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HomeMy WebLinkAbout03-0203PETITION FOR PROBATE and GRANT OF LETTERS Estate of' g£L~r*.J -~- Nl,~_l¢~tzt_. No. 21-03-203 also known as To: Deceased. Social Security No. 2_c~-5 - ~ ~ ~ -~' t~ '2. ~ Register of Wills for the County of 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 executr-.¢~, in the last wil} of the above decedent, dated /'3 - h&~-~w,~ m% ., I ql;4 and codicil(s) dated ~'~,-~---¢. thl,5-13~t3 lO Iq'l~ in the named , 19 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in N_u,_~,,_~C~ ~ex-~ ~ County, Pennsylvania, with h ~-. last family or principal residence at (list street, number and muncipality) Decendent, then c4~ years of age, died ~_- t [- ~'~ ,19. ., at ~ ~o~ t ~ ~-~ 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: WHEREFORE, petitioner(s) respectfully presented herei~rant of~etters t~eron..~ al- !°~ )~~(!i~, request(s) the probate of the last will and codicil(s) (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) t~tatements in the foregoing petition are true and correct to the best of the knowledge and belief of petiuh~oer(s) arl~l that as personal represen- tative(s) of the above decedent petitioner(s) will well abed truly adn~,nister [tbe estate according to law. Sworn to or affirmed.and subscribed r ~ ~ I ~~ ~ before me this >th day of [ ~ - ~" ~' ~~~egister [ ~ /~-/~- ~ 1%[O. 21-03-2003 Estate Of HELEN 3 WEIGEL , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MARCH the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated DECEMBER 16 1969 described therein be admitted to probate and filed of record as the last will of HELEN J WEIGEL and Letters TESTAMENTARY :~2003 , in consideration of the petition on are hereby granted to JOHN H WEIGEL III FEES Probate. Letters, Et¢ .......... $ 70.00 x-pag~es · 3.00 Short (;ertificates() .......... $ 9. GO Renunciation ................ $. JCP $ 10. O0 TOTAL __ $ 92.00 Filed ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat. ., sign the same and that signed as a witness at the request of testat.__ in h presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19.__ Register (Name) (Address) (Name) (Address) REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ~ ~. t'x3'4 familiar with the signature of ~4'~L_q~'-'~o, k3~7~t~L~ , testat c)~ of (one of the that ' -~ meto the best of-- knowledge and belief, day ! ~,~~~~ ilk ~,t~~~.) Sworn to or affirmed and subscribed before _ this t/~ 7-// of .... ~>.~,,..~ (Address) (Name) subscribing witnesses to) the will presented herewith and believe~/the signatu~ on the will is in the handwriting of (Address) REGISTER OF WILLS OF CUl~ERLAND COUNTY OATH OF SUBSCRIBING WITNESS Richard C. Snelbaker 31~ dated December 13, 1969 ~ a subscribing witness to the will presented herewith, ~l~a,5 being duly qualified according to he was law, depose(s) and say(s) that present and saw Helen J. Weigel , the testat-r-i~ , sign the same and that he signed as a witness at the request of testat rix in hiS presence and {~[XK~L~~resence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this 17~h day of k.._ Rick.~.g,l~ct ~. 5nelbaker (Name) Z March 20'03 19~a~9~_~ 44 West Main Street, Mechanicsbur~, PA 17055 ~ - ~'-'~ . (Address) / - Notary ~lic (Name) i ~ Nota~ S~at [ (Address) Su~m L. Zych, No~y Public M~chanics .bu~ Bom, Cuw,~:~'land Cot~y I ... ~ Com.m.:s~:on .Ex,res .NOv. 24.. 