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Home My WebLink About11-09-11J 1505610101 REV-1500 ~` t°'-'°' d~' OFFICL4L USE ONLY PA Department of Revenue PtNrnsyLvaMa County Code Year File Number Bureau of Individual Taxes "`"~"`"~""`~`~"` PO Box s8D6oi INHERITANCE TAX RETURN Harrisburg, PA tyt28-o6of. RESIDENT DECEDENT ~ ~ l ~ ~ g Z ENTER DECEDENT INFORMATION BELOW ~~So'-cial Security Number Date of Death MMDDYYYY L~L~J~ ° 3 3 ~, n ~ / / Decedent's Last Name Suffix ~ zmrLLEiQ (If Applicable) Enter Surviving Spouse's Information Below Spouse's last Name Spou~'s Social Security Number Date of Birth MMDDYYYY O6 ! / 9Z/ Decedent's First Name MI ~~ m Suffix Spouse's First Name MI ® ~'TI ~ ^ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ^~® REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Retum O 3. Remainder Return (date of death prior to 12-132) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS 8ECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number c ;-' First line of address ~ cj ~ tC~ '_' ~ C ~ a u S 0 -.~~~ > ~ _ ,_ C~-i7 ' Second line of address "~~ "- "t ~~ 'ten --~I ~ cn i; ~ A ~„ City Or Post Office State ZIP Code DATE FILED ck/E /GSgu~2~ ® ~ sS 97 3 Correspondent's a-mall address: CeS,/~~~75-3~ .S/. /~i°~ Under penalties of perjury, I dedare that I have xamined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Dedaretion o parer other than the personal representative is based on all Information of which preparer has any knowledge. SIGNATU OF PERS SIB FILING RETURN DATE ~/ X / ADDRESS ~ QY /( ZMlGL~2 ~,3 d'!S f~~%/siQ(e. La/~e, h'l~cl~anics bun, Pi¢ it s~ SIGNATI~ ~ F PREP R OTH HAN SEI~J DATE / l HUURCJO CNfp/1[E5 ~ c?`K/FLDS ~ Co C~6srser /laa~ , {~QG~lIGY!/CSGrc/~, ~/~ /TOSS PLEASE USE ORIGINAL FORM ONLY aide 1 1505610101 1505610101 J ~~ J REV-1500 EX 1505610105 Name: ~~S~ier M• k~tZmr~~er 1. Real Estate (Schedule A) ........................................... .. 1. 2. Stocks and Bonds (Schedule 8) ..................................... .. 2. 3. Closely Held Corteration, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 4. Mortgages and Notes Receivable (Schedule D) ......................... .. 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 6. Jointly Owned Property (Schedule F) O Separate Ewing Requested .... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1 through 7) .......................... ... 8. 9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... ... 10. 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ..................... ... 13. 14. Net Vatue SubJeet to Tax (Line 12 minus Line 13) ........................ 14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATE8 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .OLL 16. Amount of Line 14 taxable at lineal rate X .0 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rete X .15 15. 16. 17, 18 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610105 1505610105 ,6 Decedent's Social Security Number O J COMMONWEALTH pF PENNSYLVANIA DEPARTMENT OF gEVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-116 NO. CD 014658 KITZMILLER BARRY E 5815 HILLSIDE LANE MECHANICSBURG, PA 17050 ~ ------- .~I~ ESTATE INFORMATION: ssN: 2oa-o3-3ssz FILE NUMBER: 21 1 1 -0482 DECEDENT NAME: KITZMILLER ESTHER M DATE OF PAYMENT: 07/05/2011 POSTMARK DATE: 07/01 /201 1 COUNTY: CUMBERLAND DATE OF DEATH: 04/06/201 1 ~ REMARKS: PENNSYLVANIA INHERITANCE AND' ESTATE TAX OFFICIAL RECEIPT TOTAL AMOUNT PAID: ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ S2,992.50 CHECK#109 SEAL INITIALS: DB RECEIVED BY: S2,992.50 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER REV-1500 EX Page 3 File Number ZJ_ ~~ ~ - ~ ~ 8 z Decedent's Complete Address: DECEDENTS NAME ,. L:~1~ier' 111. ~/ f~,.,; t l er STREET ADDRESS q , f W r ~ / -1'] fJsOl~/ CITY ~Ca /~ STATE ~~ ZIP /7D~~ Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPeyments ~~ 99~, '~ A. Prior Payments ~ B. Discount ~ /$7,.5~ 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. FIII in oval on Page 2, Line 20 to request a refund. (1) 7, 2ZG. ~~ Total Credits (A + B) (2) ~3, /.57~, OD (3) (4) d 5. ff Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) ~= O 76 _ ~ T Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the properly transfened :.......................................................................................... ^ ~] b. retain the right to designate who shall use the property transferred w 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 Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ® ^ 3. Did decedent own an "intrust for" or payable-upon-death bank account or security at his or her death? .............. ^ m 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ........................................................................................................................ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the .use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and. the statutory requirements for disclosure of assets and fling a tax return are still appNgble even'If the surviving spouse is the onty benefidary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to ar for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent (72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal. beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent (72 P.S. §9111i(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (6-!la) SCFIEpYLE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~ FILE NUMBER Ali roal property owruM soNty or as a Lenard In common moat be reported at fair market value. Fair market value is defined es the price at which property would be exchanged between a willing buyer end a willing seller, nefther being compelkid to buy or sell, both having reasonable krawledge of the relevant facts. Ral property whkh Is jolMly-owned with right of aurvivorohip must ba dlsebssd on ScMdub F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH '- dot of Ground [a•,nr1 `fie ~mprp/eh7P./-~ '-con er~~ed at a 9 w, ~S;~.rpsma ~, ~; fPc ,Qo~okf! Df /~letji- C+~J;~sdur~, Cicntihe~/ard ~o'kr~y, /fe~ru~/ra~rca, ~/~ 6~ ~a~rd/.~ 4uc~ioy o~ awe ~o~~~i~s~s ~ ~D/'G7yq l ~4~.~Ci ; (sew fi~cre R,c~/ Corrcet Miry o~ decal ~ 7 ~lelf/en~te~ ~ieef al~rclica~) TOTAL (Also enter on line 1, Recapitulation) I; ~ ~ ~Q~, 00 (H more space is needed, insert additional sheets of the same size) nMa Mn 5An2ma~ A. B. TYPE OF LOAN: U.S. DEPARTMENT OF HOU&NG S URBAN DEVELOPMENT 1.~FHA 2.^FmHA 3.^CONV. UNINS. 4.^VA 5.^CONV.INS. 8. FILE NUMBER: 7. LOAN NUMBER: SETTLEMENT STATEMENT FN008B-57 8. MORTGAGE INS CASE NUMBER: C. NOTE: TMs Porm Is llanlsirod (O glue you a stademenf of actual settlement coats. Amamfs paid fo and by the sefement agent ere shown. Ifsms marked 'pPOCI' wen paid outside the closlnp; May ero shown hers Ior InRxmadonal purposes end ere rat included In the totals. 1.0 3Ae WKle;it•YYw8a1Pe0N ST.PrD,RN 0060d1n0 D. NAME MID ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Eshte of Esther M. Kltaniller CASH Lwette T. Walker 29 Went Simpson Street I 14 N. Walnut Street Mechanicsburg, PA 17053 Mectufnlcsburg, PA 17066 G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 23-2048775 I. SETTLEMENT DATE: 29 West Simpson Street lamas D. BaBer Law ORlees PA2750 MecMnicaburg, PA 17055 Augus128. 201 1 Cumberland County, Pennsylvania PLACE OF SETTLEMENT One West Maln SL ~'~ SMremanstown, PA 17011 J. SUMMARY OF BORROWERS TRANSACTION K SUMMARY OF SELLER' TRANSACTON 1 GROSS AMOUNT DUE FROM BORROWER: 400. GROSB AMOUNT DUE TO SELL R: 101. Confect Ssles Price 84 000.00 401. Contract Selea Price 84 000.00 102. Paa0nN 402. Personal Pr 103. Setllament Clw sa b Borrower Une 1400 1 7.00 403. 104. 404. 105. q0S, uafinems Fa Items PNd Seller In advance uatmsnts For Items Paid Seller In advance 108. Coun Taxes 08/28/11 b 01/01/12 188.90 q08. Taws OtV25Ji1 fo 01/01172 107. Scholl Taxes 0828/11 to 07/01/12 969.87 407. Scholl Taxes 082N11 l0 07/01/12 958.87 106• Sewer 0828/11 to 10/01/tt 29.36 408. Sewer OB12N11 to 70!01/11 29.36 109. Trent 0828/11 to 10/01/11 10.95 408. Trash 0828/11 to 10/07/11 18.96 110. 1 , 111. 411. 172. 412. 120. GROSS AMOUNT DUE FROM BORROWER 88,400.07 120. GROSS AMOUNT DUE TO SELLER 85,173.07 200. AMOUNTS PAI BY OR iN BEHA RROWER: 500. REDUCTION IN UNT D LLER: 201. It or arrest 8400.00 501. Excess It Sss Inatructlons 202. Print Arrant of New s 502. Settlement a to Shcar Una 1400 860.00 203. Ekstl I s gken s sct to 603. E>detl I s taken a act b 2~• 604. of Brat 205. second ~• 508. D Itwearnsst 8400,W 207. 607, 208• 508. 208. 608. usfinents Fw kana U d .Seller usfmanW Far Msma U d Seller 210. Conn Taxes to 610. Cowl Taxes to 211. SchoW Taxaa to. B71. Scholl Taxes b 212. Sewer to 612. Sewer to 213. 513. 214. 514. 216. 515. 218. 615. 217. 517. 218. 618. 219. 519. 