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HomeMy WebLinkAbout02-0465 I- Z W C W (,) W C ~ "ii:1Il ",.." wog ZO:...l "'''Ill ~ /'7-63- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE OOL Y FILE NUMBER ~/-02 0465 COliNTY"'COOE -~ --iiiMiiR-- SOCIAl SECURITY NUMBER 1 7 1 - 2 8 - 1 701 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Return (daIIlofdealhpriorI012.1J.82j o 5. Federal Estate Tax Retum Required _ 8. Total Number of Safe Deposn Boxes o 11.EleclionlotaxunderSec.9113(A)~"hOI THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Ste hen J. Ho Es 19 S. Hanover Street, FIRM NAME (If Appl<abIe) z o ~ :J l- ii: < (,) w a: z o ~ I- :J II.. == o (,) ~ DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAl) Finke Martha E. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-llO-Year) 02/1712002 09/28/1936 {IF APPUCABUEj SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITiAl) [XII. Original Retum o 4. Limi1ed Estate D 6, Decedent Died Testate (AJlachcopyofWll) o 9. Litigation Proceeds Received o 2. Supplemental Retum D 4a. Future Interest Compromise (datB otdealh after 12-12-82) D 7. DececlentMaintained a Living Trust (AJlach copy ofTrustj D 10. Spousal Poverty Cred~ (dall!l d death between 12-31-91 arnll-1-9S) .... z w c z o .. III W 0: 0: o '" Suite 101 TELEPHONE NUMBER 7172452698 Carlisle 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Close~ Held Corporation, Partnership or Sole-Proprielorship 4. Mortgages & Noles Receivable (Schedule D) 5. Cash. Bank Deposns & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Mocellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (Iota I Lines 1-7) 9. Funerat Expenses & Adminotralive Costs (Schedule H) 10. Debts of DecedenL Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (Iotal Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Chali1able and Govemmental BequestslSec 9113 Trusts for whK:h an _n 10 tax has not been made (Schedule J) (1) (2) (3) (4) (5) (6) (7) (9) (10) 14. Net Value Subject to Tax (line 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) X .D_(15) 4,532_55 X .04.5 (16) X .12 (17) X .15 (18) (19) 16. Amount of Line 14 taxable at r"eal rate 17. Amounl of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable atcollaterai rate 19. Tax Due 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < (8) (11) (12) (13) (14) PA 17013 -.....\,- - {" OFFI . SE ONLY c:i VJ 6$00.35 '- c: .- ~ ~ 1,647.79 u ,'-' (..j ~ 606.72 8,854.86 4,160.53 161.78 4.322.31 4,532.55 4,532.55 203.96 203.96 )ecedent's Com lete Address: STREET ADDRESS 805 Redwood Drive aTY STATE PA Carlisle iax Payments and Credits: Tax Due (Page 1 Une 19) Credits/Payments A. Spoosal Poverty Credit B. Prior Payments C. Discount (1) Total Credits (A + B + C) (2) l. InteresVPenalty if applicable D. Interest E. Penalty T otallnteresUPenalty ( D + E ) (3) :. If Une 2 is greater tl1an Une 1 + Une 3, enter tl1e difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) J. If Une 1 + Une 3 is greater tl1an Une 2, enter the difference. This is tl1e TAX DUE. (S) A. Enter the interest on tl1e tax due. (SA) B. Enter tl1e total of Une 5 + SA. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT " ~ ZlP 17013 203.96 203.96 203.96 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN .X" IN THE APPROPRIATE BLOCKS No 00 00 00 00 1. Did decedent make a transfer and: Yes a. retain the use or income ofthe property transferred; ........................................................................... 0 b. retain-tl1e right to designate who shall use the property transferred or its income; ........................................ 0 c. retain a reversionary interest; or ...................................................................................................... 