HomeMy WebLinkAbout04-0898Estate of
also known as
, Deceased
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Naomi C. Stitzel No '~!i i ',~ ~ ~'~ ~
Social Security No 162 -22 3328
Clyde A. Liddick, -l-t-I ~.&~
Petitioner(s), who is/are 18 years of age or older apply(les) for:
(COMPLETE A' or B' BELOW:)
] A Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut or
the Decedent dated 10/28/1998 and codicil(s)dated None
named in the last Will of
State relevant circumstances e g renunciation, death of executor e c.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution Gf the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
B Grant of Letters of Administration ·
(cta: d b.n c.t.a: pendente lite; durante absentia; dbrante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and
heirs:
Name Relationship Residence
Clyde A. Liddick, ~i"~L
Ronld E. Liddick
Son
Darrell R. Liddick Son
Kutztown, PA
Virsinia Beach, VA
Newport, PA
(COMPLETE IN ALL CASES) Attach additional sheets if necessary
Decedent was domiciled at death in CumberLand
County, Pennsylvania with his/her last family
or principal residence at 421 Boxwood Court., Mechanicsburs, PA 17055
(list street, number and municipality)
Decedent. then 76 years of age, died 09/20/2004 at East Pennsboro Twp. , PA
(Location)
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
$ 45,000.00
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of
letters in the appropriate form to the undersigned:
(/ Si,c)nature Typed or printed name and residence
~ ~j¢./~ Clyde A. L i d d i c k, -I~-t (~1~..~
~ 15 Siesfriedale Road, Kut.ztown, PA 19530
Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 (1991i
WILL
OF
NAOMI C. STITZEL
I. NAOMI C. ST1TZEL, of Mechanicsburg, Cumberland County, Pennsylvania, declare
this to bc my last will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, and any and all taxes and assessments imposed by any
governmental body as a result of my death, whether on property passing under this will or
otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a
part o f the expense of thc administration of my estate.
ITEM II. i give and bequeath all of my household goods, automobiles, jewelry, and all
other articlcs of household and personal use, equipment and ornament, together with all
insurance thereon and relating thereto, to those of my issue, per stirpes, as survive my death by
thirty (30) days.
ITEM III. I give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate to those of my issue, per stirpes, as
survive my death by thirty (30) days.
ITEM IV. Should any of my issue entitled to a share of my estate not have attained the
age of twenty-five (25) years at the time for distribution to him or her, I devise and bequeath the
share of such issue to my hereinafter named trustee, IN SEPARATE TRUSTS, to hold, manage,
invest, and re-invest, the shares so received, and the accumulation of income thereon, and to use
and apply from time to time such portion of income and principal thereof as my trustee thinks
proper for the comfortable support, maintenance, health, welfare, and education of the issue or to
make payment for such purposes, without further responsibility, directly to such issue, or directly
to any person taking care of such issue. Any principal or income not so applied shall be
distributed to such issue when he or she attains the age of twenty-five (25) years, or if he or she
dies prior thereto, to his or her personal representative.
ITEM V. ! appoint my son, CLYDE A. LIDDICK, of Kutztown, Pennsylvania, trustee
of the trust or trusts created by this my last will. In the event my son, Clyde A. Liddick
predeceases me or otherwise fail to qualify or cease to serve as trustee of this my last will, 1
appoint RONALD E. LIDDICK, trustee of the trust or trusts created by this my last will. In
addition to the other powers and authorities granted to my trustee by Pennsylvania Law and by
the preceding paragraph of this my last will, I hereby give my trustee the following special
powers and authorities:
A. To retain any or all of the assets of my estate, real or personal
(including any stock or securities of any curporate fiduciaries), without any regard
to any principle of diversification, risk, or productivity;
B. To invest and re-invest in all forms of property without restriction to
investments authorized for Pennsylvania Fiduciaries, as my trustee deems proper,
without regard to any principle of diversification, risk or productivity;
C. To sell at public or private sale, to exchange or to lease, tbr any period
of time, any real or personal property and to give options for sales, exchanges, or
leases, for such prices and upon such terms or conditions as my trustee deems
proper and in the best interest of the beneficiary or beneficiaries of said trusts;
D. To allocate receipts and expenses to principal or income or partly to
each as my trustee fi:om time to time deems proper in its sole discretion;
E. To compromise any claim or controversy;
F. To exercise any option, right, or privilege granted in insurance policies
or in any other investments;
G. My trustee may accumulate the income from this trust during the term
thereof but may, from time to time, distribute from current income or from
accumulated income or from principal such amonnts as my trustee, in its sole
discretion, deems advisable for the education, welfare, and comfort of the trust
beneficiary.
