Loading...
HomeMy WebLinkAbout04-28-14 (2) P " t � 1505610105 REV-1500 Ex(02-11)(9)trj!jn PA Department of Revenue Pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes °""'""' - County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN � Harrisburg,PA 17128-o6o1 RESIDENT DECEDENT I I M ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYVYY 09/01/2012 12/18/1918 Decedent's Last Name Suffix Decedent's First Name MI STUCKEY VIRJEAN C (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW C@D 1.Original Return O 2.Supplemental Return O 3, Remainder Return(Date of Death Prior to 12-13-82) O 4. Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required death after 12-12-82) Op 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JANE E. BIDDLE (717)805-4322 n u r f REGISTER OF WILLSIjSE ONLY rTl 01 G"> First Line of Address 1 D zz Fri f V f 7 fC -� . .. . . 4780 COVE CIRCLE N. w �' u o 0 Second Line of Address O 3 'rI -n +f #308 ca T OATIli r City or Post Office State ZIP Code ST. PETERSBURG, FL 33708 N '� 9 Correspondent's e-mail address:JEBTAX1 @AOL.COM - 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.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU OP PERSON RES NSIP�Q BLE FOR PILING RETURN DAT E ADD�RE°Sd/^1/•/uL- </7SD C'O7ie('ere% . �30� A '56L S3 70P SIGNATURE OF PREPARER OT FIER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 1505610105 Cy? J 1505610205 REV-1500 EX(FI) Decedent's Social Security Number Decedent's Name. STUCKEY, VIRJEAN C. RECAPITULATION 1. Real Estate(Schedule A), ... . . .... .... . . .. ... .. . .. ... .. . .. . .. .. . .. . . 1. 2. Stocks and Bonds(Schedule B) .. . .. ... ... ....... ... .. ... .. ..... . .. ... 2. 3, Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) ... .. 1 4. Mortgages and Notes Receivable(Schedule D). ... .. ... ... ... ... .. ... ... . 4. 5, Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). ... .. . 5. 35,926.00 6, Jointly Owned Property(Schedule F) O Separate Billing Requested .. . .. . 6. 3,741.00 7, Inte(-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested.. .. . ... 7, 8. Total Gross Assets(total Lines 1 through 7)... .... ... .. . . . ... .. ...... . .. 8. 39,667.00 9, Funeral Expenses and Administrative Costs(Schedule H). . .. .. ... . 9. 9,699.00 10. Debts of Decedent.Mortgage Liabilities and Liens(Schedule 1).. .. ... .. ... .. 10. 7,040.00 11, Total Deductions(total Lines 9 and 10)... .. . .. . .. .... . ..._ .. .. . .. ,_. . 11. 16,739.00 12. Net Value of Estate(Line 8 minus Line 11) .. ..... ..... ..... ... . .... ..... 12. 22,928.00 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) . .. ... .. . .. . . . ... .. .. _. 13. 14, Net Value Subject to Tax(Line 12 minus Line 13) .. ... .. . . . .. ..... ... .. . 14, 22,928.00 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(12)X.0_ 15. 16. Amount of Line 14 taxable at lineal rate X.0 45 22,928.00 16, IT Amount of Line 14 taxable at sibling rate X.12 17, 18. Amount of Line 14 taxable at collateral rate X .15 18, 19, TAX DUE ... . .. 19 1,032.00 . . . .... ..... .. . .. . .. . .. ... ... .. . ..... .. . .. .. ... . .. . 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 L 1505610205 1505610205 REV-15DOEX(Fn Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME VIRJEAN C. STUCKEY §fREETADDRESS-_ -—-----—-- —----------- 204 HIGH STREET CITY STATE ZIP SUMMERDALE PA 17093 Tax Payments and Credits: 1, Tax Due(Page 2,Line 19) 1,032.00 2, CreditsiPayments A.Prior Payments B.Discount .......... Total Credits(A+B) (2) 3, Interest 4, If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT (3) 28.00 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)_ 1,060.00 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 transferred......................................................................................... ❑ 0 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?.................................................................... ❑ 0 2. If death occurred after Dec. 12,1982,did decedent transfer property within one year of death without receiving adequate consideration?................................... ...............__......................................... 3. Did decedent own an"in trust for'or payable-upon-death bank account or security at his or her death?.............. ❑ M 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ............................____....