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Home My WebLink About02-0834 Register of Wills of Cumberland County, Pennsylvania Estate of PETITION FOR GRANT OF LETTERS NORMA JUNE MAHAN No.~-02 - 83 4 Also known as NORMA J. MAHAN Social Security No. 166-16-6856 Deceased Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) Raymond Harry Mahan A. Probate and Grant of Letters and aver that Petitioners are the executors named in the Last Will of .,( the Decedent, dated July 5th. 1989 and codicil(s) dated The Decedent's husband. Leonard Mahan was aooointed as Executor. however he predeceased his wife. having died on October 18.1994. The Decedent's daughter. Dona Lee Shoemaker was named as Co-Executor with Raymond Harry Mahan and has renounced to serve as Co-Executor State relevant circumstances. e.g. renunciation. death of Executor. etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not to victim of a killing and was never adjudicated incompetent: D B. Grant of Letters of Administration (d.b.n.c.t.a.: pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name I COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Relationship Residence Decedent was domiciled at death in Cumberland County. Pennsylvania, with her last family or principal residence at 6 South 16th Street. Camo Hill. Camo Hill Borough. Pennsvlvania (List street, number and municipality) Decedent, then 80 years of age, died September 6. 2002 at Casa Mora Nursing Home. Bradenton. Florida (Location) Decedent 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 ......................................................................................................................$ Total......................................................................................................... $ Real Estate situated as follows: 6 South 16th Street. Camo Hill. Cumberland County. PA 100.000.00 105.000.00 205.000.00 Wherefore. Petitioners respectfully request the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the undersigned: T ed or rinted name and residence Raymond Harry Mahan 2748 Blue Penn Court Harrisbur , Pa 17112 \~-S?y-~ Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the ~ to law, ~ Sworn to and affirmed and subscribed ~ "'L R ONDHARR AHAN Before me this 16th day of 'U:;~~~ No. :21- OOL - 8..\ ~ Estate of NORMA JUNE MAHAN alkla NORMA J. MAHAN , Deceased Social Security No: 166-16-6856 Date of Death: September 6. 2002 AND NOW, SEPTEMBER 1 7, 2002 , 20 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters,( Testamentary D of Administration d.b.n.c.ta.; pendente I~e; durante absentia; durante minomale are hereby granted to RAYMOND HARRY MAHAN in the above estate and that the instrument(s) dated Julv 5th. 1989 described in the Petition be admitted to probate and filed of record as the last Will of the Decedent. FEES Letters........................... $270.00 $18.00 $ 5.00 $ $ 15.00 $ $ 5.00 $ $ ~~~~~~~~ Registero Wills --- -. n . H__ - Short Certificate(s) Renunciation............. . Affidavit ( ).................. Extra Pages ( )....... Codicil........................... . JCP Fee....................... Inventory...................... Other.............................. Attorney: R~~~RT I.D. No: 18039 Address: Johnson. Duffie. Stewart & Weidner. 301 Market Street. P.O. Box 109. Lemovne. PA 17043- Telephone: 717-761-4540 "TOTAL....... $ 313.00 filed 9-17-2002 mailed to atty 9-17-2002 Estate of NORMA JUNE MAHAN Also known as NORMA J. MAHAN Register of Wills of Cumberland County, Pennsylvania RENUNCIATION ,No. ~-O.2-~,~ , Deceased The undersigned. DONA LEE SHOEMAKER. Dauqhter (Relationship) of the above- named decedent hereby renounces the right to administer the estate and respectfully requests that Letters Testamentary be issued to RAYMOND HARRY MAHAN WITNESS my hand this tAt l. day of 5 (: ~ t-~ WI be "'- , 2002. ~ ON L E SHO MAKER 2612 51st Avenue West Bradenton, Florida 34207 t~ ~-l . .~ ., f' "* .",,,.'-_.'" ttnb uf NORMA JUNE MAHAN 21-02-83' I, NORMA JUNE MAHAN, of Camp Hill, Cumberland County, Commonwealth of Pennsylvania, being of sound mind and disposing memory, realizing the uncertainty of this life, but with con- fidence in God and trust in His Son, my Lord and Savior, Jesus Christ, who died for my sins upon the cross, and rose again to justify me and give me eternal life, do hereby make, publish, and declare this to be my Last ~vill and Testament, revoking any and all previous Wills and Codicils, and hereby will and dispose of all the property which I own at my death in the following manner: FIRST: DISPOSITIVE PROVISION - I give my automobiles, jewelry, clothing, household furniture and furnishings, and other tangible property, together with the insurance policies on such property as well as the rest, residue and remainder of my estate, real, personal or mixed of whatsoever nature and wheresoever situate to my husband, LEONARD MAHAN, if he survives me. Page One of Six Pages /;lnrw~jJ~ JJJ~ NORMA JUNE MAHAN I I' SECOND: In the event that my husband should predecease me or die within thirty (30) days of the date of my death, or we should die in a commmon d~saster, I hereby give, devise and bequeath my estate as follows: A. One-third (1/3) share to my daughter, DONA LEE SHOEHAKER; B. One-third (1/3) share to my son, RAYMOND HARRY [,tAl-IAN; and C. One-third (1/3) share to my then living grandchildren to be divided equally. THIRD: DISPOSITIVE PROVISION - In the event that my husband