HomeMy WebLinkAbout03-0223Estate of
also known as
REe STE. OF W LLS
CUMBERLAND COUNTY, PENNSYLVANIA
PETITION FOR GRANT OF LETTERS
DELBERT J. McMILLEN, SR. No.
, Deceased Social Security No. 199076637
Petitioner(s), who is/are 18 years of age or older, apply)ies) for:
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or
Decedent, dated 3/17/87 and codicil(s) dated N/A
named in the Last Will of the
State relevant circumstances, e.g., renunc at on, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I Name Relationship Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland
residence at 201 Clay Street, West Fairview Township
(list street, number and municipality)
Decedent, then 81 years of age, died January 12 ,200.__~_3, at Holy Spirit Hospital
(Location)
Decedent 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 ........................................................................................ $
Total ..................................................................................................................... $
Real Estate situated as follows: 201 clay Street, West Fairview Township, PA
Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
~ /1 . ~ Typed or printed name and residence
County, Pennsylvania, with his/her last family or principal
500.00
100,000.00
100,500.00
Signature
ROBERT J. McMILLEN
1473 PARK LANE
HARRISBURG, PA 17112
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Dauphin
The Petitioner(s) above-named swear(s) and 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 representative(s) of the
Decedent, Petitioner(s) will well and truly administer the/,e'~ate/~c~,qcrding to law.
Sworn to and affirmed and subscribed ~/_-~"~_.~. · 7:
ROBERT J. McMILLEN
before me this tenth day of
March, 2003
DECREE OF REGISTER
Estate of DELBERT J. McMILLEN, SR.
also known as
OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
Deceased No. ,~1 - C'~
Social Security No: 199076637 Date of Death: 1/12/03
AND NOW, March ~¢'~ , 2003 , in consideration of the Petition on the
reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary I-I of Administration
((c.ta., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate)
are hereby granted to ROBERT J. McMILLEN
in the above estate and that the instrument(s), if any, dated 03/17/2003
described in the Petition be admitted to probate and filed of record as the Last Will of Decedent.
FEES
Letters ....................................
Short Certificates(s) ...............
Renunciation .......................... $
Extra Pages ( ) ............... $
I.T.R ....................................... $
JCP Fee ................................. $
Inventory ................................ $
Other ...................................... $
TOTAL ............................. $ ,:~. 0~
Signature
Attorney: CHARLES E. PETRIE
I.D. No: 29029
Address: 3528 BRISBAN STREET
HARRISBURG PA 17111
Telephone: 561-1939
DATE FILED:
REGISTER OF WILLS OF COUNTY
~/~OAT~. OF SUBSCRIBING WITNESS/ /
/ / / / '
(eacly)' a subscribing witness to the will pres. e'nted herewith, (e.a~h) being duly qffalified according to
lag~', depose(s) and say~ that /// // / present and~aw
//the testat ,~sign the same and ~/at / / signed as a wita~ess at the
/ re.quest .of testa/ff/ inh /esence and (in t/~ presence of e~ other) (in the p/~ence of the
( other subsc~bing witness(es)). / / / /
Sm~Otrhni~o 4r affirmed and s,u/t~cribed:ae~C;~/ // (Nan,,/
/ ~ (/~ddress)
Re~ster
(Name)
(Address)
REGISTER OF WILLS OF ~'t~ffli3E-/l'2~Lfi'~/) COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
<~
testat
' o ..........~ ........ s s the presented herewith and
believe~ the signature on the ~is in the handwriting of
that
to the best of 0~L FTN. knowledge and belief.
Sworn to or affirmed and subscribed before
me this iC) ~T-i~ day of
~.L/~,¥'-QIq~~rL~ Register
rName)
(Namq)
(Address)
Will and Testament
6
Unmarried Individual with Two or More Beneficiaries
I, ~./ .~./" ',: .... :., ~. , ,,. ~'d/ /-V" O .'" presently residing at
· j- , >'-,:'::L .,' ,D .r e~ ~ ,~',"'; z/' I./j t-' ,, 2 ./(-~.
do hereby make, publish and declare this to be my Last Will and Testament and do hereby revoke any and
all other Wills and Codicils heretofore made by me.
First. I am an unmarried person. I hereby give all my estate to the following named
person/persons or the survivor of them in equal shares:
.':~c:'." ~ c ,' ..r ,,. , '
~o~. l order and direct that my just debts and funeral expenses, expenses for administration of my
estate and any inheritance and succession taxes, state or federal, upon my estate shall be paid as soon after my
death as may be practical.
%~ird. ~ nominate and appoint
as Executor/Executrix of this Will. In the event that he/she shall predecease me or fails to survive me or fails
to serve as such Executor/Executrix then I nominate and appoint
Executor/Executrix ofthis my Last Will and Testament.
required to 8ire any bond for the Caithful performance of his/her duties.
Fourth. I hereby authorize my Executor/Executrix to exercise all the powers, rights, discretions,
duties and immunities conferred upon fiduciaries to the extent permitted by law with full power to sell, lease,
mortgage, invest, reinvest, or otherwise dispose of the assets of my estate.
I subscribe my name to this Will this ~'t' ~,' ¢/,/ ,;:~-.,-,,/~ Day of
(Sign here) .-.
Signed, sealed, published and declared to be his/her Last Will and Testament by the within named
Testator in the presence of us, who in his/her presence and at his/her request, and in the presence of each
other, have hereunto subscribed our names as witnesses.
(City) (State)
of ~¢4~_..,??~z~e-~ - ~.,
(~ity) , (State)~
(City) (State)
1987 by AFBP. All rights reserved.
