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HomeMy WebLinkAbout03-1010Register of Wills of C berland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estateof Martha A. Stecher No. also known as , Deceased Social Security No. 267-16 - 7352 Carol L. Stecher and Clark Kipp Stecher, Jr. Petitioner(s), who is/are 18 years of age or older, apply(les) for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut na~ in the last Will of the Decedent, dated 09/18/1°~ codicil(s) dated None Spouse, Clark K. Stecher predeceased testatrix State relevant circumstances, e.g., renunciation, 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 incompetent: none r---] B. Grant of Letters of Administration (c.t.a.; d.b.n.c.ta; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence (COMPLy- ~ t: IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family or principal residence at 215 Garrett Lane, Camp Hill, Camp Hill, PA 17011 (list street, number, and municipality) Decedent, then 84years of age, died ll/16/200~at Manor Care, Carlisle, PA 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 situated as follows: 215 Garrett Lane, Camp Hill, PA 17011 (Location) 45,000.00 150,000.00 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: [ Si~lnature Typedorprinted nameandresidence Carol L. Stecher 215 Garrett Lane, Camp Hill, PA 17011 Clark Kipp $techer, 3r. 1045 Country Club Road, Camp Hill, PA 17011 Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate a~c6rlding to law. Sworn to or affirmed and subscribed I,._ (~,F~i' before me thiS~day of ~.~..~~r Carol L. S/tCer o2/-4::):a Estateof Martha A. Stecher Social Security No: 267 - 16 - 73 ~d~te of Death: AND.OW, 11/16/2003 Deceased , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [-~'~tamentary (~-~lministration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) are hereby granted to Carol L. Stecher and Clark Kipp Stecher, Jr. in the above estate and that the instrument(s) dated 09/18/1997 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........... $ Short Certificate(s) ..... $ Renunciation ........ $ Affidavits ( ) .... $ Extra Pages ( ) .... $ Codicil ........... $ JCP Fee .......... $ Inventory .......... $ Other ........... $ TOTAL ......... $ Attorney: Robert C. Saidis I.D. No: /~' ~-~:~ Address: ~,~, ~<~ Telephone: Prepared by the Pennsylvania Bar Association 21458 Saidis, Shuff, Flower & Lindsay 2109 Market St. Camp Hill, PA 17011 717/737-3405 Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991) 105 112 REV 8/88 (FEE FOR THIS CERTIFICATE $200', WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. T 5512751 November 18, 2003 Date (if Issue of This Certification Name of Decedent Martha A. Stecher First Middle Last Sex Female Social Security No. 267-16-7352 Date of Death Date of Birth Feb. 28, 1919 Birthplace Alabama Place of Death Manor Care Cumberland Carlisle Facility Narr~ County City, Borough or Township 11-16-2003 Pennsylvania Race White Occupation Homemaker Armed Forces? (Yes or No) Decedent's Marital Status Widow Mailing Address 215 Garrett Lane Camp Hill Number Street City or Town Informant C. Kipp Stecher Jr. Funeral Director Sally A. Myers Name and Address of Funeral Establishment David Myers Funeral Home, Newport, PA 17074 No PA 17011 State Part I: Part I1: Immediate Cause (a) (b) (c) (d) Respiratory Failure Interval Between Onset and Death Other Significant Conditions Manner of Death Natural ~ Accident [] Suicide [] Homicide Pending Investigation Could not be Determined Describe how injury occurred: Name and Title of Certfier Kenneth R. Guistwite M.D. Address 522 S. Pitt Street, Carlisle, PA 17013 (M.D., D,C., Coroner, M.E.) This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. ~ al Registrar of Vital Records District No November 18, 2003 01 Barnett St., New Bloomfield, PA 17068 Date Received by Loca~ Registrar Street Address City, Borough, Township LAST WILL AND TESTAMENT OF MARTHA A. STECI-IER KNOW ALL MEN BY THESE PRESENTS, that I, MARTHA A. STECHER, presently residing at 215 Garrett Lane, Camp Hill, Cumberland County, Pennsylvania, do hereby make, declare and publish this as my Last Will and Testament, hereby revoking all former Wills, Codicils and Testamentary Trusts heretofore made by me. PAYMENT OF EXPENSES I. Payment of Expenses. I direct that my Executor, hereinafter named shall have the power, but not the duty, to pay all my just debts, expenses of my last illness, and funeral expenses from my estate as soon after my death as shall be found convenient. GIFTS II. Personal and Household Effects. I bequeath my automobiles, household and personal effects and other tangible property of like nature (not including cash or securities) together with any existing insurance thereon, to my husband, CLARK K. STECHER, if he survives me by thirty days. Should my husband CLARK K. STECHER, not be living on the thirty-first day after my death, I bequeath such tangible personalty and insurance thereon to my children living on the thirty-first day after my death, to be divided between them by my Co-Executors, with due regard for their personal preferences, in as nearly equal shares as practical. Should any child of mine not be living on the thirty-first day after my death, leaving issue to survive him or her, said child's share shall be allotted to her or her then living issue, if any, and in default of such issue, such share shall be added to the share of my other child, or the issue of such other child, per stirpes. Any such personalty not so divided shall thereafter be disposed of by my Co- Executors by public sale or in such manner as my Co-Executors shall select; all proceeds therefrom shall form a part of the residue of my estate hereinafter disposed of. ! intend to leave a memorandum setting forth suggestions as to the distribution of certain items and, while the memorandum is not to be legally binding, I hope the suggestions in it will be carried out. -1- RESIDUARY ESTATE III. A. Spousal Gift. I give, devise and bequeath the rest, residue and remainder of my estate, whether real, personal or mixed and of any nature whatsoever and wherever situated, to my beloved husband, CLARK K. STECHER, absolutely, if he survives me by thirty (30) days. B. Remainder Gift. In the event that my husband, CLARK K. STECHER, should predecease me or not be living on the thirty-first (31st) day after my death, I give, devise and bequeath of the rest, residue and remainder of my estate, whether real, personal or mixed, and of any nature whatsoever and wherever situated, to my children, in equal shares, per stirpes. IV. Fiduciaries. I hereby nominate, constitute and appoint my husband, CLARK K. STECHER, as Executor of this my Last Will and Testament. In the event that my said husband, CLARK K. STECHER, shall predecease me, or be unwilling or unable to act as Executor, as aforesaid, then I nominate, constitute and appoint my daughter, CAROL L. STECHER, and my son, CLARK KIPP STECHER, JR., as Co-Executors of this my Last Will and Testament. If one of the Co- Executors is unable or unwilling to serve, the other shall serve alone. V. Bond. No Executor (Co-Executors) appointed hereunder shall be required to give bond or enter security for the performance of his duties. ADMINISTRATIVE PROVISIONS VI. My Executor (Co-Executors) shall have, in addition to the powers and authority conferred upon him by law, the following additional discretionary powers and authority: 1. To retain any property received by him. 2. To sell at public or private sale, exchange, lease, mortgage or pledge any property, real or personal, at any time constituting a portion of trusts herein created, and upon such terms and conditions as the Executor shall deem wise. 3. To invest any money at any time in such bonds, stocks, notes, real estate, mortgages, life insurance annuities or other securities, or such property, real or personal, as the Executor shall deem wise, without being limited by any statute or rule of law regarding investments by the Executor. -2- 4. To retain, without incurring any liability, as investments, any property owned by me at the time of my death, as long as he deems it wise, and even though such property is not the kind of property the Executor would purchase as an investment; and even though to retain such property might violate sound diversification principles. 