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HomeMy WebLinkAbout02-0417 E~uecl Richard D. Banks also known u~1 crfAAb nALE.]ANKS Register of Wins of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS - No. ell - 0.1 - J..Ill c~ ,D8alased SociaJ S.curity No. 207 - 2 2- 0818 Barbara A. Banks hCoon.rtl), who iLla.ra '8 yun of ~ l)( older, awlyf-l tr. (COMPLETE 'A' OR "6' BELOW:) [) A. Probate and Grant of lGners Testamentary and awr ht Petition.ril) Ware the exeaJt r i X namltd n the Ian Wil of ~.Decedent.dated February 8, 1982 andcodidl(l)det8d N/A ~ .......... dta.wT.~ .4- ~. ~ 01 U_. IIlC. EJo:C9pt as fonawl, Decedent did not many, was not divorced, and dd not have. child born or adopted attar eXeaJtion 01 the documents oHered for probate; was not the victim 01 a killing and was never adjudcalBd incompewnt: o B. Grant of letters of Administration \db.1ILL&.; __ tI.; Gu......... -..ala; d_ """"'-- Petitioner(ll .ltar a proper Harch haaAl.... .scertained that Decedent lelt no Will and waa l.....-ived by the following SpouH (If any) 8t'ld ~~: - I Name Relationship Residence I (COMPLETE IN AU.. CASES:) AJad'l ad(h~ U-~ ~~. Decedent was domiciled a1 death in Cumber land County, Pennsylvania. wilh hishl8l' Iut family 0( principal residence at 5040 Erbs Bridge Road, Mechanicsburg, PA 17055 (Hampden Township) (IiatllTHt. num~ and rmniapaJily) yell1'lolage,dedJanuary 29 .~2002at Holy Spirit Hospital (l..ocation) Decedent. then 72 Decedent at death owned property wilh estimated values as taJlowa: (11 domia1ed n PAl AD personal property (II not domio1ed n PAl P8I'I0naJ property in Pennsytv.nla (If not domiclled in PAl P8f$onal property In County Value 01 real estate in Pennlytvania $ $ $ $ ~4,~)U.UO 17055 (Silver Spring puted as tanawa: 11 Millers Gap Road, Mechanicsburg, PA Twp. ) \ Where lore. Petitioner(s) respe-ctfuny request(l) !he proba\8 01 the last Will and CodiCll(s) prelented with !hil Petition and !he grant of 1atl81"1 in !he appropria18 fonn to !he undersigned: s nled name and resIdence Barbara A. Banks 5040 Erbs Bridge Road Mechanicsburg, PA 17055 Form .RW.1 Paoe 1 of 2 P'.pared by Il'w PamlYIvania Bar A...oo ation 1 DQ1 ) ~ "-oct - " Oath of Personal Representative :; ~..... ~ . -, d Commonwealth of Penn~'Yrvanla ", County of Cumber land c. c:: The Petitioner(s) above-named S\vear(s) or atfinn(s) that the statements In the foreooi~ Petition are true and correct to the best of the knowledge 2nd ber,ef of Petitioner(s) and that. as personal re:~resentative(s) of the Decedent, Petitioner(s) '0''';11 well and truly adrrinister the estate according to law. __. Sworn to or affirmed and subscribed ~ ~~~ \\"H N ~I".::l.~ 0.r Barbara A. Banks ~ G1 before me this 18th day 01 JUNE Xg]OO No. 21-02-417 Estate of Richard D. Banks Deceased Social Security No: 207-22-0818 Date of Death: January 29, 2002 AND NOW. JUNE 18 . 1S 2002 , In consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, rT lS DECREED that Letters rn Testamentary 0 Of Administration' d..luu:..l..a.; ~ ...; clur aI1I6 lIbo...roa; dOl _ rrinor'- are hereby granted to Barbara A. Banks in the above es1ate and that the Instrument(s) dated February 8, 1982 described in the Petition be admitted to probate and filed 01 record as the last Will of Decedent. letters ..................... $ 200.00 9.00 At1orney: FEES Short Certificate(s) .... $ Renunciation ............ $ LD. No: 52801 Mdr...: 3464 Trindle Road Affidavits ( ) ......__... $ Ex1ra Pages ( ) ......... $ Codicll ...................... $: JCP Fee ................... S 5.00 Camp Hill. FA 17011 \ Tglephone: (717) 763-7613 Inve ntory .................. $ ()ther ............ ........... S TOTAL ._.......... $ 214.00 filed 6- 18-02 mailed to atty 6-19-02 Fotm wRW., p~ 2 at 2 Pr.pat~ by Ihot Peo<YUylvania e..w .A...oci...Don '00' HH\S.s:~OS REV (),(~(, This is to certify that the information here given is correctly copied from an original certificate of death dl}ly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent tiling. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~A1M/f1.&w~ Local Registrar Fee for this certificate, $2.00 p 8066120 ~~A'$, 1.,)Or)~ ate ~i10~ ;43 Att.... 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH ,YPI0PRINT 'N PERMANENT BLACKIH" ~ ;;J :.{ o ~ o ~ < z .JOt'G ='YIO RACe . Am..-.can~. 8aw;k, WhII_. life "''''''''' ,.. wh1re SUfMVIHG SpOUSE L1' ... gMt INIden MIMI 11.. 11 OECEDENT'S MAIllNG AOOAESSCSII....~. sa.. ZlpCodel foyo E-eBS BIf?"/)(;"c: Ro"D '0. /!4t:CK4K, <:-5d'<.J"ec; "P". ,,7oS'r FR>>eR'S NAME (FIlII. Ml()(M. LaIt) ,lb. Did - .....in. .CuAkPLA.#A townlIhip? l1d.O ~~':::of YOTHER.S NAME (f".. 1lWdIe. ......... &.llname) ..... ""'- ~.ornSt...D &J '" ::> <n ! :J l~~~~~- 23b. 2 \'Wi CASE REFERRED TO MEDICAl. EXAMINEAJCORONER? ... ",.0 ~ I Approalmat. PART 1-: 0tbIr sigroflcanl ~ COI'ICf'Wing If) dHlh. bur l=..= nol.......illginthl~c.....QMninPAATI I I .... IME OF DEATH ... 5" 4.s 27. HAT .; Enter me diN..... ~utMts Of compk.allOAll which caused"", deillh Do to... Only ONI cause Ot'IHch Ii,. l : DUE 10 (OR AS A CONSEOUENCE: Of): DUE to(OR AS A CONSEQUENCE Of) ....... Gf o o DATE OF INJURV lMaoth. O.y. 'Marl TIYE Of INJURY \NJUf\'C iii WORK1 DESCFtiE HOW INJUR'" OCCUAAEO. WERE AUlOPSV FINDtNGS """'llABLE PNOA 10 COMPlETION OF CAUSE OF DERH7 MANNER Of DEAT.... Accident Pending ltwnli9l"iOn o o o PlACE OF INJU~Y. At~, lan'rl. .'....Iactory. omc_ ... bulking. etC. ISpec,1v) _. _ 0 "',0 -.... Hom_ ...lif" ,.. 