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HomeMy WebLinkAbout95-0363~,l-~5~(~~~~ This is to certify that the certificate hereunto attached is a tine and accurate copy of the original death record on file with the Division of Vital Records, and that Frank Yeropoli, whose name is subscribed thereto, was at the time of subscribing the same and now is Director, Division of Vital Records of the Department of Health, for the Commonwealth of Pennsylvania, duly appointed and commissioned as directed by Act 66 of the General Assembly, approved 29 June 1953, P.L. 304. AUG 182001' ? • Date Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 Tr.e1PnNT w PERMANENT BLACK B11( it W w U W LL Z Z COAAMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS ,~ -' CERTIFICATE OF DEATH ~ 4 ~~ ~ NAME DP OECEDEIiT tFinL MICOP.LW sex SOCIAL SECURm NUMBEfl Dlve GaoEaNwa,N. D.v.'+n 7. 1 7. ~ ~ ~.. J/ AGEIW BYMOry) LwDE711 YEM IBIDERI by DATE OP BEAN BINDIRACE ICtyrW PIACEOPD&BNlCnWW,ane-sPilNYUC•PmandMr •.M Marv . D.y. Mrn ~ MrMN IMaM.Dryt>rrl Airs FarpnCwnyl OTiBiR: ~ 78 Y" t 30,16 ,. Wisconsin "0""N efY°r0rr" ^ D°L ^ "°~ ^ "`°"° ^ ~ ^ coLlnTrosDE~BN cnY.eoflo.TWPaPDE~aN R~csmNAwEt».a.w,bn.yn.a~.lrwl...n.+l YwaoecmexroFNlaRwlcawDlNY RACE-w,No-Anrsr.eual.wr~l...r C l d E t P nh b tz er an as enns oro .. ,a White KwoaPwlANESSrloustRY Pws DECEDENT EYERw oECEDENrsEwclvaN MAR11JIL STATU6•MrrrO 3t111Yrvw09-011BE rna .•IkaPlr •rr us.AflIAEDlroflcesY Nw«M.Irlw wrP•.q (M rr, pwrnrelnnrnN a••IN^011Kmno,In• 1 p, ^ ~ GOMP DMpeN L4p•e/,q Exc. Secetary „R Penn Harris Inn Ne NPaI , , tOia 4 t"ars.l Widovaed /1. 10. DECEDOmar~BrgAOORESBtswcC.Wrwn.sw..nPCOaN ,7.Ar Pa ,n C~+r eb East P2nn3bOI0 a. a w 24 Brentvaood Roc-d . . .. w N. . ae "~~"~ ~•a^I ' °. Camp Hill Pa 17011 tS••+IrlAtierr M r • °^""°°i0" Ctmberland '°•"'""7 ^ "° °in°" ~ u , „~, ,x rIr . .dl.l. a sATNER'S NAME ¢Yr.1B0aw. LY) MDTIIER'S NAME lRr.lAae.. r.lc.o sln.n.i Charles Larsen ,~ Martha Ztirk wPORMVrraNAMEOwrPeld wRDrwANrsw,BxrBADDRESSw.+.c+>nwl.sr..zaCoa.o ~a~ Marren 30 East Cower Street Mechanics Pa 17055 METNOD OP BUW ^ CIrIatloP~ RrInW 6PI•Brr^ DaE OP D18POM7IDN Dry,Nrl PLACE DP pBPOBRgN•NrlraCrlwNµ Clwrbr rOBrPrp L.DCR1011•WR•.S 9rlw DPCab . ~ 1N ^ DrWr1^ « :,.. 8, 1995 :,.. Fast Harrisbur Cremato ,,.Harrisbur Pa oP aRPERBDNACnNDABSUCN LICENSENUAIBeR NAMEANDAOORESBOPPACAITY 03 Market Street 011654-L ~_~~. Ftu~ ~ In B•1Ir •I+Y IMLwrrY Mnoww¢,arln«wl.arsrlrr.mr.m Pre.Rwa. LICENSE NUMBER rsrY,MPrlrrrernr a•w,awra•rw •nara ~,,~,~„ s7.. a7r. ~r a ~ ~ "~ ~ DeoEaN DaEPRDNO1x+cE DEADtM~n.o.r.Terl ~ 1wscASE~PEflREDmMEauLExAwNEwcoraNVrr P l Irr .N«a .w noP ~ M. ~. ^ N•^ / ~ _{, n.R~Rrr. Errtlrarr...wl.r.amrprrnlN.Mald..an^awn.DO .m.n»Ilne.aara.«rAr rN.I.NCacan..Kar... IA~Iwr~r Prurrr. ww.gllanrallmrorrargba.Bl.w LrlrK,rrerw an rrA 111• . ;al~w anue~i.n ~I«IrYgrdr lwarybglal..Wrlr Rw71. ` ` Brrn,ATECAUx~r / ~ //~~ a..r.vcanuBm (/ . ' ~ ~ tiX'~ prY~a,1 i I.Nw1p:,a..n>-- . L~G(YC~/~ srLnQ 5/ 5 DuETD,Ofl ors ~^ / SC ~ n l'c 8•V+rrW YePlMlrn n C , c ..Inc r.swr+rN..r. DuE W tcR oFx ; ur.EnIrIBMMLY11q L , cA11BB ~"w111riryvy c C~ f ~/r 1 rrlrwra..rr.r DUETDI ACONSEOUENCE OFI. t•rifn0 rarlll IABT 1 Q MRB AN M/IDPSY WERE AUICPBY PB1Dw09 MANNEfl OF DEAN DATE OFINANIY TWE ORINAIRY wJU11YRWORKf DESCRIBE IIDY/IKNIRY OCfa111RED. PERPDRAAEDY /ARN,ABLE PRxw TD ~~n.Dgt lYr) CAMP~l~E7gN OFGUSE Nwtl ~- Nomkae. ^ Att,dw1 ^ PN16g4rv••IIG•II•• ^ YM ^ No ^ ,~y/-, M. ^ ^ ^ ^ N1 NP 1M NO lF 9WCiE. CaMOnrGMNmInO PUCE(~wJURY-A1lwliw. rrln. rnr.1•obM. dllu LDGOgNIStrr.CN/~.Sr1N 716. 