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HomeMy WebLinkAbout02-0463 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EXI11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WEIGLE JERRY A 126 E KING STREET SHIPPENSBURG, PA 17257 -------- fold ESTATE INFORMATION: SSN: 174-05-1885 FILE NUMBER: 2102-0463 DECEDENT NAME: GARMAN RUTH W DATE OF PAYMENT: 05/13/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/22/2002 NO. CD 001172 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $45.52 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JERRY WEIGLE ESQUIRE CHECK# 3509 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $45.52 MARY C. LEWIS REGISTER OF WILLS r;t/ oIL- REGISTER OF WILLS, CUMBERLAND COUNTY STATUS REPORT UNDER RULE 6.12 Name of Decedent: Ruth W. Garman 2/22/02 Date of Death: Will No. 21-02-0463 Admin. No. 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. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with t Cerk of the Orphans' Court and may be attached to this repo I( Jerr A. Wei Ie, Esquire Name (Please type or print) WEIGLE & ASSOCIA~ES, P.C. 126 East King Street Address Shippensburg, PA 17257 ( 717) 532-7388 Te 1. No. Date: c;//7/tlL Capacity: Personal Representative x Counsel for personal representative (MAH:rmf/AM.3) ESTATE OF RUTH W. GARMAN File No. 21-02-0463 FAMILY SETTLEMENT AGREEMENT TIllS AGREEMENT made thi, 1Cf/J day of q~ ,2002, BETWEEN: KENT GARMAN; KATHY ST. JEAN; KENNETH GARMAN; and WAYNE GARMAN; being the legatees under the Last Will and Testament of Ruth W. Garman, late of the Township of Shipp ens burg, Cumberland County, Pennsylvania. WHEREAS, Ruth W. Garman died February 22, 2002, testate, and under her Will left her estate to the parties herein; and WHEREAS, there were no probate assets in the estate so that it was unnecessary to present the Last Will and Testament of Ruth W. Garman for formal probate in Cumberland County, P A; and WHEREAS, all assets of the late Ruth W. Garman have been liquidated or distributed and all her debts paid in full, the said parties hereto desire to waive the duty of the filing of a First and Final Account with Proposed Schedule of Distribution for purposes of confirmation by the Court of Common Pleas of Cumberland County, Orphan's Court Division, AND FURTHER desire that a Family Settlement Agreement be executed, which Family Settlement will be duly recorded among the deed records in and for Cumberland County. WEIGLE & ASSOCIATES. P.c. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257~1397 NOW, THEREFORE, WITNESSETH, that the parties hereto, in consideration of the premises above stated, and of the Accounting and Proposed Schedule of Distribution attached hereto and made a part hereof, and the receipt of their distributive shares as therein shown, do mutually bind themselves to the said Distribution and Accounting as set forth and further mutually release each other from all claims and demands whatsoever arising out of settlement ofthe Estate of Ruth W. Garman. The parties hereto do further agree that should any liability come due to the estate of the said decedent after the signing of this agreement, we and each of us do hereby covenant and agree with each other that we will contribute pro rata our share of the estate to satisfy any and all claims, demands, suits, or causes of action which may be successfully prosecuted against the said estate after the signing, sealing and delivery of this family settlement agreement and final release. IN WITNESS WHEREOF, the parties have hereunto set their hands and seals the day and year first above written. dG~~ Kent Garman (SEAL) V \{~~'~Nv Kathy St. ean /I~~~~ Kenneth Garman ltl~< A'~ Wayn arman (SEAL) (SEAL) (SEAL) WEIGLE & ASSOCIATES, RC. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND /1 ~ On this, the _ It> day of ~ , 2002, before me, the undersigned officer, personally appeared KENT GARMAN, KENNETH GARMAN, and WAYNE GARMAN, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ;;f~ Ie /(~ , (SEAL) Notarial Seal Unda K. KJein, Notary Public Shipper.sburg, PA Cumberland County My CommiSSion Expires August 15, 2C04 STATE OF CALIFORNIA ~" h., (u ) I, SS COUNTY OF On this, the 21 day of Nt> vi' F71 ir. r , 2002, before me, the undersigned officer, personally appeared KATHY ST, JEAN, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. /p.~ (SEAL) MANISH PATEL G CClt1'\millSlolt'1342499 . Notary Public - Califomla ~ Cont"' CoatII County f IJ;y Comm. E.lq>ire6 Fell 7, 2001 .,~~.$ -- -- - WEIGLE & ASSOCIATES. RC. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 FIRST AND FINAL ACCOUNT FOR ESTATE OF RUTH W. GARMAN, DECEASED Date of Death: Accounting for the Period: February 22, 2002 February 22, 2002, to August 14, 2002 Purpose of Account: The Estate of Ruth W. Garman offers this account to acquaint interested parties with the transactions that have occurred during the administration. The account also indicates the proposed distribution of the estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Jerry A. Weigle, Esquire Weigle & Associates, P.C. 126 East King Street Shippensburg, P A 17257 717-532-7388 WEIGLE & ASSOCIATES, P.c. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397 SUMMARY OF ACCDUNT Estate of Ruth W. Gannan For Period 02/22/01 Through 8/14/02 Page Proposed Distribution to Beneficiaries 4 Principal Receipts Net Gain (or Loss) on Sales or other Dispositions Other Receipts 1 less Disbursements: Administration Expenses (Prin) Fees and Corrmissions (Prin) Funeral Expenses (Prin) 2 2 2 Balance before Distributions Distributions to Beneficiaries Principal Balance on Hand 3 Income Receipts less Disbursements Balance before Distributions Distributions to Beneficiaries Incane Balance on Hand Canbined Balance on Hand Fiduciary Acquisition Value $1,000.00 --------- --------- $1,687.40 0.00 0.00 $1,687.40 $139.92 300.00 247.48 687.40 $1,000.00 0.00 $1,000.00 $ 0.00 0.00 $ 0.00 0.00 $ 0.00 $1,000.00 --------- --------- RECEIPTS OF PRINCIPAL Estate of Ruth W. Gaxm3n As of 8/14/02 Page 1 Assets Listed in Inventory (Valued as of date of death) Fiduciary Acquisition Value cash on Hand Check on hand at date of death - Prudential Financial cash payment 01/25/02 fran Carpany's conversion proceeds $ 483.48 Refunds Fogelsanger- Bricker Funeral Heme - refund of prepaid funeral 02/25/02 967.57 Miscellaneous Property Shippensburg Health Care Center - resident account proceeds 02/22/02 236.35 'IDI'AL INVENIDRY $ 1,687.40 ----------- ----------- DISBURSEMENTS OF PRINCIPAL Estate of Ruth W. GarnEn For Period 02/22/01 Through 8/14/02 Administration Expenses (Prin) 05/01/02 Register of Wills, Cumberland County - filing PA Inheritance Tax Return 05/01/02 Register of Wills, Cumberland County - PA Inheritance Tax at discount 08/14/02 Weigle & Associates, P.C. - reserve for filing Family Settlerrent Agreerrent with Register of Wills, Cumberland County 08/14/02 Linda K. Klein - notary fee 08/14/02 Weigle & Associates, P.C. - reirnburserrent for postage, xerox copies, and long distance telephone calls Fees and Ccmnissions (Prin) 05/01/02 Weigle & Associates, P.C. - attorney fee Funeral Expenses (Prin) 04/03/02 Funeral Reception - (Weis lVIarket and George's Mini Market) 04/03/02 Willing Workers SUnday Sch=l Class - reception 'IDTAL DISBURSEMENTS OF PRINCIPAL $ 15.00 45.52 60.00 6.00 13 .40 $ 147.48 100.00 Page 2 $ 139.92 300.00 247.48 $ 687.40 ---------- ----------- Checking Accounts PRINCIPAL BAlANCE ON HAND Estate of Ruth W. Garlran As of 8/14/02 weigle & Associates Estate Checking PRINCIPAL BAlANCE ON HAND Page 3 Current Value Carrying Value $ 1,000.00 $ 1,000.00 $ 1,000.00 $ 1,000.00 ----------- ----------- ----------- ----------- PROroSED DIS'IRIBOTIONS 1D BENEFICIARIES