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HomeMy WebLinkAbout03-1075PETITION FOR PROBATE and GRANT OF LETTERS also known as To: Deceased. Social Security No. } ~,G'~ 0 ? - -~ ~)~.~ Register of Wills for the . County of Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age. or older an the execut ow in the last will of the above decedent, dated ,,4 ~"4 ~' C3 and codicil(s) dated in the named ,19~6 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ~'?~Ja.~l,-~ County, Pennsylvania, with h e..¢- last family or principal residence at v , -- : (list street, number and muncipality) Decendent, then 0°( years of age,,died /V~_ ,~,.~. . , ,4~-, ~o&.~, Except as follows, decedent did ~ot marry, was not divorced and d~d not have a child b6rn or adoptea after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ $ $ [00,o0o WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters 7c.a~¢'/--z'-~ao~'~ (testamentary; ac(ministration c.t.a.; administration d.b.n.c.t.a.) theron. ....... /. - OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ COUNTY or Q~_z~.~'-¢.---~ d _ ss 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 represen- tative(s) of the above decedent petitioner(s) will well anti truly administer the estate according to law. Sworn to or affirmed and subscribed r ~~-t~~ ~. b~ore me this ~~ ~ of~ ~ ~ .... No. Estate Of Cr'~C-~e_.-~- ~. ['Y3~.r~.~.¼,~ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~ in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of and Letters ~~-v--'" ~v(~--t-~ gui are hereby granted to [_.~ ~. g ta F_/-C~ ~ 1. FEES Probate, Letters, Etc .......... Short Certificates( ) .......... $ ~.~o nunc~auon ................ $ ~ $ · ~ TOTAL Filed ,. ~ ~ .... ~ ~.~. ....... ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS (each) a subscribing witness to the law, depose(s) and say(s) that codicil will presented herewith, (each) being duly qualified according to present and saw the testat request of testat~ other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19 , sign the same and that signed as a witness at the in h presence and (in the presence of each other) (in the presence of the Register (Name) (Address) (Name) (Address) REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being duly qualified according t9 law, depose(s) and say(s) that familiar with the signature of/']/7,4~6',47~7- k'~-_..~_7f/~iNgT_~,4~ codicil testat__ of (one of the subscribing witnesses to) the ~ presented herewith and that believes the signature on the ~is in the handwriting of ~~:~d s::,c~.~tO the best of __{.'~ !f knowledge and belief./._~0::/' ~ (Name) (Address) his 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. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 9 SllOg No. Nov' $ 2003 Date COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH ,. Margaret E. Manahan ,Female1,. 195 -- 07 -- 0763I"~e~r.~.~.__ ct.2, rrisbur~,PA E~o~,~ ..... [] Dauphin ~.~wer Paxton ~. ~munity General Osteopathicuo~ni - - t~] . [m. ~ite DECEDEm'SUSU~CUP"~IKIN~BUSINES~INDUSTRY~~s~CEDENTEVERINH~akOrI Self Ya~ ~ El--enlaql~ond~ECEOEflYS EO~T'O. ~ UARITAL STEUS..e,~ [. C~ ,,.. . ,,,. . ,,. j,. ~om 12 ~ "'~" ,,Widowed 5038 Erbs Road ~ .~m~en Mechanics~rg, PA 17050 ...... - ,, Bessie Funk ',.. Kathleen~.L. ~nahan, ~6 Waterford Road~ H~onton~ N3. 08037 ~,~ ~s~ / ~lNovem~ 9~ onn~ ~"~'~st [260 Herr Street ~'.. / /,x & I,,,. '~' .... ~rrisburg ~meter~ ~..