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HomeMy WebLinkAbout02-0485 COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT PANNEBAKER JAMES B 4000 VINE ST MIDDLETOWN, PA 17057 nnnn fold ESTATE INFORMATION: SSN: 187-16-4522 FILE NUMBER: 2102-0485 DECEDENT NAME: DINTAMEN GLENN F DATE OF PAYMENT: 05/16/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/13/2002 NO. CD 001187 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $731.51 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: MARGARET D HOUSER C/O JAMES B PANNEBAKER ESQUIRE CHECK# 592 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WillS $731.51 MARY C. lEWIS REGISTER OF WillS PETITION FOR PROBATE and GRANT OF LETTERS Estate of (1-{;:t-ifV fj/);"d-/l....fAf./ No. ...:)'/ ~ I)d .~ 1 K 5 also if/joWl} as ;;r t 'N ~/2/1r,,'!4 ;f\.-' To: Qi(V~.4i'1.f_r" Deceased. Social Security No. I J/7 -I b - ti 5 "2-'2.. Register of Wills fort!.edAJ-d . County of C "hI( F:.I2. In the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or ~~ an the eqcut,."p in the last will of the above decedent, dated 'tII/E. and codicil(s) dated n3l.IJ!.ed , 19~ (state relevant circumstances. e.g. renunciation, death of executor, etc.) Ilecendent was domiciled at death in' /t 6& (ANi Count'l.~emlSYlv~ni~, with h f$ last family or princina) residen<;e at 7 ,:,,.1.,- "-O~ -I '<"?-",,,,,,, L~ u-<; p4:, Irc,So tl/U-1/,,{6J 'f lUL'. ' I (I" b f , I' 1St street, num er and munclpa Ity) Decendent, the . year of age, died at -C. c: , ' "1:';/i L' C ?<JcC, Except as follows, decedent did not marry, was not divorced nd 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: ,.~ "200'2..., 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: $ Ihl G'ro .CX" $ $ $ WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters theron. request(s) the probate of the last will and codicil(s) Testamentarv (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) " u " " ~3 "" 0:" " -00 C'';:: ell";:: 3~ "~ .0 " " '" in /~"e4 /('/:yd;;:., ~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA "1 '8 COUNTY OF Cumberland J S 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. Sworn to or affirmed and subscribed t2<;t..,.fr.;<( ~..-^---- ~ before me this 14 day ~ June ~ i: ~ ~ LeW1S Registe /7-(,"1-/0 No. 21-7.0m-4R'i Estate of Glenn F. DintamiGJl,aka Glenn Franklin Dintaman . Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW Julv 3m. ~ 2007, 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 June 9th. 1999 described therein be admitted to probate and filed of record as the last will of Glenn F. Dintaman, aka Glenn Franklin Dintaman and Letters TestamentaIV are hereby granted to Arlanda H. Dintaman 9r~('Y.L<>:uJ M",,~ Re,gister of willi ~ary c. Lewi:~ I FEES Probate, Letters, Etc. ......... Short CertificatesQ ) . . . . . . . . . . Renunciation .(.2)............. x-Pages JCP $ 50.00 $ 6.00 $ 10.00 $ 15.00 5.00 TOTAL - $ 86.1111 . July. 3m,. 2002. . . . . . . . . . . . . . . . . ATTORNEY (Sup. Ct. I.D. No.) ADDRESS Filed PHONE "5 MAILED LEITERS 'IO EXECUTRIX ON 7-3-02 REG'STEr< OF WILLS DAUPHI~! COUNTY, PENNSYLVANIA RENUNCIA lION Estate of GLENN F. DINTAMAN No. 21-2002-485 also known as N/A , Deceased The undersigned, MARGARET D. HOUSER, NAMED EXECUTRIX (Relationship) (Capacity) of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters 'T'RS'T'IIMffiJ'T'IIRY be issued to ARLANDA H DINTAMAN Witness my hand this day of April ,2002 c/J&~1Rf l, .1ft1~0 Margaret . Houser 306 Oak Hill Drive, Middletown (Address) PA 17057 (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed . ...4 before me this ,52:3 day of Cfi--td ~,?- ~' .~ ' - ~~~--:7 ~/ Notary Public My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show dale of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 ~._. NOTARIAL SEAL GALE FRANCES BLAKE, Notary Public Boro of Middletown, Dauphin County ~.2..~~~~~'.I_i ~__~ i,'".'!:. F ',f) Ire,S, .~~n..e., 19, 2004 " 21-2002-485 LAST WILL AND TESTAMENT OF GLENN F. DINTAMAN I, Glenn F. Dintaman, having my legal residence at 4765 Brian Road, Mechanicsburg, Cumberland County, Commonwealth of Pennsylvania, do hereby declare this to be my Last Will and Testament revoking all other wills and Codicils heretcfore made by me. My wife, Emma E. Dintaman and my children, Margaret D. Houser, Glenn C. Dintaman, Robert A. Dintaman, Charles A. Dintaman, Mary E. Borden and Arlanda H. Dintaman are living at the time of the execution of this, my Last Will and Testament. ITEM ONE: I direct that the expenses of my last illness and funeral be paid from my estate as soon as practicable after my death and further request that my pre-arranged funeral with Neumeyer Funeral Home, Inc., be followed very specifically. ITEM TWO: I devise and bequeath my interest in the Partnership with Jeffrey E. Smith and Bruce J. Brown. to my estranged wife, Emma E. Dintaman. ITEM THREE: I devise and bequeath my 1997 Lincoln Town car or any other vehicle lawn at the date of my death to my daughter, Margaret D. Houser, per stirpes. -d~ o:::A!J~CJ:AA<.cLv( Glenn F. Dintaman 1 ITEM FOUR: I devise and bequeath my money collection to my son, Arlanda H. Dintaman, per stirpes. ITEM FIVE: I devise and bequeath those specific items to those specific persons named in the signed and dated memorandum attached to this, my Last Will and Testament. ITEM SIX: I devise and bequeath all the remainder of my estate and property of whatever nature and wheresoever situate to my children, per stirpes, who so survive my death. I intentionally make no additional devise to my wife, due to the fact that we were estranged for many, many years. ITEM SEVEN: All estate, inheritance, succession and other death taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the principal of my general estate, as if such taxes were administration expenses, without apportionment or right of reimbursement. I authorize my legal representatives to pay all such taxes