0 ...0 Cot*SnolI be dete,m,ned .3... 2ab. CE'"""i:ft let-eel!. Only ~I 'CfR1WV1NG PKV$IeIA" (Ph)'SlCo.an cetWylng cause d de;lll\ ...tIe,.. ,jflothttf phVSIC""" has pronounced dealh ana COfflt)l~led lIem 231 To'" be.t of moW flnowt.ctv-. de.th occufQd....... c.u..(...nd man,.,.. .'.Itlld. ... .UEOtCAL EXAMINER/CORONER On In. b..is of ...min.llon and/Of inv.aUg.lion, in my opinion, d...h occu,.,.d allhe lime, dal.. and plilce, and due 10 In_ C8useCS) and mann.ras'laled..................... ................ ............. ........ ...........,.....................,...,. Jla. REG..IST'1~'S SIGNAtURe AND NUMBER u J1U~ i k;{ /1.:6/1.;<1 0" . LICENSE UBEA NEOlMonlh. Oa)'_ ....) ,,< Mb O{(.{ IWL.. "0. \ (1.1 { O',\- N.4ME AND ADORESS oF PEASON WHO COMPLETED CAUSE OF DEATH o"'m21\..z:.~~-tOS , lZ" t.>e t t IMP 032. 1.0'1 H "V~~ (' tl/"JA. DATE FILlED (MonIh Da'f', ""all .PRONOUNCING AND CERTIFVING PHYSIC.AH jPtt\lSlCliiln boti1 iJlOfl(ly(lCIl'"IQ uedlh <;tnd t:;erblytll9Iocau:>e 01 dtM1ll1 To the bat a' m., knaw~.. .a'" ~,"Md allt\a...... da... ;md ptK., encI dYe UI ,.... cauMt.) and mann.,.. .'a'ed.. . ,. ;:eh~ I; ~ - c1/- 0.)- 4/1 BE IT REMEMBERED THAT I, RICHARD DALE BANKS, of the County of Cumberland and Commonwealth of Pennsylvania, being of sound mind, memory and under- standing, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking and making null and void any and all Wills and Codicils, or writings in the nature thereof, at any time hereto- fore made by me. FIRST: As my Personal Representative, I nominate and appoint my wife, BARBARA ANN BANKS, to be the Executrix of this LAST WILL. In the event BARBARA ANN BANKS is unable or ceases to act for any reason whatsoever, I nominate and appoint my son, SCOTT DALE BANKS to succeed as Executor of this LAST WILL. SECOND: I direct that my debts and funeral expenses be paid as soon after my death as is practicable by my Personal Representative out of my estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for Federal estate valuation or tax purposes. THIRD: I direct that all estate, succession, legacy, inheri- tance or other transfer taxes, however designated, that shall become payable by reason of my death in respect of all property comprising my gross estate for death tax purposes, whether or not such property passes under this LAST WILL, shall be paid by my Personal Representa- tive out of my estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for Federal estate valuation or tax purposes. FOURTH: I give, devise and bequeath all my property, whether FIFTH: In the event my wife fails to survive me: A. I give and bequeath all my guns and accessories, my power and hand tools and accessories, and my tractor and accessories, to my son SCOTT DALE BANKS. B. I give and bequeath all my wife's jewelry, my wife's fur coats, my baby grand piano and my organ to my daughter, KIM ELIZABETH BANKS. SIXTH: In the event my wife fails to survive me, then I give, devise and bequeath all my property, real and personal, wherever situate, in which I may have an interest at the time of my death, including any property over which I may have a power of appointment, to my children, SCOTT DALE BANKS and KIM ELIZABETH BANKS, in equal shares, if they survive me, but if either fails to survive me, then all to the survivor. SEVENTH: In the event my wife and all of my children fail to survive me, then I give, devise and bequeath all my property, real and personal, wherever situate, in which I may have an interest at the time of my death, including any property over which I may have a power of appointment, to my descendants and my wife's descendants, per stirpes, their heirs and assigns forever. EIGHTH: If any part of my estate shall vest in a person who shall not have attained the age of majority in the jurisdiction of that person's domicile, my Personal Representative may, with absolute dis- cretion deliver such part, or any portion thereof, without bond, to the parent or legal guardian of such person to be held for such person until he or she reaches his or her majority. The receipt of such parent or guardian shall be a complete discharge and acquittance of my Personal Representative and shall be final and binding on all persons NINTH: If any legatee, beneficiary or devisee, other then my wife shall fail to survive my by thirty (30) days, I direct that I shall be deemed to have survived such legatee, beneficiary or devisee and that this LAST WILL and all it's provisions, except where specifi- cally stated otherwise, shall be construed on this assumption notwith- standing the provisions of any law establishing a contrary presumption. TENTH: If my wife shall die simultaneously with me or under such circumstances as to render it impossible to determine who pre- deceased the other, I direct that I shall be deemed to have survived my wife and that the provisions of this LAST WILL shall be construed upon this assumption, notwithstanding the provision of any law estab- lishing a contrary presumption. ELEVENTH: I request my Personal Representative whenever legal counsel is needed in the settlement of my ,state for the purposes I I expressed in my LAST WILL, consult ALBERT Z. BOGtRT, ESQUIRE, he having I I intimate knowledge of my affairs, views and wishfs in many matters that may arise in the settlement of my estate. IN WITNESS WHEREOF, I have subscribed ~y name and affixed I my seal this J>' day of 7.e -b , 1982. : , I I I ~~e~ RICHAR DALE BANKS" ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, RICHARD DALE BANKS, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL, that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. ~~~ Sworn or affirmed to and acknowledged before me/by RICHARD DALE BANKS, Testator, this fI day of r~' d ~1..:./.8....... ..../...;...;.?..