220. TOTAL ARID BYiFOR BORROWER 8,400.00 520. TOTAL REDUCTION AMOUNT DUESELLER 7,050.00 900. CASH AT SETTLFJM T FR M/TO BORRO . C T LEMENT 7OIFR ER: 301. Gross Arrant Due From ewer Une 120 85 /OD.07 501. Gross Anaurn Due To Seler Una 420 86 773.07 302. Less Amount Pald w Borcower Une 220 ( 8.100.00 802. Less Raductlorxa Due SNlsr Une 520 ( 7,050.00 303. CASH (X FROM) ( TO) BORROWER 80,000.07 (i03. CASH (X TO) ( FROM) SELLER 58,123.07 The undersized hereby acknowledge receipt o1 a completed copy of pegs 182 of tlds statement f: any attachments refereed to herein. I HAVE CAREFULLY REVIEWED THE HUD-1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGEAND BELIEF, IT IS ATRUEAND ACCURATE STATEMENT OF ALL RECEIPTS AND DI BURSEMENTS MADE ON MYACCOUNT OR BY ME IN THIS TRANSACTION. I FURTHER CERTIFY THAT I HAVE RECEIVE ICO OF~ HUD-1 S MENT STATEMENT. Borrower Seller Loretta T. Walker Eshte Mier M. W ' L BY' pv/Y~/J~" Barry II , TO THE BEST OF MV LEDGE, T HUD-1 SETTLEMENT STATEMENT WHICH i HAVE PREPARED RUE URATEACC.OUNT OFTHE FUNDS WHICH WER E IVED ~ EAI OR WILL BE DISBURSED BY THE UNDERSIGNED T OF THE LEMENT OF THIS TRANSACTION. e mantJ~erit w s ,. WARNING: IT ISACRIME TO KNOWINGLY FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANYSIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDEA FINEAND IMPRISONMENT. FOR DE7NLS SEE: TITLE 18 U.S. CODE SECTION 1001 8 SECTION 1010. np~e L. SETTLEMENT CHARGES 700. TOTAL COMMISSION Based on Prla S % MA FROM FND FROM !vlalon of Ommlaalon Ane 700 98 FdlOVYS: BORROWER'S 6ELLER'6 701. b ~ FUNDSR FUNDBR 7D2. b SETTLEMENT 6ETfLEMENT 703. Commiaslon Pai at ement 704. b 800. ITEMS PAYABLE IN CONNECTION MATH LOAN 801. Lan ri natlan Fee % b 802. LOan Discount % b 803. alsal ee b 804. refit R b 805. Larder's Ins don ea b 808. a .Fee b 8(17. Aesum don a to 808. Document Pr ratlon 809. Tax Service Fee 810. ouNer ee 811. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From b E !de % 902. odna. for LlfeOfLan for montlrs b 903. Hawd Insurance Prendum for 1.0 re b 904. 905. 1000. RESERVES DEPOSITED MATH LENDER 1001. Harard Insurance months mondr 1002. Insurance months month 1003. Caun w Taxes months monde 1004. School Tazas months S month 1005. Sewer months S rtronM 008. months month 1007. mmlha S Per monM 1008. .EaarowAd . months r. month 1100. TITLE CHARGES 1101. Saltlament or Close Fee b 1102. Abstractor Tide Search b 1103. b 1104. Title Insurance Bender to 1106. Document Pr redon b 1108. Nola Fees b 1107. Atbr a Fees ~ b James D. Law Ofices lncfudea above Item numbsrs1101. 1105 r Includes above Item numbers1103. 1104 09. endsrsCovers e N70. s Covere a 84000.00 1111. 1112. 1113. 1200. GOVERNMENT RECORDING AND TRANSFFJt CHARGES 1201. Record Fees: Deed S 82.00; S Releases S 82.00 1202. T eed 840.00• a 1203. Stets TaxlSte e: Deed 840.00; s 1204. 840.00 840.00 1205. 13a. ADDITIONAL SETTLEMENT CHARGES 1301. Surv b 1302. Patina don b 1303. Tax Certlflcatlon b Law Ofices of James D. ar 10.00 1304. 1305. 1100. TOTAL SETTLEMENT CHARGES Entar on Lims 103 Sactlon J and 802 SaMion K 1.227.00 850.OC N NpnMp paps 1 olAb MaMm~n4 M tlpnrbtln ~WnowNOp~ nwlptaH oomONMe mpYOlprp~ 2 olaN W p~p~ NNm~nt James D. Bogor Law Ofiees SettlementAgant Certified to be a true copy. ( FN OOee-a1 /FN 0060-et / tp 1 Tax Parcel Number: MADE THIS a6 //!day of iTr(,/p s7 , in the year of our Lord two thousand and eleven (2011). 1;3 ill t1:'/ S ~l-1 BARRY E. KITZMILLER, as Executor of the Estate of ESTHER M. KITZMILLER, deceased, late of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, Grantor, and LORETTA T. WALKER, an adult individual, currently of Mechanicsburg, Cumberland County, Pennsylvania, Grantee. WHEREAS, the said Esther M. Kitaniller, was vested in her lifetime with title to the premises hereinafter described, in the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania; and WHEREAS, the said Esther M. Kituniller, departed this earthly life, testate, on the 6'" day of April, 2011, and Letters Testamentary were duly issued to the said Batry E. Kitztnillet, by the Register of Wills of said Cumberland County, docketed to No. 21-11-0482; and WHEREAS, the Iands herein-mentioned were not specifically devised: NOW, THEREFORE, THIS INDENTURE WITNESSETH, that the said Bany E. Kitzmiller, Executor, as aforesaid, for and in consideration of the sum of SIXTY-FOUR THOUSAND and No/100ths (S64,000.00) DOLLARS, and other good and valuable considerations, to him in hand paid by the said Grantee, at and before the ensealing and delivery hereof, the receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened, released, and confirmed, and by these presents, by virtue of the power and authority in him vested by the Fiduciaries Act of the Commonwealth of Pennsylvania, does grant, bargain, sell, alien, release, and confirm unto the said Grantee, her heirs and assigns: ALL THAT CERTAIN LOT