HomeMy WebLinkAbout03-0551PETITION FOR PROBATE and GRANT OF LETTERS
Estate ofFAYE L. WAGNER,
also known as
Deceased
SocialSecurityNo. 19.~-24-1294~a.~
03-
To: Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner is 18 years of age or older and the Executor named in the last will of the above
decedent, dated September 25, 2002, and codicil(s) dated [none].
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or
principal residence at 13 High Street, South Middleton Township, Boiling Springs, Pennsylvania.
Decedent, then 70 years of age, died June 9, 2003, at 13 High Street, South Middleton
Township, Pennsylvania.
Except as follows, decedent did not marry, was not divorced and did not have a child bom or
adopted after execution of the will offered for probate; was not the victim of a killing and was never
adjudicated incompetent: [none]
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ 50,001.00
$
$
$
WHEREFORE, petitioners respectfully request the probate of the last will and codicil(s) presented
herewith and the grant of letters testamentary thereon.
Leo A. Wagner
13 High Street
Boiling Springs, PA 17007
717/258-3717
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
The petitioner above-named swears or affirms that the statements in the foregoing petition are true
and correct to the best of the knowledge and belief of petitioner and that as personal representative of the
above decedent, petitioner will well and truly administer the estate according to law.
Sw°rn t° °r affirmed land subscribed o~A.W~
before me this o~--~--~ day of agner
~ ,2003.
- oa-o ,
~' ' 0eg~ster (}
'0.~ JUL-2 PI:O1
No.
Estate of FAYE L. WAGNER, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, ~.~ "-/ , 2003, in consideration of the petition on the
reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated September 25, 2002, and described therein be admitted to
probate and filed of record as the last will ofFaye L. Wagner and Letters Testamentary are hereby granted
to Leo A. Wagner.
Will Book
Page
FEES
Probate, Letters, Etc. $ I1.~.
Short Certificates (5) $ !.~.
TOTAL
Regist erv ills O
Stephen L. Bloom, Esquire
Sup. Ct. I.D. No. 49811
2100 Longs Gap Road
Carlisle, PA 17013
(717) 249-7717
C:~LAS~ESTATES\10265-3 pet. 1
JUL -2 P1
105.805 REV 9/86
'Fi~is is to certiA' t!~at the information here given is correctly copied from an original certificate of death duly filed with me as
L()cal Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 9283915
No.
Local Registrar
JUN 1 1 200
Date
m0s.:~.l R~, wa7 COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH ,, VITAL RECORDS
.T CERTIFICATE OF DEATH
NT
192-- 24 -- ~294 ,.June 9, 2003
70 i ! 1/25/1933 Cartis~ PA ,~,~n ,.~t~~ ~ (~ l-I ~,.,~ (~[]
~'~l Cumber£and South Midd~eto PA 17007
13 High St~
Boiting Springs PA 17007
Harper L. Martin
Leo A. Wagner
6/11/2003 er Crematory
Hotty Springs PA 17065
'db ;)l/OK
LAST WILL AND TESTAMENT
I, FAYE L. WAGNER, of South Middleton Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all
inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate. My personal representative shall have no duty or obligation to
obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other
property not passing under this Will.
If my spouse shall survive me by thirty (30) days, then I give, devise and bequeath all of my
estate, both real and personal property, unto my husband, LEO A. WAGNER, absolutely.
3.
In the event my said husband, LEO A. WAGNER, shall predecease or fail to survive me by
more than thirty (30) days, then I give, devise and bequeath all of my estate, both real and personal
property, in equal shares, unto my following three children: JASON A. WAGNER, TERRI A.
REISINGER, and KIMBERLY A. HAYMIRE, with substitution of issue per stirpes.
Page 1 of 4 Pages
F.L.W.
I nominate, constitute and appoint my said husband, LEO A. WAGNER, as Executor of my
estate. In the event he shall be unable or unwilling to serve in such capacity, then I appoint my son,
JASON A. WAGNER, to act in such capacity. In the event he shall be unable or unwilling to serve
in such capacity, then I appoint my daughters, TERRI A. REISINGER and KIMBERLY A.