0 d. receive tl1e promise for life of either peyments, benefits or care? ............................................................. 0 2. If death occurred after December 12, 1982, did decedent transfer property witl1in one year of death without receiving adequate consideration?.. .................... .............. ....... ............... ................ ............... ...... 0 3. Did decedent own an 'in trust fo~ or payable upon death bank account or security at his or her deatl1? ................. 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 1&1 1&1 1&1 :F THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Jllder penalties of perjury, I declare thall haveexcrnined this retum, including accompanying schedules and statements, and to ltIe best of my knowledge and belief, it is true, cooect and comple1e. Jeclaration of prepnr other thiYI the personal repre&entative is based on all infoonation of which prepcrer has ..,y kno.tIIedge. >IGNA 1 RE F ERSON R SPON LE FOR FILING RETURN ;OORESS PA 17013 Cor dates of deatl1 on or after Juiy 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or lor tl1e use of the surviving spouse is 3% :72 P.S. 99116 (a)(1.1) (i)]. Cor dates of death on or after January 1, 1995, tl1e tax rate imposed on tl1e net value of transfers to or for tl1e use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1)(ii)]. The statute does not exemot 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent oftl1e child is 0% [72 P.S. 99116(a)(1.2)]. . The tax rate imposed on the nel value of transfers to or for the use of the decedent's lineal beneficiaries is 4.S%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. "he 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)]. A sibling is defined, under Section 9102, as an ,dividual who has at least one parent in common witl1 the decedent, whether by blood or adoption. 'EV""''''.''''',.~. ~~ COMMONWEAlTH OF PENNSYLVANIA iNHERIT ANCE TAX RETlRN REI NT DNT SCHEDULE B STOCKS & BONDS "STATE OF Finkev. Martha E All property jointly-owned with right of sUlYivollhip must be disclosed on Schedule F. FILE NUMBER 02 0465 ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 750.59 Foot Locker (47 shares) 2. PP&G (32 shares) 1,523.20 3. American Express Funds; Federal Income Fund, Inc. 3,612.81 4. PP&G Industries, Inc. sale of shares 429.95 5. American Century Services; rollover distribution 223.52 6. PP&G Dividends 13.76 7 $50.00 savings bond 46.52 TOTAL (Also enter on line 2, Recapitulation) $ (if more space is needed, insert additional sheets of the same size) 6 600.35 """''''"'''''-~. .~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEOENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY 5T ATE OF FILE NUM~ER 'inkev. Martha E. 02 0465 Include lIle proceeds of litigation and lIle dale lIle proceeds were rece;,ed by lIle eslale. All property joinUy-owned with tile right of sUIVivonhip must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. United American Insurance Company 62.31 2. PA State Treasury Department; Revenue Refund 46.00 3. U.S. Treasury - Tax Refund 924.00 4. 1985 Buick sold to Linda Fickes 103 Hutton Road. 500.00 New Cumberland. PA 17070 5. Automobile Insurance Refund 61.80 6. Adams Electric Refund 23.31 7. Cash 30.37 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1 647.79 -'~~~"~ '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEOENT SCHEDULE F JOINTL Y.OWNED PROPERTY :STATE OF Finkev Martha E. If an .sset was made joint within one year of the decedenfs date of death, h must be reported on Schedule G. FILE NUMBER 02 0465 SURVIVING JOINT TENANT{SI NAME ADDRESS RELA TlONSHIP TO DECEDENT A. Debby Lyon 12 E. Green Street Shiremanstown, PA 17011 Daughter 3 c JOINTLY-OWNED PROPERTY: LETTER DATE DESCRPTlON OF PROPERTY lIOF DATE OF DEATH TEM FOR JOINT MADE Include name offil\ancial instiMioo and b<rik ~ TI\Irrtet or similar identifying number. Attach DATE OF DEATH DEWS VALUE OF .UMBER TENANT JOINT deed for jointly-Ileld real estate. VALUE OF ASSET INTEREST DECEDENTSINTERES A. 063093 Checking Accounl# 81905-11 697.24 50. 