HomeMy WebLinkAbout11-08-11 (2)f ~
1505610.143
REV~1500 E,t(o,_,o,
PA Departmgnt of Revenue OFFICIAL USE ONLY
Pennsylvania County Cade Year File Number
Bureau of In ividual Taxes ~-~*~
PO BOX.28 01 INHERITANCE TAX RETURN 2], 11 0897
Hamsburg, A 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFOR TION BELOW
Social Security Number Date of Death Date of Birth
209 28 8541 07 29 2011 02 03 1938
Decedent's Last Name I Suffix Decedent's First Name MI
MOOSE ' NANCY
Z
(If Applicable) Enter Survivln~ Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
Spouse's Social Security Numt~er
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVAL~.BELOW
X^ 1. Original Retum ^ 2. Supplemental Retum ^ 3, Remainder Retum (date of death
pnorto 12-13-82)
^ 4. Limited Estate ' ^ 48. Futuro Imereat C iae 5. Federal Estate Tax Return R cared
(dace m deem ane~ 2~-122) ^ eq
8• Decedent Died Testate
® (Attacn Copy of wIp I~~ ^ ~• ~ ~~~ Living Trust 0 8. Total Number of Safe Deposit Boxes
^ 9. Litigation Proceeds Receilred ^ 10. +Sa~P,~~~t{da~of death ^ 11. Election to tax under Sec. 9113(A)
II 1) (ACach Sch. O)
CORRESPONDENT • THIS SECTI N MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
.BRADLEY Z GRIE}E'IE (717) 243 5551
i
First line of address
200 NORTH HANO{VER ST
Second line of address
City or Post Office ',
State ZIP Code
CARLISLE '~ PA 17013
Correspondent's e-mail address:
REGISTER OF V~!!l1LS USE ONL`'q'
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Under penalties of perjury, I dedare I have examined this return, including accompanying schedules and statements, and to the bast of knowled and belief,
it is true, correct and complete. Dada Lion of preparer other than the personal representative is based on all information of which preparer has arty knowledge.
SIG TURE OF PERSON RESPONSIBLE OR FILING RETURN
DATE
~-~- ~ Gloria Ann Anderson `~ ~~ ~//
ADDRESS
o tv careens rln Koaa ewville PA 17241
SIGN HER THA REPRESENTATNE
DATG
Bradley L. Griffie, Esquire l / I hl~ / 1
DRGSS
North anover St., Carlisle, PA 17013
~! Side 1
~„~, 15 L~ 5 6101 ~,4 3 ~ ~~~'
~S(J567~[J143 ~~ ..
it
f ~
REV-1500
oecedenrsrra~r,e: Modse, Nancy L
Partnership or Sole-Proprietorship (Schedule C)......... 3.
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................. 2.
3. Closely Held
4. Mortgages & Notes Rei
5• Cash, Bank Deposits &
6. Jointly Owned Property
7. Inter-Vivos Transfers &
(Schedule G)
8. Total Gross Assets (to
9. Funeral Expenses & Adi
10. Debts of Decedent, Mor
11. Total Deductions (total
12. Net Value of Estate
13. Charitable and Gover
an election to tax has
14. Net Value Subject to
(Schedule D) ........................................................ 4.
~neous Personal Property (Schedule E) ............... 5.
de F) ^ Separate Billing Requested............ 6.
neous ~nq Probate Property
u Separate Billing Requested............ 7,
Lines 1-7) ..................................................................... 8.
Decedent's Social Security Number
209 28 8541
826.46
1,243.40
2,069.86
native Costs (Schedule H) ....................................... 9.
Liabilities, & Liens (Schedule I) ...............:.............. 10.
9 r£ 10) ........................................................
........... 11.
8 minus Line 11) .......................................................... 12.
~ntal Bequests/Sec 9113 Trusts for which
been made (Schedule J) ...........................:................... 13.
c (Line 12 minus Line 13) ............................................... 14.
-47.54
i ~ GuMF'U 1 ATION - SEE I STRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 tazab
at the spousal tax rate, o
transfers under Sec. 911
(a)(1.2) X .00 15.
16. Amount of Line 14 taxabl ~
at lineal rate X .045 0 . 0 0 16.
17. Amount of Line 14 taxabl~
at sibling rate X .12 ~ 0. 0 0 17.
18. Amount of Line 14 taxabl~
at collateral rate X .15 0 . 0 0 18.