and my children should predecease me, die within thirty (30) days of the date of my death, or we should die in a common disaster, I hereby give, devise and bequeath my estate unto my surviving grandchildren, to be divided equally. Page Two of Six Pages I II I !J~J~/>>~ NORMA JUNE MAHAN II II II I I 1\ II II I FOURTH: SPENDTHRIFT PROVISION - No interest in income or principal shall be assignable by or available to anyone having a claim against a beneficiary before actual payment to I \ I I the beneficiary. FIFTH: POWERS OF FIDUCIARIES - In addition to the authority conferred upon fiduciaries by law, I authorize my Executrix to retain any property pending distribution here- under, to compromise claims without Court approval, to lease with limitation as to term, or sell any real or personal property at public or private sale for such prices and upon such terms as to cash and credit as far as real estate I I I I I is concerned without 1iabi1~ty on the part of the purchasers to see to the application of the purchase money, also to invest in all forms of property without restriction to investments authorized by fiduciaries and to distribute in cash or in kind. il Page Three of Six Pages I, I II I ~~~~~~ NORMA JUNE MAHAN SIXTH: APPOINTMENT OF EXECUTOR - I hereby nominate, constitute and appoint my husband, LEONARD MAHAN, as Executor of this, my Last Will and Testament. In the event he fails to qualify or ~eases to act, I hereby appoint my children, DONA LEE SHOEMAKER and RAYMOND HARRY MAHAN as alternate Co- Executrix and Co-Executor. I direct that no bond or other " security shall be required of my Executor/Executrix, any law or rule of Court to the contrary notwithstanding. SEVENTH: GUARDIAN OF MINOR'S INHERITANCE - In the event that any beneficiary named herein is under age twenty-five (25) at the time they are entitled to any inheri- tance under this Will, I hereby appoint CCNB Bank N.A. as guardian of any minor's ~nheritance named herein. In the event they fail to qualify or cease to act, I hereby appoint Fulton Bank as alternate guardian of the minor's estate. The Page Four of Six Pages ./;1~f}~/IJ~ NORMA JUNE MAHAN d CERTIFICATION OF NOTICE UNDER RULE 5.6{a) Name of Decedent: NORMA JUNE MAHAN alkla NORMA J. MAHAN Date of Death: Will No.: September 6, 2002 2002-00834 Admin. No.: To the Register: I certify that notice of beneficial interest 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 October 2,2002. Name Address 2612 51 Sl Avenue West Bradenton, Florida 2748 Blue Hen Court Harrisbura, PA 17112 2748 Blue Hen Court Harrisburo, PA 17112 3 Thistle Lane Media, PA 19063 DONA LEE SHOEMAKER RAYMOND H. MAHAN RYAN MAHAN DAWN M. BORDOGNA Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None. i -.~ I ~~~ Signature Name RICHARD W. STEWART Johnson, Duffie, Stewart & Weidner Address 301 Market St. P. O. Box 109 Lemoyne, PA 17043-0109 Telephone (717) 761-4540 Date: October 2, 2002 . ".\ .-- Capacity: Counsel for personal representative / West Coast - Southern Medical Service, Inc. Ambulance & Wheelchair Transportion Services 934 14th Street West · Bradenton, FL 34205 · (941) 748-7148 · (800) 743-5169 ht4J:/ jWWVI/.westcoast-southern.com 2/14/03 Register of Wills Cumberland County 1 Court House Square Carlisle, PA 17013 RE: Notice of Claim Estate of Norma J. Mahan Probate # 21-02-834 Social Security No: 166-16-6856 To whom it may concern: The undersigned herby presents for filing against the above estate this Statement of Claim and alleges: The basis of the claim is for Ambulance service on August 14, 2002. The amount of this claim is $287.50 plus $5.00 filing fee for a total of $292.50. The claim is not contingent. The claim is not secured. We have filed with Insurance and claim is pending. Please contact our office for final balance. If you have any questions, please contact our office at 941-748-7148. / West Coast So ern Medical Service, Inc JERRY R. DUFFIE RICHARD W STEWART C. ROY WEIDNER. JR. EDMUND G. MYERS DAVID W DELUCE RALPH H. WRIGHT. JR. DAVID J. LANZA MARK C. DUFFIE MELISSA PEEL GREEVY MICHAEL J. CASSIDY ROBERT M. WALKER LAW OFFICES JOHNSON, DUFFIE, STEWART & WEIDNER A Professional Corporation 301 MARKET STREET P. O. BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109 WEBSITE: www.jdsw.com HORACE A. JOHNSON COUNSEL TO THE FIRM TELEPHONE 71 7 - 7 61-4 540 FACSIMILE 717-761-3015 E-MAIL mail@jdsw.com E.MAIL dlw@jdsw.com June 4, 2003 Register of Wills Office Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 u~ Re: Estate of Norma J. Mahan SSN: 166-16-6856 Date of Death: September 6, 2002 Your File No. 21-02-0834 Dear Register: Enclosed for filing please find the following documents for the above referenced decedent: 1. 2 Original PA Inheritance Tax Returns. There is tax due in the amount of $26,488.65. Estate Check No. 504 is attached. 2. Estate Check No. 505 in the amount of $171.00 as follows: a. $140.00 as addition probate fees. The Gross Estate was more that what we had anticipated. b. $15.00 Inheritance Tax filing fee c. $16.00 Inventory Fee. $10.00 for Page 1 and $3.00 for each page thereafter (2@3.00 = $6.00). 3. 2 copies of Pages 1 & 2 of the Pa Inheritance tax return, which we ask that you time- stamp and return to us in the enclosed envelope. 4. Inventory 5. Inventory (copy), which we ask that you time stamp and return to us in the enclosed envelope. Should you have any questions, please do not hesitate to contact our office. Thank you for you assistance in this matter. Very truly yours, '.... ~tl' UlDIE, STEWART & WEIDNER ....