at such time or times as may be deemed advisable. .A~g;.6J~~ Glenn F. Dintaman 2 ITEM EIGHT: I appoint my daughter, Margaret D. Houser, Executrix of this Will and direct that he be permitted to serve without bond and without intervention of any court except as required by law. I authorize my Executrix to sell, encumber, mortgage, invest, distribute in kind, retain any items or property of my estate in such manner as she shall deem proper, limited only by her own discretion. If for any reason my Executrix appointed under this Will shall fail to serve in that capacity, I appoint my children, Glenn C. Dintaman, Robert C. Dintaman, Charles A. Dintaman, Mary E. Borden and Arlanda H. Dintaman, or their survivor or survivors, my Co-Executors with the same powers and privileges set forth above. IN WITNESS WHEREOF, I have at Middletown, Pennsylvania, this CfL- day of JUI~ , 1999, set my hand and seal to this, my Last will and Testament consisting of three (3) pages. ~.w( if ,d~c:JA{d,U(, lenn F. Dintaman 3 " SIGNED, sealed, published and declared by Glenn F. Dintaman, the above-named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. Residence ,~ ~/J- #11W1m1111'J'/h7jjrl p/J Residence 4 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN I, Glenn F. Dintaman, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me Glenn F. Dintaman, the Testator, this ~ day of LJUI'LL. ,1999. NOTARIAL SEAL STACEY LYNN SECHLER, Notary Public Middletown, Dauphin County My commlt.lon Ellplrel MIIOh G, 2001 5 , AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN We, #...krR iJt1I1/I'1~":;; and ~t"\,~,c\ 'l~n'0\'l<-"~' the witnesses whose names are subscribed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~~;-- 0- ~&~ "p,~ WI TNES _L_-j1_ NOTARIAL SEAL STACEY LYNN SECHLER, Notary Public Middletown, Dauphin County My Commission E"lli'es March 5, 2001 :sls DINTAMAN TRUSTWIL 6 '1 1- 0 ~ ~ 0 H I-<~ Z ,"0 ~ ~J '"~ i . ,,~ \,) !;; s ill . '" z ~ '" ~ <11 ~ z" w~ ~ H Q ;; > z~ H Z ~ III ~ . ~ ~ o~ H "~ ~ I"< ~ ~ fjJ <i Z .~ ~ 0 r<l ~ z ao: . &\ z 5 ~ >-~ I"< " H ~ r:: :i H ~ ~ ~ " " H :J 0 ~ ~ 01;; H t:3 "' ~ " CJJ " ;'j ::s . I:r"ANNEBA_KER AN)P;' JO~ES. lPtP c. FOUR THC\'~&'\ND VI~f STREET MIDDLETOWN, PENNSYLVANIA 17057.0510 "",; -..- " //J-h f - 10 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 DR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JAMES B PANNEBA~Mm:,j~,,jj,J~121i1\r;f~rj5 PANNEBAKER & JONES 4000 VINE ST MIDDLETOWN DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-17-2002 DINTAMEN 04-13-2002 21 02-0485 CUMBERLAND 101 *' REV-1541EXAFPlOl-02l GLENN F Amount Remitted ':, '"it.. ~ 1 ~1l";7 r ,1ft".. -I .,,~,'...-. ",'1:":"" "'\14 ,.l':!c. MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-Y-=i5'4TEiCAFP-("oFozY-Nli'ficE--oF-i:-NHERiTANc"E"'i'-AX-j\pPRj\isEHENi"~--Aii-owAi.fcE-ori----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX GLENN F FILE NO. 21 02-0485 ACN 101 ESTATE OF DINTAMEN TAX RETURN WAS: I X J ACCEPTED AS FILED J CHANGED DATE 06-17-2002 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 14 at Spousal rate 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets llJ 12J 13J (4J [5J [6J 17J .00 .00 .00 .00 .00 17.116.52 .00 IBJ APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax .00 .00 IllJ 112J 113J 114J NOTE: 115J 116J 117J llBJ .00 17,116.52 .00 .00 X 00 = X 045 = X 12 = X 15 = NOTE: To insure proper credit to your account} submit the upper portion of this form with your tax payment. 17,116.52 nn 17,116.52 .00 17,116.52 119J= .00 770.02 .00 .00 770.02 <+T AMOUNT PAID DATE NUMBER INTEREST/PEN PAID I-J 05-16 2002 CDOO1187 38.50 731.51 TOTAL TAX CREDIT 770.01 BALANCE OF TAX DUE .01 INTEREST AND PEN. .00 TOTAL DUE .01 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)} YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS.J RENUNCIATION 21-2002-485 In Re Estate of GLENN F DINTAMAN deceased. To the Register of Wills of CUMRF:RT ANTl C County, Pennsylvania. The undersigned CHlLDREN of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters TESTAMENTARY be issued to ARLANDA H DlNTAMAN WITNESS hand this day of ,19_. @ ~ /~~c-llL;:::;~ (Signature) (Signature) (lldaress ) /tjo~ j)1( ~f) -c~(fj)~ /fcWlI; II;"i~.nat,? ~ (721// :JfMt6 ,D$~ ~ ~A~ . _ ~~Z- C :- ~f~~r.c;Y~ /ilie7 ~/C-~~~ ~C;;;-/6EZ:- /-~,..c'^",d' ~aW~ /# /7/t:73 . J77 O>>f E ( 13~1-L 5 Lf /1 ()jo6(t75~l< UJ9':1 r4.-fr fO/lk, &ct, 3[[,,30 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DINTAMAN ARlANDA H 110 FOREST VIEW DRIVE SHERMANSDAlE, PA 17090 _nn___ IOld ESTATE INFORMATION: SSN: 187-16-4522 FILE NUMBER: 2102-0485 DECEDENT NAME: DINTAMEN GLENN F DATE OF PAYMENT: 08/01/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/13/2002 NO. CD 001468 ACN ASSESSMENT CONTROL NUMBER AMOUNT 02002881 I $102.68 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 365984495 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $102.68 MARY C. lEWIS REGISTER OF WillS '. o CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: 6LFrvrJ F. Pi,..d.A:,l(A,.J Date of Death: A;)fiJ t3 j. "2-<")c:? "2-- Will No. 2..; " t.a?"2- - VB S Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name ~ L ~~;vt~"'L E. y;r/['1.,,<-..v./ r9UtJt-J C. [)'Nf"oMAt-' J'1 A~I/A #( ;Jous~,t!.- , !<op~,-t..-1 {. })iA/t~A;J C~7.""'.M<'f A - /)'rtJ~A,..J ~1A~V e. ROfij~tv , Address / /J ({rtY A.n4j (;)v~1 /~ . 17(11 j-( ec.hAfV;~5'j)(/1 (M . ! ?O~~ /!;J/(f3.-&'WN.. R4. !7057 f{f~J>tV~4 (/A. IL 'FrtJ v; II.{ , /'A. I GA. I 7,b"l-- /7()bl3 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: AWV5L l ZOO'l..- ( . ~-,4 ~~~- Signature Name A/'JAIIl"" f(. D(t>'t.<1'~,.) Address 1(0 ra,t.€d t-/";4W 7)K-. Sk,;/U.-f..,..