Affidavit
State of
County of
) City
or
) Town
Personally appeared ( 1 )
(2) and (3)
who being duly sworned, depose and say that they attested the said Will and they subscribed the same at the
request and in the presence of the said Testator and in the presence of each other, and the said Testator, signed
said Will in their presence and acknowledged that he/she had signed said Will and declared the same to be
his/her Last Will and Testament, and deponents further state that at the time of the execution of said Will the
said Testator appeared to be of lawful age and sound mind and memory and there was no evidence of undue
influence. The deponents make this Affidavit at the request of the Testator.
Subscribed and sworn to before me this
day of
,19__
(Notary Public)
(Notary Seal)
CERTIFICATE OF NOTICE UNDER RULE 5.6{a}
NAME OF DECEDENT: DELBERT J. McMILLEN, SR.
DATE OF DEATH: January 12, 2003
WILL NO.: ~ ADMIN NO.: 2003-00223
TO THE REGISTER:
I certify that notice of beneficial interest 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 March 19, 2003.
NAME
Barbara McMillen
Robert J. McMillen
ADDRESS
895 Hominy Drive, Newport, PA 17074
1473 Park Lane, Harrisburg, PA 17112
Notice has now been given to all persons entitled thereto under Rule 5.6(a)
except: NONE
DATE: 03/17/2003
NAME
ADDRESS
TELEPHONE
Personal Representative
CAPACITY:
SIGNATURE
CHARLES E. PETRIE
3528 Brisban Street
Harrisburg, PA 17111
(717) 561-1939
X Counsel for Personal Representative
CERTIFICATE OF NOTICE UNDER RULE 5.6!a}
NAME OF DECEDENT: DELBERT J. McMILLEN, SR.
DATE OF DEATH: January 12, 2003
WILL NO.: ~ ADMIN NO.: 2003-00223
TO THE REGISTER:
I certify that notice of beneficial interest 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 March 17, 2003 and April 9, 2003
NAME ADDRESS
Barbara McMillen
Robert J. McMillen
Delbert J. McMillen
895 Hominy Drive, Newport, PA 17074
1473 Park Lane, Harrisburg, PA 17112
201 Clay Street #2, West Fairview, PA 17025
Notice has now been given to all persons entitled thereto under Rule 5.6(a)
except: NONE
DATE: 04/09/2003
NAME
ADDRESS
TELEPHONE
Personal Representative
CAPACITY:
SIGNATURE
CHARLES E. PETRIE
3528 Brisban Street
Harrisburg, PA 17111
(717} 561-1939
X Counsel for Personal Representative
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.
REV-1162 EX(11-96)
CD 003183
PETRIE CHARLES E
3528 BRISBAN ST
HARRISBURG, PA 17111
........ fold
ESTATE INFORMATION: SSN.' 199-07-6637
FILE NUMBER: 2103-0223
DECEDENT NAME: MCMILLEN DELBERT J SR
DATE OF PAYMENT: 10/30/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 01/1 2/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 ~2,613.07
TOTAL AMOUNT PAID'
~2,613.07
REMARKS: ROBERTM MCMILLEN C/O
CHARLES E PETRIE ESQUIRE
SEAL
CHECK# 101
INITIALS: SK
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
REV-1500 EX + (6-00)
I-
Z
ILl
LU
LU
Z
Z
o
O
X
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONlY
FILE NUMBER
,2, / -/?L5
COUNTY CODE YEAR NUMBER
SOCIAL SECURITY NUMBER
DELBERTJ. McMILLEN, SR. 1 9 9- 0 7- 6 6 3 7
DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
01/12/2003 05/02/1921 REGISTER OF WILLS
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
[] 3. Remainder Return (date of death pdorto 12-13-82)
[~5. Federal Estate Tax Return Required
0__ 8. Total Number of Safe Deposit Boxes
[~11. Election to tax under Sec. 9113(A)(AUach Sch O)
[~2. Supplemental Return
r-'] 4a. Future Interest Compromise (date of death after 12-12-82)
r-~7. Decedent Maintained a Living Trust (Attach copy or Trust)
] 10. Spousal Poverty Credit (dateof death between 12-31-91 and 1-1-95)
r~l. Original Return
r-~4. Limited Estate
r-~6. Decedent Died Testate (Attach copy of Will)
[] 9. Litigation Proceeds Received
NAME
CHARLES E. PETRIE
FIRM NAME (If Applicable)
TELEPHONE NUMBER
{717) 561-1939
COMPLETE MAILING ADDRESS
3528 BRISBAN STREET
HARRISBURG
PA 17111
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 (5)
(Schedule E)
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 (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. 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)
14. Net Value Subject to Tax (Line 12 minus Line 13)
55,000 00 OFFICIAL USE O~ILY
__,
;~ J_A_N E/i~.'M~,R FIZO
HEG I,.~'i'ER O"~1.~9
(8)
67,308.31
9,240.00
(11)
9,240.00
58,068.31
(12)
(13)
(14)
58,068.31
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. 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
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19, Tax Due
20.
X .0 (15)
58,068.31 X .04.5 (16)
X .12 (17)
X .15 (18)
(19)
2,613.07
2,613.07
Decedent's Complete Address:
Sl'Nbb I ADDRESS
201 CLAY STREET
CITY
WEST FAIRVlEW TOWNSHIP
JSTATE
Tax Payments and Credits:
1. Tax Due(Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C, Discount
Interest/Penalty if applicable
D. Interest
E, Penalty
PA I ziP 17025
(1)
Total Credits ( A + B + C ) (2)
Total Interest/Penalty ( D + E ) (3)
4. 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 (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A, Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
2,613.07
2,613.07
2,613.07
(5A)
(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 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 affer 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 all information of which preparer has any knowledge.
