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HomeMy WebLinkAbout10-04-12 (2)1505610143 REV-1500 EX (01-10) OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 80X.280601 INHERITANCE TAX RETURN 21 12 Harrisburg, PA 17128-0601 RESIDENT DECEDENT File Number 0159 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 192 14 5405 Ol 23 2012 Decedent's Last Name Suffix ENDERS (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Social Security Number Date of Birth 08 07 1924 Decedent's First Name MI FLORENCE J Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return 4. Limited Estate ~ 4a. Future Interest Compromise (date of death after 12-12-82) g Decedent Died Testate (Attach Copy of Will) ^ 7 Decedent Maintained a Living Trust (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Povertyy Credit (date of death between 12-31 zJ1 and 1-1-95) State ZIP Code PA 17011 CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JENNIFER B HIPP 717 737 8761 r ~,~ First line of address 1 WEST MAIN STREET Second line of address City or Post Office SHIREMANSTOWN Correspondent's a-mail address: Jhipp@bOgarlaw.COm Under penalties of perjury, I declare that I have examined this return including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG OF PEj2SON RESP01~1$IBLE FOR FILING RETURN DATE Leanne P. Zeigler 208 Fishburn Street, Harrisburg, PA 17109 SIGNA URE OF PREPAR OTHER THAN REPRESENTATIVE DATE ,.~~~ 11~, ~t~~~ Jennifer B. Hipp ~~_-~ _ I '] 1 West+Main Street, Shiremanstown, PA 17011 Side 1 1505610143 1505610143 J 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required ~ 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) ~~ -~ :~': . .J_ ~~..i (''^ I T ~ f `.' _. t ~ . . n ~~ REGISTER O~LS USE ~LY " ' j - f ~ L+ ...~1 e' ' . t r_. .. ' V } ~j' . ~ ~ ~... ~ ~ ~ --~ -o y' .. ,~ DATE FILED tl"~ J ],50561,0243 REV-1500 EX Decedent's Social Security Number DecedenYsName: Enders, Florence J. 192 14 5405 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4. 5• Cash, Bank Deposits ~ Miscellaneous Personal Property (Schedule E) ............... 5. 17 2 , 4 71.5 9 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7 , 5 0 0 . 0 0 7. Inter-Vivos Transfers & Miscellaneous ~q Probate Property (Schedule G) u Separate Billing Requested............ 7. 5, 9 0 7. 8 7 8. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 185 , 87 9. 4 6 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 31 , 0 99.92 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 31, 0 9 9.92 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 15 4 , 7 7 9 . 5 4 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 14. 15 4 , 7 7 9 . 5 4 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 0 • 0 0 (a)(1.2) X .00 . 16. Amount of Line 14 taxable 15 4 7 7 9. 5 4 16. 6, 9 6 5. 0 8 at lineal rate X .045 ~ 17. Amount of Line 14 taxable 0 0 0 17 0. 0 0 . at sibling rate X .12 . 18. Amount of Line 14 taxable 0 0 0 18 0. 0 0 . at collateral rate X .15 . 19. Tax Due ...................... ........................................... ................................................. 19. 6 , 9 65.0 8 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^X Side 2 L 1505610243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-12-0159 DECEDENT'S NAME Enders, Florence J. STREET ADDRESS 5225 Wilson Lane Apt. 209 CITY STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 6,656.05 348.25 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Make Check Payable to: REGISTER OF WILLS, AGENT. (1) 6,965.08 7,004.30 39.22 Total Credits (A + B) (2) (3) (4) (5) PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :............................................................................... ^ b. retain the right to designate who shall use the property transferred or its income :.................................. ^ ^x c. retain a reversionary interest; or ............................................................................................................... ^ ^x 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? .................................................................................................................... ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. 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. For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [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 21 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 percent [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 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [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. Rev-1508 EX+ (6-98) ~ SCHEDULE E s°: -_ CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Enders, Florence J. 21-12-0159 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Eisenhower One Dollar Coin 1.00 2 NCFCU -Savings Account No. 81693-S1. 21,986.43 3 NCFCU -Money Market Account No. 81693-S3. 650.11 4 NCFCU -Checking Account No. 81693-S4. 17,377.29 5 Wage Works -Health care account payment 70.00 6 Wage Works -health care account payment 221.02 7 Wage Works -health care account payment 30.98 8 14 Kt White Gold Filled Balls on Serpentine Chain -Sold at private sale 15.00 9 14 Kt Yellow Gold Starfish Charm -sold at private sale 12.00 10 3 Lamps -sold at private sale for $5.00 each 15.00 11 Kay Jewelers -Purchase of various items of gold jewelry 297.86 12 Lift Chair -sold at private sale 350.00 13 Munn's Diamond Gallery -purchase of various items of sterling silver jewelry 17.00 14 Round Table at Side of Bed -Per appraisal. 100.00 15 Sentry Safe -sold at private sale 25.00 16 Sterling Silver Teardrop Pendant -Sold at private sale 15.00 I Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 172,471.59 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1508 EX+ (6-98) ~ SCHEDULE E ,;~- _~ - , CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN continued RESIDENT DECEDENT ESTATE OF FILE NUMBER Enders, Florence J. 21-12-0159 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 17 Television -Sold at private sale 25.00 18 Wooden Stand with three drawers and bottom shelf -sold at private sale 10.00 19 Apria Health Care -refund of overpayment 14.29 20 Apria Health Care -refund of overpayment 42.87 21 Asbury Communities, Inc. -Refund for return of life line pendant 76.05 22 Geisinger -Refund of overpayment 40.00 23 Holy Spirit Hospital -refund of overpayment 750.00 24 Holy Spirit Hospital -refund of overpayment 648.00 25 Nationwide Insurance -refund of renter's insurance premium 119.00 26 Pinnacle Health -Refund of overpayment 150.00 27 Rotech Healthcare, Inc. -Refund 154.44 28 ING Annuity -Contract No. 6000001621000SP. 129,258.25 TOTAL (Also enter on Line 5, Recapitulation) ~ 172,471.59 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) New Cumberland Federal Credit Union Yoie~- Cofnf~iicnity C~•edit Union P.O. Box 6_58, New Cumberland, PA 17070-068 Phone: (717) 774-7706 • 1-800-716-2328 • Fax: (717) 774-7996 • Web: www.ncfcuonline.org February 9, 2012 James D. Bogar Attorney at Law One West Main Street Shiremanstown, PA 17011 RE: Estate of Florence J. Enders Social Security No. 192-14-5405 Dear Ms. Hipp: Pursuant to your letter dated, February 7, 2012, in regards to above referenced member the information is as follows: Account Number: Owner(s) on Account: Date acct opened: Date of Death Balances: Dividends as of 1/30/2012 81693 Florence Enders 06/ 10/2003 S 1 (Savings) $21,986.43 S3 (MMA) $ 650.11 S4 (Checking) $17,377.29 Credit Card $ 326.26 (Paid from S 1) $ 7.59 If you need anything additional in regards to this information, please feel free to contact me directly. Sincer A _.......~ ~~`\ ~ t /~f. B arbr t Wright Branch Manager Enclosure ~~~~~~ Please sign ~ date ~) SiS hollow she(( earrings ($25) 2} Fashion yellow-tone "c" link bracelet ($5) 3} ~ 4KT white GIF balls on Serpentin ~~' ($1 ~ ~~ ~~ .~ , r i 4} S/S fashion crystal earrings ($10) 5} S1S Filgree donne earrings wJheart cut outs {$15) 6} S/S Marcasite butterfly earrings {$8} 7} S!S Turquoise dangle tear drop earrings {$15) 8} S/S Amethyst & Marcasite dangle earrings ($~ 5} 9} S1S large oval hallow hoop earrings ($30) ~ 0) S/S (single} butterfly earring ($2} 11) S/S Twisted box chain enrlenameled butterfly {$25) ~2} SfS cable link chain wltear drop pendant ($25} ~le~se sign ~ dale 13) 10KT YIG pink stone dangle pendant ($75) 1 ~4) '~ 4KT Y!G Herringbone chain (ink earrings ($25) 15} '! 