HomeMy WebLinkAbout03-0456Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of Mildred M. Bietsch No. I - 0,5- qS~
also known as
, Deceased Social Security No. 175-03-1161
Petitioner(s), who is/are 18 years of age or older, apply(les) for:
(COMPLETE "A" OR "B" BELOW:)
E A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut ors
Decedent, dated 7/17/1991 and codicil(s) dated none
\*
named in the Last Will of the
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 incapacitated:
B. Grant of Letters of Administration
(c.t,a,, d.b.n.c.t.a.: pendente lite, durante absentJa; durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
Name Relationship Residence
(COMPLETE 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 1035 Mud Level Road~ Shippensburg~ PA 17257
(list street, number and municipality)
Decedent, then 87 years of age, died May 6 ,2003 , at Charnbersburg Hospital
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA) All personal property ......................................... $
(if not domiciled in PA) Personal property in Pennsylvania .................... $
(If not domiciled in PA) Personal property in County .............................. $
Value of real estate in Pennsylvania ........................................................................................ $
Total ..................................................................................................................... $ 0.00
Real Estate situated as follows:
\* 1035 Mud Level Road, Cumberland County, Shippensburg, PA 17257
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:
Signature
-
Typed or pdnted name and residence
Elmond R. Bietsch, Jr. 25 Forest Lane~ Shippensburg~ PA 17257
Barbara Reisinger, 313 Dwelling Court~ Shippensburg~ PA 17257
Virginia Reisinger, 413 Sunset Lane~ Shippensburg~ PA 17257
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent,
Petitioner(s) will well and truly administer the estate accord, lng.to law.
Sworn to and affirmed and subscribed fi'~~/~'-~
~ day -[E'li'n~tc~ 1~. B~etsch~ Jr.
before me this ~¢ of
Barbara Reisinger
V~ginia l~Singer'
DECREE OF REGISTER
Estate of Mildred M. Bietsch
Deceased
also known as
Social Security No: 175-03-1161 Date of Death: 5/6/2003
AND NOW, (~.t ~ ~t., ~00~ , , in consideration of the Petition
on the reverse side hereon~satisfactory proof having been presented before me,
IT IS DECREED that Letters I~ Testamentary ~ of Administration
(c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minodtate)
are hereby granted to \*Elmond R. Bietsch, Jr., Virginia Reisin~er and Barbara Reisinl~er
in the above estate and that the instrument(s), if any, dated -I - t-~ - o~ I
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters .................................... $ ~ ,(~
Shod Certificate(s) ...............$ ~
Renunciation .......................... $
Affidavit ( ) ....................... $
Extra Pages ( ) .............. $
Codicil ................................. $
JCP Fee ................................. $
Inventory & Tax Forms ............. $
Other ...................................... $
TOTAL ............................. $
Io.oo
b/7 . o ch
RW~TA
Register of V~lls ~,~ U
Attorney: HAMILTON C. DAVIS
I.D. No: 10264
Address: P.O. BOX 40
SHIPPENSBURG PA 17257
Telephone: 532-5713
DATE FILED: Lo - qL _
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. Tile 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.
P 9286836 o.
Fee for this certificate, $2.00
Lg~'["Registrar v -
H105.143 Rev 2/87
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
'. E~male ~' 175 -- 03 -- 1161 4. 5-6-2003
I ; I,. ~5'-2A-1915 I'. ~l.t~, PA I,~ I
87 ¥"'.
DECEDENT'S USUAL OCCUP/O'ION
1035 Mud Level P~.
,,~m~.~m~, m 17257
,L Henry K. Weaver I'" Carrie Mae I~
~.. V~ M. Re.t.s/.r,,ge~ ~,. 413 Stmset I. ane Sl-d.~, Pa 17257
i~ o,~,~ El ~. 5-9-2003 la,.. Parklawns /0t~nm~l Gar8o~ 12,td. c'nm~eersburq, Pa 17201 County
~ 014831-L ~c.}l°-u~'N~er-Br5c~!<l=t'' F.H.,Inc. PO Box 336 Shbq, PA 17257
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LAST WILL AND TESTAMENT
I, MILDRED M. BIETSCH, of Southamptom Township, Cumberland County,
~eclare this to be my Last Will and Testament and revoke any Will or Codicil
~reviously made by me.
ITEM I: I direct that all my just debts and funeral expenses, including
~y gravemarker and all expenses of my last illness, shall be paid from my
residuary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I bequeath those articles of my household furniture and
furnishings and those articles of my personal effects and personal property
as set forth in a separate memorandum, which I shall place with my Will or
deposit with my attorney, to the persons therein designated.
ITEM III: I give and bequeath the full sum of $200.00 each, to my
.~ldaughter, VIRGINIA REISINGER, my grandson, KENNETH REISINGER and my
Igranddaughter, SUSAN KAUFFM~.
ITEM IV: I devise and bequeath the residue of my estate of every nature
B nd wherever situate in equal shares to such of my children, ELMOND R. (RAY)
IETSCH, JR., VIRGINIA REISINGER, and BARBARA REISINGER, as shall survive me
ITEM V: Should any of my children, ELMONI) R. (RAY) BIETSCH, JR.,
VIRGINIA REISINGER, and BARBARA REISINGER, predecease me or die on or before
the thirtieth day following my death but leaving issue who so survive me,
such issue shall receive, per stirpes, the share that such predeceased child
would have received had he or she so survived me.
