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HomeMy WebLinkAbout03-0702Estate of PETITION FOR PROBATE & GRANT OF LETTERS FLOYD WILLIAM MORRIS No. 21-03- also known as To: Register of Wills for tho , deceased· County of Cumberland Social Security No. 186-24-8439 Commonwealth of Pennsylvania The Petition of the undersigned respectfully represents that: Your Petitioners, who is 18 years of age or older and the Executrix named in the Last Will of the above decedent dated May 2, 1994 , and codicils dated none The Executor named none died . Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 511 B South West Street, Carlisle Borough Decedent, then 72 years of age, died Center, Carlisle, PA July 28,2003, at Carlisle Regional Medical Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the Will offered for probate; was not the victim of a k. illing and was never adjudicated incompetent: D~cedent at death owned property with estimated values as follows: Ut ~,;ficiled in ~A) All personal property (If no! domiciled in PA) Personal property in PA (If not domiciled in PA) Personal property in Co~, ~ Value of real estate in Pennsy!v~.,.-:~ .:?:tug, ted as follows: $22,000.00 $ WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) pre~',ented herewith and the.grant of letters testamentary thereon. Signature(s) and Residence(s) of Petitioner(s): 202 "H" Street Carlisle, PA 17013 717-249-2353 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA · COUNTY OF CUMBERLAND · SS The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of the above decedent= petitioner(s) will well and truly administer the estate according to law. Sworn to ut affirmed and subscribed before me this ~,~'~,z day of Auqust , 2003. No. 21-03- Estate of FLOYD WILLIAM MORRIS , deceased. DECREE OF PROBATE & GRANT OF LETTERS AND NOW, AuRust ~'~ ,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 May 2, 1994 described therein be admitted to probate and filed of record as the Last Will of Floyd William Morris ; and Letters Testamentary are hereby granted to Nancy Bowers FEES Probate, Letters, Etc ........ $ 60.00 Short Certificates(-2- ) .... $ 6.00 Renunciation(s) ........... $. JCP .................... $. 10.00 Other .... $. TOTAL: .... $. 76.00 Filed. ~.-~. ~.-.4~,.~ ................ IRWIN McKNIGHT & HUGHES Marcus A. McKni,qt~t Iil (25476) ATTORNEY (Sup. Ct.. I.D. No.) 60 West Pomfret St., Carlisle, PA 17013 ADDRESS 717-249-2353 PHONE REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat in h presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19 Register (Name) (Address) (Name) (Address) REGIST~ OF WILLS OF cu~.gc,um COUNTY "~ O~IiTH OF NON-SUBSCRIBING WITNESS Nancy Bowers and Marcus A. McKnight III (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of Floyd W. Morris ~ , testat rix of OMt~rxt~lZxtqa~x~l~hlr~X~Rlll~l~xxt~) the will presented herewith and that each believes the signature on the will is in the handwriting of Floyd William Morris to the best of their knowledge and belief. Sworn to or affirmed and subscribed before me this o~,~ day of (Name) August 'x~ z~ ~ 2003 202 "H" St., Carlisle, PA 17013 St., Carlisle, PA 17013 (Address) LAST WILL AND TESTAMENT OF FLOYD WILLIAM MORRIS, legal resident of the Borough of Carlisle, Pennsylvan{fi. I, Floyd W. Morris, of sound mind and body, give, devise, and bequeath, absolutely all my property, real and personal, owned by me at the time of my death, or due me after my death, to the following as indicated herein: Vivian Tackett, Newville, Pennsylvania and/or Nancy Bowers, Boilinq. Springs, Pennsylvania I hereby direct that m~sidence (if owned by me), as well as all furniture, appliances, personal belongings and property therein and owned by ~nall be divided appropriately and equally as assets,as indicated above, if not previously disposed of by other means or legal instruments; I direct and appoint Nancy Bow,~?'~ sister) to be the executor/executrix of this my Will. In the event of the demise of my appointed executor/executrix or his/her incapacity I direct that Lotus Morris, of Carlisle,, Pennsylvania, shall execute this Will: I direct that such executor/executrix shall serve without bond or security: I give said executor/executrix the fullest powers and authority in all matters and questions, including (without limitations) complete power and authority to sell at public or private sale, for cash or credit, with or without security, mortage lease and dispose of all property, real or personal, at such times and upon such terms and conditions as said executor/executrix may determine, all without Court order: I hereby revoke all prior Wills and Codiciles: I hereby direct said executor/executrix to administer my Power of Attorney, , Living Will, and/or