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HomeMy WebLinkAbout10-31-11 J 1505610101 REV-1500 °` tO1-'°' 1~1' n lvarda OFFICIAL USE ONLY PA Department of Revenue P~ aY County Cade Year File Number Bureau of Individual Taxes "`""~"`"`~"`"""` PO BOX28o6ot INHERITANCE TAX RETURN ® ~ / D O 9 /T Harrisburg, PA x•7128-o6oi RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY 1 t; ~ 7z o71I 5I o / l Decedents Last Name Suffix H Ck IZ (H Applicable) Enter Surviving Spouse's Irrforrnatlon Below Date of Birth~~~~'-~~--MMODYY~~YY ~Il~l/1~~3171 Decedent's First Name MI Spouse's Last Name Sutx Sp ouse's Fi t Nam MI ,_ r es Spouse's Social Security Number ~--~--r~~^~ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE L~JJ REGISTER OF WILLS FILL IN APPROPRU\TE OVALS BELOW is 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-132) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of WIII) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATNIN SHOULD BE DIRECTED T0: Name Daytime Telephone Number C L S / L l! l 7i 7 76 6 ozpi7l ..,. First line of address Second line of address City or Post Office State c ~ /c u ~ Correspondent's a-mall addreaa: Ces{-il~/al,S.3 ZIP Code REGIS'S OF WILLS t196 ONLY r--b ;7J -D C~ ~~'~ . 'y--..~ ~ CA , r f --- <ri r. ~ 0 ;~ '-7 7r= ~ ,.~ ~ DATE FILED" ~-- .ti _ -~~ ~ ~ o s s 91 ~~ SI ' ._. Under penalties of perjury, I dedare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, cornett and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge SX NATLJF~S OF P Rg SOItyRESpflySl , OR F ItJG ETURN DATE ,~/Z,/,/ ADDRE/SYSL~,~`nl/•~~~~~~ /k`T/~ HECKEI'eT 1035 6v. Trundle oj~ lY-eC~IaniCS ur~~ fl 17055 SvNATUR~¢]®~~PA~,TEROTJ~fRTH ~7EPRE ~TIVE- ~ /]DATE /O/yT/, ADDRESS/~j1f///~~~~wJ FC('-r~'H~c4D.S ~~C~~(o C/DllSer ~[!~~ ~P~?j!/CS6N/~i/^'/t ~7aS,~' l• PLEASE USE ORIGINAL FORM ONLY L 1505610101 Side 1 1505610101 J ~~ REV-1500 EX Decedent's Name: ~ Q+U i'D Decedent's Social Security Number RECAPITULATION ' OI'I I! ~II~11111 Y41Y IYI~ 1. Real Estate (Schedule A) ............................................. 1. III®IP IIIM IJI O O 2. Stocks and Bands (Schedule B) ....................................... 2. ~ ~ O 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Scl~dule D) ........................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. ~ ~ 6. Jointly Awned Property (Schedule F) O Separate Bilkng Requested ....... 6. 0 ~ 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 8. Total Grams Assets (total Lines 1 through 7) ............................. 8. O O O ~, D 9. Funeral Expenses and Administrative Costs (S^.hedule H) ................... 9. 3 ~ / O 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. r lwt 0 11. Total Deductions (total Lines 9 and 10) ................................. 11. w ~ 3' / U O 12. Net Value of Estate (Line 8 minus Line it) .............................. 12. ~ D 9 Q 8 l Q 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ 13. , d 11 _ O 14. Net Value Subject to lax (Line 12 minus Line 13) ........................ 14. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0~ 16. Amount of Line 14 taxable at lineal rete X .0 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 1fi 17 18 19. TAX DUE ..........................................................19. 