Loading...
HomeMy WebLinkAbout01-28-131 1505610143 _J REV-1500 Ex`°'-'°''~ OFFICIAL USE ONLY PA Department of Revenue Pennsylvania coumy code veer r,re wrawe- BureauoflndividualTaxes ar°"NT1EN1°"E°r'"E PO 60X.280601 INHERITANCE TAX RETURN 21 11 1296 Harrisburg, PA 7 7 7 28-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Bfrth 6 18 2011 04 24 1950 Decedent's Last Name SNYDER Su(Fx Decedent's First Name WILLIAM MI E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name SNYDER EILEEN Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW ' X j 1. Original Return ~~ 4. Limitetl Estate i~ I 8 Decedent nie0 Testate ~- - (Anarh CopY~Wiln 9. Litigation Proceeds Received MI S THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. SuppVememal Return ~ 3. Remaintler Return (tlate of tleath poor to 12-13-82) L-~ 4a. (date ofd aein aCner~ai2 i2~21 ~ 5. Federal Estate Tax Return Required J T (Attach ~rtitalne~tlla Liviig Trust _ 0 8. Total Number of Safe Deposit Boxes ~~ t o_ p~~ l Pzvaertt~~ ~tfdetoesm eeatn ~ J I t Eledion to tax under sec st t 3(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytiome Telephon@.1Vumber WANDA S WHARF ESQUIRE 71~ ~99 33'261ro tYl c-, ~ -.r, ~_ u~ ~_. s+' 'r, i v .> r a~ r First lime of address ~ d13 ~ c~ R;-~ 212 NORTH QUEEN STREET „~ `- r!~ T~ .( + r ~ Second line of address ,'J ~ '" , 4~t i J h,J O'1 G City or Post Office DATE FILED State ZIP Code LANCASTER PA 17603 Y corespondent'se-mall address: Wwhare@n-hlaw.com Under penaltles of perjury, 1 dedare that I nave examined this return, induding accompanying schedules and statements, and to me best of my knowledge and belief, M1 is true. coned and complete. Oedarauon rffpreparer otner than the personal represenbhve is based on all information of wttich preparer has any knowledge. ~r~-~1.~ c~ ~~I /L,fLC~ cJ Eileen S. Snvder i l/ C`/~~ Wanda S. Where Esquire ,i~~r~3 212 North Queen Street, Lancaster, PA Side 1 L, 1505610143 1505610143 1 -_I 1505610243 REV-1500 EX Decedent's Sodal Security Number n~Qoe~~sHame Snyder, William Eugene --- _ _ RECAPITULATION - 1. Real Estate (Schedule A) _..... ....._. _... f. 75 , 000 • 00 2 Stocks and Bonds (Schedule B) _.__ .._. _....._ _........ .___.... 2. 3. Closely HeW Corporation Partnership or Sofe-Proprietorship (Schedule C)......... 3. 4. Mortgages 8 Notes Receivable (Schedule D)..__._....._............ _......._......__._.... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E).....__..._. 5. 36 , 420.34 8. Jointly Owned Property (Schedule F) ~r_l~ Separate Billing Requested_.......... 6. 7. Inter-Vivos Transfers 8 Miscellaneous -Probate Property (Schedule G) ~ Separate Billing Requested............ 7. 8. Total Gross Assets (total Lines 1-7)._ .............................._.. _......._....... _............ 8. 111 , 420.34 9. Funeral Expenses 8 Administrative Costs (Schedule H).. ........ ............ 9. 22 , 652 .2 9 10. Debts of Decedent, Mortgage Liabildies, 8 Liens (Schedule f) .............................. 10. 80 , 374.71 11. Total Deductions (total Lines 9 8 10)............_........_ .............................__....__.. 71. 103 , 027.00 12. Net Value of Estate (Line B minus Line 11) ......................................................._. 12. 8 , 393 .34 t 3. Charitable and Governmental BequestslSec 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)_...._ ..................._......._......... iq. 8 , 3 93.34 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9716 4 196.67 75. 0.00 (a)(7.2) X .00 r i6. Amount of Line 14 taxable 4 196.67 ts. 1B8 . 85 , at lineal rate x o45 17. Amount of Line 14 taxable 0 00 17 0 - 00 . at sibling rate X 12 . 18. Amount of Line t4laxable 0 00 18 0.00 . at collateral rate X 15 . 19. Tax Due._......_....._....__..._......_........__._ .............._........__................_............. . 19. 