HomeMy WebLinkAbout02-0382PETITION FOR PROBATE and GRANT OF LETTERS
Estate of MERLE V. HOKE
also known as
No. 21-02-382
, Deceased. To:
Social Security No. 515 - 07 - 9835
Register of Wills
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner, who is 18 years of age or older, is the substitute personal representative named in
the last will of the above decedent, dated JANUARY 10, 2000. (The primary personal representative
named in the will, RUTH M. HOKE, died on FEBRUARY 9, 2001 [death certificate attached]).
Decedent was domiciled at death in HAMPDEN TOWNSHIP, Cumberland County, Pennsylvania,
with his last family or principal resldence at 4837 TRINDLE ROAD, MECHANICSBURG, CUMBERLAND
COUNTY, PENNSYLVANIA 17050.
Decedent, then 80 years of age, died APRIL 4, 2002, at WOODLAND CENTER NURSING
HOME, LEWlSBERRY, YORK COUNTY, PENNSYLVANIA.
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.
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 74,000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania situated as follows: $
TOTAL $ 74,000.00
WHEREFORE, petitioner respectfully requelue~ts the probate of the last will presented herewith and
the grant of letters testamentary thereon.
bOROTHY B R/OC~O US
110 WAYNE DRIVE
HARRISBURG, PA 17112
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA :
COUNTY OF CUMBERLAND :
The petitioner above-named swears that the statements in the foregoing petition are true and
correct to the best of the knowledge of petitioner and t~at as personal representative of the above
decedent petitioner will well and truly administer th~tate according to~j~v.
Sworn to and subscribed ,-/__.~~ ~
before me this 10th day of ~OROTHY BR}~CIOUS
April, 2002.
' ~
Estate of MERLE V. HOKE, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, April 10th 2002, in consideration of the petition attached hereto,
satisfactory proof having been presented before me,
IT IS DECREED that the instrument dated JANUARY 10, 2000, described
therein, be admitted to probate and filed of record as the last will of MERLE V. HOKE
and Letters Testamentary are hereby granted to DOROTHY BROClOUS.
FEES
Probate, Letters, Etc. $ 115. oo
Short Certificates $ 2~. u0u0
F~=~a[:~ ~.iatio n $ ·
$ .oo
TOTAL $ 150. oo
Filed: ~RIL 10, 2002
R~iste~ of V~ll's ~' ' ~/
~gh Street O)
Carlisle, PA 17013
717-243-6090
his 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 fbrwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
~~,, Local Registrar
P 8 2 0 5 7
No. '~ Date
21-02-382
'~ 1 ¢3 Rev. 2J87
COMMONWEALTH OF PENNSYLVANIA , DEPARTMENT OF HEALTH * VITAL RECORDS
CERTIFICATE OF DEATH
STATE FIlE NUMBER
,. Male ,.515 -- 07 -- 9835 ,. 4-4-02
UNDER 1 ~ OATE OF BIRTH
Lewisberry . Home I~..~... ~.,o R~.. ....
ACTUAL 17.. ~e PA ~ ,7,.~ m.~ Hampton
~ ~ ~} 1~. Cumb~land ~'"? m'~ ~
NAME OF DECEDENT (F*r sa. Middle, LaS;)
Merle V. Hoke
AGE (Last 8L-lt~c/ay) UNO~R 1 YEAR
COUNTY OF DEATH
York
~CE~NT'$ USUAL ~UPAT~
Laborer
4837 Trindle Road
Mechanics§~g, PA 11050
Hoke
C. J. Hoke
any. lea~q~g IO immediate
MOTHER'S NAME iF~Sl.
:,. Chaalena Ginter
~. 1904 W Drvrsron, ~ranalsland, NE
Io'~'"~' Crem~ron Socre~ o~
PA Crcm~or~ l::d H~risb~, PA
l~: 4100 Jonestown Road, H~r~b~,~PA
17109
17109
NAS CASE REFERRED TO MEDICAL EXAMINER/CORONER?
PART Ih
REGISTRAR'S SIGNATURE AND NUMBER
[]~] (IDATE OF INJURYDay.Year) ITIME OFINJUflY INJURYATWORK? ~~cRIBE HOWINJURYOCCURRED'II~... [] .o[]
.ICEN DATE SIGNED ( . Day.
LA $ T WILL A ND TE$TA MENT
I, MERLE V. HOKE, of 815 Third Street, New Cumberland, Cumberland County,
Pennsylvania, 17070, do hereby make, publish and declare this to be my last will and
testament, hereby revoking all wills heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and
administrative expenses as soon as convenient after my decease. I direct that all
inheritance taxes imposed or payable by reason of my death and interest and penalties
thereon with respect to all property, whether or not such property passes under this
Will, shall be paid by my personal representative out of my estate.
2. I authorize and empower my personal representative to sell any realty
and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or
bills of sale therefor, in fee simple, as I could do if living. My representative is
authorized and empowered to engage in any business in which I may be engaged at
my death, for such period of time after my death as seems expedient to said
representative.
3. I give, devise and bequeath all of my estate of whatever nature and
wherever situate to my spouse, Ruth M. Hoke.
4. If my spouse does not survive me by a period of at least sixty (60) days,
then I give, devise and bequeath my estate as follows:
A. Two-thirds (2/3) to Dorothy Brocious;
B. One-sixth (1/6) to the First Christian Church, Lemoyne,
Pennsylvania, for the building fund; and
C. One-sixth (1/6) to the New Cumberland Fire Department.
5. I nominate and appoint my spouse to be the personal representative of
my estate, to serve without bond. If my spouse cannot or does not serve, then I
nominate and appoint Dorothy Brocious to be the substitute personal representative
with the same powers and without the filing of any bond.
