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HomeMy WebLinkAbout04-17-13 1505610140 REV-15001 EX (01-10} OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number Ha Box g,PA 1 521 13 04 0 Harrisburg,PA 17128-4601 RESIDENT DECEDENT j ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 2 1 0 2 6 5 8 5 3 0 1 0 5 2 0 1 3 1 0 2 0 1 9 3 2 Decedent's Last Name Suffix Decedent's First Name MI COONS SR STANLEY L (if Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI COONS V I R G I N I A R Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Q 1.Original Return 2.Supplemental Return r-1 3.Remainder Return(date of death prior to 12-13-82) D 4.Limited Estate 4a.Future Interest Compromise(date of 5.Federal Estate Tax Return Required death after 12-12-82) 6.Decedent Died Testate 7.Decedent Maintained a Living Trust 0 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9.Litigation Proceeds Received 10.Spousal Poverty Credit(date of death El 11.Election to tax under Sec.9113(A) between 12-31-91 and 1-1-95) (Attach Sch.0) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Te"hone Number J OE L R . Z U L L I N G E R 7 1 7 �64 � O CI REGI, LLS US W IMF E ONLY, -,3 First line of address ` 1 4 NORTH MA I N STREET Second line of address r_ CO S U I T 200 co City or Post Office State ZIP Code i_DATE FILED C H A M B E R S B U R G P A 1 7 2 0 1 Correspondent's e-mail address: 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 RE OF PERSON RESPO IBL OR FILING RETURN D TE ADDRESSc ` ! 78 FUR CE HOLLOW ROAD t SHIPPENSBURG PA 17257 GNAT E OF P PAR T HAN R NTATIVE DATE l l AD SS 1 ORTH MAIN REET SUI 200 CHAMBERSBURG PA 17201 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 1505610240 REV-1500 EX Decedent's Social Security Number Decedent's Name: STANLEY L. COONS, SR. 2 1 0 2 6 5 8 5 3 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 and Notes Receivable(Schedule D) . . . ...... ... .. . . . . . .. ... .. 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)... . . . . 5. 1 8 0 0 . 0 0 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers&Miscellaneous N-Qn-Probate Property (Schedule G) u Separate Billing Requested ....., . 7. 8. Total Gross Assets(total Lines 1 through 7) ..... ... . . . . . . ...... . . ..... 8. 1 8 0 0 . 0 0 9. Funeral Expenses and Administrative Costs Schedule H 1 9 0 . 0 0 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) . ..... . . . . ... 10. 11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 1 9 0 . 0 0 12. Net Value of Estate(Line 8 minus Line 11) ............. . . ......... . . . . 12. 1 6 1 0 . 0 0 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. 1 6 1 0 . 0 0 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.00 1 6 1 0 . 0 0 15. 0 . 0 0 16. Amount of Line 14 taxable at lineal rate X.0_ 0 . 0 0 16. 0 . 0 0 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17, 0 . 0 0 18. Amount of tine 14 taxable at collateral rate X.15 0 . 0 0 18. 0 . 0 0 19. TAX DUE . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 19. 0 . 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505610240 1505610240 J REV-1500 EX Page 3 File Number Decedent's Complete Address: will not probated DECEDENT'S NAME STANLEY L. COONS S,SR. STREETADDRESS 78 Furnace Hollow Road-----_— CITY STATE ZIP IShippensburg PA 17257 Tax Payments and Credits: 11. Tax Due(Page 2,Line 19) 0.00 2. Credits/Payments A.Prior Payments B.Discount Total Credits(A+B (2) 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) 0.00 5. If Line I+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT 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; ...................................................................... F1 191 b. retain the right to designate who shall use the property transferred or its income; ............................... El 191 c. retain a reversionary interest;or ....................................................