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HomeMy WebLinkAbout04-1190 PETITION FOR PROBATE and GRANT OF LETTERS To: also known as Register of Wills for th~ Deceased. County ofCl°~t~gI'~g') in the Social Security No. ~ 1~ '~ ""s~'- tff&('~-' Commonwealth of Pennsylvania The peUt~on of the undersigned rest)ectfully represents that: '' ' the execut/~t~'k~' /~named Your petitioner(s), who is/are 18 years of ageQr_Qld~er_..a.n _ ...., ~ ' ' 19 '_~.3_ in the last wilt of the above dece,dent, dated _ ~~rDO'tx}ln-t~?/n[ ./r~ .~-~rt , and codicil(s) dated (state relevant circumstances, ~g. renunciati°i% death of exectttor, etc.) ' . ........ ~ ~ ~-41~rd -- ...Cou._ntJ$ Penj~s~l~v~y~ani,a, w~th Decendent was dom~caea at ae,am ~.n,~ . ~--l~./ ~_~,~:~.rA- '~~ ~y ...2~ (list street, number and muncipality) Decendent, then 77~vears 9f age, died.~~~~l~~' Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: ,~." Decendent at death owned property with estimated values as follows: (..~t ~;>Z~:~ · $_ (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania $- - (If not domiciled in Pa.) Personal property in County $ $ Value of real estate in Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) Presented herewith and the grant of letters__ · . (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~ ~ .C.[~_ ~2_~ . -- e statements in the foregoing petition are 0 0 [l~le peCtS~ s) ab°ve-namea swear(s) or affirm(s) that th tr{~and co~r~to the best of the k. . ~g ........... ~-, ~dminister the estate according to law. ~ ~r~ · nowled e and belief of petitioner(s) and that as personal represen- t~e(s) of t'~bove decedent petxt~.oner[s) wm wett anu u~y Sworn to or affirmed and subscribed before me this ~ '2.~ ~ ~ day of.~ Es~a~e ~ BI C[-~YRb L. ~cLR. iCrc , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW b~-" C[---/]f]~ ~o ~-~P~, 2c~ 1~ . in consideration of the petition on the reverse side hereof, satisfactoD' proof having been presented before me, IT iS DECREED that the instrument(s) dated N0 ~tr~/Vl 5rdz.. Iq, 19'7.5 described therein be admitted to probate and filed of record as the last will of and Letters are hereby granted to. [~ _ Re.gister of FEES 2-00.0--0 Probate, Letters, Etc .......... $ Short Certificates(23~ . ..' ....... $ ~0°/,D'0 ATTORNEY (Sup. Ct. I.D. No.) ~ .r~:~!~..'~ ....... $ 7.'i. 00 ~--C~} $ 10. 0 0 ADDRESS TOTAL $ 303 .DO Filed ..................... : .... . ........ PHONE OATH OF NON-SUBSCRIBING WITNESS Also known as ., Deceased (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ~ ~ familiar with the signature of f~f,4(~ Z~ ,d~~,, testat_.tS~ of (one of the subscribing witnesses to) the codicil/will presented herewith and that ~'t'~--believe.~ the signature on the codicil/will is in the handwriting of to the best of ~ lmowledge and belief. ~ . :DC: (Name) S~ to or a~ed md subscribed Before me ~is : 2~ day of ~~~~ ~ame) I05.805 REV 9/86 This is to certify that the in£on~ation here given is co~ectly copied from an original certifica of c[eath dui), filed with me as Local Registrar. Thc original cel/ificate will De forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee £or this certificate, $2.00 Local Registrar P 10813070 _ Date I, RICHARD BURKE, of R D. #1, Etters, Y~~un~ t:.<'~7"'~v~,-, Pennsylvania, declare this to be my last Will and Testam~ ~ek~ ..... ~ revoking all Wills and C~icils heretofore made by me. ~ c~ o ARTICLE I · I direct that the e~enses of my last illness and funeral ~ paid as soon as practicable after my death. ARTICLE II · I give, devise and bequeath all the rest, residue and remainder of my Estate, of whatever nature, real ~d personal, and wherever situate, to my wife, Florence E. Burke, of R. D. gl, Etters, York County, Pennsylvania, provided that she shall survive me by thirty (30) days. ARTICLE III · Should my wife, Florence E. Burke, predecease me, or die on or before the 30th day following my death, I then give, devise and bequeath my estate, of whatever nature, real and personal, and wherever situate as follows: A. One-third (1/3) of my estate shall be distribu~d equally to Richard and Stephen Burke, my m ns and to Audrey Burke, my daughter, or the guardians thereof. If any of these children named hereinbefore should die prior to the distributing of the shares that would have gone to that child by the terms of t~s provision shall lapse and that share shall then be divided equally among the remaining children who are alive on the date of the distribution and whose names are referred