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HomeMy WebLinkAbout95-0199H'OS Stns REV 9-R/, ___ This is to certify that the information here given is corzectly copied from an original certificate of death duly filed with' me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is #Hegal to ~~i~#e this copy 6rY; pho#ost~# or p#rr~tocraph. r Fee for this certificate, ~~<t)0 ~/,,., . ~'~ J Local Registrar 2~54~53 No. __~at~ e~~ `9CCIJh~' NUMIBR dV E Of OFI7H iAWran, Oay, ~tiar) '~ in a •Fte~nale 143 - 24 - 4105 .. March 2, 1995 as , t err Han. t ~rm•r OI ICM•utl l~wrrr.n.q;r.r sal•arFargrtmrrN oFDE~aa art-+aa«aa~cwnawanar Y~ } b 8 13 . Altoala Pa •law• O 0 oa D +"•~'° lB >. ^ ~ ^ ® anl, a ~a ••aawan, ca•.Ml.l ra~aa,~•ry oR eucE . ~«~ aw.r, awa4 wnu...ti NO 1M ~ M yN, aU•••Y ~. (SOa~M =.. Cumberland East PennsborU Blue R1dgE Haven West a~wu wryr, aln - ~. 70. d»rdMW IY~~ ~ .mall U. Q N6 ro lA q/l 'UA111LI1lWU8-aanrW. 9URVIY•10 LrW9E Navar 41•rra•, Wftlp~ap, .MMM OI~.~.cNfgP•1'M. 111rN. ywrtwd~n tuny a ~ ,3B I+BE Store 1t~'+tt It..a6a~ WldOWed aexonmawaw«-nao~.el~a:~+~l.srl•z~~x P ~ en a 3519 Chestnut Street cn~-l~ sloelr ,r.m.. a ~ we ,».IX~..aw.al.+..~ HaRUad '- Camp Hill', Pa 17011 ~~ an•r~ ~~ „~,,, ', rta© s~v-IEaawNne~.n.l.w,w.wo ~tF*.eaaba..sva.a~y _ al"""' ' l Elsie Ramse R:ichar<i E. Pincin 438 Month 4th t tali€ax Pa 17©37 . sralaQ cr«•raa^ n«••wwomawO Q ,oaxK.- «alwww 'w•wa calw.mn c.au ___ ~n~^^1 6 95 CumUerland Valley Mem Carlisle, Pa 1903 Market luieral Homie IncC~,,,,,, ,H' 1 7 . 1 A .n -: _~•1•a•Inl0.Q1••Ollllalt ~. _'a7.ri4RS Enlarra/Qr«ns.Myi liY.a/•lr aa•.••aa •n 'MMIEDWEgM~LIFaw ~a ~"i.w.~ wig ~~raa ~Y '-_Yrl~•IIdNM•a „~~Z ~ma~ eaa~«N•moA•al ~~~~ ~~ w• O -a4~. allRrlk alw,~atrarl-aeneran.a,+~w+~raaa..w,wc aol r••uMir~b rruaa«y~lp alrw yaa h 114t1T 1. ~-e.. --e -~-~ l~ r F / s/EIIFAfl-ED4 0.• /'rrR7•IOi tla1lIER OFOE.YN _ DRE GFM•NMW TNll OPI-4RNTY _... RMp11KY HOW9UURY O<0. _- EiGRNtr ~ aaarr ~ ..day. waA ~la•.ra ^ P«~ywar•aNpMiar O w. ~ as ^ a .r ^ la~l Yia ^ wa O Yaeia. ^ CourorraMa.r.rwrN,.• ^ a. PLACE Oniwugv-geoma. arm. wraw. Yelaxaaa t8a•dGilWiovr~SlatN -- ah. zr•. r, ~ 'a r`' ISpacayl ml. wlflrAUlu~+anrarraw StowauneAranttk oP '~T+-rMpMll~/lq~yltlMYa~~aruy:~wcaua.aa.r,wfma+wr.rphyierrr,nraonorne•aonn.naeana•aom.nxn ~ C r Trrwe•al•t.r•ns.aarawwaealrwsawawrew.NN.dmraw~wMalw ..................................................... . h psE-xnwEn •PIIOIgIMICN14ANp CERtKIP1li0P11Yf1ClANIPnyaean eon wawrc+w arna~awanMwpaw•aawM 3KJfEDlliloral~, DaY. wan ---.. --_-. ~slMSw al ef!trgaM/Or. aaawxwras alw•ara,6w,•aOPlaaa. aaeawamaawaW ani nrwwr.swaa .......................... Ll~ Qa ~'- L ~-• L -5 J •weacA<teuuuem a .ty~•~°rr~rm°nwl~oc~wcEr~oc.~wsc Oa ul• s.war.•.•rrlal•n •rWfor InvNtlp•Ilon, l• rnr oplruo•, Nor •earrr•s tl Ele ana. ea,. alw • •nA aw u m• 0 ' 1`\s+~ 4 ~3~,0 s.-~~ v~,..~, , a.nMr.. anla........... ....... Oi1~sl •~ ~ , su. ................................................. ...... ~.:..... .. nEt~r .sslnwvunE~rwNUlleEn ~' o ~~` ~ '~'~ f 7 a r r - r `~r - r E PY;E INIOr~Ih.. DaX wOrl /- PETITIOn FOR PROBATE and GRAN1 vF LETTERSi Estate of ETHEL G. PINCIN No. _ also known as ETHEL PINCIN ._ To: ._ Register of Wills for the Deceased. County of ('.,,mharl anri in the Social Security No. t 9'~-~ti-O1 n5 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(gj, who is/a~18 years of age or older an the execut,~r named in the last will of the above decedent, dated N~~PmbPr 18 , 19_71L and codicil(s) dated None (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at '~5 t 9 f'.hPCrn„t Srraar, ram~H~ 11, P~ 17011 (list street, number and muncipality) Decendent, then ~? years of age, died March 2, , 19~_, at Blue Ridge Haven West, Fast Pennshoro Township , 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 killing and was never adjudicated incompetent: No exceptions Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 2,500.