~~/ (~ 3~ 3 ' J,,, FD 138182 ~9~yer Funeral 133~ m.zna ~reet H~e, Inc. Harris~rg,Pa. 17102 ~,. · .............................................................................. ~ LAST WILL AND TESTAMENT OF MARGARET E. MANAHAN I, MARGARET E. MANAHAN, of 5038 Erbs Bridge Road, Hampden Towship, Cumberland County, Pennsylvania being of sound mind and body declare this to be my Last Will and Testa- ment and revoke any and all Wills and Codicils previously made by me. ITEM I: I hereby direct that all of my just debts, funeral expenses, all administration expenses including inheri- tance tax shall be paid from the assets of my estate as soon as practicable after my decease. ITEM II: I hereby direct that either my daughter, Kathleen L. Manahan of 803 D. Cedar Street, Riverton, New Jersey, or my son, Robert E. Manahan, of 5038 Erbs Bridge Road, Hampden Township, Pennsylvania may reside in my home at 5038 Erbs Bridge Road, Hampden Township, Pennsylvania after my death until they can locate a new residence. ITEM III: I direct that when my children have located new residences, that all of my children, Kathleen L. Manahan, Robert E. Manahan, and Don E. Manahan, of 6911 Petit Street, San Diego, California shall have a right to choose and retain any of the personal property in the real estate at 5038 Erbs Bridge Road, Hampden Township, Pennsylvania if they so desire. ITEM IV: I direct that if either of my children should reside in the real estate after my death, that child shall be responsible to pay all taxes, municipal assessments, fire insurance premiums and maintain the property in good condition. Further, that child residing in the real estate may use the furnishings contained therein until a new residence is located. ITEM V: I direct that all the rest,residue and remainder of my estate, including the real estate and personal property, wheresoever situate and in whatsoever name, shall be sold and the net proceeds shall be divided among my children, Kathleen L. Manahan, Robert E. Manahan, and Don E. Manahan, share and share alike, one-third each. ITEM VI: In the event one of my children should predecease me or we die in a common disaster, I direct that their share of my estate shall be divided equally between my surviving children. ITEM VII: I hereby nominate, constitute and appoint my nephew, Larry E. Fritz, of 1305 Lambs Gap Road, Mechanicsburg, Pennsylvania 17055 as Executor of my estate. ITEM VIII: I direct that my Executor shall not be required to give bond for the faithful performance of his duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 3rd day of August, 1986. / ~[~6~~ ~ , z I~L~7~SEAL) M'arga~t E. Manahan ' The preceding instrument consisting of this and two (2) other typewritten pages was on the date hereof signed,published and de- clared by Margaret E. Manahan, the Testatrix herein named to be her Last Will and Testament, in the presence of us, who at her request, and in the presence of each other, have hereunto set our names as witnesses hereto. residing residing LAST WILL MARGARET AND TESTAMENT OF E. MANAHAN ATTORNEYS AT LAW EXECUTIVE HOUSE SUITE #1 101 SOUTH SECOND STREET HARRISBURG, PENNSYLVANIA 17101 Name of Decedent: Date of Death: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) / Will No. Admin. No. ~x[-03--l/c07,~ To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) qf the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on .//~]& ~ ~O~ ~ 00 C/ . Name Address Notice has now been give.n to all persons entitled thereto under Rule 5.6(a) except Date: Signature Address //,~O~O~"'- ~~,7 Telephone(7/-) ?_~g' ~ Capacity: ~Personal Representative Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 '7128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 0O4293 FRITZ LARRY E 1305 LAMBS GAP ROAD MECHANICSBURG, PA 17050 ........ fold ESTATE INFORMATION: SSN: 195-07-0763 FILE NUMBER: 2103-1075 DECEDENT NAME: MANAHAN MARGARET E )ATE OF PAYMENT: 08/20/2004 POSTMARK DATE: 08/1 8/2004 COUNTY: CUMBERLAND DATE OF DEATH: 1 1/22/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $15,938.78 TOTAL AMOUNT PAID: $15,938.78 REMARKS' PD CK M MANAHAN ESTATE/ LARRY E FRITZ, EXEC SEAL CHECK//1016 INITIALS: GFS RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS j R E V- 1 5 0 0 ~ PENNSYLVANIA .ih~~~kl, DEPARTMENT OF REVENUE F~~ DEPT. 280601 INHERITANCE TAX RETURN .LE.U..ER ~~RRISBURG, PA 17128-~01 RESIDENT DECEDENT DECEDENT'S NAME (~ST, FIRST, AND MIDOLE INITIAL)' ~ S~IAL sEcuRI~ NUMBER ' (IF~PUCABLE~ SURVIVING SPOU~;S ~ (~ST, ~ ~LE INITIAL) ..... ' S~IAL SECURIW NUMBER 6. ~nt D~d Te~te (~m ~ ~ ~) ~ 7. ~nt ~in~in~ a Livi~ Trust 1~ ~ ~ T~) 8. To~ Numar of ~fe ~ Boxes ~ 9. U~a~ P~ds R~iv~ ~ 10. S~I Povedy Cr~ (a~ ~ ~ ~ um~ ~ M.~) ~ 11. Elec~n to ax un~r ~. 9113(A) (A~ s~ O) TH~ SECTION ~T BE CO~L~D. ALL C~RESP~DENCE ~D CO~IDEN~L T~ ~F~A~ 8~ULD ~ ~RE~ED TO: NAME /~.~ ~ COMPLETE MAILING ADDRESS 2. St~s and ~ds (~edule B) (2) . ~; , . 3. CI~ He~ C~on, P~m~p or ~Pm~et~hip (3) ~~ 4. Mo~s & No~s R~tv~e (~dule D) (4) 5. C~h, ~ D~a~ & Mi~,an~s P~nal ~ (5) / ~. / 7~. (~ule E) - ~ ~mte Billi~ Req~sted - 7. Int~-~ T~s~m & ~s N~m~te Pmm~ (7) ~ ~ (~ ~ ~ L) 8. T~I ~s Asse~ (to~l Lines 1-7) (8) ~o, ~.of~.~,Mo~.Liaa~,&u..(~u~.,) (~o) ' / ~, 13. Chad~le and Govem~ntal ~u~S~ 9113 Trusts fm ~ an e~n to ~x has not b~n (13) m~e (~u~ J) SEE IN~R~S ON R~RSE 8~E F~ APPLICABLE 15. ~nt of Line 14 ~ at ~e s~l t~ rote, ~ transits u~er ~. 9116 (a)(12) x .0 (15) 17. ~ou~l of Li~ 14 ~b~ at ~ ~te x .12 (1~) 18. ~nt of Li~ 14 t~ble at dlateml rote x ,15 (18) ) > BE SURE TO AN~R ~L ~E~S oN R~RSE S~ ~D RECHECK MATH < < Decedent's Complete Address: Tax Payments and Credits: 1. ~x Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Pdor Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty (1) Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E ) If Line 2 is greater than Line 1 + Line 3, enter the difference, This is the OVERPAYMENT, Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (3) (4) (5) (5A) (3) A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A, This is the BALANCE DUE, Make Check Payable to: REGISTER OF WILLS, AGENT I, ,P caz.. ?& PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [~ b. retain the right to designate who shall use the properly transferred or its income; ............................................ [] ~ c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or cam? ...................................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer properly 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 bene~ary 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. SIGNATURE~F PERSON RES~.LN/~SIB FOZ Fl IN RETURN ^OO ES_S ,-- t' . SIGNORE OF PREPARER O~ER ~ REPRESENTATIVE ~ DA~ ADDRESS 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 RS. 89116 (a) (1.1) (i)]. For dates of death on or after January t, 1995, the tax rote imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 RS. {}9116 (a) (1.1) (ii)]. The statute does not exemot 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 baner~ary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a steppamnt of the child is 0% [72 RS. {9116(a)(1.2)]. The tax rate imposed on the net value of transfers t(~ or for the use of the decadent's lineal beneficiaries is 4.5%, except as noted in 72 RS. 89116(1.2) [72 RS. §9116(a)(1)]. The talc rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 RS. {9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common wifh the decedent, whether by blood or adoption. REV-1502EX - (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF . ,--- . FILE NUMBER ////,~,~( e... b~~ ~,/-o3- o/o?