348.62 Members 1st Federal Credit Union 2. A. 063093 Savings Accoun1#81905-00 491.10 50. 245.55 Members 1st Federal Credit Union 3. A 011000 Savings Accoun1#190176-00 25.10 50. 12.55 Members 1st Federal Credit Union . TOTAL (Also enter on line 6, Recapitulation) $ 606.72 T (If more space is needed, insert additional sheets of the same size) I "".""".."..,,. COl.tMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Finkev Martha E Debts of decedent must be reported on Schedule I. FILE NUMBER 02 0465 ITEM NUMBER OESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Fogelsanger - Bricker Funeral Home 2,275.00 3. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissioos Name of Personal Representative (5) DebbY Lyon 750.00 Social Seo.Jlity Numbe~s) I EIN Number 01 PetSonal Representative(s) Street Address 12 E. Green Street City Shiremanstown Slata PA Zip 17011 Yea~sl Commission Paid: 2. Attomey Fees Stephen J. Hogg, Esquire 750.00 3. Family Exemption: (If decedenfs address ~ not the same as c1aimanfs, attach explanation) Claimant Street Address City Slata Zip Relationship of Claimant to Decedent 4. Probata Fees . 60.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. Advertising: Cumberland Law Journal 75.00 The Sentinel 90.59 B. Short Certificate 3.00 9. Filing Return and Inventory 25.00 10. Filing Accounting (est.) 125.00 11. New Checks 6.94 TOTAL (Also enter on line 9, Recapitulation) $ 4 160.53 (If more space is needed, Insert additional sheets of the same size) ,:* ., SCHEDULE I COMMONWEALTH OF PENNSYlVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES. & LIENS RESIOENT DECEDENT iTATE OF FILE NUMBER inkev. Martha E. - O~ 0465 Include unrelmbursed medical expenses. ITEM WMBER DESCRIPTION AMOUNT 1. Personal Taxes 2002 10.00 2. Lancaster Physical Management 100.00 3. Kunkel Surgical Group 51.78 - TOTAL (Aiso enteron line 10, Recapitulation) $ 161.78 (If more space is needed, insert additional sheets of the same size) - ~~ ~ ~ ~ ~~ ~ ~ ~-~~ ~~~~ ~~~~~ ~ -- ~ ~ ~~ ~ - ~ ~ ~ ~~ ~ ~ ~~~~--------------- Cllt<>Uj,.;Jt<>- -==.- I-"se<lc;- =';;; (")'<'!5.~r;:- ~ d\3W~4~~ fh~9 ~.~g ,zU;o~ .,..~ W. E.' ...~.. .' .~'lll ~ ~J~ ~g a::C::- ..... -4 . C' "'0 . ......... CO ~,. ':I\-: ~. . l".~ - ~ ~ ==- - \oi~:;; _ _ 0 ==-- -:::. .~~ =r" ~ ~~.~.~:. ~ ~ ,. .....;; \....,- ~, \ f \; ~ ~ \ ~ - 0<'> 8;;:'0 c':: ~~ .... .~ ~ ~ w:>: U) . us;..J ~~ \ ~~ o "z ~ w~ J ":>,. o~ Zl/) 4::; ,.... :I: " "" . <( ~O - ;!!.. ~ ~ 4-< ~ o ~O ~ ~-€ '~ g ~0 ~~ ~ ;::i ;::i 0'...... o or/) 0 UU~s::. gg~~ -_.....p.. bb~~ -%~gJj ;::i 3 U ~ UU......U -: ..:; - .:; . - - - - -: . - - := -: ..:; -: ::::: - -:: - - -: - - -: ..:; ...... o (<) PETITION WR PROBATE and GRANT OF LETTERS Estate of Mar t h a ~ Fin key No. 2. , - 02. - L.lfDS also known as To: Register of Wills for the Deceased. County of Cum b e r 1 and in the Social Security No. I / I - L tj- 1 / U 1 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut r i x in the last will of the above decedent, dated No v e m b e r 2 1 and codicil(s) dated named &< 2001 ,- (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cum b e r 1 and . County, Penpsylvaniah with h er last fam4-. or principal r~ 805 Redwood Dr 1 ve, Car 1151e, r--A 13 0 /Z..c v '"' CJ F .f' L~ (list street, number and muncipality) Decendent, then at Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 65 years of age, died Fe b r u a r y 1 7 &< 2002 , , $ 10,000.00 $ $ $ WHEREFORE, petitioner(s) respectfully rlquest(s) the t?crobate of the last will and codicil(s) presented herewith and the grant of letters e 5 am e n a r y theron. (testamentary; administration c.I.a.; administration d.b.n.c.t.a.) - ~ 'if c " '0_ .