Trusts (if any). IN WITNESS, I sign, seal, publish and declare this my Last Will and Testament, in the presence of the persons witnessing it at my request, this 2nd day of May 1994, at Carlisle, Cumberland County, Pennsylvania. Flo~d William Morris 133 S. Hanover Street - S Carlisle, Pennsylvania 17013 The foregoing was at said date and place subscribed, sealed, published and declared by said testator as his Last Will and Testament in our presence, and in the presence of each other, we subscribe our names as witnesses (the final sentence of the Will beginning with the words "IN WITNESS" having been read aloud to us by the testator immediately after he signed the Will, and his attestation clause having been read aloud in his presence and our presence), all of us, including the testator, being to~ether throughout the execution and attestation ofdthe residing at CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Estate No.: FLOYD W. MORRIS July 28, 2003 21-03-0702 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on September 18, 2003 . Sallie Nancy Bowers Address 202 "H" Street, Carlisle, PA 17013 Tackett who died July 16, 2003 . Date: 09/i 8/03 Signature / IRWIN, McKNIGHT & HUGHES Vivian M. Name Marcus A. McKnight III, Esquire Address 60 West Pomfret Street Carlisle~ PA 17013 Telephone (717) 249-2353 Capacity: X __ Personal Representative Counsel for Personal Representative REV- 1500 EX + f6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 171Z8-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 21-03-0702 COUNTY CODE YEAR NUMBER CAPB HpRL EpIO CRAC KOTK ES Co. DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Morris Floyd W. DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) 07/28/2003 05/02/1931 (IF APPLICABLE) SURV V NG SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 186-24- 8439 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF Wll I $ SOCIAL SECURITY NUMBER  1. Original Return U 2. Supplemental Return 4. Limited Estate ~] 48. Future Interest Compromise (date of death after 12-1Z-8Z) 5. Decedent Died Testate 7. Decedent Maintained a Living Trust (Attach copy of Will) (Attach copy of Trust) ~-] 9. Litigation Proceeds Received [--"-110. Spousal Poverty Credit /date of death between lZ-31-91 and 1-1-95)  (d.ate of death 3. Remainder Return pmor to 1Z- 13-8Z) 5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes ~ 11. Election to tax under Sec. 9113(A) (Attach Sch O) NAME Marcus A. McKni~ht Esq. FI R M NAM E (If Applicable) IRWIN & McKNIGHT TELEPHONE NUMBER 717/249-2353 COMPLETE MAILING ADDRESS 60 West Pomfret Street West Pomfret Professional Bldg. Carlisle, PA 17013 T A X R E C A P I T U L A T I O N C O M T 0 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or (3) Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) r~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11 ) 13. 14. None None None None 21,461.04 None None 6,712.27 1,275.33 OFFICIAL USE ONLY (8) 21,461.04 (11) 7,987.60 (12) 13,473.44 Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) (14) 13,473.44 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(aX1.2) 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. Tax Due 0.00 x .0 0 (15) 0.00 x .0 45 (16) 13,473.44 x .12 (17) 0.00 X .15 (18) (19) 0.00 0.00 1,616.81 0.00 1,616.81 Copyright (c) ZOO0 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 511 B South West Street CITY Carlisle ISTATE ?^ ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 80.84 (1) Total Credits ( A + B + C ) (2) 1,616.81 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 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 recluest a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SB) 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 property transferred; ......................... L--I ~ · b. retain the right to designate who shall use the property transferred or its income; ........... c. retain a reversionary interest; or .................................... d. receive the promise for life of either payments, benefits or care? ................... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................ I--I I-~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............................................. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................ [] i--~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, 80.84 0.00 0.00 1,535.97 0.00 1,535.97 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Nancy Bowers DATE . ~ ~ 202 H Street '7'/~F~/ ,~/~..~.~ ---{~l-f~i~-;-~---iY6i5 ........................... O~.