Estate of Ruth W. Garman For Period 02/22/01 Through 8/14/02 Page 4 To: Kent Gannan Specific Bequest - Cash Cash $ 500.00 Total $ 500.00 To: Kathy St. Jean Specific Bequest - Cash Cash 500.00 Total $ 500.00 'IDrAL PROrosED DISTRIBUTIONS 1D BENEFICIARIES $ 1,000.00 ----------- ----------- \, /'/-6..3 - / BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547EICAFPUI-D2> DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-24-2002 GARMAN 02-22-2002 21 02-0463 CUMBERLAND 101 RUTH W '02 ,JJI_ -1 ': ~"j JERRY A WEIGLE WEIGLE & ASSOCIATES PC 126 EKING ST SHIPPENSBURG PA 1721nr 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=is4'-E30\FP--('oFo'2rNoYicE--oF-YNHEifiTANcrTAin('PPRAisEif€NT~--ALD5'WAircrCrR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GARMAN RUTH W FILE NO. 21 02-0463 ACN 101 DATE 06-24-2002 TAX RETURN WAS: I X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Reel Estete ISchedule A) 2. Stocks and Bonds ISchedule B) 3. Closely Held Stock/Partnership Interest ISchedule C) ~. Mortgages/Notes Receivable ISchedule D) 5. Cash/Bank Deposits/Misc. Personal Property ISchedule E) 6. Jointly Owned Property ISchedule F) 7. Transfers ISchedule G) 8. Total Assets (1) (2) (3) I~) 15) (6) (7) .00 .00 .00 .00 1,687.40 .00 .00 (8) 1,687.40 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses ISchedule H) 10. Debts/Mortgage Liabilities/Liens ISchedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts ISchedule J) l~. Net Value of Estate Subject to Tax If an assessment was issued previously. lines 14. 15 and/or 16. 17. 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line l~ at Spousal rate (15) 16. A.ount of Line l~ taxable at Lineal/Class A rate (16) 17. A.ount of Line l~ at Sibling rate (17) 18. Allount of Line l~ taxable at Collateral/Class B rate (18) 19. Principal Tax Due ITS: NOTE: + DATE 05-13-2002 NUMBER CDOO1l72 INTEREST/PEN PAID 1-) 2.40 (9) (10) 622.48 .00 Ill) (12) (13) 11~) 6':!':! 48 1,064.92 .00 1,064.92 .00 X 1,064.92 X .00 X .00 X 00 = 045 = 12 = 15 = .00 47.92 .00 .00 47.92 (19)= AMOUNT PAID 45.52 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 47.92 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) !~ :t<nr- 1>>:;;" . iJ. g g' ~~~ 'fll/l:3 "Ug~ )>c)> -;:+(1) -..I' (I) -"'8 2 S: ii' iD.... ...(1) 1\)(1) nonG' e; ~ a o,s. :=:,",cr~ ~\..l('D ('1) o 0 .... .... ;::: ..... 0 ~s.~"" op..~ -;::: n..... -Jr,p.o:::=: oOc'" -cn::s v.>,o ~ n g g. o ;::: '" o ." *'. l",J 1"1\:,1 [:1", .:1,,,1::' * I~:'* """''''1 ,,.,. ;: IL.., 1 tiNneD /::, ,... ""', ~ ;":"\\,:,"',1, ;l~ o r"\'''~ll. J,' ~ 1:1 'I~~m ~'> 8 "'~i~~ ',",:I~ \, , . REV-1500 EX + (6-00) OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA REV-1500 \ l I DEPARTMENT OF REVENUE f ~ DEPT. 280601 INHERITANCE TAX RETURN FILE NUMBER UI-.3 HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 2002 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Garm3n, Ruth W. 174-05-1885 DECE- DATE OF DEATH (MM-DD-YEAR) 1 DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 02/22/01 01/20/1904 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 3. Remainder Return CHECK r Original Return ~' Supplemental Return B (date of death prior to 12-13-82) APPRO- 4. Umited Estate 4a. Fu'bJre Interest Compromise 5. Federal Estate Tax Return Required (date 01 death after 12-12-82) PRIATE 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach copy of Will) (Attach a copy of Trust) BLOCKS 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death between D 11. Election to tax under Sec. 9113(A) 12-31-91 and 1-1-95) (Attach Sch 0) mi$~H~e@~i@:fiUlp~~JPQHflj:j$iltWJr~18llPt!Ml!TiQW$HQ!li:Pj!jg!j:!!!!m%tiltlm9i NAME t'~_,' COMPLETE MAILING ADDRESS COR- Jerrv A. Weiale, re 126 East King Street RE- FIRM NAME (If Applicable) Shiwensburg , PA 17257 SPON DENT Weiale &0 Associates, P.C. TELEPHONE NUMBER (717) 532-7388 -~ _0.' - .