5. To cause any security or other property which may at any time constitute a portion of my estate to be issued, held or registered in his own name, or in the name of a nominee, or in such form that title will pass by delivery. 6. To consent to the reorganization, consolidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executor, is necessary to obtain the benefit of any such reorganization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to him as the owner of any securities constituting a portion of a trust or of my estate; to accept and hold, as a portion of a trust of my estate, securities resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. 7. To pay all costs, taxes, charges and expenses in connection with the administration of a trust of my estate, including compensation to the Executor. 8. To determine what is "Income" and what is "Principal" hereunder, and his decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executor may determine. 9. To transfer, sell, exchange, partition, lease, mortgage, pledge, give options upon, or otherwise dispose of any property at any time held by him, at public or private sale or otherwise. 10. To borrow money from any person, firm or corporation for the purpose of protecting and preserving or improving my estate or trust hereunder; to execute promissory notes or other obligations for amounts so borrowed. 11. To make distribution in cash or in kind. 12. To execute and deliver all documents necessary or appropriate for the exercise of his powers. 13. To employ legal counsel, accountants, brokers, investment advisors, custodians, managers and other agents any employees and to pay him reasonable compensation out of my estate or out of any fund held hereunder to which said compensation is attributable. 14. To do all other acts in his judgment necessary or desirable for the proper and advantageous management, investment and distribution of a trust or of my estate. VII. Protective Provisions. To the extent permitted by law, the interest of beneficiaries in principal or income shall not be subject to the claims of their creditors and others, nor to legal process, and shall not be voluntarily or involuntarily alienated or encumbered, except that nothing in this article shall preclude the assignment of all or any part of a beneficiary's interest to his descendants. TAX PROVISIONS VIII. Death Taxes. I direct that all transfer and inheritance taxes, state or Federal assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor pay, or provide for payment of all such taxes at such time or times, and in such manner as my Executor deems best. IX. Tax Options. I authorize my Executor: A. Death Taxes. To exercise any options available in determining and paying death taxes in my estate; B. Income Taxes. To join with my husband in filing a joint income tax return; and C. Gift Taxes. To consent to any gifts made by my husband being treated as having been made one-half by me for the purpose of laws relating to gift tax. IN WITNESS WHEREOF, I, MARTHA A. STECHER, the Testatrix to this my Last Will and Testament, typewritten on five (5) sheets of paper which I have identified at the bottom of each page by my signature, hereunto set my hand and seal the ]~ day of g~~z~ , 1997. / MARTHA A. STECHER The preceding instrument consisting of this and four (4) other typewritten pages, each identified by the signature of the Testatrix , MARTHA A. STECHER, was on this day and date thereof signed, published and declared by MARTHA A. STECHER, the Testatrix therein named, as and for her Last Will, in the presence of us, who at her request, in her presence, and in the presence of each other have subscribed our names as witnesses. -5- COMMONWEALTH OF PENNSYLVANIA · 'SS: COUNTY OF CUMBERLAND · I, MARTHA A. STECHER, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. i _~/(SEAL) MItRT~ A. STECHE"'R Sworn or affirmed to and acknowledged before me, by MARTHA A. STECHER, the Testatrix, this/yZ~bday of ~ , 1997. Notary . P~-bli~ J Gloria A. Cuddington, Notary Public Harrisburg, Dauphin County, PA COMMONWEALTH OF PENNSYLVANIA · 'SS: COUNTY OF CUMBERLAND · We, Gloria J. CoDpersmith , Nancy L. Loper , and Richard E. Connell , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw MARTHA A. STECHER sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by Gloria J. Copperamith, and Nancy L. Loper , and Richard E. Connell witnesses this 18th day of September , 1997. ' (SEAL) · No~aryV1~ubf~ Gloria A. Cuddington, Notary Public Harrisburg, Dauphin County, PA ][My Commission Expires Feb. 14, 1998~ REGISTER OF WILLS OF YORK COUNTY, PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(A) Name of Decedent: Martha A. Stecher Date of Death: November 16, 2003 WilINo. 21-03-1010 Admin. No. To the Register: I certify that notice of Estate Administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiary of the above- captioned estate on December/~;', 2003. Nalne Address Carol L. Stecher 215 Garrett Lane, Camp Hill, PA 17011 Clark Kipp Stecher 1045 Country Club Road, Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none Date: /~///0 "~ ~ ' / f - /R bertC Stud,s, Esquire 2109 Market Street Camp Hill, PA 17011 (717) 737-3405 Capacity: X Personal Representative Counsel for Personal Representative REV-1162 EX(11-96) COMM~DNWEALTH 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 003558 SAIDIS ROBERT C 26 W HIGH STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 267-16-7352 FILE NUMBER: 2103- 1010 DECEDENT NAME: STECHER MARTHA A DATE OF PAYMENT: 02/13/2004 POSTMARK DATE: 02/12/2004 COUNTY: CUMBERLAND DATE OF DEATH: 11/16/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $11,200.00 TOTAL AMOUNT PAID: $11,200.00 :REMARKS: ,"~' SEAL RECEIVED CAROL L STECHER, EXEC IN C/O ROBERT C SAIDIS CHECK# 130 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS JOHN E. SLIKE ROBERF C. SAIDIS GEOFFREY S. SHUFF JAMES D. FLOWER, JR CAROL J. LINDSAY MATTHEW J. ESHELMAN~' THOMAS E. FLOWER LINDSAY GINGRICH MACLAY J ACLYN SMITH LAW OFFICES SAIDIS, SHUFF, FLOWER & LINDSAY A PROFESSIONAL CORPORATION 2109 MARKET STREET CAMP HILL, PENN SYLVANIA 17011 TELEPHON E: (717) 73%3405 - FACSIMILE: (717) 737-3407 EMAIL: attorney@ssfMaw.com 26 WEST H/GH STREET CARLISLF_, PA 17013 TELEPHONE: (717)243-6222 FACSIMILR- (717)243-6486 '~rd Certified Creditors' Rights Rcprescn~afion REPLY TO CAMP HILL August 16, 2004 Register Of Wills Cumberland County Courthouse Carlisle, PA 17013 Re: The Estate of Martha Stecher File No. 21-03-1010 Dear Ladies: Enclosed is an original and two copies of an Inheritance Tax Return for the above estate. Also enclosed are checks for the filing fee and taxes due. Please return a time-stamped copy of the return in the envelope I~ided.