HAYMIRE, to act in such capacity.
I direct that my personal representative shall not be required to file a bond to secure the
faithful performance of his or her duties in any jurisdiction.
I authorize and empower my personal representative, in his or 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 of any kind forming a part of my estate for such
terms and such prices as he or 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 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 or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my personal representative considers desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition, I direct that my personal representative shall have the power to conduct an inventory of any
safe deposit box necessary to the administration of my estate.
Page 2 of 4 Pages
F.L.W.
IN WITNESS WHEREOF I have hereunto set my hand and seal this 25th day of September,
2002.
Fa~agner LKJ~ (SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
Page 3 of 4 Pages
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF CUMBERLAND )
SS.
I, Faye L. Wagner, Testatrix, whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act
for the purposes therein expressed.
Faye L. Wagner
Sworn or affirmed to and acknowledged before me by Faye L. Wagner, the Testatrix, this 25th
day of September, 2002.
N~)t~y Publi~
COMMONWEALTH OF PENNSYLVANIA )
'SS.
COUNTY OF CUMBERLAND )
Notarial Seal
Loft A. Sullivan, Notary Public
Carlisle Bom, Cumberland County
My Commission Expires Feb, 16, 2004
Mofllbor, Pe~sylvani, ~a:~sociationo~Notarios
the 'tnesses whoge nines ~e signed to the attached or foregoing instrument, being duly qualified
according to law, do depose ~d say that we were present ~d saw Faye L. Wagner, the Testaffix,
sign ~d execute the instrument as her Last Will; that the Testatrix signed willingly ~d that the
Testatrix executed it as her free ~d vol~t~ act for the p~oses therein expressed; that each of us,
in the he~ing ~d sight of the Testatrix, signed the Will as witnesses; and that to the best of our
~owledge the Testatrix was at that time 18 or more ye~s of age, of sold mind ~d under no
constraint or ~due influence·
Address ~/~ ~? x ~ ~ ~
Sworn or affirmed to and subscribed bef~e me this 25th day of September, 2002.
Not~-y Publi[ -
Notarial Seal
C:\SLB~Estate Planning\10265-will.2.w.doc _ LOd A. Sullivan, Notary Publio I
Carlisle Bom, Cumberland County I
_~ Commissk~ Expires Feb. 16,20041
Page 4 of 4 Pages "~-~*,~-~-~'v~
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: FAYE L. WAGNER
Date of Death: June 9, 2003
File No. 2003-00551; PA File No. 21-03-0551
To the Register:
! certify that Notice of Beneficial Interest required by Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above estate on November 12,
2003:
Name
Leo A. Wagner
Address
13 High Street, P.O. Box 142, Boiling Springs, PA 17007
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: N/A
Date: November 12, 2003
C:\Office - Estate Adrninistration\10265.3cert.not.doc
~ phen L Bloom, Esquire
2100 Longs Gap Road
Carlisle, PA 17013
(717) 249-7717
Capacity: Counsel for Personal Representative
........ REV-1500
OOMMO.WE~OF.~N.~LV..,* INHERITANCE TAX RETURN
OEPARTMBX~T OF REVENUE
D~.~ ~.o~, RESIDENT DECEDENT
,I DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
~ Faye L
DATE OF DEATH (MM-DD-YEAR)
I DATE OF BIRTH (MM-DD-YEAR)
i 06/09/2003 I 01/25/1933
[If APPLICABLE) SURVIVING SPOUSE'S NAME I LAST, FIRST AND MIDDLE INITIAL)
Wagner, Leo A
- * 1~-31~9 and ~-951 ~
Stephen L. Bloom
~ I Original Return ~ 2. Supplementa~Return []
[] 4 Limited Estate [] 4a Futurelnterest Compromise (dae o deathafter
[] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach
of Wilt) copy of Trust)
[] 9. Litigation Proceeds Received [] 10. SpousalPovertyCredit(dateofdeathbetween []
=iRM NAME (If applicable)
Stephen L. Bloom, Esquire
tELEPHONE NUMBER
717/24%7717
COMPLETE MAILING ADDRESS
2100 Longs Gap Road
Carlisle, PA 17013
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
[] Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Morlgage Liabilities, & Liens (Schedule I)
11, Total Deductions (totaJ Lines 9 & 10)
(1) Non
(2) i ,676A
(3) Non~
(4) Nonb