to hereinbefore in this provision· If all of the children shall die prior to the distributing provided to this provision~ this section, then the one-third (1/3) of my estate shall be distributed in accordance with the provision of my Will contained hereinafter. Richard Burke B. The remainder of my Estate shall be placed in trust for the benefit of my daughter, Heather, and for the purposes of and under the terms and conditions which will be set forth hereinafter. ARTICLE IV: To effectuate my gifts, devises and bequeaths under the terms of the previous articles, I appoint the Cumberland County National Bank, with its office in New Cumberland, Pennsylvania, as Trustee, in trust, nevertheless, upon the following purposes, term, and conditions: A. If there be more than one beneficiary of the trust as provided in the previous articles, then the shares alloted to these beneficiaries shall form the corpus of one consolidated trust which will be administered by the trustee as one consolidated trust fund for the benefit, support, maintenance, education and general welfare of the beneficiaries. B. The trustee shall have the sole authority and discretion to apply the net income from the total corpus of the trust to and' among each of the beneficiaries of the trust as the trustee in his sole and absolute discretion deems in necessary. C. Income payments shall be made according to the needs of the beneficiaries; there shall be no restriction as to the maximum income allotted to any single beneficiary; if any beneficiary has any other sources of income, then income payments to such beneficiary may be reduced accordingly; or, if any beneficiary is self-sufficient, then income payments may be suspended entirely in the absolute discretion of the trustee. Any income not used for the benefit of beneficiaries will R~chard Burke ' - ' - 2 - accumulate for the future distribution of all the beneficiaries of the trust as the principal of the trust when the last minor beneficiary of the trust reaches twenty-one (21) years of age. D. To provide any trustee with the requisite freedom of action to give meaning to this paragraph, I direct that the said trustee shall not be held accountable in any way for decisions made in good faith under the provisions of this paragraph. E. If, in the opinion of the trustee, the income shall be insufficient to the properly care for said beneficiaries, the trustee in its sole and absolute discretion may invade the principal for that purpose. Any payments made of principal shall be governed by the provisions hereinbefore made in sub-paragraphs prior hereto. F. If during the term of this trust, the beneficiary, Heathe~' Burke, dies then upon her death, the trust shall cease and any principal remaining in the trust and any undistribut"ed income shall be distributed equally to my children who are living when this trust terminates. If in the event that this trust terminates by the death of the beneficiary and none of my children are living, then the assets of the trusts including principal and accumulated income shall be distributed to my brother, William F. Burke. G. If the beneficiary of this trust does not die during the term of this trust, the trust will terminate automatically upon the beneficiary, Heather Burke, reaching the age of twenty-one (21) Kichard Burk~ - 3 - H. I declare it my intention and provide this provision for clarification that if any of my children die, it is the termination of the trust and these children shall be entitled to any distribution made upon the termination of the trustt)r any reason whatsoever. The share that would have gone to said child shall lapse and that share shall be distributed equally among those children of mine who are living on the date of the termination of the trust. ARTICLE V ' I appoint and name my wife, Florence E. Burke, of R. D. gl, Etters, York, Pennsylvania, York County, to be the executrix of this my Last Will and Testament. ARTICLE VI: Should my wife, Florence E. Burke , predecease me, I appoint my sons, Richard Burke andStephen Burke, as co-executors of this my Last Will and Testament. In the event that either Richard Burke or Stephen Burke can not serve as co-executors for any reason whatsoever, I appoint as a substitute co-executrix my daughter, Audrey Burke. In the event only one of my children named in this Article can serve as the personal representative of my estate, then there is no need to appoint a co-personal representative as a replacement who is not one of my