~ C7: ~ ,~,~ , Thank you. Very truly yours, , ~, ~ .2:: SAm . /UVF, FLOW :i& LIbra>SA /sly ;/ll61by L. Yifigl~ Paralegal Enclosures 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 004283 SAIDIS ROBERT C 26 W HIGH STREET CARLISLE, PA 17013 ---~ .... fold ESTATE INFORMATION: SSN: 267-16-7352 FILE NUMBER: 2103- 1010 DECEDENT NAME: STECHER MARTHA A DATE OF PAYMENT: 08/17/2004 POSTMARK DATE: 08/17/2004 COUNTY: CUMBERLAND DATE OF DEATH: 11/16/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 8300.00 REMARKS: TOTAL AMOUNT PAID: SAIDIS SHUFF FLOWER 8300.00 SEAL CHECK# 178 INITIALS: CP RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS JOHN E. SLIKE ROBERT C. SAIDIS GEOFFREY S. SI-IUFF JAMES D. FLOWER, JR CAROL J. LINDSAY MATTHEW J. ESHELMANt THOMAS E. FLOWER LINDSAY GINGRICH MACLAY JACLYN SMITH LAW OFFICES SAIDIS, SHUFF, FLOWER & LINDSAY A PROFESSIONAL CORPORATION 2109 MARKET STREET CAMP HILL, PENN SYLVANIA 17011 TELEPHONE: (717) 737-3405 - FACSIMILE: (717) 737-3407 EMAIL: attorney@ssfl-law.com 26 WEST HIGH STREET CARUSLI~ PA 17013 TELEPHONE: (717)243-6222 FACSIMILE (717)243-6486 ~Board Certified Creditors' Rights Representa6on REPLY TO CAMP HILL August 16, 2004 Register Of Wills Cumberland County Courthouse Carlisle, PA 17013 Re: The Estate of Martha Stecher File No. 21-03-1010 Dear Ladies: /sly Enclosures Enclosed is an original and two copies of an Inheritance Tax Return for the above estate. Also enclosed are checks for the filing fee and taxes due. Please return a time-stamped copy of the return in the envelope I~ided.~ Thank you .... Very truly yours, S F~, FLO~& LIoI~IDSA¥' . Paralegal REV-1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-O601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT CAPB H=RL CR Ac KO TM ES DECEDEN~SNAME(LAST, FIRST, ANDMIDDLEINITIAL) Stecher Martha A. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 1 I~33~/~D03 02/28/1919 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) cg S T OFFICIAL USE ONLY FILE NUMBER 21-03-1010 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 267-16- 7352 THIS RETURN Mus'r BE FI. ED I~1DMPUCA REGISTER OF WILLS ~ 1. Original Retum ~;~! Supplemental Returo, J~ ~" ?" i,i~l~dor Returo (d~ pn 4. L,ro,,ed Estate · ~r~ Compromise (date of death after 12-12- ~; ~ ~l Estate Tax Return 6. D~ent Died Testate B~ Maint~ned a Uving Trust 0 ~. ~ Tot~ Number of Safe Depo A. h ' ~ f; ( ac copy of W~II) ~py of Trust) I~ ~' Litigation P~ee~ R~eived~ 10. S~usal Pove.y C~dit ~ 1~' E.t en to t~ under S~ ~f death ~ 12-31-91 ~d 1-1-95) .;' ~; , ~ ~ ~h Sch O) NAME ~MPL~ MAILING ~bR~SS Eobe~ C. Sa~d~s FIRM N~E (If ~plicable) 2[09 Ha~e~ S~. TELEPHONE NUMBER 717./737- 3~05 R E C A P I T U L A T I O N C 0 M T ! 0 1Real Estate (Schedule A) (1) ZStocks and Bonds (Schedule B) (2) 3Closely Held Corporation, Partnership or (3) Sole-Proprietorship 4Mortgages & Notes Receivable (Schedule D) (4) 5Cash. Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6Jointly Owned Property (Schedule F) (6) I-~eparate Billing Requested 7Jnter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8.Total Gross Assets (total Lines 1-7) 9.=uneral Expenses & Administrative Costs (Schedule H) (9) 1Q;)ebts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11Total Deductions (total Lines 9 & 10) la,let Value of Estate (Line 8 minus Line 11) -0- None None None 53,243.34 None 142,225.91 18,471.39 70,424.21 13Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) l~let Value Subject to Tax (Line 12 minus Line 13) OFFICIAL USE ONLY (8) 195,469.25 (11) 88,895.60 (12) 106,573.65 (13) (14) 106,573.65 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 150,mount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16~mount of Line 14 taxable at lineal rate 17Amount of Line 14 taxable at sibling rate 180,mount of Line 14 taxable at collateral rate X .0 0 (15) 0.00 106,573.65 X .0 45 (16) 4,795.81 x .12 (17) 0.00 X .15 (18). 0.00 19rax Due (19) 4,795.81 Copyhght (c) 2000 form software only The Lackner Group, Inc. Form REV- 1500 EX (Rev. 6-0o) Decedent's Complete Address: ISTREETADDRESS 215 Garrett Lane CITY Camp Hill STATE IPA ZIP 17011 Tax Payments and Credits: 1.Tax Due (Page I Line 19) 2Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 11,200.00 239.79 (1) Total Credits ( A + B + C ) (2) 4,795.81 3interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4if 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{f 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. (SA) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1Did decedent make a transfer and: Yes No ;. retain the uso or income of the property transferred; ......................... ~ ~ · 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? ................... 2If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................ ~ [~] 3Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............................................. ~ ~'] 4Did 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. 11,439.79 0.00 6,643.98 0.00 0.00 0.00 Under penalties of perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is tree, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNAT~OFPEJ~SONR~SPONSI~EF~Z-FtL~NGRETURN Carol L. Stecher and Clark Kipp Stecher (~ /~J~ _ _ _2_ l_ _5 _ _G_ a_ _r _r_e_ t_ _t Lane ................... ~~ '~.~4~ ~~ c~ ~i~, ~i--iVdii- ...... SIGNATUREO~P~E~ER~A~REPRESENTATIVE Satdts, Shuff, Flower & Lindsav . ' C ......................... ,. For dat~ o~ death on or a~or duly 1, 1004 and be[ore danua~ ~, ~ OOfi, tho ~ reto im~s~ m ~o not valuo o~ tmnstom to or for ~o uso ol tho sumiving s~use is 3% [72 P.S. 9116 (a) (1.1) (i)]. For dates of death on or after Janua~ 1, 1~5, the ~ rote im~ on the net value of tmnsfem to or for ~e use of ~e su~iving s~use is 0% ~2 P.S. 9116 (a) (1.1) (ii)]. ~e s~tute does not exempt a transfer to a sunning s~use from ~, and the s~t~o~ r~uirements for disclosure of assets and filing a ~ return am still applicable even if ~e suwiving s~use is ~e only beneficial. For dates of dea~ on or after July 1, 2~: The ~ rate im~s~ on the net value of transfers from a d~eas~ child ~en~-one years of age or younger at death to or for ~e use of a natural parent, an adoptive ~mnt, or a stepparent of ~e child is 0% [72 P.S. 9116 (a) (1.2)]. The t~ rate im~s~ on the net value of transfers to or for the use of the d~ent's lineal ~neficiaries is 4.5%, except as not~ in 72 P.S. 9116(1.2) [72 P.S. 9116(a)(1)]. ~e ~x rate im~s~ on ~e net value of tmnsfem to or for the use of ~e d~ent's siblings is 12% ~2 P.S. 9116(a)(1.3)]. A sibling is define, under S~tion 9102, as an individual who has at least one ~rent in common with the d~ent, whether by bl~ or adoption. Copy~ght (c) 2000 fo~ soffwa~ only The ~ckner Group, Inc. Fo~ REV-I~0 EX (Rev. 6-00) REV-1502 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERiTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Martha A. Stecher SS~/ SCHEDULE A REAL ESTATE 267-16-7352 11/16/2oo3 FILENUMBER 21-03-1010 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 property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with ri~lht of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 215 Garrett Lane, Camp Hill, PA 17011 suspend TOTAL (Also enter on line 1, Recapitulation) $ O. O0 Form REV-1502 EX (Rev. 1-97) (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. REV-1508 EX + (1-97) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Martha