- "'-'OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) rti:te 2. Stocks and Bonds (Schedule B) (2) None --- 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None :::- 4. Mortgages & Notes Receivable (Schedule D) (4) None ~ \...0 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 1,687.40 6. Jointly Owned Property (Schedule F) ,~ D Separate Billing Requested (6) None - RECA- P/TULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) None 8. Total Gross Assets (total Unes 1-7) (8) 1,687.40 9. Funeral Expenses & Administrative Costs (Schedule H){9) 622.48 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) (10) None 11. Total Deducllon. (total Unes 9 & 10) (11) 622.48 12. Net Value of Estate (Une 8 minus Una 11) (12) 1,064.92 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) None has not been made (Schedule J) 14. Net Value SUbJect to Tax (Une 12 minus Una 13) (14) 1,064.92 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amountof Line 14taxableatthespousaltax rate, or transfers under Sec. 9116(aXl.2) X .0 (15) - TAX 16. Amount of Line 14taxableat lineal rate 1,064.92 X.O 45 (16) 47.92 - COMPU- 17. Amount of Line 14taxable at sibling rate 0.00 x.12 (17) 0.00 TATlON 18. Amount of Line 14 taxable at collateral rate 0.00 x.15 (18) 0.00 19. Tax Due (19) 47.92 20. D lPfflWkij~jF!iQQ~ijgj!,$!I~*ija!ljNi:lO!'lANmreR!ll!~1 ................. """'-"""""""""""". .... ":"':':':"':""~':""':':': @!j~$l:lijgitQl\l$wel)\U:io$e$f!Qilit&NIiA'G~~AN!)$e$B~M~ifflM ',':':':':':"':':':':':':':':':',"':':':':':':':':"':':',',::',::':',',':',',':',"':',',',',:;'"",,:,:".y...... o PA15DD1 NTF 29755 Copyright 2000 Greatland/Nelco LP - Forms Software Only . Estate of: Ruth W. Garman SlJM'ilARY OF ALIJ)CATIONS TO BENEFICIARIES Taxable at lineal rate Kent Garman Kathy St. Jean Kenneth Gaman Wayne Garman -2002- 500.00 500.00 32.46 32.46 1,064.92 I . PA REV-1500 EX (6-00) Decedent's Com Jete Address: STREET ADDRESS 121 Walnut Bottom Road Page 2 CITY 8hi Tax Payments and Credits: 1. Tax Due (pege 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATE PA ZIP 17257 (1) 47.92 45.52 2.40 Total Credits (A . 8 + C) (2) 47.92 3. 'nteresVPenally ff applicable D. Interest E. Penalty TotallnteresVPenalty (0 + E) (3) 0 . 00 4. If Line 2 is greater than Line 1 + Una 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Une 20 to request a refund (4) 5. If Line 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0 . 00 A. Enter the Interest on the tax dUe. (SA) 0 . 00 8. Enter the total of Une 5 + SA. This is the BAlANCE DUE. (58) 0 . 00 ,....:.:.......J[~~~~..~~~W~~f~~~6rr6~~gi~~~~i'~iii~ii~~1~~7~~;;~~~+H~..i~~~.8~~i~~...~t8cKs... 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ..........,........,... ~ I b. retain the right to designate who sha" use the property transferred or its income; c. retain a reversionary interest; or. . , . . . . . . , . . . . . . . . . , , . . . . . . . . . . . . . . . , . . . d. receive the promise for life of efther payments, benefits or care? . , . . . . . . . , , . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . , . . . . . . . . . . . . . . . . . . . , . . . . . . . . , . . . . . . . . . . B i>iJ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ES 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. Under penalties of perjury, I declare that I have examined this returnl including accompanying schedules and statements, and to the best of my knowledge and belfef, it is true, correct and complete. Declaration 0 preparer other than the personal representative is based on information of which re arer has an knowled e. SIGN TURE OF PERSON RESP NSI8LE FOR FILING RET RN DATE GV'- "" (72P.S.1i9118(a)(1.1)(i)]. For dates of death on or after January 1, 1995, the tax rate is imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. Ii 9118 (a)(1.1) (ii)]. The statute riD..,!; nn1 ..umnta transfer to a