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HomeMy WebLinkAbout03-19-13 (2) 1505611188 REV-1500 Ex(02-11)(FI) pennsylvania OFFICIAL USE ONLY PA Department of Revenue wx~nmw.ecrrµ County Code Year File Number Bureau of280801 lndividualTaxes Box INHERITANCE TAX RETURN Harrisburg, , PA PA 17128-0601 RESIDENT DECEDENT 21 12 0 716 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 344 30 1517 06 20 2012 02 04 1937 Decedent's Last Name Suffix Decedent's First Name MI Miller Gerald E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Rrst Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return O 2. Supplemental Return = 3. Remainder Return (Date of Death Prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate 0 7. Decedent Maintained a Living Trust S. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) t~ e. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT - This section must be completed. All Correspondence and Confidential Tax Information Should be Directed to: Name Daytime TelephCDe Number a; :;u rn Sean M. Shultz, Esquire 717 24:f,- 1?22 c :y REGIST I USEPN Y r r1 CO First Line of Address Saidis, Sullivan & Rogers Second Line of Address - - , Cn d 26 West High Street C: City or Post Office State ZIP Code DATE FILED Carlisle PA 17013 1 Correspondenrs e-mail address: sshultzCssr-attorneys.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, itis true, correctand complete. Declaration of the preparer otherthan personal representative is based on all information of which preparer has any knowledge. SIGNATUREOp. PERSON RESPONSIBLE R FILING RETURN DATE ~ ~ ! ~clf~,rtJ 3 - I S -13 ADDRESS 37 Hassinger Road Newburg, PA 17240 AN REPRESENTATIVE DATE SIGNAT~REOFP ARE/P1 ARE^R~OTHER ADDRESS 26 West High Street Carlisle, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505611188 1505611188 I J I 1505611288 I I Rev-1500 IX (Fl) Decedent's Social Security Number Decedent's Name: G e r a l d E Miller 344 30 1517 RECAPITULATION 0.00 i 1. Real Estate (Schedule A) 1. 2 0.00 2. Stocks and Bonds (Schedule B) ❑-00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) • . • 3. 4. Mortgages and Notes Receivable (Schedule D) • • . • • • • . • • • • • • • . • • • • . • 4. 0.1111 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 17 , 417 - 91 6. Jointly Owned Property (Schedule F) O Separate Billing Requested 6. 51,000-00 7. 1 rater-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested 7. l1356.?? 8. Total Gross Assets (total Lines 1through 7)•••••••••••••••••••-•••••••• 8. 69,774.68 9. Funeral Expenses and Administrative Costs (Schedule H) • . • • . • • • • • • • e. 6,053-58 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) • • . • • • • . • • • 10. 4 0 4 - 3 3 11. Total Deductions (total Lines 9 and 10) 11• 6,457.91 12. Net Value ofEsI I (Line 8minus Line 11)...••.--•••••••••-••--••••••• 12. 63,316.77 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 0.00 an election to tax has not been made (Schedule J) • • • • • • • • • • - • • • • • 13• 14. Net Value Subject toTax(Line 12minus Line 13) 14. 63,316.77 TAX CALCULATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0.00 (a)(1.2) X.00 0-00 15. 16. Amount of Li ne 14 taxable at lineal rate X .045 63-,316-77 16. 21849-25 17. Amount of Line 14 taxable at sibling rate X .12 0-00 17. 0.00 18. Amount of Line 14 taxable 0.00 Is. 0.00 at collateral rate X .15 0 19. TAX DUE 19. 