~ All real prepert~'owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which properly would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~ / -~o~ ooo,oo TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of the same size) REV-l, 503 EX+ (6-98~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS FILE NUMBER All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, TOTAL (ALSO enter on line 2, Recapitulation) (If more space is needed, insert additional sheets of the same size) ,qo"2, o -?,793, Ao J, qq/. 90 REV-1508 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER include the proceeds of litigation and the date ~e premeds were r~ived by ~e es~te. All prope~ joint¥o~ed ~h the right of su~o~hip must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. TOTAL (Aisc enter on line 5, Recapitulation) // oo (If more space is needed, insert additional sheets of the same size) REV-1509 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF/L/~ SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER I-o -olo If an asset was/made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT deed for joinfiy-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST TOTAL (Also enter on line 6, Recapitulation) $ / / q ~0 o2'--y (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER This schedule must be completed and filed if the answer to any of ques~ons 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY % OF ITEM INCLUDE THE NAMEOETHETRANSFEREE, THEIR RELATIONSHIPTODECEDENTANDTHE DATE OF TRANSFER DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE ATTACH A COPY OF THE DEED FOR REAL ESTATE. NUMBER VALUE OF ASSET INTEREST ilF APPUCABLE) TOTAL (Also enter on line 7, Recapitulation) $ -- O ~ (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Debts of decedent must be reported on Schedule I. FILE NUMBER .¢.1- ~-olo7~'- ITEM NUMBER DESCRIPTION AMOUNT B. 1. 5. 6. 7. FUNERAL EXPENSES: ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) ~, Social Security Number(s)/ElN Number of Personal Representative(s) Street Address /..~0~~-- ~--?'5z./~ ~ / City A4..~2.~'~u~.4~.:~__~_/,/.t,~CJ State /A Zip /-"~0~,'"--~ / Year(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant //~¢~,~;,.--"Lf''- ~'"o .~~ State ~ Zip Relationship of Claimant to Decedent ~ Probate Fees Accountant's Fees H ,~.-.~,- Tax Return Preparer's Fees TOTAL (Also enter on line 9, Recapitulation) "2oo, 0 o ~'-'-qo,oo 2.,5--?, o o ~, O0 //., ?¢/, q; (If more space is needed, insert additional sheets of the same size) I/. ~ qOo,Oo l,gZToo Io.oo 1, 70o, oo 3W,oo /oz'~ o o z'~ ooo,oo lc/oP. /~ ~z-'q, oo / DEBTS OF DECEDENT, RESIDE~ ~CEDENT , , , , .-- 'ESTA~ OF FI~ HUMBER Re~ d~ incu~ ~ t~ ~nt ~i~ to ~ ~h ~in~ un~M as of the d~ M d~, ~luding unmim~ ~i~l ex.rises. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. TOTAL (Also enter on line 10, Recapitulation) $ / ~7/..~,'7 ~ (If mom space is needed, insert additional sheets of the same size) REV.-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE O,~,~?, ~'~ NUMBER ! 1. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY FILE NUMBER ~1- ~ ~ ~ 0/o7~~- RELATIONSHIP TO DECEDENT Do Not List Trustee(s) TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] , tV J o o gq- II AMOUNT OR SHARE OF ESTATE TOTAL OF PART [I - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE NON-TAXABLE DISTRIBUTIONS: ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG, PA 17128-0601 COMMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRA/SEMENT, ALLO#ANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-lS4? EX AFP (09-04) LARRY E FRt~Z 1505 LAMBS ~P