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ 50, 000.00 situated as follows: 3519 Chestnut Street, Camp Hill. PA 17011 WHEREFORE, petitioner(sj respectfully request(s) the probate of the last will x~ist~ presented herewith and the grant of letters_ testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. N / ~ /n i, y /~ .tip ~` _ - 2t-~ RTf'NART1 F. PT14;TN v 438 North Fourth Street ~,o Halifax, PA 17032 •~ N a. N W O A ri 00 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF } ss The petitioner(s) above-nam:.d swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of t)•.e knowledge and belief of petitioner(s) and that as personal represen- tative(s) of tt~e above decedent petitioner(s) will well and_truly adminrister ~ estate according to law. Sworn to or affi and subscribed ~~.~/~ ~ ~~ c t ..~~-. ~, be o me this __ day of ~~ ~ ~9 s e - / / ~ Re 'ter Estate of _ ~ Deee~edl DECREE OF PRU~ATE AND GRAR1'F UP EE'H"~ER~ AND NOW 19 , 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 described therein be admitted to probate and filed of record as the last will of and Letters are hereby granted to Register of Wills FEES Probate, Letters, Etc.......... $ Short Certificates( ) .......... $ Renunciation ................ $ TOTAL $ Filed ................................... r9~~~ ATTORNEY (Sup. Ct. I.D. No.) . Bruce Walter, Esquire Rhoads & Sinon, P. 0. Box 1146 ADDRESS Harrisburg, PA 17108 (717) 233-5731 PHONE ~~~# SCI ~~ ~.e~t~rc~z~# OF ETHEL PINCIN I, ETHEL PINCIN, a resident of the Borough of Camp Hill, Cumberland County, Pennsylvania, being of sound mind, and over the age of eighteen (18) years, and not being actuated by any duress, fraud, mistake, or undue influence, hereby make, publish, and declare this to be nlY Last Will and Testament, hereby expressly revoking all 49ills and Codicils previously made by me. I TENT I I direct that all my dust debts, including the expenses of my last illness and funeral - including the cost of a suitable monument on my grave and the sum necessary to arrange for the perpetual care of my grave - be paid by my Executor as soon as practicable after my death. I further direct payment of all fees and inheritance taxes be made from my estate by my executor as soon as convenient. ITEM II I give, bequeath and devise all of my estate, real, personal or mixed, of whatsoever nature and wheresoever situate, unto my son, Richard E. Pincin, of Halifax, Pennsylvania; provided, he survives me; and, if not, then to his issue in equal shares per stirpes. 1'1r:M I1I I appoint tRY son, Richard E. Pincin, executor of this :9i11. If he for aqy reason does not act or continue to act, I appoint 14rs. Jane Pincin, in his place with the same powers and duties. No fiduciary acting hereunder shall be required to post bond or enter security in any transaction. ITEt~i IV POVlERS Njy Executor shall have, in addition to and not in limitation of the powers given by law or by other-provisions of this YJill, the following powers with respect to the settlement of my estate, to be exercised in each case from time to time in the discretion of my Executor without further order or license of the Rsgister.,of W111s or of any court: Retain Assets (a) Power to retain any and all property received for as long as such retention appears advisable. Investments (b) To invest and reinvest in stocks, shares, and obligations of corporations, of unincorporated associations or trusts and of investment companies or in any other kind of personal or real property, notwithstanding the fact that any or all of the investments ma-fle are of a character or size which but for this expressed authority would not be considered proper for executors. Sell and Exchange (c) To sell for cash or on deferred payments at public or pri•aate sale, to exchange, and to convey any portion of my estate, real, personal, or mixed at the time or price and on the terms and conditions which my Executor may determine. Lea X60 (d) To lease any real or personal property of my estate for any purpose for terms within or extending beyond the term of the settlement of•my estate in accordance with lavr. ~~ Property Management (e) To manage, control, improve, and repair real and personal property belonging to my estate. Insurance (f) To procure and carry at the expense of my estate insurance of the kinds, forms, and amounts deemed advisable by my Executor to protect my estate