ITEM VI: I appoint his or her respective parent or guardian, guardian
of any property which passes outright either under this Will or otherwise to
a minor and with respect to which I am authorized to appoint a guardian and
have not otherwise specifically done so, provided that this appointment of a
guardian shall not supersede the right of any fiduciary in its discretion to
~istribute a share where possible to the minor or to another for the minor's
benefit. Such guardian shall have the power to use principal as well as
income from time to time for the minor's support and education (including
secondary, college education, both graduate and undergraduate, professional
and other education) without regard to his or her parent's ability to provide
for such support and education, or to make payment for these purposes,
without further responsibility to the minor or to the minor's parent or to
any person taking care of the minor.
ITEM VII: I direct that all taxes that may be assessed in consequence
of my death, of whatever nature and by whatever jurisdiction imposed, shall
be paid from my residuary estate as part of the expenses of the
iadministration of estate.
my
I ITEM VIII: I appoint ELMOND R. (RAY) BIETSCH, JR., VIRGINIA REISINGER
and BARBARA REISINGER, Executors of this my Last Will.
ITEM IX: I direct that my Executors or guardian or their successors
~hall not be required to give bond for the faithful performance of their
~llduties in any jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
and Testament, written on four (4) sheets of paper, dated this
day of
· [ M~dred M. Bietsch
The preceding instrument, consisting of this and three (3) other
typewritten pages, each identified by the signature of the Testatrix, was on
the day and date thereof signed, published and declared by 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 hereto.
residing at
residing at ~-~~ I ~A
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :
I, MILDRED M. BIETSCH, the Testatrix 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; and that I signed it willingly and as my free and voluntary act
for the purposes therein expressed.
~/~J ~ ~2~~,(SEAL)
- - ~ildred M. Bietsch -
Sworn to or affirmed and acknowledged
before me by Mildred M. Bietsch,
the Testatrix, this /7~ day of
.J~/.t/' , 1991.
Notary Public
NOTARIAL SEAL
VELDA M. SEASE, Notary Public
Shippensbur§ Boro, Cumberland Co., Pa.
My Commission Expires April 16, 1994
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :
We, ~;¢//~ ~, ~,~c5 and ~t~ac~e~d~.° ~-~ng~st , the
witnesses whose names are signed to the a r foregoi rument,
being duly qualified according to law, do depose and say that we were present
and saw the Testatrix sign and execute the instrument as her Last Will; that
the Testatrix signed willingly and executed it as her free and voluntary act
for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the Testatrix signed the Will as a witness; and that to
the best of our knowledge the Testatrix was at that time eighteen (18) or
more years of age and of sound mind and under no constraint or undue
influence.
Sworn to or affirmed and subscribed to before
me by D~¢/[~ &. f,'pe$ and
Da~¢~;~ e k. Oc~-~/~'~9~ , witnesses,
this" /7~A day of
Notary Public
, 1991.
M. SFASE, Notary Public
PERSONAL PROPERTY MEMORAMDUM TO
ACCOMPANY WILL OF MILDRED M.. BIETSCH
As provided in ITEM II of my Will, I hereby designate that the
following listed property shall go to the persons whose names are
designated hereon.
ITEM
Guns and everything that goes with them
Baseball Gloves
Old chest in bedroom
Ail bells, old 78 records and old radio
and cabinet
Stereo and all albums
Drop leaf table
Sewing cabinent and everything in it
Hutch in dining room
NAME
E. Ray Bietsch, son
Ryan Bietsch, grandson
Sharon Bietsch, granddaughter
Barbara Reisinger, daughter
Michael Reisinger, grandson
Edward Reisinger, grandson
Teresa Crum, granddaughter
Lori Holesa, granddaughter
SIGNED:
CERTIFICATION OF NOTICE UNDER RULE 5.6{a)
Name of Decedent: Mildred M. Bietsch
Date of Death: May 6, 2003
Will No.: 2003-00456 PA No. 21-03-0456
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of
the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-
captioned estate on August 21, 2003:
Name
Barbara Reisinger,
Elmond R. Bietsch, Jr.,
Virginia Reisinger,
Kenneth Reisinger,
Susan' Kauffrnan,
Address
313 Dwelling Court, Shippensburg, PA 17257
25 Forest Lane, Shippensburg, PA 17257
413 Sunset Lane, Shippensburg, PA 17257
48 White Oak Boulevard, Mechanicsburg, PA 1.7055
413 Sunset Lane, Shippensburg, PA 17257
Notice has now been given to all persons entitled thereto under R~le 5.6(a) except None
Date: 08/21/2003 ·
Name: Hamilton C. Davis, Esq.
Address: P.O. Box 40
Shippensburg, PA 17257
Telephone: 717-532-5713
~..J Capacity: __ personal representative
~-.4 X counsel for personal
~ representative
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT, 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 003518
DAVIS HAMILTON C
P O BOX 040
SHIPPENSBURG, PA
17257-0040
fold
ESTATE INFORMATION: SSN: 175-03-1161
FILE NUMBER: 2103-0456
DECEDENT NAME: BIETSCH MILDRED M
DATE OF PAYMENT: 02/02/2004
POSTMARK DATE: 01/30/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 05/06/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $5,294.69
REMARKS:
TOTAL AMOUNT PAID:
$5,294.69
SEAL
CHECK# 130
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OEPT 280601
HARRISBURG, PA 17128-06(~1
REV-1500
INHERITANCETAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21
COUNTY CODE
03 00456
YEAR NUMBER
; DECBDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
' Bietsch, Mildred M. 175-03- l l 61
DATE OF DEATH (MM-DD-YEAR) : DATE OF BIRTH (MM-DD-YEAR)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
05,/06/2003 ! 08,'24/1915 REGISTER OF WILLS
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
N/A,
------[~ 1. Original Return [] 2. Supplemental Return
] 3. Remainder Return (date of death prior to 12-13-82)
] r'-I Future Interest Compromise of death after
4.