188 . BS 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 15(75610243 Side 2 1505610243 J REV-7500 EX Page 3 Decedent's Complete Address: File Number 21-11-1298 UtGtUtN 1 5 NAMt Snyder, William Eugene STREET ADDRESS 405 Black Latch Lane CITY Hill Tax Payments and Credits 1 Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments B. Discount 0.00 3. Interest 4. If line 2 is greater than Line 7 + 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 to: STATE ZIP PA 17011 (1) Total Credits (A + B) (2) (3) (4) (5) 188.85 0.00 188.85 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 7. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :......................._..._._..__......._.... _......_..............._ L~ b. retain the fight to designate who shall use the property transferred or its income~,._...__...._... f ~! c. retain a reversionary interest; oc......_......_ .................._......._......._............._...... _.__..... _......_....__..... '~,]1 ~xJ d. receive the promise for life of either payments, benefits or care?_...._.....__....._...._.....__ ....................... L, [ 2. If death occurred after December 72, 1982, did decedent transfer property within one year of death without receiving adequate consideration?...._...._..._........_.._ ................._....._....._.............._............._...................... [~_ [x] 3. Did decedent own an "in trust for or payable upon death bank account or security at his or her death?._. _.. ~[_^I [J 4. Did decedent own an Individual Retirement Accoun[, annuity, or other non-probate property which _ cenlainsabeneficiary designation? .........................._............_..............__......._......_.....__..._...._..... _.......... _~ U 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 tlates 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. §9716 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and Me statutory requirements for tlisclosure of assets and filing a tax return are still applicable even "rf 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 tleceased 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 chikt is 0 percent [72 P.S. §9716 (a) (1.2)J. . 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. §9176 1.2) [72 P_S. §9776 (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) (t3)J. A sibling is defined under Section 9702, as an individual who has at least one parent in common wdh the decedent, whether by blood or adoption. Rev-15x2 EX~ 111 Aa1 SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSVLVANLI INHERITANCE Tell RETURN RE519ENT OECEOENT ESTATE OF FILE NUMBER Snvder. William Eugene 21-11-1298 All real property owned solely or as a tenant in common must Oe reported at fair market value. Fav market value is tlefined as the pnce al .Mich prppeny would De exchanged between a welling buyer and a willing seller, neither being mmpelletl to buy or sell, boN having reasonable knowledge of the relevant laces Real properly wtdch is jointlygnned with right of survivorship must be disclosed on schedule F_ Attach a copy oT the setuement sheet ii No property has teen sold Include a copy of Ne tleed showing decedent's interest i/owned as tMam in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Real estate -located at 49 Crestview Drive, York, York Township, Pennsylvania as evidenced 75,000.00 by Deed dated December 29,1999 and recorded in the Office of the RecoMer of Deeds in and for York County to Deed Book 1387 at page 3791. Value per appraisal by Alyce Page of Prudential TOTAL (Also enter on Line 1, Recapitulation) ` 75.000.00 (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Farm PA-1500 Schedule A (Rev. t 1-08) Rev-1508 E%~ I6-99( SCHEDULE E CASH, BANK DEPOSITS, 8r MISC. PERSONAL PROPERTY COMMONWEpL1H U! PENNSYL VPNIA INRERIi~NCE TTX RETUPN HESIDEM DEGEDENI ESTATE OF FILE NUMBER Snyder William Eugene 21-11-1298 Intlutle the proceetls et IlugaUOr. ano the tlate the prpceetls were recenetl py the estate All propeM loindY-ownetl wiN the right of survivorship must be tlisdosetl on uhetlule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 AmeriChoice