children named in this paragraph. ARTICLE VII · I authorize my executrix and my Trustee (Including any substitute or successor personal representative or trustee) in its discretion with respect to all property, real and personal, at any time forming part of my estate or any trust, without limitation by reason of enumeration, and in addition to powers conferred by law, to: A. retain, any or all property owned by me at the time of my death in the form in which it then exists; acquire by purchase g~chard Burke ' - ' - 4 - or otherwise, and retain, temporarily or permanently, any kind of realty and personalty, including stocks and unsecured obligations, including stock of the Cumberland County National Bank, undivided interests, interests in investment trusts, mutual funds, legal and discretionary common trust funds, leases, and property which is outside of my domicile, all without diversification as to kind or amount and without being limited to investmert s authorized by law for trust funds (including the discretion to retain as an investment any obligation or obligations owing to me by any corporation in which I have a stock interest at the time of my death) and hold funds uninvested, or deposit any moneys in one or more savings or other banks, (including the fiduciary or any owned by or affiliated with it) in any form of account whether or not interest bearing; B. vote in person or by general, limited or discretionary proxy with respect to any investments that may be owned by my estate or any trust, or consent for any purpose, in respect of any stocks or other securities; exercise or sell any rights of subscription or other rights in respect thereof; C. hold two ro more trusts or other funds in one or more consolidated funds, in which the separate trusts or funds shall have undivided interests; D. sell, exchange or otherwise dispose of realty and personalty, including all of my antiques, publicly or privately, wholly or partly on credit or for any consideration including stocks, bonds or other corporate obligations and grant options for the purchase, Richard Burke - 5 - exchange or other disposition of any such property; E. delegate discretionary powers to agents, renumerate them, and pay their expenses; employ and pay the compensation of accountants, custodians, legal and investment counsel; F. renew, assign, aker, extend, compromise, release withor without consideration, or submit to arbitration, obligations or claims, including taxes, held by or asserted against it or which affect estate or trust assets; G. Hold property in the name of nominees; H. borrow money form itself or others and pledge or mortgage any property, for the payment of taxes, debts, legacies or expenses or any other purpose which in its opinion will facilitate the administration of my estate or any trust; I. manage, retain, improve, alter, subdivide, dedicate to public use, or lease (with or without option to purchase) real property or grant easements with respect thereto for periods to begin presently or in the future without regard to statutory restrictions on leasing and even though any such period may extend beyond the term of any trust; insure against fire or other hazard; j. consent to and participate in any plan for the liquidation; reorganization, consolidation or merger of any corporation, any security of which is held; K. abandon, in any way, property which it determines not to be worth protecting; and g ichard Burke - 6 - L. In connection with the administration of my estate and of any fund held hereunder, I direct that all corporate stock distri- butions in the stock of the distributing corporation, all rights to subscribe accruing on or in respect of any securities held hereunder, all capital gains distributions on shares of mutual funds, and all liquidating dividends shall be treated as principal; and all other cash or stock dividends (except stock dividends having the status of liquidating dividends) accruing on or in respect of any such securities shall be treated as income. M. With regard to all policies of insurance on my life which designate my Trustee hereunder as beneficiary, the Trustee is specifically authorized and empowered: 1. to execute and deliver receipts and other instruments and to take such action as may be appropriate to obtain possession and control of such policies; 2. to execute and file proofs of claim required to collect the proceeds thereof and the receipt of my Trustee shall constitute full acquittance to insurance companies