ITEM VI. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary' or involuntary alienation nor shall they be subject to any execution or
attachment.
3
ITEM VII. I appoint my son, CLYDE A. LIDDICK, executor of this my last will.
Should my said son, CLYDE A. LIDDICK, predecease me or otherwise fail to qualify or cease
to serve as executor of this my last will, I appoint my son, DARRELL LIDDICK, executor of
this my last will.
ITEM VIII. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania la~v and by the other terms and provisions of this will, I hereby
give to my personal representatives the tbllowing powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy; to
make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
my personal representatives may determine and at valuations finally to be fixed by them; to
invest in all forms of property, including any stock or other securities in any corporate fiduciary
or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle of risk or diversification; to
retain any or all assets of' my estate, real or personal, without regard to any principle of risk or
diversification; to sell at public or private sale, to exchange, or to lease for any period of time,
any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms or conditions as my personal representatives deem proper; and to allocate
receipts and expenscs to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
4
ITEM IX. I direct that my personal representatives and fiduciaries shall not be required
to give bond 1hr the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, i have hereunto set my hand this
, 1998.
NAOMI C. STITZEL
The preceding instrument, consisting of this and FIVE other typewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and declared
by NAOMI C. STITZEL, the testatrix therein named, as and for her last will, in the presence of
us, who at her request, in her presence, and in the presence of each other, have subscribed our
names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
)
( SS:
)
The undersigned, being the testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, does hereby acknowledge that I signed and
executed the foregoing instrument as my last will, that 1 signed it willingly; and that I signed it as my
free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged
before me by the testatrix named above
tb,s'~(hi day pf (~ ~4.~{ }L ( 1~98.
~sotary mmnc ~ ~OY S. ~, ~ma~ }'ublk
[ ~wer ~n Twp., Cumb~nd ~., PA I
COMMONWEALTH OF PENNSYLVANIA
)
( SS:
)
COUNTY OF CUMBERLAND
WE .~/~.~ [~ /q,'~ and ,,~:~i~r c.
~ ¢~ ~t,~ u~', the witnesses whose
names are signed to tbe attached or foregoing instrument, being duly qualified according to law, do
depose and say that we were present and saw the testatrix sign and execut~ the instrument as her last
will; that she signed it willingly and that she ~xecuted Jt as her frae and volunta~ act for the purposes
therein expressed; that each of us in the bearing and sight of thC t~statrix signed th~ will as witnesses;
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.
Sworn or aff~rlned to and
a~cknowled~ed before me this
day of((j (3J~; /, 1998.
aomi C. Stitzel
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
Cumberland East Pennsboro
Clyde A. Liddick
om~s~o~ .~ 2~ 9/24/2004 ~ I~i]l Cemetery ~a New Buffalo, PA
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
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(s) of
the Decedent Petitioner(s) will well and truly administer the estate according to law.
~l~de 5)/giddick, I~Icq~
Sworn to or affirmed and subscribed
before me this /~ day of
ct:sc , 2LL
For the Register
Estateof Naomi C. Stitzel
Deceased -
SociaL Security No: 162-22-3328 Date of Death: 09/20/2004
in considerafio~
of the Petit[on on the reverse side hereon, satisfactory proof having been presented before me,
IT iS DECREED that Letters [] Testamentary [] Of Administration ~j
(cta; db n c.t.a.; pendente lite: durante absentia; durante minor[tare)
are hereby granted to
Clyde A. Liddick,-!~C~o
the above estate and that the instrument(s) dated 10/28/1998
described in the Petition be admitted to probate and filed of record as the last Will of Decedent
FEES
Letters
Short Certificate(s) ·
Register of Wills
Renunciation $
Attorney: Michael L. Ban~s
Affidavits
Extra Pages (
Codicil
JCP Fee
41263
Address: 429 South 18th Street
Camp Hill, PA 17011
/elephone 717/730-7310
Inventory $
Other $
TOTAL $ *, ) t ~
Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
Date of Death:
Will No.:
To the Register:
NAOMI C. STITZEL
September 20, 2004
21-04-0898
Admin. No:
I certify that notice of beneficial interest (estate administration) required by Rule 5.6(a)
of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the
above-captioned estate on October 7, 2004:
NAME
Clyde A. Liddick, III
Ronald E. Liddick
Darrell R. Liddick
ADDRESS
15 Siegfriedale Road, Kutztown, PA 19530
433 Baldwin Street, Virginia Beach, VA 23452
1382 Bucks Valley Road, Newport, PA 18001
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none.