and my Executor against any hazard. Enforcement of Hypothecations (g) To enforce any deed of trust, mortgage, or pledge held by my estate and to purchase at arty sale thereunder any property subject to any such hypothecation. Litigation (h) To commence or defend at the expense of my estate arty litigation affecting ~lY estate deemed advisable by my Executor. Conduct Business (i) To conduct alone or with others any business in which I am engaged or in which I have an interest at my death, with all the powers of any owner with respect thereto, including the power to delegate discretionary duties to others, to invest other property held hereunder in such business and to organize a partnership or corporation to carry on such business. IN TESTII.40NY ;VHEREOF, I, ETIiEL PIIdCIN, hereby set my hand to this my last 4i11, each page of which has been initialed by me, on this Eighteenth day of November, 1976 at Harrisburg/, Pennsylvania. ~~~o~ < ~ ~- ~~ti J Ethel Pincin Attestation Clause Signed, sealed, published and declared by ETHEL PINCIN, the above-named testator., as and for his last 'Hill and Testament, in the presence of us, who, at his request, in his presence, and in the presence of each other, all being present at the same time, have subscribed our names as witnesses. \:,;+~''-:J.~ ~ ~ ~ a ~ residing at f 5~..3 ~._..~. ~ ~.~. r ~..-,. G,....~~~ ~ ,~/ ~ ~ residing at ~3~ ~~~r~~i ,~r~J~~ ~ i ~, REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS J. H. KLEINFELTER ~l (etit~ a subscribing witness to the will presented herewith, (~) being duly qualified according to law, depose(s) and say(s) that he was ETHEL PINCIN Present and saw the testat rix ,sign the same and that he _ ' regl-est of testa signed as a witness at the t_rix in h~_ presence and (isx ~ other subscribing witness(es)). h~~ / i (in the presence of the Sworn to or affirmed and subscribed before me this ~f.L day of Kle ifel ~ x, ) ~it~.L- 19~ l~ e (Address) ~7~~2 Register NOTARIAL SEAL (Name) WONNE R. DURHAM, Notary Public HarrisL-~urg, Dauphin County M Qc>mml~si~n Es Tres Jul ~. ~ 997 (Address) _ REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto, (each) being dul ' y qualified according to taw, depose(s) and say(s) that familiar with the signature of testat_,_,__ of (one of the subscribing witnesses to) the codw;ll ' presented herewith and that codicil believes the signature on the will is in the handwriting of to the best of ______ knowledge and belief. Sworn to or affirmed and subscribed before me this day of 19- Register (Name) (Address) (Name) (Address) NO' ;E OF BENEFICIAL INTEREST I :STATE BEFORE THE REGISTER OF WII.LS, COUNTY OF CUMBERLAND, PENNSYLVANIA In re Estate of ETHEL G. PINCIN ,deceased, No. 00199 of 1995 TO: Richard E. Pincin (beneficiary) 438 N. Fourth Street (address) Halifax. PA 17032 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: Entire residue of estate uer Item II of Will (if additional space is needed, use back of page) Name of decedent Ethel G. Pincin Last known address 3519 Chestnut Street of decedent Camp Hill PA 17011 Date of death March 2 1995 Place of death Blue Ridge Haven West. Camp Hill. PA County of grant of original letters Cumberland Decedent died X testate intestate. A copy of the Will is X is not attached. Name, address and telephone number of the personal representative appointed Name Address Telephone Richard E. Pincin 438 N. Fourth Street Halifax PA 17032 Name, address and telephone number of counsel Name Address Telephone J. Bruce Walter. Esquire P.O. Box 1146 (7171 233-5731 Additional information may be obtained from the Date: June 26, 1995 Signature Name J. 71350 Address P.O. Box 1146 Harrisburg, PA 17108-1146 Telephone (717) 233-5731 Capacity: Personal Representative X Counsel for personal representative CERTIFICATION OF NOTICE UNDER RULE 5 6(a) Name of Decedent: ETHEL G. PINCIN Date of Death: March 2 1995 Will No. 1995-00199 Admin. No. To the Register: I 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- captioned estate on June 26, 1995. Name Address Richard E. Pincin 438 N. Fourth Street Halifax PA 17032 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: June 26, 1995 /% Name Address Rhoads & Sinon, P.O. Box 1146 Harrisburg, PA 17108-1146 Telephone (717) 233-5731 Capacity: Personal Representative X Counsel for personal representative 71350 REV - 1500 EX +(7-9~) R E C A P I T U L A T I 0 N T A X C 0 M P U T A T I 0 N D E C E D E N T 012519 HERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE ENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 'in' Ethel G. SECURITYNUMBER DATE OF DEATH DATE OF BIRTH DEATH AFTER 12/31 CHECK HERE FILE NUMBER 21 DECEDENTS COMPLETE ADDRESS 3519 Chestnut Street Camp Hill, PA 17011 X695 0199 ~~ ~ ( ~T ~/ ' 193-24-0105 02 95 02 08 13 County Ct;~gR~D APPLICABLE) SURVIVING S SE'S NAME (LAST,FIRSTAND MIDDLE INITIAL) SOCIAL SECURITYNUMBER 1. Original Return Z. Supplemental Retum H P L 4. Limited Estate 3• 4a. Future Interest Compromise CRC (for dates of death after 12-12-82) K 0 K 8. Decedent Dled Testate ^ S• P S ~ 7. Decedent Maintained a Living Trust 0 8. (Attach co of wll) (Attach a co of Trust) C p ALL CO RESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: R N NAM • Bruce Walter E9 lre COMPLETE MAILING ADDRESS S N ELEPHONENUMBER Rhoads &Sinon - T 712 P.O. Box 1146 233-5731 1. Real Estate (Schedule A) Harr'sbur PA 1710 2. Stocks and Bonds (Schedule B) 64 000.00 (2) 3. Cbsey Hskf Stock/Partnership Intarast (Schedule C) (3) 4. Mortgages and Notes Receivable (Schedule D) (4) 3. Cash, Bank Deposits 8 Miscellaneous Personal Pro PeKY (Sch. E) 8. Jointly Owned Pro party (Schedule F) 9 , 8 51.2 7 ~ (8) 7. Transfers (Schedule G) (Schedule L) (7) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous (~ Expenses (Schedule H) ...///---,,, 11, 199.49 10. Debts, Mortgage Liabilities, Liens (Schedule I) (y~ 11. Total Deductions (total Lines 9 8 10) J•_' 156.55 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Ns(' Value Sub' t to Tax (Line 12 minus Lins 13) 15. Spousal Trartsfsrs (for dates of death after 6-30-94) Sea Instructio f A (8) 73, 851.27 (11) 11, 356.04 (12) 62 495.23 (13) 0.0 0 (14) 62, 495.23 ns or pplx:able Percentage on page 2. (1S) (Include values from Schedule K or Schedule M.) 0. 00 X 00 = 0.00 18. Amount of Line 14 taxable at 6% rate (18) '~ (Include values from Schedule K or Schedule M.) 62, 495.23 .06 = 3 , 749 71 17. Arlio~nt of Line 14 taxable at 15% rats (17) (Include values from Schedule K or Schedule M.) 0. 00 X .15 = 0.00 18. Principal tax due (Add tax from Line 15, 16 and 17.) 19. Credits Spousal Poverty Credit Prar Payments Discount tnterast 0.00 + _ 3,000.00 + 157.89 _ 20. If Line 19 is realer than Line 18, enter tM difference on Line 20. This is the OVERPAYMENT. 0.00 !`.. I~ 21. If Line 18 is greater than Line 19, enter the difference on Line 21. This is the TAX DUE. A. Ent®r the interest on the balance due on Line 21A. B. Enter the total of Line 21 and 21A on Line 21B. This is the BALANCE DUE. Make Cheek payable to: Register of t#lilla. ee.n1 - - BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH ~ comet at~id ~ Per u-Y. ant t aw sza t s rotum, n9+~omWnY n9 ~ eomplets. I deelare that all real stab has bean reported at trw market value. Dxiaration of ro statern•~' a tot o nN now g whleh prspanr has any knowledge. p parer other than tM personal rePfeeentatiw i SI NATURE OF PERSON R NSIBLE FOR FILING RETURN ADDRESS }„ ' ~ 438 North 4th Street -------------- Halifax PA 17032 --'----- SIGNATUR O P E A(1ER OTHER THAN REPRESENTATIVE ADDRESS ! + ' Rhoads & Sinon P.O. Box 1146 -------------- ___ Harrisburg, PA ~7ina_,,w~--------'------ ----- AMOUNT RECEIVED (SEE INSTRUCTIONS) Remainder Return (for dates of death prior to 12-13-82) Federal Estate Tax Retum Required Total Number of Safe Deposit Boxes (18) 3 749.71 (19) 3 157.89 (~) 0.00 (21) 591.8:: (21A) 0.0 0 ( 21B) _ 591 .82 based on ali Information of DATF. /_/.?vf3 DATE { Act ff148 of 1994 provides for the reduction of the tax rates lm the use of the spouse. The rates as prescribed by the statute w 11 ~~ the net value of transfers to or for •396 (.03) will be applkabk for estates of deed dying on or after 7/1/94 and before 1/1/96 '296 (.02) will be applkabie for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 196 (,01) will be applkabte for estates of decedents dying on or after 1/1/97 and before 111/98 •Spousal trans}ere occurring on or after 1/1/98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A MARK (X) IN THE APPROPRIATE BLOCKS. 