4KT Y/G Butterfly charm ($50} ~~~~ 16) 14KT YIG Starfish charm ($30) = ~ c;:.~~-~ ~~ ~ ~ ; ~~ 17) 14KT Y/G twist rope lock top post earrings ($80} 18) 14KT YIG carved hollow small hoop earrings ($90} 19) 1 MKT YIG polished ova! hollow large hoop earrings ($'! 50} 20) 'l OKT Y/G Unyx ring w/1 pt diamond & eastern star ernbiem on ring ($30C) 21) 14KT Y!G Eastern Star ring v~rldiamond center & 5-colored triangles ($900} ~~eas~ ~i~~ ~ gate item:--EGA ~ (~5 eac~a-} _ ____ _ v~ ~ ~. -5 item: Wo©den stand ~°/2 sm {I drawers ~ bo m shelf ($10) r^. !'' - ,,,~ Item: Eisenhower L?oli ~ loin ~ ~. ~ ~-~c2C~. ~~~~ ~~~ t Item: Sentry Safe (~25} -. ~. _., I ~~ ~~ item Item: Item: Item: PNC Bank, N.A. 10024711 Kay Jewelers Gold Exchange.com ASHLAND, OH P. O. Box 5469 56-389-412 Fairlawn, OH 44334 9/14/12 PAY LEANNE ZEIGLER ~*"$297 86 TO THE ORDER OF TWO HUNDRED NINETY-SEVEN DOLLARS EIGHTY-SIX CENTS'` * * * '` " * * * '` LEANNE ZEIGLER 208 FISHBURN STREET ` MEMO HARRISBURG PA 17109 AUTHORIZED SIGNATURE 24-2380184 ++' L00 24~ L L+I' ~:0~, Z C03895~: 4 239?39534~i' Details For Transaction #: 24-2380184 -LEANNE ZEIGLER -Check #: 10024711 Description Material Full Weight (dwt) Less: Non -Precious Meta( Weight(dwtj Net Precious Metal Weight(dwt) Other Ring{s} 10K Gold 1.1 0 1.1 $0.00 Pendant(s) 10K Gold 0.6 0 0.6 $0,00 Pendant(s) 14K Gold 0.8 0 0.8 $0.00 Earrings} 14K Gold 6.1 0 6.1 $0.00 Ring(s) 14K Gold 2.6 0 2.6 S0.00 Totals Material Other Precious Meta( Unit Price (per dwt) Total Net Precious Metal Weight (dwt) Total Price 10K Gold $0.00 $19.86 1.7 $33.76 14K Gold $0.00 $27.80 9.5 $264.10 Have Questions? Subtotal: $297.86 Please call Kay Jewelers Gold Exchange Fee for Check by Mail $0.00 at 1-800-527-8029 Your Payment: $297.86 CD ~' -~ CD Q f-i' • • (./) CD are" -~ (J7 ~D z c~ b `r/ m~ 1 Y r'~1 (J1 Q Q --h 0 U 0 0 0 to 3 .. N 'O C 't ~. ~I i~M ~• r~ • ` '`x •!V i ~m Y [~ Y ^ T~ 1' M ~~• ////_-Tl ~~ i~.i./ NAME ADDRESS ~ - REPAIR C CITY ; PHONE iNSTRU~,TiONS: -,..~- .._ l DECLARED VALUE $ .. ~.. SIGNATURE ~ ' PRESENT ~EP-AIAED.~,,. FINER FINGER SY ~_ ~A r ~__ ~w_ ~ ~ ~=SIZE SIZE fLLUSTRATipN DESGRIPTIQN , -, ®T~iS STORE IS NOT RESPONSISL.E FOR i ARTICLES LEA" OVER 6G QAYS_ I f- SPECIAL ORDERS ARE SPECI^,L FOR YOU NQ E~C~ANGES OR REFUNDS. 1 NO ARTICLE CAM B` P1C~EG UP dill T HOUT THIS RECEIPT. ~ ~~~~~~ ' „r - ANTIQUES F l REARMS ESTATES REAL ESTATE Appraisal Report The Estate of Florence J. Enders c/o Leanne Zeigler , 208 Fishburn Street Harrisburg, Pennsylvania 17109 (71.7) 903-4738 Prepared by: David J. Cordier Ellen E. Miller Cordier Auctions & Appraisals 1500 Payton Street Harrisburg, Pennsylvania 17104 Phone: (717) 731-8662 FaY: (717) 731-9830 Table of contents Title Page 1 Table of Contents 2 Summary 3 Analysis 4 Conditions of Appraisal 5 Certification 5 Purpose of Report 6 Method of Valuation 6 Definition of Value 6 Basis of Appraisal 6 Description 6 Appraiser Qualifications ~ Value Listings Appendix A Page: 2 of 8 Summary On June 12, 2012, at the request of Leanne Zeigler, I personally inspected the assets of The Estate of Florence J. Enders. Value Fair Market Value The Fair Market Value for the property in total is: $100.00 This is not the appraisal report. The appraisal report must be read in its entirety. Page: 3 of 8 Analysis Analysis All items in good condition unless otherwise noted in the Appendix. Page: 4 of 8 Conditions of Appraisal The value stated in this Appraisal Report is based on the best judgment of the appraiser given the facts and conditions available at the date of the valuation. The use of the report is limited to the purpose of determining the value of personal property for Estate Tax purposes. Any additional research or testimony required by the client or the court will be billed at the current rates. Disclosure of the contents of the report is governed by the Standards and Practices of the Certified Appraisers