- ~ l:J';::' oo:~ ].g ~';:l :g~ ,,~ !;O OJ c .. Vi -1~~ ~ 1:4s-t. a R~r:-tV ..s+ \\ I Ie "- rr. Q nS.. "\QuH. ) P A J 70 If OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF Cumber land The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly. administer the estate according to law. . AR~O ~ ~, and V:l Oij' '" I:l .... s:: nl :s: Il -(p'o- ~ No. 2J - 02- J-\ lo5' Estate of Martha E. Finkey , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MAY 14, 2002 ~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated'lB v em be r 2 1, 200 1 Martha E. Finkey described th~rein be admitted to probate and filed of record as the last wiJI of and Letters Testamentary are hereby granted to 0 ebb y L yon Will Book /I 17 Page 63 FEES Probate, Letters, Etc, ",',",' $ 40.00 Short Certificates( ),."""" $ 9 . 00 ~,€K'tha,pages,. $ 6 00 icp $ 5.00 TOTAL _ $ 60.00 F'\ d 5- 14-2002 1 e cait' '~tty 'on' 5'-' 14=-2'00:2'" , ,. .' , stephen J. Hogg, Esq. 36812 ATTORNEY (Sup. Ct. I.D. No.) 19 S. Hanover street, ste. 101, carllsle,PA 17013 ADDRESS (717) 245-2698 PHONE .un:.; -") -r,'r (- _1 r l c '_,. ,~tJ c. ,!,\Jl.! ZOo H'(1<;}ll\<; !.I_F.\, ',1,1.,<(, This is to certifY that the infotmation hete given is' correctly copied 'from an original certificate of death duly filed with me as Local Registrar. The original certificate will be fowarded to the State Vital Records OffIce for permanent filing, WARNING: It is illegal to duplicate this copy by photostat or photograph. No. 2~ Local Registrar Fee for this certificate, $2.00 p 8167931 /pu/r'~~ Date flev2J8l' COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH HAM[ Of' DECEDENT rf"lII, MIddlto. L_' .. Martha E. F inkey AOEfl"~1 UHDEA1~ -. - 65 v~ COUNTY Of' OfRH White SUAVMNG SPOUSE III.-.I..~""""""""'''I ... Carlisle. - 2\783 \7257 I'. ~~.:>... OIMrIllOnlftc"'~~IO""".bul _~ln_~c_~...F'lUnI ~ICAUM{F.... _lIICOl'\l:Mll)n .......~- Nc;J....- S'-~// e,// L ........t.- 0Ul! fQ(lJAAS ACON!lf"OU!NCE Ofl ~ -..- .,.......,..10___. _,E_.....ItLYINQ c:-..: co...lII."".-y --- ,-,,"~LMT I: DUE 'fO(()AASACONSEOUENCE Of'); OUI'IO((JAASACONStOUENCE QIl). .....AHAUltlPSy MAE AUl't)PSY 'INDlNOS UAHNEflOF OEAJH DATE OF INJURY PEAFOAMiEO? AWLAlILEPfIlOA'fO lMooIhDay, "",,,,) COMf'\.ET1ON Of CAUSE -... [3"" -- 0 Of'OERH1 -. 0 PwIdIfoO~lon 0 ... 0 ..0- ...0 .. 0 ...... 0 COuldllOtbll dtt.rmlMd 0 __ :Mtl. 21. CZ"""I!" !Ch<<tI.".., oNl oCUfTIf'Y1NGP'HYSlCI"'NfPll~~...Wyorw;)~olOM" ........al\Olfle<jlI\'t'SIC........p'~d..'" anQ~<:m~IMOI.....?3) To..lMo4of....,_~..atl'IoaeurrH....llo..c...M(.I...o...."""'r.....wd... . .~INQANOCI!'"II'YlNO~,.SICIANI~_boII1 ~onounc'"OUM1tl.lldc..,~'fII'\QlOc.....o!_lI'l To !fie"" lit m'Il,.~. do....OCCUf,..,..IN...., d.I.. 8I'dplen. andtlw"!fIe '.IIMI"_ IIt."n., H .1...... OMlDfCAL UAIIlINIRlCQRONEA On tI'll IM"- o'..'m4nlllon .nd/or l""'I.IIg,lIon. In IftY' opinion. de.u. occuf'l'ld" lhe 11_. dati. mln_IIII'IM... ,.. AEGISTRAA'S SIOHATlJRE AND NUIrd8ER " - LAW OFFICES OF STEPHENJ. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 WILL OF MARTHA FINKEY 2.1-o2-1-\\P5 I, Martha Finkey, of Cumberland County, Carlisle, Pennsylvania, declare this to be my last Will and hereby revoke all prior wills and codicils. 1. I direct that all my just debts and funeral expenses, grave marker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, succession and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my estate be distributed as follows: A. I leave all my Woolworth stock to Debby Lyon. B. I leave all my PPG stock to be divided equally between Jeffrey S. Thrush and Rebecca T. Schwartz. C. I leave the remainder of my estate to be sold and divided equally between Carol Black, Debby Lyon and Toni Hockenberry. Should Carol Black, Debby Lyon or Toni Hockenberry predecease me, I direct that their share shall be given to that deceased person's heirs. 