A. Stecher SS# 267-16-7352 11/16/2003 21-03-1010 Include the proceeds of litigation and the date theproceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 2 3 4 5 6 7 8 9 10 11 12 PNC Bank, checking acct. #5003839584 AmeriChoice FCU, CD #23767-61 AmeriChoice FCU, share savings acct. #23767-01 AmeriChoice FCU, share savings acct. #16015-01 AmeriChoice FCU, CD #15015-60 Dept. of Veterans Affairs, refund of policy premium Progressive Insurance, refund of car insurance premium Household goods and furnishings 1994 Cadillac DeVille, sale price Medical expense refund Verizon refund Balance of husband's AmeriChoice account (plus deposit made after death) TOTAL (Also enter on line 5, Recapitulation) 4,806.54 30,585.87 832.15 276.26 6,789.92 30.90 126.59 2,000.00 6,520.00 94.08 21.74 1,159.29 $ 53,243.34 (If more space is needed, insert additional sheets of the same size) Copy~ght (c) 1996 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97) REV-1510 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Martha A. Stecher SS~ SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY 267-16-7352 11/16/2003 This schedule must be completed and filed if the answer to any of questions I through 4 on page 2 is es. FILE NUMBER 21-03-1010 DESCRIPTION OF PROPERTY % OF ITEM INCLUDE THE NAME OF THE TRANSFEREE THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE RELAT ONSH P TO DECEDENT AND THE OATE OF TRANSFER. NUMBER A'rrACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (~F APPLICABLE) 1 Lincoln Benefit Life Co. 142,225.91 100.007, 142,225.91 Non-qualified fixed annuity contract ~/LBF1001174 TOTAL (Also enter on line 7, Recapitt~ation) 142,225.91 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1510 EX (Rev. 1-97) REV-1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Martha A. Stecher SS~/ SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS 267-16-7352 11/16/2003 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FILE NUMBER 21-03-1010 5. 6. 7. :UNERALEXPENSES: David M. Myers Carol Stecher, Funeral Home reimbursement for clothing, etc. ~,DMINISTRATIVE 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: Attomey's Fees Saidis, Shuff, Flower & Lindsay Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Carol Stecher Street Address 215 Garrett Lane City Camp Hill Relationship of Claimant to Decedent State PA Zip 17011 daughter Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees ~herAdministrativeCosts Cumberland Law Journal, estate notice Patriot News, estate notice Register of Wills, filing fee for tax return Greg Slewelling and Sandy Gnone, compensation for assistance AMOUNT 4,198.80 148.00 10,059.00 3,500.00 281.00 75.00 144.59 15.00 50.00 TOTAL (Also enter on line 9, Recapitulation) $ 18,471.3 9 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV- 1511 EX (Rev. 1-97) REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Martha A. Stecher SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SS# 267-16-7352 11/16/2003 FILE NUMBER 21-03-1010 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 8,608.49 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 AmeriChoice FCU, personal line of credit acct. #16015-25 (in pre-deceased husband's name DOD balance) AmeriChoice FCU, home equity line of credit acct. #16015-50 (secured by real estate located at 215 Garrett Lane, Camp Hill,PA DOD balance) AmeriChoice Visa charge account PA Dept. of Revenue, final lifetime taxes Agway Energy, fuel oil for house Bret Adams, yard work and lawn mowing Bon-Ton charge acct. Manor Care, nursing home Boscov's charge acct. PA American Water PPL Erie Insurance, fire insurance premium Progressive Insurance, car insurance premium Sprint, phone bill Verizon, phone bill Sears, charge acct. Fleet, Visa credit card acct. balance Sonitrol, security system Progressive Insurance, premium Alicia Stine, tax collector Comcast Cablevision Plastic Surgery Center AT&T East Pennsboro Twsp., water and sewer The Patriot News Kipp Stecher, reimbursement for car battery TOTAL (Also enter on line 10, Recapitulation) 45,839.29 2,886.09 82.00 2,215.10 442.00 404.55 27.00 377.37 385.40 527.91 474.00 123.43 89.38 215.88 51.02 6,287.48 141.66 118.43 494.99 163.75 10.00 16.79 288.00 111.80 42.40 $ 70,424.21 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSysterns, Inc. Form REV-I$1Z EX (R~v. 1-97) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Martha A. Stecher SS~/ NUMBER 2 II. SCHEDULE J BENEFICIARIES 267-16- 7352 11/16/2003 NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY tAXABLE DISTRIBUTIONS [include omdght spousal distdb~ions, and t~nsfe~ under S~. 9116(a)(1.2)] Carol L. Stecher 215 Garrett Lane Camp Hill, PA 17011 Clark Kipp Stecher, Jr. 1045 Country Club Road Camp Hill, PA 17011 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) daughter son FILE NUMBER 21-03-1010 AMOUNTORSHARE OF ESTATE 1/2 estate TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET 1/2 estate ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 181 AS APPROPRIATEI ON REV 1500 COVER SHEET ~ION-TAXABLE DISTRIBUTIONS: ~,, SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS $ 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV- 1513 EX (Rev. 9-00) JAMES H WEINREICH THELMA M WEINREICH 530 CRAINS GAP RD CARLISLE PA 17013-9602 i'der o[ 5O3 10-4/220 date NOT VAUD FO~ ~8S ~A~ $~00.00 Manu~ac~urem and Tra~lem Trust Company 1 Fountain Plaza Bi. rlfaJo, New York 14203 November ~7, 2003 Robert C. Saidis, Esq. 26 W. High Street Carlisle, Pa. ~7ox3 RE: Clark K. Stecher - Martha Stecher - Account 16015 Account 23767 The accounts for Clark K. Stecher are as follows: Account Type Balances as of n/x7/o3 x6ox5-ox Share Savings ~6o~5-xx Checking ~6o~5-6o Certificate x6ox5-25 Personal Line of Credit ~6o~5-5o Home Equity Line $ 276.26 $ I,o95.86 $ 6,789.92 $ 8,6o8.49 $45,839.29 Ownership Joint with Martha Sole owner Joint with Martha Sole owner Sole owner The accounts for Martha Stecher are as follows: Account Type Balances as of xx/x7/o3 23767-oI Share Savings $ 832.15 23767-6x Certificate of Deposit $3o,585.87 Please call me if you need any additional information. Sincerely, Ownership Joint with Clark Sole owner Diane Markley Assistant Vice President Operations Lincoln Benefit Life Company P.O. Box 94212 Palatine, IL 60094-4212 LINCOLN BENEFIT LIFE COMPANY A Member of Altstate Financial Group January 13, 2004 Saides, Shuff, Flower & Lindsay Attn: Shelby 2109 Market Street Camp Hill, PA 17011 Re~ Contract Number: Martha A Stecher LBF1001174 Dear · We have been requested to complete Internal Revenue Service (IRS) Form 712 with regard to the referenced contract. The purpose of Form 712 is to provide an estate or donor with the value of a life insurance contract or with its proceeds as of certain date (usually the owner's date of death or date of transfer of the contract). The contract referenced was an annuity contract, which is not reportable on IRS form 712. The following information is provided regarding the value of the annuity and other data as of the date specified: Date of Death: November 16, 2003 Annuity Value* as of Date of Death: $142,225.91 Cost Basis: $47,572.00 Named Beneficiary: C Kip Stecher & Carol L Stecher *The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender Charges. If you have any questions, or need further assistance, please contact me at 1-877-499-6418. Sincerely, Life and Annuity Claims Overnight Address: 544 Lakeview Parkway, Vernon Hills, IL 60061 Toll Free Fax: 1-866-635-4523 PNCBAt K January 20, 2004 Robert C. Saidis 2109 Market Street Cmnp Hilt, PA 17011 RE: Estate of Martha A. Stccher. &x::::~sed SSN: 267-16-7352 DOD: 11/16/2003 Dear Mr. Smdis: In response to your' request for Date oi Dcmh bahmces fbr the custom{:r holed above, om records show thc following: Check/rig Account Accom~ #5003839584 MAR'!