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HomeMy WebLinkAbout07-29-111505610101 REV-1500 Ex ~°'-'°' enns lvania OFFICIAL USE ONLY PA Department of Revenue P Y Bureau of Individual Taxes County Code Year File Number PO BOX z8o6oa. INHERITANCE TAX RETURN ff e~ [ Harrisburg, PA i'7t28-0601 RESIDENT DECEDENT ~ ~ ~ V I ,r~~ 3 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death t,+~UDDYYYY Date of Birth ti1MDDYYYY 192-30-0203 12/13/2010 08/24/1938 Decedent's Last Name Suffix Decedent's First Name MI O'Donnell Thomas E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82} O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) (~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust -_ 8. Total Number of Safe Deposit Boxes (Attach Copy of 1Nill) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O} CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Todd D. O'Donnell, CPA (717) 260-7157 n.: n First line of address 1855 Good Hope Road Second line of address City or Post Office Enola State ZIP Code PA 17025-1234 REGISTER OF Vt~tL~SE ONLY'-' ::) c :_ *-~ f' -_~ i -- t,1-~~ i~; -;" .%~. -; : ; ---, ,... - .; - DATI?~ILED - - ~ .`, Correspondent's a-mail address: Todd Od@yahOO.COm 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, d is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGWATURE OF gER6pN RE SIBLE FOR FILING RETURN naTF ADDRESS ~ ~ 1855 Good Hope Road, Enola, PA 17025 SIGNAi'URE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY -» "'~7 .-., r '7 s ~ c-T-~ c -; _:_7 r. `'i"t -7 ~ -, - - r'* t v ~i`9 Side 1 1505610101 1505610101 15~56101~5 REV-1500 EX Decedent's Social Security Number Decedent's Name: Thomas E. O'Donnell 192-30-0203 RECAPITULATION 1. Real Estate (Schedule A) ..................... ... ...... ..... 1. 0.00 2. Stocks and Bonds (Schedule B) .................. ......... .. 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3 0.00 4. Mortgages and Notes Receivable (Schedule D) .............. ........ 4 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)... . .. 5 74,158.89 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ... . .. 6 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested...... .. 7 153,901.12 8. Total Gross Assets (total Lines 1 through 7) ............... ........... .. 8 228,060.01 9. Funeral Expenses and Administrative Costs (Schedule H) ........ ........ .. 9. 17,236.11 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............ .. 10. 2,695.00 11. Total Deductions (total Lines 9 and 10) ............................... .. 11. 19,931.11 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 208,128.90 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) ..................... .. 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. 208,128.90 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2> X o 0.00 t5. 0.00 16. Amount of Line 14 taxable at lineal rate x .0 45 208,128.90 16, 9,365.80 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17 0.00 18. Amount of Line 14 taxable at collateral rate )t .15 0.00 18 0.00 19. TAX DUE ............ 19. 9,365.80 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056101(75 1505610105 O REV-1500 EX Page 3 Decedent's Complete Address: File Number DEGEDENI'SNAME Thomas E. O'Donnell STREET ADDRESS 322 W. Green Street CITY Shiremanstown __ STATE PA T ZIP - - -~ 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments 8,800.00 B. Discount 463.14 3. Interest 4. If Line 2 is greater than Line 1 -Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) 9,365.80 Total Credits (A + B) (2) 9,263.14 (3) 0.00 (a) 0.00 (5) 102.66 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 :................................................................................... ...... ^ 0 b. retain the right to designate who shall use the property transferred or its income :..................................... ...... ^ [~ c. retain a reversionary interest; or ................................................................................................................ ...... ^ ^X d. receive the promise for life of either payments, benefits or care? ............................................................. ...... ^ [~ 2. If death occurred after Dec. 