­......... ................................ El 0 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 rX-1 without receiving adequate consideration? ............... ................................ ..................... El 3. Did decedent own an"in trust for or payable-upon-death bank account or security at his or her death? ......... ❑ 191 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. 171 191 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 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.§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 decedents 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+(08-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS &MISC. INHERITANCE TAX RESIDENTDECENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: STANLEY L. COONS, SR. will not probated 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. 1957 Chevrolet Bel Air Vin#VC57B155911, appraised by Lawrence Chevrolet 1,000.00 2. 1971 GMC truck Vin#CE234B116812, appraised by Lawrence Chevrolet 800.00 TOTAL(Also enter on Line 5,Recapitulation) $ 1,800m If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER STANLEY L. COONS SR. will not probated Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representatives) Street Address City State ZIP Years)Commission Paid: 2. Attorney Fees: Joel R. Zullinger 175.00 3, Family Exemption:(If decedent's address is not the same as claimants,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: Filing inheritance tax return 15.00 5 Accountant Fees: 6. Tax Return Preparer Fees: 7. TOTAL(Also enter on Line 9,Recapitulation) $ 190.00 If more space is needed,use additional sheets of paper of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: STANLEY L. COONS SR. will not probated RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions and transfers under Sec.91 f6(a)(1.2).[ 1. Virginia R.Coons, 78 Furnace Hollow Road, Shippensburg, Spousal PA 17257 entire estate Will not probated. Copy attached showing residue to surviving spouse,Virginia R. Coons ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. H105.805 REV(9/11) LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 """"'--- This is to certify that the information here given is o�Sr ASH OF p t�P fy� correctly copied from an original Certificate of Death ©� duly filed with me as Local Registrar. The original sg= z certificate will be forwarded to the State Vital Records Office for perm rent filing. P 19067657 -_ 46RCertification Number ""'""""' gistrar Date Issued Type/Print In - COMMONWEALTH OF PENNSYLVANIA_DEPARTMENT OF HEALTH-VITAL RECORDS Permanent CERTIFICATE OF DEATH Bla Ck Ink State File Number: 1.Decedent's Legal Name(First,Middle,Last,Suffix) 2.Sex 3.Sochi Secunty Number 4.Date of Death(MO/Day/Yr)(Spell Mo) SzanCey L_ Coon6, SrL. Mz" a 210-26-5853 JQnucvL 5 2013 So.Age-Last Birthday(Yrs) 5b.Under 1 Year S,-Under 1 Day 6.Date of BIK)r(MO/Day/Year)(Spell Month) 7a�girrtt��7 place(CIt�(�,tl$5tare or For�ygq Courrtry) Months Days Hours Minutes Aen nnP 6 bWL NA 80 Oe toberc 20 7932 7b.BlKhphce(County) on So.Residence(State or Foreign Country) 8b.Residence(Street and Number-Include Apt No.) 8c.Did Decedent U,e in a Township? PA Yes,decedent Ilved In Sou't Newton Town6 h"i..n ed.Reside (County) 78 Fu,,Lnace Hozzow Road t"p Cwn�e�L Qa nd Be.Residence(Zip Code) No,decedent lived within limits of city/boro. 9.Ever in US Armed Forces? 