~/. //...... .......-7/_.../...../... ........ .' _.._. ..~~.... ,:;//' ..,/ %/ - /...~ /' /// / / /~ ~l:;~r-{ , /'/~- ~. ~ Notary Pu ic MURREl R. WALTERS III, Notary Pubiic Mechnr.ic"e.l", C\~i'srland cO"\~~4 J'fo.y. Commission Expire.. Dec. 9, AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, '-;/ i / !.-); (/::/')/1' and /9;t-5~/lr 2. ;?uF/lT , the witnesses whose names are signed to the attached or foregoing instru- ment being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his LAST WILL, that RICHARD DALE BANKS signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses and that to the best of our knowledge, the Testator was at the time 18 years or more of age, of sound mind and under no constraint or undue influence. 02/ '- ./1 ;/ :'>\"/'->..-cJ...ic <.:.A~ /~~ C'y.y~_~ ~_ ~++.; _~~~ +-~ ......,~ "'''''\,''''''T.Tl ""rln-""rl 'h""-F"..-",, Tn"" +-}-,.; c> f::j r1<:l'tT r\f' ~ c 'i::l (\ {)\f \...-,/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Richard D. Banks Date of Death: January 29, 2002 File No: 21-02-00417 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. Did the personal representative state an account informally to the parties in interest? Yes No X c. Copies of receipts, releases, joinders and approvals of formal or Informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: I D /~ 3 / 0 ~ f , r ~t1. !L1l Sig;;;;;;r Craig A. Diehl. Esquire Name (Please type or print) 3464 Trindle Road, Camp Hill, PA 17011 Address (717) 763-7613 Tel. No. Capacity: Personal Representative X Counsel for Personal Representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT OLLER FRANCES 11 MILLERS GAP ROAD ENOLA, PA 17025 ____un fold ESTATE INFORMATION: SSN: 207-22-0818 FILE NUMBER: 2102-0417 DECEDENT NAME: BANKS RICHARD DALE DATE OF PAYMENT: 03/21/2003 POSTMARK DATE: 03/20/2003 COUNTY: CUMBERLAND DATE OF DEATH: 01/29/2002 NO. CD 002321 ACN ASSESSMENT CONTROL NUMBER AMOUNT 02118131 I $223.37 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: FRANCES OLLER CHECK# 432 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $223.37 DONNA M. OTTO DEPUTY REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT OLLER FRANCES 11 MILLERS GAP ROAD ENOLA, PA 17025 _nn_u fold ESTATE INFORMATION: SSN: 207-22-0818 FILE NUMBER: 2102-0417 DECEDENT NAME: BANKS RICHARD DALE DATE OF PAYMENT: 03/21/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 01/29/2002 NO. CD 002322 ACN ASSESSMENT CONTROL NUMBER AMOUNT 02118130 I $77.97 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: FRANCES OLLER CHECK# 431 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $77.97 DONNA M. OTTO DEPUTY REGISTER OF WILLS ~ /"7-09-// BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT Recorcied ReQIst,'F DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN '03 APR 28 P 3 :00 Allount Rellitted FRANCES OLLER C/O 11 MILLERS GAP RD ENOLA PA 1 'lOI2~t '-,. , i', .rt -\:Irt;:T i~. T "-..J '._~. ......h_-'l _ .. Cumbenancl C:;o., PA '* REY-1607 EX AFP 101-031 04-14-2003 BANKS 01-29-2002 21 02-0417 CUMBERLAND 02118130 RICHARD D MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE: To insure proper credit to your account. subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ifEV:i6'irj-EX-AFP--(Oy.:03T------...--iNirERI'~fANCE-TAX--Sy'jrfEME-tiT-cfF-AC-Couiff--...---------------- -- --- ESTATE OF BANKS RICHARD D FILE NO. 21 02-0417 ACN 02118130 DATE 04-14-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYMENTS. THE CURRENT BALANCE. AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-17-2003 P R I NC I PAL TAX DUE: ............................................................................................................................................................................... ............................................ PAYMENTS (TAX CREDITS): 381. 51 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-24-2002 CDOO1115 15.26 289.95 03-21-2003 CD002322 1.62- 77 .97 TOTAL TAX CREDIT 381.56 BALANCE OF TAX DUE .05CR INTEREST AND PEN. .00 If IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE .05CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl. YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REY-1607 EX AFP 101-05) Recorcad Register DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-14-2003 BANKS 01-29-2002 21 02-0417 CUMBERLAND 02118131 RICHARD D 03 APR 28 P 3 :00 FRANCES OLLER. C/O 11 MILLERS GAP RD ENOLA cJl6r~7-025 Court CumtJarilallO Co., PA Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i'6'ifj-Ex-AFP--foY=o:3Y------...--iNHERiYANc'E--TAx-STATEM'E-NT-oF-Ac-couiff--.-..