HomeMy WebLinkAbout04-10-13 1305610101
REV-1500 EX(01-10' 1�1
OFFICIAL USE ONLY
PA Department of Revenue Pennsylvania
Bureau of Individual Taxes INHERITANCE TAX RETURN CounryCode Year File Number
PO BOX 280601
Harrisburg PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Suffix Decedent's First Name MI
m
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouses Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
r® 1. Original Return p 2. Supplemental Return O 3. Remainder Return(date of death
prior to 12-13-82)
p 4. Limited Estate p 4a. Future Interest Compromise(date of p 5. Federal Estate Tax Return Required
death after 12-12-82)
Qjj� 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
p 9. 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 Sch.0)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
z
F d 0 IZ.� GY
REGI R'OF WILLS ONQ
= n =
Sa r
Z R'! ::)
First line of address .3, y _,0 O rrrri III
Second line of address O C y1
EM T
City or Post Office State ZIP Code Fir"FI( C0 O
SHI .p h''r N s )/3 U !2` G
t , r
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.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDRESS
%ST /�2oCcnt`.sh 1 Gw' �%,L2eenshc� P� ! ? �S`?
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS_(�`
LISYI IJrown F t lj
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610101 1505610101 J
1505610105
REV-1500 EX
Decedent's Social Security Number
Decedent's Name:
RECAPITULATION
x.M. eyp
1. Real Estate(Schedule A). . ......... ....
2. Stocks and Bonds(Schedule B) . . .. . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . 2. N .,
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) . .... 3.
4. Mortgages and Notes Receivable(Schedule D) . . . . . . .. . . .. . . . . . . _. . .. 4. 5 O O ' <7 d @ U
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).,. .._. 5.
6. Jointly Owned Property(Schedule F) O Separate Billing Requested . . . .. . . 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested.... ... - 7, t *
t
! 8. Total Gross Assets(total Lines 1 through 7). . . . . . . . . . . . .. . _ .. . 8
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . .. 9. `}`s ZA j a
10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) ..... . .. . . . ... 10
11. Total Deductions(total Lines 9 and 10).. . . . . . . . . . . . .. . . . . . . ...
12. Net Value of Estate(Line 8 minus Line 11) ... ... .. ... ... ... .. 12. 7 ;
1
11 Charitable and Governmental Bequests/See 9113 Trusts for which '"7°" 1" '_ d 4'
an election to tax has not been made(Schedule J) . . . . . . . . . 13 r,
14. Net Value Subject to Tax(Line 12 minus Line 13) . .. ...... .. .... . 14 J 7 $ 7
a�
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_0- 15. '
16. Amount of Line 14 taxable t W
at lineal rate X .01- ) S, 7 Lr' 16
17. Amount of Line 14 taxable ' '
at sibling rate X.12 17.
18. Amount of Line 14 taxable
at collateral rate X.15 - d 18.
41-, o-A
19. TAX DUE .. . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . 19." - " f 7wj '
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Side 2
1505610105 1505610105
REV-1500,EX,'Page 3 File Number _ _ G q
Decedent's Complete Address: O
DECEDENT'S NAME
rr2 HoIg5
STREETADDRESS
l �.� �r7 c+ v ti r� 1 r✓ (�l l,=Gv' /3 a
CITY STATE ZIP
s /-//P A 72 s�
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 7
2. Credits(Payments
A.Prior Payments
B.Discount
Total Credits(A+B) (2)
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) 7 l G Z/
Make check payable to: REGISTER OF WILLS, AGENT.
in I 111111111111111 I'llillill 1111111111
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;............................................ ❑ I R
c. retain a reversionary interest;or.......................................................................................................................... ❑
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑
2. If death occurred after Dec.12, 1982,did decedent transfer property within one year of death
without receiving adequate considerat ion?.............................................................................................................. ❑ 0
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ Is
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
containsa 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.§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 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-1502 EX+ (01-10)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
EDNA W HORST 21'!12-00829
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant In common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1.
HOUSE 118 MOUNTAIN VIEW RD. SHIPPENSBURG, PA 154, 000. 00
TOTAL (Also enter on Line 1, Recapitulation.) $ 1 54 r 000.00
If more space is needed,use additional sheets of paper of the same size.