Date:
(717) 730-7310
Capacity: Counsel for Personal Representative
October 7, 20~
Ell
AMOUNT
UNITliDSFliTli5
POST.4L s~Vla
$1.98
0000
1,"111,"111",".11,,11,1,,1.1
Glenda Famer Strasbaugh, Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
"
'....r
U S. POSTAGE
. PAID
CAMP HILL.PA
f1~~ 'O~
~S026498-08
17013
,
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.
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G.i
BAN6S LAW OFFICE
4mSOUTHI8~STREET
CAMPHILL,PA 17011
E-mail: mikebangsallverizon.net
PHONE: 717-730-7310
FAX: 717-730-7374
MICHAEL L. BANGS, Attorney-at-Law
WENDY S. CHESBRO, Paralegal
WILLIAM E. MILLER, JR.
Of Counsel
March 16,2005
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
RE: Estate of Naomi C. Stitzel
File No. 21-04-0898
Dear Mrs. Strasbaugh:
Enclosed please find the following documents that I file as part of the above-referenced estate:
1. The original and one copy of the Pennsylvania inheritance tax return;
2. The original Inventory;
3. A check in the amount of$1,592.67 to pay the tax shown to be due; and
4. A check in the amount of $30.00 to pay the filing fees.
Please file these documents accordingly and return a paid receipt to me in the enclosed, stamped,
pre-addressed envelope.
If you require anything further, please contact me directly.
17\\/\
~ichael L. Bangs
wsc
Enclosures
cc: Mr. Clyde A. Liddick, III
N.~.P.D.
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
REV-1500 EX + (6-00)
OFFICIAL USE ON I.. Y
D
E
C
E
D
E
N
T
COMMONWEALTH OF PENNSYLVANIA
DEPAATMENTOFREVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME {lAST, FIRST, AND MIDDLE INITIAL)
Stitzel Naomi C.
DATE OF DEATH (MM-DD-YEAR)
FILE NUMBER
d-I 04
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
162-22-3328
THIS RETURN MUST BE FILED IN DUPUCATEWlTH THE
~q?
NUMBER
REGISTER OF WILLS
S CIAL ECURITY NUMBER
X 1. Orlginal Return Z.
CAPB 4. LimIted Estate 4a.
HpRL X 6. Decedent Died Testate 7.
EplO
CRAC (Attach copy of Will)
KOTK o 9. litigation Proceeds Received 010.
ES
P NAME
C
0 0 Michael L. Ban s
R N FIRM NAME (If Applicable)
R D
E E
S N
T TELEPHONE NUMBER
Supplemental Return
Future Interest Compromise (date of death after 12-12-82)
Decedent Maintained a Living Trust 0
(Attach copy of Trust)
Spousal Poverty Credit D
(date of death between 12-31-91 and. 1-1v95)
3. date of death
. Remainder Return prior to 12-13-82)
5. Federal Estate Tax Return Required
8. fotal Nl.lmber of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sc.h 0)
C
o
M
P
T U
A T
X A
T
I
o
N
COMPLETE MAlUNG ADDRESS
429 South 18th Street
Camp Hill, PA 17011
R
E
C
A
P
I
T
U
L
A
T
I
o
N
3 - 310
1. Real Estate (Schedule A)
Z. 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)
o 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 Liabll.ies, & Liens (Schedule J) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 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)
None
None
None
OFFICIAl-USE ON\. Y
(1)
(Z)
(3)
None
(8) 46,620.36
(11) 11.227.65
(lZ) 35,392.71
(13)
(14) 35,392.71
(15)
(16)
(17)
(18)
(19)
0.00
1,592.67
0.00
0.00
1,592.67
(4)
(5)
None
9,715.61
(6)
36,904.75
10,443.47
784.18
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
ZOo
35,392.71
x
X
X
X
.0 0
045
.12
.15
v-.
CopyrIght (c.) 2.000 form software only The Lac.k.ner Group, 1m:.
Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
421 Boxwood Court
CllY r STATE T ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
1,592.67
Total Credos ( A + B + C) (2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E) (3)
4. I~ 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 (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 S + SA. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
0.00
1,592.67
0.00
1,592.67
"';,;i:::i!!::!!:!i:iii:!!!!i:!::ii!i!i!!i::!!!:::!I!:!:!!::!:::i:i!iiiii::::::ii:';!i;;;';":' ,'!;j!!!;!i!ii::::::::i::::!:!!:r!!!!;;:;i!!!!!!!!i:!::ii:!!!ii::::::::iiiiiiiiiiiiiiiiiiiiii!ii:i!i!iii
i!i!!iiiliiiii!iiiiiiiii!!!!!i!!!!!!!!!!!1ijijji!:jj'.'..'.-.
..PLEASEANSINER 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 receiving adequate consideration? . D 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his
or her death? 0 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property
which contains a beneficiary designation? 0 0
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 penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and bellef, 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
Clyde A. Liddick, III
_ _ _~~ _ .s_~,=g:f_<:~~9:~~~_ _~<i, _ _ _ _ _ _ _ _ _ _ _ ___ u _ _ _ _ _ _ _ _ _ __
Kutztown, PA 19530
Michael L. Bangs
429 South 18th Street
- - -Cam- - -Hili - - PA - -17611- - - - - - - - - - - - - - - - - - - - - - - --
DATE
j~(S~ --cJ5
DATE
For dates 01 death on or after July ,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) (il].
For dates at death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or tor 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(aX1l].
The tax rate imposed on the net value of transfers to Of 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.
copyrIght (c) 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
REV-1508 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Naomi C. Stitzel SS# 162-22-3328 09/20/2004
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
1
DESCRIPTION
Delbrook Manor Apartments - Refund of Security Deposit
VALUE AT DATE
OF DEATH
280.00
2
PNC Bank - Account #5140062177
6,455.62
3
Overpayment of Blue Shield Premium
129.99
4
1996 Grand Marquis Automobile
2,850.00
TOTAL (Also anter on line 5. Recapitulation) $ 9,715.61
(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)
Q,lLkv.J
G PNCBAN<
November 8, 2004
Michael Bangs
Attorney at Law
429 S 18th St
Camp Hill, PA 17011
scp
RE: Estate of Naomi C Stitzel (Deceased)
SSN: 162-22-3328
DOD: 09-20-2004
Dear Mr. Bangs:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Checking Account
Account #5140062177
Established 01-01-1978
NAOMI C STITZEL
DOD balance: $6,455.62 + $0.34 accrued interest
Please note that this office only provides date of death balances for deposit accounts
(IRAs, CDs, Checking and Savings accounts). We do not process any financial
transactions or provide statements. If you need assistance with any of these items,
please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
~';;/.~
Erica L Schlegel
1-800-762-1775
P7-PFSC-04-F
500 First Ave.
Pittsburgh PA 15219
Member FDIC
HALDEMAN FORD OF KUTZTOWN, INC.
15465 Kutzlown Road
Kutzlown, Pennsylvania 19530
Telephone (610) 683-3553
Fax (610) 683-5319
ha1demankt@aol.com
1-800-HALDEMAN
To Whom It May Concern:
The appraisal value of the 1996 Grand Marquis is $2850
in good condition. If there were any questions please feel
free to contact me at the above number.
Sincerely,
h~ l\'vr--"- ~
Scott Waters
Business Manager
,/"y Blue Book - Trade-In Pricing Report - Mercury, Grand Marquis
/ ,.-
.'/'
Page I of2
Engine: VB 4.6 Liter
Trans: Automatic
Drive: Rear Wheel Drive
Mileage: 50,000
1996 Mercury Grand Marquis GS Sedan 40
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AEV-1510 EX t (1-97)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Naomi C. Stitzel
09/20/2004
SSif 162-22-3328
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
FILE NUMBER
DESCRIPTION OF PROPERTY % OF
ITEM RELAt~8k~al~ t~b~~ttB~~TT~tTJr~~~frEE6~ ;'~~~SFER. DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE
NUMBER ATTACH ACOPYOFTHE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE)
1 The Hartford Life - Annuity 36,904.75 30,904.75
Contract No. 710625286
TOTAL (Also enter on line 7, Recapitulation) $ 36,904.75
(If more space is needed. insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1510 EX (Rev. 1~97)
11/03/2004 10:20 FAX B960 B43 6244
l-1-:::t-- - ~O-1--3R(
November 3, 2004
Michael Bangs
429 South 18th Street
Camp Hill, P A 17011
Reference: Annuity Contract Number - 710625286
Decedent - NAOMI C. STITZEL
Dear Atty Bangs:
For your convenience, we are providing you with the following information:
Contract Number:
Owner:
Decedent:
Owner's Social Security Number:
Date 01 Death:
Value as or Date 01 Death:
Tu Cost Basis:
710625286
NAOMI C. STITZEL
NAOMI C. STITZEL
162-22-3328
September 20, 2004
$ 36,904.75
$ 64,341.34
IaJ 001/001
.
