r ., 32.60 ... 8..17~ ., momh &9.75 month 135.20 month moo" 3'59.15 mon," l:i11.02 men" m month -372.51 00. 1008.. te Ad. slrnent 1100. TITLE CHARBI!S 1101_ Settlement or C\ol;I~F8e 1102. Ab bW;torTItle Search 1103. Title mln 1104. Tille InsuranCilll Bind... 1105_ DOcument Pre radon 1106. N Fees 1107. Attomey's Fe.. n r1tnt .bow It9m num In uran tnclud9S Qba~ Item numbars: rT109. l.ender's Covera . 1110. $ Coverage 1_ ~,B.1 1'f1'r"1')e~repaf1ltlon "113. emi t 1114. Tl'BnSB on fee 1115. Home al'l"anty 11113. Clol5ln pro n etter months $ 10 '" '" ., '" ., Un '" McBeth 14.0 8.00 1108. '" C. 'm nd n s . to 104, .00 109. 00_0 Cl!Ii ,hll ion unl;l Tr8f'U!I r. nc_ Menfl Eqns o. cre to ion l.Jln nsfer. Ine. to Haws 8nna Delwel~ Re to Home anan SAMe. to Ca tal RaglOO Lan rans $Or', Ine. 1 O. 000 pI<g 15.0 125.00 399. 35.00 99.00 1 095.00 1.09~tOO 1116. 1200. GOVER~MIiNT RECORDING AND TRANSFER CHARGES 1201. Reoon:finn Fees: D.1ld $ 38.50; MQrb:u'Ine $ 60.50; Releases $ I oun aXl'Stam : Deed 1.095.00' Me B 1203. State Taxi tam s; Deed 1 OM.OO: Mo 8 e 1:i!04. Record Mort . Assi ment R rder II 12oel. 1300. ADDmONAL SETTLEMENT CHARQI!!$ 1301.Su to 1302. Pest Ins on to 1303. 1304. Wire Fee Ca aI RIiI Ion Land Tran:&fer'. Ine. 1305. 1400. TOTAL SETTL.EMENT C"-'RO'ESS nter Dn Un.. 103, Section J end 5m!. Se~ ey&iQnirllll>"glII1o1ltlIi8Cl!1IemI!'fll,IhC!~".IIclcnO\lolllldgl:!l'-.oIIlDI.aI'.~c:opyllr~2a11h"'_PBlI~ / ... 066.06 ;;) ~-~~ 8,172.99 .....e'iijiMI Reglor'l Land TransfclI'. Ino. Sattfement Agent l02'1&CAPf02111!1CAP} 1.) REV-150B EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER kAt\.-..';).... ttc.c.\<.",,,,..J '2.../-0-z. ~ OB'?? Include proceeds of litigation & date proceeds were received by the estate. All prop. jointly-owned with right of survivorship must be disclosed on Sch. F. ITEM NO. 1. A\\ {....,of DESCRIPTION c.t> ~ B7ooe,ooo '10'1..10'1:,,- VALUE AT DATE OF DEATH "10. 00 8". 't.J" L A\\\;rlt" c.~ :tf ~700e,OOD'40.tSb,/ . /0, t!c)'7 , 3 <... 3. o.\\~....f" 0) .II- e 7 00 'll 000 '10"\ 7b'3 ; 'Z..G. I q 'I 3. J' Y u .. '6 7 <.'> 0 €I I 00 1>"4 '1. 0' ... I' AII~,;/'t c..~ · If.., 001... v. s. + :.. "'k~ Ja.o".,'+ b.", ^^ - c..",,:, ... 'i>c...-:~' I "1\5,. ' -"r S o\.J) -6r t I"'l.\ ... I"'2.J. 00 'q7;;,I,'1 3'; b. M ,... j l!.."'\ rv., N <> 5-r.""', ,... ..~ ~o..~..o,.. (.Al~.\: .6...:.... ;,. ?..::.".r /0. 00 All 7. "Pars",.>...\ 7rof'cz,.~.b~ 2, GJoo. c..l\.) o PA15081 NTF 33305 TOTAL (Also enteron line 5, Recapitulation) $ 9'1. tJ'fy' 3 ~ (If more space is needed, insert additional sheets of the same size) Copyright 2000 Greatland/Nelco LP- Forms Software Only iii alffirst Memorandum To: From: Date: Subject: cc: Nancy Ymger Charlene Warrington - as October 30, 2002 Date of Death Balances for Kathryn Heckman Dear Ms. Trimmer: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type........................... Checking Account Account Number. .... .,. ...... ... ..' ... 0041955544 Ownership (Names of).............. Kathryn A. Heclanan or Patricia H. Trimmer Opening Date.......................... .06/28/74 Balance on Date ofDeath.........$24,024.90 Accrued Interest $ 1.03 Total...................................... .$24,025.93 2. Account Type........................... Certificate of Deposit Account Number....................... 87008000402645 Ownership (Names of).............. Kathryn A. Heclanan Opening Date.......... ............... ..03/25/87 Balance on Date ofDeath.........$10,000.00 Accrued Interest $ 8.28 Total...................................... .$10,008.28 3. Account Type........................... Certificate of Deposit Account Number....................... 87008000408864 Ownership (Names of).............. Kathryn A. Heckman Opening Date.......................... .09/04/86 Balance on Date ofDeath.........$10,000.00 Accrued Interest $ 9.32 Total...................................... .$1 0,009.32 4. Account Type.. ... ... ... ....... .. ....... Certificate of Deposit Account Number....................... 