HomeMy WebLinkAbout04-1090Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Estate of David B. Shuster
also known as David Bernard Shuster
, Deceased
No.
Social Security No. 110-30-0432
(COMPLETE "A" OR "B" BELOW:)
A. Probate and Grant of Letters and aver that Petitioner is the executrix named in the Last Will of the
Decedent, dated April 17, 1983 and codicil(s) dated
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for
probate; was not the victim of a kirling and was never adjudicated incompetent:
C]
B. Grant of Letters of Administration
Petitioner(s) ~fter a proper search has/have ascertained that Decedent left no Will and was survived by the following
spouse (if any) and heirs:
r Residence
Name Relationship
)
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary,
Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or~L,j~incipal residence at 38
Col,qate Drive, Camp Hill, Cumberland County, Lower Alien Township, Pennsylvania --
{list street, number and municipality]
Decedent, then 66 years of~age, died October 13, 1991, at Holy Spirit Hospital, East Pennsboro Township, Cumberland County,
Pennsylvania
(Loca~on)
Decedent at death owned prope~y with estimated values as follows:
(If domiciled in PA) All personal property (; 0.00
(If not domiciled in PA) Personal property in Pennsylvania $
(If not domiciled in PA). Personal property in County $ --
Value of real estate in Pennsylvania $ 0.00
Total $ 0.00
Real Estate situated as follows: ~ Interest in house in Toronto, Canada
Wherefore, Petitioner(s) respectfully request(s) the probate of the ~ast Will and Codicil{s) presented with this Petition and the grant of letters in the
appropriate form to the undersign~ed:
Signature
Typed or printed name and residence
Verna S. Shuster, 38 Colgate Drive, Camp Hill, PA 1701
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing
Petition are true and Correct to the best of the knowledge and belief of Petitioner(s) and that, as
personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate
according to law.
Sworn to and affirmed and subscribed
before me this ~L~-P,'- day of.
~bV,~ r~, ~- , 20 0___~
Verna S. Shuster
Register of Wills'--p~ ~-.Cc~t ~
DECREEiOF REGISTER
Estate of David B. Shuster
also known as David~Bernard Shuster
, Deceased No. jl-O~-
Social Security No: 110-30-0432 Date of Death: October 13, 1991
AND NOW, ~,[D¥. ~.L~ , 200ii- , in consideration of the Petition
on the reverse side here~On, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~estamentary [] of Administration
are hereby granted to Verna S. Shuster
in the above estate and that the instrument(s), if any, dated April 7, 1983
the Petition be admitted to probate and filed of record as the last Will of Decedent.
described in
FEES
Letters ........................ !..
Short Certificate(s) ....... ~..
Renunciation ..................
Affidavit I ) .................
Extra Pages (._7~) ............
Codicil ......................... .
JCP Fee ........................
Inventory & Tax Forms,,.
Other ............................
TOTAL ................
Attorney:
I.D. No:
Bruce J. Warshawsky, Esquire
58799
Address: 2320 North Second Street
PO Box 60457; Harrisbur.q, PA 17106-0457
Telephone: (717) 238-6570
DATE FILED: '~\- ~_d,_ C~
WARNING: IT IS ILLEGAL TO ALTER THIS COPY OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
CO MONW L"rH OF PENNSYLVAN
DEPA~IM3JMENT~AF~ HEALTH V TAL RECORDS
LOCAL REGISTRAR'S CERT
CERT. NO. 0 9 7 ~[ 0t,3
Sex Social Security No. - .~D ' - ,/--..-.- Date of Death__
DateofBirt ~-_. /, /f,,~J Birthplace ,
Race ~ Occupation ~ ~ e~~ Armed Forces? (Yes or ~)
~ ~ ~ Dec~ent's
Marital Statu~~~ailing Address ~
Informant /7~ ~ ~~ Funerat Dir~.