of ground situated on the South side of West Simpson Street, in the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania, bounded and described as follows, to wit: BEGINNING at a point on the building line of said West Simpson Street and at wrner of lot formerly of Joseph Long; thence along the said building line of said sttcet, eastward seventeen and eight tenths (17.8) fcet to a point at comer of lot now or formerly of Merle E. Keller, which point is the center of a frame partition wall; thence along the line of said lot now or formerly of Merle E. Keller, southwardly through the center of said frame partition wall and beyond, one hundred and thirty-five (135) feet more or less, to a stake at King Alley; thence along the line of said King Alley, westwardly seventeen and eight tenths (17.8) feet to a point at comer of lot formerly of Joseph Long, aforesaid; thence along the line of said lot northwardly one hundred thirty-six (136) feet, more or less, to a point on the building line of said West Simpson Stmt, at the place of BEGINNING. HAVING THEREON ERECTED a frame dwelling house numbered 29 West Simpson Street. BEING the same premises which Frank Stephenson and Paul Noel, Co-Executors under the Last Will and Testament of Alva S. Menear, deceased, by their Deed dated November 29, 1968 and recorded on December 2, 1968 in the Office of the Recorder of Decds Office in and for Ctunberland County, Pennsylvania in Deed Book A, Volume 23, Page 348, granted and conveyed to Vance S. ICitzmiller and Esther M. Kitzmiller, his wife. The said Vance S. ICitzmiller departed this earthly life in the month of June 1969, whereupon full and absolute title to the said premises vested in the said Esther M. I{itaniller by the laws of the Commonwealth of Pennsylvania incident to tenancies by the entireties. Her said Estate is the Grantor herein. TO HAVE AND TO HOLD the said messuage or tenement and tract of land, hereditaments and premises hereby granted and released, or mentioned and intended so to be, with the appurtenances, unto the said Grantee, her heirs and assigns, to and for the only proper use and behoof of the said Grantee, her heirs and assigns, forever. AND THE SAID GRANTOR, Executor, as aforesaid, his successors and assigns does covenant, promise and agree to and with the said Grantee, her heirs and assigns, by these presents, that the Grantor has not done, committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or encumbered in title, or otherwise howsoever. IN WITNESS WHEREOF, the said Executor of the Estate of Esther M. ICitzmiller, deceased, Grantor herein, has hereunto set his hand and seal the day and year first above written. Signed, Sealed and Delivered in the Presence of: S~LXI~i~kf E..~/P.~~ ~ .F/ iQI/+"1' •~'_' 1jil~T.ui~~[r (SEAL) BARRY~E. KITZMILLER, Executor of the Estate of ESTHER M. KITZMILLER, Deceased COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: On this, the oZG day of ~. , A.D. 2011, before me a notary public, in and for the Commonwealth of Pennsylvania, personally appeared BARRY E. KITZMILLER, known to me (or satisfactorily proven) to be the person whose name is subscribed as Executor of the Last Will and Testament of Esther M. Kitzmiller, and acknowledged that he executed the same in such capacity. IN WITNESS WHEREOF, I hereunto set my hand an official seal. Notary Public My commission expires: (SEAL) CERTIFICATE OF RESIDENCE I do hereby certify that the precise and exact post office address of the within Grantee is: s/,Ta /~~ :Attorney for Gran REV-1503 EX+ (688) SCNEpYLE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FlLE NUMBER K~fzn,iflar, ~"sf~~r m. ~/_//- Y~z All property fointyr~owrled with right of survivorship moat be disdosed on Schedule F. lir more space is needed, insert additional sheets of the same size) Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 04/2011 Bonds: 1-1 of 1 Page 1 of 1 http://www.treasurydirect.govBC/SBCPrice 4/15/2011 NI :Not Issued NE ; Not.eligible_for payment _,. _ _ P5 :Includes 3 month interest penalty MA Matured and not earnin interest REV-1507 EX+ (1.9~ SCHEDULE D COMMONWEALTH OF PENNSYLVANIA MORTGAGES & NOTES INHERITANCE TAX RETURN RECEIVABLE RESIDENT DECEDENT ESTATE 1~i~`t~niller, slier M- FlLE All property jointly-owned with right of survivorship must be disclosed on Schedule F to more space Is neeae4 insert atltlitional sheets of the same size) NEV-7508 IX. (tin COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESI~Nr DECEDENT EST SCHEDULE E CASH, BANK DEPOSITS, 8~ MISC. PERSONAL PROPERTY ATE OF v% 1 M'// r, ~5~er M~ FILE NUMBER a, _ !