(5) 7 607.47
(6) Novm
(7) None
(9) 6,309.01
(10) 3,371.53
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14, Net Value Subject to Tax (Line 12 minus Line 13)
21 03 00551
SOCIAL SECURITY NUMSER
193-24-1294
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
204-26-9581
3 Remainder Return (date of death prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11 Election to tax under Se& 9113(A) (Attach Sch O)
(8)
(11)
(12)
(13)
(14)
9,284.41
9,680.54
insolvent
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate,
or transfers under Sec, 9116(a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18, Amount of Line 14 taxable at collateral rate
19. 3'ax Due
x .00 (15)
x .045 (16)
x .t2 (17)
x .15 (18)
(19)
Copyright 2000 form software only The Lackner Group, Inc. Form REV-I$00 EX (Rev. 6-00)
· Decedent's Complete Address:
STREET ADDRESS
CITY 13 High Street
! STATE I ZIP
Boiling Springs I PA I 17007
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits (A + B + C)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Totar Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
(1)
(2)
(3)
(4)
(5)
(SA)
(5B)
0.00
0.00
0.00
0.00
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; .................................................................................. ~
b. retain the right to designate who shall use the property transferred or its income; ....................................
c. retain a reversionary interest; or ..................................................................................................................
d. receive the promise for life of either payments, benefits or care? ..............................................................
2.If death occurred after December 12, 1982, did decedent transfer property within one year of death without
rece v ng adequate cons deret on?
3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? ......... []
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
conta ns a benef c ary des gnat on'~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalbes of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the bast of my knowledge and belief, ~t is true, correct and complete. Declaration of
S~GNATURE OF PERSON RESPONSIBLE FOR FILING RETURN
SI~N RESPONSIBLE FO~
ADDRESS DATE
Boiling Springs, PA 17007 ~
ADDRESS
SIGNATURE OF PREPARER~ ~H ~S~ENAN RE SENTATIVEI*v ADDRESS DATE
Stephen L. BIOO
~ _~ Carlisle, FA 17013
For ?ales of death on or alter July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfecs to or for the use of the surviving spouse is 0%
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116
1.2) [72 P.S. §9116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Wagner, Faye L FILE NUMBER
21 - 03 - 0055 l
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE OF
NUMBER UNIT VALUE DEATH
I 1,676.94
DESCRIPTION
fla8teShofa/~Se~t~mmon Stock, Pepsico Inc., at $44.13 ~ of high and ow pr ce on
TOTAL (Also enter on line 2, Recapitulation) 1,676.94
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALT~ OF PENNSYLVANJA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Wagner, Faye L FILE NUMBER
21 - 03 - 00551
Include the proceeds of litigation and the date the proceeds were received by the estate A I property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE OF
DEATH
Citizens Bank, Checking Account #6100894479, date of death balance
7,607.47
TOTAL (Also enter on Line 5, Recapitulation) 7,607.47
RESIDENT DECEDENT
ESTATE OF
Wagner, Faye L
FILE NUMBER
21 - 03 - 00551
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Secudty Number(s) / EIN Number of Personal Representative(s):
Street Address
City State -- Zip
Year(s) Commission paid
Attorney's Fees Stephen L. Bloom, Attorney and Counsellor at Law
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Leo A. Wagner
Street Address 13 High Street
City Boiling Springs State PA
Relationship of Claimant to Decedent Spouse
Probate Fees Cumberland County Register of Wills
Zip 17007
Tax Return Preparer's Fees
Other Administrative Costs
Publishing Fee, Estate Legal Notice, Cumberland Law Joumal
Publishing Fee, Estate Legal Notice, The Sentinel
TOTAL (Also enter on line 9, Recapitulation)
