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HomeMy WebLinkAbout02-0610 REV-t500E>t ;;(t-OO) CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R D E E S N T C. o M T P A ~ X A T I o N REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT D E C E D E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OEPT. Z80601 HARRISBURG, PA 171Z8-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Durf Rosie E. DATE OF DEATH (MM-DD-YEAR) /7 FILE NUMBER OFFICIAL USE ONLY 73- 7 21-02-0610 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 172-24-9147 THIS RETURN MUST BE FllEDIN DUPUCATEwt1H THE NUMBER REGISTER OF WILLS SOCIAL S CURl NUM ER o None None None None 4,540.97 None None 4,950.31 2,599.49 x x x x .0 0 .045 .12 .15 3. datEtofdeath . RemaInder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. ElectIon to tax under Sec:. 9113(A) (Attach Sch 0) T1Ql!lstlOQi.D",.iR~1EIJ;TO(' " 60 West Pomfret Street West Pomfret Professional Bldg. Carlisle, PA 17013 2. Supplemental Return 48. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a LIving Trust (Attach copy of Will) (Attach copy of Trust) o 9. Litigation Proceeds Receiv"d 0 10. Spousal Poverty Credit (date of death between '2-~1-9' and 1-1-95) ... ..,~ut.I'."!i_DIl....I*t~ltm!K1!~:!8i COMPLETE MAlllNG ADDRESS 4 - 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule 0) 5. Cash, Ba.nk Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non~Probate Property (7) (Schedule G or L) 8. Total Gross Ass.ts (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabil~ies, & Liens (Schedule J) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Sub'ect 10 Tax (Line 12 minus Line 13) Copyright (c) 2000 form software only The Lackner Group, Inc. DATE OF BIRTH(MM~DD-YEAR) 06 18 2002 r APPLlCABL SURVtVIN A 12 13 1929 \..AS , IRS ,AND M DOL INITIA o s X 1. OrIginal Return 4. Limited Estate X 6. Decedent Died Testtlte ,,1lIlS'SlN " ~IlIi":C .. NAME IRWIN McKNIGHT & HUGHES TELEPHONE NUMBER (1) (2) (3) OFFICIAL USE ONLY (8) 4,540.97 (11) 7.549.80 (12) (3,008.83) (13) (14) (3,008.83) (15) (16) (17) (18) (19) 0.00 0.00 0.00 0.00 0.00 R E C A P I T U L A T I o N (4) (5) (6) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(aX1.2) 16. Amount of line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of line 14 taxable at collateral rate 19. Tax Due 20. (3,008.83) Form AEV-1500 EX (Rev. 6-00) Decedent's Complete Address: -' STREET ADDRESS 739 Sandbank Road CITY -, STATE I ZIP Mount Hollv Sorings PA 17065 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditsIPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 Total Credits (A + B +C) (2) 0.00 3. Interest/Penalty it applicable D. Interest E. Penalty mmmmmm TotallnterestlPenalty ( 0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Pase 1 Line 20 to reque.t a rolund (4) S. If line 1 + Line 3 is greater than Line 2. enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line S + SA. This is the BALANCE DUE. (SB) Make Check Payable to: REGISTER OF WILLS, AGENT iiili;: ,i!l! ;;:!;:;::i:im!T:'~~li:i!~!:i: ,!!lii!mm\\I!mmmll!illllI1111iiii!i1li1illiilliiiliilillimmiill!!miiiiili1i!l!ii!illliliilil!li!111!llii!ji!ii!i!imjlmmmlll!liliili\l1:i\!!1i!!!!il!illl]:! !!ii!i!!!t:1)li:!iii. ;":::';":';;j!l!!!1!i!!. ,,:!:!!!,. ::1:::; .Ii!!;!!!!!!:!::., \~!!!:!!:!::!::::;::;!;;', :::,!i:!i!ii!!!!!! PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Ves No a. retain the use or income of the property transferred; ~ ~ix b. retain the right to designate who shall use the property transferred or its income; , c. retain a reversionary interest; or. . . . . . . . . . . " ........ d. receive the promise for lite at either payments, benefits or care? 2. It death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . .. ...... 3. Did decedent own an ~in trust fo( or payable upon death bank account or security at his or her death? .................. 4~ Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........... . . . . . . . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 0.00 0.00 0.00 0.00 0.00 o o o [B [B [B Under penalties of perJury, I declare that I have examined thili return, IncludIng accompanying schedules and statem&r'!ts, and to the best of my knowledge and belief, It 1$ true, correct and complete. Declaration of preparer other than the personal representative Is based on alllnklrmatlon of which preparer has any knowledg.. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Mary tous ie . Dehoff 320 Mtn. View Road . - Mo;:'nt - Hoii - - -S - ;::1n - S -,' - Pi..- - - i 7ii65 - -. -. - - - - - - -- IRWIN McKNIGHT & HUGHES 60 West Pomfret Street -- ca.zYisie' - FoA-' - i'i6h - - - - -- - - - - - - - - - - -. - - - - - - -- DATE /).,h7h'\.. DATE For dates of death on or after July 1, 1994 and before January 1, 1995. the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 9116 (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) (ij)]. The statute does not exempt a transfer to a surviving spouse frorn 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 of the child is 0% [72 P.S, 9116 (a) (1.2)l. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(aX1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(aXl.3)]. A sibling is defined. under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright (c:) 2000 form software only The Lackner Group, inc:. Form REV-1500 EX (Rev. 6-00) ~. ADDITIONAL Personal Representatives Estate of Rosie E. Durf SS# 172-24-9147 06/18/2002 ************************************************** Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is :~~"::<... ~d .~"~.-t/ /fI Jdd-J2M Name Address Line 1 Address Line 2 City, State, Zip Rose Marie Rickrode 619 Alexander Spring Road Date Carlisle, PA 17013 4<o.;2! ...;1t7"f}<- ,REV-150BIEX +(1-97) COMMON.WEALTH OF PENNSYl VA.NIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rosie E. Durf SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY SSlf 172-24-9147 06/18/2002 FILE NUMBER 21-02-0610 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disc:losed on Schedule F. ITEM NUMBER 1 DESCRIPTION PNC Bank NA - savings account #5080578445 VALUE AT DATE OF DEATH 4,540.97 TOTAL (Also enter on line 5, Recapitulation) $ 4.540.97 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1SOB EX (Rev. 1-97) .REV~ 1511 EX + (1~97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT OECEDEN1 SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Rosie E. Durf SSf} 172-24-9147 06/18/2002 FILE NUMBER 21-02-0610 Debls of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES, B. AMOUNT 1. ADMINISTRATIVE COSTS, Personal Representative's Commissions Name of Personal Representative(s) Social Security Numbens) J E1N Number of Personal Representative(s) Street Address . Zip City State Year(s) Commission Paid: 2. 