19. Tax Due ..........................j ...................................................................................... . 19.
20. FILL IN THE OVAL IF YO U ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
7,5Q561~2~l3 ],505`-_7,243
1505610243
1,876.04
241.36
2,117.40
-47.54
0.00
0.00
0.00
0.00
0.00
REV-1500 EX Page 3
Decedent's Complete Addrtess:
DECEDENT'S NAME
Moose, Nancy L
STREETADDRESS
821 Greensorina Rns~rl
CITY
Newville
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
File Number 21-11-0887
STATE I ZIP
PA
0.00
(1)
Total Credits (A + B) (2)
3. Interest
4. If Line 2 is greater than Line 1 + L
Check
5. If Line 1 + tine 3 is greater than
(3)
' 3, enter the difference. This is the OVERPAYMENT.
ox on Page 2 Line 20 to request a refund (4)
2, enter the difference. This is the TAX DUE.
(5)
Check Payable to: REGISTER OF WILLS, AGENT.
0.00
0.00
~.~0
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make transfer and:
a. retain the use r income of the ro Yes No
P Perty transfer'ed :..................................................
b. retain the right o designate who shall use the ro ~~~~~~~~~~~~~~~~~~~~~~~~~~"'
P party transferred or its income :..................................
x
c. retain a reversi nary interest; or .......................................
........................................................................ x
receive the pro Ise for fife of either payments, benefits or care? ............................................................
2. If death occurred aft December 12, 1982, did decedent transfer property within one year of death without ^
receivin a ^
9 dequate nsideration7 ....................................................................................................................
3. Did decedent own an in trust for° or payable upon death bank account or security at his or her death?....... x
4. Did decedent own an ndividual Retirement Account, annuity, or other non-probate property which ^ ^
contains a beneficiary designation? ......................... ^ ^
IF THE ANSWER TO ANY OF THE AB VE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July i, 19 and before Jan. 1, 1995, the tax rate imposed on the het 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 January 1, 995, the fax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §91 i6 (a; (1.1) (ii)]. The statute yes 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 appli ble even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 200
• The tax rate imposed on the net value f 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)j.
. The tax rate ir,~posed on the net value f 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. §0116 (a) (1)].
. The tax rate imposed on the net vub.;~: ~ ~f transfers to or for the use of the dece~fc ;t';- siblings is 12 percent [72 P.S. §9116 ;:;) ~ .3)j, q
sihlin~ is defined under Section 9102, Is an indi~. ideal who has at least one parent ~n commnn :^ th the decedent, whether by blood or ac7. ;,±ion.
17241
Rev-1608 hX+ (6-86)
cot`atoNwEarti of PErwsnu
MMERRANCE 7AX IZETGRN
REBIDEHi DECEDEW'r
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS &
MISC.
PERSONAL PROPERTY
icy L FILE NUMBER
9~ _~ 4 ~fQe~
All Include fhe proceeds of litipetion end fhe date the proceeds were received by the estate.
property )olady-owned with the right of wrvWonMp mwt be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Highmark - Premiu Refund
2 Resmstown Mutua~ Insurance Company -Premium refund
3 Personal property - (See attached appraisal)
VALUE AT DATE
OF DEATH
107.46
114.00
605.00
____ TOTAL (Also enter on Line 5, Recapitulation) I 326.46
(If more space is needed, additional pa,es of the same size) i ----
Copyright (c) 2002 `orm softwan only The Lackner Group, Inc.
r-orm Pf,-; 500 Schedule E (Rev. 6-98}
I
II
Rev-1609 EX+ Ie-91;)
coMMDNwEAUN of aENNSrwnwv~
INFERRANCE 7AX RETURN
RE810ENi DECEDENT
ESTATE OF
SCHEDULE F
JOINTLY-OWNED PROPERTY
Moose Na c L FILE NUMBER
an anal was made 1°Int wltlNn one year of the dscedenfs date of deaeh, a must es 21-11-0897
-ePorted on +eheduls G.
SURVIVING JOINT TENAN I (S) NAME ADDRESS
RELATIONSHIP TO DECEDENT
A. Gloria Ann Anderson 810 Greenspring Road
Newville, PA 17241 Daughter
I
B.