---------------- -- --- ESTATE OF BANKS RICHARD D FILE NO.21 02-0417 ACN 02118131 DATE 04-14-2003 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-17-2003 P R I NC I PAL TAX DU E : m.mm..................m...m...................................................m............................m.m...m..............mm.m..............mm...........m....mmmmmm.mm 1,093.02 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-24-2002 CDOOI114 43.72 830.70 03-20-2003 CD002321 4.62- 223.37 TOTAL TAX CREDIT 1,093.17 BALANCE OF TAX DUE .15CR INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .15CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( 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. ) /?6fl-l/ "v BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOKANCE OR DISALLOKANCE OF DEDUCTION~, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-IS48 EX AFP (01-051 FRANCES OLLER C/O 11 MILLERS GAP RD ENOLA PA 17025 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-17-2003 BANKS 01-29-2002 21 02-0417 CUMBERLAND 207-22-0818 02118130 Allount Rellitted RICHARD D MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-Y=is41i-E3f-AFP--foi-:oii------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-17-2003 ESTATE OF BANKS RICHARD D DATE OF DEATH 01-29-2002 COUNTY CUMBERLAND FILE NO. 21 02-0417 TAX RETURN WAS: S.S/D.C. NO. 207-22-0818 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 02118130 FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 500013390 TYPE OF ACCOUNT: () SAVINGS (>0 CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 11-20-1986 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X 5,086.80 0.500 2,543.40 .00 2,543.40 .15 381. 51 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-24-2002 CDOOl115 15.26 289.95 INTEREST IS CHARGED THROUGH 03-25-2003 TOTAL TAX CREDIT 305.21 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 76.30 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.67 TOTAL DUE 77 .97 · IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l '\,./? -~ -'f-/ / BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOMANCE OR DISALLOMANCE OF DEDUCTIONlS, AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-15~8 EX ifP IDl-DSl FRANCES OLLER C/O 11 MILLERS GAP RB' ENOLA PA 17025 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 03-17-2003 BANKS 01-29-2002 21 02-0417 CUMBERLAND 207-22-0818 02118131 Allount Rellitted RICHARD D MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .. Rifv=is~8-E)f-AFFi-(O-i=03)------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 03-17-2003 ESTATE OF BANKS RICHARD D DATE OF DEATH 01-29-2002 COUNTY CUMBERLAND FILE NO. 21 02-0417 TAX RETURN WAS: S.S/D.C. NO. 207-22-0818 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 02118131 FINANCIAL INSTITUTION: WAYPOINT BANK ACCOUNT NO. 4100024372 TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 02-02-2001 X 7,286.83 1. 000 7,286.83 .00 7,286.83 .15 1,093.02 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-24-2002 CDOOI114 43.72 830.70 INTEREST IS CHARGED THROUGH 03-25-2003 TOTAL TAX CREDIT 874.42 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 218.60 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 4.77 TOTAL DUE 223.37 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" ( CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) /'/-.,6-9-// '\. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX CRAIG A DIEHL ESQ LAW OFFC CRAIG A DIEHL 3464 TRINDLE RD CAMP HILL PA 17011 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-10-2002 BANKS 01-29-2002 21 02-0417 CUMBERLAND 101 '* REV-IS'7 EX AFP 10I-02l RICHARD D Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is"4-j-E3f-iFP--rOY:02Y-NoYicE--OF-YNHEifiTANCE-YA'x-A-ppRjrisEMENi'-:--iiioWAN-CE-cfi------------ - - --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BANKS RICHARD D FILE NO. 21 02-0417 ACN 101 DATE 12-10-2002 TAX RETURN WAS: [X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate [Schedule A) 2. Stocks and Bonds [Schedule B) 3. Closely Held Stock/Partnership Interest [Schedule C) 4. Mortgages/Notes Receivable [Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property [Schedule E) 6. Jointly Owned Property [Schedule F) 7. Transfers [Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 94.950.00 .00 .00 .00 .00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses [Schedule H) 10. Debts/Mortgage Liabilities/Liens [Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts [Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 1,028.25 .00 (11) (12) (13) (14) NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 94,950.00 1.028 25 93,921.75 .00 93,921.75 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. 93,921.75 X 00 = .00 X 045= .00x 12 = .00xI5= (19)= .00 .00 .00 .00 .00 TAX CREDITS: KE[;EJ:PT l+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID [-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. [ IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" [CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT OLLER FRANCES 11 MILLERS GAP ROAD ENOLA, PA 17025 ___nn_ fold ESTATE INFORMATION: SSN: 207-22-0818 FILE NUMBER: 2102-0417 DECEDENT NAME: BANKS RICHARD DATE OF PAYMENT: 04/25/2002 POSTMARK DATE: 04/24/2002 COUNTY: CUMBERLAND DATE OF DEATH: 01/29/2002 NO. CD 001115 ACN ASSESSMENT CONTROL NUMBER AMOUNT 02118130 I $289.95 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: FRANCES OLLER CHECK# 2182 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $289.95 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT OLLER FRANCES 11 MILLERS GAP ROAD ENOLA, PA 17025 __nu__ fold ESTATE INFORMATION: SSN: 207-22-0818 FILE NUMBER: 2102-0417 DECEDENT NAME: BANKS RICHARD DATE OF PAYMENT: 04/25/2002 POSTMARK DATE: 04/24/2002 COUNTY: CUMBERLAND DATE OF DEATH: 01/29/2002 NO. CD 001114 ACN ASSESSMENT CONTROL NUMBER AMOUNT 02118131 I $830.70 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: FRANCES OLLER CHECK# 2183 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $830.70 MARY C. LEWIS REGISTER OF WILLS """'ID EX IIl-OCt: W I- :.:::!