3. Attorney's Fees IRWIN McKNIGHT & HUGHES Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Clairnant Joseph Durf /Leonard Durf Street Address 739 Sandbank Road City Mt. Holly Springs StatePA Zip 17065 Relationship of Claimant to Decedent 1,000.00 3,500.00 4. Register of Wills 15.00 Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Cumberland Law Journal - estate notice publication 75.00 2 Register of Wills - filing fee 10.00 3 Steven W. Barrett Real Estate - appraisal fee 250.00 4 The Sentinel - Legal - estate notice publication 100.31 TOTAL (Also enter on line 9, Recapitulation) S 4,950.31 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc, Form REV-1511 EX (Rev. 1-97) ,REV-151Z.EX +(1-97) COMMONWEJ.L TH OF PENNSYl VJ.NIA J NH EAIT ANCE T ~ RETURN RESIDENT OECEDENT ESTATE OF Rosie E. Durf SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS SS{! 172-24-9147 06/18/2002 FILE NUMBER 21-02-0610 Include unreimbursed medical expenses. ITEM NUMBER 1 Belvedere Medical Center DESCRIPTION AMOUNT 310.00 2 Carlisle Regional Medical Center 812.00 3 Three Springs Family Practice 1,010.00 4 West Shore EMS 467.49 TOTAL (Also enter on line 10, Recap~ulalion) $ 2.599.49 (If more space is needed. insert additional sheets of the same size) CopyrIght (c) 1996 form software only CPSystems. Inc. Form REV-1S12 EX (Rev. 1~97) . REV-15t1EX..{9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAXRETUAN RESICENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES Rosie E. Durf SS1! 172-24-9147 06/1812002 FILE NUMBER 21-02-0610 RELATlOillSHIP TO DECIOl(ENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSOMS) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [Include oultlght spousal distributions, and transfers under Sec. 9116{a)(1.2)} 1 Mary L. Dehoff 320 Mountain View Road Mount Holly Springs, PA 17065 Daughter 1/9 remainder 2 Daniel J. Durf, Sr. 4410 Carlisle Road Cardners, PA 17324 Son 1/9 remainder 3 Donald E. Durf 60 Ball Park Drive Gardners, PA 17324 Son 1/9 remainder 4 Joseph C. Durf 739 Sandbank Road Mount Holly Springs, PA 17065 Son 1/9 remainder 5 Leonard C. Durf 739 Sandbank Road Mt. Holly Springs, PA 17065 Son 1/9 remainder ENTER DOLLAR AMTS'. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18. AS APPROPRIATE. ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS, A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX is NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON- TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (I' more space is needed, insert additional sheets of the same size) copyrlght(c.) 2000 f01'm software only The Lackner Group, Inc. Form REV-1513 EX (Aev.9-00} Estate of: Rosie E. Durf Soc Sec #: 172-24-9147 Date of Death: 06/18/2002 Continuation of Schedule J, Part I (Taxable Bequests) Item Name and Address of Beneficiary if Relationship Amount or Share of Estate 6 Leroy A. Durf Son 1/9 remainder 4075 Carlisle Road Gardners, PA 17324 7 Robert Durf Son 1/9 remainder llR Mountain Street Mount Holly Springs, PA 17065 8 Cynthia F. Motter Daughter 1/9 remainder 28 Holly Street Mount Holly Springs, PA 17065 9 R. Marie Rickrode Daughter 1/9 remainder 619 Alexande rSpring Road Carlisle, PA 17013 II il II II II II II Iii I, ROSIE E. !:XJRF, a legal resident of Dickinson Township, CUmberland County, Pennsylvania, being of sauro and disposing mind, memory and ii, uroerstanding, do hereby make, publish and declare this as and for my last : will and Testament, hereby revoking all other wills and codicils heretofore I i made by me. IAST WIIL AND TESTAMENl' OF ROOIE E. !:XJRF F'IR>T: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. SEXnID: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. nDRD: I devise and bequeath the residue of my estate, of every nature and wherever