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. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [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 21 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 percent [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 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)j. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defned, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-i5o8 EX+ (li-io) ~i:_ Pennsylvania SCHEDULE E DEPAf;?M["-°r ~E~rh~~'- CASH, BANK DEPOSITS & MISC. i""eRiTANCE rnx RE?URN PERSONAL PROPERTY Ree"s[DENT DECEDEN? ESTATE OF: FILE NUMBER: Thomas E. O'Donnell 21-10-1278 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. If mare space is needed, use additional sheets of paper of the same size. ~ Pennsylvania SCHEDULE G JE>ARTMFNT aF ~r:,EN~E INTER-VIVOS TRANSFERS AND wnERlraNCE r,~r, RETUR" MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT -_ ESTATE OF FILE NUMBER Thomas E. O'Donnell 21-10-1278 This schedule must oe completed and filed rf the answer to arty of quzstions ?through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTIdN OF PROPERTY nco,oe one rv~sne or rr+e -anNSreaeE rHE:a ~E~.n?tarvsHtP Tc~ >eceoevr a~ao rnr rn-E of raaNSeR a^ncn a ccvr or --e ce=_n =oa :enr =srnr=. DATE OF DEATH VALUE OF ASSET % CF DECD'S INTEREST EXCLUSION F >rF_oie~e', TAXABLE VALUE t. Wells Fargo Trad IRA, 3805-8307 IRA Account 53,939.84 ~ 53,939.8 2 Wells Fargo, 6350-7592 ING USA Annuity Account g9 861.28 i 99,961.2 - i I i ___ i ~- TOTAL (Also enter on Line 7, Recapitulation) $ ~ 153.901.12 If more space a needed, use additional s^,zets of paper of the same size. ., . i .>; pennsylvania DE~4RiM%VT Or REV E'VUC :NHERITANC~ 1:1X keTURN RESiDEM~ DK GEWT Attorney Fees: Family Exemption' (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address ESTATE OF FILE NUMBER Thomas E. O'Donnell 21-10-1278 Decedent's debts must be reported on Schedule I. ITEM ' NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: I' Malpezzi Funeral Home 9,714.02 ~.2 Romberger Memorials - Cemitary marker 1,875.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Todd D. O'Donnell X173-56_3346)____ street Address 1855 Good Hope Road city _Enola ____ state PA ZIP 17025 Year(s) Commission Paid: 2011 - $5,000 z 3 a. 5. 6. ;. 7.2 SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS City State ______ ZIP _ Relationship of Claimant to Decedent __ _ Probate Fees: Accoun.ant Fees: Tax Return Preparer fees: Cumberland Law Journal -Estate Notice Patriot News -Estate Notice TOTAL (Aao enter on Line 9, Recapitulation) $ if .more space s needed, '.;se additionol sheets or paoer r,' tie same size. 5,000.00 0.00 0.00 269.50 0.00 200.00 75.00 102.59 17,236.11 Pennsylvania ~ SCHEDULE I GraaarME"r nr Revervu~ DEBTS OF DECEDENT, '"HER,TaNCE Tax RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DEL'cGENT ESTATE OF FILE NUMBER Thomas E. O'Donnell 21-10-1278 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. If more space is needed, inser~ additional sheets of the same size. REV-1513 EX + (O1 10) Pennsylvania SCHEDULE ] DG'?RTM=Ni OF ?EV ENI!E BENEFICIARIES wr+ERITANCE Tex RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Thomas E. O'Donnell 21-10-1278 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1• Deborah 0. White, 880 Hillhaven Court, Nashville. TN 37220 Daughter 25% 2. Renee M. Rumberger, 20 S. Lev~isberry Road, Mechanicsburg, PA 17055 Daughter 25% 3. Timothy M. O'Donnell, 2867 N. Santa Fe Place, Orange, CA 92865 Son 25% 4. Todd D. O'Donnell, 1855 Good Hope Road, Enola, PA 17025 Son 25% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size. P 17029387 Hlosld3 REV 112006 TYPE /PRINT IN PERMANENT BUCK INK