/_ D, /8Z Include ~ proceeds of itigation and the date tl(e proceeds were received py the esla0a. Ag property Jointly-otiwred wflh iM right of wrvivorship mwt be dieebssd on seheduM F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. /~io-r~~iods Atlq~ /~%i-ibursemen7s ~-^eM rca.J esf~1-~ Shce ~Jer SC~tidccle /~. ~~ ScrW~~irt ~1eef 4fI`arlrcd~ ~. Gou~t~ a~ ~wnsl.;o des B_ Se9h®v/ ~~~ e . ~S'ewc~ Trash o~. ,T4 ne /'J~ z0// /¢ZCCf:m`I CAA/C o!~ /~P.tf,~~a~ 4.~ /~gors /hco~SohS, 17://s 6arJ. -3 Wkly iS, a,o// ~.,.~ ~uuSva ~` ~/aari <,Se2 Guc/Sbn .SQ/e S/i~e7s a~flrcle.~) `f. ®a~t:a/ d~e~und ~ronr L',~~,~„/ P l~ue Cross s PNc ,c3~Nx .Lfcros- C. D. ~ 3i9 003 a~ ~s C. G'. ~. #' 3i7 000 6~~f /8 ~. ~ eer, Tnt. ~ ~ o• a/. ~r z-fe~ir C ~: G'he~,~'irry A-a~.>~ .vo. 3/T moo 6 zy /S u ~G', ~ ~ d•o•a! on 1 ~ ~ G. ~i~cs Au~. Na S~ oaG O8'` 7 k. /~~', T~f. ~ dad. on )~t~ ~ (sec v~t~ual/ion ~>~er /1ffXo~i// 6, patt~al ~~~•~td Gmcdst 7 L.w ,income (~admt ~: Re~u~d Korlemwae. ~s ~i~, s~r~ ~/G6.9D '~9s9~ ~~ ezy 3s '~/ 6, 4~ s-~{ sv ~~95, 03 t/o, is9, s/ .z$ ~3s ao~,o9 f /a. i3 t 5~, 3a3- ~ . oa ~~fS, 3y~{ 73 '` 6.26 '2.8P ~` 9 ~soo f /6/.io TOTAL (Also enter on line 5, Recapitulation) ~ ; (ti more space is needed, insert additional sheets of the same size) ~sB. ~ z L~at e : 0E• - i'l -x:0:1 i www. hoar s, com HAT~RG AUC`~IGhI `r'i7--4~~-t~~ 46 Settlement C}-iF=iRL-ES E. S1-~IELDE. iII r: . 9"ller, ~. ~.?'+ ES"T E'STHEP, KTTZI~iILi_ER a~e i 6 C;LGUSER RD MECH F'fl i i 055 I}em Descri.pti.an F~rice [ty Total -- Pox lot 1 3.00 -- Teel lot 1 ~. Qt0 - Tool lot 1 8. ~~ - Noe-lc~t `. 00 _ 5}~,oael 1 3.00 - Stone hook i 3.00 _. SplittiT7g malt i `~.~~~ -- Tomato holder~e i 10.+0 ... Tt=ai ieY~ C4t'd i .i. 01~ -- Shnyei 1 5.00 _ Rake= , 7. 00 - Rakes i 4. ~~ -- Shovel i `,. ~~ -- Shovel i c.0~+ ... Digging iron i 5. klt~ _ Ghovels i 2.00 - )= or-k i Fem. Q1ti -- Vise 1 c~=. 0t7~ ._ GaW=...lnt i ~.+~0 •- Packets 1 5. ~~ -- D r- i l l --lot 1 1.00 - Pird ha~_TSe 1 1. ~~ -- LawTl C}lalt- i ~F. k"~k -- Lawn chair i 3.00 - Lawn chair-- i •~. ~~ -- Trash can i 7,~~ I`.lax 1 1?ar i s. 0~~• - Sledge hammer ' 4.00 - Tre I I i s ~ ,~. 0~T - Patio chair 1 ~2.0Q~ - Weed eater i '.~. Q~0 -- Sweeper- 1 0.5000 - Scraper i 1.00 Rake 1 ~. +2~0 Step ladder 1 v. 00 -- Step ladder 1 1.50 ._ Tool=. i s. 00 - Tno1s i - Seeder ,. 00 1 ~.5tZ+00 - Bucket 1 1.50 - S~_tcket 1 5.00 - Etucket i 4.00 -- Pene~h 1 4.00 -_ C~_tK~hoard 10. 00 E ~0. k0 ~- Safe i 12. O+Z~ Duct e : 4`+G'- 17'-'i=+1+i. I www. t-+aars. c:om H~RftS raL~CT.T.~~N 717-...,~.~'-_ `+~iFE:, Settlement r~Fip~LEg E, SHIEL_D~J I T I l=oge: L Se11.er~ F_~• CF•; ES'f ESTtiER 'r'.IT?hill_i_E~ E, CLQUSER RD hiECH Ffa 17~ 5 Iteru Description .._.._..____.__....____..._..__._._____.._ ~, ~-r=i+.e G+ty Total -- Floor lights 1 i.>Z~+~ Lamnkinq stand i ~+. ``.++~k - Folding table 4:~i~k - Coffee table 1 ,s. ~dQ~ -- St.ornye box i 6. ~+2~ - F-lassock 1 ~. ~~ - Ur=~~m table 1 17. ~L_ ._ 17a!< clock 1 11~. ~~ -- I'*1i.c_'r"owave cart ' ?. 1. ~+S -- F ~~ n 1 8. ~+~ -- Sweeper i _.~u -- Light 1 -~ c j ~ 1 ~1 ~- Light 1.0~ ._ ~,~~ - Car+inet base i J'~, ~~ - F+ict+_ir-e-dresser 1 i~c~. ~~ -- Presser 1 C5. ~~ •- Wal 3 stand i ~~ ti~+ - Wall stand 1 i7. ~>~ - Wall cabinet i 5. ~,~, ~~ Jt and 1 ?. ~~ .__ Chair^s i 5. +~~+ ._ Stand 1 i+~. ~7~ - Etienc_h I 1 ~. k~s~ _ f~ecoE~d player... 1 1.4~~ - Eiench 1 i='c. ~ti~ - Table-chairs 1 i?,k~. ~~ - Dr•ysink 1 E25.+~i~ Fan i.5~ <<~ 3. ~a -- Lights i 5.~~ - Chest of drawers ' 1 4J. +~~ _ F an i 3. ~~ -- Card table 1 ~. ~~ - Dresser-mirror^ 1 i~~.k}k - Vanity-bench i ~~ ~~ - Chest of drawers 1 . i=c. ~c-t4'+ - Step ladder i 17.~~ -- Gict+_ires-floor light ' i LO.~~ -- I Jresser--mirr°r~ i ~•5. din -- Chair-vanity bench 1 7.~+~ - L•aook shelf 1 i, ~~ - Bed 1 _,~. ~+~ - Bex spring-mattress :,5.~~ 2 T~.~7tn T•tems: i'~ Amo+anta 1,872.`5 Go m m l $ $ l on at 'i~. ~lh~~ ~~~. ~~ Irate: ~5~-17--c:01i ww~a, ha~Kr~s. com MAr'1RS r~UCTIt~N 7i r-4~:2-i~::4~ =settlement C}iF~R}.:ES E. SHIF_LUS III ~,a~;e: ~e11er~: E., CM E5T EaTNER KITZ.MiLLER CLOU5ER RD PiECI-# Pry i 7+~ ~~ ~UF L SURC}iHR[~E i k+. ~~ j Net F9~_~e to seller-: ~~•:~~~ ~.