1. Did dscsder~t make a transfer and: 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 rswrsionary interest; or . . . . . . . . .. . . ... . . . . . .. . .. . . . . . . .. . . . ... . . . . . . d. receive the promise for life of either payments, benefits or cars?. . . . . . . . 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ... .. .. .. .. ... . 3. Did decedent own an 'in trust for' bank account at his or her death? . . . . . . .. . . , IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES. YOU MUST CONq~LETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. n~.....l~ti. /.1 1001 ~...r ~..i....~r .u4. /.OC.....~~~ 1~ REV - 1502 EX . (12-85) COM~IN~ I~/~ 7}{ a~p~gyl vANIA ~CH~I~ULE A ESTATE OF ~DEI'1~Fb1fjNjT~}j REq~ ESTATE Ethel G. Pincin FILE NUIIAf1lER (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be r 21- 95 - 0199 which Is deNned as the prig at whkh property would be exchanged between a willing buyer and a willing se1Nr, neither being compelled to b or sell, both havi reasonable know of the relevant facts. ITEM NUMBER DESCRIPTION VALUE AT DATE 1 Residence located at 3519 OF DEATH Chestnut Street, Camp Hill, PA 17011, per appraisal (ace attached) 64,000.00 ~ v ~ w~ (also enter on tins 1, Rsca itulation) _ (If more space is needed, Insert additional sheets of same size.) 64 00.00 rnewrlahf fel 199/ fenn ~fhrarw nnhr (`PSvefwr~ Inr REV - 1503 IX ~ (4-86) COMAAN~Ip~~~a'F~c,,, "ANIA ESTATEOF (Ethel G. Pincin SCHEDULE 8 21-9- 5--0-igg ,~~ .v • o~~ownod with Riht of ITEM NUMBER None must tw disdos~d on Sah~dul~ DESCRIPTION VALUE AT DATE OF DEATH TOTAL (Also enter on line 2, Rsca itulation) _ _ (If moro s cs is needed, inseR additional sheets of same sae.) 0.00 REV - 1504 IX ~ (3-82) ~~~,y SCHEDULE C COM N~~~i~`f'" ANU CLOSELY HELD STOCK, ESTATE OF PARTNERSHIP AND PROPRIETf Ethel G. Pincin 21-95-0199 ITEM I NUMBER DESCRIPTION None TOTAL (Also snt®r on line 3, Roca itulation) ..__.._._..,_, ..,,,. (If more space is needed, insert additional sheets of same size.) VALUE AT DATE OF DEATH = 0. REV - 1507 IX ~ (7-88) SCHEDULE D MORTGAGES AND NOTES ESTATE OF Ethel G. Pincin 21-95-0199 ' Pf° ' t °W~ wkh ~ R M of Survivorshl must ba dlsebssd on Sehedub F.) ITEM NUMBER DESCRIPTION VALUE AT DATE None OF DEATH TOTAL (Also enter on line 4, Reca itulation) : - - • • ., ..__.. ._ _ ___ (If more space is needed, insert additional sheets of same size.) 0.00 R~ tees tx + (~~8~ SCHEDULE E CASH BANK DEPOSITS AND COM N~~~S,~YAHIA MISCELLANEOUS ESTATE OF ~i~~'''^" PERSONAL PROPERTY Ethel G. Pincin FILE NUMBER 1„ ITEM owtt~d wRh R ht o~ Survivorshi must be disclosed on Sehodulo NUMBER DESCRIPTION 1 Check in decedent's possession at date of death for February interest earned on Dauphin Deposit Certificate of Deposit, No. 8000158809 2 Check in decedent's possession at date of death for February, 1995 Social Security payment 3 Dauphin Deposit Bank and Trust Company, Checking Account No. 0068812078 Interest accrued to 03/02/95 4 Dauphin Deposit Bank and Trust Company, Automatic Christmas Club, Account No. 5314801574 5 Dauphin Deposit Bank and Trust Company, Certifcate of Deposit No. 8000158809, dated May 6, 1980. Interest accrued to 03/02/95 6 1976 Ford Maverick 7 Miscellaneous personal property 8 Blue Ridge Haven West - Refund of funds paid ,on account for purchase of personal items 9 Refund from Bell Atlantic TOTAL (Also enter on line 5, Rsca itulation) additional 8 1/2" x 11" sheets if more spats is needed.) 21-95-0199 VALUE AT DATE OF DEATH 3.32 757.00 7,314.34 5.36 4.00 1,000.00 2.56 200.00 500.00 50.12 14.57 85 .27 REV - ~sos Ex . (ti-aa) COM~AN~~T~{~~p~gy~yANIA SCHEDULE F ~~~N~F~~j ~nj~T~'N^ JOINTLY-AWNED DoneeeTv of Ethel G. Pincin FILE Joint tenant(s): PIAME ADDRESS ~1-95-0199 RELATIONSHIP TO DECEDENT Jointly-owned property: ITEM LETTER DATE JMBER JOINT MADE TENANT JOINT DESCRIPTION OF PROPERTY None TOTAL VALUE I DECD'S I DOLLAR VALUE OF OF ASSET X INT. DECEDENT'S INTEREST TOTAL (Also enter on line 6, Roca Rulation) s (If more space is Headed insert additional sheets of same size) 0 . 