Name and Addressof ~ ~// ~
~ / Y Inte~al ~ween
Pa~ I: Immedi~e ~use ~ ~ ~ : Onset and DeMh
(a) - -- _- ~~ ~ ,,
(cl
(d)
Part Il: Other Significant Conditions
Manner of ~th:
Natural
Accident []
Suicide []
Homicide []
Pending Investigation []
Could not be Determined []
AddressName and Title °f CertiSr
This is to certify that the information here given is correctly copied from an original certificate of
death duly filed with me as Local Registrar. The original certificate will be forwarded to the State
Vital Records Office for permanent filing. --' d' ~. .,.~
Describe how injury occurred~j
(M.D., D.O., C_oroner, M.E,)
LAST WILL AND TESTAMENT
OF
DAVID B. SHUSTER
0,4- IOqO
I, DAVID B. SHUSTER, of the Township of Lower Allen, County of Cumberland,
Commonwealth of Pennsylvania, being of sound and disposing mind and memory do
hereby make, publish and declare this to be my Last Will and Testament, hereby
revoking and declaring null and void any and all wills and/or codicils by me at
any time heretofore made.
FIRST
I direct my hereinafter named Executrix or alternate Executrix, as the cas,
may be, to pay all of my just debts, funeral expenses, inheritance taxes and
costs of administration of my estate out of the corpus of my estate as soon
after my decease as it is practical to do so
SECOND ~::
In the event that my wife, VERNA S. SHUSTER, survives m~.y~, ecease by a
~eriod of sixty (60) days, then and in that event I give, beqd~ath and devise
all the rest, residue and remainder of my property, real, per$0nal and mixed,
whatsoever kind and nature and wheresoever situate, unto my wife, VERNA S.
SHUSTER, to be hers absolutely, to do and have as she in her best judgment
THIRD
In the event that my wife, VERNA So SHUSTER, should predecease me or not
live to survive me by a period of sixty (60) days, then and in that event I
give, bequeath and devise all the rest, residue and remainder of my property,
real, personal and mixed, of whatsoever kind and nature and wheresoever situate
unto my daughter, SANDRA G. SHUSTER, absolutely and in fee simple.
In the event my said child should predecease me and leave children
;urviving her, then and in that event all the rest, residue and remainder of my
estate shall be distributed to the issue of my deceased child, equally, share
and share alike, per stirpes by representation, and not per capita.
Page One of Four Pages
FOURTH
I direct that no Executrix, alternate Executrix, or any other fiduciary
named, nominated or appointed or required in this, my Last Will and Testament,
shall be required to post any bond or give any security of any type for any
purpose whatsoever, any law or rule of Court of the Commonwealth of Pennsylvani~
or any other jurisdiction to the contrary notwithstanding.
FIFTH
I hereby name, constitute and appoint my wife, VERNA S. SHUSTER, as Execu-
trix of this, my Last Will and Testament. In the event that my wife should not
survive my decease or should not live to complete the settlement of my estate,
then and in that event I name, constitute and appoint my daughter, SANDRA G.
SHUSTER, as my alternate Executrix.
My Executrix or alternate Executrix is authorized and empowered to
sell any real estate which I may own at the time of my decease at either public
or private sale, or otherwise lease or dispose of same as may be in the best
interests of my estate, whichever, in the opinion of my Executrix or alternate
Executrix shall be in the best interest of my estate.
IN WITNESS WHEREOF,
Will and Testament this
I have hereunto set my hand and seal to this my Last
. 7 ~ day of ~'~ ~ , 1983.
Page Two of Four Pages
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF CUMBERLAND)
SS.
I, DAVID B. SHUSTER, Testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testa
ment; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein e~ressed.
Swo~ or affirmed to and acknowledged before me by DAVID B. SHUSTER, the
Testator, this 7 ~ day of ~ , 1983.
David B. Shuster, Testator
Sworn and subscribed to before me
this -yv~z day of ~-~ , 1983.
Notafr~ Public
My commission expires:
Page Three of Four Pages
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF CUMBERLAND)
AFFIDAVIT
SS.