Hartford Life
Hartford Life employees do not provide tax or legal advice. We strongly recommend that you
speak with a qualified tax advisor.
If you have any questions, please contact one of our Annuity Service Specialists by calling
1-800-862-6668, Monday through Thursday from 8 a.m. to 7 p.m., Friday from 8 a.m. to 6 p.m.,
or Saturday 9 a.m. to 2 p.m., Eastern time. We will be happy to assist you.
Sincerely,
Jeffrey Karwic
Assistant Director
Contract Management
Investment Products Services
Hartford Life and Annuity Insurance Company
JK/dr
Hartford Life Inmrallte Companies
100 Hopmeadow Street
Sf....bury, cr 06089
Toll Fr.. t 8008616668
Indlvlda.. Auuit)' Operatio...
Mallin. Add....: P.O. _ 5085
Hartford, cr 06101-5085
AEV-1511 EX + {1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Naomi C. Stitzel
Debts of decedenl musl be reported on Schedule I.
ITEM
NUMBER
A.
B.
FILE NUMBER
SS!! 162-22-3328
09/20/2004
DESCRIPTION
AMOUNT
1
FUNERAL EXPENSES'
Clergy Services at Funeral
250.00
2
Gingrich Memorials - Headstone engraving
95.00
3
Richardson Funeral Home, Inc.
5,487.00
1.
ADMINISTRATIVE COSTS,
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Numbens) / EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year{s) Commission Paid:
2.
3.
Attorney's Fees Michael L. Bangs
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
4,000.00
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
Register of Wills
123.00
5.
Accountant's Fees
250.00
6. Tax Return Preparer's Fees
7.
1
Other Administrative Costs
Cumberland Law Journal - Advertising
75.00
2
Department of Motor Vehicles
34.00
3
The Sentinel - Advertising
129.47
TOTAL (Also enter on line 9, Recapitulation) $ 10,443.47
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form softwtllre only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97)
REV-1512 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Naomi C. Stitzel
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
FILE NUMBER
SSft 162 - 22 - 3328
09/20/2004
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION
Delbrook Manor Apartments - October, 2004 Rent
AMOUNT
670.00
2
PP&L Electric Final Bill
20.22
3
Verizon Final Bill
93.96
TOTAL (Also enter on line 10, Recapitulation) $ 784.18
(If more space is needed, insert additional sheets of the same size)
copyrIght (el 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97)
REV-1513 EX + (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCETIV( RETURN
RESIDENT DECEDENT
ESTATE OF
Naomi C. Stitzel
SS11 162-22-3328
09/20/2004
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [Include outright spousal distributions, and
transfers under Sec. 9116(aX1.2)]
1 Darrell R. Liddick
1382 Bucks Valley Road
Newport, FA 17074
2
Ronald E. Liddick
433 Baldwin Street
Virginia Beach, VA 23452
3
Clyde A. Liddick, III
IS Siegfriedale Road
Kutztown, FA 19530
RELATIONSHIP TO DECEDENT
Do Not List Truslee(s)
son
Son
Son
FILE NUMBER
AMOUNT OR SHARE
OF ESTATE
One-Third of
Residue
One-Third of
Residue
One-Third of
Res idue
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON TAXABLE DISTRIBUTIONS,
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
0.00
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 2000 form software only The Lackner Group, Inc.
Fo,m REV-1513 EX (Re,. 9-00)
"
~
~
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-
-u
WILL
OF
NAOMI C. STITZEL
!, NAOMI C. STITZEL, of Mechanics burg, Cumberland County, Pennsylvania, declare
this to be my last will and revoke any wiIl previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, and any and all taxes and assessments imposed by any
governmental body as a result of my death, whether on property passing under this will or
otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a
part of the expense of the administration of my estate.
ITEM II. ! give and bequeath ali of my household goods, automobiles,jewelry, and all
other articles of household and personal use, equipment and ornament, together with all
insurance thereon and relating thereto, to those of my issue, per stirpes, as survive my death by
thirty (30) days.
ITEM III. ! give, devise, and bequeath all the rest, residue, and remainder of my
possessions and estate of every nature and wherever situate to those of my issue, per stirpes, as
survive my death by thirty (30) days.