~q ~ SIGNATURE OE PREPARER ~HER ThAN REPRESENTATIVE IRWIN & Mc~IG~ DATE _~~~, ~4~ 60 West Pomfret Street For dates of death ~ or a~er ~ 1, 1 B94 and before aanua~ 1, 19B5, the lax rate imposed on the net value of transfers to or for the surviving spouse is ~~~118 (a) (1.1) (i)]. For dates o{ death on o~ a~er January 1, 1995, ~he ~ax rate imposed on the ne~ value of transfers to or for the use of the su[viving spouse is 0% [7~ P.S. B11~ (a) (1.1) (ii)]. The statute does not e~empt a transfer to a surviving spouse from tax, and the statuto~ requirements for disclosure of and filing a tax return are still applicable even if the survivin~ spouse is the only beneficial. Fo[ dates of death on or a~er July 1, ~000: The tax rate imposed on the net value of transfers from a deceased ~hild twen~-one years of age or younge~ at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the ~hild is 0% [72 P.S 9116 (a) (1.~)]. The tax rate imposed on the net value of transfers to or for the use of ~he decedent's lineal beneficiaries i~ 4.5% except as noted in 7~ P.S 91!6(1.~) [Za P.S. ~ll~(~)(1)]. The ~ax rate imposed on the net value of transfers to or for the use of the deoedent's siblings is 1~% [7~ P.S. 9116(a)(1.})]. A sibling is defined, under Section B10~, as an individual who has at least one parent in ~ommon with the decedent, whethe[ by blood o~ adoption. Oopyd~ht (c) 8000 fo~m 8or,ware only The La~kner ~oup, I n~. Form ~EV- 1E0~ E~ (Rev. REV- 1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Floyd W. Morris SS# SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY 186-24-8439 07/28/2003 FILENUMBER 21-03-0702 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION M&T Bank, checking account 1990 Chrysler Fifth Avenue, 97,000 miles Miscellaneous personal property VALUE AT DATE OF DEATH 19,661.04 1,500.00 300.00 TOTAL (Also enter on line 5, Recapitulation) $ 21,461.04 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97) REV-1511 EX + (1-97) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Floyd W. Morris SS~/ 186-24-8439 07/28/2003 21-03-0702 Debt~ of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 Crave opening 1 2 3 Hollinger Funeral Home ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Zip Attorney's Fees IRWIN & McKNIGI-TI' Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State __. Zip Relationship of Claimant to Decedent Probate Fees Accountant's Fees Register of Wills Tax Return Preparer's Fees OtherAdministrativeCo~s Cumberland Law Journal - estate notice publication Register of Wills filing fees The Sentinel - Legal - estate notice publication TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) 945.00 4,496.00 1,000.00 76.00 75.00 25.00 95.27 $ 6,712.27 Copyright (c) 1996 form software only CPSystems, Inc. Form REV- 1511 EX (Rev. REV- 151;' EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Floyd W. Morris SS# SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS 186-24-8439 07/28/2003 FILE NUMBER 21-03-0702 Includ~ ITEM NUMBER 1 2 3 4 5 6 7 8 9 unreimbursed medical expenses. DESCRIPTION Blue Mountain Anesthesia Capital Area Surgical Carlisle Pathology Carlisle Regional Medical Center Carlisle Digestive Disease Hershey Kidney Specialists Moffitt Heart & Vascular Penn Power & Light Co. Sprint Telephone TOTAL (Also enter on line 10, Recapitulation) iS (If more space is needed, insert additional sheets of the same size) AMOUNT 45.34 210.70 19~32 849.62 33.01 41.56 47.19 21.06 7.53 1,275.33 Copyright (c) 1996 form software only CPSystems, Inc. Form REV-151Z EX (Rev. 1-97) REV*1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Floyd W. Morris SS# 186-24-8439 SCHEDULE J BENEFICIARIES 07/28/2003 NUMBER I. II. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and Nancy Bowers 202 H Street Carlisle, PA transfers under Sec. 9116(a)( 1.2)] 17013 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Sister FILE NUMBER 21-03-0702 AMOUNT OR SHARE OF ESTATE remainder TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) z000 form software only The Lackner Group, Inc. Form REV-1513 EX (Rev. 9-00) B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A, SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE LAST WILL AND TESTAMENT OF FLOYD WILLIAM MORRIS, legal resident of the Borough of Carlisle Pennsylvani.