Guild of the America. Certification of Report No prohibited fee was accessed for this report. David J. Cordier and Ellen E. Miller of Cordier Auctions & Appraisals have successfully completed the personal property appraisal certification program with the Certified Appraisers Guild of America and are members in good standing. This report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice and with the Standards and Practices of the Certified Appraisers Guild of America which has review authority of this report. David J. Cordier and/or Ellen E. Miller have personally examined the subject property. The statements of fact contained in this report are true and correct to the best knowledge and belief of the appraiser. r .~ , ~ ~ \~ ~ By: D~-wid rdier, .A.G.A. Cordier Auctions & Appraisals By: Ellen E. Miller, C.A.G.A. Cordier Auctions & Appraisals Page: 5 of 8 Purpose of the Report The purpose of this report is to determine the value for Estate Tax purposes for Leanne Zeigler, Harrisburg, Pennsylvania. Method of Valuation The method of valuation used for this appraisal is the Fair Market Value. Definition of Value Fair Market Value Under the United States Treasury regulation 1.170-1 c Fair Market value is defined as: The price at which the property would change hands between a willing buyer and a willing seller, neither being under compulsion to buy or compulsion to sell and both having reasonable knowledge. Basis of Appraisal Valuation Date The date of valuation for determining the value estimation is January 23, 2012. Date Appraisal Conducted This appraisal was conducted on June 12, 2012. Limitations of Property There were no limitations on use or disposition of this property. Description An itemized list with descriptions is in Appendix A. Page: 6 of 8 CORDIER AUCTIONS & APPRAISALS Cordier Auctions & Appraisals was established in 1984. The company specializes in appraisals of antiques, fine art and personal property, estate liquidations and the auction and sale of fine antiques, art and real estate. Cordier Auctions & Appraisals maintains memberships in the Certified Appraisers Guild of America, the Antiques and Collectibles Dealers Association, Inc., the Antique Dealers Association of Pennsylvania, the Pennsylvania Auctioneers Association and the National Auctioneers Association. Cordier Auctions & Appraisals has conducted appraisal clinics for such organizations as the Harrisburg Area Community College's Older American Days, the Questers, Rohrer Bus Antiquing Road Show Tour, Millersburg Historical Society, Friends of Fort Hunter, West Shore Country Club and the Friends of the Pennsylvania State Museum. Cordier Auctions & Appraisals is an underwriter for the Antiques Road Show on WITF Public Television. DAVID J. CORDIER, C.A.G.A. CERTIFIED APPRAISER David J. Cordier is co-owner of Cordier Auctions & Appraisals located in Camp Hill, Pennsylvania. Mr. Cordier has been an antiques and jewelry dealer since 1980 and an appraiser since 1.990. David Cordier of Cordier Auctions & Appraisals has successfully completed the personal property appraisal certification program with the Certified Appraisers Guild of America. Mr. Cordier is a graduate of Winterthur Museum's Winter Institute, a graduate level program in American Decorative Arts. David Cordier has attended classes in the fine and decorative arts at George Washington University, Washington D.C. and the appraisal studies program at New York University, New York. Mr. Cordier studied the arts and decorative arts in Pennsylvania at Penn State University and holds a Master's degree in Business Administration from Penn State Capital Campus. Mr. Cordier is a writer for the Harrisburg Patriot News reporting on antiques and related events in central Pennsylvania. He also wrote a bi-weekly feature column "Eye on Antiques" for the Sunday Patriot News from 2001 to 2006. ELLEN E. MILLER, C.A.G.A. CERTIFIED APPRAISER Ellen E. Miller joined Cordier Auctions & Appraisals in 2000. Ms. Miller holds a Bachelor's degree in Marketing from Shippensburg University and a Master's degree in Business Administration