v I COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (See instructions and examples on reverse) STATE Fll F NUMBER 1. Noma d Decedxa (Fim, midde. last. wnix) 2. Sex 3. Social $eturily Number 4 Oale of DeaM (Hoorn, dey, year( Thanes E. O'Donnell male 192 - 30 - 0203 December 13, 2010 5. Age ILas1 Bidhdey) UMer 1 year Under 1 day 6. Dale a &dn (Hoorn. day, year( 1 Bahpntt (City era 91819 « nr canlry( 6a. Place of DeaM (Check on one( 74 s~wa« Days ,ow: wwrn R/24/1936 Rochester, PA Respites. Olney Vrs. ^ Inpalnnt ^ ER / Oulpalienl ^ DOA Nurwng Home ^ Resaeree ^Olller ~ Spedty BE. County of DeOIn & Cny. Doro. Tvp. a Oeelh Sd. Faalily Name (11 not xKteu9lwr, give street era numbed 9. Was Decadent d Hrspenx: Ongnn ~ No ^ ves 10. Race'. Amanan Indian. Black, While. ek. Cumberland S. Middleton TWD. Cumberland Crossings (n yes. spedly Cuban. Mexaan,PwnoRkan.etc) ISpecityl white It. Decedent's Uwe' Occu Inn Kvb of worF 0«e mml DI wok Ile W not slef ref edl 12. Wai Decedent ever In Me 1 3. Oecedenl'S Educalipn (Specl y only npnesl grade comp eted) 14. Men1Ml $kNS'. Merced. Never Married, IS $urvmng Spo use (II wile, give maiden name) Kub d WorA Kira d Buswu: IMuslry U $. Armed Fates? Elementary I Secontlary (012) Collage (1 ~d a 6.) Widowed. Drvaced (Spealyt divorced roll handler steel reduction ^Yee J~j#rlo 12 16. DecedanYS Malktg Addre59 (Brest, cM' town. slate tip coder Decedanis Ditl Oecetlent ACwa Re9reerlCe na stops A lrYe M a ITC [~ Yes petewm Loved n S . Middleton T 1 Longsdorf Way w, . rnwMaMp7 Cumberland 11° ^ 0°"^Ifn ~ ~I Carlisle PA 1701 3 ITb covnp A nwi d cry l8ao 16. Fadrer's Name (First, nkdde. esl, sdy~l 19. Mahar'4 Name (First middle. mesa, s«wne( James A. O'Donnell Mary Re Webster 208. Inlorrtunl's Neale (Type f PmQ 20b. Inlormmll's IAaing Addreu (Street, col' / mm, state. zal Code) Todd D. O'Donnell R55 rpp~] Hope Road , Enola, PA 17025 2ta. Melnod a UreDOSrnDn ^ crenuaon ^ Donalnn 2t b. Dale d Disppsaion (Haan. daY. rear) 2tc. Place a D isposNOn NName a ttmelary, aemelay «oUar plea) 2f d. Laatnn ICrry 1 town, stale, zN coder Iq~F+I B~n.l ^ Removal bqm stare was aem.aan«Don.eon aaina~w Oecs 16, 2010 Rolling Green Cemetery Camp will PA ^ QMr - SpeaFy. by Medical Erampw / C«anr? ^ Yea ^ No , 27a. SpvWra d Fawrgl Se )sea to person aclvg as such( -1 22D. ticrose Number 11 7?c. Name era Addmes d Fatlery A k t Plaza W ~y i - FD 0 667E Malpezzi Funeral Hone Mechan csburg, P 17055 ConVlele n 27at DnN ttnityelg . ro Me Oesl d my arowlsOga, deaM aaunetl al Me f a. daM and place slatetl. (Sgnhn era Nkl 23b L¢enu Number 23c. Dale sgrntl (Homo, day. year) phymician M na avaeabM al Ome a dwM to adly was d dean. ~ C-w~~. ~ ~. i , C ., - ~~ ~ w K ~~ ~ ~ 'r1 -~ ~ ~i.;1 nerte 2426 mwt be Cmrplele0 by person 24. Tine of Dealn 26 Date Pranacad Deaf M, tlay, yeerl 28. Was Case Ralene0 to McNCeI Exanrrar i Carver la a Reason OMer Ihan Cremelbn a DonalanD Min prorWlcm death. Cj ~ ~ J ~ ~ M ~ ( - ~` ~ ~ ~ J ~ L 1 ~ : ^ Ve5 ~ NO - `~~ . v t J \ CAUSE OF DEATN (See inalructlona and exampNe) r Approvurau miervdl. Pen II Einar oM« 5~jfyagl Carr0i11 Mbufw ro daaM. 26. Oid Tobxco Use ConVAule n DeaM'+ nom 2T. Pan I: Eller Me dram d eveNS -diseases. rcyurws, a COnaliCaaxK -Nat dir tY/ caused IM deaM. DO NOT enter leemnal evems such az cantor arrest, Onset m Deam W I rnl tesulling n Ins underlyrg cause given n Part I ^ Yes ^ PlaoaMy respiratory anasL a vemncular NrdeaOOn wieraA snorxlg Me alnngY Lsst say «le cause on each Wa. aIYEdATE CAUSE IFaMI disease a ^ No ^ Unlunwn coridlion rewpkq m all) / I- ~ I•Lr :q Il Femaf: i ~ ~ ~ .