~ ~,;ra,~w, };aar-s. com i-ir~HIZS AUCTil7}d ~i7'"44,:,L-tsL~rt, Date: ~i7~i5-011 www,haars.com HAARS AUCTION 717-432-824b Settlement CHARLES E. SHIELDS III Page: 1 Seller: 6 EST ESTHER KI72MILLER 6 CLOUSER RD MECH PA 17055 Item Description -------------------------- Price Qty Total ---------- - PICTURES ------------------ 1 ------------- 8.00 - FLOW SLUE PLATE 1 10.0+0 - PLATES (~) 1 0.2500 - CUFF LINKS LOT 1 1.00 - COMPACT i 25:00 - LADIES JEWELRY 1 6.00 - LADIES JEWELRY 1 5.00 - ROASTER PANS 1 3.00 - BAKELITE HANDLE FLATWARE 1 3.00 - GLASS BOWL 1 1.50 - WELCDME MAT 1 6.00 - WATERING CAN 1 17.00 - FLAG LOT i 10.00 - TRAIN SET 1 27.00 - JARS (2> 1 9.00 - CHILDS BOOKS 1 4.00 - CURTAINS 1 0.5000 - LARGE POWL 1 20.00 - DDLLS W! CLOTHES 1 4.00 - FLAT WARE 1 1.00 - BAPY QUILT 1 20.00 - CHILDS BOOKS 1 :?. 00 - NASCAR LOT 1 1.00 - BLANKETS 1 0.7500 - CHILDS BODKS 1 1.00 - DOLLS 1 0, 2500 - PLANKETS {2) i 6.00 - CHINA D I SHES 1 0. 5000 - PLANKET 1 3.00 - FIRE KING BOWLS 1 2.00 - D I5H 5ET i 11.00 - BLANKETS (2) 1 6.00 - BLANKETS (2) 1 1.00 - POCKET WATCHES (4) 1 125.00 - BLANKET 1 35.00 - WATCHES 1 47.00 - CHILD BOOK RAGGEDY ANN 1 3.00 - DOLLS 1 3.00 - LADIES JEWELRY 1 1.00 - ARMY BLANKET 1 6.00 - DDILIE5 1 17.00 - TIARAS 1 9.00 - FRANLIN SUGAR 1 15.00 - CHILDS BOOKS 1 1. 00 - CROCK 11 - CAMP KING KNIFE i 0 ~~~ ~~ Date: 07-15-2011 www.haars.com HAARS AUCTION 717-432-8246 Settlement CHARLES E. SHIELDS III Page: Seller: 6 EST ESTHER KITZMILLER 6 CLOUSER RD MECH PA 17055 Item Description Price tatty Total - CDPY CAT PAINT TIN W! 1 1.00 BRUSHES - BUTTERFLY PILLOW 1 1.00 - CHILDS BOOKS 1 0.2500 - CANDY D I SH 1 6.,0.0 - CANISTER SET, FIGURES 1 0.2500 - SHIR CHEST 1 1.00 - THERMOMETOR 1 2.00 - Box lots - kitchen items 1 2.00 - Box Iots 1 0.2500 - Box Iots - towls 1 5.00 - Box Lots - sewing bax, 1 0,2500 knick knacks - Box lots - flowers, bucket i 0.2500 - Box lots - i 0.2500 - Box lots - pictures, tea 1 1.00 towels - Bvx lots 1 0.7500 - Crack pot 1 8.00 - Bvx lots -- flatware i 5.00 - Box lots - basket 1 0.2500 - Box lots - light bulbs 1 6.00 - Box lot - tubs 1 0.7500 -- Box lots - mir^ror, baskets, 1 1.00 puzzle=_ - Box lots - light 1 2.00 - Box lots - blankets 1 1.00 - Hox lots - pots, pans 1 3.00 - Hox lots - books, bedding 1 4.00 - Box Iots - can, basket 1 0.2500 - Box lots - blankets, 1 3.00 bedding Items: 73 Amount: 544.50 Commission at 40.000X www.haars.com HAARS AUCTION 217.80 Less adjustments: -217.80 Net due to seller: - 36.70 717-432-8246 ii Capital B1ueCross `"~ '"/'' CHECK NUMBER: 30026817 ,~ 05/25/11 ESTHER KITZMILLER C/O THE ESTATE OF ESTHER Kf1ZMILLER ATTN: CHARLES E. SHIELDS III 6CLOUSERROAD MECHANICSBURG, PA 17055 "" Explanatbn OlRefund"' Refund Reason: SubscrtberDeceased-EstherKflzmiller-800322331 GROUP/SUBGROUP I4: 00900001- TofalRefundAmount• 3295.03 Nedra care bendN proprenr kn,ed or edrNrvgered M BAieCroes endMr de aubddledes. Cepad AWaMpe u~aenoe Compery~ end Keyelorw tleaeh ~ (:emd. uidepsndem Moerwaae a nw Blue GYos end Bhie Shield AeaoUatlon. Conrnurrmtlons issued b~ CapUl Blwpoas in ils cgpecity es ednYnleUetor of propenw eM gwider nleliorr for dl ampr~ies. NF-49 (Y200Fi( 05J25/11 ~R. ~"a. ~' "" `' .~ ~~ ~ ~ t VOID AFTER 180 DAYffi ESTHER KITZMILLER CHECK C/0 THE ESTATE OF ESTHER KITZMILLER ATTN= CHARLES E. SHIELDS III i-oi AiNO1JNY: """"" 3Q95a03 6 CLOUSER ROAD MECHANICSBUR6, PA 17055 Jun. 27. 2011 11:25AM PNC BANK 412-705-2741 '~'~"'~"``~ `°1x7~~1 No. 8846 P. 1 - I ~ P1VC lr~orksnkk:w~-r June 27, 2011 Charles E . SMelds, lIl Esq. 6 Clouser Rd. Mechaaicsburg, PA 17055 RE: Esther M. l.CitzmiUer: SS1V: 204-03-3852 DOD: 04/06/2011 Dcar Mr. Sheilds In response to your request for Date of Death (DOD) balances for the customer noted above, our records show the following: Certllkcate of Deposit Account # 31900320075 Established: 10/05!2007 EST1iER KTTZMILLER DOD balance; $10,159.51 + 0,27 accrued interest Interest paid 01/01/2011 thru 04/06/2011 $ 42.97 YTD Account # 31700062418 Established: 1084/1996 ESTI~R M KITZMILLER DOD balance: $ 35,208.09 + 12.13 accrued interest Interest paid 01/01/2011 thru 04/06/2011 $ l 11.53 YTD Checking Account Account # 31700062418 Established: 01/01/1979 ESTHER M ICTI'2:MILLER DOD balance: $ 4,303.87 + 0.03 accrued interest Irrter+est paid 01/01/2011 thra04/06/2011 $ 0.00 YTD Savkags Ac~oant Account # 5030060867 Established: 10/01/1981 ESTHER M KITZMII.LER DOD balance: $ 45,344.73 + 6.26 accrued interest Interest paid 01/01/2011 thru 04/068011 $ 13.46 YT'D Page 1 of 2 Jun. 27. 