C
JOINTLY OWNED PROPER :
LETTER
ITEM
NUMBER FOR JOI DATE
MADE DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT
% OF
DATE OF DEATH
TENANT
JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR
JO DATE OF DEATH DECD'S
ALUE OF ASS VALUE OF
DECEDE
INTLY-HELD REAL ESTATE. E INTEREST NTS INTEREST
1 A 09/28/20 ACNB Bank, Checking Account -Acct. No. 2
486
79
°
2244926 (See attached statement) .
.
50.000
~ 1,243.40
TaTAL (Also enter on Line 6, Recapitulation)
pr i,.ore space is needed, additional pages of the same size)
G,~pyright (c) ;-002 form software only The Lac!;~~er Group, ir.c.
1, 243.40
Form PA-1500 Schedule F (Rev. E -q8)
_ -
RlSV-11bt EX+(10-OB)
SCHEDULE H
~~o~~,-,,,iA FUNERAL EXPENSES 8~
~ ° ADMINISTRATIVE COSTS
ESTATE OF
Moose, Nan L FILE NUMBER
21-11-0897
Debts of decedent must be reported on Schedule I.
ITEM
DESCRIPTION AMOUNT
A. FUNERAL EXPEN ESQ
See continuation schedule(s) attached
B. ADMINISTRATIVE C STS:
1. Personal Representati 's Commissions
Name of Personal Re re3enTativa(c1
o.oo
Street Address
Cdy State
Zin
Year(s) Commission paid
2. Attomev's Fees Griffie 8c Associates
1,500.00
3. Family Exemption: (If osdent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
Cdy State Zio
Relationship of Clai ant to Decedent
4• Probate Fees
', 111.50
5. Accountant's Fees ~~,
~I
s• Tax Return Preparer's F es
7• Other Administrative Cos s
See continuatia schedule(s) attached 264.54
TOTAL (Also enter on line 9, Recapifui~tion) 1 876.04
"___- ,
Copyright (c) 2009 form soiiaare only . L~~ Lackner Group, Inc. __._.
Fond I'll-1500 F•c'~edule N (Rev. 10-06)
- III
SCHEDULE H
F~INERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF
Moose, Nark L FILE NUMBER
21 11-0887
ITEM
NUMBER DESCRIPTION AMOUNT
1 Egger Funeral Ho e, Inc. - 85,507.53 Paid in full by Irrevocable Burial Account Fund at
ACNB Bank 0.00
H-A 0.00
2 Cumberland Law J urnal -Advertising
75.00
3 The Sentinel News aper -Advertising
189.54
H-B7 264.54
i
',
I
~,
Copyriui.t (c) 200< ,~:rm sofY~uare only Th$ Lackner Group, Inc.
Fcrm PA-1500 Schedule H (Kev. 6-9E;
1
I
Rev-1612 EX+(12.08)
SCHEDULE 1
DEBTS OF DECEDENT,
~~MMONVVEALTHOF PENN&YLVAN~ MORTGAGE LIABILITIES, ~ LIENS
IN'ERIUNCE TAX RETUitN
RE810ENT DECF.UEMT
ESTATE OF
Moose, Nancy L FILE NUMBER
21-11-0897
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbicsed msdigl expenses,
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1 Carlisle Regional edical Center - (medical)
70.42
2 Darlene Pittman, ax Collector - (2011 Personal taxes)
9.80
3 PPL Electric Utiliti~s - (final electric billing)
161.14
TOTAL (Also enter on Line •? 0, Recalzitulation) I L•1~1.36
(If more space is needed, additional p~;~~ ~ ^f the same size)
Ce;,i~right (c) 2009 form software only The La,.;~ ner Group, Inc.
Form PA-; QUO ScLer!~.;!e I (Rev. 12-08)
I
REV-1613 EX+ (11-08)
~o~~~~~
ESTATE OF
SCHEDULE J
BENEFICIARIES
Moose, Nanc L
NUMBER ~ E AND ADDRESS OF
PERSO fS) RECEIVING PROPERTY
I• TAXABLE DISTRIB TIONS [include outright spousal
distributions, and transfers
under Sec. 9116 a 1.2
1 Gloria Ann And rson
810 Greensprin Road
Nevwtlle, PA 17 41
FILE NUMBER
21-11-0897
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
DECEDENT
(Words) lSS~)
Daughter ~ All of net estate
Enter dollar amourrts r distributions shown above on lines 15 throw h 18 on Rev 1500 co~e~r sheet as a I
II NON-TAXABLE DISTR BUTTONS:
• A. SPOUSAL DISTRIB IONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER OTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 <. F
Copyright {c) 2009 form ::r.ffivare only The Lackner Group, inc.