Federal Credit Union checking account #987305-0011 -balance on date of 1.120.11 death 2 AmeriChoice Federal Credit Union savings account #967305-0001 - balance on date of death 199.21 Accrued interest on Item 2 through date of death 0.02 3 2003 GMC Yukon SLT Sport Utility 4D -value on date of death 9,825.00 4 2007 GMC Yukon SLT Sport Utility 4D -value on date of death 25,276.00 TOTAL (Also enter on Line 5, Recapitulation) { 36.420.34 (If more space is neetleo, atltlitional pages of the same size) 1 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) REV-1151 Ex~ (10-06) COMMONWEALTH OF PENN VLVANIA INHERITANCE TAX RE RN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Snyder William Eugene 21-11-1298 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUM ER A. FUNERAL EXPENSES: See continuation schedule(s) attached 9,211.47 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Eileen S- Snyder Street Address 405 Black Latch Lane Gty Camp Hill State PA zio 17011 Year(s1 Commission paid 5,456.81 See continuation schedule(s) attached 2. Attorney's Fees 1,500.00 See continuation schedule(s) attached 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 claimant Eileen S. Snyder Street Address 405 Black Latch Lane City Camp Hill State PA zio 17011 Relationship of Claimant to Decedent _ SpOUSe See continuation schedule(s) attached 4. Probate Fees 6. I Accountant's Fees 6. ~ Tax Return Preparer's Fees 7. Other Administrative Costs 2,964.01 See continuation schedule(s) attached TOTAL (Atso enter on line 9, Recapitulation) 22,652.29 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 Snyder William Eugene 21-11-1298 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Feiser Funeral Home, Inc. -funeral bill 9,211.47 H-A 9,211.47 Personal Representative Commissions 2 Eileen S. Snyder -executor fee 5,456.81 H-61 5,456.81 Attorney Fees 3 Nikolaus &Hohenadel, LLP -partial attomey fee 500.00 4 Nikolaus &Hohenadel, LLP -balance of attomey fee 1.000.00 H-B2 1,500.00 Fami~xemption 5 Eileen Snyder -family exemption 3.500.00 H-B3 3.500.00 Other Administrative Costs 6 AmeriChoice Federal Credit Union checking account #987305-0011 -withdrawals made after 1.179.59 death 7 AmeriChoice Federal Credit Union savings account #987305-0001 -loan satisfaction fee 50.50 f3 Cumberland Law Journal -estate notice publication 75.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-7500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OFFILE NUMBER Snyder. William Eugene 21-11-1298 _ ITEM NUMBER DESCRIPTION AMOUNT 9 Nikolaus 8 Hohenadel, LLP -estimate for additional attorney fees, income tax preparation 1,500.00 fee and income tax 10 The Sentinel -estate notice publication 178.92 H-67 2.984.01 Copyright (c) 2002 form software only The Lackner Group, Inc. Fonn PA-1500 ScheOUle H (Rev. 6-98) Rev-1512 E%+(t2~ee) ' SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8t LIENS CGMMI)NSJEAI Tn OF VENNSYL VANIA iNnEHI'pNCE iq%RETURN RE S'.DE N'DECEDENi ESTATE OF FILE NUMBER _ _ Snyder, William Eugene 21-11-1298 Report tlebts incurted by Me decetlent prior [o death Mat remained unpaid at the tla[a of death, including unreimbursed metlical expenses. (n more space is neede4 atlditional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Fonn PA-1500 Schetlule I (Rev. 12-08) REV-151D E%+Ilt-0al SCHEDULE J qNg COM IN~NERITAN~E 7R%RETURNANIA RESIDEN DECEDENT BENEFICIARIES ESTATE OF FILE NUMBER Sn der, William Eu ene 21-11-1298 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVINGPROPERTY DECEDENT (Words) i$$$) ' TAXABLE DISTRIBUTIONS [include outright spousal dlstributlons, and transfers under Sec. 9116 a 1.2 1 Eileen S. Snyder Spouse 112 residue 405 Black Latch Lane Camp Hilt, PA 17011 2 Jason S. Snyder Son 1/4 residue 49 Crestview Drive York, PA 17402 3 Nathan P. Snyder Son Disclaimed 812 Bartlett Avenue 07/23/02012 Dallastown, PA 17313 4 Thaddeus W. Snyder Son 1l4 residue 368 Holyoke Road York, PA 17402 Total Enter dollar amounts for