RD MECHANICSB~G DATE 11-15-200q ESTATE OF MANAHAN MARGARET E DATE OF DEATH 11-22-2005 FILE NUMBER 21 05-1075 COUNTY CUMBERLAND ACN 101 Amoun~ Remitted I PA 17050 ,-- MAKE CHECK PAYABLE AND REMIT PAYMENT TO: ilii~ REeISTER OF WILLS " CUMBERLAND CO COURT HOUSE CARLISLE, PA 1701:5 CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~ REV-15q7 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MANAHAN MARGARET E FILE NO. 21 0:5-1075 ACN 101 DATE 11-15-200q TAX RETURN NAS: ( ) ACCEPTED AS FILED (X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) ;~. Stocks and Bonds (Schedule B) (2) $. Closely Held Stock/Partnership Tntarast (Schedule C) ($) q. Mortgages/Notes Receivable (Schedule D) (q) $. Cash/Bank Deposi:~s/Misc. Personal Property (Schedule E) 6. Jo/ntly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ada. Cos~:s/M/sc. Expanses (Schedule H) (9) 10. Debts/Mortgage L/ab/li~c/as/L/ens (Schedule I) (10) 11. To,al Deductions 12. Ne~ Value of Tax Return 170zO00.O0 200;565.:59 .00 .00 1:5z176.57 lz196.5~ 16z092.15 (8) :50,599.6:5 NOTE: To /nsure proper cred/t to your account, sube/~ ~he upper portion of ~h/s fora w/~h your ~ax payeen~. 15. lq. NOTE: ASSESSMENT OF TAX: 15. Amoun~ of L/ne lq at Spousal ra~e 16. Amoun'l: of L/ne lq taxable a~ Lineal~Class A rate 17. Amount: of L/ne lq a~ S/bl/ng rata 18. Amount of L/ne lq ~axabla at Collateral/Class B rate qO1,0:50.65 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. REVERSE SIDE OF THIS FORM (].s) .00 x O0 = .00 (].6) :570,287.$0 x Oq5= 16,662.9:5 (].7) . O0 x 12 = . O0 (z8) .00 x 15 = .00 (].9)= 16,662.9:5 19. Principal Tax Due TAX CREDITS: PAYMENT RECEIPT DATE 08-18-200q NUMBER CDOOq29:5 D/SCOUNT (+) INTEREST/PEN PAID (-) .00 INTEREST IS CHARGED THROUGH 11-~0-200q AT THE RATES APPLICABLE AS OUTLINED ON THE AHOUNT PAID 15,9:58.78 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 15,9:58.78 72fi.15 7.97 7:52.12 ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A 'CRED[T' (CR), YOU MAY BE DUE A REFUND. SEE REVERSE S/DE OF TH/S FORM FOR INSTRUCTIONS.) Char/~abla/govarnmental Bequests; Non-elected 911:3 Trusts (Schedule J) (1:3) . O0 Ne~ Va].ua of Estate Sub,~ect ~:o Tax (1~) :570,287.:50 Zf an assessment ~as issued previously, lines 1~, 15 and/or 16, 17, 18 and 19 ~111 reflect figures that include the total of ALL returns assessed to date. (~1) 30.7~3.35 (12) :570,287.50 RESERVATZON: PURPOSE OF NOTICE: PAYHENT: REFUND (CR): OBJECTIONS: ADNIN- ISTRATIVE CORRECTZONS: DZSCOUNT: PENALTY: INTEREST: Estates cf decedents dying on er before December Il, 198Z -- [f any future interest [n the estate is transferred [n possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Comaonaeelth hereby expressly reserves the right to appraise and assess transfer Inheritance Texas at the laNful Class S (collateral) rate on any such future [ntarast. To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act Z$ of ZOO0. (7Z P.S. Sect[on 9140). Detach the top portion of this Notice and submit with your payment to the Register of Rills printed on the reverse side. --Hake check or money order payable to: REGZSTER OF #ZLLSj AGENT A refund of a tax credit, Nhich was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1513). Applications are available online at NwN.revenue.statm.na.us, any Register of Wills or Revenue District Office, or from the Department's [4-hour answering service for forms orders: l-BOO-56[-[050; services for taxpayers NJth special hearing and/or speaking needs: 1-800-447-30Z0 (TT only). Any party in interest nat satisfied N[th the appra[sment, allowance or d[salloNance of deductions or assessment of tax (including discount or interest) as shorn on