from Temple University. Since joining Cordier Auctions & Appraisals, Ms. Miller has been the Director of Internet Sales, conducting research and documentation of inventory, maintaining client relationships and managing an international customer base. She has been responsible for the sale of several large collections via Internet auction including classic automobiles, antique toys, sports memorabilia and autographs. Ms. Miller has successfully completed the personal property appraisal certification program with the Certified Appraisers Guild of America. Prior to joining Cordier Auctions & Appraisals, Ms. Miller worked in the printing industry in sales and administration. Page: 7 of 8 Appendix A Fair 1V~arket Vatue 1. $100.00 Table. Round top over four carved legs. Oak. Circa 1930's. 29" high x 31" diameter top. $100.00 Total Page: 8 of 8 vl ; ` 4 { t ~' `• M~. 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Sv Cl~ -- iv ~ ~ (gyp ~ ~ ~. ~ CD N ~ ~ ~ ~ ~ ~ ~ ~ ~ (D ~ ~ -~ ~ ,,,,,, ~ iU ~ -~ ~ ~ O ~ ~ ~ ~ ~ ~- ~ . ~- _Q . t~D ~ ~ ~ tL~ p ~ ~ ~ ~ ~ ~ tD ~' cA ~ ~ o ~ 0 em ~ u, ~ ~• ~ ,-~~ ~ ~ ~ v ~ ~ ~ ~ c o --{, ~ ~ ~ ~ ~ ~~ cu Q ~ ~ N ~ ~ ~ ~ ~ '~ ~ (a0 ~ ~ --- ~ tD ~ td ~ (D ~ (D ~ C ~ ~2. ~ ~ ~ ~ ~ ~ ~_ • ~ Q "~ ~ ~2. ~ ro ~ ~ ~ ~' ~ S1~ CD Q As executrix, {, treanne Zeigler, value Florence Enders's Sylvania 22 inch LCD T\/ at twenty-five dollars ($25}. Step-son in-law, Michas{ butler, is requesting receipt of this item. I, Michas! Butler, accept and acknowledge that the value of $25 must be paid for receipt of this item. 1 will be purchasing this item today. :. -tJ.~-- ~ ~ ' Date ~~ ~~1 I i Z- -~~---- Leanne Zei ,Executrix (Michael Butler ~b~1 date Witne s ~ 5 ~,~ 'F'1iti c ~_ I10TG~~,~~~_.. February 15, 2012 Jennifer B Hipp One West Main St Shiremanstown, PA 17011 ING Life Insurance and Annuity Company Contract Owner: Florence J Enders Contract Number: 6000001621000SP Claim Code: 02010 Dear Ms. Hipp, Thank you for your recent inquiry regarding the annuity contract listed above. Please find the contract information below. Line of Business Owner Annuitant Date of Death Cost Basis Non Qualified F J Enders F J Enders Value 1/23/12 $ 129,258.25 $0.00 Date of Issue 11/30/1985 If you have any questions please call the Customer Contact Center toll free at 1-800-366-0066, Monday through Thursday R:30 a.rn. to 6:30 p.rn., and Friday, 8:30 a.m. to 5:30 p.m. Eastern Time, enter option 2 folluwed by the claim code in place of your social security number. Sincerely, Claims Services bl 909 Locust Street Des Moines IA 50309-2899 Rev-1509 EX+ (6-98) µ. ; ,, SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Enders, Florence J. 21-12-0159 tf an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Fred Ensminger 148 16th Street, Apt. 3 Son New Cumberland, PA 17070 B. C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 A 2 Series HH Savings Bonds 15,000.00 50.000% 7,500.00 TOTAL (Also enter on Line 6, Recapitulation) I 7,500.00 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) III .111 IIII' ~ Ili Ilj I~111 III ~ 'I~ IIII ~ II,' I I I IIII I I'll I II' I I I I I I I I 'I~111 IIII Illlill 1 1111'1 III I I 111 V I I I IIII I; I I 1 ~ I l I r I I. III I ~~~ ~I'I IIII' I III Ili I ill I II I~il I ,""~ .>. 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NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Enders, Florence J. 21-12-0159 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY THE DATE OF TRANSFERSATTAC'H A COPY OF TIOHE DEIED ~OREREAL ESTATDE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 MetLife Annuity -Contract No. A2051958CSG. The 5,907.87 5,907.87 Decedent's three (3) granddaughters are the named beneficiaries of this account. TOTAL (Also enter on Line 7, Recapitulation) I 5,907.87 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) MetLife Investors USA P.O. Box 14593 Des Moines IA 50306-3593 MetLife July 27, 2012 JAMES D BOGAR JENNIFER HIPP ONE WEST MAIN ST SHIREMANSTOWN PA 17011 RE: METLIFE INVESTORS USA INSURANCE COMPANY CONTRACT A2051958CSG DECEASED FLORENCE J ENDERS Dear Ms. Hipp: Thank you for your recent