REVW1507 EX+(1-97)
SCHEDULE D
COMMONWEALTH OF PENNSYLVANIA MORTGAGES Sc NOTES
INHERITANCE TAX RETURN RECEIVABLE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
EDNA W HORST 21- 12-00829
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
L LOAN EDWARD AND MARIAN NOLT 5, 000. 00
TOTAL(Also enter online 4, Recapitulation) $ 5, 000.00
(If more space is needed,insert additional sheets of the same size)
NEW"EX Hidil
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MSC.
INHERITANCE TAX RETURN
RE PERSONAL PROPERTY
ID NT DECED NT
ESTATE OF FILE Nt IMBER
EDNA W HORST qj.— 12-00829
Include the proceeds of litigation and the date the proceeds were received by the estate.All property Iolntly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
t.
1 C.DJ BANK ACCOUNT 8546.00
2 CHECKING ACCOUNT 828.00
3 PERSONAL PROPERTY 1 :1159 . 00
4 FURNITURE
2050.00
5 REFUND FROM UTILITIES 123.00
6 CASH ON HAND 24.00
7 INTEREST BANK 1 . 00
TOTAL(Also enter online 5,Recapitulation) $24 7
fir mnrp cnnc is n"HPA inwri additinnal ahp ht of the+amp eixai
. REV-151f EX+(10-06)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
EDNA W HORST 12-00829
Debts of decedent must be reported on Schedule L
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERALEXPENSES:
1.
1 FOGELSANGER—Hi FUNERAL HOME 3332.00
2 Ail 0,S RJEI F F CASKET 80.00
3 RICHARDS—KNAUER TOMB STONE 1772.00
4 FOUNDATION FOR TOMB STONE 100.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s) FLORENCE Z HORST—MARIAN NOLT 1 000. 00
Street Address 145 MOUNTAIN VIEW RD
City SHIPPENSBURG,PA StatePA Zip 17257
Year(s)Commission Paid:
2. Attorney Fees
3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 187.00
5, Accountant's Fees SHIRK TAX ACCOUNTING 450. 00
6. Tax Return Preparer's Fees
7.
TOTAL(Also enter on line 9, Recapitulation) $ .6921 , 00
(If more space is needed,insert additional sheets of the same size)
REV-1512 EX�(12Q)
SCHEDULE 1
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS
RESIDENT DECEDENT
ESTATE OF FN F NUMBER
EDNA W HORST
2/ —1200829
Report debts incurred by the decedent prior to death which remained unpaid as of the dale of death,Including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1
1 MARTIN AUCTIONEER COMMISION SALE OF REAL ESTATE 3080. 00
2 ' ' ' PERSONAL PROPERTY 1184. 00
3 SETTLEMENT CHARGES 2469. 00
4 ' ADVERTISING—TENT RENTAL 2216. 00
5 PLUMBING,WINDOW REPAIRS,BANK CHARGES,UTILITIES,ETC 1281 . 00
6 CHAMBERSBURG HOSPITAL 6409. 00
7 WEST SHORE EM SERVICE 1048. 00
8 SHIPPENSBURG AREA EMS 970. 00
9 SUMIT PHSYSCIAN SERVICE 261 , 00
10 MISCELANEOUS 18. 00
TOTAL(Also enter on line 10, Recapitulation) $ 18936 . 00
(If more space is needed,insert additional sheets of the same size)
• REV-1513 EX+ (11-08)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
EDNA W HORST 21 12 00829
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. 2116(a)(1.2).]
11 FLORENCE Z HORST DAUGHTER 1 /6 OF RESIDUE
145 MOUNTAIN VIEW RD SHIPPENSBURG PA
2 MARIAN Z NOLT DAUGHTER 1 /6 OF RESIDUE
4401 KY 910 LIBERTY,KY 42539
3 IVAN Z HORST SON 1 /6 OF RESIDUE
7490 OLD SCOTLAND RD SHIPPENSBURG,PA
4 EDNA Z TOSTEN DAUGHTER 1 /6 OF RESIDUE
P.O.BOX 402 FINLAND,MN
5 PHARES Z HORST SON 1 /6 OF RESIDUE
8300 GREENVILLE RD. ELKTON,KY 42220
CO MARY JUNE HORST DAUGHTER 1 /6 OF RESIDUE
1 CHIMNEY LN, EAST EARL, PA 17519
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 2113 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 ONLINE 13 OF REV-1500 COVER SHEET. $
If more space is needed, insert additional sheets of the same size.