We, I.iARK S. SILVER, JANET M. FORRY, and SUSAN A. McCOY, the witnesses who
names are signed to the attached or forgoing instrument, being duly qualified
according to law, do depose and say that we were present and saw the Testator
sign and execute the instrument as his Last Will and Testament; that he signed
willingly and that he executed it as his free and voluntary act for the purpos~
therein expressed; that each of us in the hearing and sight of the Testator si
the Will as witnesses; and that to the best of our knowledge the Testator was
that time eighteen (18) or more years of age, of sound mind and under no con-
straint or undue influence.
Sworn or affirmed to and subscribed to before me by MARK S. SILVER,.JANET
M. FORRY, and SUSAN A. McCOY, witnesses, this ?-/w? ~
day of ~
1983.
Witness
Witness
Witness
~worn and subscribed to before me,
a Notary Public, this ?~ day
of ~.~.~j_.~ , i983.
~.~ g~c~-~ ~, ~-~_~j (SEAL)
-~ ~ No~ry Pu~li~ - -
My commission expires:
Page Four of Four Pages
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Date of Death:
FileNo.
David B. Shuster
October 13,1991
2004-01090
Admin No.
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion ofthe administration ofthe above-captioned estate:
I. State whether administration of the estate is complete:
Yes No
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete: December 31, 2005
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes No
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
interest?
c. Did the personal representative state an account informally to the parties in
Yes No
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report.
Date:
Address 2320 North Second Street
P.O. Box 60457
Harrisburg, P A 17106-0457
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent
Date of Death
Will No.
David B. Shuster
October 13. 1991
2004-01090
Admin. No.:
To the Register:
I hereby certifY that notice of beneficial interest required by Rule 5.6(a) ofthe Orphans'
Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate
on February 9,2005.
Name
Address
Sandra G. Shuster
38 Colgate Drive, Camp Hill, P A 17011
1773 Fremont Avenue South, Minneapolis, MN 55403
Verna S. Shuster
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None
D~~ ~.
Name Bruce J. Warshawsky. Esquire
Address 2320 North Second Street
P.O. Box 60457
Harrisburg.PA 17110-0457
Telephone
(7J 7) 238-6570
Capacity:
Personal Representative
F:\HOMEIBJW\DOCS\SHUSTER\CERT56. WPD
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IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
TillS NOTICE DOES NOT MEAN THAT YOU
WILL RECEIVE ANY MONEY OR PROPERTY
FROM TillS ESTATE OR OTHERWISE
Whether you will receive money or property will be determined wholly or partly by the decedent's will.
If the decedent died without a will, whether you receive any money or property will be determined by
the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS OF
CUMBERLAND COUNTY OF PENNSYLVANIA
In re: Estate of David B. Shuster, deceased,
No: 2004-01090
Sandra G. Shuster
38 Colgate Drive, Camp Hill, P A 17011
1773 Fremont Avenue South, Minneapolis, MN 55403
TO: Verna S. Shuster
PLEASE TAKE NOTICE of the death of Decedent and the grant of Letters of Testameiitluy
the personal representatives named below.:
The personal representatives of the Decedent are:
Verna S. Shuster
38 Colgate Drive
Camp Hill, PA l701l
717-761-0958
Sandra G. Shuster
1773 Fremont A venue South
Minneapolis, MN 55403
(,j
The Decedent, David B. Shuster, died on the 13th day of October, 1991, at Cumberland
County, Pennsylvania, testate and the Will has been filed with the Office of the Register of Wills of
Cumberland County.
Register of Wills
County of Cumberland
One Courthouse Square
Carlisle, P A 17013
717-240-6345
A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying
the charges for duplication.
Additional information may be obtained from the undersigned.
Respectfully submitted,
CUNNINGHAM & CHERNICOFF, P.c.