-", IA ^ DOD balance: $4,806.5~ (non-interc:~! 5,':aring) Established 10/16/2001 Please note that tiffs office only pmvi&~s ,:.late of dcatt, baiances fi)r d~osit accounts (~s, CDs, Checking and Savings acx:::~;mts). W~, da ~o't proeea; any financial transacfi~m~ or provide statements. ~; '5'ou need assi~tan~':~, witk any of ~esc itt:ms, please call 1-gg8 PNC-BANK (t-88~. '~:D-2265} ;~r' slop by )~our local PNC B~k branch Sincerely, Rochelle Wells 1-80(t-762-17?5 P7-PFSC-04-F 500 first Ave. Pittsbu[gh PA [ 5219 M em b~.~r FDIC LAST WILL AND TESTAMENT OF MARTHA A. STECHER KNOW ALL MEN BY THESE PRESENTS, that I, MARTHA A. STECHER, presently residing at 215 Garrett Lane, Camp Hill, Cumberland County, Pennsylvania, do hereby make, declare and publish this as my Last Will and Testament, hereby revoking all former Wills, Codicils and Testamentary Trusts heretofore made by me. PAYMENT OF EXPENSES I. Payment of Expenses. I direct that my Executor, hereinafter named shall have the power, but not the duty, to pay all my just debts, expenses of my last illness, and funeral expenses from my estate as soon after my death as shall be found convenient. GIFTS II. Personal and Household Effects. I bequeath my automobiles, household and personal effects and other tangible property of like nature (not including cash or securities) together with any existing insurance thereon, to my husband, CLARK K. STECHER, if he survives me by thirty days. Should my husband CLARK K. STECHER, not be living on the thirty-first day after my death, I bequeath such tangible personalty and insurance thereon to my children living on the thirty-first day after my death, to be divided between them by my Co-Executors, with due regard for their personal preferences, in as nearly equal shares as practical. Should any child of mine not be living on the thirty-first day after my death, leaving issue to survive him or her, said child's share shall be allotted to her or her then living issue, if any, and in default of such issue, such share shall be added to the share of my other child, or the issue of such other child, per stirpes. Any such personalty not so divided shall thereafter be disposed of by my Co- Executors by public sale or in such manner as my Co-Executors shall select; all proceeds therefrom shall form a part of the residue of my estate hereinafter disposed of. I intend to leave a memorandum setting forth suggestions as to the distribution of certain items and, while the memorandum is not to be legally binding, I hope the suggestions in it will be carried out. RESIDUARY ESTATE III. A. Spousal Gift. I give, devise and bequeath the rest, residue and remainder of my estate, whether real, personal or mixed and of any nature whatsoever and wherever situated, to my beloved husband, CLARK K. STECHER, absolutely, if he survives me by thirty (30) days. B. Remainder Gift. In the event that my husband, CLARK K. STECHER, should predecease me or not be living on the thirty-first (31st) day after my death, I give, devise and bequeath of the rest, residue and remainder of my estate, whether real, personal or mixed, and of any nature whatsoever and wherever situated, to my children, in equal shares, per stirpes. IV. Fiduciaries. I hereby nominate, constitute and appoint my husband, CLARK K. STECHER, as Executor of this my Last Will and Testament. In the event that my said husband, CLARK K. STECHER, shall predecease me, or be unwilling or unable to act as Executor, as aforesaid, then I nominate, constitute and appoint my daughter, CAROL L. STECHER, and my son, CLARK KIPP STECHER, JR., as Co-Executors of this my Last Will and Testament. If one of the Co- Executors is unable or unwilling to serve, the other shall serve alone. V. Bond. No Executor (Co-Executors) appointed hereunder shall be required to give bond or enter security for the performance of his duties. ADMINISTRAT/VE PROVISIONS VI. My Executor (Co-Executors) shall have, in addition to the powers and authority conferred upon him by law, the following additional discretionary powers and authority: 1. To retain any property received by him. 2. To sell at public or private sale, exchange, lease, mortgage or pledge any property, real or personal, at any time constituting a portion of trusts herein created, and upon such terms and conditions as the Executor shall deem wise. 3. To invest any money at any time in such bonds, stocks, notes, real estate, mortgages, life insurance annuities or other securities, or such property, real or personal, as the Executor shall deem wise, without being limited by any statute or rule of law regarding investments by the Executor. 4. To retain, without incurring any liability, as investments, any property owned by me at the time of my death, as long as he deems it wise, and even though such property is not the kind of property the Executor would purchase as an investment; and even though to retain such property might violate sound diversification principles. 5. To cause any security or other property which may at any time constitute a portion of my estate to be issued, held or registered in his own name, or in the name of a nominee, or in such form that title will pass by delivery. 6. To consent to the reorganization, consolidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, in the opinion of the Executor, is necessary to obtain the benefit of any such reorganization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to him as the owner of any securities constituting a portion of a trust or of my estate; to accept and hold, as a portion of a trust of my estate, securities resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. 7. To pay all costs, taxes, charges and expenses in connection with the administration of a trust of my estate, including compensation to the Executor. 8. To determine what is "Income" and what is "Principal" hereunder, and his decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executor may determine. 9. To transfer, sell, exchange, partition, lease, mortgage, pledge, give options upon, or otherwise dispose of any property at any time held by him, at public or private sale or otherwise. 10. To borrow money from any person, firm or corporation for the purpose of protecting and preserving or improving my estate or trust hereunder; to execute promissory notes or other obligations for amounts so borrowed. 11. To make distribution in cash or in kind. 12. To execute and deliver all documents necessary or appropriate for the exercise of his powers. 13. To employ legal counsel, accountants, brokers, investment advisors, custodians, managers and other agents any employees and to pay him reasonable compensation out of my estate or out of any fund held hereunder to which said compensation is attributable. 