-.. a ^ Due to (or as nsequer[e al' Not pre(,nant wain past yea $epaWeey kel coraibons, d arty. b. leayp dl the WNN listed M Mte e ^ P•agrynt at Imo d daeM . En4r the UNDEALYING CAUSE Due to (or as a consequence d): ^ Not xegnara. an pregnant wnNn 62 days (tiYaM a inNry Met nibatep Ins avema rnWep m deaM) LAST or deaM pus Io (w as a Con98quence d). e(yan pragnam days to Year ^ Nola lout 43 I d Dela6 aeaM ^ unamwm I pregwnl wrmm Ins vw vear 7M. Woe an Adopry P rl rm d7 ]1b. Wem Abwsy Firakya A l P 31 Miner d DeaM 32a Dab d Injury IMdmn, daY. Yearl 320 Describe Haw Inryry Ottared 32c. Place of Iryury. Home, Farm, 9reel. Faddy e o e var aOk ray to Completion ~ Nawml ^ Homrba Onice Buldmg, etc (SpeMy1 a cagse a peaM+ ^ yes ~ No ^ Yes ^ No ^ '~ OeM ^ Pendng Invesugafan 32d Time of Iryury 32e inlay al WOmo 321. If T~ansponau« Irryury iSGeaNI R9. Localnn d ulNry IStreet. cry; rewn, staler ^ SurxM ^ Cowd Na w Determined [] Y95 ^ No ^ Dover, Operala ^ P ^PeMStnan M oMer ~ svetM_ ~ 33a. CeNfier Irhs<k only one) 730 SgnaOUe all xr • Cenilying physkien IPnysw:an ceniMng cause ~I DeaM wnen araRw p,ysban nos pranuncetl daeM and competed uem 13; ~s-x ___- G ' - , - To the Oest of my knowledge.dash«curred dw btM ewsga)and mamw as alasad_________________________________'d1 • PrornuncMg orb cenitying pnyamian ;Pnysx'an Solo prmwrx.,y deaM era cenAynq Ie cause d dwMl To the asst of my krnwbd e deaM oc<unM at IM tlme end dw Io IM ca late era lace a ~~ 73c lcen e N ~ 330 'gale 3~gned IMOnIn. lay. year) g , , . p , use(s) er manner as stalsd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Medi<sl Examiner/Coroner • ~ jj l Gl.)(Q 'r ( S L 1 ~ Z (( ~~~~ On Ins Oasis of examination and I ar invesligatim, in my opinion, deaM ac«rad al Ins Ilme, dale, errd Platt, and dw to Ina <ausels) and manner as sraled_ ~^ ;r Nane and Addres9 d Parson woo wnro~ve wore ~ - M ~ - m z~l r,o, , l~.,m 35 =.egr ra Signature and District Numha 36 Cale Fired M In da ear) n t ~„ ~ nR53/'t T',L , y I Dspavir«. Permit No. LAST WILL AND TESTAMENT OF THOMAS E. O'DONNELL I, THOMAS E. O'DONNELL, currently residing at 1233 S. 20`h Street, Harrisburg, Pennsylvania, 17104, being of sound mind, memory and understanding, do hereby make and publish this my Last Will And Testament hereby revoking all previous Wills and Codicils made by me. Item I. I declare for the purposes of this Will that, as of the date of its execution, my family consists of the following: The name of my former spouse is Jean O. Dorsey. The names of my children are: Timothy M. O'Donnell, Todd D. O'Donnell, Deborah A. White, and Renee M. Rumberger. The name of my brother is: James L. O'Donnell. My parents are deceased. All references to my family are to them. Item II. I direct that all debts enforceable against me during my lifetime and duly allowed in the administration of my estate, the expenses of my last illness and funeral, including the cost of a suitable monument at my grave, unpaid charitable pledges whether or not the same are enforceable obligations against my estate, and the costs of administration of my estate be paid as soon as practicable after my death. My Personal Representative may, in his sole discretion, pay from my domiciliary estate all or any portions of the cost of ancillary and similar proceedings in other jurisdictions. Item III. All of the rest, residual, and remainder of my estate, real, personal and mixed of whatever kind, including any property over which I hold power of appointment and together with any insurance policies thereon, and wheresoever situated, I give and bequeath in equal shares to my children, Timothy M. O'Donnell, Todd D. O'Donnell, Deborah A. White and Renee M. Rumberger, provided that they survive me for a period of 30 days. Should any child predecease me, then I give and bequeath such child's share unto his or her issue per stirpes by representation, and if there is failure of same, then I have and bequeath such deceased child's share to my surviving children as provided herein. Item IV. I hereby nominate and appoint my son, Todd D. O'Donnell, to be the Personal Representative of my estate. If he is unwilling or unable to serve, then I nominate and appoint Deborah A. White to act as the Personal Representative of my estate. (2) Item V. I direct that no Personal Representative appointed under this Will be required to post any bond or provide any security