SIGNATURE OF/15~RSO, N'~,C~ESP~ONSIBLE FOR FILING RETURN . /¢x'~ DATE
3
ADDRESS
1473 PARK LANE
HARRISBURG PA 17112
SIGNATURE OF PREPARER OT.,t~ER THAN ~,~EPRESENT~]'IVE
ADDRESS 3528 BRISBAN STREET
DATE
10/15/03
HARRISBURG
PA 17111
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. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 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 or for 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 decedenrs 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.
Leon D. Gerlach, Appraiser
Commercial, Industrial & Residential
MCMILLEN-201 Clay
Fie No. H0305133B
APPRAISAL OF
LOCATED AT:
201 Clay Street
Enola, PA 17025
FOR:
MCMILLEN, Delbert J (estate)
201 Clay Street
Enola, PA 17025
BORROWER:
Delbert J MCMILLEN (estate)
AS OF:
Janua~, 12, 2093
BY:
Leon D. Gerlach, MSA, MFLA. GAA, CORA
Pa Certified General Real Estate Appraiser Certification Number GA-000368-L
305 West Shady Lane, Enola, PA I7025-2240 Phone 717-732-5052 Fax 717-732-(i$46
SUMMARY APPRAISAL REt'CRT
MCMILLEN-201 Clay
UNIFORM RESIDENTIAL APPRAISAL REPORT Fi~e No. H0305133B
· ESTIMA1ED SITE VALUE..REPJ-ACEM. EN]~ C.OST. US.EE = $ 8,200 comments on Cost Approach (such as, source of cost estimate
ESTIMATED REPRODUCTION COST-NEW OF IMPROVEMENTS: site value, square foot calculation and for HUD, VA and FmHA, the
Dwelling 1,97~0 Sq. Ft. ~ $ 35.23 = $ 69,403. eslimated remaining economic life of the property):
'~ 400 Sq. Ft. @ $ 9.30 = 3,720 SEE SKETCH ADDENDUM
~2 Deck,Porch = 580 Marshall & Swift Cost Service combined with the appraisers
..1GarageJ~ __ Sq. Ft. @ $ = experience have been used to arrive at replacement cost
Total Estimated Cost New ............... = $ 73,703 figures. Land value is an estimate based on the limited
Less 60 Physical Functional I External Est. Remaining Econ. Life: 35 number of lot sales in the area.
Depredation $30~955I = $ 30,955
Deprecialed Value of Improvements ................... = $ 42,748
'As-is" Value of Silo Improvemen s ................... = $ 2~200
INDICATED VALUE BY COST APPROACH ........... = $ 53~100
ffEM I SUBJECT COMPARABLE NO. 1 438 COMPARABLE NO. 2 COMPARABLE NO. 3
201 Clay Street 604 3rd Street 3rd Street 125 3rd Street
Address Enola East Pennsboro Township East Pennsboro Township East Pennsboro Township
Pro~.__._.~to Subject I~¢i~.'.-! ¢'!;~i.~ ';fi~;~.;0.3 MILE NORTHWEST 0.1 MILE NORTHWEST 0.1 MILE SOUTHWEST
Sales Price $ ESTATE SET t~;'~&"J;~r"~i-'~' $ 54,500 "" $ 50~600 - ' $ 55~000
Data and/or VIEW PROPEI(I' MLS/STEB MLS/STEB MLS/STEB
Va'itication Sources TAX ASSESSMEf TAX ASSMT RECORDS TAX ASSMT RECORDS TAX ASSMT RECORDS
VN.UEADIUS'fI~',,~S DESCRIPTION DESCRIPTION [ *(-)$~'f~ DESCRIPTION I *(')$~'~'~ DESCRIPTION I +(')~'~:~;"'-';
~ .;.~ ~* -;~ -.~ CONVENTIONAL -0- OTHER -0- CONVENTIONAL ', -0-
Concessions -;;,!!~ii;.;:.~.~!~i4~4i;! NONE KNOWN -0- NONE KNOWN : -0- NONE KNOWN -0-
-0- 04/2002 i -0-
Location AVERAGE SIMILAR i -0-: SIMILAR ; -0- SIMILAR ; -0-
[.,~,,~,.,~,',-eeSi,~e FEE SIMPLE FEE SIMPLE : -0- FEE SIMPLE -0- FEE SIMPLE ' -0-
Sita 0.08 Acres M/L 0.03NISIMILAR I -0- 0.04NSIMILAR : -0- 0.07A/SIMILAR : -0-
View TYPICAL/NEIG TYPICAL/NEIG i -0- TYPICAL/NEIG ; -0- TYPICAL/NEIG ; -0-
i Design and .,~opeal 2.5-STY/DETA 2.5-STY/ATTA : -0- 2.5-STY/A'I-rA -0- 2.5-STY/ATTA ' -0-
Qual~d~ AVERAGF_JSlDIN SIMILAR/SIDING ', -0- SIMILAR/SIDING i -0- SIMILAR/SIDING: -0-
~ 113N25E 110/20 ; -5,500 110/20 ; -5,500 100/20 ~; -5,500
Condilion BELOW AVERAG AVERAGE/SUPE ! -0- AVERAGE/SUPE; -0- AV,ERAGE/SUPE i -0-
Room Count 5 10! 41 2:0 6i 3! l:0j +900 5! 2! 1:0! +900 5! 21 l:0j +900