i
ICI
Form PA-1500 Schedule J (Rev. ? 1-us)
lttst 3~ill una dlesYaanrr~t
'I OF
~ NANCY L. MOOSE
I, NANCY .MOOSE, of 80 Lay Road, Newville, Cumberland County,
Pennsylvania, being ~f sound and disposing mind, memory and understanding, do make,
publish and declare 's to be my Last Will and Testament, hereby revoking and making
void all previous Will and Codicils heretofore made by me.
i
FIRST
I order and di ect my Executor hereinafter named to pay all of my just debts,
funeral expenses and expenses involved or connected with the administration of my
estate, including all tax s that may be assessed in consequence of my death, as soon after
my death as is reasons ly possible from the proceeds -and assets of my estate prior to any
other distributions. Ho ever, my Executor need not accelerate and pay those wunatured
obligations which, in hi ,her or its opinion, it might be proper and more advantageous to
retain or renew and pay they become due and payable. If I do not own a burial plot or
a grave marker at the ti e of my death, I authorize my Executor/Executrix, in his, her or
its sole discretion, top chase a burial plot and to erect a suitable grave marker at my
grave, and to expend su s from my estate for this purpose.
200 NORTH FfAIJOVER STREE
CARLISLE, PA i'G'.3
GRIFFIE & ASSOCIA""~"S
ATTORNEYS AT LAW
t°age 1 ~;f ~
I
i
14 N^„TH MAIN STREET
SUITE 307 ~
CHAMBERSBURG. PA ^ ,';got j ~
SECOND
I give, d~vise and bequeath my entire estate of whatever nature and wheresoever
situate, together with all insurance proceeds thereon, to my beloved spouse, HAROLD
R MOOSE, pro iding that he survives me by sixty (60) days.
THIRD
Should m spouse, HAROLD R. MOOSE, predecease me or die on or before the
sixtieth (60) day f llowing my death, then I give, devise and bequeath my entire estate of
whatsoever nature and wheresoever situate, together with all insurance proceeds thereon,
to my daughter, G ORIA ANN ANDERSON, provided she survives me by sixty (60)
days, per stirpes. direct my Executor/Executrix to divide among such beneficiaries all
personal property f a sentimental or family nature (excluding cash, stocks, bonds and
the like), including but not limited to jewelry, household goods, antiques, furniture and
memorabilia, in acc rdance with a separate memorandum which I may place with my
Will or deposit with my attorney. In the absence of such disposition by memorandum, I
direct that the sai tangible personal property be divided between my residual
beneficiaries with d e regard for their personal preferences in as nearly equal shares as
practical, with the alue of such dispositions being credited to the share of each
respective recipient. f the said beneficiaries do not agree to the division of the personal
property provided fo hereunder, the decision of my Executor/Executrix, including the
decision to sell the roperty at public or private sale and distribute t:he proceeds
therefrom as provided ereinafter, shall be final and conclusive on all parties.
2001V. Flanover Street
Carlisle, .1?4 17013
GRIFFI,~ & ASSOCL4TES
Attorneys At ,~«rs~
Page 2 of 8
38 N. Main ,Str-eat
C-~harrzbersb~crg, PA 17201
i
I
i
i
I
FOURTH
Any devise or distribution under this Last Wil] and Testament which is a
p yable to
any beneficiary who ntay be under 18 years of a e or in the ud
g ~ j gment of my
Executor/Execu 'x, mentally disabled, shall be held in a separate trust by my
~xccutiori~xecutr~x ~s trustee until such beneficiary reaches 18 years of age ~or during
such period of dis bility. During the term of any trust created pursuant to this Paragraph,
the Trustee is auth rized to expend and apply so much of the net income and principal of
each such trust the Trustee shall consider advisable for the health, maintenance,
support, and educa 'on (including college education, undergraduate and graduate) of each
such beneficiary un '1 he or she attains 18 years of age, or until all such amounts are paid
out of trust. I direc that no Trustee shall be required to give or post bond for the faithful
performance of the rustee's duties in this or any other jurisdiction.
FIFTH
I grant my xecutor/Executrix the following powers ~ addition to and not in
limitation of such po ers as my Executor/Executrix shall hold by law:
(a) To retain 11 property received including the stock of any corporate fiduciary
acting her under, provided such property remains productive.