2011 11:25AM PNC BANK 412-705-2747 No. 8846 P. 2 I Please note that this office provides date of death balances for deposit accounts (IIiAs, CDs, Checking end Savings). We do sot proep9 say uncial tramnetbne or provide statenunNe. if you need assistance with any of these items, please tail 1-888-PNC-B,A,N~ (1-888-762-2265) or stop by your local PNC Hank branch office. sincerely, National Financial Sorvices Center PNC Bank, N.A. Member FDIC 77eis message is intetded for the use of the individual or etrtity to which it is addressed and may contain i~formadon that is privileged confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering this message to the intended recipient, you are hereby Holt, fled that any dissamination, distributton or copying of this communications is strictly prohibited. If you have recefved this communication in error, please notify me immediately by reply or by telephone at SOa762177~ and immediately destroy this faxed document. Page 2 of 2 REV-1510 EX. (1-9'n COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY __.r..__. K~'~'ZD1~~~G1f', ~S~'1G" E'/• tILtRUMtlER z/` /I...~~Z This schedule must be completed end fAed if fhe answer lb any of questions 1 lhnwgh 4 on fhe revelae side d the REV-1500 COVER SHEE7 is yes. REM NUMBER DESCRIPTION OF PROPERTY '"a"°ETME"AUE°FT"ETR~"sEE~E.TMeR~Ano~+swvTUOEOEOar,woTME DAiEOEiwu~sEeR. ATTACNA COP/OF TIE PEED FOR RFALES7ATE. DATE OF DEATH V OFASSET qt, OF DECD'S INTEREST EXCLUSION F E TAXABIP VALUE ~' 'Garry ~;fzrn~ ~ler soh , rr~ Ff VJ !f')Ar~,{~ 19, 2011 sJ~ pCO.oo ,' loo a ji ppp `' -o ~. ,Tvyce ~. ~hea~~t--', datu~ht~..: ~;ft d ll~prch Iq, Zoi1 7~/, ppO.w loo , f r3 000. -o - ~ more space is needed, insert TOTAL (Also enter on line 7, Recapitulation) I = . Q -- sheets of the same REV-1511 EX+(70.06) SCNEDYLE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES Fc INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF , ~i fZ/rIi ~~C/'~ ~~U' /~, FlLE NUMBER a/ ~// _ 0~8Z Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT a. FUNERAL EXPENSES: t. ~?'lyGrS 'Fu~'1U"A.) Home D~ fYleC-~tOLn i C sbtn~ ¢'7 Z~f, Go ~• ~/s ~ncns/ karlG ~r c~ravirty ~' ~inr~sl~ii~. ~/~S.ao 3, t+wyers ~u~rxraf !-tome ~ Me/ cirwntesbtAr~ . A+Idrho.,.a ~y/nu,l• ~3, ooo,ao e. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions ¢ Name of Personal Representative(s) $,~'~y f (~ f j~%~~~ ~' ~, 0 0 I , street Address 5~/S ~/, //s: ~e La ee City /jlechan~CS6u~a State~/~Zip /7D~O Year(s) Co m mis sion Paid: 2. // ~~ / l Attorney Fees li~~r'/GS ~, ~~7iGl~S ~ ~, OQp. oa 3• Family Exemption: (If decedent's address is not the same as claimant's, atler~t explanation) Claimant _ ND /li{~E ~L-/G//,gLE' /VOi(/~' Street Address City State Zip Relationship of Claimant to Decedent 4. 1 / .}. Probate Fees ~ DI`r q rnB~ iSStlG p~ S/ZOr~ ~7 i ,Tl Cu,!&S ( I ~ /53. SO 5• Accountant's Fees , p `~ ~~.•yjGG.~ fDt" ~ O~ 2 P~r~G tF7i/tQ/-tc1 ~~ s• Tax Return Preparer's Fees Jl ~ ~ 4't ~ /" /*- 4 ~ ~ ~~ l ~+' m) ~ 3 ~. 0~ ~. i4drvt; s;n9 in Ca~x b~-la.td l.~,.~ ~'Okrnal '~7.s, oa &• ~4d/G`tjSi~ %n C4,rljs{s Su~-f'inG) */3G. ~~ /sao ~~~ ~L~'`~ /~R~a!!/lOp4~ ~!!»61if TZC lid ~e9iS~ OJC `(/j//S ~/7 O p. D 7r5Ce L+On/iAaA/jofl SLleef') TOTAL (Also enter on line 9, Recapitulation) S ~ 3, ~ O 3. ~ (If more space is needed, insert additional sheets of the same size) ~• z Sc,~/Ev, ~Sl, ee~td - -- -- ---- -. - -- SST-OF__~i7`ri~1Le%-~s~er ~31,-- ------ - Fi le No. 2/~// - ~/c~L _ _ - - --- ~~ -I ---'~xs --~-- S`~N~f~' -sl etl~ o~ _~l~ _ eF _ nea/ eaf~ Te- __ -- -__._ _... ___~ ------ - - - _f~._ i~/ty -T~sns~o-_-.T~_____ -- - -- --- -- -- - --- ~6yo ao -- _ _. --- _..--_.I QQ T n_. L /~ _A _ IAA! _~[~"il7~CQ~LiN _._ __--_ .. ~ _..__ _ _-_-..._ --- _ __f/O. cO ____ __--_._12 - .. ~K~~t/1te1'~__~~isl;in-- _ ~ ,few ~ __, __._-____ - __ - _-I -Fl~~~ _ !1-KC_f7_P~lS,,._ ~G..__ _~SCG ~i~~S _4'~~L .._.--- _-------- ~ ~ ~~~'J~ _ - / ~ _ ,,r{ l8i'G~_L~//1R~G/'~ - /~7~p/'R- rsal - oSo~sL~n/~s _ -,rn_C . ~~QL'~i~~ _ a~ ~P.t.~ ~~'It~ - -._.. --~c300, 00...-. - /~ .. . _. ~e~11A) sash -_ el o`?alt ~ _,T ne_ 2o%C ~_ f; Qa~.~__/Luc~n~ __ _ - - - - - - ~ -- ~6 6 ~, qo _ _ _. _ /.5•.- _ ~~!_ c5urcha~Jc _o+~ 1~~ _ /'f.__ - - _._ -- /o.eo / _- /r0. _~_ . , ,f _ ~1t,I-~SSiQ~- -oI!_ ~4~e__of _ T /~15 ~lL ~?__~4Qrs_/fuG~iens ~,2/1, ~O __ _ l~? -./fi~,%At~tltr~ll~iJ~ 1~_ ~Dr/csE.__~i•~.1: ,JC----~r. ~if{,ce~_r~y, car{~ose~l - --- - -.__ ---_ --- ~Q~l~s~ ~~tg~ ~~. C~sh~n.~-- _ - -- ----------- ------ ------ -- '~s~a - --~I- --~p~-__ ___ _- -- ---- _- - -- -- ~/~ oz _. _ . __ -- ..--- ~0. ~l --- ~ --- -- -- _ - ---- - --- --- --- -- _ - - - _ -_ - z~.- - PPc _..- -- - ---- - --- - - -_ _ __ _ - _ '~J 3sb- _ - -__ 1 ~~' ~u',~_ ti's". _ __ f o s/ ___ -_- ____ I- _ _._ ___ -._. __ __- __ 0S/19/2011 09:10 7177902240 RICFIARD P MLA2RY ALICT ~ ~ g y~v ~. ~~, jam- d `' ~ ~~~ ~"~ fo~~~ ~~ r Elmer Murry Auctions, Inc. /~/~~ ~ Richard P. Murry, Auctioneer ~~P ~ ~~~~~ ~~ Lic# 649-L . v A~yO ~Ot"' _ PAGE 01/01 -- -- - ~ __ .. _.... Sew' E 14rinMter EtoeaBar i51i0sido Larw PA 17055 Dote of Sale: 0B, 882011 I.oc=tiea of SNe: 29 W. Simprw~ St M~a PA 17055 ~/ D,~t";~E 60-1273/313 F!