-s 'J)q/'i. fJA. /"7<>7 (J I Telephone r711l 5'07-/("8 Capacity: ~rsonal Representative ~Counsel for personal representative . COMHONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 28D601 HARRISBURG, PA l7l28-06Dl *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 02-0485 ACN 02002881 DATE 08-07-2002 V' REV-l!iUEX AFP 109-001 EST. OF GLENN F DINTAMEN 5.5. NO. 187-16-4522 DATE OF DEATH 04-13-2002 COUNTY CUMBERLAND TYPE OF ACCOUNT IX] SAVINGS D CHECKING D TRUST D CERTIF. ARLANDA DINTAMAN 110 FORREST VIEW RD SHERMANS DALE PA 17090 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FED CREDIT UNION has provided the Department with the inforllation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If yoU feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions .ay be answered by calling (7l7) 787-8321. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 105095-05 Data 01-15-1994 Esiablished PART [!] 4,563.41 50.000 2,281. 71 .045 102.68 TAXPAYER RESPONSE !!!!!!~~~~I!~!!!!~I!!!!~~.~!!!!~~~~!!I!!~~~~~!!!!!I~~!!!!.!i!i.~~~!~.!!!!!~~~!!!!~~I!~..!!!!g~M!!!!IM!!!!!~!~~!!!!.i~~~!!!!!! Accouni Balance Perceni Taxable Amouni Subjeci io Tax Raie Poieniial Tax Due To insure proper credit to your account, two (2) copies of this notice must accompany your pay.ent to the Register of Wills. Make check payable to: RRegister of Wills, Agent". x x NOTE: If tax payments are made within three (3) months of the decedent"s date of death, you may deduct a SX discount of the tax due. Any inheritance tax due will become delinquent nine {'ill months after the date of death. Tax [CHECK ] ONE BLOCK ONLY A. he above infor.ation and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a dIscount or avoid interest, or you may check box nA" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. B. c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. C. c=J The above information is incorrect and/or debts and deductions were paid by you. You lIust co.plete PART 0 and/or PART ~ below. PART @J DATE PAID DEBTS AND DEDUCTIONS CLAIMED If you indicaie a differeni iax raie} please siaie your relaiionship io decedeni: PART [3J TAX RETURN - COMPUTATION LINE 1. Oaie Esiablished 2. Accouni Balance 3. Perceni Taxable 4. Amount Subject to Tax 5. Debis and Deductions 6. Amount Taxable 7. Tax Raie 8. Tax Due OF 1 2 3 4 5 6 7 8 x TAX ON JOINT/TRUST ACCOUNTS x PAYEE DESCRIPTION AMOUNT PAID I $ I TOTAL (Enier on Line 5 of Tax Compuiaiion) perjury} I facts I have reporied above are irue} correci and HOME ( ;q2- 7(98 ) '156031 NUMBER /-'/-6 ~- /0 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128.0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOMANCE OR DISALLOMANCE OF DEDUCTIONs, AND ASSESSMENT OF TAX ON JOINTLY HELD DR TRUST ASSETS REV.154BEXIlFP{OI_g2J ARLANDA H DINTAMAN 110 FOREST VIEW RD SHERHANS DALE PA 17090 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 09-30-2002 DINTAMAN 04-13-2002 21 02-0485 CUMBERLAND 187-16-4522 02139003 GLENN F Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-i=is4-i-EX--AFP--coi-=ozj------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 09-30-2002 ESTATE OF DINTAMAN GLENN F DATE OF DEATH 04-13-2002 COUNTY CUMBERLAND FILE NO. 21 02-0485 TAX RETURN WAS: S.S/D.C. NO. 187-16-4522 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 02139003 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 105095-05 TYPE OF ACCOUNT: DATE ESTABLISHED (>0 SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE 01-15-1994 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X .00 0.500 .00 .00 .00 .45 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." X TAX CREDITS: PAYHENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (- ) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * ( IF TOTAL DUE IS lESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) - BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DI'~ISION DEPT. 2806'01' HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONs, AND ASSESSNENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EXAFP C01-02J ARLANDA H DINTAMAN 110 FOREST VIEW RD SHERMANS DALE PA 17090 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 09-30-2002 DINTAMAN 04-13-2002 21 02-0485 CUMBERLAND 187-16-4522 02135950 GLENN F Amount Ramitted MAKE CHECK PAVABLE 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-1548 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR DISALLOWANCE OF TRUST ASSETS DATE 09-30-2002 ESTATE OF DINTAMAN GLENN F DATE OF DEATH 04-13-2002 COUNTY CUMBERLAND FILE NO. 21 02-0485 TAX RETURN WAS: S.S/D.C. NO. 187-16-4522 () ACCEPTED AS FILED (X) CHANGED ACN 02135950 SEE ATTACHED NOTICE JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 105095-05 TYPE OF ACCOUNT: DATE ESTABLISHED (Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE 01-15-1994 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X .00 0.500 .00 .00 .00 .45 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (- ) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREon" ( CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) <,v-w",,,,-,,> . . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME INHERITANCE TAX EXPLANATION OF CHANGES GLENN F DINTAMAN FILE NUMBER REVIEWED BY Karen J. Appleby ACN 2102-0485 02135950 ITEM SCHEDULE NO. EXPLANATION OF CHANGES Above-referenced ACN(s) are being adjusted to reflect zero tax due since they have been reported on the probate return. ROW Page 1 ... . f-"-- ~ IN RE: ESTATE OF GLENN F. DINTAMAN, deceased IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : IN ORPHANS' COURT DIVISION No. ~ \ - 0,2 -l-\-<t S ELECTION OF SURVIVING SPOUSE TO TAKE ELECTIVE SHARE OF DECEDENT'S PROPERTY PURSUANT TO SECTION 2203(a) OF THE PROBATE. ESTATES AND FIDUCIARIES CODE I, Emma E. Dintaman, am the surviving spouse of Glenn F. Dintaman who died April 13, 2002 domiciled in Cumberland County and I hereby exercise my right to take an elective share of one third (1/3) of the property of my deceased husband pursuant to Section 2203(a) of the Probate, Estates and Fiduciaries Code, including but not limited to all property passing under my deceased husband's will and Allfirst Bank account no. 0057696977 in the joint names of Glenn F. Dintaman and Margaret D. Houser. ) - / ,d7/4/hUU c:? ~~~/?