87008000409763 Ownership (Names of).............. Kathryn A. Heckman Opening Date...................... .....03/22/90 Balance on Date ofDeath.........$26,762.41 Accrued Interest $ 180.93 Total....... ... ............... ... ....... ....$26,943.34 4. Account Type.. ... ... .... ... .. . .. .... ... Certificate of Deposit Account Number....................... 87008100592012 Ownership (Names of).............. Kathryn A. Heckman Opening Date.......................... .03/22/95 Balance on Date ofDeath.........$45,000.00 Accrued Interest $ 2.45 Total..................................... ..$45,002.45 nus letter does not include any accounts in which the deceased may have been listed as power of attorney, custodian ofunifonn transfers, representative payee, or 1:1Ustee under a written trust agreement. For any additional information on these accounts, please contact our branch at: 5219 Simpson Ferry Road Mechanicsburg, PA 17055 Phone: (717) 255-2031 Sincerely, Ch,"f1~!!w~~ (302) 934-2722 REV-1509 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF \ V.",l.2hr::! ,..J \--\-cl:.c:.\c..""",~ FILE NUMBER 1..1-0.... -08., 7 If an asset was made Joint within one year of the decedent's date 01 death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME A. 'P",trTt.t.. \-\ .\r~"'''''~ ADDRESS RELATIONSHIP TO DECEDENT 'U~ \..+c.,. B. C. JOINTLY-OWNED PROPERTY: lETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH Include name of financial institution and bank ITEM FOR MADE account number or similar identi'fying number. DATE OF DEATH DECO'S VALUE OF JOINT NO. TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. 10 11.-'1> \i Ij A\\~~-'c ~~ :Ii' Oi>'t\"tS'o;;,r4'1 7"\.'l,O"L.f'."t3 &"0 ,,, ~n" OI~."17 "'.n A~..j.,..O La' .\4,.. . TOTAL (Also enter on line 6, Recapitulation) $1<-, CI..<11 o PA15091 NTF 33306 (If more space is needed, insert additional sheets 01 the same size) Copyright 2000 Greatland/Nelco LP- Forms Software Only REV-1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF \ \<...\:::.:'" r';:\.... I-\- c2 c \:. ""-' FILE NUMBER 7.../ - 0 c... - 09"17 Debts 01 decedent must be reported on Schedule I. ITEM NO. DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. ;J1~IrG~b Pv.>JIIV~1 tk--. 7- S:Jy'<;io 1.. !-..,,, "Y' 19' / L..,,-<-1-. 72.00 I()",,~.J -/.;A::. I:::....,.."'i .- A ,j ~"1 pl--p-,\,-k 6 s", 00 J. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. 01 Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: (\I) <<. I.:\:~, 'i." "....... ... Iv" ~ oS "J..", "'1,\);:'0 2. Attorney Fees 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 C v~"'.....l,.,..9 ~~5TS h... c)f- W;\\ s 2. !: '2... 0 Q 5. Accountant's Fees 6. Tax Return Preparer's Fees _ eA.'\'k cheJC.s t"3.!:b 7. A \ I f:-..+- &- 7;..,~ I 7'4~ ~",.., 7- e. 00 r. Fr ~'oJ1 w.JIJ - ;+;)..:-1,"1>..-.1 C? AI,,+ h. i;" :Jf.O.:> '1. 'l<.:}.r /.... dr TOTAL (Also enter on line 9, Recapitulation) $ 'i') I ~ t..D. 'fo (If more space is needed, insert additional sheets of the same size) o PA15111 NTF3330a Copyright 2000 Greatland/Nelco LP - Forms Software Only REV-1512 EX + (1-97) SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN RESIDENT DECEDENT MORTGAGE LIABILITIES, & LIENS ESTATE OF \ / \ \ \ I"-~ \2"'r')~ na:",Ic.",<,.) Include unreimbursed medical expenses. ITEM NO. DESCRIPTION FILE NUMBER z.1-ot.~og'77 1. l.)c.-I "1... U(,.J... -VA-S :1. n',..),d T,dc?j7I........ t : J /, y. ,?p.y-{ _ ~/Et:--f~ 6,1/./ (f,'''...) ) 'S". w..~C>o'- ~'.....\ !'d I AMOUNT r8o. a.;:> J 'Z.3. '1 '1 c.. ~s-' V3.77 30.0,/ TOTAL (Also enter on line 10, Recapitulation) $ G f""'t. 17 (If more space is needed, insert additional sheets of the same size) o PA15121 NTF 33309 CQPyright 2000 Gfeatlal'ld/Ne\co lP - Forms Software Only . . REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF \..(" I.::.\".. ~.... H.. de. ^" c.....l SCHEDULE J BENEFICIARIES FILE NUMBER 7..1-0L'" oe.,) NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS pncrude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 1. ,\ ,"?".