/
B
!MM. J-M (
B ce J. Warshawsky quire
Attorneys for Personal Representative
2320 North Second Street
P.O. Box 60457
Harrisburg, PA 17110-0457
(717) 238-6570
F:IJIOME\8JW\IX)CSISHUSTER\56NOTICE.WPD
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of Shuster, David B.
also known as David Bernard Shuster
, Deceased
No. 21 - 04 - 01090
Date of Death 10/13/1991
Social Security No. 110-30-0432
Vema Spivak Shuster
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonweallh of Pennsylvania
of said Decedent, that the valuation placed opposite each lIem of said Inventory represents lis fair value as of the date of the
Decedent's death, and that the Decedent owned no real estate outside of the Commonweallh of Pennsylvania except that
which appears in a memorandum at the end of this Inventory. I/We verity that the statements made in this Inventory are true
and correct. I/We understand that false statements herein are made subject to the penallies of 18 Pa. C. S. Section 4904
relating to unswom falsification to authorities.
Attorney:
Bruce J. Warshawsky
perso~al Represe~~ i::' .~
Signature: Z; A'A"- ~ a/~'-(
Vema Spivak S uster
Signature:
I.D.No.:
58799
Signature:
Address:
2320 North Second Street
Harrisburg, P A 1711 0
Address: 38 Colgate Drive
Camp Hill,PA 17011
Telephone: 717/238-6570
Telephone: 717-761-0958
Dated:
1-~7-O~
Real Estate
Real Estate owned by Decedent in Ontario Canada (non-Taxable), valued at $75,000 at Date of
Death
$75,000.00
~ -0
Total Real Estate c:-~o $75t!OO >'AQ-S
._-~~ C) ?= ~9 2~
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(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$75,000.00
,
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'*
OFFICIAL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COUMOHWEAL TH OF PENNSYlVANIA.
DEPARTMENT OF REVENUE
DEPT.2l101lO1
HARRIS8URG, PA 11128-0<<11
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DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAl)
Shuster, David B.
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MN-DO-YEAR)
FILE NUMBER
21 04
co NTY OOOE YEAR
SOCIAl SECURITY NUMBER
01090
NUMBER
10/13/1991
0110111925
110-30-0432
THIS RETURN MUST BE FILED IN DUPlICATE WITH THE
REGISTER OF WILLS
SOCIAl SECURITY NUMBER
047-16-0968
3. Remainder Return (date rJdesth prior to 12-13-82)
6. Decedent Died Testate (Attach copy
ofW.)
9. utigation Proceeds Received
4a. Fullxe Interest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Uving Trust (Attach
copydTNSt)
10. Spousal Poverty Credit (daledde8th between
1 11 1-1
o 5. Federal Estate Tax Return Required
o 8. Total Number of Safe Deposit Boxes
2320 North Second Street
Harrisburg, P A 17110
(1) -0-
(2) None
(3) None
(4) None
(5) None
(6) None
(7) None
OFFICIAL 4SQPNl Y
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(IF APPUCASlE) SURVIVING SPOUSE'S NAME ( lAST, FIRST AND MICDLE INITIAl)
Shuster, Vema Spivak
1. Original Return 2. Supplemental Return
4. Umited Estate
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Broce J. Warshawsky
lAM NAME I"_l
Cwmingham & ChemicofI
LEPHOf'E NUMBER
717/238-6570
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closaly Hatd Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash. Bank Deposits & Miscellaneous Personal Property
(Schedula E)
6. JoinUy Owned Property (Schedule F)
o Separate Billing Requested
7.lnter~Vivos Transfers & Miscellaneous Non-Probate Property
(Schedula G or L)
8. Total Grosa Asaeta (total Lines 1-7)
g. Funeral Expenses & Administrative Costs (Schedule H)
-" i
o
10. Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I) (10)
11. Total Deductlona (total Lines g & 10)
12. Nat Value of Eatate (Line 8 minus Line 11)
(8)
(9)
996.00
(11)
(12)
996.00
insolvent
13. Charitabla and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13)
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Une 14 taxable at the spousal tax rate. x .06 (15)
or transfers under See. 9116(a)(1.2)
Ii 16.Amount ofUne 14 taxable at lineal rate x .06 (16)
Ii
...