~1'a r lzatfQaa1; Asavrif~tt4tx ;~ C'HXH~CSSLJItG ` "' 00043 "~ MEMQ u'OOOO~~• ~:O3i3i2738~: 5Li29794O4i~• ~~~~ 14 N. Walnt~ St Mec#~snicsburpr PA 170.55 717-79a-22~o DOLLARS ~`~.~ ~w ,~ i~ L RECEIPT FOR PAYMENT GLENDA FARMER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 KITZMILLER ESTHER M Estate File No.: 2011-00482 Paid By Remarks: CHARLES E SHIELDS III HMW Receipt Distribution Receipt Date: 4/132011 Receipt Time: 4: 8:05 Receipt No.: 1065235 Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST WILL 90.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE JC 15.00 20.00 CUMBERLAND CUMBERLAND COUNTY COUNTY GENERAL FUN S FEE AUTOMATION FEE 23.50 GENERAL BUREAU OF RECEIPTS & CNTR FUN M D _-- --__ _-5_00 CUMBERLAND COUNTY GENERAL . FUN Check# 2153 --- 153 50 Total Received......... . 153.50 REV-1512 EX+ (t2-03) COMMONWEALTH OF PENNSriVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, ~ LIENS ESTATE OF ~~ tZM'//e~, ~S~C~ m, FILE NUMBER ~i ~~,u~~ I :cepor[ acme mcurrea oy me daadent prior to death which remained unpaid as of the date of death. inch:dine ~~~..:n.~.....a .....::..,:.,......___ REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT c~rwrc yr FILE NUMBER NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not LiatTrustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distriWdions, and transfers under Sec. 9116 (a) (1.211 oZ~7 (.'en~ord Dr,, IoKes~ur~s, /~~ /037 ~. /tc i I'll ~f. K'>~fZ~J+%~~r 7/I ~lbcrta /ire., ~feehah~CSOanf, Qi4' I7os~ 8,-~rl~sa.-1 S~ Toyce ,E. ~ShCa~i~tr' 4/auy!lfer /fS~ !3o Piae ~i'G ~!, G.¢ ra~irt/~s, N~ /132¢ /~4rr~ E, /~fZ/~Ii/~C/ .Smh ~f~~ 8'/S ~/,'//siu/e Lanz, /hc~li•cn%csdurf~ !/'~ /Josh ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET ~ NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DIS7RIBlJTIONS 1. TOTAL OF PART D -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S to more space Is neeoea, insert eoomonal sheets of the same size) i e ~'~' ~: ~ A_1y'O TESTAi~'°"'''' OF ESTHER M KI'IZ*_~!Ii .t .F.R I, ESTHER M. KITLMII..LER, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Tesutment, hereby revoldttg and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts errd funeral expenses as soon after mY decease as the same can conveniently be done. 2. All the tsar, residue and remainder of my Estate, real, Personal and mixed, whatsoever and wheresoever situate, I give, devise as follows: A. Five (5%) per cent thereof to my grandson, Scott E. Kitaniller. B. Five (5%) percent thereof to my grandson, Keith A. Kitaniller. C. The remaining ninety (9096) percent shall be divided into equal shares and be given to my daughter, Joyce E. Sheaffer, 8nd my son, Barry E. Kitzmillcr, RFl SUBJECT, HOWEVER, m the following cotuiitions: On or about April 15, 1993, my said daughter and her husband borrowed from me the amount of Twenty-seven Thousand (527.000.00) Dollars. Said loan W bear iMtnest at the rate of six (6%) percent per annum. Upon my death, arty balance of principal and interest then rsmainitrg unpaid shall be first deducted from my said daughter's share. Should my said daughter's share in my estate be insufficient m pay such balance, then I diteet my executor to take steps to collect the remaining balance of the said kran. This instruction is made so that my said son, Bang, shall be able to inherit his rightful share in mY estate. in the event it is impossible to collect said balance. the shares distributed shall be adjusted to reflect such facK. 3. I nominate, constitute and appoint my son, Barry E. Kitzmilla, w be the Executor of this my Last Will and Testament. In the event that he should predecease »x a for any tsason be unwilling or unable to act as such Executor, I nominate, constitute and appoint trry grandson, Scott & Kitzmiller and Keith A. Kimmlkr, to be Co-executors in his place and stead. I further ditsct that they shall not be required to file bond as othtr security in the Office of the Register of Wills fot the purpose of admirristering my Estate. IN WITNESS WfIEREOF, I have hereunto set aty hand end seal this ~ day of A.D. 1993. ~,o~ ~ ~ . ~~~ /®~,./ (SEAL) Signed, sealed, published and dexlared by the above-named ESTHER M. KI'f71vIII1,Fd2 as and for her Last Will and Testaa-eny in the pn~ence of us, who at hex request and in her presence, and in the ptesertce of each other, have hereunto substxibed our names as witnesses. A~~o~' ~n~`1~~~ . ~~,~ ~~~~ \~ ,~, r%. ~~ ,a