.Cross flying Area 1,970 Sq. Ft. 1,182 Sq. Ft. : +3,900 800 Sq. Ft. ! +5,900 895 Sq. Fh ; +5,400
Baseme~l&F~ished FULUNDRMAI FULL ', -0- FULL ,, -0- FULL ', -0-
,.. Rooms BelowGrade NONE NONE ; -0- ~ NONE -0- NONE -0-
,~ Funcfio~alUtili~ AVERAGE AVERAGE/SIMll ' -0- AVERAGE/SIMIL ! -0- AVERAGF-/SIMIL i -0-
HeafinglCooling OIL STM/NONE GAS H.WT/NON -0- I OIL H.WT/NON : -0- GAS H.WT/NON ; -0-
~Ener~YEmdentlterns STANDARD/AGE STANDARD/AGE i -0- STANDARD/AGE i -0- STANDARD/AGE i -0-
'~-Garage/Ca, pud NONE NONE -0- NONE : -0~ NONE i -0-
~ Fore, Patio, Deck, 'FRONT-DECK FRONT-DECK ; -0- FRONT-REAR ; -0- FRONT-REAR ; -0-
Fireplace.s).etc. NONE NONE -0- NONE -0- NONE -0-
FeCnce Pool. etc. CHAIN LINK NONE +300 NONE : +300 NONE ; +300
~'~:rcHEN-BATF KIT-BATH/STAN KIT-BATH/STAN -0- KIT-BATH/STAN : -0- KIT-BATH/STAN ; -0-
' LX}+ [~- !$ 1,600 [;~J+ L}- !$ 1,1oo
NetAdj (total) Ii3 + [.X/- iS 400 Gross: 24.9%
Adjuste; Sales Price Gross: 19.4%
Gross: 22.0%
of. Comparable Net: -0.7% $ 54,100 Net: 3.2% $ 52,200 Net: 2.0% $ 56.100
Camm*,nts on Sa es Comparison (including the subject property's compatibility 1o the neighborhood, etc. ): _See Attached Addendum.
i ITEM SUBJECT ! COMPARABLE~O I t COMPARABLE NO 2 COMPARABLE NO. 3
Dali;, Pr!ce and Data NONE LISTED NONE KNOWN WITHIN 3 YR 02/27/2002 NONE KNOWN WITHIN 3 YR
S3urce fo'pr~sales NONE LISTED 35000 NONE LISTED
~¢tbi~vea. r__of appraise . MLS & STEB
Ar~alysis 3f any current agreement of sale, option, or listing of the subject property and analysis of any pr~ sales of subject and comparable; within one year of fha date of appraisal:
THE SUBJECT PROPERTY WAS NOT LISTED FOR S~A_LE AT THE TIME OF THE VIEWING.
I-~I~A'fED VALUE BY SALES COMPARISON APPROACH
· ' $ 55,000
· INDICA1EDVALUEBYINCOMEAPPROACHflf.~olicable) EsbmaledMarketRentS N/A /Mo. xG'ossRentMultiDlier N/A =S -'
This app, nisei is made ~) "as is" ~ subject to the repai's, alterati3ns, inspections o' conditions I,sted belaw ~_~ subje~ 1o completion po- plans and spedficalions. 0
Cond~tionsofAPpraisat: See Attached Addendum.
Final Recondliation:
~. The purpose of this aprraisal is to estimate/ne market value of he eal property tna~ is the subject of Ibis 7aport. based on lhe above conditions and the ce. lJfi.:alon, continoent
~ ';'Ti~ ~;t~ ~ ;~; lue ',fimt,on that are stat~e~d in Ina s,a::ned Fro, die L%t Form 439/Fannie Mae Form 1004 B (Revised 06-1993 )
- E ;- ALUE, AS DEFINED O. THE REAL PROPERTY THAT IS THE SUBJECT OF THIS RE~'ORT.~-~'~ 01/12/~003
WHICH iS THE DATE OF INSPECTION AND THE EFFECTIVE DATE OF THIS REPORT) TO BE $ 55.000
~ APPRAISER: ·
Sianature ¢.~...~ .Z~. ~ SUPERVISORY APPRAISER (ONLY IF REQUIRED):
~ ' -- - __ __ Sinnature E~Did E~Did No~
Name Leon D. Gerlach, MSA. MFLA. GAA, CCRA Name
Inspect Property
Date Report Sinned 0..___.~/02/2003 Date Report Sioned
Stc. legertifica on¢ GA-O00368-L Stale p,b. StaleCertificatiori¢ Stat~
L.or Slale License # .~tate Or Slate License #
L¢'?m D Oeria:;h A ~p~ainer
SUMMARY At'PRA ;AL REPORT
MCMILLEN-201 Clay
UNIFORM RESIDENTIAL APPRAISAL REPORT File No. H0305133B
I1 EM I SUBJECT COMPARABLE NO. 4 COMPARABLE NO. 5 COMPARABLE NO. 6
201 Clay Street 408 3rd Street 211 Enola Road 508 Enola Road
Address Enola East Pennsboro Township East Pennsboro Township' East Pennsboro Township
Proximity to Subject 0.1 MILE NORTHWEST 1.4 MILES NORTHWEST 0.5 MILE NORTHWEST
Sales Price $ ESTATE SET ..... $ 87~000 $ 66,000 $ 79,500
~ss~.~ma $ 0.00 la $ 26.52 la $ 34.66 la $ 46.01 la
Data and/or VIEW PROPER'r' MLS/STEB MLS/STEB MLS/STEB
vafficetion Sources TAX ASSESSMEI' TAX ASSMT RECORDS TAX ASSMT RECORDS TAX ASSMT RECORDS
VN.UEAD. EJS11VI~',,ITS DESCRIPTION DESCRIPTION I *(-)$~p~,,m~ DESCRIPTION I *(')$~k"~'~r~ DESCRIPTION I *(')$'~'~'-;