4. I appoint Debby Lyon as Executor of this my last Will. If Debby Lyon should predecease me or cease to act in such capacity, the Executor shall be Toni Hockenberry. 5. The Executors of this Will shall have the power to distribute my estate in kind or in cash, or partly in either. 6. I direct that no Executors acting under this Will shall be required to enter bond in any jurisdiction. IN WITNESS WHERE~~y, have hereunto setmyhandlhis ."21 day of ' ,/ ~ , f</J~ If1RTHA FINK LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and declared by Martha Finkey, as and for her last Will in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. . [;iJ111fL GNJ Witness \1') O' l/ Lt/W1./ltiL W//\/) Witness LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 ACKNOWLEDGEMENT ommonwealth of Pennsylvania ss ounty of Cumberland I, Martha Finkey, the testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge hat I signed and executed the instrument as my last Will; that I signed it willingly and as my free and voluntary act for the purposes therein expressed. 'm~~ MARTHA FIN'1Y . (j Sworn to or affirmed and ac 0 ledged b re me by Martha Finkey, the testatrix, this 21 day of , 2001. /~ h NOTARIAL SEAL ~ J"l'EPHEN J.IlOGG, NOTARY PllClI.~<>,ry ~ CARUlll.E BOAO. CUMBERLAND t:lt'.~ , M., COMMISSlOH EXPIRES SEPTEMBER 3, 2005 Commonwealth of Pennsylvania ss County of Cumberland We,D I"a 11C1 CJ Ne / I and DC{ v J VI t7L I) l7l " I c:; ,the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last Will; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Will as a witness; and that to the best of our knowledge the testatrix was at the time 18 or more years of age, of sound mind and under no constraint or ul)due influence. o all {L Al'\~i e Do 4./7 Vl#1/WM/J 2! day NOTARIAL SEAl- STEPNEN J MOOG !\101"jl,I;y PUBLIC In' CAFlUSlf ',WJ\. ,~l)~'lelO<I..... . f'(\ PA COMM~$9:~I)"1 ~,''':g~;'>P,''1~:''''-'..,!-.~,-",.,.^:j;,:-:;~~; .~_ 200S ,~.';;..:.:.~;.t.:',...J' d CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Mar t h a Fin key Date of Death: Febr uar y 17, 2002 Will No. Admin. No. 2002-00465 To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Conrt Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 7 / 1 9 / 0 2 Name Address Debby Lyon 12 E. Green street, Shiremanstown, PA 17011 Rebecca Schwartz 7731 Valleyview Avenue, Harrisburg, PA 17105 Carol Jean Black 1364 Mt. Road, Newburg, PA 17240 Toni Hockenberry 102 Curtis Avenue, Newburg, PA 17240 Jeffery Scott Thrush 800 York Road, Lot 240, Dover, PA Notice has now been given to all persons entitled thereto under Rule 5.6(a) except 17315 Date: 07/19/02 //y -f ,,' ,J' , /t~ { Signature Name Stephen J" Hogg, Esquire Address 1 9 S. H a n v 0 e r S t r e e t. S t e . 1 0 1 0J :.j 'Carlisle, PA 17013 Telephone ( 7 1 'J! 245-2698 '>',J [=:; Capacity: _ Personal Representative ~Counsel for personal representative "v INVENTORY Estate of Martha E. Finkey No. 02 0465 , Deceased Date of Death 0211712002 Social Security No. 171-28-1701 also known as Martha E. Finkey Personal Representative(s} of the above Estate, deceased. verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent. that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: Stephen J. Hogg, Esquire I.D. No.: 36812 Debby Lyon Address: 19 S. Hanover Street, Ste. 101 Carlisle Telephone: 7172452698 Dated PA 17013 Description United American Insurance Company Value 62.31 PA State Treasury Department; Revenue Refund 46.00 U.S. Treasury - Tax Refund 924.00 1985 Buick sold to Linda Fickes 103 Hutton Road, New Cumberland, PA 17070 500.00 Automobile Insurance Refund 61.80 Adams Electric Refund 23.31 Total 1,647.79 (Attach Additional Sheets if necessary) NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 STATUS REPORT UNDER RULE 6.12 VI 0'..... ./ Name of Decedent: Martha Finkev Date of Death: 2/17/02 Will No. Admin. No. 21 02-0465 Pursuant to Rule 6. 