2>. 70R 781. ~~_. fIATMIHI ICIaGI ad, arl 'CPJITMI'INB PNYfID1AN(PhYmcwn urUY~^9 cau•.dawm nN.n anouw. MYg' hes OlmwicW tlsaN ano candeieG lrom 231 SIGNANRE AND TI C TPMbrWI•Y WIO.7•CB•.0••Marsrln•YJwbMern«p wW m•I•wr WYG ..................................................... ^ 7t ~ `( •PRONOIINCBID ANp CERTIFYMID PNYBICIAN (Ph,xgn CaN paquncvq drm •n0c ` LICENSE NU ) Q~ (~ DATE AGNE ,ply MAWq bc•ia•da••m) ~ / f V / _ s O f 7bIM bMMnq YrorbdpP,CwMaxwnlrlM r•.,aM.,,na Pres.•nGUwblr err•(•I••a llrlaur.e.I.M .......................... 71e. tl~ / 7t6 ANDADORESSOF PERSON WMO COMPLETEDCAUSE OF (Item 2717yp• a Print 'MEDICAL ExAMwENCORONER On tll• Irrr W ea•aWlPllon •rlAlar InvetUB•tbn. K, my opinbn, EePHt xcurr•0 el IM,4lIe, dre, aPM place, ant dw b Me eeuwp) •II. ^ InennPr b r.na .................................................................................................. 7x. 7,e. REGIST 'S SIGNATURE AND NU / / / ~,. 1 DATE FlLED P.tanlh. DeY. ~1 ~ ~. O / ' ,~ ~ w_ ...: r_ ~.. REV-1500 + (71~9a1 r n ~ ,~ ~ ~ `' INHERIT~-NCE 'TAX RETURN FOR DATES OF DEATH AFTER t ?131191 CHECK HERE iF A SPOUSAL DIT IS CLAIMED ^ L _. RESIDENT DECEDENT I E NUMBER P V NIA T IN DUPLICATE A COMM NWEALTH OF PENNSYL DEPARTMENT OF REVENUE ( O BE FILED - ~3~ DEPT. 280601 WITH REGISTER OF WILLS ~ ~ ~ - HARR URG, PA 17128-0601 COUNTY CODE YEAR . ,j NUMBER DE ENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DECEDENT'S COMPLETE ADDRESS anion, Vivian Ruth 24 Brentwood Road Lz SOCIAL CURITY NUMBER DAT OF DEATH DATE OF BIRTH Camp H 111, P A 17 011 6-05-8552 /4/95 9/30/16 --- u m ~ rzL~~ D ~°~~ t p ,r // (IF APPLICA6lEl SURVIVING SPOUSE'S NAME (LAST, FIRS ND MIDDLE INITIAL) SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTjONS) L++ 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return Y c h (for dates of death prior to 12-13-82) W 000 eY.~ ^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Federal Estate Tax Return Re wired q = s ° ~ (for dates of death after 12-12-82) a m 6. Decedent Died Testate ^ 7. Decadent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes Attach copy of Will) (Attach copy of Trust) AND CCINFIDENT1Al TAx`tl~iF~ORMAt10M.SHmtlLD~13. #ktR~~[E1~T0: ~ , .. .- y Z ~o N ebra K. Wallet, Esquire COMPLETE MAILING ADDRESS v~ ELEPHONENUMBER 24 N. 32nd Street 717 737-130 Camp Hill, PA 17011 1. Real Estate (Schedule A) ( _~ 9 4 , O O O . O O 2. Stocks and Bonds (Schedule B) 12~ 3 9 , 9 4 8 . 9 5 3. Closely Held Stock/Partnership Interest (Schedule C) (3 ') 4. Mortgages and Notes Receivable (Schedule D) (4) , z 0 s r a a v s z 0 a 0 w x 5. Cash, Bank Deposits ~ Miscellaneous Personal Property (,S.) (Schedule E) b. Jointly Owned Property (Schedule F) (b ) 7. Transfers (Schedule G) (Schedule L) (7 ) 8 T IG A I ' 11. Total Deductions (total Lines 9 ~ 10) 12. Net Value of Estate (Line 8 minus Line 1 1) / 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) ota ross ssets (tots Lines 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous (~ 2 0 , 0 2 5 • 0 0 Expenses (Schedule H) ~/ / 10. Debts, Mortgage Liabilities, liens (Schedule I) (J.