survivingspoClse from tax, and thestatutoryreqvjrements fot disclosure of assets and filing a tax return are still applicable l'lVen if the surviving spousejsthe only beneficiaty. For dates of death on or after July t, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or forthe use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S.i9116(a)(1.2)], Thetax rate imposed on the net value of transfers to or forthe use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S. Ii 9116(1.2) [72 P.S. ti 9116(a)(1)). The tax rate imposed on the net value of transfers to orfor the use of the decedent's siblings is 12% [72 P.S. s9116(aX1.3)]. A sibling is defined. under Section 9102, as an individual who has at least one parent in common with the decedent, whil!ther by blood or adoption. o PA15002 NTF 29756 Copyright 2000 GreatlandfNelco LP- Forms Software Only , Estate of: Ruth W. GaImm The following person(s) are signing the ret= as representative(s) of the estate: Wayne GaImm 8199 Newburg Road Newburg, PA 17240 Kermeth GaImm 16270 Cumberland Highway Newburg, PA 17240 -2002- " REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ruth W. Garrran SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER -2002- Include proceeds of litigation & date proceeds were received by the estate. All DraD.lolntIY-owned with rlaht 01 survlvorshlD must be disclosed on Sch. F. ITEM NO, DESCRIPTION VALUE AT DATE OF DEATH 1 Check on hand at date of death - Prudential Financial cash payrrent 01/25/02 fran Collpany's conversion proceeds 483 .48 2 Fogelsanger-Bricker Funeral Heme - refund of prepaid funeral 02/25/02 967.57 3 Shippensburg Health Care Center - resident accOlIDt proceeds 02/22/02 236.35 TOTAL (Also enter on line 5, Recaonulation) $ (If more space is needed, insert additional sheets of the same size) 1,687.40 7 CPA81 NTF 10908 Copyright Forms Software Only, 1997 Nelco, Inc. ~ ,.. . REV-1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RuthW.Gal:m3n SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER -2002- Debts 01 decedent must be recorled on Schedule I. ITEM NO. A. FUNERAL EXPENSES: DESCRIPTION AMOUNT 1 F\.meral Reception - (Weis Market and George's Mini Market) 147.48 2 Willing Workers Sunday School Class - reception 100.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address 0.00 City Stale Zip Year(s) Commission Paid: 2. 3. Attorney Fees Narre: Weigle & Associates, P. C. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address 300.00 0.00 City Relationship of Claimant to Decedent Stale Zip 4. Probate Fees 0.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7 Register of Wills, CUmberland County - filing PA Inheritance Tax Ret= 15.00 8 Register of Wills, CUmberland County - filing Family Settlement Agreement 60.00 TOTAL (Also enter on line 9. Recaoi,"la!ion) $ (If more space is needed, insert additional sheets of the same size) 622.48 7 CPA11 NTF 10911 Copyright Forms Software Only, 1997 Nelco, Inc. . ,. , REV-1513 EX+ (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ruth W. GartPan SCHEDULE J BENEFICIARIES No, NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Kent GartPan 16280 Cumberland Highway Newburg, PA 17240 2 Kathy St. Jean 4804 Bernal Avenue, Apartrrent B Pleasantan, CA 94566 3 Kenneth GartPan 16270 Cumberland Highway Newburg, PA 17240 4 Wayne GartPan 8199 Newburg Road Newburg, PA 17240 FILE NUMBER RELATIONSHIP TO DECEDENT Do Not Ust Trustee(s) Grandscn Granddaughter Sen Sen -2002- AMOUNT OR SHARE OF ESTATE 500.00 500.00 32.46 32.46 ENTER DOLLAR AMTS, FOR DISTRIBS. SHOWN ABOVE ON UNES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A, SPOUSAL DiSTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None 7 CPA13 NTF 10913 TOTAL OF PART II -- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 Copyright Forms Software Only, 1997 Nelco, Inc. (If more space is needed, insert additional