10.Marltal Status at Time of Death 30 Married 0 Widowed 11.Surviving Spouse's Name(if wife,give name prior to first marriage) P4 Yes O No 0 Unknown 0 Divorced 0 Never Married 0 Unknown V"(JL .i-n.ea. R. CO 12.Father's Name(First,Middle,Last,Suffix) 13.Mother's Name Prior to First Marriage(First,Middle,Last) Vav i d F. Coon., Irene ER i.zabe th Rh-oad" 14a.Informants Name 14b.Relationship to Decedent I4 Informant's Mailing Address 15treet and Number,City,State,Zip Code) VZ& .Ln,i.a R. Coo" W f a 78 Fwcnaee Hottcw Road Sh i en.6bu, PA s5i 1 a. sc�o eat c ec o ___ - - -- - c If Death Occurred Ina Hospital J'E'Inpatient tlf Death Occurred 5omewhero Other Than a Hospital: ❑Hosplee Facility- L7 Decedents Home Eme envy Room/Outpatient [] Dead on Arrival 1 Nursing Nome/Long-Term dre Facility 0 Other(Specify) ag ISb.FacltRy Name(If not Institution,give street and number) 15c.City or Town,State,and Zip Code 15d.County of Death ^ Ca�L. EzZe Re .i.ona.ed MedLcaZ Centw. Ze PA 1-7015 Cumb and .� 16a.Method of Disposition P,1 Burial Cremation 16b.Date of Disposition 16c.Piece of Disposition(Name of cemetery,crematory,or other place) O Ran, val from State O Donation 1-9-2013 Cumbeneand MemoA Ca,Z. Ga&den6 0 Other(Spec My) Z 16d,Location of pisposition(City or Town,State,and Zip) 17a.Signature of Funar IS Ic o Person in Charge of IntermanS 17b.License Number Can f f.6X_e, PA 17013 ��/.� FD-01 2984-L 1 o ae P�a a n m p¢l r-8 i i i�c�z e i e r a c e r r�e v c a a home Inc. 1 1 2 W".t KLnacr S ee Sh i ppen.6burEq, PA 77257 18.Decedent's Education-Check the box that best describes the 19.Decedent of Hispanic Origin-Check the 20.Decedent's Race-Check ONE OR MORE races to indicate what highest degree or level of school completed at the time of death. box that best describes whether the decedent the decedent considered himself or herself to be. jQ 81h grade or less - Is Spanish/H1spanic/Lstino. Check the"NO" J)White M Korean [� No diploma,9th-12th grade box If decedent Is not Spanish/Hispanic/Latino. 0 Black or African American O Vietnamese O High school graduate or GED completed (g No,not Spanish/Hispanic/Latino 0 American Indian or Alaska Native E3 Other Asian 0 Some college credit,but no degree [�Yes,Mexican,Mexican American,Chicano 0 Asian Indian 0 Native Hawaiian 0 Associate degree(e.g.AA,AS) 0 Yes,Puerto Rican 0 Chinese 0 Guamanian or Chamorro 0 Bachelor's degree(e.g.BA,AS,SS) 0 Yes,Cuban 0 Filipino 0 Samoan 0 Master's degree(e.g.MA,MS,MEng,MEd,MSW,MBA) D Yes,other Spanish/Hispanic/Latino 0 Japanese 0 Other Pacific Islander 0 Doctorate(e.g.PhD,EdD)or Professional degree (Specify) 0 Other(Specify) .MD DDS "" LLB JD 21.Decedent' Ra s Single ce Self-Designation-Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a.Decedent's Usual Occupatlon-Indicate type of work M White O Japanese D Samoan done during most of working life. DO NOT USE RETIRED. 0 Black or African American 0 Korean 0 Other Pacific Islander LQboh.QJL 0 American Indian or Alaska Native 0 Vietnamese 0 Don't Know/Not Sure 0 Asian Indian- 0 Other Asian 0 Refused 22b.Kind of Business/Industry 0 Chinese - 0 lalative Hawaiian 0 Other(Specify) E3 Filipino 0 Guamanian or Chamorro Con/LaZZ (Ra i,P Load) . ITEMS 23a-23d MOST SE COMPLETED 23a.Oate Pronounced Dead(Mo/Oay/Yr) 23b.Signature of Person Pronouncing Death(Only when applicable) 23c.License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH I & I , AN66 L.\C/\ -!:L-->V AC'LZ E MD IJL1 p t- 2 tt 23d.Date Signed(MO/Day/Yr) 24.Tlme of Death S 5 S 3 9•11_O YYl 25.Was Medical Examiner or Coroner Contacted? 0 Yes -®' No CAUSE OF DEATH 1 Approximate 26.Part L Enter the chain of events--diseases,Injuries,or complications--that directly caused the death. DO NOT enter Terminal events cuch as cardiac arrest, t Interval: respiratory arrest,or ventricu[or fibrill"tion without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line,Add additional lines If necessary. 