ITEM IV. Should any of my issue entitled to a share of my estate not have attained the
age of twenty-five (25) years at the time for distribution to him or her,! devise and bequeath the
1
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~
~
~
~
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~
share of such issue to my hereinafter named trustee, IN SEP ARA TE TRUSTS, to hold, manage,
invest, and re-invest, the shares so received, and the accumulation of income thereon, and to use
and apply from time to time such portion of income and principal thereof as my trustee thinks
proper for the comfortable support, maintenance, health, welfare, and education of the issue or to
make payment for such purposes, without further responsibility, directly to such issue, or directly
to any person taking care of such issue. Any principal or income not so applied shall be
distributed to such issue when he or she attains the age of twenty-five (25) years, or ifhe or she
dies prior thereto, to his or her personal representative.
ITEM V. I appoint my son, CLYDE A. LIDDICK, ofKutztown, Pennsylvania, trustee
of the trust or trusts created by this my last will. In the event my son, Clyde A. Liddick
predeceases me or otherwise fail to qualify or cease to serve as trustee of this my last will, I
appoint RONALD E. LIDDICK, trustee of the trust or trusts created by this my last will. In
addition to the other powers and authorities granted to my trustee by Pennsylvania Law and by
the preceding paragraph of this my last will, I hereby give my trustee the following special
powers and authorities:
A. To retain any or all ofthe assets of my estate, real or personal
(including any stock or securities of any corporate fiduciaries), without any regard
to any principle of diversification, risk, or productivity;
2
~
~
~
~
~
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B. To invest and re-invest in all forms of property without restriction to
investments authorized for Pennsylvania Fiduciaries, as my trustee deems proper,
without regard to any principle of diversification, risk or productivity;
C. To sell at public or private sale, to exchange or to lease, for any period
of time, any real or personal property and to give options for sales, exchanges, or
leases, for such prices and upon such terms or conditions as my trustee deems
proper and in the best interest of the beneficiary or beneficiaries of said trusts;
D. To allocate receipts and expenses to principal or income or partly to
each as my trustee from time to time deems proper in its sole discretion;
E. To compromise any claim or controversy;
F. To exercise any option, right, or privilege granted in insurance policies
or in any other investments;
G. My trustee may accumulate the income from this trust during the term
thereof but may, from time to time, distribute from current income or from
accumulated income or from principal such amounts as my trustee, in its sole
discretion, deems advisable for the education, welfare, and comfort of the trust
beneficiary .
ITEM VI. All ofthe interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
3
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~
~
~
~
,
~
~
ITEM VII. I appoint my son, CLYDE A. LIDDICK, executor of this my last wilL
Should my said son, CLYDE A. LIDDICK, predecease me or otherwise fail to qualify or cease
to serve as executor of this my last will, I appoint my son, DARRELL LIDDICK, executor of
this my last wilL
ITEM VIII. In addition to the other powers and authorities granted to my personal
representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby
give to my personal representatives the following powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy; to
make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
my personal representatives may determine and at valuations finally to be fixed by them; to
invest in all forms of property, including any stock or other securities in any corporate fiduciary
or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle ofrisk or diversification; to
retain any or all assets of my estate, real or personal, without regard to any principle of risk or
diversification; to sell at public or private sale, to exchange, or to lease for any period oftime,
any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms or conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in their sole discretion.
4
ITEM IX. I direct that my personal representatives and fiduciaries shall not be required
to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this
/~/~,?jay of
/9d.
,1998.
~.~.P/
NAOMI C. STITZEL
5
The preceding instrument, consisting of this and FIVE other typewritten pages, each
identified by the signature of the testatrix was on the date thereof signed, published, and declared
by NAOMI C. STITZEL, the testatrix therein named, as and for her last will, in the presence of
us, who at her request, in her presence, and in the presence of each other, have subscribed our
names as witnesses hereto,
~ &5107JV1 &'IflA-
\..
6
COMMONWEALTH OF PENNSYLVANIA
)
( SS:
)
COUNTY OF CUMBERLAND
The undersigned, being the testatrix whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, does hereby acknowledge that I signed and
executed the foregoing 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.
~c( J?4/
Sworn or affirmed to and acknowledged
before me by th test;ltr'x named above
thi~~ day f , 1998.