Limited
Estate
4a.
(date
12-12-82)
[] 6. Decedent Died Testate (Attach copy [] 7, Decedent Maintained a Living Trust (Attach
of Will) copy of Trust)
[] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between
12-31-91 and 1-1-g51
[] 5. Federal Estate Tax Return Required
0 8. Total Number of Safe Deposit Boxes
[] 11. Election to tax under Sec. 9113(A) (Attach Sch O)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
qAME
Hamilton C. Davis
FIRM NAME (If applicable)
Zullin. ger - Davis, PC
TELEPHONE NUMBER
717/532-5713
I COMPLETE MAILING ADDRESS
20 East Burd Street, Suite 6
P.O. Box 40
Shippensburg, PA 17257
10.
11.
12.
14.
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
[] Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
Funeral Expenses & Administrative Costs (Schedule H) (9)
Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
Total Deductions (total Lines 9 & 10)
124,500.00
None
None
None
9,654.14
None
None
15,887.67
606.64
Net Value of Estate (Line 8 minus Line 11 )
Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
Net Value Subject to Tax (Line 12 minus Line 13)
(8)
134,154.14
16,494.31
117,659.83
117,659.83
(11)
(12)
(13)
(14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate,
or transfers under Sec. 9116(a)(1.2)
x .00 (15)
16. Amount of Line 14 taxable at lineal rate
117,659.83 x .045 (16)
5,294.69
5,294.69
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20. []
x .12 (17)
x .15 (18)
(19)
>> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH <<
Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
CITY Shippensburg
1035 Mud Level Road
iS'FATE PA ZIP 17257
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Interest/Penalty if applicable
D. Interest
E. Penalty
(1)
Total Credits (A + B + C) (2)
Total interest/Penalty (D + E)
(3)
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 1 Line 20 to request a refund
If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
5,294.69
0.00
0.00
5,294.69
5,294.69
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; .................................................................................. ~ ~
b. retain the right to designate who shall use the property transferred or its income; ....................................
c. retain a reversionary interest; or ..................................................................................................................
d, receive the promise for life of either payments, benefits or care? .................................................. : ...........
2. If death occurred 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-probate property which
contains a beneficiary designation? ...................................................................................................................... [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under Penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration
of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
Ei~ol~d R. Bietsch, Jr~ ~ ~
SIGNATURE OF PERSON RESPONSI-'~J~ FOR ~(LING RET~[~i ADDRESS
,.
S~t~IAT~RE OF PREPARER O~EPR~i~JlI~TA?~VL~ ADDRESS
V
Hamilton C. D:
25 Forest Lane
Shippensburg, PA 17257
313 Dwelling Court
Shippensburg, PA 17257
20 East Burd Street, Suite 6
P.O. Box 40
Shippensburg, PA 17257
DATE
DATE
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116
1.2) [72 P.S. §9116 (a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the 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.
ADDITIONAL Personal Representatives
Bietsch, Mildred M. SS# 175-03-1161 5/6/2003
Under penalties of perjury, the undersigned declare that they have examined this return,
including accompanying schedules and statements, and to the best of their knowledge and
belief, it is true, correct and complete.
3Signature '~///~./.,~-~2.,~ ./ ~1~~
Name Virginia(~eisir~ger-
4
5
6
7
Address 413 Sunset Lane
City, State, Zip PA 17257
Date
Signature
Name
Address:
Shipl:iens~)urg,
/ /
City, State, Zip
Date
Signature
Name
Address:
City, State, Zip
Date
Signature
Name
Address:
City, State, Zip
Date
Signature
Name
Address:
City, State, Zip
Date
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF 'FILE NUMBER
Bietsch, Mildred M.
21 - 03 - 00456
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is del ned 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 hav ng
reasonable knowledge of the re evant facts. Real property which is jointly-owned with right of survivorship must be disclosed on
schedule F.
ITEM
NUMBER
DESCRIPTION
1035 Mud Level Road, Shippensburg, PA
third party at arm's lenght price and terms.
and ordinary expenses of sale.
17257 ( See attached settlement sheet). Sold to an uarelated
Sale necessary to settle estate. See Schedule H for necessary
TOTAL (Also enter on Line 1, Recapitulation)
iVALUE AT DATE OF
DEATH
124,500.00
124,500.00
COMMONWEALTH OF ~ENNSYLVANIA
iNHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS,& MISC.
PERSONALPROPERTY
ESTATE OF
Bietsch, Mildred M.
i FILE NUMBER
21 - 03 - 00456
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
1
2
3
4
5
6
7
8
9
DESCRIPTION
Citizens National Bank Checking Account No. 6100792935
Miscellaneous Household Goods and Furnishings and Personal Effects - Public Sale
Pro Rated Real Estate Taxes from Sale of House
Sprint Refund
Highmark Blue Shield Refund
Comcast Refund
Commonweath of Pennsylvania Rent Rebate
Waste Management Refund
Miscellaneous Personal Property
TOTAL (Also enter on Line 5, Recapitulation)
VALUE AT DATE OF
DEATH
2,306.15
5,484.10
777.83
23.01
276.45
2.74
500.00
63.86
220.00
9,654.14
COMMONWEALTH OF PENNSYL ,ANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF :FILE NUMBER
Bietsch. Mildred M.