disMbutions shown above on lines 15 throw h 18 on Rev 15 00 cover sheet, as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN 8- CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE t3 OF REV-1500 COVER SHEETI .Copyright (c) 2009 form sottware ony The Lackner Group, Inc. Forth PA-1500 Schedule J (Rev. 17-OB) u~ Fruden~ial March 6, 2012 To Whom It May Concern: Bob Yost Homesale Services 2525 Eastern Boulevard, York, PA 17402 Offirz 717 757-7811 Faz It 7 7557561 www. PrudealialHome sale.com I have inspected the property at 49 Crestview Drive, located in York Township, Dallastown School District. This property is all brick, with a 2-car detached garage. The property will need complete rehab before being placed on the open market. It needs new spouting and concrete work on the outside- The kitchen and baths need complete restoration, new windows, central air, paint, furnace, etc_ Based on the general appearance and condition of this property, it would sell between $75,000 and $85,000. This is a very sluggish market, with most contracts asking for seller's assist with closing costs. This home is located near schools, shopping and hospitals. Currently it is not in "turn key" condition. Sincerely, Alyce Page, REALTOR 717_718-8456 Direct 717-873-8635 Cell The Region "s #1 Provrder of Reat Estate, Mortgage, Settlement and Insurance Services Homesale Lending, LLC •Homesale Settlement Services •Homesale tusurance Services • Prudential Bob Yost Homesale Services Q All f ru montage pruduus vre p,miWM 6y llomcSVk LeMing. LLC, aome5ak LeMi~, LLC ouY MI be vnilabk ~n your erro. FMcmivl llomwlc v an iMepe,Wen~ly owned aM ~ .~ Willa Fargr Namc Mortgage iaa mnz~on of Wellz FOeto aank,NA M010 nnmegnle La~din&LLC All R+ghu ROCroed. openmd membero(PrvdeminlRnl EJVU:ARLmez, Inc. ~,~, AmeriChoice F E D E R A L C R E D I T U N I O N Building Relationships For Life March 27.2012 Nikolaus & Hohenadel, LLP Attorneys al i.aw Attn: Linda A Shaeffer 212 North Queen Street Lancaster. PA 17603 Re: Estate of William Eugene Snyder Ms. Shealfer, The decedent had one member number 487305 titled W illiam E Snyder. This account included: Regular Savings (suffix 0001) -opened 10/09/1992 Share Etrafr (suffix 0011) -opened 10/09/1992 Date of death balances aze as follows: Share Balance Accraed Dividends 0001 - $ 199.2] $ 0.02 0011 - $ 1,120.11 $ 0.00 Type of obli>=stion Date of oblieation Loan # Balance of Principal At date of death Auto 09/12/2006 31 $2,620.03 ~ ~p~$Y Home Equity LOC 09/22!2009 50 $37,606.32 (1)~ILV-fl1t1.~ The above balances include the accmed dividends. All outstanding loans have been settled. Mr" Snyder did not have a safe deposit box with AmeriChoice. I have included Mr. Snyder's most recent statement. Please feel free to contact me directly with any questions you may have. Sincerely, Bonnie R. Seagraves Operations Specialist Phone (717) 591-1282 Fax (717)697-3713 Email bseagravesCa~americhoice ort; Main Office: 2175 Bumble Bee Hollow Road • Mechanicsburg, PA 17055 • Phone: (77 7) 697-3474 • Fax; {77 7) 697371 " Website: www.americboice.org Eon ® Daaomwry m~ ~l~ EENDE LENDtR CAfnIT UMONS i~ ~~lv tt!vtt~ Y iz!con ~!/ 1 Jport Utility 4ll 7 Yade In Values -Kelley Blue Bo... Page 1 of 4 t ____µ~y~.~~ , Arld L3 yaItI85 Qf rr.~~. ~ i home ~ car values f cars for sale ' tar reviews ~ kbb top picks ~ research tools <n.:~cesD POpUlar at KBB.can 10 Coolest Cars IMder 516,000 Nara > Ca~ valves > (IIM= > Yukon > 2003 > Styk > OpOms > Stl Sport UOliry 4D TradN-In/Sell Values ~ ~~ ~r P~ 2003 GMC Yukon SLT Sport Utility 4D -------- edit optixrs I Oun9e ~vle - MUeage-_.13006 dwnge trade-in value Private Parly Yalue Excellert $11; 700 Shop for your next car very Good f $S1,:S00 Good Instant Trade-In Offer $].1,000 Verity CanOitim Fair wnv aen GMC Yukon Zpp3 90 tha rn amnt~r price a new tar get the oiler $9,Br?5 4.7 Own it? Love it? review this car __. ___.__~ tTa ofS See USeU far Prices >.m .Maas? wM aa9 New Cars You Might Like How Y.o Get the Most for Your Car rr.