to serve in that capacity. Item VI. I confer on my Personal Representative, in addition to those powers granted by law, the following powers to be exercised in a prudent manner and applicable to all property constituting a part of my estate: A. To retain and to invest in all forms of real and personal property, without being confined to investments authorized by a statutory list, without being required to diversify and regardless of any principal of law limiting delegation of investment responsibilities by personal representatives or trustees; B. To compromise claims and to abandon any property which, in my Personal Representative's opinion, is of little or no value; C;. To sell at private or public sale, to exchange or to lease for any period of time, any real or personal property, and to give options for sales or leases; . D. To borrow from anyone, even if the lender is a personal representative hereunder, and to pledge property as security for repayment of the funds borrowed; (3) E. To join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary duties; F'. To employ and to rely upon the advice given by investment counsel, to delegate discretionary authority to make changes in investments to investment counsel, and to pay investment counsel reasonable compensation in addition to any fees otherwise paid to my Personal Representative; G. To employ a custodian, to hold property unregistered or in the name of a nominee (including the nominee of any institution employed as custodian}, and to pay reasonable compensation to the custodian in addition to any fees otherwise payable to my Personal Representative; H. To procure and carry at the expense of my estate insurance of kinds, forms and amounts deemed advisable by my Personal Representative to protect my estate and my Personal Representative against any hazard; I. To commence or defend at the expense of my estate any litigation affecting my estate; (4) J. To conduct alone or with others any business in which I am engaged or in which I have any interest at my death, with all the powers of any owner with respect thereto, including the power to delegate discretionary duties to others, to invest other property held hereunder in such business and to organize a partnership or corporation to carry out such business; and K. To distribute in cash or in kind. Item VII. My Personal Representative shall be reimbursed for all reasonable expenses incurred in the administration and management of the assets of my estate and shall be entitled to receive a fair and reasonable compensation for its services. Item X. Anyone named in this Will who dies within 30 days after my death (or dies under circumstances such that it cannot be determined whether such individual died within 30 days after my death) shall be deemed, for purposes of this Will, to have predeceased me. (5) IN WITNESS WHEREOF, I, Thomas E. O'Donnell, have to this my Last Will And Testimony hereunto set my hand and seal this I~~day of _, 2002. Thomas E. O'Donnell SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, Thomas E. O'Donnell, as and for his Will, in the presence of us who, at his request, in his presence, and in the presence of each other, all being present at the same time, have hereto set our hand as witnesses: NA itness N itness;) RESIDING AT ~ 1 RESIDING AT L~O'J!o i1Y~g2'~(Gd~^ ~%~ (6) STATE OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND I, Thomas E. O'Donnell, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will, and that I signed it as my free and voluntary act for the purposes therein expressed. Thomas E. O'Donnell We, having been duly qualified according to law, depose and say that we were present and saw Thomas E. O'Donnell sign the foregoing instrument as his Will; that he signed it as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing and at his request signed the Will as witnesses; and that to the best of our knowledge, he was at the time 18 years or more of age, of sound mind, and under no constraint or undue influence. Subscribed, sworn to, or affirmed, and acknowledged before me by the above- named Testator and by the witnesses whose names appear, on this 1 'l~hday of Irl'~~cVl , 2002. Notary Public Notarial Seal Hope A. t~Aatl.