, 21 - 03 - 00456
Debts of decedent must be reported on Schedule I.
ITEM :
NUMBER DESCRIPTION AMOUNT
FUNERAL EXPENSES:
Fogelsanger-Bricker Funeral Home
Parklaxvns
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
Year(s) Commission paid
Attorney's Fees Hamilton C. Davis, Esquire
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State
Relationship of Claimant to Decedent
Probate Fees Cumberland County Register of Wills
Zip
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
Legal Advertising - The News Chronicle
Legal Advertising - Cumberland County Legal Journal
6,494.00
265.00
5,400.00
101.00
75.00
Total of Continuation Schedule(s) 3,552.67
TOTAL (Also enter on line 9, Recapitulation) 15,887.67
COMMONWEALTH OF PENNSYLVANIA
iNHERITANCe. TAX RETURN
RESIDENT DECEDENT
Schedule H
Furerai Expemes &
Administrative Costs continued
ESTATE OF Bietsch, Mildred M. i FILE NUMBER
! 2 -03-00456
3 2.247.67
4
Real Estate Settlement Expenses. It was necessary to liquidate this asset for the benefit of
settling the estate (not for the benefit of the beneficiaries)
Dan Hershey Auctioneering - Denny Gotshall - Personal Property Appraisal
Steve Barrett, Appraiser- Real Estate Appraisal
Reserve for contingenies
30.00
275.00
1,000.00
Page 2 of Schedule H
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX ~ETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
ESTATE OF
Bietsch, Mildred M.
i FILE NUMBER
I 21 03 00456
Include unreimbursed medical expenses.
ITEM
NUMBER
1
2
3
4
DESCRIPTION
Penelec
Waste Management
Chambersburg Hospital
Oliver Oil
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
123.26
116.61
31.54
335.23
606.64
REV-1513EX+(9~0) .~
COMMONWEALTH OF PENNSYLVANIA
INHERrTANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEJ
BENEFICIARIES
ESTATE OF FILE NUMBER
Bietsch, Mildred M. 21 - 03 - 00456
NUMBER
4
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Elmond (Ray) R. Bietsch, Jr.
25 Forest Lane
Shippensburg, PA 17257
Barbara Reisinger
313 Dwelling Cburt
Shippensburg, PA 17257
Virginia Reisginer
413 Sunset Lane
Shippensburg, PA 17257
Kenneth Reisinger
48 White Oak Boulevard
Mechanicsburg, PA 17055
RELATIONSHIP TO
DECEDENT
DO Not Li~t Tru~te~)
Son
Daughter
Daughter
Grandson
See Continuation Schedule(s) attached
!Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheetI
AMOUNT OR SHARE
OF ESTATE
Guns valued at $50.00
and I/3 Residue
Bells, Records and
Radio valued at
$15.00 and 1/3
Residue
Bequest of $200.00
and 1/3 of Residue
$200.00
Il.
I NON-TAXABLE DISTRIBUTIONS:
IA. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
i BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES continued
ESTATE OF FILE NUMBER
Bietsch, Mildred M. 21 - 03 - 00456
[ RELATIONSHIP TO
! AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT
DO Not List Trustee(s) OF ESTATE
7
I0
11
[include outright spousal distributions, and transfers under
TAXABLE DISTRIBUTIONS Sec. 9116(a)(1.2)]
Susan Kauffman ;Grandaughter
413 Sunset Lane
Shippensburg, PA 17257
Ryan Bietsch
P.O. Box 109
Shiloh, NJ 08353
Sharon Bietsch
4189 Nantucket Drive
Mechanicsburg, PA 17050
Michael Reisinger
5553 Jonathan Street
Shippensburg, PA 17257
Edward Reisinger
2572 Mongul Hill Road
Shippensburg, PA 17257
Teresa Crum'
1266 Rimer Highway
Shippensburg, PA 17257
Lori Holesa - Hainds
39 Laurch Drive
Shippensburg, PA 17257
Grandson
IGrandaughter
Grandson
Grandson
Grandaughter
Grandaughter
$200.00
Baseball Gloves
Yalued at $10.00
Chest valued at
$35.00
Stereo and albums
valued at $20.00
Drop Leaf Table
valued at $20.00
Sewing cabinet valued
at $20.00
Hutch valued at
$55.00
Page 2 of Schedule J
U.S. Department of Housing
and Urban Development
,13.111 No. 2502-:12n'~ iP~,.ae Ii
A. Settlement Statement
ll.~r.?e of Loan
I. ~ FHA 2 .... FmHY, 3. i~ Cons'. Lmns. o. File Nan:be:' 7 Loan Nutnber :~ Nlo~age [nsul~ce L'~ac Nmnber
4. ~ VA 5. ~Conv [ns. 3134-S
D. Name ~d ~d~s of Bom~wc¢ E Name. Addr~s. and T&xpayer :dentificat on ~ of Seller F N~ne ~d &ddrc~s ot Lender
M~rhn R. and M~ian O. Nolt Estate of Mi[dr<d M. flietsch Owsro~n Bank
1037 Mud Le~el Road ; Barbara Re,singer. Elmond R. Bictsch, Jr. 77 East King Street
Shipecnsburg, PA t7257
. ~ and V rginia Reislnger, Executors Shippensburg, PA 17257
iH. ";enlemem Agent Name, Address and Taxpayer [dentltication Number
~ Hamdton C. Davis
P.O. Box 40
Shippensburg, PA. 17257 25-1530888
Place of' Settlement ' [. Senlement Date
20 E. Burd Street, Ship, P.A. 17257 10f9'2003
G. Property LocaUon
1035 Mud Level Road
Shippensbarg, P-k 17257
Southampton Tou, nship. Cumberland County
T~Lx Parcel No. 39-I 1-0310-015
J. Summary of Borrower's Transactions K. Summary. of Seller's Transaction
100. Gross Amount Due From Borrower 400. Gross .Amount Due To Seller
10l. Contract sales pr/ce [24,500.00 40[. Contract sales price [24,500.1)0
102. Personal Proper:y
103. Settlement charges to borrower (line 1400)
104.