sheets of the same size) . " LAST WILL AND TESTAMENT I, RUTH W. GARMAN, of 8199 Newburg Road, Newburg, Franklin County, Pennsylvania, 17240, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all wills by me at any time heretofore made. FIRST. - I order and direct the payment of all my just debts and funeral expenses as soon as may be convenient after my decease. SECOND. I give and bequeathe the full sum of FIVE HUNDRED ($500.00) DOLLARS to my grandson, KENT GARMAN, of Orrstown, Pennsylvania, on a per stirpes distribution basis. THIRD . - I give and bequeathe the full sum of FIVE HUNDRED ($500.00) DOLLARS to my granddaughter, KATHY ST. JEAN, of Baltimore, Maryland, on a per stirpes distribution basis. FOURTH. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, in equal shares, as follows: A. ONE SHARE to my son, KENNETH GARMAN, of Newburg, Pennsylvania, on a per stirpes distribution basis; B. ONE SHARE to my daughter, MARTHA BUTTERFIELD, of Newville, Pennsylvania, on a per stirpes distribution basis; C. ONE SHARE to my son, WAYNE GARMAN, of Newburg, Pennsylvania. ~ W}j I1Mrl aM.- (SEAL) MARK. WEIGLE AND PERKINS - ATTORNEYS AT LAW - 126 EAST KtNG STREET - SHI?PENSBU~G, PA. 17257 .' In the event that my son, Wayne Garman, should predecease me or is not living on the sixtieth (60th) day following my death, I then direct that the share of my estate that he would have received under this my Last Will and Testament be divided equally among the three stepchildren of the said Wayne Garman, namely: RICHARD SCHRIVER, of Fayetteville, Pennsylvania; JACQUELINE RHODES, of Orrstown, Pennsylvania; and MADALINE MILLER, of Tucson, Arizona, or the survivors thereof. FIFTH. I nominate, constitute and appoint my sons, KENNETH GARMAN and WAYNE GARMAN, or the survivor thereof, to be the Co-Executors of this my Last Will and Testament; if neither of my said sons be able to fulfill the duties of Executor, I then nominate, constitute and appoint my daughter, MARTHA BUTTERFIELD, to be the Executrix of this my Last Will and Testament. SIXTH. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, RUTH W. GARMAN, have hereunto set my hand and seal to this my Last Will and Testament, written on two pages, the first page signed for identification only, this'rl1.. day of ~Vv , 1993. JeJ;t lu )J cvuvYl~ (SEAL) -2- MARK. WEIGLE AND PERKINS _ ATTORNEYS AT L.AW - 126 EAST KlNG STREET - SHlPPENSBURG, PA. 17257 .' " This instrument was by the Testatrix, RUTH W. GARMAN, on the date hereof, signed, published and declared by her to be her Last Will and Testament, in our presence, who at her request and in her presence and in the presence of each other, we believing her to be of sound and disposing mind and memory, have hereunto subscribed our names as witnesses. ~11.~ Q~ c flJJ.J-.. COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND I, RUTH W. GARMAN, the Testatrix whose name is signed to the 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. U Lu- JJ @/}'y1 aVL-- Sworn or affirmed to before me by RUTH W. this ~ day of and acknowledged GARMAN, the Testatrix, 'l; , 1993. _Seal Rhonda R. WoIfoId, Notary Pubic Shippensburg BolO. Cwnbertard COIX1ly My Commission 8q:lires Jan. 20. 1997 MARK. WEIGLE AND PERKINS _ ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA. 17257 Ii, . - . -1 " COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND We, ~-n.~~ and\3)k';:"";" c. r J..,....,A.L. the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw RUTH W. GARMAN, Testatrix, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge the Testatrix was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. ~ ')l.~ \1.....~ C ,j',J.-.J-.4... Natariaf Seal Rhonda R WoIfcrd. NoIaIy Pubic Sl1II:Pensburg Bore. Cumberland CounIy My ConvnisOOn E>cpirosJan. 20,1997 MARK, WEIGLE AND PERKINS _ ATTORNEYS AT LAW - 126 EAST KING STREET _ 5HIPPENSBURG. PA. 17257