" 17. Amount of Line 14 taxable at sibling rate (17)
~ x .12
g 18. Amount of Line 14 taxable at collateral rate x .15 (18)
19. Tax Due (19)
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
20. 0
,t;';<}Jf,1llt'f';.:I':~~M'~~"'m<>!it:.'~':h':';;};'::,~ ;.
Copyright 2000 form aoftwa.. only The Lackner Group, Inc.
Form REV.1500 EX (Rev. 8-(0)
, , Decedent's Complete Address:
STREET ADDRESS
38 Colgate Drive
CITY
ISTATE PA
I ZIP 17011
Camp Hill
Tax Payments and Credits:
1, Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
Total Credits (A + B + C)
(2)
0.00
3. Interest/Penally ff applicable
D. Interest
E. Penally
Total Interest/Penally (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Une 1 + Une 3 is greater than Line 2. enter the difference. This is the TAX DUE.
A. Enter the Interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3) 0.00
(4)
(5) 0.00
(5A)
(5B) 0.00
Make Check Payable fo: REGISTER OF WlUS, 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;.................................................................................. ~ I
b. retain the right to designate who shall use the property transferred or its income;....................................
c. retain a reversionary interest; or..................................................................................................................
d. receive the promise for life of either payments, benefits or care?..............................................................
2. If death OCCUlTed after December 12, 1982, did decedent transfer properly within one year of death without
receiving adequate consideration? ....................................................................................................................... 0 ~
3. Did decedent own an "In trust for" or payable upon death bank account or security at his or her death?........ 0 ~
4. Old decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ...................................................................................................................... D ~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Underpen&llies rJperjt.ry, I decl8tethet I have examined this relum, induding accompan~ schedules and statements, and to the best of my knowledge and beIef, it is true. COlT8Ctand complete. DeclaratIOn of
prepanv other than !he personeI representative Is based on all information d which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FlUNG RETURN ADDRESS DATE
Ve 8 Spivak Shuster
38 Colgate Drive
CampHilI,PA 17011
7 -.;),-CJ'f:
ADDRESS
DATE
ADDRESS
DATE
~
2320 North Second Street
Harrisburg, P A 17110
I -;J 7-0 -S-
For dates of death on or after July 1. 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [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%
(72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemDta transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax retum 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 twenty-one 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% [72 P.S. ~9116 (a) (1.2)J.
The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116
1.2) [72 P.S. ~9116 (a)(1)J.
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% (72 P.S. 99116 (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.
'*
SCHEDULE A
REAL ESTATE
COUUONWEAl. TH OF PENNSYLVANIA
INHERITN<<:ETAXRETURN
RESIDENT OECEDeNT
ESTATE OF
Shuster, David B.
FILE NUMBER
21 - 04 - 01090
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 wilnng seller, neither being compelled to buy or sell, both having
reasonable knoWledge of the relevant facts. Real property which is jointly-owned with right Of survivorship must be disclosed on
schedule F.
ITEM
NUMBER
1
DESCRIPTION
VAlUE AT DATE OF
DEATH
0.00
Real Estate owned by Decedent in Ontario Canada (non- Taxable), valued at $75,000 at Date of Death
TOTAl (Also enter on Line 1, Recapitulation)
0.00
.
SCtEDUl.E H
F\N:RALEXPENSES&
ADMNSTRA11VEUJSI~
COUMONWEALTH OF PENNSYLVANIA
N-IERlTANCCTAX RETURN
RESIDENT oeceoENT
ESTATEOF Sh D .dB
uster, aVl .