~ a. e e Legal Assistant cc: Raymond H. Mahan, Executor :214214 Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY E~~eof Norma June MAHAN No. 21-02-0834 Date of Death 09/06/2002 also known as Norma J. Mahan ,Deceased Social Security No. 166 -16 - 6856 Raymond H. MAHAN, Personal Representative(s) of the above E~ate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I !We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: Richard W. Stewart perso~al Repres~entative ~", / SIgnature: ~~ ond'H. Signature: 1.0. No.: 18039 Address: P. O. Box 109 Address: 2748 Blue Hen Court Lemoyne, PA 17043-0109 Harrisburg, PA 17112 Telephone: 717/761-4540 Telephone: 717/657 - 3603 Dated: &;-J--03 Description Value ....... _ J .- ::i 8 :tl ro (') Q ."", (""'> iC"i~ ~r', C- c::: z I t.Jl ,~"',) (See continuation page(s) attached) " ;E.; ....... o \0 o --. (Attach additional sheets if necessary) Total: 554,635.63 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems,lnc, Form##RW-7 (1992) Estate of: Date of Death: County: INVENTORY Norma June MAHAN 09/06/2002 Cumberland CASH: 2002 Federal Individual Income Tax Return Refund 2002 Pennsylvania Individual Income Tax Return Refund 2002 Pennsylvania Individual Income Tax Return Refund - Additional Refund M&T Bank Certificate of Deposit Account No. 31003910437077 Accrued income through date of death Metlife Auto & Home - Homeowner's Insurance Reimbursement PNC Bank Certificate of Deposit Account Number 000031500217750 Accrued income through date of death United HealthCare - Overpayment made on Account Waypoint Bank Certificate of Deposit Account No. 400002117 -1- 718.00 105.52 40.00 89,511.17 2,504.83 43.00 75,174.19 52.17 728. 08 34,231. 63 Accrued income through date of death Waypoint Bank Certificate of Deposit Account Number 456223854 Accrued income through date of death STOCKSjLISTED: 265.000 shares The PNC Financial Services Group, Inc. BONDS: 125 United States Series E Savings .Bonds. Dated from 1975 to 1978. Valued by Savings Bond Calculator and attached hereto. REAL ESTATE/PA: Residence located at 6 South 16th Street, Borough of Camp Hill, Cumberland County, Pennsylvania. See attached Settlement Sheet -2- 316.76 25,893.12 5.29 12,123.75 207,288.12 105,900.00 229,323.76 12,123.75 207,288.12 105,900.00 TOTAL RECEIPTS OF PRINCIPAL............... -3- 554,635.63 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 STEWART RICHARD W ESQUIRE POBOX 109 301 MARKET STREET LEMOYNE, PA 17043-0834 ---.---- fold EST A TE INFORMATION: SSN: 166-16-6856 FILE NUMBER: 2102-0834 DECEDENT NAME: MAHAN NORMA JUNE DATE OF PAYMENT: 06/05/2003 POSTMARK DATE: 06/04/2003 COUNTY: CUMBERLAND DATE OF DEATH: 09/06/2002 NO. CD 002648 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $26,488.65 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: RAYMOND H MAHAN C/O RICHARD W STEWART ESQUIRE CHECK# 504 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS $26,488.65 DONNA M. OTTO DEPUTY REGISTER OF WILLS 11~ ?8- 9 REV-1500 EX + (6-00) CAPB HpRL EP 10 CRAC KOTK ES REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER o E C E o E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (lAST, FIRST, AND MIDDLE INITIAL) MAHAN Norma June DATE OF DEATH (MM-DO-YEAR) COUNTY CODE YEAR SOCIAL SECURITY NUMBER 166-16-6856 THIS RETURN MUST BEAlEDIN DUPLICATE WITH THE OFFICIAL USE ONLY D/ 21-02-0834 NUMBER REGISTER OF WILLS SOCIAL SECURITY NUMBE NAME COMPLETE MAILING ADDRESS X 1. Original Return 4. limited Estate X 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a living Trust (Attach copy cfTrust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o D 3 date of death . 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) C P o 0 R N R 0 E E S N T C o M P T U A T X A T I o N Richard W. Stewart FIRM NAME (If Applicable) Johnson, Duffie, Stewart & Weidner TELEPHONE NUMBER P. O. Box 109 301 Market Street Lemoyne, PA 17043-0109 DC ~ 1'(" R E C A P I T U L A T I o N - 5 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (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 Subject to Tax (Line 12 minus Line 13) d .:IJ (1) (2) (3) 105, 900.~' 219,411.$7 None OFFICIA~ c... c:: z ,S::..9NLY (4) (5) Ndne 229,323.76 I VI a d '-0 (8) 616,251.95 (11) 27.615.27 (12) 588,636.68 (13) (14) 588,636.68 (15) (16) (17) (18) (19) 0.00 26,488.65 0.00 0.00 26,488.65 (6) "' 35,441. 88 26,174.44 15,290.65 12,324.62 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 588,636.68 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. X X X X .0 0 .0 45 .12 .15 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) . Decedent's Complete Address. STREET ADDRESS 6 South 6th Street CITY I STATE I ZIP Garno Hill PA 17011 Tax Payments and Credits: 1. Tax Que (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 26,4BB.65 0.00 Total Cred~s ( A + B + C) (2) 0.00 Total Interest/Penalty ( D . E) (3) 4. If Une 2 is greater than Line 1 + Line 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + 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 the total of Line S + SA. This is the BALANCE DUE. (SB) Make Check Payable to:. REGISTe:R. Of'VofILLS,~~ENT ..,.,0',";: "i""""": "':ii" ,.";: ';' ':' "i :""_"": :.,.;::~:,:;:_;:::.~\~\:~~~~~\~~\i;;:::!1!\::;\;\\\;\~~\\l\\\m\\\m\\\m\\\\\\\\\j\j!\\\\\\~,,:t:!,.:~\\\\m\;!1\\\\\\\\m\\\m\\jmm\llml\I\!W!\\W;\m\l \i\\\mmm\\j\\\\\'.:"~::::\! ~ _\\\\\mml\\\\\\\\\\\\iii\m!!n:\\\\i ,': : \n\jjj!!j\j\j!j!i!i\!