~ Emma E. Dintaman 3769 Brisban Street Harrisburg, PA 17111 Date: q/~cJk,}- / / Kent H. Patterson Attorney for Emma E. Dintaman 221 pine Street Harrisburg, PA 17101 (717) 238-4100 .I . IN RE: ESTATE OF GLENN F. DINTAMAN, deceased IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA IN ORPHANS' COURT DIVISION "- l- CJ 3-- - ~~ No. <F'" CERTIFICATE OF SERVICE AND NOW, this q.P- day of ~&~ ,2002 I, Kent H. Patterson, hereby certify that I this day served the within election of surviving spouse by depositing copies of same in the United States mail, postage prepaid, at Harrisburg, pennsylvania, addressed to the following persons as follows: Arlanda H. Dintaman 110 Forest View Drive Shermans Dale, PA 17090 (personal representative) Margaret D. Houser 306 Oak Hill Drive Middletown, PA 17057 /-. 7/~~ Kent H. Patterson Attorney for Emma E. Dintaman 221 pine Street Harrisburg, PA 17101 (717) 238-4100 \ /'1-6-,/-/0 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLDHANCE OR DISALLOHANCE OF DEDOCTION~, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-15~8 EX AFP COI-02l ARLANDA DINTAMAN 110 FORREST VIEW RD SHERMANS DALE PA 17090 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-25-2002 DINTAMAN 04-13-2002 21 02-0485 CUMBERLAND 187-16-4522 02002881 Allount Relllitted GLENN F MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-y=is4li-Ex--AFP--fol-=021-------------------------------------------------------------_______________________ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-25-2002 ESTATE OF DINTAMAN GLENN F DATE OF DEATH 04-13-2002 COUNTY CUMBERLAND FILE NO. 21 02-0485 TAX RETURN WAS: S.S/D.C. NO. 187-16-4522 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FED CREDIT UNION ACCOUNT NO. ACN 02002881 105095-05 TYPE OF ACCOUNT: DATE ESTABLISHED ()() SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE 01-15-1994 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due x 4,563.41 0.500 2,281.71 .00 2,281.71 .45 102.68 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." X TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-01-2002 CDOO1468 .00 102.68 TOTAL TAX CREDIT 102.68 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR).. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~ ~ RE~.lN1OEx(~OO) REV-1500 [. 1\ 19Lf- \0 '* COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 - 02 04 85 COUNTYCOOE yeAR NUMBER f- Z W o W U W o DECEDENT'S NAME (LAST. FIRST AND MIDDLE INITIAL) intaman aJk/a Dintamen , Glenn F. DATE OF DEATH MM-DD-YEAR) DATE OF BIRTH (MM.DD.YEAR) 04-13-02 02-19-24 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ILAST, FIRST AND MIDDLE INITIAL) Dintaman, Emma E. SOCIAL SECURITY NUMBER 187 - 16 - 4522 w .... <1''''' - w!:!;o ","0 u~a: " " < ~1.0rigjflaIReturn O..LimiledEstate [8J 6. Decedent Died Teslate (Atlacl1COflyoIWIII) D9.LiligaliOnproceedsReceived D2.SUPPlementalReturn o .4a. Future Interest Compromise (daleoldeath aftef \2-12-821 D7.0ecedentMaintainedaLiVingTrustallaChicoP1CITrustl o 1 O. Spousal Poverty Credit (dale 01 death bet\1leen 12-31.91 and 1.1-95) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Retum (dilllloldealh pnorlO 12.13-82) Ds.FederalEstateTaxReturnReqUired B. Total Number of Safe Deposit Boxes D 11. Eleclionto tax under Sec. 9113(A) altachSchOO f- Z W C Z o . . w . . o o THIS SECTION MUST BE COMPLETED ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO NAME COMPLETE MAILING ADDRESS omas E. Flower, Es . FI~M NAME I" ~'WJ" Saldis, Shun, ...lower & Lindsa TELEPHONE NUMBER 717-737-3405 2109 Market Street earn Hill,PA 17011 ,. Real Eslale (Schedule A) 2. Slacks and Bonds {Schedule B} II) none (2) none (3) none {I) none (5) 18,708.61 (6) 18,537.71 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o t- <( t- ::l Il. ~ o () X <( t- 15. Amounl of line 14laxable atthe spousal lax rate,orlranslers under Sec. 9116 (a)(1.2) 4,355.36 8,710.72 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) z o f: ~ ::l t- a: <( () w a: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6.. Owned pr.o~ert~ (Schedule F) 7. Inler-Vivos Transfers & Miscellaneous Non-Probate Properly (ScheduleGorl) 8. Total Grall As.els (lotallines 1-7l m none (8) 37,246.32 16. Amounl of Line 14 taxable at lineal rate 9. Funeral Expenses & Administrative Costs (Schedule H) 19) 13,234.73 110) 10,945.51 10. Debts of Decedenl, Mortgage liabilities, & liens (Schedule 1) 11. Tolal Deduction. (lolal lines 9& 10) 12. N.t Value of Ellate (line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to lax has nol been made (Schedule J) 14. Net Value Subject to Tax (line 12 minus Line 13) (II) 24,180.24 (12) 13,066.08 113) 00 11') 13,066.08 x.O 00 115) 0.00 X.o 45 (16) 391.98 x .12 (17) 0.00 x,15 118) 0.00 119) 391.98 17.Amountofline 14 taxable at sibling rale 18. Amount 01 Line 14 taxable at collateral rate CHECK HERE IF YOU Af~E I~EQlJESTi:-"G A REFUi'JlJ CF Ar'J O,ERPA'd,lENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHE K MATH < < 19. Tax Due 20181 Decedent's Complete Address: STREET ADDRESS CITV ZIP /7 II t Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CredltslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 3r/.1'6' "7?J( ,f'1 (5"/161o..)+ IOZ.6'I(fJjpz..) l'l." . , Tolal Credils (A+ B + C ) 3. InleresVPenalty if applicable D.lnlerest E. Penally TotallnteresUPenalty ( D + E ) ... If Line 2 is greater than line 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Pege 1 Line 20 to reque.t a refund 5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter Ihe tola' of Line 5 + 5A. This is Ihe BALANCE DUE. Make Check Payable to: REGISTER OF WILLS. AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS . Did decedent make a transfer and: a. retain the use or income of the property transferred;~ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ _ b. retain the right to designate who shall use the property transferred or its income; _ _ c. relain a reversionary interest; or_ _ _ _ _ _ ~ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ d. receive the promise fOf life of either payments, benefits or care? _ _ _ _ _ _ _ _ _ 2.lf death occurred after December 12.1982. did decedent transfer property within one year of death without receiVing adequate consideration? _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ I:J .. . 