20. FILL !N THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610105 1505610105 1505610105 O REV-1500 EX Page 3 Decedent's Complete Address: File Number ~~_ ~~_ ~/ 2 DECEDENT'S NAME ~~~ ~ ~. L' ~~ STREET ADDRESS 11 - _ 1035 (,u, Tr~n~lle Ra_ an !Y) eCl~lart ics b t~ r sTATE -P ~ ~P 17 o S S Tax Payments and Credits: 1. rax Due (Page 2, Line 1s) (1) 2. CreditslPayments O A. Prior Payments _ B. Discount O Total Credits (A+ B) (2) 3. Interest (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. TMs is the OVERPAYMENT. FiN in oval on Page 2, Lure ZO to request a refund. (4) 5. ff Line 1 + Line 3 is greater than Line 2, enter the difference. TMs is the TAX DUE. (5) Make check payable t0: REGISTER OF WILLS, AGENT. O O D D v PLEASE ANSWER THE FOLLOWING QUESTtONS BY PLACING AN "X" IN THE APPROPRU-TE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use w income of the propeAy transferred :.......................... b. retain the right to designate who shad use the Property transferred w its income : ................................. ........... ^ c. retain a reversionary interest: w ............................................................................................................... ........... ^ d. receive the promise for I'rfe of either payments, benefits w rare? ........................................................... ........... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................... ........... ^ 3. Did decedent own an 'in trust for or payable-upon-death bank account or security at his or her death? ... ........... ^ 4. Did decedent own an individual retirement account, annuity w other non-probate propeAy, which wntains 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. Fw dates of death on w 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. §9416 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after Juty 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent w 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 decedents 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 w for the use of the decedent's siblings is 12 percent [72 P.S. §9116(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. R6V-1502 EX+ (8-99) COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCNEDtlLE A REAL ESTATE ESTATE OF flLE NUMBER NECKEYZT, Ds~-viD ~_ ,Z,/_ ~~_ pi2 All real property owned solely or as a tenant kt common must be roportsd et felr market wlus. Fair market value is defined as the price at which property would be exchanged between a wining buyer end a wining seller. neither being compelled to buy w sen, both having reasonable kmrdedge of the relevant facts. Reel property whkh u )okNly-owned with fight of survhorship moat be disdossd on Sdmdula F. t. Dec.ede+~-t owned 0.n und~~idul er-e-dtnlF (yZ,l ;n~rrsf in Sc/c~ra/ frtaofs of rc~/ esfafe a~4~ 7`re i~lprnvc- /y1e~,~S ~tereon ereefed is ~hcnroe Tp., C~n,b~rla~; ~un~, /'G~iJ4. T~Se are ~ese'rbe~ irre~ ~r/f af' /arse ;.~ /fC free anc/ Ce~rcGE- Cepy of L7CeCcr,/S^iXS sec/ rf ~'onv~i4a«. r~ Terse/f as Sri. haw a~ 1a~~eC~e~e/~f f~ un.~,. ~-C. // a,/x-~1 GG~SO~K/t° 1~7/~e ~~7 ~C/'S?~f l!S ~1C1' ~ T~~"IyIS OJ arcccc%nts fQSf ~v.%/. Tlrr afis'a~avi~ of v~tluc is a /sm ~~ clxc/ heret. ~7~, 7~ oa TOTAL (Also enter on line 1, Recapitulation) I S ~~, 70D • o O (H more space is needed, insert additional streets of the same stze) REV-ia3 Ex In-ogi COtrM10NWEAlTH OF PENNSYIVANW DEPARTMENT OF REV9JUE 6UREAU OF 1NDMDUAL TAXFS ao eoX zeos«i . .._-r... REALTY TRANSFER TAX STATEMENT OF VALUE See Reverse for Instructions Stale Tax Paid BOOk Nllfflbel - Page NUrgbeP - . Date Recorded `~ . Complete each set~ion and file in duplicate with Recorder of Deeds when (1) the full value/txxtsideration is not set forth in the deed; (2) when the deed is without tx>nsidera6on, tx by gift, or (3) a tax exemption is Gaimed. A Sbtement of Value is not required 'rf the transfer is wholly exempt from tax based on: (1) family relationship or (2) public utility easement. If more space is needed, attach addifional sheet(s). A. CORRESPONDENT -All inquiries may be