2,849.25 I 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505611288 1505611288 Rev-1500 EX (FI) Page 3 File Number Decedents Complete Address: 21 12 0716 DECEDENTS NAME Gerald E. Miller STREET ADDRESS 37 Hassin er Road CITY STATE ZIP rNewbur PA 17240 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2.849.25 1 2 Credits/Payments A Prior Payments 2,600.00 i B Discount 136.84 Total Credits (A+ B) (2) 2,736.84 0.00 3. Interest (3) 4. If line 2 is greater than line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill In oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This Is the TAX DUE. (5) 112.41 Make check payable to: REGISTER OF WILLS, AGENT. _ _ - _ _ „--r yam.. Yrs3w 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 • • • . • . ❑ c. retain a reversionary interest ❑ d. receive the promise for life of either payments, benefits or care? • • . • • • • • • • • ❑ 2. If death occurred after Dec. 12, 1962, did decedent transfer property within one year of death without receiving adequate consideration? . • . ❑ 3. Did decedent own an '9n 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? ® ❑ 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. Sect. 9116(ax1.1)(f)]. For dates of death on or after Jan. 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. Sect. 9116(a)(1.1)(ii)], The statue 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. Sect. 9116(a)(1.2)]. 0 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. Sect. 9116(a)(1)). a 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. Sect. 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+(11-10) pennsy"nia SCHEDULE E DEPARTMWTOF REVENUE CASH, BANK DEPOSITS, & MISC. INHERITANCETAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Gerald E. Miller 21 12 0716 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Patriot Federal Credit Union Checking Account 1,625.51 I ! 2 Patriot Federal Credit Union Savings Account 9,051.57 I 3 Egger Funeral Home, Inc. Refund of Overpayment 9.41 47.56 i 4 Car Insurance Premium Refund 5 Ford, reimbursement for recall work 1,203.86 6 2005 Ford Freestar 4,100.00 j Sale price j 7 Misc. Personal Property 1,000.00 8 2012 Income Tax Refund 380.00 I ~I ]yy 'I 1 TOTAL (Also enter on line 5, Recapitulation) 17,417.91 If more space is needed, insert additional sheets of the same size 77 1 E11%I EI'S,S.rr:TEMENT' oF aC.COUNr I . l:r~tePi n-W1rWno .Sand Irrt~t#lries to - ED`}>~~1 Ch~mbarsurp, PA 1720I i Catck f7+e,Sn4fit gfTYnacfaLTreedom oaf, `wrn u w•. ,w. {rn~{lrrr{nli{r{u{flur{ {rnr{l~lnrnlnr^rr[fi.{in{{rn~~ AM 4} . . •37 tiASSItZi~EA I.i1,1-~1E - . ~ .x~.:...,~.'~~t,sr~ ~ .!lm "O'_ NEYVBURa f'A i7~A'0 ~ ~ 'D~ - ,i - a tpaiAtfeu.gP~ra~c7t3aet11~i,a,~~ib34&.~ - -.-,.+.....i.. t;; ~~r; -s: r - •1:,, ..::-,M u.r.....,....: -:~'~'m::wa-..: .'.m.o..'{,~+.•'w --s-f Fr~r [ rtfrlet furrt RAR-I f'a Rlaffnum Vlea ctodlt cprd lih flbw xaCe iiiksave .yau rno eyt if pf ha~i of un s ~mtner p~Qft~, gate thetJtt ~Ft'CCItA vuvtcc~t'rratPinffc ticJ~dvsyrhnrAf €~io d~~rta crr~tll Catchtie ' aump`i~CU~ ~prl~ Fjttarlei~xl~ FinesfsriIhmat(aylrBdJt I surt~ef creiliael w t ` L ih' C T4 ` Ky, -:c...~ •it- Pi~._"gn.~.:.L."P• - 4 _.31 ..~$fi r,... - ~ f ` }c.r•- _ 'S it4 { h H tz i r SUNTIVk~pF ~tUIR°S't`ATEMENT fIrIF't3tl1TU47N Y; PRlh71E'Slir7cREa4,GftlJ1NT'11D" ;(fiCO,1NT c~5', O.OQ -PFUME.uH14RE#C bEJNT 0 . J~A Post •~Eff';r.: v•:. - - , Bplance- ,~tz Transadtion De~cn~tori _ ' - ~ - ~'Ch~nae New Balance' . 06 bt r Deoslt A{ t~ktS TRiJOY X12 . r 2t~,58 T~EPE ~ 11/,Si~FfY(.ECS Q&T. REASURY X12.... 06-i'.3 ~epomit 14CFGtl~"FR~A~CJRI!~03- r.'.~ ' `'1;37~.0A ` &JOS$ 6~• : . T~'PE x7CXSOO JEG: A-US`TF EMUR"03• DLP P4EN OT.