situate, to my children, MARY IOUISE DEHOFF, ROSE MARIE mcroooo,OO~E.!:XJRF,ro~E.!:XJRF,~J.!:XJRF,~~c.!:XJRF, lEROY A. UJRF, CYNTHIA F. ARMJLT, and JOOEFH C. CL'RF, equally, provided t..'lat the share of any child who predeceases me shall be added to the share or shares for my other children. I I I I i I I II II II II I' II 'I Signed, sealed, published and declared by the above-named Testatrix, II ROSIE E. UJRF, as and for her last will and Testament, in the presence of II US, who, at her request, in her sight and presence, and in the sight and I' presence of each other, have hereunto subscribed our names as witnesses. II ~/ _ /~/:l-~ // .. /J )) 0 (2-/~" ," ....-----~~~~.~.. UU!~~V' lJC"tl F<XJRIH: I nominate, =nstitute and appoint, MARY IOUISE DEHOFF and ROSE MARIE mCKRODE, Co-Executrices, or the survivor, of this, my last Will and Testament. I hereby relieve my Executrices or their successor from the necessity of posting security in connection with their duties as such in any jurisdiction in which they may be called upon to act, insofar as I am able by law sa to do. IN WI'INESS WHEREOF, I have hereunto set my hand and seal to this, my last will and Testament, consist:i.ng of one typewritten pages, each of which bears my signature, this .;;;z7':zz! day of ~..-;1...?'C'/7' , 1989. -r t 'I ,-!.-;.1--".":..-, [' . t~. ,,~A' . Rosie E. CUrf) (SEAL) II II il 11 II I I cn1MJNWEAillH OF PENNSYLVANIA COUNTY OF CUMBERIAND A~ ss. I, ROSIE E. IXffiF, Testatrix whose name is signed to the attache:! or foregoing instrument, having been duly qualified a=rding to law, do hereby acknowle:!ge that I signed and executed the instroment as Irrj last Will; that I signe:l it willingly; and that I signe:l it as Irrj free and voluntary act for the purposes therein expressed. SWom or affirmed ~ acknowledged before me by ROSIE E. OORF, tr,e Testatrix, this,;? ~ V-- day of ~4KC,...y , 198;;. I i, II I I I I , i I i II II jJ II I I I I cn1M)NWE.AL'ffi OF PENNSYLVANIA ) COUNTY OF CUMBERIAND ,-" ,...._1 I ,,' , ,I J " Testatrix ROsi~ ~. r NI 1 I j < _(SEAL) NOT AIlIAl SEAl. KELLY A. HICKEL. NOTARY PUBliC CARLISLE 8<lqQ., CUM8ERUHll COUNTY. PA MY COMMIS$I'lll OPI~S JUlY 13. 1992 ss. We, Edward L. Schorpp and Robert E. Black, the witnesses whose names are signe:l to the attached or foregoing instrument, being duly qualifie:! a=rding to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her last Will; that Rosie E. DJ.rf signe:l willingly and that she execute:! it as her free and voluntary act for the purpose therein expresse:l; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen or =re years of age, of sound mind and under no constraint or undue influence. Swom or affirmed and subscribed to before me by Edward L. Schorpp and Robert R. Black, witnesses, this ZqJJ--)day of march , 19B9. (SEl'S,) NOTARIAL SEAL KEllY A. HICKEL. NOTARY PU8UC CARLISLE lOAo" CUMBERUIIll COUNTY. PA IIY COIIII\$5 N EXPIRES JUlY 13. 1992-' RUG-08-2002 14:30 PNCBRNK CIF DEPRRTMENT 412 705 0057 P.01/01 o PNCBAN< August 7,2002 Marcus A. McKnight ill West Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013-3222 RE: Estate of Rosie E. Durf, deceased SSN: 172-24-9147 DOD: 6/18/2002 Dear Mr. McKnight: In response to your request for Date of Death balances for the customer noted above, our records show Ihe following: SaviDlll Account Account #5080578445 Established 0/151 I 996 ROSIE E DURF DOD balllI\Ce: $4,539.99 + $0.98 accrued interest Interest Paid 1/1/2002 - 6/18/2002 - 56.54 Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not procels any financlal transactions or provide statements. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, ~vJ.ilJ~ Rachelle Wells 1-800-762-1775 P7-PFSC-04-F SOO fitsl Ave. Pitlslnlrgh PA ISt19 Member FDIC TOTAL P.01 Estate of ROSIE E. DURF also known as PETITION FOR PROBATE & GRANT OF LETTERS No. 21-02- lD\p To: Register of Wills for the County of Cumberland Commonwealth of Pennsylvania , deceased. Social Security No. 172-24-9147 The Petition of the undersigned respectfully represents that: Your Petitioners, who are 18 years of age or older and the Co-Executrices named in the Last Will of the above decedent dated March 29 ,1989, and codicils dated none , 19~ The Executor named none died . Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 739 Sandbank Road, Dickinson Township, Mt. Hollv Sprinqs Decedent, then ~ years of age, died Health Center, Carlisle, PA June 18 , 2002, at Forest Park 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: Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property $4,000.00 (If not domiciled in PAl Personal property in PA $ (If not domiciled in PAl Personal property in County $ Value of real estate in Pennsylvania, situated as follows: $30,000.00 739 Sandbank Road, Dickinson Township, Mt. Holly Sprinqs, Cumberland County WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. ~ Signature(s) and Residence(s) of Petitioner(s): ~,,~r J. - /. M~'tai-h..,.-;"6 ~"'11 ~ ~~~ Ma ise Dehoff se Mane ickrode 320 Mountain View Road 619 Alexander Sorinq Road Mt. Holly Sorinqs, PA 17065 Carlisle, PA 17013 717-486-7366 717-245-9004 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND 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 representative of the above decedent, petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this 2nct! day of Jul 0 ~~ R s Marie Ric ode n - '\ ~- I No. 21-02- Estate of ROSIE E. DURF , deceased. DECREE OF PROBATE & GRANT OF LETTERS AND NOW, Julv 1 , 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 March 29. 1989 described therein be admitted to probate and filed of record as the Last Will of Rosie E. Durf ; and Letters Testamentary are hereby granted to Mary Louise Dehoff and Rose Marie Rickrode ~. IRWIN McKNIGHT & HUGHES FEES Probate, Letters, Etc. . . . . . . . $70.00 Short Certificates(-1- ) . . . . $ 3.00 Renunciation(s) . . . . . . . . . . . $ JCP ....... . . . . . . . . . . . . . $ 5.00 Other Will PaQes (-1-) .... $ 3.00 TOTAL: .... $ 81.00 Filed. . 7-:-~.-.o2 . . . . . . . , . . . . . . . . . . . called atty 7-8-02 Marcus A McKnioht III. ESQuire (25476) ATTORNEY (Sup. Ct. I.D. No.) 60 West Pomfret SI.. Carlisle. PA 17013 ADDRESS 717-249-2353 PHONE ;!~- - , o i"-i '-- c ,-- I f'-j I !llh,H(I~ RF\' ')i~i> This is to certify that the information here given is correctly copied from an original c~rtificate of death dul~ filed with me as Local Registrar. The original certificate will be forwarded to lhe: SUle Vital Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. P 83~OO~ No. #,-;;iiHH;;'I~li ""~''-\" OF P<i;---__ .,.,~"""~~";t -, \II~, ~~ f1f~~ ~ ~"\. l~,/, ,:;.;.:" ,'~i ~ ~'I h~ /I;;~ .. " , -, .- ~ ~*'., ' ,.~,'- "~!*~ '&~-...---- ,>:-,' '-~ /...~i ":. ------:' ''rIll ",_'1-91'. -- ~ ~\; ,." "'"11.......,/"ENl \i'/1111' .......,'lItH"""JI ~~~ Fee for this cenificate, $2.00 JUN 2 0 21102 Date H10S :43R~~, 2!87 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH " '" lJNOEA101'(f Ho.... \ MIn..,.. 5r....