105.
Adjustments for items paid by seller in advance
106. Cit3,/town taxes to
107. County taxes 10;09,03 to 12/31,03
Assessments to
109. School Tax I0/09,03 to 06,30/LM
t 10. Garbage Fee
111.
112.
200. Amounts Paid By Or in Behalf Of Borrower
3,093.25
49.86
727.97
128,971.08
41)2. Personal Property
403.
404.
405.
Adjustments for items paid by seller in advance
406. City,town taxes to
407. Coun~'taxes 10/09.03 to 1231,03
408. Assessnlents to
4{)9. School Tax 10/09,03 to 06/30,04
410. Garbage Fee
41l.
412.
420. Gross,Amount Due To Seller
49/%
727.97
125,277.83
500. Reductions in Amount Due To Seller
201. Deposits or earnest money 501. Excess deposit {.see instructions)
202. Principal amount of new loan(s) 124,500.00 502. Settlement charges to seller (line 1400) 2,247.67
203. Existing loan(s) taken subject to
204.
205.
206.
207.
208.
209.
Adjustments for items unpaid by seller
210. City/town taxes to
211. County taxes
503. Existing loan(s) taken subject to
504. Payoff of first mortgage loan
505. Payoffofsecond mortgage loan
506.
507.
508.
509.
Adjustments for items unpaid by seller
510. City,,town taxes to
to 511. County, taxes to
212. Assessments to 512. Assessments to
213. School Tax to 513. School Tax to
214. I 514.
215. 515.
216.
217.
218. ,.
219.
220. Total Paid By/Fur Borrower 124,500.00
300. Cash At Settlement From/To Borro',~er
31.1 I. Gross Amount due from borrower (line 120) 128,971.08
302. Less amounts paid by'for borrower (line 220) ( ~-
303. Cash ;X_.~ From '~ To Borrower
$ 4,47 [.08
516.
517.
518.
519.
520. Total Reduction Amount Due Seller 2,247.67
600. Cash At Settlement ToiFrom Seller
60[. Gross ,aunount due to seller (line 420) 125,277.83
61)2. Less reducnons in amt. due seller {.line 520) .._4':'" 7 O,)'"
603. Cash !~'(.~ To :_~ From Seller
I23,031).10
a~.~ount.-' or//.b4~,nc ~m this tran~c£ton. ~~[ ~.her ¢em~ that [ have teceivefl a :o,,tpleted copy ot pages I and 2 of th~s HUD-I S<:tlement. ~S~ementf~, ~u r~.~ ~ 'Y
Borrower Marlin R. N~t ,-- ~-~~~-, ...... ~ ....... -~ ~: - - - ~
. ~ , .-,. ,~. ~ ~ catatepr.~{jl~ca .v~Vc~Barg~msmger Il ~
morrower Marian O NoR ~ ' -~ .... ~ ' '' ~ ' z .~-' ' -' '~~~
'- , -- ~e,rer El ..... d R. B,etsch, Jr.~.~irmnia Rci~ ....
Seller's Taxpayer Identification Number Solicitation and Certification
JE'UFLEMENT AGENT CERTIFICATION
HLD- I 3,9l Seller'i Si.mature Date
REhi'.\. bill 43i)52
L. Scttlenlcnt C'har'~es i'~e 2
F~mds at
Setdement
%2. S ~o
703 C,)mnt~ssi~n ?aid at Settlement
TO'.
800. items Pa~bteinConnecdon~id~Loan
~)I Loan On?~uon Fee %
81~3.~pr:usal Fee :o Owstown Bank 500. Ol)
804. Credit Rcpo~ :o
805. ~ender'~ [n~pecuon Fee
806. %lo,gage insurance Application Fee m
807. Document Preperation Fee m: O=stown Bank 2G0.OO
808. Flood Cemfication Fee to: O~stown Bank 60.00
809. Underwriting Fee roe Owsmwn Bank 200.00
8t0. Avplicauon Fee to: O=sto~n Bank 200.00
900. Item~ Required By Lender To Be Paid in Ad~anze
001. Interest ~mn to (~ S 'day
902. Mo~gage Insurance Premium tbr months to
903. Hazard insurance Premium tbr years to
904.
905.
1000. Reserves Deposited ~ith Lender
100I. Hazard lnsur~ce months :~ $ per month
1002. Mo~gage Insurance months,'~ g per month
1003. Ci~ prope~y taxes months <~: $ per month
1004. Coun~ prope~ cruxes months ~ $ per month
1005. ~mual assessments months ,~ S per month
1006. School T~xes months ~ $ per month
1007. months ,~. S per month
1008. Aggregate Reserve ~diusnnent
1100. Title Charges
1101. Semlemem or glosing t~e to
1102. Abswact or title search to
1103. Title examination to
PaM From
Seller's
Funds at
Seult:mcnt
1104. Title insurance binder to
1105. Document preparation to
I 106. Norse's fees to
1 I07. Attorney's f'ees to
(includes above items numbers: ) )
1108. Title insurance to Zullingcr- Davis, P.C., Agents 1,133.75
(includes above items numbers: )
110q. Lender's coverage $ 124,500.01)
1110. Owner's cm, erage $ 124.500.00
till.