WENOV s. CllES8IO, Notary PubUe
Low.r Allen Twp., Cumbenand Co.. PA
My Commbolon ...... M4y 10, 1999
COMMONWEALTH OF PENNSY
)
( SS:
)
WE}j.J...te/Lflf/N6r and~f' f. ~LTgJAX:lt-e. {D~41}witnesseswhose
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 the testatrix sign and execute the instrument as her last
will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes
therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses;
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.
COUNTY OF CUMBERLAND
o
l SEAl
WENDY S. C S8IlO. NOlary ""bile
Lower AlJen Twp., Cumb.,-Iond Co., PA
My Commusion Expir.. May 10, 1999
7
Register of Wills of
CUMBERLAND
County, Pennsylvania
INVENTORY
Estate of Naomi C. Stitzel
No 21-04-0898
also known as
Date of Death 09/20/2004
,Deceased Social Security No. 162-22-3328
Clyde A. Liddick, III III,
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include al\ of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said Inventory represents its fair "alue as of the date of the Decedent's death, and that Decedent owned
no reat estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this
Inventory. \ Me verify that the statements made in this Inventory are true and correct. l!We understand that false statements herein
are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
I.D. No.'
41263
Personal Representative
Signature~ ~~;j .~
yde. ick, III
Signature;
Name of
Attorney:
Michael L. Bangs
Address:
429 South 18th Street
Address:
15 Siegfriedale Rd.
Camp Hill, PA 17011
Kutztown, PA 19530
Telephone, 717/730-7310
Telephone' 610/683-7543
3~lS-05
Dated:
Description
Value
(See continuation page(s) attached)
(Attach additional sheets if necessary)
Total:
9,715.61
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the elecflon of the personal representative,
include the value of each item, but.such figures should not be extended into the total of the Inventory.
Prepared by the Pennsylvania Bar Association
Copyright (cl 1996 form software only CPSystems, Inc.
Form#RW-7 (1992)
~
INVENTORY
Estate of:
Date of Death:
County:
Naomi C. Stitzel
09/20/2004
Cumberland
CASH:
Delbrook Manor Apartments -
Refund of Security Deposit
280.00
PNC Bank - Account #5140062177
6,455.62
Overpayment of Blue Shield
Premium
129.99
6,865.61
PERSONAL PROPERTY:
1996 Grand Marquis Automobile
2,850.00
2,850.00
TOTAL RECEIPTS OF PRINCIPAL...............
9,715.61
.1-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDlVlDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BANGS MICHAEL L
429 S. 18TH STREET
CAMP HILL, PA 17011
______u fold
ESTATE INFORMATION: SSN: 162-22-3328
FILE NUMBER: 2104-0898
DECEDENT NAME: STITZEL NAOMI C
DATE OF PAYMENT: 03/17/2005
POSTMARK DATE: 03/1 6/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 09/20/2004
NO. CD 005075
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,592.67
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 99
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$1,592.67
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
,'-, -,C\~'-"
! ,: :>:-'
BUREAU OF INOIVIDUAI.:rAxE$: >
INHERITANCE TAX DI\'ISIDH
PO BOX 2:80601
HARRISBURG PA 1712:8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS ANO ASSESSHENT OF TAX
rei!, Y 27 Pi'l !2: 36
DATE
ESTATE OF
DATE OF DEATH
FILE NUNBER
COUNTY
ACN
05-30-2005
STITZEL
09-20-2004
21 04-0898
CUMBERLAND
101
AlIOunt R...i tted
C' E">( ,,-
L nh \)r
ORPH6~\)'S (S]URT
,...,! !' -"",~,.~. ,,-.
MICHAEL i:'iANGS
429 S 18TH ST
CAMP HILL PA 17011
*'
REV-1547 EX AFP (03-05)
NAOMI
C
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
11!V-"f!r4"Yf.m.m~'tM'.'lMtm.W.lrMtll\"flM!'t.m.l'tl\fl1lmM!'M~.'lrCt!nrlM!'t.~rr.............. ...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF STITZEL NAOMI C FILE NO. 21 04-0898 ACN 101 DATE 05-30-2005
TAX RETURN WAS: (X I ACCEPTED AS FILED
I CHANGED
If an assessment was issued previously. lines 14. 15 and~or 16. 17. 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
16. ABOUnt of LJne 14 at Spousal rate (IS)
16. A.aunt of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Lino 14 at Sibling rat. (171
18. ~ount of Line 14 taxable at Collateral/Class Brat. (18)
19. Principal Tax Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Est.te (Schedule AI
2. Stocks and Bonds (Schedula B)
3. Closely Held stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule DJ
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule S)
8. Total Assets
(11
(2)
(3)
(4)
(SI
(61
(71
.00
.00
.00
.00
9.715.61
.00
36,904.75
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad.. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax R.turn
13. Charitabl./GOver~ental Sequestsi NOn-elecied 9113 Trusts (Schedule J)
14. Net V.lus of Est.t. Subject to Tax
(9)
1101
10,443.47
784.18
1111
1121
1131
1141
NOTE:
.00 X
35,392.71 X
.00 X
.00 X
:
AIIO\/NT PAID
1,592.67
DATE
03-16-2005
IlUHBER
CD005075
INTEREST/PEN PAID (-)
.00
~
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
crIMI! t to your account,
subtrl t the upper portion
of this form with your
tax pay_nt.
46,620.36
11."7 fir;
35,392.71
.00
35,392.71
00 =
045 =
12 =
15 =
.00
1,592.67
.00
.00
1,592.67
(19J=
1,592.67
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIOIlAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS RElIllIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU KAY BE DUE
A REFUNO. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
REGISTER OF WILLS OF CUMBERLAND COUNTY
REPORT OF STATUS OF ADMINISTRATION
(For Resident Decedents Dying after July 1, 1984)
ESTATE NO. 21 -04 - 0898
Name of Decedent:
Social Security No.:
NAOMI C. STITZEL
162-22-3328
Date of Death:
September 20, 2004
Name of Personal Representative:
Clyde A. Liddick, III
Capacity
(check one)
Executors
Administrator
x
Administrator c.t.a.
Administrator d.b.n.
Is the administration of the estate complete? Yes_X_ No
,_.,
If "Yes", how was the administration ended? (check one)
By court accounting
By account stated to parties in interest X
Did the parties release the
personal representatives? Yes
Other (explain)
Total amount paid to date to creditors and for funeral and $13,644.79
administrative expenses
Total value of distributions to date to beneficiaries $65,882.92
If administration is not complete, estimated value of assets $
still in administration
NOTE: This status report is due no later than the due date for filing of the Pennsylvania
inheritance tax return or, if no inheritance tax return is required, nine (9) months after the
date of death; if the administration of the estate has not been concluded, a summary report
shall be filed annually thereafter until the administration is complete.
I certify under penalty of perjury that the foregoing information is correct to the best of my
knowledge, information and belief.
Date:
C\ - ~. -(jS
) I~
Vv1L/C~(~l ' /// J
'Attomey for Estate .. . /'
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CP
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INRE:
) IN THE COURT OF COMMON PLEAS OF
) CUMBERLAND COUNTY,
) PENNSYLVANIA
)
) ORPHANS' COURT DIVISION
)
) NO. 21-04-0898
ESTATE OF
NAOMI C. STITZEL
Deceased
RECEIPT AND RELEASE
I, DARRELL R. LIDDICK, the undersigned, being a beneficiary under the Estate of
Naomi C. Stitzel, deceased, do hereby:
I. State and acknowledge that I am an adult individual;
2. Waive the filing of an Account or Schedule of Distribution by the personal
representative of the Estate;
3. Acknowledge that I have received all sums of money and/or personal property to
which I am entitled as a beneficiary ofthe Estate of Naomi C. Stitzel;
4. To the extent of said distribution, release Clyde A. Liddick, III, Executor, of the Estate
of Naomi C. Stitzel, and his heirs and personal representatives, from all liabilities, whether due
to his negligence or otherwise, which he may have by reason of his administration of the Estate;
5. Agree to refund to the Estate and to the said Clyde A. Liddick, III, Executor, any
portion of the distribution to which I am not properly entitled, and, to the extent of said
distribution, to indemnifY him and the Estate for claims made against him and to reill)~urse him::;
: ( .'~l
:-) C.-I
and the Estate all expenses and costs incurred in connection with any such claim; and .
.-)
6. Declare that this instrument shall be legally binding upon me, my personal
representatives, and assigns.
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this 'riq day of
"75v-.\ '(
,2005.
~~
DA L R. LI DI K
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
-I-h \
On this, the ~q day of -S~ ' 2005, before me, the
undersigned officer, personally appeared D LL R. LIDDICK, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within instrument and
acknowledged that (s)he executed same for the purposes therein contained.
)
( SS:
)
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
\~1 fh~
Notary Publ
NOTARiAl SEAL
CINDY L MULLEN, Notary I'ubIIe
OUllClllllOl\ Bora, "'fry Coullty, FA
Commission Ex Ires DIc.19, 2005