-i ATCON EROtN NO 3EG ADfvlitV n.... i0r6.08 i~~ ~11VaD~~'~y1 ~XpgpoErtrD~u ~ Z +hnnusl Pereeflfage~tdld 5arrtetl Da/~fr~u~► 04/U1F1•tC1irJUgh - "0'6-30: ~Eittitrng:l3alehce ~ - •fiQ;6?'?:9& DiR,AFT IaCC~Di1NT 25 '.Post Eff, alanae . ~9#e_ p$te Transactloti. DesgppHon - ~ , C dpi b- G~teW Ba18~ce OEi•0i Balance forward „ , CX6 Oi DQgoslt AGi-GNTRL PEN 1 ~ 3fht OD 25 51 % TYI'Jr MON PFOKS CO CVTRL PEN' b6 &b Wit, drawal , , s 1rN F'1 _iiAp i UR/Ii=FA000.UNT'G'losed r i ' ~•"w'Tt1ls rstfie Fihal S#a#emen#;you:vuill'cec ldo fpr fMfs-SHAM!" TYPE Tlii O":Please retain this final statement for 1sx repgrttng purposes'**t I i 2cKiv 7 15 Big Spring Avenue NEWALLE, PENNSYLVANIA 172,41 F. CHARLES EGGER, Supervisor 717-776-3414 FRANK C, EGGER, Funeral Director July 18, 2012 i Funeral Bill for Gerald Miller I Date of service June 26, 2012 i Professional Services $1,955.00 8 Death Certificates $6.00 a piece $48.00 Valley Times Star $50.00 Sentinel Obituary $96.08 Patriot Obituary $60.83 Urn $258.00 Total $2,467.91 Payment by Homesteaders Insurance $2,477.32 Overpayment $9.41 i I i i ' 1 : JUL/''Z4/ZU1Z/lW uj:la rm r:n-e lru, 111e3L,)LU4 I,uvi Motor - shlot lDf if of Sate -BE IT.KNOWN, that for -payment-ln the sure of-$41OU.00, the full receipt-of which Is fil- ;Ighlicl and transfers to Boyo Transportation (Buyer), the •frJHowing described motor vehicle (VehIvI ' Make: Ford `*6001 or sadett; 'Freestgr YSY Year; 2006 Color: VIN•#:. Style: • Thesaleis.suY~a~~to the#AilaWJng~adt~tl~tons:~~ntt.;representatianst Seiler ckMawledgevs'r.:eceibtt~f~$410 (i. fsit°ttlit!p~yr►veri}'c31 ttte:Vel icte. Seller certifies to the.,=bast of the:eller'scinivledge:that the,odnrneter reading llsts~l In the vehicle description above reflects•thk actual mil'049Ce-df tho'Vehtaie, The Vehtcle's j odumeterwas not altered, sst:back, or-discennected•whI16 In the:Sellee--s-possession, and the Seller has. no knowledge of anyone doing=-so. Seller warrants to Buyer that Seller has good~bnd:marketable title. to said•-propbtty, ful All .authority to sell and transfer said property, farlii ~tlsetzald property is sold.f ee &all Ilens, -encumbrances, liabilities, -and-adverse -claims-ofswery nature and description -whatsoever. Said Vehicle is otherwise sold-in "as,lor vondition and'where-tu, rXarltly-located: Date alonoa: Seller, • Buyer: Print name of witness: w 1 i_. REV-1509 EX+(01-10) ® pennsytvania SCHEDULE F ` DEPARTMETIT OF REVENUE INH ERITANCETAX RETURN JOINTLY-OWNED PROPERTY RESID ENT D ECED ENT ESTATE OF: FILE NUMBER: Gerald E. Miller 21 12 0716 If an asset became jointly owned within one year of the decedent's date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A Aaron M. Miller 37 Hassinger Road Son Newburg, PA 17240 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY. INCLUDE NAME OF FINANCIAL kOF DATEOFDEATH ITEM FORJOINT MADE INSTITUTION AND BANKACCTNUMBER OR SIMILAR IDENTIFYING DATEOFDEATH DECD'S VALUEOF NUM. TENANT JOINT NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUEOFASSET INTEREST DECEDENTS INTEREST 1 A 8/06/0 37 Hassinger Lane, Newburg, PA 17240 owned 102,000.00 0.000 51,000.00 jointly with Decedents son, Aaron Miller Total value $102,000 2010 assessed value i I TOTAL (Also enter on Line 6, Recapitulation) 51,000.00 If more space is needed, use additional sheets of paper of the same size. i Tax Mapper Cumberland County, PA I i I Copyright 2011 Esri. All rights reserved. Tue Oct 2 20,12 09:08:48 AM. 37 HA=NGER. ROAD . PIN:. 11-08-0599-001 Deedbook: 20073105b - ' • . Owner: MILLER, GERALD E S' h iu - - Land Use code: 108 Property Type. RT Acreage: 3:87 1i, . 