<f.l Uo:>< W"U ,,00 UO:..J ..m ~ z o ~ ..J :;:) l- n: <( o w a:: z o ~ I-' :;:) a. ::E o o ~ COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE OEPT. 280601 HARRISBURG, PA 17128-0601 REV.1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C W o w c DECEDENfS NAME (LAST. FIRST, AND MIDDLE INITIAL) BANKS, RICHARD D. DATE OF OEATH (MM-DD-YEAR) 01-29-2002 DATE OF BIRTH (MM-OD-YEAR) 05-09-1929 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) BANKS, BARBARA A. ~ ,. Original Return . D 4. Limited Estate ~ 6. Decedent Died Testate IAltadlcopyolWiIl) o 9. Utigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date 01 dealh after 12-12-82) D 7. Decedent Maintained a Living Trust [AlIachcqlyofTrusl] o 10. Spousal Poverty Credit (dale ot death belWe9n 12.31-91 and 1-1-95) ':F:::((:I.(',L dS?: Qr<!..'- .....-/ /7-l.5""fl- / / .._'____._____~_.,,_____N. '"_'_.___ FILE NUMBER 21-02 00417 COUNTY CODE YEAR NUMBER SDCIAL SECURITY NUMBER 207 - 22 0818 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (date of death prior to 12.13.82) o 5. Federal Estate Tax Return Required o 8. Tolal Number of Safe Depas" Boxes D 11. Election to tax under Sec. 9113(A) (Alladl Scha] I- Z W C Z ~ '" W 0: 0: o U THIS SECTION MUST BE COMPLETED,ALL CORRESPONDENCEANDCONFIDENTlAl TAl( INFORMATION SHOULD BE DIRECTED TO: Nf,ME COMPLETE MAILING ADDRESS CRAIG A. DIEHL, ESQUIRE, C.P.A. FIRM NAME 1'''''''''''"'[ 3464 TRINDLE ROAD LAW OFFICES OF CRAIG A. DIEHL CAMP HILL, PA 17011-4436 TELEPHONE NUMBER (717) 763-7613 $ 94,950.00 -0- -0- -0- -0- -0- -0- (B) $ 94,950.00 $ 1,028.25 -0- 1. Real Eslate (Schedule A) (1) 2. Stocks end Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule Dj 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 (tolal Lines H) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage liabHiUes, & Liens (Sdledule I) 11. Total Deductions (tolal 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) (4) (5) (6) (7) (9) (10) 14. Net Value Subject to Tax {Une 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) $ 93,921.75 -0- -0- -0- 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 x.o~ (15) x.O_ (16) x .12 (17) x .15 (16) (19) 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT (II) (12) (13) $ 1,028.25 $ 93,921.75 -0- (14) $ 93.921. 75 -0- -0- -0- -0- -0- > >BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <; Decedent's Complete Address: RICHARD D. BANKS 21-02-00417 STREET ADDRESS 5040 ERBS BRIDGE ROAD CITY MECHANICSBURG I STATE PA I ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credil 8. Prior Payments C. Discounl -0- Total Credits (A + B + C) (2) -0- (3) -0- (4) -0- (5) -0- (SA) -0- (58) -0- 3. InteresVPenalty if applicable D. Interesf E. Penalty TotallnteresVPenalty ( 0 + E ) 4. If Line 2 is greater than Line t + Line 3, enter the difference. This is the OVERPA YMEtlT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater Ihan Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + SA. This is the 8ALANCE DUE. 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 a. relain the use or income of the property transferred;.......................................................................................... 0 b. retain the right to designate wl10 shall use the property transferred or its income; ............................................ 0 c, retain a reversionary interest; or.................................................................................,............................,........... 0 d. receive the promise lor me of either payments, benefits or care? ...................................................................... 0 2. If dealh occurred after December 12, 19B2, did decedent transfer property within one year of death without receiving adequate consideration? ." ,........., .... ......."......... ........... .... .,..... ........... ....... ......... ......... ........... ..... 0 3. Did decedent own an "in trust for" or payabie upon death bank account or security at his or her death? ....... ....... 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 No ~ ~ IKI IKI IKI ~ ~ 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 penafties of peljlX)', I dedare thai I have examined this retum, including sccornpan)ing schedules and statements, and to the best of my knowledge and belief. il is true, correct and complete, Declaration 01 preparer other \han lhe personal representative is based on aa information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ~;) 1'."., ~ f.\:b po N ,-\ C ADDRESS '-t 5040 ERBS BRIDGE ROAD, MECHANICSBURG, PA 17055 SiGN RE OF PREP E aT ER T N REPRESENTATIVE C. . DATE 1l'l~(,,)1..-- ROAD, CAMP HILL. PA 17011-4436 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 lor the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, Ihe tax rate imposed on the net value of Iransfers to ortor the use 01 the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)l. The statute does nol exemot a transfer to a surviving spouse 110m ta., and the statutory requirements for disciosure of assets and filing a lax retum are still appliC8ble even if the surviving spouse 5 the only beneficiary. For dates of death on or after Juiy 1, 2000: The tax rate imposed on the net value 01 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 chiid is 0% [72 P.S. 99116(a)(1.2)J. The tax rate imposed on the net value of transfers to or lor the use of the decedent's lineal beneficiaries is 4.5%, except as noled in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(I)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)j. A sibling is defined, under Section 9102, as an individuai who has at least one parent in cornman wilh the decedent, whether by blood or adoption. REV.;S02 EX- 16-9. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE RICHARD D. BANKS FILE NUMBER 21-02-00417 ESTATE OF All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller. neither being compelled to buy or self, both having reasonable knowledge of the relevant facts. Real property which is jointly~owned with right of survivorshJp must be disclosed on Schedule F. ITEM NUMBER 1. . DESCRIPTION VALUE AT DATE OF DEATH $ 94,950.00 REAL PROPERTY SITUATE AT: 11 MILLERS GAP ROAD, MECHANICSBURG,PA 17055 SILVER SPRING TOWNSHIP, CUMBERLAND COUNTY PARCEL NO. 38-13-0985-065 ASSESSMENT = $94,950.00 COMMON LEVEL RATIO = 1.00 (COPY OF REAL ESTATE TAX INVOICE IS ATTACHED) TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 94,950.00 , REV-11>11 EX. 1'2-991. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS RICHARD D. BANKS FILE NUMBER 21-02-00417 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(sYEIN Number 01 Personal Representative(,) Streel Address City State _Zip Year(s) Commission Paid: 2. Attorney Fees - LAW OFFICES OF CRAIG A. DIEHL $ 625.00 3. Family Exemption: (If decedent's address is. not the same as claimant's, attach e)(planation} Claimant Street Address City State_Zip Relationship of Claimant 10 Decedent 4. Probate Fees - REGISTER OF WILLS, CUMBERLAND COUNTY $ 214.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. CUMBERLAND LAW JOURNAL - ESTATE ADVERTISEMENT $ 75.00 8. THE SENTINEL - ESTATE ADVERTISEMENT $ 100.31 9. LAW OFFlCES OF CRAIG A. DIEHL - CERTIFIED MAIL $ 3.94 10. REGISTER OF WILLS, CUMBERLAND COUNTY.- FlLING FEE FOR $ 10.00 PENNSYLVANIA INHERITANCE TAX RETURN TOTAL (Also enter on line 9, Recapitulation) $ 1,028.25 Debts of decedent must be reported on Schedule I. (If mOfS space is needed, insert additional sheets of the same size) REV-151JEX'19.{X)j *' COMMONWEALTH OF PENNSYLYANV\ INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES NUMBER NAME AND ADDRESS OF PERSONIS) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 la) 11.2)] 1. BARBARA A. BANKS 5040 ERBS BRIDGE ROAD MECHANICSBURG, PA 17055 FILE HUMBER 21-02-00417 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE ESTATE OF RICHARD D. BANKS SPOUSE 100% OF ESTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH lB, AS APPROPRIATE, ON REY-1500 COYER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOYERNMENTAL DISTRIBUTIONS TOTAL OF PART" - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets 0( tl"te same size) MAI<f. CHf;C~S rA.'l'AIolLETO' CV SCH DSTf SILVER SPRING JULY 2, 2001 REAL ESTATE TAX NOTICE D^T' DEBRA BASEHORE WIEST MaN & WED 9-5 CLOSED HOLIDAYS 8/27-8/31 9-5 -T~L 7 ON 8/27 & 8/28 269 WOODS DR~VE APPOINTMENTS ALSO AVAIIJ\BLE HECRANICSBURG, PA 17050-2635 CLOSED 7/23 TKRU 7/27 PHONE (717) 697-1294 JAN & FEB 2002 - CALL FOR HOURS DURING THIS PERIOD Rli,l NIJMfJEn 010017: 01102 TAX. YEA~ L!\NO IMPR TaTI\t. 15.0(11 '79,951 9,4 ~ ~_~( SCHOOL REAL ESTATE PAY THIS AMOUNT 8.809 H.ilb J1JL 2001-AUG 31 2001 $ 819.6 Si:P 2001-OCT 31 2001 $ 836.4. NOV 2001-DEC 31 2001 s 920.0 IF YOUR TIOCES ARE IN ESCROW PI-EASE FORWAlU THIS Bill TO YOUR MORTGAGE COMPANY. 836.42 TIOCES ARE DUE AND PAYABLE -- PLEASE PAY PROMPTLY BANKS, RICHARD D 5040 ElUlS BRIDGE ROAD MECHANICSBURG, PA 17050 38-13-0985-065 11 HILLERS GAP ROAD LOT 25 \ o V ,~rI ( q ".1 ? 'I 'a \) q Lp' ~t UNPAIO TAXES WILL BE TURNED OVER FOR DELINQUENT COLLECTION AFTER: DECEMBER IF YOU DESIRE A RECEIPT, ENCLOS.E A STAMPED AODRESSED ENVELOPE WITH ALL COPIES. ADDITIONAL RECEIPTS WILL BE FURNISHED FOR 51.00 EACH. 19, 2001 ~-- - .~~' - ---- ~.. '. , '. -, - ,~,' " BE IT REMEMBERED THAT I, RICHARD DALE BANKS, of the County of Cumberland and Commonwealth of PennsylvaniaJ being of sound mind, memory and under- standing, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking and making null and void any and all Wills and Codicils, or writings in the nature thereof, at any time hereto- fore made by me. FIRST: As my Personal Representative, I nominate and appoint my wife, BARBARA ANN BANKS, to be the Executrix of this LAST WILL. In the event BARBARA ANN BANKS is unable or ceases to act for any reason whatsoever, I nominate and appoint my son, SCOTT DALE BANKS to succeed as Executor of this LAST WILL. SECOND: 1 direct that my debts and funeral expenses be paid as soon after my death as is practicable by my Personal Representative out of my estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for Federal estate valuation or tax purposes. THIRD: I direct that all estate, succession, legacy, inheri- tance or other transfer taxes, however designated, that shall become payable by reason of my death in respect of all property comprising my gross estate fo~ death tax purposes, Whether or not such property passes under this LAST WILL, shall be paid by my Personal Representa- tive out of my estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for Federal estate valuation or tax purposes. FOURTH: I give, devise and bequeath all my propertYJ whether real or personal, wherever situate, in which I may have an interest at the time of my death, including any property OVer