\\i\nn!;!ij!jin. PLEASE ANSWER THE FoiLOWUilG QUESTiONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 (4) (5) (SA) 0.00 26,4BB.65 0.00 26,48B.65 Yes No ~~ 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. retain a reversionary interest; or . . . . . . . d. receive the promise for life of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . 3. Did decedent own an "in trust for" 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. o o IT.] i\mmm IT] IT] o ...~....~~=,..,,'"'''''!''''''''' aymond H. MAHAN 748 Blue Hen Court - -';'rr-:lsb;;r-: --PA - - -i jifi - - - - - - -- - - - - - - - - - - - - - - -- ohnson, Duffie, Stewart & Weidner P. O. Box 109 -- iemoyn"-,- -PA- - - i 7cf43: CfiOg- - - - - - - - - - - - - - - - - - - - -- .'.""""':'::iiiii:!r::!:[ilii[ilir[:UtlUE\!\lil\1\1\\\11!!\:\\\\ \m\\ \\\\\\m\\mm\\\\\\\\\ii,\l!iil;\ w.\HH!.m~.\\\HW. !ti\(i\iH!,\i'i""""""..,.., DATE ~ CJS-!o3 ......i:%;"%;,,;;\;;,'.\;\'.,',,,,:,,:,...... 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 (al (1.1) (il). 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) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adop1ive parent, or a stepparent of the child is 0% 172 P.S. 9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(a)(1)]. The ~ax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% 172 P.S. 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Copyright (c) 2000 form soHwa~eol'lly The LaCKner Group, Il'Ic. Form REV-1500 EX (Rev. 6-00) REV-15~2 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Norma June MAHAN SS# 166-16-6856 09/06/2002 21-02-0834 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledae of the relevant facts. Real Droperty which is jointly-owned with riaht of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH 1 Residence located at 6 South 16th Street, Borough of Camp Hill, 105,900.00 Cumberland County, Pennsylvania. See attached Settlement Sheet SCHEDULE A REAL ESTATE TOTAL (Also enter on line 1, Recapitulation) $ 105,900.00 (If more space IS needed, Insert additional sheets of the same size) Copyright (e) 1996 form software only CPSystems Inc , . Form REV-1502 EX (Rev. 1-97) REV-15t13 EX+(1-97) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PEHNSYl\J"NIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Norma June MAHAN SSfI 166-16-6856 09/06/2002 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 DESCRIPTION 265 shares The PNC Financial Services Group, Inc., CUSIP fl693475105 2 125 United States Series E Savings Bonds. Dated from 1975 to 1978. Valued by Savings Bond Calculator and attached hereto. UNIT VALUE 45.75 TOTAL (Also enter on line 2, Recapitulation) , (If more space rs needed, Insert additional sheets of the same size) Copyrrght (c) 1996 form software only CPSysterns, Inc. FILE NUMBER 21-02-0834 VALUE AT DATE OF DEATH 12,123.75 207,288.12 219,411.87 Form REV-1503 EX (Rev. 1-97) f REV-15t8 EX <+ (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Norma June MAHAN SS# 166-16-6856 09/06/2002 21-02-0834 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 disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 2002 Federal Individual Income Tax Return Refund 718.00 SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY 2 2002 Pennsylvania Individual Income Tax Return Refund 105.52 3 2002 Pennsylvania Individual Income Tax Return Refund Additional Refund 40.00 4 M&T Bank Certificate of Deposit Account No. 31003910437077 89,511.17 Accrued income on item 4 through date of death 2,504.83 5 Metlife Auto & Home - Homeowner's Insurance Reimbursement 43.00 6 PNC Bank Certificate of Deposit Account Number 000031500217750 75,174.19 Accrued income on item 6 through date of death 52.17 7 United Hea1thCare - Overpayment made on Account 728.08 8 Waypoint Bank Certificate of Deposit Account No. 400002117 34,231. 63 Accrued income on item 8 through date of death 316.76 9 Waypoint Bank Certificate of Deposit Account Number 456223854 25,893.12 Accrued income on item 9 through date of death 5.29 TOTAL (Also enter on line 5, Recapitulation) $ (If more space IS needed, Insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. 229,323.76 Form REV-150B EX (Rev. 1~97) REV-1~09 EX + (1-97) COMMONWEALTH OF PENNSYLVA.NIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Norma June MAHAN SCHEDULE F JOINTLY-OWNED PROPERTY SSII 166-16-6856 09/06/2002 FILE NUMBER 21-02-0834 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. A, SURVIVING JOINT TENANT(S) NAME Raymond H. MAHAN ADDRESS 2748 Blue Hen Court Harrisburg, PA 17112 RELATIONSHIP TO DECEDENT Son B, Dona Lee SHOEMAKER 2612 51st Avenue, W Bradenton, FL 34207 Daughter c. JOINTLY -OWNED PRDPERTY, LETTER DATE DESCRIPTION OF PROPERTY D{DOF DATE OF DEATH ITEM FOR JOINT MADE Include name of fInancial Institution and bilnk DATE OF DEATH DECO'S VALUE OF account number or similar Identifying number. NUMBER TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTERES 1 A 06/01/95 Blue Chip Federal Credit 63,835.18 50.00% 31,917.59 Union Account No. 4404 - Certificate of Deposit 4/04/03 Maturity Date 2 A,B 11/02/94 PNC Bank Checking Account 6,730.30 33.33% 2,243.43 No. 5140041106 3 A,B 11/01/94 PNC Bank Savings Account 3,842.57 33.33% 1,280.86 No. 51-3007-1192 TOTAL (Also enter on line 6, Recapitulation) $ 35,441. 