12 of the Supreme Court Orphans I 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. account with the Court? Did the personal representative file a final Yes X No 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 the. 7", Clerk of the Orphans' Court and may be attached to this ~e,P~0<:.<' /;:~~/ ,., t // ~ Date: 12./111 D3 " ;/ I I Signature t h n J. H E uir Name (Please type or print) 19 S. Hanover Street, Ste. 101 Carlisle PA 17013 Address (717) 2452698 Tel.No. Capacity : Personal Representative x Counsel for personal representative , . LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 IN RE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF MARTHA E. FINKEY ORPAHN'S COURT DIVISION NO. 21 02-0465 FIRST AND FINAL ACCOUNTING Of the Estate of Martha E. Finkey, Deceased, Late of Cumberland County, Pennsylvania. Filed on behalf of DEBBY LYON, Executrix Date of Death: Letters Testamentary Granted: February 17, 2002 May 14, 2002 Letters Advertised: The Sentinel: OS/23/02, OS/27/02 and 06/06/02 Cumberland Law Journal: OS/24/02,05/31/02,06/7/02 Accounting filed: October 2003 ACCOUNT FINAL AS OF: , ' LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 IN RE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF MARTHA E. FINKEY ORPHAN'S COURT DIVIDION NO. 21 02-0465 Purpose of the Account: Debby Lyon, Executrix of this Estate files this Accounting to acquaint interested parties with the transactions that have occurred during his execution. The Account also indicates the proposed distribution of the estate. It is important for the Account to be carefully examined. Requests for additional information or questions or objections can be discussed with the undersigned Attorney for the Estate. Stephen J. Hogg, Esquire 19 S. Hanover Street, Suite 101 Carlisle, PA 17013 (717) 245-2698 Attorney for Estate . . LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE. PA 17013 RECEIPTS OF PRINCIPAL CASH Cash United American Insurance Company 1985 Buick sold to Linda Fickes 103 Hutton Road, New Cumberland, PA 17070 Subtotal REFUNDS Automobile Insurance Refund U.S. Treasury - Tax Refund PA State Treasury Department; Revenue Refund Adams Electric Refund Subtotal STOCKS & BONDS Foot Locker PP&G American Express Funds PP&G, sale of shares American Century Services PP&G Dividends $50.00 Savings Bond Subtotal $ 30.37 $ 62.31 $ 500.00 $ 592.68 $ 61.80 $ 924.00 $ 46.00 $ 23.31 $1,055.11 $ 750.59 $1,523.20 $3,612.81 $ 429.95 $ 223.52 $ 13.76 $ 46.52 $6,600.35 LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 JOINTLY OWNED PROPERTY Members 1st Federal Credit Union Checking Acct#81905-11 50% of total value of $697.24 Jointly owned with Debby Lyon, Daughter $ 348.62 Members 1st Federal Credit Union Savings Acct#81905-00 50% of total value of $491.00 Jointly owned with Debby Lyon, Daughter $ 245.55 Members 1 sl Federal Credit Union Savings Acct#190176-00 50% of total value of $25.10 Jointly owned with Debby Lyon, Daughter $ 12.55 Subtotal $ 606.72 TOTAL GROSS ASSETS $ 8,854.86 LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 DISBURSEMENTS OF PRINCIPAL EXPENSES AND DISBURSEMENTS Personal Taxes 2002 Lancaster Physical Management Kunkel Surgical Group Subtotal ADMINISTRATIVE EXPENSES Fogelsanger - Bricker Funeral Home Personal Representative's Commissions Attorney fees Probate fees Advertisement: Cumberland Law Journal The Sentinel Short Certificate Accounting (Est.) Inventory and Tax Return New Checks Inheritance Tax Inheritance Tax Subtotal $ 10.00 $ 100.00 $ 51.78 $ 161.78 $2,275.00 $ 750.00 $ 750.00 $ 60.00 $ 75.00 $ 90.59 $ 3.00 $ 125.00 $ 25.00 $ 6.94 $ 203.96 $ 6.84 $4,371.33 LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE. PA 17013 NET TOTAL EXPENSES AND DISBURSEMENTS LESS INSURANCE DEATH BENEFIT $4,533.11 $2,275.00 $2,258.11 $8,854.86 $2,258.11 TOTAL EXPENSES AND DISBURSEMENTS TOTAL GROSS ASSETS LESS EXPENSES AND DISBURSEMENTS NET ESTATE AMOUNT FOR DISBURSEMENT $6,596.75 2 LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 VERIFICATION I Debby Lyon, do hereby verify that I am the Petitioner herein, and that the facts set forth in the aforegoing Petition to Settle an Estate are true to the best of my knowledge, information and belief, upon information supplied. I understand that false statements herein are subject to the penalties of 18 Pa. C.SA 94904, relating to unsworn falsifications to authorities. Date: IO/,;t!jfJ3 )~~ DE~BY l..; ON 9worp to or aff~~ and subscribed to before me by witnesses, this ~ day of ~ Q..., 612~ , 2003. My Commission Expires: Notarial Seal Robert Rohr, NOlary Public Lower Allen Twp., Cumberland County My Commission Expires Ck:I. 18, 20M Member, PennSylvania AsSOCialion ot Notaries LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 CONSENT TO DISTRIBUTION I, the undersigned party in interest in the Estate of Martha E. Finkey, aver I have received and read a copy of the attached First and Final Accounting with a proposed final distribution schedule. I understand the proposed distribution and have no objection thereto. Date: loj~r/lJ3 , ~ JJ..Jd DEBBY ~ON LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 CONSENT TO DISTRIBUTION I, the undersigned party in interest in the Estate of Martha E. Finkey, aver I have received and read a copy of the attached First and Final Accounting with a proposed final distribution schedule. I understand the proposed distribution and have no objection thereto. Date: 1/ ~ '-t .O~ \ .,', .' LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 -, "I '. CONSENT TO DISTRIBUTION I, the undersigned party in interest in the Estate of Martha E. Finkey, aver 1 have received and read a copy of the attached First and Final Accounting with a proposed final distribution schedule. I understand the proposed distribution and have no objection thereto. Date: ~()\) S ~ d-.oo3, CowP~ -:bfeulJ CAROL JEAN BLACK , . LAW OFFICES OF STEPHENJ. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE. PA 17013 .." . .. CONSENT TO DISTRIBUTION I, the undersigned party in interest in the Estate of Martha E. Finkey, aver 1 have received and read a copy of the attached First and Final Accounting with a proposed final distribution schedule. I understand the proposed distribution and have no objection thereto. Date: 11- 5.. O} C\~"&iJ. l1...L JEFFI!R S TT THRUSH LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 IN RE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF MARTHA E. FINKEY ORPHAN'S COURT DIVIDION NO. 21 02-0465 PROPOSED DISTRIBUTION OF $6,596.75 Paragraph 3A of Will: Foot Locker (Woolworth stock): Debby Lyon Paragraph 3B of Will: PP&G stock $1,966.91 Jeffrey S. Thrush Rebecca T. Schwartz Total Remainder Estate Value: $3,879.25 Paragraph 3C of Will: Carol Black $1,293.08 $1,293.08 Debby Lyon Toni Hockenberry $1,293.08 $750.59 $983.45 $983.46 /-'/-6.3- Y '\, BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION OEPT. 280601 HARRIS8URG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEMENT, AllOWANCE OR DISAllOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX IEV~1547 EX AFP CUl-D5) 08-18-2003 FINKEY 02-17-2002 21 02-0465 CUMBERLAND 101 Allount RUli tted DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN E MARTHA :\ S :/0 !