3. Did decedent own an "in trust for"<tayable upon death bank account or security at his or her death? _ U ~. ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ ~ _ _ _ ~ _ _ _ _ _ _ _ _ Ves ----8 ___ B No 181 g o 181 181 181 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Undlr pen.JUt. 01 ",rjuIY, I dlcllr,lh.t I h'YllUmlned Ihl. mum.lllcludSnll'CCOInplnylng ldMdulN ,nd 11&11lllNlf1, and 10 Ih. bllt of my knowl.dgt .nd befltf, II illrut. cornoct .nd compltte. o.ctar.llon of pr.pll'lr oIh.r thin the ptnon.ll'lpmlnllllve I. bI..d on III Inlol'lnllllon of which pl'lpllrtr h.. .ny knowledll'_ DATE 1 1 12003 DATE 1 12003 ADDRESS Saidis, Shuff, Flower & Lindsay, 2109 Market Street, Camp Hill FA 17011 For dates of death on or after July i. 1994 and Before January 1, 1995, the tax rate imposed on the net value of transfers to or to the use of the surviving spouse is 3% [72 P.S. 19116 (a) (1.1) (I)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (iill. The statute does nat exemDt 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 Ihe surviving spouse is the only beneficiary. For dates of death on or after July i. 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death 10 or for the use ot a natural parent, an adoptive parent, or a slepparenl of Ihe child Is 0% [72 RS. 19116{a)(1.2)). The tax rale imposed on the nel value of Iransfers 10 or for Ihe use of Ihe decedent's lineal beneficiaries is 4.5%, except as ""led in 12 RS. S9116(i.2) [72 RS. 19116{a)(1)). The tax rate imposed on the net value of Iransfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)J. 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. "',.,"'".".,,"". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEDENT . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Glenn F. Dintaman FILE NUMBER 22-02-0458 Include the proceeds of litigation and the dale the proceeds were received by the estate. All pl'operty joinUy-owned with 'he right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 2000 Lincoln automobile (sale price) $ 18,500.00 2. coin collection (per appraisal) 100.00 3. Tefunded security depositlDel Brook apartments 100.00 4. refund - Comcast TV Cable 8.61 TOTAL (Also enter on line 5. Recapitulation) $ 18,708.61 (If more space is needed, insert additional sheets of the same size) r ",,''''','',9''"'. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOEtH DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF Glenn F. Dintarnan FILE NUMBER 21-02-0485 If an uut was madt joint within on. y"r of the dtcedent. date of death, it must be reported on Schedule G, SURVIVING JOINT TENANT(S) NAME ADDRESS RElATIONSHIP TO DECEDENT A. Arlanda H. Dintarnan 110 Forest View Drive, Shermans Dale, P A 17090 son B. Margaret E. Houser 306 Oak Hill Drive, Middletown, P A 17057 daughter c. JOINTL Y.OWNED PROPERTY: LETTER 0'" DESCRIPTION Of PROPERTY 'OF DATE OF D~TH ITEM FOOJOINT MAIlE Indude name or financial institution and bank account number or similer identifying number. DATE OF DEATH DEeDS VAWEOF NUMBER TENANT JOINT Attachdeedforjoinlly-llllldrealeslale. VAlUE OF ASSET INTEREST DECEDENTS lNTI:.REST 1. A. 1115/94 Members 1st Fed Credit Union acct. #105095-05 4,563.41 50% 2,281.71 2. B. (more Allftrst joint bank account 32,512.00 50% 16,256.00 than one year (the executor believes the Dept of Revenue has issued a prior to notice of appraisement and assessment of tax on this death) account, accepted as ftled; but the notice has not been supplied by Ms. Houser's attorney in time to file this return.) TOTAL (Also enter on line 6, Recapitulation) I 18,537.71 (If more space is needed, insert additional sheets of the same size) """",,(1'91'1". COMMONWEAlTN OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEOENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Glenn F. Dintarnan FilE NUMBER 22-02-0485 Debts of decedent must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: I. John E. Neumyer Funeral Home:professional services, facilities and equipment; steel casket; grave opening & cemetery equipment; obituary; Clergy Honorarium; flowers; death certificates....................... .............................................. ....... $6,766.90 Use of Church for Wake................................................................$ 125.00 $ 6,891.90 B. ADMINISTRATIVE COSTS: I. Pe~sl)na\ Representative s Commissions $ 250.00 Name of Personal Representative (s) Arlanda H. Dintarnan Social Security Number(s} f EIN Number of Personal Represefllalive(s) Street Address 110 Forest View Dr. City Shermans Dale Stat. PA Zip 17090 Year(s) Commission Paid: Z. Attorney Fees Ipaunebaker & Jones ($539.20); Saidis, Shuff, Flower & Lindsay ($1,750)1 2,289.20 3. Family Exemption: (if decedents address is flot the same as claimant s, attach explanation) 3,500.00 Claimant Emma E. Dintarnan St,..t Add,es' 3769 Brisban Street City Harrisburg, P A 17111 State Zip .. surviving spouse RelaUonstllp of Claimant to Decedent 4. Probate Fees 86.00 5. Accountant s Fees 6. Tax Return Preparers Fees Advertisement of Estate (patriot & Cumbo Law Jrnl.) 217.63 7. 217.63 TOTAL (Also enter on line 9, Recapitulation) I 13,234.73 (If more space is needed, insert additional sheets of the same size) """"".,',""'. COMMONWEALTH OF PENNSVLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE r DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF Glenn F. Dintaman FILE NUMBER 22-02-0458 Include unreimbursed medical expenses. ITEM NUMBER I. DESCRIPTION Verizon (phone bill) ....................................................... ...................................................... AMOUNT $ 16.14 2. AT&T (phone bill)................................................................................................................ 