1.... - Square Feat: 1440 Taxable Status: T L Clean A, Green Status: - i Land Assessed Value $:72700 Building Assessed Value 29300 Total Assessed Value 102000 ' Sale.DSte: Tue Aug 72007 08:00:00 Ph_ Year'Built:.1971 Municipality: HOPEWELLTOWNSHIP - - Height in Stories.' l - , - Type of Dwelling: MANUF Primary Exterior: Aluminum - - - Basement Percentage: -9-B. Alr.Gonditioning:.NO - ' Total Rooms: 4 _ - Bedrooms:2 - - Full Bath: 1 Half Bath: - - - {j f i 31sr'~ THIS DEED i ~ • MADE THIS day of August the year of our Lord Two Thousand and Seven (2007). , i BETWEEN GERALD E. MILLER, widower of 37 Hassinger Road, Newburg, PA 17240-9370, hereinafter referred to as Grantor. j AND GERALD E. MILLER, widower and AARON M. MILLER, single man of 37 Hassinger Road, Newburg, PA 17240-9370, as joint tenants with right of survivorship and not as tenants in common, hereinafter referred to as Grantees, i WITNESSETH, that for and in consideration of the sum of ONE DOLLAR ($1:00), in hand paid, the receipt whereof is hereby acknowledged, the said Grantor does hereby grant and i convey, in fee simple to the said Grantees, as joint -owners with right of survivorship. ALL THAT CERTAIN lot of ground located in Hope well Township, Cumberland County, Pennsylvania, more particularly bounded and described as follows: BEGINNING at a point in the center of a public road known as Hassinger Road at a point measured South 70 degrees 6 seconds West 41.72 feet from the southeast corner of land now or formerly of Frank D. Byers and Esther H. Byers, his wife, to be conveyed herein, and lands now or formerly of Lee D. Ansley; thence along the ' center of the said Hassinger Road North 23 degrees 59 seconds West 352,45 feet to apoint in the center of the said public road; thence continuing by the center of the said public road North 26 degrees 55 seconds West 299 feet to a point in the center of the said public road, thence continuing by the, center of the said public road North 31 degrees 31 seconds West 152.30 feet to a point; thence through a stream known as Peebles Creek North 69 degrees 20 seconds East 55.80 feet to a point; thence continuing through the said stream South 86 degrees 4 seconds East 138.89 feet to a point; thence continuing through the aforesaid stream South 67 degrees 48 seconds East 133.77 feet to -a point; thence continuing through the said stream South 60 degrees 39 seconds East 96.03 feet to a point; thence continuing through the.said stream South 45 degrees 28 seconds East 112,25 feet to a point on line of land now or formerly of Dean E. Cramer; thence by land now or formerly of Dean E. Cramer and land now or formerly of Lee D. Ansley South 8 degrees 33 seconds West 544.12 feet to a point; thence South 70 degrees -6 seconds West 41.72 feet to a point in the center of the aforesaid. public road known as Hassinger Road, the place. of BEGINNING. Containing 3:87 acres. Being designated Lot No.. 1 on Subdivision Plan for Frank D. Byers, dated November 13, 1973, a copy of the same being duly filed in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania. THIS IS A TRANSFER FROM FATHER TO FATHER AND SON AND IS THEREFORE EXEMPT FROM PENNSYLVANIA REALTY TRANSFER TAX WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW -126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 i I i i i ' BEING the same real estate which Frank D. Byers and Esther H. Byers, his wife, by Deed dated March 13, 1975 and recorded in the Office of the Cumberland County Recorder of Deeds of ! I the Commonwealth of Pennsylvania in Volume Z25, Page 235 granted and conveyed unto Gerald ' E. Miller and Lela M. Miller, his wife. The said Lela M. Miller died on May 17, 2007, thereby vesting fee simple in Gerald E. Miller, the Grantor herein. And the said Grantor hereby covenants and agrees that he will warrant specially the property hereby conveyed. i IN. WITNESS WBEREOF, Grantor has hereunto. set his hand and seals the day and year first above written. i ~ i Signed, Sealed and Delivered a r in the Presence of r j ~a S GERALD ME LLER I COMMONWEALTH OF PENNSYLVANIA I SS COUN'T'Y OF CUMBERLAND On this, the 64day of 2007, before me a Notary Public In and for. said County and State, the and igned officer, personally appeared GERALD E. MILLER, known to me (or satisfactorily oven) to be, the persons whose name is. subscribed to the within instrument, and acknowledged that he executed the same for the purposes -herein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary ublic t w•. s.~ NOT MEAL ~ •L- ay ~C JerryA Weigle, Notary Public Shippensburg, PA Cumberland County My Commission Expiros October 7, 2010 WEIGLE & ASSOCIATES, P.C. ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 17257-1397 I i i I do hereby certify that the complete post office address of the within named Grantee is:. 37 Hassinger Road Newburg, PA 17240-9370 r Date: IZ4 Att ey for antee COMMONWEALTH OF PENNSYLVANIA f SS E COUNTY OF CUMBERLAND r. i j RECORDED on this day of , A.D. 2007, in the Recorder's Office of said County, in Deed Book , at Page ' Y 4 Recorder I i i I i i t i E t WEIGLE ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSSURG, PA 17257-1397 • i I i I ROBERT P. ZIEGLER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 Ey r; a 717-240-6370 ' I I I ' i Instrument Number - 200731056 Recorded On 8/8/2007 At 1:00:31 PM * Total Pages - 4 * Instrument Type - DEED j Invoice Number -1659 User ID - RAK j ' * Grantor. - KMLER,'GERALD E I { * Grantee - MILLER, GERALD E * Customer - "WEIGLE * FEES STATE WRIT TAX $0.50 Certification Page STATE JCS/ACCESS TO $10.00 j JUSTICE DO NOT DETACH ! RECORDING FEES - $11.50 RECORDER OF DEEDS AFFORDABLE HOUSING $11.50 This page is no~v part COUNTY ARCHIVES FEE $2.00 of this legal document. ROD ARCHIVES FEE $3.00 TOTAL PAID $38.50 i I Certify this to be recorded j in Cumberland County-PA ~ 4 cu e ~ F~4 /D S RECORDER O 'na * - Information denoted by an asterisk may change during } the verification process and may not be reflected on this page. ; 0000TS IIIIIlIIlilllllllllllllll 4 1 I REV-1510 EX+(08-09) e ` pennsylvania SCHEDULE G DEIARTMErlT OF REVENOe INTER-VIVOS TRANSFERS AND INHERINTI)ETAXECEDENT RETURN RESIDENTD MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Gerald E. Miller 21 12 0716 This schedule mustbe completed and filed Ifthe answerto any of questions 1 through 4on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE NAMEOFTRANSFEREE, RELA71ONSHIPTO DECEDENT& DATEOFDEATH %OFDECD'S IXCLUSION TAXABLE NUM DATEOFTRANSFER, ATTACH COPYOF DEED FOR REAL ESTATE VALUE OF ASSET INTEREST (IFAPPLICABLE) VALUE 1 Woodforest National Bank 1,032.77 100 1,032.77 Beneficiary: Angela Miller 2 Central PA Teamsters Pension Fund 324.00 100 324.00 Beneficiaries: Decedent's children, Aaron Miller, Angelia Miller, Julie Drabenstadt, Michael E. Miller I i i i i a TOTAL (Also enter on line 7, Recapitulation) 1,356.77 t If more space is needed, use additional sheets of paper of the same size. i i RECEIPT COPY o a ' ^ n tn. r6 F > .tee ..r `j 1671T o~i ` ' r 44rP m T ~4 t: m ;rr . IWf ~ 171 C{ y~,,y,{. 3' fM< 1yt~.Ff ~T• •M rn 7Fn" ie i L Y. FXL • yt• t11 Z I'fl "•,tr~.