which I may have a power of appointment to my wife, BARBARA ANN BANKS. ....... FIFTH: In the event my wife fails to survive me: A. I give and bequeath all my guns and accessories, my power and hand tools and accessories, and my tractor and accessories, to my son SCOTT DALE BANKS. B. I give and bequeath all my wife's jewelry, my wife's fur coats, my baby grand piano and my organ to my daughter, KIM ELIZABETH BANKS. SIXTH: In the event my wife fails to survive me, then I give, devise and bequeath all my property, real and personal, wherever situate, in which I may have an interest at the time of my death, including any property over which I may have a power of appointment, to my children, SCOTT DALE BANKS and KIM ELIZABETH BANKS, in equal shares, if they survive me, but if either fails to survive me, then all to the survivor. SEVENTH: In the event my wife and all of my children fail to survive me, then I give, devise and bequeath all my property, real and personal, wherever situate, in which I may have an interest at the time of my death, including any property over which I may have a power of appoint~nt, to my descendants and my wife's descendants, per stirpes, their heirs and assigns forever. EIGHTH: If any part of my estate shall vest in a person who shall not have attained the age of majority in the jurisdiction of that person's domicile, my Personal Representative may, with absolute dis- cretion deliver such part, or any portion thereof, without bond, to the parent or legal guardian of such perso~ to be held for such person until he or she reaches his or her majority. The receipt of such parent or guardian shall be a complete discharge and acquittance of my Personal Representative and shall be final and binding on all persons in interest. -2- NINTH: If any legatee, beneficiary or devisee, other then my wife shall fail to survive my by thirty (30) days, I direct that I shall be deemed to have survived such legatee, beneficiary or devisee and that this LAST WILL and all it's provisions, except where specifi- cally stated otherwise, shall be construed on this assumption notwith- standing the provisions of any law establishing a contrary presumption. TENTH: If my wife shall die simultaneously with me or under such circumstances as to render it impossible to determine who pre- deceased the other, I direct that I shall be deemed to have survived my wife and that the provisions of this LAST WILL shall be construed upon this assumption, notwithstanding the provision of any law estab- lishing a contrary presumption. ELEVENTH: I request my Personal Representative whenever legal counsel is needed in the settlement of my estate for the purposes expressed in my LAST WILL, consult ALBERT Z. BOGERT, ESQUIRE, he having intimate knowledge of my affairs, views and wishes in many matters that may arise in the settlement of my estate. IN WITNESS WHEREOF, I have subscribed my name and affixed my seal this Y' day of fi.J , 1982. ~~#$~ RICHARD DALE BANKS -3- ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, RICHARD DALE BANKS, Tes~ator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL, that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. q;~~/ Sworn or affirmed to and acknowledged before me ,by RICHARD DAlE BANKS, Testator, this f:f day of r,,- d , 19~J; , __ " .' :7~;o/f.c::i:~i /' Notary Public MUIlREl R WJ>.lTFP.S 1l\, NlItary \'>ubilc ME:chi',llk'r,~., e'I1,'I",::r\and (Q..\;~ ffly. c.uml1lls~i!Jn EY.PI(&o Det. 9, AFFIDAVIT COMMONWEAlTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, "r/ and $-SF/ZF,.7 -;?uF/lT , the witnesses whose names are signed to the attached or foregoing instru- ment being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his LAST WILL, that RICHARD DALE BANKS signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, that each of us in the hearing and sight of the Testator signed the Will as witnesses and that to the best of our knowledge, the Testator was at the time 18 years or more of age, of sound mind and under no constraint or undue influence. / ,l "-;r' """r<.' 1'-" Sworn or affirmed to and , 1982. /~.r:o. / ? ~ acknowledged before meJthis fj day of ,:::- c-r:/ ~;p/{,.c, frlUFf'.EL" W,') 'Fi'.~ .1,. )HJT6rYl'ublic M~ch~l;i~"'" " 'If';'crlami (0" P~. ,Vly (ummissiun Ex.pire" Dec, 9. 191)4 COMMDNNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INFORMATION NOT I C E BUREAU OF INDIVIDUAL TAXES AN D DEPT. 28D601 HARRISBURG, PA 17128-obol TAX PAYER R E S PON S E. REY-1545 EX AFP (09-90) FILE N0.`21 - O~-y~7 ACN 02118130 DATE 04-17-2002 EST. OF RICHARD BANKS S.S. N0. 207-22-0818 DATE OF DEATH 01-29-2002 COUNTY CUMBERLAND FRANCES OLLER C/0 11 MILLERS GAP RD ENOLA PA 17025 TYPE OF ACCOUNT ^ savlNGs ® CHECKING ^ TRUST ^ CERTIF. REMIT PAYMENT AND REGISTER OF WILLS CUMBERLAND CO COURT CARLISLE, PA 17013 FORMS T0: HOUSE NAYPOINT BANK has provided the Department with the inforaation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction fros the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions nay be answered by calling (717] 787-8327. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 500013390 Date 11-20-1986 To insure proper credit to your account, two Established C2) copies of this notice must accompany your Account Balance 5, 086 .80 Payment to the Register of Wills. Make check payable to: ^Register of Wills, Agent^. Percent Taxable X 50.000 Anount Subject to Tax 2 543.40 NOTE: If tax payments are node within three ~ (3l months of the decedent's date of death, Tax Rate X , lrj you say deduct a Sic discount of the tax due. 38 1 .5 1 Any inheritance tax due will becoae delinquent Potential Tax Due nine (9) months after the date of death. PART TAXPAYER RESPONSE A. ^ The above information and tax due is correct. 