2,500.00
3,500.00
149.00
75.00
85.01
6,309.01
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wagner, Faye L
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
FILE NUMBER
21 - 03 - 00551
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION AMOUNT
Waypoint Bank, Loan #5551000099, date of death balance due 3,371.53
TOTAL (Also enter on Line 10, Recapitulation) 3,371.53
STEPHEN L. BLOOM
ATTORNEY AND COUNSELLOR AT LAW
2100 LONGS GAP ROAD.
CARLISLE,.PEN NSYLVAN IA 17013
717-249-7717
LAST 'friLL AND TESTAMEI~rr
I, FAYE L. WAGNER, of South Middleton Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to be my
Last Will and Testament, hereby revoking any and ail former Wills or Codicils by me made.
1.
I direct that ail my legaily enforceable debts, funeral expenses, testamentary expenses and ail
inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shail be paid from my residuary estate as soon as practicable after my decease and as part
of th'e administration of my estate. My personai representative shall have no duty or obligation to
obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other
property not passing under this Will.
2.
If my spouse shail survive me by thirty (30) days, then I give, devise and bequeath ail of my
estate; both real and personai property, unto my husband, LEO A. WAGNER, absolutely.
3.
In the event my said husband, LEO A. WAGNER, shail predecease or fail to survive me by
more than thirty (30) days, then I give, devise and bequeath ail of my estate, both real and personal
property, in equal shares, unto my following three children: JASON A. WAGNER, TERRI A.
REIsINGER, and KIMBERLY A. HAYMIRE, with substitution of issue per stirl~es.
Page 1 of 4 Pages
F.L.W.
I nominate, constitute and appoint my said husband, LEO A. WAGNER, as Executor of my
estate. In the event he shall be unable or unwilling to serve in such capacity, then I appoint my son,
JASON A. WAGNER, to act in such capacity. In the event he shall be unable or unwilling to serve
in such capacity, then I appoint my daughters, TERRI A. REISINGER and KIMBERLY A.
HAYMIRE, to act in such capacity.
5.
I direct that my personal representative shall not be required to file a bond to secure the
faithful performance of his or her duties in any jurisdiction.
6.
I authorize and empower my personal representative, in his or 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 of any kind forming a part of my estate for such
terms and such prices as he or 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 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 or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them ~uch power as my personal representative considers desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to cant out any of these powers. In
addition, I direct that my personal representative shall have the power to conduct an inventory of any
safe deposit box necessary to the administration of my estate.
Page 2 of 4 Pages
F.L.W.
2002.
Fa3Je 1[. Wagner
(SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
our names as witnesses thereto, in the presence of the said Testatrix and of each other.
Page 3 of 4 Pages
COUNTY OF CUMBERLAND
: SS.
)
I, Faye L. Wagner, Testatrix, whose name is signed to the attached or foregoing instrument,
.having been duly qualified according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act
for the purposes therein expressed.
Faye L."'Wagner
Sworn or affirmed to and acknowledged before me by Faye L. Wagner, the Testatrix, this 25th
day of September, 2002.
N~)t~h/y Public ~
~ ~ Sullivan, ~ Publlo I
CarlMe Bom, Cunlbeffmld County I
COMMONWEALTH OF PENNSYLVANIA ~ ~ r~a~ r-~. ~e, coo4 ]
COUNTY OF CUMBERLAND
)
:SS.
)
the witnesses whoge names are signed to the attached or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw Faye L. Wagner, the Testa~ix,
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of us,
in th~ hearing and sight of the Testatrix, signed the Will as wimesses; and that to the best of our
knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence.
C:kSLB\Esmte Planning\ 1026$-will.2.w.doc
Sworn or affirmed to and subscribed before me this 25th day of September, 2002.