~. , I, Floyd W. Morris, of sound mind and body, give, devise, and bequeath, absolutely all my property, real and personal, owned by me at the time of my death, or due me after my death, to the following as indicated herein: Vivian Tackett, Newville, Pennsylvania and/or Nancy Bowers, Boilinq. SDrings, Pennsylvania I hereby direct that m~'~sidence (if owned by me), as well as all furniture, appliances, personal belongings and property therein and owned by ~hall be divided appropriately and equally as assets as indicated above, if not previously disposed of by other means or legal instruments; I direct and appoint Nancy ~ow~J [my sister) to be the executor/executrix of this my Will. In the event of the demise of my appointed executor/executrix or his/her incapacity I direct that Lotus Morris, of Carlisle~ Pennsylvania, shall execute this Will: I direct that such executor/executrix shali serve without bond or security: I give said executor/executrix the fullest powers and authority in all matters and questions, including (without limitations) complete power and authority to sell at public or private sale, for cash or credit, with or without security, mortage lease and dispose of all property, real or personal, at such times and upon such terms and conditions as said executor/executrix may determine, all without-Court order: I hereby revoke all prior Wills and Codiciles: I hereby direct said executor/executrix to administer my Power of Attorney, , Living Will, and/or Trusts (if any). IN WITNESS, I sign, seal, publish and declare this my Last Will and Testament, in the presence of the.persons witnessing it at my request, this 2nd day of May 1994, at Carlisle, Cumberland County, Pennsylvania. Flo/d William Mo}ris 133 S. Hanover Street - S Carlisle, Pennsylvania 17013 The foregoing was at said date and place subscribed, sealed, published and declared by said testator as his Last Will and Testament in our presence, and in the presence of each other, we subscribe our names as witnesses (the final sentence of the Will beginning with the words "IN WITNESS" having been read aloud to us by the testator immediately after he signed the Will, and his attestation clause having been read aloud in his presence and our presence), all of us, including the testator, being together throughout the execution and ~ttestation of.~the Will. M&T 499 Mitchell Road, Millsboro, DE 19966 Mail Code 501-120 Irwin, McKnight & Hughes Attorneys At Law West Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013-3222 Phone (302) 934-2909 F ax (302) 934-2955 August 27, 2003 Re: Estate o_f Floyd W. Morris Social Security: 186-24-8439 Date of Death: July 28, 2003 Dear Sir or Madam: Per your inquiry dated August 8, 2003, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: Type of Account Checking Account Account Number 61545643 Ownership (Names oJ~ Floyd W. Morris, Owner Opening Date 03/28/78 Balance on Date of Death $19,660.33 Accrued lnterest $ .71 Total $19,661.04 (302) 934-2909 Inventory of the real and personal estate of FLOYD W. MORRIS deceased 1. M&T Bank - Checking Account ......................... 2. 1990 Chrysler Fifth Avenue, 97,000 miles .................. 3. Miscellaneous Personal Property ....................... 19,661 04 1,500 00 300 00 21,461 04 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Nancy Bowers being duly sworn according fo law, deposes and says that she is the Executrix of the Estate of Floyd W. Morris late of the Borough__o_f_Ca_Klisle ., Cumberland County, Pa., deceased and that fha wlfhln is an inventory made by Nancy Bowers , the said Executrix of the entire estate of said decedent, consJstlng of all the personal property and real estate, except real estate outside the Commonwealth of Pennsylvania, and fhaf the figures opposite each item of the Inventory represent |f's fair value as of the date of decedenf's death. Sworn ~ and subscriJ;~ before me, th~ay o~O~ober,.~~//..2003 Jacqueline L ~~ p~ ~~~~. 14,2m7 Date of Death 28 N~c-~ ~o-~s, Executrix 202 "H" Street Carlisle, PA 17013 Address 07 2003 Day Month Year INSTRUCTIONS I. An inventory must be filed wlfhln three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. I 0 0 0 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT, 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD REV-1162 EX(11-96) 003173 MCKNIGHT MARCUS A III 60 W POMFRET STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 186-24-8439 FILE NUMBER: 21 03-0702 DECEDENT NAME: MORRIS FLOYD WILLIAM DATE OF PAYMENT: 10/24/2003 POSTMARK DATE: '00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/28/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $1,535.97 TOTAL AMOUNT PAID: 91,535.97 REMARKS' MARCUSA MCKNIGHTESQUIRE SEAL CHECK# 020402 INITIALS: AC RECEIVED BY' DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS ~BUREAU OF INDIVTDUAL TAXES /NHER/TANCE TAX DXVXSTON DEPT. 180601 HARRTSBURG; PA 1711&-0601 COMMONWEALTH OF PENNSYLVANZA DEPARTMENT OF REVENUE NOT/CE OF ZNHERZTANCE TAX APPRAXSENENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-i~¢i? EX AFP MARCUS A MCKNIGHT ESQ IRWIN & HCKNIGHT 60 W POMFRET ST CARLISLE PA 17015 DATE 12-15-2005 ESTATE OF MORRIS DATE OF DEATH 07-28-2005 FZLE NUMBER 21 05-0702 COUNTY CUMBERLAND ACN 101 Alnoun'l: Ralnit'l:ed FLOYD W MAKE CHECK PAYADLE AND REMZT PAYMENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THZS L/NE ~ RETATN