___.......................___...................... ❑ 0 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 surviving spouse is 0 percent [72 P.S.§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 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 decedent's 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 decedent's 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-1508 EN+(08-12) (11V pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAN RETURN PERSONAL PROPERTY RESIDENT DErEDENT ESTATE OF: FILE NUMBER: STUCKEY,VIRJEAN C. 21-12-1003 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. RIVERVIEW BANK,MARYSVILLE, PA CERTIFICATE OF DEPOSIT 12,770.00 2 AMERICH010E FEDERAL CREDIT UNION,MECHANICBURG,PA SHARE ACCT&CD#37999 12,836.00 3 JEWELRY-RING,2 PAIR EARRINGS,WATCH 800.00 q FUR COAT&JACKET 200.00 5 BEDROOM SET 100.00 6 TWO DESKS 50.00 7 HONDA VAN 9,170.00 TOTAL(Also enter on Line 5, Recapitulation) $ 35,926.00 - If more space is needed, use additional sheets of paper of the same size. REV-i5o9 EX+(oi-io) pennsylvania SCHEDULE F DEPARTMENT OFREVENUE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: STUCKEY,VIRJEAN C. 21-12-1003 If an asset became jointly owned within one year of the decedents date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A.JANE E. BIDDLE 4780 COVE CIRCLE N.#308 DAUGHTER ST. PETERSBURG, FL 33708 B. C. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HEIR REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 07101/98 PNC BANK ACCT#13109995 7,482.00 50 3,741.00 TOTAL(Also enter on Line 6, Recapitulation) $ 3,741.00 If more space is needed,use additional sheets of paper of the same size. -1 EX4 lea SCHEDULE H P rr pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER STUCKEY, VIRJEAN C. 21-12-1003 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. CREMATION&SULLIVAN FUNERAL HOME CHARGES 2,535.00 EVERGREEN CEMETARY, DUNCANNON, PA-LOT FEE FOR FOUNDATION PREP 250.00 SNYDER&SONS MONUMENTS-GRANITE MONUMENT&URN 3,095.00 CHURCH SERVICE-MINISTER, ORGANIST, FLOWERS, BOOKLETS 452.00 SERVICE REFRESHMENTS 432.00 NEWSPAPER OBITUARY 36100 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: _ 2. Attorney Fees: 908.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City.. ....__.._ _._.__._..._.. ..____._. State __.........ZIP .___............... Relationship of Claimant to Decedent .._......_................ 4. Probate Fees: 143.00 5. Accountant Fees: 1,200.00 6. Tax Return Preparer Fees: 7 MISCELLANEOUS: MAILING POSTAGEIDEATH NOTICES/TITLE TRANSFER 321.00 TOTAL (Also enter on Line 9, Recapitulation) $ 9,699.00 If more space is needed, use additional sheets of paper of the same size. `°11 r4 pennsytvania SCHEDULE I DEEARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER STUCKEY,VIRJEAN C. 21-12-1003 __ 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 HOME HEALTH CARE PROVIDER AUGUST 1-SEPTEMBER 1/2012-GRISWOLD AGENCY 3,000.00 2 NURSING HOME BILL 6/2012-GOLDEN LIVING CENTER-EXPENSES NOT PAID BY MEDICARE 4,040.00 TOTAL(Also enter on Line 10, Recapitulation) $ 7,040.00 If more space is needed, insert additional sheets of the same size. REV-1513 pennsylvania SCHEDULE J DEPARTMEN f OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: STUCKEY,VIRJEAN C. 21-12-1003 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY De Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.911.6(a)(1.2).) 1, JEAN E.RAISNER DAUGHTER ONE-THIRD 203 KINGS HIGHWAY,MARYSVILLE,PA 17053 2 RALPH EDWARD STUCKEY SON ONE-THIRD 217 TOWPATH ROAD,DUNCANNON,PA 17020 3 JANE E.BIDDLE DAUGHTER ONE-THIRD 4780 COVE CIRCLE N.#308,ST.PETERSBURG,FL 33708 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. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. T TOTAL OF PART H-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. REGISTER OF WILLS CERTIFICATE OF i CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA 1 e D No. 2012- 01003 PA No. 21- 12- 1003 Estate Of: VIRJEAN CAMPBELL STUCKEY lfirsp Midtllc,Les4 Late Of: EA S T PENNSBORO TOWNSHIP CUMBERLAND COUNTY Deceased ' Social Security No: WHEREAS, on the 14th day of September 2012 an instrument dated February 4th 2004 was admitted to probate as the last will of VIRJEAN CAMPBELL STUCKEY Oat,Middle,Lest/ late of EAST PENNSBORO TOWNSHIP, CUMBERLAND County, who died on the 1st day of September 2012 and WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARYto: JANE EVANS BIDDLE who has duly qualified as EXECUTOR(RIX) and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixe e seal of my office on the 14th day of September 0 2. epu y I *.:*NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) L A S T W I L L A N D T E S T A M E N O F iii;[ T� 4 10 5 V I R J E A N C A M P B E L L S T U C K E Y „_ ORPF r, 'S i;i UR I I, VIRJEAN CAMPBELL STUCKEY, a resident of Sumic®��—"' D CO PA Cumberland County; Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish, and declare this to be my Last Will and Testament, hereby revoking and making all previous Wills and Codicils heretofore made by me. FIRST I order and direct my personal representativechereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate from the principal of my residuary estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or its sole discretion, to .purchase a burial plot and to erect a suitable grave marker at my grave, and to expend such sums from my estate for this purpose as he, she or it may deem proper, regardless of any limitation fixed by statute, rule of court or otherwise. My Personal Representative, shall have full power to treat expenses as either estate tax or, income tax deductions, to select tax valuation methods and dates, and to exercise any other allowable tax election. The determinations made by my Personal Representative shall be final and binding. LAST WILL AND TESTAMENT OF VIRJEAN CAMPBELL STUCKEY SECOND I give, devise and bequest the following property, together with all insurance proceeds thereon of whatever nature and wheresoever situate as follows : A. To my daughter, Jane E. Biddle, my single row diamond hoop earrings, my Drexel bedroom set, Grandma Evans' pocketwatch, my five (5) diamond ring and my long mink coat, per stirpes . h0 JeAo B. To my daughter, Jean E. Raisner, my multiple row diamond hoop earrings, my mahogho y desk, my diamond watch, my solit %r di and ring and my short mink jacket, per stirpes . "��� C. To my son, Ralph Edward Stuckey, , my 1995 Honda Accord f and my pine desk, per stirpes . G,� D. To my children,, Jane E. Biddle, Jean E. Raisner and t" Ralph Edward Stuckey, my one-half interest in my house �crfa located at 204 High Street, Summerdale, PA and my �� �ppa cottage at Raccoon Valley Retreat, per stirpes . THIRD I give, devise and bequest the rest, residue and remainder of my estate, together with all insurance proceeds thereon of whatever nature and wheresoever situate in equal shares to my children, Jane E. Biddle, Jean E. Raisner and Ralph Edward Stuckey, per stirpes. It is further my desire that my personal i representative, after consultation with any heir or heirs of mine I who survive me, and in his, her or its own discretion, choose such articles from my tangible personal property (exclusive of cash, stock certificates, bonds, and .all other tangible evidences of intangible personal property) as he, she or it believes will be useful to such heir or heirs or desirable fot him or her or u LAST WLLL AND TESTAMENT OF VIRJEAN CAMPBELL STUCKEY them to have, either from a sentimental point of view or otherwise, and to deliver such articles to such heir or heirs or among such heirs in equal or unequal shares as determined by the further exercise of his, her or its discretion, provided no other heir objects to the distribution. All tangible personal property not so distributed is to be sold, either publicly or privately, by my personal representative, adding the proceeds of such sale or sales to my residuary estate and to be disposed of in equal shares as set forth above after payment of my estate debts, taking into account the tangible personal property otherwise provided to them. FOURTH I grant my personal representative the following powers in addition to and not in limitation of such powers as my personal representative shall hold by law: (a) To retain all property received including the stock of and corporate fiduciary acting hereunder, provided such property remains productive. (b) To join in any corporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of shares. 