I FILE NUMBER
21 - 04 - 01090
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Represenlative(s):
Slreet Address
City Slate - Zip
Year( s) Commission paid
2. Attomey's Fees Cwmingbam & Chemicoff -- Bruce J. Warshawsky 750.00
3. Family Exemption: (If decedent's address Is not the same as claimant's, attach explanation)
Claimant
Slreet Address
City Slate Zip
Relationship of Claimant to Decedent
4. Probate Fees 222.00
5. Acc:ountanfs Fees
6. Tax Return Preparer's Fees
7. other Administrative Costs
1 Law Office Costs 24.00
TOTAL (Also enter on line 9, Recapitulation) 996.00
".
LAW OFFICES
SNELBAICER.
Ic:CALES a: ELICKER
LAST WILL AND TESTAMENT
OF
DAVID B. SHUSTER
I, DAVID B. SHUSTER, of the Township of Lower Allen, County of Cumberland,
Commonwealth of Pennsylvania, being of sound and disposing mind and memory do
hereby make, publish and declare this to be my Last Will and Testament, hereby
revoking and declaring null and void any and all wills and/or codicils by me at
any time heretofore made.
FIRST
I direct my hereinafter named Executrix or alternate Executrix, as the cas
may be, to pay all of my just debts, funeral expenses, inheritance taxes and
costs of administration of my estate out of the corpus of my estate as soon
after my decease as it is practical to do so.
~
In the event that my wife, VERNA S. SHUSTER, survives my decease by a
period of sixty (60) days, then and in that event I give, bequeath and devise
all the rest, residue and remainder of my property, real, personal and mixed, 0
whatsoever kind and nature and wheresoever situate, unto my wife, VERNA S.
SHUSTER, to be hers absolutely, to do and have as she in her best judgment
declares.
THIRD
In the event that my wife, VERNA S. SHUSTER, should predecease me or not
live to survive me by a period of sixty (60) days, then and in that event I
give, bequeath and devise all the rest, residue and remainder of my property,
real, personal and mixed, of whatsoever kind and nature and wheresoever
unto my daughter, SANDRA G. SHUSTER, absolutely and in fee simple.
In the event my said child should predecease me and leave children
surviving her, then and in that event all the rest, residue and remainder of my
estate shall be distributed to the issue of my deceased child, equally, share
and share alike, per stirpeS by representation, and not per capita.
Page One of Four Pages
"
FOURTH
I direct that no Executrix, alternate Executrix, or any other fiduciary
named, nominated or appointed or required in this, my Last Will and Testament,
shall be required to post any bond or give any security of any type for any
purpose whatsoever, any law or rule of Court of the Commonwealth of Pennsylvani
or any other jurisdiction to the contrary notwithstanding.
FIFTH
---
I hereby name, constitute and appoint my wife, VERNA S. SHUSTER, as Execu-
trix of this, my Last Will and Testament. In the event that my wife should not
survive my decease or should not live to complete the settlement of my estate,
then and in that event I name, constitute and appoint my daughter, SANDRA G.
SHUSTER, as my alternate Executrix.
My Executrix or alternate Executrix is authorized and empowered to
sell any real estate which I may own at the time of my decease at either public
or private sale, or otherwise lease or dispose of same as may be in the best
interests of my estate, whichever, in the opinion of my Executrix or alternate
Executrix shall be in the best interest of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
Will and Testament this
7K day of
.
+~N/
~'f~~~.
'David B. Shuster, Testator
, 1983.
U'II OJl'P'\CE&
SNELBAICER.
.CCAt..EB a ItUCKER
Page Two of Four Pages
/
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY
OF
CUMBERLAND)
I, DAVID B. SHUSTER, Testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the instrument as my Last Will and Testa
ment; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein expressed.
Sworn or affirmed to and acknowledged before me by DAVID B. SHUSTER, the
Testator, this
7K
day of ~ ' 1983.
~~~~
David B. Shuster, Testator
Sworn and subscribed to before me
this
7-Hi
day of
u~
, 1983.
~UMf rx4 ,:X~v (SEAL)
Notary Public
FLORENCE 8. LOSCHER. NOiARY PUBLIC
My commission expires: IIECMANICS8URG noao. CUM';[cl'.\D cOUWTY
MY CCL~MIS~:(W H.?!i:(S .;~:j~,';L 6, lS,~;)
M:.;mbt:1. PH,fdv;>;"r;\::; k5.~!nj:/;-ur: (.t ti::.:;:"i,,"s
LAW OFFICES
SNELBAKER.
cCALED a ELICKER
Page Three of Four Pages
"
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA)
SS.
COUNTY
OF
CUMBERLAND)
We, MARK S. SILVER, JANET M. FORRY, and SUSAN A. McCOY, the witnesses whos
names are signed to the attached or forgoing instrument, being duly qualified
according to law, do depose and say that we were present and saw the Testator
sign and execute the instrument as his Last Will and Testament; that he signed
willingly and that he executed it as his free and voluntary act for the purpose
therein expressed; that each of us in the hearing and sight of the Testator sig ed
the Will as witnesses; and that to the best of our knowledge the Testator was a
that time eighteen (18) or more years of age, of sound mind and under no con-
straint or undue influence.
Sworn or affirmed to and subscribed to before me by MARK S.
7-117
day of
SILVER,. JANET
~/
M. FORRY, and SUSAN A. McCOY, witnesses, this
1983.
U~
Witness
y~.-t:. m. t:;~
W1.tness
4- -,oj C:;. /"'Ic 7:
Witness
Sworn and subscribed to before me,
a Notary Public, this
71'1
day
of
rl-P-
, 1983.
c.
(SEAL)
<
No
My commission expires:
fLORfNCE 8. lOSCHER. NOTARY PUDlIC
IIECHANltSBURG BORO, CU~EE~\;'O ~OUNTY
MY COMMISSION EXPiHS ..YR;l G. ,~8S
Mtl\'l.l;)(:i. Ptl\fiS'llvilnii '.s!::~~kti(;'f> of fiotaries.
tAW OFnet:6
SNELBAKER.
cCALEB III ELICKER
Page Four of Four Pages
.)
10-10-2005
SHUSTER
10-13-1991
21 04-1090
CUMBERLAND
101
APPEAL DATE: 12-09-2005
( See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
-------------------------------------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
DAVID B FILE NO. 21 04-1090 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
~~PARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
Arp~AISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
r ,~-...
: ;:.7
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
BRUCE J WARSHAWSKY
CUNNINGHAM & CHERNICOF
2320 N 2ND ST
HBG
PA 17110
ESTATE OF
SHUSTER
REV-1547 EX AFP (06-05)
DAVID
B
TAX RETURN WAS: (X) ACCEPTED AS FILED
CHANGED
DATE 10-10-2005
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
996.00
(9)
(10)
.00
(11)
(12)
(13)
(14)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
.00
996 00
996.00-
.00
996.00-
I~ an assessment was issued previously, lines
re~lect ~igures that include the total o~ ~
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00 X 06 = .00
.00 X 06 = .00
.00 X 00 = .00
.00 X 15 = .00
(19)= .00
NOTE:
(15)
(16)
(17J
(18)
,,~v, (+J AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. t if
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUEVv
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Date of Death:
File No.
David B. Shuster
October 13,1991
2004-01090
Admin No.
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. ~hether administration of the estate is complete:
V No
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. If the answer to No. I is Yes, state the following:
a.
Did the personal rep~ve file a final account with the Court?
Yes V
The separate Orphans' Court No. (if any) for the personal representative's
tJllt
b.
account is:
c. Did the perso~resentative state an account informally to the parties in
Yes V
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report.
interest?
..
<>.
\..DcJ--'':' ','~
Date: ('.J\/'J.. ~ (., -)
,
Address 2320 North Second Street
P.O. Box 60457
Harrisburg, P A 17106-0457
(,.r;.
Telephone
(717) 238-6570
Capacity:
Personal Representative
X Counsel for Personal
Representati ve
F:\HOME\BJW\DOCS\SHUSTER\612AFORM. wpd
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