directed to the following person- Name ~' Telephone Number. CH,~R.L6 ~'. SH/~1~.DS ~ t7r7i 76 /O-duo J Str t Address City S e Zip Code ~ C/ouser f1d /nec~i~csd u~r ~~ e 7es~ B. TRANSFER DATA ~ Date of Acce tance of.Docttmerrt. Cxantor(c)A.est:er{s) IMtRDfltt~ K;~HECKeET~ Ficeeufv':X Grantee(tr)+l~eeseers) Mildred K Ht_G~Cert' Street A~/dd~ress ~7 Street Adn~1dr'~ess t~ ClONSt./' GPcI. ~ tAOUSLT Rd ~Y State Zip Code City State Zip Cade /1~ecJla~itesbk PA l7osS 1V~ee{tatttcabK P/1 /7nsS` C. .PROPERTY LOCATION Street Address - C8 Towns ' h t03S W. Tr~nelle ~~. /hoirrae: Tows Count ~ Schoot District Tax Parcel Number C ..~.(U 2x-oq-oS39- 009/1 D. VALUATION DATA 1. Actual Cash Consideration 2.Other Consideration 3. Total Consideration N0~/ir- TiPArtLS~erR By kJ/C~ + NoNtf - /VovF 4. County Assessed Value f 5. Convnon Level Ratio Factor 6. Fair Market Value ~/ 7 DO-'~ rn = 7Q0' x ~ ='r7 700.E E. EXEMPTION DATA 1a. Amount of Exttmption Claimed 1b. Percentage of Interest Conveyed DD 90 /ooTa a~ Es f>R~l%s uatd' . d . 2. Check Appropriate Box Below for Exemption Claimed J~ Witt or intestate succession ~,,,;d j~, f{~~ktr't 2/- // O q/.Z (Name of Decedent) (Estate File Number) ^ Transfer to Industrial Development Agency. ^ Transfer to a trust. (Attach complete copy of trust agreement identifying all beneficiaries.) , ^ Transfer between principal and agent. (Attach complete copy of agency/straw patty agreement.) ^ Transfers to the Commonwealth; the lJnited States and Instrumentalities by gift, dedication, condemnation or in lieu:. of condemnation. (If condemnation or in lieu of condemnation, attach copy of resohrtion.) ^ Transfer from mortgagor to a holder of a mortgage in default. Mortgage Book Number ,Page Number ^ Corrective or confirmatory deed. (Attach complete copy of the prior deed being corrected or confirmed.) ^ Statutory corporate consolidation, merger or division. (Attach copy of articles.)'. ^ Other (Please explain exemption claimed, if other than listed above.) Under penalties of law, I declare that I have examined this Statement, Including accompanying-Information, and to the best of my knowledge and belief, it is true, correct and complete. Signature of Correspondent or Responsible Party ~ Date ~ ~ ~i0// ~ v ~. ~ FAILURE TO COMPLETE THIS FORM PROPERLY OR ATTACH APPLICABLE DOCUMENTATION MAY RESULT IN THE RFr`ARnFR'S QFFI IS01 Tf1 f7~r'ADr1 TYC r1FFrl vl ~~ Y ~ umi L~ Tax Parcel Number: _ 22-09-0539-009A THIS INDENTURR ht MADE THE ~ day of ~~, in the year of our Lord two thousand and eleven (2011). BETWEEN MILDRED K HECKERT ak.a MII.DRED K. KOONS, as Executrix of the Estate of DAVID DONALD HECKERT ak.a DAVID D. HECKERT ak.a DAVID E. HECKERT, deceased, late of Monroe Township, Cumberland County, Pennsylvania, Grantor, and the same said MILDRED K. HECKERT ak.a MH,DRED K. KOONS, the unremarried widow of the said decedent, of Monroe Township, Cumberland County, Pennsylvania, Grantce. WHEREAS, the said David Donald Heckert ak.a David D. Heckert a.k.a. David E. Heckert, was vested in his lifetime with title to the premises hereinafter described, in the Township of Monroe, County of Cumberland and Commonwealth of Pennsylvania; and WHEREAS, the said David Donald Heckert ak.a David D. Heckert ak.a David E. Heckert, departed this earthly life, testate, on the 14th day of July, 2011, and Letters Testamentary were duly issued to the said Mildred K Heckert ak.a Mildred K. Koons, by the Register of Wills of said Cumberland County, docketed to No. 21-11-0912; and WHEREAS, the lands herein-mentioned were not specifically devised: and WHEREAS, the Grantce heroin is the sole residuary beneficiary of the said Last Wi1L NOW, THEREFORE, THIS INDENTURE