N o t'ff. ry ~ubli~
I No~q-, S.~ I
~ ^. ,Sullivan, Iqom~t Public I
· . _Otu~e,__n~,_, Cum~dahd County I
Page 4 of 4 Pages r,~,a,,,~;,,q~:.c.:a~,,~um
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http://finance.yahoo.com/q/hp?a=O5&b=9&c:2OO3&d=O5&e=9&f=2OO3&g:d&s=PEp 9/16/2004
CITIZENS BANK
525 William Penn Place
Suite 153-2510
Pittsburgh, PA 15219
October 2, 2003
LORI A. SULLIVAN
2100 LONGS GAP ROAD
CARLISLE, PA 17013
Estate of FAYE L. WAGNER
Date of Death: Jun 09, 2003
SSN: 193-24-1294
Dear Madam:
In accordance with your request, the attached information sheet has been provided in the above
decedent's name as of her date of death.
For IL or LC accounts, contact our Loan Department at 1-800- 708-6680.
Sincerely,
Carol DeMarco
Operations Services
CITIZENS BANK
Account Number 6100894479
Account Title FAYE L WAGNER
Date Opened
Account Type Checking
Principal Balance as of DOD $7607.47
Interest fi.om Last Posting to DOD $0.00
Account Balance as of DOD $7607.47
YTD Interest to DOD $1045.00
S T I~ P ~-1 1.~ N L. B L 0 0 M
September 02, 2003
Invoice submitted to:
Wagner, Faye L Estate
13 High Street
P.O Box 142
Boiling Springs, PA 17007
Leo A. Wagner, Executor
SLB
PL
In Reference To: Estate Administration - Initial Interim Billing Statement
(6125103-8131103)
invoice # 1289
Federal EI.N. for Form 1099 Reporting: 25-1851818
Professional Services
Review Testamentary Documents; Preliminary Preparations for Estate
Administration; Evaluation and Planning for same; Conference with Executor
and Family Members of Decedent; Review/finalize various documents
including Petition for Grant of Letters Testamentary, Estate Information
Statement, Certificate of Grant of Letters, and Legal Notices/Proofs of
Publication; Telephone conferences/correspondence; Administrative matters
Conference with Executor and Family Members of Decedent; Preparation of
Petition for Grant of Letters Testamentary, Estate Information Statement,
Exhibits, Legal Notices; Appearance at Register of Wills with Executor to
present Petition for Grant of Letters Testamentary and related documentation;
Appearance at Register of Wills to obtain Certificate of Grant of Letters and
Short Certificates; Various telephone conferences/correspondence with
PespsiCo, Hollinger Funeral Home, Social Security Administration, Register
of Wills, Cumberland Law Journal, The Sentinel, Highmark Blue Shield, F&M
Trust, Waypoint Bank, Citizens Bank, Department of Public Welfare (re estate
recovery notice), Executor; Administrative matters
For professional services rendered
Hrs/Rate Amount
2.29 42314
185.00/hr
Z17 752.50
105.00/hr
946 $1,175.64
ner, Faye L Estate
Additional Charges:
Probate Fee - Register of Wills of Cumberland County
Publishing Fee - Legal Notice - Cumberland Law Journal
Publishing Fee - Legal Notice - The Sentinel
Total costs
Total amount of this bill
Balance due
Page 2
Amount
149.00
75.00
85.01
$3O9O1
$1,484.65
$1,48465
PAYABLE UPON RECEIPT - THANK YOU
PRAt;TI(TAI. (7()UNSI,21. ,~ CHRISTIAN PliRSPI:.CTIVE
STEPHEN L. BLOOM
ATTORNEY AND COUNSELLOR AT LAW
www PRACTICALCOUNSEL COM
2100 LONGS GAP ROAD
CARLISLE, PENNSYLVANIA 17013
SBLOOM~PRACTI CALCO UNS EL.COM
TELEPHONE 717-249-7717
FACSIMILE 717-249-7757
TOLl. FREE 877-548-9602
Invoice submitted to:
Wagner, Faye L. Estate
13 High Street
P.O. Box 142
Boiling Springs, PA 17007
Leo A. Wagner, Executor
September 16, 2004
In Reference To: Estate Administration - Interim Billing Statement (911103-9116104)
Invoice # 1473