(b) To join in any corporation, partnership, recapitalization, merger,
to deposit i
to exercisE
shares.
200 N. Hanover Street
Carlisle, PA 17013
or voting trust plan; to delegate authority with respect thereto;
;stments under agreements and pay assessments; and generally
rights of investors, including but not limited to, the voting of
GRIFFIE 8c AS'SOCIAT E,S'
Attorneys At Law
Page 3 of ~ 3S 11r Main Street
Chambersburg, P~4 _7'20l
~,
(c) To ' anage, operate, repair, improve, mortgage or lease on any terms any real
estat held or owned by my estate.
(d) Too erate any business that I may own at my death.
(e) To in est any funds of my estate in any stocks, bonds, notes or other securities
or pr periy, real or personal, without regard to the principle of diversification
or an other statute or general rule of law in his, her or its absolute discretion,
it bei my intention to give my Executor/Executrix the broadest investment
power possible, providing such investments do not unnecessarily prevent the
promp settlement of my estate.
(fl To sell or otherwise dispose of any property, real or personal, tangible or
mtangi le, at any time forming a part of my estate in any manner and on such
terms d conditions as my Executor/Executrix shall see fit in his, her or its
absolute discretion.
(g) To bon money for the payment of taxes or for any other proper purposes in
the a 'stration of my estate, and to mortgage or pledge estate assets as
security.
(h) To comb
any contz
Pennsyly,
may pass
(i) To distrib
2D0 N. 13anover Street
Carlisle, PA ? 7073
claims without court approval including, but not limited to,
with the United States of America or the Commonwealth of
~ concerning estate and inheritance taxes on any interests that
let this my Last Will and Testament.
in cash or in kind upon any division or distribution of my estate.
GRIFFIE di . ASSOCIATES
Attorneys At Lusv
Page 4 of 8 38 N. Main Street.`
Chatr:bea-sburg, PA 172D1
ga
(j) To lmdertake any and all acts deemed necessary and proper by my
Exec~tor/Executrix for the proper, advantageous and tom t
P p management of
the s ttlement of my estate,
(k) In ge eral,. to exercise all powers in the management of my estate which any
indivi ual could exercise in the management of similar property owned in his
own ri t, upon such terms and conditions as to him, her or it may seem best
and to xecute and deliver all instruments and to do all acts which he, she or it
deems ecessary or proper to carry out the purposes of this, my Last Will and
SIXTH
No interest ~f any beneficiary of my estate, either in income or in principal, shall
be subject to anticip tion or pledge, assignment, sale or transfer in any manner, nor shall
any beneficiary hav the power ~ ~y manner to charge or encumber his interest either in
income or principal,. nor shall the interest of any beneficiary be liable or subject in any
manner while in th possession of my Executor/Executrix for the liability of such
beneficiary.
SEVENTH
I nominate, c nstitute and appoint my spouse, HAROLD R. MOOSE, as
Executor of this my L st Will and Testament. In the event my spouse is deceased,.unable
or unwilling to serve o shall cease to serve for any reason whatsoever, then I nominat
e,
constitute and appoint y daughter, GLORIA ANN ANDERSON, as Executrix of this
1200 N. Hanover St.~eet
C:zrlisle, PA 17013
GRIFFIE & ASSOCIATES
Attorneys At Law
Page 5 of 8
381'1r .,'~.faift .S'treet
Chambershurg, .P,f1 .I i Zt~l
my Last Will aind Testament. I direct that my Executor/Executrix shall not be required to
give or post bo~id for the faithful performance of his, her or its duties in this or any other
jurisdiction. I',
EIGHTH
I hereby declare it to be my expressed desire that my Executor,/Executrix employ
the law firm of Grime & Associates, of Carlisle, Pennsylvania, for Iegal advice and
assistance regar 'ng this my last Will and Testament, they having considerable
knowledge of m affairs, views and wishes respecting any matters that may arise at the
probate of this ' sinunent, the administration of my estate, and the execution of the
powers herein m tinned.
1N WI SS WHEREOF, I have hereunto set my hand and seal to this, my Last
Will and Testame t, consisting of eight (8) typewritten pages, the first five (S) of which
bear my signature n the side margin, for purpose of identification, this 2~
day of ~ , 2002.