1112.
I113.
1200. Government Recording and Transfer Charges
120!. Recording tees: Deed $ 39.50; Mortgage $ 85.00; Releases $ i 124.5t) .
1202. City/county tax, stamps: Deed $ 1,245.00 ; Mortgage
1203. State taxi, stamps: Deed $ 1,245,00 ; Mortgage $ 1.245,01}
1204. Recording Fee for Subordination Agreement i 30.01)
1205.
1300. Additional Settlement Charges
1301 S arvey to:
1302 Pest Inspection to:
1303. Seller's Anomey Fe~ to: Hamihon C. Davis. Esquire t not related to Title Insurance)
1304.
1305. 20t13-2OO4 School Real Estate Taxes to Vivian Coy. I'mx Collector 1,002.67
1300.
1307
130~.
1309
1400. Total Settlement Charges (enter on lines 103, Section J and 502. Section K) 3,0q3.25 2,247.07
I'OC
Initial Escrow Account Statentent Required by Section II/(c) { 1 ) of the Real Estate Settlement Procedure~ Act (tIES PA)
If checked. ~ the terms ofyottr loan require you to have an escrow account to ~sure that the certaia obligations relating to the mortgaged properly, such aa taxes, insurance
prem/unu; and other charges are paid. I'he amount specilled l:~'low will be collected, akmg with your mortgage principal and intere,$t payments, dining the tlr~t 12 rnotlths a~er
your account ts opened to pay these anticipated expenses: F21etx~.)~tlllt
I~egiroling Date: Your escrow account pa)ment will he $ per
Pa)ce Purpose Anticipated Due Date Estimated Amount
!IUD - I 3, ql RESPA, ,'lB 4305.2
Date
No.
Funeral of
May 16, 2003
Mildred M. Bietsch
(A) Services, including merchandise .......
Mrs. Virginia M. Reisinger
413 Sunset Lane
Shippensburg, PA 17257
Personal, Staff and
Proti~ssional Services
Funeral Home
Facilities and Equipment
Automobile Equipment
Casket
Interment Receptacle
$3,800.00
$2,450.00
(B) Cash Advanced. We have
advanced the following funds for
your convenience .......................
Clergy Honorarium
Certified copies
Flowers
Total 'A'
75.00
10.00
159.00
$6,250.00
(C) Additional Items, ordered later .......
q'btal 'B'
$ 244.00
F4
Duc
June 16, 2003
Total 'C'
('omplete Total
Amount Paid
Balance
$6,494.00
$6,494.00
ParMawns Memorial Gardens
and lXlausoleum
JUN 0 ~ 2003
May 28, 2003
Hamilton Davis
20 East Burd Street
Shippensburg, PA 17257
RE: Estate of Mildred M. Bietsch
Dear Sir:
Please find enclosed an agreement for a scroll. This agreement is
in the amount of $265.00.
Please send a check in the amount of $265.00 with the signed agreement
to our office. Once we receive this back, we will. order the scroll
and it will be installed.
If you have any questions concerning this matter, please do not
hesitate to contact the cemetery office.
Enclosures
DB/tae
Sincerely yours,
Dee Barton, Family Service
Parklawns Memorial Gardens
321bi Philadelphia Avenue · Chambersbur~. PA 17201
www.di~nitymemorial.eom
LAST ~ILL A~YD TESTf~MENT
I, MiLDkLD M. B1EZSCH, of Southamp~om Township, Cumberland County,
re this to be my Las~ Will and Testament and revoke any Will or Codicil
oreviously made by me.
ITEM I: I direct that
a~ my just debts and fun~r~ ~¥p ...... ~ ....
gravemarker and all ezpenses of my last illness, shall be paid from my
residuary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I bequeath those articles of my household furniture and
furnishings and those articles of my personal effects and personal property
as set forth in a separate memorandum, which I shall place with my Will or
deposit with my attorney, to the persons therein designated.
iTEM I!I: I g~ive and bequeath the full sum of $200.00 each, to my
~aughter, VIRGINIA REISINGER, my grandson, KENNETH REISINGER and my
iranddaughter, SUSAN ~UFF~£~.
ITEM IV: ! devise and bequeath the residue of my estate of every nature
and wherever situate in equal shares to such of my children, ELMOND H. (F~Y)
~ BIETSCH, JR., VIRGINIA REISINGER, and EAREARA REISINCER, as ~ha~z survive me
by thirty ~30) days.
, ITEM V: Should any of my Children, ELMOND R (~Y) BIET~CH, ~
~VIRGiNIA EET~INGER and EAP;~r~ p~c ~ - .......
1...... ' ......... ......... ii, GaR, predecease me or die on or befo
'the t~ r~ re
/' ~ =zeth cay fo!lowzng my death but leaving issue who so survive me,
j/such zs=ue sh=!l receive, per stzrpes, the share that such ['radeceased child
ljwou!d have recezved hsd he cr she so survived me
~ iTEM V!: I a~oin ~f~ ~ ' ...... ., .
z~ T ~ .= ~_ Eer -espectz~.e parent or guar~zan, Euardian
of any property which ~'~='=es
. , ....... outrff~kt either under this ~il] or otherwise to
!a minor and with regpect to which i am authorized to a?polnt a guardian and
nave not otherwise specifically done so, provided that chis appointment of a
guardian shall not supersede the right of any fiduciary in its discretion to
istri~ute a share where possible to the minor or to another for the minor's
benefit. Such ~uardian shall have the power to use principal as well as
zncome from time to time for the minor's s.upport and education (fncluding
secondary, college education, both graduate and undergraduate, professional
land other education) without regard to his or' her parent's ability to provide
for such support and education, or to make payment for these purposes,
without further responsibility to the minor or to the minor's parent or to
~ny person taking care cf the minor.