PL
PL
SLB
SLB
SLB
PL
SLB
SLB
SLB
Professional Services
Administrative and estate accounting matters; Review re-issued Death
Certificates and date of death account valuation information from Banks
Telephone consultation with Executor re various matters
Review revised Death Certificates; Review correspondence from Citizens
Bank re account information/date of death valuation
Administrative and estate accounting matters; Review Bank Account
information/Date of death valuation from Citizens Bank
Administrative and estate accounting matters; Review correspondence from
Register of Wills; Preparation of required Notice of Beneficial Interest Under
Rule 5.6(a); Correspondence with Executor; Preparation of Certification of
Notice Under Rule 5.7(a) for filing with Register of Wills; Review and evaluate
vadous documents
File Certification of Notice at Office of Register of Wills
Administrative and estate accounting matters
Research re Inheritance Tax compliance matters; Correspondence with
Department of Revenue re same
Telephone conferences with Department of Revenue
Hrs/Rate Amount
0.17 17.47
105.00/hr
0.17 17.50
105.00/hr
0.14 25.03
185.00/hr
0.04 7.35
185.00/hr
2.13 39415
185.00/hr
0.25 26.25
105.00/hr
0.32 58.53
185.00/hr
0.69 128.47
185.00/hr
0.15 27.75
185.00/hr
PRACTICALCOUNSEL ~ CHRISTIAN PERSPECTIVE
Wagner, Faye L. Estate
SLB Telephone consultations with clients
SLB Review correspondence from Department of Revenue
SLB Telephone conferences
SLB
Administrative and estate accounting matters; Research historical pricing and
disposition of vadous stocks of Decedent; Preparation of Pennsylvania
Inheritance Tax Return, Schedules and Exhibits thereto; Conference with
Executor re review and execution of same
SLB
Reserve for filing of Pennsylvania inheritance Tax Return at Register of Wills;
Reserve for review of Official Reciept from Register of Wills and Notice from
Department of Revenue re status of same; Reserve for correspondence
For professional services rendered
Previous balance
11/24/2003 Payment - thank you
Total payments and adjustments
Balance due
Page 2
Hrs/Rate Amount
0.17 30.83
185.00/hr
0.08 15,42
185.00/hr
0.08 15.42
185.00/hr
2.36 436.86
185.00/hr
0.67 123.33
185.00/hr
7.42 $1,324.36
$1,484.65
($1,484.65)
($1,484.65)
$1,324.36
PAYABLE UPON RECEIPT - THANK YOU
PRACTICAL COUNSEL ,~ CHRISTIAN PERSPECTIVE
RECEIPT FOR PAYMENT
Cumberland County - Re~ister Of Wills
Hanover and High Stree~
Carlisle, PA I7013
Receipt Date 7/07/2003
Receipt Time 15:50:19
Receipt No. 1033342
WAGNER FAYE L
File Number
Remarks
2003-00551
STEPHEN L BLOOM,
JA
ESQ.
Transaction Description
PETITION FOR PROBA
EXTRA PAGES
SHORT CERTIFICATE
JCP FEE
Distribution Of Receipt
Payment Amount
115.00
9.00
15.00
10.00
Payee Name
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
Check# 003004 $149.00
Total Received ......... $149.00
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
AUGUST 29, 2003
Cumberland Law Journal is published every Friday by the Cumberland County Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Stephen L. Bloom, ESQUIRE
RE:
Faye L. Wagner, ESTATE
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
AUGUST 15, 22, 29, 2003
Advertising Cost
Proof of Publication
Second Proof Request
Payment Received
Total Amount Due
$ 75.00
$ 0.00
$ 0.00
$ 75.00
$ 0.00
Payment received AUGUST 12, 2003
by Becky H. Morgenthal/Executive Director
Waup Ln t
AUGUST 14, 2003
STEPHEN L BLOOM, ATTORNEY
ATTN: LORI A SULLIVAN, Legal Ass't.