6. I order and direct that my bodily remains be cremated and that my ashes
be disposed of at Indiantown Gap There shall be no viewing.
7. I suggest that my personal representative retain the services of Harold S.
Irwin, III, Carlisle, Pennsylvania in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~ day
of January, 2000. lT/,~.,f.x.~/ ~ ~ (SEAL)
MERLE V. HOKI~
Signed, sealed, published and declared by the above-named person as and for
a last will and testament, in our presence, who at said person's request, in said
person's presence and in the presence of each other have hereunto set our names as
subscribing witnesses.
A CKNOWLEDGMENT AND AFFIDAVIT
WE, MERLE V. HOKE, JOHN J. BARANSKI, JR. and HEATHER A.
BARBOUR, the testator and witnesses respectively, whose names are signed to the
foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the testator signed and executed the instrument as his last will and that
he had signed willingly, and that he executed it as his free and voluntary act for the
purpose herein expressed, and that each of the witnesses, in the presence and hearing
of the testator, signed the will as a witness and that to the best of their knowledge the
testator was, at that time, eighteen years of age or older, of sound mind and under no
constraint or undue influence.
JO/~ J. B~E~,NSKI, JR.
I-iEATHI~R A. BARBO'Ok-
COMMONWEALTH OF PENNSYLVANIA ·
:SS:
COUNTY OF CUMBERLAND :
Subscribed, sworn to and acknowledged before me by MERLE V. HOKE, the
testator herein, and subscribed and sworn to before me by JOHN J. BARANSKI, JR.
and HEATHER A. BARBOUR, witnesses, this~ day of January, 2000.
,o~ria, s~, '1 Notary Public
Harold S. Irwin III, Nolan/Public
Carlisle Boro, Cun-4~efland Courtly
My Commission Expi~m ~ 23, 2002
Member, PennsYlvania AssOcialion ot Notaries
CERTIFICATE
Name of Decedent:
Date of Death:
Will No.
To the Register:
OF NOTICE UNDER RULE 5.6(a)
MERLE V. HOKE
APRIL 4, 2002
21 - 02 - 0382
Admin. No.
2002 - 0382
I certify that notice of beneficial interest or estate administration required by Rule
5.6(a) of the Orphan's Court Rules was served on or mailed to the following
beneficiaries of the above-captioned estate on April ,2002.
Name
DOROTHY BROCIOUS
FIRST CHRISTIAN CHURCH
NEW CUMBERLAND FIRE DEPT
Address
110 WAYNE DRIVE
HARRISBURG PA 17112
216 S 5TM ST
LEMOYNE PA
319 4th ST
NEW CUMBERLAND PA 17070
April22,2002
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except:
None
/~~ -..
Carlisle, PA 17013
717-243-6090
Attorney for Estate of Merle V. Hoke
REV-1500 EX (6-00)
COMMONWEALTH OF PENNS'YLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENT'S NAME (LAST, FIRST AND MIDDLE INITIAL)
HOKE, MERLE V.
DATE OF BIRTH
OFFICIAL USE ONLY
/7-s-?- y
FILE NUMBER
21 02
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
515 - 07 - 9835
0382
NUMBER
DATE OF DEATH
JULY 30, 1921 APRIL 4, 2002
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) I SOCIAL SECURITY NUMBER
I
X 1. Odginal Return __ 2. Supplemental Return __ 3. Remainder Return
(dates of death prior to 12-13-82)
4. Limited Estate __ 4a. Future Interest Compromise __ 5. Federal Estate Tax Return Req
(for dates of death after 12-12-82)
X 6. Decedent Died Testate __ 7. Decedent Maintained a Living Trust __ 8. Total No. of Safe Deposit Boxes
(Attach copy of Will) EX. A (Attach copy of Trust)
__ 9. Litigation Proceeds Received __ 10. Spousal Poverty Credit (date of death __ 11. Election to tax (Sec. 9113(A))
between 12-31-91 and 1-1-95) (Attach Sch O)
717-243-6090 ' _
1. Real Estate (Schedule A) (1) '- c'~)FFIClAL USE ONLY
0.00
2. Stocks and Bonds (Schedule B) (2)
0.00
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
0.00
4. Mortgages and Notes Receivable (Schedule D) (4)
0.00
5. Cash, Bank Dep & Misc Personal Property (Sched E) (5)
24,379.60
6. Jointly Owned Property (Schedule F) (6)
25,719.51
7. Transfers / Misc. Property(Schedule G) (Schedule L) (7)
22,219.00
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Sched H) (9)
5,867.14
10. Debts, Mortgage Liabilities & Liens (Schedule I) (10)
513.05
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests (schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
15. Amount of Line 14 taxable at the spousal rate
(8)
72,318.11
(11)
(12)
(13)
(14)
6,380.19
65,937.92
4,832.97
61,104.95
x .__ = (15)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19, Tax due
20.