8.91 3. PPL (electric bill)............................................................. ................................. .................... 161.15 4. AARPNisa credit card bill........ ........................................................................................... 10,759.31 TOTAL (Also enter on line 10, Recapitulation) 10945 51 . , . (If more space is needed, insert additional sheets of the same sire) "'1""""''"97''''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE t. TAXABLE DISTRIBUTIONS (include outright spousal distributions) t Emma E. Dintaman spouse 1/3 (elective share) 769 Brisban Street Harrisburg, P A 17111 Margaret E. Houser, 306 Oak Hill Dr., Middletown, PA 17057 daughter $16,256 plus 1/9 of probate estate Arlanda H. Dintaman, 110 Forest View Dr., Shermans Dale, PA son $2,281.71 plus 1/9 of 17090 probate estate Charles A. Dintaman, 7 James Dr., Newville, PA 17241 son 1/9 of probate estate Glenn C. Dintaman, 140 Castle Dr., Mechanicsburg, PA 17055 son 1/9 of probate estate Mary E. Borden, 5417 Wood Duck Wy., Lake Park, GA 31636 daughter 1/9 of probate estate Robert C. Dintarnan, 2109 Forster St., Harrisburg, PA 17111 son 1/9 of probate estate ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17. AS APPROPRIATE. ON REV 1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9t13 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE t. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS t. TOTAL OF PART 11 . ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $0 (if more space is needed, insert additional sheets of the same size) Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters \\ ,\\' I ~ \ . , . :;:.' '\ ) ~. ~ ' ~l ""',. .,! "'.' ;: '~,. . ., i_I~"'-' /" t''> -\''''. , 'j / ,.\. -\t- 0.. No. 2002-00485 PA No. 21-02-0485 /! ., " " ('it,." ., rt' '. . , ESTATE OF DINTAMEN GLENN F (LA:; 1, 1:' .L](:;'1', M.L1J1JL,O; j a/k/a PINTAMAN GLENN FRANKLIN Late of HAMPDEN TOWNSHIP ~UM~~KLANU CUUN1Y, : " i , , . " " '. '''1 " "j" r .!' .( .\ ) ,v ';1" I Deceased Social Security No. 187-16-4522 day of July 2002 an instrument WHEREAS, on the 3rd dated June 9th 1999 was admitted to probate as the last will of DINTAMEN GLENN F (LA:; 1 , 1:'1](:;1, M.L1J1JL~j a/k/a DINTAMAN GLENN FRANKLIN late of HAMPDEN TOWNSHIP CUMBERLAND County, who died on the 13th day of April 2002 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to DINTAMAN ARLANDA H 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, of my Office the 3rd day I have hereunto set my hand and affixed the seal of July 2002. ~CRe~frM~~ **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DJVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* NOTICE OF IHBEIlITAIlCE TAX APPRAISEKEHT~ ALLOHAIlCE OR DISALLOHANCE OF DEDUCTION" to AIlD ASSESSMENT OF TAX ON JOINTL Y aELO DR TRUST ASSETS J:E1-lS4' D''''' (0-11) ARLANDA DINTAMAN 110 FORREST VIEW RD SHERMANS DALE PA 17090 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 11-25-2002 DINTAMAN 04-13-2002 21 02-0485 CUMBERLAND 187-16-4522 02002881 ""aunt R_itt.d GLENN F MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT H:USE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-v:i5iii-EX-~f'F'-(Ol~D2)------'--'---------'---------------------------------------------------------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-25-2002 ESTATE OF DINTAMAN GLENN F DATE OF DEATH 04-13-2002 COUNTY CUMBERLAND S.S/D.C. NO. 187-16-4522 ex) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FED CREDIT UNION ACCOUNT NO. FILE NO. 21 02-0485 TAX RETURN WAS: ACN 02002881 105095-05 TYPE OF ACCOUNT: (lO SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 01-15-1994 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Texable Amount Tex Rate X Tax Due 4,563.41 0.500 2,281. 71 .00 2,281.71 .45 102.68 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT.n TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-01-2002 CDOO1468 .00 102.68 TOTAL TAX CREDIT 102.68 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIOK OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. '1'1:' TnTA' ftl..::: TC!' alelC'll:,.Tcn Joe!' oil .'rD.:onTTn f rDl vnll MAV R~ run: A Dl:l:'lIWn ...-' COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INDIVIOUAL TAXES DEPT.2B0601 HARRISBuRG, F'A 17128.0601 REV-1162 EXll1.961 ',ECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT PANNEBAKER JAMES B 4000 VINE ST MIDDLETOWN, PA 17057 ..__n 1014 ESTATE INFORMATION: SSN: 187-16-4522 FILE NUMBER: 2102-0485 DECEDENT NAME: DINTAMEN GLENN F DATE OF PAYMENT: 05/16/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/13/2002 NO. CD 001187 ~())~}f ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $731.51 i I I I I I I I I TOTAL AMOUNT PAID: $731.51 REMARKS: MARGARET D HOUSER CIO JAMES B PANNEBAKER ESQUIRE CHECK# 592 INITIALS: VZ RECEIVED BY: SEAL TAXPAYER MARY C. lEWIS REGISTER OF WillS rc(())~'tf LAST WILL AND TESTAMENT OF GLENN F. DINTAMAN I, Glenn F. Dintaman, having my legal residence at 4765 Brian Road, Mechanicsburg, Cumberland County, Commonwealth of Pennsylvania, do hereby declare this to be my Last Will and T~stament, revoking all other Wills and Codicils heretofore made by me. My wife, Emma E. Dintaman and my children, Margaret D. Houser, Glenn C. Dintaman, Robert A. Dintaman, Charles A. Dintaman, Mary E. Borden and Arlanda H. Dintaman are living at the time of the execution of this, my Last Will and Testament. ITEM ONE: I direct that the expenses of my last illness and funeral be paid from my estate as soon as practicable after my death and further request that my pre-arranged funeral with Neumeyer Funeral Home, Inc., be followed very specifically. ITEM TWO: I devise and bequeath my interest in the Partnership with Jeffrey E. Smith and Bruce J. Brown, to my estranged wife, Emma E. Dintaman. ITEM THREE: I devise and bequeath my 1997 Lincoln Town car or any other vehicle I own at the date of my death to my daughter, Margaret D. Houser, per stirpes. , 0:: 11\ ~ ~:::;;t~~ ;C)~~C&lM.a...