Sales or Financing :: '.':.~,.:-":':~. ! CONVENTIONAL ', -0- CONVENTIONAL ', -0- FHA -0-
Concessions '
'" .... ' · ~ NONE KNOWN -0- NONE KNOWN ', -0- NONE KNOWN ', -0-
DateofSalerrme N/A r-:. · 05/2002 ,. -0- 06/2002 -0- 07/2002 ; -0-
Location AVERAGE SIMILAR ; -0- SIMILAR ; -0- SIMILAR ; -0-
l. ea~,dd~ FEE SIMPLE FEE SIMPLE -0- FEE SIMPLE -0- FEE SIMPLE ' -0-
Sita 0.08 Acres M/L 0.25A/SUPERIO i -1,300 0.25A/SUPERIO ', -1,300 0.09NSIMILAR : -0-
Iv'mw TYPICAL/NEIG 'I~'PICAL/NEIG ; -0- TYPICAL/NEIG ; -0- TYPICAL/NEIG ; -0-
Deslgnand~al 2.5-STY/DETA 3 - UNITS ,, -9,000 2 - UNITS : -0- 2 - UNITS ' -0-
Qualb-e'Oanaucr~ AVERAGF_/SIDIN SIMILAR/SIDING: -0- SIMILAR/SIDING ', -0- SIMILAR/SIDING i -0-
'A~e 113A/25E' 100/15 ; -11,000 83/18,; -7,700 103/15 ;, -11,000
Caxlllbn ' BELOW AVERAG AVERAGE/SUPE i -0- AVERAGF_JSUPE ! -0- AVERAGE/SUPE: -0-
~ A~o~C~e T~'i'*":' ~" ~','~i' '~' : -0- ~;~..;' ' e... : -0- ~:'*~'.' ' e~. : -O-
~RoomCount 10: 4: 2:0 17: 4: 3:0i -900 11: 5: 2:0i -0- 10: 5: 2:0i -0-
G~sLivine.'Vea ' 1,9'~0 Sq.F,. '3,280 Sq. Ft. i -6,600 ' 1,9[~4 Sq. Ft. i *300 ' 1,7~8 Sq.Ft. ! +1,200
B,=m,,=,~,&Rnished FUL UNDR MAI FUL UNDR MAI -0- FUL UNDR MAI ', -0- FUL UNDR MAI ', -0-
Roo~Bek~(~ade NONE NONE " -0- NONE -0- NONE : -0-
.~,,alU~f AVERAGE AVERAGE/SIMIL ! -0- AVERAGE/SIMIL ! -0- AVERAGE/SIMIL i -0-
Heatl~/Coo~j OIL STM/NONE GAS H.WTINON : -0- GAS H.WT/NON : -0- OIL H.WT/NON : -0-
Enem,,E,T,~,,,,ilte~ STANDARD/AGE STANDARD/AGE i -0- STANDARD/AGE i -0- STANDARD/AGE i -0-
~ NONE NONE ' -0- NONE ' -0- NONE ' -0-
Porch. Pa~, Deck, FRONT-DECK FRONT-REAR -0- STOOP-DECK ', -0- FRONT-DECK ; -0-
~__~_-~ce(a),etc. NONE NONE , -0- NONE ~ -0- NONE -0-
Fen._...~, Pool, etc..CHAIN LINK NONE ' +300 NONE ' +300 NONE : +300
KITCHEN-BATH KIT-BATH/STAN KIT-BATH/STAN ; -0- KIT-BATH/STAN : -0- : -0-
N~MJ'(t°tal) ';';:~"~;'~'"'~'¢~'"'> [.i]+ [~- iS 28,500 ~]+ [X~- iS 8,400 [~+ [~- iS 9,500
Adjusted Sales Prim ";?~?;!~'~??'!~;~:' C~ross:'33.4%.: C. mss: 14.5% ~oss: 15.7%
°f-gL-,-Cemparable "';"?'%; :;: Net::-32.8% S 58,500 Net: -12.7% $ 57,600 Net: -11.9% $ 70,000
Cor~rments ea Sates C~pa~on ('including the subject pmper~'s compatibilily to the neighborhood, etc. ): SEE ADDENDUM
' ri'EM SUBJECT COMPARABLE NO. 4 COMPARABLE NO. 5 COMPARABLE NO. 6
Date; Pfice and Data NONE LISTED YEAR OF PRIOR SALE-1997 NONE KNOWN WITHIN 3 YR YEAR OF PRIOR SALE-1994
~. b'l~r~ NONE LISTED
&-~L. of any current agr~,,,~,,; of sale, option, or listing of the subject property and analysis of a sales of
w~thin
yea'
the
date
REV-1502EX + (1-97) ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
DELBERT J. McMILLEN,
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which properly 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 jointly-owned with right of
survivorship must be disclosed on Schedule F.
iTEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. REAL ESTATE AT 201 CLAY STREET
WEST FAIRVIEW TOWNSHIP
CUMBERLAND COUNTY, PA
SEE ATTACHED APPRAISAL
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
55,000.00
55,000.00
REV-1508 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
DELBERT J. McMILLEN, ~R,
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of sun~ivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
ACCOUNT AT PNC BANK
MISCELLANEOUS FURNISHINGS
VALUEAT DATE
OF DEATH
11,808.31
500.00
TOTAL (Also enter on line 5, Recapitulation) $ 12,308.31
(If more space is needed, insert additional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
DELBERT J. McMILLEN. SR.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
ITEM
NUMBER DESCRIPTION AMOUNT
5.