0 C - _. ~__.._ ~lM w_. _~..~_ ri..... ... ..... REV - 1510 EX + (2-8~ COM~IN~IpL1~H ~ANIA SCHEDULE G - - - --"--"' FILE NUMBER 21- 95 - 019 9 THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON PAGE 21S YES. ITEM DESCRIPTION OF PROPERTY NUMBER I~~"~OttMtra^sfana,thN- EXCLUSION TOTAL VALUE DECD. DOLLAR VALUE OF rsNtlonshi to dee~derK date of tnrst~r. OF ASSET % INT. DECEDENTS INTEREST • None TOTAL (Also enter on line 7, Rsca itulation) _ w_Y , (If more space is needed, insert additional sheets of same sae,) 0 . O( ^--•a_~. ~_~ ,~.._~ __....--- --....ems REV - 1511 EX • (7_B8) COM ~NEA~TH ~QW MANIA ESTATE OF Ethel G. Pincin SCHEDULE H FUNERA4 EXPENSES, ADMINISTRATIVE COSTS AND 21-95-0199 ITEM NUMBER DESCRIPTION A• Fungal Exp~rts~s: 1 Myers-Harper Funeral Home Pre-paid funeral bill 2 Richard E. Pincin Reimbursement for funeral luncheon AMOUNT 6,068.00 236.25 B• Administrative Costs: ~• Personal Representative Conxrwssions Social Security Number o} Personal Representative: - Year Commissions paid Z. Attorney Fees 3• (Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4• Probate Fses C• MbeNfaneous Expenses: 1 Erie Insurance Group homeowners insurance, policy no. Q52 2600394 - balance due 2 RSR Appraisers and Analysts appraisal fee 3 PA American Water Company water service water service water service water service tion page (s ~ v rw~ tAlso enter on line 9, Rsca @ulation) Convrlaht /e)1994 form seftwan only f`PSvsf~ `'M ~f~ spaC~ is fIN{tekt, itfiert addKjpnal stlNts pf tamp 0.00 2,800.00 N/A 168.00 106.00 2 50.00 8.38 6.38 8.37 16.20 1,529.91 = 11, 9.49 ~__~ 1lM .._~ ~.... u.- - -_. SCHEDULE H MISCELLANEOUS EXPENSES (continued) ESTATE OF: Ethel G. Pincin ITEM NO DESCRIPTION 4 Hampden Township sewer and trash service sewer and trash service real estate taxes real estate taxes sewer and trash service 5 The Patriot News legal advertising 6 PA American Water Company water service 7 UGI gas service gas service annual contract coverage on home heater gas service gas service gas service 8 PP&L electric service electric service electric service electric service electric service electric service 9 Dauphin Deposit Bank and Trust Company service charge on account service charge on account checking printing expense 10 Cumberland Law Journal legal advertising 11 Rhoads & Sinon out-of-pocket expenses 12 Reserve - anticipated filing fees and expenses FILE NUMBER: 21-95-0199 AMOUNT 85.00 85.00 415.86 111.63 98.00 73.60 8.50 26.40 33.23 53.95 11.49 16.84 27.93 8.50 -13.23 17.24 18.69 20.69 14.53 7.00 7.00 16.42 40.00 219.18 100.00 Total. (Carry forward to main schedule) • $ 1,5 .91 REV - 1512IX+ (1-93) COMMONWEALTH OF PENNggYLVANIA SCHEDULE I INHERIrANCETAXRETURN DEBTS OF DECEDENT, REESIDENTT CE ED NT MORTGAGE LIABILITIES AND LIENS ESTATE OF Ethel G. Pincin Pi••s• Print of T • FILE NUMBER 21- 9 5 - 019 9 ITEM NUMBER DESCRIPTION AMOUNT 1 Bell Atlantic telephone service 86.61 2 PA American Water Company water service 12.09 3 UGI gas service 46.67 4 PP&L electric service 11.18 TOTAL (Also enter on line 10, Rsca itulation) _ (If more space is needed, insert additional sheets of same size.) 15 . 55 Rev- ~s~3 ex . a-e,~ co~~~"~~~ SCHEDULE J ESTATE OF Ethel d. Pincin BENEFICIAR{ES FILE NUMBER 21- 9 5 - 019 9 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP ~~~ OR A Taxabw 8~quosts: SHARE OF ESTATE 1 Richard E. Pincin 438 North Fourth Street son Entire Estate Halifax, PA 17032 ITEM iUMBER NAME AID ADDRESS OF BENEFICIARY AMOUNT OR B. CharrtabN and Gov~mm~ntal B~qu~sts: SHARE OF ESTATE None "" ~ ~:MARITABLE AND GOVERNMENTAL BEQUESTS (Also ~nOsr on lirn 13, Rica i[ulatlon) (N moh seaq N n~«Nd ins~e! = 0.0 addNiensl shwb of ^anw ~~) I r w ~..