1. You way choose to resit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or you aay check box ^A^ and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK ~ B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N LY to be filed by the decedent's representative. C. ~ The above information is incorrect and/or debts and deductions were paid by you. You oust complete PART 2^ and/or PART 3^ below. PART Y u indicate a dsfferent tEt rate, ple se state our #~~F.~. relationshi to °S\ ~~nA_ ~~\S~t' :;~~:~:;~:;~:;~:;~:;s;:;:€:;~::~:;:;:::;~~~:::::_~:::~:;:<;~:;:;~;:~:::;:.=.;s ::::::::::::.::::::::::::.:::::-;.......:,?~: 2 P decedent . ~ :s~'ss€€~ €€~ €€~ €€i €€€€ : ~ ~ iiiii .....::::.....:.......:...:~:., ..::::~:::::::::~::::: ::: ~:~::~ :,:;~: TAX RETURN COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS :~#~lk~i :..:::..::.::~:~:~::;,:~-:....;-;-:~~...~;~.~.:.,j:.:,,:;-;:;..,;::;,:::..;-.~~;;:::,:: LINE 1. Date Established 1 11~~ - $Le 2. Account Balance 2 5 O~ble . ~0 3. Percent Taxable 3 X ~, 00 4. Anount Subject to Tax 4 ~5~'3. ~O 5. Debts and Deductions 5 - (~ 6. Amount Taxable 6 ~ ~ ~-~ .'fir ~ 7. Tax Rate 7 8 . Tax Due 8 ?i('L5 . ~ 1 PART DEBTS AND DEDUCTION 0 Under penalties of perjury, I declare that the facts I have complete to the best of ny//knowledge and belief. HOM C~~~~ ~ WOR ~~t5 ~-!/ ~,~ ~~ .a~ - _..--- a ~ a5 ~~ -+ 77' ~ ___ ...,naLR DATE T DATE PAID PAYEE DESCRI BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX OIVISIDN DEPT. 280601 HARRISBURG, PA 17128-0601 COMDEPARTMENTOOFPREVENUEANIA NOTICE OF INHERITANCE TAX APPRAISEMENT ALLONANCE OR DISALLONANCE OF D~JOINTLY HELD OR TRUST NASSETS AX ON REY-1548 E% AFP (O1-OS) DATE 03-17-2003 ESTATE OF BANKS RICHARD D DATE OF DEATH 01-29-2002 FILE NUMBER CUMBERLAND COUNTY ~~~~ 207-22-0818 ~~: i::,, ,_; 02118131 ACN Amount Raeitted -~1~ ~- 3 7 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 FRANCES OLLER C/0 11 MILLERS GAP RD ENOLA PA 17025 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 FRANCES OLLER '- ``~ { C/0 11 MILLERS GAP RD ENOLA PA 17025 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT ALLONANCE OR DISALLONANCE OF DEDUCTION, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-154! ER AFP [O1-P3) DATE 03-17-2003 ESTATE OF BANKS RICHARD D DATE OF DEATH 01-29-2002 FILE NUMBER 21 02-0417 COUNTY CUMBERLAND SSN/DC 207-22-0818 ACN 02118130 Amount R®nitted ~` 7 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CDlWONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE REY-1543 ER ~FP (09-00) FILE N0. 21--0,'''y~' ACN 02118131 DATE 04-17-2002 EST. OF RICHARD BANKS S.S. N0. 207-22-0818 DATE OF DEATH 0'.1-29-2002 COUNTY CUMBERLAND ** FRANCES OLLER C/0 11 MILLERS GAP RD ENOLA PA 17025 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. REMIT PAYMENT AND REGISTER OF WILLS CUMBERLAND CO COURT CARLISLE, PA 17013 FORMS T0: HOUSE MAYPOINT BANK has provided the Departaent with the inforeation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this inforeatian is incorrect, please obtain written correction frog the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Coesonwealth of Pennsylvania. questions say be answered by calling (%17) 787-8327. COMPLETE PART 1 BELOW * * ~( SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 4100024372 Date 02-02-2001 To insure proper credit to your account, two Established (2) copies of this notice roust accoepany your Acctwnt Balance 7 286 .83 Pageant to the Rogister of Mills. Make check ~ payable to: ^Rogister of Mills, Agent^. Percent Taxable X 100.00 Amount Subject to Tax 7 286.83 NOTE: If tax pageants are wade within three ~ (3) aonths of the decedent's data of death, Tax Rata X , 15 you aay deduct a 5iC discount of the tax due. Potential Tax Due 1 093.02 Any inheritance tax due will becoae delinquent i nine C9) aonths after the date of death. PART TAXPAYER RESPONSE ^ ;: ~.. :iii€: '€; ~..:::: ::; ~~~ ~ i€€€~~.:~ . '~ii~€€€€~i.~~€ ............................. A. ~ The above inforeation and tax due is correct. 1. You aay choose to resit pageant to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or you aay check box ^A^ and return this notice to the Register of C 0 NE ~ Nills and an official assesseent will be issued by the PA Departaent of Revenue. BLOCK B. ~ The above asset has bean or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N LY to be filed by the decedent's representative. C. ® Tha above inforaation is incorrect and/or debts and deductions were paid by you. You oust coeplete PART ~ and/or PART ~ below. PART If you indicate a different t x rate, p ease sta a your relationship to decedent; 51~~~ ~ 9\~ C TAX RET!!RN - rOMPUTATIOiN. OF TA~ ONE !nIkT/TR~lST ACCOUNTS LINE 1. Data Established 1 .~. Oat app 2. Account Balance 2 ~a~1~ . ~3 3. Percent Taxable 3 X 10O . ['Y'1 4. Amount Subject to Tax 4 `(Ali . ~3 5. Debts and Deductions 5 - 6. Amount Taxable 6 .mil 7. Tait Rate 7 . 1 8 . Tax Due 8 ~ ~~ ~. PART DEBTS AND f DATE PAID PAYEE TOTAL (Enter Under penalties of perjury, I declare that complete to the bast of ny knowledge and belief TAXPAYER SIGNATURE 8 ~ ~} ,,~a ~~ -i~~+~G~/ ~ UNT PAID ~30.~0~ ~ rect and C~-Z. DAT