~s Nnrary Ptib110 Camp Hill L3oro, Ci~mt,,,~~Rntl County PAy Commission Expnes uct. 11, 2004 Member, Pennsylvania AssocraGon of Notaries ~ ~ fitness COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND estate of THOMAS E O'DONNEL SHORT CERTIFICATE I , GL ENDA FA RNER S TRA SBA UGH Register for the Probate of Wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on the 30th day of December, Two Thousand and Ten, Letters TESTAMENTARY in common form were granted by the Register of said County, on the L late of SH/REMANSTOWN BOROUGH (Firs!, Middle, LasiJ in said county, deceased, to TODD D O'DONNELL (First, Middle, Lasll and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 30th day of December Two Thousand and Ten. Fi 1 e No . 2010- 01278 PA Fi 1 e No . 21- 10- 12 78 Date of Death 12/13/2010 S . S . # 192-30-0203 NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL COMMONWEALTH OF PENNSVI.VANIA DEPARTti1ENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 171 28-0601 RECEIVED FROM: O'DONNELL TODD D 1855 GOOD HOPE RD ENOLA, PA 17025-1234 --''''-- fold CHECK# 92 ESTATE INFORMATION: SSN: 192-30-0203 FILE NUMBER: 21 10-1278 DECEDENT NAME: O'DONNELL THOMAS E DATE OF PAYMENT: 03/01/2011 POSTMARK DATE: 03/01 /201 1 couNTY: CUMBERLAND DATE OF DEATH: 1 2/ 1 3/201 0 101 ~ S 8, 800.00 REV-1162 EX~11-96) N0. CD 014067 TOTAL AMOUNT PAID: REMARKS: SEAL PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT AMOUNT CONTROL NUMBER INITIALS: CJ RECEIVED BY: S8,800.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER ~, ~ :5 .off - ~ ,`" 9 ~, e»~ ~ ~ l , - ~+~J tl, `.~ ~~ : i ~` ~ PO Box 7000 ROP-450 Providence RI 02940 Balance 1-888-910-4100 Please call us anytime for answers to your quesfions, account information, current rates or to update your address & phone number. Beginning December 16, 2010 through January 18, 2011 AT 01 016619 690888 61 A " 3DGT I~~~II~III111~1~~~~1~11~~~~1~111~1111111'I~111~1r'1~1'~'~I'~111'~ THOMAS E ODONNELL 322 W GREEN ST SHIREMANSTOWN PA 17011-6521 Checking SUMMARY Balance Calculation Previous Balance Checks Withdrawals Deposits & Additions Current Balance TRANSACTION DETAILS Checks' There is a break in check sequence Check B Amount 1275 1,960.00 1276 58.89 1278* 1,000.00 1280* 269.50 23,580.98 Average Daily Balance 6,146.78 - .00 - 1,286.66 + 18,720.86 = 21.106.79 Checking Account Statement O or 3 US259 8 1 m THOMAS E ODONNELL `° Green Checking XXXXXXX058-0 F, S ~ ~( L Previ sBahnee---~~ 23,580.98 ToUI Checks 6,146.78 Date Check if Amount Date 12/20 1281 1,750.00 01/14 12/17 1282 735.00 01/14 12/21 1283 358.59 01/18 01/11 1284 14.80 01/18 _~ `;. Deposits & Addi~iens'"-J"-' ~ Date /'~ Amount Descriptio- 01/03 / 1,286.66 Bethlehem Steel Pn Pmts/Bg 010111 076798mof/11001 ~- Daily Balance Date Balance Date Balance Date 12/17 23,522.09 01/03 21,848.75 01/14 12/20 21,562.09 O1/11 21,579.25 01/18 12/21 20,562.09 ~ NEWS FROM CITIZENS --Beginning in January 2010, if you paid Overdraft/Insufficient Available Funds Fees, your account statement included a table that showed the total amount of these fees, net of any rebates, that you paid both for the statement period and for the calendar year to date. For your January 2011 statement, this table, if shown, provides information about two distinct time periods. Any amount listed in the "Total for This Period" section includes fees paid during your current statement period. Dates for this period are listed at the top of this statement. Any amount listed in the "Total Year to Date" section includes fees paid in Calendar Year 2010. Any fees paid in January 2011 are not listed in the "Total Year to Date" section of this statement, but will be listed in this section beginning with your February n Total Deposits & Additions 1,286.66 n Current Balance / ,~~j ~, 18, 720.86 Balance A ij ~~ccl~nt-~o,,,~ /~~~~j /!