6,
7.
FUNERAL EXPENSES:
RICHARDSON FUNERAL HOME
ROLLING GREEN CEMETERY - GRAVE OPENING
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s) ROBERT J. McMILLEN
Social Secudty Number(s) / EIN Number of Personal Representative(s)
Street Address 1473 PARK LANE
City HARRISBURG State PA
Year(s) Commission Paid: 2003
Attorney Fees CHARLES E. PETRIE
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Zip 17112
Street Address
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
REAL ESTATE APRAISAL - LEON D. GERLACH
State Zip
4,810.00
870.00
1,500.00
1,500.00
260.00
300.00
TOTAL (Also enter on line 9, Recapitulation) $ 9,240.00
(If more space is needed, insert additional sheets of the same size)
R~d512 EX +(1-97) ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES~& LIENS
ESTATE OF
DELBERT J. McMILLEN, SR.
FILE NUMBER
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
AMOUNT
REV-?513 EX + (1 97) ~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
DELBEI~,T J. McMILLEN.
NUMBER
I.
1.
2.
3.
II.
FILE NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
BARBARA McMILLEN
895 HOMINY DRIVE
NEWPORT, PA 17074
ROBERT J. McMILLEN
1473 PARK LANE
HARRISBURG, PA 17112
DELBERT J. McMILLEN
201 CLAY STREET #2
WEST FAIRVIEW, PA 17025
RELATIONSHIP TO DECEDENT
DO Not List Trustee(s)
DAUGHTER
SON
SON
AMOUNT OR SHARE
OF ESTATE
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE ON REV 1500 COVER SHEET
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART I! - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET
(tf more space is needed, insert additional sheets of the same size)
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
Estate of DELBERT J. McMILLEN, SR.
also known as
, Deceased
No. 2003 00223
Date of Death 01/12/2003
Social Security No. 199076637
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 the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. INVe
verify that the statements made in this inventory are true and correct. INVe understand that false statements herein made are subject to the
penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attorney:
I.D. No.:
Address:
CHARLES E. PETRIE
29029
3528 BRISBAN STREET
HARRISBURG PA 17111
Personal Representative:
ROBERT J. McMILLEN
Dated 10/15/2003
Telephone: (717) 561-1939
ACCOUNT AT PNC BANK
Description
MISCELLANEOUS FURNISHINGS
REAL ESTATE AT 201 CLAY STREET
WE ST FAI RVI EW TOWN SH I P
CUMBERLAND COUNTY, PA
(Attach Additional Sheets if necessary)
R,~STER OF-A-N'~''~J' MARWI~'O.s
Value
Total
11,808.31
500.00
55,000.00
67,308.31
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
RW-4
PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE
STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE 6.12 FORM YEARLY UNTIL
COMPLETION.
STATUS REPORT UNDER RULE 6.12
NAME OF DECEDENT: DELBERT J. McMILLEN SR.
DATE OF DEATH:
January 12, 2003
WILL NO:
ESTATE NO: 2003-00223
Pursuant to Rule 6.12 of the Supreme Court Orphan's Court Rules, I report the
following with respect to completion of the administration of the above-captioned
estate:
1. State whether administration of the estate is complete: Yes X_ 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 X
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 __ No __
DATE:
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.
October 29, 2003 ~ z~-~:;2~
. · SIGNATURE
CHARLES E. PETRIE
NAME (PLEASE TYPE OR PRINT)
3528 Brisban Street
Harrisburg, PA 17111
ADDRESS
(717) 561- 1939
TELEPHONE NO.
CAPACITY: __ Personal Representative X Counsel for Personal Representative
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280&01
HARRISBURG, PA 17128-0601
CHARLES E PETRIE
5528 BRISBAN ST
HBG
PA 17111
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLONANCE OR DISALLONANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-lS47 EX RFP (H-OS)
DATE 12-22-2005
ESTATE OF MCMILLEN SR
DATE OF DEATH 01-12-2005
FILE NUMBER 21 05-0225
· CDUNTY CUHBERLAND
ACN lOl
I Amount Remitted
DELBERT
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF N[LLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 1701:5
CUT ALONG THIS LINE ~ RETAIN LOg/ER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C01-0:5> NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOt4ANCE OR
DISALLOblANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MCMILLEN SR DELBERT J FILE NO. 21 0:5-022:5 ACN 101 DATE 12-22-200:5
TAX RETURN NAS: C X} ACCEPTED AS FILED C } CHANGED
RESERVATTON CONCERNING FUTURE TNTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A}
2. Stocks and Bonds CSchedule B)
5. Closely Held Stock/Partnership Interest CSchedule
4. Mortgages/Motes Receivable CSchedule D)
5. Cash/Bank Deposits/Misc. Personal Property CSchedule
&. Jointly Owned Property (Schedule F)
7. Transfers CSchedule G) C7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9)
10. Debts/Mortgage Liabilities/Liens CSchedule l) ClO)
11. Total Deductions
12. Net Value of Tax Return
14.
Char/table/Governmental Bequests; Non-elected 9115 Trusts CSchedule J)
Net Value of Estate Sub3ect to Tax
55r000.00
O0
O0
O0
12r :508:51
O0
O0
C8)
9,240.00
.00
(11)
c12)
c13)
NOTE:
If an assessment was issued previously, lines 14, 15 and/or 16, 17,
reflect figures that include the tota! of ALL returns assessed to date.
ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of L/ne 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form w/th your
tax payment.
DATE
10-:50-200:5
NUMBER
INTEREST/PEN PAID (-)
.00
BALANCE OF UNPAID INTEREST/PENALTY AS OF 10-:51-200:5
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
67,:508.:51
9o2~0.00
58,068.:51
.00
58,068.:51
18 and 19 will
2,61:5.07
.00
6.44
6.44
C IF TOTAL DUE IS LESS THAN $[, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
2,613.07
AHOUNT PAID
(15) .00 x O0 = .00
(16) 58,068.:51 x 045= 2,61:5.07
(17) .00 x 12 = .00
c18) .00 x 15 = .OO
c19)= 2,61:5.07
RESERVATION=
PURPOSE OF
NOTICE=
PAYMENT=
REFUND CCR):
OBJECTIONS=
ADMIN-
ISTRATIVE
CORRECTIONS=
DISCOUNT=
PENALTY:
INTEREST=
Estates of decedents dying on or before December 12~ 1982 -- if any 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 Ccollateral) rate on any such future interest.
To fulfil! the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. C72 P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side.
--Make check or money order payable to= RECXS~ OF NZLLS, 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-I313). Applications are available at the Office
of the Register of Hills, any of the 23 Revenue District Offices, or by calling the special 24-hour
answering service for forms ordering: 1-800-562-2050; services for taxpayers with special hearing and / or
speaking needs= 1-800-447-3020 (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, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
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 (Sr.) discount of
the tax paid is allowed.
The 15X 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 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 C9) months and one CI) day from the date of
death, to the date of payment. Taxes which became delinquent before January l, 1982 bear interest at the rate of
six C&X) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January l, 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 2003 are=
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Yea..~r Rate Factor
1982 20Y. .000548 1987 91 .000247 1999 71 .000192
1983 I&Y, .000438 1988-1991 111 .000501 2000 8~ .000219
1984 Ill .000501 1992 9Y. .000247 2001 9~ .000247
1985 131 .000356 1995-199~ 7Y. .000192 2002 &Y. . O00164
1986 10Y, .000274 1995-1998 9~. .0002~7 2003 5Y. .000157
--Interest is calculated as follows:
XNTEREST= BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAXLY TNTEREST FACTOR
--Ar~ Notice issued after the tax becomes delinquent wi1! reflect an interest calculation to fifteen C15) 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.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE T~ DIVISION
DEPT. 280~01
HARRISBURG, PA 17128-060]
COHHONNEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE OF DEATH
12-22-2005
MCMILLEN SR
01-12-2005
RE~-1547 EX ~P (01-05)
DELBERT J
,_ FILE NUMBER 21 05-0225
· U4 FEB20 q~9~T~ CUMBERLAND
3528 BRISB~F~I~-~'~'''- /
.... ~-'- -- --/.- ~.(~ . I Amount Remitted I
A O~ ~4'm~e ~ ~ uo, PA
RE~~PH~ ~-- ~ CUMBERLAND CO COURT HOUSE
~Y_ _~ EP~ _ Z~_ E ~_ ~_ { ~ ...... ~ .... ~J~. _E~_~ ~_ y2 ~ E A ~F97 D S ~
.~v-~s~ ~x ~. ~-.~) .o~c~ OF ~f.~f~ ........
DISALLOWANCE OF DEDUCTIONS AND ASSESS~ u~ lAX '
ESTATE OF MCHILLEN SR DELBERT J FILE NO. 21 0)-022) ACN IO1 DATE 12-22-200)
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON= ORIGINAL RETURN l. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
$. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F}
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS=
9. Funeral Expenses/Adm. Costs/N/sc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
1S.
Char/table/Governmental Bequests; Non-elected 9115 Trusts (Schedule J)
Net Value of Estate Sub3ect to Tax
55t000.00
.00
,00
.00
12rS08.51
.00
.00
C8)
9,240. DO
.00
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form w/th your
tax payment.
NOTE=
67,508.31
(11}
C12) 58,068.51
c].$) .00
ti.q) 58,068. 251
If an assessJent was issued p~evlously, lines 14, ZE and/or 16, 17,
reflect figures that include the total of ALL returns assessed to date.
18 and !9 wil!
10-51-2005
AHOUNT PAID
2,615.07
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
2,615.07
.00
6.44
6.44
C IF TOTAL DUE IS LESS THAN ,1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
BALANCE OF UNPAID INTEREST/PENALTY AS OF
ASSESSNENT OF TAX=
15. Amount of L/ne 14 at Spousal rate
[6. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of L/ne 14 at Sibling rate
18. Amount of L/ne 1~ taxable at Collateral/Class B rate
19. Prtnclpa! Tax Due
TAX CREDITS=
PAYHENT RECEIP~ DISCOUNT (+~
DATE NUMBER INTEREST/PEN PAID
10-50-2005 CD005185 .00
C[5) .00 x O0 = .00
c].~) 58,068.51 x 045= 2,615.07
c].7) .00 x 12 = .00
els) .00 x 15 = .00
(~)= 2,615.07
RESERVATION=
Estates of decedents dying on or before December 12, 1982 -- if ar~ future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) 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 [nheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOT[CE=
PAYMENT=
REFUND CCR)=
OBJECTIONS=
ADMIN-
ISTRATIVE
CORRECTIONS=
DISCOUNT=
PENALTY=
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 Nills printed on the reverse side.