(F'lf~U"'B(~ SOCIAl5EClJ~I1'YNlJ"'BEA " " NAMEOFOECEDENT,F,'""M"",,,,C"", I. Ro.6..te. E. VUlt AGE (lU' !lof\t>O.VI lJNOeR t VEAR 72 MOIIlIIlo D1V- 172 - 24 - 9147 DATECWOe..o.TM,M"""',Oo...'_1 ..June 18,2002 81I'1TH"L.ACi'ICdVand SI.,.",F~,~CClJ"'rVI t.Ho.u.ySp'~ng~ g~lo COUNTYOF()f.(I"H .lI .... Cumbelt.tand -.. CaltLi..6.te DECE'oe~'S USt./AL OCCVp,qlON (~-=:~~~:'2~~ tl.. Homemakelt lib DECIEDENT'SfMlAlUNG AOOAESS(Sl<",.Cilyfl'Own, sw..Z-II>C~ 739 Sandbank Rd. "Mt. HoUy Sp.~ng~,PA17065 ~tNOOFBUSINES$/lNOUSTAV DECEDENT'S ~".. AESIOEHCE (s..,n""""""," 011<""...."'" 11..51... enn.6Y l.lARITAI.STf<1US.Iftn...:\ N_,..........Wl-... .-"."" w-<.dowed " ~c SVl'NNlNGSJIOUSE 11_,gnoe.....,..,,,.,,.,., ... _._lroIofin - ".. Cumb..tand 'TolD :;':::::=01 "'OTtleA'SNAIolIE(F~...M<!dIll.fMl.idIf\Su<own.) II. o-6'e Galtnelt INFORMANT'S WolLING ADMESS (51rftl. ClyrTown. SIN, Zip C<QI ,~. 320 Mounta~n V ~ew Rd. Mt. H oU PU,c;EOFOISPO$lTIOO.N.'"'clC_......C...mUl:Wy ~().I\OlI~. We-6tm4n-6tek MemoJt~at Zle. ...- ~1'ornStmO n ~fJz/~ Due'lO(OR~ C. E"90Fl' J)1--...eu~v< vv:;.<... t.I PAl'lTlIIOI"''''~__lng''''''''lf>,bUI -;;;;:;:z;:---_. l: Jk OIJE"IO(OFlASACONSEOl.IENCEOFl OUETOIQRASACONSEOVENCEClF)< WEAEAUlOPS"i'FINOINGS MANNEAOf'DEATH _tL.AklEf'fllORlO gJ eot.tPl.ETIOHOFCAUSE 0 "'''"''''' ,- -- Ac~", 0 P_ngllWllllglltlon 0 _0 ~18f ....... 0 eo"'<!....!lII"".rminood 0 (l,&,TECWINJURV t,..onlll,o.y,.....') TIMEOFINJUAY INJURV Ja WOA"'1 OESCAI8E HOW INJURY OCCURFlE(l. _ 0 ~(8: .. aa. Z.... ClERT",ERIC"*",,,...,..,,..) .CE'"IFYlJlCl'WYIICI..."(""_~~~on\l'l__..f'!'I'IOC...n"..prDl''<'.'''''..:l~..ma.noc'''''''''..II<l~....,23) TO...._lof"'yllt>ow'-'ge.cM.."OCC........,doJu.."'.e.....(I)lndm.n.........t.tood.. n. Pl.ACEOFINJUI'lV."'''''....,..''''.OI.....II<=lory,omc. bu!IdIn9. ..., (:)peeM - tOCATION~.Cd'liT_.5"".) .xl 31". tICE~N~~8EA OJaESlGNEO~,o.'I,~ ... Ole. vvt{) t::'> 3t4, (J- / q-o NAME AND AOOAESS or: PERSON WHO CQMP\.E'TEO CrOUSE OF OErOTH (Item 271 TYPlOf Prinl ~:3.o HI; ~ ",..'" .l'ROflOUNC,~ANOC1!AT1P'YINQPHYSIC,AHIPt>."""'n"""""'''''O'''>c"'';ld..,~.ndc'''''~IOC.....0!"..,"I To "'" _01 "'v k....-,...doO.l!<loe~"'_ -''''.Ilm.. 6111.. .ndpl......nc:t a...1o lh.e.....(.) onc:t "'.nn.'.I......... o " \,{, I ,.A. f ,01 (.M.-- &'0 01-00;;" !' IAST WIlL AND TESTl\MENI' OF REIE E. IXJRF 6li-o~-L:>ID I, REIE E. IXJRF, a legal resident of Dickinson Township, CUmberland County, Pennsylvania, being of soun:l. and disposing mind, memory and urrlerstanding, do hereby make, publish and declare this as and for my last will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST: I direct that all my just debts and funeral expenses, including my grave marker, shall be paid fram the assets of my estate as soon as practicable after my decease. 1RIRD: I devise and bequeath the residue of my estate, of every nature and wherever situate, to my children, MARY IOUISE DEHOFF, ROSE MARIE RICKRODE, ROBERT E. IXJRF, lXlNAID E. IXJRF, DI\NIEL J. !XJRF, LEONARD C. !XJRF, :1 lEROY A. !XJRF, CYN'lliIA F. ARIDLT, and JOSEFH C. !XJRF, equally, provided that :'1 the share of any child who predeceases me shall be added to the share or I shares for my other children. , 'I " 'I " I !, SEXDlD: I direct that all taxes that may be assessed in consequence i','I' of my death, of whatever nature and by whatever jurisdiction inposed, shall . be paid from my residuary estate as a part of the expense of the II administration of my estate. II ,i RXlRIH: I nominate, constitute and appoint, MARY IOUISE DEHOFF and 'I REE MARIE RICKRODE, Co-Executrices, or