ITEM VII: I direct that all taxes that may be assessed in consequence
of my death, of whatever nature and by whate~er jurisdiction im'posed, shall
~ be paid from ~y residuary estate as part of the e~penses of the
iadminisCration of my estate.
~l/ ITEM VIii: I appoint ELMOND R. (RAY)BIETSCH, JR., VIRGINIA KEtSINGER
and BARBARA REISiNGER, Executors of this my Last Will.
ITEM IX: I direct that my Executors or guardian cr their successors
~h. all not be required to give bond for the faithful performance of their
duties in any jurisdiction.
IN WITNESS ~{EREOF, I hereunto £et my hand and seal to this my Last Will
ttand Testament, written on four (4) sheets of paper, dated this
day of
[ ~i%dred M. ~iet~ch
The preceding instrument, consisting of this and three (3) other
typewritten pages, each identified by the signature of the Testatrix, was on
the day and date thereof signed, published and declared by 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 hereto.
'COFRdONWEAL?H OF PENNSYLVANIA :
: SS.
COUNTY OF CUMEERLAXD :
I, MILDRED M. BIETSCH, the Testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified according to
].aw, do hereby acknowledge that I signed and executed the instrument as my
Last Will; and that I signed it willingly and as my free and voluntary act
for the purposes therein expressed.
Mildred M. Bietsch
Sworn to or affirmed and acknowledged
before me by Mildred M. Bietsch,
the Testatrix, this /?{~ day of
,
Notary Public
SO~'~tONWEALTH OF PENNSYLVJ~IA :
: SS.
COURTY OF CU~BERL;~ND :
,the
~itnesses whose names are signed to the a~tac~ted'or foregoing-' ~ ~strument,
being duly qualified according to law, do depose and say that we were present
and saw the Testatrix sign and execute the instrument as her Last Will; that
the Testatrix signed willingly and executed it as her free and voluntary act
for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the Testatrix signed the Will as a witness; and that to
the best of our knowledge the Testatrix was at that time e~ghteen (18) or
more years of a~e and of sound mind and upder no constraint or undue
in~~ =
~U~C~.
this ~ /TF-A day cf
~otarv Public
Sworn to or affirmed and subscribed to before
me ky ~;¢[L~ ~. f,'~e~ and
, ~itnesses,
, 199].
As provided ir.
:ollowi~g listed property shall go to the persons whose names are
designated hereon.
ITEM
Guns and everything that goes with them
Baseball Gloves
Old chest in bedroom
Ail bells, old 78 records and old radio
and cabinet
Stereo and all albums
Drop leaf table '~
Sewing chbinent and everything in it
Hutch in dining room -
N.~iE
E. Ray Bietsch, son
Ryan Bietsch, grandson
Sharon Bietsch, granddaughter
Barbara Reisinger, daughter
Michael Reisinger, grandson
Edward Reisingar, grandson
Teresa Crum, granddaughter
Lori Helesa, granddaughter
S !GNED:
She was preceded in Arrangements are under
death by one great grand- the direction of thc Fogel-
dau2/hter, fi>ur brothers and sanger-Bricker Funeral
[tV~) :.q:4f. ers. Home, Inc., Shippensburg.
Mildred M. Bietsch
Shippensburg
Mildred M. Bietsch, 87,
'l,'.l:C; .\I,M Level Road, Ship-
pcnsburg, ciied Tclesda~
May 6, in the Chambersburg
Hospital.
Born Aug. 24, 19~5, in
Shippensburg, she was a
daughter of the late Henry
K. and C. arrie Mae {Nyd)
Weaver.
She was united in mar-
riage to Elwood a. Bie~sch,
who preceded her in death,
Dec. 4, 1990
Mrs. Bietsch is survived
by one son, E. Ray Bietsch
,Ir., Shippensburg; two
daughters, Virginia M.
Reisinger and Barbara A.
Reisinger, both of Shippens-
burg; 10 ~andchildren; 22
grea~ grandchildren; 10
great great grandchildren;
and a number of nieces and
nephews.
She was preceded in
death by three brothers and
two sisters.
She was retired from
Hoffman Mills, Shippens-
bm'g, where she worked in
the stockroom and as a gen-
eral laborer. After retire-
ment, she worked part~time
fl~r the Robert T. Henry
Pharmacy, Shippensbur~,
tbr nine years.
Funeral services will be
held Friday, at 2 p.m. in the
Fogelsanger-L4ricker Funer-
al Home, Inc., Shippens-
burg. Interment will be in
the Parklawns Memorial
Gardens, Greene Township.
Friends.will be received at
the flmeral home, Thursday
evening fi'om %9 p.m.
In lieu of flowers, memo-
rial contributions may be
sent to the Leukemia and
Lymphoma Society Central
Pennsylvania Chapter 800,
Corporate Circle, Harris-
burg, Pa. 17110.
Arrangements are under
the direction of the Fogel-
sanger-Bricker Funeral
Home, [nb..