1 Onset to Death IMMEDIATE CAUSE -----> AG[LT E L-�y�axtf_ woe 7]r[\tY ttt tt1UtG (Final diseaa!qr<Onditlon Due[o(or as•consequence qf): resulting In death) _ t b. tom• N F t]tH O tJ t o 1 Sequentially list conditions, - Due to(or as a consequence of): - if any,leading to the cause 1 Ilstedon line a. Enter the c. K E. t UNDERLYING CAUSE Oue to(pr es a consequence of): i ^' (disease or injury that Initieted the events-esuiting d. - 1 In death)LAST. Due to(or as a consequence of): i i 26.Part 11. Enter other n fi n h but not resulting in the underlying cause given In Part I. 27.Was an autopsy performed? O Yes EW No 28.Were autopsy findings",,liable /'sS' l"'\epEa.�•'�TE i-\,-.1-N VZ'R\'t\L7F� to complete the cause of death? g O Yes No Y� 29.If Female: 30.Did Tobacco Use Contribute to Death? 31.Manner of Death € 0 Not pregnant within past year 0 Yes 0 Probably R9 Natural 0 Homicide t4 0 Pregnant at time of death -� No 0 Unknown 0 Accident 0 Pending Investigation 0 Not pregnant,but pregnant within 42 days of death 0 Suicide 0 Could not be determined O Not pregnant,but pregnant 43 days to 1 year before death 32.Date of Injury(Mo/Day/Yr)(Spell Month) 0 Unknown If pregnant within the past year 33.Time of Injury 34.Place of injury(e.g.home;construction site;farm;school) 35.Location of Injury(Street and Number,City,County,State,Zip Code) 36.Injury at Work 137.If Transportation Injury,Specify: 38.Describe How Injury Occurred: 0 Yes 0 Driver/Operator 0 Pedestrian 0 No 0 Passenger 0 Other(Specify) 39e.Certifier-physician,certified nurse practitioner,medical examine,/coroner(Check only one): ®'Certifying only-To the best of my knowledge,death occurred due to the couse(s)and manner stated. -OR:Pronouncing R Certifying-To the best of my knowledge,death occurred at the time,date,and place,and due to the cause(s)and manner stated. 0 Medical Examiner/Coroner-On the basis of exa tlon and/or Investigation,In my opinion,death occurred at the time,date,antl place,and due to the cause(s)and manner stated. _� Signature o7 ce Kifler: ) Title of certifier: r'\-(7 License Number: - 39b.Name,Address and Zip Coda f Person Completing Cause of Death(Item 26) 39c.Date Signed(MO/Oay/Yr) 40.Reglstrais District Number 41.R is Signature 42. gistmr File Dote(MO/Day r) 43.Amendment. / d Z Disposition Permit No. REV 0]/20]71201 2 k 4 h c tab IA t�� m fah a iF 'Y\ ao F :2 ti S � FI p, " OA tanwnt of t WiU and Stantey, e. extw , St. I, STANLEY L. COONS,SR., of South Newton Township, Cumberland County, Pennsylvania,being of sound mind and memory declare this to be my Last Will and Testament a and revoke any will or codicil previously made by me. I M I ITEM L I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I give, devise and bequeath all of my estate of every nature and wheresoever situate to my spouse, VIRGINIA R. COONS,her heirs and assigns, living on the thirty-first day following my death,in shares of equal value, share and share alike. m Q r 't \ i a A, ITEM III: Should my spouse,VIRGINIA R. COONS,predecease me or fail to survive'? tx me by thirty(30) days,then.I give devise and bequeath all of my estate, of every nature and ` wheresoever situate,as follows: One half of my estate to BONNIE R. BOWDEN and DEBORAH S. JUMPER,or the survivor of them. their heirs and assigns, and one-half of my estate to SUSAN JUMPER,CHRISTOPHER ISBELL,FORREST ISBELL,and RIC JUNIPER. oz the survivors of them m equal shares share d share al ei. is �\� a \4 \ 1 x 4 e a felt, F. \��\i \ \tot 4.,q\.a\,�2 \ uk.\� ..�. .a.: x t o..�.t_:' Cvy, ,;:_ �\ �. pt `'�c. .t. t =x- .. :�, G.. �. ra .sv',~ c� \\;,\\. ,C a.,? \�, g...r - �` \. :,., \ ., \\.;I,;, .. �. C .� ,�... a :.3 r \. 4� a.,. \ -I'MIN .r ""'Al" �\, .\:.. ....k. ,a � ... ..�.,:..x,.. ,`�. ' \ .. \s ,:r,a.. ...\\\ @@.��,a\u "YV�,.