( Glenn F. Dintaman 1 ITEM FOUR: I devise and bequeath my money collection to my son, Arlanda H. Dintaman, per stirpes. ITEM FIVE: I devise and bequeath those specific items to those specific persons named in the signed and dated memorandum attached to this, my Last Will and Testament. ITEM SIX: I devise and bequeath all the remainder of my estate and property of whatever nature and wheresoever situate to my children, per stirpes, who so survive my death. I intentionally make no additional devise to my wife, due to the fact that we were estranged for many, many years. ITEM SEVEN: All estate, inheritance, succession and other death taxes, imposed or payable by reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the principal of my general estate, as if such taxes were administration expenses, without apportionment or right of reimbursement. I authorize my legal representatives to pay all such taxes at such time or times as may be deemed advisable. A~i g;: i!)~vf'a-v<- Glenn F. Dintaman 2 ITEM EIGHT: I appoint my daughter, Margaret D. Houser, Executrix of this Will and direct that he be permitted to serve without bond and without intervention of any court except as required by law. I authorize my Executrix to sell, encumber, mortgage, invest, distribute in kind, retain any items~C~~ property of my PRr~~~-in such manner as she shall deem proper, ---- ~- limited only by her own discretion. If for any reason my -= Executrix appointed under this Will shall fail to serve in that capacity, I appoint my children, Glenn C. Dintaman, Robert C. Dintaman, Charles A. Dintaman, Mary E. Borden and Arlanda H. Dintaman, or their survivor or survivors, my Co-Executors with the same powers and privileges set forth above. IN WITNESS WHEREOF, I have at Middletown, Pennsylvania, this GfR-- day of (~Ltl~ ' 1999, set my hand and seal to this, my Last Will and Testament consisting of three (3) pages. ~"~1: if ,6J-L(Jzv.l{<.Wt lenn F. Dintaman 3 SIGNED, sealed, published and declared by Glenn F. Dintaman, the above-named Testator, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. Residence ,/ki~ ~;J- M I m1/r,ll t'1in/!11 III Residence 4 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN I, Glenn F. Dintaman, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me Glenn F. Dintaman, the Testator, this q~ day of JUt'l..L- ,1999. NOTARIAL SEAL STACEY LYNN SECHLER. Notary Public MiddletoWll, Dauphin County My Commiuioli EJcph., "".oh 6, 2001 5 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF DAUPHIN We, H.kr;? P/lJ1/Ar":;-; and ~\t\\~.:'n t'Yie'"\\"\1I?\' the witnesses whose names are subscribed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. SWORN and subscribed to befo~e, this~ay of 0L\t ) . 1999: ~/I~ ITNESS vJdtMl t 71;';1Wl WITNES :sls DINTAMAN TRUSTWIL . NOTARIAL SEAL . STACEY LYNN SECHLER, Notary Public MiddletoWll, Dauphin County My Commission Expires March 5, 2001 6 Del Greco Coins Inc. ~ :$ (~' - 1l..Jf-: ~$f-,d--L pI GL~,. F D~,.rtA-"f.A.N' U.iA/ c;,((~t-,~ ~tI(J -r:;AdAPd.<t Phone: 781-331-4770 800-878-2443 Fax: 781-335-4394 1'?-t5L/-/D \ BUREAU OF YNOIVIOUAL TAXES ~ INHEer~ANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR OISALLOWANCE OF OEOUCTIONS AND ASSESSMENT OF TAX THOMAS E FLOWER SAIDIS ETAL 2109 MARKET ST CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-10-2003 DINTAMAN 04-13-2002 21 02-0485 CUMBERLAND 101 ESQ *' REV-1547EXAFP[Ol-DJl GLENN F Allount Re..itted PA 17011 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE\i=is4j-Ex-iiF'P-foFo3rNoYicE-OF-YNHERii'ANci-Yliic-'A-PPRAisEiiENT:--iiLi-oWAifci-o-R"----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX GLENN F FILE NO. 21 02-0485 ACN 101 ESTATE OF DINTAMAN TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED NO. 01 SEE DATE 03-10-2003 ATTACHED NOTICE NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ~ returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. Amount of line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due 4,355.36 X 00 , .00 23,545.53 X 045, 1,059.33 .00 X 12 , .00 .00 X 15 , .00 (19)' 1,059.33 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held stock/Partnership Interest (Schedule C) (3) 4. Mortgages/Notes Receivable (Schedule D) (4) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (S) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets .00 .00 .00 .00 18.708.61 16.256.00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) llO) 13,234.73 10.945.51 (11) (12) ll3) ll4) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 34,964.61 :>4. ] Rn :>4 10,784.37 .00 27,900.89 TAX CREDITS: ,+, AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-16-2002 CDOO1l87 38.50 731.51 INTEREST IS CHARGED THROUGH 03-25-2003 TOTAL TAX CREDIT 770.01 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 289.32 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 2.81 TOTAL DUE 292.13 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) REV.1470 EX (~88! '*' INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME Glenn F Dintaman FILE NUMBER REVIEWED BY Deborah Washington ACN 2102-0485 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES F 1 The value of the item was previously assessed on 11-25-2002 under ACN 02002881. ROW Page 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128.0601 REV.1162 EX(11.96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SAIDIS SHUFF FLOWER & LINDSAY 2109 MARKET STREET CAMP Hill, PA 17011 nnnn lold ESTATE INFORMATION: SSN: 187-16-4522 FILE NUMBER: 2102-0485 DECEDENT NAME: DINTAMEN GLENN F DATE OF PAYMENT: 06/23/2003 POSTMARK DATE: 06/20/2003 COUNTY: CUMBERLAND DATE OF DEATH: 04/13/2002 NO. CD 002721 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $295.74 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: ARlANDA DINTAMAN EXEC. SAIDIS SHUFF FLOWER & LINDSAY CHECK# 617323088 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS $295.74 DONNA M. OTTO DEPUTY REGISTER OF WillS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ESTATE OF DINTAMAN GLENN F FILE NO/SSN 21 02-0485 COUNTY _CUMBERLAND DATE O~~'ASSESSMENT 03-03-2003 ACN 101 c:_ PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO THE REGISTER OF WILLS LISTED BELOW ------ REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 '" N '"" p . -' - ',~ " ---".