OMB Approval No 2502 o'o:
if61k11 A. Settlement Statement (HUD-1)
1. -- 1:1 IA 2.:::JRHS 3.[jDC'onv. Unins. 6. File Number 7. Loan Number 8. Mortgage Insurance Case"lumber
i 'YA 5.'-^Conv. it 2012-1030 470831-01-000 NA
C.SU"I E This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are sho+ca
Items marked" .o.c. "were aid outside the closing;the are shown here for informational u ses and are not included in the totals.
D.NAME OF BORROWER: Allan tmmerman an teen K.LIPURCrulan
ADDRESS OF BORROWER: 118 Mountain View Rd. Shippensburg,PA. 17257
V.NAME OF SELLER: The Estate of Edna W. -tars
ADDRESS OF SELLER: 440 KY 9 0 Li erty KY 42 34
F.NAME OF LENDER: Ag�holce arm relit,ACA or itself and/or as Agent/Nominee for
A Choice Farm Credit FLCA
xDDRESS OF LENDER: 9 Hent Croek blvd. )videchanicsburg,PA.
G. PROPERTY 118 Mountain View oa
LOCATION: Shippensburg, PA 17257
H.SETTLEMENT AGENT: AggChoice Farm Credit ACA d/b/a FC Settlement Services
PHa(724)776-3944 890 Cranberry Woods brive,Suite 140,Cranberry Township,PA 16066
PLAt,E OF SETTLEMENT: 800 Cranberry Woods Drive,Suite 140 Cranberrrryv Township,PA 16066
EME
Settlement A ent'Cax ID#:23-2983 99 DATE
---� niuractsaleaerce _—, —,_,— _._ 1sa.Qan
n rsonal '. arson orooetty
103.Settlement charges to borrower(line-},4QQL_
4 --LQQM 404,
Adjustments for items paid by oiler In advance _ ,— Adjustments for items aid b seller is advance
.I�6.�i4�vLSaxCs to
-- 778.
108 Assessments to 408,Assessments to
IQ-9SCbQQUax— 11/0912012 to 06/30/2013 1,934.0(L 4 1/ 9/ 0 — ULOA0 r_
jLO_._.__...--.—..._.—.— to — 410. to
IL ....____._ —
112, to 412. a
120.Gm.Amount Due from Borrower 161,527.86 420.Gross Amount Due To Seiler 156,011.86
OO,Amounts Paid b orhs Behalf of Bdbmwer 500.Reductions In Amount Due to Seller
201 DCyosit or earnest mon;Y 0 .00 i i t _ _
?0? w I21.444.9 t h n selledline 1400) 5 02y.°
203_Exis in lo, n si ❑ u 'e t .Esisting.lo tt(s)taken subject to,
of --
?05. v t
�?07_ _ �. --.— —.—. held FCSS
208. —.—. .—._, 508.
M,_
_ _—. __._._
209a 9 -----
70.�_ _— 509 ---- --
Adjustments or Itexici unpaid y"me omeau for Knicam"Posts
?II Coun(<'taces -- _._�_— .S:4ui1SXSaa"SS —.._.
2 i 2.i\swss fl is _,-_--- to — 512.Asse'sments _ to
1LS hhoa Tax to
21 . __--.._—._. to 14 �. i to
215- ._.__._. __.. to I —.. to
-
17_. _.._--._..--..__..._.- 7.,---. .—.— --to
219_ to 519. to
767—Toull.amounts Paid 1}$000.00 .Total Reductions in. 338,029.00 0 or is Behalf of Borm.er , Amount Due Seller
300.Cash at settlement fmatdm Borrower F.*`" 0:Cash At Settlement tollrumseller
.G nos,amount due I rom borrower(I i'ne 120) ro amo nt e to r(line 6
X , 02.Less reductions in amount due seller(line 520 38.029.00 esau id vl l
303.Gosh From F .'Fo Borrower 23,527.86 603.Cash �To From Seller 117,982.86
rc�m,�sttr,ons are o mete Page I of - nPq' Ysnms. m .. _ s,, amens _
C.S DLPARTIdENIOF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT PAGE'
_2510_ Tntnl Renl}"stele Arnieer Fse�_ e'
_. _.
_ .L1ivi5ion nPC nmmesion,(li )nc follows r r.. "t!t'
7{}l � SQ 00 o Martins Aucl IIn 4e 'ce �Pgpl�}e�tl F4
I 7,K m Sid
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704 to
Akm
t or c}lnz(w n4S}for the soeeific m st reta chosen S (ftnm GFE H2)
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442_ loom --- - _
_d4j._liOIIlenvueL�S Sncn�nsetor_..—__ veers... to __—__ (TrwmiFE Ii) ._....
444.
10ftt 1 't' tdeppcit for y4t�LCtitw Eeeonnt m
.7002,"Flnmeowner's ins�r n[e pe„r month S _ _.,...._.
1QU1�..Mort!ag s rs_sant—_. —;N�to antl>--t..,
1099_Procem taxes tan _ per mnntll _ --_ - _.
104i...AmutiLassmsm nm rc__. -._ mnn pef'month .$..
1411b,.. -. ___.__--"—_.__. Minot
1008 _ __—net mnnrh
1009 Aitiaregate Adiustmen 4
LIVU.-'Hue 1L
'_Wk�1.✓5` N'f.:..ih' t Stu W.f. "b'..
11t1L TcSe services and tendefs flue�nsuranee { m E d} _ � __
f i62 S+nlemrni nr rincino far .. S
2 ..Clss:nt'lS-tt[ir'nc ranrr __ __—_._ _._ _-_-�55 00 ..__ _...
1103..h:ndetstitle" ranre„ x1L10.01300f I n25) Fnd wrpJ�.._,5 11290.00
111 ...Lzndetslitlx.palicY.limit.�_.-12300,, 0.00 __... _— _..._ .—_ --._ -_
v4>11,11 Jxi tgn t�s�rono0rian � as Q00 00 _
S.P_ tar' __ ---
td title IDSUranCe Dremtttm ,___ 1 164 iQ
__ s portion of the total tit a insurance_pNmlum S ?so.s0
1110 liLl_Ctmjfhali41}._.__ t -
'111 _ ._ to
1113 .
3. to ...
1207-.. (z,emmem reeordin¢c_g[ges __if}om GFE 0'1)_
1'-6� Cor ses:�e2tl-$52G0; ( -Mnrtnaaets}R7�fill. fi..Mnr(va
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»p) , ransrert es tam�FEAg -- -__— -- 1,S 24.Q4 _ 1_5 a{2.UU
1204 CAL2county_taslstamps:
ITB Stalc.tays Wmps-Dee
1300 Additional MMERECE�-
1107 to
1301.,�j,eµuyr�arrv'rec_(hat_vn� ran shoo fnr Lam a 1,..._— -._ _._
1302.Pest lnsp"ddtj_. _._. _10
I aof tncrnet r nn _ ._S0
303 __-
'305—M,
Ca c unmet fees . to Lip54in nP R Wenger — ---' --- �e — —_ _ ._ _ _. 91400
1.306 :Las Cens(I 'en letters._ to Ft C Ptfement Services__.._— _____. _ _..____..—.._._ ._-- - - -__25.00
1307.
to ,.....-_,.-
4,515.00 6,029.U(
f_'hRTIFIC.IT'IOF DAZE. I�iG9/2012
!tm.c cerco:�ih rcveuod the Ht t) I acnlement Statement and to the best 01 my Anow e ge and belief,It is a true and ecunrate statement at all receipts an
_tscuryemerrt grade on m}aNOUmot b; me in this eans-acmgl 1 Further cenlfi that I have received a copy of the IJUD- I Settlement Statement.
It',I late of tfdna W I fon;
� L.d-+i._ i i _ . YL-� '}-1-L— 13orrut,cl j7
r ! _ n t � ' �". , - --- -�-c ir. z�� j+ Lnt4� '.J-�-. ... _ scuff
., n.tunm� Plc tense 7 Ilorsl Co fy'i4cutns
{
c
Boflo,cer 11 � - t. .,z..dLt+ L`e.
u.:hcn h i.in:ruriner ram I Vnlr C "cutrlx,by F orence 7.. Horst, .:
ii I 1, Iui mcnt lwtemcIy„hI h I hate pr ed is a true and e curate a c wnt of this uensa lion. I has aused the funds m be disbunW n -w i-
.m. ,I .I,,m1 niu,t ,,Ch, 7amnCt,da SCA J,b/a FC Sculetnent Sen Ice+
___ SctUernnt Agent 1-072),1,2
WARNING: h ..nmc .,. ..noo mgh nuk• arse smtcmemn Io the L mo.j 5ntct m Qul nr am othn smile:loom. I'enaloca upon an Ixn ca.,nxiudc a
'.in o.,nmem lot dctene vcr.Till, 18 US Code sccta,o 1001 ana S"Il'in IOW In,,2 of 3 Z0 13' 10311
. -_.. ci 013P FP(j,^:LUTCKMAN METAL 1-666-787-6556 m 7� L5
Co
LAST WILL AND TESTAMENT
OF
EDNA W. HORST
I, EDNA W. HORST of Cumberland County, Pennsylvania,
being of sound mind, memory and understanding, do hereby make,
Publish and dsclars this as and for my Last Will and Testament,
revoking all other wills and codicils heretofore made by me.
FIRST
I direct the payment of my debts and the expenses of my
last illness and funeral from my estate as soon after my death as
conveniently may be done.
SECOND
I give, devise and bequeath all of my estate of
L whatever nature or wherever situate to my children, per stirpes .
I direct that any real property owned by me at my death shall be
�7 appraised. After appraisal the property shall be offered by an
auction among my children with the property to be sold to the
highest bidder. Provided further that in the event that the
highest bid shall be less than ninety (90%) per cent of the
appraised value I direct that the property be sold publicly and
the net proceeds divided among my children per stirpes.
All personal property shall be divided equally by my children per
stirpes , If my said children are unable to all agree on the
distribution of any or all of such personalty I direct that such
personalty be sold and the net proceeds divided by my children,
per stirpes.
31::D9P FRON:DUTCHMAN METAL 1-606-787-0556 70:17178636026
THIRD
I direct that no trustee, personal representative,
guardian or other fiduciary named-, nominated, or appointed by
this my Last Will and Testament shall be required to post any
bond or give any security of any type for my purpose whatsoever,
any law or rule of court notwithstanding.
#.
FORTH
Any and all payment or payments of any sum or sums,
whether in cash or in kind and whether for principal or income,
payable hereunder shall be made upon the sole receipt of the
respective individual to whom the payment is made, and free from
anticipation, alienation, assignment, attachment, and pledge, and
free from control by the creditors of any such beneficiary.
SIXTH
I appoint MY DAUGHTERS Florence Z. Horst and Marian Z .
Nolt, Co-Executrixes of this my Last Will and Testament .
rN 97TNESS 'WHEREOF, I have hereunto set my '-and ar.c
seal to this, my Last Will and Testament, consisting of two (2)
typewritten pages, the first of which bear my signature in the
margin for the purpose of identification, this 26th day of
January, 2001 .
dr2Q/._l7Y, / (seal)
Edna W. Horst
-- _
-- +i: l(' FRO':DUTa-McN PETAL 1-606-787-0556 70:17172636926
Signed, sealed, published and declared by the above
named testatrix, EDNA W. HORST, as and for her Last Will and
Testament, in the presence of us, who, at her request, in her
sight and presence, and in the sight and presence of each other,
have hereunto subscribed our names .as witnesses.
�. ADDRESS 95 Alexander Spring Rd,Cariisle, PA
-7;405% 1i�� ADDRESS 95 Alexander Spring Rd, Carlisle, PR
COMMONWEALTH OF PENNSYLVANIA
SS .
COUNTY OF CUMBERLAND
We, EDNA W. HORST, Steven J. Fishman and Roger M.
Morgenthal, the testatrix and the witnesses, respectively, whose
names are signed to the attached or 'foregoing instrument, being
first duly affirmed, do hereby declare to the undersigned
authority that the testatrix signed and executed the instrument
of her Last Will and Testament, and that she signed willingly and
that she executed as her free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the
presence and hearing of the testatrix, signed the Will as
witnesses, and that to the best of their knowledge, the testatrix
was at the time eighteen (18) years of age or older, of sound
mind and under no constraint or undue influence .
Affirmed and subscribed before
me this 26t1'
daV of January, 2CC1 .
NOTAAAL SEAL
TzaA L WXY. Nowt'►u6 k
au*"pvA Twp.,CumbwWnd Co.. M
my Cw nwvdon Explm Aug. 12.2002