~ v 19, 094.25 ~,~( -"`,~C 18, 720.86 ) ~"'""/1 /~ ~ ~-~ i~ -~ ~,°i~ /~~ Memher FDIC Q Equal Houvng Lender 11~ ~ ~ 7w T.r~.~ j Y F ~•yY "k~ ~ ~ 1 1-888-910-4100 Please call us anytime for answers to your questions, a¢ount information, current rates or to update your address S phone number. s for account XXXXXXX058-0 4110rAf a ooo~ 1276 as w oWed1 a ~M1]tlll Ia ~~ ~ •~[ _. • e D6Kirt~ a `± Citizens Bank G°"`~ Fa~o~~o~i~ ~.~ ~036076i5D1: 6 1 0 0 7 30 58011' 1275 Checking Account Statement Z © of 3 S~'~ ~ ~--~ ~ Beginning December 16, 2010 through January 18, 2011 (1_,,_ T~wzrAa E aooMwal 1276 ~C~ iLMWiMif w.InlM.roWN, M 17011 ~ ~ alwi~ r a~Z) ~I~ s ~mthe ~ 1 _ ~ I title L~ i ~~ -_____. DUlu1t ® '`~- ~ s Bank `'~° `'"` "°"°` ~= 1:0 3 0 7 6 1 501: 6 300 7 i0 580+' i 2 1275 122020' 0 $' 960.00 1276 121720' 0 $5F3.89 rno~usacoaarwFS~ n 1278 aW ly1KNK `,y 6dAN. PA titlll aw~Lae _7J . 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Cam? arswanm~p 1~~~~~ 1283 flNIOM11ClIwM,PA llsll / / swli'JW m O w~i~r 1 _~ $~ ~- (.t'r - ~ ~ ~7 ~ _-C6M.s ~ r Citizens Bank lkrneNeNe ~"`~e "g°a"` ~ ~~ =~~/.!~ F _ r.D3cD7sisnc sino7lDSSOr 1:83 raDacD3sas~.~ 1283 01; ' 8r2011 n~a E oDO~LL my awul K MIMlMIW~rG0/ti PA 17011 / 1284 •tlN~ e 1'~Y 10tlN ° b11e ~CitlzensBank c::~k°°"' n4 FOr ~~-a,-L-l-__ ..--_ _. AA ~a ~` 1:0360761504 6 iD0 7 10 58011' 1284 $35£3.59 1284 01;'&201 $14.80 ~~~ SAN ~a Member FUIC Q EQual Housing Lender .-1 v Q1 d ~'IN~, N~ N. M ~. ll1'i L!1'~, laf~l ~i O ~ICh ~ I M ~ '~~. N-i ti '.. ti '~, ' ~ I ~~ ~~ ICI I ~i I I I I C.' 31 ~ ~ I ~~ •C.. p mj i I i t I y. i~ ~i~i i ~ iJ >~_ fp _~~ U1I-~ ~ia,'~ I ~QQ~' m ' c 10 ~~'Li ~,LLI yy' ~~ ~ ~p O Ili ~', ~p,f ~ `1' Q',~ m F-'w'~'f f~w'F-'w~ ~ G)~, W~~,' A iO~ Q ~ R ~iY~- ~~ a l Y~~ i rCri jQ: ~' C CI ~. a',~ [O O'~~ ~ ~ ~~ O 0 Q ~ ~ it 0 = '', ~ 0 ~ ~ o ;a, ~,I~j a ,l O ~ ~ i~I~i~~) Z OIL ~~ I ~ C O 0 a I, ~ , ~ '. ~ I~,jm'o 0 a.+ ~ i i ~ i II L I ~ I ' Q L ~ '. 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Z o ai 17 c t E.- w p m `m v m e o' E ~ v d c ~~' aw m` on V O E~ m °•nE E u m 10 m m N pi ~ T°>xc w m ~° C N D C O C E L C L _- .._ ~ d 0 ~N .N N ~ L 0 0 C C O rn O S ~ O }a t N N VH-~~ 0 i7 Uv O } L j ~~ f-o>.a3 ~'~I,filp~<. i Fltne~~al Ho,~s1e K Markct Plaza Way (717) 697-4696 Mechanicsburg, PA 1705 www.nrilpezziftmeralhome.com .lercmy .I. Shartzer, FD 3lichael J. ~lalpezzi. Owner, FD K~~le C. Knipe, FD January 6, 2011 Todd Dean O'Donnell 1855 Good Hope Road Enola, PA 1702 The ~ uneral Service for Thcmas E. O'Donnel! We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING [S AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMO'T'INE EQUIPMENT, AND MERCHANDISF, 'T'HAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS, 1. PROFESSIONAL SERVICES: Services of Funeral Director/Staff $4,625.00 FUNERAL HOME SERVICE CHARGES $4,625.00 SELECTED MERCHANDISE: 20 Gauge Steel Casket $1,780.00 Guardian Burial Vault $ I , 125.00 Maroon Register Package $75.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $7,605.00 AT THE T[ME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAYMENTS 'r0 OTHERS AS AN ACCOMMODATION. THE FOLLOWING lS AN ACCOUNTING FOR THOSE CHARGES. CASH ADVANCES: Opening Grave $1,395.00 Certified Death Certificates $60.00 Newspaper Notices -Patriot $304.02 Q 12G,~Q Organist $ l 00.00 Flowers $125.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES $2,109.02 CONTRACT PRICE $9,714.02 '" HISTORY: 12/20/2010 Homesteaders Life Payment $9,127.17 '~ 12/30/2010 Pre Need Guarantee ~ ~~~~ ~ ~35g,~6_..__ TOTAL AMOUNT DUE 8 59 ~~ 1~ ~~ ~~~- w~ - ~~~~ /~ /~ ~% s~~~ t\ ~a I SAN E ~'~ y ~~MBEiZG~iZ ,~'v1EI~iICtiZi~lS GR:#NTfE -- ~tARI~LE -- BI20NZE __..f__ .______-----____ _..___ ___-- ._ .__-- ~ ~ t r[~ ~ irlt [ .; ; ,,;[ ~, ~; :, , ,. _ ~~ ; u ~,, ~ ,,; i PLAN"(' ANU U[5('L:~Y - ?3~)i 5~t~A1'I; ~I~REh I. ~` _` 't""` ~`~ !