14. To do all other acts in his judgment necessary or desirable for the proper and advantageous management, investment and distribution of a trust or of my estate. VII. Protective Provisions. To the extent permitted by law, the interest of beneficiaries in principal or income shall not be subject to the claims of their creditors and others, nor to legal process, and shall not be voluntarily or involuntarily alienated or encumbered, except that nothing in this article shall preclude the assignment of all or any part of a beneficiary's interest to his descendants. TAX PROVISIONS VIII. Death Taxes. I direct that all transfer and inheritance taxes, state or Federal assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor pay, or provide for payment of all such taxes at such time or times, and in such manner as my Executor deems best. IX. Tax Options. I authorize my Executor: A. Death Taxes. To exercise any options available in determining and paying death taxes in my estate; B. Income Taxes. To join with my husband in filing a joint income tax return; and C. Gift Taxes. To consent to any gifts made by my husband being treated as having been made one-half by me for the purpose of laws relating to gift tax. IN WITNESS WHEREOF, I, MARTHA A. STECHER, the Testatrix to this my Last Will and Testament, typewritten on five (5) sheets of paper which I have identified at the bottom of each page by my signature, hereunto set my hand and seal the ]~ day of ~)~~'~h , 1997. / MARTHA A. STECHER The preceding instrument consisting of this and four (4) other typewritten pages, each identified by the signature of the Testatrix , MARTHA A. STECHER, was on this day and date thereof signed, published and declared by MARTHA A. STECHER, the Testatrix therein named, as and for her Last Will, in the presence of us, who at her request, in her presence, and in the presence of each other have subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA: : SS: COUNTY OF CUMBERLAND : I, MARTHA A. STECHER, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~/M~HA A. STECHER Sworn or affirmed to and acknowledged before me, by MARTHA A. STECHER, the Testatrix, this/j~-~day of ~~/ , 1997. '/ Notary P~bli~ J': Iofia A. Cuddington, Notary Public Harrisbu~.?,, Dauphin County. PA COMMONWEALTH OF PENNSYLVANIA · · SS: COUNTY OF CUMBERLAND · We, Gloria J. Coppersmith , Nancy L. Loper , and Richard E. Connell , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw MARTHA A. STECHER sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by Gloria J. Coppersmith, and Nancy L. Loper , and Richard E. Connell witnesses this 18th day of September , 1997. (SEAL) No;~ aryKpub l'i-edI ! Gloria A. Cuddington, Notary Public ~. ~ Ha~sbu~,Dauphin Count, PA ~' ~My Commission Expi~s Feb, 14, 1998 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 004283 SAIDIS ROBERT C 26 W HIGH STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 267-16-7352 FILE NUMBER: 2103- 1010 DECEDENT NAME: STECHER MARTHA A DATE OF PAYMENT: 08/17/2004 POSTMARK DATE: 08/1 7/2004 COUNTY: CUMBERLAND DATE OF DEATH: 11/16/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $300.00 REMARKS' TOTAL AMOUNT PAID: SAIDIS SHUFF FLOWER $300.00 SEAL CHECK# 1 78 INITIALS: CP RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES TNHERZT&~CE TAX DIVISION DEPT. 2D060I H~RRISDURG, PA 171Z&-060I ROBERT C SAIDIS SAIDIS ETAL 1109 MARKET CAMP HILL COMMONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOHANCE OR DISALLOHANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-15¢7 EX AFP COZ-03) P2 :~i7 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-11-200q STECHER 11-16-2005 21 03-1010 CUMBERLAND 101 Amount Ram'i 'l:'l:ad MARTHA A MAKE CHECK PAYABLE AND REMIT PAYMENT TO: RE6ISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~'~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-154? EX AFP (01-03) NOTZCE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DZSALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF STECHER MARTHA AFZLE NO. 21 05-1010 ACN 101 DATE 10-11-200q TAX RETURN HAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERN/NG FUTURE INTEREST - SEE REVERSE APPRATSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. ClosaZy Held Stock/Partnership Interest (Schedule C) q. Mortgages/Notes Receivable (Schedule D) (q) 5. Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E) (5) 6. Jointly O~nad Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXENPTZONS: 9. Funeral Expenses/Adm. Costs/Misc. Expanses (Schedule H) (9) 10. Debts~Mortgage Liabilities/Liens (Schedule I) (10) 11. To,al Deductions Nat Value of Tax Return .00 .00 NOTE: To insure proper .00 credit to your account, .00 sub.it the upper portion .00 of ~h[s fore with ~our ~ax payment. 18,q71 .$9 70,qZq.Z1 (11) 88.895.6§ ('12) 106,575.65 13. lq. NOTE: ASSESSMENT OF TAX: 16. Amount of Line lq at Spousal rata 16. Amoun~ of Line lfi taxable at Lineal/CZass A rate 17. Amoun~ of Line lq at Sibling ra*a 18. Amount of L/ne 1~ taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: PAYHENT RECEIPT DISCOUNT DATE NUMBER INTEREST/PEN PAID (- 02-12-200q CD005558 ~$9.79 08-17-Z00q CDOOq285 . O0 (15) .00 X O0 = .00 (16) 106,57:5.65 X Oq5 = q,795.81 (17) .00 X 11 = .00 (18) . O0 x 15 = . O0 (19)= q,795.81 AMOUNT PAID ll,ZO0.O0 $00.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE Charitabla/Governaantal Bequests; Non-elected 9115 Trusts (Schedule J) (13) . O0 Net Value of Estate Sub.~act to Tax (lq) 106,575.65 Tf an assessment ,as ~ssued previously, l~nes 14, 15 and/or 16, 17, 18 and 19 reflect figures that ~nclude the total o~ ALL returns assessed to da~e. IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 11,759.79 6,9qS.98CR .00 6,9q$.98CR ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU MAY BE DUEl-~ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) '\t~'T .' lq2/225.91 (a) 195,fi69.25 RESERVATION: PURPOSE OF NOT/CE: PAYNENT: REFUND (CR): OBJECTIONS: ADHIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 12, 198Z -- if any 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 Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (7Z 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. --Hake check or money order payable to: REGISTER OF NILLS, AGENT A refund of a tax credit, ahich ams not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Hills, any of the Z3 Revenue Oistrict Offices, or by calling the special Z4-hour answering service for forms ordering: 1-800-362-Z050; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 (TT only). Any party in interest not satisfied aith the appraisement, alloaance, or disallowance of deductions, or assessment of tax (including discount or interest) ms shown on this Notice must object mithin sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 2810Z1, Harrisburg, PA 17128-10Z1, 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 Reviea Unit, Dept. Z80601, 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 aithin three (3) calendar months after the decedant's death, a five percent (SI) 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. This non-participation penalty is appealable in the same manner and in the the same time period as you mould appeal the tax and interest that has bean assessed as indicated on this notice. Interest is charged beginning aith first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes ahich became delinquent before January 1, 198Z bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. AIl taxes ahich became delinquent on and after January 1, 198Z 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 198Z through 2004 are: Interest Daily Interest Daily Interest Year Rate Factor Year Rate Factor ~ ZOZ .000548 1988-1991 117. .000301 1983 162 . 000438 1992 9Z . 000247 1984 117. .000301 1993-199~* 7Z .O0019Z 1985 13Z . 000356 1995-1998 9Z . 000Z47 1986 IOZ . 