~ 15. Spousal Transfers (for dates of death after b-30-94) See Instructions for Applicable Percentage on Reverse Side. (Include values from Schedule K or Schedule M.) 1 b, Amount of Line, 14 taxable at b% rate (Include values from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at 15% rate (Include values from Schedule K or Schedule M.) 18. Principal tax due (Add tax from Lines 15, 16 and 17.) ($) $170,972.63 ,/ ~ tr a (11, 22 , 370.09 ///fJ/~iJ ! q~l 148 602.54 /~ (12) , (~ ~ (13) !~ / (14) (151 - x. __ (16) 148,602.54 ,pb 8,916.15 (17) ~ x.15= (18) 19. Credits Spousal Poverty Credit Prior Payments Discount Interest + + 445.81 _ (19) 445.81 20. If Line 19 is greater than Line 18, enter the difference on Line 20. This is the OVERPAYMENT. (20) ~~ ~ ~ ~ ~ ~ ~ ~ ~~ 8,470.34 21. If Line 18 is greater than Line 19, enter the difference on Line 21. This is the TAX DUE. (21) A. Enter the interest on the balance due on Line 21 A. (21A) B. Enter the total of Line 21 and 21A on Line 21 B. This is the BALANCE DUE. (21 B) 8 , 4 7 0 . 3 4 Make Cheek Payable to: Register of Wills, Agent ~z~ ~ , craw[iy,~F~.s+Lrva~'rGts~xAGC=4tUC.lsfUfT~' VTV KtVxIW~,:~11Ut j~19[t~'~~f~CK;;~V1E~~ U~r 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, itris t ue, correct and complete. I declare that all real estate has been reported at true market volue. Declaration of preparer other than the personal representative is k~as on all information of which preparer has any knowledge. h 10357 Anson Avenue, Cupertino, CA 95014 B~~Irs' SIGNATI~RE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS DATE L.QLlnc~.'IC- ~tu,l,~.f' 24 N 32nd Street Camp Hill PA 17011 ~~(~~ r. r Act #48 of 1994 provides for the reduction of the fax rotes imposed on the rtet value of transfers to or for the use of the spouse. The rates as prescribed by the statute will be: • 3% (.03) will be applicable for estates of decedents dying on or after 7/1/94 and before 1/1/96 • 2% (.02) will be applicable for estates of decedents dying on or after 1/1/96 and before 1/1/97 • 1 % (.O1) will be applicable for estates of decedents dying on or after 1 /1 /97 and before 1 /1 /98 • Spousal transfers occurring on or after 1/1/98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (~) IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and: a. retain the use or income of the property transferred, .. ..................................................... X b. retain the right to designate who shall use the property transferred or its income, .. ............. X c. retain a reversionary interest; or ................................................................................... X d. receive the promise for life of either payments, benefits or care? ....................................... X 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 X adequate consideration? ................................................................................................... ~a 3. Did decedent own an 'in trust for'. bank account at his or her death? + ..................................... X IF THE ANSWER TO ANY OF THE ABOVE C,~UESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. -_ ,..