88 T (If more space IS needed Insert additional sheets of the same size) Copyright (e) 1996 form software only CPSystems, Inc. Form REV-1509 EX (Rev. 1-97) REV-151.0 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA tNHERITANCETAX RETURN RESIDENT DECEDENT ESTATE OF Norma June MAHAN SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY 55fl 166-16-6856 09/06/2002 FILE NUMBER 21-02-0834 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. ITEM NUMBER 1 DESCRIPTION OF PROPERTY RELAWg~Mftl~ H!b~~~6~~lt!NJ~~~~lT~E6F ~~i~SFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. Waypoint Bank IRA Account Number 6000000149 Beneficiary Designation to: One-Half of the proceeds to Raymond H. Mahan and One-Half of the proceeds to Dona Lee Shoemaker, Daughter DATE OF DEATH VALUE OF ASSET 26,163.83 %OF DECO'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 26,163.83 Accrued income on item 1 through date of death 10.61 10.61 TOTAL (Also enter on line 7, Recapitulation) $ (If more space IS needed, Insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. 26,174.44 Form REV-1510 EX (Rev. 1-97) REV-1511 EX +(1-97) . ESTATE OF Norma June MAHAN COMMONWEALTH OF PENNSYLVANIA INHERIT ANeE TA'/.. RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS SS!I 166 -16 - 6856 09/06/2002 FILE NUMBER 21-02-0834 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES, 1 Costs for Funeral Luncheon 150.95 2 Myers-Harner Funeral Home 6,553.00 3 Travel Expenses for Dona Shoemaker traveling from Florida 622.75 B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip - Year(s) Commission Paid: 2. Attorney's Fees Johnson, Duffie, Stewart & Weidner 7,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip - Relationship of Claimant to Decedent 4. Probate Fees Register of Wills 313.00 5. Accountant's Fees 285.00 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Cumberland County Register of Wills - Fil ing Fees: 31. 00 Inheritance Tax Return ($15.00) Inventory ($16.00) 2 Cumberland County Register of Wills - Additional Probate Fee 140.00 3 The Cumberland Law Journal - Estate Advertising 75.00 4 The Patriot News - Estate Advertising 119.95 TOTAL (Also enter on line 9, Recapitulation) $ 15,290.65 (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-150-12 EX + (1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TI4X RETURN RESIDENT DECEDENT ESTATE OF Norma June MAHAN FILE NUMBER 21-02-0834 SSiI 166-16-6856 09/06/2002 Include unreimbursed medical expenses. ITEM NUMBER 1 DESCRIPTION Bank fee for lost Safety Deposit Box Key AMOUNT 12.00 2 187.69 Bankcard Services Account No. 3 Carlos R. Leffler Oil - Remaining Balance on oil Invoice 28.23 4 Casa Mora Nursing Home Final Invoice 1,777.30 5 CMS Ambulance Services 287.50 6 Pennsylvania American Water - Final Bill 15.14 7 Pennsylvania Power & Light 34.53 8 Settment Costs on Sale of Residence as described on attached Settlement Sheet 9,951.91 9 The PNC Financial Services Group, Inc. - Fee taken from Salomon Smith Barney for sale of Decedent's stock 30.32 TOTAL (Also enter on line 10, Recapitulation) $ (If more space IS needed, Insert additional sheets of the same sIZe) Copyright (c) 1996 form software only CPSystems, Inc:. 12,324.62 Form REV-1512 EX (Rev. 1-97) REV-15103 EX +(9-00) COMMONWEA.L TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES Norma June MAHAN 55!1 166-16-6856 09/06/2002 FILE NUMBER 21-02-0834 RELATIONSHIP TO DEC~l)ENT AMOUNT OR SHARE Do Not List T..stee(o) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS {include outright spousaldlstrlbutJOns, and transfers under Sec. 9116(a)(1.2)] 1 Dawn M. Bordogna 3 Thistle Lane Media, PA 19063 Granddaughter One-Sixth (1/6) of Entire Estate 2 Raymond H. Mahan 2748 Blue Hen Court Harrisburg, PA 17112 Son One-Third (1/3) of Entire Estate 3 Ryan Mahan 2748 Blue Hen Court Harrisburg, PA 17112 Grandchild One-Sixth (1/6) of Entrie Estate 4 Dona Lee Shoemaker 2612 51st Avenue, West Bradenton, FL 34207 Daughter One-Third (1/3) of Entire Estate 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 $ (It more space IS needed, rnsert additional sheets of the same size) CopyrJght(c) 2000 form software only The Lackner Group, Inc. 0.00 Form REV-1513 EX (Rev. 9-00) LISTING OF EXHIBITS FOR ESTATE OF NORMA JUNE MAHAN EXHIBIT A Last Will and Testament dated July 5th, 1989 EXHIBIT B Settlement Sheet for sale of Property located at 6 South 6th Street, Camp Hill, Pennsylvania EXHIBIT C u.s. Savings Bonds Calculator valuing Savings Bonds listed on Schedule B - ~I.' .. .,' ,. <' mW :of NORMA JUNE MAHAN I, NORMA JUNE MAHAN, of Camp Hill, Cumberland County, Commonwealth of Pennsylvania, being of sound mind and disposing memory, realizing the uncertainty of ,this life, but with con- fidence in God and trust in His Son, my Lord and Savior, Jesus Christ, who died for my sins upon the cross, and rose again to justify me and give me eternal life, do hereby make, publish, and declare this to be my Last Will and Testament, revoking any and all previous Wills and Codicils, and hereby will and dispose of all the property which I own at my death in th'e following manner: FIRST: DISPOSITIVE PROVISION - I give my automobiles, jewelry, cloth~ng, household furniture and furnishings, and other tangible property, together with the insurance policies on such property as well as the rest, residue and remainder of my estate, real, personal or mixed of whatsoever nature and wheresoever situate to my husband, LEONARD MAHAN, if he survives me. Page One of Six Pages >%<i~~4-LA-"-.t- /;?