$ 61,104.95
0.00
x .045 = (16)
0.00
x .12 = (17)
0.00
x .15 = (18)
9,165.74
(19)
9,165.74
Decedent's Complete Address:
STREET ADDRESS
4837 TRINDLE ROAD
CITY
MECHANICSBURG
PA 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Line 18)
2. Credits / payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount $ 458.28
(1) $9,165.74
(2) $ 458.28
Total Credits (A+B+C)
3. Interest / Penalty if applicable
D. Interest
E. Penalty Total InterestJPenalty (D+E) (3)
4. If Line 2 is greater than Line I + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $8,707.46
A. Enter the interest on the tax due.
(5A)
B. Enter the total of Line 5+5A. This is the BALANCE DUE. (5B)$8,707.46
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use of income of the property transferred; ................................... X
b. retain the right to designate who shall use the property transferred or its income; ........ X
c. retain a reversionary interest; or ........................................................................... X ..
d. receive the promise for life of either payments, benefits or care? ............................... ~X
2. If death occurred on or before December t23, 1982, did decedent within two years preceding
death transfer property without receiving adequate consideration? If death occurred
after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .................................................................... N/A
3. Did decedent own an "in trust for" or payable upon death bank account or security
X
at his or her death? ......................................................................................................
4. Did decedent own an individual retirement account, annuity, or other non-probate property? ...... X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct and complete.
preparer has any knowledge.
Declaration of preparer other than personal representative is based on all information of which
)NSIBLE FOR FILING RETURN
ADDRESS DATE
110 PA 17112 JULY ~,T~ 2002
)NAL REPRESENTATIVE
ADDRESS ..~E)ATE
35 EAST HIGH LE, PA 17013 JULY Z---r-, 2002
For dates of death on or after, t94 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. on 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.
Section 9116 (a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets
and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child 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. Section 9116 (a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. Section
9116 (1.2)[72 P.S. Section 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. Section 9116 (a)(1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX + (12-85)
COMMONWEALTH OF PENNSYLVANIA SCHEDULE A
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
MERLE V. HOKE 2002 - 0382
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value
which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to
buy or sell, both having reasonable knowledge of the relevant facts.
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
NONE
TOTAL (Also enter on Line 1, Recapitulation)
NONE
(If more space is needed, insert additional sheets of same size.)
REV-1503 EX + (4-86)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS AND BONDS
ESTATE OF
MERLE V. HOKE
(All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.)
FILE NUMBER
2002 - 0382
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
NONE
TOTAL (Also enter on Line 2, Recapitulation) NONE
(If more space is needed, insert additional sheets of same size.)
REV-1504 EX + (3-92)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE C
CLOSELY HELD STOCK
PARTNERSHIP AND PROPRIETORSHIP
FILE NUMBER
MERLE V. HOKE 2002 - 0382
ITEM DESCRIPTION
NUMBER
NONE
VALUE AT DATE
OF DEATH
TOTAL (Also enter on Line 3, Recapitulation) NONE
(If more space is needed, insert additional sheets of same size.)
REV-1507 EX + (6-86)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
ESTATE OF
MERLE V. HOKE
(All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.)
FILE NUMBER
2002 - 0382
ITEM DESCRIPTION
NUMBER
NONE
TOTAL (Also enter on Line 4, Recapitulation)
VALUE AT DATE
OF DEATH
NONE
(if more space is needed, insert additional sheets of same size.)
REV-1508 EX + (2-87)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
ESTATE OF
MERLE V. HOKE
FILE NUMBER
2002 - 0382
(All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.)
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
5.
6.
7.
8.
9.
VARTAN NATIONAL BANK- Account No. 153 -205 0 0 (Value as stated on bank
statement attached at Exhibit "B")
MEMBERS FIRST FEDERAL CREDIT UNION -Checking Account No. 4050 - 11 (Value
as stated on bank attached at Exhibit "C")
MEMBERS FIRST FEDERAL CREDIT UNION - Savings Account No. 4050 - 00 (Value as
stated on bank attached at Exhibit "C")
PENNSYLVANIA BLUE SHIELD - Medical Insurance Refund
COUNTRY MEADOWS NURSING HOME - Refund
CREMATION SOCIETY OF PENNSYLVANIA- Pre-paid Funeral Expense Fund
PATRIOT NEWS - Subscription Refund
I.R.S. - Income Tax Refund
WOODLAND CENTER - Refund
$ 15,242.76
4,860.47
25.71
8.34
1,255.87
900.00
55.45
1,581.00
450.00
TOTAL (Also enter on Line 5, Recapitulation) $ 24,379.60
(If more space is needed, insert additional sheets of same size.)
REV-1509 EX + (12-88)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
MERLE V. HOKE
FILE NUMBER
2002 - 0382
Joint tenant(s):
NAME ADDRESS RELATIONSHIP TO DECEDENT
A~ DOROTHY BROCIOUS
110 WAYNE DRIVE
HARRISBURG PA 17112
FRIEND
Jointly-owned property:
ITEM LEI I ~-R DATE DESCRIPTION OF PROPERTY TOTAL DECD'S DOLLAR
NO. FOR MADE VALUE % INT. VALUE O
JOINT JOINT OF ASSET DECEDEN'F',~
TENANT INTEREST
1. A. 2001 RAYMOND JAMES FINANCIAL SERVICES, INC. - $51,439.01 50% $25,719.51
Investment Account No. 83586773 (Value based on
statement attached as Exhibit "D")
TOTAL (Also enter on Line 6, Recapitulation) $ 25,719.51
(If more space is needed, insert additional sheets of same size.)
REV-1510 EX + (2-87)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTERVIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
MERLE V. HOKE 2002 - 0382
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
ITEM DESCRIPTION OF PROPERTY DATE OF
NUMBER Include name of the transferee, their relationship to decedent, date of transfer DEATH % OF EXCLUSION TAXABLE
VALUE OF DECD'S (if applicable) VALUE
ASSET INTEREST
1. RAYMOND JAMES FINANCIAL SERVICES, INC. -
Investment Account No. 83586773 - One-half interest
transferred to Dorothy Brocious within one year of
death (Value based on statement attached as Exhibit
"D") $25,719.00 100% $3,500.00 22,219.00
TOTAL (Also enter on Line 7, Recapitulation) $ 22,219.00
(If more space is needed, insert additional sheets of same size.)
REV-1511 EX + (7-88)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MERLE V. HOKE
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
FILE NUMBER
2002 - 0382
ITEM DESCRIPTION AMOUNT
NUMBER
A. Funeral Expenses:
1. CREMATION SOCIETY OF PENNSYLVANIA $ 1,000.00
2. REV. TERRY FORD - Funeral Services 100.00
3. VFW POST 23 - Military Honors 100.00
4. DOROTHY BROClOUS - Reimbursement for Food at Funeral 111.24
B. Administrative Costs:
1. Personal Representative Commissions:
Social Security Number of Personal Representative::
Year Commissions Paid:
2. Estimated Total Attorney Fees: HAROLD $. IRWIN, III 4,365.90
3. Family Exemption:
Claimant Relationship
Address of Claimant at decedent's death:
Street Address
City State Zip Code
4. Probate Fees: REGISTER OF WILLS 150.00
C. Miscellaneous Expenses:
1. REGISTER OF WILLS - File Inventory and Appraisement 25.00
2. HAROLD S. IRWIN, III - Notary Fees 10.00
TOTAL (Also enter on Line 9, Recapitulation) $ 5,867.14
(If more space is needed, insert additional sheets of same size.)
REV-1512 EX + (1-93)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGES, LIABILITIES AND LIENS
ESTATE OF FILE NUMBER
MERLE V. HOKE 2002 - 0382
ITEM DESCRIPTION AMOUNT
NUMBER
WEST SHORE EMS - Medical Bill
NEIGHBOR CARE - Medical Bill
MOBILE X-RAY IMAGING - Medical Bill
TOTAL (Also enter on Line 10, Recapitulation)
$ 78.15
400.85
34.05
$ 513.05
(If more space is needed, insert additional sheets of same size.)
REV-1513 EX + (2-87)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
MERLE V. HOKE 2002 - 0382
ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR
NUMBER SHARE OF ESTATE
A. Taxable Bequests:
1. DOROTHY BROCIOUS FRIEND $61,104.95
110 WAYNE DRIVE
HARRISBURG PA 17112
(NOTE: This beneficiary is entitled to the entire
Raymond James account, in addition to 213 of the
residue of the estate. The Raymond James account
was jointly held with decedent as a survivorship
account, though taxable for inheritance tax in this
estate. The share of the estate attribute to this
beneficiary therefore is the value of the Raymond
James account, $51,439.01, plus 2/3 of the residue)
ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
NUMBER SHARE OF ESTATE
B. Charitable and Governmental Bequests:
FIRST CHRISTIAN CHURCH
216 SOUTH 5TM STREET
LEMOYNE PA
NEW CUMBERLAND FIRE DEPARTMENT
319 4TM STREET
NEW CUMBERLAND PA 17070
(NOTE: The amount of these bequests was calculated by subtracting the full
value of the Raymond James account from the net estate and then dividing the
remaining figure by three)
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on Line 13, Recapitulation) $ 4,832.97
(If more space is needed, insert additional sheets of same size.)
EXHIBIT "A~
EXHIBIT "B"
April 30, 2002
vartan
vartan
1lEEr
national
bank
an Independent community bank
Law Office Of
Harold S. Irwin, III
Hitner House, Suites 201 and 202
35 East High Street
Carlisle, PA. 17013
Re:
Estate of Merle V. Hoke
SSN: 515-07-9835
Acct No: 153-205-0
Dear Mr. Irwin:
On the date of Mr. Merle V. Hoke's death (April 4, 2002), only one account
was held by Mr. Hoke at Vartan National Bank.
Account No. 153-205-0
Date of Death Value $15,242.76
Should you require any additional information, please feel free to call,
540-0683.
Very truly yours,
~S~haron L. F~o'rry~~
VP/Br. Mgr.
PROGRESS OFFICE
(717) 657-7727 · FAX (717) 657-1472
P. O. Box 500, Dauphin, PA 17018 · vvww. var'tanbank.com
SUSQUEHANNA OFFICE
(717) 540-0683 · FAX (717) 540-0689
DAUPHIN OFFICE
(717) 921-2371 '. FAX (717) 921-2373
EXHIBIT "C"
Membersl
FEDERAL CREDIT UNION
INSURANCE DEPARTMENT
5000 Louise Drive
P. O. Box 40
Mechanicsburg, PA 17055
1-800-283-2328 or (717) 697-1161
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Opened
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
CHECKING ACCOUNT:
Account Number/Suffix
Date Account Opened
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
4050 -00
05/29/195O
$25.71
$.oo
$25.71
None
4050 -11
04/28/1998
$4,860.15
$.32
$4,860.47
None
M~MBERS 1 ST
Denise A. Anders
Insurance Products Supervisor
May 10, 2002
Estate of: MERLE V. HOKE
Date of Death: 04/04/2002
Social Security Number: 515-07-9835
EXHIBIT "D"
[
!ii
i
~.~. .
Inventory of the real and personal estate of
MERLE V. HOKE, deceased
1. VARTAN NATIONAL BANK*- Account No. 153- 205- 0 $ 15,242 76
2. MEMBERS FIRST FEDERAL CREDIT UNION - Checking Account No. 4050- 11S 4,860 47
3. MEMBERS FIRST FEDERAL CREDIT UNION- Savings Account No. 4050- 00 25 71
4. PENNSYLVANIA BLUE SHIELD- Medical Insurance Refund 8 34
5. COUNTRY MEADOWS NURSING HOME- Refund 1,255 87
6. CREMATION SOCIETY OF PENNSYLVANIA- Pre-paid Funeral Fund 900 00
7. PATRIOT NEWS-Subscription Refund 55 45
8. RAYMOND JAMES FINANCIAL SERVICES, INC. - Investment Account No.
83586773 47,938 51
9. I.R.S. - Income Tax Refund 1,581 00
10. WOODLAND CENTER- Refund 450 00
TOTAL $ 72,318 11
COMMONWEALTH OF PENNSYLVANIA:
:SS:
COUNTY OF CUMBERLAND :
DOROTHY BROCIOUS, being duiy sworn according to law, deposes and says that he is the
executrix of the estate of MERLE V. HOKE, late of Hampden Township, Cumberland County,
Pennsylvania, deceased, and that the within inventory made by her, the said executrix of the entire
estate of said decedent, consisting of all of the personal property and real estate, except real estate
outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the inventory
represent its fair value as of the date of decede,.~~ ~
Sworn to and subscribed before me _
· DOROTHY' BROCIOUS
Member, Pennsylvan~ssOcletiO~1 Of Notaries APRIL
Date of Death:
Executrix
2002
Day Month Year
INSTRUCTIONS
2.
3.
4.
An inventory must be filed within three months after appointment of personal representative·
A supplemental inventory must be filed within thirty days of discovery of additional assets.
Additional sheets may be attached as to personalty or realty.
See Article IV, Fiduciaries Act of 1949.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-O601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 001367
HAROLD S IRWIN III ESQUIRE
35 EAST HIGH STREET
SUITE 201
CARLISLE, PA 17013
........ fold
ESTATE INFORMATION: SSN: 515-07-983§
FILE NUMBER: 2102-0382
DECEDENT NAME: HOKE MERLE V
DATE OF PAYMENT: 07/02/2002
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 04/04/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $8,707.46
REMARKS:
TOTAL AMOUNT PAID:
HAROLD S IRWIN III ESQUIRE
$8,7O7.46
SEAL
CHECK# 5787
INITIALS: CW
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
LAST WILL AND TESTAMENT
I, MERLE V. HOKE, of 815 Third Street, New Cumberland, Cumberland County,
Pennsylvania, 17070, do hereby make, publish and declare this to be my last will and
testament, hereby revoking all wills heretofore made by me.
1. I direct my personal representative to pay all of my debts, funeral and
administrative expenses as soon as convenient after my decease. I direct that all
inheritance taxes imposed or payable by reason of my death and interest and penalties
thereon with respect to all property, whether or not such property passes under this
Will, shall be paid by my personal representative out of my estate.
2. I authorize and empower my personal representative to sell any realty
and/or personalty owned by me at my death and not specifically devised or bequeathed
herein, at public or private sale or sales and to give good and sufficient deeds and/or
bills of sale therefor, in fee simple, as I could do if living. My representative is
authorized and empowered to engage in any business in which I may be engaged at
my death, for such period of time after my death as seems expedient to said
representative.
3. I give, devise and bequeath all of my estate of whatever nature and
wherever situate to my spouse, Ruth M. Hoke.
4. If my spouse does not survive me by a period of at least sixty (60) days,
then I give, devise and bequeath my estate as follows:
A. Two-thirds (2/3) to Dorothy Brocious;
B. One-sixth (1/6) to the First Christian Church, Lemoyne,
Pennsylvania, for the building fund; and
C. One-sixth (1/6) to the New Cumberland Fire Department.
5. I nominate and appoint my spouse to be the personal representative of
my estate, to serve without bond. If my spouse cannot or does not serve, then I
nominate and appoint Dorothy Brocious to be the substitute personal representative
with the same powers and without the filing of any bond.
6. I order and direct that my bodily remains be cremated and that my ashes
be disposed of at Indiantown Gap There shall be no viewing.
7. I suggest that my personal representative retain the services of Harold S.
Irwin, III, Carlisle, Pennsylvania in the settlement of my estate.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~ day
of January, 2000.MERLE/'~'/(/~/V. H~K (SEAL)
Signed, sealed, published and declared by the above-named person as and for
a last will and testament, in our presence, who at said person's request, in said
person's presence and in the presence of each other have hereunto set our names as
s ubscribingwitnesses. ~'~".~///~/~'~ ~/~5~.
ACKNOWLEDGMENT AND AFFIDAVIT
WE, MERLE V. HOKE, JOHN J. BARANSKI, JR. and HEATHER A.
BARBOUR, the testator and witnesses respectively, whose names are signed to the
foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the testator s!gned and executed the instrument as his last will and that
he had signed willingly, and that he executed it as his free and voluntary act for the
purpose herein expressed, and that each of the witnesses, in the presence and hearing
of the testator, signed the will as a witness and that to the best of their knowledge the
testator was, at that time, eighteen years of age or older, of sound mind and under no
constraint or undue influence.
H'EATHCR A. BARBOU~--
COMMONWEALTH OF PENNSYLVANIA :
:SS:
COUNTY OF CUMBERLAND :
Subscribed, sworn to and acknowledged before me by MERLE V. HOKE, the
testator herein, and subscribed and sworn to before me by JOHN J. BARANSKI, JR.
ilc nuary, 2000.''~' ~'~'~~'-
and HEATHER A. BARBOUR, witnesses, this / day of Ja
Notarial Seal '1
Ha~ld S. I~ III, ~
Carlisle ~ro, Cu~
Member, Pennsy~v~n~ A~:iat~ ~ Nom~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEP~'. 280601
HARRISBURG, PA 17128-0601
HAROLD S IRWIN III
STE 201 202
35 E HIGH ST
CARLISLE PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
08-19-2OO2
HOKE
DATE OF DEATH 04-04-2002
FILE NO. 21 02-0382
COUNTY Cumberland
ACN 101
REV-1647 EX (12-97) PC
MERLE V
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
Register of Wills
Cumberland County Courthouse
Carlisle, PA 17013
CUT ALONG THIS LINE ~> RETAIN LOWER PORTION FOR YOUR RECORDS C~
'- ~-~,-'i ~.~- ~ -(bi~--§~-)-~,i:f ............. ~ 5'ti b-~ -b-~ -~ ~-~ i~¥~-~ i::-~=- tl, i. ~,- ~ ~,-~ i~-~i §-~ ~ ~ ti -KE£i~A-~ i=- ~ i~- ................................
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOKE MERLE V FILE NO. 21 02-0382 ACN '101 DATE 08-'19-2002
TAX RETURN WAS: ( [] ) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
( [] ) CHANGED SEE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
4. Mortgages/Notes Receivable (Schedule D) (4)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)
11. Total Deductions
12. Net Value of Tax Return
0.00 NOTE: TO insure proper
0.00 credit to your account,
0.00 submit the upper portion
0.00 of this form with your
tax payment.
24,379.60
25,719.51
22,719.00
(8)
5,867.14
513.05
72,818.11
(11) 6,380.19
(12) 66,437.92
13.
14.
NOTE:
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 4,832.97
Net Value of Estate Subject to Tax (14) 61,604.95
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will reflect figures
that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) 0.00 X .00 0.00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 0.00 X .045 0.00
17. Amount of Line 14 taxable at Sibling rate (17) 0.00 X .12 0.00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 61,604.95 X .15 9,240.74
19. Principal Tax Due (19) 9,240.74
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
07-02-2002 CD001367 458.29 8,707.46
PAYMENT MUST BE MADE BY 01-04-2003'. TOTAL TAX CREDIT 9,165.75
BALANCE OF TAX DUE 74.99
INTEREST 0.00
TOTAL DUE 74.99
iF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
(IF TOTAL DUE IS LESS THAN $1, NO PAi~MENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FO~M FOR INSTRUCTIONS. )
RESERVATION:
PURPOSE OF
NOTICE:
PAYMENT:
REFUND(CR):
OBJECTIONS:
ADMINISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B
(collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to
appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest.
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 21 of 1995. (72 P.S. Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. Make check or money order
payable to: REGISTER OF WILLS, AGENT.
A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania
Inheritance and Estate Tax (REV-1313). Applications are available at the Office of the Register of Wills or any of the 23 Revenue District Offices, or by
calling the special 24-hour answering service numbers for forms ordering: In Pennsylvania 1-800-362-2050, outside Pennsylvania and within local
Harrisburg area (717) 787-8094, TDD# (717) 772-2252 (Headng Impaired Only).
Any party in interest not satisfied with the appraisement, allowance or disallowance of deductions, or assessment of tax (including discount or interest) as
shown on this Notice must object within sixty (60) days of receipt of this Notice by:
--written protest to the PA Department of Revenue Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--election to have the matter determined at audit of the account of the personal representative OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post
Assessment Review Unit, Dept. 280601 Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 3 of the booklet "Instructions for Inheritance Tax
Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors.
If any tax due is paid within three (3) calendar months after the decedent's death a five percent (5%) discount of the tax paid is allowed.
The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before
January 18,1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the same
time period as you would appeal the tax and interest that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes
which became delinquent before January 1, 1982 bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes
which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2001 are:
YEAR INTEREST RATE DAILY INTEREST FACTOR YEAR INTEREST RATE DAILY INTEREST FACTOR
1982 20% .000548 1992 9% .000247
1983 16% .000438 1993-1994 7% .000192
1984 11% .000301 1995-1998 9% .000247
1985 13% .000356 1999 7% .000192
1986 10% .000274 2000 8% .000219
1987 9% .000247 2001 9% .000247
1988-1991 11% .000301 2002 6% .000164
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment
is made after the interest computation date shown on the Notice, additional interest must be calculated.
REV-1470 EX (6-88)
EXPlaNATION
COMMONVVEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
SU.E~U OF ~.D~OU^L T~XES
DEPT. 280601
HARRISBURG~ PA 17128-0601
DECEDENT'S NAME FILE NUMBER
HOKE,MERLE V 2102-0382
REVIEVVED BY ACN
Anita McCully 101
ITE~
SCHEDULE NO. EXPLANATION OF CHANGES
G 1 The $3,000 exclusion claimed is limited to the total amount transferred with in one year of
decedent's death per transferee per calander year..
ROW Page 1
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT..~80601
..,.~I~RISBURG, PA 17128-0601
HAROLD S IRWIN III
STE 201 202
35 E HIGH ST
CARLISLE PA 17013
CUT ALONG THIS LINE
- ~/:i ~-,:,- :- ...............
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'OTICE OF INHERITANCE TAX
APPRAISEhi~. ~', ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NO.
COUNTY
ACN
"7
REV-154? EX (12-97~ PC
08-19-2002
HOKE MERLE
04-04-2002
21 02-0382
Cumberland
101
Amount Remitted
V
~. MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
~',., ' : Register of Wills
Cumberland County Courthouse
Carlisle, PA 17013
~> RETAIN LOWER PORTION FOR YOUR RECORDS C=
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 001 571
IRWIN HAROLD S III
35 EAST HIGH STREET
SUITE 201
CARLISLE, PA 17013
fold
ESTATE INFORMATION: SSN: 515-07-9835
FILE NUMBER: 2102-0382
DECEDENT NAME: HOKE MERLE V
DATE OF PAYMENT: 08/28/2002
POSTMARK DATE: 08/26/2002
COUNTY: CUM BERLAN D
DATE OF DEATH: 04/04/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $74.99
TOTAL AMOUNT PAID:
$74.99
REMARKS: HAROLD I IRWIN III ESQUIRE
SEAL
CHECK# 6040
INITIALS: JA
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
DEX55 J9-93) ~ BUli
COMMONWEALTH OF PENNSYLVANia
DEPARTMENT OF REVENUE , :
Dear Register of Wilis~_.//
Enclosed you will find: IX"I check(s) [~] documents(s) which were received by the Departme
These may be processed according to normal procedures.
REMINDER: The POST MARK DATE on envelope attached to any checks enclosed
Official Receipt.
Thank you.
Sincerely,
John Murphy, Chief
Inheritance Tax Division
(717) 787-6201
Commonwealth of Pennsylvania
Department of Revenue
Bureau of Individual Taxes
Dept 280601
Harrisbum PA 17128-0601
MS MARY C LEWIS
REGISTER OF WILLS
CUMBERLAND CO COURTHOUSE
i COURTHOUSE SQ
CARLISLE PA 17013
i,,,lli,,,ilh,,,,,li,,ll,,,Ih,,Ih
HAROLD ,% IR~,fhW ~'~i'
ATTORN~-Y/ST LAW
35 E H~,GH ST
CARLISLE PA 17013
~.,~..,,,.s.-* -, ,t~,l II J V
/-ti'il I t'~ IVlb%./~,',---- -
DEPT OF REVENUE
DEPT 280601
BUREAU OF INDIVIDUAL TAXES
TNH£RITANCE TAX DIVISION
DEPT. ZB0601
HARRISBURG, PA 17128-0601
HAROLD S IRWIN III
STE ZO1 Z02
55 E HIGH ST
CARLISLE PA 17015
CONNONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
INHERITANCE TAX
STATEHENT OF ACCOUNT
DATE
ESTATE OF
DATE OF DEATH
FI~.,E NUNBER
COUNTY
ACN
RE¥-160? EX &FP (Ol-02)
09-09-2002
HOKE HERLE V
Oq-Oq-ZOOZ
21 02-0382
CUHBERLAND
10!
Aeoun~ Remi~md I
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17015
NOTE: To /nsure proper credi~ ~o your account, subm/~ ~he upper portion of ~his form w~.~:h your ~cax payment.
CUT ALONG THIS LINE ~'~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1607 EX AFP (01-02) ##- INHERITANCE TAX STATENENT OF ACCOUNT
ESTATE OF HOKE NERLE V FILE NO. 21 02-0582 ACN 101 DATE 09-09-2002
THIS STATEHENT IS PROVIDED TO ADVTSE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHO#N BELOW/
IS A SUHHARY OF THE PRTNCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE) AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT: 08-1R-2002
PRINCIPAL TAX DUE: ...........................................................................................................................................................................................................................
PAYNENTS (TAX CREDITS):
9,2q0.7R
PAYHENT RECEIPT DISCOUNT (+)
DATE NUHBER INTEREST/PEN PAID (-) AHOUNT PAID
07-02-2002
08-26-2002
CD001367
CD001571
~58.29
.00
8,707.~6
7R.99
IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
TOTAL TAX CREDIT 9,2~0.7~
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. )
PAYNENT:
Detach the top portion of this Notice and submit eith your payment made payable to the name and address
printed on the reverse side.
-- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF #ILLS, AGENT.
-- If NON-RESIDENT DECEDENT make check or money order payable to: COHHON#EALTH OF PENNSYLVANIA.
REFUND (CR): A refund of a tax credit, which ems not requested on the Tax Return, may bm requested by completing an
"Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at
tho Office of the Register of Hills, any of the Z5 Revenue District Offices or from tho Department's Z4-hour
answering service for forms ordering: 1-800-36Z-Z050~ services for taxpayers with special hearing and / or
speaking needs: 1-800-447-3020 (TT only).
REPLY TO:
Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601, phone
(717) 787-6505.
DISCOUNT:
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5Z) discount
of the tax paid is allowed.
PENALTY:
The 15Z tax amnesty non-participation penalty is computed on the total of thm tax and interest assessed, and net
paid before January 18, 1996, the first day after the end of the tax amnesty period.
INTEREST:
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes which became detinqumnt before January l, 198Z bear interest at the rate of
six (6Z) percent per annum caIculatmd at a daily rate of .000164. All taxes which became delinquent on and after
January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOOg are:
Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor
198Z ZOZ .000548 199Z 9Z .000Z47
1983 16Z .000438 1993-1994 7Z .O0019Z
1984 llZ .000301 1995-1998 9Z .000Z47
1985 13Z .000356 1999 7Z .O0019Z
1986 lOZ .000274 ZOOO 8Z .OOOZI9
1987 9Z .000Z47 ZOO1 9Z .000Z47
1988-1991 llZ .000301 ZOOZ 6Z .000164
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen [15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
STATUS REPORT UNDER RULE 6.t2
Name of Decedent:
MERLE V. HOKE
Date of Death:
APRIL 4, 2002
Will No.
21- 02 - 0382 Admin No. 2102 - 0382
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:
State whether administration of the estate is complete:
Yes X No
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:
Did the personal representative file a final account with the Court?
Yes No X
b. The separate Orphans' Court No. (if any) for the personal
representative's account is: N/A
Did the personal representative state an account informally to the
parties in interest? Yes X No
October ~/, 2002
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 attache~
Harold S._lrwin, III ~ J
Attorney for Estate oFlt~J~ V. Hoke
35 East High Street
Carlisle, PA 17013
717-243-6090
RELEASE
I, DOROTHY BROCIOUS, hereby acknowledge that I have this day had and
received from DOROTHY BROClOUS, executrix, and HAROLD S. IRWIN, III, the
legal counsel for the ESTATE OF MERLE V. HOKE, deceased, the total sum of Forty-
four Hundred Eight and 64/100 ($4,408.64) Dollars in satisfaction and payment of my
share in the estate.
AND THEREFORE, I, the said DOROTHY BROCIOUS, do by these presents
remise, release, quit claim, and forever discharge the said executrix and attorney, their
heirs, executors and administrators, of and from the said share and of and from ail
actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or
by reason thereof, or any other act, matter, cause or thing whatever, from the beginning
of the wodd to the day of the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County
may discharge the said executrix and legal counsel as to this share upon application,
without further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the
day of October, 2002.
COMMONWEALTH OF PENNSYLVANIA :
:SS:
COUNTY OF CUMBERLAND :
On this, the / ~?'-- day of October, 2002, before me, the undersigned officer,
personally appeared DOROTHY BROClOUS, known to me (or satisfactorily proven) to
be the person whose name is subscribed to the within instrument, and acknowledged
that he executed same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
(SEAL)
Notary Public
NOTARIAL SEAL
LAURA A. TARASEWICH, Notary Public
Susqueharma Twp., Dauphk3 County
My Commission Explre~ Aug. 30, 2004
RELEASE
THAT I, ,~X r4,"4,1 A', /'~'¢¢,~'~, "F~, a-r"~' of First Christian
Church, being authorized to do so, do hereby acknowledge that I have this day had
and received from Dorothy Brocious, executrix, and Harold S. Irwin, III, the legal
counsel for the Estate of Merle V. Hoke, deceased, the sum of Twenty-four Hundred
Sixteen and 48/100 ($2,416.48) Dollars in full satisfaction and payment of church's
share in the estate.
AND THEREFORE, I, the said ,.~R ,~a'~ ~,~ t~.~',~'8' , on behalf of First
Christian Church, do by these presents remise, release, quit claim, and forever
discharge the said executrix and attorney, their heirs, executors arid adrninistrators, of
and from the said share and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for or by reason thereof, or any other act,
matter, cause or thing whatever, from the beginning of the world to the day of the date
of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County
may discharge the said executors and legal counsel as to this share upon application,
without further notice to me.
IN WITNESS WHEREOF,,I have hereunto set my hand and seal the
day of July, 2002.
(SEAL)
COMMONWEALTH OF PENNSYLVANIA :
:SS:
COUNTY OF CUMBERLAND :
On this, the J _/~'J'~ day of July, 2002, before me, the undersigned officer,
personally appeared ~',~.,~ ~. ~x~ , Tt:~,~5,~'~,-.- of FIRST
CHRISTIAN CHURCH., being authorized to do so, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and
acknowledged that he executed same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public
Nd~'~AL s~ . .,--"~
LOUIS J, LORE, Notary PubliC .
¥..Ca.?Jmission'Expires April 14, 2003
m Hitl Boro Cumberland County
.(SEAL)
RELEASE
THAT I, :.%co,V- .~ ~,~,,~,,o~ ,,~ , ~)~,~,~r-- of NEW
CUMBERLAND FIRE DEPARTMEN'I', being authorized to do so, do hereby
acknowledge that I have this day had and received from Dorothy Brocious, executrix,
and Harold S. Irwin, III, the legal counsel for the Estate of Merle V. Hoke, deceased, the
sum of Twenty-four Hundred Sixteen and 48/100 ($2,416.48) Dollars in full satisfaction
and payment of church's share in the estate.
AND THEREFORE, I, the said
_ . . , on behalf of NEW
CUMBERLAND FIRE DEPARTMENT, do by these presents remise, release, quit
claim, and forever discharge the said executrix and attorney, their heirs, executors and
administrators, of and from the said share and of and from all actions, suits, payments,
accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or any
other act, matter, cause or thing whatever, from the beginning of the world to the day of
the date of these presents.
And I hereby consent and agree that the Orphans' Court of Cumberland County
may discharge the said executors and legal counsel as to this share upon application,
without further notice to me.
t_
¢,,I~/}/,I~ESS WHEREOF, I have hereunto set my hand and seal the
day o~',~, 20~'"'---'02. , ,,q .. - ---
Z . . ' /, ' §F..~
/'/£F~'.~/~*,'~',a,,/~'''' cd ,C /~'"t'7~ ~/~ EMOYNE BOROUGH, COUNTY OF CUMBERLAND
:SS:
COUNTY OF CUMBERLAND ·
On this, the day of J**tF, 2002, before me, the undersigned officer,
personally appeared ~',~t'~ /_. ~"~,,w~y~:[[ , -~P~I'4~&~i~' of NEW
CUMBERLAND FIRE DEPARTMENT,/being authorized to do so, known to me (or
satisfactorily proven) to be the person whose name is subscribed to the within
instrument, and acknowledged that he executed same for the purposes therein
contained.
In witness whereof, I hereunto set my hand and official seal.
' NOTARtAL SEAL
BETTY K, HOOVEN, NOTARY PUBliC
? c0 ss,0. 2,
Notary Pu~ic
(SEAL)