\-~,<-~... 1:-\. \~~",,,,,t.~ \l.- A...J",,~""""" (\'\C~"'r" <.S\,,~r':l. 9", 1/00.1 ~AJ~ l-tt.r IJ z.. ........ \ -----::> S,r..i.lc.1.... '"1.~. va.,. ON~ L.... La OA'I:. \2.....& Yor'r- I-\"...~.... C?.., 1/:ll7o '\)",~sLhr IJ 2... ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 18 AS APPROPRIATE ON REV-15QQ COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBS. ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets 01 the same size) o PA15131 NTF33293 Copyri9ht 2<300 Grflatland/Nalco LP- Forms Software Only ') ~_.' ~ C;' s:: ?~ O. ",- t>' ~~ "'~ ...~ '0 "9 ~ ~, . ~ II METTE, EVANS & WOODSIDE .A PRO:B"lllSSIONAL OORPOR.A.T10N ATTORNEYS AT LAW TELEPHONE (717) 232-5000 FAX (717) e86-1816 VICKY AN('tl TRIMMER TIMOTHY A. HOY KATHl.EEN DQyu. Y ANlNEK JAMES M. STRONG JENNIFER A. Y ANKANICH RANDALL G. HURST* MAAK D. HIPr RONALD L FINCK ScOTT C. SEUFERT OF COUNSEL JAMES W. EVANS HoWl'.u. C. METtt ROBERT MOORE CHAJtLESB.ZWALLY PEn:R J. REssLER LLOYD R. PERSUN CRAIG A. STONE JAMES A. ULSn DANIEL L. SULLIVAN STEVEN D. SNYDER JEFFREY A. ERNICO KATHRYN L. SIMPSON P. DANIEL ALTLAND ANDREW H. DOWLING MICHAEL D. REED PAVLAJ.LEICHT GARY J. HElM DAVID A. FITZSIMONS GUY P. BENEVENTANO THOMAS F. SMlDA JOHN F. Y ANINEK* 3401. NORTH FRONT STREET P.o. BOX 59tID HABRISBURG. PA. 1.711()~0'950 IRS NO. 23-1985005 "MARYLAND BAR http://www.mette.com December 13, 2002 VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED Mary C. Lewis Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 ,- RE: Estate of Kathryn Heckman File No. 21-02-0897 Dear Ms. Lewis: Enclosed please find the following documents: 1. The original and one (1) copy of an Inventory; 2. The original and one (1) copy of an Inheritance Tax Return, along with a cover page of the return; 3. A check payable to "Register of Wills, Agent" in the amount of $8,810.90 in payment of the inheritance tax owed; 4. A check payable to "Register of Wills" in the amount of $63.00 in payment of your filing fees and additional letters fees; 5. A self-addressed, postage envelope for return mail. December 13, 2002 Page 2 Please fIle the Inventory and Inheritance Tax Return. Please return a date- stamped copy of the Inventory and cover page of the tax return, along with receipts for the inheritance tax payment and the additional probate fees, to my attention in the enclosed envelope. Thank you for your assistance. Please do not hesitate to call with any questions or concerns. Sincerely, 14~ Vicky Ann Trimmer VAT:ljk Enclosures :313094 _1 Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Kathryn Heckman No. 21-02-0897 also known as Date of Death 9/21/2002 Deceased Social Security No. 201-16-0517 Personal Representative{s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this Inventory are true and correct. Il'Ne understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: Vicky Ann Trimmer Personal Representative: Robert Smith ~\i':: ,~ Dated: g. \ 'd" 0 ~ . 1.0. No.: Address 49679 3401 N Front Street, PO Box 5950 Harrisburg, PA 17110-0950 Telephone: 717-232-5000 DESCRIPTION VALUE See attached $203.594.39 (Attach Additional Sheets If Necessary) NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, indudethe value of each item. but such figures should not be extended into the total of the Inventory. Form RW.7 (Cumbef1and County). Rev. 9/92 :312911_1 Description Certificates of Deposit Allfirst 87008000402645 Allfirst 87008000409763 Allfirst 8700800408864 Allfirst 87008100592012 Residences 8 Rockaway Drive Misc. Personal Property Coins and Bills Jewlrey 7 /:N7i-{ ?"'f'-~ Inventory Estate of Kathryn Heckman From 09{21{2002 To 12{12/2002 Accrued Income 8.28 180.93 9.32 2.45 - 1 - Value 10,008.28 26,943.34 10,009.32 45,002.45 121. 00 10.00 8,37 Total 91,963.39 109,500.00 131. 00 201,594.39 =::::========== z. O()~'^' '2-03, .:.-'1 If. $<7 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT.OF REVENUE BURE.AU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1 162 EX(1 1-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT TRIMMER VICKY ANN ESQUIRE POBOX 5950 HARRISBURG, PA 17110-0950 nnn.. fold ESTATE INFORMATION: SSN: 201-16-0517 FILE NUMBER: 2102-0897 DECEDENT NAME: HECKMAN KATHRYN DATE OF PAYMENT: 12/16/2002 POSTMARK DATE: 1 2/13/2002 COUNTY: CUMBERLAND DATE OF DEATH: 09/21/2002 NO. CD 001955 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $8,810.90 I I I I I I [ I TOTAL AMOUNT PAID: $8,810.90 REMARKS: THEODORE R TRIMMER JR & ROBERT SMITH C/O VICKY A TRIMMER ESQ CHECK#1007 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS DONNA M. OTTO DEPUTY REGISTER OF WillS /'7- ,?oZ - ~ 'v BUREAU OF INDIVIDUAL TAXES INHERITANCE U.X DIVISION DEPT. 280601 HARRISBURG, PA 17128~0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX VICKY ANN TRIMMER MATTE ETAL PO BOX 5950 HARRISBURG PA 17110 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-10-2003 HECKMAN 09-21-2002 21 02-0897 CUMBERLAND 101 AIoount R_itted '*' lE'I-1S41Ell"FPtn-15) KATHRYN A MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=is'4-'rEif-AFP--fiiY:03Y-NOYiCE--OF-YriiiEifii'ANCi-yA"iC-;;'p;RAisEMENi"~--ALi.oIiANci-iji----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HECKMAN KATHRYN A FILE NO. 21 02-0897 ACN 101 DATE 02-10-2003 TAX RETURN WAS: (X I ACCEPTED AS FILED I CHAllGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Est.te (Schedule AJ 2. Stocks end Bonds (Schedule BJ 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortvages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule El 6. Jointly Owned Prop....ty (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (11 (21 (31 (41 (5) (6) (71 109.500.00 .00 .00 .00 94.094.38 12.012.97 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ada. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Lions (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ~J 14. Net Value of Est.t. Subject to Tax (9) (10) 8.820.40 684 . 17 (11) 1121 (13) 114J NOTE: To insure proper c~dit to your account, ~it the upper portion of this forR with your tax P8YMnt. 215,607.35 Q.IiOii 57 206.102.78 .00 206,102.78 NOTE: If an assessment was issued previously, lines 14, IS and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount ai Line 14 at Spousal rat. 16. A.aunt of Line 14 taxable at Lineal/Class A rate 17. A.ount of Line 14 .t Sibling rate 18. ARount of Line 14 taxable at Collateral/Class Brat. 19. Principal Tax Due (15) .00 X 00 = .00 116J 206.102.78 X 045 = 9,274.63 (17) .00 X 12 = .00 (18) .00 X 15 = .00 (19)= 9.274.63 TAY CD"DT?S: K~"~If '0' AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-I 12-13-2002 CDOO1955 463.73 8,810.90 TOTAL TAX CREDIT 9,274.63 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM ~nR T~TDI"'TTn_ .. Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/03/2004 TRIMMER THEODORE R JR 12 ANDES DRIVE MECHANICSBURG, PA 17055 RE: Estate of HECKMAN KATHRYN File Number: 2002-00897 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 9/21/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF THE ESTATE IS NOT COMPLETED, FILE A 6.12 FORM YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RULE 6.12 Name of Decedent: KATHRYN HECKMAN Date of Death: 9/21/02 Will No. 21-02-0897 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate. State whether administration of the estate is complete: Yes [~ No [--] 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: _. 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes [--] No [] b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes [] No [--] d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be ~ed with ~t~e Clerk:.0f the Orphans' Court and may be attached to this report. Date: Sign"a'/u'r e ' Vick? Ann Trimmer, Esq. Name (Please type or print) 3401 North Front Street, P.O. Box 5950 Address Harrisburg, PA 17110-0950 (717) 232-5000 Telephone 404393vl Capacity: [] Personal Representative [] Counsel for Personal Representative