~entory of the real and personal estate ,.,r ETHEL G. PINCIN deceased SEE ATTACHED SCHEDULE TOTAL INVIIV'IbRY 73, 851 ~ 27 COMMONWEALTH OF PENNSYLVANIA ~ ~: COUNTY OF CUMBERLAND Rich~3rd E incin being duly s rT, according to law, deposes a,~d says that he is the Executor of the Estate of Ethe G. Pincin late of ~~ •cz£lI,en- - - , Cumberland County, Ps., deceased end that the within is an inventory made by him __ _ ., the said Executor of the entire estate of said decedent, consisting of all the personal proparty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it': fair value as of the date of decedont's death. SWORN Novc~rnber 30 f~~(nb J. Hartinger, Not`3Fy Public H , 'stiurg, Dauphin County My Commission Expires May 25, 1998 ._..,.~.,.. oanr,cuhiania Association Of Notarie 19 95 Richard E. Pi~eir~, Executor c/o Rhoads & Sinon. P.O. Box 1146 Harrisburg, PA 171G8-1146 Addnu 2nd March 1995 Date of Deatb Oay Month Y..r INSTRUCTIONS I. An inventory must bs filed within 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 reslty 4. See Article IV, Fiduciaries Act of 1949. O~ Cn O i N 0 Z ~ ~ W W ~ Z H ~ O w ' `~ "' O 0 oc ~ Z ~ `a. W ~ O ~ a Z ~ G~ W Z a a and subscribed before me, 0 e V u 0 0 o. ~: w c O U -o c 0 Y `o ~ ~ ~ i C '1 U No.14A ~47$2~ ~~ .IM4NWEALTH 4F PENNSYtYAN-- Dr&PARfMENT OF REVENUE REV.,,dz Ex ,< 94i - OFFICIAL RECEIPT • pENN5yLV~-NIA MHERITAFiCE AHD ESTATE TAX RECEIVED FROM: ~ ACN ASSESSMENT CONTROL • NUMBER RHOADS & SINON ONE SOUTH MARKET STREET P O HOX 114b HARRISBURG PA 171063 FO(D MERE ESTATE INFORMATION: © FILE NUMBER 21-1995-0199 SSN 193-24-0105 © NAME OF DECEDENT (LAST) (FIRST) (MI) F' N T DATE OF PAYMENT © POSTMAR E REMARKS RICHARD E PINCIN SEAL CHECK# 312 r~xP,axER -~ AMOUNT 101 ~ 0 FOID MI TOTAL AMOUNT PAID _~~ 000 00 St4 RECEIVED BY ~ . SIGNA R ~~ REGIST~R~OFIWILL_S , 0 D RHOADB ~ .gINON HENRY W. RHOADS DRAKE D. NICHOLAS ROBERT H. LONG, JR • . SNERILL T. MOVER THOMAS A FRENCH JAN P. pADEN DEAN M. DUSIN~[RRE RICHARD B. WOOD DONNA M.J. CLARK LAWRENCE B. ABRAMS 111• CHARLES E. GUTSNALL J. BRUCE WALTER LUCY E. KNIS[LEY JOHN P. MANBECK PAUL F. WESSELL FRANK J. LEBER R. STEPHEN SHIBLA SHAWN D. LOCHINGER CHARLES L SIECK• `ICE R. RUHL PAULA LUNDEEN LORI J. McELROY JACK F. HURLEY, JR. KIMBERLY ALBRIOHT NOEL NATHAN H. WATERS, JR. VIRGINIA P HENSCNEL DA`/ID B. DOWUNG DAVID F. O'LEARY SUyA,/ E. SCHWAS DAVID O. TWADDELL DUN F. PIERMATTEI CHARLES J. FERRY TODD J. SHILL STANCE`/ A. SMITH JENNIFER M. McHUGH JENS H. DAMGAARD• KENNETH L JOEL •ALlO ADMITTCD TO THC FLORIDA ~11R ATTORNEYS AT LAW DAUPHIN BANK BUILDING TWELFTH FLOOR ONE SOUTH MARKET SOUARE P.O. BOX 1146. HARRI3SURG, PA 1 7 108-1 1 46 TELEPHONE (717) 233-5731 FAX N03: GENERAL: 717-238-1456 MUNICIPAL GROUP: 717-231-6610 LITIGATION GROUP: 717-231-6637 December 1, 1995 OF COUNSEL FRANK A. SINON JOHN C. DOWLINO PAUL H. RHOADS I Y07-1 Y~4 JOHN M. MUSSELMAN IYI}IO~O CLYLE R. HENDERSMOT I Y0 t-1 f~0 DIRECT DIAL NO. 231-6671 FILE NO. CERTIFIED MAIL Ms. Mary C. Lewis Register of Wills County of Cumberland 1 Courthouse Square Carlisle, PA 17013 Dear Ms. Lewis: Re: Estate of Ethel G. Pincin 5139/01 Enclosed are the following in connection with the above-referenced Estate: 1) Pennsylvania Inheritance Tax Return, in duplicate, showing balance due of $591.82; 2) Check in the amount of $591.82 as payment of said balance; 3) Inventory; 4) Check in the amount of $28.00 as payment for filing fees in connection with the Retain and Inventory; 5) A copy of this letter, together with the first page of Return, which we ask that you time stamp and return to us; and 6) Self-addressed, stamped envelope for your use in rettuning time stamped copy to us. LANCASTER OFFICE: 16 NORTH LIME STREET, LANCASTER, PA 17602, TELEPHONE (7171 3a7-5127, FAX (717) 367-S 267 AFFILIATED OFFICE: SUITE 301, 299 W. CAMINO GARDENS BLVD., BOCA BATON, FL 33632, TELEPHONE (607) 3>iE-5566, FAX (407) 3g6-94p7 Ms. Mary C. Lewis December 1, 1995 Page 2 RHOADB ~ 81MO1v Should you have any questions on the enclosed, please do not hesitate to contact the undersigned at (717) 231-6671. Thant: you far your cooperation in this matter. Very truly yours, BROADS & SINON By: ~ ~`~ . Nancy J. Hartinger Legal Assistant Enclosures 77335 r~ r.~ .- _~ f '_~. -.,~ r a ~ REV - tteo Ex .