~V'-/ NORMA JUNE MAHAN SECOND: In the event that my husband should predecease me or die within thirty (30) days of the date of my death, or we should die in a commmon d~saster, I hereby give, devise and bequeath my estate as follows: A. One-third (1/3) share to my daughter, DONA LEE SHOEr1AKER; B. One-third (1/3) share to my son, RAYMOND HARRY MAHAN; and c. One-third (1/3) share to my then living grandchildren to be divided equally. THIRD: DISPOSITIVE PROVISION - In the event that my husband and my children should predecease me, die within thirty (30) days of the date of my death, or we should die in a common disaster, I hereby give, devise and bequeath my estate unto my surviving grandchildren, to be divided equally. Page Two of Six Pages )J~~(1~-YJ- )J;~ NORt1A JUNE f1AHAN Ii II I FOURTH: SPENDTHRIFT PROVISION - No interest in income or principal shall be assignable by or available to anyone having a claim against a beneficiary before actual payment to the beneficiary. FIFTH: POWERS OF FIDUCIARIES - In addition to the authority conferred upon fiduciaries by law, I authorize my Executrix to retain any property pending distribution here- under, to compromise claims without Court approval, to lease with limitation as to term, or sell any real or personal property at public or private sale for such prices and upon such terms as to cash and credit as far as real estate is concerned without liability on the part of the purchasers to see to the application of the purchase money, also to invest in all forms of property without restriction to investments authorized by fiduciaries and to distribute in cash or in kind. II Page Three of Six Pages Ii I It ~~ ;) r10-'''~ ,,/l-<.-:vi-2-- )J1 ~/<--" NORMA JUNE MAHAN I I I I I " SIXTH: APPOINTMENT OF EXECUTOR - I hereby nominate, constitute and appoint my husband, LEONARD HAHAN, as Executor of this, my Last Will and Testament. In the event he fails to qualify or ceases to act, I hereby appoint lilY children, DONA LEE SHOEHAKER and RAYMOND HARRY HAHAN as alternate Co- Executrix and Co-Executor. I direct that no bond or other security shall be required of my Executor/Executrix, any law or rule of Court to the contrary notwithstanding. SEVENTH: GUARDIAN OF HINOR'S INHERITANCE - In the event that any beneficiary named herein is under age twenty-five (25) at the time they are entitled to any inheri- tance under this Will, I hereby appoint CCNB Bank N.A. as guar~ian of any minor's inheritance named herein. In the event they fail to qualify or cease to act, I hereby appoint Fulton Bank as alternate guardian of the minor's estate. The Page Four of Six Pages /;J iJ0A-ro<V f} ~ C/fJ~~ NORMA JUNE HAHAN said guardian of the minor's inheritance shall invest the principal and interest of the minor's inheritance and use the same for the support, health, maintenance and education of the minor at the sole discretion of the guardian of the minor's inheritance. I I I Page Five of Six Pages //r~.~ ~ }J~/ NORMA JUN< NAHAN I r I I I I I, 'NORMA JUNE MAHAN, testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it as my free and voluntary act for the purpose therein expressed. 7!~j)~d/ ~ NORMA JUNE MAHAN June Hahan, Sworn to and subs~,~ped before testatrix, this A,I~hL- day of NOTARIAL SEAL LI~DA S. SASSANI, NOT~.RV PUBLIC H.\RRISSURG, DAUPHIN COUNTY 1'.:5'~I~.~ISS:ON EXPIRES JUNE 18, 1990 weMe~y"cyl-l"nk1 >0, ~ /___...._ v,-::;: and , the witnesses w e ~m s are signed to the foregoing instrument, being duly qu lifi d according to law, do depose and say that we were presen and I testatrix sign and execute the instrument as her Last Will ~d Testament; that Norma June Nahan signed 'willingly and that Norma June Mahan executed it as her free and voluntary act for the purposes therein expressed; that all of us in the hearing and sight of the testatrix signed the Will aB witnesses; an~ that to the best of our knowledge the testatrix was ~ hat t' e 18 or more years age, of sound mind and under nO.J:.o1stlli of /~ndu. e influence. . r~ ( 11/. f/l~'-:J Witnr;s ~ I II II , 1989. . I. II t i I I I I I the , 1989. Page this NOTARIAL SEAL . \ S. SASSANI, NOTARY PUBliC l' :jlISBURG, DAUPHINCCV'ilY . .. .~:AMISSION EXPIRES ,IUI<f' 10, 1990 Si';[''''~f~'~'g-e@;;'otNowios . Notary Public )1~j;MA'& )71~ NORMA JU E MARAN -- -- ----~ ~ o "'''' \<l t:~ ~~~ ~'e\!l~",%""O ~ '" '" (;, ;> z .... ~'@ ,.'"' "'o~:::. "',. .. ~ '" '" 'Z "" 0 pO\~Z\~iO",~ r"' ~ e t.fl: (") ~ ('l "' F'~ ~8g~\Y. ~m'",'Z'Zo>;, . .-l ,." '" 0 3'3 ~"tP ~t.fl: tp. < 3.:1':)~aaO~ 't7.~ g~ tI1~~ N tJ -' ~ )>: ~ ~.... >1 ~~ ~- ,.. ~ ,z ~ '-' ~ "" \ - a.. , DEC-04-0Z 07:36 AM RAY + JULIE MAHAN U,S, DEPI'ATMENT OF HOUSING and URBAN DEVELOPMENT SETTLEMENT STATEMENT SECURED LAND TRANSFERS, INC. 5006 East Trlndle Road Suite 203 Mechanlcsburg, PA 17055 Phone: (717) 591-8500 H. SETTLEMENT AGENT, ''''''16th Street iJill BOROUGH J~.LAND County 717 567 2280 P.82 10 B. TYPE OF LOAN 2. f I FMHA 6. ( I CONY. INS, 1. LOAN NUMBEf\; 0019999 3000 Leadenball Mount Laurel NJ Secured Land Transfers, Inc. PLACE OF SETTLEMENT: 101 Old schoolhouse Lane/Mech., FA 17055 l.~FHA 4.{ )VA 6. FILE NUMBER: 504021 FAX: (717)591-8506 6 MORT. INS CASE NO.: 4416987233 ; ,This fOlm Is furnishod \0 give YOll a slalement 01 actual selllement costs, Amounts paid to and by Ihe selliement agenl are shown .\'(p.o.c.)' ware paid oulside tile closing; thay ara s/lown here for informalional purposes and are nOllncluded in Ihe Iota Is. . . ND ADDRESS OF BORROWER E. NAME MIO ADDRESS OF SELLER, F NAME AND ADDRESS OF LENDER: er A. Herfel Estate of Norma J. Mahan ERA Mortgage 9 k. SUMMARV OF SELLER'S TRANSACTION: 'oo.GROSS AMOUNT DUE TO SELLER 4ol.Conlrac( sales prIce 402.Personal property 403. 