inquiry regarding the contract referenced above. Our records indicate that the date of death and the account value on that date are: Date of Death: Januayr 23, 2012 Account Value: $5,907.87 If you have any questions, please contact your representative or call our Customer Service Center at 1-800-284-4536 Monday through Friday between 8:30 a.m. and 6:30 p.m., ET. Sincerely, Elizabeth Theisen Sr. Annuity Representative -Post Issue Processing MetLife Annuity Operations and Services REV-1151 EX+ (10-06) > tS '~ ` COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Enders, Florence J. _ 21-12-0159 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A, FUNERAL EXPENSES: See continuation schedule(s) attached B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Leanne P. Zeigler Street Address 208 Fishburn Street city Harrisburg state PA zio 17109 Year(sl Commission paid 2, Attorney's Fees Bogar and Hipp Law Offices 3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationship of Claimant to Decedent 1,121.42 8,623.00 8,400.00 4. Probate Fees 348.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 12,607.00 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 31,099.92 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Enders, Florence J. 21-12-0159 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 American Legion -funeral luncheon 200.00 2 Creations with You in Mind -flowers for funeral 461.10 3 Neill Funeral Home -funeral bill 460.32 H-A 1,121.42 Other Administrative Costs 4 Bethany Village -final bill 4,533.00 5 Bonnie K. Miller, Treasurer - 2012 Per Capita Tax 9.80 6 Cordier Auctions -Appraisal fee 95.00 7 David K. Wallace -fee to prepare 2011 personal income tax returns 105.00 8 Hasko Jewelers -fee to appraise jewelry (used for purposes of private sale of jewelry) 106.00 9 Nationwide Mutual Insurance -pension reclamation 598.42 10 NCFCU -Credit Card payoff 326.26 11 RESERVES: -Costs to conclude administration of Estate, including filing of PA Inheritance 1,500.00 Tax Return and Inventory, preparation and filing of Fiduciary Income Tax Returns 12 Space Mart -storage fee (5/26 - 6125) 110.24 13 Space Mart -storage fee (4/26 - 5125) 110.24 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Enders, Florence J. 21-12-0159 ITEM NUMBER DESCRIPTION AMOUNT 14 Space Mart -storage fee (1st month + lock) 140.83 15 Space Mart -truck rental 2.00 16 Space Mart -storage fee (6/26 - 7/25) 110.24 17 Space Mart -storage fee (3/26 - 4/25) 110.24 18 Space Mart -storage fee (2/26 - 3125) 110.24 19 Spirit Physician Services -medical bill 10.58 20 State Employees Retirement System -pension reclamation 64.16 21 The Patriot News -advertisement for sale of lift chair 26.75 22 U.S. Treasury - 2011 Personal Income Tax Payment 4,538.00 H-B7 12,607.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Florence J. Enders 01/23/2012 192-14-5405 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 1 Darlene Butler Stepchild Specific bequest of 10 Springdale Court diamond earrings Mechanicsburg, PA 17050 2 Gary Enders Stepchild One-half of rest, 706 4th Street residue and remainder, New Cumberland, PA 17070 plus specific bequest of glass floor vase 3 Fred E. Ensminger Son 1/2 of rest, residue and 148 16th Street, Apt. 3 remainder and specific New Cumberland, PA 17070 bequest of large dresser with mirror and small chest. 4 Jessica Henry Granddaughter Specific bequest of 404 Linwood Street $5,000.00, plus New Cumberland, PA 17070 diamond solitaire yellow gold necklace 5 Jennifer Osterlund Granddaughter Specific bequest of 968 Cedars Road $5,000.00, plus Lewisberry, PA 17339 engagement ring melted on gold chain with two ruby stones 6 Donald Shoemaker Nephew Specific bequest of 612 Benjamin Court round table located at La Place, LA 70069 side of bed 7 Linda Shoemaker Niece Specific bequest of 2170 Winston Road platinum ring with three Harrisburg, PA 17109 stones 8 Ted Shoemaker Nephew Specific bequest of 411 South York Road straight back bedroom Dillsburg, PA 17019 chair 1 SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Florence J. Enders 01/23/2012 192-14-5405 