this Not[ce may object N[thin 60 days of the date of race[pt of this notice by filing one of the following: A) Protest to the PA Department of Revenue, Board of Appeals. You may object by filing e protest online at wNN.boardofappeals.statm.pa.us on or before the expiration of the sixty-day appeal period. In order for an electronic protest to bm valid, you must receive a confirmation number and processed date from the Board of Appeals webs[ta. You amy also send a Nr[ttan protest to PA Department of Revenue, Board of Appeals P.O. Box 281021, Harrisburg, PA 171Z8-1021. Petitions may not be foxed. B) Election to have the matter determined at the audit of the account of the personal representative. C) Appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in Nrit[ng to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Rev[aw Unit, P.O. Box 280601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Znher[tance Tax Return for a Resident Decedent" (REV-1501) for an explanation of ada[n[strat[vely correctable errors. If any tax due is paid N[th[n three (3) calendar months after the decmdent's death, a five percent (SZ) discount of the tax paid is milDRed. The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you Nould appeal the tax and interest that has been assessed as indicated on this net[ce. Interest is charged beginning Nith first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes Nhich became delinquent before January 1, 1982 bear interest at the rate of six (el) percent per annum calculated at a daily rate of .000184. AIl taxes Nh[ch became delinquent on and after January l, 19aZ NEll bear interest at a rate Nh[ch NEll vary from calendar year to calendar year N[th that rate announced by the PA Department of Revenue. The applicable interest rates for 19AZ through ZOO4 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z ~ .000546 ~'~-199l llZ .000301 ~-~ 9Z .000247 1983 162 .000438 1992 9Z .000247 ZOO2 62 .000164 1984 llZ .000301 1993-1994 7Z .O00Xgz 2003 5Z .000137 1985 13Z .000356 1995-1998 9Z .O00Z~7 2004 42 .000110 1986 102 .O0027~ 1999 72 .OOO19Z 1987 lOX .000274 2000 7Z .O0019Z --Interest is calculated as follows: ZNTEREST = BALANCE OF TAX UNPAZD X NUHBER OF DAYS DELZNI~UENT X DAZLY ZNTERBST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculat[on to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shorn on the Notice, additional interest must be calculated. ~EV-1470 EX (6-88)  INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDEN3~S NAME FILE NUMBER Margaret E Manahan 2103-1075 REVIEWED BY ACN Deborah Washington 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES G Annuities are fully taxable with no exclusion. Row Page 1 ~EV-1470 EX (6-88) '~ INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0~01 :)ECEDEN'PS NAME FILE NUMBER Margaret E Manahan 2103-1075 REVIEWED BY ACN Deborah Washington 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES G Annuities are fully taxable with no exclusion. ~- ORIGINAL Page 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17125-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV 1162 EX(11-96) NO. CD 004677 FRITZ LARRY E 1305 LAMBS GAP ROAD MECHANICSBURG, PA 17050 fold ESTATE INFORMATION: SSN: 195-07-0763 FILE NUMBER: 2103- 1075 DECEDENT NAME: MANAHAN MARGARET E DATE OF PAYMENT: 11/30/2004 POSTMARK DATE: 11/29/2004 COUNTY: CUMBERLAND DATE OF DEATH: 1 1/22/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 9732.12 TOTAL AMOUNT PAID: 9732.12 REMARKS: SEAL CHECK//1018 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF ZND'rVZDUAL TAXES ZNHERITANCE TAX DI*VI*STON PO BOX Z80601 HARRTSBURG PA 171Z8-060! LARRY E FRITZ 1305 LAMBS GAP RD HECHANICSBUR$ PA 17050 COMMONWEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE ZNHERZTANCE TAX STATEMENT OF ACCOUNT DATE 12-Z7-Z00q ESTATE OF MANAHAN DATE OF DEATH 11-22-2003 FZLE NUMBER 21 03-1075 COUNTY CUMBERLAND ACM 101 Amoun'l: Rem J.'