\Gl] 26 '0] STEPHEN J HOGG ESQ STE 101 19 S HANOVER ST CARLISLE \, PA (t~1U..3 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=is4j-EX--"FP--foFoirNOYicE--OrrNHERiTANCE-Y';inrpPRXiSEMEN:r,--"LrOWAifcE-ei"R"----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FINKEY MARTHA E FILE NO. 21 02-0465 ACN 101 DATE 08-18-2003 TAX RETURN WAS: I X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate ISchedule A) 2. Stocks and Bonds ISchedule B) 3. Closely Held Stock/Partnership Interest ISchedule C) 4. Mortgages/Notes Receivable ISchedule D) 5. Cash/Bank Deposits/Misc. Personal Property ISchedule E) 6. Jointly Owned Property ISchedule F) 7. Transfers (Schedule G) 8. Total Assets .00 6,600.35 .00 .00 1,647.79 606.72 .00 (8) NOTE: To insure proper credit to your account, subllit the upper portion of this forn with your tax paYllent. (1) (2) (3) (4) IS) (6) 17J 8,854.86 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/Govarnllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 4,160.53 161.78 Ill) (12) (13) (14) (9) (10) 4.32;;> :n 4,532.55 .00 4,532.55 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. 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. Anaunt of line 14 taxable at lineal/Class A rate (16) 17. Anount of line 14 at Sibling rete (17) 18. Allount of line 14 texable at Collateral/Class B rate (18) 19. Principal Tax Due .00 203.96 .00 .00 203.96 . DO X DO = 4,532.55 X 045 = . DO X 12 = .oox 15 = (19)= TAX CREDITS: rft....~n. J,,"'<;C.Lr, \~) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID 1-) 07-11 2003 CDo0279o .00 203.96 BALANCE OF UNPAID INTEREST/PENALTY AS OF 07-12-2003 TOTAL TAX CREDIT 203.96 BALANCE OF TAX DUE .00 INTEREST AND PEN. 6.84 TOTAL DUE 6.84 I IF TOTAL DUE IS lESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADOITIONAl INTEREST. /"}-6.3 - y/ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRIS8URG. PA 17128-0601 REV-l601 EX AFt' (111-03> STEPHEN J HOGG ESQ STE 101 19 S HANOVER ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-01-2003 FINKEY 02-17-2002 21 02-0465 CUMBERLAND 101 MARTHA E Amount Remitted 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, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-y=i6o-j-E>C-AFP--coi-:03j-------;;.--iNH-ERIT-ANCE--TAX--ST;lfEHE-NT-O-F-AC-COUN-f--.-;;--------------------- ESTATE OF FINKEY MARTHA E FILE NO. 21 02-0465 ACN 101 DATE 12- 0 1- 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: 08-18-2003 P R I N C I PAL TAX DUE: ...__.____.__._.._._................__.._.........................._...........____......................_....._..._..___...._.___._........... 203.96 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 07-11-2003 CD002790 .00 203.96 11-04-2003 CD003196 6.84- 6.84 TOTAL TAX CREDIT 203.96 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN tl. 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 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 002790 HOGG STEPHEN J ESQUIRE 19 S HANOVER STREET SUITE 101 CARLISLE, PA 17013 fold ESTATE INFORMATION: ssN: iii-28-i~oi FILE NUMBER: 2102-0465 DECEDENT NAME: FINKEY MARTHA DATE OF PAYMENT: 07/ 1 1 /2003 POSTMARK DATE: 00/00/0000 couNTY: CUMBERLAND DATE OF DEATH: 02/ 1 7/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 5203.96 TOTAL AMOUNT PAID: REMARKS: DEBBY K LYON C/0 STEPHEN J HOGG ESQUIRE CHECK#105 SEAL INITIALS: AC RECEIVED BY: DONNA M. OTTO REV-1162 EX(11-96) 5203.96 DEPUTY REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) N0. CD 003196 HOGG STEPHEN J ESQUIRE 19 S HANOVER STREET SUITE 101 CARLISLE, PA 17013 fold ESTATE INFORMATION: ssN: 77i-28-~70~ FILE NUMBER: 2102-0465 DECEDENT NAME: FINKEY MARTHA DATE OF PAYMENT: 1 1 /04/2003 POSTMARK DATE: 1 1 /04/2003 COUNTY: CUMBERLAND DATE OF DEATH: 02/ 1 7/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 56.84 TOTAL AMOUNT PAID: REMARKS: DEBBY K LYON C/0 STEPHEN J NOGG ESQUIRE CHECK# 108 INITIALS: AC 56.84 SEAL RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS