HomeMy WebLinkAbout11-14-13 (2) � 15�561�105
REV-1500°`{°�11„�> �
OFFICIAL USE ONLY
PA Department of Revenue ��� �ty� y� F��
Bureau of Individual Taxes INHERITANCE TAX RETURN � � � /��/ �
PO BOX sso6oi RESIDENT DECEDENT '=-� C� t
Harrisburg PA i�i28-o601 -_
ENTER DECEDENT INFORMA'110N BELOW
Social Security Number Date of peath MMpDYYYY Date of Birth MMDDYYYY
052-22-7431 Q2/26/2013 06/21/1913
DecedenYs Last Name Suffa DecedenYs First Name MI
Allyn Darline
(It Applicable)E�rter Surviving Spouse's I�ormation Below
Spouse's last Name Suffix Spouse's First Name M�
�°"�S���"�N1Q1� THIS RETURN MUST BE FILED IN DUPLICATE WRH THE
REGISTER OF WiLLS
FlLL IN APPROPRIATE OVALS BELOW
� 1.Original Retum O 2.Suppiementai Retum p 3. Remainder Retum(Date of Death
Priw to 12-13-82)
p 4.Limited Estate p 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Retum Required
death after 12-12-62)
� 6.peoedeM pied Testate O 7.Qecedent Maintained a Living Tnist _ 8.Totet Number of Safe Deposit Bo��es
(Attach Copy of NViil) (A��PY of Trust.)
O 9.Litigation Procesds Received O 10.Spousal Poverty Cre�t(Date of Death O 11. Electlon to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Sc�edule O)
CORREgPONpENT—THIS SECTION MUST BE COYPLETED.ALL CORRESPONDENCE AND CONflDENT1AL TAX INFORMATION SHOULD BE�RECTED T0:
Name Day6me Telephone Number
John J. Hickey Jr. (717)258-5592
�
nRE(iiSTER OP�l.L3� LY
� � i'o'1 �
3� � :� t") CJ
�
� � G ;J� %�3
First Line of Address � �. � .,..,� Cs
1245 Kuhn Rd � � � --� �� �
Second Line of Address � � � � �
tw7 `-7 � '^� 'T� "rl
� p ".9" � '"1
r� C� DA�� -`.:'° C`"j
City or Post Office State ZIP Code „„y �---
-v E,.s cn Ca
Boiling Springs PA 17007 � � '�
corresponaenYs e�rnai�addreas:�andpah�comcast net
U�der penelties of pery'�uy,I dedare ihat I heve ex�tlds reWm�induding aoeompenying schedules and statemerds,and�ihe b�t of my Iv�a�ledge and beCref,
it is true.cared and camplete.Dedaration afi preperer o4her than the personal rep►esentaWe is based on aN mFortnetion d which preparer h�as any la�ow�edge-
SIGNA7URE OF PER PONSI FILIN t�TURN �T�
11/12/2013
An�ess
1245 Kuhn Rd, Boiling Springs, PA 17007
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE UsE ORIGINAL FORM ONLV
Side 1
� 150561�105 150561�105 �
1"
t�
� 1505610205
REV 1500 EX(FI) DecedenYs Social Security Number
DecedenYs Name: Dariine Allyn 052-22-7431
RECAPITULATION
1. Real Estate(Schedule A). ........................................... . 1. 0.00
2. Stocks and Bonds(Schedule B) 2. 0.00
.......................................
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0.00
4. Mort a es and Notes Receivable Schedule D 4. 0.00
9 9 ( )...........................
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5. 49,550.70
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6. 0.00
7. Inter-Vivos Transfers 8 Miscelianeous Non-Probate Property 0.00
(Schedule G} O Separate Billing Requested........ 7.
8. Total Gross Assets(total Lines 1 through 7)............................. S. 49,660.70
9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. 20,118.36
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............... 10. 12,572.07
11. Total Deductions(total Lines 9 and 10)................................. 11. 32,690.43
12. Net Vafue of Estate(line 8 minus Line 11).............................. 12. 16,86027
13. Charitabie and Govemmental Bequests/Sec 9113 Trusts for which 0.00
an election to tax has not been made(Schedule J) ........................ 13.
14. Net Value Sub'ect to Tax Line 12 minus Line 13 ........... 14. 16,860.27
1 � ) .............
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.0_ 15. 0.00
16. Amount of Line 14 taxable 758.71
at Iineal rate X.0 45 16,860.27 �g.
17. Amount of Line 14 taxable 0.00
at sibling rate X.12 ��•
18. Amount of Line 14 taxable 0.00
at collateral rate X.15 �$•
19. TAX DUE......................................................... 19.
768.71
20. FILL IN THE OVAL IF YOU ARE REQUE3TING A REFUND OF AN OVERPAYMENT 0
Side 2
� 1505610205 15�5610205 J
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENTS NAME
Darline Allyn
STREETADDRESS
11 Kitszell Dr
CITY STATE ZIP
Carlisle PA 17007
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 758.71
2. Credits/Payments
A.Prior Payments
B.Discount
Total Credits(A+B) (2) 0.00
3. Interest
(3) 0.00
4. If Line 2 is greater than Line 1+Line 3,enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. �4)
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 758.71
` 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 or income of the property Uansferred.......................................................................................... ❑ �
b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ �
c, retain a reversionary interest.............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ �
2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death
without receiving adequate considerationl.............................................................................................................. ❑ �
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his o�her death?.............. ❑ �
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation? ........................................................................................................................ ❑ �
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994,and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the sunriving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)].The statute dces not exempt a transfer to a surviving spouse from ta�c,and the statutory requirements for disclosure of assets and
filing a tax retum are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
. The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)�.
• The tax rate imposed on the net value of transfers to or for the use of the decsdenYs siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV�08 IX+(o8-iz)
4�- scNEOU� E
`���' pennsytvania
o�aarr�r oF a�va� CASH, BANK DEPOSITS 81�MISC.
�T^�T�� PERSONAL PROPERTY
rt�stoerr o�oerr
ESTATE OF: FILE NUMBER:
Da�line A[lyn 21-13-0314
Indude tlie proaeeds of liagation and U�e date the proceeds were reoelved by the c�tate.
All pi^operty joiM�t owned witf�right of survivorahip must 6e disclosed on Schedule F.
�M VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
�_ Checldng Acct Balance(Last Bank Statement Attached) 46,081.44
2 Deposit 3i15/13 of'ComcasY and"HMA"refunds 85.26
3 Items removed prior to appraisal(several podcetbodcs and small Idtdien appliances) 50.00
4 peposit 8126t13'Tenant Property Insurance Refund' 159.00
5 Personal property at residence(Apprais�attad�ed) 3,175.00
TOTAL(Also enter on Line 5,Recapitulation) $ 49,550.70
If more space is needed,use additional sheets of paper of tlie same size.
REV-1511 EX+(08-13)
� pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RENRN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Darline Ailyn 21-13-0314
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Malpezzi Funeral Home(statement attached) 15,671.73
2 Gate of Heaven Cemetery for Marker and Base 2,625.00
s 0'Rourke Monument Co for engraving on husband's tombstone 125.00
e. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions: 0.00
Name(s)of Personal Representative(s)
Street Address
�i�, State ZIP
Year(s)Commission Paid:
0.00
2. Attorney Fees:
0.00
3. Family Exemption: (If decedenYs address is not the same as claimant's,attach explanation.)
Claimant
Street Address
�i�, State ZIP
Relationship of Claimantto Decedent
4. Probate fees:
138.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
�• other costs:
a Aucfion Service Appraisal fee 45.00
b Aucfion Service Hauling fee 35.00
c Auction Service Commission at 35% 837.37
d Executor's Notice in Local Paper(Carlisle Sentinel) 104.58
e Executor's mileage in administering estate(949 miles at$.5651mi) 536.18
TOTAL(Also enter on Line 9, Recapitulation) � 20,118.36
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+ (12-12)
� pennsylvania SCHEDULE I
DEPARTMENTOFREVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RENRN MORTGAGE LIABILITIES &LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Darline Allyn 21-13-0314
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses,
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1• Check dtd 02/10/13(prior to death)cleared decedents account 03/04113 32.00
2 Reimbursement for 1 year's Utilities at 11 Kitszell Dr,Carlisle,PA(Gas,Electric,Water-Sewer,8�Lawn
Svc paid on behalf of decedent by prior arrangement with decedent) 4,890.75
3 Reimbursement for Utilities(for separate year from item 1.) 4,734.67
4 Presbyterian Homes Inc for room expenses at Green Ridge Senior Living Facility,Feb 2013 2,775.22
5 Century Link Telephone Bill(Final Bill for Kitszell Residence) 8•62
6 Messiah Lifeways Home Emergency Call System final bill 9.12
7 Newville Community Ambulance Svc(Patient amount to meet deductible) 117.60
8 Vrtuox Inc for Lab test in 2012 4.09
TOTAL(Also enter on Line 10,Recapitulation) $ 12,572.07
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
:� pennsylvania SCHEDULE �
DEPARTMENT OF REVENUE
INHERITANCE TAX REfURN BE N E FICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Darline Allyn 21-13-0314
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUlIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1. Antoinette A.Hickey, 1245 Kuhn Rd,Boiling Springs,PA 17007 Daughter 16860.27
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CNARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET: $ 0.00
If more space is needed,use additional sheets of paper of the same size.
I,AST WILI� AND '1'�STA.M�NT
OF
DARL,IIN� ALLYN
KNOWALL MEN BYTHESE PRESENTS,t�at I,Darline Allyn,o�I I Kitszel Drive,
Carlisle, Cumberlancl County, Pennsylvania, bein� in goocl �ea1t� and o� sound �d d��g
memory,ao�ereby ma.�xe,declare, anc�.publis�t�is as my Last Will and Testament,�ereby revo�in.g
a.11�orm.er Wi.11s and Coc�.icils�ereto�ore maa.e by me.
FIRST: I c�.irec�t�at all my just debts a.nc�expensea o�my last i�ness and�uneral expenses
s1�a11 be paid by my Executor, �ereina�ter namecl, �rom my estate as soon a�ter my c�ecease as s�all
be �ound eonvenient.
SECOND:
�
(a) I give persona.l gi�ts o�t�e items listed and to t}ie inc�ividuals named on t�e Listing o� �
Personal Gi�ts attac�ed to t�is Will.
(b) I give,devise, and bequeat�all t�e rest,residue,and remainder o�my estate, w�et�ier rea1, �... �
persona.l or mixed, o� any nature w�atsoever and w�erever situated, including any lapsed or void r�
legacy, to my dau$�ter, Antoinette A. Hieliey, 1245 Kuhn Roa.c�, Boiling Spr,'.ngs, PA, i� s�e �;
survives me by 90 days.
�1
�
(e) I�my c�.a.ugliter,Antoinette A.Hic�xey,predeceases me or is not�ivin�on the ni.nety-{irst ;`
day a.�ter my deat�, t�en I give t�e rest, residue, and remainder o� my property w�et�er rea.l, �
persona.l, or mixed, to my son-in-law,Jo�J. x��k�,Jr., 1245 Kuhn Road, Boiling Springs, PA. �
I�bot�o�t�e devisees listed in paragrap�(c)predecease me,t�en I give t�e rest, resir�ue and ; �
\
remainder o�my property, rea1, personal or mixed, to my grancic�c�.ren in equal s�azes. '�I�ey aze: ` ,
Julie Olson, 602 Foster Street, River Falls, Wisconsin 54022; Ric�ard Fox, 13940�intergreen �
Street, N.W., Anc�over, Minnesota 55304; .A.�ister St. Clair, 114 Hilltop Lane, S�eepy Hollow,
I�inois 601I8;Mic�ael C. Hic�xey, 1311 West.�i�s Lane, Reston,Virginia 20190;Jo�n J. Hic�ey,
III,2878 Cox Street,DuPont,Washington 98327;Je�{rey A.Hic�ey,8557 Dellway Lane,Vienna,
Virginia 227.80;anc�.Rosemary O'Neill,46707 S.E. 156�'Place,Nork�Bend,Was�in.�ton 98045.
THIRD: I�ereby nominate, constitute, and appoint Jo�n J. Hic�ey,Jr.,as F�eeutor a�t�is
my Last Wi�. and Testament. I�my Executor�a.ils to serve, or �or any reason�ai�.s to continue to
1
serve, I t�en appoint Antoinette l�i. Hic�ey to serve as �xecutrix.
FOURTH: I direct tha.t my Executor, or�is successor,s�not be requirec�to�urnis�any
bond or ot�er security�or tlie:Eait��perEormance o��is duties,notwitb►standix�any provisions o�
law to t�e contrary.
FIN"TH: My Executor s}�a.11�av+e, in acldition to t�e powers and ant.�►ority con�errec�upon
bim by la.w, t�e�ollowing aciclitional powers an�.aut�ority:
1. 'ro �i�t, sell at pub�ic or private sa1e, egc}ian�e, lease, mort�age, or plec��e any property,
rea�. or personal, constituting a portion of tbis esta.te, at any tixne, and upon sucl� terms a.nd
conc�.itions as�e s�deem wise.
2. To invest any money at any time in sucl�bonc�s, stoc�s, notes, real estate,mortgages,life
insurance, annuities, or ot�er securities, or suc� property, rea� or personal, as �e s�a�.l deem wise, ,
wit�out being limited I�y any statute or ru�.e o�law re�arc�.in� investments by t�e Executor.
3. `I'o reta.in, wit�out in.curring any liability, as investments, any propezty owned by me at
t�e time o�my deat�, as long as�e deems it wise, and even t�ou��suc�property is not t�e�ind o�
property�e wot�d puxc�ase as an investment, and even t�oug�to retain suc�property mig�t violate
saund diversi�ication principles.
��
4. 7'o cause any security or ot�er property w�ic�may at any time constitute a portion o�my
estate to be issue�.,�eld, or registered in his own name, or in t�e name o�a nominee,or in suc��orm
t�at title will pass by c�e�ivery.
�
5. To consent to t�e reorganization, conso�ida.tion, reac�.justment o�t�e�inancial structure, �
or sale o�t�e assets o�any corporation or ot�er or�a,nization, t�e securities o�w�ic� constitute a �
porti.on of my estate, and to talze any action with reference to such securities which, in-t�e opinion �
o� my �xecutor, is necessary to obtain t�e bene�it o� any suc� reor�a.nization, consolic�ation, �
�
rea.c�.justment or sale; to exercise any conversion privilege or subscription ri��t given to liim as t�e ,
owner o�any securities constituting a portion o�my estate; to accept and�old as a portion o�my ,f
estate aecurities resu�.ting{rom any reor�anization, consolidation,reacljustment, sa1e, conversion, ar
subscniption.
6. To pay all costs,taxes,c�azges and expenses in connection wit�t�e at�ministration o�my
estate.
7. To determine w�at is "Income" and w�at is "Principal" �ereunder, an�. �is decision
2
thereon s��e�ina1; and to pure�ase securitiea at a premium or c�.iscaunt, and to apply or c�ax�e
said premium or discount against income or principal as�e may determine.
8. To gi{t,trans�er, sell, e,xchange, partition, lease, mort�a�e, pled�e, give options upan, or
ot�erwise dispose o�any property at any time�e� by bim, at pub�ic or private sa1e, or ot�erwise.
9. �I'o borrow money{rom any person,�irm.or corporation,�or tb.e purpose o�protecting and
presezving or improving my esta.te or to execute promissory notes or otber ob�ations�or amounts
So bo���d.
10. To employ legal counsel, accountants, bro�ers, investment ac�visors, cnstot�ians,
managers, ana. ot�er a�ents and employees and to pay t�em reasona.ble compensation ont o�my
esta.te or out o�a,ny{und�eld�ereunder to w}�ic�said compensation is attributable.
lI. To c�o all otlier acts in �is judgment nscessary or desirable for t�e proper and
ac�vantageous mana�ement, inv�estmeut, and distribution of my estate.
SLXTH: I direct t�at all trans�er and in�eritance taxes, state or�ederal, assessec�because o�
my dea.t�,w�et�er t�e�unds,property,ox iz�surance proceec�s to whic�suc�taxes axe attributa�le pass
under tbis Will or not,s�all be paid out o�my residuary estate just as i�t�ey were my debts and non�e
a�tliose taxes s�a�be c�argec�.agai.nst any bene�iciary;t�at my�xecutor pay,or provide�or payment
o�all suc�taxes at suc�time or times, and in suc�manner as my Executor deems best.
S�'V�N`I�H: All questions as to t�e validity o�t�is,my I.ast Wi�, or t�e a.c�.ministration o� �
tlze Will s�all be gov+erned by t�e laws o�t�e Commonwealt�o�Pennsylva.nia. �
�IGHTH: Except as ot�erwise provided in t�is Will, I�ave intentiona�y�ailed to provide
i
for any ot}ier relatives or ot.�er persons, w�ether cla.iming to be an�eir o�mine or not. Inso�ar as I �
liave�ed to provide in t.�is�ill�or any o�my issue now living or later bom or a.d.opted, suc��ure �
is iuitentional and not occasione� by accident or mista�ze.
IN �iTI11VESS WHEREOF, I, Darline Allyn, �e Testa.trix to t.�is, my Last Will and
Testament, typewritten on t�ree (3) s�eets o�paper w�ieh I�ave identi�iea in t�e mar�in o�eac�
page by mq si�nature, �ereunto set my�and a.nd sea.�t.�is 6�'clay o�Marc�, 2006.
f ;
� ��tE'.
Darline Allyn
3
la
�e preceding instrument consistin� o�tbree (3) typewritten pa�es, eac� iclenti�i.ed by t�e
signature o�tlze Testatrix, Darline Allyn, was on tliis day a.nd cla.te signed, pub�ec�., and d�l�d
by �er, t�.e Testatrix t�erein namec�., as anc�. �or �er I.ast Wi�, in t�e presence o�us, w�o at �ez
request, in�er presence, anc�.in t�e presence o�eac�ot�er�ave su�scribec�our names as witnesses.
��, ' �
Lf'l�L�,.�C•C.[r �i 1`,�Lt.:.C� - ...'�
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( ��'' .
� C,���,�.
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
I, Darline Allyn, Testatrix, w�oae name is si�ned to t�e attac�ed or�oregoing instrument,
�aving been duly qu�i4'ied accord�g to law, do�ereby ac�n.owled�e t�at I signecl and executed t�e
instrument as my Last Wi� on t�e b`� c�ay of Marc�, 2006; t�at I signed it willin��y; and t�at I
si�ned it as my�xee a.n�voluntary act�or t�e purposes t�erein expressed.
� `
Darline Allyn
Sworn or a.�irmed to �d ac�nowlecl�ed be�ore me, by Darline Allyn, t�e Testatrix, t�is 6�' day of
Marcl�, 200b.
�� �
�
, � 1 �
�` �
y . F �J �
i •� �4-'L c�
Notary Public
Natacial Sea� - {
Nven 3.Baird, Notary Public
Carlisle Baro. Cun�edand Counry
bIy Commissior Expires Nov 2. 2006
4 Member,PerxsvEvaniaAss�iatianott�ries
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
We,t�e witnesses w�ose names are signed to�e atta.c�ecl or�are�oing uastrument,bein�duly
qua�ied according to�aw, do depose and sa.y t�at we were present and saw Darline Allyn sign anc�.
execute t�e instrument as a coc�icil to�er Last Wi�; t�at she signed�gly�d tb,at s�.e executed
it as�er�zee and voluntary act�or t�e purposes t�erein expressed;t�at eac�o�us in t.�►e�earing and
sig�t o�Darline.A.11yn si�nec�t�e coc�ici�as witnesses;and t�at,to t�e best o�our�znowlec�ge, Darline
Allyn was at t�e time eig�teen (18) or more years o�age, o�sound mind, and under no constraint
or undue influence.
\.._L_ ` ?��''�, :,{jli-� t C'�
� ''�-' - ---F-
! �
L, ,��,.� �,�--v�.�..�..�,
Sworn or afbrmed to and subscril3ed to before me by the
a.bove-named witnesses, tbis 6�'c�.ay o�Mare�, 200b.
�``��� . .
! 1 :�.. " F: - aC.�i.'L. �=
Notaxy Public
�
Notaria! Soal
Niven 7. Baird, NotarY PabGc
Carliale Boro. Cumberladd County
5 My Comm�sion Fa�pires Nov. 2, 2006
�„o.......-.�,.�..,:oaccrr`iAlit1f10fN0ffifl@S
� ETRt�
Metro Bank
3801 Paxton Street
E�A N K �msburg PA 17117-1418
1-888-937-0004
mymetrobank.c�m
>�5388 3197263 DO1 D92140
DARLtPiE ALLYN
11 KITSZELL DR
CARLISLE PA 17013
WeYe hene 7 deys a week,2�hours a day at 1-888-937-0004.
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Totai Retumed Item Fees Year to Date s0.00 �
Fw ycxu convenience,a summary of overdraft and retumed item fees appears on y�wr monthty statement. Please rwte that the overdraft fee
summery includes rwn-sufficlent funds fees,uncdlected funds fees and unavailable funds fees. The summary does not reflect refunded or waived
items credited to your accrount.
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NnTF•SFF RFVFRSF SII�F FnR IMPnRTANT INFnRMATInN Mnmhcar Ft�IC:
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B��� Metro Bank
3801 Paxton Street
Harrisburg PA 17111-1418
1-88&937-OOO�I
mymetrobenk.COm
01772 3194693 001 092140
ESTATE OF DARLINE ALLYN
JOHN J HIGKEY JR
EXECUTOR
1245 KUHN RD
BOILING SPRINGS PA 17007
We'ha Nere 7 deys a week,24 hours a dar at t-888-93T-000�1.
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���P E�� ESTAtE CHECKiNG 2843510104
StetemeM Baiar�e�of 03115J13 i0.00
Plua 2 Depoaits and Other Credifs 5�6,134.70
Less 5 Checks and Olher Debits 528.080.99
Statemenit Baiancs as oF 03/31/13 S78,OS3.71
Transactions By Date
�e Qe �eatc c.ea�c ea�ce
o�t t�� `-�srs'.zs
0.3H 5d13 CUSTOAAER DEPOSR ;46.049.44 546.134.70
03/20M3 CHECK�679 �4,880.75 f41.243.95
03/20h3 CHECK i�681 54,734.67 536,509.28
03/22/13 CHECK#660 52,775.22 533,734.06
0�13 Ce�turyUnk BILL PYMT 58.62 S33,T23.44
$ERU1L NUMBER:q2 0000000000000313622426
�1126/43 CHECK�683 545,674.73 548,653 71
Check Transactions
Number Dale Amouot Number Date Annawrt Number Date Amount
B79 03IZU 54.890.75 680 03/22 i2,775.22 681 03120 �.T34.6T
683" 03126 515,671.73
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NOTE:3EE REVERSE SIDE FOR tMPORTANT INFORMATION Member FDIC
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380,�,sa�e
Harrisburg PA 77111-1418
1-888-537-0004
. myrnetrobank.can
Q2504 3654466 U01 09�340
ESTATE OF DARLINE ALLYN
JOHN J HICKEY JR
EXECUTOR
1245 KUHN RD
601LING SPRINGS PA 17007
WeSs here T dsys a weel�y Z!hours a dryr at t-888-93T-OOd4.
ESTATE CHECKING 2843510104
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less 7 Checks and Otlisr Debils 54-09
Sta�ent B�anee�of 10131113 Si5,331.90
Transactions By Date
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Check Transactions
N� oats n�wo� a�nb� oam a�wuM Numeer uate amw,rN
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. 7
ROWE'S AUCTION SERVICE
2505 RffNER HIGHWAY
CARLISLE,PA 17015
717-249-1978
To: J�n J.Hidcey
1245 Kuhn Road
Boiling Springs,PA 17007
From: Williatr►G.Row�
Row�e's Auction Service
2505 Ritner Highway
Cariisle,PA 17015
Re: Estate of Dariine Alhm
Persona!Property Appraisa4
Date: May 23,2013
DINfNG Rl'X�M
Dining room set $250.00
NVall hangiru)s $50.00
Stand $10.00
Books �20.00
Glassware l stemware $20.00
Flatware $40.Od
Chairs $20.00
LIVING ROOM
Rediner $40.00
-Coiiee tabie $40.00
Lamp $'!0.00
-�ng chair $30.00
Jewelry chest-4 drawer $50.00
Bookcases(2) $10Q.00
T.V./stand $10.OQ
Stand 8 lamp �20.00
Coffee tabie $10.QU
Nest of stands $65.00
Ship tarrtem $50.00
CoNec�ion of costume jeweiry $165.00
KITCHEN AREA
Tabie/4 chairs $150.Q0
Set dishes $40.00
- Sideboard $150.00
Sterii�9��� $650.OU
Stangl dishes $50_0p
China $30.0p
Misc�elianeous t►ousewares $45.00
Washer/dryer $115.00
Miscellaneous household g�g,pp
Pots/pans $20,0p
AllYn ApPraisal 1
a
PORCH
Widcer set $100.00
Lounge $25.00
Stands $10.00
BEDROOM
Bedroom set $5E)Q.00
Chair . $Z5.00
Lamps $15.00
Misceilaneous housewares $10.00
STUDY
Upholstered chair $40.pp
Oval badc chair $25.�
Tudc-a-way tat�e $100.00
Sewing machine-no value $0.00
Comer cupboard $15.00
Hummels $45.00
TOTAL $3,175.Q0
Note: Values are based on current prices in the cer�tral Pennsyhrania area.
„
.� �
Witliam G. Rowe
Allyn ApPreisai 2 0�/23/2013
Malpe.ZZi Fune�al Home
8 Market Plaza Way (717)697-4696
Mechanicsburg,PA 17055 www.MalpezziFuneralHome.com
Jeremy J.Shartzer,FD Michael J.Malpezzi,Owner,FD Kyle C.Knipe,FD
March 1$,2013
Penny Hickey
1245 Kuhn Road
Boiling Springs,PA 17007
This is the final statement for the funerai services of Darline Smith Allyn
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way.
PROFESSIONAL SERVICES:
Limousine $275.00
Services of Funecal Director/Staff $5,475.00
FUNERAL HOME SERVICE CHARGES $5,750.00
SELECTED MERCHANDISE:
Solid Cherry Casket $4,825A0
Sentinei Vault $1,450.00
Guazdian Angel Register Package $75.00
THE COST OF OUR SERVICES,EQUIPMENT,AND MERCHANDISE
THAT YOU HAVE SELECTED 512,100.00
CASH ADVANCES:
At the time funeral arrangements were made, we advanced certain payments to others as an accomodation.
The following is an accounting of those charges.
Opening Grave $1,060.00
Cemetery Equipment $200.00
Certified Death Certificates $30.00
Newspaper Notices-Patriot $297.47
Newspaper Notices-Sentinel �274.26
Clergy/Mass Offering �250.00
Organist $150.00
SoloisbCantor $75.00
�towers $150.00
Altar Servers 560.00
Grave Space $1,025.00
TOTAL CASN ADVANCES AND SPECIAL CHARGES �3,S71J3
CONTRACT PRICE $15,671.73
TOTAL AMOUNT DUE BY March 28,2013 $15,671.73
If you have any questions or concerns regarding this bill,please call our office at(717)69�-4696.
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PROOF 4F PUBLICATIUN
State of Pennsylvania,County of Cumberland
Tackie Cox,Sales Director,of The Sentinel,of the County and State aforesaid,being duly
sworn, deposes and says that THE SENTINEL,a newspaper of general circulation in the
Borough of Carlisle,County and State aforesaid,was established December 13�, 1881,
since which date THE SENTINEL has been regularly issued in said County,and that the
printed notice or publication attached hereto is exactly the same as was printed and
published in the regular editions and issues of
THE SENTINEL on the following day(s):
March 28,Apri14&11,2013
COPY OF NOTICE OF PUBLICATION
EXECUTOtt NOTlCE
Lette►s TestamenNary on the Estate of DARUNE At,LYN
late of Soufh Middteton Township,Cumberlaad County,Pennsylvania, .
' deceased,have been granted tot he undersigned.
Ail persons knowing themseNes to be indebted to said Estate witl make
payment immediatety and those having claims wiil presenf for settlement.
�on�H.H��eey��. Affiant further deposes that he/she is not
Boiling Spn'ngs,Padi�oo� interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement as
to time,place and character of publication
are true.
��
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Sworn to and subsc ibed before me this
�
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Notary Public
My commission expires:
:
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