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� 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
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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
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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
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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
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