WITNESSETH, that the said Mildred K Heckert ak.a Mildred K Koons, Executrix, as aforesaid, for and inconsideration of the sum of ONE and No/IOOths (51.00) DOLLAR, and other good and valuable considerations, to her 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 confumed, and by these Presents. by virtue of the power and authority in her 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 of the said Estate's undivided ono-half interest in and to the premitcs described hereinbelow, to wit: TRACT NO. l ALL THAT CERTAIN tract of land, together with the improvements thereon erected, situated in Monroe Township, Cumberland County, Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING in the center of a Township Road, Route No. 641,,and at lands now or formerly of Frank E. Failor; thence along said lands in a southerly direction, a distance of two hundred twenty-five (225) feet to lands now or formerly of Grpah L. Benner; thence by said last- mentioned lands in a westerly direction, a distance of eighty (80) feet to leads now or formerly of Orpa6 L• Benner; thence along said last-mentioned lands is a northerly direction, a distance of two hurrdrod twenty-five (225) feet to the center of Route No. 641; thence along the center of Route No. 641 in an easterly dirocdon, a distance of eighty (80) feet to the place of BEGINNING: HAVING THEREON ERECTED a single family brick dwelling house numbered as 1035 West Trindle Road, Mechanicsburg, Pennsylvania. BEING THE SAME PREMISES which Elmer Hertzler, widower, by his deed dated December 17, 1984 and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book "A", Volume 31, Page 1032, granted and conveyed unto David D. Heckert and Mildred K. Koons, then unmarried and thus each taking an equal undivided interest therein as tenants in common The said David D. Heckert, as above set forth has since departed this earthly life. His said Estate is the Grantor of his undivided interest in the said premises. TRACT N0.2 ALL THAT CERTAIN piece or parcel of land, with the improvement erected thereon, situate in the Monroe Township, Cumberland County, Pennssylvanis, bounded and described as follows, to wit: BEGINNING at a point marked by an iron pin in the southeast corns of otha lands of David D. Heckert and Mildred. K. Koons; thence extending along the division line between Lots Nos. 3 and 4 on the hereinafter mentioned Plan of Lots, South 02 degrees 39 minutes 11 seconds East, a distance of 25.00 feet to an imn pin; thence along the southem line of Lot No. 4 on the hereinafter mentioned Plan of Lots, North 89 degrees 51 minutes 03 seconds West, a distance of 88.44 feet to an iron pin; thence along the western line of Lot No. 4 on the hereinafter mentioned Plan of Lots, North 02 degrees 39 minutes 11 seconds West, a distance of 5.00 feet to an iron pin at the southwest corner of said other land.of David D. Heckert and Mildred K. Koons, aforcmendoned; thence along the northern line of said Lot No. 4, being also along the southern liter of said other lands of David D. Heckert a~ Mildred K. Koons, North 75 degrees 41 minutes 21 seconds East, a distance of 80.00 feet to an iron pin of the southeast comer of said other lands of David D. Heckert and Mildred K. Koons, first above mentioned, at the point and place of BEGINNING. BEING Lot No. 4 on the Final Subdivision Plan for Frank E. Failor and Katharine M. Failor, his wife, which said Plan is recorded in the Cumberland County Recorder's Office in Plan Book 52, Page 102. BEING THE SAME PREMISES which Arlene I. Ebersole, et al, by then deed dated June 10, 1987 and recorded in the Recorder's OtEce aforesaid, in Deed Book "T", Volume 32, Page L015, granted and~conveyed unto David E. Hxkert (being one and the same as the aforesaid David D. Heckert) and Mildred K. Koons, then unmarried and thus each taking an equal undivided interest therein as tenants is common. The said David E. Heckert (also (mown as David D. Heckel), as above set forth has since departed this aartldy Gfe. His said Estate is the Grantor of his undivided iatere~ in the said premises. TRACT N0.3 ALL THAT CERTAIN piece or parcel of land situate in the Monroe Township, Cumberland County, Pennsylvania, bounded and described as follows, to wit: BEGINNING at a point makked by an iron pin in the southeast corner of other lames of David D. Heckert and Mildred K Koons; thence extending along the Eastern line of said other lands of David D. Heckert and Mildred K. Koons, the same also being the dividing line between said other lands of David D. Heckert and Mildred K. Koons and Lot No. 3 on the hereinafter mentioned Plan of Lots; North 02 degras 39 minutes I 1 seconds West, a distance of 199.58 feet to an iron pia; thence along the line of Iands now or formerly of Frank E. Failor and Katharine M. Failor, his wife, of which this was formerly a part, being also along the division line between Lots Nos. 1 and 3 on the hereinafter mentioned Plan of Lots, South OS degrees l l minutes 33 seconds East, a distance of 225.29 feet to an iron pin; thence by the same, North 89 degrees 51 minutes 03 seconds West, a distance of 10.00 feet to an iron pin in the southeast comer of Lot No. 4 on the hereinafter mentioned Plan of Lots; thence along the division lute betwcen Lots Nos. 3 and 4 on said Plan, North 02 degrees 39 minutes 11 sa;onds West, a distance of 25.00 feet to an iron pin in the southeast comer of other lands of David D. Heckert and Mildred K. Koons, first above mentioned, at the point and place of BEGINNING. BEING Lot No. 3 on the Final Subdivision Plan for Frank E. Failor and Katharine M. Failor, his wife, which said Plan is recorded in the Cumberland County Recorder's Office in Plan Book 52, Page 102. BEING THE SAME PREMISES which Frank E. Failor and Katharine M. Failor, his wife, by their decd dated June 2, 1987 and recorded in the Recorder's Office aforesaid, in Deed Book `T", Volume 32, Page 1019, granted and conveyed to David D. Haclcert and Mildred K. Koons, then unmarried and thus each taking an equal undivided interest therein as tenants is common. The said David D. Heckert, as above set forth has since departed this earthly life. His said Estate is the Grantor of his undivided interest in the said premises. FOR PURPOSES OF ADDITIONAL INFORMATION AND CLARIFICATION: The above described throe (3) tracts were deeded in 1984 and 1987 while the then Grantces were unmarried. Thus, as above set forth, each took an undivided ono-half (Yz) interest in and to each of the said three (3) tracts. Subsequently, at least as early as March of 1991, the said David D. Heckert and the said Mildred K. Koons, began to openly hold themselves out to the public as husband and wife, and intending to be and agreed to be husband and wife became such under the then effective Laws of the Commomvealt6 of Pennsylvania regarding common law marriages. For record proof of the same sce the duly probated Last Will and Testament of the said David D. Heckert available in the Estate file in the Register's Office aforesaid docketed to No. 21-11-0912. Additionally, the said couple were formally and officially confirmed in their marriage by the Reverend Sharon Marquart on the 29th day of Apri12011 at Mechanicsburg, Cumberland County, Pennsylvania under the official names of David Donald Heckert and Mildred Kay Koons, in accordance with the marriage license issued by Glenda Fanner Stra46augh, Clerk of the Orphans' Court of Cumberland County, Pennsylvania, No. 20l 1- 0000242. In view of the fact that the subsequent marriages did not work a conversion of the tenancy in common ownership into a tenancy by the entirety, the Purpose of this deed of conveyance is to unify the ownership of both halves of the ownership of said premises into one whole owned by the said umemarried widow and Grantee herein. THIS GRANT AND CONVEYANCE IS REALTY TRANSFER TAX EXEMPT IN THAT 1T IS A TRANSFER FOR NO OR NOMINAL CONSIDERATION OF PROPERTY PASSING BY TESTATE SUCCESSION FROM A PERSONAL REPRESENTATIVE OF A DECEDENT TO THE DECEDENT'S DEVISEE OR HEIR PER SECTION 1102-C.3 (7) OF THE REALTY TRANSFER TAX ACT. 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 aPpurtenanoes, unto the said Grantce, her heirs and assigns. to and for the on1Y ProPa use and behoof of the said Grantee, her heirs and assigns, forever. AND THE SAID GRANTOR, Executrix, as aforesaid, her successors and assigns does covenant, promise and agrce 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, shalLor may be impeached, charged or encumbered in title, or otherwise howsoever, IN WITNES3 WHEREOF, the said Executrix of the Estate of David Donald Heckert a.k.a. David D. Heckert a.lca. David E. Heckert, decxased, Grantor herein, has hereunto set her hand and seal the day and year first above written. Signed, Sealed and Delivered in the Presence of: ' ~ ~ ~ ~ (sEAL) 1KII.DRED K. HECKERT, Ezecutriz of the Esbte of DAVID DONALD HECKERT a.k.a. ' David D. Heckert a.k.a. David E. Heckert, ~DI Deceased _""~`~-c ~ i~^u.~t4~ ~~C/'/~.a~ (SEAL) a.k.a. MILDRED K. KOONS Ezeeutriz of the Estate of DAVID DONALD HECKERT a.k.a. David D. Heckert a.k.a. David E. Heckert, Deceased 1 ~r~ '~~~~1~~~.cou6- (SEAL) MII.DRED I{. CKERT, in her own individual right _/?r~'"~`~'~ ~ ~~~ (SEAL) aka MILDRED K. KOONS, in her own individual right COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ~X~ On this, the ~ day of dom.- . A.D. 201 I, before me a notary public, in and fa the Commonwealth of Pennsylvania, personally appeared MILDRED K. HECKERT a.k.a. MILDRED K. KOONS, uaremarried widow, known to me (or satisfactorily Proven) to be the person whose name is subscribed as Executrix of the Last Will and Testament of David Donald Heckert a.k.a. David D. Heckert a.k.a. David E. Heckert, and acknowledged that she executed the same in such capacity. IN WITNESS WHEREOF, I hereunto set my hand an official seal. ~~~ ~,cA~~~~- Notary Public My commission expires: (SEAL) ~~w~ SYLVANM ~~~NaYry Pue~c MrArq '~~~ m 2 CERTIFICATE OF R!~'SIDENCE ~~ereby ce~rU_ fy tl~t~the~ise and e~ct ~ostpffice address of the within Grantee is: Attorney for Grantee ~NYSJ ROBERT P. ZIEGLER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 717-240-6370 Instrument Number - 201128642 Recorded On 10/17!2011 At 12:21:21 PM * Instrument Type -DEED Invoice Number -95053 User ID - JM * Grantor - IIECKERT, DAVID DONALD * Grantee - HECKERT, MILDRED K * Customer - i.FS SAIELDS *FEES STATE WRIT TA7C $0.50 STATE JCS/ACCESS TO $23.50 JUSTICE RECORDING FEES - $15.00 RECORDER OF DEEDS PARCEL CERTIFICATION $10.00 FEES AFFORDABLE HOUSING $11.50 COUNTY ARCHZVE3 FEE $2.00 ROD ARCHIVES FEE $3.00 C:UI~ERLAND VALLEY SCHOOL $0.00 DISTRICT MONROE TOgiNSHIP $0.00 TOTAL PAID $65.50 * Total Pages - 7 Certification Page DO NOT DETACH This page is now part of this legal document. I Certify this to be recorded in Cumberland County PA RECORDER O D ~~Ti ~s +~eo - lnformatioa denoted by au asterisk may change during the veriticntion process and may not be reth;ctcd on this page. IIWIIIIIIIIYI REV.1508IX• (7A7j SCHEDULE E CAMMONN'EALTHOFPENNSYLVANta CASH, BANK DEPOSITS, & MISC. INNEPoTANtCrtEDE~ N M~ PERSONAL PROPERTY ESTATE OF FILE NUMBER /-IEC~cEnT, ~~Y/~ b_ zr-//-9/Z Include the proceeds of litigation end the dale the proceeds wefe received by the estate. AN proMKY letnttyowned rdtl(1M ripM of sievivorthip must be dkcloted on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. 02003 l~dy~e /tic.(=/[P ~ l,Z ODD•sa ~ • ! ? 9 5~ L: n ~o/n Luo~:n~n t~ l '~ ~ z mo . , oo. ~'. oTOOb Chevy o5'i~/~u'ac~o pi 4E-up >< C b0 800 / . ! r 1,t~n Nsr ; Z~tn,s ~ pnd 2 ~H~' ac~utu,~ sales Pricc r ~!(of~ier ifu,;s a~' /o~•~-senaly aueie o~a~x~ 6y /~'te ~nfy'~fies rora. Also enter on line s. Recapilulalion> I s 3~, 200. ~ (M more space (s needed, insert addltronal streets ~ the same size) .REV-1511'EX+ (10-0f3) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADNIINISTRATNE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMIBER ~IFC/«eT, D~v~~ ~_ 2/- //- cf~2 Debts o4 decedent must be reported on Scheduy L ITEM A• I FUNERAL EXPENSES: t. B. I ADMINISTRATIVE COSTS: 1. Personal Representative's Comm'ssions Name of Personal Representative(s) l11 i I dyed K. I-Icclt er f Street Address I o 3 5 Iu. 'T'r; r~ c~ le Qd. c;h _ rnecklwl~ ~ ~sb ury ware ~zv Ian ss' tv[t.- ved . Year(s) Commission Paid: 2- Attorney Feas Cko,ar-, e s E. S h ~ el d s ~ ~,~,., ~{ eter~-~, ; n cd ~ 3• Fatuity Exemption: (N decedents address is not the same as daimant's, attach explanation) Claimant tu t Id red J(, f -I eC Gr't n f 3~ S D O, D D StreetAddtr~enss 1035 W. Trin~le V`c~. City I -1 PC~p/Y1 r C ~b K--~ State p~ Zip I ~] O •~ Relationship of Claimant to Decedent W r ldpw a• Probate Fees amd Or~g~nnl -tSSµC 0'r S4to~t CCr1'itltn~'cs ~ lo~.so 5• Axountant's Fees Kloyd ~hnesFacr, f~eCoun~::Ly f}ssoos. B. Tax Return Preparer's Fees ~ t wi det'er"M i n¢d ) '. f~dr/i/z'bMa/ probafc ~ ~a ~(cyisJ~tr v~ G~i%/s 8 f doo, DO F.'/.'a' Fie fo ~o~:sfer c f lv.%/s ¢ /S, o0 TOTAL (Also enter on line 9 Recapitulation) I i 3 8~ S Sr7 (tf more space is needed, insert additional sheets of the same size) ncr• ~u w ut ~a-w~ SCNEDYLE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT C~IAIC Vt H E C K En T, DA-/! D D. FILE NUMBER ~l-!1 -9i7 NUMBER NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY () RELATIONSHIP TO DECEDENT Do Not U>KTtwba(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS [include oulrigM spousal distributions, and transfers under Sec. 9116 (e) (1.2)) 1' Mtl.D12E~ K. HEr/'KERT W~dotc) fo3s W. Tr~fld~e ~c'. ~C70pD ll1ecl~anisshu~y pA- I7ass ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S ~a liana alwuf iD nB90BO, IRSBR 8 0 6 111 0118 1 Sheets 01 ti18 S8In9 SIZe) Z, DAVID D. HECI(ERT, of the Township of Monroe, County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon as conveniently may be after my decease. 2. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to my wife, Mildred K. Koons. 3. in the event, however, that my said wife should predecease me or should die at about the same time as I do, such as in a .disaster common to both of us, i direct that my estate shall be divided as follows: A. Thirty (303) percent thereof to my daughter, Sharon Rittle. B. Thirty (303) percent thereof to my daughter, Lorraine Sanden. C. Thirty (303) percent thereof to my son, David A. Heckert. D. Ten (103) percent thereof to my wife~s sister, Shirley L. Snyder. 4. Should Shirley L. Snyder predecease me, then her share shall be equally divided among my three (3) children oer stirpes. Should any of my said children predecease me and not be survived by children, then their share shall be equally divided between their surviving brother and sisters as the case may be. Should any of my said children predecease me and be survived by children, then their share shall qo to their children Aer 1 stiroes. 