-" 0Jt 4& "....., ==s Saidis, Shuff, Flower & Lindsay 2109 Market Street Camp Hill, PA 17011 ~ <; Olj) c, c,~., c "'1 N 2': -:J .~ ~.r "" p ". o}~b ~v c. (\ ',' ,- '. Register of Wills CUMBERLAND COUNTY COURTHOUSE One Courthouse Square Carlisle, PA 17013 - ., :j(S /7-6.y-/o "- BUREAU OF INDIVIOUAL TAXES INHERITANCE TAX DIVISION DfPT. 26D601 HARRISBURG~ PA 17128-0601 - COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' kEY-IU7EX AFP (01-05) 'OJ UL l! THOMAS E FLOWER ESQ SAIDIS ETAL 2109 MARKET ST ,1.1 CAMP HILL PA 11011 ..1.,- DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-14-2003 DINTAMAN 04-13-2002 21 02-0485 CUMBERLAND 101 GLENN F Allaunt Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: NOTE: To insure proper credit to your account} sub.it the upper portion of this for.. with your tax pay.ant. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEv:i61WEX-AFiqjjFii3r----.;..--fNHERI1:ANCE--TAif-sTATEMENT-cfF-ACrciilji.fi--.-..j(--------------------- THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN TNE 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. ESTATE OF DINTAMAN GLENN F FILE NO.21 02-0485 ACN 101 DATE 07-14-2003 DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-10-2003 PAYMENTS (TAX CREDITS): PRINCIPAL TAX DUE: 1,059.33 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 05-16-2002 CDOO1l87 38.50 731.51 06-20-2003 CD002721 6.26- 295.74 TOTAL TAX CREDIT 1,059.49 BALANCE OF TAX DUE .16CR INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .16CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL OUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIP' (CRJ I YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA ~K STATUS REPORT UNDER RULE 6.12 Name of Decedent: Glenn F. Dintaman '03 -1.'1 :7:6 Date of Death: 4-13-02 :~l Will No. 21-02-0485 Admin. No. 2002-00485 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion ofthe administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes..K; 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 the Clerk of the Orphans' Court and may be attached to this report. Date: 7 - ~ I - <? ']' ~~~ Signature Name: Thomas E. Flower, Esquire J.D. No. 83993 SAIDIS, SHUFF, FLOWER & LINDSAY 2109 Market Street Camp Hill, PA 17011 (717) 737-3405 Capacity: _ Personal Representative ---.K... Counsel for Personal Representative 1'/-6L/- /c ~ BUREAU OF INOIVIDUAL INHERITANCE TAX DIVISION K~. 2B~.,6Dl HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT TAXES DATE ESTATE OF DATE OF DEATH FILE NUMBER COl/NTY ACN' 08-05-2003 DINTAMAN 04-13-2002 21 02-0485 CUMBERLAND 101 THOMAS E FLOWER SAIDIS ETAL 2109 MARKET ST CAMP HILL 1'; ESQ PA 17011 Amount Ramitied *' REV.1595EXAFPIDI-05l GLENN F 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 ~ Rifv=is!ii-Ex--AFP--coi-:oii------...-iN-HERI-YANC-€-TA-i-RE-coRil-Auj-usTH-€NT--..----------------------------- ESTATE OF DINTAMAN GLENN F FILE NO. 21 02-0485 DATE 08-05-2003 9113 Trusts (Schedule J) ADJUST"ENT BASED ON: VALUE OF ESTATE: PROTEST BOARD DECISION 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest {Schedule CJ 4. Mortgages/Notes Receivable (Schedule OJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/ Miscellaneous Expenses (Schedule Hl Debts/Mortgage Liabilities/Liens (Schedule Il Total Deductions Net Value of Tax Return Charitable/Governmental Bequestsj Non-elected Net Value of Estate Subject to Tax 10. 11. 12. 13. 14. TAX: 15. Allount of 16. Allount of 17. Allount of 18. Allount of 19. Principal TAX CREDITS. Line Line Line Line 14 at Spousal 14 taxable at 14 at Sibling 14 taxable at rate Lineal/Class A rate rate Collateral/Class B rate Tax Due ACN 101 ll) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 18,708.61 33,372.52 .00 (8) 52,081.13 24,180.24 27,900.89 .00 27,900.89 .00 1,059.33 .00 .00 1,059.33 . '.J A"OUNT PAID DATE NU"BER INTEREST/PEN PAID (-) 05-16-2002 CDOO1187 38.50 731. 51 06-20-2003 CD002721 6.26- 295.74 TOTAL TAX CREDIT 1,059.49 BALANCE OF TAX DUE .16CR INTEREST AND PEN. .00 TOTAL DUE .16CR (9) 1l0) 13,234.73 10,945.51 (11) (12) (13) (14) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS T"AN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" [CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) (15) (16) 117l (18) 4,355.36 X 00 = 23,545.53X 045= .00X12 = .00X15 = (19) BOARD OF APPEALS G5I'T. ?~1021 HARRISBURG, PA 17128-1021 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE June 17, 2003 THOMAS E FLOWER ESQ SAIDIS ET AL 2109 MARKET ST CAMP HILL PA 17011 Dear Mr. Flower: Re: Estate of: File No: Docket No: DINTAMAN GLENN F 2102-0485 0312057 Pursuant to your fax message of June 16, 2003, the above Protest is being formally withdrawn from the Board's Docket. If this is not a correct interpretation of the intent of your letter, please advise accordingly. Very truly yours, JOSEPH R. SLEEK Direct Dial: (717) 783-3669 Fax: (717) 787-7270 Email: jsleek@state.pa.us IF YOU REQUIRE THIS INFORMATION IN AN ALTERNATE FORMAT UNDER THE PROVISIONS OF AMERICANS WITH DISABILITIES ACT OF 1990, PLEASE CALL (717) 783-3664, OR FOR SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND SPEAKING NEEDS:1-800-447-3020 (TT ONLY).