the SUl:Vivor, of this, my last will :i and Testament. I hereby relieve my Executrices or their successor from the I, necessity of posting security in connection with their duties as such in any Ii jurisdiction in which they may be called upon to act, insofar as I am able I' by law so to do. I! Ii 'i H , IN WYrnESS WHEREDF, I have hereunto set my hand and seal to this, my last will and Testament, consisti,nj of one typewritten pages, each of which bears my signature, this ;;2'J;zz! day of ~"""K"C/'Y , 1989. fJ-yJ-,; /- ql<A;;! Ros:te E. n.rrf (SEAL) :i 'I II Signed, sealed, published and declared by the above-named Testatrix, , ROSIE E. !XJRF, as and for her last Will and Testament, in the presence of I us, who, at her request, in her sight and presence, and in the sight and I presence of each other, have hereunto subscribed our names as witnesses. II ~~~ (&W3 ('-(Y~ II II Ii " Ii II Ii II II ii !i i ! II Ii II !, II !I !I il il I I. Ii ,I 'I I. I' Ii , ~ CXMOClNWEAIIIH OF PENNSYLVANIA ) CXXlNTY OF C1lMBERIAND ) ss. I, RCSIE E. OORF, Testatrix whose name is signed to the attached or foregoing instnnnent, having been duly qualified a=rding to law, do hereby acknowledge that I signed and executed the instnnnent as my last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affinned ~ acknowledged before me by RCSIE E. OORF, U.e Testatrix, this,;;;,.?2-- day of ~~C,.r , 1989. .t/~~ ~ Cf) . ,( tatrix Rosie . / (SEAL) NOTARIAL SEAl KELLY A. HICKEL. NOTAIlY PUBlIC 'CARLISLE 8O!lO.. CUMBERLAND COUNTY. PA MY COMMISSION EXPIRES JIU 13. 1992 CXMOClNWEAIIIH OF PENNSYLVANIA ) ss. CXXlNTY OF C1lMBERIAND ) I , , I I 'I 'I I' II I I We, Edward L. Sc:horpp and Robert E. Black, the witnesses whose names are signed to the attached or foregoing instnnnent, being duly qualified a=rding to law, do depose and say that we were present and saw Testatrix sign and execute the instnnnent as her Last will; that Rosie E. DJrf signed willingly and that she executed it as her free and voluntary act for the pm:pose therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen or more years of age, of sound mind and UJrler no c:x>nstraint or undue influence. EEAL) ( SEJ'.!:,) NOTARiAl SEAl KELLY A. NICKEL. NOTAIlY PUBLIC CARLISLE 1llIlO.. CUMBERlAND COUNTY. PA MY COllMISS . PPlRES JUlY 13. 1992-. 6 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: ROSIE E. DURF Date of Death: JUNE 18. 2002 Estate No.: 21-02-0610 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on September 27.2002 Name Address Mary Dehoff R. Marie Rickrode Robert Durf Donald Durf Daniel J. DurfSr. Leonard Durf Lerov A. Durf Cynthia Motter Joseph C. Durf 320 Mountain View Road. Mt. Hollv Springs. P A 17065 619 Alexander Spring Road. Carlisle. PA 17013 IIR Mountain Street. Mt. Hollv Springs. P A 17065 60 Ball Park Drive. Gardners. P A 17324 4410 Carlisle Road. Gardners. PA 17324 739 Sandbank Road. Mt. Hollv Springs. P A 17065 4075 Carlisle Road. Gardners. PA 17324 28 Hollv Street. Mt. Hollv Springs. P A 17065 739 Sandbank Road. Mt. Hollv Springs. P A 17065 Notice has now been given to all persons entitled thereto under Rule 5.6(a) excep none. Date: 09/27/02 IRWIN, Name Address 60 West Porn fret Street Carlisle, P A 17013 Telephone (717) 249-2353 Capacity: Personal Representative x Counsel for Personal Representative I/}- -7.:3. '? ~ BUREAU OF INDIVIDUAL TAXES IHHERIT~HCE TAX DIVISION DEPT. 280601 HARRISBURG~ PA 171Z8~0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FI~E NUMBER COONTY ACN 02-10-2003 DURF 06-18-2002 