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) Leanne P. Zeigler Granddaughter Specific bequest of 208 Fishburn Street $5,000.00, plus ring Harrisburg, PA 17109 with 2 diamonds, dried flower tree and sand dollar tree. 10 * Note With the exception of the specific bequest of the round table located at side of bed to Donald Shoemaker, all other items specifically bequeathed were given away by the Decedent prior to her date of death. LAST, WILL AND TES~Al~I~NT OF FLORENCE J. ENDERS I, FLORENCE J. ENDERS, of Mechanicsburg, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking a1.1 other Wills and Codicils heretofore made by me. FIRST: I give and bequeath my ring with two (2) diamonds to my step-granddaughter, LEANNE P. ZEIGLER, provided, however, that should she predecease me, then I direct this item be and become a part of my residuary estate to be distributed as set forth hereinbelow. ~~ ;, ,~ SECOND: I give and bequeath my diamond earrings to my step-daughter, DARLENE I. BUTLER, provided, however, that should she predecease me, then I direct these items be and become a part of my residuary estate to be distributed as set forth hereinbelow. THIRD: S give and bequeath my engagement ring that is melted on a gold chain with two (2) ruby stones to my step- granddaughter, JENNIFER OSTERLUND, provided, however, that should she predecease me, then I direct this item be and become a part of my residuary estate to be distributed as set forth hereinbelow. FOURTH: I give and bequeath my single diamond soli- taire yellow gold necklace to my step-granddaughter, JESSICA HENRY, provided, however, that should she predecease me, then I direct this item be and become a part of my residuary estate to be distributed as set forth hereinbelow. FIFTH: I give and bequeath my round table which is located at the side of my bed to my nephew, DONALD SHOEMAKER, provided, however, that should he predecease me, then I direct ~. ~` this item be and become a part of my residuary estate to be distributed as set forth hereinbelow. SIXTH: I give and bequeath my straight back bedroom chair to my nephew, TED SHOEMAKER, provided, however, that should he predecease me, then I direct this item be and become a part of my residuary estate to be distributed as set forth hereinbelow. SEVENTH: I give and bequeath my three (3) stone platinum ring to my niece, LINDA SHOEMAKER, provided, however, that should she predecease me, then I direct t1~i s i tem be and become a part of my residuary estate to be distributed as set forth hereinbelow. EIGHTH: I give and bequeath my large dresser with mirror and my small chest to my son, FRED E. ENSMINGER, provided, however, that should he predecease me, then I direct these items be and become a part of my residuary estate to be distributed as set forth hereinbelow. NINTH: I bequeath such of my tangible personal property as is set forth in a separate dated and signed Memorandum, which dated and signed Memorandum shall be placed with or attached to this, my Last Will and Testament, to the individuals designated therein. It is my intent that the last dated and signed Memorandum shall control. If there is no Memorandum, it is my intent that all of my tangible personal property shall be and become a part of my residuary estate. TENTH: I give and bequeath the sum of Five Thousand and 00/100 ($5,000.00) Dollars to my step-granddaughter, LEANNE P. ZEIGLER. Should LEANNE P. ZEIGLER predecease me, I direct that this .bequest be and become a part of my residuary estate to be disposed of as set forth hereinbelow. ELEVENTH: I give and bequeath the sum of Five Thousand and 00/100 ($5, 000.00) Dollars to my step-granddaughter, JENNIFER OSTERLUND. Should JENNIFER OSTERLUND predecease me, I direct 2 3 vq that this bequest be and become a part of my residuary estate to be disposed of as set forth hereinbelow. TWELFTH: I give and bequeath the surn of Five Thousand and 00/100 ($5,000.00) Dollars to my step-granddaughter, JESSICA HENRY. Should JESSICA HENRY predecease me, I direct that this bequest be and become a part of my residuary estate to be disposed