LOWER PORTTON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTTCE OF TNHERTTANCE TAX APPRAZSENENT, ALLOWANCE OR DTSALLOWANCE OF DEDUCTTONS AND ASSESSMENT OF TAX ESTATE OF MORRTS FLOYD WF'I'LE NO. 21 05-0702 ACN 101 DATE 12-15-2005 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATZON CONCERNTNG FUTURE TNTEREST - SEE REVERSE APPRAZSED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S~ock/Par~nership In~ares~ (Schedule C) ($) 4. Mortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule g) (7) 8. To,al Assa~s APPROVED DEDUCTZONS AND EXEMPTZONS: 9. Funeral Expanses/Adm. Costs/Misc. Expanses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule 1) (10) 11. To,al Deductions 12. Ne~ Value of Tax Ra~urn 21/~61.0~ .00 .00 NOTE: To insure proper .00 credit ~o your account, .00 sublni~ tho upper portion .00 of ~his forln ~i~h your tax paylnent. .00 (8) 6,712.27 ASSESSMENT OF TAX: 15. Alnount of Line 14 a~ SpousaX ra~e 16. Alnoun~ of Line 14 taxab/a a~ LXneal/CZass A rata 17. Alnount of Line 14 a~ Sibling rata 18. Alnount of Line 14 ~axable a~ Collateral/Class B ra~a 19. Principal Tax Due TAX CREDZTS: PAYMENT RECEZPT DZ$COUNT (+) DATE NUMBER ZNTEREST/PEN PAZD (-) 10-Zq-2005 CD005175 80.8q (15) .00 x O0 = .00 (26) .00 x 0~5= .00 (17) 13,~73.RR x 12 = 1,616.81 (18) .00 x 15 = .00 (x9)= 1,616.81 AMOUNT PAZD 1,535.97 IF PAID AFTER DATE IND/CATED, SEE REVERSE FOR CALCULATZON OF ADDZTZONAL ZNTEREST. 15. 14. NOTE: TOTAL TAX CREDTT 1,616.81 BALANCE OF TAX DUEI .00 I TNTEREST AND PEN. I .00 TOTAL DUE I . O0 ZF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REI~UZRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT' (CR), YOU NAY BE DUE REFUND. SEE REVERSE SZDE OF THZS FORH FOR ZNSTRUCTZONS.) reflect flgures that include the total of ALL returns assessed to date. (15) . O0 (14) 13, q73. ~ 16, 17, 18 and 19 will Charitabla/govornlnan~al Bequests; Non-eXacted 9115 Trusts (ScheduXe J) Na~ Value of Ese:ate Subject to Tax Zf an assessBent was issued previously, 11nes 14, 15 and/or 1~275.35 (11) 7.q87.~0 (12) 13,q73.qq RESERVATION: PURPOSE OF NOT/CE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- 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 ar for years, the Coamonaaalth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the laaful Class D [collateral) rate an any such futura interest. To ~ulfi11 the requirements of Section ZlqO of the Inharitmnca and Estate Tax Act, Act Z:5 of ZOO0. (7Z P.S. Section 91q0). Detach the top portion of this Notice and submit with your payment to the Registmr of Nills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS, AGENT A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-151:5). Applications ara available at the Office of the Register of Nills, any of the Z:5 Revenue District Offices, or by calling the special lq-hour answering service for fores ordering: 1-800-:56Z-Z050; services for taxpayers aith special hearing and / or speaking needs: 1-800-q47-:50ZO iTT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-10Z1, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Duraau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (:5) calendar months after the dacadent's death, a five percent (SI) discount of the tax paid is allowed. The 1SI 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 and of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6Z) percent par annum calculated at a daily rate of .O0016q. All taxes ahich became delinquent on and after January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through Z00:5 ara: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z ZOZ , 000548 1987 97. . O00Zq7 1999 77. . 00019Z 198:5 167. . D004:58 1988-1991 117. .000301 ZOO0 8Z .000Z19 1984 117. . 000:501 199Z 9Z , O00Zq7 2001 9Z . 000247 1985 1:57. .000556 1993-1994 7Z .000192 ZOOZ 6Z .000164 1986 lOX .000Z74 1995-1998 9Z .O00Zq7 2003 5Z .000137 --Interest is calculatmd as follows: INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DALLY ZNTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown an the Notice, additional interest must be calculated. STATUS REPORT UNDER RULE 6.12 Name of Decedent: FLOYD W. MORRIS Date of Death: JULY 28, 2003 No. 21-03-0702 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: X Yes __ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X No 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? X Yes No Date: d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clf~k of Orphan/~ Court and may be attached to this report. / / / / '~ignature/ ~~ Marcus A. McKnight III, s~ire Name (please type or print) 60 West Pomfret Street Address Carlisle, PA 17013 City, State, Zip (717) 249-2353 Telephone Number Capacity: X Personal Representative · Counsel for Personal Representative