040". 405. Adjustments for Ilems paid by seUer in advance . 0406,CllyfTown ta); \0 407.COI..Jnty tali to '108, A'3$o$smen\s to . 41 409 School 4\0. wr: 41t. 412 '~'-' $ AMOUNT DUE FROM eORRowER '." 109346.83 ,.9 PAID BY OR IN.eEHALF OF BORROWER _or earne'sf 'i'ilonay af 'liJ1ounl.of new loan(s) ioan(s) laken subject to 1 104 4 10 10 10 sa en 3 420. GROSS AMOUNT DUE TO SELLER &00 REDUCTIONS IN AMOUNT DUE TO SELLER sOI,Excess deposit {see Instructions} so,. Settlement charges to sener (line 1400) 5OJ.Exlsling loan(s) laken sub)ectlo 50,Payoff 01 Firsl Morlgageloan NONE 50sPayoff of Second Morlgageloan 506. scrow re ~t ~01, 508. 50' 510,Cily!Town tao:. 511,Coun.ty tall 512.As5e5smcnls 513. School Adjustmenls for ilems unpaid by seiter 10 10 to 10 Sl4 ~_~~_9_____9_____V_____V~~___V_____V_____V_~~__ 515. 516. 617. 518. '" AID BY/FOR BORROWER 106239 .24 '",$ETTlEMENT FROM oR TO BORROWER .cunt due from borrower (line 120) 1 dunt paJd by/lor borrower (line 220) 10 tva FROM) ([ J TO) BORROWER "O.TOTAL REDUCTIoN AMoUNT DUE SELLER 600.CASH AT SETTLEMENT TO DR FRoM $ELLER ,,!.Gross amount due 10 6eller (line 420) 60' Less reduction amount due seller (line 520) 603CASH (00 TO) ([ I FROM) SE~g.il ! Seiter's Signaluro ;<\ ~:'.' DEc-e4-e2 07:40 AM RAY + JULIE MAHAN 717 567 2280 U.S. DEPARTMENT OF HOUS!NG AND URBAN DEVELorMENT SETTLEMENT STATEMENT fleD WITH LENDER FOR 3 mo. G $ mo.OS mo.O$ mo.OS mo.O$ mo.O$ mo.O$ mo.d$ 11.25 42.51 lmo jrno. ""D. lmo. Imo. jmo. ""D. Imo. OMBNa. NTCHARGES 504021 LES/Bj!jOICEA'S COMMISSION b.nd anpJlc. S ~05900. 00 "qf COfllm\!i:slor. {l\noe. 100) asfo\lows; Total: 6174.00 62.00 10 ERA NRT, Inc. 12.0 10 Centur 21 At The He m ~slon paid at SeUlamenl S Fee ERA NRT, Inc. YABLE IN coNNECTION WITH LOAN {\ 'lnaUon Fee 'liO ERA Mort a e count ,.. ls-al Fee \0 ~ liIpOft to ~ lnspedkm ~ge a '11 Insurance Appllcal10n Fee 10 "lion Fee. . 'aUIRED BY LENDER TO BE PAID IN ADVANCE rom 09 20 02 lo09 30 02 0$ 19. 6SIday 'a -e Insurance,Premlum for me. 10 De artment 0 HDD (tf- InSlIrance Premium lor yrs. 10 yrs.lo 1540.6 51 9 39.26 4 102.26 a ate AA.GU fJ. nt or closing feelo ~\ort1t1e search to "IMlJon. to '~urance binder 10 'preparatIon to . ~et 10 9Y'sleas to . s abov~ nams No.:) "rance .' to Secured Lan Transfers ~'.bov''''msNo.,) ENDS,100 300 900 rSC9ver as 104 263 ~,coveragiS$ 105 900 W~re Secure Land Transfers ert Secure Lan Trans ers rr Amer can Home S e .NM~NT REcOADINa AND TAANSFER CHAROE9 ,ngfl3es: aed$ 29.50 Mortgage$ 54.50 Misc. $ cout'll)' \ax/s\amps: Daad $ 1059 . 00 Morlgaga $ slamps: Deed$ 1059. OOMorlgage$ JDS&W Cas dNAl SET'r~EMENT CtU.f1GES 10 10 Bowers Pest Contro Bowers Pest Control earn Hll Borou h Fee Centur 21 At T e Helm EtTLEM~NfcHAACEiS (en\ef on lines 10Jand602.SectlQnsJlI.ndK) 2330.24 " .llltlno liIbDKy" nl!Jm.d by S,ruemlh' Agenl lot lho accuracyol Inlolm.llon lumlshod by olbar. as sht/wll on IlIeIlVD.! SelHemenl SIII,man\. Seillllllleni~. r110 dllposN 'lly_irilO~1l1s co1\l!cted lor dlsburstmDll1 In '" "'1ete$l b~'tV.1I ~CC(lunl in I r,derllly lflSlJred Inatftullon and III CflU:lij 'IlY Inlllrnllo 811ne17lo "sown .if ,prjlsMrv/etl,lnllllelrelluclIoll. 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C o ~ bI) .$ ~ " :> I N o o ~ 2; - Q) u '': ~ U (Xl o ~ o bJJ ,; '" ~ .. ..0 Q) '"C .~ :0 ::l 0- ~ :::::; j Savings Bond Calculator Page 6 of6 Lelelld Note Description Nl Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty ME Matured (Exchangeable for HH) MN Matured (Not Exchangeable for HH) Please rate this service. (Please print and/or save this page before submitting your survey) Service Excellent Good Fair Poor Savings Bond Calculator r r r r .. http://wwws.publicdebt.treas.gov/BC/SBCPrice 10/4/2002 /7-cRJ'-r '" BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER :; 3 :03COUNTY ACN 07-21-2003 MAHAN 09-06-2002 21 02-0834 CUMBERLAND 101 RICHARD W STEWART JOHNSON ETAL PO BOX 109 LEMOYNE '03 JUL 21 . REV-1547 EX AFP CDl-UJ NORMA J A..ount Re..itted '.~.~ i PA 170~sn-:: 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 ~ R'fi=is47-ixAFP--foY=oiY-NOYici--o':-INHiifiTAi"-ci-YAX-jrpPRAisiMiNT~--Ai.ioWAiici-irR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MAHAN NORMA J FILE NO. 21 02-0834 ACN 101 DATE 07-21-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. AMount of Line 14 at Spousal rate (15) 16. AlIOunt of Line 14 taxable at Lineal/Class A rate (16) 17. AMount of Line 14 at Sibling rate (17) 18. A.ount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due S: 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. ~ointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Totel Assets U) (2) (3) (4) (5) (6) (7) 105,900.00 219.411.87 .00 .00 229.323.76 35,441.88 26,174.44 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adn. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governnental Bequests; Non-elected 9113 Trusts 14. Net Value of Estate Subject to Tax 15,290.65 (9) UO) 12.324.62 (11) (2) (3) (14) (Schedule J) NOTE: .00 X 588,636.68 X .00 X .00 X + INTEREST/PEN PAID (-) .00 AMOUNT PAID 26,488.65 DATE 06-04-2003 NUMBER CD002648 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To insure proper credit to your account, sub.it the upper portion of this for. with your tax pay..."t. 616,251.95 27.615 27 588,636.68 .00 588,636.68 00 = 045 = 12 = 15 = .00 26,488.65 .00 .00 26,488.65 (19)= 26,488.65 .00 .00 .00 ( 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.) STATUS REPORT UNDER RULE 6.12 Q;t d~ Name of Decedent: NORMA J. MAHAN Date of Death: SEPTEMBER 6, 2002 Will No. 2002-0834 Admin No. Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rule, 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 No x 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3 MONTHS 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 b. The separate Orphans' Court No. (if any) for the personal representative's Account is: c. parties of interest? Did the personal representative state an account informally to the Yes 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: SeJ(:!,ember 4, 2003 , ,-. ~. 4f~~ Signature l.n I , ." ~... --' ...._# RICHARD W. STEWART JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street P.O. Box 109 Lemoyne, P A 17043 (717) 761-4540 Capacity: Personal Representative (x) Counsel for Personal Representative CL.. LL.} ./) 0l P STATUS REPORT UNDER RULE 6.12 Name of Decedent: NORMA J. MAHAN Date of Death: SEPTEMBER 6, 2002 Will No. 2002-0834 Admin No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rule, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the Estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's Account is: c. parties of interest? Did the personal representative state an account informally to the 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: November 5, 2003 , ...... ',...-.1 ~ /ifdJv Signature RICHARD W. STEWART JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street P.O. Box 109 Lemoyne, P A 17043 (717) 761-4540 Capacity: Personal Representative (x) Counsel for Personal Representative c'-J ,.- .- -' .,..... 0/( u . V" u ~ DEl'ZOll3 IN RE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21 ~0834 ~ or ESTATE OF NORMA JUNE MAHAN ORDER OF COURT AND NOW, this / b -# day of ~ , 2003, upon consideration of the within Petition, RAYMOND HARRY MAHAN is hereby appointed Substitute Trustee under the Last Will and Testament of Norma June Mahan for the benefit of Ryan Mahan. BY THE COURT: . / ./1~ J. :221323 Johnson, Duffie, Stewart & Weidner By: Richard W. Stewart J.D. No. 18039 301 Market Street P. O. Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 Attorneys for Petitioners INRE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 2~834 oJ-. ESTATE OF NORMA JUNE MAHAN PETITION The Petition of Raymond Harry Mahan and Ryan Mahan, respectfully represent that: 1. Your Petitioner, Raymond Harry Mahan, is the Executor of the Estate of Norma June Mahan. 2. Your Petitioner, Ryan Mahan, is the son of Raymond Harry Mahan, and is the grandchild of the Decedent, Norma June Mahan. 3. Your Petitioner, Ryan Mahan, is twenty (20) years of age and is entitled to a one-sixth (1/6) interest in the Decedent's estate under Item Second of the Decedent's Will. 4. Under Item Seventh of the Decedent's Will, the Decedent provided that in the event any beneficiary of the Will was under the age of twenty-five (25) years that CCNB Bank, N.A. be appointed as "Guardian of any minor's inheritance named herein" and in the event CCNB Bank, N.A. failed to qualify or cease to act, the Decedent named Fulton Bank as an alternate Guardian. 5. The share of Ryan Mahan's interest in the said estate is approximately Seventy-Five Thousand ($75,000.00) Dollars. 6. The attorneys for the Decedent's estate have contacted PNC Bank, N.A., successor by merger to CCNB Bank, N.A., and Fulton Bank and both of the said banks have declined to serve as Trustees or Guardians because of the small size of the trust estate to be held for your petitioner, Ryan Mahan. 7. It is believed by your Petitioners that no corporate fiduciary will be willing to serve because of the small size of the trust estate to be held for the benefit of Ryan Mahan. 8. It is the desire of your Petitioner, Ryan Mahan, that his father, the Petitioner, Raymond Harry Mahan, serve as substitute Trustee. WHEREFORE, your Petitioners pray that Your Honorable Court enter an order appointing Raymond Harry Mahan substitute Trustee under the Last Will and Testament of Norma June Mahan for the benefit of Ryan Mahan. Respectfully submitted, JOHNSON, DUFFIE, STEWART & WEIDNER By: ~d $~ Richard W. Stewart Attorney I.D. No. 18039 301 Market Street P.O. Box 109 Lemoyne, PA 17043-0109 Telephone (717) 761-4540 Attorneys for Petitioners :221321 VERIFICATION I, RAYMOND HARRY MAHAN, the Petitioner named in the foregoing Petition, make this Affidavit and have knowledge of the facts set forth in the foregoing and that said facts are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S. ~4904 relating to unsworn falsification authorities. Dated: I':>\"\""'~ SWORN to and subscribed before me this C\ ~ day of ~~ ,2003. '~l~MiC ~ ~ NOTARIAL SEAL My Commission Expires: DIAN~E lE~IG, Notary Public lemoyne Borough Cumberland Co. My C~~ Expires Dec. 21, 2005 I, RYAN MAHAN, the Petitioner named in the foregoing Petition, make this Affidavit and have knowledge of the facts set forth in the foregoing and that said facts are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S. ~4904 relating to unsworn falsification authorities. ~( Dated: \ .;'l \ C\ , "'" 'b SWORN to and subscribed before me this ~ ~ day of ~__ ,2003,. -~,,~~.~ Notary Public '- My Commission Expires: . NOTARIAL SEAL DIANNE lENIG, Notary Public lemoyne Borough Cumberland Co. My Commission Expires Dec. 21, 2005