2100 LONGS GAP ROAD
CARLISLE PA 17013
RE: LOAN gEstate ofFaye L. Wagner
SS. No. 193-24-1294
Dear Lori:
In compliance with your letter of July 31, 2003, below is listed the open loans held by
the decedent.
Loan #:
Names:
Origination Date:
DOD Princ. Bal.:
DOD Accrued Iht:
5551000099
Faye L Wagner
7/19/02
$3,361.77
$9.76
8551012039
Faye L Wagner or Leo A Wagner
2/9/01
$6,449.56
$12.58
If you have any questions, please feel free to contact me at 909-2148 or 1/800-554-4572,
press #1 then extension 2148.
Sincerely,
Waypoint Bank
Sr. Loan Servicing Associate
P,O. Box 171 I. HARRISBUR6. PENN5YLVANIA 17105-1711
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DZVXSXON
PO BOX 280601
HARRXSBURG, PA 17118-0601
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOHANCE OR D/SALLONANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-1547 EX AFP (09-04)
STEPHEN L BLOOM ESQ
2100 LONGS GAP RD
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-15-2004
NAGNER
06-09-2003
21 03-0551
CUMBERLAND
101
Aeoun~ Raei~ad
FAYE L
HAKE CHECK PAYABLE AND REMIT PAYHENT TO:
REGISTER OF MILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 170Z3
CUT ALONG THIS LINE ~ RETAZN LONER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF ZNHERZTANCE TAX APPRAISEMENT, ALLONANCE OR
DZSALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF NAGNER FAYE L FILE NO. 21 03-0551 ACN 101 DATE 11-15-2004
TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAZSED VALUE OF RETURN BASED ON.- ORIGINAL RETURN
1. Real Es~a~a (Schedula A) (1)
2. S~ocks and Bonds (Schedula B) (2)
:5. Close/y Held S~ock/Partnarship :]:n~eras~ (Schedule C) (:5)
~. Hor4:gages/No:~es Receivable (Schedule D) (~)
5. Cash/Bank Deposits~Misc. Parsonal Propar~y (Schedule E) ($)
6. Jointly Owned Proper~y (Schedula F) (6)
7. Transfers (Schedule G) (7)
8. To~al Asse~s
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Ada. Cos~:s/N/sc. Expenses (Schedule H) (9)
10. Dabts/Hor~gage L/ab/1/t/es/L/ens (Schedule 1) (10)
11. To~al Daduc~/ons
12. Ne~ Value of Tax Ra~urn
1z676.94
.00
7;607.47
.00
.00 NOTE: To /nsure proper
cred/~ to your account,
subm/~ ~he uppar por~/on
.00 of ~h/s form w/th your
~ax payment.
.00
(8)
6,309.01
1:5.
lq.
9,284.41
NOTE:
3,371.53
(].1) 9.680.5ri
(12) 396.13-
Char/~abla/Govarnmen~al Bequests; Non-alacted 911:5 Trusts (Schedule J) (13)
Ne~ Value of Esta~a Subject: ~o Tax (lq)
Zf an assessment ~as issued previously, lines 14, 15 and/or 16, 17,
reflect figures that include the total of ALL returns assessed to date.
.00
ASSESSMENT OF TAX:
15. Amoun~ of L/ne ].q a~ Spousal rata
16. Amoun~ of L/ne lfi ~axable a~ Lineal/Class A ra~a
17. Amoun~ of L/ne 1~ at S/bl/ng ra~e
18. Aeoun~ of L/ne lq ~axable a~ Collateral/Class B ra~e
19. Pr/ncipal Tax Due
TAX CREDITS:
PAYHENT RECEIPT DISCOUNT
DATE NUMBER /NTEREST/PEN PA/D (-)
396.13-
18 and 19 Nill
ZF PAID AFTER DATE /NDZCATED, SEE REVERSE
FOR CALCULATION OF ADDZT/ONAL /NTEREST.