~'~ed REV-16n7 EX AFP HARGARET E HAKE CHECK PAYABLE AND RENZT PAYMENT TO= REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credt~ ~o your account, submi~ ~he upper portion of ~h/s fore wi~h your ~ax payment. CUT ALONG TH*rS L*rNE I~ RETA*rN LOWER PORT*rOM FOR YOUR RECORDS ~ I~ L~/'-':~I"~' ' ~x' '~'~ I~' '~§ q.'--'l~ J ...... '~G ~' '~'~r.~-~ ~ II"'A~ ~'~' "lilaC' ':~ ~'~'llel~ II1~'~1'~ ' ~'1~' '~ ~'~:~1~0 ~ ' ' ~E~'~ ..................... ESTATE OF MANAHAN MARGARET E F'rLE ND. Z1 03-1075 ACN 101 DATE 1Z-Z7-Z00q TH'rS STATEMENT TS PROV'rDED TO ADVTSE OF TIlE CURRENT STATUS OF THE STATED ACN TN THE NAMED ESTATE. SHO#N BELO# TS A SUMMARY OF THE pRTNCTpAL TAX DUE, APpLTCAT'rON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, TF APpLTCABLE, A PROJECTED TNTEREST FTgURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 11-15-200q PRINCIPAL TAX DUE: ................................................................................ PAYMENTS (TAX CREDITS): 16,662.93 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-18-200q 11-29-200~ CDOOq293 CDOOq677 .00 7.89- 15,958.78 732.12 IF PAZD AFTER THIS DATE, SEE REVERSE S/DE FOR CALCULATZON OF ADDZTIONAL INTEREST. ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT 15 REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT' YOU MAY BE DUE A REFUND. SEE REVERSE S/DE OF THZS FORM FOR ZNSTRUCTZONS. ) TOTAL TAX CREDZT 16,663.01 BALANCE OF TAX DUE .08CR *rNTEREST AND PEN. .00 TOTAL DUE .08CR Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/11/2005 FRITZ LARRY E 1305 LAMBS GAP ROAD MECHANICSBURG, PA 17050 RE: Estate of MANAHAN MARGARET E File Number: 2003-01075 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 11/22/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~~ REGISTER OF WILLS cc: File Counsel Judge .. C/ \.- Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name ofDecedent/J1cz 76Jn.f- e. A1UVM.1Lh.a"..,. Date of Death: / I / J.., ~/O:3 ;AOOJ- D J 0'76 Estate 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 0 No P'I 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ~~b~ ~OcJS-- N~rl-h (,.rJt>.(f ./Dv- :LOOb~ , .:r-f!-s t:i /Y"\S CJvoo\.d Jt) 99's" J .~ -F:' ~ r,^~ 7Q..x 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 0 No gf 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 li4 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. signai~A'7 ~ ~ Li>-""7 e. ~~, f..... Name Date: II / 1--1 /o~~ / 2Js ~6.S' (;;1 '(dj /11Ki-. 'ly I ;JJI- 17 O~-O Address J 17 - 766" J...r,f:3 Telephone No. ! n' ""7h~ap~q:~~: Mrersonal Representative G v 1\"" '. '- U 0 Counsel for personal representative S fJ :5 \11 . STATUS REPORT UNDER RULE 6.12 Name of Decedent: ,1~/~ /'7d~::t IE. 1Z1 a+~~ Date of Death: /1- 1- A - O:J WilINo.: '100:3.- C/07.6- Admin. No.: :A} - ()~ - !O;J'- 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 .fa No 0 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 JRI b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal ;s>resentative state an account informally to the parties in interest? Y es ~ No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date::3/31/0' ~~ C ~ Signa~e/ /' -/- L:.., l: k;f 7- Name /20 ~b:; Cr ~o4J //;1~;cs.6"1?1 I?A 170J.u Address .......'.~. 'J Jj-7bb -;Af'O,5 Telephone No. Capacity: :gf'Personal Representative o Counsel for personal representative , (' ~ \) : I "!, -' ',",_ (';; 1-' _.,~ (~ 'Or,;' srcz j ~ / ~ \ 1.\fN0 ' -./ \\\