HomeMy WebLinkAbout07-19-13 J 16�561flZ�5
REV-1500 EX�°'.'°,«,''�
PA Department of Revenue PB^��Y�vanta oFFIC1AL USE ONI.Y
�, �^e��•� Coun Coda Year File Num69r
8ureau of IndividualTa�s ty ._ ,.,.....__ .,, .._,._.._. ....____. .
Po 0oxzsasas INMERITANCE TAX RETURN """"� S
ttarrisbu PA� u8-o6ot RE3IDENT DECEdENT ! � {� i ��
ENTER DECEDENT INPORMATI4N BELOW �
Soclal Security Numbar pata oi Death MMpOVYYY pate of Birth MMDDYYYY
.__. .._. ._._ ...__...
_.... .._. ...... _.... ._... . ........
. . . . ..__ .._.
� o�rzarza�s ;ozrzalis24
__ _ _ _ _ _ _ _
Decedent s Last Name SuRix Decedent s First Name � �� MI
-_......--- „ ,._ ._..__._ . ---,.,... , ...�,.,.,.,.. ... ...,__. ...._._. ........_._ ,. .._..,.._ . _.... . � _...... .
CQlDREN NORA K
pf Appllcabie)fMar Surviving Bpouse's IMprmatlon Below ��� ���� � ��� ��� � �
Spouse's Last Name . Suttix Spouse's First Name MI
._.,_.... .. __._. , ..___ , ..
FQRd _ _ TERRY _ , _ `
� —.., __ .. _�.._ ._____. .._a___.__ _ �_�__ __. _�.w_ ._�_ __w.. ---_ . � _.�
Spouse s Sodal secunty Number THIS RETURN MUST BE FILED IN DUPIICATE WITH 7HE
__
164-30-2523 _ _.._! REGI�uTE1� OF W1LI.S
FlLL IN APPROPRL0.TE OYALS BELOW
C� 1.Original Relurn p 2.Supplemental Retum q 3. Remainder ReWm(Date of Death
Prfot to 12-53�82}
p 4.�imited Esiate q 4a.Futuro I'rterest Compromise(date of p 6. Federai Estste Tax Retwn ftequired
deeth atter 12-12-82)
� 6.Decedent Died Testete C� 7.Decedent Malnfained a Living Trust 0 8. Total Number of Sefe Depasit Boxes
(Attach Copy M WIII) (AUach Copy of Trust.? '
! Q 9.LlHgatlon Pr�eeds Recetved O 10.Spoussi Paverty Credit(Date M Death O 11. E�ction m Tau urrtler Seo.9113(A}
' Behveen 12-3t•87 errd t-1-96) (Attsch Schedule O}
CORRESPONDENT- THIS SEClIWI MUBT BE COMPLETED.ALL CpRRESPOMDENCE AND CONFIDENTIAI.TAX INPORM�,TdpN SHOULD BF,�ItECT�Taci
Name. __..__.. _ _._.. . . ..._ _. . Daytirt��-i�wneNu�§r � m
_..._. , . , __ . .._. _ _. . . y� ....
CLINT{7N GOLDF2EN ;(504)�'101151 � � -°�
_.._. _. _..._ _� r� . .
__.� a
!lEb� �B"OF W US��H
D � �
.2 . � � ;�
First Lins of Address ................... � n c7 "� �'"� -'�
.__........, � �........._.. ............ ....._.._..,... . ...,.....,,.,.� .......,,,,.... �
......... . ��J G - - ,�.3 "Tv
;1535 SONIAT STREET ;"� � �, --= �
._ �
seco�a�ine otnddress ... ..._ .. ._ ..... � ,� � �, 7
, .... ..... . ..._. ..... ... ......... _.. ..,.. .... ... .. . .... ., G�
,,._____,. .._ , ___._. .. . ._..... .. ......_ . . .......__ �...._i DATEFlLEQ
Gity or Ptrst Qffice State ZIP Cade
, ..._. ....._--.___._...-.. ._ . --- -'��
'NEW pRLEAN5 LA '70115
_ __ __ _'
cwnspondeat'a amat�addross:COIDREFt�NAERINC.COMt
UrMer penelWa ot per�ury,I tledere thet I have axaminatl thb retum,Includirg eccompenying schedules end afstaments,and W lhe Dest of my knaxledge antl belief,
fl Is true, antl compWte.Dederetbn ot p rer tM han 1he personal repro5enfatNe is based on sll Infortnatlon of whlch preperer has any knowledge.
SIGNA7 P B G 7URN OAT
�k�'r,�e, r 7
ADDR �—
1535 SCINIAT STREET NEW ORLEANS, LA 70115
StG A7U OFPRfPA OTHER SENTAT4�€ DAT�
� Cf:rp 7�!S-a�s/3
ADD 5
7 . MAIN STREET SHIREMANST4WN, PA 17011
PLEASE 1F$E ORIOIMA�FOftM QNLY
Side 1
L 15�561fl105 15�561D105 �
� 1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
oecedenea Neme: NORA K COLDREN '
RECAPITULATION
7. RealEStalelScheduleA). ..... .. ...... . . .... . ...... . . .... . ....... . ... 1. '�,, 185��00.�� ,.
2. Stocks and Bonds(Schedule B) . . .. ..... . ....... ..... . ....... ..... .. . . 2. �����.��.'... 3,329.21 ��.
3. Closely Held Corporetion,Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. '��.. '��.
4. Mortgages and Notes Raceivable(Schedule D) . . .... . ..... ....... . ....... 4. �. '�
5. Cash,Bank Deposits and Miscellaneous Personal Proparty(Schedule E)...... . 5. �'�. 2,85�.00 '��..
6. Jointly Owned Property(Schedule F) O Saparate Billing Requested . ...... 6. �'��. 32,169.65 '�.
....__. ... ..__.._ ..__. .._...
7. Inler-VWos Transfers&Miscellaneous Non-Probale PropeAy '���
(Schedule G) O Separate Billing Requested... .. . .. Z ''��..
...__.._._.._...............__.__.._._._.._.._......._.�..............�.......,..._,
8. Toal Gross Asseb(total Lines t through 7). ...... . ..... ........ ..... .. . 8. ..��.�'.��.. 203.348.86 ',.
9. Funerel Expenses and AdminisValive Cos45(Schadule H).......... . ....... . 9. �' 17,484.29 '��,
_..__.._.._.. ._._ _............ ................. _...... ..
10. Debls of Decedenl, Mortgage Lfabilitles and�iens(Schedule I). .... . ..... . . 10 ���.. 797.85 �',
.__..__..__,. .. ....._....__, _.. .,,,.,,,_,.,.._,,,,__, _..
11. Total Deductlons(total Lines 9 and 10).. .... .. . ... . ..... . .... . . .. 11 , 18,282.24
I ) . . ...... . ..... . ..... .. ..... . . . '_-______..w...__.._W�..».....w�..........W�w..,.� ..... .
12. Nst Value of Estate Line 6 minus line 11 12. �'�, 185,066.62 �.
13. Chadtable and Govemmental Bequests/Sec 9113 Trusts for which ' �������W,.. . .."m�..�"�M ' , ..�.,�..�.....-_. � . .. ��.
an election to tax has not been made(Schedule J) .... . .... . ....... . ...... 13. �' '��.
,__............ . .........._......._.. ..., ,., , .
14. Net Value SubJsef to Tax(Line 12 minus Line 13) .... .... .... .. ...... 14. �85,086.82 �'
TAX CAICULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal lax rale,or �
tranaters undar Sec.9116 .... .._.--- .__- -- .__....._ .. ..., _.__.... _......__ __.
�� 32,169.65 I
(a)(1.2)X.OQ � - 15 0.00 ',.
16. Amountof Line 14lazable r___�._.__._________..___._._.,...__....... ......._. ._��,�._,.�._�._�_._._...._.. ..___........ .... ....
at�inea�rate x.0 4yri 152,896 97 �6 , 6 880.36 ',
'_____._______._.__..�__.____..__.__. � ______< �.....---- __.. _ .,,, . �. _, :
17. Amount of Line 14 taxable ! ���.. ���� ����.
at siblfng rate X.12 .'��.. 17. ..'.... '..
i_._.�._._.�m__--_°___�_ �_..._WdWWWW..���_....�...�_; '_._._._m..�._._..n�._._a.m_._._.._.._._....... __.W_.___��..
18. Amount of Line 14 taxable .. ���. ��.�
at collaterel rate X.15 j '��. 18. �'�.. �'�.
..._.. .... . ..... ..._... . ........ . __._._______.._..__.__.__.,..__._. .»........
6 880.36
19. TAX DUE . . . ...... ...... .. .... .. ... ..... .. ... ...... . . .. 19.:: ..
20. FILL IN THE OVAL IF YOU ARE RE�UESTING A REFUND OF AN OVERGAYMENT �
Side 2
� 1505610205 1505610205 J
REV-1500 EX(FI) Page 3 File Number
DecedenYs Complete Address:
DECEDENTSNAME
NORA K. COLDREN
STREETADDRESS
3 CIRCLE LANE
Cltt STATE ZIP �
MECHANICSBURG PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 6,880.36
2. CreditslPayments
A.Prior Paymems 7,325.00
e.Discount 344.02
Total Credits(A+g) (p) 7,669.02
3. Interest �
(3)
4. If Line 2 is greater Nan Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill In oval on Page 2,Li�ro 20 W request a retund. (4) 7gg,�
5. If Line 1 +Line 3 is greater than Line 2,enter the d�ference.This is ihe TAX DUE. (5)
Make check payable to: REGISTER OF WILLS,AGENT.
��
PLEASE ANSWER THE POLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent maka a transfer and: Yes No
a. retain the use or income of the properry trensferted.......................................................................................... ❑ �
b. relain the right lo designate who shall use the property transferted or its income ............................................ ❑ �
c. retain a reversionary interest.............................................................................................................................. ❑ �
d. receive the promise for li�e of either payments,benefls or pre?...................................................................... ❑ �
2. If death occuned after Dec.12,1982,did decedent hans�er property within one year of death
without receiving adequata consideration?.............................................................................................................. ❑ �
3. Did decedent own an"in trust for"or payable-upon�leath bank account or security at his or her death7.............. ❑ ��
4. Did decedent own an individual retirement account,annuity or other non•probate property,which
contains a beneficiary designatlon? ........................................................................................................................ ❑ �
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
i
For dates of death on or after July 1, 1994,and before Jan.1,1995,the tax rate imposed on the nel value of transfers to or for lhe use of lhe surviving spouse
is 3 percenl[72 P.S.§9116(a)(1.1)(i)1.
For dates of dealh on or after Jan. 1, 1995, the lax rale imposed on the nel value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)].The statule does not exempt a Uansfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a lax retum are slill applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The fax rale imposed on the net value of transfers from a deceased child 21 years of age or younger at death lo or for the use of a natural parent,an
adopbve parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(12)].
. The tax rete imposed on the nel value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)].
• The tax wte imposed on the net value of transfers to or for the use of the decedenl's siblings is 12 percent[72 P.S. §91 i6(a)(1.3)].A sibling is defined,
under Section 9102,as an individual who has al least one parent in common with the decedent,whether by blood or adoption.
aev-isoz ex+�iZ-iz�
�pennsylvania SCHEDU�E A
DEPARTMENTOFREVENUE REAL ESTATE
INHERRANCE TAX RERIRN �
RESIDEM DECEDENT
ESTATE OF: FILE NUMBER:
NORA K COLDREN
All real property owned wlely or as a tenant fn common must be reported at fair market value.Falr market value Is defined as the pnce at which property
would 6e exchangeG between a willing buyer and a wllling seller,nelMer being wmpelled to buy or sell,6oth having reasonable knowledge of the relevant fads.
Real property that fa jointlyowned wilh rlght of surolvorahip must be disclosed on Schadule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deeE showing decedent's interest If owned as tenant in common. VAIUE AT DA7E
NUMBER
DESCRIPTION Of DEATH
1 3 CIRCLE LN,MECHANICSBURG,PA 17050 165,000.00
TOTAL(Also enter on Line 1, Recapitulation.) ;��, 165,000.00
If more space is needed,use additlonal sheets of paper of the same size.
REV-v5o3 E%+(e-vz)
�pennsylvania SCNEpULE B
OEPARTMENTOFNEVENUE
INHERITANCETA%RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
NORA K COLDREN
All properly jolntly owned wkh right of survlvonhip muat be diuloced on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIFTION OF DEATH
1. M6TBANKIRA _
3,329.21
TOTAL(Also enter on Line 2, Recapitulation) ; 3,329.21
If more space is needed,insert addltlonal sheets of the same size
_.. . _._.. .
REV-15o8 EX+(o8-iz)
,�i pennsylvania SCNEOULE E
V� DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERRANCE TPX RENRN pERSONAL PROPERTY
RESIDEFfr DECEDENT
ESTATE OF: FILE NUMBER:
NORA K COLDREN
]nclude the proceeds of litigation and the date the proceeds were received by the estate.
All proparty�ointly owned wkh right of murvivorship murt be diselosed on SchWule F.
]TEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
�.' FURNITURE&OTHER ITEMS 2,850.00
TOTAL(Also enter on Line 5, Recapitulation) ; 2,850.00
If more space is needed,use addltlonal sheets of paper of the same size.
REV-v5og E%+(oiao)
�pennsylvania SCNEDtILE F
DEVAPTMENT OF PEVENVE
[NHERITANCETNXRETU0.N lOINTLY-OWNED PROPERTY
RESIDEM DECEDENT
ESTATE OF: FILE NUMBER:
NORA K COLDREN
If an auet beame foiMly owned wkhin one year of the decedent's data of death,k must be repoRad on Schedule G.
SURVIVING JOINT TENANT(S)NAME(S) ADDRESS � RELATIONSHIP TO DECEDENT
A�TERRY L. FORD I 3 CIRCLE LANE SPOUSE
MECHANICSBURG, PA 17050
B. .� . � .. . . . . . . . . .
G . . . .. . _...... :�.... . . .... . . . . .. ....... ...... . �.... .. . . . � .
70INTLY OWNED PROPERTY:
tEi1ER DnTE DESCR[PfION OF PROPERTY %OF DATE OF DEATH
REM WR l0Ulf IMDE INQUOE NM1E OF FlNPNOAL MSi7TMON RND 60NK RCCAUM NUMBER OR SIMRAR DRTE OF OFATH �EC40ENT5 VAWE OF
NUMB9l iFlUNi JOI1/r IDEMIFVING NIIMBER.ATTAQI DE�FOR]OINRY MELD REAL ESTRIE. V�1LUE OF ASSEf INIEREST DECEDENi'S IMEREST
1' A' � �� M8T SELECT WITH INTEREST � � �� �� 33,051.73�� 50� � 16,525.87
2. A ! !M&TMARKETADVANTAGE 31,287.56 50 15,643.78
TOTAL(Also enter on Line 6, Recapi[ulation) ;��. 32,189.65 �
If more space Is needed, use additional sheets of paper of the same size.
aevisii ex+(La-ue�
��������Y���� SCHEDULE H
�eoAAT^+ENTOFREVEH�E FUTIERAL EXPENSES AFiD
INHERITANCE TPX RETU0.N ADMINISTRATIVE COSTS
RESIDEM OECfpENT
ESTATE OF FSLE MUHBER
NpRA K COLDREN
Decedent's debts must be repoRad on Schedute I.
ITEM
NUMBER DESCRIPT[ON AMOUNT
n. FUNERAL EXPENSES:
1 MYER&HARNER FUNERAL NOME 9,518.04
2. WOODLAWN MEMQRIAL-CEMETARY PLOT 3,518.00
3. MARY ROTH-HARPIST 160.00
6. ADMINISTRATNE C49TS:
i. Personal RepresenFetive CammissWns: �
Name(s)of versona�Representanve(s)� _.
SMeet Address
City „ _ __„_State__ZIP
Year{s)Commlesfon Paid:__ . __._. ___
2. Attomey Fees:
3,311.89
3. Famiiy E7eemp6oa:(if decedent's address is not Gre same as daimaoYs,attech erylanatian,j .
Claimant
Street Address
City ___ _ State__ZIP_ _
Relationsh4p o€Claimant to pecedent�________�.,_______.,__._._.__
4. Probate Fees: 67.00
5. Accaunt�nt Pees: 350.44
6. Tax Rpturn Preparer Fees:
7. PAMEI.A M REITENBACH-REAI ESTATE APPRAISA� 375.d4
s. CHUCK BRICKER AUCTIONEERS-PERSONAL EFFECTS APPRAISAL 125.00
S. UPS-SHiPPING COSTS $1.40
TQTAL(Aiso enter on tine 9, Retapituiatian) #' 17,4$4.29
[f more space Is needed,use additianal sheets oP paper of the same size.
REV-1512 E%+(12-12)
�pennsylvania SCHEDULE I
DEPARTMENTOFREVENUE DEBTS OF DECEDENT,
INHERRANCETAXRETORN MORTGAGE LIABILITIES & LIENS
RESIDEM DECEDENT
ESTATE OF FILE NUMBER
NORA K COLDREN
Raport debts incurred by the decedent prlor to death that remalned unpald at the drte of death,fncludinq unrelmburaed madfwl ezpen�ec.
REM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 'WESTSHOREEMS 127.10
2. 'PINNACLE HEALTH MEDICAL GROUP 59.00
3. 'DEBRA BASEHORE WIEST,TAX COLLECTOR 592.22
4. !SPIRIT PHYSICIAN SERVICES, INC 19.63
TOTAL(Also enter on Line 10, Recapitulation) ;f 797.95
If more space is needed,insert aCditlonal sheets of the same size.
...__.._. .
_ _
REV-1513 EX+(01-10)
�pennsylvania SCHEDULE J
DEPRRTMENT OF PEVENUE
INHERITRNCE TA%RENRN BENEFICIARIES
RESIOEPfr DECEDEM
ESTATE OF: FILE NUMBER:
NORA K COLDREN
RELAIIONSH[P TO DECEDENT AMOUNT OR SMARE
NUMBER NAME AND ADDRESS Of PERSON(S)RECEIVING PROPERTY Do Not List Tru�ba(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include ouMght spousal distributions and transfers under
Sec. 9116(a)(1.2).]
1. CLINTON COLDREN ' SON 152896.97
ENTER DOLLAR AMOUNTS�FOR DISTRIBUTIONS SNOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEEf,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1. TERRY FORD
32,169.65
� B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS� � � � �� � � ��
1. . . . ... . . . .... . . ...... ..... . . ... . .. . . . .. . .. . ...... . .. . . . .. .
TOTAL OP PART II—ENTER TOTAL NON-TAXABLE D[STRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ; � � 32,169.65
!f more space Is needed,use additlonal sheets of paper of the same size.
�� , ,
I.AST WILL AND TESTAMENT I
E
�
I, NORA x. CoLDREN, oP the Township af Silver 5pring, county
aP Dumberland and Commonwealth oP Pennsylvania, being o£ sound
an8� disposing mind, memory and undmrstanding, do rnake, pubiish
l aad declare this as and for my Last Will and Testament, h�.reby
3
i revoking anct making void all former wiZ2s and codioi2s by me at
any time heretofoYe made�.
h
� FZRST. I order and �.irect tMat a22 my just debts znd
Puneral experiass ba paid by my Executor, hereinatter named, as �
� soon as conveniently �ap be dflne aftez my deaease,
�a 9 GQ . I hexaby dsclare that (a� I am fu21y aware o£ the �
�
axistenee oP�my son, namaly, 7oseph A. co2dran, (b) I am
� intentionally omitting him as a beneficiary of my Estate, and (oJ
make no provisiores £or him herein. Zt is my inte»tion that
� Josaph A. Caldren shall not share in the distribution of my �
�_ �i Estate. . (
1l
\ �THSRD. I qive, devise and begueath all the rast, reeidue �
; and remaind�r o£ my Estate, raal, parsanal and mixed, whatsoever -
and wheresoever situated, unto my a�on, nammly, CLINTON W.
CoLDREN, ab�olutely asxd in tea simple.
Sf my sai8 san, CLIRTaN W. CoLDiYEN, does not survive
me, then and in that event, S give, devise �and bequeath my said
residuary estate unLo his ttaturai issne living at my death per
stirpes but �ubject to the psotectiue provisions aontainefl in
Item Fourth herelttbelow with regard ta any benePioiazy who has
not attained Yhe aqe oP twenty-three (23) years at the tlme for
distribution of my Estete, � �
�
sNC�o,.xan, ,�'OU.RTH� if any laeaeficiary hareinabove Mas not attained the
BRENN[MAN
E5 $P1111(
� aqe of twentq-three �{��..23} yeers at the time af distribution, I
I
...., . . . .. .. .............. .._____,..,, _ ... ..,..... . ._.......,...... ,.�
order and direct that the distributive share of such person shall
be paid ovar and delivared u�to DAVPHIN DEPOSIT BANK AND TRUST
CbMPAxY, (or its successar by merger, consolidation or other
corporate reorganization) as my testamentary Trustae, IN TRUST,
NEVERTHELESS, to hold, managa, inveet, accumulate ineome and
reinvest until said beneficiarp attains the age o£ twenty-three
(23) years, at which tise said trust shall be terminated and the
net proceeds thereof be� paid over to the beneficiary absolutely.
I authorize and ampower my said Trustee to invest the
assets of said trust in any reasonable manner and not be limited
or restricted to srcalled u�legal" or statutory investments for
fiduciaries. �
I designate any trvst herenndar to be a spend-thrift
trust. The beneficiary sha31 pave no riqht to invad�, pledge,
assign or otherwise dispoae oP the assets of said trust i
(including incoma) nor shall any creditor of a benaficiary have
any right to aeize, levy or execute upon said assets by reason oP
any pledge, assignment or .otlxer transfer, voluniarily or
involuntarily, made by said baneficiary.
I Purther authorize and empower my said Trustee to use,
consume, expend and apply Prom time to time such amounts of
principal and income of and Prom said trust which in the exercise
of 1ts sole �discration shall bE detarmined to be reasonable and
necessary for the� beneficiary's education. The term "education"
shall be construed and interpreted to mean college or other post-
highechool training which is intended to improve tha
beneficiary•s productivity as an adult or enhance the quality o£
his or her� life. In considering what is reas�onable and
necassary, my said Trwstee shail take into cansideration the
primary responsibility oP the beneficiary's surviving parent to
provide auch educa�tion. It is my will and intention that the
_y_
II
I
foregoing discretionary provision Eor education shall be
supplementary to the parent's primary rasponsibility.
LA9TLy• I nominate, constitute and appoint my son, namely,
CLINTON W. COLDREN, to be the ExeCUtaY of this, my Last Will and
Testament, but if for any reason he should fa�il to qualify as
such Executor or cease so� to ser-ve., then and in thaC event, I �
nominate, constitute and �appoint DAUYHIN DEPOSZT BANK AND TRUST
COMPANY (or its success�r by merger, consolidation or other
corporate reorganization)., to be the 8xecntor hereof, eaeh and
� both to sarve without bond or ather security as a condition oP
qualification hereunder.
IN WITNESS WHEREOF, I, NORA K. COLDREN, have hereunto set my
hand and seal to thi.s, my Last Will and Testament which coneists �
of three (3) typewritten pages to each of which 2 have affixed my
signature this v��'�'� @ay of Li�� s ' , A.D. , One
Thousand Nina Hundred Ninety-aeveT (1987) .
/ +���✓/ • �C.�O�^'""�"'Y'J (SEAL)
Nora K. Eoldreq
The preceding instruaient, conai6ting of this and two (2)
other typewritten pages, each identified by the signature of the
Tastatiix, was on the date thzreoP sigz�ed, sealed, published and
declared by Y70RA R. COLdR£N, the Testatrix therein named, as and
for her Last Will and� Testa�aent, in thz presence oP us, who, at
har requsst, in her prasence, and in �e preeence of each other,
have subearibed our namas as witne s. er .:
�.qn.c,c a�..P� Ct1{�.1--a
�`,N
-3-
I
� COhfMONWEALTFS 4F PENH3YLVANTA j
S5.
COUNPy QF CUMB$RLAND )
We, NoRA K. COLOREN, RTCHARD C. SNELHAXBR and CHRISTTNE M.
A*HITE, the Tea�t'atrix end tha witnesses, respeative2y, whose pames
are signed to CGse attacfied or foregaing instrument, being Yitst
duly awarn, d4 kereby declare to the ixndersiyned authority that
the Testatrix signad and� executed the instrument as her Last Will
and Te�Cament and that she had signed willingly, and that she
executed it as her Pre� and vc2untary act for the purpnses
f
therein expressed, and that, each of the witnesses, in the�
presenoe and hear�:ng a'P the Testatrix, signed the Wi12 as a
witnesa and t11at to tk=e best oP his or her knawledg� the
� Testatrix was at thaC time�eighteen years oi age or older, of
soand mind and �knder no const�aint or undue iflPlueaae.
.����-2 //J��.s�irvq-r.,+'
( tatrix � '—
IWittk�~.�^—'�'—
�
('h,u�a;.s f. .rt'1,� ..
W�ness
Subscribed, awor'R to and aricnowladged bePOre me� hy NoRA X.
COLDREN, the Tesfia2rix, and subacribed and sworn to before me by
RICHARD C. SNELBAItE& .8s�d CH$2STINE M. WHITE, witneases, this
.az`
a�I day oE �� , 1997. �
. . ���.eC�frf�!���� �.-�'/�).._..j
Nata Publio
�.w a.��.
SNS1.90.K8R.
BRfNN(MRN (YQW{O���m
& 9pqR8 � P�bP���. P{�C
' . BtlMa � .. .
MY s,,,�
r.r w+:.�,a«..,�.w�a ww�
�dmitted to prabate as the last will af i
i
�
I
TOWNSHIP, CUMBERLAND County, i
z day of January 2013 and,
copy of the will as probated is annexed here'to .
ENDA FARNER STRASBAU�H , Register of Wi31s in and
:y, in the Commonufiealth of Pennsylvania, hereby
this day granted ,Letters TESTAM'I�NTARYfo:
V �,
ed as EXECUTOR(RIXI
�ininister the estate according to la'w, a11 of which
�ord in my office at CU/VIBERLANDCOUNTYCOCfRTHOUSE, ',
, � ,
a.
iREOF, I have hercunto set my hand an� affixed the seal '
6th day of February �0�3.
� �
egtist�� s ',
I
I
II
�L NAME5 ABOVE APPEAR (F'IRST, MIDDLE, LAS3')
. . . _
E S tut� o f Noro Ca►d�en
Sc h A-
Pamela M. Reitenbach,INC.
5113 Circle Drive
Harrisburg,PA 17112
March 03,2013
Clinton Coldren
1535 Soniat Street,New Orteans, LA
Re: Property: 3 CNCis1n �
Madl�fzsbtug,PA 17050
Bortower: NA �
File No.: 13-026
Opinbn of Value:$ 165,Of10 p �
EflecWe Date: 01124/2013
In accordance wkh your request,I have prepared a Summary Appraisal Report for the property located at 3 Circle Lane,
Silver Spring Township,Cumbetland Counry, Mechanicsburg,PA 17050.
The iMended usa of this appralsal is to provide an opinbn of market value of the property for estate setdement
purposes.
This report is based on a physiral analysis of the stte a�Improvements,a locetbnal an�lyais of the neighborhood and
township,and a�aconomic anatysis of the merket for proparties such as the subject. The appraisal was devebped and
the report was prepared irv accordance wtth tlre Uniform Standards of Professbnal Ap{xaiaal Practk;e.
W�hin this analysis an opkjbn of tha retrospectNe market value of Me subJect,as of the date of death of Mrs.Nora K.
Coldren on January 24,2p13 Is provided. The opinbn of market value provMed�subJect to the certificatbns and
Iimtting condRions attached. The date of inspectbn was February 14,2013.
Sincerey,
Q��.`� C�.,�,�.
Pamela M. Rekenbach
PA Certifled Gerrera!Real�Estate Appreiser
Certification#GA001804
E�iratbn June 30,2013
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February 5, 24Y3
Mr. 'F'�rry F�tl
3 Ci:reie l,a�e
��5t��:�, �'� i,�� .. -
Serviees f�n I�ra K. 6olc4r�
Jsnuary 28, 2013
Charges far �+scaes ��ted $ 5,3�94.Op
ProE�ss�at�l ��viajes
CTse o� �Y].9,��es
au�«t�rtive Equil�menit
$ 5,290.00
CY�arg�s �or lNe�c�di:se �;�ed
Casket
$ 3,400.p0
f:aush Aciwaneed
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Snelbaker & Brenneman, P.C.
44 W. Main Sireet
PO Box 318
Mechanicsburg PA 17055
717-697-8528
FACSIMII.E: 717-697-768I
Clinton Coldren March 14, 2013
1535 Soniat S�oe�
New Orleans, LA 70115
Re: Estate of Nom Coldren'.
Pmfessional fee: $195�00 per ho�s
Fees: Hours
02/OS/13 Review and respond to email from client;psepare peti#ion for 1.05
probate>estate itiformatwn sheet and 55-4 form; review and
respand to e,maii from oliem
02/06/13 Reuiew and res}wrnl to email from ci7ent;meet witli client and 1.70
prol�ate Will
02/08/13 Prepare No�iee;k�tters tc�J. Cotdreu arid T.Ford;prepare Ruie 5:6 1.40
Certif'ication;idtEer to&�'tster of Willa;pregere estata p�biioation
notice,letters to MBcT Bavk aarl P�,IJept. ofPublie 17�e�€are; lettes'
to okient
02/�8/13 Prepare draft of estate properC�'agreement 2.60
02/12/13 Review and revase Eord agreement; emai]to client �•8-0
�3/04/13 Revie�u appr�isitl 0.20
03/04/13 Tel�phone eonf�t'e�sce axith client;prepare revisions to Ford 0.95
agreement; emails to cslic�t
03f05/13 Review and res�ond to email from client 0.20
03/07/13 Telephone conf�rcnce wi#h clignt;prepare deed arid statement of 1.30
vatue form
03/13/13 Review Ietter fior�h48eT;letter to elient 0.10
03/18/]3 Ivfeeting with client;review agreemen#;record deed 0.95
Hows: 11.25
Total fees: $2,193.75
Expenses;
02/Qbl13 Register of WilJ.s $363.50
02/98/13 Cwnbesland Law Journal $75.00
02<OS/13 Certified mail�zastage $6.11
03/11/13 The Sentitiel $21U.78
03/18/13 ReaorderoFDeeeis $63.00
' ToYal eatpenses: $7}839
Clintun Coldren March 19,2013
Estate ofI*Tora Goldren Page Z
Billing Summary
Previous balance $fl.00
Payments 8c adjustments �.00
New fees 2,193.75�
New expeases 7183�
Tutal now due ����" N Q � �
/VewF�s 2 + 193. • 75 +(�
Ntw E�q.t,�ses 7 1 8 • S 9 �
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�1laY B�Tfi►roTcc 3 9 9 • 7 5 +k e �-�
3 � 311 • 89 * Fi ��
Estate of /Vo �a K Cotc�ren
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Suel-baker & �re��e�etas�, P.C.
aa w, ��sa��x
PO Box 318
M�hanicsbiug PA 17055
717-697-85�6
FACS1MiL&� 717-b97-7G81
Cliaton Coidren May 8,20t3
1535 Sonsat St�eet
New Orleans, LA 7QI1 S /
Re: Estate ofNora Col+iren �� \�
Professional t'ee: �195.00 per haur U �O
� Fees: ��L xoiu•s
03(20/13 EFnail tfl clieui 0.10
63R2/13 Review and respond 1e email fram ctient D.10
Q4/02/l3 Telapttone Gonfere�e with ciaeni 0.25
04Fft9113 Letter to client 0.20
04/I'i/13 Reviaw and respond to email from clierrt 0.10
04/2b/13 Review and rapsond to ezc�sil�'ram C. �oUdren 0.10
04/29l13 Review emei-ls from client; review disciaimes law;prepare 1.20
disclaimer;email t�eiient
1-Tours: 2.05
Total fees: $399.75
Paymenu&Adjustments:
03/28113 �2,972.14 CR
Tota(paymenis&adjastmznts: $2;912.14 CR
Billing Summary
Previous balanec $�,912.14
Paymenfs&ad;justvtents 2,9t2.14 CR
New fees 399.75
New txpenses 0:00
Tatal now due �3�ti,7a3 H Q z�
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�'itaiChak(�rder lteceipt Page 1 af l
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Vita(GPiSk OrdBr ReCBIA� ��Gy �»_Print �
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Purchase Dete: Monday, February 25, 2013
Paymert#t�e#hod: Vise XXXX XXXX XXXX 7707
Agency: F"�as�d��tfi�t�
Ship to: Clintan Cofdren
1535 Soniat St.
New Orleans, LA 70115
ShippPng �Aethod: UPS Air
Est�mated Processing'Time: 20-25 bus�ness days
Order Number: 33289362 Pin: 572749
ltem Recard Orclered t2ty PrEce Extra Copies Total
1 �r: i�tl3�€li�z 1 $10:00 $0.00 $10.00
Agency Fatpec#ite Fee: $0.00
Proc�saing: $10.00
ShiPP�� $18.QQ
Ta�c: $O.QO
Tsatai: $38,t�! �
Estirnabed Prvocassin� Tlme:
Estimated processirtg tfrne may vary�cording to the resourees as�d worklaads of the agency. VitalChek
has no aorrtroi over these variations or the amounf af fime an agency requires to process an order. For
these reasons, we do not�uararrtee processing tirnes. Shipping is not included in processing times.
Order Status t�rformation:
Check the status of your order at any tirne lay clidcing an the 'My Order'tab at www.vitalchek.com, or by
oalling 866-243-2777 for atttornalet! order staY�s iqfortnetiart. Fiaase be advised th�e#if the order has
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https•/NitafCheiS-salution�eusthetp com
Shippin$In#ormai9on:
If yowr orcler[s being shipped via an sxpress service, you may eeee�ve a tracking number by e-mail once
the order is pracessed and in transit. You may alsa be required fa sign fiat the de►iv�ry ofi your certificate.
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We appreciete your busirress and {o4k forvva�rd to assistirrg you in the future.
Sincerely,
VI{2ICt'T@�C tiUStOfYTBF SBCVIPR
https'I�talChek=sol�tione CUStheID Gom
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