( ZF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A "CREDIT' (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
TOTAL TAX cREDIT
BALANCE OF TAX DUE
ZNTEREST AND PEN.
TOTAL DUE
AMOUNT PAID
O0 =
045 =
12 =
1~:~ =
(19)=
..... .00'00'00'00 I
(].s), .00 x . O0
(16) . O0 X . O0
(17) ..~0~ X . O0
(18) ~.00 x ~ .00
/ .00
RESERVATION:
PURPOSE OF
NOTICE:
PAYHENT:
REFUHD (CR):
OBJECTIONS:
ADHIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December 1Z, 198Z -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Commonaealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class 8 (collateral) rate on any such future interest.
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (72 P.S.
Section 9140).
Detach the top port[on of this Not[ce and submit aith your payment to the Register of HiLls printed on the reverse side.
--Hake check or money order payable to: REGISTER OF NILLS, AGENT
A refund of a tax credit, mhich ams not requested on the Tax Return, may be requested by completing an
· 'Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-L315). Applications are available
online at w.a.revmnue.state.oa.us, any Register of Hills or Revenue District Off[ce, or from the Department's
Z4-hour ans. ering service for fores orders: L-800-36Z-ZO50; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-30Z0 (TT only).
Any party in interest not satisfied with the appraisment, allowance or disallo.ance of deductions or assessment of tax
(including discount or interest) as sho.n on this Notice may object within 60 days of the date of receipt of this not[ce
by filing one of the folloeing:
A) Protest to the PA Department of Revenue, Doard of Appeals. You may object by filing a protest online at
w.w.boardofmppeaLs.state.paous on or before the expiration of the sixty-day appeal per[od. In order for
an electronic protest to be valid, you must receive a confirmation number and processed date from the
Board of Appeals website. You may also send a written protest to PA Department of Revenue, Board of Appeals
P.O. Box ZelOZ1, Harrisburg, PA 171ze-lozL. Petitions amy not be foxed.
B) Election to have the matter determined at the audit of the account of the personal representative.
C) Appeal to the Orphans' Court.
Factual errors discovered an this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Ravia. Unit, P.O. Sox 280601, Harrisburg, PA 171Z8-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5Z) discount of
the tax paid is a11o.ed.
The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same tiaa period as you mould appea! the tax and interest
that has been assessed as indicated on this not[ce.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day free the date of
death, to the date of payment. Taxes ,hich became delinquent before January 1, 1982 bear interest at the rate of
six (6X) percent per annum calculated at a daily rate of .000164. AlL taxes which became delinquent on and after
January l, L98Z will bear interest at a rate ahich wiLL vary from calendar year to calendar year ,ith that rate
announced by the PA Department of Revenue. The applicable interest rates for 19az through Z004 are:
Interest Daily Interest Daily Interest
Daily
Year Rate Factor Year Rate Factor Year Rate Factor
~ ZOZ .000548 ~)'~-8-1991 IIX .000301 ~ 9X .000247
1983 16Z .000438 1992 9Z .000247 ZOOZ 6Z .000164
1984 1lZ .000301 1993-L994 72 .O0019Z 2003 5Z .000137
1985 13Z .000356 1995-1996 92 .000247 2004 4Z .000110
1986 iOZ .000Z74 1999 7Z .00019Z
1987 IOZ .000Z74 ZOO0 7Z .00019Z
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent .ill reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date sho.n on the
Notice, additional interest must be calculated.
.
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Wagner, Faye L.
Date of Death: 6/9/2003
Estate No.: 2003-00551
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
I. State whether administration of the estate is complete:
Yes [E] No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to No. I is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes 0 No.l!l
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes.IEI No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report. ~
---Signature ---.........
Date: March 4, 2005
r..-
Stephen L. Bloom
Name
2100 longs Gap Road
Carlisle, PA 17013
Address
l~" ,
,.')
717-249-7717
Telephone No.
Capacity:
o Personal Representative
.0 Counsel for personal representative
(''''oJ
~