4� I " - �rr's1—yl1LL—�riD'xESi ENT OF"VTF2JEP;N Rt 5TUC Y —� (c) To manage, operate, repair, improve, mortgage or lease on any terms and real estate held or owned by my estate. (d) To operate any business that I may own at my death. (e) To invest any funds of my estate in any stocks, bonds, notes or other securities or property, real or personal, without regard to the principle of diversification or any other statute or general rule of law in his, her or its absolute discretion, it being my intention to give my personal representative the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such terms and conditions as my personal representative shall see fit in his, her or its absolute discretion. (g) To borrow money for the payment of taxes or for any other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any 1' � tmri`-W3 li'AN97-7. r52-PZOMWT`'OF- IAJEAN"t7a?n",`LL`STUCIC" interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j ) To undertake any and all acts deemed necessary and proper by my personal representative for the proper, advantageous and prompt management of the settlement of my estate. (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and :to execute and deliver all instruments and to do all acts which he, she or it deems necessary or proper to carry out the purposes of this, my Last Will and Testament . FIFTH No interest of any beneficiary of my estate, either in income or in principal, shall be subject to anticipation or pledge, assignment, sale or transfer in any manner to charge or encumber,his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my personal representative for the liability of such beneficiary. !t L! SIXTH I nominate, constitute and appoint my . daughter, Jane E. Biddle, as Executrix of this My Last Will and Testament . In the case that my daughter, Jane E. Biddle, is either unwilling or unable to be my Executrix, then I. nominate, constitute and appoint my daughter, Jean E. Raisner, as Executrix of this My Last Will and Testament . I direct that my personal representative shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. t SEVENTH The necessary grammatical changes required to make the provisions hereof apply to the male, female or neuter gender, and those changes required with respect to singular and plural usage shall in all cases be assumed as though fully expressed. Any and all references to "discretion, " "sole discretion, "absolute and sole discretion" and/or "sole and absolute discretion" shall be interpreted as meaning sole and absolute discretion. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament this 611 day of •,z 2004 . 7 77 7 Zit (SEAL) I AN MP LL STUCKEY ..,:.,.._�._�_..:,..-.-.�.�t..-�.rev-i.:,crnv-.[^^`t'1P-"'v-rtC b'L`i�Pi"GAIdPBi,'L"L`°'"sl7CI�Y""""-:•�:.--••..—�••� -- Then and there signed, sealed, published and declared by the Testatrix as and for her Last Will and Testament in the presence of us who at her request and in her presence and in the presence of one another have hereunto subscribed our names as attesting witnesses, she having initialed the foregoing pages for identification and she having signed the foregoing document as and for her Last Will and Testament. Addre s E� day ✓1 O Sf, Sli,r,my dale 1.41-1093 Address �1t3 TE °53 Address l l` ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF t I , Virjean Campbell Stuckey, the Testatrix 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 and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. V*R,�EAN C PB 7L L STUCKEY� Sworn or affirmed and acknowledged before me by Virjean z CTpbell Stuckey, the Testatrix, this day of 2009 . r Notarial Seal ( 9� Lori A. Ulsh, Notary Public City of Harrisburg, Dauphin County Notary Public My Commission Expires Dec. 12, 2005 Member,PennsyNanla Associationof Notaries i . . . y/u \ C\l q � \ \ R § . � / . \ \ \ � � fN � - a 3 ! �.: \ } ° . i e / . \ 2 � ) \ � 3\\} g . , m:V } \ § ° 1 / 7 . \. f / m r � | r � ) / \ � \ CIZ / \ _W cc . § . , . . 8 /. � � .�• . . i AMERICHOICE FEDERAL CREDIT UNION•2175 Bumble Bee Hollow Road•Mechanicsburg,PA 17055 No. 0000638614 Acct : 0000037999 Teller: 0037 Date : 09/14/12Time : 1 : 35pm -------------------------- --------------- See receipt for reference ------ -- ---------- ----- -- ------ ---- Check Number: 00 0000638614 Purpose : SHARE WITHDRAWAL Amount : `$12 , 836 . 