7~-~.~
NANCY L. MOOSE
~Qt% .n'. Hanover Street
Carli,.re, P~ 1 ?Q13
G17IFFIE & A~4SOCIATES
Attorneys Ar' .haw
Page 6 of 8
38 N. 11Iaijt Street
ChamL~x:~1-ur~, PA 17201
COUNTY OF
I, NAP
foregoing insl
acknowledge ti
that I signed it
therein exnresse
Sworn or t
Testatrix this
TH OF PENNSYLVANIA:
. SS.
VIBF.R T.ANT~
t' L. MOOSE, the Testatrix whose name is signed to the attached or
Went, having been duly qualified according to law, do hereby
I signed and executed the instrument as my Last Will and Testament;
ingly, and that I signed it as my free and voluntary act for the purposes
NAN L. MOOSE
and acknowledged before me by NANCY L. MOOSE the .
day of _ J (/~ I~ , 2002.
Notarial Seal
Karias J. Lehman, Notary Public
Carlisle Boro, Cumberland County
M~ Commission Expires Aug. 25, 2003
I
200 N. Hanover Strer_t
l-'arlisle, PA 17013
€t:~'~IFFIE & ASSOCIATES
Attorr~e~~>s Ar Law
Page 7 of 8
38 N:.Mazn Streci
Chambersburg, PA 1721IX
I;vMMUNWF~i•TH OF PENNSYLVANIA:
II : SS.
COUNTY OF UMBERLAND
WE, ~ ~ and •~- rr
~~linJ i ~5M hVin ~
~- - - ~
the witnesses w ose names are attached to the foregoing document, being duly qualified
according to law do depose and say that we were present and saw the Testatrix sign and
execute the ins ent as her Last Will and Testament; that she signed willingly and that
she executed it as her free and voluntary act for the purposes therein expressed; that each
subscribing with ss in the hearing and sight of the Testatrix signed the Last Will and
Testament as wi esses and that to the best of our knowledge the Testatrix was at the
time 18 or more y ars of age, of sound mind and under no constraint or undue influence.
Sworn or aj
and
and subscribed before me by ~~(,~p~ (,_ (~ ~,±~'
this ~~ day of UI; , 2002.
Karisa J. Leh en, Notary Public
Carlisle Boro, Cumberland County
My Commission Expires Aug, 25, 2003
2001Y..t-?`anover Street
Carlisle, PA 17Gi 3
GRIFFIE & ASSOCIATES
Attorneys At Lane
Pa€Te 8 of 8
381h: Main Street
Chambersbrcrg, .P~4 17201
Attachment
to
Schedule E
'~I Rick Foreman Auctioneer Service's
I
CI, 386 Springfield Rd
Shippensburg, Pa .17257
7.17-776-4602
ID# 5646
I Rick Fore an appraised the following items of the Nancy L. Moose Estate.
All the items th t I have seen were professionally appraised, and are accurate
with the quality f the items that were present to the estate of Nancy L. Moose.
Listed below ar the items that Nancy L. Moose had in her possession at the time
of her death:
Electric Stove=. $ 00.00
Refrigerator= $5 .00
Table and Chairs $25.00
Recliner- $30.00
Entertainment st nd= $40.00
Couch an chair= 40.00
Bedroom suite= 200.00
Kitchen ware= $7 .00
Deep freezer= $4 .00
Sincerely,
kick Foreman, Auctioneer
~~//10.3~..
Attachment
to
Schedule F
ACNB
BANK
August 25, 2011
Griffie & Associates
Attorneys and Counsel
200 N Hanover St
Carlisle PA 17013
ors at Law
Re: Estate of Nancy L ~
Dear Mr. Griffie:
The following informs or
Acct. Type Account o.
Savings 9000136
Checking 2244926
Inquiries concerning ~
Company at 1-800-36
Sincerely, '
~~
Lois A Kime
Deposit Services
is being provided as per your request:
Account Accrued Ownership Date 3oint Date
Principal on Interest Opened
D.O.D. to
D,o.D.
$5,507.40 $0.00 Irrevocable Burial N/A 10/4/06
$2,486.70 $.09 7t.w/ Gloria A 9/28/06 9/28/06
Anderson
Corporation stock information should be directed to the Registrar and Transfer
8. If you need any additional information, please contact me at (717)339-5116.
acnb.com . acnbhusiness.com • i?:~. Box 3129, Gettvsburq, PA 17325 ~ f'flone 717.334.3161 •7o(I Free i .t+i`'s."~34.ACNB (2262)