~ 1 REV-102 EX+ (12-851 SCHEDULE A . " COMMONWEALTH Of PENNSYLVANIA REAL ESTATE _ INHERITANCE TAX RETURN ~ - RESIDENT DECEDENT ESTATE OF FILE NUMBER Vivian Ruth Hanlon 1995-00363 (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value which is defined as the price at which property would be exchanged between a willing buyer sod. a willing seller, neither being compelled REV•1503 EX+ (a.A6) ~., ~~~ ~,; COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCH~D,ULE B STOCKS AND BONDS Vivian Ruth Hanlon 1995-00363 (All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.) - _ a ~ REV.I508 EX+12.87) ~~~~`~~~ ~, ,,~` CASH, SANK DEPOSITS AND - COMMONWEAITH OF PENNSYLVANIA MISCELLANEOUS INHERITANCE TAX RETURN PERSONAL PROPERTY Please ,rent or Type RESIDENT DECEDENT d ' ESTATE OF FILE NUMBER Vivian Ruth Hanlon ~ 199:-00363 (All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F) ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH 1. PNC Bank 29 Hunter Lane Camp Hill, PA 17011 Account #51-4002-6344 - balance as of 5/8/95 2. 1986 Mercury Cougar 3. Personal property - furniture, dishes, etc. (clothing and many items given to charity) 4. Cash in possession of decedent }. $33,421.88 2,000.00 1,000.00 601.80 TOTAL (Also enter on line 5, Recapitulation) $3 7 , 0 . 6 8 (Attach additional 8'/z" x 11" sheets if more space is needed.) REV•1510 EX+ (2.87) ~. • ~ SCHEDUL~+E G COMMONWEALTH Of PENNSYLVANIA TRANS~~RS INHERITANCE TAX RETURN ~ RESIDENT DECEDENT ESTATE OF Vivian Ruth Hanlon FILE NUMBER 1995-00363 THIS SCHEDULE MUST BE COMPLETED AND FILED iF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE CovER suFFT Ic vcc ITEM NUMBER ~ ~ DESCRIPTION OF PROPERTY Include name of the transferee, their relationship to deceden-, date of transfer. i EXCLUSION I I TOTAL-VALUE OF ASSET DECD. ~ % i INT. DOLLAR VALUE OF-DECEDENT'S INTEREST 1. IDS Market Street Camp Hill, PA 17011 Uniform Gift to Minors' Act Accts ~ ~ a. In trust f r: ara L. Murren, granddaughte 11,707 0 0 (established 1985) ~ b. In trust for: ~ ----"Timothy D. Murren, grandson 11,486 ~ 0 0 (established 1985) j i i I j i PLEASE PRINT~OR TYPE TOTAL (Also enter on line 7 Recapitulation) $ ~ (If more space is needed, insert additional sheets of same size.) REV-1314 E%+ ~7-88) ~ y. ~. COMMONWEAUH OF PENNSYLVANIA INHERITANCE TA% RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABLITIES AND LIENS ESTATE OF Vivian Ruth Hanlon Please' Print or FILE NUMBER 1995-00363. ITEM NUMBER DEStRIPT10N AMOUNT 1• Hospice $100.00 2. Central Health Services - Nursing Care 360.00 3. UGI - gas service 196.86 4. Bell Atlantic - telephone 38.59 5. PA Water Company 19.86 6. Nationwide Insurance - auto insurance 226.70 7. PP&L 58.10 8. Sammons - cable TV 12.66 9. Dove's Auto Repair 211.42 10. Master Card 178.63 11. SOS Industries - balance on emergency alert system 25.12 12. East Pennsboro Township - Sewer 49.50 13. Real Estate/School Tax - 24 Brentwood Road 867.65 Camp Hill, PA TOTAL (Also enter on line 10, Recapitulation) 2 , 3 4 5 . 9 (!f more space is needed, insert additional sheets of same size.) REV-1513 EX+ (2-87j' scH~c~u~E ~ COMMONWEALTH OF VENNSYLVANIA BE N E F i c IAR 1 ES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Vivian Ruth Hanlon 1995-00363 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATFONSHIP AMOUNT OR -- SHARE OF ESTATE A. Taxable Bequests: ~• Martha Hanlon daughter 50~ 10357 Anson Avenue Cupertino, CA 95014 2. Suzanne T. Murren daughter 500 30 E. Coover Street Mechanicsburg, PA 17055 llr more space is nestled, insert additional sheets of same size) ~•az~s awns fo s;aays ~ouo~;~ppe ~~asui ~papaau s~ a~ods avow f~) 0 0 ' S ` 0 Z $S (uoi;o~n;ido~aa '6 au~~ uo la;ua os~y) 1y101 - .8 'L ~•, 00 ' SZ aa3 .za3suP.z~ ' aTPS .zo3 uoz~.P.zPdasd sP0 •9 (pa3Pwt3sa) ~- 00'059`9 XP,j, sa3suP.=y d~.TPag puP UOTSSTUnuO~ a~P~S~ TPag •S 00' OOfi pg pooNl~uasg ~Z ~.P but~utPd - ox~.ziuPgg ~.z.zPH •y 00' SOT 'P2i poon'l~ua.zg ~Z ~P aOLIPtIa~LITPj~j uMP7 - .2SP~S Lj~Tax- :. •£ ,~, . 00' OST ( z.z~noaxH) - abPa Tu7 ~ T. TTP~ ~ubtu.zano abP}sod sazdo0 •Z (dauso~~~) . 00'OOT abPaTtui 'TTPllI ~gbtu•zano 'abP~sod 'satdo~ '1I.=P~oH •~ :sasuadx3 snoauo~~a~sry~ •~ 00' Z£~ ~ (SZ + SZT + Z8Z$) saa~ a;ogold •q apo' diZ a+o~S ~(;i' ssalppy ;aal;g y;oap s,;uapa~ep ;~ ;uowio~~ ~o ssalppy diysuoi;o~ab ;uowio~~ uoi;dwax3 ~C~~wo~ •£ -~~ 00' OOS' L TTOLT fld `TTTH dtuPO ' 3aa.z~.g puZ£ 'N ~Z a.ztnbs a Q 3 ~aTTPM ' X Pz a saa~ ~(aulouy •Z 00'S00'T 00'859'£ $ 1Nf10W~d aanl ~o +uild asoald plod suoiss~wwo' load :anl;o;uasaldab ~ouos~ad fo lagwnN ~C;un~aS ~oi~oS suoissiwwo~ a~i;v;uasaldaa ~ouoslad • ~ a;sod and+o~;swiwpd •8 sa?.za~awa0 otToq~.PO 3o aoi330 'Z ~'d 'TTTH dutPO auioH TP.zaun3 .zau.zPH-s.za~y1 .~ aasuaax31o,aund •b NOlldl?l~S3a ?J39Wf1N W311 q~ng uPtnin 'uoTuPH S3SN3dX3 Sf103Nb~'1~3~SIW aNb~ S1S0~ 3Ai1H211SiNIWab' 'S3SN3dX3 lb~tl3Nfld 1N343~3~ 1N301S3a Ntlnl3tl XVl 3~NV11M3HN1 VINVAIASNN3d d0 H11V3MNOWWO~ - lee•[I z ~ ~/ L A S T W I L L A N D T E S T A M E N T 0 F - - V I V I A N R U T H H A N L O N " I, VIVIAN RUTH HANLON, of Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish,- and declare this to be my Last Will and•Testament and hereby revoke all other Wills and Codicils, if any, that I have made. FIRST: I give, devise, and bequeath all of my Estate, of whatever nature and wherever situate, to my children, MARTHA HANLON of Bethesda, Maryland and SUZANNE T, MURREN of Mechanicsburg, Pennsylvania, in equal shares, so long as each survives me by thirty (30) days. If either of my children fails -., , ~~ to survive me by thirty (30) days but is represented by children c~ then livin , g, such children shall take er stirpes, the legacy to ~~v, ~'h` which my child would have been entitled if then living. -~~ SECOND: If any portion of my Estate shall be payable to . ~ a benef.':ciary who is less than eighteen (18) years of age, my ~~ Executrix may pay such share to the parent or other person ..~ `\ maintaining said minor or may deposit such share in the minor's v name in a savings account in a savings institution of the ~ Executrix's choosin !`, ~ g, payable to the minor at age eighteen. ,~,~\ THIRD: All interests of any beneficiary in the income or •; principal of this Estate, while undistributed and in the possession of my Executrix, even though vested and distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to pledge, assignment, conveyance, or anticipation. FOURTH: I nominate, constitute, and appoint my daughter, MARTHA HANLON, as Executrix of this, my ,Last Will and Testament. In the event of the renunciation, death, resignation, or inability of MARTHA HANLON to act for whatever reason in this capacity, then I nominate, constitute, and appoint my daughter, SUZANNE T. MURREN, as Executrix of this, my Last Will and Testament. I direct that no representative named above shall be required to post security for the faithful performance of her duties in any jurisdiction insofar as I am able by law to relieve her of such obligation. Any of my representatives shall be entitled to reasonable compensation for the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my hand and seal °rh ~ this ~~ day of August, 1986, on this, the second of two typewritten pages. I have also signed the left-hand margin of the first page for purposes of identification only. VIVIAN RUTH HANLON t A C K N O W L E D G M E N T Commonwealth of Pennsylvania County of Cumberland I, VIVIAN RUTH HANLON, Testatrix, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I 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 VIVIAN RUTH HANLON, the Testatrix, this ;?./~" day o f ___~~~ ~ 19 8 6 . 9ROOKE ~ E. Flobry Public ~0 ~ Q~bulwd l~aungr, Pil ~' ~t 0~C ~, 1989 I SIGNED, PUBLISHED, and DECLARED by the Testatrix, VIV_IAN RUTH HANLON, as her Last Will and Testament, in the presence of us, who at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ~~~ ~ W ~ i _ ~ ~ll~! f~lltnl/i~~ J),e, ~ (3JeG1,a~,crbur~, YA l~Q;. r A F F I D A V I T Commonwealth of Pennsylvania County of Cumberland W e , Df?RA K • ~ I~ zC tT and Sr4aDi2A .~'• C~l~ iJ7 ~ A~,cJo,/ , the witnesses whose names are signed to the attached instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that VIVIAN RUTH HANLON 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 years of age or older, of sound mind, and under no constraint or undue influence. ~- % Sworn or affirmed to and subscribe to before me by --yam . / ,/ /, i ~ n ~{'D~'Q ~(- U~/l~,/~ and _ l/~cJ~r~ J. r ~~jQ,t/SdIJ, w i t n e s s e s, this ~ day of ~ u~ , 1986. ~~~~€ ~~ BROOKE A G,EtiRKE, Notary Public Camp HRH Cutubuhnd Cavtrip, PA MY Com+~dpbb Expfra Dx 4, 1989 ~~,I~ ~• / . ~ _ ~ 1~3+~+ 1 us~ RlTA~JCE TAX RETURN '.EV-IS EX+ j7.9dj T ~! i'7E. T DECFDE~IT ,~ - TO BE ~iLED IN DUPLICATE ~~MMON RTMEN7OFFPREVENUEANI ~ tWlTH jZE~iSTE?t OF 1JVlLLS) 1 DEPA DEPT. 280601 _ IDEGc .omcauRG.PA 17128-0601 r Z W O V W n W ~ < dJ V ~ v W ~ O O ~ pia 6 vi z so sz V O. z 0 a r s a v s z 0 f- a 0 U X d r <J it TE Qf DEATH FOR PATES OF DEATH AFTER 121x191 C}IEtY HERE IF A SPOUSAL POVERT•f C2ED1T IS CLAIMED.. FILE NUMBER ' 9 5 ,. 0 3 6 3 ' 21 ~ uUMBE~ ^Y'E~AR'. I, COUNTY CODE 24 BrentwoodAROla011 Camp Hill, ppPIICAeIE) SURVIVING SPOUSE'S NAME (LAST. FIRST 0 MIDDLE iNITlAl1 2. Supplemental Return } , Original Return Gl ba. Future Interest Compromise d. Limited Estate (for dates of death attar 12.12-62} 7. Decadent Maintained a Living Trust f Trust) 3. Remainder Return (for dates of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [~ 6. Decedent Died Testate (Attach copy o (Attach copy of Will) A pONDENCE AND, GONFIDENTCAt. TAX INFORMATION SHOULD BE DIREi:TED T ee t LOCO R~ COMPLETE MAILING ADDRESS NAME 24 N 32nd Str chl^a K. Wallet ES Camp Hill, PA 17011 JI\t ~......___. 7171 737-1300 1. Real Estate (Schedule A) ll) , ,,a/ 81 , 3 i 5 .5 5 ~ 2. Stocks and Bonds (Schedule B} rest (Schedule C) t I ~ Q e n 3. Closely Held StocklPartnership ` Mortgages and Notes Receivable (Schedule D) 4 , ' ,/ ,l ~ 7 h A ~ I . 5. Cash, Bank Deposits & Miscellaneous Personal Property ~ (Schedule E) (6 ) 6, Jointly Owned Property (Schedule F) (7 } $ 2 $ 4 2 • 5 1 Schedule L) 7. Transfers (Schedule G) (8 ) Total Grass Assets (total Lines 1-7) $ '1 Z'2~, 31 . Funeral Expenses, Administrative Costs, Miscellaneous 9 ~ . Expenses (Schedule H} (10) 7 ~ ~ ~ 3 1 10. Debts, Mortgage Liabilities, Liens (Schedule I) (11) 507 ~0 11. Total Deductions (total Lines 9 & 10} (12) RO 12. Net Value of Estate (Line 8 minus Line 11) (13) 13. Charitable and Governmental Bequests (Schedule J) (1 d} 14. Net Value Subject to lax (Line 12 minus Line 13) _ 15. Spousal Transfers (for di ccble Percen ogee on3Reverse (15) tructions for App ~ l I d M ) x. _ 4 $ 3 ~ 4 4 ns e u See Side. (Include values from $~hadule K or Sche • $ 0 ~ 5 Q 7 . 2 0 (16) .06 16. Amount of Line 14 tas ~ l~ ~e K/or Schedule M.) x .15 = (Include values from c e (17) 17. Amount of Line 14 taxable at 15°lo rate (Include values from Schedule K or Schedule M.} 18. Principal tax due (Add tax from Lines 15, 16 and 17.) piscount Interest 19. Credits Spousal Poverty Credit Prior Payments _ 2= 8 + ~- + ~- $ t r the difference on Line 20. This is the OVERPAYMENT. A. Enter t e In 8. Enter the total of Line 21 and 21 A on line 21 B. This is the BALANC Make Cheefc Payable to: Register of Wills, Agent ....~ ,,~ _ ~;"BE SURE:TO.. ANSWER ALL" QUESTION 50N ~P EVERSE ISIDE AN D T~ mBCHEC Kd MA e best 1 d lore that 1 have examined this return, incline got true market value. Declaration of preparer other than (1 e) 4 830.44 119) ~ 0 8 ._l$_- (20) 20. If Line 19 is greater than Una 1 , en a ,,, rJ ~ 3 $ • 6 2 21 If®a8 is greater than Line 19, enter the difference on Llne 21. This Is the TAX DUE (22A h ' terest on the balance due on Lina 21A. DUE (218) penalties of perjury, ec on allr nformd on of which preparehohaslanylknowledge. een repo g 9 fOR FILING RET N ADDRESS ~., A f~ cT n 1 4 u0.E O ERSO 0. SPO 1 _ P r ~ _ __. AtrPTtll ADORESS Cam Hit ]_ , P A 17 011 24 N. 32nd Street, P f myf my knowledge and e personal represent DATE 7/29/96... GATE 7/29/96 R~V.1503 tiX + 14-86) r ' ~~ I StNE~UI~ B COM MONWEALTH OF PENNSYLVANIA STOCI(S AA1~1 BONS INHERITANCE TAX RETURN ~``1ILL .7 RESIDENT DECEDENT ~ _ ESTATE OF FILE NUMBED Vivian Ruth Hanlon 21-95 0363 (All proQerty jointly-owned with Rignt of $urvivorshiQ must be disclosed on $cnedule F. ) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~. AT&T Stock 100 shares common at $51.25 per share (average Hi/Low on May 4, 1995); 5 $ ,125.00 2. Delaware Group Tax Free PA Fund A Class 998.866 at $8.23 per share I 8,220.67 3'. Legg Mason First Trust Insured Municipal Bonds 5 at $785.22 per share ', 3,926.10 4. Nuvt=n Pa Quality Municipal Fund 100 shares at $15.94 per share (average ' Hi/Low on May 4, 1995) ~ 1,594.00 5. Nuveen TE Ser 10 Pa 29 shares@ $29.89 866.81 6. ,Nuveen TE 65 Pa 35 shares @ $32.41 1,134.35 7. Nuveen TE Ser 1 Pa ' S0 shares @ $48,09 2,404.50 8. Nuveen TE Ser 48 30 shares @ $49.21 ~ 1,476.30 9. Nuveen TE TR 82 Pa 50 shares@ $65.19 ~ ~ 3,259.50 10. Nuveen TE TR 82 Pa ' 48 shares @ $65.19 3,129.12 11. Nuveen TE Mlt Ser 683 I I 49 shares@ $99.18 4,859.82 12. Muni-Secs Trust Pa Dis 19 5 shares at $8.44 per share (average Hi/Low on May 4, 1995) 42.20 13. Nuveen TE Pa Ser 146 30 shares@ $104.99 3,149.70 14. Nuveen TE 564 Pa 49 shares@ $105.42 5,165.58 15. Muni Sec Trust 9 shares at $8.44 per share (average Hi/Low on May 4, 1995) 75.96 Continued On attachedTOTA1 (Also enter on line 2, Recopitulotion) 1 5 /IF mnru <nnro .e ..aa.le.~l ~.,~.,.t ..,JJ:~:__,.l .~ - r ~ , SCHEDULE B STOCKS AND BONDS Continued 16. Van Kampen 164 Pa 10 shares @ $1,002.43 17. Nuveen TE Muni FD 2 300 shares at $12.76 per share (average Hi/Low on May 4, 1995) 18. Van Kampen Pa Mun i 350 shares at $14.19 per share (average Hi/Low on May 4, 1995) 19. Nuveen Tax Free Reserves 10,024.30 3,828.00 4,966.50 18,067.14 REV•1508 EX• (2871 ~ ~. ~ - COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECc^DEN7 SZHE~t3LE F CASH, SANK DEPOSITS AND MISCELLANEOUS PE3tSONAL PROPE3t'TY Please Print or? ESTATE OF FiI,E NUMBED Vivian Ruth Hanlon _._._.. ._ .. ..... ...... .... ~~ ~~~oou n uw~a auuce is nneaea.l (All- property jaintlywwned with the Right of Survivorship must be disclosed on Schedule F) REV-1511 EX+ (7-BB) ~~ ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE 7AX RETURN _ RESIDENT DECEDENT sc~E~u« ~ FiJNERAI EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Vivian Ruth Hanlon ITEM NUMBER A• Funeral Expenses: 1. DESCRIPTION Please Print~oE~vl AMOUNT B• Administrative Costs: 1 • Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid 2- Attorney Fees 3. Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4. Probate Fees C• Miscellaneous Expenses: 1. 2 Costs incident to sale of 24 Brentwood Drive estimated • on previous return at $6,650, actual $6,615 3• (35.00 ) 4• Bell Atlantic - Phone Bill 17.59 5• PP&L - Electric 6• UGI - Gas 41.95 ~• Zimmerman Plumbing 58.00 8• Federal Express -Moving Boxes 84.30 32.00 CONTINUED ON ATTACHED TOTAL (Also ent r on line 9, Recapitulation) $ e (lf more space is needed, insert additional 5f7AA~! „f ~,,...o ~;.,0 1 2 ' 3 •31 ESTATE OF VIVIAN RUTH HANLON SCHEDULE H (Continued) 1 - 9. Thomas Coder -trash removal from house $ 75.00 10. L.B. Smith Ford -auto repair 415.23 11. Keith Starr -additional lawn maintenance - 105.00 12. UGI -gas repair to sell house 52.00 13. Utility bills -August, 1995 114.24 14. North American Van Lines -furniture move to California 1,100.00 15. Waggoner, Frutiger & Daub -prep. of 1995 income taxes 275.00