~-!h D E E D E T H P O " P S R D S N - T E A P 1 u A 1 0 N T X c M P u T T 1 O N whkh IIWERITANCE TAX RETURN '~ RES~LNT DECEDENT ~ (TO BE FILED IN DUPLICATE 21 NArtE Mir. Atgr, ANO waooLE INITIAL) SECURITYNUIIEER ~DATEOFDEATM .avc...cn ~ -s wMRETE ADDRESS 3519 Chestnut Street oF~RTH Cattrp Hill, PA 17011 193-24-0105 03 02 95 02 08 13 (fF AMLICAaL~ SURVMNti SPOUSE'S NAME «~$,Rj~ (IAST.FIRSf AND I-a00LE IN'TIAW • SOCIAL SECURITY NUMi>ER X 1. Original Retum Z, $~v Retum 4' Lindtsd Estab 4z Fu4xs Inbfat Compr~~ A !• Deeederrt Died Tesbte (for dabs of death attar 12-12-82) ~ S. (Attach a yyB) ^ 7' DkederR Mainbinsd a LiWng Trust p _8. (Atbelr a of Trust) ~ ~pENCE AND COlrlsteerrru *... ~..~-•---._-- _ J NUMaER 2aa_ 'r'"KD ~ Dg1EC1'ED Tf COMFtETE MAIUNO ADDRESS Rhoads & Sinoa P.O. Box 1146 T. Real Estab (ScheduN A) ear ie 1) PA 17 0 t Stocks and Bonds (SeMduN B) 64 0 ..Ob !- CkNiey Field Sbek/Partrtarship htsfwt (SeMduN C) (Z) (!) _ 4. MortBagss and Nobs Repivab» (Sd>,drde D) (1) 6' Cash, Bank Deposit A M~ Personb property (Seh E) (!) •' Johty OMirted pr,op«~ (SeMduN F) . 9 8 51..2 7 7. Transfers (SeFt.duN G) (SCMdule L) (!) A ToW Groa Asab (tool Lino 1-7) (7) ' _ !. Funeral Expenses, Admhi Cosh, MinNsneous (!) -- Expensa (Schedule H) 11 199:-49 is Debt, Mortgage LiabiYlies, Liens (SeFredule 1) (10) 11. ToW peducyow (~ Lines ! 6 10) 156.55 1t Net valve of Esbms (lhe 8 mhos Line 11) 1!. Charitable and Goverrrr~rtbl geq~ (SCFtedule J) 1~. Net Valve Su b Tax (Lhe 12 mhos Line 13) 1S. Spousal Transfers (for dabs of death afbr 6-30-9d) See Irebuctlons Ion Ap ~~ p (Indude vakes hoar ~~ on ps°' 2 (1!<) 0.00 X 00 = 1i. Amount of line 14 bxabN at 6Xn 6XK module M.) 0.00 (lncNNie ~+~ from Schedule K or Setredule M.) (1!) 62.495 23 X .06 = 3 749.71 17. Amount of Lirre 1~/ bxable at 15X rats (Include values from g K or SNredule M.) (17) 0.00 X ti. Prirrpp,f ~ dw (Add tax from Lars 15, 16 and 17.) 1!. Credks Spousal f~owrhr Credk Prior pa>rmenls p 0.00 + i:count If>tereb ~ ®h 3-, 000.00 + 157.89 - wan Li» tA, erMar the dNsrenee on Lirte Z0. This 1Mia OyEp'A~~ 0.00 21. M Lirre 1a is greabr than Lira 1!, enbr the dMsnrxNt on Lire 21. This b the TAX DUE. A. Enter tM interest on the balance dw on Lite 21A. B. Enter the tool of Line 21 and 21A on Lhe 218. This is tM ilALANCE DUE. Wks'- s_~.._ ._ _ R ltN1E TO ANtV aN e..I.~l. h.. h..n npor, PERSON RE sLE FOR FILING RETURN ME'ARE~t OTHER THAN REMtESENTATIVE eef>yr tlpn ttw pM~prj 1995 0199 AMOUNT RECENEO (SEE INSTRUCTIONS) h~rninder Return (for data of death prior m 12-13-82) Federal Estsb Tax Return Required Total Number of Sab Delx~sR Boxes (~)" 73 8 51.2 7 ;;%~, (11) 11 356.04 (1Z) 62 495.23 (13) (11) 0.0 0 62, 495.23 .15 0.00 (1!) 3, 749.71 (1!) 3 157.89 (m) 0.00 (~) 591.82 (~~ (r°) 0.00 591.82 ADDRESS 438 North 4th Street Halifax ------------------------ PA 17032 -"------ ADORESS Rhoads & Sinon, P.O. Box 1146 ----------------- Harriibu_~ ------------------- PA 17108_~tac --'------ an MI information of DATE /i-3o f~ DATE ~~' 3~' ~~ Fonn~s,,, j . g+) No. QA O8Z~68 CC.-,~MONWEaLTH rJ~ PENNSYLYANI}. 'DEPARTMENT OF REVENUE , ~n -REV.nez ex 1+-sad OFPtftAt RECEtt'T • pENNSYCVANfA tNHERITANGE AND fSTATE TAX ACN RECEIVED FROM: ASSESSMENT CONTROL ' AMOUNT • NUMBER RHOADS & SINDN P D BOX 1146 HARRISBURG, PA 17108-1146 FOLD HERE ESTATE INFORMATION: © FILE NUMBER 21-1495-0199 © NAME OF DECEDENT (LAST) PINCIN ETHEL G DATE Of PAYMENT © POSTMARK DATE COUNTY ClJMBERLAND REMARKS RICHARD E P I NC i N SEAL CHECK# 4209 SSN 193-24-4105 TAXt~AYER 1 fOLD H! TOTAL AMOUNT PAID X591 . 82 GW RECEIVED BY Fi . d ,Q w $,U SIGNATU ~~ Oi REGISTERLOFIWILLS STATUS REPORT UNDER RULE 6.12 Name of Decedent: Ethel G. Pincin Date of Death: March 2 1995 Will No. 0199 of 1995 Admin. No. 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: Yes X 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 i:s Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X , the personal representative asaaccount ais: Court No. (if any) for account informally tolthetpartiessinainterestsenYesive state an No X d• Copies of receipts, releases, approvals of formal or informal accounts may be filedn with the Clerk of the Orphans' Court and Y ttached to this report. Date: ~i7~ 9 J• ce Walter, Esquire _ Rhoads & Sinon LLP One S. Market Square P.O. Box 1146 Harrisburg, PA 17108-1146 Capacity: Personal Representative X Counsel for personal (MAH:rmt/AM3) representative 97557