-~+~u a Know Sell lnt See What Other Cars Are Worth Your Like a Your Cmrpare ttfs ors value ro others start here Cars Pro: 11 Car 3 Easy Ways to Sell Your Car Fast 2011 GMC Yukon ~ "_ view ~_ 2011 nrssan armana view zm 1 wa t.ped~roo view Share Pant My~Nl~ MY Savttl Cab save My KBB IIP Cuoe. llOll 5gn in http://www.kbb.com/gmclyukon12003-gmc-yukon/slt-sport-utility-4d/?Yeh... 11 /10!2011 2007 ~'u1~C Yukon SLT Sport Utility 4D Trade In Values -Kelley Blue Bo... Page 1 of 4 ~~~ ~M~,~atYait~ a ,~ng a Home ~ car values 1 cars for sate ~ car reviews 1 k66 top picks ~ research tools x _,_, :p Popular at KBlltom 10 codes[ Grs UMer E38,000 aoretezm.~~ wnv ax' Home > (ar values > CMC > YuMn > 700) > sRe > ppiwu > Sti slur[ wNy 9D ~'~ Yukon 1pp7 90 Trade-ln/Sell Values 5~w°~°~~°~~_ 2007 GMC Yukon SLT Sport Utility 4D edk nPOOrn I charvje style ... - MAeage. fSgQQp clw~ye Ns car Trade-In Value Private Party Value l ExceUerAt $28,526 } Shop for your next car ivrce a clew car Verify Candtlon f _ .. Very Good _ ... , $27,926 Instant Trade-In Offer get me offer Good $27,226 fair _ - $25,276 4 6 . Own it? Love it? renew this car rotor s See Us1tl Gar Pnces ArY1VyfA9~ wM a(be wrv aes~ New Cars You Might Like How to Get the Most for Your Car 1011 GMC Yukm VICW Know YOlAr Cats SeK likes Pro: 10 List YOU. Gar See What Other ~ x1Al Nissan nrrtutla Specs Expert Tipz Online Cars We Worth view 2011 Fprtl Expetlitron 3 Easy Ways to Sell Your Car Fast view SM1are Print MyH(NLr~Q My Savetl Cars save My Ka8 IIP CPtle. 1)011 Sgn In http://www.kbb.com/gmc/yukon/200~-gmc-yukon/slt-sport-utility-4d/?veh... 1 I J 10/2011 I~ THG COIiR"I Oi' COMMON NLEAS OF CUMBERLAND COUN"lY, P1NNSY'I-VANIA ORPHAN'S COURT DIVISION i~ ll IL: 1:STAI1: OF William Eugene Sm~der, Deceased No. 21-201 ] -1298 DISCLAIMER AND RENUNCIATION OF INTEREST PURSUANT TO CHAPTER 62 OF THE PROBATE, ESTATES AND FIDUCIARIES CODE. SECTION 9H6(C) OF THE INHERITANCE TAX ACT, 2518 OF THE INTERNAL REVENUE CODE l . The Disclaimant is Nathan P. Snyder of 612 Bartlett Avenue, Dallastown, PA 17313. 2. William Eugene Snyder ("Decedent") died intestate, a resident of Cumberland County, Penmsylvania on June 18, 2011. 3. Disclaimant is one of the children of Decedent who would have an interest in the intestate estate. 4. Disclaimant had the opportunity to discuss the effect of this disclaimer with his advisors and acknowledges and understands the explanation and the effect of this disclaimer and renunc~anon. 5. Disclaimant desires to and does hereby and forever disclaim and renounce and refuse to accept all right, title and interest in the estate which he might have had as beneficiary by virtue of being Decedent's child. It is the intent of Disclaimant that this Disclaimer and Renunciation constitute a qualified disclaimer under law, including Section 6201 of the Probate. Estates and Fiduciaries Code, Section 91 ] 6(c) of the Pennsylvania Inheritance Tax Act, and Section ' ~ 18(b) of the Internal Revenue Code of 1986 and that it and all ot~ its pro~~isiuns he so interpreted. In V1~imess Whereo}. intending to be legally bound and intending to complc ti~ith all pro. isiuns concerning the validity of this Disclaimer and Renunciation, I hare hereunder set my hand and seal this ~3 _ day of~_, 2012. NATHAN P.SNYDER COMMONWEALTH OF PENNSYLVANIA :SS COUNTY OF ~or ~ . On this, the a ~ "0~day of J ta, , 2012, before me, a Notary Public in and for the aforesaid Commonwealth and County, onally appeared NATHAN P. SNYDER, known to me, or satisfactorily proven, to be the person whose name is subscribed to the within document and acknowledge that he executed the same for the purposes therein contained. In Witness Whereof, I have hereunder set my hand and official seal. IbMMONW LTN of PENNSYLVANIA NotaAal Seal Lana E. grenn~nan, Ndary 1'uNic plandtc5~[ rwP.. Yak Ccuncv My COmmlssbn fxPlre• lY :'. l~tt tl~1t NotaAal ~ PUEAC ~~~4an(rIC~~'.Y rnlR~~ ~ C~~~1 OQ..19. 2014 . Pen la Aw,.ew.... qF Nn4~` 2