of as set forth hereinbelow. THIRTEENTH: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, as follows: (A) One-half (1/2) thereof to my son, FRED E. ENSMINGER, provided, however, that should he predecease me, then I direct that said share be divided, in equal shares, to LEANNE P. ZEIGLER, JESSICA HENRY and JENNIFER OSTERLUND. (B) One-half (1/2) thereof to my step-son, GARY LEE ENDERS, provided, however, that should he predecease me, then I direct that said share be divided, in equal shares, to LEANNE P. ZEIGLER, JESSICA HENRY and JENNIFER OSTERLUND. FOURTEENTH: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all property, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, 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 (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. 3 ~? w (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan} to the extent the plan er the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FIFTEENTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with 4 respect to property passing under this Will, shall be paid out of the principal of my residuary estate. SIXTEENTH: I nominate and appoint my son, FRED E. ENSMINGER, and my step-granddaughter, LEANNE P. ZEIGLER, Co- Executors of this, my Last Will and Testament. I direct that my Co-Executors, and their successors, as the case may be, shall not be required to post security or a bond for the performance of their duties in any j urisdiction . IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~.3~~day of 2010. ~~~~.~, ~ C..yi,~~ ( SEAL ) FLORENCE J. ENDERS Signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address 5 1VI ElVI O RAND ZT1VI In accordance with the provisions of Clause NINTH of my Last Will and Testament, dated ~~ /~, /3 2010, I direct that the following described personal property be given outright to those ir~.dividuals so designated: 1. My clear glass floor vase to my step-son, GARY LEE ENDERS. 2. The Kathy's Dried Flower Tree and Grandpa's Sand Dollar Tree framed pictures to my step-granddaughter, LEANNE P. ZEIGLER. ,-„- ~ ~ Date : Ju ~ / 3 ~ a) o / U ~~` ~,, r,,~.~..-, t =,°,~~;z SEAL ) FLORENCE J. ENDERS JAMES D . BOGAR JAMES D. BOGAR JENNIFER B. HIPP* LAUREN E. BOGAR *Also admitted to New Jersey Bar October 3, 2012 VIA CERTIFIED MAIL, RETURN RECEIPT REQUESTED Glenda Farner Strasbaugh Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 TELEPHONE (717) 737-8761 FACSIMILE (717) 737-2086 Direct e-mail jhippa~bogarlaw.com RE: The Estate of Florence J. No. 21-12-0159 Date of Death: January 23, Dear Ms. Strasbaugh: Enders 2 012 We are forwarding an original and one (1) copy of the Pennsylvania Inheritance Tax Return and one (1) Inventory, as well as two (2) additional copies of the first page of the Pennsylvania Inheritance Return and one (1) additional copy of the first page of the .Inventory. Please time-stamp the additional first pages and return them to our office, along with the appropriate receipts, in the enclosed self-addressed and stamped envelope. We are enclosing a check in the amount of $30.00, made payable to "Register of Wills", same being the filing fees for the Return and Inventory. Your time and consideration in these matters are greatly appreciated. Very truly yours, JBH/bbl Enclosures ATTORNEY AT LAW ONE WEST MAIN STREET SHIREMANSTOWN, PENNSYLVANIA 17011 w~ww. bogarandhipplaw. com e-mail mail cr;bogarlaw.com ~~' X11 ENN ER B. HIPP CERTIFIED MAIL NO. 7009 3410 0000 8757 3422 ~~ ~T ~~~' ac.: C7 C:~ t~ c_ ~, ~ -~ ~. ~-..., ~.~ C:) .....i :.a:~~ ~~ ~ -~'~ _ ~ -~ ~ _~ i ~. ~~' ~~ ~; - , ,- - _,~., -~-, -~: `.. r _ ~-~ ~~ p -.,..y O .. ~ r~ ~~ ~~ ~.., z ~ H h ~. x ~ ~ ~ ~"'S p~~J ~0 ~ ' ~ ~ ~ 0 ~ ~ '~ ~ ~ b ~ ~'fi p ~~,,~n~H ~ ~ y ° o ~ ~~ -~ ~ ~ cn ~ ~ ~ z ~ b U1 y b cy ~ w~ ~ ~ ~ b ~ ~ O " b ~ ~ r z ~ z ~ ~ ~ ~ ~ ~ Z o ~ ~ O O ~ ~ ~ ~~~i 1V ~~~ ~~ 50 *~I did h-~ 100 Z# -_ ~ I~ 0 w `v 2 D c y o~ y y 3 ~~ i O o ~ ~ .. ~~ ~ ®~~ *~ ° ~° ~: w .~ ~ O ~""°1 ~~ a ~ ~ w IU RJ o'~ yz ~m F 0 H O o b j ~ ~~ , n~ m ~ ~ v o ~ .-~ ~~ ~ - _ W ~ _~ --- -~ ~ ~ c o~~ w°~ ~--~ 3 cn oovz~' N. C W o (nti, -p _V ~ ~ N Z ~ o ~ ~ m ~