for all proceeds so paid; provided, however, that my Trustee shall be under no obligation to institute legal proceedings for the collection of proceeds of any policy until and unless it has been indemnified to its satisfaction for all costs and expenses including attorney fees; 3. to elect, in its discretion, any optional modes of settlement available to it under said policies; Richard Burke - 7 - 4. to receive insurance proceeds, to commingle the same with, and to administer and distribute the same as, principal in accordance with the dispositive provisions of this Will; and in connection therewith to divide, apportion and distribute said proceeds between the trusts created hereunder, including the power to make tentati,ve allocations between such trusts and subsequently adjust the same; and 5. to use the proceeds of insurance policies in the purchase from my estate of such asset s as the Trustee deems advisable without being limited to assets authorized by law for the investment of trust funds. 6. the trustee need not begin legal action to collect proceeds of any insurance policy unless in' the Trustee's judgment, such legal suit is warranted and sufficient sums and funds exist for payment of legal fees and legal costs. ARTICLE VIII · The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation until distribution and payment is actually made to said beneficiary or guardian t?rec ARTICLE IX · Should my wife, Florence E. Burke, predecease me, or die w ithon thirty (30) days following my death, I appdnt my sons, Richard Burke and Stephen Burke, co-guardians of any of my minor children or any of my children who need a guardian appointed under the laws' of the Commonwealthof Pennsylvania . Richard Burke - 8 - ARTICLE X · I direct that my personal representative, trustees, or guard- ians shall not be required to give bond for ,the faithful performance of their duties in any jurisdiction. My corporate trustee shall receive compensation for its services rendered hereunder as though it were acting as sole trustee. ARTICLE XI · I appoint my executrix hereinbefore named as the guardians of the estate passing to any minor upon my death, for which I am authorized to appoint a guardian and have not already done so. IN WITNESS WHEREOF, I, RICHARD BUI~KE, have to this my Last Will and Testament, set my hand and seal this /'~,¢,~ day of ~'o,'~'} Se.a , 1973. I~ICHAR D BURKE Signed, sealed, published and declared by the above named Richard Burke, testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence, and in the presence of each other, have witnessed the above named Richard Burke, execute his Last Will and Testament, and have signed our names as witnesses thereto. - 9 - .' " . . . -e z Register of Wills of Cumberland County CERTIFICATION OF NOTICE UNDER RULE 5.6(A) Name of Decedent: ~~ d 73~ Date ofDeath: ,I ~ OJc;/ ~ i EstateNo.:..:::)OO t./. -0//90 To the Register: I certifY that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name Address d~ 0.- c'-~~ 5"f/~/L /J/1J4 Pu /7FJ:s' J . ~I Notice has now been given to all persons entitled thereto under Rule 5.6(a) except t".:) a~e:~ Signature IS ?if t-I1' k 'c:- -wi" L./-J-" R ,L)'1/ ~;:tv.~J /TJ1is--:s.~} Address t,/..P r ~i'/G- ame Date: ~/d ~)M _~ Z,11 - Ifb' - tf ~ if:J Te ephone Capacity: ~sonal Representative o Counsel for personal representative f1 Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 03/17/2005 BURKE FLORENCE E 591 GENEVA DRIVE APT 1 MECHANICSBURG, PA 17055 RE: Estate of BURKE RICHARD L File Number: 2004-01190 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.6 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing is due by: 04/08/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, G~~~ Clerk of the Orphans' Court cc: File Counsel Judge .. REV.'500 EX (6-00) - REV-1500 '* COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128.()601 I!! ~:!II) ullI:~ II.IlLU :z:00 ullI:"" lLlD lL 4( INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 0 I- Z W C W o W C DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL) Burke, Richard L DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DQ.YEAR) 11l2~/2~~~._.__n_ _._ 108/10/1927 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Burke, Florence E COUNTY CODE 01190 NUMBER THIS RETURN MUST' E FILED IN DUPLICATE WITH THE REGI TER OF WILLS SOCIAL SECURITY N MBER ~ 1. Original Retum o 4. Limited Estate D 6. Decedent Died Testate (Attach copy 01 Wjl) D 9. Litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (date 01 death aftot' 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) D 10. Spousal Poverty Credit (date of death betwoon 12.31-91 and 1-1-95) o 3. Remainderi Retum (date of death prior to 12.13-82) I o 5. Federal Es,ate Tax Retum Required I 8. Total Numijer of Safe Deposit Boxes - I o 11. Election t~ tax under Sec. 9113(A) (Attach Sch 0) I- Z W C Z o lL II) W Ill: Ill: o U THIS SECTION MUST tE COMPLET~O. ALL COW~~..D ~I.. 1'M....~ ,"""l.D ..tN.ClED TO: NAME COMPLETE MAILING ADDRESS ~orreta ~_~lhJ.~~_______nn___.__._ 120 Witmer Road ~~~~~~K~~~e Tax Service York PA 17404 - TELEPHoNENUMBER------------~-~------.- (717) 266-5082 z o !;i ...I ::) l- ii: <( o W 0::: (1) (2) 420,231.40 (3) (4) (5) (6) (7) (8) (9) (10) 21' :;':-7 co ,-., .-n '- ... i~.'.,,::."M; . "." . -::0 '. ": lj) 7' CJ (') 0 ,') o-n ;C-,'e: ,.-" ::0 '-d-l :?t 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Noles Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (11) (12) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ ~ ::) Q. ::E o o ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) . _.i?~Q123t~Q x .0 (15) (16) (17) (18) (19) 16. Amount of Line 14 taxable at lineal rate x .0 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate x .15 19. Tax Due 20.0 Ct-1[CK HERr If 'y OU /IPf- FE OlJF';TIN', " "., r, '''-Ifl (11 A', OV[ RP 'Y',JIfNl >>81! CJ( MATH < i.. '" <:::) = en % c:::> ...::: N :-:J:'J fn ~C) (--) C) ",.1_; ::::0 ~L:\cj ri.;nt :.c:.c:J -0 ::l: ~ W W C) '-,"", ;:~; B 1'.'-~ ill ;"'7) C) - -::f, 420,231.40 420,231.40 420,231.40 0.00 0.00 . Decedent's Complete Address: STREET ADDRESS 59J Gen~'ia grj't~______n__ ______________ Apartment # 1 CITYM h . b ee ames urg STATEpA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditsJPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 5. Total Credits ( A + B + C ) (2) ~ I I I I I , I (4)~ (5) I I I (5A) i (5B)~ , Make Check Payable to: REGISTER OF WILLS, AGENT I PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X. IN THE APPROP~IA TE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... D [i] b. retain the right to designate who shall use the property transferred or its income; ............................................ D [i] c. retain a reversionary interest; or.......................................................................................................................... D [i] d. receive the promise for life of either payments, benefits or care? ...................................................................... D [i] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. D 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ D [i] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT S PART OF THE RETURN. 0.00 3. InterestlPenalty if applicable D. Interest E. Penalty 4. ------ TotallnterestIPenatty ( D + E ) 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 (3) 0.00 0.00 If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 0.00 A. Enter the interest on the tax due. 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 0.00 [i] [i] Under penalties of perjury, I decIanIlhat I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and beflef, ~ is true, co t and complete. OecIaration of preperer other than the pel1Ol18l representative is based on aM infonnation of which rer h 1q1owIedge. ':;...N ;A..T _U.s .RE n O_F. PE_RSO~...RE,.S_~L~FO_RjILINGR.___. I DATE ~r- c" -~ m_____________ ._____n illll~7o.r 591 Geneva Drive Apt #1 Meehaniesburg PA 17055 I ... -- .---------..-. ---.-----. ------~ --.-..-----------r------- __un. ---'-' SI~E OF PREPARER~THER THAN REPRESENTATIVE I DATE A~E~~~----------n--- ____m________________.... __________nn --y/~j/~45 120 Witmer Road York PA 17404 , I -, i 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 thel surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)l. 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 lis 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a t~x retum are still applicable even if the surviving spouse is the only beneficiary. I I For dates of death on or after July 1, 2000: I The tax rate imposed 9n 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 I.natural parent, an adoptive parent, or a stepparent ofthe child is 0% [72 P.S. ~9116(a)(1.2)]. I I , The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, eXcept as noted in 72 P.S. ~91i6(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% [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. ! , , .. . . Form 706 (Rev. 8-2004) Estate of: .<>1 Ch/'1Jt..d "" 4u. ;eke. SCHEDULE B-Stocks and Bonds , Item Description including lace amount 01 bonds or number 01 shares and par <pnit value Alternate Alternate valu~ Value at date of death number value where needed lor identification. Give 9-dlgit CUSIP number. valuation date I CUSIP number 1 140 shares of Alcoa, Inc 28.92 4,048.80 2 100 shares of Agere 1.35 135.00 3 1600 shares of Ametek, Inc 031100100 34.37 54,992.00 4 75 shares Avaya 053499109 16.01 1,200.75 5 1260 Shares of BellSouth Corp 079860 10 2 26.65 33,579.00 6 236 Shares of BP 055622 10 4 57.56 13,584.16 7 2567.425 Shares of AllianceBernstein 10.32 26,495.83 8 200 Shares of Corn Products Int 219023108 55.29 11,058.00 9 241 Shares of Dow Chemical 260543 10 3 48.85 11,772.85 10 904 Shares of Lucent Technologies 549463 10 7 904 2,983.20 11 250 Shares of Nuveen 670909 02 9 15.60 3,900.00 12 17 Shares of Phelps Dodge 717265102 98.63 1,676.71 13 150 Shares of Praxair 74005P 104 41.26 6,189.00 14 496 Shares Qwest 749121 109 4.39 2,177.44 15 100 Shares Reynolds American 761713106 79.36 7,936.00 16 2,353 Shares of SBC Communications 24.61 57,907.33 17 293 Shares of AT&T 18.13 5,312.09 18 1024 Shares UGI 902681 105 39.63 40,581.12 Total from continuation schedules (or additional sheets) attached to this schedule TOTAL. (Also enter on Part 5, Recapitulation, page 3, at item 2.) . I I (For jointly owned property that must be disclosed on Schedule E, see the instructions for Schrmule E.) (If more space is needed. attach the continuation schedule from the end of this package or additional sheets of th~ same size.) (The instructions to Schedule B are in the separate instructions.) SChrdUie B-Page 12 itfrJ; d ~/. fo I 01-24-2006 BURKE 11-25-2004 21 04-1190 CUMBERLAND 101 APPEAL DATE: 03-25-2006 ( 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 ~Y!_~~9~~_!~~~-~~~~------~---~~!~!~_~9~~~_~9~!!9~_E9~_Y9Y~_~~~9~P~__~____________________ REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX RICHARD L FILE NO. 21 04-1190 ACN 101 r-', - ,-", '-'. --_,,_' ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX BUREAU OF INDIVIDUAL TAXES. INHERITANCE TAX DIVISION PO BOX 280601 HARRIS8URG PA 17128-0601 '- ; DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN LORRETA R WILHIDE L R WILHIDE TAX SVC 120 WITMER RD YORK PA 17404 ESTATE OF BURKE REV-1547 EX AFP (06-05) RICHARD L TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 01-24-2006 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) ~. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) &. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (~) (5) (&) (7) .00 420.231.40 .00 .00 .00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) (9) 10. Debts/Hortgage Liabilities/Liens (Schedule n (10) 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 .00 .00 (11) (12) (13) (14) NOTE: 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 (15) 1&. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 420,231.40 00 420,231.40 .00 420,231.40 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. ....u nen n____. l+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 420,231.40 X 00 = .00 X 045 = .00 X 12 = .00 X 15 = (19)= · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 .00 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) ~r. cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (71 7) 240 - 6345 Date: 11/09/2006 BURKE FLORENCE E 591 GENEVA DRIVE APT 1 MECHANICSBURG, PA 17055 RE: Estate of BURKE RICHARD L File Number: 2004-01190 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, withln two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. Thls filing lS due by: 11/25/2006 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disreqard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File ('nllDsel Register of Wills of Cumberland County ,/ STATUS REPORT UNDER RULE 6.12 ;;~ /? -/) , C. <-/~_..lu..1 " Name of Decedent: . -:"<;.A' ~.~ /7-p ,1,.-." r(j ! Date of Death: / / /~S- / CJ ~ . / . / Estate No.: ;;2 /O;/- - / / .? (, 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: I. State ~~r administration of the estate is complete: Yes I.k:r No 0 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.1 is Yes, state the following: a. Did the p~nal representative file a final account with the Court? Yes J:0'" No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: C. Did the personal representative state an account informally to the parties in interest? 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