000274 1999 77. . OO019Z 1987 IOZ .000Z74 ZOO0 77. .00019Z --Interest is calculated as folloes: INTEREST = BALANCE OF TAX UNPAID Dally Year Rate Factor 2001 9Z .000Z47 200Z 6Z .000164 ZOOS 5Z .000137 ZOO4 4Z .000110 X NUHBER OF DAYS DELIN{~UENT X DAILY TNTERBST 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. ~EV-1470 EX (688) ~  INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG~ PA 17128-0601 3ECEDEN'rS NAME FILE NUMBER MARTHA A STECHER 2103-1010 REVIEWED BY ACN John Kealy 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES The value of this item has been suspended from the appraisement of the return until the A I final value can be determined. A supplemental return must be filed when the value of the suspended item is determined. ROW Page 1 IN THE COURT OF COMMON PI,EAS OF CUMBERLAND COUNTY, PENNSYLVANIA STATUS REPORT UNDER RULE 6.12 Name of Decedent: Martha A. Stecher Date of Death: November 16, 2003 Will No. 21-03-1010 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 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: c. Did the personal representative state an account informally to the parties in interest? Yes X__; No __ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Date: Court and may be...a~ached to this report. Signat x_ Name: Robert C. Saidis, Esquire I.D. No. 21458 SAIDIS, SHUFF, FLOWER & LINDSAY 2109 Market Street Camp Hill, PA 17011 (717) 737-3405 Personal Representative Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 2806O1 REV-tSO0 INHERITANCE TAX RETURN HA,,~SBUR~. PA ~7~2S-0S0~ RESIDENT DECEDENT Stecher, Martha A. DA';~ OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 11-16-2003 02-28-1919 IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) [~4. Limited Estate ~ ~ i~ ' ~ S. Decedent Died Testate OFFICIAL USE ONLY FILE NUMBER 21 o3 lOlO COUNI~ CODE YEAR NUMBER SOCIAL SECURITY NUMBER 267-16-7352 THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER z z ~ 2. SupplementeIReturn [~ 4a. Futurelnterest Co:~oromise(dateOfdeathafter 12-12-82) copyofWilJ) [] 7. DecedentMaintainedaLivingTrust(Attach ]Robert C. Saidis ~_aidis,__Shuff~, Flower & Lindsay 2109 Market Street r 717) 737.340 ica....,Il, .^ 17911 1. Real Estate (Schedule A) (1) 1 7 5,0 0 0.0 0 2. Stecks and Bonds (Schedule B) (2) N 0 n e 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) N 0 n e 4. Mortgages & Notes Receivable (Schedule D) (4) N o n e 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) N o n e 6. JointJy Owned Property (Schedule F) ~ Separate Billing Requested (6) N 0 n e 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) N 0 n e (Schedule G or L) F~ Separate Billing Requested 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) 3,683.18 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) (8) 175,000.00 (1~) 3,683.18 (12) (13) (14) SEE INSTRUCTIONS ON REVERSE BIDE FOR APPLICABLE RATES 15. Amount of Lind 14 texable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) ' - ~ x .00 (15) 16'Am°unt°fLine14texableatlinealrate(/"l~'r'~i...tC'[~oii.t ~¥d277,890.47 x .045 (16) 17.Amount of Line 14 taxable at sibling rate . x .12 18. Amount of Line 14 tsxable at collateral rate 0.00 x .15 19. Tax Due 171,316.82 0.00 171,316.82 0.00 12,505.07 (17) 0.00 (18) 0.00 (19) _._ __ 12~,505.07 Copyright 2002 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-001 Decedent's Complete Address: cSi~REET ADDRESS Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Pdor Payments C. Discount STATE PA (1) 12,505.07 Total Credits (A + B + C) 3. interest/Penalty if appliceble D. Interest 9.43 E, Penalty Total Interest/Penalty (D + E) (3) 9.4 3 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. -- Check box on Page t Line 20 to request a refund (4) 5. JfLinel + Line 3 is greater than LIne 2, entarthedlfference. This is the TAX DUE. (5) __ A. Enter the interest on the tax due. (5A) B. Enter the total of L ne 5 + 5A. This is the BALANCE DUE. (se) 774/;7/ 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: a. retain the use or income of the property transferred ............ Yes No b. retain the dght to designate who shall use the property transferred or its income; .................................... c. retain a reversionary interest; or ........................................................................................................... [~ x~ d. receive the Premise for life of either payments, benefits or care? .............................................................. ~.~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... ~ 3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? ......... ~-~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-prebate property which contains a beneficiary desionation'~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. CaroJ~end Kil~3 ~Stel~ter 215 Garrett Lane Robert C. Saldis ADDRESS 2109 Market Street Camp Hill, PA 17011 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 disc~osu re of assets and filing a tax return are still applicable even if the surviving spouse is the onty beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of tyansfers from a deceased child twenty-one years of age or younger at death to or for the natural parent an ado tive arent or a ste a f o use of a P' P , pp rento thechildis0~[72P.S.§9116(a)(1.2). ~9h~l~x 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. 1.2) [72 P.S. §9116 (a) (1)], The tax rate imposed on the net varue 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. Rev-1502 EXe SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Stecher, Martha A. 21-03-1010 ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 175,000.00 215 Garrett Lane, East Pennsboro Township, Cumberland County, PA (based on appraisal and by agreement of the parties - see settlement sheet) TOTAL (Also enter on Line 1, Recapitulation) 175,000.00 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 6-98) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF , ~,,,. NUMBER utecher, Martha A. 21-03-1010 ITEM NUM DESCRIPTION 1 2 3 4 5 6 Agway Energy, fuel oil for house Bret Adams, mowing and lawn maintenance PPL Energy, utility expense East Pennsboro Township, water and sewer Joseph M. Greet, Constuction, house repairs AJicia Stein, tax collector, real estate taxes VALUE AT DATE OF DEATH 510.00 515.00 188.67 96.00 375.00 1,998.51 TOTAL (Also enter on Line 10, Recapitulation) 3,683.18 (if more space is needed, &d~;;[;u~; pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule ! (Rev~ 6-68) Se ler ent Statement El Type of Loan U.S Department of Elou~ing uno Urban Dmveidpment OMB No 2502~0~5 R~V HU~I (~OG) 1. ~FHA 2. ~FmHA 3. ~Conv. Udns. ] G File Number ] 7. Loan Number ] - 4. ~VA 5. ~Ceev. Ins. ~ MT2004490RCS 8. M~gage Insuran~ Case Number D NAME OF ~RROWER: Carol L. Stecher ] ~inI~ ?/~41~0~ at 14:23 RL~ ADDRESS: E. NAME OF SELLER: Estate of Martha A. Stecher ADDRESS F. NAME OF LENDER: AmeriCholce Federal Credit Union ADDRESS: G PROPERTY ADDRESS: H. SETTLEMENT AGENT: PLACE OF SETTLEMENT: I. SETTLFMENT DATE: __ J. SUMMARY OF B~W'E~IT, ANSA~ON: -I ,oo. GROSSAMOU. DUE -R 1 1Dr. Contract sal~s price $175,000 20 Spartlnq Green Drive, Mechani~;sburg, PA 17055 215 Garreti ~p Hill, P~iI~ East Pennshoro Township Saidis, Shuff, Flower & Lindsay, Telephone: 717-243-6222 Fax: 717-243-6486 26 West High Street, Carlisle, PA IT013 1211512004 K. SU~R~-OF ~-~ION.'~-' - 400. GROSS AMOUNT DUE TO SELLER 401. Coetrectsalesprlce ~'~l~5~J1JO- 1._.02. Personal Property 103 Settlement charqes ~o borrower (Jln_e 1400) 1D4. 105. 