5. I direct that my personalty (excluding my clothing, toiletries, and the like and any items specifically bequeathed by me upon a separate piece of paper enclosed herewith) and realty be sold by my Executrix at public auction. Any of my children including my Executrix shall be free to bid upon such items. My Executrix, in conjunction with my auctioneer, shall have the right to keep a reserve bid and do other things which are considered customary in connection with auctions of personalty or realty. 6. I nominate, constitute and appoint my wife, Mildred K. Koons, to be the Executrix of this, my Last Will and Testament. If she should predecease me, or for any other reason be unable to act as Executrix, I appoint my son, David A. Heckert, to be the Executor in her place and stead. if he should predecease me, or for any other reason be unable to act, or to continue to act, as such Executor, I appoint my daughter, Sharon Kittle, to be the Executrix in his place and stead. I further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. 7. I authorize and empower my personal representative, in her sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized, or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of, or grant options in regard to any or all property oP any kind forming a part of my Estate for such terms and such prices as she may deem advisable; to borrow money for any purposes connected with the protection and preservation of my Estate; to mortgage or pledge any real or personal property forming a part of my Estate; or to join in or secure the partition of same; to compromise any claims or demands 2 _...___ _- . __.....T..,....__.~.._-._,..~..,..,,~.,~-_.~T..._._.~.,.f.~._._r__~,__.. of my Estate against others or of others against my Estate; to make distribution in kind and to cause any share to be composed of cash, property in undivided fractional shares in property different in kind from any other share; and to execute and deliver such instruments as may be necessary to carry out any of these powers. IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~~ day of ~~~j A.D. 1991. ~~ .f7-%'~L.c.+.ti/i ( SEAL) Signed, sealed, published and declared by the above-named DAVID D. HECKERT, as and for his Last Will and Testament, in the presence of us, who at his request and in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ~~ 3 ~ ~~ ~ ^~~ ~~ ~~ ~~~U ~~~5 ('V~ N ^ \ C/~ M " ~., ; - ~- CY '-`, , ~;_ "... YU~~ >i~ ~ c ~... ca_ cc. ~..,L„ !s._ ~- ~~ U ~n v ~ ~ W a ® CR aN ~ J ~ O ~~ a W v o LL m m- ~ ~ N °z~~ ~ ~ Ov~N Q ~ ~ >- ~ N ~ HAM __ Qrt6~~ ~ J O Cn G aNU-~U , ~ V-~~Q mc~io ~ H m ~g~a= ~ wo~~~ ° F-woCN= T ~ m ~ J ~ a W ~ ~U Q wow ~Urt~ a =gym .. N v~¢v O rn~- H Qo~ ,a r ~~~ N CHARLES E. SHIELDS, III ATTORNEY-AT-LAW 6 CLOUSER ROAD Corner of Trindle and Clouser Roads MECHANICSBURG, PA 17055 GEORGE M. HOUCK TELEPHONE (717) 766-0209 (1912-1991) FAX (717) 795-7473 October 27, 2011 Register of Wills Cumberland County Court House 1 Courthouse Square Cazlisle, PA 17013 Re: Estate of David D. Heckert No. 21-11-0912 Deaz Register of Wills: Please find enclosed for filing 2 copies of the Inheritance Tax Return for the David D. Heckert Estate as well as Check No. 3171 in the amount of $15.00 for the filing fee, and Check No. 3172 in the amount of $200.00 for additional. Thank you for your kind attention to this matter. Very truly yours, Charles E. Shields, III Attorney-At-Law CES/mj j Enclosures .: _. n •~ ,._Q ..., p ~ c~ !~ j r~ .gym W ',..,_ ,~ ~-~ ~ ~ "7 C7'r~ ';`~ J e= _ r .. ~ ~ r =---: c~ "~ G P.. --re