Courthouse art show planned
The Carlisle Art Association will hold their annual out-
door exhibit on the Courthouse Square, on the corner of
Hanover and High Streets in Carlisle, May 17, from 9 a.m.
to 4 p.m. Many of the artists will be on hand, demonstrating
their painting.
CRF MECHANICAL LLC
Heating, Air Conditioning,
Plumbing and Electrical
P.O. Box 159
Shippcnsburg, PA 17257
· 16-Point Cooling Insp¢cti(,n
· Experienced ['cchnicians
· ";cnior ('itizcn Discount
· 24-1-1our Emergency Scr,,icc
· Fully [n~ta'cd
· Maintenance Programs Available
· Servicing All Major Brands
· Cl~cr 20 Years of Experience
· Saks. Service. and Installation
I'honc: 717 532-8o95 ~ Fax: 717 530-0721 1' Uelh, lar: 717-360-6102
,~t~,~tl wltll IllCb~'/lfl~k~. CP, llle¢l /FULt and choic'5
Tuesday -- Chicken fajita wraps or boa.,
ings, rice pilaf, gre{m beans, chilled fruit ar.,
milk.
Wednesday -- Field Day - Picnic Lunch
Thursday -- I-lot turke'~ sandwich with I
hoagie xvith fixings, mashe~l potatoes, butter
chilled frmt and choice of milk.
Reconstructed
Continued From Page 1
When the congregation
first decided to have work
done on the piano, they
thought ~t would be a sma~'l
job, however, Miller said
they later decided to go all
the way and have the piano
completely reconstructed.
The picturesque instrnment
still has /ts original key-
board with rosewood keys.
Miller said they didn't have
to replace many of the keys
at all because they were
basically all still in very good
shape. The technicians from
Snyder's wanted to use as
much of the original materi-
als as they
restoration p
they did.
The entir~
process was
five months.
from Snyder
November to ~
piano, and last
returned to th~
ing absolutely
Miller said
first brought :
they asked her
thing. "I began
Great Thou A~
honestly, Millm
a very special ~
said to play
Local News Brk
Robert T. Henry Pharma-
cy, 54 East King street,
Shippensburg, will have free
Diabetes testing on Wednes-
day, May 21, from 2 to 4:00
p.m. All are welcome to
attend. There will be no age
limits and there is no need
to fast before testing. A
Lutheran Home Care nurse
will be on hand to answer
diabetic questions. For more
information call Robert T
Henry Pharm~
5812.
Th
News. Ch
Shippens5
(717)
6" Spet
ilam & (
or
Cheeseb
717-530-5151
U_UTO
BUREAU OF INDIVIDUAL
TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-IS~7 EX &FP
i~' DATE i 05-22-2004
!':!( i ESTATE.OF.~ BIETSCH
DATE OF DEATH 05-06-2005
FILE NUMBER 21 05-0456
HAMILTON C DAVIS '0~ BARq~UN~Jq:41 CUMBERLAND
ACN 101
ZULLINGER DAVIS
PO BOX 40 L~,c.~:~
SHIPPENSBURG PA 17257 ~
MILDRED M
MAKE CHECK PAYABLE AND REMZT PAYMENT TO:
REGISTER OF MILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~
REV-1547 EX RFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR
DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BIETSCH MILDRED M FILE NO. 21 05-0456 ACN IOl DATE 05-22-2004
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON.' ORIGINAL RETURN
1. Real Estate CSchedule A)
2. Stocks and Bonds CSchedule B)
$. Closely Held Stock/Partnership Interest CSchedule C)
4. Hortgages/Notes Receivable CSchedule D)
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5)
&. Jointly Owned Property CSchedule F)
7. Transfers CSchedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/M/sc. Expenses CSchedule H) C9)
10. Debts/Mortgage Liabilities/Liens CSchedule
11. Total Deductions
12. Net Value of Tax Return
15.
14.
NOTE:
124r500.00
.00
.00
.00
.00
.00
(8>
15,887.67
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
154,154.14
606.64
c12) 117,659.85
Charitable/Governmental Bequests; Non-elected 9115 Trusts CSchedule
Net Value of Estate Subject to Tax Cl4>
If an assessment was issued Previously, lines 14, 15 and/or 16, 17,
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of L/ne 14 at Spousal rate C15)
16. Amount of L/ne 14 taxable at Lineal/Class A rate C16)
17. Amount of Line 14 at Sibling rate C17)
18. Amount of Line 14 taxable at Collateral/Class B rate C18)
19. Principal Tax Due
.00
117,659.85
RECEIPT
NUMBER
TAX CREDITS:
PAYMENT
DISCOUNT C+)
INTEREST/PEN PAID C-)
.00
18 and 19 w/Il
5,294.69
TOTAL TAX CREDIT
BALANCE OF TAX DUEJ
INTEREST AND PEN.
TOTAL DUE
5,294.69
.00
.00
.00
C IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
DATE
01-50-2004
CD005518
AMOUNT PAID
.00 x O0 = .00
117,659.85 X 045 = 5,294.69
.00 x 12 = .00
.00 x 15 = .00
cig)= 5,294.69
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Mildred M. Bietsch
Date of Death:
05/06/0003
Estate No.
2003-00456
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. I 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' court and
may be attached to this re~ ' )..' _
I/' f.4--..---.-
Hamilton C. Davis, Esquire
P.O. Box 40
Shippensburg, P A 17257
(717) 532-5713
Date ~/1 /6fJ
I I
'.0
':.:,~
I,,~ ,,_
Capacity: _ Personal Representative
XX Counsel for Personal
Representative
J