~ ~.,~, ~' ~,~ f i ~ ~ I i ;;: ~1; i[ ~r ; u~ 1 ~i. di [-IA[tKISBURG, PENf3ROOK, PA 0103 PHONE ?3Z-{ 1-17 c ;clc ~lLr ~: ~~.~, ,.:rt „~i ~~ ;.,, ~. ~~; 1. 1. soa:i-to-h7 ~-~ , .,,_~ ,~ ~~ ; ; ~~r. ;,t ~,~ t~O... ~ ~ ~ ~ t.. t ~~1)uxt/~s.. ~.~.~. l,.:. ~ ~~:14...~.... ... 1.~?~.. 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S C ~-~ ~-1 L -~ i_ 2 TODD D. O'DONNELL, CPA 1855 GOOD HOPE RD ENOLA, PA 17025-1234 (717) 732-5453 Todd_od~a,yahoo.com March l8, 20l I THOMAS E. O'DONNELL 322 W. GREEN STREET SHIREMANSTOWN, PA 1701.1 Statement of Charges for Services Rendered: Tax Preparation Fees: Tax return preparation fee Total fee $ 200.00 ~ ' `--~1 $ ~ 200.00 j ~__._i~ ~~~ N . ~,~ C~ CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3166 Fax: (717) 249-2663 May 13, 2011 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Todd O'Donnell RE: Thomas E. O'Donnell Estate Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: April 29, May 6, and May 13, 2011 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $~ 75.00 ~ ` ~ ~-I =~ S ~~ ~ Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Joumal on the following dates, vlz: Aril 29, May 6, and May 13, 2011 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Li a Marie Coyne, E itor O'Donnell, Thomas E., deed. Late of the Borough of Shiremans- town. Executor: 'T'odd O'Donnell, 1855 Good Hope Road, Enola, PA 17025-1234. Attorney: None. SWORN TO AND SUBSCRIBED before me this 13 of Ma.~ 011 - Notary NOLaRIAL SrAL UEBORAN A COLLINS tJotary Public CARLISL[ BOROUGH, CUP~1i3ERl.AND COUNTY' lily Commission Expires Apr 28, 2014 The Patriot-News Co. • 2020 Technology Pkwy ~ a ~~O .~.~ ~~~ Suite 300 µ Mechanicsburg, PA 17050 NOW ~/OlJ know Inquiries - 717-255-8213 ODONNELL 1855 GOOD HOPE RD ENOLA PA 17025 INVOICE ALL CHARGES ARE NE7 ACCT # NAME AD ORDER # DATE EDITION ADDTL. INFO. TYPE OF CHARGE AMOUNT 190777 ODONNELL 0002139490 04/29/11 METRO WEST BASIC AD CHARGE $32 53 190777 ODONNELL 0002139490 05/06/11 METRO WEST . BASIC AD CHARGE $32 53 190777 ODONNELL 0002139490 05/13/11 METRO WEST . BASIC AD CHARGE $32.53 TOTAL: REMITTANCE ADDRESS The Patriot-News Co. 23794 Network PL Chicago, IL 60673-1237 AFFIDAVIT CHARGE $500 ~ $702.59 S ~-,t N ~ ~ ~. z Please include the Account # or Ad Order # (above) with your remittance--Thank You NOTE: This Invoice replaces the Order Confirmation which we previously sent with Proofs of Publication The Patriot-News Co. 2020 Technology Pkwy Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-8213 ODONNELL 1855 GOOD HOPE RD ENOLA PA 17025 c~he~latriot-News Now you know THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Holly Blain, being duly sworn according to law, deposes and says: That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 2020 Technology Pkwy, Suite 300, in the Township of Hampden, County of Cumberland, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 1900 Patriot Drive, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Community Weekly editions which appeared on the date(s) indicated below. That neither she nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds un and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY This ad # 0002139490 ran on the dates shown below: April 29, 2011 May 06, 2011 ESTATE NOTICE I ~ ~,, r, ~ '- May 13, 2011 Estate of ThOMAS E. O'DONNELL, ~: late of the Borough of Shiremanstown, Cumberland County, PA, Deceased. LETTERS TESTAMENTARY on the ~-i ~I~,,t? - ~ ~ _1 ~.,~ ~_. above estate hovlnc been aranttd to Tht _ undersigned, all persons Indebted to sold ,f ~ / estate art requested to make immediate ( J pavmsnt, and chase having claims tg Sworn to an/ sub ~ ed before mq thi~13 a of May, 2011 A.D. present tht same, without delay to: Todd O'Donnell, Executor ~ j 1955 Gaud Hope Road ~ ,~ ~ "~-%' Enola, PA 17025-1231 ~. Notary Public COMMONWEALTH OF PENNSYLVANIA Notartat Seal Sherrie L. Kisner, Notary Pub;lc Lower Paxton Twp., Dauphin County My Commission Expkes Nov. 26, 2011 Member, Pennsylvania Assoctatbn of Notaries