--Make check or money order payable to= REGISTER OF NILLS, 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" CREV-I$1$). Applications are available at the Office
of the Register of Nills, any of the 25 Revenue District Offices, or by calling the special 24-hour
answering service for forms ordering: 1-800-$&2-2050; services for taxpayers with special hearing and / or
speaking needs: 1-800-447-5020 (TT
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 object within sixty C60) days of receipt of
this Notice by=
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to= PA Department of Revenue,
Bureau of Individua! 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 CS) calendar months after the decedent's death, a five percent CSX) discount of
the tax paid is allo~ed.
The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before Januar~ 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) months and one C1) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
six C6X) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
Januar~ 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 Yea.~.r Rate Factor
1982 20X .000548 1987 9X .000247 1999 7~ .000192
1985 I&X .000458 1988-1991 11~ .000501 2000 8X .000219
1992 9~ .0002~7 2001 9~, .0002~7
1984 11X .000501
1995-1994 7~ .000192 2002 &~ .000164
1985 15~ .00055&
1986 lOX .000274 1995-1998 9~ .000247 2005 5~ .000157
--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. [f payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
REV-1162 EX(11-96)
COM~'C)NWEALTH 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 003582
PETRIE CHARLES E
3528 BRISBAN ST
HARRISBURG, PA 17111
fold
ESTATE INFORMATION: SSN: 199-07-6637
FILE NUMBER: 2103-0223
DECEDENT NAME: MCMILLEN DELBERT J SR
DATE OF PAYMENT: 02/20/2004
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 01/1 2/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $6.44
REMARKS:
TOTAL AMOUNT PAID:
$6.44
CHECK# 3231
INITIALS: JA
SEAL RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF ZNDTVTDUAL TAXES
TNHER/TANCE TAX DTyTSTON
DEPT. Z80601
HARRTSBURG,, PA 171Z6-0601
CONHONWEALTH OF PENNSYLVANTA
DEPARTHENT OF REVENUE
ZNHERZTANCE TAX
STATEHENT OF ACCOUNT
REV-160? EX AFP C01-03)
CHARLES E PETRIE
$528 BRISBAN ST
HBG
PA 17111
DATE :;* 05-15-2004
ESTATE OF HCHILLEN SR
DATE OF DEATH 01-12-2005
F/LE NUHBER 21 O$-OZZ$
~IUI~'T :~9 CUHBERLAND
ACN 101
Amoun'l: Rem,i.'~'~od
DELBERT J
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17015
NOTE: To /nsure proper credi~ ~:o your account, submi~ ~:he upper por~1on of ~his for. wi*h your ~:mx paymmn~.
CUT ALONG THZS LZNE ~ RETA'rN LOWER PORT'rON FOR YOUR RECORDS *-~
REV-1607 EX AFP (01-03) ~-- ZNHERZTANCE TAX STATEHENT OF ACCOUNT
ESTATE OF HCHILLEN SR DELBERT J F'rLE NO. 21 O$-OZZ$ ACN 101 DATE 05-15-2004
TH/S STATEMENT TS PROVTDED TO ADV/SE OF THE CURRENT STATUS OF THE STATED ACN TN THE NAHED ESTATE. SHONN BELON
TS A SUNHARY OF THE PRZNCTpAL TAX DUE, APPLZCAT/ON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, TF APPLTCABLE,
A PROJECTED TNTEREST FZOURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTMENT: 12-22-2005
PRINCIPAL TAX DUE: ...........................................................................................................................................................................................................................
PAYMENTS (TAX CREDITS):
2,615.07
PAYHENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
.00
10-50-2005
02-20-2004
CD005185
CD005582
6.44-
2,615.07
6.44
ZF PAZD AFTER THZS DATE, SEE REVERSE
SZDE FOR CALCULATZON OF ADDZTZONAL ZNTEREST.
( ZF TOTAL DUE ZS LESS THAN $1,
NO PAYMENT ZS RE~UZRED.
ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT'
TOTAL TAX CREDZT 2,613.07
BALANCE OF TAX DUE .00
ZNTEREST AND PEN. .00
TOTAL DUE .00
YOU NAY BE DUE A REFUND. SEE REVERSE SZDE OF THTS FORM FOR TNSTRUCTZONS.
PAYMENT:
Detach the top portion of this Notice and submit with your payment made payable to the name and address
printed on the reverse side.
-- Zf RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT.
-- If NON-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA.
REFUND CCR):
REPLY TO:
DISCOUNT:
PENALTY:
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-1513). Applications are available at
the Office of the Register of Hills, any of the Z5 Revenue District Offices or from the Department's Iq-hour
answering service for forms ordering: l-BOO-36Z-Z050~ services for taxpayers ,ith special hearing and / or
speaking needs: 1-800-4qT-~OZO (TT
Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit, Oept. Z80601, Harrisburg, PA 17128-0601, phone
(717) 7B7-6505.
If any tax due is paid within three (5) calendar months after the decadant's death, a five percent (SZ) discount
of the tax paid is allowed.
The 15Z 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 end of the tax amnesty period.
INTEREST:
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 l, 198Z bear interest at the rate of
six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January l, 1982 mill 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 198Z through ZOO4 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year__ Rate Factor
1982 lOX .000548 1988-1991 llZ .000501 ZOO1 9Z .'O00Zq7
1965 16Z .000458 199Z 9Z .000247 ZOOZ 6Z .000164
1984 11X .000~01 1995-1994 7Z .00019Z ZOO5 5Z .000157
1965 I~Z .000556 1995-1998 9Z .000247 ZOO4 4Z .000110
1986 lOX .O00ZT~ 1999 ?Z .O00XgZ
1987 92 .000247 ZOO0 8Z .000219
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY 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.