04 Pay to JANE E BIDDLE, EXECUTRIX FOR VIRJEAN C . STUCKEY ACCOUNT 37999 c ,I 2007 Honda Odyssey LX Minivan 41) Trade In Values - Kelley Blue Book Page 1 of 3 ZIP CODE:17093 1 Sign in for S,pn up) home I car values I cars for sale I car reviews I kbb top picks research toots Popular at KBB.com amxrtoemert mry asst Home>Car Values> Honda>Odyssey> 2007>Style>Options> Lx Minivan 90 Honda [7j odyssey C2007�/crr,� L 90 Your Blue Book°Value Show Used Car Prices I Price Your Neat Car 2007 Honda_Odyssey I I /✓r style_L%Mirfmn 4D _'� LEGENDARY .t HP HEW ENGINE. — — edit options change style Mileage:58000 ehange Lke dflsrar Trade-In Value Private Party Value whentred,nginata Eeaiershlp ,YIxn sallirg the mr yourself Print Reinert Excellent r,F:arcseme,t +,sty ad,' $11,120 Shop for your next car p:icc a ney,car Very Good - - --- $10,895 Good Instant Trade-In Offer get the offer t8)IitDNI711A $10,395 "7a eMMA $9,170 t - I/ Own it? Love it?Teti Us. write a review Verify Condition i : Values valid until Be the first to k^^•'r ' - -? - "'" . ... and out if ?rdlendr � ,✓,It�l1`'' view Cars for Sale Get a Used Car Report - - near Summerdate ®dam 2012 Nissan Quest 2007 Honda Odyssey Get the Information You Need on This 2007 Honda Before You Buy view 3 0 for Sale Near you view - .i. p_,,. .., nea toter VlN(agLn.)';' ,- Lam® ^ 3 Below Blue aon;w::ue view No will Nn PTb'-:- _..J.LO Baduan •r.e re. .ua nu.rxcei:. ^.c�_rCy 1.se:•:ed Cars I dy Saecd L•:; .. _ . mndition ana me w.e:encecmngmamn. . http://www.kbb.com/honda/odyssey/2007-honda-odyssey/lx-minivan-4d/?veliic Icicl=83855... 9/12/2012 BUREAU OF INDIVIDUAL TAXES NOTICE OF INH pennsytvania ERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13: HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS DATE 02-03-2014 ESTATE OF STUCKEY VIRJEAN C DATE OF DEATH 09-01-2012 FILE NUMBER 21 12-1003 COUNTY CUMBERLAND SSN/DC JANE 1 E BIDDLE ACN 13109995 12 'WOBURN ABBEY',AVE' APPEAL BY DATE:04-04-2014 CAM P/1 HILL `PA 17011-1043 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE `°,'' RETAIN LOWER PORTION FOR YOUR. RECORDS 4— ----_ -- - __. __.. - - - - --_. - . --EX AFP----------------------- --------------------- REV-1548 EX AFP (12-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 02-03-2014 ESTATE OF: STUCKEY VIRJEAN C DATE OF DEATH:09-01-2012 COUNTY:CUMBERLAND FILE NO. : 21 12-1003 S.S/D.C. NO. : ACN: 13109995 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: PNC BANK NA ACCOUNT NO. : 5140113421 TYPE OF ACCOUNT: ( )SAVINGS ( X) CHECKING C )TRUST ( )TIME CERTIFICATE DATE ESTABLISHED 02-01-1970 Account Balance 7,482.00 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 3,741 .UU UPPER PORTION OF THIS NOTICE Debts and Deductions _ .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount '3114r1OD' REGISTER OF WILLS AT THE Tax Rate x .045 ABOVE ADDRESS. MAKE CHECK Tax Due 168.35 OR MONEY ORDER PAYABLE A.PBLE TD: "REGISTER OF WILLS, AGENT." --T-AX–CRE-DI-T-S-:-- - ----_'------ --- -- - - -- .__ ----------- -- ---- - - ------ PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 02-11-2014 TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 168.35 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 3.52 TOTAL DUE 171 .87 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. Statement Griswoid Home Care, Cumberland County 09128/20112 (3 West Main Street, Shirei-nanztown, PA 17014 (717)975-0540 tt N'M-TO - key n Stuckey Videan Stuckey Vi qea 1204 High Siren! ISummerdale,PA 17093 Rato Amount FAID 6.0014H: 3131/20112-Dona Foreman 4.44 $24.101001, UNPAD 16 m 12H oIN: 8161 81'10/2012 Foreman 15.5-01 $2.976.010, UNPAM) Sub Totail S3,000-00 _I $0�00 payments!{ $0m Toltal Ie r sts s�}t js tytnl'}.fnl�i}IS}���mtinnslelr} _. s°as �. - fi I.FF:J�M.:aCLti IS f10€...Iliuis.s_fl�ae�s!�s.etei.nF.3 �� @ E! 3ii+t=rtveciY: 166L993019 I%—A QUESTIONS ABOUT G tD VIA IN VAN! 11011 V ! YOUR BILL? F I -!iiicleiei*i! CR,c i r-rdfcu NAN611 -- n� Y- _i It V L 1 PREVIO S BAi_l NCE I ;iFN!i_:-:ARCvcc. I !�fi'dFtIF{�ITS ..,.^T:.If V:^iMPY i - ;l�:kW n'h`!;ANGE - 1 1 i1 jn DATE/PERIOD Lvt [` =nGc7 `A �C�[ '. 0Y'S' S i r"Flium�i:,Cma j 1 01-11112 {)5f1tif32 B..ARnrR & BEAU'_C A.- 3 1 IRLEVISTON SPIRVICES _ _ Vh(i 2 0613011 MMMENT 00102 CTIMSURAME 28 3.962.00 0610.411_ 06130(12 j P i — i 1 ! ER � P t ' L ! ! 1 :'iC Ir � 1 k ! is It f n f? @ To ensure fhe rnrrerf insurance pier! is billed for the rare pmwide d you must Provide us with i.^.t^rmiafin n :e:zar;}inn.an', nr4w � insurance pians you fray have, including, Mieuicare and Medicare A<_Svat7f"itie. I u record mi5 informaton, piea52 Cemuieie an nixie the :eveiac nk:e o�the s,vuNun. 1 E Thin!:}'oLtO., (s Ofdg^ 1 iYi;`iy.T.n.:Tiarc. I 1 ! ! S I M 3 f I l ! s i i ! f i ! i I