•ic?k u':~r:.. It•Y. ;vri{: fix'{„ 7:J f ~ j f 7 J t 11 r I ~ C • it m O~r np Y (n 7 1~,~t FP•Yga r y: j7 rb , ~t^"!,{' S 4 f m -J C 03 f k -Yr.i', Y J~ t t~',C~,{emu 1 1 -~l i.r f C 4 J r~ W 'gl3'nf '.Y.-..,:. y;4~., -t:•;f-:tom ~ O Z ~S . ?"A.Y J ^ 9 4T . aS hn tiY; • 0M N o{~~7, to a'` 7 .•x ~er7~ v4 O 81~r~ ,r 9 ! f O KC 77 l' ~ 1 _ ~ Hf' i { 1M 5 i df v' tt _J a rte- { F I ,p -r SNO N x f ! ' O 4fl 0 ~ Y ! f ;n1 fd ? Pia Jf ' t') CIO Oj r.;.. 7 yttia . rTi i ~ WA ~ J I l 4 i i i LAST WILL AND T gSTAM.E,NT I, GERALD E. ' MILER, presently residing at 37 Hassinger Road, Newburg, Cumberland County, Pennsylvania, 17240 being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby. revoking and making void all Wills by me at any time heretofore made. FIRST, I order and direct the . a t funeral expenses as soon as may be convenient after my decease y legally enforceable debts and SECOND, I give, devise and bequeath all my estate, reak whatsoever and wheresoever situate to my children, namel personal and mixed, AARON M. MILLER, and ANGELIA M. MILLER also known a ANGEL. MILLER) in equal shares, on. a per stirpes distribution basis. MILLER, s IRD. I nominate, constitute and appoint my son, AARON M. MILLER to be the Executor of this my Last Will and Testament. In the event that he be unable to hMll the duties of Executor, I then nominate, constitute and appoint dTJLIE A. DRABENSTA.DTe the Executrix of this my Last Will and Testament. FOURTH. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. FTTH• I direct that any and all death taxes which become due and payable-upon my death be borne equally by all of the beneficiaries named under this my Last Will and Testament including any'charltable beneficiaries named herein. IN WITNESS WHEREOF, I, GERALD E. MILLER, have hereunto set my h d and seal to zs my Las Wi11 and Testament, written on one (1) page,' on this , 2007. day of i ~ } c n= C,.S r ~1 ~rl ._JC Or r r C~ (SEAL) 7.2 Li! c..cx ~ UC~ / t . WEIGLE & ASSnrIA- It 1 i This instrument was by the Testator on the date hereof, signed, published and declared by him to i be his Last Will and Testament, in our presence, who at his request and in the presence of each other, we believing him to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. I i I I ' I COMMONWEALTH OF PENNSYLVANIA. SS COUNTY OF CUMBERLAND I, GERALD E. MILLER, the person whose name is signed to the foregoing instrument, having been duly qualified according to •law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that 1 signed it as my free and voluntary act for the purposes therein expressed. i Sworn or affinned to and acknowledged before me by G RALD E. LE Testator, ' day of 2007 I r • ,fM ,51 r 07 WL STEAL Jerry A Weigle, Notary Ile Shlppenstwrg, PA Cumberla d Courriy My Commission Explres Oc toter 7, 2010 JCOMMONWEALTH OF PENNSYLVANIA I COUNTY OF CUMBER-LAND SS ~ ~y e, r J.( Y ,p `(7~ •I t } ~ /1G and /~~GSIr rl tlrn the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that present and saw GERALD E. KILLER, the Testator, sign and execute the instnunent as Isis Last Will; that he signed willingly and that he executed- it as his free and voluntuy act for the purposes therein expressed; that each. of us in the hearing and sight of the Testator, signed the Will as witnesses; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. I Sworn or affirmed to and subscribed before me by and wi this day of 007, ti, N AR~ Jerry A, Weigle, lotary Publlo Shippensburg, PA Cumberland County CommisIton. Expires October 7, 2010 Ii f I WEIGL.E 6, ASSOCIATES, P.C. - ATTORNPVl Ar i