107. County Iaxes 12115104to1213'1104 ~_.,~02. Personal pro~rty 1D1,410.3iL]~ 23.0 108, School 'rexes 12115104to06130105 109. 110. 111 112, 120. GROSS AMOUNT DUE FROM BORROWER 200, AMOUNTS PAID BY OR ON BEHALF OF BORROWER 201. Deposit or earnest money 202. Principal amount of new luaus 203. E, xlstlnq loan(s) taken subiect to 204. 2O5 206 207. 208, 209. 213. _ ._~ustments for items unpaid~seller t02,495.7!1 t32,50(~.00 404 405 Adjuslments for (te.m~, paid by se ~r n advance 407, County/axes 121t5/04 Io12/31104 40~88 Sch~ool Taxes 12/15/04to06130105 40~9 410. 411 412 420. GROS.S AMOUNT DUE TO SELLER - 500. REDUCTIONS IN AMOUNT DUE TO SELLER 23.05 5~01 Excess Deposit (see instructions) 502 Setllament charfles to seller {line 140_0.0~ 5~03: Existjn_q loan(s) taken sub, ecl lo 504, paygfl of Flrsl Merlgage Loan __ _Am~eriChoJce F~deral Credit Ual 505 506. 507. 508 509. _ __ ~ustments for Items unpaid by seller 13,900.J33 _ SET__TLEMENT STATEMENT REV. HUD~113/8~ ,b,_ $'ETTLEMENT CHARGES · 700. T~OTAL SALES/BROKER'S COMMISSION based on price $~_, 0..001]1 = Division of commission (line 700) as _ 70~ ~ to 702, $ lo ?03. Commission prod at Settlement File Number: MT2004-190 PAGE 2 TItJeExpress Settlement Slst_~a_~ Pnn~ed t2/14/2004 a! 14:23 RLM ~ PAID FROM ]~ROM d BORROWER'S / SELLER'S 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801, Los Oriq,natJon Fee % 802. Loan Discount % 803, AppraisaIFee to Americhoice FCU 804. CreditRepor/ to Americhoice FCU 805. Lender's Inspsclton Fee 806~...MertqaFle ApphcatJon Fee _.8.07 Assumption Fee 808. Flood Cert 250.00 18.0 to Americholce FCU 25.0~ 818. 8ti 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901, Interest From to 902 M~tgagelnsurancePremlum for 903 Hazard Insurance Premium tar [o 905. + 1000. RESERVES DEPOSITED WITH LENDER FOR 1001 Hazard Insurance __ ,po. ~. $ /mo _1..E02 MortRa~e hlsurance __ ma [~. $ 1003. Ciff Prope[!y Tax mo. ~ ~ 1004, County Prop~T_a_x ............. mo.~ ~ 1005 School Taxes ~!e:~ $ 1009. Aqqreqate Analys!.s Adjustment 1100. TITLE CHARGES /mo /me 41.25/mu 163.;M /mo 1~1~1 S e_~t I_e~ ~ _m_ qrc I o__..~ I n..~q~ 1 ~02. Abstracl er title ~earch 1103. Title examination 11(]4. Title Insuranc~ binder 1105. 1106 Notary Fees 1107 Adorne¥'s 1ees (Includes above Items No: ) 1108. Title Insurance to ACCP~ Inc. (includes above items No: 1109 Lender's Policy 132,500.00 - 1110 Owner's Policy 175,000.00 - 888.30 1~1_~.t_ END I00, 300, 81 lo ACCP, Inc. 150.00 JOHN E. SLIKE ROBERT C. SAIDIS GEOFFREY S. SHUFF JAMES D. FLOWER, JR. CAROL J. LINDSAY KIRK S. SOHONAGE THOMAS E. FLOWER LINDSAY GINGRICH MACLAY JACLYN M. SMITH LAW OFFICES SAIDIS, SHUFF, FLOWER & LINDSAY A PROFESSIONAL CORPORATION 2109 MARKET STREET CAMP HILL, PENNSYLVANIA 17011 TELEPHONE: (717) 737-3405 - FACSIMILE: (717) 737-3407 EMAIL: attomey@ssfl-law.com www.ssfl-law.com December 16, 2004 CARLISLE OFFICE: 26 W. HIGH STREET CARLISLE, PA 17013 TELEPHONE: (717)243-6222 FACSIMILE: (717)243-6486 REPLY TO CAMP HILL Register of Wills Cumberland County Courthouse Carlisle, PA 17013 Re: The Estate of Martha A. Stecher File No. 21-03-1010 Dear Ladies: .o~,~ :ar -cc Enclosed please find an original and two copies of a Supplemental Inheritance Tax return x~ah regard?to the above estate. Also enclosed is a check for the filing fee and a check for the balance of taxes due. Please issue a receipt at your convenience and a time-stamped copy of the return to our office in the envelope provided. Thank you. Very truly yours, .~,~FLOWER & LINDSAY 9S~elb/~ingling, Estate Paralegal /sly Enclosures 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 REV-1162 EX(11 96) NO. CD 004748 SAIDIS ROBERT C 26 W HIGH STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 267-16-7352 FILE NUMBER: 2103-1010 DECEDENT NAME: STECHER MARTHA A DATE OF PAYMENT: 1 2/1 7/2004 POSTMARK DATE: 1 2/1 6/2004 COUNTY: CUMBERLAND DATE OF DEATH: 1 1/1 6/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $774.71 TOTAL AMOUNT PAID: $774.71 REMARKS: SEAL CHECK# 193 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z806Dl HARRISBURG PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ROBERT C SAIDIS SAIDIS ETAL 2109 MARKET ST CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-07-2005 STECHER 11-16-2003 21 03-1010 CUMBERLAND 101 '* REV-1547 EX AFP 112-041 MARTHA A Allount Rellitted PA 17011 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ClJT ALONG...THIS;'(INE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv:r!7i"'-EX-AFYr(.r--6~"-NOT-I-CE-OF-iNHER-fllNCE-i'Ai-A-PPRAYSE'i€NT~--A['[.owlNCE-OR------------- - --- . ... ,----.. :~~. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX E~ATE OF,:~~;STEC~;: MARTHA A FILE NO. 21 03-1010 ACN 101 ~.,.,.,. ,{ .... '. ) 'Y'~'::J' (:...) ('.;;<') TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 277,890.47 X 045 = 12,505.07 .00 X 12 = .00 .00 X 15 = .00 (19)= 12,505.07 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Mortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 175.000.00 .00 .00 .00 .00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ad.. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) .00 3.683.18 (11) (12) (13) (14) DATE 03-07-2005 NOTE: To insure proper credit to your account, sub.it the upper portion of this for. with your tax pay.ent. 175,000.00 3.683 18 171,316.82 .00 277,890.47 ~...~... n~~~... . (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-12-2004 CD003558 589.47 11,200.00 08-17-2004 CD004283 .00 300.00 12-16-2004 CD004748 5.61- 774.71 TOTAL TAX CREDIT 12,858.57 BALANCE OF TAX DUE 353.50CR INTEREST AND PEN. .00 TOTAL DUE 353.50CR ~ . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ,..'-~--,...<-~-_..,,--~. BUREAU OF INDIVIllUALcnxqJ'F;, lHHERITANCE TAX DIVISION r:: .\.1'-' ,'-, ,.' . PO BOX za0601 HARRISBURG PA 11128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-I60' EX AFP (03-05) ?1i'1~ r;r)r~ ?? ...U:..n.l'" t. ~_..~ II. <;3 '; ~ .... DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 0"'-0"'-2005 STECHER 11-16-2003 21 03-1010 CUMBERLAND 101 _t _stted MAIITHA I i A (' r. <'V''"'\C ~UT:i'\\..'i ROBERT C S~~ i' SAIDIS ETAt'" 2109 MARKET ST CAMP HIll PA 17011 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper cr~it to your ~ount8 s~it the upper portion of this for. with your t~ P8Y-.nt. CUT ALONG THIS lINE ~ RETAIN lOWER PORTION FOR YOUR RECORDS' ~ ......................................~........................................................................ REV-1607 EX AFP (03-05) ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF STECHER MARTHA A FILE NO.21 03-1010 ACN 101 DATE Q"'-0"'-2005 THIS STATEIIENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACH IH THE HAMED ESTATE. SHOIIH BELOII IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATIOH OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF A~ICABLE, A PRDUECTED INTEREST FIGURE. DATE OF lAST ASSESSMENT OR RECORD ADJUSTMENT: 03-07-2005 PRINCIPAL TAX DUE: 12,505.07 PAYMENTS (TAX CREDITS): -J, PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-12-200'" CD003558 589....7 11,200.00 08-17-200'" CDOO...283 .00 300.00 12-16-200'" CDOO...7...a 5.61- 77....71 03-16-2005 REFUND .00 353.50- , TOTAL TAX CREDIT 12,505.07 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . TOTAL DUE I .00 . IF PAID AFTER THIS DATE, SEE REVERSE i SIDE FOR CALCULATIOH OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, HO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT"' (CR), y/ICI NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIOHS. )