21 02-0610 CUMBERLAND 101 MARCUS A MCKNIGHT ESQ IRWIN ETAL 60 W PDMFRET ST CARLISLE PA 17013~4802 *' REV-15~7 EX AFP (81-031 RDSIE E Allount R.llitt.d ) CHANGED (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 4,540.97 .00 .00 (8) 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=is'4j-EX--AFii-fiiy:ur-tjoi'"icE--OF-YNHERii'ANCE-i'"AX-APPRAisEMEtj'r,--AL.i-OWANCE-oR"----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DURF ROSIE E FILE NO. 21 02-0610 ACN 101 DATE 02-10-2003 TAX RETURN WAS, I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. stocks and Bonds (Schedule BJ 3. Closely Held stock/Partnership Interest (Schedule CJ 4. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule El 6. ~ointly Owned Property (Schedule fJ 7. Transfers (Schedule GJ 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ad... Costs/Misc. Expenses (Schedule HI 10. Debts/Mortgage Liabilities/Liens (Schedule Il 11. Total Deductions 12. Net Value of Tax R.turn 13. Charitable/Govern.ental Bequests; Non-elected 9113 Trusts (Schedule Jl 14. Net Value of Estate Subject to Tax IT an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reTlect Tigures that include the total oT ALL returns assessed to date. ASSESSMENT OF TAX: 15. btount 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 NOTE: (9) (10) 4,950.31 NOTE: To insure proper credit to your account, sub.it the upper portion of this form with your tax paymant. 4,540.97 7.';49 80 3,008.83- .00 3,008.83- (19)= .00 .00 .00 .00 .00 2.599.49 Ill) (12) (13) (14) .00 .00 .00 .00 X 00 = X 045 = X 12 = X 15 = ~TS: II "J AHOUNT PAID DATE NUNBER INTEREST/PEN PAID [-I TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.) STATUS REPORT UNDER RULE 6.12 ! ;I (j o~ Name of Decedent: ROSIE E. DURF Date of Death: JUNE 18.2002 No. 21-02-0610 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: ~ Yes _ 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 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? X Yes No Date: d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphan's Court and may be attached to this report~1 /7~ 3/19/03 ---'----~"I_ 1Zf Signature e-- . IRWIN, McKNIGHT & HUGHES Marcus A. McKnight III. Esauire Name (please type or print) 60 West Pomfret Street Address Carlisle. PA 17013 City, State, Zip (717) 249-2353 Telephone Number Capacity: X Personal Representative Counsel for Personal Representative BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG~ PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT *' REW-1U7EX AFP (91-03) LEE ANN C SHUPP MCNEES WALLACE ETAL PO BOX 1166 100 PINE HBG PA 17108 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-14-2004 COPENHAVER 07-18-2003 21 03-0610 CUMBERLAND 101 RUTH L Allount Relli H:ed 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 for.. with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv=il.'ifi-EiCAFi.--roFo3Y------...--iNHERITANCE--T"if"SiiifEME-NT-OF-"'ifcouiif--...---------------- - - - -- ESTATE OF COPENHAVER RUTH L FILE NO.21 03-0610 ACN 101 DATE 06-14-2004 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOHN BELOH IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT: 06-08-2004 PRINCIPAL TAX DUE:.. 153,501.44 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-16-2004 CD003831 .00 153,501.44 ...... .. .. !,-,-' .. TOTAL TAX CREDIT 153,501.44 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. C .J IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR1" YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) ~-{.....