2003 I REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that familiar with the signature of , codicil testat__ of (one of the subscribing witnesses to) the will presented herewith and codicil that believes the signature on the will is in the handwriting of to the best of knowledge and belief. Sworn to or affirmed and subscribed before me this day of 19__ Register (Name) (Address) (Name) (Address) MARTSON ~ SNEL~BA}(ER ATTORNEYS AT LAW LAST WILL AND TESTAMENT I, HELEN J. WEIGEL, of the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my husband, JOHN H. WEIGEL, JR., absolutely and in fee simple, if he survives meo THIRD. If my husband, JOHN H. WEIGEL, JR o, does not survive me, then and in that event, I give, devise and bequeath my entire said estate unto my son, JOHN H. WEIGEL,III, absolutely and in fee simple. Should my said son, JOHN H. WEIGEL, III, predecease me and leave lawful issue to survive him, I order and direct that the interest in my Estate which my said son would have received had he survived me shall be distributed unto the lawful issue of my said son by representation per stirpes. FOURTH. I nominate, constitute and appoint THE FIRST BANK AND TRUST COMPANY OF MECHANICSBURG, PENNSYLVANIA, to be the J~ARTSON ~ SNELBAKER ATTORNEYS AT LAW Guardian of any property which passes under this, my Last Will and Testament, to a minor or other legally incompetent bene- ficiary, such guardian to serve during the minority or other incompetency of the beneficiary. LASTLY. I nominate, constitute and appoint my husband, JO~N H. WEIGEL, JR., to be the Executor of this, my Last Will and Testament, but if my said husband should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my son, JOHN H. WEIGEL,~ III, to be the Executor hereof, each to serve without bond° Should both my said husband and son fail to qualify as my personal represent- ative hereunder and should they cease so to serve, then and in that event, I nominate, constitute and appoint THE FIRST BANK AND TRUST COMPANY OF MECHANICSBURG, PENNSYLVANIA, to be the Executor hereof. IN WITNESS WHEREOF, I, HELEN J. WEIGEL, have hereunto set my hand and seal to this, my Last Will and Testament which consists of two (2) typewritten pages to each of which I have affixed my signature this /3 ~ day of December, A. D., One Thousand Nine Hundred Sixty-nine (1969). . (SEAL) The preceding instrument, consisting of this and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by HELEN J. WEIGEL, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, ~d"'~'~-'~e ~r.~n~e--of each other, have subscribed our names"~s witn~s/s~s he, to. ? HELEN J. WEIGEL LAW OFFICES 44 WEST MAIN STREET MECHANICSBUR.G, PENNSYLVANIA 1705.5 Name of Decedent: Date of Death: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Will No. .~2. ff)O ~ -" 0'I0 ~ D ~ 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 __]~t/~, /4 2~0~ '~ : Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: Signature Address Capacity: X Personal Representative Counsel for personal representative Law Offices of Craig A. Diehl 3464 Trindle Road Camp Hill, Pennsylvania 17011-4436 Telephone (717) 763-7613 Telecopier (717) 763-8293 Craig A. Diehl, Esquire, C.P.A. Linda A. Clotfelter, Esquire In Spring Grove, Pennsylvania 119 West Hanover Street Spring Grove, PA 17362 Telephone: (717) 225-1929 October 28, 2003 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 RE: Estate of Helen J. Weigel; No. 21-03-00203 Dear Representative: Please find enclosed herewith the following items for filing with your office: 2. 3. 4. 5. Original and two copies of the Inheritance Tax Return; Filing fee in the amount of $15.00 (check # 131 ); Inheritance tax payment in the amount of $2021.09 (check #128); Original and one copy of the Family Settlement and Final Release; and Filing fee in the amount of $17.00 (check #132). Kindly return a time-stamped copy of each document along with payment receipts to our office in the enclosed envelope. Thank you for your attention to this matter. Sincerely, ....... ~ Helen E. Rasmussen, Legal Assistant /her Enclosures REV-15~0 EX (6-00) LU ~:00 I- z i.u z 0 r, u.I Q~ 0 Z COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) WEIGEL, HELEN J. DATE OF DEATH (MM-DD-YEAR) DATE Of BIRTH (MM-DO-YEAR) 02-11-2003 11-28-1912 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) iX I 1. Original Return [-~4. Limited Estate ~---~6. Decedent Died Testate (Attach copy of Will) r-~9. Litigation Proceeds Received FILE NUMBER 2 1 COUNTY CODE OFFICIAL USE ONLY -- 0 3 0 02 03 YEAR NUMBER SOCIAL SECURITY NUMBER 203-10-7028 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER I I 2. Supplemental Return [~ 3. Remainder Return (date of death prior to 12-13-82) [~] 4a. Future Interest Compromise (date of death after 12-12-82) ~ 5. Federal Estate Tax Return Required [----~ 7. Decedent Maintained a Living Trust (Attach copy of Trust) i 8. Total Number of Safe Deposit Boxes E~]10. Spousal Poverty Credit (date of death between 12-3~-9t and 1-t-95) ~ 1 1. Election to tax under Sec. 9113(A)(Attach Sch O) THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE: DIRECTED TO: NAME COMPLETE MAILING ADDRESS CRAIG A. DIEHLr ESQUIRE, C.P.A. FIRM NAME (If Applicable) LAW OFFICES OF CRAIG A. DIEHL TELEPHONE NUMBER (717) 763-7613 3464 TRINDLE ROAD CAMP HILL, PA 17011-4436 1. Real Estate (Schedule A) (1) 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) 6. Jointly Owned Property (Schedule F) (6) ~-~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10 Debts of Decedent, Mortgage Liabilities, & Liens (Schedulel) (10) 1 1 Total Deductions (total Lines 9 & 10) 2. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .oo 10,598.27 49,252.65 .0o OFFICIAL USE ONLY (8) 8,585.26 59,850.92 6,352.59 (11) (12) 14r937.85 44,913.07 (13) .o0 14. Net Value Subjectto Tax (Line 12 minus Line 13) (14) 44,913.07 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15I Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 1 7. Amount of Line 14 taxable at sibling rate 8. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. · 00 x.0 0 (15) 44,913· 07 x.0 45 (16) · O0 x .12 (17) · O0 x.t5 (18) (19) .00 2,021.09 .00 .00 2,021.09 > > BE SURE TO ;ANSWER;ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedent's Complete Address: STREET ADDRESS 17 WEST FACTORY STREET CITY MECHANICSBURG Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount .00 .00 .00 .00 .00 Interest/Penalty if applicable D. Interest E. Penalty J STATE ZIP PA 17055 Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) (1) 2,021.09 4. If Line 2 is greater than Line I + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line I + Line 3 is greater than Line 2, enter the difference· This is the TAX DUE. (5) 2,021.09 A. Enter the interest on the tax due. (5A) .00 B. Enter the total of Line 5 + 5A, This is the BALANCE DUE. (5B) 2 ¢ 021.09 ~ .......... ~,~ .......... ~ ....... ,'~, _ ~a_ke, Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ....................... ~ ~ b. retain the right to designate who shall use the property transferred or its income; ......... r~ r'~ 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? ............................ ~] r~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? [----J [~ //~decedent own an Individual Retirement Account, annuity, or other non-probate property which ' con't~ns a benef, iary designation? ................. ~ ~ ~NSWER TO ~Y OF TH ~BOVE QUESTIONS IS YES, YOU MUST COMPLEfE'S~I~dD~I'E'G'A~I[~ I~ll'E'lf ~RT O~"E RETURN. ~3f perjury, I declare t'h~t I hav~ e: rnl~ed this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correc and complete. ~parer other than the p%l~sonal rE I~R~N RESPONSIB~ FOF 'es~ntat,ve is I~ased on all information of which preparer has any knowledge.  .G RETURN DATE FARE.~OU'S~. LA_N-gr H~T.STOWN¢ PA [7036 IF THE Under penal Declaration ( SIGNATURE ADDRESS 559 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE · °ATE/ e,,,,4 ADDRESS ~ ..... ' 0 '- ' - ' I 3464 TRII,,I-D'r,w. ROAD~ CAMP HTT.T.r PA [701[-4436 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. § 9916 (a) (1.1) (i)]. For dates of death on or after Jan uary 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. § 9116 (a) (1.1) (ii)] The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. § 9116(a)(1.2)]. The tax rate imposed on the net value of transfers to orfor the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. § 9116(1.2) [72 P.S. § 9116(a)(1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 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 blood or adoption. 2w4646 1.000 REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER HELEN J. WEIGEL 21-03-00203 Include the proceeds of litigation and the date the proceeds were received by the estate. NI property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBEE 2. 3. 4. 5. 6. 7. 8. 9. 10. DESCRIPTION CITIZENS BANK - CHECKING ACCOUNT NO. FURNITURE AND HOUSEHOLD GOODS COSTUME JEWELRY LAWN MOWERAND GARDEN TOOLS CLOTHING SALT & PEPPER COLLECTION REFUND: BLUE SHIELD - HEALTH REFUND: ERIE - HOMEOWNERS INSURANCE PROPERTY TAX REBATE CITIZENS SECURITY LIFE INSURANCE CO. 6100702278 INSURANCE PREMIUM - PREPAID FUNERAL ACCOUNT TOTAL (Also enter on line 5, Recapitulation) (if more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH 2,527.27 200.00 50.00 10.00 50.00 100.00 122.00 168.00 500.00 6,871.00 $ 10,598.27 2W46AD 3.000 REV-1509 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER HELEN J. WEIGEL 21-03-00203 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. JOHN H. WEIGEL III SON 559 FARMHOUSE LANE HUMMELSTOWN, PA 17036 JOINTLY-OWNED PROPERTY: L~,,~ DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT NL~aeR OR ~MILAR IDENTIFYING NUMBER, ATTACH DEED FOR JOINTLy-I-ElD REAL ESTATE VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. 11/17/1992 REAL ESTATE SITUATE AT 98,505.30 50.0 49,252.65 17 WEST FACTORY STREET, MECHANICSBURG, PA 17055 CUMBERLAND COUNTY, PA (SEE ATTACHED ASSESSMENT) $97,530.00 x 1.01 COMMON LEVEL RATIO TOTAL (Also enter on line 6, Recapitulation) ~ $ 4 9,252.65 2W46AE 3 000 (If more space is needed, insert additional sheets of the same size) REV-151~ EX + (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER HELEN J. WEIGEL 21-03-00203 Debts of decedent must be reported on Schedule I. ITEM NUMBER 8. 9. 10. DESCRIPTION FUNERAL EXPENSES: MYERS FUNERAL HOME - FUNERAL BILL THE SODA JERK - FUNERAL LUNCHEON CATERING ST. MARK'S LUTHERAN CHURCH, MECHANICSBURG - RENTAL OF FACILITIES FOR FUNERAL LUNCHEON JAMES R. GINGRICH MEMORIALS - TOMBSTONE ENGRAVING ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: Attorney Fees - LAW OFFICES OF CRAIG A. DIEHL 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 Probate Fees REGISTER OF WILLS, CUMBERLAND COUNTY Accountant's Fees Tax Return Preparer's Fees CUMBERLAND LAW JOURNAL - ESTATE ADVERTISEMENT THE SENTINEL - ESTATE ADVERTISEMENT LAW OFFICES OF CRAIG A. DIEHL - CERTIFIED MAIL FEE FOR DEPT. OF PUBLIC WELFARE LETTER REGISTER OF WILLS, CUHBE~ COUNTY - FILING FEE FOR PENNSYLVANIA INHERITANCE TAX RETURN ORPHANS' COURT, CUMBERLAND COUNTY - FILING FEE FOR FAMILY SETTLEMENT AGREEMENT JOHN H. WEIGEL III, EXECUTOR - MILEAGE REIMBURSEMENT (264 MILES @ $0.36/MILE) TOTAL (Also enter on line 9, Recapitulation) $ AMOUNT 6,871.00 485.27 100.00 225.00 500.00 92.00 75.00 105.53 4.42 15.00 17.00 95.04 8r585.26 2W46AG3000 (Ifmorespaceisneeded, inse~additionalsheetsofthesamesize) REV-1512 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER HELEN J. WEIGEL 21-03-00203 Include unreimbursed medical expenses. ITEM NUMBER 2. 3. 4. 5. 6. 7. DESCRIPTION MASONIC HOMES - HOSPITAL STAY JOHN H. WEIGEL III - LOAN UGI - GAS BILL PP&L - ELECTRIC BILL DORIS BOYER - BEAUTICIAN HERSHEY LTC PHARMACY - PHARMACY BILL UNITED WATER - WATER BILL TOTAL (Also enter on line 10, Recapitulation VALUE AT DATE OF DEATH 1,542.00 4,582.06 11.50 32.79 56.00 104.36 23.88 6~352.59 2W46AH 3000 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES HELEN J. W-EIGEL FILE NUMBER 21-03-0020: NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] JOHN H. WEIGEL III 559 FARMHOUSE LANE HUI~ViELS TOWN, PA 17036 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) SON AMOUNT OR SHARE OF'ESTATE 100% OF ESTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DIS] HIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 2W46AI 2.000 (If more space is needed, insert additional sheets of the same size) ..Form View - public tax file 10-1-03.fp5 Page 1 of 1 Form View public tax file 10-1-03.fps Search Table View Viewing: 2 of 2 Previous District_Number '~ 9 Parcel_Identifier ~19-22-0519-084 Map_Suffix_Number House_Number 17 Direction W Street FACTORY STREET Owner_Name_l WEIGEL, JOHN H Iii Owner_Name_2 (~ ERMA M WEIGEL Land_Use_Code RA Property_Description Living_Area '1948 Current_Land_Value Current_Improvement_Value 84~20 Current_Total_Value 97530 Current_Preferred_Value Acreage , CleanGreen_Status Taxable_or_Exempt Sale_Amount Sale_Month 03 Sale_Day '~ 7 Sale_Century Sale_Year 03 Deed_Book_and_Page Year_Built 1 ~0 Home Help http://205.247.227.59:591/FMRes/FMPro?-db=public%20tax%20file%2010-1-03.fp5&-op= 10/20/2003 LAST WILL AND TESTAMENT I, HELEN J. WEIGEL, of the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my husband, JO!~l H. WEIGEL, JR., absolutely and in fee simple, if he survives me. THIRD. If my husband, JOHlq H. WEIGEL, u-R., does not survive me, then and in that event, I give, devise and bequeath my entire said estate unto my son, JOHN H. WEIGEL, III, absolutely and in fee simple. Should my said son, JOHI~ H. WEIGEL, III, predecease me and leave lawful issue to survive him, I order and direct that the interest in my Estate which my said son would have received had he survived me shall be distributed unto the lawful issue of my said son by representation per stirpes. FOURTH. I nominate, constitute and appoint THE FIRST BANK AND TRUST COMPANY OF MECHANICSBURG, PENNSYLVANIA, to be the Guardian of any property which passes under this, my Last Will and Testament, to a minor or other legally incompetent bene- ficiary, such guardian to serve during the minority or other incompetency of the beneficiary. LASTLY. I nominate, constitute and appoint my husband, JOH~ H. WEIGEL, JR., to be the Executor of this, my Last Will and Testament, but if my said husband should fail to qualify as such Executor or cease so to serve, then and in that event, I nominate, constitute and appoint my son, JOHN H. WEIGEL,, III, to be the Executor hereof, each to serve without bond. Should both my said husband and son fail to qualify as my personal represent- ative hereunder and should they cease so to Serve, then and in that event, I nominate, constitute and appoint THE FIRST BANK AND TRUST COMPANY OF MECHANICSBURG, PENNSYLVANIA, to be the Executor hereof. IN WITNESS WHEREOF, I~ HELEN J. WEIGEL, have hereunto set my hand and seal to this, my Last Will and Testament which consists of two (2) typewritten pages to each of which I have affixed my signature this /"3 ~ day of December, A. D., One Thousand Nine Hundred Sixty-nine (1969). (SEAL) The preceding instrument, consisting of this and one (1) other typewritten page, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by HELEN J. WEIGEL, ~e Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, ~nd~T~-~t~e p~.~en~e-of each other, have subscribed our names "as witn~s,~'s he,to.,3 TO: LAW OFFICES OF CRAIG A. DIEHL 3464 TRINDLE ROAD CAMP HILL, PA 17011-4436 REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE PA 17013 FAMILY SETTLEMENT AND FINAL RELEASE IN THE ESTATE OF HELEN J. VOglGEL KNOW ALL MEN BY THESE PRESENTS, THAT WHEREAS, Helen J. Weigel, late of Mechanicsburg Borough, Cumberland County, Pennsylvania, deceased, died on February 11, 2003, having first made her Last Will and Testament, which was duly executed on December 13, 1969, and is duly recorded in Cumberland County, Pennsylvania, Estate No. 21-03-00203. WHEREAS, the said Helen J. Weigel, by the aforesaid Last Will and Testament, named John H. Weigel III as Executor of said Last Will and Testament; WHEREAS, the said personal representative has gathered the assets of the estate of the said decedent and the assets consist of real and personal property to a total value of $109,103.57, as set forth in Exhibit "A", which is a statement of account of the said personal representative, and which is attached hereto and made a part hereof, and marked Exhibit "A"; WHEREAS, the debts and deductions, including the payment of inheritance tax in the said estate, amount to $16,958.94, leaving a balance for distribution of $92,144.63, also as set forth in the statement of the said personal representative, which is attached hereto and made a part hereof, and marked Exhibit "B"; NOW THEREFORE, KNOW YE, that I, John H. Weigel III, being the heir under the Last Will and Testament of the said decedent, and being the person entitled to inherit under said Last Will and Testament, do hereby acknowledge that I have this day had and received from the aforesaid personal representative, in full satisfaction and payment of all sum or sums of money, legacies, bequests, and devises as are given, devised and bequeathed to me by the said Last Will and Testament, which amount I have received this day, and which is the amount set opposite my name in the table and schedule of distribution in said statement attached hereto and marked Exhibit "C"; AND, I do hereby stipulate that in order to avoid the expense and time involved in the filing of a formal account and schedule of distribution, I agree that no account is necessary and I hereby agree and consent to distribution being made without the filing of an account and schedule of distribution, the same to be with the same force and effect as if it had been filed and confirmed by the Orphans' Court Division of the Court of Common Pleas of Cumberland County. THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said personal representative, his heirs, executors, administrators and assigns, of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, touching upon the estate of said decedent, and I do further hereby covenant and agree that I will which may be successfully prosecuted against the said estate or the aforesaid personal representative after the signing, sealing and delivery of this family settlement agreement and final release. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of ,2003. WITNESS: COMMONWEALTH OF PENNSYLVANIA : COUNTY OF CUMBERLAND : SS. On this 6~ ~ 5~dayof ~O'~J°'c''r~ ,2003, before me, the undersigned officer, personally appeared John H. Weigel III, known to me (or satisfactorily proven) to be the individual whose name is subscribed to the foregoing instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. COMMONWEALTH (~]: I~afl~ISYLVANI^ Notarial Seal Helen E. Raamuuen, Notluy Public Camp Hill Bom, Cumberland County My Commiuion Expires Aug 2. 200? Member, Pann~y~tanla A~aoetalton of Notaflea FIRST AND FINAL ACCOUNT OF THE ESTATE OF HELEN J. WEIGEL LATE OF MECHANICSBURG BOROUGH, CUMBERLAND COUNTY, PENNSYLVANIA DATE OF DEATH: FEBRUARY 11, 2003 PRINCIPAL ACCOUNT DEBITS: Your Accountant charges himself with the following: Real Property 1. Real Estate Situate at: 17 W. Factory St., Mechanicsburg, PA 17055 Personal Property 2. Checking Account - Citizens Bank Account No. 6100702278 3. Furniture and Household Goods 4. Costume Jewelry 5. Lawn Mower and Garden Tools 6. Clothing 7. Salt & Pepper Collection 8. Refund: Blue Shield - Health Insurance Premium 9. Refund: Erie - Homeowners Insurance Value $98,505.30 $2,527.27 $2OO.OO $5O.OO $10.00 $5O.OO $100.00 $122.00 $168.00 EXHIBIT "A" DEBITS (continued) 10. 11. Personal Property (continued) Property Tax Rebate Citizens Security Life Insurance Co. - Prepaid Funeral Account Value $500.00 $6,871.00 TOTAL PRINCIPAL DEBITS $109,103.57 EXHIBIT "A" CREDITS Your Accountant asks credit for payments made from Principal Account as follows: Description Myers Funeral Home - Funeral Bill The Soda Jerk - Funeral Luncheon Catering St. Mark's Lutheran Church, Mechanicsburg - Rental of Facilities for Funeral Luncheon James R. Gingrich Memorials - Tombstone Engraving Law Offices of Craig A. Diehl - Attorney Fees Register of Wills, Cumberland County Cumberland Law Journal - Estate Advertisement The Sentinel - Estate Advertisement Law Offices of Craig A. Diehl - Certified Mail Fee for Dept. of Public Welfare Letter Register of Wills, Cumberland County - Filing Fee for Pennsylvania Inheritance Tax Return Orphans' Court, Cumberland County - Filing Fee for Family Settlement Agmt. John H. Weigel III, Executor - Mileage Reimbursement (264 miles ~ $0.36/mile) Masonic Homes - Hospital Stay John H. Weigel III - Loan Amount $6,871.00 $485.27 $100.00 $225.00 $5OO.OO $92.O0 $75.00 $105.53 $4.42 $15.00 $17.00 $95.O4 $1,542.00 $4,582.06 EXHIBIT "B" CREDITS (continued) Description UGI - Gas Bill PP&L - Electric Bill Doris Boyer - Beautician Hershey LTC Pharmacy - Pharmacy Bill United Water - Water Bill Register of Wills, Agent - Pennsylvania Inheritance Tax Payment Amount $11.50 $32.79 $56.00 $104.36 $23.88 $2,021.09 TOTAL PRINCIPAL CREDITS $16,958.94 EXHIBIT "B" RECAPITULATION Principal Debits Principal Credits $109,103.57 -$16,958.94 TOTAL AMOUNT TO BE DISTRIBUTED $92,144.63 EXHIBIT "B" PROPOSED DISTRIBUTION The Personal Representative proposes distribution of the Total Balance for Distribution to the following heir as described: John H. Weigel III 559 Farmhouse Lane Hummelstown, PA 17036 100% of Rest, Residue and Remainder of Estate $92,144.63 TOTAL DISTRIBUTED $92,144.63 EXHIBIT "C" 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) 0031 82 DEIHL CRAIG A ESQUIRE 3464 TRINDLE ROAD CAMP HILL, PA 17011-4436 ........ fold ESTATE INFORMATION: SSN: 203-10-7028 FILE NUMBER: 21 03-0203 DECEDENT NAME: WEIGEL HELEN J DATE OF PAYMENT: 10/30/2003 POSTMARK DATE: 1 0/29/2003 COUNTY: CUMBERLAND DATE OF DEATH: 02/1 1/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,021.09 TOTAL AMOUNT PAID: $2,021.09 REMARKS: JOHN HWEIGELIII C/O CRAIG A DEIHL ESQUIRE CPA SEAL CHECK//128 INITIALS: SK RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX 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 REV-t547 EX AFP (01-05) CRAIG A DIEHL ESQ C A DIEHL LAW OFFICES : 5464 TRINDLE RD CAMP HILL PA 1701 DATE 12-22-2005 ESTATE OF NE[GEL DATE OF DEATH 02-11-2005 FILE NUMBER 21 05-0205 COUNTY CUMBERLAND ACN 101 Amount Remitted HELEN J MAKE CHECK PAYABLE AND REMIT PAYMENT TO= REGISTER OF MILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF NEIGEL HELEN J FILE NO. 21 05-0205 ACN 101 DATE 12-22-2005 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED RESERVATION CONCERNXNG FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN Real Estate (Schedule A} 2 Stocks and Bonds CSchedule B} $ Closely Held Stock/Partnership Interest CSchedule C} Mortgages/Notes Receivable (Schedule D} 5 Cash/Bank Deposits/Misc. Personal Property (Schedule E} 6 Jointly Owned Property (Schedule F} 7 Transfers CSchedule G} 8 Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS= 9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H} 10. Debts/Mortgage Liabilities/Liens ¢Schedule I} 11. Total Deductions 12. Net Value of Tax Return c1} 10~598.27 49t252.65 .00 · 00 NOTE: To insure proper · 00 credit to your account, · 00 submit the upper portion .00 of this form with your tax payment. C9) 8,585.26 cio} 6t552.59 c~z} 1~.9~7.R~ C123 44,915.07 15. 1~. NOTE= ASSESSMENT OF TAX: 15. Amount of Line 1~, at Spousal rate 16. Amount of Line l~, taxable at Lineal/Class A rate 17. Amount of Line 1~ at Sibling rate 18. Amount of Line 1~, taxable at Collateral/Class B rate 19. Princt=al Tax Due TAX CREDITS PAYHENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID 10-29-2005 CD005182 . O0 reflect figures that include the total of ALL returns assessed to date. c~5} .00 x O0 = c].~} 44,915.07 x 045= c[7} .00 x 12 = cia} .00 x 15 = C19)= AMOUNT PAID 2,021.09 Charitable/Governmental Bequests; Non-elected 9115 Trusts CSchedule J} Net Value of Estate Sub~ect to Tax (l~} 44,915.07 If an assessment uas lssued previously, lines 14, 15 and/or 16, 17, 18 and 19 .00 .00 2,021.09 .00 .00 2,021.09 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 2,021.09 .00 .00 .00 C IF TOTAL DUE IS LESS THAN 91, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR}, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.} 59,850.92 RESERVATION: PURPOSE OF NOTICE= PAYMENT= REFUND CCR)= OBJECTIONS= ADMIN- ISTRATIVE CORRECTIONS= DISCOUNT= PENALTY= INTEREST= Estates of decedents dying on or before December i2, i982 -- if an~ future interest in the estate is transferred in possession or enSoyment to Class B Ccollateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of 2000. C72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: R~S~'~R O~ NZLLS~ AG*I~I~IT 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-ISIS). Applications are available at the Office of the Register of Hills, any of the 25 Revenue District Offices, or b~ calling the special 24-hour answering service for forms ordering= 1-800-562-2050; services for taxpayers with special hearing and / or speaking needs= 1-800-447-5020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax Cincluding discount or interest) as shown on this Notice must obSect within sixty (&O) days of receipt of this Notice by= --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans° Court. OR Factual errors discovered on this assessment should be addressed in writing to= PA Department of Revenue, Bureau of Individual Taxes, ATTN= Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone C717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" CREV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three C$) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allo~ed. The 15% tax amnesty non-part/c/pat/on penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the 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) Ionths and one C1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, I982 bear interest at the rate of six C&%) 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 announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2005 are= Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 20Y, .000548 1987 9% .000247 1999 7% .000192 1985 16% .000458 1988-1991 11% .000501 2000 8% .000219 1984 11Y, .000501 1992 9% .000247 2001 9% .000247 1985 15% .000556 1995-199~ 7% .000192 2002 &% .000164 1986 IOY. . 000274 1995-1998 9% . 000247 2005 5% . 000157 --Interest is calculated as follows= /NTEREST = BALANCE OF TAX UNPA/D X NUNBER OF DAYS DBLZNQUBNT X DAZL¥ ZNTE11BST 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 sho~n on the Notice, additional interest must be calculated. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Helen J. Weigel Date of Death: February File No: 21-03-00203 11, 2003 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 X No If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 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 X bo Did the personal representative state an account informally to the parties in interest? Yes X No Co 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. Date: January 13, 2004 Signatur~/ Craig A. Diehl, Esquire Name (Please type or print) 3464 Trindle Rd.~ Camp Hill~ PA 17011-4436 Address (717) 763-7613 Tel. No. Capacity: x __Personal Representative Counsel for Personal Representative