}„w 5��.. ITEM IV: I have specifically and intentionally left no inheritance or bequest to my son, STANLEY L. COONS,JR. It is my intention that he should receive no inheritance. ITEM V: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM VI: I appoint VIRGINIA R. COONS,Executrix of this,my Last Will and Testament. Should she fail to qualify or cease to act then I nominate and appoint DEBORAH S. JUMPER,Executrix of this my Last Will and Testament. i i ITEM VII: I direct that my Executors or their successor shall not be required to give bond for the faithful performance of their duties in any jurisdiction. 2 r..,. 1 G+\ T Ol ZI AY IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Wil`� ,� Testament, written on sheets of paper, dated this day of July, 2003. SEAL StfANLEY WCOONS, SR. The preceding instrument, consisting of this and other typewritten page(s), each identified by the signature of the testator, STANLEY L. COONS, SR. was on the day and date thereof signed,published and declared by STANLEY L. COONS,the testator herein named, as and for his Last Will, in the presence of us, who, at her request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. -S residing at S s residing at S 3 ONE WVm"" 2FIN ��a COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND We, STANLEY L. COONS, SR.,the testator in, and the undersigned witnesses to,the will, the attached or foregoing instrument, who have signed the instrument, having been qualified according to law do depose and say: (a)that 1, the testator, do hereby acknowledge that I signed the instrument as my will,that I signed it willingly and as my free and voluntary act for the purposes therein expressed; and (b)that we,the witnesses, were present and saw the testator sign and execute the instrument as his will,that he signed it willingly and executed it as his free and voluntary act for the purposes therein expressed;that each of us in the hearing and sight of the testator signed the will as a witness and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. L �S s S ANLEY L. ONS, SR. t W tness W tress i Subscribed to and subscribed or affirmed and acknowle ged before me by , 4 L(e"-y !'Me testati&` and the wi esses whose n4mes are si ed above this W day of ,200 s� j Notary Publi 4 7 awrence C OLET 01/31/2013 TO WHOM IT MAY CONCERN: The 1957 Chevrolet Bel Air Vin#VC57B155911 is a project car at best,this vehicle does not run and needs major work to get running. I figure the vehicle's value in it's current condition would be worth about$1000 dollars.The 1971 GMC truck Vin#CE234611E812 is also a project vehicle,this also needs major work just to get running.The truck's value in the current condition is worth $800 dollars. These Values are based above current salvage and auction values. Lawrence Chevrolet Sales Manager Chad Baker LawrenceChevy.com 1 6445 CARLISLE PIKE MECHANICSBURG, PA 17050 1 717-766-0284 800-427-4505 Lots tout Lawrence. CL r W C CV o ,[ > Q � Oa o m � -W � ^O O 3 v d Z Z ob 0 J ca w r-° .0 .- °1i J U 0i � .N a In o � N w a � " 0 H LAW OFFICES OF ZULLINGERmDAVIS PROFESSIONAL CORPORATION JOEL R.ZULLINGER SUZANNE M.TRINH HAMILTON C.DAVIS jzullin2er@zullinger-davis.com striM @ zullinger-davis.com hdavis@zuilinger-davis.com 14 North Main Street,Suite 200 24 East Burd Street,P.O.Box 40 Chambersburg,PA 17201 Shippensburg,PA 17257 717-264-6029 717-532-5713 717-264-1884(FAX) 717-530-5222(FAX) April 15, 2013 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle,PA 17013 Dear Register: RE: Estate of Stanley L. Coons, Sr. Enclosed for filing in your office are two copies of the PA Inheritance Tax Return for the above estate along with check payable to you in the amount of$15.00 for the filing fee. The decedent's will was not filed for probate and there is no tax due with the filing of the inheritance tax return. Please address any questions to my Chambersburg office. Thank you. Very truly yours, i jjoeR. Z er Encls.